Ingxenye Yokuphikisana Amanga Ngokwe-TSH Ejwayelekile
Ungase uzithole (noma othandekayo) esimweni esithinta abanye abantu abaningi abanesifo se -roid: Unesifo sikaHashimoto (okusho ukuthi unesifo esihle se-peroxidase (TPO) se-thyroid, kodwa isifo sakho se-thyroid eshukumisayo (TSH) siwela ngaphakathi ibanga lokubhekisela elivamile.
Ngaphezu kwalokho, kungenzeka ukuthi ubhekene nezimpawu ezihlobene ne-hypothyroid ezinjengokukhathala, ukutholakala kwesisindo, ubuchopho obuchopho, ukucindezeleka, ukuvuvukala, noma imisipha-futhi uzibuze ukuthi ukwelashwa kuyadingeka yini.
Iqiniso lendaba ukuthi ukwelashwa kwesifo sikaHashimoto ngenxa yejwayelekile (noma i-TSH ephakeme).
Kuyini i-TSH evamile?
Iningi labodokotela abaphatha izifo ze-thyroid bakholelwa ukuthi banesifo sikaHashimoto, njengoba kuboniswa ngamagciwane ephezulu we-peroxidase (TPOAb) noma imiphumela ye-biopsy ye-thyroid, akusona isizathu esanele sokukuphatha , uma nje umphumela wakho wokuhlola we-hormone we-thyroid ikubeka ngaphansi kwebala "lokujwayelekile" lokubhekisela.
Inkinga yukuthi uhla lwama-TSH "olujwayelekile" luphikisana phakathi kochwepheshe, abanye bathi amayunithi angama-4.5 million-ilitha ngalinye noma i-mU / L yisiphetho esiphakeme kakhulu esivamile, kanti abanye bakholelwa ukuthi noma yini engaphezu kuka 2.5mU / L iphezulu.
Naphezu kwale mpikiswano, kuzo zonke izinhloso ezijulile, ama-laboratories amaningi asacacisa uhla olujwayelekile lwe-TSH oluphakathi kuka-0.4 no-4.5 mU / L.
I-Hypothyroidism engaphansi
Ngalokho, uma une- subclinical hypothyroidism , okusho ukuthi i-TSH yakho iphakanyisiwe ngokucophelela (ake sithi cishe u-6.0 mU / L) futhi izinga lakho le-thyroxine (T4) livamile, ukuthi unama-antibodies amahle we-TPO angathonya udokotela wakho ekunakekeleni umthamo ophansi wemithi ye-hormone ye-thyroid esikhundleni.
Udokotela wakho angase agwetshwe nakakhulu ukuze aphathe (noma uzame ngaphandle) uma unezimpawu ze-hypothyroid, njengokuqothulwa, ukucindezeleka noma ukulahlekelwa izinwele ze-scalp.
Isizathu esiyinhloko ngemuva kokuqala ukwelashwa ukuthi ukuphatha i-subclinical hypothyroidism kungavimbela ukuqhubekela phambili ekudluleleni i-hypothyroidism (lapho i-TSH yakho iphakanyisiwe futhi izinga lakho le-T4 liphansi).
Ukwelashwa kungase futhi kuthuthukise izimpawu noma ezinye izimpawu ze-hypothyroidism (njenge-cholesterol ephezulu).
Ukwelapha i-Hypothyroidism: Ukunye Okubalulekile Ukukhumbula
Ngaphezu kokutholakala kwamagciwane okulwa ne-TPO nokuthi ngabe unempawu, udokotela wakho uzocabangela ezinye izici lapho ecabanga ukuthi noma angayiphatha yini i-hypclinroidism engaphansi kwe-subclinical:
Ubudala
Esinye isizathu amazinga ase-age-TSH angakhula ngokukhula, ngisho nabantu abangenayo isifo se-thyroid.
Yingakho udokotela angase anikeze imithi yokwelapha i-hormone ye-hormone esikhundleni somuntu osemusha ophethe i-TSH ehloniphekile, ejwayelekile ye-T4, nama-antibodies aphikisayo we-TPO, kodwa hhayi umuntu omdala (oneminyaka engaphezu kwengu-60) nemiphumela efanayo yokuhlolwa kwegazi; nakuba, indlela yokulinda "ukulinda nokulinda" ivame ukuthathwa, okusho ukuthi uzobe uhlolwe njalo nge-TSH yakho ukubona ukuthi ivela yini.
Ezinye izinkinga zempilo
Ukuba nemlando yomndeni wezifo ze-thyroid noma umlando womuntu siqu we-cholesterol ephezulu kungase kuqhubekele udokotela ukuze aphathe i-subclinical hypothyroidism.
Njengoba i-subclinical hypothyroidism ingakhuphula ingozi yokukhulelwa kwesisu nokubeletha ngaphambi kwesikhathi, ukwelashwa kuvame ukuqala.
Ukwehliswa Ukubhekana Ne-Subclinical Hypothyroidism
Nakuba imithi yokwelapha i-hormone ishintshwe kahle, kunezinye izinto ezingase zibe khona ukuqala ukwelashwa kwe-subclinical hypothyroidism.
Okunye okukhathazayo okuyinhloko ingozi yokudliwa ngokweqile, okusho ukuthi umuntu uba hyperthyroid, okungababeka engozini yokuthuthukisa i-fibrillation ye-atrial kanye ne-osteoporosis.
Okunye ukuhlaselwa okungase kube khona kufaka phakathi izindleko, ukuphazamiseka, kanye "nokwelashwa" kwesimo esivamile.
Izwi kusuka
Uma wena noma othandekayo ene-subclinical hypothyroidism, futhi nokuba ne-TPO antibodies enhle ( isifo sikaHashimoto ) singase sishukumise udokotela wakho ukuba aqale isilingo se-levothyroxine.
Ekugcineni, ukukhetha ukuthi ungaqala yini ukwelashwa kwegciwane noma cha ukudinga ukuxoxwa okucabangayo nodokotela wakho-futhi khumbula, yini efanele impilo yakho yezempilo neyonke ingase ingalungile komunye umuntu.
> Imithombo:
> Burns RB, Bates CK, Hartzband P, Smetana GW. Ingabe kufanele siphathe i-subclinical hypothyroidism ?: Ama-Grand Rounds Ukuxoxa kusuka eBet Israel Deaconess Medical Centre. U-Ann Intern Med. 2016 Juni 7; 164 (11): 764-70.
> Garber, J, Cobin, R, Gharib, H, et. al. "Iziqondiso Zomtholampilo Zokusebenza Nge-Hypothyroidism Kubantu Abadala: I-Cosponsored yi-American Association of Endocrinologists Clinic kanye ne-American Thyroid Association." I-Endocrine Practice. I-Vol 18 No. 6 Novemba / Disemba 2012.
> Jonklaas J et al. Imihlahlandlela yokwelashwa kwe-Hypothyroidism: Yilungiselelwe i-American Thyroid Association Task Force kwi-Thyroid Hormone Replacement. I-Thyroid . 2014 Dec 1; 24 (12): 1670-1751.
> Reid SM, Middleton P, Cossich MC, Crowther CA, Bain E. Ukuhlinzekwa kwemitholampilo kanye ne-subclinical hypothyroidism ngaphambi kokukhulelwa nangesikhathi sokukhulelwa. I-Cochrane Database Syst Rev. 2013 Meyi 31; (5): CD007752.
> Thangarantinam S, Tan A, Knox E, Kilby MD, Franklyn J, Coomarasamy A. Association phakathi kwe-autoantibodies ye-thyroid nokukhulelwa kwesisu kanye nokuzalwa kwangaphambi kokuzalwa: ukuhlaziywa kwemeta yobufakazi. BMJ . 2011 Meyi 9; 342: d2616.