Ukuhlolwa kwe-TSH

Ukuhlolwa kwe-TSH kukala inani le-hormone egqugquzela i-thyroid (TSH) egazini lakho. I-TSH ikhiqizwa yi-pituitary gland. Kushukumisela indlala yegilo ukuthi yenze futhi ikhiphe ama-hormone egilo egazini.

Kudingeka isampula yegazi. Okunye ukuhlolwa kwe-thyroid okungenziwa ngasikhathi sinye kufaka:

• Ukuhlolwa kwe-T3 (mahhala noma okuphelele)
• Ukuhlolwa kwe-T4 (mahhala noma okuphelele)

Akukho ukulungiselela okudingekayo kulolu vivinyo. Buza umhlinzeki wakho wezempilo nganoma imiphi imithi oyiphuzayo engathinta imiphumela yokuhlolwa. Ungayeki ukuthatha noma yimiphi imithi ngaphandle kokubuza umhlinzeki wakho kuqala.

Imithi ongayidinga ukuyimisa isikhashana ifaka phakathi:

• Amiodarone
• UDopamine
• ILithium
• I-potassium iodide
• I-Prednisone noma eminye imithi ye-glucocorticoid

I-vitamin biotin (B7) ingathinta imiphumela yokuhlolwa kwe-TSH. Uma uthatha i-biotin, khuluma nomhlinzeki wakho ngaphambi kokuhlolwa kokusebenza kwe-thyroid.

Lapho inaliti ifakwa ukudonsa igazi, abanye abantu bezwa ubuhlungu obulinganiselayo. Abanye bazizwa beshaywa noma betinyelwa kuphela. Ngemuva kwalokho, kungahle kube nokushaywa okuthile noma ukulimazeka okuncane. Lokhu maduzane kuyaphela.

Umhlinzeki wakho uzoku-oda lokhu kuhlolwa uma unezimpawu noma izimpawu zegciwane le-thyroid elisebenza ngokweqile noma elingasebenzi. Ibuye isetshenziselwe ukuqapha ukwelashwa kwalezi zimo.

Umhlinzeki wakho angahlola futhi izinga lakho le-TSH uma uhlela ukukhulelwa.

Amanani ajwayelekile avela ku-0.5 kuya ku-5 microunits ngemililitha ngayinye (iterU / mL).

Amanani we-TSH angahluka emini. Kuhle ukuhlolwa ekuseni ngovivi. Ochwepheshe abavumelani ngokugcwele ngokuthi inombolo ephezulu kufanele ibe yini lapho kutholakala ukuthi une-thyroid.

Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalabhorethri ahlukene. Amanye amalebhu asebenzisa izilinganiso ezahlukahlukene noma avivinye amasampula ahlukile. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Uma welashelwa isifo se-thyroid, izinga lakho le-TSH cishe lizogcinwa phakathi kuka-0.5 no-4.0 µU / mL, ngaphandle kwalapho:

• Isifo se-pituitary siyimbangela yenkinga yegilo. Kungalindeleka i-TSH ephansi.
• Unomlando wezinhlobo ezithile zomdlavuza wegilo. Inani le-TSH elingaphansi kwebanga elijwayelekile kungaba ngcono ukuvimbela umdlavuza wegilo ekubuyeleni.
• Umuntu wesifazane ukhulelwe. Ububanzi obujwayelekile be-TSH buhlukile kwabesifazane abakhulelwe. Umhlinzeki wakho angaphakamisa ukuthi uthathe i-hormone ye-thyroid, noma ngabe i-TSH yakho ikububanzi obujwayelekile.

Izinga le-TSH eliphakeme kakhulu kunokujwayelekile livame ukubangelwa indlala yegilo engasebenzi kahle (i-hypothyroidism). Ziningi izimbangela zale nkinga.

Izinga eliphansi kunokujwayelekile lingahle libangelwe yindlala yegilo engasebenzi ngokweqile, engabangelwa:

• Isifo samathuna
• I-goiter nodular enobuthi noma i-goiter yama-multinodular
• Iodine eningi emzimbeni (ngenxa yokwamukela umehluko we-iodine osetshenziswe ngesikhathi sokuhlolwa kwe-imaging, njenge-CT scan)
• Ukuthatha umuthi omningi wehomoni yegilo noma ukunikezwa izithako zemvelo noma ezithengiswayo eziqukethe i-hormone yegilo

Ukusetshenziswa kwemithi ethile kungadala nezinga le-TSH elingaphansi kokujwayelekile. Lokhu kufaka phakathi i-glucocorticoids / steroids, i-dopamine, izidakamizwa ezithile ze-chemotherapy, nama-opioid painkillers afana ne-morphine.

Kunobungozi obuncane obubandakanyekile ekuthatheni igazi lakho.Imithambo yegazi nemithambo yegazi iyehluka ngosayizi komunye umuntu iye kolunye uhlangothi nangolunye uhlangothi lomzimba. Ukuthola isampula yegazi kwabanye abantu kungaba nzima kakhulu ukwedlula kwabanye.

Ezinye izingozi ezihambisana nokudonswa igazi zincane, kepha zingafaka:

• Ukopha ngokweqile
• Ukuquleka noma uzizwe unekhanda elincane
• Ukubhoboza okuningi ukuthola imithambo
• I-hematoma (i-blood buildup ngaphansi kwesikhumba)
• Ukutheleleka (ingozi encane noma kunini lapho isikhumba siphukile)

Thyrotropin; I-hormone evuselela i-thyroid; I-Hypothyroidism - i-TSH; I-Hyperthyroidism - i-TSH; I-Goiter - TSH

• Izindlala ze-Endocrine
• I-Pituitary ne-TSH

UGuber HA, uFarag AF. Ukuhlolwa komsebenzi we-endocrine. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; 2017: isahluko 24.

UJonklaas J, Cooper DS. Indlala yegilo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 213.

USalvatore D, uCohen R, uKopp PA, uLarsen PR. I-pathophysiology ye-thyroid nokuhlolwa kokuxilongwa. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 11.

I-Weiss RE, Refetoff S. Ukuhlolwa komsebenzi we-Thyroid. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 78.