Ukuhlolwa kwe-TSH: kwenzelwa ini futhi kungani iphakeme noma iphansi

-Delile

• Amanani ayizethenjwa
• Kungasho ukuthini imiphumela
• I-TSH ephezulu
• I-TSH ephansi
• Kwenziwa kanjani ukuhlolwa kwe-TSH
• Yini i-ultra TSH ebucayi
• Lapho kuhlolwa i-TSH

Ukuhlolwa kwe-TSH kusebenza ukuhlola ukusebenza kwe-thyroid futhi kuvame ukucelwa ngudokotela ojwayelekile noma i-endocrinologist, ukuhlola ukuthi le ndlala isebenza kahle yini, futhi uma kwenzeka i-hypothyroidism, i-hyperthyroidism, noma uma kunomdlavuza we-thyroid ohlukile, i-follicular noma i-papillary, isibonelo.

Ihomoni ye-Thyostimulating (TSH) ikhiqizwa yi-pituitary gland futhi inhloso yayo ukukhuthaza i-thyroid ukuthi ikhiqize ama-hormone T3 no-T4. Lapho amanani we-TSH akhushulwa egazini, kusho ukuthi ukugxila kwe-T3 ne-T4 egazini kuphansi. Uma itholakala ekugxileni okuphansi, i-T3 ne-T4 zitholakala ezindaweni eziphakeme egazini. Bona ukuthi yiziphi izivivinyo ezibalulekile zokuhlola i-thyroid.

Amanani ayizethenjwa

Amanani esithenjwa e-TSH ayahluka ngokuya ngeminyaka yomuntu kanye nelabhorethri lapho kwenziwa khona ukuhlolwa, futhi imvamisa:

Kungasho ukuthini imiphumela

I-TSH ephezulu

• I-Hypothyroidism: Esikhathini esiningi i-TSH ephezulu ikhombisa ukuthi indlala yegilo ayikhiqizi i-hormone eyanele, ngakho-ke indlala ye-pituitary izama ukukhokhela lokhu ngokwandisa amazinga e-TSH egazini ukuze igilo lenze umsebenzi walo kahle. Esinye sezici ze-hypothyroidism yi-TSH ephezulu ne-T4 ephansi, futhi ingakhombisa i-subclinical hypothyroidism lapho i-TSH iphakeme, kepha i-T4 iphakathi kobubanzi obujwayelekile. Thola ukuthi yini i-T4.
• Imithi: Ukusetshenziswa kwezilinganiso eziphansi zemithi elwa ne-hypothyroidism noma ezinye izidakamizwa, njengePropranolol, Furosemide, Lithium kanye nemithi ene-iodine, kungakhuphula ukuhlangana kwe-TSH egazini.
• Isimila sesibeletho kungadala nokwanda kwe-TSH.

Izimpawu ezihlobene ne-TSH ephezulu zivamile nge-hypothyroidism, njengokukhathala, ukukhuluphala, ukuqunjelwa, ukuzwa amakhaza, ukwanda kobuso ebusweni, ubunzima bokugxila, isikhumba esomile, izinwele nezinzipho ezibuthakathaka. Funda kabanzi mayelana ne-hypothyroidism.

I-TSH ephansi

• I-Hyperthyroidism: I-TSH ephansi ivamise ukukhombisa ukuthi indlala yegilo ikhiqiza i-T3 ne-T4 ngokweqile, inyusa lawa manani, ngakho-ke indlala yebhinqa yehlisa ukukhishwa kwe-TSH ukuzama ukulawula ukusebenza kwe-thyroid. Qonda ukuthi yini i-T3.
• Ukusetshenziswa kwemithi: Lapho umthamo wesidakamizwa se-hypothyroid uphezulu kakhulu, amanani we-TSH angaphansi kokulungile. Amanye amakhambi angadala i-TSH ephansi yi: ASA, corticosteroids, dopaminergic agonists, fenclofenac, heparin, metformin, nifedipine noma pyridoxine, ngokwesibonelo.
• Isimila sesibeletho kungaholela nase-TSH ephansi.

Izimpawu ezihlobene ne-TSH ephansi zivamile nge-hyperthyroidism, njengokuxakaniseka, ukushaya kwenhliziyo, ukuqwasha, ukuncipha, ukwethuka, ukuthuthumela nokuncipha kwemisipha. Kulokhu, kujwayelekile ukuthi i-TSH ibe phansi ne-T4 ibe phezulu, kepha uma i-T4 isephakathi kuka-01 no-04 μUI / mL, lokhu kungakhombisa i-subclinical hyperthyroidism. I-TSH ephansi ne-T4 ephansi, ingakhombisa i-anorexia nervosa, ngokwesibonelo, kepha noma kunjalo ukuxilongwa kwenziwa ngudokotela owayalele ukuhlolwa. Funda kabanzi mayelana nokwelashwa kwe-hyperthyroidism.

Kwenziwa kanjani ukuhlolwa kwe-TSH

Ukuhlolwa kwe-TSH kwenziwa kusampula encane yegazi, okumele iqoqwe ngokuzila ukudla okungenani amahora ama-4. Igazi eliqoqiwe lithunyelwa elabhorethri ukuze liyohlaziywa.

Isikhathi esihle sokwenza lokhu kuhlolwa kusekuseni, njengoba ukuhlushwa kwe-TSH egazini kuyahlukahluka usuku lonke. Ngaphambi kokwenza isivivinyo, kubalulekile ukukhombisa ukusetshenziswa kwemithi ethile, ikakhulukazi amakhambi e-thyroid, njenge-Levothyroxine, njengoba ingaphazamisa imiphumela yokuhlolwa.

Yini i-ultra TSH ebucayi

Ukuhlolwa kwe-TSH okubucayi kuyindlela esezingeni eliphakeme kakhulu yokuxilonga engathola inani elincane le-TSH egazini isivivinyo esivamile ebengeke sikwazi ukuyibona. Indlela yokuxilonga esetshenziswe emalabhorethri ibucayi impela futhi icacisiwe, futhi uvivinyo lwe-TSH olubucayi kakhulu luvame ukusetshenziswa enkambisweni.

Lapho kuhlolwa i-TSH

Ukuhlolwa kwe-TSH kungalawulwa kubantu abaphilile, ukuze kuhlolwe ukusebenza kwe-thyroid, futhi uma kwenzeka i-hyperthyroidism, i-hypothyroidism, i-Hashimoto's thyroiditis, ukukhuliswa kwe-thyroid, ukutholakala kwe-nodule ye-thyroid enobungozi noma eyingozi, ngesikhathi sokukhulelwa, kanye nokuqapha umthamo wokushintshwa kwe-thyroid izidakamizwa, uma kwenzeka kuhoxiswa le ndlala.

Imvamisa, lokhu kuhlolwa kuyacelwa kubo bonke abantu abangaphezu kweminyaka engama-40, noma ngabe awekho amacala wesifo se-thyroid emndenini.