Kuyini i-subclinical hyperthyroidism, izimbangela, ukuxilongwa nokwelashwa

-Delile

• Izimbangela eziyinhloko
• Ukuxilongwa kwenziwa kanjani
• Ukwelashwa kwe-subclinical hyperthyroidism

I-subclinical hyperthyroidism inguquko ku-thyroid lapho umuntu engakhombisi khona izimpawu noma izimpawu ze-hyperthyroidism, kepha enezinguquko ezivivinyweni ezihlola ukusebenza kwe-thyroid, kanye nesidingo sokwelashwa kufanele siphenywe futhi siqinisekiswe.

Ngakho-ke, njengoba kungaholeli ekubonakaleni kwezimpawu, ukuhlonza ushintsho kungenzeka kuphela ngokubheka amazinga we-TSH, T3 no-T4 egazini, angama-hormone ahlobene negilo. Kubalulekile ukuthi kubonakale i-subclinical hyperthyroidism, ngoba noma zingekho izimpawu noma izimpawu, lesi simo singavuna ukuthuthukiswa kwezinguquko zenhliziyo namathambo.

Izimbangela eziyinhloko

I-subclinical hyperthyroidism ingahlukaniswa ngokusho kwembangela ku:

• Okungapheli, okuhlobene nokukhiqizwa nokukhishwa kwehomoni yi-gland, okuyilokho okwenzekayo lapho umuntu esebenzisa kabi izidakamizwa ze-thyroid, njenge-Levothyroxine, isibonelo;
• Okuvamile, lapho izinguquko zingaxhumene ngqo nendlala yegilo, njengasesimweni se-goiter, i-thyroiditis, i-adenoma enobuthi nesifo se-Graves, okuyisifo esizimele lapho amangqamuzana omzimba ahlasela i-thyroid uqobo, okuholela Ukwehliswa komthetho ekukhiqizeni ama-hormone.

I-subclinical hyperthyroidism ngokuvamile ayiholeli ekubonakaleni kwezimpawu noma izimpawu, ezikhonjwa kuphela ngokuhlolwa kwegazi okuhlola ukusebenza kwe-thyroid. Ngakho-ke, ukusebenza kwezivivinyo kubalulekile ukuze kubonakale imbangela kanye nesidingo sokuqala ukwelashwa okufanelekile.

Yize kungaholeli ekubonakaleni kwezimpawu nezimpawu, i-subclinical hyperthyroidism ingakhuphula ubungozi bokushintshwa kwenhliziyo, i-osteoporosis kanye ne-osteopenia, ikakhulukazi kwabesifazane abanqamuka esikhathini noma abantu abaneminyaka engaphezu kwengama-60. Ngakho kubalulekile ukuthi itholakale. Bona ukuthi ungabona kanjani i-hyperthyroidism.

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kwe-subclinical hyperthyroidism kwenziwa ikakhulu ngokwenza izivivinyo ezihlola indlala yegilo, ikakhulukazi umthamo osegazini le-TSH, T3 ne-T4 kanye nama-antibodies e-antithyroid, lapho amazinga we-T3 ne-T4 ejwayelekile nezinga le-TSH ingaphansi kwenani lesethenjwa, okuthi kubantu abangaphezu kweminyaka eyi-18 liphakathi kuka-0.3 no-4.0 μUI / mL, engahluka phakathi kwamalabhorethri. Funda kabanzi mayelana nokuhlolwa kwe-TSH.

Ngakho-ke, ngokuya ngamanani we-TSH, i-subclinical hyperthyroidism ingahlukaniswa nge:

• Maphakathi, lapho amazinga we-TSH egazi aphakathi kuka-0.1 no-0.3 μUI / mL;
• Kakhulu, lapho amazinga we-TSH egazi angaphansi kuka-0.1 μUI / mL.

Ngaphezu kwalokho, kubalulekile ukuthi kwenziwe ezinye izivivinyo ukuqinisekisa ukutholakala kwe-subclinical hyperthyroidism, ukukhomba imbangela nokuhlola isidingo sokwelashwa. Ngalokhu, ukwenziwa kwe-ultrasound kanye ne-scintigraphy ye-thyroid kuvame ukwenziwa.

Kubalulekile futhi ukuthi abantu abatholakala ukuthi bane-subclinical hyperthyroidism babhekwe njalo ukuze amazinga ama-hormone ahlolwe ngokuhamba kwesikhathi futhi, ngalokho-ke, kungabonakala uma kube khona ukuvela kwe-hyperthyroidism, ngokwesibonelo.

Ukwelashwa kwe-subclinical hyperthyroidism

Ukwelashwa kwe-subclinical hyperthyroidism kuchazwa ngudokotela ojwayelekile noma i-endocrinologist ngokususelwa ekuhlolweni kwesimo sempilo yomuntu jikelele, ukuba khona kwezimpawu noma izinto ezinobungozi, ezinjengeminyaka elingana noma engaphezu kweminyaka engama-60, i-osteoporosis noma ukunqamuka kokuya esikhathini, ngaphezu kokuba nakho kubhekwe ukuvela kwamazinga we-TSH, T3 no-T4 ezinyangeni ezi-3 ezedlule.

Kwezinye izimo akudingeki ukuthi uqale ukwelashwa, ngoba kungaba yizinguquko zesikhashana nje, okungukuthi, ngenxa yezimo ezithile umuntu ahlangabezana nazo kube nezinguquko ekugxileni kwamahomoni ajikeleza egazini, kodwa abuyele kokujwayelekile .

Kodwa-ke, kwezinye izimo, kungenzeka ukuthi amazinga e-hormonal awabuyeli kokujwayelekile, ngokuphambene nalokho, amazinga e-TSH angancipha kakhulu futhi amazinga we-T3 no-T4 aphakeme, abonisa i-hyperthyroidism, futhi kuyadingeka ukuqala ukwelashwa okufanele. ngokusebenzisa izidakamizwa ezilawula ukukhiqizwa kwamahomoni, ukwelashwa nge-iodine enemisebe noma ngokuhlinzwa. Qonda ukuthi ukwelashwa kwe-hyperthyroidism kwenziwa kanjani.