I-Hyperthyroidism engaphansi

-Delile

• Ziyini izimpawu?
• Izimbangela ezivamile
• Kutholakala kanjani
• Imiphumela emzimbeni uma iyekwa ingalashwa
• Iphathwa kanjani futhi nini
• Ukwelashwa ngokuya ngesizathu
• Ukwelapha izimbangela zangaphakathi ze-subclinical hyperthyroidism
• Ukwelapha izimbangela zangaphandle ze-subclinical hyperthyroidism
• Ukwelashwa okusekelwe ebukhali
• Ukwelashwa ngobukhona bezinkinga
• Izinto ongazenza ekhaya
• Uyini umbono?

Ukubuka konke

I-subclinical hyperthyroidism yisimo lapho unamazinga aphansi we-thyroid stimulating hormone (TSH) kodwa amazinga ajwayelekile we-T3 ne-T4.

I-T4 (thyroxine) iyi-hormone enkulu ekhishwa yindlala yegilo. I-T3 (triiodothyronine) inguquko eguquliwe ye-T4. Inani le-T4 elikhiqizwa yindlala yakho yegilo lilawulwa ngamazinga okukhiqizwa kwe-TSH yindlala yakho yebhinqa futhi okuphambene nalokho.

Ngakho-ke, uma i-pituitary gland yakho ibona i-T4 encane kakhulu, izokhiqiza i-TSH eningi ukutshela indlala yakho yegilo ukuthi ikhiqize i-T4 eyengeziwe. Lapho inani le-T4 selifinyelele emazingeni afanele, indlala yakho ye-pituitary iyakubona lokho bese iyeka ukukhiqiza i-TSH.

Kubantu abane-subclinical hyperthyroidism, i-thyroid ikhiqiza amazinga ajwayelekile we-T4 ne-T3. Noma kunjalo, banamazinga we-TSH aphansi kunokujwayelekile. Lokhu kungalingani kwamahomoni kuholela esimweni.

Ukusabalala kwe-subclinical hyperthyroidism emphakathini jikelele kulinganiselwa ukuthi kusuka kuma-0.6 kuye kumaphesenti ayi-16. Kuya ngemibandela yokuxilonga esetshenzisiwe.

Ziyini izimpawu?

Iningi labantu abane-subclinical hyperthyroidism abanazimpawu ze-thyroid engasebenzi ngokweqile. Uma izimpawu ze-subclinical hyperthyroidism zikhona, zimnene futhi aziqondile. Lezi zimpawu zingafaka:

• ukushaya kwenhliziyo okusheshayo noma ukushaya kwenhliziyo
• ukuthuthumela, ngokuvamile kusezandleni zakho noma eminweni
• ukujuluka noma ukungabekezelelani ekushiseni
• ukwethuka, ukukhathazeka, noma ukuzwa ukucasuka
• ukuncipha komzimba
• ubunzima bokugxila

Izimbangela ezivamile

I-subclinical hyperthyroidism ingadalwa yizinto zombili zangaphakathi (ezingapheliyo) nezangaphandle (zangaphandle).

Izimbangela zangaphakathi ze-subclinical hyperthyroidism zingafaka:

• Isifo samathuna. Isifo seGraves yisifo sokuzilimaza komzimba esidala ukukhiqizwa ngokweqile kwamahomoni wegilo.
• I-goiter yama-multinodular. Indlala yegilo eyandisiwe ibizwa ngokuthi i-goiter. I-goiter yama-multinodular iyi-thyroid eyandisiwe lapho kungabonakala khona izigaxa eziningi, noma amaqhuqhuva.
• Indlala yegilo. I-Thyroiditis ukuvuvukala kwendlala yegilo, okubandakanya iqembu lezinkinga.
• Indlala adenoma. I-adenoma yegilo yisicubu esinobungozi sendlala yegilo.

Izimbangela zangaphandle ze-subclinical hyperthyroidism zifaka:

• ukwelashwa ngokweqile kwe-TSH
• ukucindezelwa kwe-TSH ngokungenhloso ngesikhathi sokwelapha i-hormone ye-hypothyroidism

I-subclinical hyperthyroidism ingenzeka kwabesifazane abakhulelwe, ikakhulukazi ku-trimester yokuqala. Kodwa-ke, kunemiphumela emibi yokukhulelwa futhi imvamisa ayidingi ukwelashwa.

Kutholakala kanjani

Uma udokotela wakho esola ukuthi une-subclinical hyperthyroidism, bazoqala bahlole amazinga akho we-TSH.

Uma amazinga akho e-TSH ebuya ephansi, udokotela wakho uzobe esehlola amazinga akho we-T4 no-T3 ukubona ukuthi aphakathi kwamabanga ajwayelekile yini.

Ukuze wenze lokhu kuhlolwa, udokotela wakho uzodinga ukuthatha isampula yegazi engalweni yakho.

Ibanga lesethenjwa elijwayelekile le-TSH kubantu abadala livame ukuchazwa njengamayunithi angu-0.4 kuye ku-4.0 milli-international ngelitha ngalinye (mIU / L). Kodwa-ke, kubalulekile ukuthi ubhekise njalo kumareferensi owanikeliwe embikweni welebhu.

I-subclinical hyperthyroidism ngokuvamile ihlukaniswa ngezigaba ezimbili:

• Ibanga I: I-TSH ephansi, kepha iyatholakala. Abantu abakulesi sigaba banamazinga e-TSH aphakathi kuka-0.1 no-0.4 mlU / L.
• IBanga II: I-TSH engatholakali. Abantu abakulesi sigaba banamazinga we-TSH angaphansi kuka-0.1 mlU / L.

Imiphumela emzimbeni uma iyekwa ingalashwa

Lapho i-subclinical hyperthyroidism ishiywa ingalashwa, ingaba nemiphumela emibi emzimbeni:

• Ingozi eyengeziwe ye-hyperthyroidism. Abantu abanamazinga we-TSH angabonakali basengozini enkulu yokuthuthukisa i-hyperthyroidism.
• Imiphumela emibi yenhliziyo. Abantu abangalashwa bangathuthuka:
  • ukukhuphuka kwenhliziyo
  • ukunciphisa ukubekezelela ukuzivocavoca umzimba
  • yingcube
  • i-fibrillation ye-atrial
  • Ukuncipha kwamathambo. Ukungalashwa kwe-subclinical hyperthyroidism kungaholela ekwehleni kokuqina kwamathambo kwabesifazane abangemva kokuya esikhathini.
  • Ukuwohloka komqondo. Eminye imibiko iphakamisa ukuthi i-subclinical hyperthyroidism engalashwa ingakhulisa ukuwohloka komqondo.

Iphathwa kanjani futhi nini

Ukubuyekezwa kwezincwadi zesayensi kutholakale ukuthi amazinga aphansi e-TSH abuyele ngokuzenzakalela kubantu abajwayelekile abane-subclinical hyperthyroidism.

Ukuthi isimo sidinga ukwelashwa sincike kulokhu:

• imbangela
• kubi kangakanani
• ubukhona bezinkinga ezihlobene

Ukwelashwa ngokuya ngesizathu

Udokotela wakho uzosebenza ukuthola ukuthi yini engabangela i-subclinical hyperthyroidism yakho. Ukunquma imbangela kungasiza ekunqumeni ukwelashwa okufanele.

Ukwelapha izimbangela zangaphakathi ze-subclinical hyperthyroidism

Uma une-subclinical hyperthyroidism ngenxa yesifo se-Graves, kudingeka ukwelashwa. Udokotela wakho kungenzeka anikeze ukwelashwa kwe-iodine enemisebe noma imishanguzo elwa namagciwane, njenge-methimazole.

Ukwelashwa kwe-iodine enemisebe kanye nemithi elwa namagciwane kungasetshenziswa ukwelapha i-subclinical hyperthyroidism ngenxa ye-multitodular goiter noma i-thyroid adenoma.

I-subclinical hyperthyroidism ngenxa ye-thyroiditis ivame ukuzixazulula ngaphandle kokuthola ukwelashwa okwengeziwe okudingekayo. Uma i-thyroiditis inzima, udokotela wakho angakunikeza izidakamizwa ezilwa nokuvuvukala. Lokhu kungafaka izidakamizwa ezingezona ukuvuvukala (ama-NSAID) noma ama-corticosteroids.

Ukwelapha izimbangela zangaphandle ze-subclinical hyperthyroidism

Uma imbangela ingenxa yokwelashwa okucindezelayo kwe-TSH noma ukwelashwa kwamahomoni, udokotela wakho angalungisa umthamo wale mithi lapho kufanele khona.

Ukwelashwa okusekelwe ebukhali

Uma amazinga akho e-TSH ephansi kodwa esatholakala futhi ungenazo izinkinga, ungahle ungatholi ukwelashwa ngokushesha. Esikhundleni salokho, udokotela wakho angakhetha ukuphinda abeke amazinga akho e-TSH njalo ezinyangeni ezimbalwa aze abuyele kokujwayelekile noma udokotela wakho anelisekile ukuthi isimo sakho sizinzile.

Ukwelashwa kungadingeka uma amazinga akho e-TSH ewela ku-Grade I noma ku-Grade II futhi ukuleli qembu lama-ingozi alandelayo:

• uneminyaka engaphezu kwengama-65 ubudala
• unesifo senhliziyo
• unesifo samathambo
• unezimpawu ezisikisela i-hyperthyroidism

Ukwelashwa kwakho kuzoya ngokuthi hlobo luni lwesimo oludala i-subclinical hyperthyroidism yakho.

Ukwelashwa ngobukhona bezinkinga

Uma uhlangabezana nezimpawu zenhliziyo nemithambo yegazi noma ezithinta amathambo ngenxa ye-subclinical hyperthyroidism yakho, ungazuza kuma-beta-blockers nakuma-bisphosphonates.

Izinto ongazenza ekhaya

Olunye ucwaningo lukhombisile ukuthi imiphumela emibi ekucineni kwamathambo ingakhululeka ngokuqinisekisa ukuthi uthola isilinganiso esanele sansuku zonke se-calcium.

Ungaba nokulahlekelwa kwesisindo esithile uma une-subclinical hyperthyroidism. Lokhu kungenxa yokuthi abantu abane-thyroid engasebenzi ngokweqile banezinga eliphakeme lokunciphisa umzimba (BMR). Izidingo zekhalori zokugcina isisindo sakho zizoba ngaphezulu.

Uyini umbono?

I-subclinical hyperthyroidism kulapho unamazinga aphansi we-TSH kodwa unamazinga ajwayelekile we-T3 ne-T4. Uma uhlangabezana nezimpawu ze-subclinical hyperthyroidism, udokotela wakho angasebenzisa uchungechunge lwezivivinyo zegazi ukuze athole ukuxilongwa.

Njengoba lesi simo singadalwa yizimo ezahlukahlukene ezahlukahlukene, ukwelashwa okutholayo kuzoya ngesizathu nobukhali. Lapho amazinga akho ebuyela kokujwayelekile ngokwemvelo noma ngokusebenzisa umuthi, umbono wakho kufanele ube muhle kakhulu.