Kuyini i-Subclinical Hypothyroidism?

-Delile

• Kubangelwa yini lokhu?
• Ubani osengozini?
• Izimpawu ezivamile
• Kutholakala kanjani
• Iphathwa kanjani
• Ingabe kukhona izinkinga?
• Isifo senhliziyo
• Ukukhulelwa kokukhulelwa
• Ukudla okuhle kakhulu okufanele kulandelwe
• Uyini umbono?

I-subclinical hypothyroidism iyindlela yokuqala, emnene ye-hypothyroidism, isimo lapho umzimba ungakhiqizi ama-hormone e-thyroid enele.

Ibizwa ngokuthi yi-subclinical ngoba kuphela ileveli ye-serum ye-hormone evuselela i-thyroid evela ngaphambili kwendlala ye-pituitary engaphezulu kancane kokujwayelekile.Ama-hormone e-thyroid akhiqizwa yindlala yegilo asengaphakathi kobubanzi obujwayelekile belebhu.

La mahomoni asiza ukusekela imisebenzi yenhliziyo, ubuchopho, kanye nokusebenza komzimba. Lapho ama-hormone egilo engasebenzi kahle, lokhu kuthinta umzimba.

Ngokuya ngocwaningo olushicilelwe, abantu bane-subclinical hypothyroidism. Lesi simo singaqhubekela ku-hypothyroidism egcwele ngokugcwele.

Kwesinye isifundo, kulabo abane-subclinical hypothyroidism bakhulisa i-hypothyroidism egcwele ngaphakathi kweminyaka eyisithupha yokutholwa kwabo kokuqala.

Kubangelwa yini lokhu?

Indlala ye-pituitary, etholakala phansi ebuchosheni, ikhipha ama-hormone amaningi, kufaka phakathi into ebizwa nge-thyroid-stimulating hormone (TSH).

I-TSH ibangela i-thyroid, indlala emise okwevemvane ngaphambili entanyeni, ukuze yenze amahomoni abe yi-T3 ne-T4. I-subclinical hypothyroidism yenzeka lapho amazinga e-TSH ephakanyisiwe kancane kepha i-T3 ne-T4 zivamile.

I-subclinical hypothyroidism kanye ne-hypothyroidism egcwele ngokugcwele yabelana ngezimbangela ezifanayo. Lokhu kufaka phakathi:

• umlando womndeni wesifo se-thyroid, njenge-Hashimoto's thyroiditis (isimo sokuzilimaza esilimaza amangqamuzana e-thyroid)
• ukulimala kwe-thyroid (isibonelo, ukukhishwa kwezicubu ezithile ze-thyroid ngesikhathi sokuhlinzwa kwekhanda nentamo)
• ukusetshenziswa kwe-radioactive iodine therapy, ukwelashwa kwe-hyperthyroidism (isimo lapho kukhiqizwa i-hormone yegilo eningi kakhulu)
• uthatha imishanguzo equkethe i-lithium noma iodine

Ubani osengozini?

Izinto ezahlukahlukene, eziningi zazo ezingaphandle kolawulo lwakho, zandisa amathuba okuthuthukisa i-subclinical hypothyroidism. Lokhu kufaka phakathi:

• Ubulili. Ucwaningo olushicilelwe kulo magazini lukhombise ukuthi abesifazane banamathuba amaningi okuthuthukisa i-subclinical hypothyroidism kunamadoda. Izizathu azicaci ngokuphelele, kodwa abacwaningi basola ukuthi i-hormone yesifazane i-estrogen ingadlala indima.
• Ubudala. I-TSH ivame ukukhuphuka njengoba ukhula, okwenza i-subclinical hypothyroidism ivame kakhulu kubantu abadala.
• Ukudla kwe-iodine. I-subclinical hypothyroidism ivame ukwanda kakhulu kubantu abasebenzisa iodine eyanele noma eyeqile, okulandela umkhondo wamaminerali obalulekile ekusebenzeni kahle kwe-thyroid. Kungasiza ukujwayelana nezimpawu nezimpawu zokushoda kwe-iodine.

Izimpawu ezivamile

I-subclinical hypothyroidism ezikhathini eziningi ayinazo izimpawu. Lokhu kuyiqiniso ikakhulukazi lapho amazinga e-TSH ephakanyiswe kancane. Lapho izimpawu zivela, noma kunjalo, zivame ukungacaci futhi zivame futhi zifaka:

• ukudana
• ukuqunjelwa
• ukukhathala
• i-goiter (lokhu kubonakala njengokuvuvukala ngaphambili kwentamo ngenxa yendlala yegilo eyandisiwe)
• ukuzuza kwesisindo
• ukulahleka kwezinwele
• ukungabekezelelani emakhazeni

Kubalulekile ukuqaphela ukuthi lezi zimpawu azichazeki, okusho ukuthi zingaba khona kubantu abanomsebenzi ovamile we-thyroid futhi abangahlobene ne-subclinical hypothyroidism.

Kutholakala kanjani

I-subclinical hypothyroidism itholakala ngokuhlolwa kwegazi.

Umuntu one-thyroid ejwayelekile esebenza kufanele abe nokufundwa kwegazi kwe-TSH ngaphakathi kwebanga elijwayelekile lezethenjwa, okuvame ukukhuphukela kumayunithi angama-4.5 milli-international ngelitha ngalinye (mIU / L) noma.

Kodwa-ke, kukhona impikiswano eqhubekayo emphakathini wezokwelapha mayelana nokwehlisa umkhawulo ojwayelekile ophakeme kakhulu.

Abantu abanezinga le-TSH elingaphezu kwebanga elijwayelekile, abanamazinga ejwayelekile we-thyroid gland gland, babhekwa njenge-subclinical hypothyroidism.

Ngenxa yokuthi inani le-TSH egazini lingaguquguquka, ukuhlolwa kungadinga ukuphindwa ngemuva kwezinyanga ezimbalwa ukubona ukuthi izinga le-TSH lijwayelekile yini.

Iphathwa kanjani

Kunempikiswano eningi mayelana nokuthi ungabaphatha kanjani labo abane-subclinical hypothyroidism. Lokhu kuyiqiniso ikakhulukazi uma amazinga we-TSH engaphansi kuka-10 mIU / L.

Ngoba izinga eliphakeme le-TSH lingaqala ukukhiqiza imiphumela emibi emzimbeni, abantu abanezinga le-TSH elingaphezu kwe-10 mIU / L ngokuvamile baphathwa.

Ngokusho, ubufakazi abuqondakali ukuthi labo abanamazinga e-TSH aphakathi kuka-5.1 no-10 mIU / L bazozuza ekwelashweni.

Lapho uthatha isinqumo sokuthi uzokwelapha noma cha, udokotela wakho uzocabangela izinto ezinjengalezi:

• izinga lakho le-TSH
• noma ngabe unayo yini i-antithyroid antibodies egazini lakho kanye ne-goiter (zombili izinkomba ukuthi isimo singaqhubekela ku-hypothyroidism)
• izimpawu zakho nokuthi ziyithinta kangakanani impilo yakho
• iminyaka yakho
• umlando wakho wezokwelapha

Uma kusetshenziswa ukwelashwa, i-levothyroxine (Levoxyl, Synthroid), i-hormone yokwenziwa yegilo ethathwe ngomlomo, ivame ukunconywa futhi ngokuvamile ibekezeleleka kahle.

Ingabe kukhona izinkinga?

Isifo senhliziyo

Ukuxhumana phakathi kwe-subclinical hypothyroidism nesifo senhliziyo kusaphikiswana ngakho. Ezinye izifundo ziphakamisa ukuthi amazinga aphakeme we-TSH, uma eyekwa engalashwa, angaba nomthelela ekuthuthukiseni okulandelayo:

• umfutho wegazi ophakeme
• cholesterol ephezulu

Uma kubhekwa abesilisa nabesifazane asebekhulile, labo abanezinga legazi le-TSH elingu-7 mIU / L nangaphezulu babenobungozi obuphindwe kabili noma ngaphezulu ngokuba nokuhluleka kwenhliziyo okucinana uma kuqhathaniswa nalabo abanezinga elijwayelekile le-TSH. Kepha ezinye izifundo azikuqinisekisanga lokhu okutholakele.

Ukukhulelwa kokukhulelwa

Ngesikhathi sokukhulelwa, izinga le-TSH yegazi lithathwa njengeliphakeme lapho lidlula i-2.5 mIU / L ku-trimester yokuqala kanye no-3.0 mIU / L kowesibili nowesithathu. Izinga elifanele lehomoni yegilo liyadingeka ekukhuleni kobuchopho besisu kanye nohlelo lwezinzwa.

Ucwaningo lushicilelwe lathola ukuthi abesifazane abakhulelwe abanezinga le-TSH eliphakathi kuka-4.1 no-10 mIU / L abelashwa ngemuva kwalokho bebengamancane amathuba okuthi baphuphunyelwe yisisu kunabalingani babo abangalashwa.

Kuyathakazelisa nokho ukuthi abesifazane abanezinga le-TSH eliphakathi kuka-2,5 no-4 mIU / L ababonanga bungozi obuncishisiwe bokulahleka kokukhulelwa phakathi kwalabo abaphathisiwe nalabo abangalashwa uma benamasosha omzimba angafanele we-thyroid.

Ukuhlola isimo se-antithyroid antibodies kubalulekile.

Ngokusho kocwaningo lwango-2014, abesifazane abane-subclinical hypothyroidism kanye ne-antithyroid peroxidase (TPO) antibodies bavame ukuba sengozini enkulu yemiphumela emibi yokukhulelwa, futhi imiphumela emibi yenzeka ezingeni eliphansi le-TSH kunabesifazane abangenawo amasosha omzimba we-TPO.

Ukubuyekezwa okuhlelekile kwango-2017 kutholakale ukuthi ubungozi bezinkinga zokukhulelwa babonakala kwabesifazane abane-TPO abanezinga le-TSH elingaphezu kuka-2.5 mU / L. Le ngozi ibingabonakali njalo kwabesifazane abangenayo i-TPO kuze kube ileveli yabo ye-TSH yeqe u-5 kuye ku-10 mU / L.

Ukudla okuhle kakhulu okufanele kulandelwe

Abukho ubufakazi obuhle besayensi bokuthi ukudla noma ukungadli ukudla okuthile nakanjani kuzosiza ukunqanda i-subclinical hypothyroidism noma ukukuphatha uma usuvele utholakele. Kubalulekile, noma kunjalo, ukuthola inani elifanele le-iodine ekudleni kwakho.

Iodine encane kakhulu ingaholela ku-hypothyroidism. Ngakolunye uhlangothi, okuningi kakhulu kungaholela ku-hypothyroidism noma ku-hyperthyroidism. Imithombo emihle ye-iodine ifaka phakathi usawoti wethebula le-iodized, inhlanzi yamanzi anosawoti, imikhiqizo yobisi, namaqanda.

INational Institutes of Health incoma ama-micrograms ayi-150 ngosuku kubantu abaningi abadala nentsha. Ithisipuni yekota eyodwa kasawoti one-iodized noma inkomishi engu-1 ye-yogurt engenamafutha aphansi inikeza cishe amaphesenti angama-50 wezidingo zakho zansuku zonke ze-iodine.

Sekukonke, into engcono kakhulu ongayenza ukuze wenze umsebenzi wakho we-thyroid ukudla ukudla okunomsoco, okunomsoco.

Uyini umbono?

Ngenxa yezifundo eziphikisanayo, kusenempikiswano eningi mayelana nokuthi kufanele yelashwe kanjani futhi kanjani i-subclinical hypothyroidism. Indlela enhle kakhulu eyomuntu ngamunye.

Khuluma nodokotela wakho nganoma yiziphi izimpawu, umlando wakho wezokwelapha, nokuthi ukuhlolwa kwegazi kwakho kukhombisani. Lo mhlahlandlela wengxoxo osebenzayo ungakusiza uqalise. Fundisisani izinketho zenu bese ninquma ngenkambo engcono yokwenza ndawonye.