Ukuhlolwa kwe-TSH (Thyroid Stimulating Hormone)

-Delile

• Kungani Kwenziwa Ukuhlolwa KwamaHormone Okukhuthaza I-thyroid?
• I-Hypothyroidism
• I-Hyperthyroidism
• Ngikulungiselela Kanjani Ukuhlolwa KwamaHormone Okushukumisa Indlala Yakho?
• Kwenziwa Kanjani Ukuhlolwa KwamaHormone Okukhuthaza I-thyroid?
• Isho Ukuthini Imiphumela Yesivivinyo SeHormone Esikhuthaza Indlala Yegilo?

Kuyini Ukuhlolwa kweHormone Okukhuthaza I-thyroid?

Ukuhlolwa kwe-hormone evuselela i-thyroid (TSH) kukala inani le-TSH egazini. I-TSH ikhiqizwa yi-pituitary gland, etholakala ezansi kobuchopho bakho. Inesibopho sokulawula inani lamahomoni akhishwa yi-thyroid.

Indlala yegilo yindlala encane emise okwevemvane etholakala ngaphambili entanyeni. Kuyindlala ebalulekile eyenza ama-hormone amathathu ayinhloko:

• triiodothyronine (T3)
• i-thyroxine (T4)
• calcitonin

I-thyroid ilawula imisebenzi eminingi ehlukene yomzimba, kufaka phakathi imetabolism nokukhula, ngokukhishwa kwala mahomoni amathathu.

Indlala yakho yegilo izokhiqiza ama-hormone amaningi uma indlala yakho yebhinqa ikhiqiza i-TSH eningi. Ngale ndlela, izindlala zombili zisebenza ndawonye ukuqinisekisa ukuthi kukhiqizwa inani elifanele lamahomoni wegilo. Kodwa-ke, lapho lolu hlelo luphazamiseka, i-thyroid yakho ingaveza ama-hormone amaningi kakhulu noma ambalwa kakhulu.

Ukuhlolwa kwe-TSH kuvame ukwenziwa ukuthola imbangela eyisisekelo yamazinga we-thyroid angajwayelekile. Ibuye isetshenziselwe ukukhombisa indlala yegilo engasebenzi noma engasebenzi ngokweqile. Ngokulinganisa izinga le-TSH egazini, udokotela wakho anganquma ukuthi i-thyroid isebenza kahle kangakanani.

Kungani Kwenziwa Ukuhlolwa KwamaHormone Okukhuthaza I-thyroid?

Udokotela wakho angalawula ukuhlolwa kwe-TSH uma uhlangabezana nezimpawu zesifo se-thyroid. Izifo ze-thyroid zingahlukaniswa njenge-hypothyroidism noma i-hyperthyroidism.

I-Hypothyroidism

I-Hypothyroidism yisimo lapho i-thyroid ikhiqiza khona ama-hormone ambalwa kakhulu, okwenza umzimba wehle kancane. Izimpawu ze-hypothyroidism zifaka ukukhathala, ubuthakathaka, nobunzima bokugxila. Okulandelayo ngezinye zezimbangela ezivame kakhulu ze-hypothyroidism:

• IHashimoto’s thyroiditis yisimo sokuzilimaza esibangela ukuthi umzimba uhlasele amaseli awo wegilo. Ngenxa yalokhu, indlala yegilo ayikwazi ukukhiqiza inani elanele lamahomoni. Isimo asibangeli izimpawu njalo, ngakho-ke singathuthuka eminyakeni eminingana ngaphambi kokuthi sidale umonakalo obonakalayo.
• I-Thyroiditis ukuvuvukala kwendlala yegilo. Ngokuvamile kubangelwa ukutheleleka ngegciwane noma ukuphazamiseka komzimba, njenge-Hashimoto's thyroiditis. Lesi simo siphazamisa ukukhiqizwa kwehomoni yegilo futhi ekugcineni siholele ku-hypothyroidism.
• I-Postpartum thyroiditis iyindlela yesikhashana ye-thyroiditis engahle ikhule kwabanye besifazane ngemuva kokubeletha.
• Indlala yegilo isebenzisa iodine ukukhiqiza ama-hormone. Ukushoda kwe-iodine kungaholela ku-hypothyroidism. Ukushoda kwe-iodine akuvamile kakhulu e-United States ngenxa yokusebenzisa usawoti one-iodized. Kodwa-ke, kuvame kakhulu kwezinye izifunda zomhlaba.

I-Hyperthyroidism

I-Hyperthyroidism yisimo lapho i-thyroid ikhiqiza khona ama-hormone amaningi kakhulu, okwenza imetabolism isheshe. Izimpawu ze-hyperthyroidism zifaka phakathi ukwanda kwesifiso sokudla, ukukhathazeka nobunzima bokulala. Okulandelayo ngezinye zezimbangela ezivame kakhulu ze-hyperthyroidism:

• Isifo seGraves yisifo esivamile lapho i-thyroid iba nkulu futhi ikhiqize inani eliningi ngokweqile lamahomoni. Isimo sabelana ngezimpawu ezifanayo njenge-hyperthyroidism futhi sivame ukufaka isandla ekuthuthukiseni i-hyperthyroidism.
• I-Thyroiditis ekugcineni iholela ku-hypothyroidism, kepha esikhathini esifushane, nayo ingadala i-hyperthyroidism. Lokhu kungenzeka lapho ukuvuvukala kubangela ukuthi i-thyroid ikhiqize ama-hormone amaningi kakhulu futhi iwakhiphe wonke ngasikhathi sinye.
• Ukuba ne-iodine eningi emzimbeni kungadala ukuthi igilo lisebenze ngokweqile. Lokhu uqobo kwenzeka njengomphumela wokuqhubeka usebenzisa imishanguzo equkethe iodine. Le mithi ifaka ezinye iziraphu zokukhwehlela kanye ne-amiodarone, esetshenziselwa ukwelapha i-arrhythmias yenhliziyo.
• Amaqhubu endlala yegilo ayizigaxa ezinobungozi kwesinye isikhathi ezakha ku-thyroid. Lapho lezi zigaxa ziqala ukwanda ngosayizi, zingaba namandla ngokweqile futhi indlala ingaqala ukukhiqiza amahomoni amaningi kakhulu.

Ngikulungiselela Kanjani Ukuhlolwa KwamaHormone Okushukumisa Indlala Yakho?

Ukuhlolwa kwe-TSH akudingi ukulungiswa okukhethekile. Kodwa-ke, kubalulekile ukutshela udokotela wakho uma uthatha imishanguzo engaphazamisa ukunemba kwesilinganiso se-TSH. Eminye imithi engaphazamisa ukuhlolwa kwe-TSH yilezi:

• amiodarone
• i-dopamine
• lithium
• umabhebhana
• iodide ye-potassium

Ungadinga ukugwema ukusebenzisa le mithi ngaphambi kokuhlolwa. Kodwa-ke, ungayeki ukuthatha imishanguzo yakho ngaphandle kokuthi udokotela wakho akutshele.

Kwenziwa Kanjani Ukuhlolwa KwamaHormone Okukhuthaza I-thyroid?

Ukuhlolwa kwe-TSH kuhilela ukuthatha isampula yegazi. Igazi ngokuvamile likhishwa emthanjeni ongaphakathi kwendololwane yangaphakathi.

Umhlinzeki wezokunakekelwa kwempilo uzokwenza inqubo elandelayo:

1. Okokuqala, bazohlanza indawo ngesixazululo sokubulala amagciwane noma esinye isisombululo.
2. Bazobe sebebopha ibhande lokunwebeka engalweni yakho ukwenza imithambo igcwale igazi.
3. Uma sebethole umthambo, bazofaka inaliti emthanjeni ukuze badonse igazi. Igazi lizoqoqwa kushubhu encane noma igabha elifakwe enalithini.
4. Ngemuva kokuthi badonse igazi elanele, bazosusa inaliti bese bemboza indawo yokubhoboza ngebhandishi ukunqanda noma yikuphi ukopha.

Yonke inqubo kufanele ithathe kuphela imizuzu embalwa ukuqeda. Isampula yegazi izothunyelwa ebhodini ukuze liyohlaziywa. Lapho nje udokotela wakho ethola imiphumela yokuhlolwa, bazohlela i-aphoyintimenti nawe ukuze nixoxe ngemiphumela futhi nichaze ukuthi zingasho ukuthini.

Isho Ukuthini Imiphumela Yesivivinyo SeHormone Esikhuthaza Indlala Yegilo?

Ububanzi obujwayelekile bamazinga e-TSH angama-0.4 kuya ku-4.0 milli-international amayunithi ngelitha ngalinye. Uma usuvele welashelwa isifo se-thyroid, ibanga elijwayelekile lingamayunithi angu-0.5 kuya ku-3.0 milli-international ngelitha ngalinye.

Inani elingaphezu kwebanga elijwayelekile livame ukukhombisa ukuthi i-thyroid ayisebenzi. Lokhu kubonisa i-hypothyroidism. Lapho indlala yegilo ingakhiqizi ama-hormone anele, indlala yamapayipi ikhipha i-TSH eningi ukuzama ukuyivuselela.

Inani elingaphansi kwebanga elijwayelekile lisho ukuthi indlala yegilo isebenza ngokweqile. Lokhu kubonisa i-hyperthyroidism. Lapho indlala yegilo ikhiqiza ama-hormone amaningi kakhulu, indlala yamapayipi ikhipha i-TSH engaphansi.

Ngokuya ngemiphumela, udokotela wakho angafuna ukwenza izivivinyo ezengeziwe ukuqinisekisa ukuxilongwa.