Ukuhlolwa kwe-TSH (hormone ekhuthaza i-thyroid)
-Delile
- Kuyini ukuhlolwa kwe-TSH?
- Kusetshenziselwa ini?
- Kungani ngidinga ukuhlolwa kwe-TSH?
- Kwenzekani ngesikhathi sokuhlolwa kwe-TSH?
- Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
- Ingabe zikhona izingozi esivivinyweni?
- Isho ukuthini imiphumela?
- Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa kwe-TSH?
- Izinkomba
Kuyini ukuhlolwa kwe-TSH?
I-TSH imele i-hormone evuselela i-thyroid. Ukuhlolwa kwe-TSH ukuhlolwa kwegazi okulinganisa le hormone. Indlala yegilo iyindlala encane emise okwevemvane eseduze nomphimbo wakho. Indlala yegilo yakho yenza ama-hormone alawula indlela umzimba wakho osebenzisa ngayo amandla. Iphinde ibambe iqhaza elibalulekile ekulawuleni isisindo sakho, izinga lokushisa komzimba, amandla emisipha, kanye nemizwa yakho. I-TSH yenziwa ngendlala ebuchosheni ebizwa nge-pituitary. Lapho amazinga e-thyroid emzimbeni ephansi, indlala yamapayipi yenza i-TSH eningi. Lapho amazinga e-thyroid ephezulu, i-pituitary gland yenza i-TSH encane. Amazinga e-TSH aphakeme kakhulu noma aphansi kakhulu angabonisa ukuthi i-thyroid yakho ayisebenzi kahle.
Amanye amagama: ukuhlolwa kwe-thyrotropin
Kusetshenziselwa ini?
Ukuhlolwa kwe-TSH kusetshenziselwa ukuthola ukuthi i-thyroid isebenza kanjani.
Kungani ngidinga ukuhlolwa kwe-TSH?
Ungadinga ukuhlolwa kwe-TSH uma unezimpawu zehomoni yegilo eningi egazini lakho (i-hyperthyroidism), noma i-hormone yegilo encane kakhulu (hypothyroidism).
Izimpawu ze-hyperthyroidism, ezaziwa nangokuthi i-thyroid engasebenzi ngokweqile, zifaka:
- Ukukhathazeka
- Ukwehla kwesisindo
- Ukuthuthumela ezandleni
- Ukunyuka kwenhliziyo
- Ukukhukhumeza
- Ukuqhuma kwamehlo
- Kunzima ukulala
Izimpawu ze-hypothyroidism, ezaziwa nangokuthi i-thyroid engasebenzi, zifaka:
- Ukuzuza kwesisindo
- Ukukhathala
- Ukulahleka kwezinwele
- Ukubekezelelana okuphansi kwamazinga okushisa abandayo
- Izikhathi zokuya esikhathini ezingajwayelekile
- Ukuqunjelwa
Kwenzekani ngesikhathi sokuhlolwa kwe-TSH?
Uchwepheshe wezempilo uzothatha isampula yegazi emthanjeni osengalweni yakho, esebenzisa inaliti encane. Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha. Ungase uzizwe uluma kancane lapho inaliti ingena noma iphuma. Lokhu ngokuvamile kuthatha imizuzu engaphansi kwemihlanu.
Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
Awudingi noma yimaphi amalungiselelo akhethekile okuhlolwa kwegazi le-TSH. Uma umhlinzeki wakho wezokunakekelwa kwempilo eyalele okunye ukuhlolwa kwegazi, kungadingeka ukuthi uzile ukudla (ungadli noma uphuze) amahora ambalwa ngaphambi kokuhlolwa. Umhlinzeki wakho wezokunakekelwa kwempilo uzokwazisa uma ngabe kukhona imiyalelo ekhethekile ongayilandela.
Ingabe zikhona izingozi esivivinyweni?
Kunengozi encane kakhulu yokuhlolwa kwegazi. Ungaba nobuhlungu obuncane noma ukulimaza lapho kufakwe khona inaliti, kepha izimpawu eziningi ziyaphela ngokushesha.
Isho ukuthini imiphumela?
Amazinga aphezulu e-TSH angasho ukuthi i-thyroid yakho ayenzi ama-hormone e-thyroid anele, isimo esibizwa nge-hypothyroidism. Amazinga aphansi e-TSH angasho ukuthi i-thyroid yakho yenza ama-hormone amaningi, isimo esibizwa nge-hyperthyroidism. Ukuhlolwa kwe-TSH akuchazi ukuthi kungani amazinga e-TSH ephakeme kakhulu noma ephansi kakhulu. Uma imiphumela yakho yokuhlolwa ingavamile, umhlinzeki wakho wezokunakekelwa kwempilo cishe uzoku-oda izivivinyo ezengeziwe ukuthola imbangela yenkinga yakho yegilo. Lezi zivivinyo zingafaka:
- Ukuhlolwa kwe-T4 hormone hormone
- Ukuhlolwa kwe-T3 hormone hormone
- Ukuhlolwa kokuthola isifo se-Graves, isifo esizimele esibangela i-hyperthyroidism
- Uvivinyo lokuxilonga iHashimoto’s thyroiditis, isifo esizimele esibangela i-hypothyroidism
Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.
Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa kwe-TSH?
Izinguquko ze-thyroid kungenzeka ngesikhathi sokukhulelwa. Lezi zinguquko ngokuvamile azibalulekanga, kepha abanye besifazane bangaba nesifo se-thyroid ngesikhathi sokukhulelwa. I-Hyperthyroidism yenzeka cishe kokukodwa kokukhulelwa okungama-500, kanti i-hypothyroidism yenzeka cishe kokukodwa kokukhulelwa okungama-250. I-Hyperthyroidism, futhi kaningi, i-hypothyroidism, ingahlala ngemuva kokukhulelwa. Uma uba nesimo se-thyroid ngesikhathi ukhulelwe, umhlinzeki wakho wokunakekelwa kwezempilo uzoqapha isimo sakho ngemuva kokuzalwa kwengane yakho. Uma unomlando wesifo se-thyroid, qiniseka ukuthi ukhuluma nomhlinzeki wakho wezokunakekelwa kwezempilo uma ukhulelwe noma ucabanga ukukhulelwa.
Izinkomba
- I-American Thyroid Association [i-Inthanethi]. ISonto LaseFalls (VA): I-American Thyroid Association; c2017. Izifo Zendlala Nokukhulelwa; [kucashunwe ngo-2017 Mar 15]; [cishe izikrini ezi-2]. Kutholakala kusuka: http://www.thyroid.org/thyroid-disease-pregnancy
- UHinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Test. 2nd Ed, Kindle. IPhiladelphia: I-Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. IHormone Ekhuthaza Igilo, iSerum; k. 484.
- Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington DC: I-American Association for Clinical Chemistry; c2001–2017. I-TSH: Isivivinyo; [kubuyekezwe i-2014 Oct 15; kukhonjiwe ngo-2017 Mar 15]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://labtestsonline.org/understanding/analytes/tsh/tab/test
- Uhlobo Lokuthengwa Kwamakhasimende we-Merck [Internet]. IKenilworth (NJ): IMerck & Co Inc .; c2017. Sibutsetelo se-Thyroid Gland; [kucashunwe ngo-2017 Mar 15]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.merckmanuals.com/home/hormonal-and-metabolic-disorders/thyroid-gland-disorders/overview-of-the-thyroid-gland
- Merck Manual Professional Version [Inthanethi]. IKenilworth (NJ): IMerck & Co Inc .; c2017. Sibutsetelo se-Thyroid Gall Function; [kubuyekezwe 2016 Jul; kukhonjiwe ngo-2017 Mar 15]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/thyroid-disorders/overview-of-thyroid-function
- I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ziyini Izingozi Zokuhlolwa Kwegazi ?; [kubuyekezwe 2012 Jan 6; kukhonjiwe ngo-2017 Mar 15]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health/health-topics/topics/bdt/risks
- I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ongakulindela Nezivivinyo Zegazi; [kubuyekezwe 2012 Jan 6; kukhonjiwe ngo-2017 Mar 15]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health/health-topics/topics/bdt/with
- National Institute of Diabetes and Digestive and Kidney Diseases [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Isifo Samathuna; 2012 Aug [icashunwe ngo-2017 Mar 15]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.niddk.nih.gov/health-information/endocrine-diseases/graves-disease#what
- National Institute of Diabetes and Digestive and Kidney Diseases [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Isifo sikaHashimoto; 2014 Meyi [kucashunwe ngo-2017 Mar 15]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.niddk.nih.gov/health-information/endocrine-diseases/hashimotos-disease#what
- National Institute of Diabetes and Digestive and Kidney Diseases [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ukukhulelwa & Izifo Zendlala; 2012 Mar [icashunwe ngo-2017 Mar 15]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.niddk.nih.gov/health-information/endocrine-diseases/pregnancy-thyroid-disease
- National Institute of Diabetes and Digestive and Kidney Diseases [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ukuhlolwa Kwendlala yegilo; 2014 Meyi [kucashunwe ngo-2017 Mar 15]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.niddk.nih.gov/health-information/diagnostic-tests/thyroid
- I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2017. I-Health Encyclopedia: IHormone Ekhuthaza I-thyroid; [kucashunwe ngo-2017 Mar 15]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=thyroid_stimulating_hormone
Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.