Mayeso a TSH

Kuyesa kwa TSH kumayeza kuchuluka kwa chithokomiro chomwe chimalimbikitsa mahomoni (TSH) m'magazi anu. TSH imapangidwa ndi vuto la pituitary. Imalimbikitsa chithokomiro kupanga ndikupanga mahomoni a chithokomiro m'magazi.

Muyenera kuyesa magazi. Mayeso ena a chithokomiro omwe atha kuchitidwa nthawi yomweyo ndi awa:

• Kuyesa kwa T3 (kwaulere kapena kwathunthu)
• Mayeso a T4 (aulere kapena okwanira)

Palibe kukonzekera kofunikira pa mayesowa. Funsani wothandizira zaumoyo wanu za mankhwala omwe mukumwa omwe angakhudze zotsatira za mayeso. Osasiya kumwa mankhwala musanapemphe omwe akukuthandizani.

Mankhwala omwe mungafunike kuyima kwakanthawi ndi awa:

• Amiodarone
• Dopamine
• Lifiyamu
• Iodide ya potaziyamu
• Prednisone kapena mankhwala ena a glucocorticoid

Vitamini biotin (B7) imatha kukhudza zotsatira za mayeso a TSH. Ngati mutenga biotin, lankhulani ndi omwe amakupatsani mwayi musanayesedwe ntchito ya chithokomiro.

Pamene singano imayikidwa kuti ikoke magazi, anthu ena amamva kupweteka pang'ono. Ena amangomva kubaya kapena kuluma. Pambuyo pake, pakhoza kukhala kupunduka kapena kuvulala pang'ono. Izi posachedwa zichoka.

Wothandizira anu amayitanitsa mayesowa ngati muli ndi zizindikilo kapena zizindikilo za chithokomiro chopitilira muyeso kapena chosagwira ntchito. Amagwiritsidwanso ntchito kuwunika chithandizo cha izi.

Wothandizira anu amathanso kuyang'ana kuchuluka kwanu kwa TSH ngati mukukonzekera kutenga pakati.

Makhalidwe abwinobwino amachokera pa ma microunits 0,5 mpaka 5 pa milliliter (µU / mL).

Mitengo ya TSH imatha kusiyanasiyana masana. Ndibwino kuti mukayezetse m'mawa kwambiri. Akatswiri samavomerezana kwathunthu pazomwe chiwerengero chapamwamba chiyenera kukhala mukazindikira matenda a chithokomiro.

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Ma lab ena amagwiritsa ntchito miyeso yosiyanasiyana kapena amayesa mitundu yosiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Ngati mukuchiritsidwa matenda a chithokomiro, kuchuluka kwanu kwa TSH kumatha kusungidwa pakati pa 0,5 ndi 4.0 µU / mL, pokhapokha:

• Matenda a pituitary ndi omwe amayambitsa vuto la chithokomiro. TSH yotsika ikhoza kuyembekezeredwa.
• Muli ndi mbiri ya mitundu ina ya khansa ya chithokomiro. Mtengo wa TSH wocheperako pamtundu woyenera ungakhale wabwino kwambiri kuti khansa ya chithokomiro isabwerere.
• Mkazi ali ndi pakati. Mtundu wabwinobwino wa TSH ndiwosiyana kwa azimayi omwe ali ndi pakati. Wothandizira anu angakuuzeni kuti mutenge mahomoni a chithokomiro, ngakhale TSH yanu ili yofanana.

Mulingo wapamwamba kwambiri kuposa wabwinobwino wa TSH nthawi zambiri umachitika chifukwa cha chithokomiro chosagwira ntchito (hypothyroidism). Pali zifukwa zambiri zavutoli.

Mulingo wotsika kuposa wabwinobwino ukhoza kukhala chifukwa cha chithokomiro chopitilira muyeso, chomwe chingayambidwe ndi:

• Matenda amanda
• Chowopsa cha nodular chotupa kapena chotupitsa cha multinodular
• Ayodini wambiri m'thupi (chifukwa chopeza kusiyanasiyana kwa ayodini komwe kumagwiritsidwa ntchito poyesa kujambula, monga CT scan)
• Kumwa mankhwala ochuluka a mahomoni a chithokomiro kapena mankhwala opatsirana achilengedwe kapena owonjezera omwe ali ndi timadzi ta chithokomiro

Kugwiritsa ntchito mankhwala ena kumathandizanso kuti thupi likhale lochepa kuposa TSH. Izi zimaphatikizapo glucocorticoids / steroids, dopamine, mankhwala ena a chemotherapy, ndi opioid painkillers monga morphine.

Pali chiopsezo chochepa chotenga magazi anu: Mitsempha ndi mitsempha imasiyana mosiyanasiyana kuchokera pa munthu wina kupita kwina komanso kuchokera mbali imodzi ya thupi kupita kwina. Kupeza magazi kuchokera kwa anthu ena kumatha kukhala kovuta kuposa ena.

Zowopsa zina zomwe zimakoka magazi ndi zochepa, koma mwina ndi izi:

• Kutaya magazi kwambiri
• Kukomoka kapena kumva mopepuka
• Ma punctures angapo kuti mupeze mitsempha
• Hematoma (magazi omanga pansi pa khungu)
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka)

Thyrotropin; Chithokomiro chotulutsa mahomoni; Hypothyroidism - TSH; Hyperthyroidism - TSH; Chifuwa - TSH

• Matenda a Endocrine
• Pituitary ndi TSH

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Jonklaas J, Cooper DS. Chithokomiro. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 213.

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Weiss RE, Refetoff S. Kuyesedwa kwa ntchito ya chithokomiro. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 78.