Kuyesa kwa TSH: ndi chiyani ndipo ndichifukwa chiyani yayitali kapena yotsika

Zamkati

• Malingaliro owonetsera
• Zotsatira zingatanthauze chiyani
• Mkulu TSH
• TSH Yotsika
• Momwe mayeso a TSH amachitikira
• Kodi TSH yovuta kwambiri ndi yotani
• Mayeso a TSH akalamulidwa

Kuyezetsa kwa TSH kumawunikira momwe chithokomiro chimagwirira ntchito ndipo nthawi zambiri amafunsidwa ndi dokotala kapena endocrinologist, kuti awone ngati gland iyi ikugwira bwino, komanso ngati ali ndi hypothyroidism, hyperthyroidism, kapena ngati ali ndi khansa ya chithokomiro, follicular kapena papillary, Mwachitsanzo.

Mahomoni a Thyostimulating (TSH) amapangidwa ndimatenda a pituitary ndipo cholinga chake ndikulimbikitsa chithokomiro kutulutsa mahomoni T3 ndi T4. Miyezo ya TSH ikawonjezeka m'magazi, ndiye kuti kuchuluka kwa T3 ndi T4 m'magazi ndikotsika. Mukapezeka m'malo otsika, T3 ndi T4 amapezeka m'magazi ambiri. Onani mayesero ofunikira kuti mupeze chithokomiro.

Malingaliro owonetsera

Malingaliro a TSH amasiyana malinga ndi msinkhu wa munthu ndi labotale momwe mayeso amachitikira, ndipo nthawi zambiri amakhala:

Zotsatira zingatanthauze chiyani

Mkulu TSH

• Matenda osokoneza bongo: Nthawi zambiri TSH yayikulu imawonetsa kuti chithokomiro sichikupanga mahomoni okwanira, chifukwa chake chithokomiro chimayesetsa kubwezera izi powonjezera kuchuluka kwa TSH m'magazi kuti chithokomiro chizigwira bwino ntchito. Chimodzi mwazizindikiro za hypothyroidism ndi TSH yotsika komanso T4 yotsika, ndipo imatha kuwonetsa subclinical hypothyroidism pomwe TSH ndiyokwera, koma T4 ili mkati mwazonse. Dziwani kuti T4 ndi chiyani.
• Mankhwala: Kugwiritsa ntchito mankhwala ochepa motsutsana ndi hypothyroidism kapena mankhwala ena, monga Propranolol, Furosemide, Lithium ndi mankhwala okhala ndi ayodini, kumatha kukulitsa kuchuluka kwa TSH m'magazi.
• Chotupa cham'mimba Zitha kupanganso kuchuluka kwa TSH.

Zizindikiro zokhudzana ndi TSH yapamwamba ndizofanana ndi hypothyroidism, monga kutopa, kunenepa, kudzimbidwa, kumva kuzizira, kuwonjezeka kwa nkhope, kuvuta kuyang'ana, khungu louma, tsitsi losakhazikika komanso losweka. Dziwani zambiri za hypothyroidism.

TSH Yotsika

• Hyperthyroidism: Kutsika kwa TSH nthawi zambiri kumawonetsa kuti chithokomiro chimatulutsa T3 ndi T4 mopitilira muyeso, ndikuwonjezera mikhalidwe imeneyi, chifukwa chake gland yamatenda amachepetsa kutulutsidwa kwa TSH kuti ayese kuwongolera momwe chithokomiro chimagwirira ntchito. Mvetsetsani chomwe T3 ili.
• Kugwiritsa ntchito mankhwala: Mlingo wa mankhwala a hypothyroid ndiwokwera kwambiri, malingaliro a TSH amakhala osakwanira. Mankhwala ena omwe angayambitse TSH otsika ndi awa: ASA, corticosteroids, dopaminergic agonists, fenclofenac, heparin, metformin, nifedipine kapena pyridoxine, mwachitsanzo.
• Chotupa cham'mimba Zingathenso kuyambitsa TSH yotsika.

Zizindikiro zokhudzana ndi TSH yotsika ndizofanana ndi hyperthyroidism, monga kusokonezeka, kugunda kwa mtima, kusowa tulo, kuonda, mantha, kunjenjemera komanso kuchepa kwa minofu. Poterepa, sizachilendo kuti TSH ikhale yotsika komanso T4 ikhale yokwera, koma ngati T4 ikadali pakati pa 01 ndi 04 μUI / mL, izi zitha kuwonetsa subclinical hyperthyroidism. Low TSH ndi otsika T4, atha kuwonetsa anorexia nervosa, mwachitsanzo, koma mulimonsemo matendawa amapangidwa ndi dokotala yemwe adalamula kuti ayesedwe. Dziwani zambiri za chithandizo cha hyperthyroidism.

Momwe mayeso a TSH amachitikira

Kuyesedwa kwa TSH kumachitika kuchokera pagulu laling'ono la magazi, lomwe liyenera kusonkhanitsidwa kusala kudya kwa maola 4. Magazi omwe asonkhanitsidwawo amatumizidwa ku labotale kuti akawunike.

Nthawi yabwino yoyezetsa magazi m'mawa, popeza kuchuluka kwa TSH m'magazi kumasiyanasiyana tsiku lonse. Musanayese mayeso, ndikofunikira kuwonetsa kugwiritsa ntchito mankhwala ena, makamaka mankhwala a chithokomiro, monga Levothyroxine, chifukwa amatha kusokoneza zotsatira za mayeso.

Kodi TSH yovuta kwambiri ndi yotani

Kuyesa kwamphamvu kwambiri kwa TSH ndi njira yotsogola kwambiri yomwe imatha kudziwa kuchuluka kwa TSH m'magazi komwe mayeso abwinobwino sangathe kudziwa. Njira yodziwitsira yomwe imagwiritsidwa ntchito muma laboratories ndiyachidziwikire komanso yachindunji, ndipo kuyesa kwa TSH kosavuta kumagwiritsidwa ntchito nthawi zonse.

Mayeso a TSH akalamulidwa

Kuyesedwa kwa TSH kumatha kulamulidwa mwa anthu athanzi, kungowunika momwe chithokomiro chimagwirira ntchito, komanso ngati hyperthyroidism, hypothyroidism, Hashimoto's thyroiditis, kukulitsa kwa chithokomiro, kupezeka kwa chithokomiro chosaopsa kapena chotupa, panthawi yapakati, komanso kuwunika kuchuluka kwa chithokomiro m'malo mwake mankhwala, ngati kuchotsedwa kwa gland iyi.

Nthawi zambiri, kuyesaku kumafunsidwa kwa anthu onse azaka zopitilira 40, ngakhale atakhala kuti alibe matenda a chithokomiro m'banjamo.