Kodi subclinical hyperthyroidism, zimayambitsa, kuzindikira ndi chithandizo

Zamkati

• Zoyambitsa zazikulu
• Momwe matendawa amapangidwira
• Chithandizo cha subclinical hyperthyroidism

Subclinical hyperthyroidism ndikusintha kwa chithokomiro momwe munthuyo samawonetsa zisonyezo za hyperthyroidism, koma amasintha pamayeso omwe amawunika momwe chithokomiro chimagwirira ntchito, ndipo kufunikira kwa chithandizo kuyenera kufufuzidwa ndikuwunikidwa.

Chifukwa chake, popeza sizitsogolera kuwonekera kwa zizindikilo, kuzindikiritsa kusinthaku kumatheka kokha pofufuza milingo ya TSH, T3 ndi T4 m'magazi, omwe ndi mahomoni okhudzana ndi chithokomiro. Ndikofunikira kuti subclinical hyperthyroidism izidziwike, chifukwa ngakhale ngati palibe zizindikilo, izi zitha kuthandiza kukulitsa kusintha kwa mtima ndi mafupa.

Zoyambitsa zazikulu

Subclinical hyperthyroidism itha kugawidwa molingana ndi chifukwa chake kukhala:

• Zosatha, zomwe zimakhudzana ndikupanga ndi kutulutsa timadzi ta m'matumbo, zomwe ndizomwe zimachitika munthuyo akagwiritsa ntchito mankhwala osagwirizana ndi chithokomiro, monga Levothyroxine, mwachitsanzo;
• Zachilendo, momwe kusinthaku sikunalumikizidwe mwachindunji ndi chithokomiro, monga matenda a goiter, thyroiditis, poizoni adenoma ndi matenda a Graves, omwe ndi matenda omwe amadzimitsa okha omwe maselo amthupi amateteza chithokomiro chomwe, zomwe zimapangitsa Kuchotseredwa pakupanga mahomoni.

Subclinical hyperthyroidism nthawi zambiri sichimayambitsa kuwonekera kwa zizindikilo, kuti zizindikiridwe pokhapokha pakuyesa magazi komwe kumawunikira chithokomiro. Chifukwa chake, magwiridwe antchito a mayeso ndikofunikira kuti chifukwa chake chizindikiridwe ndikufunika koyambitsa chithandizo choyenera kuyesedwa.

Ngakhale siziyambitsa kuwonekera kwa zizindikilo, subclinical hyperthyroidism imatha kuwonjezera ngozi zakusintha kwamtima, kufooka kwa mafupa ndi mafupa, makamaka azimayi otha msinkhu kapena anthu azaka zopitilira 60. Chifukwa chake ndikofunikira kuti apeze. Onani momwe mungadziwire hyperthyroidism.

Momwe matendawa amapangidwira

Kupezeka kwa subclinical hyperthyroidism kumachitika makamaka pochita mayeso omwe amayesa chithokomiro, makamaka kuchuluka kwa magazi m'magazi a TSH, T3 ndi T4 komanso ma anti-antiyroidroid, momwemonso kuchuluka kwa T3 ndi T4 ndikwabwino komanso mulingo wa TSH ili pansipa pamtengo, womwe anthu opitilira 18 uli pakati pa 0.3 ndi 4.0 μUI / mL, yomwe imatha kusiyanasiyana pakati pama laboratories. Dziwani zambiri za mayeso a TSH.

Chifukwa chake, malinga ndi mfundo za TSH, subclinical hyperthyroidism itha kugawidwa mu:

• Wamkati, momwe milingo ya TSH yamagazi ili pakati pa 0.1 ndi 0.3 μUI / mL;
• Kwambiri, momwe milingo ya TSH yamagazi ili pansi pa 0.1 μUI / mL.

Kuphatikiza apo, ndikofunikira kuti mayeso ena achite kuti atsimikizire kupezeka kwa subclinical hyperthyroidism, kuzindikira chomwe chikuyambitsa ndikuwona kufunika kwa chithandizo. Pachifukwa ichi, ultrasound ndi chithokomiro scintigraphy nthawi zambiri zimachitidwa.

Ndikofunikanso kuti anthu omwe amapezeka kuti ali ndi subclinical hyperthyroidism amayang'aniridwa pafupipafupi kuti kuchuluka kwa mahomoni athe kuyesedwa pakapita nthawi ndipo, chifukwa chake, atha kudziwika ngati pakhala kusintha kwa hyperthyroidism, mwachitsanzo.

Chithandizo cha subclinical hyperthyroidism

Chithandizo cha subclinical hyperthyroidism chimafotokozedwa ndi sing'anga kapena endocrinologist kutengera kuwunika kwa thanzi la munthu, kupezeka kwa zizindikilo kapena zoopsa, monga msinkhu wofanana kapena wopitilira zaka 60, kufooka kwa mafupa kapena kusamba, kuphatikiza pa kukhala poganizira za kusinthika kwa mulingo wa TSH, T3 ndi T4 m'miyezi itatu yapitayi.

Nthawi zina sikofunikira kuyamba kulandira chithandizo, chifukwa zimatha kukhala zosintha kwakanthawi, ndiye kuti, chifukwa cha zina zomwe zimachitika ndi munthuyo panali kusintha kwa mahomoni omwe amayenda m'magazi, koma kenako amabwerera mwakale .

Komabe, nthawi zina, ndizotheka kuti kuchuluka kwama mahomoni sikubwerera mwakale, m'malo mwake, kuchuluka kwa TSH kumatha kutsika kwambiri ndipo milingo ya T3 ndi T4 imakhala yokwera, ndikuwonetsa hyperthyroidism, ndipo ndikofunikira kuyambitsa chithandizo choyenera. kudzera mukugwiritsa ntchito mankhwala omwe amayang'anira kupangidwa kwa mahomoni, chithandizo chamankhwala a ayodini kapena opaleshoni. Mvetsetsani momwe mankhwala a hyperthyroidism amachitikira.