Subclinical Hyperthyroidism

Zamkati

• Zizindikiro zake ndi ziti?
• Zomwe zimayambitsa
• Momwe amadziwika
• Zotsatira za thupi ngati sizichiritsidwa
• Momwe amachitira ndi nthawi
• Chithandizo kutengera chifukwa
• Kuchiza zomwe zimayambitsa mkati mwa subclinical hyperthyroidism
• Kuchiza zomwe zimayambitsa zakunja kwa subthlinical hyperthyroidism
• Chithandizo kutengera kuuma kwake
• Chithandizo ndi kupezeka kwa zovuta
• Zinthu zomwe mungachite kunyumba
• Maganizo ake ndi otani?

Chidule

Subclinical hyperthyroidism ndimikhalidwe yomwe mumakhala ndi mahomoni ochepa opatsirana a chithokomiro (TSH) koma mulingo wabwinobwino wa T3 ndi T4.

T4 (thyroxine) ndi mahomoni akuluakulu obisika ndi chithokomiro chanu. T3 (triiodothyronine) ndi mtundu wosinthidwa wa T4. Kuchuluka kwa T4 komwe kumapangidwa ndi chithokomiro chanu kumayang'aniridwa ndi kuchuluka kwa TSH ndimatenda anu a pituitary komanso mosemphanitsa.

Chifukwa chake, ngati khungu lanu limawona T4 yocheperako, limatulutsa TSH yochulukirapo kuti iwuzeni chithokomiro chanu kuti chikhale ndi T4 yambiri. Kuchuluka kwa T4 kukafika pamlingo woyenera, matenda anu am'mutu amazindikira izi ndikusiya kupanga TSH.

Kwa anthu omwe ali ndi subclinical hyperthyroidism, chithokomiro chimatulutsa mulingo wabwinobwino wa T4 ndi T3. Komabe, ali ndi ma TSH ochepera kuposa abwinobwino. Kusalinganika kwa mahomoni kumabweretsa vutoli.

Kukula kwa subclinical hyperthyroidism mwa anthu onse akuti kuyambira pa 0.6 mpaka 16 peresenti. Zimatengera momwe matenda amagwiritsidwira ntchito.

Zizindikiro zake ndi ziti?

Anthu ambiri omwe ali ndi subclinical hyperthyroidism alibe zisonyezo za chithokomiro chopitilira muyeso. Ngati zizindikiro za subclinical hyperthyroidism zilipo, ndizofatsa komanso zopanda tanthauzo. Zizindikirozi zitha kuphatikiza:

• kugunda kwamtima kapena kugunda kwamtima
• kunjenjemera, makamaka m'manja kapena zala zanu
• thukuta kapena kusalekerera kutentha
• mantha, nkhawa, kapena kukwiya
• kuonda
• zovuta kukhazikika

Zomwe zimayambitsa

Subclinical hyperthyroidism imatha kuyambitsidwa ndi zinthu zamkati (zamkati) ndi zakunja (zakunja).

Zomwe zimayambitsa subclinical hyperthyroidism zitha kuphatikiza:

• Matenda a manda. Matenda a Graves ndimatenda amthupi omwe amachititsa kuti mahomoni a chithokomiro achulukane.
• Mitundu yambiri yamatenda. Chithokomiro chokulirapo chimatchedwa goiter. Goit yamagulu angapo ndi chithokomiro chokulirapo komwe pamatha kuoneka timitsempha tambiri.
• Chithokomiro. Chithokomiro ndi kutupa kwa chithokomiro, chomwe chimaphatikizapo gulu la zovuta.
• Chithokomiro adenoma. Chithokomiro adenoma ndi chotupa chosaopsa cha chithokomiro.

Zoyambitsa zakunja kwa subclinical hyperthyroidism ndi izi:

• mankhwala opatsirana kwambiri a TSH
• kuponderezedwa kwa TSH mwadala panthawi yamankhwala othandizira hypothyroidism

Subclinical hyperthyroidism imatha kupezeka kwa amayi apakati, makamaka m'nthawi yoyamba ya trimester. Komabe, zimakhala ndi zotsatira zoyipa za mimba ndipo nthawi zambiri sizimafuna chithandizo.

Momwe amadziwika

Ngati dokotala akukayikira kuti muli ndi subclinical hyperthyroidism, ayamba kuyesa kuchuluka kwanu kwa TSH.

Ngati magulu anu a TSH abwerera otsika, dokotala wanu adzawunika kuchuluka kwanu kwa T4 ndi T3 kuti awone ngati ali mgawo lililonse.

Pofuna kuyesa izi, dokotala wanu ayenera kutenga magazi kuchokera m'manja mwanu.

Maina wamba a TSH mwa akulu amadziwika kuti 0.4 mpaka 4.0 milli-mayiko mayunitsi pa lita imodzi (mIU / L). Komabe, ndikofunikira kuti nthawi zonse muzitchula zomwe zafotokozedwera pa lipoti la labotale.

Subclinical hyperthyroidism imagawidwa m'magulu awiri:

• Gawo I: Otsika, koma wodziwika TSH. Anthu omwe ali mgululi ali ndi milingo ya TSH pakati pa 0.1 ndi 0.4 mlU / L.
• Gawo II: TSH yosadziwika. Anthu omwe ali mgululi ali ndi ma TSH ochepera 0.1 mlU / L.

Zotsatira za thupi ngati sizichiritsidwa

Subclinical hyperthyroidism ikasiyidwa osavomerezeka, imatha kukhala ndi zovuta zina pathupi:

• Kuchuluka kwa chiopsezo cha hyperthyroidism. Anthu omwe ali ndi mulingo wosadziwika wa TSH ali pachiwopsezo chowonjezeka chokhala ndi hyperthyroidism.
• Zotsatira zoyipa zamtima. Anthu omwe sanalandire chithandizo atha kukhala:
  • kugunda kwa mtima
  • amachepetsa kulolerana zolimbitsa thupi
  • chiworkswatsu
  • matenda a fibrillation
  • Kuchepetsa kuchepa kwa mafupa. Hyperthyroidism yosachiritsidwa ingayambitse kuchepa kwa mafupa mwa azimayi omwe atha msambo.
  • Kusokonezeka maganizo. Malipoti ena akuwonetsa kuti subclinical hyperthyroidism yokhoza kudwala matenda amisala.

Momwe amachitira ndi nthawi

Kuwunikanso kwa mabuku asayansi kunapeza kuti ma TSH otsika anangobwerera mwakale mwa anthu omwe ali ndi subclinical hyperthyroidism.

Kaya vutoli likufunika chithandizo chimadalira:

• choyambitsa
• ndizovuta bwanji
• kupezeka kwa zovuta zina zokhudzana nazo

Chithandizo kutengera chifukwa

Dokotala wanu adzagwira ntchito kuti azindikire zomwe zingayambitse subclinical hyperthyroidism yanu. Kudziwa chomwe chingayambitse vutoli kumatha kuthandizira kudziwa chithandizo choyenera.

Kuchiza zomwe zimayambitsa mkati mwa subclinical hyperthyroidism

Ngati muli ndi subclinical hyperthyroidism chifukwa cha matenda a Graves, chithandizo chamankhwala chimafunika. Dokotala wanu angakupatseni mankhwala othandizira ayodini kapena mankhwala oletsa chithokomiro, monga methimazole.

Mankhwala othandizira ayodini ndi mankhwala oletsa chithokomiro amathanso kugwiritsidwa ntchito pochizira subclinical hyperthyroidism chifukwa cha multitodular goiter kapena chithokomiro adenoma.

Subclinical hyperthyroidism chifukwa cha chithokomiro chimatha mwadzidzidzi popanda chithandizo china chofunikira. Ngati thyroiditis ndiyolimba, dokotala wanu akhoza kukupatsani mankhwala oletsa kutupa. Izi zitha kuphatikizira mankhwala osokoneza bongo (NSAIDs) kapena corticosteroids.

Kuchiza zomwe zimayambitsa zakunja kwa subthlinical hyperthyroidism

Ngati chifukwa chake ndichifukwa cha mankhwala opatsirana a TSH kapena mankhwala a mahomoni, dokotala wanu amatha kusintha kuchuluka kwa mankhwalawa ngati kuli koyenera.

Chithandizo kutengera kuuma kwake

Ngati kuchuluka kwanu kwa TSH kuli kotsika koma kukuwonekabe ndipo mulibe zovuta, mwina simungalandire chithandizo mwachangu. M'malo mwake, dokotala wanu angasankhe kubwereza ma TSH anu miyezi ingapo mpaka atabwerera mwakale kapena dokotala wanu ali wokhutira kuti mkhalidwe wanu ukhazikika.

Chithandizo chitha kufunikira ngati magulu anu a TSH agwera m'Giredi I kapena Giredi II ndipo muli m'magulu omwe ali pachiwopsezo:

• muli ndi zaka zopitilira 65
• muli ndi matenda amtima
• muli ndi matenda otupa mafupa
• muli ndi zizindikiro zosonyeza za hyperthyroidism

Chithandizo chanu chimadalira mtundu wa zomwe zikuyambitsa subclinical hyperthyroidism yanu.

Chithandizo ndi kupezeka kwa zovuta

Ngati mukukumana ndi matenda amtima kapena amfupa chifukwa cha subclinical hyperthyroidism, mutha kupindula ndi beta-blockers ndi bisphosphonates.

Zinthu zomwe mungachite kunyumba

Kafukufuku wina wasonyeza kuti zovuta zoyipa pakukula kwa mafupa zimatha kuthetsedwa ndikuwonetsetsa kuti mumapeza calcium yokwanira tsiku lililonse.

Mutha kuchepa thupi ngati muli ndi subclinical hyperthyroidism. Izi ndichifukwa choti anthu omwe ali ndi chithokomiro chopitilira muyeso amakhala ndi mulingo wokwera kwambiri wamafuta (BMR). Ma calorie amafunika kuti mukhalebe wonenepa kwambiri.

Maganizo ake ndi otani?

Subclinical hyperthyroidism ndipamene mumakhala ndi TSH yochepa koma mumakhala ndi T3 ndi T4. Ngati mukukumana ndi zizindikiro za subclinical hyperthyroidism, dokotala wanu amatha kugwiritsa ntchito mayeso angapo amwazi kuti adziwe.

Popeza vutoli limatha chifukwa cha mitundu yosiyanasiyana, chithandizo chomwe mumalandira chimadalira chifukwa komanso kuopsa kwake. Magulu anu akangobwerera mwakale mwina mwachilengedwe kapena pogwiritsa ntchito mankhwala, malingaliro anu ayenera kukhala abwino.