Kodi Subclinical Hypothyroidism Ndi Chiyani?

Zamkati

• Nchiyani chimayambitsa izi?
• Ndani ali pachiwopsezo?
• Zizindikiro zofala
• Momwe amadziwika
• Momwe amathandizidwira
• Kodi pali zovuta?
• Matenda a mtima
• Kutaya mimba
• Zakudya zabwino kwambiri kutsatira
• Maganizo ake ndi otani?

Subclinical hypothyroidism ndi mtundu woyambirira, wofatsa wa hypothyroidism, mkhalidwe womwe thupi silimatulutsa mahomoni a chithokomiro okwanira.

Amatchedwa subclinical chifukwa seramu yokha ya timadzi tomwe timayambitsa matenda a chithokomiro kuchokera kutsogolo kwa gland ya pituitary imangokhala yaying'ono kwambiri. Mahomoni a chithokomiro omwe amapangidwa ndi chithokomiro akadali mchizolowezi cha labotale.

Mahomoni amenewa amathandiza kuthandizira mtima, ubongo, ndi kagayidwe kake. Pamene mahomoni a chithokomiro sakugwira ntchito bwino, izi zimakhudza thupi.

Malinga ndi kafukufuku wofalitsidwa, anthu ali ndi subclinical hypothyroidism. Vutoli limatha kupita ku hypothyroidism.

Kafukufuku wina, mwa iwo omwe ali ndi subclinical hypothyroidism adayamba kugwidwa ndi hypothyroidism mkati mwa zaka 6 atazindikira.

Nchiyani chimayambitsa izi?

Matenda a pituitary, omwe amakhala m'munsi mwa ubongo, amatulutsa mahomoni angapo, kuphatikizapo mankhwala otchedwa hormone-stimulating hormone (TSH).

TSH imayambitsa chithokomiro, kansalu kokhala ngati gulugufe kutsogolo kwa khosi, kuti apange mahomoni T3 ndi T4. Subclinical hypothyroidism imachitika pamene milingo ya TSH imakwezedwa pang'ono koma T3 ndi T4 sizachilendo.

Subclinical hypothyroidism ndi hypothyroidism yonse imagawana chimodzimodzi. Izi zikuphatikiza:

• mbiri yabanja yamatenda amtundu wa chithokomiro, monga Hashimoto's thyroiditis (matenda omwe amawononga maselo amtundu wa chithokomiro)
• kuvulaza chithokomiro (mwachitsanzo, kuchotsedwa kwa minofu yachilendo ya chithokomiro pamutu ndi pamutu pake)
• kugwiritsa ntchito mankhwala othandizira ayodini, mankhwala a hyperthyroidism (vuto lomwe limapangidwa ndi mahomoni ambiri a chithokomiro)
• kumwa mankhwala omwe ali ndi lithiamu kapena ayodini

Ndani ali pachiwopsezo?

Zinthu zosiyanasiyana, zomwe zambiri sizili m'manja mwanu, zimawonjezera mwayi wopanga subclinical hypothyroidism. Izi zikuphatikiza:

• Jenda. Kafukufuku wofalitsidwa m'nyuzipepalayo adawonetsa kuti azimayi ali ndi mwayi wambiri wokhala ndi subclinical hypothyroidism kuposa amuna. Zifukwazi sizikudziwika bwinobwino, koma ofufuza akuganiza kuti mahomoni achikazi a estrogen atha kutenga nawo mbali.
• Zaka. TSH imayamba kuwuka mukamakalamba, ndikupangitsa subclinical hypothyroidism kukhala yofala kwambiri kwa okalamba.
• Kudya kwa ayodini. Subclinical hypothyroidism imakhala ikufala kwambiri mwa anthu omwe amamwa ayodini wokwanira kapena wochulukirapo, chimbudzi chofunikira pakuthandizira chithokomiro choyenera. Zitha kuthandiza kudziwa zizindikilo zakusowa kwa ayodini.

Zizindikiro zofala

Subclinical hypothyroidism nthawi zambiri ilibe zisonyezo. Izi ndizowona makamaka ngati ma TSH akwezedwa pang'ono pang'ono. Zizindikiro zikabuka, zimakhala zosamveka bwino ndipo zimaphatikizapo:

• kukhumudwa
• kudzimbidwa
• kutopa
• goiter (izi zimawoneka ngati zotupa kutsogolo kwa khosi chifukwa cha kukula kwa chithokomiro)
• kunenepa
• kutayika tsitsi
• tsankho chimfine

Ndikofunika kuzindikira kuti zizindikirazi sizodziwika bwino, kutanthauza kuti zimatha kupezeka mwa anthu omwe ali ndi vuto la chithokomiro komanso osagwirizana ndi subclinical hypothyroidism.

Momwe amadziwika

Subclinical hypothyroidism imapezeka ndikuyesa magazi.

Munthu yemwe ali ndi chithokomiro chofunikirako ayenera kukhala ndi kuwerengera kwa TSH kwamagazi pamabuku wamba, omwe nthawi zambiri amapita ku 4.5 milli-mayiko mayunitsi pa lita imodzi (mIU / L) kapena.

Komabe, pali kutsutsana komwe kukuchitika m'gulu la zamankhwala pankhani yotsitsa njira yabwino kwambiri.

Anthu omwe ali ndi mulingo wa TSH wopitilira muyeso wabwinobwino, omwe ali ndi mahomoni amtundu wa chithokomiro, amadziwika kuti ali ndi subclinical hypothyroidism.

Chifukwa kuchuluka kwa TSH m'magazi kumatha kusinthasintha, mayesowo angafunike kubwerezedwa pakatha miyezi ingapo kuti muwone ngati mulingo wa TSH wasintha.

Momwe amathandizidwira

Pali zotsutsana zambiri za momwe - ngakhale ngati - angathandizire omwe ali ndi subclinical hypothyroidism. Izi ndizowona makamaka ngati milingo ya TSH ili yotsika kuposa 10 mIU / L.

Chifukwa mulingo wapamwamba wa TSH ungayambitse mavuto m'thupi, anthu omwe ali ndi TSH mulingo woposa 10 mIU / L amathandizidwa.

Malinga ndi, umboni ndiosatsimikizika kuti omwe ali ndi milingo ya TSH pakati pa 5.1 ndi 10 mIU / L adzapindula ndi chithandizo.

Posankha kukuthandizani kapena ayi, dokotala wanu angaganizire zinthu monga:

• mulingo wanu wa TSH
• kaya muli ndi ma antithyroid antibody m'magazi anu ndi goiter (zonsezi ndi zisonyezo kuti vutoli lingapitirire ku hypothyroidism)
• zizindikiro zanu komanso momwe zimakhudzira moyo wanu
• zaka zanu
• mbiri yanu yazachipatala

Mukamagwiritsa ntchito mankhwala, levothyroxine (Levoxyl, Synthroid), mahomoni opangidwa ndi chithokomiro omwe amatengedwa pakamwa, nthawi zambiri amalimbikitsidwa ndipo nthawi zambiri amalekerera.

Kodi pali zovuta?

Matenda a mtima

Kulumikizana pakati pa subclinical hypothyroidism ndi matenda amtima kumatsutsanabe. Kafukufuku wina akuwonetsa kuti kuchuluka kwa TSH, ikasiyidwa, kumatha kuthandizira kukulitsa izi:

• kuthamanga kwa magazi
• cholesterol yambiri

Poyang'ana amuna ndi akazi achikulire, omwe ali ndi magazi a TSH mulingo wa 7 mIU / L ndipo pamwambapa anali pachiwopsezo chowirikiza kapena kupitilira chifukwa chokhala ndi mtima wosalimba poyerekeza ndi omwe ali ndi mulingo wabwinobwino wa TSH. Koma maphunziro ena sanatsimikizire izi.

Kutaya mimba

Pakati pa mimba, mulingo wa TSH wamagazi umawerengedwa kuti umakweza ukadutsa 2.5 mIU / L mu trimester yoyamba ndi 3.0 mIU / L wachiwiri ndi wachitatu. Mahomoni oyenera a chithokomiro amafunikira pakukula kwa ubongo wa mwana wosabadwayo komanso dongosolo lamanjenje.

Kafukufuku wofalitsidwa adapeza kuti amayi apakati omwe ali ndi TSH mulingo wapakati pa 4.1 ndi 10 mIU / L omwe amalandilidwa pambuyo pake samakonda kupita padera kuposa anzawo omwe sanalandire chithandizo.

Chosangalatsa ndichakuti, azimayi omwe ali ndi mulingo wa TSH pakati pa 2.5 ndi 4 mIU / L sanawone chiopsezo chilichonse chochepetsera kutaya pakati pakati pa omwe amathandizidwa ndi omwe sanalandire chithandizo ngati ali ndi ma antibodies olakwika a chithokomiro.

Kuyesa momwe maantibyoti a antithyroid alili ndikofunikira.

Malinga ndi kafukufuku wa 2014, azimayi omwe ali ndi subclinical hypothyroidism ndi ma antithyroid peroxidase (TPO) antibodies amakhala pachiwopsezo chachikulu chotenga mimba, ndipo zotsatira zoyipa zimachitika pamlingo wotsika wa TSH kuposa azimayi omwe alibe ma antibodies a TPO.

Kuwunikanso mwadongosolo kwa 2017 kudapeza kuti chiwopsezo chokhala ndi pakati chimawonekera mwa azimayi omwe ali ndi TPO omwe ali ndi mulingo wa TSH woposa 2.5 mU / L. Kuopsa kumeneku sikunkawonekera nthawi zonse mwa azimayi omwe ali ndi TPO mpaka mulingo wawo wa TSH upitilira 5 mpaka 10 mU / L.

Zakudya zabwino kwambiri kutsatira

Palibe umboni wabwino wasayansi wosonyeza kuti kudya kapena kusadya zakudya zina kumathandizanso kupewa subclinical hypothyroidism kapena kuchiza ngati mwapezeka kale. Ndikofunika, komabe, kuti mupeze kuchuluka kwa ayodini pazakudya zanu.

Ayodini wochepa kwambiri amatha kubweretsa hypothyroidism. Kumbali inayi, kuchuluka kwambiri kumatha kubweretsa ku hypothyroidism kapena hyperthyroidism. Mavitamini abwino amaphatikizapo mchere wamchere wa ayodini, nsomba zamadzi amchere, zopangira mkaka, ndi mazira.

National Institutes of Health imalimbikitsa ma micrograms 150 patsiku kwa akulu akulu komanso achinyamata. Gawo limodzi la supuni ya tiyi ya mchere wokhala ndi ayodini kapena 1 chikho cha yogurt ya mafuta ochepa imapereka pafupifupi 50 peresenti ya zosowa zanu za ayodini tsiku lililonse.

Pazonse, chinthu chabwino kwambiri chomwe mungachite kuti ntchito yanu ya chithokomiro igwire ndikudya zakudya zopatsa thanzi, zopatsa thanzi.

Maganizo ake ndi otani?

Chifukwa cha maphunziro otsutsana, pali zotsutsana zambiri zakuti komanso ngati subclinical hypothyroidism iyenera kuthandizidwa. Njira yabwino kwambiri ndiyamunthu payekha.

Lankhulani ndi dokotala wanu za zizindikiro zilizonse, mbiri yanu yazachipatala, komanso zomwe mayesero anu amwazi akuwonetsa. Bukuli limatha kukuthandizani kuti muyambe. Phunzirani zomwe mungasankhe ndikusankha zomwe mungachite limodzi.