Mayeso a TSH (Chithokomiro Cholimbikitsa Chithokomiro)

Zamkati

• Chifukwa Chiyani Kuyesedwa kwa Hormone Yolimbikitsa Chithokomiro Kumachitika?
• Matenda osokoneza bongo
• Hyperthyroidism
• Kodi Ndingakonzekere Bwanji Mayeso Olimbikitsa Chithokomiro?
• Kodi Kuyesa kwa Hormone Yotulutsa Chithokomiro Kumachitika Motani?
• Kodi Zotsatira za Kuyesedwa kwa Hormone Yotulutsa Chithokomiro Zikutanthauza Chiyani?

Kodi Kuyesa kwa Hormone Yotulutsa Chithokomiro Ndi Chiyani?

Kuyezetsa magazi kotulutsa chithokomiro (TSH) kumayeza kuchuluka kwa TSH m'magazi. TSH imapangidwa ndi pituitary gland, yomwe ili kumapeto kwa ubongo wanu. Ndi udindo wowongolera kuchuluka kwa mahomoni omwe amatulutsidwa ndi chithokomiro.

Chithokomiro ndi kansalu kakang'ono kokhala ngati gulugufe komwe kali patsogolo pakhosi. Ndi England yofunikira yomwe imapanga mahomoni atatu oyambira:

• triiodothyronine (T3)
• thyroxine (T4)
• alireza

Chithokomiro chimayang'anira magwiridwe antchito osiyanasiyana amthupi, kuphatikiza kagayidwe kake ndi kakulidwe kake, potulutsa mahomoni atatuwa.

Chithokomiro chanu chimatulutsa mahomoni ambiri ngati khungu lanu limatulutsa TSH yambiri. Mwanjira imeneyi, ma gland awiriwa amagwirira ntchito limodzi kuti atsimikizire kuchuluka kwa mahomoni a chithokomiro. Komabe, dongosololi likasokonezedwa, chithokomiro chanu chimatha kutulutsa mahomoni ambiri kapena ochepa kwambiri.

Mayeso a TSH nthawi zambiri amachitidwa kuti adziwe chomwe chimayambitsa mahomoni amtundu wa chithokomiro. Amagwiritsidwanso ntchito pofufuza chithokomiro chosagwira ntchito kapena chopitilira muyeso. Poyeza kuchuluka kwa TSH m'magazi, dokotala wanu amatha kudziwa momwe chithokomiro chikugwirira ntchito.

Chifukwa Chiyani Kuyesedwa kwa Hormone Yolimbikitsa Chithokomiro Kumachitika?

Dokotala wanu akhoza kuyitanitsa mayeso a TSH ngati mukukumana ndi matenda amtundu wa chithokomiro. Matenda a chithokomiro amatha kugawidwa ngati hypothyroidism kapena hyperthyroidism.

Matenda osokoneza bongo

Hypothyroidism ndimomwe chithokomiro chimatulutsa mahomoni ochepa, zomwe zimapangitsa kuti metabolism ichepe. Zizindikiro za hypothyroidism zimaphatikizapo kutopa, kufooka, komanso kuvutika kuyang'ana. Izi ndi zina mwazomwe zimayambitsa hypothyroidism:

• Hashimoto's thyroiditis ndimavuto omwe amachititsa kuti thupi liwononge maselo ake a chithokomiro. Zotsatira zake, chithokomiro sichitha kutulutsa mahomoni okwanira. Vutoli silimayambitsa zizindikilo nthawi zonse, chifukwa limatha kupita patadutsa zaka zingapo lisanawonongeke.
• Chithokomiro ndi kutupa kwa chithokomiro. Nthawi zambiri zimayambitsidwa ndi kachilombo ka HIV kapena matenda osokoneza bongo, monga Hashimoto's thyroiditis. Vutoli limasokoneza kapangidwe ka mahomoni a chithokomiro ndipo pamapeto pake limadzetsa hypothyroidism.
• Postpartum thyroiditis ndi mtundu wosakhalitsa wa chithokomiro womwe ungachitike mwa amayi ena akabereka.
• Chithokomiro chimagwiritsa ntchito ayodini kutulutsa mahomoni. Kusowa kwa ayodini kumatha kubweretsa ku hypothyroidism. Kuperewera kwa ayodini ndikosowa kwambiri ku United States chifukwa chogwiritsa ntchito mchere wa ayodini. Komabe, ndizofala kwambiri m'madera ena padziko lapansi.

Hyperthyroidism

Hyperthyroidism ndi chikhalidwe chomwe chithokomiro chimatulutsa mahomoni ambiri, zomwe zimapangitsa kuti kagayidwe kake kamafulumire. Zizindikiro za hyperthyroidism zimaphatikizapo kuchuluka kwa njala, nkhawa, komanso kuvuta kugona. Zotsatirazi ndi zina mwazomwe zimayambitsa hyperthyroidism:

• Matenda a Graves ndi matenda wamba omwe chithokomiro chimakula ndikumatulutsa mahomoni ochulukirapo. Vutoli limagawana zizindikilo zambiri monga hyperthyroidism ndipo nthawi zambiri limathandizira kukulitsa hyperthyroidism.
• Chithokomiro chimadzetsa matenda a hypothyroidism, koma pakanthawi kochepa, chimayambitsanso hyperthyroidism. Izi zikhoza kuchitika pamene kutupa kumapangitsa chithokomiro kutulutsa mahomoni ambiri ndikuwamasula onse nthawi imodzi.
• Kukhala ndi ayodini wambiri m'thupi kumatha kuchititsa kuti chithokomiro chizitopa kwambiri. Izi zimachitika chifukwa chogwiritsa ntchito mankhwala mosalekeza omwe ali ndi ayodini. Mankhwalawa amaphatikizira mankhwala a chifuwa komanso amiodarone, omwe amagwiritsidwa ntchito pochizira matenda am'mimba.
• Minyewa ya chithokomiro ndi zotupa zabwino zomwe nthawi zina zimapanga chithokomiro. Mitundu iyi ikayamba kukula, imatha kuyamba kugwira ntchito kwambiri ndipo chithokomiro chimayamba kutulutsa mahomoni ambiri.

Kodi Ndingakonzekere Bwanji Mayeso Olimbikitsa Chithokomiro?

Kuyesa kwa TSH sikufuna kukonzekera kulikonse. Komabe, ndikofunikira kuuza dokotala ngati mukumwa mankhwala omwe angasokoneze kulondola kwa muyeso wa TSH. Mankhwala ena omwe angasokoneze mayeso a TSH ndi awa:

• kutchfun
• dopamine
• lifiyamu
• mbalambanda
• ayodini wa potaziyamu

Muyenera kupewa kugwiritsa ntchito mankhwalawa musanayesedwe. Komabe, musaleke kumwa mankhwala anu pokhapokha dokotala atakuuzani kuti mutero.

Kodi Kuyesa kwa Hormone Yotulutsa Chithokomiro Kumachitika Motani?

Kuyesedwa kwa TSH kumaphatikizapo kutenga zitsanzo za magazi. Magazi nthawi zambiri amatengedwa kuchokera mumtsempha womwe uli mkati mwa chigongono chamkati.

Wopereka chithandizo chamankhwala adzachita izi:

1. Choyamba, ayeretsa malowo ndi mankhwala opha tizilombo kapena njira ina yolera yotseketsa.
2. Kenako amanga kansalu kotanuka m'manja mwako kuti mitsempha ituluke ndi magazi.
3. Akapeza mtsempha, amalowetsa singano mumtsuko kuti atenge magazi. Magaziwo amatengedwa mu kachubu kakang'ono kapena botolo lomwe limalumikizidwa ndi singano.
4. Akatunga magazi okwanira, amachotsa singano ndikuphimba malo obowolera ndi bandeji kuti asiye magazi.

Njira yonseyi imangotenga mphindi zochepa kuti mumalize. Zoyeserera zamagazi zidzatumizidwa ku labu kuti zikawunikidwe. Dokotala wanu akalandira zotsatira zoyeserera, adzakonzekera kukumana nanu kuti mukambirane zotsatirazo ndikufotokozerani tanthauzo lake.

Kodi Zotsatira za Kuyesedwa kwa Hormone Yotulutsa Chithokomiro Zikutanthauza Chiyani?

Mulingo wamba wa TSH ndi 0,4 mpaka 4.0 milli-mayiko mayunitsi pa lita imodzi. Ngati mukulandira kale matenda a chithokomiro, mulingo woyenera ndi 0,5 mpaka 3.0 milli-mayiko mayunitsi pa lita imodzi.

Mtengo wapamwamba kuposa momwe zimakhalira nthawi zambiri umawonetsa kuti chithokomiro sichikugwira ntchito. Izi zikuwonetsa hypothyroidism. Pamene chithokomiro sichikutulutsa mahomoni okwanira, pituitary gland imatulutsa TSH yambiri kuti iyesetse kuyambitsa.

Mtengo wotsika pamtundu wamba umatanthawuza kuti chithokomiro chimatha kugwira ntchito kwambiri. Izi zikuwonetsa hyperthyroidism. Chithokomiro chikatulutsa mahomoni ochulukirapo, khungu lamatenda limatulutsa TSH yocheperako.

Kutengera zotsatira, adokotala angafune kuyesa zina kuti atsimikizire matendawa.