Uvavanyo lwe-TSH

Uvavanyo lwe-TSH lulinganisa inani le-thyroid evuselela i-hormone (TSH) egazini lakho. I-TSH iveliswa yidlala yebhinqa. Ikhuthaza i-thyroid gland ukuba yenze kwaye ikhulule i-hormone ye-thyroid egazini.

Isampulu yegazi iyafuneka. Olunye uvavanyo lwe-thyroid olunokwenziwa ngexesha elifanayo lubandakanya:

• Uvavanyo lwe-T3 (simahla okanye iyonke)
• Uvavanyo lwe-T4 (simahla okanye iyonke)

Akukho lungiselelo lufunekayo kolu vavanyo. Buza umboneleli wakho wezempilo malunga nawaphi na amayeza owasebenzisayo anokuchaphazela iziphumo zovavanyo. SUKUYEKE ukuthatha nawaphi na amayeza ungakhange ucele umboneleli wakho kuqala.

Amayeza onokufuna ukuyeka ixesha elifutshane abandakanya:

• Amiodarone
• Dopamine
• ILithium
• Iodidi yePotassium
• Prednisone okanye amanye amayeza e-glucocorticoid

I-vitamin biotin (B7) inokuchaphazela iziphumo zovavanyo lwe-TSH. Ukuba uthatha i-biotin, thetha nomboneleli wakho ngaphambi kokuba ube novavanyo lomsebenzi we-thyroid.

Xa kufakwa inaliti ukutsala igazi, abanye abantu baziva iintlungu eziphakathi. Abanye baziva behlaba okanye behlaba kuphela. Emva koko, kunokubakho ukubetha okanye ukukrala kancinci. Oku kuya kuhamba kungekudala.

Umboneleli wakho uya ku-odola olu vavanyo ukuba uneempawu okanye imiqondiso ye-thyroid engasebenziyo okanye engasebenziyo. Isetyenziselwa ukubeka esweni unyango lwezi meko.

Umboneleli wakho unokujonga kwakhona inqanaba lakho le-TSH ukuba ucwangcisa ukukhulelwa.

Amaxabiso aqhelekileyo aqala kwi-0.5 ukuya kwi-5 microunits ngemililitha nganye (µU / mL).

Ixabiso le-TSH lingahluka emini. Kungcono ukuba kuvavanywe kwakusasa. Iingcali azivumelani ngokupheleleyo malunga nokuba liphi inani elingaphezulu xa kufunyaniswa isifo se-thyroid.

Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Ezinye iilebhu zisebenzisa imilinganiselo eyahlukeneyo okanye ukuvavanya iisampulu ezahlukeneyo. Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Ukuba unyangwa isifo se-thyroid, inqanaba lakho le-TSH liya kugcinwa phakathi kwe-0.5 no-4.0 µU / mL, ngaphandle kokuba:

• Ingxaki yebhinqa ibangela ingxaki ye-thyroid. I-TSH esezantsi inokulindeleka.
• Unembali yeentlobo ezithile zomhlaza wedlala lengqula. Ixabiso le-TSH elingezantsi kuluhlu oluqhelekileyo kunokuba ngcono ukukhusela umhlaza wedlala lengqula.
• Umfazi ukhulelwe. Uluhlu oluqhelekileyo lwe-TSH lwahlukile kubafazi abakhulelweyo. Umboneleli wakho unokucebisa ukuba uthathe i-hormone ye-thyroid, nokuba i-TSH yakho ikuluhlu oluqhelekileyo.

Inqanaba le-TSH elingaphezulu kwesiqhelo lihlala lihleli ngenxa ye-thyroid gland engasebenziyo (hypothyroidism). Zininzi izinto ezibangela le ngxaki.

Inqanaba elisezantsi kuneliqhelekileyo linokubangelwa yidlala lengqula engaphezulu, enokubangelwa:

• Isifo samangcwaba
• I-goiter nodular enetyhefu okanye i-goiter ye-multinodular
• Iodine eninzi emzimbeni (ngenxa yokufumana umahluko we-iodine osetyenzisiweyo ngexesha lovavanyo lwe-imaging, njenge-CT scan)
• Ukuthatha amayeza e-thyroid kakhulu okanye amiselwe amayeza endalo okanye ekhawuntareni anehomoni yedlala lengqula

Ukusetyenziswa kwamayeza athile kunokubangela inqanaba le-TSH elisezantsi kuneliqhelekileyo. Oku kubandakanya i-glucocorticoids / steroids, i-dopamine, iziyobisi ezithile ze-chemotherapy, kunye ne-opioid painkillers ezinjenge-morphine.

Kukho umngcipheko omncinci ochaphazelekayo ekuthatheni igazi lakho: imithambo kunye nemithambo iyahluka ngobukhulu ukusuka komnye umntu ukuya komnye kwaye ukusuka kwelinye icala lomzimba ukuya kwelinye. Ukufumana isampulu yegazi kwabanye abantu kunokuba nzima ngakumbi kunabanye.

Eminye imingcipheko enxulumene nokutsalwa kwegazi incinci, kodwa inokubandakanya:

• Ukopha kakhulu
• Ukufa isiqaqa okanye ukuziva ungenantloko
• Ukugqobhoza okuninzi ukufumana imithambo
• I-Hematoma (igazi elakhiweyo phantsi kolusu)
• Usulelo (umngcipheko omncinci nangaliphi na ixesha ulusu lwaphukile)

Thyrotropin; Idlala lengqula; IHypothyroidism - TSH; Hyperthyroidism - TSH; Goiter - TSH

• Amadlala endocrine
• I-Pituitary kunye ne-TSH

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UJonklaas J, Cooper DS. Idlala lengqula. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 213.

USalvatore D, uCohen R, uKopp PA, uLarsen PR. I-thyroid pathophysiology kunye novavanyo lokuqonda isifo. Ku: UMelmed S, uAuchus RJ, uGoldfine AB, uKoenig RJ, uRosen CJ, ii-eds. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-14. IPhiladelphia, PA: Elsevier; 2020: isahl 11.

I-Weiss RE, Refetoff S. Umsebenzi wovavanyo lwe-thyroid. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, ii-eds. Endocrinology: Abantu abadala kunye nabantwana. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 78.