Uvavanyo lwe-TSH: lolwantoni kwaye kutheni liphezulu okanye liphantsi
Umxholo
- Amaxabiso esalathiso
- Zingathetha ntoni iziphumo
- I-TSH ephezulu
- I-TSH ephantsi
- Uviwo lwenziwa njani
- Yintoni i-TSH ethe-ethe ethe
- Xa kuhlolwa i-TSH
Uvavanyo lwe-TSH lusebenza ukuvavanya ukusebenza kwe-thyroid kwaye luhlala lucelwa ngugqirha oqhelekileyo okanye ugqirha we-endocrinologist, ukuvavanya ukuba ingaba le ndlala isebenza ngokufanelekileyo, kwaye kwimeko ye-hypothyroidism, hyperthyroidism, okanye kwimeko yomhlaza owahlukileyo we-thyroid, i-follicular okanye i-papillary, umzekelo.
Ihomoni ye-Thyostimulating (TSH) iveliswa yi-pituitary gland kwaye injongo yayo kukukhuthaza i-thyroid ukuvelisa i-hormone T3 kunye ne-T4. Xa amaxabiso e-TSH enyuka egazini, oko kuthetha ukuba uxinzelelo lwe-T3 kunye ne-T4 egazini lisezantsi. Xa ifunyenwe kumanqanaba asezantsi, i-T3 kunye ne-T4 zikhona kwindawo ephezulu egazini. Jonga ukuba zeziphi iimvavanyo ezibalulekileyo zokuvavanya idlala lengqula.
Amaxabiso esalathiso
Ixabiso lereferensi ye-TSH iyahluka ngokobudala bomntu kunye naselebhu apho kwenziwa khona uvavanyo, kwaye zihlala zi:
| Ubudala | Imilinganiselo |
| I-1 yeveki yobomi | I-15 (μUI / mL) |
| I-2 ngeveki ukuya kwiinyanga ezili-11 | 0.8 - 6.3 (μUI / mL) |
| 1 ukuya kwiminyaka emi-6 | 0.9 - 6.5 (μUI / mL) |
| Iminyaka esi-7 ukuya kweli-17 | 0.3 - 4.2 (μUI / mL) |
| + Iminyaka eli-18 | 0.3 - 4.0 (μUI / mL) |
| Ngexesha lokukhulelwa | |
| Kwikota yokuqala | I-0.1 - 3.6 mUI / L (μUI / mL) |
| Ikota yesi-2 | 0.4 - 4.3 mUI / L (μUI / mL) |
| Ikota yesi-3 | 0.4 - 4.3 mUI / L (μUI / mL) |
Zingathetha ntoni iziphumo
I-TSH ephezulu
- IHypothyroidism: Uninzi lwexesha i-TSH ephezulu ibonisa ukuba i-thyroid ayivelisi i-hormone eyaneleyo, kwaye ngoko i-pituitary gland izama ukuhlawulela oku ngokunyusa amanqanaba e-TSH egazini ukuze i-thyroid iqhube kakuhle. Olunye lweempawu ze-hypothyroidism yi-TSH ephezulu kunye ne-T4 esezantsi, kwaye inokubonisa i-subclinical hypothyroidism xa i-TSH iphezulu, kodwa i-T4 ikuluhlu oluqhelekileyo. Fumanisa ukuba yintoni i-T4.
- Amayeza: Ukusetyenziswa kweedosi ezisezantsi zamachiza ngokuchasene ne-hypothyroidism okanye ezinye iziyobisi, ezinje ngePropranolol, Furosemide, Lithium kunye namayeza ane-iodine, kunokunyusa uxinzelelo lwe-TSH egazini.
- Ithumba lelungu lobufazi inokubangela ukwanda kwe-TSH.
Iimpawu ezinxulumene ne-TSH ephezulu ziqhelekile kwi-hypothyroidism, njengokudinwa, ukutyeba, ukuqhina, ukuziva ubanda, ukunyuka kweenwele zobuso, ubunzima bokujonga, ulusu olomileyo, iinwele kunye neenzipho ezibuthathaka. Funda ngakumbi malunga ne-hypothyroidism.
I-TSH ephantsi
- Hyperthyroidism: I-TSH esezantsi ihlala ibonisa ukuba i-thyroid ivelisa i-T3 kunye ne-T4 ngokugqithileyo, isonyusa la maxabiso, kwaye ngenxa yoko incindi yebhinqa inciphisa ukukhutshwa kwe-TSH ukuzama ukulawula ukusebenza kwe-thyroid. Qonda ukuba yintoni i-T3.
- Ukusetyenziswa kwamayeza: Xa idosi yesidakamizwa se-hypothyroid iphezulu kakhulu, amaxabiso e-TSH angaphantsi kokufanelekileyo. Olunye unyango olunokubangela i-TSH esezantsi zezi: ASA, corticosteroids, dopaminergic agonists, fenclofenac, heparin, metformin, nifedipine okanye pyridoxine, umzekelo.
- Ithumba lelungu lobufazi ingakhokelela kwi-TSH ephantsi.
Iimpawu ezinxulumene ne-TSH esezantsi ziqhelekile kwi-hyperthyroidism, njengokuphazamiseka, ukubetha kwentliziyo, ukuqaqanjelwa sisisu, ukwehla kobunzima, ukoyika, ukungcangcazela kunye nokuncipha kwemisipha. Kule meko, kuyinto eqhelekileyo ukuba i-TSH ibe sezantsi kwaye i-T4 ibe phezulu, kodwa ukuba i-T4 isephakathi kwe-01 ne-04 μUI / mL, oku kungabonisa i-subclinical hyperthyroidism. I-TSH esezantsi kunye ne-T4 esezantsi, inokubonisa i-anorexia nervosa, umzekelo, kodwa nakweyiphi na imeko ukuxilongwa kwenziwa ngugqirha oyalele uvavanyo. Funda ngakumbi malunga nonyango lwe-hyperthyroidism.
Uviwo lwenziwa njani
Uvavanyo lwe-TSH lwenziwa kwisampulu yegazi encinci, ekufuneka iqokelelwe ngokuzila ukutya ubuncinci iiyure ezi-4. Igazi eliqokelelweyo lithunyelwa elebhu ukuba lihlolwe.
Elona xesha lilungileyo lokwenza olu vavanyo kusasa, njengoko uxinzelelo lwe-TSH egazini luyehluka ngalo lonke usuku. Ngaphambi kokwenza uviwo, kubalulekile ukubonisa ukusetyenziswa kwamanye amayeza, ngakumbi amayeza e-thyroid, njenge-Levothyroxine, njengoko inokuphazamisa iziphumo zoviwo.
Yintoni i-TSH ethe-ethe ethe
Uvavanyo lwe-TSH olubucayi luyindlela ehambele phambili yokuqonda isifo enokufumana isixa esincinci se-TSH egazini uvavanyo oluqhelekileyo olungenakukwazi ukuluchonga. Indlela yokuqonda isifo esetyenziswe kwiilabhoratri inobuzaza kwaye icacile, kwaye uvavanyo lwe-TSH olunobuzaza luqhele ukusetyenziswa kwinkqubo yesiqhelo.
Xa kuhlolwa i-TSH
Uvavanyo lwe-TSH lunoku-odolwa kubantu abasempilweni, ukuvavanya nje ukusebenza kwe-thyroid, kwaye kwimeko ye-hyperthyroidism, hypothyroidism, Hashimoto's thyroiditis, ukukhulisa i-thyroid, ubukho besifo se-thyroid esibuhlungu okanye esibi, ngexesha lokukhulelwa, kunye nokubeka iliso kumthamo wokutshintshwa kwe-thyroid. iziyobisi, kwimeko yokurhoxa kweli dlala.
Ngokwesiqhelo, olu vavanyo luyacelwa kubo bonke abantu abangaphezulu kweminyaka engama-40 ubudala, nokuba azikho iimeko zesifo se-thyroid kusapho.
Ingcebiso Yethu
Iibhola zeDip Seleziza kuba sisiQendu Sakho Sokuzilolonga