Yintoni i-subclinical hyperthyroidism, oonobangela, isifo kunye nonyango

Umxholo

• Izizathu eziphambili
• Uxilongo lwenziwa njani
• Unyango lwe-subclinical hyperthyroidism

I-subclinical hyperthyroidism lutshintsho kwidlala lengqondo apho umntu angabonisi zimpawu okanye iimpawu zehyperthyroidism, kodwa eneenguqu kwiimvavanyo ezivavanya ukusebenza kwe-thyroid, kwaye isidingo sonyango kufuneka siphandwe kwaye siqinisekiswe.

Ke, njengoko ingakhokeleli ekubonakaleni kweempawu, ukuchongwa kotshintsho kunokwenzeka kuphela ngokujonga amanqanaba e-TSH, T3 kunye ne-T4 egazini, ziihomoni ezinxulumene ne-thyroid. Kubalulekile ukuba i-subclinical hyperthyroidism ichongwe, kuba nokuba akukho zimpawu okanye zimpawu, le meko inokuxhasa ukukhula kweentliziyo kunye nethambo.

Izizathu eziphambili

I-subclinical hyperthyroidism inokwahlulwa ngokwembangela yoku:

• Imvelaphi, ehambelana nokuveliswa kunye nokukhutshwa kwehomoni yidlala, eyenzekayo xa umntu esenza ukusetyenziswa gwenxa kweziyobisi ze-thyroid, ezinje ngeLevothyroxine, umzekelo;
• Exo, apho utshintsho lungadibananga ngqo nedlala lengqula, njengakwimeko yesifo sokudumba, i-thyroiditis, i-adenoma enetyhefu kunye nesifo se-Graves, esisifo sokuzimela komzimba apho iiseli zamajoni omzimba zihlasela idlala lengqula uqobo. Ukucuthwa kwemveliso kwimveliso yehomoni.

I-subclinical hyperthyroidism ayihlali ikhokelela ekubonakaleni kweempawu okanye iimpawu, ichongwa kuphela kuvavanyo lwegazi oluvavanya ukusebenza kwe-thyroid. Ke, ukusebenza kweemviwo kubalulekile ukuze kuchongwe unobangela kunye nemfuno yokuqalisa unyango olufanelekileyo kuvavanywe.

Ngaphandle kokungakhokeleli ekubonakaleni kweempawu kunye neempawu, i-subclinical hyperthyroidism inokunyusa umngcipheko wotshintsho lwentliziyo, i-osteoporosis kunye ne-osteopenia, ngakumbi kubafazi abanesifo sokuya exesheni okanye abantu abangaphezulu kweminyaka engama-60 ubudala. Ke kubalulekile ukuba ifunyaniswe. Jonga indlela yokuchonga i-hyperthyroidism.

Uxilongo lwenziwa njani

Ukuchongwa kwe-subclinical hyperthyroidism kwenziwa ikakhulu ngokwenza uvavanyo oluvavanya idlala lengqula, ngakumbi idosi egazini le-TSH, T3 kunye ne-T4 kunye ne-antithyroid antibodies, kwimeko apho amanqanaba e-T3 kunye ne-T4 aqhelekile kwaye inqanaba le-TSH ingaphantsi kwexabiso lesalathiso, elilelabantu abangaphezulu kwe-18 liphakathi kwe-0.3 kunye ne-4.0 μUI / mL, enokwahluka phakathi kweelebhu. Funda ngakumbi malunga novavanyo lwe-TSH.

Ke, ngokwexabiso le-TSH, i-subclinical hyperthyroidism inokuhlelwa:

• Iphakathi, apho amanqanaba e-TSH yegazi aphakathi kwe-0.1 kunye ne-0.3 μUI / mL;
• Kakhulu, apho amanqanaba e-TSH egazi angaphantsi kwe-0.1 μUI / mL.

Ukongeza, kubalulekile ukuba kwenziwe ezinye iimvavanyo ukuze kuqinisekiswe ukuxilongwa kwe-subclinical hyperthyroidism, ichonge unobangela kwaye ivavanye isidingo sonyango. Kule nto, i-ultrasound kunye ne-scintigraphy ye-thyroid zihlala zenziwa.

Kukwabalulekile ukuba abantu abaye bafunyaniswa ukuba bane-subclinical hyperthyroidism bajongwe rhoqo ukuze amanqanaba e-hormone avavanywe ngokuhamba kwexesha kwaye, yiyo loo nto, inokuchongwa ukuba kukho indaleko kwi-hyperthyroidism, umzekelo.

Unyango lwe-subclinical hyperthyroidism

Unyango lwe-subclinical hyperthyroidism ichazwa ngugqirha oqhelekileyo okanye i-endocrinologist esekwe kuvavanyo lobume bempilo yomntu ngokubanzi, ubukho beempawu okanye izinto ezinobungozi, ezinje ngobudala obulinganayo okanye ngaphezulu kweminyaka engama-60, i-osteoporosis okanye ukuya exesheni, ukongeza ekubeni nayo ithathelwe ingqalelo uthatho lwenqanaba le-TSH, T3 kunye ne-T4 kwiinyanga ezi-3 ezidlulileyo.

Kwezinye iimeko akukho mfuneko yokuba uqale unyango, kuba zinokuba lutshintsho nje lwethutyana, Oko kukuthi, ngenxa yeemeko ezithile eziye zafunyanwa ngumntu kuye kwakho utshintsho kwixinzelelo lamahomoni ajikeleza egazini, kodwa abuyele esiqhelweni .

Nangona kunjalo, kwezinye iimeko, kunokwenzeka ukuba amanqanaba ehomoni angabuyeli esiqhelweni, ngokuchaseneyo, amanqanaba e-TSH anokuhla ngokunyuka kwaye i-T3 kunye ne-T4 ziphezulu, zibonakalisa i-hyperthyroidism, kwaye kufuneka kuqaliswe unyango olufanelekileyo. kukusetyenziswa kwamachiza alawula ukuveliswa kwehomoni, unyango nge-iodine enemitha ye-radio okanye utyando. Qonda ukuba lwenziwa njani unyango lwehyperthyroidism.