I-Hyperthyroidism engaphantsi

Umxholo

• Ziintoni iimpawu?
• Izizathu eziqhelekileyo
• Kufunyaniswa njani
• Iziphumo emzimbeni ukuba ziyekwe zinganyangwa
• Iphathwa njani kwaye nini
• Unyango olusekwe kwisizathu
• Ukunyanga oonobangela bangaphakathi be-subclinical hyperthyroidism
• Ukunyanga oonobangela bangaphandle be-subclinical hyperthyroidism
• Unyango olusekwe kubukhali
• Unyango kunye nobukho beengxaki
• Izinto onokuzenza ekhaya
• Yintoni imbonakalo?

Ushwankathelo

I-subclinical hyperthyroidism yimeko apho amanqanaba asezantsi e-thyroid evuselela i-hormone (TSH) kodwa amanqanaba aqhelekileyo e-T3 kunye ne-T4.

I-T4 (i-thyroxine) yeyona hormone iphambili ifihliweyo yindlala ye-thyroid. I-T3 (triiodothyronine) yinguqulelo eguqulweyo ye-T4. Isixa se-T4 esiveliswe yi-thyroid gland ilawulwa ngamanqanaba emveliso ye-TSH yindlala yakho yebhinqa kunye nokunye.

Ke, ukuba i-pituitary gland yakho ibona i-T4 encinci, iya kuvelisa i-TSH engakumbi ukuxelela idlala lengqula yakho ukuvelisa i-T4 engaphezulu. Nje ukuba isixa se-T4 sifikelele kumanqanaba afanelekileyo, idlala lengqula liyakuqonda oko kwaye liyeke ukuvelisa i-TSH.

Kubantu abane-subclinical hyperthyroidism, idlala lengqula livelisa amanqanaba aqhelekileyo e-T4 kunye ne-T3. Nangona kunjalo, banamanqanaba angaphantsi kweqhelekileyo e-TSH. Oku kungalingani kwamahomoni kukhokelela kwimeko.

Ukuxhaphaka kwe-subclinical hyperthyroidism kuluntu ngokubanzi kuqikelelwa ukuba kusuka kwi-0.6 ukuya kwi-16 yepesenti. Kuxhomekeka kwiindlela zokuqonda isifo ezisetyenzisiweyo.

Ziintoni iimpawu?

Uninzi lwabantu abane-subclinical hyperthyroidism abanazimpawu zedlala engasebenziyo. Ukuba iimpawu ze-subclinical hyperthyroidism zikhona, zithambile kwaye azicacanga. Ezi mpawu zinokubandakanya:

• ukubetha kwentliziyo okukhawulezayo okanye ukubetha kwentliziyo
• ukungcangcazela, ikakhulu ezandleni zakho okanye kwiminwe yakho
• ukubila okanye ukunyamezelana nobushushu
• uvalo, unxunguphalo, okanye uziva unganomsindo
• ukuhla ukusinda
• ubunzima bokugxila

Izizathu eziqhelekileyo

I-subclinical hyperthyroidism inokubangelwa zizinto zangaphakathi (ezingapheliyo) nezangaphandle (zangaphandle).

Izizathu zangaphakathi ze-subclinical hyperthyroidism zinokubandakanya:

• Isifo samangcwaba. Isifo seGraves sisifo sokuzimela komzimba esibangela ukuveliswa ngokugqithisileyo kwehomoni yedlala lengqula.
• Imultitodular goiter. Idlala lengqula elandisiweyo libizwa ngokuba yirhorho. I-goiter yeemultimodular yi-thyroid eyandisiweyo apho amaqhuma amaninzi, okanye amaqhuqhuva, anokubonwa khona.
• Idlala lengqula. I-Thyroiditis kukudumba kwedlala lengqula, elibandakanya iqela lokuphazamiseka.
• Idenoma yegciwane. I-adenoma ye-thyroid sisifo esibuhlungu se-thyroid gland.

Izizathu zangaphandle ze-subclinical hyperthyroidism zibandakanya:

• unyango olugqithisileyo lwe-TSH
• uxinzelelo lwe-TSH olungenanjongo ngexesha lonyango lwehomoni kwi-hypothyroidism

I-subclinical hyperthyroidism inokwenzeka kwabafazi abakhulelweyo, ngakumbi kwikota yokuqala. Nangona kunjalo, kunemiphumo emibi yokukhulelwa kwaye ngokuqhelekileyo ayifuni unyango.

Kufunyaniswa njani

Ukuba ugqirha wakho ukrokrela ukuba une-subclinical hyperthyroidism, baya kuqala bavavanye amanqanaba akho e-TSH.

Ukuba amanqanaba akho e-TSH abuya ephantsi, ugqirha wakho uya kuthi emva koko avavanye amanqanaba akho e-T4 kunye ne-T3 ukubona ukuba aphakathi kwamanqanaba aqhelekileyo.

Ukuze wenze olu vavanyo, ugqirha wakho kuya kufuneka athathe isampulu yegazi engalweni yakho.

Uluhlu oluqhelekileyo lwesalathiso se-TSH kubantu abadala luchazwa njenge-0.4 ukuya kwi-4.0 yezigidi zeeyunithi zamanye amazwe kwilitha nganye (mIU / L). Nangona kunjalo, kubalulekile ukuba usoloko ujonga kwizalathiso ezinikezelweyo kwingxelo yaselebhu.

I-subclinical hyperthyroidism ngokubanzi ihlelwa ngokwamacandelo amabini:

• IBakala I: Phantsi, kodwa iyafumaneka TSH. Abantu abakolu didi banamanqanaba e-TSH phakathi kwe-0.1 kunye ne-0.4 mlU / L.
• IBakala II: I-TSH engabonakaliyo. Abantu abakolu didi banamanqanaba e-TSH angaphantsi kwe-0.1 mlU / L.

Iziphumo emzimbeni ukuba ziyekwe zinganyangwa

Xa i-subclinical hyperthyroidism ishiywe inganyangwa, inokuba neziphumo ezibi emzimbeni:

• Umngcipheko owandisiweyo wehyperthyroidism. Abantu abanamanqanaba e-TSH angabonakaliyo banomngcipheko okhulayo wokuphuhlisa i-hyperthyroidism.
• Iziphumo ezingalunganga zentliziyo. Abantu abangahoywanga banokuphuhlisa:
  • ukwanda kwentliziyo
  • ukunciphisa ukunyamezelana nokuzilolonga
  • arrhythmias
  • i-fibrillation ye-atrial
  • Ukuncipha kwethambo. Ukunganyangwa kwe-subclinical hyperthyroidism kunokukhokelela ekunciphiseni koxinano lweethambo kubafazi abasemva kokuyeka ukuya exesheni.
  • Isifo sengqondo esiyingozi. Ezinye iingxelo zibonisa ukuba i-subclinical hyperthyroidism enganyangekiyo inokubangela isifo sengqondo esixhalabisayo.

Iphathwa njani kwaye nini

Uphengululo loncwadi lwezenzululwazi lufumanise ukuba amanqanaba asezantsi e-TSH abuyela ngesiqhelo kubantu abane-hypercytic hypercology.

Nokuba imeko ifuna unyango ixhomekeke:

• unobangela
• indlela enzima ngayo
• ubukho bazo naziphi na iingxaki ezinxulumene noko

Unyango olusekwe kwisizathu

Ugqirha wakho uya kusebenza ukufumanisa ukuba yintoni enokubangela i-subclinical hyperthyroidism. Ukuchonga unobangela kunokunceda ukumisela unyango olufanelekileyo.

Ukunyanga oonobangela bangaphakathi be-subclinical hyperthyroidism

Ukuba une-subclinical hyperthyroidism ngenxa yesifo se-Graves, kufuneka unyango. Ugqirha wakho uya kumisela unyango lwe-iodine okanye i-anti-thyroid, njenge-methimazole.

Unyango lwe-iodine ye-radioactive kunye neyeza ezichasene ne-thyroid zinokusetyenziselwa ukunyanga i-subclinical hyperthyroidism ngenxa ye-multitodular goiter okanye i-thyroid adenoma.

I-subclinical hyperthyroidism ngenxa ye-thyroiditis ihlala isombulula ngaphandle kwonyango olongezelelweyo olufunekayo. Ukuba i-thyroiditis ibanzima, ugqirha wakho unokukunika amachiza alwa nokudumba. Oku kunokubandakanya iziyobisi ezichasayo (ii-NSAIDs) okanye ii-corticosteroids.

Ukunyanga oonobangela bangaphandle be-subclinical hyperthyroidism

Ukuba unobangela ubangelwa lunyango lwe-TSH-unyango okanye unyango lwehomoni, ugqirha wakho unokuhlengahlengisa idosi yala machiza apho kufanelekileyo.

Unyango olusekwe kubukhali

Ukuba amanqanaba akho e-TSH asezantsi kodwa asenokubonakala kwaye awunangxaki, ngekhe ufumane unyango kwangoko. Endaweni yoko, ugqirha wakho unokukhetha ukuphinda aphindaphinde amanqanaba akho e-TSH rhoqo kwiinyanga ezimbalwa ade abuyele esiqhelo okanye ugqirha wakho wanelisekile ukuba imeko yakho izinzile.

Unyango lunokufuneka ukuba amanqanaba akho e-TSH awela kwiBanga loku-1 okanye kwiBanga lesi-II kwaye ukwimigangatho yomngcipheko:

• ungaphezulu kweminyaka engama-65 ubudala
• unesifo sentliziyo
• unethambo
• Unempawu ezibonisa ukuba unehyperthyroidism

Unyango lwakho luya kuxhomekeka kuhlobo luni lwemeko ebangela i-subclinical hyperthyroidism yakho.

Unyango kunye nobukho beengxaki

Ukuba ufumana iimpawu zentliziyo okanye ezinxulumene nethambo ngenxa ye-subclinical hyperthyroidism, unokufumana inzuzo kwi-beta-blockers kunye ne-bisphosphonates.

Izinto onokuzenza ekhaya

Olunye uphononongo lubonakalisile ukuba iimpembelelo ezingalunganga kubuninzi bethambo zinokukhululeka ngokuqinisekisa ukuba ufumana idosi eyaneleyo yemihla ngemihla yecalcium.

Unokuba nokwehla kobunzima ukuba une-subclinical hyperthyroidism. Kungenxa yokuba abantu abane-thyroid engasebenzi kakhulu banezinga eliphezulu lokunciphisa umzimba (BMR). Iimfuno zekhalori zokugcina ubunzima bakho ziya kuba phezulu.

Yintoni imbonakalo?

I-subclinical hyperthyroidism kuxa amanqanaba asezantsi e-TSH kodwa amanqanaba aqhelekileyo e-T3 kunye ne-T4. Ukuba ufumana iimpawu ze-subclinical hyperthyroidism, ugqirha wakho unokusebenzisa uthotho lweemvavanyo zegazi ukuze afumane isifo.

Kuba le meko inokubangelwa ziimeko ezahlukeneyo, unyango olufumanayo luya kuxhomekeka kwisizathu kunye nobukhali. Nje ukuba amanqanaba akho abuyele esiqhelweni ngokwendalo okanye ngokusebenzisa amayeza, imbonakalo yakho iya kuba ntle.