Yintoni i-Subclinical Hypothyroidism?

Umxholo

• Yintoni ebangela oku?
• Ngubani osemngciphekweni?
• Iimpawu eziqhelekileyo
• Kufunyaniswa njani
• Iphathwa njani
• Ngaba zikhona iingxaki?
• Isifo sentliziyo
• Ukuphulukana nokukhulelwa
• Ukutya okusemgangathweni ukulandela
• Yintoni imbonakalo?

I-subclinical hypothyroidism yindlela yokuqala, enobulali ye-hypothyroidism, imeko apho umzimba ungazivelisi ngokwaneleyo iihomoni ze-thyroid.

Ibizwa ngokuba yi-subclinical kuba kuphela kwinqanaba le-serum ye-thyroid-ekhuthaza i-hormone evela ngaphambili kwendlala yebhinqa encinci ngaphezu kwesiqhelo. Iihomoni ze-thyroid eziveliswa yi-thyroid gland zisekho kwinqanaba eliqhelekileyo lebhubhoratri.

Ezi hormone zinceda ukuxhasa intliziyo, ingqondo, kunye nemisebenzi ye-metabolic. Xa iihomoni ze-thyroid zingasebenzi kakuhle, oku kuchaphazela umzimba.

Ngokophando olupapashiweyo, abantu bane-subclinical hypothyroidism. Le meko inokuqhubela phambili kwi-hypothyroidism epheleleyo.

Kwisifundo esinye, kwabo bane-subclinical hypothyroidism baphuhlise ngokupheleleyo i-hypothyroidism kwisithuba seminyaka emi-6 yokufumana isifo.

Yintoni ebangela oku?

Idlala lengqula, elisezantsi kwengqondo, likhupha iihomoni ezininzi, kubandakanya into ebizwa ngokuba yihomoni ekhuthaza idlala lengqula (i-TSH).

I-TSH ibangela idlala lengqula, into emile njengebhabhathane ngaphambili entanyeni, ukwenza iihomoni i-T3 kunye ne-T4. I-subclinical hypothyroidism yenzeka xa amanqanaba e-TSH ephakanyisiwe kodwa i-T3 kunye ne-T4 ziqhelekile.

I-subclinical hypothyroidism kunye ne-hypothyroidism egcwele ngokupheleleyo yabelana ngezizathu ezifanayo. Oku kubandakanya:

• imbali yosapho yesifo se-thyroid, njengeHashimoto's thyroiditis (imeko yokuzenzekelayo eyenzakalisa iiseli ze-thyroid)
• ukulimala kwi-thyroid (umzekelo, ukukhutshwa kwezicubu ze-thyroid ezingaqhelekanga ngexesha lotyando lwentloko nentamo)
• Ukusetyenziswa kwonyango lwe-iodine ye-radioactive, unyango lwe-hyperthyroidism (imeko xa i-hormone ye-thyroid eninzi kakhulu iveliswa)
• ukuthatha amayeza aqukethe i-lithium okanye iodine

Ngubani osemngciphekweni?

Izinto ezahlukeneyo, uninzi lwazo zingaphandle kolawulo lwakho, zonyusa amathuba okuphuhlisa i-subclinical hypothyroidism. Oku kubandakanya:

• Isini. Uphononongo olupapashwe kwiphephancwadi lubonise ukuba abafazi banamathuba okuphuhlisa i-subclinical hypothyroidism kunamadoda. Izizathu azicacanga ncam, kodwa abaphandi bakrokrela ukuba ihomoni ye-estrogen yabasetyhini inokudlala indima.
• Ubudala. I-TSH ihlala iphakama njengoko uneminyaka yobudala, isenza i-subclinical hypothyroidism ixhaphake kubantu abadala.
• Ukutya iodine I-subclinical hypothyroidism ihlala ixhaphake kubantu abasebenzisa iodine eyaneleyo okanye egqithileyo, ukulandelela izimbiwa kubalulekile ekusebenzeni kakuhle kwe-thyroid. Inokukunceda ukuba uqhelane neempawu kunye neempawu zokunqongophala kwe-iodine.

Iimpawu eziqhelekileyo

I-subclinical hypothyroidism uninzi lwamaxesha alunazo iimpawu. Oku kuyinyani ngakumbi xa amanqanaba e-TSH ephakanyisiwe kancinci. Xa iimpawu zivela, nangona kunjalo, zihlala zingacacanga kwaye ngokubanzi kwaye zibandakanya:

• ukudakumba
• ukuqhina
• ukudinwa
• i-goiter (oku kubonakala ngathi kudumba ngaphambili entanyeni ngenxa yokwanda kwe-thyroid gland)
• ukutyeba kwakho
• ukulahleka kweenwele
• ukunganyamezelani kubanda

Kubalulekile ukuba uqaphele ukuba ezi zimpawu azichanekanga, oko kuthetha ukuba banokubakho kubantu abanomsebenzi oqhelekileyo we-thyroid kwaye bengahambelani ne-subclinical hypothyroidism.

Kufunyaniswa njani

I-subclinical hypothyroidism ifunyaniswa kuvavanyo lwegazi.

Umntu ophethe i-thyroid esebenzayo kufuneka abe negazi lokufundwa kwe-TSH ngaphakathi kwinqanaba eliqhelekileyo lokurekhoda, elihlala linyuka laya kwiiyunithi ze-4.5 milli-zamanye amazwe ilitha nganye (mIU / L) okanye.

Nangona kunjalo, kukho ingxoxo eqhubekayo kuluntu lwezonyango malunga nokunciphisa umda oqhelekileyo oqhelekileyo.

Abantu abanenqanaba le-TSH ngaphezulu kwenqanaba eliqhelekileyo, abanamanqanaba aqhelekileyo e-thyroid gland, bathathwa njenge-subclinical hypothyroidism.

Ngenxa yokuba inani le-TSH egazini lingatshintsha, uvavanyo lunokufuna ukuphindwa emva kweenyanga ezimbalwa ukubona ukuba inqanaba le-TSH liqhelekile.

Iphathwa njani

Zininzi iingxoxo malunga nokuba-nokuba-ngaba ubaphatha njani abo bane-subclinical hypothyroidism. Oku kuyinyani ngakumbi ukuba amanqanaba e-TSH angaphantsi kwe-10 mIU / L.

Ngenxa yokuba inqanaba eliphezulu le-TSH lingaqala ukuvelisa iziphumo ezibi emzimbeni, abantu abanenqanaba le-TSH ngaphezulu kwe-10 mIU / L baphathwa ngokubanzi.

Ngokuka, ubungqina ubukhulu becala abuqinisekanga ukuba abo banamanqanaba e-TSH phakathi kwe-5.1 kunye ne-10 mIU / L baya kuxhamla kunyango.

Xa uthatha isigqibo sokuba uza kunyanga okanye cha, ugqirha wakho uya kuthathela ingqalelo izinto ezinje:

• inqanaba lakho le-TSH
• ingaba unayo i-antithyroid antibodies egazini lakho kunye ne-goiter (zombini ezi zinto zibonisa ukuba imeko inokuqhubela phambili kwi-hypothyroidism)
• iimpawu zakho kunye nokuba zichaphazela kangakanani ubomi bakho
• iminyaka yakho
• imbali yakho yonyango

Xa kusetyenziswa unyango, i-levothyroxine (Levoxyl, Synthroid), idlala lengqula elenziwa ngomlomo, ihlala icetyiswa kwaye iyanyamezeleka.

Ngaba zikhona iingxaki?

Isifo sentliziyo

Unxibelelwano phakathi kwe-subclinical hypothyroidism kunye nesifo sentliziyo sisasaxoxwa. Olunye uphononongo lucebisa ukuba amanqanaba aphezulu e-TSH, xa eshiywe enganyangwa, anganegalelo ekuphuhliseni oku kulandelayo:

• igazi elonyukayo
• cholesterol ephezulu

Ekujongeni amadoda kunye nabasetyhini abadala, abo banezinga le-TSH yegazi le-7 mIU / L nangaphezulu babenomngcipheko ophindwe kabini okanye nangakumbi wokuba nesifo sentliziyo esine-congestive ngokuthelekiswa naleyo inqanaba eliqhelekileyo le-TSH. Kodwa ezinye izifundo azikuqinisekisanga oku kufunyanwa.

Ukuphulukana nokukhulelwa

Ngexesha lokukhulelwa, inqanaba legazi le-TSH lithathwa njengeliphakamileyo xa lidlula kwi-2.5 mIU / L kwikota yokuqala yokuqala kunye ne-3.0 mIU / L kwindawo yesibini neyesithathu. Amanqanaba ehomoni ye-thyroid afanelekileyo ayimfuneko ekukhuleni kwengqondo yomntwana nakwinkqubo yovalo.

Uphando lupapashiwe kwafumanisa ukuba abasetyhini abakhulelweyo abanenqanaba le-TSH phakathi kwe-4.1 kunye ne-10 mIU / L abathi emva koko baphathwa babengenamathuba okuba baphulukane nesisu kunabo babengakhange banyangwe.

Into enomdla kukuba, abasetyhini abanenqanaba le-TSH phakathi kwe-2.5 kunye ne-4 mIU / L khange babone mngcipheko unciphisiweyo wokulahleka kokukhulelwa phakathi kwabo baphathwa kunye nabo banganyangwa ukuba bane-antibodies ye-thyroid.

Ukuvavanya imeko ye-antithyroid antibodies kubalulekile.

Ngokophando lwango-2014, abasetyhini abane-subclinical hypothyroidism kunye ne-antithyroid peroxidase (TPO) antibodies bahlala benomngcipheko omkhulu weziphumo zokukhulelwa, kwaye iziphumo ezibi zenzeka kwinqanaba eliphantsi le-TSH kunakwabasetyhini abangenazo ii-antibodies ze-TPO.

Uphononongo olucwangcisiweyo lwango-2017 lwafumanisa ukuba umngcipheko wokukhulelwa ubonakala kwabasetyhini abane-TPO abanenqanaba le-TSH elingaphezulu kwe-2.5 mU / L. Lo mngcipheko awuzange ubonakale ngokungagungqiyo kubafazi be-TPO-negative de kwinqanaba labo le-TSH lidlule kwi-5 ukuya kwi-10 mU / L.

Ukutya okusemgangathweni ukulandela

Akukho bungqina benzululwazi bokuba ukutya okanye ukungatyi ukutya okuthile kuya kunceda ekuthinteleni i-subclinical hypothyroidism okanye ukunyanga ukuba sele ufumanekile. Kubalulekile, nangona kunjalo, ukufumana isixa esifanelekileyo se-iodine ekutyeni kwakho.

Iodine encinci inokukhokelela kwi-hypothyroidism. Kwelinye icala, okuninzi kunokukhokelela kwi-hypothyroidism okanye i-hyperthyroidism. Imithombo elungileyo ye-iodine ibandakanya ityuwa ene-iodised, iintlanzi zetyuwa, iimveliso zobisi kunye namaqanda.

Amaziko eSizwe ezeMpilo acebisa i-micrograms ezili-150 ngosuku kubantu abadala nakwishumi elivisayo. Ikota enye yethispuni yetyuwa ene-iodized okanye ikomityi enye ye-yogurt ene-fat-fat plain ibonelela malunga neepesenti ezingama-50 kwiimfuno zakho zemihla ngemihla ze-iodine.

Lilonke, eyona nto unokuyenza ukuze wenze umsebenzi we-thyroid kukutya ukutya okunesondlo, okunesondlo.

Yintoni imbonakalo?

Ngenxa yezifundo eziphikisanayo, kusekho impikiswano eninzi malunga nokuba kwaye kufuneka kunyangwe njani i-subclinical hypothyroidism. Eyona ndlela ilungileyo yeyomntu ngamnye.

Thetha nogqirha wakho malunga naziphi na iimpawu, imbali yakho yezonyango, kunye nokuba uvavanyo lwegazi lubonisa ntoni. Esi sikhokelo sokunceda sinokukunceda uqalise. Fundani ukhetho lwenu kwaye nithathe isigqibo ngeyona ndlela ilungileyo yokwenza kunye.