Uvavanyo lwe-TSH (iHyroid Stimulating Hormone)

Umxholo

• Kutheni le nto kuvavanyo lweHormone oluVuselelayo?
• IHypothyroidism
• Hyperthyroidism
• Ndizilungiselela njani iiHormone zoVavanyo lweHormone?
• Uvavanyo lweHormone oluKhuthazayo lwenziwa njani?
• Zithini iziphumo zoVavanyo lweHormone oluVuselelayo?

Yintoni uVavanyo lweHormone oluVuselelayo?

Uvavanyo lwehomoni ekhuthaza idrone (TSH) ilinganise inani le-TSH egazini. I-TSH iveliswa yi-pituitary gland, ebekwe emazantsi engqondo yakho. Inoxanduva lokulawula inani lamahomoni akhutshwe yi-thyroid.

Idlala lengqula lincinci, libukeka njengebhabhathane elibekwe ngaphambili entanyeni. Yindlala ebalulekileyo eyenza iihomoni ezintathu eziphambili:

• triiodothyronine (T3)
• ityroxine (T4)
• calcitonin

I-thyroid ilawula imisebenzi eyahlukeneyo yomzimba, kubandakanya imetabolism kunye nokukhula, ngokukhutshwa kwezi hormone zintathu.

Idlala lengqula lakho liya kuvelisa iihomoni ezininzi ukuba idlala lengqula livelisa i-TSH engakumbi. Ngale ndlela, la madlala mabini asebenza kunye ukuqinisekisa ukuba kuveliswa inani elifanelekileyo leencindi zamadlala endlala. Nangona kunjalo, xa le nkqubo iphazanyiswa, idlala lengqula linokuvelisa iihomoni ezininzi okanye ezimbalwa kakhulu.

Uvavanyo lwe-TSH luhlala lwenziwa ukumisela oyena nobangela wokungaqhelekanga kwenqanaba lehomoni yedlala lengqula. Isetyenziselwa ukukhusela i-thyroid engasebenzi okanye engasebenzi. Ngokulinganisa inqanaba le-TSH egazini, ugqirha wakho unokumisela ukuba isebenza njani i-thyroid.

Kutheni le nto kuvavanyo lweHormone oluVuselelayo?

Ugqirha wakho unokuyalela uvavanyo lwe-TSH ukuba ufumana iimpawu zesifo se-thyroid. Izifo ze-Thyroid zingahlelwa njenge-hypothyroidism okanye i-hyperthyroidism.

IHypothyroidism

I-Hypothyroidism yimeko apho i-thyroid ivelisa ama-hormone ambalwa kakhulu, ebangela ukuba i-metabolism iyancipha. Iimpawu zehypothyroidism zibandakanya ukudinwa, ubuthathaka, kunye nobunzima bokugxila. Ezi zilandelayo zezinye zezizathu eziqhelekileyo zehypothyroidism:

• IHashimoto's thyroiditis yimeko ebangela ukuba umzimba uhlasele iiseli ze-thyroid. Ngenxa yoko, idlala lengqula alikwazi ukuvelisa inani elaneleyo lamahomoni. Imeko ayisoloko ibangela iimpawu, kungoko inokuqhubela phambili kwiminyaka eliqela ngaphambi kokuba ibangele ukonakala okubonakalayo.
• I-Thyroiditis kukudumba kwedlala lengqula. Ngokuqhelekileyo kubangelwa ukusuleleka kwintsholongwane okanye ukuphazamiseka komzimba, njengeHashimoto's thyroiditis. Le meko iphazamisa imveliso yehomoni yegazi kwaye ekugqibeleni ikhokelele kwihypothyroidism.
• I-Postpartum thyroiditis luhlobo lwexeshana lwe-thyroiditis olunokuthi lukhule kwamanye amabhinqa emva kokubeleka.
• Idlala lengqula lisebenzisa iodine ukuvelisa iihomoni. Ukusilela kwe-iodine kunokukhokelela kwi-hypothyroidism. Ukusilela kwe-iodine kunqabile kakhulu e-United States ngenxa yokusetyenziswa kwetyuwa e-iodized. Nangona kunjalo, ixhaphake kakhulu kwezinye iingingqi zehlabathi.

Hyperthyroidism

I-Hyperthyroidism yimeko apho i-thyroid ivelisa i-hormone ezininzi, ezibangela ukuba i-metabolism ikhawuleze. Iimpawu zehyperthyroidism zibandakanya ukwanda kokutya, ixhala kunye nobunzima bokulala. Ezi zilandelayo zezinye zezizathu eziqhelekileyo zehyperthyroidism:

• Isifo se-Graves sisifo esiqhelekileyo apho idlala lengqula liba likhulu kwaye livelise inani eligqithisileyo lamahomoni. Imeko yabelana ngeempawu ezifanayo ne-hyperthyroidism kwaye ihlala inegalelo kuphuhliso lwehyperthyroidism.
• I-Thyroiditis ekugqibeleni ikhokelela kwi-hypothyroidism, kodwa kwixesha elifutshane, inokubangela ne-hyperthyroidism. Oku kunokwenzeka xa ukudumba kubangela ukuba idlala lengqula likhuphe iihomoni ezininzi kwaye zikhuphe zonke ngaxeshanye.
• Ukuba ne-iodine eninzi emzimbeni kunokubangela ukuba i-thyroid ibe yinto engaphezulu. Oku kwenzeka ngokwesiphumo sokuqhubeka usebenzisa amayeza aqukethe iodine. La mayeza afaka ezinye iisiraphu zokukhohlela kunye ne-amiodarone, esetyenziselwa ukunyanga ii-arrhythmias zentliziyo.
• Amaqhuqhuva e-Thyroid zizigaqa ezinobungozi ngamanye amaxesha ezenza kwi-thyroid. Xa la maqhuma eqala ukwanda ngokobukhulu, anokusebenza kakhulu kwaye idlala lengqula liqale ukuvelisa iihomoni ezininzi.

Ndizilungiselela njani iiHormone zoVavanyo lweHormone?

Uvavanyo lwe-TSH alufuni naluphi na ulungiselelo olukhethekileyo. Nangona kunjalo, kubalulekile ukuxelela ugqirha wakho ukuba uthatha amayeza anokuphazamisa ukuchaneka kwemilinganiselo ye-TSH. Amanye amayeza anokuphazamisa uvavanyo lwe-TSH zezi:

• amiodarone
• dopamine
• lithium
• ubume
• ipotassium

Kuya kufuneka uphephe ukusebenzisa la machiza ngaphambi kovavanyo. Nangona kunjalo, ungayeki ukuthatha amayeza akho ngaphandle kokuba ugqirha ukuxelele ukuba wenze njalo.

Uvavanyo lweHormone oluKhuthazayo lwenziwa njani?

Uvavanyo lwe-TSH lubandakanya ukuthatha isampulu yegazi. Igazi ngokwesiqhelo litsalwa emthanjeni ongaphakathi kwengqiniba engaphakathi.

Umboneleli wezempilo uya kwenza le nkqubo ilandelayo:

1. Kuqala, baya kuyicoca indawo ngeyeza lokubulala iintsholongwane okanye esinye isisombululo sokubulala iintsholongwane.
2. Baza kuthi emva koko babophe ibhanti yelastic ejikeleze ingalo yakho ukuze imithambo idumbe ligazi.
3. Nje ukuba bafumane umthambo, baya kufaka inaliti emthanjeni ukutsala igazi. Igazi liya kuqokelelwa kwityhubhu encinci okanye ibhotile encanyathiselwe kwinaliti.
4. Emva kokutsala igazi eloneleyo, baya kususa inaliti kwaye bavale indawo yokubhoboza ngebhandeji ukunqanda ukopha.

Yonke le nkqubo kufuneka ithathe kuphela imizuzu embalwa ukuyigqiba. Isampulu yegazi iya kuthunyelwa elebhu ukuvavanywa. Nje ukuba ugqirha wakho afumane iziphumo zovavanyo, baya kucwangcisa ixesha lokudibana nawe ukuze baxoxe ngeziphumo kwaye bacacise ukuba zinokuthetha ntoni na.

Zithini iziphumo zoVavanyo lweHormone oluVuselelayo?

Uluhlu oluqhelekileyo lwamanqanaba e-TSH yi-0.4 ukuya kwi-4.0 yezigidi zeeyunithi zamanye amazwe kwilitha nganye. Ukuba sele unyangwa isifo se-thyroid, uluhlu oluqhelekileyo luyi-0.5 ukuya ku-3.0 i-milli-international units nganye ilitha.

Ixabiso elingaphezulu kwenqanaba eliqhelekileyo lidla ngokubonisa ukuba idlala lengqula alisebenzi. Oku kubonisa i-hypothyroidism. Xa idlala lengqula lingavelisi iihomoni ezaneleyo, idlala lengqula likhupha i-TSH engakumbi ukuzama ukuyivuselela.

Ixabiso elingaphantsi kwebala eliqhelekileyo lithetha ukuba i-thyroid iyasebenza. Oku kubonisa hyperthyroidism. Xa idlala lengqula livelisa iihomoni ezininzi, idlala lobuchopho likhupha i-TSH encinci.

Ngokuxhomekeke kwiziphumo, ugqirha wakho unokufuna ukwenza iimvavanyo ezongezelelweyo ukuqinisekisa ukuxilongwa.