Chii chinonzi TSH bvunzo uye zvaunowana zvinorevei?

Dzidzo yehutano

Utachiona-hunosimudzira mahormone (TSH) bvunzo inoongorora utachiona mashandiro uye hutachiona hwehomoni. Iyo inogadzirwa neiyo pituitary gland, iyo inotaurira yako thyroid, iri nechepazasi kumberi kwemutsipa wako, kugadzira uye kuburitsa mahormone anodzora muviri wedu tembiricha, metabolism, uye chengetedza huropi hwedu, moyo, uye dzimwe nhengo dzichishanda nemazvo.

IAmerican Thyroid Association (ATA) inokurudzira kuti vanhu vakuru vatange kuongororwa kweTSH pazera remakore makumi matatu nemashanu uye vadzokorore bvunzo makore ese mashanu kana mhedzisiro iri mune yakajairwa renji. Chiremba wako anogona zvakare kuraira bvunzo yeTSH kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinga Zviratidzo zvehypothyroidism (utachiona husingashandi) hunogona kusanganisira kuneta, hutsi hwehuropi, ganda rakaoma zvakanyanya, kurasikirwa kwebvudzi, uye kunzwa kutonhora. Zviratidzo ye hyperthyroidism (yakanyanyisa utachiona) inogona kusanganisira kudikitira, kukurumidza kurova kwemoyo, kushaya simba kwemhasuru, kushushikana, uye kusagadzikana. Chero zvazvingaitika, iwe-kana mubatsiri wezvehutano- unogona kuona kuti utachiona hwako hwakura, hunodaidzwa kunzi goiter, kana kuti mamonotisi ehuchi, ayo ari mapundu madiki ari pagland.

Chii chinoedzwa neTSH?

Iyo TSH yeropa bvunzo inowanzo kupihwa sechikamu chepaneru rekuongororwa kweropa pamwe neyakaitika yegore bvunzo yehutano. Chiyero chinotarisa mashandiro anoita utachiona hwako nekuyera huwandu hwehutachiona hunosimudzira muropa rako. Iko kusatsanya-kuongorora ropa, zvichireva kuti haufanire kuita chero chakakosha kugadzirira.

Vanachiremba vanofanirwa kutora TSH yeropa sampuro yehutachiona varwere mushure memavhiki mana kusvika masere mushure mekutanga kuongororwa. Iyo ivo inokurudzira kuongorora kweTSH pamwedzi mitanhatu kusvika kugumi nemiviri paunenge uri pamushonga unogadzikana wemushonga uye kazhinji kana dosi yako yachinja.

Chii chinofanira kunge chako chikamu cheTSH?

Mazhinji marabhoritari anoronga akajairwa mashure eTSH sepakati pe0,4 ne4,5 milliuniti paita (mU / L), sekureva kwe YeAmerican Thyroid Association (ATA). Chiyero chakajairika cheTSH muzviitiko zvakawanda, kazhinji chinoratidza kuti hauna dambudziko rehutachiona.

Iyo ivo inoshuma kuti vangangoita mamirioni makumi maviri vekuAmerica vane imwe nzira yechirwere chetachiona. Asi zvinopfuura makumi matanhatu kubva muzana yeavo vane chirwere chetachiona havazivi nezvehutano hwavo.

Zvinorevei kana yako TSH yakaderera?

Muzviitiko zvakawanda, mwero weTSH wakaderera pane 0,4 mU / L unoratidza hyperthyroidism, inozivikanwawo sehutachiona hwakawanda, zvichireva kuti muviri wako unoburitsa hutachiona hwakawanda kwazvo. Chirwere cheGraves chirwere che autoimmune icho dzimwe nguva chinokonzera hyperthyroidism.

Chii chinoitika kana yako TSH yakakwira?

Kazhinji, mwero weTSH wakakwira kupfuura 4.5 mU / L unoratidza hypothyroidism, kana utachiona husingashande, zvichireva kuti muviri wako haugadzi zvakakwana hutachiona hwehormone. Hashimoto's thyroiditis chirwere chemuviri chinombokonzera hypothyroidism.

Iwe unogona here kuva nechinetso kana yako TSH yakajairika?

Iyo TSH bvunzo chiratidzo chinonyanya kunzwisisika chehutano hwako hwese hwehutachiona, anodaro Brittany Henderson, MD, board-Certified endocrinologist ku Charleston Thyroid Center muMount Pleasant, South Carolina . Dudziro inogona kuoma nekuti kune huwandu hwakawanda hwe 'zvakajairika' pachiyero cheTSH.

Mishonga uye zvinowedzera zvauri kutora izvozvi zvinogona kukanganisa mhedzisiro yeTSH bvunzo yako. Mumwe muenzaniso ndeye biotin, iyo inogona kunyepera kuratidza yakaderera TSH mazinga.

Izvo zvinoonekwa sezvakajairwa zvinokanganiswa nezvinhu zvinoverengeka.

• Zera
• Kubata pamuviri
• Dzinza

Kutsvakurudza yakaratidza kuti mwero weTSH unowedzera kuwedzera nezera, unodzikira nepamuviri, uye unosiyana nerudzi.

Zera

Poshi kudzidza vakawana kuti 97.5% yevarwere kusvika pazera ramakore makumi mashanu nemashanu vaive neTSH tsika dzakaderera pane 4.0 mU / L. Pamusoro pezera iro mutengo wepamusoro we97.5th percentile wakakwira zvishoma nezvishoma, uchisvika panosvika 4.75 mU / L pakati pemakore 75 kusvika 85 uye 5.0 mU / L mune varwere vari pakati pe85 ne90. vanhu vakuru havadi kurapwa.

Matanho eTSH anokwanisa zvakare kusiana kuvana uye huwandu hungashanduka zvinoenderana nezera. Zvinokurudzirwa kuti vabereki vatarise nevana endocrinologist kuti vaone yakakwana yavo TSH renji.

Kubata pamuviri

Mune vakadzi vane nhumbu mune yavo yekutanga trimester, iyo American Thyroid Association inokurudzira mwero weTSH unochengetwa zvichienderana nemamiriro ehutachiona autoimmunity. Kazhinji, TSH inochengetwa pakati pe0.2-<2.5 mU/L or the upper limit of TSH ie, 4.5 mU/L based on autoimmunity. TSH is recommended to be maintained between 0.3-3 mU/L in the remaining trimesters.

Dzinza

Dr. Henderson, uyo akabatana kunyora bhuku iri, Zvaunofanira Kuziva Nezve Hashimoto's Chirwere , inocherekedza kuti mhinduro dzeTSH dzinogona zvakare kusiyana maererano nedzinza. Matanho eTSH ane tsika dzakakwirira muhuwandu hwevachena, vakaderera muvanhu vatema, uye kumwe kunhu pakati pevaSpanish, anotsanangura.

Anoti varwere vanogona kunge vaine TSH mhedzisiro mu'yakajairika 'renji, vachiri kuona zviratidzo zvinoshanda (senge kuonda kana kuwana, kurasikirwa nevhudzi, kuneta, kushushikana uye zvimwe). Matanho eTSH anoratidza kana utachiona hwako hune dambudziko, asi hazviratidze zviri kukonzera dambudziko. Kuti uwane izvozvo kunze, wako mupi wezvehutano anogona kuraira mimwe bvunzo.

Kana iwe ungangoda mamwe mabvunzo

Muzviitiko izvi, vanachiremba vanogona kusarudza kuodha yakazara mapaneru ehutachiona bvunzo kuyera thyroxine yakadai seMahara T4, Yese T4, Yese T3, uye immune antibodies, kuwedzera kune TSH. Chikamu chakakomba chekutora yakanakisa mhedzisiro yeTSH uye kurapwa kwehutachiona kunosanganisira kuona kuti uri kugamuchira bvunzo dzakakodzera dzekuongorora.

T4 bvunzo

Iyo Yemahara T4 ndeye isiri-yekutsanya kuongororwa bvunzo yeropa iyo inoyera mwero weT4, utachiona kemikari. Chiyero chakajairwa cheMahara T4 mitsara pakati0.8 kusvika 1.5maikirogiramu padhisita (ng / dL). Inogona kusiyana zvichienderana neyakaedzwa ye laboratori yakashandiswa. Yese T4 haiwanzo kuitwa kunze kwekuzvitakura kana ichinyatsoita kupfuura YeMahara T4 bvunzo.Yakajairwa yakazara T4 renji ndeye 5-12 ug / dl. Kuderera kweT4 inoonekwa ne hypothyroidism, nepo mazinga epamusoro achionekwa ne hyperthyroidism.

T3 bvunzo

Yese T3 isina-kutsanya kuyedza ropa dzimwe nguva inokurudzirwa senzira yekuongorora hyperthyroidism uye kuona kuomarara kwechirwere. Yakajairwa Yese T3 mhedzisiro inoyerwa seyakasiyana kubva pa100 kusvika ku200 nanograms pa deciliter (ng / dl). Yemahara T3 bvunzo haina kukurudzirwa nekuda kwerabhoritari yekuyedza kusaenderana. Kudzorera T3 ine basa rakaderera pakuongorora matambudziko ehutachiona uye kazhinji haina kukurudzirwa.

Unoda kurapwa riinhi?

Vazhinji varwere vehypothyroid vanonzwa pavanogona kwazvo pavanenge vari pamushonga uye avo mazinga ehutachiona ari mu'akanakisisa 'TSH huwandu hwe0.5-2.00 (ine chiyero chebhu che 0.45-4.5), Dr. Henderson anodaro. Sezvo zviyero zvelebhu nematanho zvichisiyana, iwo mwero wakakwenenzverwa webhu chaiyo yemurwere inogona zvakare kusiyana. Kune varwere vakwegura, chinangwa cheTSH chiri mune 4.0 - 6.0 renji.

Vazhinji vanachiremba vanowanzo bata varwere vavo vehypothyroid nedosi rezuva nezuva re levothyroxine, vhezheni yakagadzirwa neT4 thyroid hormone inogadzirwa nemuviri, vamwe vanachiremba vanokurudzira kushandisa zvese T4 uye T3 senzira yekurapa.

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Nemishonga yehutachiona, iyo dosing inofanirwa kunge iri chaiyo, Dr. Henderson anodaro. Kunyanyisa kana kushoma kwemushonga kunogona kutungamira kumhedzisiro inokanganisa hutano hwemurwere.

Mune varwere vari kuongororwa se hyperthyroid, kurapwa kunogona kusanganisira antithyroid mishonga yakadai semethimazole, iyo inoshanda kudzora yakanyanyisa hutachiona. Vamwe varwere vanopihwa iodine ine radioactive, iyo inopihwa fomu yepiritsi zvishoma nezvishoma uye zvakachengeteka kudzikisa utachiona.

Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiona zviratidzo zveiyo yepasi- kana isinganyanyo shanda thyroid, tsvaga kuraira kwenyanzvi kubva kuna chiremba wako kana nyanzvi mune endocrinology nezve izvi bvunzo uye kurapwa.