TSH bvunzo
Chiyero cheTSH chinoyera huwandu hwehutachiona hunokurudzira mahormone (TSH) muropa rako. TSH inogadzirwa nepituitary gland. Iyo inokurudzira iyo gland yegland kugadzira uye kusunungura hutachiona mahormone muropa.
Muenzaniso weropa unodiwa. Mimwe bvunzo yetachiona iyo inogona kuitwa panguva imwechete inosanganisira:
- T3 bvunzo (yemahara kana yakazara)
- T4 bvunzo (yemahara kana yakazara)
Iko hakuna gadziriro inodiwa bvunzo iyi. Kumbira mubatsiri wako wezvehutano nezve chero mishonga yauri kutora inogona kukanganisa mhedzisiro yekuedzwa. Usarega kutora chero mishonga usati watanga kukumbira wako mupi.
Mishonga iwe yaungangoda kumira kwenguva pfupi inosanganisira:
- Amiodarone
- Dopamine
- Lithium
- Potassium iodide
- Prednisone kana imwe glucocorticoid mishonga
Vitamini biotin (B7) inogona kukanganisa mhedzisiro yeTSH bvunzo. Kana iwe ukatora biotin, taura nemupi wako usati wawana chero utachiona hwebasa bvunzo.
Kana tsono ikaiswa kukweva ropa, vamwe vanhu vanonzwa kurwadziwa zvine mwero. Vamwe vanongonzwa kubaya kana kubaya. Mushure meizvozvo, panogona kuve nekurohwa kana kupwanya zvishoma. Izvi zvinokurumidza kuenda.
Wako mupi acharaira iyi bvunzo kana iwe uine zviratidzo kana zviratidzo zvekunyanyisa kana kusashanda kwetachiona gland. Inoshandiswa zvakare kuongorora kurapwa kwemamiriro aya.
Wako mupi anogona zvakare kutarisa yako TSH nhanho kana uri kuronga kubata nhumbu.
Maitiro akajairwa anotangira pa0.5 kusvika ku5 microunits pamamililita (µU / mL).
TSH tsika dzinogona kusiyana mukati mezuva. Zvakanakisisa kuva nemuedzo mangwanani-ngwanani. Nyanzvi hadzibvumirane zvizere pane iyo nhamba yepamusoro inofanira kunge iri pakuongorora kusagadzikana kwehutachiona.
Zvakajairika kukosha masenduru anogona kusiyana zvishoma pakati pemarabhoritari akasiyana. Mamwe marabhu anoshandisa zviyero zvakasiyana kana kuyedza akasiyana sampuli. Taura nemupi wako nezve zvinorehwa nemimwe miedzo yako.
Kana iwe uri kurapwa chirwere chetachiona, yako TSH nhanho ingangochengetwa pakati pe0.5 uye 4.0 µU / mL, kunze kwekunge:
- Chirwere chepituitary ndicho chinokonzera dambudziko rehutachiona. TSH yakaderera inogona kutarisirwa.
- Iwe une nhoroondo yemamwe marudzi ekenza yekenza. Mutengo weTSH uri pazasi peyakajairika renji zvingave zvakanaka kudzivirira gomarara rekenza kuti isadzoke.
- Mukadzi ane nhumbu. Iyo yakajairwa renji yeTSH yakasiyana kune vakadzi vane nhumbu. Mubatsiri wako anogona kukurudzira kuti utore utachiona hwehomoni, kunyangwe kana yako TSH iri munzvimbo yakajairwa.
Iyo yepamusoro-kupfuura-yakajairwa TSH nhanho inowanzo kuve nekuda kweiyo isingashande thyroid gland (hypothyroidism). Kune zvakawanda zvinokonzera dambudziko iri.
Iyo yepasi-kupfuura-yakajairwa nhanho inogona kunge iri nekuda kweyakawandisa thyroid gland, iyo inogona kukonzerwa ne:
- Graves chirwere
- Inotyisa nodular goiter kana multinodular goiter
- Iodine yakawandisa mumuviri (nekuda kwekugamuchira musiyano weayodini wakashandiswa panguva yekufungidzira bvunzo, senge CT scan)
- Kutora mishonga yakawandisa yehormone kana yakatemwa zvakasikwa kana kupfuura-the-counter zvinowedzera zvine hutachiona hutachiona
Kushandiswa kwemimwe mishonga kunogona zvakare kukonzera yakaderera-kupfuura-yakajairwa TSH nhanho. Izvi zvinosanganisira glucocorticoids / steroids, dopamine, mamwe machemotherapy madhiragi, uye opioid painkillers senge morphine.
Pane njodzi shoma inobatanidzwa nekutorwa kweropa rako. Tsinga uye tsinga zvinosiyana pakukura kubva pamunhu kuenda kune mumwe uye kubva kune rumwe rutivi rwemuviri kuenda kune rumwe. Kuwana muyero weropa kubva kune vamwe vanhu kunogona kunetsa kupfuura kune vamwe.
Dzimwe njodzi dzinosangana nekutorwa kweropa idiki, asi dzinogona kusanganisira:
- Kuwedzera kubuda ropa
- Kufenda kana kunzwa kushaya musoro
- Akawanda punctures ekutsvaga mutsinga
- Hematoma (kuwanda kweropa pasi peganda)
- Utachiona (hushoma njodzi chero nguva ganda parinovhunika)
Thyrotropin; Utachiona hunokurudzira hormone; Hypothyroidism - TSH; Hyperthyroidism - TSH; Goiter - TSH
- Endocrine masero
- Pituitary uye TSH
Guber HA, Farag AF. Kuongorora kwe endocrine basa. Mune: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis uye Management nemaLabhoritari Maitiro. 23rd ed. St Louis, MO: Elsevier; 2017: chitsiko 24.
Jonklaas J, Cooper DS. Utachiona. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 213.
Salvatore D, Cohen R, Kopp PA, Larsen PR. Utachiona pathophysiology uye kuongororwa kwekuongorora. Mune: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Chinyorwa cheEndocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: chits. 11.
Weiss RE, Refetoff S.Thyroid basa rekuyedza. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 78.