TSH bvunzo: ndeyei uye nei yakakwira kana yakaderera

Zvemukati

• Referensi tsika
• Mhedzisiro yacho ingarevei
• Yakakwirira TSH
• Yakadzika TSH
• Maitirwo ebvunzo dzeTSH
• Chii chinonzi ultra sensitive TSH
• Kana bvunzo dzeTSH dzarairwa

Kuongorora kweTSH kunoshanda kuongorora utachiona uye kunowanzo kumbirwa nachiremba kana endocrinologist, kuti aone kana gland iri riri kushanda nemazvo, uye kana iri hypothyroidism, hyperthyroidism, kana mune kenza yekenza yehutachiona, follicular kana papillary, muenzaniso.

Thyostimulating hormone (TSH) inogadzirwa nepituitary gland uye chinangwa chayo ndechekusimudzira iyo thyroid kuburitsa mahormone T3 uye T4. Kana tsika dzeTSH dzawedzerwa muropa, zvinoreva kuti kusangana kweT3 neT4 muropa kwakaderera. Kana ichiwanikwa munzvimbo dzakadzika, T3 uye T4 zviripo munzvimbo dzakanyanya muropa. Ona kuti ndeapi mabvunzo akakosha kuongorora iyo thyroid.

Referensi tsika

TSH mareferenzi maitiro anosiyana zvinoenderana nezera remunhu uye murabhoritari kunoitiswa bvunzo, uye zvinowanzo kuve:

Mhedzisiro yacho ingarevei

Yakakwirira TSH

• Hypothyroidism: Kazhinji yenguva iyo TSH yakakwira inoratidza kuti iyo thyroid haina kuburitsa yakakwana hormone, uye nekudaro iyo pituitary gland inoedza kubhadhara izvi nekuwedzera iwo mazinga eTSH muropa kuitira kuti utachiona huite basa raro nemazvo. Imwe yehunhu hwehypothyroidism yakakwira TSH uye yakaderera T4, uye inogona kuratidza subclinical hypothyroidism apo TSH yakakwira, asi T4 iri mukati meyakajairika renji. Tsvaga kuti chii T4.
• Mishonga: Iko kushandiswa kwemadosi mashoma emishonga inorwisa hypothyroidism kana mamwe madhiragi, akadai sePropranolol, Furosemide, Lithium nemishonga ine ayodini, zvinogona kuwedzera kuwanda kweTSH muropa.
• Pituitary bundu inogona zvakare kukonzera kuwedzera kweTSH.

Zviratidzo zvine hukama nehurefu hweTSH zvakajairika zvehypothyroidism, senge kuneta, kurema, kuzvimbirwa, kunzwa kutonhora, kuwedzerwa kumeso kwebvudzi, kunetseka kuisa pfungwa, ganda rakaoma, bvudzi risina kusimba uye rinopwanya uye zvipikiri Dzidza zvakawanda nezve hypothyroidism.

Yakadzika TSH

• Hyperthyroidism: Low TSH inowanzo ratidza kuti utachiona huri kuburitsa T3 uye T4 zvakanyanyisa, ichiwedzera aya maitiro, uye nekudaro iyo pituitary gland inoderedza kuburitswa kweTSH kuyedza kutonga utachiona basa. Nzwisisa chinonzi T3.
• Kushandiswa kwemishonga: Kana muyero weiyo hypothyroid mushonga wakanyanya kukwirisa, tsika dzeTSH dzinenge dzakaderera. Mimwe mishonga inogona kukonzera yakaderera TSH ndeiyi: ASA, corticosteroids, dopaminergic agonists, fenclofenac, heparin, metformin, nifedipine kana pyridoxine, semuenzaniso.
• Pituitary bundu inogona zvakare kutungamira kune yakaderera TSH.

Zviratidzo zvine chekuita neyepasi TSH zvakajairika zvehyperthyroidism, senge kushushikana, kurova kwemoyo, kushaya hope, kuonda, kutya, kudedera uye kuderera kwemhasuru. Muchiitiko ichi, zvakajairika kuti TSH ive yakaderera uye T4 ive yakakwira, asi kana T4 ichiri pakati pe01 na 04 μUI / mL, izvi zvinogona kuratidza subclinical hyperthyroidism. Yakadzika TSH uye yakaderera T4, inogona kuratidza anorexia nervosa, semuenzaniso, asi mune chero mamiriro ezvinhu kuongororwa kunoitwa nachiremba akaraira kuyedzwa. Dzidza zvakawanda nezve kurapwa kwe hyperthyroidism.

Maitirwo ebvunzo dzeTSH

Chiyero cheTSH chinoitwa kubva kune diki ropa sampuro, iyo inofanirwa kuunganidzwa kutsanya kweanosvika maawa mana. Ropa rakaunganidzwa rinotumirwa murabhoritari kunoongororwa.

Nguva yakanakisa yekuyedza iyi iri mangwanani, sezvo kusangana kweTSH muropa kunosiyana zuva rese. Usati waita bvunzo, zvakakosha kuratidza kushandiswa kwemimwe mishonga, kunyanya mishonga yehutachiona, yakadai seLevothyroxine, sezvo ichigona kukanganisa mhedzisiro yebvunzo.

Chii chinonzi ultra sensitive TSH

Iyo yekupedzisira yakajeka TSH bvunzo inzira yepamusoro yekuongorora iyo inogona kuona mashoma mashoma eTSH muropa iyo iyo yakajairwa bvunzo yaisazokwanisa kuziva. Iyo nzira yekuongorora inoshandiswa mumarabhoritari inonzwisisika uye yakanangana, uye iyo yekupedzisira yakajeka TSH bvunzo inowanzo shandiswa mune zvakajairwa.

Kana bvunzo dzeTSH dzarairwa

Kuongororwa kweTSH kunogona kurairwa muvanhu vane hutano, kungoongorora hutachiona, uyezve kana paine hyperthyroidism, hypothyroidism, Hashimoto's thyroiditis, kuwedzera kwehutachiona, kuvapo kwehutachiona kana hutachiona hutachiona hwehutachiona, panguva yekuzvitakura, uyezve kuongorora muyero wekutsiva utachiona. zvinodhaka, kana zvichizobviswa izvi gland.

Kazhinji, bvunzo iyi inokumbirwa kune vese vanhu vanopfuura makore makumi mana ekuberekwa, kunyangwe kana pasina zviitiko zvehosha yehutachiona mumhuri.