Chii chinonzi subclinical hyperthyroidism, zvinokonzera, kuongororwa uye kurapwa

Zvemukati

• Zvinokonzera
• Maitiro ekuongororwa kunoitwa
• Kurapa kweiyo subclinical hyperthyroidism

Subclinical hyperthyroidism ishanduko muhutachiona umo munhu wacho asingaratidze zviratidzo kana zviratidzo zvehyperthyroidism, asi ane shanduko mumiyedzo inoongorora kushanda kwehutachiona, uye kudiwa kwekurapwa kunofanirwa kuongororwa nekuongororwa.

Nekudaro, sezvo isingatungamire pakuonekwa kwezviratidzo, kuzivikanwa kweshanduko kunogoneka chete nekutarisa huwandu hweTSH, T3 uye T4 muropa, ari mahormone ane chekuita nehutachiona. Izvo zvakakosha kuti subclinical hyperthyroidism inozivikanwa, nekuti kunyangwe kana pasina zviratidzo kana zviratidzo, mamiriro aya anogona kufarira kuvandudza kwemoyo uye kwemapfupa shanduko.

Zvinokonzera

Subclinical hyperthyroidism inogona kusarudzwa zvichienderana nechikonzero ichi mu:

• Zvisingagumi, iyo inoenderana nekugadzirwa uye kuchengetedzwa kwehomoni neiyo gland, zvinova zvinoitika kana munhu achinge ashandisa zvisina kufanira mishonga yehutachiona, senge Levothyroxine, semuenzaniso;
• Exogenous, umo shanduko dzacho hadzibatanidzwe zvakananga nehutachiona gland, sezvazvakaita mune goiter, thyroiditis, chepfu adenoma uye chirwere cheGraves, chinova chirwere che autoimmune umo masero ezvirwere zvemuviri anorwisa utachiona pachahwo, zvichitungamira kudzikisira mukugadzirwa kwehomoni.

Subclinical hyperthyroidism haiwanzo kutungamira pakuonekwa kwezviratidzo, zvichizivikanwa chete kuburikidza nekuongororwa kweropa kunoongorora hutachiona. Nekudaro, mashandiro ebvunzo akakosha kuitira kuti chikonzero chionekwe uye kukosha kwekutanga kurapwa kwakakodzera kunoongororwa.

Kunyangwe isingatungamire pakuonekwa kwezviratidzo nezviratidzo, subclinical hyperthyroidism inogona kuwedzera njodzi yekuchinja kwemoyo, osteoporosis uye osteopenia, kunyanya mumadzimai ekumwedzi kana vanhu vanopfuura makore makumi matanhatu ekuberekwa. Saka zvakakosha kuti ionekwe. Ona maitiro ekuziva hyperthyroidism.

Maitiro ekuongororwa kunoitwa

Kuongororwa kweiyo subclinical hyperthyroidism kunoitwa zvakanyanya nekuita bvunzo dzinoongorora utachiona, kunyanya muyero muropa reTSH, T3 uye T4 uye nemaantithyroid antibodies, mune iyo mamiriro mazinga eT3 neT4 akajairika uye iwo mwero weTSH iri pazasi peiyo kukosha kukosha, iyo kune vanhu vanopfuura makore gumi nemasere iri pakati pe0.3 ne4.0 μUI / mL, inogona kusiyana pakati pemarabhoritari. Dzidza zvakawanda nezve iyo TSH bvunzo.

Nekudaro, zvinoenderana neTSH tsika, subclinical hyperthyroidism inogona kuiswa muchikamu:

• Pakati nepakati, umo mazinga eropa eTSH ari pakati pe0.0 ne0.3 μUI / mL;
• Zvakanyanya, umo mazinga eropa reTSH ari pasi pe01 μUI / mL.

Uye zvakare, zvakakosha kuti kumwe kuyedzwa kunoitwa kusimbisa kuongororwa kwe subclinical hyperthyroidism, kuziva chikonzero uye kuongorora kudiwa kwekurapwa. Kune izvi, ultrasound uye thyroid scintigraphy inowanzoitwa.

Izvo zvakakoshawo kuti vanhu vakawanikwa vaine subclinical hyperthyroidism vanoongororwa nguva dzese kuitira kuti huwandu hwehomoni uongororwe nekufamba kwenguva uye, nekudaro, inogona kuzivikanwa kana paine shanduko kune hyperthyroidism, semuenzaniso.

Kurapa kweiyo subclinical hyperthyroidism

Kurapa kweiyo subclinical hyperthyroidism inotsanangurwa neakajairika murapi kana endocrinologist zvichibva pakuwongorora kwehutano hwakawanda hwemunhu, kuvapo kwezviratidzo kana njodzi zvinhu, senge zera rakaenzana kana anopfuura makore makumi matanhatu, osteoporosis kana kuenda kumwedzi, kuwedzera pakuve zvakare inotorwa uchifunga nezve shanduko yeTSH, T3 uye T4 mazinga mumwedzi mitatu yekupedzisira.

Mune zvimwe zviitiko hazvidiwe kutanga kurapwa, nekuti anogona kunge achingova echinguvana shanduko, ndiko kuti, nekuda kwemamwe mamiriro ezvinhu akasangana nemunhu paine shanduko mukusungwa kwemahormone anotenderera muropa, asi izvo zvinodzokera kune zvakajairwa .

Zvisinei, mune dzimwe mamiriro ezvinhu, zvinokwanisika kuti huwandu hwehomoni haudzokere kune zvakajairwa, nekusiyana, huwandu hweTSH hunogona kuwedzera kudzikira uye huwandu hweT3 uye T4 hwakakwira, hunoratidza hyperthyroidism, uye zvinodikanwa kutanga kurapwa kwakakodzera. kuve kuburikidza nekushandiswa kwemishonga inodzora kugadzirwa kwehomoni, kurapwa ne radioactive iodine kana kuvhiyiwa. Nzwisisa kuti kurapwa kwehyperthyroidism kunoitwa sei.