Subclinical Hyperthyroidism

Zvemukati

• Ndezvipi zviratidzo?
• Zvinowanzoitika
• Inoonekwa sei
• Migumisiro pamuviri kana ikasarapwa
• Inorapwa sei uye rinhi
• Kurapa kunoenderana nechikonzero
• Kurapa zvemukati zvikonzero zve subclinical hyperthyroidism
• Kurapa zvekunze zvikonzero zve subclinical hyperthyroidism
• Kurapa kunoenderana nekuomarara
• Kurapa nekuvapo kwezvinetso
• Zvinhu zvaunogona kuita kumba
• Ndeapi maonero?

Mhedziso

Subclinical hyperthyroidism mamiriro ayo mauri uine yakaderera huwandu hwehutachiona hunokurudzira mahormone (TSH) asi zvakajairika mazinga eT3 neT4.

T4 (thyroxine) ihormone hombe yakavanzwa nechero gland rako. T3 (triiodothyronine) ishanduro yakashandurwa yeT4. Huwandu hweT4 hunogadzirwa nehutachiona gland inodzorwa nematanho eTSH kugadzirwa neako wepituitary gland uye zvinopesana.

Naizvozvo, kana gland rako repituitary rikaona shoma T4, rinoburitsa yakawanda TSH kuudza yako yegland gland kuti ibudise yakawanda T4. Kana huwandu hweT4 hwasvika pamatanho akakodzera, yako pituitary gland inozviziva uye inomira kuburitsa TSH.

Mune vanhu vane subclinical hyperthyroidism, utachiona hunoburitsa akajairwa mazinga eT4 uye T3. Asi, ivo vane akadzika-kupfuura-akajairwa matanho eTSH. Uku kusaenzana kwehomoni kunotungamira kune mamiriro acho.

Kuwanda kwe subclinical hyperthyroidism muhuwandu hwevanhu inofungidzirwa kutangira kubva pa0,6 kusvika pa16 muzana. Zvinoenderana nemaonero ekuongorora akashandiswa.

Ndezvipi zviratidzo?

Vanhu vazhinji vane subclinical hyperthyroidism havana zviratidzo zvehutachiona hwakanyanya. Kana zviratidzo zve subclinical hyperthyroidism zviripo, zvinyoro uye hazvina kunyatsojeka. Zviratidzo izvi zvinogona kusanganisira:

• kukurumidza kurova kwemoyo kana kurova kwemoyo
• kudedera, kazhinji mumaoko ako kana minwe
• vangadikitira kana kusashivirira kupisa
• kutya, kushushikana, kana kunzwa kushatirwa
• kuonda
• kunetseka kuisa pfungwa

Zvinowanzoitika

Subclinical hyperthyroidism inogona kukonzerwa nezvose zviri mukati (endogenous) uye zvekunze (exogenous) zvinhu.

Zvomukati zvikonzero zve subclinical hyperthyroidism inogona kusanganisira:

• Chirwere chemakuva. Chirwere cheGraves chirwere chemuviri chinokonzera kuwanda kwehomoni yehormone.
• Multinodular goiter. Yakawedzerwa gland gland inonzi goiter. Iyo multinodular goiter ihuremu hwakawedzera uko mapundu akawanda, kana maqhuqhure, anogona kucherechedzwa.
• Utachiona. Thyroiditis iko kuzvimba kweiyo thyroid gland, iyo inosanganisira boka rematambudziko.
• Utachiona adenoma. Utachiona adenoma chirwere chisina kumira cheglande yegland.

Zvikonzero zvekunze zve subclinical hyperthyroidism zvinosanganisira:

• kunyanyisa TSH-inodzvinyirira kurapwa
• kusazvipira kweTSH kudzvinyirira panguva yekurapa kwehomoni yehypothyroidism

Subclinical hyperthyroidism inogona kuitika kune vakadzi vane nhumbu, kunyanya mune yekutanga trimester. Nekudaro, iri nemhedzisiro yekuzvitakura uye kazhinji haidi kurapwa.

Inoonekwa sei

Kana chiremba wako achifungidzira kuti une subclinical hyperthyroidism, ivo vachatanga kuongorora ako mazinga eTSH.

Kana yako mwero weTSH ukadzoka wakaderera, chiremba wako anozobva aongorora ako mazinga eT4 uye T3 kuti aone kana ari mukati mematanho akajairwa.

Kuti uite izvi bvunzo, chiremba wako anozofanirwa kutora muyenzaniso weropa kubva paruoko rwako.

Iyo yakajairwa renji renji yeTSH mune vanhu vakuru inowanzo tsanangurwa se0,4 kusvika 4.0 milli-epasi rese mayuniti litita (mIU / L) Nekudaro, zvakakosha kuti ugare uchinongedzera kumareferenzi mabara aunopihwa iwe pane rabhoritari report.

Subclinical hyperthyroidism inowanzo kuverengerwa muzvikamu zviviri:

• Bhuku I: Yakadzika, asi inoonekwa TSH. Vanhu vari muchikamu ichi vane mazinga eTSH ari pakati pe0,4 ne0,4 mlU / L.
• Bhuku II: Isingaoneki TSH. Vanhu vari muchikamu ichi vane matanho eTSH asingasviki 0.1 mlU / L.

Migumisiro pamuviri kana ikasarapwa

Kana subclinical hyperthyroidism ikasiiwa isina kurapwa, inogona kuve nemhedzisiro yakaipa pamuviri.

• Kuwedzera njodzi ye hyperthyroidism. Vanhu vane mwero weTSH usingaonekwe vari panjodzi yekuwedzera hyperthyroidism.
• Negative yemwoyo mhedzisiro. Vanhu vasina kurapwa vanogona kukura:
  • kuwedzera kwemoyo
  • kuderedzwa kushivirira kurovedza muviri
  • arrhythmias
  • atrial fibrillation
  • Yakaderera mapfupa kuwanda. Kusarapwa subclinical hyperthyroidism kunogona kutungamira mukudzikira kwehuwandu hwemapfupa mukati mevakadzi vemasopaopausal.
  • Dementia. Mimwe mishumo inoratidza kuti isina kurapwa subclinical hyperthyroidism inogona yekukudziridza kuora mwoyo.

Inorapwa sei uye rinhi

Kuongororwa kwemabhuku esainzi kwakawana kuti yakaderera TSH mazinga akangoerekana adzokera kune akajairwa mune vanhu vane subclinical hyperthyroidism.

Kunyangwe mamiriro acho achida kurapwa kunoenderana ne:

• chikonzero
• zvakaoma sei
• kuvapo kwezvinetso zvinoenderana

Kurapa kunoenderana nechikonzero

Chiremba wako achashanda kuti aone kuti chii chingave chiri kukonzera yako subclinical hyperthyroidism. Kuona chikonzero kunogona kubatsira kuona kurapwa kwakakodzera.

Kurapa zvemukati zvikonzero zve subclinical hyperthyroidism

Kana iwe uine subclinical hyperthyroidism nekuda kwechirwere cheGraves, kurapwa kunodiwa. Chiremba wako angango gadza radioactive iodine therapy kana anti-thyroid mishonga, senge methimazole.

Radioactive iodine therapy uye anti-thyroid mishonga inogona zvakare kushandiswa kurapa subclinical hyperthyroidism nekuda kwemultinodular goiter kana thyroid adenoma.

Subclinical hyperthyroidism nekuda kweotiyititis inowanzo gadzirisa zvoga pasina imwe kurapwa kunodiwa. Kana thyroiditis yakanyanyisa, chiremba wako anogona kupa mishonga inorwisa-kupisa. Izvi zvinogona kusanganisira nonsteroidal anti-inflammatory drug (NSAIDs) kana corticosteroids.

Kurapa zvekunze zvikonzero zve subclinical hyperthyroidism

Kana iyo mhaka iri nekuda kweTSH-inodzvinyirira kurapa kana kurapa kwehomoni, chiremba wako anogona kugadzirisa muyero wemishonga iyi pazvinenge zvakakodzera.

Kurapa kunoenderana nekuomarara

Kana yako mwero weTSH uri pasi asi uchiri kuoneka uye usina matambudziko, unogona kusatambira kurapwa nekukasira. Panzvimbo iyoyo, chiremba wako anogona kusarudza kuyedzazve yako TSH mwero kwemwedzi mishoma kusvika vadzokera pane zvakajairwa kana chiremba wako agutsikana kuti mamiriro ako akatsiga.

Kurapa kunogona kudikanwa kana yako TSH nhanho ikawira muBanga I kana Giredhi II uye iwe uri mune anotevera njodzi mapoka:

• wapfuura makore makumi matanhatu nemashanu ekuberekwa
• une chirwere chemwoyo
• une osteoporosis
• une zviratidzo zvinoratidza hyperthyroidism

Kurapa kwako kunoenderana nemhando ipi yemamiriro ari kukonzera yako subclinical hyperthyroidism.

Kurapa nekuvapo kwezvinetso

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Zvinhu zvaunogona kuita kumba

Zvimwe zvidzidzo zvakaratidza kuti mhedzisiro yakaipa pahurema hwemapfupa inogona kurerukirwa nekuona chokwadi kuti iwe unowana yakakwana zuva nezuva dosi yecalcium.

Iwe unogona kunge uine huremu hwekuremerwa kana uine subclinical hyperthyroidism. Izvi zvinodaro nekuti vanhu vane hutachiona hwakanyanya vanokwidziridzwa basal metabolic rate (BMR). Iwo macalorie anodikanwa ekuchengetedza yako huremu anove akakwirira.

Ndeapi maonero?

Subclinical hyperthyroidism ndipo paunenge uine mashoma ezasi eTSH asi uine zvakajairika mazinga eT3 neT4. Kana iwe uchinge uchinge uchinge uchinge uchiona zviratidzo zve subclinical hyperthyroidism, chiremba wako anogona kushandisa akateedzana eropa kuongororwa kuti auye pakuongororwa.

Sezvo ichi chiitiko chinogona kukonzerwa nemhando dzakasiyana dzemamiriro akasiyana, kurapwa kwaunogamuchira kunoenderana nechikonzero uye kuomarara. Kana mangwaru ako achinge adzokera pane zvakajairwa kungave zvakasununguka kana kuburikidza nekushandisa mishonga, maonero ako anofanirwa kuve akanaka.