Chii chinonzi Subclinical Hypothyroidism?

Zvemukati

• Chii chinokonzera izvi?
• Ndiani ari panjodzi?
• Zviratidzo zvakajairika
• Inoonekwa sei
• Inorapwa sei
• Pane zvinonetsa here?
• Chirwere chemoyo
• Kubata pamuviri
• Kudya kwakanyanya kutevera
• Ndeapi maonero?

Subclinical hypothyroidism ndiyo yekutanga, yakapfava fomu ye hypothyroidism, mamiriro umo muviri usingaburitse yakakwana mahormone etachiona.

Inodaidzwa kunzi subclinical nekuti chete iyo serum level yeiyo thyroid-inomutsa mahormone kubva kumberi kwepituitary gland iri padiki padiki pane zvakajairwa. Mahormone ehutachiona anogadzirwa neiyo gland yegland achiri mukati meyakajairwa rebhu.

Aya mahormoni anobatsira kutsigira moyo, huropi, uye metabolic mabasa. Kana mahormone ehutachiona asiri kushanda nemazvo, izvi zvinokanganisa muviri.

Sekureva kwekutsvagurudzwa kwakaburitswa, kwevanhu vane subclinical hypothyroidism. Aya mamiriro anogona kufambira mberi kune yakazara-yakaputirwa hypothyroidism.

Mune kumwe kuongorora, kweavo vane subclinical hypothyroidism vakagadzira yakazara-inopenya hypothyroidism mukati memakore matanhatu ekutanga kwavo kuongororwa.

Chii chinokonzera izvi?

Iyo pituitary gland, iri pasi peuropi, inoburitsa mahormone akawanda, kusanganisira chinhu chinonzi thyroid-inosimudzira mahormone (TSH).

TSH inokonzeresa utachiona, gland-yakaita gland pamberi pemutsipa, kugadzira mahormone T3 neT4. Subclinical hypothyroidism inoitika kana huwandu hweTSH hwakakwidziridzwa zvishoma asi T3 uye T4 zvakajairika.

Subclinical hypothyroidism uye yakazara-inoputika hypothyroidism inogovera zvikonzero zvakafanana. Izvi zvinosanganisira:

• nhoroondo yemhuri ye autoimmune thyroid chirwere, senge Hashimoto's thyroiditis (iyo autoimmune mamiriro anokuvadza masero ehutachiona)
• kukuvara kune utachiona (semuenzaniso, kuva nezvimwe zvisikwa zvisina kujairika zvidhori zvinobviswa panguva yekuvhiyiwa mumusoro nemutsipa)
• kushandiswa kwe radioactive iodine therapy, kurapwa kwehyperthyroidism (mamiriro kana akawandisa mahormone ehoriyamu)
• kutora mishonga ine lithiamu kana ayodini

Ndiani ari panjodzi?

Zvinhu zvakasiyana siyana, zvizhinji zvacho zviri kunze kwekutonga kwako, zvinowedzera mikana yekuvandudza subclinical hypothyroidism. Izvi zvinosanganisira:

• Gender. Chidzidzo chakaburitswa mumagazini chakaratidza kuti vakadzi vanowanzoita subclinical hypothyroidism kupfuura varume. Zvikonzero zvacho hazvina kunyatsojeka, asi vaongorori vanofungidzira kuti ihomoni kemukadzi estrogen inogona kutora chinzvimbo.
• Zera. TSH inowanzomuka sezvaunenge uchikwegura, ichiita subclinical hypothyroidism yakawanda muvanhu vakuru.
• Iodini kudya. Subclinical hypothyroidism inowanzo kuve yakanyanya kuwanda muhuwandu hwevanhu vanodya yakakwana kana yakawandisa ayodini, inoteedzera zvicherwa zvakakosha kune chaiyo thyroid basa. Zvinogona kubatsira kuti uzive zviratidzo nezviratidzo zvekushomeka kweodini.

Zviratidzo zvakajairika

Subclinical hypothyroidism kazhinji yenguva haina zviratidzo. Izvi zvinonyanya kuitika kana mazinga eTSH akakwidziridzwa zvinyoro nyoro. Kana zviratidzo zvikamuka, zvakadaro, zvinowanzo kuve zvisina kujeka uye zvakajairika uye zvinosanganisira:

• kuora mwoyo
• kuvimbiswa
• kuneta
• goiter (izvi zvinoratidzika sekuzvimba pamberi pemutsipa nekuda kweyakawedzera gland yegland)
• kurema kuwedzera
• kurasikirwa nevhudzi
• kusashivirira kutonhora

Izvo zvakakosha kuti uzive kuti izvi zviratidzo hazvishamisike, zvichireva kuti vanogona kuve varipo mune vanhu vane zvakajairika utachiona basa uye vasina hukama ne subclinical hypothyroidism.

Inoonekwa sei

Subclinical hypothyroidism inoonekwa uine kuongororwa kweropa.

Munhu ane chirwere chinoshanda chehutachiona anofanirwa kuve neropa TSH kuverenga mukati meyakajairwa renji renji, iyo inowanzo kwira kusvika ku4,5 milli-epasi rose mayuniti pa litre (mIU / L) kana.

Nekudaro, pane gakava riri kuenderera munharaunda yekurapa nezve kudzikisira chikamu chepamusoro chakanyanya.

Vanhu vane chiyero cheTSH pamusoro peyakajairika renji, vane zvakajairika thyroid gland gland mahormone, vanoonekwa sevane subclinical hypothyroidism.

Nemhaka yokuti zviyero zveTSH muropa zvinogona kuchinja, muedzo ungangoda kudzokororwa mushure memwedzi mishoma kuti uone kana iyo TSH level yakajairika.

Inorapwa sei

Pane kukakavadzana kwakawanda pamusoro pekuti sei - uye kunyangwe kana - kurapa avo vane subclinical hypothyroidism. Izvi zvinonyanya kuitika kana mazinga eTSH ari pasi pegumi mIU / L.

Nekuti danho repamusoro reTSH rinogona kutanga kuburitsa zvinokanganisa muviri, vanhu vane TSH nhanho inopfuura gumi mIU / L vanowanzo kurapwa.

Zvinoenderana ne, humbowo hunonyanya kusajeka kuti avo vane mwero weTSH uri pakati pe5.1 ne10 mIU / L vanozobatsirwa nekurapwa.

Mukusarudza kana kuti kwete kukurapa iwe, chiremba wako anozofunga nezvezvinhu zvakaita se:

• yako TSH nhanho
• kunyangwe uine antithyroid antibodies muropa rako uye goiter (zvese izvi zvinoratidza kuti mamiriro anogona kufambira mberi kune hypothyroidism)
• zviratidzo zvako uye kuti zvakakanganisa sei hupenyu hwako
• zera rako
• nhoroondo yako yekurapa

Kana kurapwa kuchishandiswa, levothyroxine (Levoxyl, Synthroid), inogadzira thyroid thyroid inotorwa nemuromo, inowanzo kurudzirwa uye inowanzo shingirira.

Pane zvinonetsa here?

Chirwere chemoyo

Kubatana pakati pe subclinical hypothyroidism uye chirwere chemwoyo kuchiri kupokana. Zvimwe zvidzidzo zvinoratidza kuti mwero weTSH wakakwidziridzwa, kana ukasiiwa usina kurapwa, unogona kubatsira mukuvandudza zvinotevera:

• BP
• cholesterol yakawanda

Mukutarisa kuvarume nevakadzi vakuru, avo vane ropa reTSH nhanho ye7 mIU / L uye pamusoro vaive zvakapetwa kaviri kana kupfuuridza kuve ne congestive moyo kutadza uchienzaniswa neavo vane yakajairwa TSH nhanho. Asi zvimwe zvidzidzo hazvina kusimbisa kuwanikwa uku.

Kubata pamuviri

Munguva yepamuviri, mwero weTSH weropa unofungidzirwa wakakwidziridzwa kana uchipfuura 2.5 mIU / L mune yekutanga trimester uye 3.0 mIU / L mune yechipiri neyechitatu. Matanho akakodzera ehormone ehoridhe anodiwa pakuvandudzwa kweuropi uye huta hurongwa.

Tsvagiridzo yakaburitswa mukati yakawanikwa kuti vakadzi vane nhumbu vane TSH level pakati pe4.1 uye 10 mIU / L avo vakazo kurapwa vaisakwanisa kuita miscarriage kupfuura vamwe vavo vasina kurapwa.

Sezvineiwo, zvakadaro, vakadzi vane chiyero cheTSH pakati pe2,5 ne4 mIU / L havana kuona chero njodzi yakaderedzwa yekurasikirwa nepamuviri pakati peavo vakarapwa nevaya vasina kurapwa kana vaine hutachiona hwehutachiona husina kunaka.

Kuongorora chimiro cheantithyroid antibodies kwakakosha.

Zvinoenderana neongororo ya2014, vakadzi vane subclinical hypothyroidism uye yakanaka antithyroid peroxidase (TPO) antibodies vanowanzove nenjodzi yakanyanya yemhedzisiro yekuzvitakura, uye mhedzisiro yakaipa inoitika padanho reTSH rakaderera pane vakadzi vasina TPO antibodies.

Ongororo yakarongeka ya2017 yakawana kuti njodzi yekubata nhumbu yaionekwa muTPO-yakanaka vakadzi vane TSH nhanho inopfuura 2.5 mU / L. Iyi njodzi yanga isingawanzoonekwe muTPO-isina vakadzi kusvikira yavo TSH mwero yapfuura 5 kusvika 10 mU / L.

Kudya kwakanyanya kutevera

Iko hakuna humbowo hwakanaka hwesainzi hwekuti kudya kana kusadya zvimwe zvekudya zvechokwadi kunobatsira kudzikamisa subclinical hypothyroidism kana kurapa kana iwe watove wakaonekwa. Zvakakosha, zvakadaro, kuti uwane huwandu hwakakwana hwe ayodini mukudya kwako.

Yakawandisa ayodini inogona kutungamira ku hypothyroidism. Kune rimwe divi, zvakawandisa zvinogona kutungamira kune hypothyroidism kana hyperthyroidism. Kwakanaka kunowanikwa ayodini inosanganisira iodized tafura yemunyu, hove yemvura yemunyu, zvigadzirwa zvemukaka, uye mazai.

National Institutes of Health inokurudzira 150 ma micrograms pazuva kune vakawanda vakuru nevachiri kuyaruka. Kota-imwe yetiipuni yetiodhini munyu kana 1 mukombe weakaderera-mafuta pachena yogati inopa ingangoita makumi mashanu muzana yezvaunoda zuva nezuva ayodhini.

Zvese mune zvese, chinhu chakanakisa chaungaitira hutano hwako kuita kudya kwakanyatsonaka, kudya kunovaka muviri.

Ndeapi maonero?

Nekuda kwezvidzidzo zvinopesana, kuchine kukakavadzana kwakawanda pamusoro pekuti uye sei subclinical hypothyroidism inofanira kurapwa. Maitiro akanakisa ndeemumwe munhu.

Taura nachiremba wako nezve chero zviratidzo, nhoroondo yako yekurapa, uye izvo zvaunoratidzwa neropa rako. Iri gwaro rekukurukurirana rinobatsira rinogona kukubatsira kuti utange. Dzidzai zvaunogona uye sarudza nezvenzira yekuita pamwe chete.