Zvinokwanisika kuva ne "tsika" yeTSH uye uchiri kunzwa usina kufara
Kana iwe uri pane utachiona hweHotmone uye uine utachiona hunokurudzira hormone (TSH) yezinga iyo iri yakakwana-asi iwe unenge uine zviratidzo zvakasiyana-siyana zvehutano-iwe unogona kuva mumwe wemamiriyoni evanhu vane utachiona vanotambura undertreated hypothyroidism.
Inenge 15 kubva muzana yevanhu vari muUnited States ne hypothyroidism, kana utachiona husingagadziriswi, inoramba ichichinzwa pasinei nekurapwa kwechirwere ichi, maererano neshoko ra2012 rakabudiswa mu Journal of Clinical Endocrinology uye Metabolism .
Izvozvo zvinoreva kuti mamiriyoni 1,5 kusvika ku8.8 maAmerica iye zvino anotora utachiona hwetoriyamu huripo hutachiona huripo hunozviratidza zviratidzo zvehutachiona husingaiti. Kana iwe uchifunga kuti iwe unokodzera tsanangudzo iyi, zvakakosha kuti uve nehurukuro nachiremba wako nezvehutano hwakanaka hwemaTSH uye zvigadzirwa zvechirwere chetachiona.
Chii Chinodzvinyirirwa Hypothyroidism?
Izwi rinoreva hypothyroidism pamasero epamuviri zvinoreva kuti iwe unenge uine hypothyroidism zviratidzo zvakadai sekuneta, kuwedzera kuwedzera , kuora mwoyo, fibromyalgia / musumbu uye majoka aches uye marwadzo, kusuruvara kwevhudzi kana mazuru akaoma kana akaoma , kusagadzikana , kuvimbiswa, utsi hwehuropi, uye zvimwe-pasinei nokutora chikamu chinorayirwa chekutora utachiona uye kuva ne "yekare" TSH yeropa. Zvinosuruvarisa, maitiro eropa echirwere cheTSH anoremerwa zvakanyanya nevanachiremba vakawanda kupfuura zviratidzo zvevarwere pavanotonga kukwana kwekurapa.
Kune zvikonzero zviviri izvi zvinogona kuitika. Kutanga, vamwe vanachiremba vanotenda kuti kupa hutoni yakakwana chete kuitira kuti murwere kusvika pakati nepakati-yakakwana yeTSH mazinga akwane.
Chechipiri, zviri pachena kuti chikonzero chinowanzozivikanwa ndechekuti ikozvino maitiro ekurapa kweSyroid, Levoxyl, Levothyroid, Eltroxin, kana Euthyrox (generic levothyroxine) inogona kunge isina kukwana kuti vamwe vanhu vanyatsonzwa zvakanaka. Levothyroxine ndiyo yeklasi yemishonga yeT4, iyo muviri inofanira kutendeuka kuva T3, hormone inoshanda.
T4 haina kushanda. Zvisinei, vamwe vanhu vangave vakaoma kutendeutsa T4 mune zvakawanda zvakakwana zveT3, vachivarega vachiramba vaine hypothyroid zviratidzo.
Kana iwe usingafari zvakanaka pa levothyroxine monotherapy, unogona kuedza kuedza "kushandiswa kwechirwere" iyo mushonga une T3 uye T4. Kunyange zvazvo izvi zvichitsigirwa neAmerican Thyroid Association, vanachiremba vazhinji havana ruzivo rwekutsanangura.
TSH Nhamba
Vamwe magumo ekupedzisira anofunga kuti TSH yepasi pe2 inobatsira vanhu vazhinji kunzwa zvakanaka uye kudzivisa kuva nehana ye hypothyroid kana hyperthyroid. Pano panewo tsvakurudzo inoratidza kuti maitiro ari pamusoro peTSH ye2 angangodaro anomiririra maitiro asina kukodzera .
(Cherechedzai: TSH mazinga anowanzochengetwa pasi pe1 kusvika 2 nekuda kwevanorwara nekenza yehutano-chirongwa chinozivikanwa sekutapisa kwetrosi-kubatsira kudzivirira kenza yekudzoka.)
- TSH Pasi pane .3 - Izvi zvinofungidzirwa zvichida hyperthyroid (yakawanda yehomoni yehomoni) pane dzakawanda mabhandi muUnited States Unogona kuva nehanya, unowana zvakaoma kurara, bvudzi rinobuda kunze, chirwere, uye zvimwe zviratidzo.
- TSH 1 kusvika 2 -Iyo yakanakisisa yepamusoro yevanhu vakawanda. Iyi ndiyo tsh yeTSH iyo vanhu vazhinji vanofunga zviri nani. Iko dzimwe nguva inofungidzirwa "yakadzika kwazvo" navanachiremba vasina ruzivo.
- TSH .3 kusvika ku4 - "Itafura yekutarisa" maererano nemamwe mabhidhi maitiro. Vamwe vanhu vanonzwa zvakanaka munharaunda iyi, asi vazhinji vanotambura nekodhi-grade grade hypothyroidism zviratidzo apo TSH iri pamusoro pe 2.0. A
- TSH 4.5 kusvika ku10 - Inofungidzirwa "subclinical hypothyroidism" mazinga, asi zvinoshamisa, vamwe vanachiremba havangatori kunyange mazinga aya uye havatauri kuti hypothyroidism zviratidzo zvinoratidzwa nevarwere vari munharaunda iyi kune hypothyroidism pachayo. Vanhu vazhinji vane zviratidzo pane izvi.
- TSH Pamusoro pe10 - Inofungidzirwa kuti hypothyroid inofanirwa kurapwa nevakawanda vanachiremba.
Iwe Unogona Kuda T3 Kuti Unzwe Zvakanaka
Vamwe vanhu havanzwi zvakanaka pane levothyroxine / T4 chete mishonga (seSythroid) uye vanonzwa zviri nani-kutora T3.
Vamwe vakave nekubudirira kuwedzera T3, zvakadai sechimiro cheCytomel kana kuburikidza nekuwedzerwa, nguva-yakabudiswa T3, kune levothyroxine yavo. Pakupedzisira, vamwe vakave vakabudirira neHondo, iyo yehutachiona yehomoni yakashandurwa . Iko kune utachiona hwakawanda hunoita sarudzo .
Zvinotoshamisa kuti Zvichiri kuongororwa kushandiswa kweT3 kuvanhu vane hypothyroidism nekusava nemaitiro mashoma kana kubvuma nhengo dzezvechiremba, pasinei nekutsvakurudza kunoratidza zvakajeka kukosha kweT3 mune varwere vazhinji vane utachiona. Vanhu vazhinji vane chimiro chechidimbu kana chechidiki chechidiki cheTSH, asi zvakadaro, vanotambura vachienderera mberi ne hypothyroidism zviratidzo. Muzviitiko izvi, kuwedzera kweT3 kwakabatsira kubvisa kuora mwoyo, uropi hwehupi , kuneta uye zvimwe zviratidzo. Mashoko aya pamusoro peT3 akashandura uye ane zvakakosha kune vanhu vasinganzwi zvakanaka pamishonga yavo yehutano yezvino! Kuti uwane mamwe mashoko, ona mharidzo yangu yakazara pamusoro pekutsvakurudza uku.
Nzira Yokugadzirisa Nhaurirano Nechiremba Wako
Kana iwe uchiri kutambura hypothyroidism zviratidzo zvisinei nekurapa, danho rako rokutanga nderekunyora izvi nenzira iyo iwe unogona kuongorora nyore nyore nechiremba wako. Chinhu chakanaka chekubatsira ndiyo inonzi hypothyroidism zviratidzo zvekutsvaga , izvo zvinopa ruongorori rwezvipingamupinyi nezviratidzo zvaunogona kutora kuna chiremba wako kuti ubatsire kuwana chirwere, kana kuti kuita nharo kuti zviratidzo zvako zve hypothyroid hazvigadziriswi nekurapa kwako ikozvino.
Usati waita hurukuro yako nachiremba, ndinokurudzirawo kuti uverenge mibvunzo mitanhatu yakakosha iwe unofanirwa kubvunza chiremba wako maererano ne hypothyroidism yako, uyewo mibvunzo huru munhu anobva atozivikanwa ane hypothyroidism anowanzobvunza-sekureba kwenguva yakareba sei kunotora kunzwa kunzwa zviri nani mushure mokutanga kurapwa, njodzi dzenguva refu dzehutano, kana iwe uchanowana goiter, kuneta uye kupfuma uye nzira yekurwisana navo, nezvimwe.
Uine ruzivo uye ruzivo rwako, iwe unofanirwa kugara pasi nekukurukurirana nachiremba wako pamusoro pehutano hwako hwakanaka hweTSH , uye kana iwe haufaniri kufunga nezvekuwedzera kweT3 ku thyroid hormone replacement therapy.
Iwe unogonawo kutora zvombo zvekuita kuti chiremba wako ateerere uye anzwisise. Kuti ubatsire, pane mabhuku akasiyana-siyana andinokurudzira vose vane chirwere chetachiona. Ona The Thyroid Bookstore nokuda kwemashoko.
Kana chiremba wako asingakwanisi kukurukura maitiro kana kukaramba kufunga nezvechirwere cheT3, ipapo iwe uchada kuwana chiremba anoda kuve wako muhukama hwakanaka.
> Source
> Sarah J. Peterson, Elizabeth A. McAninch, Antonio C. Bianco. Ndeye TSH Isinganzwisisiki ne "Euthyroidism" muna Levothyroxine Monotherapy? Journal of Clinical Endocrinology & Metabolism , 2016; jc.2016-2660 DOI: 10.1210 / jc.2016-2660