Chikamu cheKakavhiringidza Nhema Nechiito cheHS Isiri
Iwe unogona kuzviwana iwe (kana mudiwa) mune mamiriro ezvinhu anokanganisa vamwe vanhu vakawanda vane chirwere chetachiona: Une chirwere cheHashimoto (zvinoreva kuti une utachiona hwakanaka hweproxyidase (TPO) antibodies), asi utachiona hwako hunokurudzira hormone (TSH) hunowira mukati iyo yakarondedzera reference range.
Kunyanya, iwe unogona kunge uine imwe kana kupfuura iyo inogona kuita zviratidzo zvinokonzerwa ne-hypothyroid-yakadai sekuneta, kuwedzera kuwanda, uropi hwehupfungwa, kuora mwoyo, kuzvimba, kana masy muscle-uye kushamisika kana chirwere chakakodzera.
Ichokwadi chechinhu chacho ndechokuti kurapa chirwere cheHashimoto maererano nechirwere (kana kuti chakakonzerwa neTSH) chiri chinokakavadzana, chine ganda nzvimbo yekurapa.
Chii chinonzi TSH chaiyo?
Chizhinji chechiremba vanobata zvirwere zvehutano vanotenda kuti vane chirwere chaHashimoto, sezvinoratidzwa nehutachiona yakakwirira yeperoxidase antibodies (TPOAb) kana kuti utachiona hwehutano hwehutachiona, hazvina kukodzera kukubata iwe, chero bedzi utachiona hwako huchiita hutachiona (TSH) inokuisa mukati me "chimiro" chinotarisa.
Dambudziko nderokuti "zvinowanzoitwa" TSH nhungamiro yepamusoro inopikiswa pakati pezvenyanzvi, vamwe vachifungidzira kuti makirogiramu e 4.5 milli-maitiramu ega imwechete kana mU / L ndiwo mugumo wakakwirira kupfuura wose, asi vamwe vanotenda kuti chero chinhu chiri pamusoro pe 2.5mU / L chakakwirira.
Pasinei nekukakavadzana uku, nokuda kwezvinangwa zvose, ma laboratori akawanda anongotaura nezvechirongwa cheTSH chinyorwa chinenge pakati pe 0,4 uye 4.5 mU / L.
Subclinical Hypothyroidism
Nezvo, kana iwe uine subclinical hypothyroidism , zvinoreva kuti TSH yako yakanyatsokwidziridzwa (ngatitii panenge 6.0 mU / L) uye thyroxine yako (T4) yemazinga inowanzoitika, chokwadi chokuti une positive TPO antibodies inogona kukonzera chiremba wako kuti akuporese imwe nhamba yakaderera ye thyroid hormone replacement medication.
Chiremba wako angave akatonyanya kunyengedzwa kuti apore (kana kuti uedze kunze) kana iwe uine zviratidzo zve hypothyroid, sekudzivirira, kuora mwoyo, kana kuora mwoyo kwebvudzi.
Chikonzero chikuru chekutanga kurapwa ndechokuti kurapa subclinical hypothyroidism kunogona kudzivirira kufambira mberi kusvika kune-hypothyroidism (kana TSH yako yakakwirira uye T4 yako iri pasi).
Kurapa kunogonawo kuwedzera zviratidzo kana zvimwe zviratidzo zve hypothyroidism (yakadai yepamusoro cholesterol).
Kurapa Subclinical Hypothyroidism: Zvimwe Zviitiko Zvokuyeuka
Mukuwedzera kune kuvapo kweTPO masimba uye kana iwe une zviratidzo, chiremba wako achaona zvimwe zvikonzero paanosarudza kana kuti kwete kubata subclinical hypothyroidism:
Age
Chimwe chikonzero ndezvekuti makore-TSH mazinga angasimuka nezera rinowedzera, kunyange kune vanhu vasina chirwere chetachiona.
Ichi ndicho chikonzero chiremba angaronga utachiona hwemutachiona huripo mushonga wemishonga kune wechidiki ane TSH yakanyatsokwidziridzwa, yakakwana T4, uye yakanaka TPO antibodies, asi kwete kune munhu akwegura (anopfuura makore makumi matanhatu) ane yemigumisiro yakafanana yekuongorora ropa; kunyange zvazvo, "kurinda uye kumirira" inowanzotorwa, zvinoreva kuti iwe uchava neTSH yako nguva nenguva ichiongorora kuti uone kana ichikwira.
Zvimwe Zvoutano Matambudziko
Kuva nemhuri yehutano hwetachiona kana nhoroondo yega yega yepamusoro cholesterol inogona kuendesa chiremba mukurapa subclinical hypothyroidism.
Sezvo subclinical hypothyroidism inogona kuwedzera mukana wekusununguka kwepamuviri uye kuberekwa kusati kwapera, kurapwa kunowanzotangwa.
Kudzorera Kurapa Subclinical Hypothyroidism
Kunyange zvazvo utachiona hwehutachiona huchigadziriswa mishonga inowanzochengetedzwa zvakanaka, pane zvimwe zvingave zvisingakwanisi kutangira kurapa kwe subclinical hypothyroidism.
Chimwe chikuru chinonyanya kukanganisa chiitiko chokuwedzererwa, zvinoreva kuti munhu anova hyperthyroid, izvo zvingavaisa pangozi yekugadzirisa friction friction uye osteoporosis.
Zvimwe zvinogona kuitika zvinosanganisira mari, kusagadzikana, uye "mishonga" yemamiriro ezvinhu chaiwo.
Shoko kubva
Kana iwe kana munhu waunoda ane subclinical hypothyroidism, uyewo kuva nechivimbo che TPO antibodies ( chirwere cheHashimoto ) chinogona kukanganisa chiremba wako kuti atange chirongwa che levothyroxine.
Pakupedzisira, kusarudza kana usati watanga utachiona hunoda kana kuti unotanga kukurukurirana zvine pfungwa newachiremba wako-uye yeuka, chii chakanakira utachiona hwako uye hutano hwakakwana hungave hwakanaka kune mumwe munhu.
> Sources:
> Burns RB, Bates CK, Hartzband P, Smetana GW. Tinofanira kubata here ne subclinical hypothyroidism ?: Grand Rounds Kukurukurirana kubva kuBheet Israel Deaconess Medical Center. Ann Intern Med. 2016 Jun 7; 164 (11): 764-70.
> Garber, J, Cobin, R, Gharib, H, et. al. "Clinical Practice Guidelines for Hypothyroidism muVakuru: Cosponsored neAmerican Association of Clinical Endocrinologists uye American Thyroid Association." Endocrine Dzidzira. Vol 18 Nha. 6 November / December 2012.
> Jonklaas J et al. Mirayiridzo yeUrapa weHypothyroidism: Yakagadzirirwa neAmerican Thyroid Association Task Force paTroroid Hormone Replacement. Thyroid . 2014 Dec 1; 24 (12): 1670-1751.
> Reid SM, Middleton P, Cossich MC, Crowther CA, Bain E. Mishonga yemakiriniki uye subclinical hypothyroidism vasati vaita pamuviri uye panguva yekuzvitakura. Cochrane Database Syst Rev. 2013 May 31; (5): CD007752.
> Thangarantinam S, Tan A, Knox E, Kilby MD, Franklyn J, Coomarasamy A. Association pakati pehutachiona autoantibodies uye kupererwa kwemimba uye kutanga kwekuberekwa: meta-analysis of evidence. BMJ . 2011 May 9; 342: d2616.