Kuongororwa kweHyspothyroidism, Utachiona Kanzera uye Zvimwe
Mukuwedzera kune utachiona-chaihwo hwekuongorora zvipatara , zvirwere zvehutano zvinoda kuongororwa kwakajeka uye nzira kuti uone kuongororwa. Nyaya inotevera inotsanangura nzira dzakasiyana dzekuongororwa.
Hypothyroidism
Kuti ubatsire kutsvaga kana kutonga kunze kwei hypothyroidism, vanachiremba vanowanzotanga neropa rekuongorora iro rinoderedza utachiona-hunokurudzira hormone (TSH).
SekuChitatu 2003, ma laboratories akawanda eAmerica aiva nehutano hwakanaka kubva kune 0.5 kusvika ku55. Zvisinei, America Association of Clinical Endocrinologists ichangobva kukurudzira kuti iyo yakarongeka yakarongedzwa ku 0.3 kusvika ku 3.0. Uine 5.5 semugumo wepamusoro wehutano hwakatarwa , TSH iri kumusoro iyo iyo inonzi hypothyroid. Pasi pemitemo mitsva, zvisinei, TSH iri kumusoro 3.0 inogona kuonekwa se hypothyroid.
Cherechedza: Vamwe vashandi vanotenda kuti mazinga eTSH anofanira kuchengetedzwa pamatunhu akaderera panguva yekuzvitakura. (Onai Ndeapi Maitiro Akarongeka eTSH Panguva Yese Yezvikamu Zvitanhatu zvekudzivirira? )
Mimwe yero yeropa inogona kuitwa kuti ibatsire kuongorora hypothyroidism inosanganisira:
- Zvose T4 (Total Thyroxine) - yakaderera Total T4 level pamwe neTSH yakakwirira inogona kuratidza hypothyroidism.
- Free T4 (Free Thyroxine) - yakaderera Free T4 level pamwe neTSH yakakwirira inogona kuratidza hypothyroidism.
- Zvose T3 ( Total Triiodothyronine ) - yakaderera Total T3 level pamwe neTSH yakakwirira inogona kuratidza hypothyroidism.
- Free T3 (Free Triiodothyronine) - yakaderera Free T3 level pamwe neTSH yakakwirira inogona kuratidza hypothyroidism.
Hashimoto's Disease
Hashimoto's thyroiditis ndiyo chirwere chinotapira muviri chinonyanya kukonzera chikonzero che hypothyroidism. Chimiro cheHashimoto's thyroiditis murwere angave akakwirira zveTSH uye pasi T3 uye T4 (kana Free T3 uye Free T4).
Mafungiro epamusoro ehutachiona autoantibodies - Anti-TPO masero anonyanya kuve - anewo hutano hwehutachi Hashimoto.
Matenda 'Emakuva uye Hyperthyroidism
Kuongorora huwandu hweHyperthyroidism kunoda kliniki yakakwana yekuongorora, panguva iyo chiremba anoongorora murwere uye utachiona. Hyperthyroidism inowanzosimbiswa nekushandiswa kweTSH, T4 (kana Free T4 ), T3 (kana Free T3) uye reRacactive Iodine Update (RAI-U) miedzo. Kuongorora kweIodine Update (RAI-U), iyo inoratidzira utachiona uye kukwanisa kwayo kugamuchira iodine, inoshandiswawo kuongorora hyperthyroidism, uye kubatsira kuziva kana hyperthyroidism yakakonzerwa nechirwere cheGraves. Kuongorora zvirwere zveMakuva uye zvinowanzobatanidza uchapupu hwehutachiona hweTroroid Receptor Antibodies (TRAb) / Utachiona-Kusimudzira Immunoglobulins (TSI).
Mhedziso yakajeka yekuti maGerves 'chirwere uye hyperthyroidism inowanikwa sei inowanikwa munyaya ino: Kuongororwa kweBarves' Disease / Hyperthyroidism .
Goiter
Nhanho dzinoverengeka dzinogona kubatanidzwa pakuongorora goiter:
- Kuongorora nekucherechedza mutsipa wako kuwedzera
- Kuongororwa kweropa kuti uone kana utachiona hwako huri kubudisa zvisingaverengeki zvehomoni yehomoni
- Antibodies kuongororwa , kusimbisa kuti chirwere chemoto chinogona kunge chichikonzera goiter yako
- Chiedza che ultrasound kuti uongorore hukuru hwekuwedzera
- A radioactive isotope thyroid scan kuti ibudise chifananidzo chetachiona uye inopa ruzivo rwekuona nezvechimiro chekuwedzera kwetachiona (chinyorwa: nekuda kwekukuvadza mwana wehutachiona, izvi hazvisi kuitwa panguva yekudzivirira kana kunwisa)
Nodules
Nodules inowanzoongororwa nenzira dzinotevera:
- Kuongororwa kweropa, kuti uone kana maronda ako ari kubudisa utachiona hwehomoni
- Inokonzera Iodine Uptake (RAI-U)
- An ultrasound your thyroid, kuti uone kana dhizha iri yakasimba kana yakazadza mvura
- Chinhu chakanaka-soro rinoshuva kana nenyuchi bhiopsy yemakumbo ako, kuti uone kana dhizha (s) inogona kuva nekenza
Kubva muna 2011, imwe yepamusoro yakagadziriswa nenyuchi inoda kuve yakagadziriswa, iyo inogumisa zvisingagoneki uye zvisingaenzaniswi FNA zviwanikwa zvinokonzera. Uyu muedzo unonzi Veracyte Afirma Thyroid Analysis .
Thyroid Cancer
Chirwere chetachiona chekuongorora chirwere chinogona kusanganisira maitiro uye miedzo yakawanda, kusanganisira kuongorora muviri, biopsy, test imaging , uye kuongorora ropa. Ichi chinyorwa chinopa mhedziso yehutano hwekuongorora.
Muzhinji, zvisinei, kune vose kunze kwevarwere vane pamuviri, RAI-U inogadzirwa kuitira kubatsira kuziva kana mishonga inotonhora, zvinoreva kuti vane mikana yakawanda yekuve nekenza.
Kana chirwere chinenge chichifungidzirwa chekushaya kenza, chimiro chakanaka chinoshuva (FNA) biopsy chinoitwa. Zvirwere uye masero zvinodzingwa kubva kumativi akasiyana-siyana ehuruleti, uye izvi sampuli zvinozoongororwa nechiremba. Pakati pe60 ne80 muzana yeongororo yeFNA inoratidza kuti mazamu aya anonyangadza. Kunongova imwe chete yemakumi maviri ekuongorora kweFNA inoratidza chirwere. Zvasara zvemashure zvinorongwa se "kushungurudza." Kazhinji, kushungurudza mishonga inoputirwa nenzira yepamusoro yebhiopsy, kutonga kunze kana kuongororwa nekenza.
Chinhu
Braverman, MD, Lewis E., naRobert D. Utiger, MD. Werner uye Ingbar's The Thyroid: Chimwe Chinokosha uye Chirongwa Chekunyora. 9th ed. , Philadelphia: Lippincott Williams & Wilkins (LWW), 2005.