Muedzo Wakawanda Usingawaniki muUnited States
Pane huwandu hunopfuura humwe hunogona kushandiswa kuongorora kuti utachiona hwako hunoshanda sei.
Kunze kwokuedza utachiona hunokonzera hormone (TSH) kana thyroxine level (T4), chiremba angashandisa thyrotropin-releasing hormone (TRH) kukurudzira test. Izvozvo zvakati, kuedzwa uku hakuwanzoshandiswa; chokwadi, haisi kuwanikwa muUnited States, kunyange zvazvo iripo kune dzimwe nyika.
Kunzwisisa Test TRH
Kuti unzwisise kuti chirwere cheTH chekushanda chinoshanda sei, chinotanga kubatsira kuti uone nekukurumidza kuti mahomoni akasiyana-siyana anobatana sei nehutachiona:
- Your hypothalamus is gland muuropi yako inovanza thyrotropin-releasing hormone (TRH).
- Apo TRH inosunungurwa, inokurudzira hutano hwako hwepituitary gland kuti ubudise utachiona hunokurudzira hormone (TSH).
- TSH inokurudzira utachiona pachahwo kuti uite hormone yehutano.
Vanachiremba vazhinji vanoshandisa kuongorora kweTSH, iyo inoyera chiyero chekufamba kweTSH muropa mune imwe nguva nenguva. Mhinduro dzeTSH dzinoshandurwa; kana mazamu ako akakwirira kana kuti akaderera kudarika rondedzero yezera, izvi zvinoonekwa sehupupu hwehutachiona hwehutachiona.
Chiyero che TRH chakasiyana. Chokutanga, chiyero chekutanga cheTSH chiitwa. Ipapo unopiwa chirwere che TRH kuburikidza nemuviri wako unoita kuti pituitary yako isunungure TSH. Muchikamu chechipiri yeropa zvino inotora maminetsi makumi maviri kusvika makumi matanhatu gare gare, uye huwandu hweTSH hunodzorerwa.
Vamwe vashandi vanofunga kuti chirwere cheTHH chinogona kuona zvinetso zvehutachiona zvisingaoneki uye kuongorora hutachiona hwekwenyu hwekupindura munguva chaiye, zvichienzaniswa nechiyero cheTSH, iyo inofananidzwa nehutachiona pane imwe nguva nenguva.
Maitiro ekuedzwa kweTrH Kubva kuTSH Test
Kuenzanisa TRH kukurudzira kuedza uye kuongorora kweTSH kwakafanana nekuedza kwepfungwa kushungurudzika kuenzaniswa ne electrocardiogram, kana kuedza kwekugadzirisa glucose kana ichienzaniswa nokutsanya glucose level.
Muchiedza chekukurudzira, dambudziko rinogona kuratidza kukanganisa murotori.
Kunyange zvakadaro, vanachiremba vazhinji vanoti chirwere cheTSH chakanyatsonaka uye chinongororwa ropa rimwe chete uye hachina zvimwe zvinokosha. Uyezve, TSH haina mari. Mukuenzanisa, basa rekushanda nesimba uye rinodhura kuongorora kweTrH rinodikanwa kuti vaviri vakasiyana vanokora hafu yeawa pavanenge vari voga, kuwanikwa kweTrH, uye ruzivo rwekuita zvakarurama nekududzira chiyero.
Kubatsirwa kweTrH Test
Chiyero cheTrH chinowanzoshandiswa kubatsira kubatsira yechipiri hypothyroidism (hypothyroidism iyo inokonzerwa nezvinetso zvepituitary) uye nepamusoro-soro hypothyroidism (hypothyroidism inokonzera hypothalamic disorder).
Zvisinei, nepo TRH inogona kushandiswa kuona yechipiri kana chepamusoro hypothyroidism (pamwe chete inonzi central centothyroidism), haikwanisi kushandiswa kusiyanisa pakati pepituitary versus hypothalamic.
Mhedziso
Pakupedzisira, vatsvakurudzi vakaratidza kuti TRH kukurudzira kuedza kunogona kushandiswa kuona hutachiona hwe hypothyroidism kubva kune zvirwere zvisingafananidzi nehutachiona.
Pakutanga tsvakurudzo inoratidzawo kuti TRH kukurudzira kuongorora kunogona kuratidza izvo zvinotaurwa sekutanga sub-biochemical hypothyroidism zvisati zvaratidzwa mune zvakajairika TSH muedzo.
Zvichida, zvidzidzo zvitsva zvichaitwa kuti zvione kuti zvingave zvakabatsirei kuvarwere zvekushandiswa kwakawanda kwemuedzo.
> Sources:
> Doi SAR, Issac D, Abalkhail S, Al-Qudhaiby MM, Hafez MF, Al-Shoumer KAS. TRH Kusimudzira Apo Basal TSH iri mukati meRange Range: Iripo "Sub-Biochemical" Hypothyroidism? Clinical Medicine & Research . 2007; 5 (3): 145-148. doi: 10.3121 / cmr.2007.756.
> Ross DS. (2017). Central hypothyroidism. Cooper DS, ed. Kusvika pari zvino. Waltham, MA: UpToDate Inc.