Utachiona hunokurudzira hormone (TSH) ndiyo kuongorora ropa kunoshandiswa pakuongorora nekutarisa hypothyroidism. Zvisinei, kududzira munhu weTSH hurumende kunogona kunge kwakanyanyisa, sezvo pane imwe nharo pamusoro peiyo chaiyo "yakanaka" uye "yakanakisisa" TSH yenhamba.
Chii "Chisiri" TSH Level?
Kune ma laboratori akawanda, "chiremba" TSH nharaunda inenge yakapoteredza 0.4 kana 0.5 kusvika ku 4.5 kana 5.0 milli-maundi emaundi pamatare (mU / L).
Zvisinei, pane gakava pakati peongororo pamusoro peizvi.
Semuenzaniso, dzimwe nyanzvi dzinopikisa kuti chikamu chepamusoro cheTSH chaiyo chinofanira kuva chakaderera (inenge 2.5 mU / L), nekuda kwekuti vazhinji vemadiki, euthyroid vanhu vane TSH yakaenzana pakati pe 0,4 na 2.5 mU / L.
Dambudziko nekushandura urongwa uhwu nderokuti zvingareva kutanga vanhu vakawanda kune utachiona hwemishonga yemishonga.
Mukuwedzera, vanachiremba vakawanda vanotevedzera mazinga ekugadzirisa TSH, zvichireva kuti vanotenda kuti chikamu chepamusoro chemazuva ose kune munhu akwegura chinofanira kuva chakakwirira kudarika 4.5 kusvika 5.0 mU / L. Izvi ndechokuti sezvo vanhu vachikura, TSH yavo inowanzosimuka.
Chii chiri "chakanaka" TSH Level?
Mune munhu anonzi ane primary hypothyroidism , kusarudza maitiro avo akakwana TSH inoda kunyatsofungisisa.
Kunyange mumwe achifunga kuti kubudirira kweTSH mukati me "chimiro" chinotarisa ruzivo chakanakisisa, pane zvimwe zvezvinangwa zverapi (kunze kwekurova chinangwa cheTSH chikwata).
Izvi zvinangwa zvekurapa zvinosanganisira:
- Kuvandudza zviratidzo
- Kuderedza mune chero upi noupi hwehutachiona hunonzi goiter (kana iripo)
- Kudzivisa kudzvinyirirwa (kunonzi iatrogenic thyrotoxicosis)
Somuenzaniso, kana munhu ane TSH iyo inowira mukati memuganhu wepamusoro wezvakanaka, uye vane zviratidzo zve hypothyroid (somuenzaniso, kuvhiringidzika kana kusagadzikana kusina kufanira), chiremba angawedzera kuwanda kwetachiona hormone replacement mishonga pamwe nechinangwa chekutsvaga iri pasi TSH (imwe iri pedyo ne 1.0 mU / L).
Iyi inzira inonzwisisika sezvo iri nzira yekurapa murwere, kwete kungoita nhamba.
Kunyange zvakadaro, unogona kushamisika kuti nei vanachiremba vasingawanzoshandura TSH pamucheto wezasi we "zvakajairika."
Age
Ichokwadi ndeyekuti kune vamwe vanhu, yepamusoro TSH yepamusoro (imwe iri pakati pe 0,4 kusvika 2.5mU / L) yakanakisisa kune vechidiki nevepakati pezera revanhu. Izvi ndezvokuti kutsvakurudza kwakaratidza kuti mumuzhinji wevanhu, vapfumbamwe pane gumi vane TSH ye 1.4 mU / L.
Asi kune vanhu vakwegura (ava nemakore 65 kana makumi manomwe nekure), chinangwa cheTSH cha 3.0 kusvika ku6.0 mU / L chinonyanya kukosha, tichifunga nezvekukwirirana kwemakore ekuzvarwa kweTSH.
Ngozi dzehutano
Kunze kwekufunga nezvezera, chiremba anogonawo kufunga nezvehutano hwako hwehutano (sekunge uine matambudziko emwoyo), sezvo kune zvipingamupinyi zvehutano zvinobatanidza nekupedza kuporesa utachiona hwomunhu.
Nekudaro, pane kutora utachiona hwako hunoita kuti utadze mwoyo unonzi inrial fibrillation (izvi zvinowanzoitika kune vanhu vakwegura) uye / kana kurasikirwa kwepfupa (izvi zvinonyanya kukosha nokuda kwevakadzi ve postmenopausal).
Shoko Rinobva
Kana uchinge wataridzirwa ne hypothyroidism, kusarudza yako yakakwana kana kuti inotarisa TSH iyo inogona kutora nguva nekutsungirira sezvo iwe nachiremba wako muchibudisa zvinhu zvakasiyana-siyana sezviratidzo, hutano hwako hwose, uye makore ako.
Pakupedzisira, ivai wakasununguka kuti iwe unogona kuwana mukana wakakwana wemishonga yekurapa yako hypothyroidism.
Ramba uchifunga nezvehupenyu hwako uye tsika dzako dzakanaka sezvaunofamba kuburikidza nehutachiona hwako.
> Sources:
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.
> Jonklaas, J et al. "Mazano ekurapa kweHypothyroidism: Yakagadzirirwa neAmerican Thyroid Association Task Force paTyroid Hormone Replacement (2014)." Utachiona 24 (12): 1670-1751, 2014.
> Ross DS. (2018). Kurapa kwepakutanga hypothyroidism kune vanhu vakuru. Cooper DS, ed. Kusvika pari zvino. Waltham, MA: UpToDate Inc.