So wo thyroid no ayɛ basaa kakra? Momma yɛnka Subclinical Hypothyroidism ho asɛm!

So ɛtɔ mmere bi a wote nka sɛ woabrɛ ara kwa? Anaasɛ wote nka sɛ wo mu duru reyɛ kɛse a wonyɛ nsakrae kɛse biara wɔ w’aduan mu? Ebia nea ɛde eyi ba ne wo thyroid ntini a entumi nyɛ adwuma yiye ketewaa bi. Ɛnnɛ yɛbɛka tebea a ɛte saa biako ho asɛm, a wɔfrɛ no ‘Subclinical Hypothyroidism’.

Okay, afei woresusuw nea subclinical hypothyroidism yɛ ho. Sɛ yɛbɛka no tiawa a, ɛyɛ bere a wo mogya mu hormone a ɛkanyan thyroid, anaa TSH (Thyroid-Stimulating Hormone) dodow kɔ soro kakra no. Nanso, thyroid hormone foforo a ɛho hia, thyroxine (T4) dodow a wowɔ no yɛ nea ɛfata.

Asɛmfua ‘subclinical’ kyerɛ sɛ eyi yɛ tebea a ɛnkyerɛ sɛnkyerɛnne biara koraa, anaasɛ sɛnkyerɛnne no mu nyɛ den koraa . Eyi kyerɛ sɛ wunni hypothyroidism ankasa, a ɛyɛ thyroid ntini a ɛnyɛ adwuma yiye. Nanso, ɛkyerɛ sɛ ebetumi aba sɛ ebetumi abɛyɛ saa tebea no.

Ɛtɔ mmere bi a, saa tebea yi betumi ayɛ bere tiaa mu de, a ɛkyerɛ sɛ n’ankasa betumi ayɛ yiye wɔ nna kakraa bi mu. Nanso nnipa binom fam no, ebetumi akyɛ. Ebia ɛho behia sɛ wɔsa yare anaasɛ ɛrenhia.

Enti dɛn na ebetumi ayɛ eyi ho sɛnkyerɛnne?

Mpɛn pii no, saa tebea a ɛne subclinical hypothyroidism yi nkyerɛ sɛnkyerɛnne pɔtee biara. Ɛno na ɛma ɛyɛ soronko. Nanso, nnipa binom betumi anya yare no ho sɛnkyerɛnne nketenkete bi. Hwɛ sɛ eyinom te sɛ nea wunim no yiye anaa:

• Ɔbrɛ ne ɔbrɛ a wɔte nka bere nyinaa. Te sɛ nea nkwa nni nipadua no mu.
• Mu duru a ɛkɔ soro a ntease biara nnim, mpo a nsakrae biara nni nea wudi anaa wonom mu.
• Ayamtim.
• Adwene mu tebea horow te sɛ adwenemhaw. Awerɛhow ho nkate.
• Adwene a wɔnyɛ, a wontumi mfa wɔn adwene nsi adwuma so yiye.
• Awɔw a wontumi nnyina ano. Nwini a wɔte nka sɛ ɛyɛ nwini sen afoforo.
• Wora ne ti nhwi a ɛyɛ nwunu na ɛyɛ mmerɛw.
• Diastolic Hypertension, a ɛkyerɛ sɛ mogya mmoroso akenkan dodow a ɛwɔ fam nkutoo na ɛkɔ soro.
• Wɔ mmea fam no, mogya a ɛtaa tu fi brayɛ mu na emu yɛ duru.

Dɛn nti na eyi rekɔ so? Dɛn nti na ɛte saa?

Mpɛn pii no, ɔhaw bi a ɛda wo thyroid ntini no ho na ɛde subclinical hypothyroidism ba. Sɛ nhwɛso no, yare a nipadua no tumi ko tia nyarewa te sɛ Hashimoto thyroiditis betumi ama thyroid ntini no ayɛ hyew.

Afei ma yɛnhwɛ sɛnea saa nkwaadɔm yi yɛ adwuma wɔ yɛn nipadua mu. Yɛn endocrine nhyehyɛe no yɛ hormone ne ntini ahorow a ɛbom yɛ adwuma de hwɛ TSH (Thyroid-Stimulating Hormone) dodow a ɛwɔ yɛn mogya mu no so. Saa TSH hormone yi kanyan thyroid gland no nkwammoaa ma woyi hormone thyroxine (Thyroxine anaa T4) ne triiodothyronine (Triiodothyronine anaa T3) kɔ mogya no mu. Sɛ saa T4 ne T3 hormone ahorow yi dodow kɔ soro wɔ mogya no mu a, ɛde sɛnkyerɛnne kɔ pituitary gland a ɛwɔ yɛn amemene mu no sɛ ‘nnyae TSH pii a wɔyɛ’. Eyi te sɛ nhyehyɛe a wɔde di dwuma ankasa.

However, in subclinical hypothyroidism, even though TSH levels are elevated, the amount of hormones released by the thyroid gland does not increase as much as normal. Ɛno nti na TSH dodow kɔ soro na T4 dodow yɛ nea ɛfata no.

Hena na ɛda adi sɛ obenya saa tebea yi? (Nneɛma a ɛde asiane ba) .

Nnipa binom taa nya saa tebea yi a wɔfrɛ no subclinical hypothyroidism. Momma yɛnhwɛ nnipa ko a wɔyɛ:

• Mmea a wɔadi boro mfe 60.
• Sɛ wo anaa w’abusua mu obi wɔ thyroid yare a.
• Thyroid antibodies yɛ nea ɛyɛ papa. Eyi kyerɛ sɛ nneɛma bi wɔ mogya no mu a ɛyɛ adwuma tia thyroid.
• Sɛ woadi kan de nnuru te sɛ Amiodarone anaa Lithium adi dwuma anaasɛ wode redi dwuma mprempren a.
• Iodine a enni nipadua mu (Eyi ntaa nkɔ yɛn man yi mu kakra mprempren, efisɛ yɛde nkyene a iodized wom na edi dwuma).
• Sɛ woanya mframa a ɛbɔ wɔ wo ti anaa wo kɔn mu pɛn a.
• Obolo.
• Wɔ nnipa a wɔwɔ asikreyare a ɛto so 1 fam no.
• Sɛ woadi kan anya tebea bi te sɛ Graves yare te sɛ nnuru a ekum thyroid anaasɛ ablation ho ayaresa a.

Nsɛnnennen bɛn na eyi betumi de aba?

Ade titiriw a wɔtaa hu ne sɛ awiei koraa no, tebea a ɛma mogya mu thyroid a ɛba fam wɔ ayaresabea no betumi adan hypothyroidism a edi mũ. Ɛne sɛ, thyroid ntini no dwumadi so tew kɛse na sɛnkyerɛnne ahorow fi ase da adi.

Nea ɛka ho no, nhwehwɛmu ahorow bi ada no adi sɛ saa tebea yi ma koma ne ntini mu nyarewa ho asiane no yɛ kɛse kakra. Sɛ nhwɛso no, nneɛma te sɛ mogya mmoroso ne srade a ɛdɔɔso. Nanso wonnya nsii saa abusuabɔ yi so dua koraa. Enti biribiara nni hɔ a ɛsɛ sɛ yɛhaw yɛn ho, nanso eye sɛ yɛbɛma yɛn ani ada hɔ.

So eyi ka nyinsɛn?

Wɔ United States no, nea ennu mmea a wɔyem 5 biara mu 1 na saa tebea yi, subclinical hypothyroidism, ka no.

Adanse no bɔ abira kakra wɔ sɛ ebia tebea yi de ɔhaw ahorow ba bere a wɔyem no ho. Nhwehwɛmu dedaw bi ada no adi sɛ sɛ tebea yi wɔ hɔ bere a wɔyem a, nneɛma a edidi so yi betumi asi:

• Nyinsɛn mu mogya mmoroso ne nyinsɛn mu asikreyare.
• Awo a ɛba ntɛm.
• Nyinsɛn a wotu gu.

Nanso, eyi ho hia: nhwehwɛmu ahorow a wɔayɛ nnansa yi no nsii nea wɔahu yi so dua.

Enti, mpɛn pii no, sɛ wowɔ asiane ahorow a ɛbɛma woanya bi nkutoo a, nnuruyɛfo hwehwɛ tebea yi mu bere a woanyinsɛn nkutoo.

Ɔkwan bɛn so na nnuruyɛfo hu eyi? (Nyare a Wɔahu) .

Nnuruyɛfo betumi ahu tebea a ɛne subclinical hypothyroidism yi denam thyroid mogya mu nhwehwɛmu nkutoo so.

Sɛ wo mogya mu nhwehwɛmu mu aba kyerɛ sɛ TSH (Thyroid-Stimulating Hormone) dodow kɔ soro (mpɛn pii no ɛyɛ ɔpepem 5 kosi 10 wɔ lita biara mu (5 kosi 10 mIU/L) ) na wo thyroxine (T4) dodow no yɛ nea ɛfata a, ɛkyerɛ sɛ wowɔ subclinical hypothyroidism.

Ɛtɔ mmere bi a nnuruyɛfo kyekyɛ eyi mu kɔ akyiri. Sɛ TSH dodow no yɛ 4.5 kosi 9.9 mIU/L a, wɔfrɛ no Grade 1 , na sɛ TSH dodow no yɛ 10 mIU/L anaa nea ɛboro saa a, wɔfrɛ no Grade 2 .

So ɛho hia sɛ wɔsa eyi?

Egyina nneɛma kakraa bi so ankasa. Wo duruyɛfo begyina nneɛma te sɛ wo TSH dodow, wo sɛnkyerɛnne ahorow, ne w’akwahosan nyinaa so asi gyinae.

Ɔkwan biako so no, ayaresa betumi asiw nnipa binom kwan sɛ wɔrennya hypothyroidism ankasa. Ɔkwan foforo so no, ayaresa betumi de nnipa binom, titiriw wɔn a wɔadi boro mfe 65, ato asiane mu sɛ wobenya tebea bi a wɔfrɛ no thyrotoxicosis , a ɛyɛ thyroid hormone a ɛkɔ soro wɔ nipadua no mu. Bio nso, nnipa pii a wɔwɔ subclinical hypothyroidism no nni sɛnkyerɛnne biara na enhia ayaresa.

Enti, nnuruyɛfo kamfo ‘twɛn na hwɛ kwan’ kyerɛ nnipa pii. Wɔmmɔ hu na wofi ase sa yare.

Nanso, nnuruyɛfo betumi akamfo ayaresa akyerɛ wɔ nsɛm a edidi so yi mu:

• Wɔn a wɔn TSH dodow yɛ 10 mIU/L anaa nea ɛboro saa.
• Sɛ mmerante ne mmabaa ne wɔn a wɔadi mfe mfinimfini wɔ sɛnkyerɛnne ahorow a.
• Sɛ mmerante ne mmabaa ne wɔn a wɔadi mfe mfinimfini wɔ asiane afoforo a.

Enti, dɛn ne ayaresa a wɔde sa eyi?

Sɛ wo duruyɛfo si gyinae sɛ ɛsɛ sɛ wosa subclinical hypothyroidism a, ɔbɛkyerɛw wo thyroid hormone aduru bi a wɔfrɛ no levothyroxine . Eyi yɛ aduru a wonom fa w’ano.

Nanso, ansa na wubefi levothyroxine ayaresa yi ase no, ebia wo duruyɛfo bɛpɛ sɛ ɔyɛ mogya mu nhwehwɛmu foforo de hwɛ wo TSH dodow wɔ asram abiɛsa akyi wɔ TSH nhwehwɛmu a edi kan a ɛnyɛ ne kwan so no akyi. Nea enti a ɛte saa ne sɛ nnipa dodow no ara TSH dodow san kɔ sɛnea na ɛte kan no ankasa wɔ asram abiɛsa mu a wonnya ayaresa biara.

Bere a worenom aduru no, wo duruyɛfo nso bɛkamfo akyerɛ sɛ wɔnyɛ mogya mu nhwehwɛmu daa mfa nhwɛ sɛnea wo thyroid te, efisɛ levothyroxine dodow a ɛboro so betumi ama woanya hyperthyroidism, tebea a thyroid ntini no ma thyroid hormone pii ba.

Dɛn na woyɛ wɔ eyi ho bere a woreyɛ awo ho ayaresa no?

Sɛ mmea a wɔwɔ subclinical hypothyroidism reyɛ awo ho ayaresa te sɛ IVF (In Vitro Fertilization) anaa ICSI (Intracytoplasmic Sperm Injection) , Amerika Thyroid Fekuw no kamfo kyerɛ sɛ wɔmfa levothyroxine mfa nsiw TSH dodow ano nkɔ 2.5 mIU/L.

Bere bɛn na ɛsɛ sɛ mesan kɔ oduruyɛfo nkyɛn bio?

Mpɛn pii no, nnuruyɛfo di ‘twɛn na hwɛ’ kwan so.

Nanso sɛ wufi ase nya hypothyroidism ho sɛnkyerɛnne te sɛ ɔbrɛ ne mu duru a ɛkɔ soro a wontumi nkyerɛkyerɛ mu a, kɔ wo duruyɛfo nkyɛn ntɛm ara. Ɔbɛyɛ thyroid mogya mu nhwehwɛmu foforo ahwɛ sɛ ebia wowɔ hypothyroidism a ɛda adi pefee anaa.

So ɔkwan bi wɔ hɔ a wɔbɛfa so asiw eyi ano?

Sɛ yɛbɛka nokware a, mpɛn pii no, biribiara nni hɔ a wubetumi ayɛ de asiw tebea yi ano.

Nanso, sɛ woannya iodine a ɛdɔɔso wɔ w’aduan mu a, wubetumi anya saa tebea yi. Nea enti a ɛte saa ne sɛ iodine ho hia ma thyroid ntini no na ama ayɛ thyroid hormone ahorow. Ɛwom sɛ eyi so atew kakra wɔ yɛn man yi mu esiane sɛ mprempren yɛde nkyene a iodine wom di dwuma nti de, nanso iodine a enni nipadua mu no ne ade titiriw a ɛde hypothyroidism ba wɔ wiase aman afoforo so.

Dɛn na ɛsɛ sɛ mehwɛ kwan wɔ tebea yi ho?

Ɛsono sɛnea subclinical hypothyroidism ka onipa biara, na mpɛn pii no, ɛno ankasa gyae wɔ asram abiɛsa mu a wonnya ayaresa biara.

Asiane a ɛwɔ hɔ sɛ tebea yi bɛkɔ so abɛyɛ hypothyroidism a ɛda adi pefee no yɛ 2% kosi 6% afe biara .

Enti, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa akyerɛ nea ɛsɛ sɛ woyɛ ma wo tebea no pɔtee ne mpɛn dodow a ɛsɛ sɛ woyɛ mogya mu nhwehwɛmu.

Akyinnyegye da so ara wɔ sɛ ebia wɔbɛsa saa subclinical hypothyroidism yi anaasɛ wɔrensa ho, efisɛ nhwehwɛmu ahorow wɔ adwene a ɛbɔ abira.Esiane sɛ ɛsono obiara tebea nti, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa nneɛma a ɛhaw wo ne nea wubetumi apaw ho. Wɔn ani gye kɛse sɛ wɔbɛboa wo.

Enti, nneɛma bɛn na ɛsɛ sɛ yɛkae fi eyinom nyinaa mu?

Okay, ma menbɔ nsɛntitiriw a ɛho hia sen biara a efi nea yɛaka ho asɛm no mu no bi mua:

• Subclinical hypothyroidism yɛ tebea a ɛma wo TSH hormone dodow kɔ soro kakra, nanso wo T4 hormone dodow yɛ nea ɛfata.
• Mpɛn pii no, yare no ho sɛnkyerɛnne titiriw biara nni hɔ, nanso ebia nnipa binom bɛbrɛ na wɔn mu duru ayɛ kɛse.
• Eyi nyɛ hypothyroidism ankasa, nanso hokwan ketewaa bi wɔ hɔ sɛ ebetumi adan saa.
• Mpɛn pii no, nnuruyɛfo di ‘twɛn na hwɛ’ kwan so. Wɔmma obiara nnuru prɛko pɛ.
• Sɛ TSH dodow no dɔɔso yiye, sɛ sɛnkyerɛnne ahorow bi wɔ hɔ, anaasɛ asiane afoforo wɔ hɔ nkutoo a, wosusuw ayaresa ho.
• Levothyroxine ne ayaresa titiriw, nanso ɛsɛ sɛ wɔnom nso sɛnea oduruyɛfo kyerɛ no pɛpɛɛpɛ.
• Sɛ wowɔ adwenem naayɛ anaa nsɛmmisa bi wɔ eyi ho a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ w’abusua oduruyɛfo nkyɛn na wo ne no akasa. Mma ɛnhaw wo, eyi yɛ tebea a wotumi di ho dwuma.

Kae sɛ wo na ɛsɛ sɛ wohwɛ w’akwahosan yiye. Enti nsuro da sɛ wubebisa nsɛm na wo ne wo duruyɛfo akasa!

` subclinical hypothyroidism, thyroid, TSH, thyroxine, hypothyroidism, nkwaadɔm, sɛnkyerɛnne ahorow