Ðe wò lãkusi me gblẽ viea? Mina míaƒo nu tso Subclinical Hypothyroidism ŋu!

Ðe ɖeɖi tea ŋuwò ɣeaɖewoɣia? Alo ɖe nèsena le ɖokuiwò me be yele lolom ɖe edzi evɔ mèwɔ tɔtrɔ gã aɖeke le wò nuɖuɖu ŋu oa? Ðewohĩ nusi gbɔ esia tsoe nye wò lãkusi ƒe dɔmawɔmawɔ nyuie sue aɖe. Egbea míele nu ƒom tso nɔnɔme mawo dometɔ ɖeka ŋu, si woyɔna be ‘Subclinical Hypothyroidism’.

Enyo, fifia èle eŋu bum be nukae nye subclinical hypothyroidism hã. Kpuie ko la, ne lãmetsi si doa ŋusẽ lãkusi, alo TSH (Thyroid-Stimulating Hormone) ƒe agbɔsɔsɔ le wò ʋu me dzi ɖe edzi vie. Gake lãmetsi vevi bubu si nye thyroxine (T4) ƒe agbɔsɔsɔ le wò lãme sɔ.

Nya ‘subclinical’ fia be esia nye nɔnɔme si meɖea dzesi aɖeke fiana kura o, alo dzesiawo mesẽna boo o . Esia fia be le nyateƒe me la, ʋumenugbagbeviɣidɔ, si nye ʋumenugbagbeviɣidɔ si mewɔa dɔ nyuie o, mele ŋuwò o. Gake efia be ate ŋu adzɔ be ate ŋu ava zu nɔnɔme ma.

Nɔnɔme sia ate ŋu anɔ anyi ɣeyiɣi kpui aɖe ɣeaɖewoɣi, si fia be ate ŋu anyo le eɖokui si le ŋkeke ʋɛ aɖewo megbe. Gake le ame aɖewo gome la, ate ŋu anɔ anyi eteƒe nadidi. Ðewohĩ ahiã be woawɔ atike nɛ alo mahiã be woawɔ atike nɛ o.

Eyata nukawoe ate ŋu anye esia ƒe dzesiwo?

Zi geɖe la, nɔnɔme sia si nye subclinical hypothyroidism meɖea dzesi aɖeke koŋ fiana o. Emae na wòle etɔxɛ. Gake ame aɖewo ate ŋu akpɔ dzesi sue aɖewo. Kpɔe ɖa be esiawo ɖi nusiwo nènya nyuie hã:

• Ðeɖiteameŋu kple ɖeɖiteameŋu ƒe seselelãme ɣesiaɣi. Abe ɖe agbe aɖeke mele ŋutilãa me o ene.
• Lolo dzi ɖe edzi le susu aɖeke manɔmee, ne tɔtrɔ aɖeke manɔ nusi nèɖuna alo nono ŋu o gɔ̃ hã.
• Miléle.
• Susu me nɔnɔmewo abe blanuiléle ene. Blanuiléle ƒe seselelãmewo.
• Beléle na ame, ŋutete manɔamesi be yeƒe susu nanɔ dɔ ŋu nyuie.
• Vuvɔ ƒe ŋutete manɔamesi. Seselelãme be vuvɔ le wɔwɔm wu ame bubuwo.
• Ŋutilã kple taɖa ƒuna eye wònɔa ƒuƒlu.
• Diastolic Hypertension, si fia be ʋu ƒe sisi ƒe xexlẽme si le ete koe dzina ɖe edzi.
• Le nyɔnuwo gome la, ʋu si dona enuenu kple esi nu sẽna le dzinukpɔkpɔ me.

Nukatae esia le dzɔdzɔm? Nuka tae?

Zi geɖe la, kuxi aɖe si le wò ʋumenugbagbeviɣidɔ ŋu gbɔe ʋumenugbagbeviɣidɔ si mebɔ o tsona. Le kpɔɖeŋu me, dɔléle si dɔlékuiwutikewo tsona abe Hashimoto ƒe lãkusidɔ ene ate ŋu ana lãkusia naxɔ abi.

Azɔ na míalé ŋku ɖe alesi lãmetsi siawo wɔa dɔ le míaƒe ŋutilã me ŋu. Lãmetsiŋusẽ kple lãkusi vovovo siwo wɔa dɔ ɖekae tsɔ kpɔa TSH (Thyroid-Stimulating Hormone) ƒe agbɔsɔsɔ dzi le míaƒe ʋu me ye le míaƒe lãmenugbagbeviwo ƒe dɔwɔwɔ me. TSH lãmetsi sia ʋãa lãmenugbagbevi siwo le lãkusi me be woaɖe lãmetsi siwo nye thyroxine (Thyroxine alo T4) kple triiodothyronine (Triiodothyronine alo T3) ɖe ʋua me. Ne T4 kple T3 lãmetsi siawo ƒe agbɔsɔsɔ dzi ɖe edzi le ʋua me la, eɖoa dzesi ɖe pituitary gland si le míaƒe ahɔhɔ̃ me be ‘wòadzudzɔ TSH geɖe wɔwɔ’. Esia le abe mɔ̃ si dzi wokpɔna le eɖokui si ene.

Gake le ʋumenugbagbeviɣidɔ si mebɔ o me la, togbɔ be TSH ƒe agbɔsɔsɔ dzina ɖe edzi hã la, lãmetsiŋusẽ siwo ʋumenugbagbeviɣidɔa ɖena dona la medzina ɖe edzi abe alesi wòle dzɔdzɔmee ene o. Esia tae TSH ƒe agbɔsɔsɔ dzina ɖe edzi eye T4 ƒe agbɔsɔsɔ hã sɔ.

Amekawoe ate ŋu axɔ nɔnɔme sia wu? (Afɔku siwo ate ŋu ahe ame) .

Ame aɖewo ate ŋu axɔ dɔléle sia si woyɔna be subclinical hypothyroidism. Mina míalé ŋku ɖe amesiwo wonye ŋu:

• Nyɔnu siwo xɔ wu ƒe 60.
• Ne ʋumenugbagbeviɣidɔ le ŋuwò alo wò ƒomea me tɔ aɖe.
• Thyroid dɔlékuiwutikewo nyea dɔlékui nyuiwo. Esia fia be nu aɖewo le ʋua me siwo wɔa dɔ ɖe thyroid ŋu.
• Ne èzã atikewo abe Amiodarone alo Lithium ene va yi alo nèle ezãm fifia.
• Iodine ƒe anyimanɔmanɔ (Esia mebɔ vie le míaƒe dukɔa me fifia o, elabena míezãa dze si me iod le).
• Ne keklẽŋusẽ ƒe keklẽ de wò ta alo kɔ ƒe akpa aɖe kpɔ.
• Amidada.
• Le amesiwo ŋu suklidɔ ƒomevi 1 le gome.
• Ne èxɔ dɔléle aɖe abe Graves ƒe dɔléle ene, abe atike siwo wua ʋumenugbagbeviɣidɔ alo ʋumenugbagbeviɣidɔ ene ƒe atike na wò va yi.

Kuxi kawoe esia ate ŋu ahe vɛ?

Nu vevitɔ si wokpɔna zi geɖee nye be ʋumenugbagbeviɣidɔ si mebɔ o ƒe nɔnɔme sia ate ŋu atrɔ ava zu ʋumenugbagbeviɣidɔ blibo mlɔeba. Eyae nye be thyroid gland ƒe dɔwɔwɔ dzi ɖena kpɔtɔna ŋutɔ eye dzesiwo dzea egɔme dzena.

Tsɔ kpe ɖe eŋu la, numekuku aɖewo ɖee fia be nɔnɔme sia dzia dzitodzito me dɔlélewo xɔxɔ ƒe afɔkua ɖe edzi vie. Le kpɔɖeŋu me, nuwo abe ʋusɔgbɔdɔ kple ʋumemi ƒe agbɔsɔsɔ ene. Gake womeɖo kpe kadodo sia dzi bliboe haɖe o. Eyata naneke meli si ŋu nàtsi dzi ɖo o, gake enyo be nànɔ ŋudzɔ.

Ðe esia gblẽa nu le fufɔfɔ ŋua?

Le United States la, funɔ siwo mede ɖeka le atɔ̃ ɖesiaɖe me o ye ŋu dɔléle sia, si nye subclinical hypothyroidism, gblẽa nu le.

Kpeɖodziawo tsi tre ɖe wo nɔewo ŋu vie le nenye be nɔnɔme sia hea kuxiwo vɛ le fufɔɣi ŋu. Numekuku xoxo aɖewo ɖee fia be ne nɔnɔme sia le fufɔɣi la, nu siwo gbɔna ate ŋu adzɔ:

• Fufɔfɔ ƒe ʋusɔgbɔdɔ kple fufɔfɔ ƒe suklidɔ.
• Vidzidzi do ŋgɔ na ɣeyiɣi si woɖo nɛ.
• Fuɖeɖe.

Gake esia le vevie: numekuku siwo wowɔ nyitsɔ laa meɖo kpe nusiwo ŋu woke ɖo siawo dzi o.

Eyata zi geɖe la, ne fufɔɣi koe ɖɔktawo doa nɔnɔme sia kpɔna ne afɔku siwo ate ŋu ana nàxɔe.

Aleke ɖɔktawo dea dzesi esiae? (Dɔléle ƒe dzesi) .

Ðeko ɖɔktawo ate ŋu anya nɔnɔme sia si nye subclinical hypothyroidism to ʋumenugbagbeviɣidɔ dodokpɔwo me ko.

Ne wò ʋudodokpɔ me tsonu ɖee fia be TSH (Thyroid-Stimulating Hormone) ƒe agbɔsɔsɔ dzi ɖe edzi (zi geɖe la , edea dukɔwo dome milili 5 va ɖo 10 le lita ɖeka me (5 va ɖo 10 mIU/L) ) eye wò thyroxine (T4) ƒe agbɔsɔsɔ le agbɔsɔsɔ si sɔ me la, efia be ʋumenugbagbeviɣidɔ si mebɔ o le ŋuwò.

Ɣeaɖewoɣi la, ɖɔktawo gadea esia hatsotso me yi ŋgɔe. Ne TSH ƒe agbɔsɔsɔ le 4.5 kple 9.9 mIU/L dome la, woyɔnɛ be Dzeside 1 , eye ne TSH ƒe agbɔsɔsɔ le 10 mIU/L alo esi wu nenema la, woyɔnɛ be Dzeside 2 .

Ðe wòhiã be woakpɔ esia gbɔa?

Enɔ te ɖe nu ʋɛ aɖewo dzi ŋutɔŋutɔ. Wò ɖɔkta anɔ te ɖe nusiwo le abe wò TSH ƒe agbɔsɔsɔ, wò dzesiwo, kple wò lãmesẽ bliboa dzi atso nya me.

Le go ɖeka me la, atikewɔwɔ ate ŋu axe mɔ na ame aɖewo be woagava zu ʋumenugbagbeviɣidɔ ŋutɔŋutɔ o. Le go bubu me la, atikewɔwɔ ate ŋu ade ame aɖewo, vevietɔ amesiwo xɔ wu ƒe 65, afɔku me be woaxɔ dɔléle aɖe si woyɔna be thyrotoxicosis , si nye thyroid lãmetsiwo ƒe dzidziɖedzi le ŋutilã me. Gawu la, dzesi aɖeke mele ame geɖe siwo ŋu subclinical hypothyroidism le ŋu o eye mehiã be woawɔ atike na wo o.

Eyata ɖɔktawo kafui be ‘woalala akpɔ nu’ na ame geɖe. Wometsia dzodzodzoe hedzea atikewɔwɔ gɔme o.

Gake ɖɔktawo ate ŋu akafu atikewɔwɔ le nɔnɔme siwo gbɔna me:

• Amesiwo ƒe TSH ƒe agbɔsɔsɔme nye 10 mIU/L alo esi wu nenema.
• Ne dzesiwo le sɔhɛwo kple ƒe titinatɔwo ŋu.
• Ne afɔku bubuwo le sɔhɛwo kple ƒe titinatɔwo ŋu.

Eyata nukae nye esia ƒe atikewɔwɔ?

Ne wò ɖɔkta tso nya me be ehiã be yeada ʋumenugbagbeviɣidɔ si womekpɔna o la, aŋlɔ ʋumenugbagbeviɣidɔlékui aɖe si woyɔna be levothyroxine na wò. Esia nye atike si nènona to nu me.

Gake hafi nàdze levothyroxine-dɔdamɔnu sia gɔme la, wò ɖɔkta adi be yeagawɔ ʋudodokpɔ bubu atsɔ akpɔ wò TSH ƒe agbɔsɔsɔ le ɣleti etɔ̃ me tso esime TSH dodokpɔ gbãtɔ si mesɔ o do tso eme. Esia le alea elabena ame akpa gãtɔ ƒe TSH ƒe agbɔsɔsɔ trɔna yia nɔnɔme si sɔ me le wo ɖokui si le ɣleti etɔ̃ me atike aɖeke mawɔmawɔe.

Esi nèle atikeawo nom la, wò ɖɔkta aɖo aɖaŋu hã be nàdo ʋu kpɔ edziedzi atsɔ akpɔ wò lãkusi ƒe agbɔsɔsɔ, elabena levothyroxine nono fũ ate ŋu ana nàxɔ ʋumenugbagbeviɣidɔ, si nye nɔnɔme si me ʋumenugbagbeviɣidɔa wɔa ʋumenugbagbeviɣidɔ fũ akpa.

Nukae nèwɔna tso esia ŋu ne èle vidzidzi ƒe atike wɔm?

Ne nyɔnu siwo ŋu ʋumenugbagbeviɣidɔ le le vidzidzi ƒe atikewɔwɔwo abe IVF (In Vitro Fertilization) alo ICSI (Intracytoplasmic Sperm Injection) ene zãm la, Amerikatɔwo ƒe Lãmetsiŋusẽ Habɔbɔ kafui be woano levothyroxine be woatsɔ akpɔ TSH ƒe agbɔsɔsɔ dzi va ɖo 2.5 mIU/L.

Ɣekaɣie wòahiã be magakpɔ ɖɔkta ake?

Zi geɖe la, ɖɔktawo zɔna ɖe ‘lala eye nàkpɔ’ ƒe mɔnu dzi.

Gake ne ʋumenugbagbeviɣidɔ ƒe dzesiwo, abe ɖeɖiteameŋu kple lolo si womate ŋu aɖe o ene, dze egɔme la, yi ɖɔkta gbɔ enumake. Agawɔ ʋumenugbagbeviɣidɔ ƒe ʋudodokpɔ bubu akpɔe ɖa be ʋumenugbagbeviɣidɔ le ŋuwò gaglãa hã.

Ðe mɔ aɖe li si dzi woato axe mɔ na esia be wòagadzɔ oa?

Ne míagblɔe tututu la, zi geɖe la, naneke meli nàte ŋu awɔ atsɔ axe mɔ na nɔnɔme sia be wòagadzɔ o.

Gake ne iodine mesɔ gbɔ ɖe wò nuɖuɖu me o la, àte ŋu axɔ nɔnɔme sia. Esia le alea elabena iodine le vevie na lãkusia be wòawɔ lãkusi me lãmetsiwo. Togbɔ be esia dzi ɖe kpɔtɔ vie le míaƒe dukɔa me le esi míezãa dze si me iodine le fifia ta hã la, iodine ƒe anyimanɔmanɔ koŋue hea ʋumenugbagbeviɣidɔ vɛ le xexeame ƒe dukɔ bubuwo me.

Nukae wòle be makpɔ mɔ na le nɔnɔme sia ŋu?

Subclinical hypothyroidism gblẽa nu le ame ɖesiaɖe ŋu le mɔ vovovowo nu, eye zi geɖe la, evɔna le eɖokui si le ɣleti etɔ̃ me atike aɖeke mawɔmawɔe.

Afɔku si le nɔnɔme sia me be wòava zu ʋumenugbagbeviɣidɔ si dze ƒã la le 2% va ɖo 6% ƒe sia ƒe .

Eyata anyo wu be nàƒo nu kple wò ɖɔkta tso nusi koŋ nàwɔ na wò nɔnɔmea kple zi nenie wòle be woado wò ʋu kpɔ ŋu.

Nyaʋiʋli gakpɔtɔ li ku ɖe nenye be woada ʋumenugbagbeviɣidɔ sia si womekpɔna o la loo alo womadae o ŋu, elabena numekuku vovovowo ƒe nukpɔsusuwo tsi tre ɖe wo nɔewo ŋu.Esi wònye be amesiame ƒe nɔnɔme to vovo ta la, anyo wu be nàƒo nu tso nusiwo ŋu nètsi dzi ɖo kple tiatia siwo nàte ŋu awɔ ŋu na wò ɖɔkta. Edzɔa dzi na wo wu be yewoakpe ɖe ŋuwò.

Eyata nu kawo dzie wòle be míaɖo ŋkui tso nusiawo katã me?

Enyo, mina maƒo nya vevi aɖewo tso nusiwo ŋu míeƒo nu tsoe me kpuie:

• Subclinical hypothyroidism nye nɔnɔme si me wò TSH lãmetsiŋusẽ ƒe agbɔsɔsɔ dzina ɖe edzi vie, gake wò T4 lãmetsiŋusẽ ƒe agbɔsɔsɔ ya sɔ.
• Zi geɖe la, dzesi gã aɖeke medzena o, gake ɖeɖi ate ŋu adze ame aɖewo eye woƒe lolo nadzi ɖe edzi.
• Esia menye ʋumenugbagbeviɣidɔ vavã o, gake mɔnukpɔkpɔ sue aɖe li be ate ŋu ava eme nenema.
• Zi geɖe la, ɖɔktawo zɔna ɖe ‘lala eye nàkpɔ’ ƒe mɔnu dzi. Womenaa atike ame sia ame zi ɖeka o.
• Ne TSH ƒe agbɔsɔsɔ sɔ gbɔ ŋutɔ, ne dzesiwo le eŋu, alo ne afɔku bubuwo li ko hafi wobua atikewɔwɔ ŋu.
• Levothyroxine ye nye atike vevitɔ, gake ele be woanoe hã abe alesi ɖɔkta gblɔe ene pɛpɛpɛ.
• Ne ɖikeke alo nya aɖe le mewò le esia ŋu la, nu nyuitɔ si nàwɔe nye be nàyi wò ƒomea ƒe ɖɔkta gbɔ ahaƒo nu kplii. Mègatsi dzi o, nɔnɔme sia nye esi dzi woate ŋu aɖu.

Ðo ŋku edzi be wòe wòle be nànɔ ŋudzɔ ɖe wò lãmesẽ ŋu wu. Eyata mègavɔ̃ gbeɖe be yeabia nya ahaƒo nu kple wò ɖɔkta o!

` subclinical hypothyroidism, thyroid, TSH, thyroxine, ʋumenugbagbeviɣidɔ, lãmetsiwo, dzesiwo