Ua hewa iki anei kou thyroid? E kamaʻilio kākou e pili ana i ka Subclinical Hypothyroidism!

Ke luhi wale nei ʻoe i kekahi manawa? A i ʻole ke manaʻo nei ʻoe e piʻi ana kou kaumaha me ka ʻole o ka hana ʻana i kekahi mau hoʻololi nui i kāu meaʻai? Malia paha ke kumu o kēia he hana hewa liʻiliʻi i loko o kou kelepa thyroid. I kēia lā e kamaʻilio mākou e pili ana i kekahi ʻano maʻi, i kapa ʻia ʻo 'Subclinical Hypothyroidism'.

ʻAe, ke noʻonoʻo nei ʻoe i ke ʻano o ka hypothyroidism subclinical. I ka ʻōlelo maʻalahi, ʻo ia ka wā e piʻi iki ai kou pae koko o ka hormone hoʻoulu thyroid, a i ʻole TSH (Thyroid-Stimulating Hormone). Eia nō naʻe, ʻo kou pae o ka hormone thyroid koʻikoʻi ʻē aʻe, thyroxine (T4), he maʻamau.

ʻO ke ʻano o ka huaʻōlelo 'subclinical' he ʻano kēia ʻaʻole hōʻike iki i nā hōʻailona, ​​a i ʻole ʻaʻole koʻikoʻi loa nā hōʻailona . ʻO ke ʻano kēia ʻaʻole ʻoe he hypothyroidism maoli, ʻo ia hoʻi kahi kelepa thyroid hana ʻole. Eia nō naʻe, ʻo ia hoʻi he hiki ke ulu aʻe i kēlā ʻano.

Hiki i kēia maʻi ke lilo i mea manawa pōkole i kekahi manawa, ʻo ia hoʻi hiki ke hoʻōla iā ia iho i loko o kekahi mau lā. Akā no kekahi poʻe hiki ke mau no ka manawa lōʻihi. Pono paha ia i ka mālama ʻia a ʻaʻole paha.

No laila he aha nā hōʻailona o kēia?

ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike kēia ʻano o ka hypothyroidism subclinical i kekahi mau hōʻailona kikoʻī. ʻO ia ka mea e kūikawā ai. Eia nō naʻe, hiki i kekahi poʻe ke ʻike i kekahi mau hōʻailona liʻiliʻi. E nānā inā kamaʻāina kēia mau mea iā ʻoe:

• Ke luhi mau nei a me ka luhi ʻole. Me he mea lā ʻaʻohe ola o ke kino.
• Piʻi kaumaha me ke kumu ʻole, ʻoiai me ka ʻole o kahi loli i kāu mea e ʻai ai a inu paha.
• Ka paʻa ʻana o ka ʻōpū.
• Nā kūlana noʻonoʻo e like me ke kaumaha. Nā manaʻo kaumaha.
• Ka nele i ka nānā ʻana, ka hiki ʻole ke noʻonoʻo pono i ka hana.
• ʻAʻole hiki ke ʻae i ke anu. Manaʻo ʻoi aku ke anu ma mua o nā poʻe ʻē aʻe.
• Maloʻo a ʻāwili ka ʻili a me ka lauoho.
• ʻO ke koko kiʻekiʻe diastolic, ʻo ia hoʻi, ʻo ka helu haʻahaʻa loa o nā heluhelu koko ke kiʻekiʻe.
• I nā wahine, ʻo ke kahe koko pinepine a kaumaha hoʻi.

No ke aha lā kēia e hana nei? He aha ke kumu?

ʻO ka maʻamau, ʻo ka hypothyroidism subclinical ke kumu o kahi pilikia ma lalo o kou kelepa thyroid. No ka laʻana, hiki i kahi maʻi autoimmune e like me ka thyroiditis Hashimoto ke hoʻoulu i ka mumū o ka kelepa thyroid.

I kēia manawa, e nānā kākou pehea e hana ai kēia mau hormones i loko o ko kākou kino. Hana ʻia kā kākou ʻōnaehana endocrine me nā hormones like ʻole a me nā glands e hana pū ana e kāohi i ka pae o ka TSH (Thyroid-Stimulating Hormone) i loko o ko kākou koko. Hoʻoulu kēia hormone TSH i nā cell o ka thyroid gland e hoʻokuʻu i nā hormones thyroxine (Thyroxine a i ʻole T4) a me triiodothyronine (Triiodothyronine a i ʻole T3) i loko o ke koko. Ke piʻi aʻe nā pae o kēia mau hormones T4 a me T3 i loko o ke koko, hoʻouna ia i kahi hōʻailona i ka pituitary gland i loko o ko kākou lolo e 'hoʻōki i ka hana ʻana i nā TSH hou aku'. Ua like kēia me kahi ʻōnaehana hoʻomalu aunoa.

Eia nō naʻe, i loko o ka hypothyroidism subclinical, ʻoiai ke kiʻekiʻe nei nā pae TSH, ʻaʻole i hoʻonui nui ʻia ka nui o nā hormones i hoʻokuʻu ʻia e ka thyroid gland e like me ka maʻamau. ʻO ia ke kumu e kiʻekiʻe ai nā pae TSH a maʻamau nā pae T4.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi? (Nā kumu pilikia)

ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i kapa ʻia ʻo subclinical hypothyroidism i kekahi poʻe. E nānā kākou iā lākou:

• Nā wahine ma luna o 60 mau makahiki.
• Inā loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana ka maʻi thyroid.
• He maikaʻi nā antibodies thyroid. ʻO ke ʻano kēia aia nā mea i loko o ke koko e hana kūʻē i ka thyroid.
• Inā ua hoʻohana mua ʻoe a ke hoʻohana nei paha i nā lāʻau lapaʻau e like me Amiodarone a i ʻole Lithium.
• Ka nele o ka iodine (ʻAʻole kēia i ʻike nui ʻia ma ko mākou ʻāina i kēia manawa, no ka mea, hoʻohana mākou i ka paʻakai iodized).
• Inā ua loaʻa iā ʻoe ka radiation i ke poʻo a i ʻole ka ʻāʻī.
• Ka momona.
• No nā kānaka me ka maʻi diabetes type 1.
• Inā ua loaʻa iā ʻoe ka lāʻau lapaʻau no kahi maʻi e like me ka maʻi Graves, e like me nā lāʻau antithyroid a i ʻole ka ablation.

He aha nā pilikia e hiki ai i kēia ke hana?

ʻO ka mea nui i ʻike pinepine ʻia , ʻo ia ka hiki i kēia kūlana o ka hypothyroidism subclinical ke lilo i hypothyroidism piha. ʻO ia hoʻi, ua emi nui ka hana o ka thyroid gland a hoʻomaka nā hōʻailona e ʻike ʻia.

Eia kekahi, ua hōʻike kekahi mau noiʻi e hoʻonui iki kēia ʻano i ka pilikia o nā maʻi cardiovascular. No ka laʻana, nā mea e like me ke koko kiʻekiʻe a me ka cholesterol kiʻekiʻe. Akā, ʻaʻole i hōʻoia piha ʻia kēia pilina. No laila, ʻaʻohe mea e hopohopo ai, akā he mea maikaʻi ke makaʻala.

Ke hoʻopilikia nei kēia i ka hāpai ʻana?

Ma ʻAmelika Hui Pū ʻIa, ʻoi aku ka liʻiliʻi o 1 i loko o 5 mau wahine hāpai i hoʻopilikia ʻia e kēia ʻano, ʻo ia hoʻi ka subclinical hypothyroidism.

Ua kūʻē iki nā hōʻike e pili ana i ka mea inā he pilikia kēia maʻi i ka wā hāpai. Ua hōʻike kekahi mau noiʻi kahiko inā loaʻa kēia maʻi i ka wā hāpai, hiki ke hana ʻia kēia mau mea:

• Ke koko kiʻekiʻe o ka wā hāpai a me ka maʻi diabetes gestational.
• Ka hānau mua ʻana.
• Ka hāʻule ʻana o ka hāpai keiki.

Eia nō naʻe, he mea nui kēia: ʻaʻole i hōʻoia ʻia kēia mau ʻike e nā noiʻi hou.

No laila, hoʻāʻo wale nā ​​​​kauka no kēia kūlana i ka wā hāpai inā he mau kumu pilikia kou no ka hoʻomohala ʻana.

Pehea e ʻike ai nā kauka i kēia? (Diagnosis)

Hiki i nā kauka ke ʻike i kēia kūlana o ka hypothyroidism subclinical ma o nā hoʻāʻo koko thyroid.

Inā hōʻike nā hopena o kāu hoʻāʻo koko i kahi pae TSH (Thyroid-Stimulating Hormone) kiʻekiʻe ( ma waena o 5 a me 10 milli-international units no ka lita (5 a 10 mIU/L) ) a aia kou pae thyroxine (T4) i ka pae maʻamau, ʻo ia hoʻi he subclinical hypothyroidism kou.

I kekahi manawa, hoʻokaʻawale hou nā kauka i kēia. Inā ma waena o 4.5 a me 9.9 mIU/L ka pae TSH, ua kapa ʻia ʻo ia ʻo Grade 1 , a inā he 10 mIU/L a ʻoi aku paha ka pae TSH, ua kapa ʻia ʻo ia ʻo Grade 2 .

Pono anei kēia e mālama ʻia?

Aia maoli nō ia i kekahi mau kumu. E hoʻoholo kāu kauka ma muli o nā mea e like me kou pae TSH, kou mau hōʻailona, ​​a me kou olakino holoʻokoʻa.

Ma kekahi ʻaoʻao, hiki i ka lāʻau lapaʻau ke pale i kekahi poʻe mai ka ulu ʻana i ka hypothyroidism maoli. Ma kekahi ʻaoʻao, hiki i ka lāʻau lapaʻau ke hoʻokomo i kekahi poʻe, ʻoiai ka poʻe ma luna o 65 mau makahiki, i ka pilikia o ka loaʻa ʻana o kahi maʻi i kapa ʻia ʻo thyrotoxicosis , ʻo ia hoʻi ka hoʻonui ʻia ʻana o nā hormones thyroid i loko o ke kino. Eia kekahi, he nui ka poʻe me ka subclinical hypothyroidism ʻaʻohe o lākou mau hōʻailona a ʻaʻole pono ka lāʻau lapaʻau.

No laila, paipai nā kauka i kahi ala 'kali a ʻike' no nā poʻe he nui. ʻAʻole lākou e hopohopo a hoʻomaka i ka lāʻau lapaʻau.

Eia nō naʻe, hiki i nā kauka ke ʻōlelo i ka lāʻau lapaʻau i nā hihia aʻe:

• ʻO ka poʻe me ka pae TSH o 10 mIU/L a ʻoi aku paha.
• Inā loaʻa nā hōʻailona i ka poʻe ʻōpio a me ka poʻe waena.
• Inā he mau kumu pilikia ʻē aʻe ko ka poʻe ʻōpio a me ka poʻe waena.

No laila, he aha ka lāʻau lapaʻau no kēia?

Inā hoʻoholo kāu kauka e pono ʻoe e mālama i ka hypothyroidism subclinical, e kuhikuhi ʻo ia iā ʻoe i kahi pila hormone thyroid i kapa ʻia ʻo levothyroxine . He lāʻau lapaʻau kēia āu e lawe ai ma ka waha.

Eia nō naʻe, ma mua o ka hoʻomaka ʻana i kēia lāʻau levothyroxine, makemake paha kāu kauka e hana i kahi hoʻāʻo koko ʻē aʻe e nānā i kāu pae TSH i loko o ʻekolu mahina o ka hopena hoʻāʻo TSH mua ʻole. ʻO kēia no ka mea ʻo ka hapa nui o nā pae TSH o ka poʻe e hoʻi i ka maʻamau ma o lākou iho i loko o ʻekolu mahina me ka ʻole o kekahi lāʻau lapaʻau.

ʻOiai ʻoe e lawe ana i ka lāʻau lapaʻau, e paipai pū kāu kauka i nā hoʻāʻo koko maʻamau e nānā i kāu mau pae thyroid, ʻoiai ʻo ka overdose o ka levothyroxine hiki ke alakaʻi i ka hyperthyroidism, kahi kūlana kahi e hana ai ka thyroid gland i ka nui o ka hormone thyroid.

He aha kāu e hana ai e pili ana i kēia i ka wā e mālama ʻia ai ka mālama ʻana i ka hānau keiki?

Inā ʻo nā wāhine me ka subclinical hypothyroidism e hana nei i nā lāʻau lapaʻau hānau keiki e like me IVF (In Vitro Fertilization) a i ʻole ICSI (Intracytoplasmic Sperm Injection) , ua ʻōlelo ka American Thyroid Association e lawe i ka levothyroxine e kāohi i nā pae TSH i 2.5 mIU/L.

Āhea wau e pono ai e ʻike hou i ke kauka?

ʻO ka hapa nui o ka manawa, hahai nā kauka i kahi ʻano 'kali a ʻike'.

Akā inā hoʻomaka ʻoe e ʻike i nā hōʻailona o ka hypothyroidism, e like me ka luhi a me ka piʻi ʻana o ke kaumaha i wehewehe ʻole ʻia, e ʻike koke i kāu kauka. E hana ʻo ia i kahi hoʻāʻo koko thyroid ʻē aʻe e ʻike inā he hypothyroidism maopopo kou.

Aia kekahi ala e pale aku ai i kēia mai ka hana ʻana?

I ka ʻoiaʻiʻo, i ka hapanui o nā hihia, ʻaʻohe mea hiki iā ʻoe ke hana e pale aku i kēia kūlana.

Eia nō naʻe, inā ʻaʻole lawa ka iodine i kāu meaʻai, hiki iā ʻoe ke loaʻa i kēia maʻi. ʻO kēia no ka mea he mea nui ka iodine no ka thyroid gland e hana i nā hormones thyroid. ʻOiai ua emi iki kēia ma ko mākou ʻāina no ka mea ke hoʻohana nei mākou i ka paʻakai iodized, ʻo ka hemahema o ka iodine ke kumu nui o ka hypothyroidism ma nā ʻāina ʻē aʻe o ka honua.

He aha kaʻu e manaʻo ai me kēia kūlana?

Hoʻopilikia ka hypothyroidism subclinical i kēlā me kēia kanaka i kekahi ʻano ʻokoʻa, a i ka hapanui o nā hihia, hoʻopau ia iā ia iho i loko o ʻekolu mahina me ka ʻole o ka lāʻau lapaʻau.

ʻO ka pilikia o ka ulu ʻana o kēia kūlana i ka hypothyroidism maopopo ma waena o 2% a me 6% i kēlā me kēia makahiki .

No laila, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i ka mea e hana ai no kou kūlana a me ka pinepine o ka pono e hana i nā hoʻāʻo koko.

Aia nō ka hoʻopaʻapaʻa e pili ana i ka mālama ʻana i kēia hypothyroidism subclinical a i ʻole, no ka mea, he mau manaʻo kūʻē like ʻole nā ​​​​haʻawina like ʻole.ʻOiai he ʻokoʻa ke kūlana o kēlā me kēia kanaka, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i kou mau hopohopo a me nā koho. Hauʻoli nui lākou e kōkua iā ʻoe.

No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia mau mea a pau?

ʻAe, e hōʻuluʻulu wau i kekahi o nā mea nui loa mai nā mea a mākou i kamaʻilio ai:

• ʻO ka hypothyroidism subclinical kahi kūlana kahi i hoʻokiʻekiʻe iki ʻia ai kāu mau pae hormone TSH, akā maʻamau kāu mau pae hormone T4.
• ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona nui, akā hiki i kekahi poʻe ke ʻike i ka luhi a me ka piʻi ʻana o ke kaumaha.
• ʻAʻole kēia he hypothyroidism maoli, akā he wahi liʻiliʻi ka manawa e hiki ai ke huli i kēlā ʻano.
• ʻO ka hapa nui o ka manawa, hahai nā kauka i kahi ʻano 'kali a ʻike'. ʻAʻole lākou e hāʻawi i nā lāʻau lapaʻau a pau i ka manawa hoʻokahi.
• Noʻonoʻo wale ʻia ka lāʻau lapaʻau inā kiʻekiʻe loa ka pae TSH, inā he mau hōʻailona, ​​​​a i ʻole he mau kumu pilikia ʻē aʻe.
• ʻO Levothyroxine ka lāʻau lapaʻau nui, akā pono e lawe ʻia e like me ke kuhikuhi a ke kauka.
• Inā he kānalua a nīnau paha kāu e pili ana i kēia, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka ʻohana a kamaʻilio me ia. Mai hopohopo, he kūlana hiki ke mālama ʻia kēia.

E hoʻomanaʻo, ʻo ʻoe ka mea pono e makaʻala loa i kou olakino. No laila, mai makaʻu e nīnau a kamaʻilio me kāu kauka!

hypothyroidism subclinical , thyroid, TSH, thyroxine, hypothyroidism, hormones, nā hōʻailona