Ke luhi nei ʻoe i kekahi manawa? A i ʻole ke manaʻo nei ʻoe e emi ana kou kaumaha me ka nānā ʻole i ka nui o kāu ʻai ʻana, a i ʻole ke piʻi nei kou kaumaha ʻoiai ʻoe e ʻai iki ana? Malia paha ke huhū wale nei ʻoe a me ka hopohopo. I kekahi manawa ma hope o kēia mau mea he "luna" liʻiliʻi akā koʻikoʻi loa i loko o ko mākou kino. Kāhea mākou iā ia ʻo ke kelepa thyroid. No laila i kēia lā e kamaʻilio mākou e pili ana iā TSH, kekahi o nā hormones nui e kāohi ana i ka hana o ke kelepa thyroid.
I ka ʻōlelo maʻalahi, he aha ka TSH?
ʻOiai ke kani ʻana o ka inoa TSH he ʻano ʻepekema iki, he maʻalahi loa kona manaʻo. ʻO TSH ke kū nei no ka Thyroid-Stimulating Hormone . Ma ka ʻōlelo Sinhala, ʻo ia hoʻi "thyroid stimulating hormone". Ua like kēia me kahi luna ma ke keʻena. ʻO kāna hana ke hāʻawi i nā kauoha i ka "limahana" i kapa ʻia ʻo ka thyroid gland e hana.
Hoʻopuka ʻia kēia hormone TSH i loko o ko mākou kino e kahi gland liʻiliʻi e like me ka nui o ka pī ma lalo o ka lolo. Kāhea mākou iā ia ʻo ka pituitary gland. ʻO kēia pituitary gland ka mea hoʻokele nui o nā hormones ʻē aʻe he nui i loko o ko mākou kino.
No laila, ma hope o ka hoʻokuʻu ʻana o ka pituitary gland i ka hormone TSH i loko o ke kahe koko, hele pololei ia i ka thyroid gland, he ʻano ʻōpū pepeke ia e waiho ana ma lalo o ka ʻili ma ke alo o ko kākou ʻāʻī. Ma muli o ka leka mai TSH, hana a hoʻokuʻu ka thyroid gland i ʻelua o kāna mau hormones ponoʻī, thyroxine (T4) a me triiodothyronine (T3), i loko o ke kahe koko.
No ke aha he mea nui kēia mau hormones T3 a me T4 iā mākou?
Hoʻomalu kēia mau hormones ʻelua i ka wikiwiki o ka metabolism o ko kākou kino. I ka ʻōlelo maʻalahi, hoʻoholo kēia mau hormones ʻelua i ka wikiwiki o ka hoʻololi ʻia ʻana o ka meaʻai a kākou e ʻai ai i ikehu a hoʻohana ke kino i kēlā ikehu. ʻAʻole wale kēlā, akā hana pū lākou i nā hana koʻikoʻi ʻē aʻe he nui.
- Mālama pono ʻia ka hana o ka puʻuwai a me ka ʻōnaehana hoʻoheheʻe .
- Kōkua i ka kaohi ʻana i ko mākou mau ʻiʻo .
- He mea nui no ka ulu ʻana o ka lolo (ʻoi aku hoʻi i nā keiki ʻōpio).
- Kōkua i ka mālama ʻana i ka ikaika o ka iwi .
E noʻonoʻo, ua kāohi ʻia kēia mau mea a pau e kahi hoʻonohonoho kupaianaha ma waena o ka "Luna Nui" i loko o ka lolo (ka hypothalamus), ka "Luna Hoʻokele" ma lalo ona (ka pituitary gland), a me ka "Kauwā" (ka thyroid gland).
Pehea e kāohi ʻia ai kēia pae TSH i loko o ke kino?
Ua like kēia me ka thermostat i loko o ko mākou AC home. Hana ponoʻī loa kēia ʻōnaehana, me ke akamai loa. Kāhea mākou i kēia he "feedback loop."
1. Ka hana mua: ʻO ka mea mua, ua hoʻokuʻu ʻia kahi hormone i kapa ʻia ʻo TRH (Thyrotropin-releasing hormone) mai ka hypothalamus i loko o ka lolo. ʻO kēia ka hōʻailona mua. Ua like ia me ke "Luna Nui" e kāhea ana i kāna "Luna Hoʻokele" a haʻi iā ia e "hoʻomaka e hana."
2. Ka lua o ka hana:Ma hope o ka loaʻa ʻana o kēia leka TRH, hoʻokuʻu ka pituitary gland (Manager) i ka hormone TSH i loko o ke kahe koko.
3. KaʻAnuʻu Hana ʻEkolu: Ke haʻi aku nei ka hormone TSH i ka ʻōpū thyroid (ka mea hana) e "hana, hana iā T3 a me T4." No laila, hana ka ʻōpū thyroid i nā hormones T3 a me T4 a hoʻokuʻu iā lākou i loko o ke koko.
4. Ke kaʻina hana hope loa (Manaʻo Hoʻihoʻi): I kēia manawa ua hiki aku nā pae hormone T3 a me T4 i loko o ke koko i ka pae i koi ʻia, hoʻouna ia i kahi hōʻailona i ka lolo, e ʻōlelo ana, "ʻAe, i kēia manawa ua lawa nā hormones, e hoʻōki i ka hoʻouna ʻana iā TSH." Ke loaʻa i ka pituitary gland kēlā leka, hoʻemi ia i ka hoʻokuʻu ʻana o TSH. Ua like ia me ka pio ʻana o ka compressor o kahi AC ke anu ka lumi.
Ma kēia ʻano, ke emi nā pae T3 a me T4 i loko o ke koko, e piʻi koke ana ka pae TSH. Pēlā nō, ke piʻi aʻe nā pae T3 a me T4, e emi koke ana ka pae TSH. ʻO ia ke kumu e hiki ai iā mākou ke ʻike maʻalahi inā e hana pono ana kāu kelepa thyroid, a inā paha e hana nui ana, me kahi hoʻāʻo koko TSH.
He aha ka pae TSH maʻamau?
Hoʻololi nā pae TSH me ka makahiki. Hiki nō hoʻi iā lākou ke loli i ka wā hāpai. A no ka mea hiki ke ʻokoʻa iki kēia mau waiwai mai kekahi lab a i kekahi, he mea nui e nānā i ka "maʻamau" ma kāu hōʻike. Akā ma ke ʻano laulā, ʻo nā pae TSH maʻamau no ke kanaka olakino penei.
| Pūʻulu makahiki | Pae TSH maʻamau (uIU/mL) |
|---|---|
| Nā pēpē mai ka hānau ʻana a hiki i 5 mau lā | 0.7 – 15.2 |
| Nā pēpē mai 6 a 90 mau lā | 0.72 – 11.0 |
| Nā pēpē mai 4 a 12 mau mahina | 0.73 – 8.35 |
| Nā keiki mai 1 a 6 mau makahiki | 0.7 – 5.97 |
| Nā keiki mai 7 a 11 mau makahiki | 0.6 – 4.84 |
| Nā ʻōpio mai 12 a 20 mau makahiki | 0.51 – 4.3 |
| Nā mākua mai 21 a 99 mau makahiki | 0.27 – 4.2 |
Nā pae TSH i ka wā hāpai
He mea nui nā pae olakino o nā hormones thyroid i loko o ka makuahine i ka wā hāpai no ka ulu olakino o ka lolo a me ke kino o ka pēpē. Hoʻololi nā pae TSH i kēia manawa.
- ʻEkolu mahina mua: 0.18 - 2.99 (uIU/mL)
- ʻElua trimester: 0.11 - 3.98 (uIU/mL)
- ʻEkolu trimester: 0.48 – 4.71 (uIU/mL)
He aha ka mea e hana ai inā emi nā pae TSH? (Hyperthyroidism)
Inā haʻahaʻa kou pae TSH ma mua o ka maʻamau, ʻo ia hoʻi ke hana nui nei kou kelepa thyroid. Kāhea mākou i kēia ʻano he Hyperthyroidism .
E noʻonoʻo ʻoe ua hana hoʻokahi ka "limahana" (ke kelepa thyroid) a mākou i kamaʻilio ai ma mua me ka ʻole o ke kaohi, me ke kauoha ʻole a ka luna, a hana i nā hormones T3 a me T4 ma mua o ka mea e pono ai. A laila piʻi nui nā pae T3 a me T4 i loko o ke koko. I ka ʻike ʻana i kēia, ua hoʻōki ka "Luna Hoʻokele" (ke kelepa pituitary) i ka hoʻouna ʻana iā TSH kokoke loa. Me he mea lā e manaʻo ana, "Ke hana nei ka limahana, ʻaʻohe pono iaʻu e hoʻōho." No laila, emi ka pae TSH. Hiki i nā kūlana e like me ka "maʻi Graves" a me nā nodules thyroid ke hana i kēia.
| Nā hōʻailona o ka haʻahaʻa o ka TSH (Hyperthyroidism) | |
|---|---|
| Nā Palpitations | Ke manaʻo nei i ka wikiwiki o ka puʻuwai i loko o ka umauma, me he mea lā hiki iā ʻoe ke lohe i kou puʻuwai ponoʻī. |
| Nā haʻalulu a me ka hoʻomaha ʻole | Ke manaʻo o ka haʻalulu ma nā lālā, ka hopohopo, a me ka hoʻomaha ʻole. |
| ʻO ka pohō kaumaha me ke kumu ʻole | Ka pohō kaumaha ʻoiai ua piʻi ka makemake. |
| Ka maʻi pākī pinepine (Diarrhea) | Pono pinepine e hele i ka lua ma muli o ka wikiwiki o ka ʻai ʻana. |
| Nā loli i nā maka | Me he mea lā e puka mai ana nā maka. |
| Nā loli ʻili | Ka lahilahi ʻana o ka ʻili, mehana a pulu hoʻi. |
| Ka pehu ʻana o ka ʻāʻī (Goiter) | ʻO ka pehu ʻana ma ke alo o ka ʻāʻī ma muli o ka hoʻonui ʻia ʻana o ka ʻōpū thyroid. |
| Nā pōʻaiapuni menstrual kūpono ʻole i nā wahine | Ka holo ʻana o ka menstrual i kūpono ʻole a i ʻole ka emi ʻana. |
Inā loaʻa iā ʻoe kēia mau hōʻailona, he mea nui e ʻike koke i kāu kauka no ka ʻōlelo aʻo. Hiki ke mālama ʻia a mālama maikaʻi ʻia kēia maʻi.
He aha ka mea e hana ai inā piʻi aʻe nā pae TSH? (Hypothyroidism)
Inā ʻoi aku ke kiʻekiʻe o kou pae TSH ma mua o ka maʻamau, ʻo ia hoʻi, ʻaʻole hana pono kāu kelepa thyroid e like me ka mea e pono ai . Kāhea mākou i kēia ʻano he Hypothyroidism .
ʻO ka mea e hana ʻia ma kēia hihia, ʻo ia ka palaualelo loa o ka "limahana" (thyroid gland). ʻAʻole ia e hana i nā hormones T3 a me T4 lawa. A laila e emi ana nā pae T3 a me T4 i loko o ke koko. Me ka ʻike ʻana i kēia, hopohopo ka "Luna Hoʻokele" (pituitary gland) a hoʻouna i nā leka TSH hou aku i ka "limahana" e hana.Ua like ia me ke kamaʻilio ʻana me kahi kanaka palaualelo e hoʻāla iā lākou. ʻO kēia ke kumu e piʻi nui ai ka pae TSH i loko o ke koko. ʻO ke kumu nui o kēia he maʻi autoimmune i kapa ʻia ʻo `(Hashimoto's disease)`.
| Nā hōʻailona o ka hoʻonui ʻia o nā pae TSH (Hypothyroidism) | |
|---|---|
| Luhi pinepine | Luhi mau ka manaʻo, ʻaʻole pili i ka nui o kāu hiamoe ʻana. |
| Ka mae ʻana o nā lālā | ʻUlili a ʻūlili paha ke ʻano o ka lima a me nā manamana lima. |
| Ka paʻa ʻana o ka ʻōpū | Ka paʻa ʻana o ka ʻōpū ma muli o ka lohi o ka ʻai ʻana. |
| Ke ulu nui nei me ke kumu ʻole | Ke piʻi nei ke kaumaha ʻoiai ʻaʻohe loli i ka ʻai ʻana. |
| Kaumaha | Ke kaumaha mau nei, ka hoʻonāukiuki, a me ka hoihoi ʻole i kekahi mea. |
| ʻAʻole hiki ke hoʻomanawanui i ke anu | Ke anu loa nei ke kino ʻoiai i nā wahi a puni i maʻamau i nā poʻe ʻē aʻe. |
| Ua emi ka hoihoi i ka moekolohe | Ua emi ka makemake a me ka hoihoi i nā hana moekolohe. |
| Ka menstruation kaumaha i nā wahine | He mau lā ka lōʻihi o ka maʻi ʻōpū a he nui ke kahe ʻana o ke koko. |
Hoʻomaka mālie kēia mau hōʻailona. No laila, inā ʻike ʻoe i kēia mau hōʻailona, he mea nui e kamaʻilio me kāu kauka e pili ana iā lākou. Hiki ke hoʻomalu maikaʻi ʻia kēia ʻano me ka lāʻau lapaʻau.
Pono anei au e hopohopo inā he ʻano ʻē ka hōʻike TSH?
ʻAʻole loa. ʻOiai ʻaʻole i lawa kāu hōʻike TSH ma waho o ka pae maʻamau, ʻaʻole ia he manaʻo he maʻi kou 100%. E nānā ana kāu kauka i nā kumu ʻē aʻe he nui i ka wā e loiloi ai i kēia hōʻike.
- Kou makahiki: Hiki i ka poʻe ma luna o 80 mau makahiki ke loaʻa iki nā pae TSH i kiʻekiʻe. ʻAʻole ia he hōʻailona mau o ka maʻi.
- Hāpai keiki: E like me kā mākou i kūkākūkā ai ma mua, loli maoli nā pae TSH i ka wā hāpai.
- ʻO nā maʻi koʻikoʻi ʻē aʻe: ʻO nā maʻi koʻikoʻi ʻē aʻe e pili ʻole ana i ka ʻōpū thyroid (e laʻa, kahi maʻi koʻikoʻi) hiki ke hoʻohaʻahaʻa i nā pae TSH no kekahi manawa.
- Nā hoʻāʻo thyroid ʻē aʻe: Hiki i ke kauka ke hoʻoholo hope loa ma ka hoʻohālikelike ʻana i nā hopena me nā hoʻokolohua ʻē aʻe, e like me ka TSH wale nō, akā, ʻo ka Free T4 a me nā antibodies Thyroid.
No laila, mai hopohopo ke ʻike ʻoe i kahi waiwai ma kāu hōʻike TSH. ʻO kāu kauka ke kanaka maikaʻi loa e wehewehe i ke ʻano maoli a me ka mea e hana ai ma hope. E kamaʻilio me ia e pili ana i ia mea.
ʻO ka hapa nui o ka manawa, ʻo kahi pae TSH kūpono ʻole e hōʻike ana i kahi loli i ka hana o ke kelepa thyroid. ʻO ka nūhou maikaʻi, hiki ke hoʻomalu pono ʻia kēia mau kūlana ʻelua (Hyperthyroidism a me Hypothyroidism) me ka mālama kūpono a me ka lāʻau lapaʻau, e hiki ai iā ʻoe ke ola i kahi ola olakino a maʻamau.
Leka Lawe-Home
- ʻO TSH ka hormone nui e kāohi ana i ka hana o ke kelepa thyroid. Hana ʻia ia e ka kelepa pituitary i loko o ka lolo.
- ʻO ka pae TSH kiʻekiʻe ke ʻano he hana ʻole ka thyroid gland (hypothyroidism) .
- ʻO ka pae TSH haʻahaʻa ʻo ia hoʻi ka hana nui o ka ʻōpū thyroid (hyperthyroidism) .
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka luhi pinepine, ka pohō kaumaha a i ʻole ka piʻi ʻana o ke kaumaha, a me ka hoʻomaha ʻole, he mea nui e loaʻa kahi hoʻāʻo koko TSH.
- Mai hopohopo a hoʻoholo i kāu iho ma hope o ka ʻike ʻana i kahi waiwai ma kāu hōʻike koko. E kamaʻilio mau me kāu kauka e pili ana i ia mea.
- Hiki ke hoʻomalu maikaʻi ʻia nā maʻi pili i ka thyroid me ka mālama pono ʻana.
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