Koj lub thyroid puas tsis zoo me ntsis? Cia peb tham txog Subclinical Hypothyroidism!

Puas muaj tej lub sij hawm koj tsuas xav tias koj nkees xwb? Los yog koj puas xav tias koj rog zuj zus yam tsis tau hloov koj cov zaub mov noj? Tej zaum qhov ua rau qhov no yog qhov teeb meem me me hauv koj lub qog thyroid. Hnub no peb yuav tham txog ib qho mob zoo li no, hu ua 'Subclinical Hypothyroidism'.

Zoo, tam sim no koj xav paub tias subclinical hypothyroidism yog dab tsi. Hais yooj yim xwb, nws yog thaum koj cov ntshav ntawm cov tshuaj hormones thyroid-stimulating, lossis TSH (Thyroid-Stimulating Hormone), nce me ntsis. Txawm li cas los xij, koj cov tshuaj hormones thyroid tseem ceeb, thyroxine (T4), yog ib txwm muaj.

Lo lus 'subclinical' txhais tau hais tias qhov no yog ib qho mob uas tsis muaj tsos mob li, lossis cov tsos mob tsis hnyav heev . Qhov no txhais tau hais tias koj tsis muaj mob hypothyroidism, uas yog ib qho mob thyroid tsis ua haujlwm zoo. Txawm li cas los xij, nws txhais tau hais tias muaj peev xwm ua rau nws loj hlob mus ua mob ntawd.

Qhov mob no qee zaum yuav yog ib ntus xwb, uas txhais tau tias nws yuav zoo dua li qub hauv ob peb hnub xwb. Tab sis rau qee tus neeg nws yuav kav ntev heev. Tej zaum yuav xav tau kev kho mob lossis tsis xav tau kev kho mob.

Yog li ntawd, cov tsos mob ntawm qhov no yuav yog dab tsi?

Feem ntau, tus mob no ntawm subclinical hypothyroidism tsis qhia txog cov tsos mob tshwj xeeb. Qhov ntawd yog qhov ua rau nws tshwj xeeb. Txawm li cas los xij, qee tus neeg yuav muaj qee cov tsos mob me me. Saib seb cov no puas zoo li koj paub:

• Zoo li lub cev tsis muaj sia nyob lawm .
• Qhov hnyav nce tsis muaj laj thawj, txawm tias tsis muaj kev hloov pauv ntawm yam koj noj lossis haus los xij.
• Cem quav.
• Tej yam kev mob hlwb xws li kev nyuaj siab. Kev tu siab.
• Tsis muaj kev mloog zoo, tsis muaj peev xwm tsom ntsoov rau kev ua haujlwm.
• Tsis muaj peev xwm tiv taus qhov txias. Xav tias txias dua li lwm tus.
• Tawv nqaij thiab plaub hau qhuav thiab ntxhib.
• Diastolic Hypertension, uas txhais tau tias tsuas yog tus lej qis tshaj plaws ntawm cov ntshav siab nyeem tau siab.
• Rau cov poj niam, kev los ntshav ntau zaus thiab hnyav.

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?

Feem ntau, tus kab mob hypothyroidism uas tsis pom tseeb yog los ntawm ib qho teeb meem hauv koj lub qog thyroid. Piv txwv li, tus kab mob autoimmune xws li Hashimoto's thyroiditis tuaj yeem ua rau lub qog thyroid o.

Tam sim no cia peb saib seb cov tshuaj hormones no ua haujlwm li cas hauv peb lub cev. Peb lub cev endocrine muaj ntau yam tshuaj hormones thiab cov qog uas ua haujlwm ua ke los tswj qib TSH (Thyroid-Stimulating Hormone) hauv peb cov ntshav. Cov TSH hormone no ua rau cov hlwb ntawm cov qog thyroid tso cov tshuaj hormones thyroxine (Thyroxine lossis T4) thiab triiodothyronine (Triiodothyronine lossis T3) rau hauv cov ntshav. Thaum cov theem ntawm cov tshuaj hormones T4 thiab T3 no nce ntxiv hauv cov ntshav, nws xa ib lub teeb liab mus rau lub qog pituitary hauv peb lub hlwb kom 'tsis txhob ua TSH ntau dua'. Qhov no zoo li lub kaw lus tswj tsis siv neeg.

Txawm li cas los xij, hauv subclinical hypothyroidism, txawm tias TSH cov qib siab dua, cov tshuaj hormones tso tawm los ntawm cov qog thyroid tsis nce ntau npaum li qub. Yog vim li cas TSH cov qib siab dua thiab T4 cov qib yog qhov qub.

Leej twg yuav muaj tus mob no ntau dua? (Cov yam ua rau muaj kev pheej hmoo)

Muaj ib txhia neeg yuav muaj tus mob no hu ua subclinical hypothyroidism. Cia peb saib seb lawv yog leej twg:

• Cov poj niam hnub nyoog tshaj 60 xyoo.
• Yog tias koj lossis ib tug neeg hauv koj tsev neeg muaj tus kab mob thyroid.
• Cov tshuaj tiv thaiv kab mob thyroid yog qhov zoo. Qhov no txhais tau tias muaj cov tshuaj hauv cov ntshav uas ua haujlwm tawm tsam cov thyroid.
• Yog tias koj tau siv ua ntej lossis tam sim no siv cov tshuaj xws li Amiodarone lossis Lithium.
• Tsis txaus iodine (Qhov no tsis tshua muaj ntau hauv peb lub tebchaws tam sim no, vim peb siv ntsev iodized).
• Yog tias koj tau raug hluav taws xob rau thaj tsam taub hau lossis caj dab.
• Kev rog dhau.
• Rau cov neeg uas muaj hom ntshav qab zib 1.
• Yog tias koj tau txais kev kho mob rau ib yam mob xws li Graves' kab mob ua ntej, xws li cov tshuaj antithyroid lossis ablation.

Qhov no ua rau muaj teeb meem dab tsi?

Qhov tseem ceeb tshaj plaws uas feem ntau pom yog tias qhov mob ntawm subclinical hypothyroidism no thaum kawg tuaj yeem hloov mus ua hypothyroidism tag nrho. Qhov ntawd yog, lub qog thyroid ua haujlwm txo qis thiab cov tsos mob pib tshwm sim.

Ntxiv mus, qee qhov kev tshawb fawb tau qhia tias qhov mob no ua rau muaj kev pheej hmoo ntawm cov kab mob plawv me ntsis. Piv txwv li, tej yam xws li ntshav siab thiab roj cholesterol ntau. Tab sis qhov kev sib txuas no tseem tsis tau lees paub tag nrho. Yog li tsis muaj dab tsi yuav txhawj txog, tab sis nws yog qhov zoo kom paub.

Qhov no puas cuam tshuam rau cev xeeb tub?

Hauv Tebchaws Meskas, tsawg dua 1 ntawm 5 tus poj niam cev xeeb tub raug kev txom nyem los ntawm tus mob no, subclinical hypothyroidism.

Cov pov thawj muaj qee qhov sib txawv txog seb qhov mob no puas ua rau muaj teeb meem thaum cev xeeb tub. Qee qhov kev tshawb fawb qub tau qhia tias yog tias qhov mob no muaj thaum cev xeeb tub, cov hauv qab no tuaj yeem tshwm sim:

• Ntshav siab thaum cev xeeb tub thiab ntshav qab zib thaum cev xeeb tub.
• Kev yug menyuam ua ntej lub sijhawm.
• Kev rho menyuam.

Txawm li cas los xij, qhov no tseem ceeb heev: cov kev tshawb pom no tsis tau lees paub los ntawm cov kev tshawb fawb tsis ntev los no.

Yog li ntawd, cov kws kho mob feem ntau tsuas kuaj xyuas qhov mob no thaum cev xeeb tub yog tias koj muaj cov yam ntxwv ua rau muaj tus mob no.

Cov kws kho mob kuaj qhov no li cas? (Kev kuaj mob)

Cov kws kho mob tsuas tuaj yeem kuaj pom qhov mob subclinical hypothyroidism no los ntawm kev kuaj ntshav thyroid.

Yog tias koj cov txiaj ntsig ntawm kev kuaj ntshav qhia tau tias TSH (Thyroid-Stimulating Hormone) siab dua (feem ntau ntawm 5 thiab 10 milli-international units ib liter (5 txog 10 mIU/L) ) thiab koj cov thyroxine (T4) nyob rau hauv qhov ntau thiab tsawg, nws txhais tau tias koj muaj subclinical hypothyroidism.

Qee zaum cov kws kho mob faib qhov no ntxiv. Yog tias TSH theem yog ntawm 4.5 thiab 9.9 mIU/L, nws hu ua Qib 1 , thiab yog tias TSH theem yog 10 mIU/L lossis siab dua, nws hu ua Qib 2 .

Qhov no puas yuav tsum tau kho?

Nws yeej nyob ntawm ob peb yam tseem ceeb. Koj tus kws kho mob yuav txiav txim siab raws li tej yam xws li koj qib TSH, koj cov tsos mob, thiab koj txoj kev noj qab haus huv tag nrho.

Ntawm ib sab tes, kev kho mob tuaj yeem tiv thaiv qee tus neeg kom tsis txhob loj hlob mus ua tus mob hypothyroidism tiag tiag. Ntawm qhov tod tes, kev kho mob tuaj yeem ua rau qee tus neeg, tshwj xeeb tshaj yog cov neeg hnub nyoog tshaj 65 xyoo, muaj feem yuav mob thyrotoxicosis , uas yog kev nce ntxiv ntawm cov tshuaj hormones thyroid hauv lub cev. Ntxiv mus, ntau tus neeg uas muaj tus mob subclinical hypothyroidism tsis muaj tsos mob thiab tsis xav tau kev kho mob.

Yog li ntawd, cov kws kho mob pom zoo kom ntau tus neeg tos thiab saib seb puas muaj teeb meem. Lawv tsis ntshai thiab pib kho.

Txawm li cas los xij, cov kws kho mob yuav pom zoo kom kho mob rau cov xwm txheej hauv qab no:

• Cov neeg uas muaj TSH theem ntawm 10 mIU/L lossis siab dua.
• Yog cov hluas thiab cov neeg hnub nyoog nruab nrab muaj cov tsos mob.
• Yog tias cov neeg hluas thiab cov neeg hnub nyoog nruab nrab muaj lwm yam kev pheej hmoo.

Yog li ntawd, kev kho mob rau qhov no yog dab tsi?

Yog koj tus kws kho mob txiav txim siab tias koj yuav tsum kho tus mob subclinical hypothyroidism, nws yuav sau ntawv rau koj noj tshuaj thyroid hormone hu ua levothyroxine . Qhov no yog tshuaj uas koj noj los ntawm qhov ncauj.

Txawm li cas los xij, ua ntej pib siv tshuaj levothyroxine no, koj tus kws kho mob yuav xav kuaj ntshav dua kom paub koj cov TSH hauv peb lub hlis tom qab thawj qhov tshwm sim ntawm TSH tsis zoo. Qhov no yog vim tias feem ntau cov neeg cov TSH rov qab mus rau qhov qub hauv lawv tus kheej hauv peb lub hlis yam tsis tas yuav kho mob.

Thaum koj noj tshuaj, koj tus kws kho mob kuj tseem yuav pom zoo kom kuaj ntshav tas li kom paub seb koj cov thyroid muaj pes tsawg, vim tias kev noj levothyroxine ntau dhau tuaj yeem ua rau hyperthyroidism, uas yog ib qho mob uas cov thyroid caj pas tsim cov tshuaj hormones thyroid ntau dhau.

Koj ua dab tsi txog qhov no thaum koj tab tom kho mob fertility?

Yog tias cov poj niam uas muaj tus kab mob hypothyroidism subclinical tab tom kho cov kev kho mob fertility xws li IVF (In Vitro Fertilization) lossis ICSI (Intracytoplasmic Sperm Injection) , American Thyroid Association pom zoo kom noj levothyroxine los tswj TSH kom txog 2.5 mIU/L.

Kuv yuav tsum tau mus ntsib kws kho mob dua thaum twg?

Feem ntau, cov kws kho mob ua raws li txoj kev 'tos thiab saib'.

Tab sis yog tias koj pib muaj cov tsos mob ntawm hypothyroidism, xws li qaug zog thiab hnyav nce tsis paub meej, mus ntsib koj tus kws kho mob tam sim ntawd. Nws yuav ua lwm qhov kev kuaj ntshav thyroid kom pom tias koj puas muaj hypothyroidism pom tseeb.

Puas muaj ib txoj kev los tiv thaiv qhov no kom tsis txhob tshwm sim?

Yog hais qhov tseeb, feem ntau, tsis muaj dab tsi koj ua tau los tiv thaiv qhov mob no kom tsis txhob tshwm sim.

Txawm li cas los xij, yog tias koj tsis tau txais iodine txaus hauv koj cov zaub mov noj, koj tuaj yeem tsim tus mob no. Qhov no yog vim iodine yog qhov tseem ceeb rau cov qog thyroid los ua cov tshuaj hormones thyroid. Txawm hais tias qhov no tau txo qis me ntsis hauv peb lub tebchaws vim tias tam sim no peb siv ntsev iodized, qhov tsis txaus iodine yog qhov ua rau hypothyroidism hauv lwm lub tebchaws ntawm lub ntiaj teb.

Kuv yuav tsum cia siab li cas rau qhov xwm txheej no?

Subclinical hypothyroidism cuam tshuam rau txhua tus neeg sib txawv, thiab feem ntau, nws daws nws tus kheej hauv peb lub hlis yam tsis muaj kev kho mob.

Qhov kev pheej hmoo ntawm tus mob no tsim mus rau hauv qhov tsis pom tseeb hypothyroidism yog ntawm 2% thiab 6% ib xyoos .

Yog li ntawd, nws yog qhov zoo tshaj plaws los tham nrog koj tus kws kho mob txog yam yuav tsum ua tshwj xeeb rau koj tus mob thiab koj yuav tsum tau kuaj ntshav ntau npaum li cas.

Tseem muaj kev sib cav txog seb puas yuav kho qhov subclinical hypothyroidism no, vim tias ntau txoj kev tshawb fawb muaj kev xav tsis sib haum.Vim tias txhua tus neeg qhov teeb meem txawv, nws yog qhov zoo tshaj plaws los tham nrog koj tus kws kho mob txog koj qhov kev txhawj xeeb thiab cov kev xaiv. Lawv zoo siab heev los pab koj.

Yog li ntawd, peb yuav tsum nco ntsoov dab tsi ntawm txhua yam no?

Zoo, cia kuv sau qee cov ntsiab lus tseem ceeb tshaj plaws los ntawm qhov peb tau tham txog:

• Subclinical hypothyroidism yog ib qho mob uas koj cov TSH hormone theem siab me ntsis, tab sis koj cov T4 hormone theem yog ib txwm muaj.
• Feem ntau, tsis muaj tsos mob loj, tab sis qee tus neeg yuav qaug zog thiab hnyav nce.
• Qhov no tsis yog qhov tseeb hypothyroidism, tab sis muaj lub sijhawm me me uas nws yuav tig tawm li ntawd.
• Feem ntau, cov kws kho mob ua raws li txoj kev 'tos thiab saib'. Lawv tsis muab tshuaj rau txhua tus neeg ib zaug.
• Kev kho mob tsuas yog xav txog yog tias TSH theem siab heev, yog tias muaj cov tsos mob, lossis yog tias muaj lwm yam kev pheej hmoo.
• Levothyroxine yog kev kho mob tseem ceeb, tab sis nws kuj yuav tsum tau noj raws li tus kws kho mob qhia.
• Yog koj muaj lus nug lossis tsis paub meej txog qhov no, qhov zoo tshaj plaws yog mus ntsib koj tus kws kho mob hauv tsev neeg thiab nrog nws tham. Tsis txhob txhawj, qhov no yog ib qho mob uas koj tswj tau.

Nco ntsoov, koj yog tus uas yuav tsum paub txog koj txoj kev noj qab haus huv zoo tshaj plaws. Yog li ntawd, tsis txhob ntshai nug cov lus nug thiab nrog koj tus kws kho mob tham!

subclinical hypothyroidism, thyroid, TSH, thyroxine, hypothyroidism, cov tshuaj hormones, cov tsos mob