I tan lɛk se yu tayroyd de wok pasmak smɔl? Lɛ wi tɔk bɔt Subclinical Hyperthyroidism!

Yu dɔktɔ se yu TSH lɛvɛl smɔl smɔl pan wan blɔd tɛst we dɛn jɔs du? Ɔ yu de gɛt sɔm strenj tin dɛn we nɔ izi fɔ ɔndastand? Yu kin gɛt wan sik we dɛn kɔl Subclinical Hyperthyroidism. Nɔ wɔri, bɔku tɛm i nɔ kin siriɔs. Lɛ wi tɔk bɔt dis simpul wan ɛn klia wan.

Wetin na Sabklinik Haypatayroydism?

Fɔ tɔk am simpul wan, `Subclinical Hyperthyroidism` na wan sik we yu tayroyd gland de wok smɔl pas aw i nɔmal. Bɔt i nɔ kin tranga lɛk `ɔvayt haypatayrɔydism` .

di pituitary gland na wi bren de mek wan כmon we dεn kכl `TSH` (Thyroid-Stimulating Hormone). dis `TSH` de tεl di tayroyd gland na wi nεk fכ mek tu כmon dεm we dεn kכl tayroksin (`T4` - `tayroksin`) εn triayodotayronin (`T3` - `triiodothyronine`). dis `T3` ​​εn `T4` כmon dεm na dεn de εp wi bכdi in mεtabolism, dat na fכ kכnvכlt di it we wi de it to enεji εn yuz am fכ wi bכdi.

insay `Subclinical Hyperthyroidism`, yu bכdi `TSH` lεvεl de lכw, bכt yu `T3` ​​εn `T4` lεvεl na nכmal. dat min se di tayroyd de ova aktif sכmtεm, so di pituitary gland se, "Okay, a nכ nid `TSH` rayt naw, mi tayroyd de wok fayn," εn i de ridyus di prodakshכn fכ `TSH`. bכt di tayroyd כmon dεm (`T3`, `T4`) nכ de yet sכmtεm εlevεt. Na dat `sabklinik` min - wan ɔndalayn kɔndishɔn we nɔ de sho klia simptom.

Dis sik kin bi sɔmtɛm fɔ sɔm tɛm , we min se i kin bɛtɛ fɔ insɛf insay sɔm dez. Bɔt fɔ sɔm pipul dɛn, i kin bi sote go. Nɔto ɔlman nid tritmɛnt.

Udat kin gɛt dis sik pas ɔlman?

Ɛnibɔdi kin gɛt `Subclinical Hyperthyroidism`, bɔt dɛn pipul ya kin gɛt smɔl smɔl risk:

• Pipul dɛm wae de tek tayroyd ɔmon riplesmɛnt tɛrapi (fɔ ɛgzampul, lɛvotayroksin) fɔ haypotayroyd. Sɔntɛnde dis kin apin if dɛn inkrisayz di doz fɔ di mɛrɛsin smɔl.
• Fɔ di wan dɛn we dɔn pas 65 ia.

Aw dis sik kin kɔmɔn?

Dis nɔto tin we rili kɔmɔn na kɔntri dɛn lɛk Amɛrika.

כlmost 0.7% pan di pipul dεm gεt `Subclinical Hyperthyroidism`, usay di TSH lεvεl dεm lεs dan 0.1 mIU/L. כda 1.8% gεt `TSH` lεvεl dεm we less dan 0.4 mIU/L.

Bɔt na kɔntri dɛn we nɔ gɛt ayodin , mɔ pan pipul dɛn we dɔn pas 70 ia, dis sik kin rich 15%. Insay Sri Lanka, wi kin yuz sɔl we gɛt ayod , so dis risk nɔ kin bɔku, bɔt i fayn fɔ mek wi no.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

Bɔrku tɛm, pipul dɛm wae gɛt `Subclinical Hyperthyroidism` nɔr kin sho ɛni sayn . Na dat mek dɛn kɔl am "subclinical".

Bɔt sɔntɛnde, yu kin gɛt sɔm kayn smɔl smɔl sayn dɛn we gɛt fɔ du wit aypa tayroyd. Dɛn kayn tɛm dɛn de, yu kin gɛt tin dɛn lɛk:

• Fɔ fil lɛk se yu at de bit fast (palpitations).
• I tan lɛk se mi bɔdi de shek, jɔs de fil se a de fred.
• We yu de lɔs yu wet (pan ɔl we yu want fɔ it).
• I de mek pɔsin want fɔ it mɔ ɛn mɔ.
• Dayarɛa ɔ fɔ muv yu bɔdi ɔltɛm.
• Di skin kin fil tin, wam, ɛn wet.
• chenj dεm na uman dεn mεnstrual saykl (`Mεnstrual chenj dεm`).

Impɔtant: Fɔ gɛt dɛn sik ya nɔ min se yu gɛt `Subclinical Hyperthyroidism`. Bɔt if dɛn sayn dɛn ya kɔntinyu fɔ de, i go fayn fɔ mek yu go to dɔktɔ.

Wetin mek dis de apin? Wetin na di rizin dɛn?

nכmal wan, wi εndokrin sistεm de wok lεk wan tim. Tink bɔt am lɛk big kɔmni.

di haypothalamus we de na di bכs pat na di bren de pul wan כmon we dεn kכl TRH (Thyroid-Releasing Hormone). dis de tεl di pituitary gland fכ prodyuz TSH.

afta dat `TSH` de go εn tεl di tayroyd gland fכ mek `T3` ​​(bכt 20%) εn `T4` (bכt 80%). we dεn `T3` ​​εn `T4` dεm ya inkrεs na di bכdi, i de sεnd signal bak to di pituitary gland we se, "Okay, stכp fכ mek `TSH` naw, inof כmon de." Dɛn kɔl dis di ` fidbak lɔp` . we `T3` ​​εn `T4` dכn dכn, dis saykl de stat bak frכm di biginin.

כltu, insay `Subclinical Hyperthyroidism`, bikoz fכ sכm prכblεm na di tayroyd gland, pan כl we di `TSH` lεvεl lכw, di prodakshכn fכ di tayroyd כmon dεm nכ de dכn lεk aw dεn bin de εkspεkt. na dat mek `TSH` de lכw, bכt `T3` ​​εn `T4` de na nכmal lεvεl.

di tin dεm we de mek yu gεt ``Subclinical Hyperthyroidism`` na di sem tin wit dεn wan dεm we de mek yu gεt כvεt haypatayroydism. Na sɔm pan di men tin dɛn we kin mek i apin:

• Fɔ inkrisayz di doz fɔ ɔmon tɛrapi (lɛvotayroksin) we dɛn kin gi fɔ haypotayroydism (underactive thyroid). Dis na di tin we kin mek pɔsin gɛt dis sik.
• Multinodular toxic goiter we gɛt bɔku bɔku pɔyzin. dis na kכndyushכn we nכn kansa lכmp dεm (nodul dεm) de divεlכp na di tayroyd gland, we de mek i prodyuz tu mכch tayroyd כmon.
• Grevs in sik. Dis na ɔtoimyun kɔndishɔn. Dis min se di imyun sistεm na wi bכdi de atak di tayroyd gland, we de mek i prodyuz mכr כmon dεm.
• Tayroyd: We di tayroyd gland inflam, di ɔmon lɛvɛl kin go ɔp fɔ sɔm tɛm.

Aw yu no dis?

Tayroyd fכnshכn tεst na di כnli we fכ no fכ sכri if yu gεt `Subclinical Hyperthyroidism` כ nכ.(Na di tεst dεm we di tayroyd de wok nכmכ. Dis na tεst dεm we dεn kin du ɔltɛm na di blɔd.

di nכmal rεnj fכ TSH (dεn kכl am bak thyrotropin) lεvεl insay big man we nכ gεt bεlε de bitwin 0.4 εn 4.5 mili-intanashכnal yunit pan wan lita (mIU/L).

If yu blɔd tɛst sho se yu TSH lɛvɛl smɔl (bitwin 0.1 ɛn 0.4 mIU/L ɔ smɔl pas 0.1 mIU/L), bɔt yu T4 (tayroksin) ɛn T3 (triiodotayronin) lɛvɛl de insay di nɔmal rɛnj, yu gɛt Sabklinik Haypatayrɔydism.

`Sabclinical Hyperthyroidism` kin sheb to tu men kategori:

• Mild: di TSH lεvεl dεm lכw, bכt i stil detekt - כltεm bitwin 0.1 εn 0.4 mIU/L. dis lεvεl de pan 65% to 75% pan pipul dεm we gεt Sabklinikal Haypatayroydism.
• Sivεr: di TSH lεvεl dεm less dan 0.1 mIU/L. Dis kin afɛkt bitwin 25% ɛn 35% pan pipul dɛm.

Dis nid fɔ gɛt tritmɛnt?

Na tru tru difrɛn opinion de bitwin dɔktɔ dɛm bɔt if fɔ trit `Subclinical Hyperthyroidism` ɔ nɔ fɔ trit, bikɔs stil nɔr gɛt inof risach bɔt di klia bɛnifit dɛm fɔ tritmɛnt.

Bɔku tɛm, dɔktɔ dɛn kin se fɔ "wet ɛn si" fɔ pipul dɛn we gɛt sabklinik haypatayrɔydism. Dat min se dɛn kin wet fɔ mek di sik bɛtɛ fɔ insɛf ɛn dɛn nɔ kin bigin fɔ trit am.

כltu, dεn kin rεkomεnd tritmεnt fכ dεn wan dεm we dεn TSH lεvεl de kכnstant dכn 0.1 mIU/L, spεshal wan pan dεn kes dεm ya:

• If yu ol 65 ia ɔ pas dat.
• If yu nɔ rich 65 ia yet, yu gɛt at sik, ɔstioporosis, ɔ yu gɛt sayn dɛn we de sho se yu gɛt aypa tayroyd.
• If yu na uman we dɔn pas 65 ia, ɛn yu nɔ de tek ɛstrojen ɔ bisfɔsfɔnat (wan kayn mɛrɛsin we dɛn kin yuz fɔ mɛn bon prɔblɛm).

Sabklinik haypa tayroyd we uman gɛt bɛlɛ nɔ kin nid tritmɛnt.

If dɛn gi dɛn tritmɛnt, wetin na am?

If yu dɔktɔ disayd se i nid fɔ gɛt tritmɛnt, di tritmɛnt go dipen pan di tin we de mek yu gɛt di sabklinik haypa tayroyd.

• If yu gɛt pɔyzin multinodular goiter (wan lump na yu nɛk) ɔ wan nodul na yu tayroyd, di tritmɛnt we dɛn kin yuz mɔ na redioaktiv ayodin . Dis na mɛrɛsin we yu de tek wit yu mɔt. Di sɛl dɛn we de wok pasmak na yu tayroyd de tek di ayodin. Di redioaktiv ayodin kin pwɛl dɛn sɛl dɛn de, ɛn dis kin mek di tayroyd smɔl ɛn yu ɔmon lɛvɛl kin go dɔŋ fɔ sɔm wiks.
• If yu gɛt Grev sik, di tritmɛnt dɛn we dɛn kin yuz mɔ na di mɛrɛsin dɛn we de mek yu nɔ gɛt tayroyd ɛn redioaktiv ayodin. di antitayroyd dεm lεk mεthimazole (Tapazole) εn propylthiouracil (PTU) de wok bay we dεn de blכk di tayroyd gland in ebul fכ mek כmon dεm.

Yu tink se dɛn go ebul fɔ mek dis nɔ apin?

Bɔrku tɛm, natin nɔr de we wi kin du fɔ mek di sik nɔ kam pan `Subclinical Hyperthyroidism` ɔ ɔvat `Hyperthyroidism`.

Bɔt if yu nɔ gɛt inof ayodin na yu it (ɔ tumɔs) , yu kin gɛt `Subclinical` ɔ `Overt Hyperthyroidism` bikɔs ɔf `toxic goiter`. Pan ɔl we dis nɔ kin apin na kɔntri dɛn lɛk Sri Lanka bikɔs wi kin yuz sɔl we gɛt ayodin, yu kin si dis sik na kɔntri dɛn usay ayodin nɔ kin bɔku.

Wetin wi go ɛkspɛkt wit dis kɔndishɔn? Ɛni risk dɛn de we kin apin?

Sabklinik haypa tayroyd nɔ kin go bifo to ɔvɛt haypa tayroyd. כltu, dis risk de hכy sכmtεm pan pipul dεm we gεt rili lכw TSH lεvεl (lεs dan 0.1 mIU/L).

Bikɔs bɔku tin dɛn de we kin mek i apin, ɔlman in `Subclinical Hyperthyroidism` difrɛn.

Ivin if i nɔ go bifo to `Overt Hyperthyroidism`, `Subclinical Hyperthyroidism` kin mek sɔm kɔmplikeshɔn. Sɔm pan dɛn na:

• Atrial fibrillation ( wan at bit we nɔ de bit ɔltɛm).
• Hat fεil (risk fכ divεlכp hat fεil ).
• Koronari at sik (koronari at sik ).
• Bɔn dɛn kin lɔs ɛn brok brok.
• Dimɛnshɔn ( na wan sik wae de mek pɔrsin nɔr de mɛmba fayn fayn wan wae kin apun wae pɔrsin de ol).

Dɛn risk ya kin bɔku mɔ fɔ pipul dɛn we dɔn pas 65 ia ɛn di wan dɛn we gɛt siriɔs sabklinik haypa tayroyd.

If yu de wɔri bɔt dɛn prɔblɛm ya, i go fayn fɔ mek yu tɔk to yu dɔktɔ bɔt dis.

Ustɛm a fɔ go to dɔktɔ?

Bɔrku tɛm, if yu tɛst sho se yu gɛt ``Subclinical Hyperthyroidism,'' dɔktɔ dɛn go tek di "wet ɛn si" we.

Bɔt if yu bigin fɔ gɛt sayn dɛn we de sho se yu gɛt aypa tayroyd (yu de wɔri, yu nɔ de rɛst, yu at de blo), mek shɔ se yu go to yu dɔktɔ. Dɔn i go du ɔda tayroyd blɔd tɛst fɔ si if yu gɛt `Overt Hyperthyroidism`.

Mɛmba se, bɔku difrɛn opinion dɛn stil de fɔ no if fɔ trit `Subclinical Hyperthyroidism` ɔ nɔ fɔ trit am. Ɔlman, ɛvri sityueshɔn difrɛn. So, di bɛst tin fɔ du na fɔ tɔk to yu dɔktɔ bɔt ɔl yu kwɛstyɔn ɛn tin dɛn we yu de fred. I rɛdi ɛn rɛdi fɔ ɛp yu.

Mɛsej we dɛn kin kɛr go na os

Okay, so na sɔm tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• ``Sabclinical Hyperthyroidism`` na wan kכndyushכn we di tayroyd gland de כnli sכmtεm כva aktv, bכt i nכ de sho big big simptom dεm.
• Dɛn kin no dis bay we dɛn du blɔd tɛst we sho se di TSH lɛvɛl smɔl (bɔt nɔmal T3 ɛn T4).
• Bikɔs bɔku tɛm, no sayn nɔ kin de, i nɔ kin nid fɔ gɛt tritmɛnt. Yu dɔktɔ kin tek "wet ɛn si" we.
• Sɔm pipul dɛn, mɔ di wan dɛn we dɔn ol ɔ di wan dɛn we gɛt ɔda wɛlbɔdi prɔblɛm, kin nid tritmɛnt.
• If yu gɛt sɔm sayn dɛn we de sho se yu gɛt ay tayroyd (lɛk we yu at de bit, yu de shek, yu de lɔs yu wet), go to dɔktɔ wantɛm wantɛm.
• Di tin we impɔtant pas ɔl na fɔ nɔ panik, tɔk opin wan bɔt dis wit yu dɔktɔ, ɛn fala in advays.

A op se yu si dis infɔmeshɔn yusful. Stay wit wɛlbɔdi!

` Sabklinik Haypatayroydism, tayroyd, TSH, T3, T4, ɔmon, Graves in sik, goita