I thyroid hi a out of whack deuh em? Subclinical Hypothyroidism chungchang hi han sawi ila!

A châng chuan i chau mai mai em? A nih loh leh i ei leh in lama inthlak danglamna lian tham nei lovin i thau chho zel angin i inhria em? Hei hi a chhan chu i thyroid gland-a thil tha lo te tak te vang pawh a ni mai thei. Vawiin hian chutiang dinhmun pakhat, ‘Subclinical Hypothyroidism’ tih chu kan sawi dawn a ni.

Okay, tunah chuan subclinical hypothyroidism chu eng nge ni tih i ngaihtuah ta. A awlsam zawngin, i thisena thyroid-stimulating hormone, a nih loh leh TSH (Thyroid-Stimulating Hormone) level a san deuh chuan a ni. Mahse, thyroid hormone pawimawh dang, thyroxine (T4) i level chu a normal a ni.

‘Subclinical’ tih thumal hian hei hi natna lan chhuahna engmah a lantir lo tihna a ni a, a nih loh leh a lan chhuah dan a na lutuk lo tihna a ni . Hei hian hypothyroidism i nei tak tak lo tihna a ni a, chu chu thyroid gland underactive a ni. Mahse, chutiang dinhmunah chuan a lo thanglian thei tihna a ni.

Hetiang dinhmun hi a chang chuan hun eng emaw chen atan a ni thei a, chu chu ni engemaw zat chhungin a mah chauhin a dam thei tihna a ni. Mahse mi thenkhat tan chuan rei tak a daih thei. Enkawl a ngai thei a, a ngai lo thei bawk.

Chuti a nih chuan hei hi eng symptoms nge ni thei ang?

A tam zawkah chuan he subclinical hypothyroidism dinhmun hian symptom bik a nei lo. Chu chu a danglam bikna chu a ni. Mahse, mi thenkhat chuan symptom tenau thenkhat an nei thei. Chûngte chu i hriat lar angin a ri em tih en rawh:

• Chau leh chau lutuk tih hriat reng reng. Taksaah nunna awm lo ang maiin.
• Chhan awm lovin taksa rihna a pung a, i ei leh inah danglamna awm lo pawhin.
• Ek khal.
• Rilru lam dinhmun, depression ang chi. Lungngaihna rilru put hmang.
• Ngaihtuahna tlakchham, hnathawhna lama ngaihtuahna fim tak neih theih lohna.
• Khua a tuar thei lo. Midang aiin a lum zawk tih hriat.
• Vun leh sam hring, hrual.
• Diastolic Hypertension, chu chu thisen sang chhiar zat hnuai lam chauh a sang tihna a ni.
• Hmeichhia tan chuan thlasik laia thisen chhuak tam leh nasa lutuk.

Engvangin nge hetiang hi a lo awm? Eng nge a chhan?

Subclinical hypothyroidism hi i thyroid gland-a harsatna awm vang a ni tlangpui. Entirnan, Hashimoto’s thyroiditis ang chi autoimmune disease hian thyroid gland a ti na thei a ni.

Tunah chuan heng hormone te hian kan taksaah engtin nge hna an thawh tih hi han thlir ila. Kan endocrine system hi hormone leh gland hrang hrang atanga siam a ni a, chungte chuan kan thisena TSH (Thyroid-Stimulating Hormone) level control turin an thawk ho a ni. He TSH hormone hian thyroid gland cell te chu a tichak a, thisenah hormone thyroxine (Thyroxine emaw T4) leh triiodothyronine (Triiodothyronine emaw T3) te chu a chhuah tir thin. Heng T4 leh T3 hormone te hi thisenah a san chuan kan thluaka pituitary gland hnenah ‘TSH tam zawk siam tawh loh’ turin signal a thawn thin. Hei hi automatic control system ang a ni.

Mahse, subclinical hypothyroidism-ah chuan TSH level sang mahse, thyroid gland atanga hormone chhuah zat hi a tlangpui angin a pung lo. Chuvang chuan TSH level a sang a, T4 level a normal bawk.

He natna hi tuin nge vei tam zawk? (Risk factor hrang hrang) 1.1.

Mi thenkhat chuan he natna hi subclinical hypothyroidism an tih hi an nei tam zawk. Tute nge an nih hi han thlir ila:

• Hmeichhia kum 60 chunglam.
• Nangmah emaw, i chhungte zinga tu emaw hian thyroid natna i neih chuan.
• Thyroid antibodies hi a positive a ni. Chumi awmzia chu thisenah hian thyroid dodaltu thil a awm tihna a ni.
• Damdawi Amiodarone emaw Lithium emaw i hman tawh emaw i hmang mek emaw a nih chuan.
• Iodine tlakchham (Hei hi tunah chuan kan ramah hian a tlem deuh tawh a, a chhan chu iodized salt kan hman vang a ni).
• Lu emaw i kawng emaw hmuna radiation exposure i neih tawh chuan.
• Thau lutuk.
• Type 1 diabetes vei tan chuan.
• Graves natna ang chi, antithyroid damdawi emaw ablation emaw ang chi natna i lo enkawl tawh a nih chuan.

Hei hian eng harsatna nge a thlen theih?

Thil langsar ber chu he subclinical hypothyroidism dinhmun hi a tawpah chuan full-blown hypothyroidism-ah a chang thei tih hi a ni. Chu chu thyroid gland hnathawh a tlahniam nasa hle a, symptoms a lang tan tihna a ni.

Tin, zirchianna thenkhatah chuan he natna hian rilru lam natna vei theihna a tipung deuh niin an sawi bawk. Entirnan, thisen sang leh cholesterol sang ang chi thil te. Mahse he inzawmna hi a la chiang tawk lo. Chuvangin ngaihtuah buai tur a awm lo, mahse fimkhur a tha.

Hei hian naupai a nghawng em?

United States-ah chuan naupai 5 zinga 1 aia tlem lo chu he natna, subclinical hypothyroidism hian an vei a ni.

He natna hian naupai laiin harsatna a thlen em tih chungchangah hian evidence chu a inthlau deuh hlek a ni. Zirna hlui thenkhatah chuan naupai laiin he natna hi a awm a nih chuan a hnuaia thilte hi a thleng thei tih hmuhchhuah a ni.

• Naupai laia thisen sang leh naupai laia zunthlum vei.
• Hun hmaa nau neih.
• Nau pai chhuah.

Mahse, hei hi a pawimawh hle: heng thil hmuhchhuah te hi tun hnaia zirchianna tam zawkin an la nemnghet lo.

Chuvangin, doctor-te chuan naupai laiin he natna hi i neih theihna tur risk factor i neih chuan chauh an test tlangpui.

Engtin nge doctor-te hian hei hi an hriat chian? (Diagnosis) tih a ni.

Doctor-te chuan he subclinical hypothyroidism dinhmun hi thyroid thisen test hmang chauhvin an hre thei a ni.

I thisen test result-ah TSH (Thyroid-Stimulating Hormone) level sang (a tlangpuiin litre khatah milli-international unit 5 leh 10 inkar (5 to 10 mIU/L) ) a awm a, i thyroxine (T4) level chu a normal range-ah a awm a nih chuan subclinical hypothyroidism i nei tihna a ni.

A châng chuan doctor-te chuan hei hi an classify lehzual ṭhin. TSH level 4.5 leh 9.9 mIU/L inkar a nih chuan Grade 1 an ti a, TSH level 10 mIU/L aia sang a nih chuan Grade 2 an ti bawk.

Hei hi enkawl a ngai em?

Thil tlemteah a innghat tak zet a ni. I doctor chuan i TSH level, i symptoms, leh i hriselna zawng zawng ang chi thilte a zirin a rel ang.

Khawthlang lamah chuan enkawlna hian mi thenkhat chu hypothyroidism dik takah an lo chang thei lo. Kawng lehlamah chuan enkawlna hian mi thenkhat, a bik takin kum 65 chunglamte chu taksaa thyroid hormone tihpunna thyrotoxicosis an tih natna a thlen thei a ni . Chubakah, subclinical hypothyroidism vei tam tak chuan symptom an nei lo va, enkawl an ngai lo bawk.

Chuvangin doctor-te chuan mi tam tak tan ‘wait and see approach’ tih hi an rawt a ni. An hlauthawng lo va, enkawlna an tan ta a ni.

Mahse, doctor-te chuan a hnuaia mite hi enkawl an rawt thei a ni.

• TSH level 10 mIU/L aia sang nei te.
• Kum naupang leh kum chanve velin symptom an neih chuan.
• Kum naupang leh kum chanve vel te hian risk factor dang an neih chuan.

Chuti a nih chuan, hei hi eng enkawlna nge ni?

I doctor chuan subclinical hypothyroidism enkawl a ngai tih a rel chuan, thyroid hormone pill levothyroxine tih chu a pe ang che. Hei hi damdawi i ei thin a ni.

Mahse, he levothyroxine enkawlna hi i tan hmain i doctor chuan TSH test result pangngai lo hmasa ber result atanga thla thum chhungin i TSH level enfiah turin thisen test dang tih leh a duh mai thei. Hei hi a chhan chu mi tam zawkte TSH level chu thla thum chhungin engmah enkawl ngai lovin anmahni chauhin a normal leh thin.

Damdawi i ei lai hian i doctor chuan i thyroid level enfiah nan thisen test mumal neih a rawt bawk ang a , levothyroxine ei tam lutuk hian hyperthyroidism a thlen thei a, hei hi thyroid gland-in thyroid hormone a siam tam lutuk vang a ni.

Fertility treatment i neih hian he thil hi engtin nge i tih thin?

Subclinical hypothyroidism nei hmeichhiate chu fertility treatment IVF (In Vitro Fertilization) emaw ICSI (Intracytoplasmic Sperm Injection) emaw hmanga enkawl an nih chuan American Thyroid Association chuan TSH level 2.5 mIU/L thlenga control turin levothyroxine ei a rawt a ni.

Engtikah nge doctor ka hmuh leh a ngaih?

A tam zawkah chuan Doctor-te chuan ‘nghah leh en’ tih dan an zawm thin.

Mahse , hypothyroidism symptoms, hahna leh sawifiah theih loha i taksa rihna tihpun ang chi i neih tan chuan doctor pan nghal rawh. Thyroid thisen test dang a nei leh ang a, overt hypothyroidism i nei em tih a enfiah ang.

Hetiang thil thleng tur ven dan tur a awm em?

Dik tak chuan, a tam zawkah chuan he natna hi a lo awm loh nan engmah tih theih a awm lo.

Mahse, i ei leh inah iodine i hmuh tlem chuan he natna hi i nei thei a ni. Hei hi a chhan chu thyroid hormone siam nan iodine hi thyroid gland tan a pawimawh em em a ni. Tunah hian iodized salt kan hman avangin kan ramah hian tlem a tlahniam tawh a, mahse khawvel ram dangah chuan iodine tlakchhamna hi hypothyroidism thlentu ber a ni.

Hetiang dinhmun hi eng nge ka beisei ang?

Subclinical hypothyroidism hian mi tin a nghawng dan a inang lo va, a tam zawkah chuan thla thum chhungin enkawl ngai lovin a mah chauhin a reh ta a ni.

Hetiang dinhmun hi overt hypothyroidism-a a lo chan theihna chu kum khatah 2% leh 6% inkar a ni .

Chuvang chuan, i dinhmun atana a bik taka tih tur leh thisen test vawi engzat nge neih tur tih te chu doctor nen inbiakna neih a tha ber.

He subclinical hypothyroidism hi enkawl leh enkawl loh chungchangah hian inhnialna a la awm reng a, zirchianna hrang hrangah ngaihdan inthlau tak tak a awm a ni.Mi zawng zawng dinhmun a inang lo vek avangin i doctor nen i ngaihtuahna leh duhthlan tur te sawipui a tha ber. An tanpui che hi an lawm zawk hle.

Chuti a nih chuan, heng zawng zawng atang hian eng thil nge kan hriat reng tur?

Okay, kan sawi tawh atang hian thil pawimawh tak tak thenkhat ka rawn tarlang ang:

• Subclinical hypothyroidism hi i TSH hormone level a sang deuh a, mahse i T4 hormone level a normal a ni.
• A tam zawkah chuan symptom lian tham a awm lo a, mahse mi thenkhat chuan hahna leh thau lutuk an nei thei.
• Hei hi hypothyroidism dik tak a ni lo a, mahse chutiang a nih theihna chance tlemte a awm.
• A tam zawkah chuan Doctor-te chuan ‘nghah leh en’ tih dan an zawm thin. Vawi khatah damdawi an pe vek lo.
• TSH level a san lutuk emaw, symptoms a awm emaw, risk factor dang a awm emaw chauhvin enkawl dan tur ngaihtuah a ni.
• Levothyroxine hi a enkawlna ber a ni a, mahse doctor-in a tih ang chiah chiah a ei tur a ni bawk.
• Hemi chungchangah hian rinhlelhna emaw zawhna emaw i neih chuan a tha ber chu i chhungkaw doctor hmu a, i biak hi a ni. Ngaihtuah buai suh, hei hi manageable condition a ni.

I hriselna ngaihtuah ber tur chu nangmah i ni tih hre reng ang che. Chuvangin zawhna zawh leh doctor nena inbiakna neih hi hlau ngai suh!

` subclinical hypothyroidism, thyroid, TSH, thyroxine, hypothyroidism, hormone, a lan chhuah dan te