Kei te ngenge koe i ētahi wā? Kei te ahua rānei kei te heke tō taumaha ahakoa te nui o tāu kai, kei te piki rānei tō taumaha ahakoa he iti noa te kai? Tērā pea kei te riri noa koe, kei te manukanuka hoki. I ētahi wā kei muri i ēnei mea he "rangatira" iti engari he mea nui i roto i tō tātou tinana. Ka karangatia ia e tātou ko te repe tairoi. Nō reira, i tēnei rā ka kōrero tātou mō te TSH, tētahi o ngā homoni matua e whakahaere ana i te mahi a te repe tairoi.
He aha te TSH?
Ahakoa te ahua pūtaiao o te ingoa TSH, he tino māmā noa iho tōna tikanga. Ko te TSH he whakarāpopototanga mō te Thyroid-Stimulating Hormone . I te reo Sinhala, ko tōna tikanga he "thyroid stimulating hormone". He rite tēnei ki tētahi kaiwhakahaere i roto i tētahi tari. Ko tāna mahi he tuku whakahau ki te "kaimahi" e kiia nei ko te repe thyroid kia mahi.
Ka hangaia tēnei homoni TSH i roto i tō tātou tinana e tētahi repe iti, he rite te rahi ki te pī, kei raro i te roro. Ka kiia e tātou ko te repe pituitary. Ko tēnei repe pituitary te kaiwhakahaere matua o ngā homoni maha atu i roto i tō tātou tinana.
Nō reira, i muri i te tukunga o te homoni TSH e te repe pituitary ki roto i te toto, ka haere tika atu ki te repe tairoiti, he repe āhua pūrerehua kei raro i te kiri i mua o tō tātou kaki. I runga i te karere mai i te TSH, ka whakaputa te repe tairoiti i ana ake homoni e rua, arā, te thyroxine (T4) me te triiodothyronine (T3), ki roto i te toto.
Nā te aha rā te hiranga o ēnei homoni T3 me T4 ki a tātou?
Ko ēnei homoni e rua te kaiwhakahaere o te tere o te pākia o te tinana. He māmā noa iho, ko ēnei homoni e rua te whakatau i te tere o te hurihanga o te kai e kainga ana e tātou hei pūngao, ā, ka whakamahia e te tinana taua pūngao. Ehara i te mea koinā anake, engari he maha atu anō ngā mahi tino nui e mahia ana e rāua.
- Ka tiakina pai te mahi a te ngākau me te pūnaha nakunaku .
- Āwhina ki te whakahaere i ō tātou uaua .
- He mea nui mō te whanaketanga o te roro (ina koa mō ngā tamariki nohinohi).
- Āwhina ki te pupuri i te kaha o te wheua .
Whakaarohia, ko ēnei katoa e whakahaerehia ana e te mahi tahi whakamiharo i waenganui i te "Kaiwhakahaere Nui" i roto i te roro (te hypothalamus), te "Kaiwhakahaere" i raro i a ia (te repe pituitary), me te "Kaimahi" (te repe tairoiti).
Me pēhea te whakahaere i tēnei taumata TSH i roto i te tinana?
He rite tēnei ki te whakamahana wera i roto i tō tātou hauhautanga kāinga. He tino aunoa te mahi a tēnei pūnaha, he tino mohio. Ka kiia tēnei he "huringa urupare".
1. Te taahiraa tuatahi: Tuatahi, ka tukuna he homoni e kiia nei ko te TRH (Thyrotropin-releasing hormone) mai i te hypothalamus i roto i te roro. Koinei te tohu tuatahi. He rite ki te "Kaiwhakahaere Nui" e karanga ana ki tana "Kaiwhakahaere" me te kī atu ki a ia kia "tīmata te mahi."
2. Te taahiraa tuarua:I muri i te whiwhinga i tēnei karere TRH, ka tukuna e te repe pituitary (Kaiwhakahaere) te homoni TSH ki roto i te toto.
3. Hipanga Tuatoru: Ka kī atu te homoni TSH ki te repe tairoiti (te kaimahi) kia "mahi, kia hanga T3 me te T4." Nō reira, ka hanga e te repe tairoiti ngā homoni T3 me te T4 ka tukuna ki roto i te toto.
4. Te taahiraa whakamutunga (Urupare): Nā te mea kua eke ngā taumata homoni T3 me te T4 i roto i te toto ki te taumata e hiahiatia ana, ka tukuna he tohu ki te roro, e mea ana, "Āe, kua nui ngā homoni, kati te tuku TSH." Ina whiwhi te repe pituitary i taua karere, ka whakaitihia te tukunga o te TSH. He rite ki te whakaweto o te compressor o te AC ina mātao te rūma.
Pēnei, ina heke te taumata o te T3 me te T4 i roto i te toto, ka piki aunoa te taumata o te TSH. Waihoki, ina piki te taumata o te T3 me te T4, ka heke aunoa te taumata o te TSH. Koia te take ka taea e tātou te kimi ngāwari mēnā kei te mahi tika tō repe tairoi, mēnā rānei kei te mahi nui rawa, mā te whakamātautau toto TSH.
He aha te taumata TSH noa?
Ka rerekē ngā taumata TSH i te pakeketanga. Ka taea hoki te huri i te wā e hapu ana. Ā, nā te mea ka rerekē pea ēnei uara i ia taiwhanga ki ia taiwhanga, he mea nui kia tirohia te "awhe noa" i runga i tō pūrongo. Engari i te nuinga o te wā, ko ngā taumata TSH noa mō te tangata hauora koia ēnei.
| Rōpū tau | Taumata TSH noa (uIU/mL) |
|---|---|
| Ngā pēpi mai i te whānautanga ki te 5 rā te pakeke | 0.7 – 15.2 |
| Ngā pēpi mai i te 6 ki te 90 rā te pakeke | 0.72 – 11.0 |
| Ngā pēpi mai i te 4 ki te 12 marama | 0.73 – 8.35 |
| Tamariki mai i te 1 ki te 6 tau te pakeke | 0.7 – 5.97 |
| Tamariki mai i te 7 ki te 11 tau te pakeke | 0.6 – 4.84 |
| Ngā taiohi mai i te 12 ki te 20 tau te pakeke | 0.51 – 4.3 |
| Ngā pakeke mai i te 21 ki te 99 tau te pakeke | 0.27 – 4.2 |
Ngā taumata TSH i te wā e hapu ana
He mea nui ngā taumata hauora o ngā homoni tairoi i roto i te whaea i te wā e hapu ana mō te whanaketanga hauora o te roro me te tinana o te pēpi. Ka rerekē ngā taumata TSH i tēnei wā.
- Te toru marama tuatahi: 0.18 – 2.99 (uIU/mL)
- Te toru marama tuarua: 0.11 – 3.98 (uIU/mL)
- Te toru o ngā marama: 0.48 – 4.71 (uIU/mL)
Ka aha mēnā ka heke te taumata TSH? (Hyperthyroidism)
Mena he iti iho tō taumata TSH i te mea noa, he tohu tēnei kei te kaha rawa te mahi a tō repe tairoiti. Ka kiia tēnei āhuatanga ko te Hyperthyroidism .
Whakaarohia ko te "kaimahi" (te repe tairoiti) i kōrerotia e tātou i mua ake nei e mahi ana ko ia anake, kāore he mana whakahaere, kāore he whakahau a te kaiwhakahaere, ā, e whakaputa ana i ngā homoni T3 me te T4 nui atu i te mea e tika ana. Kātahi ka piki rawa ngā taumata T3 me te T4 i roto i te toto. I te kitenga i tēnei, ka mutu te tuku TSH a te "Kaiwhakahaere" (te repe pituitary) tata katoa. Me te mea nei kei te whakaaro ia, "Kei te mahi tonu te kaimahi, kāore he take kia hamama ahau." Nō reira, ka heke te taumata TSH. Ka taea e ngā āhuatanga pēnei i te "mate a Graves" me ngā pona tairoiti te take o tēnei.
| Ngā tohu o te iti o te taumata TSH (Hyperthyroidism) | |
|---|---|
| Ngā tere o te manawa | Te rongo i te tere o te pao o te ngakau i roto i te uma, me te mea nei ka rongo koe i tōu ake ngakau e pao ana. |
| Ngā wiri me te kore okiokinga | Te wiri o ngā peka, te manukanuka, me te kore okiokinga. |
| Te ngaronga taumaha mō te kore take | Ka piki ake te hiahia kai, engari ka ngaro te taumaha. |
| Te korere auau (Korere) | Te hiahia pinepine ki te haere ki te wharepaku nā te tere o te nakunaku. |
| Ngā huringa o ngā kanohi | Te āhua nei kei te pūwero ngā kanohi. |
| Ngā huringa kiri | Te angiangi o te kiri, te mahana me te makuku. |
| Te pupuhi o te kaki (Goiter) | Te pupuhi i te taha mua o te kaki nā te nui haere o te repe tairoi. |
| Ngā huringa paheketanga koretake i roto i ngā wāhine | Te rere o te paheketanga kāore i te auau, te heke rānei. |
Ki te pā mai ēnei tohu ki a koe, he mea nui kia toro atu koe ki tō tākuta tonu mō ētahi tohutohu. Ka taea te rongoā me te whakahaere pai i tēnei mate.
Ka aha mēnā ka piki ake ngā taumata TSH? (Hypothyroidism)
Mena he nui ake tō taumata TSH i te mea noa, ko te tikanga kāore tō repe tairoi e mahi pai ana . Ka kiia tēnei āhuatanga ko te Hypothyroidism .
Ko te mea ka tupu i tēnei wā, he tino mangere te "kaimahi" (te repe tairoiti). Kāore e nui ana ngā homoni T3 me te T4 e whakaputa ana. Kātahi ka heke te taumata o te T3 me te T4 i roto i te toto. I te mōhio ki tēnei, ka manukanuka te "Kaiwhakahaere" (te repe pituitary) ka tukuna atu he karere TSH ki te "kaimahi" kia mahi.He rite ki te kōrero ki tētahi tangata mangere hei whakaara i a ia. Ka piki rawa te taumata TSH i roto i te toto. Ko te tino take o tēnei he mate pūnaha ārai mate e kiia nei ko te `(Mate a Hashimoto)`.
| Ngā tohu o te taumata TSH teitei (Hypothyroidism) | |
|---|---|
| Ngenge auau | Te ngenge tonu, ahakoa te roa o te moe. |
| Te ngoikore o ngā peka | Te wiriwiri, te ngau rānei o ngā ringaringa me ngā maihao. |
| Te kōroke | Te kōroke nā te puhoi o te nakunaku. |
| Ka nui haere te rahi, kāore he take | Te pikinga o te taumaha ahakoa kāore he panoni ki te kai e kainga ana. |
| Te pouri | Te pōuri tonu, te pouri, me te kore aro ki tetahi mea. |
| Te kore e taea te tu atu i te makariri | Te tino makariri o te tinana ahakoa i roto i te taiao e noa ana ki ētahi atu. |
| Te hekenga o te hiahia moepuku | Te hekenga o te hiahia me te aro ki ngā mahi moepuku. |
| Te paheketanga taumaha i roto i ngā wāhine | He maha ngā rā e roa ai te paheketanga, ā, he nui te toto e puta ana. |
He maha ngā wā ka puta mārire ēnei tohu. Nō reira, ki te pāngia koe e ēnei tohu, he mea nui kia kōrero koe ki tō tākuta mō ēnei tohu. Ka taea hoki te whakahaere angitu i tēnei āhuatanga mā te rongoā.
Me āwangawanga ahau mēnā he rerekē te pūrongo TSH?
Kāore rawa. Ahakoa kei waho tō pūrongo TSH i te awhe noa, ehara i te mea he mate tōu. Ka tirohia e tō tākuta he maha atu ngā āhuatanga ina arotakehia tēnei pūrongo.
- Tō tau: Ko te hunga neke atu i te 80 tau te pakeke, tera pea he paku teitei ake ngā taumata TSH. Ehara i te mea he tohu mate tonu.
- Te Hapūtanga: E ai ki tā tātou i kōrero ai i mua ake nei, ka rerekē noa ngā taumata TSH i te wā e hapū ana.
- Ētahi atu mate kino: Ka taea e ētahi atu mate kino kāore e pā ana ki te repe tairoi (hei tauira, he mate kino) te whakaheke i ngā taumata TSH mō te wā poto.
- Ētahi atu whakamātautau tairoi: Ka tae te tākuta ki tētahi whakatau whakamutunga mā te whakataurite i ngā hua ki ētahi atu whakamātautau, pērā i te TSH me te Free T4 me ngā paturopi Tairoi.
Nō reira, kaua e mataku ina kite koe i tētahi uara i runga i tō pūrongo TSH. Ko tō tākuta te tangata pai rawa atu hei whakamārama i tōna tikanga me te aha te mahi i muri mai. Kōrero ki a ia mō tēnei mea.
I te nuinga o te wā, ko te taumata TSH rerekē e tohu ana i te panoni o te mahi a te repe tairoiti. Ko te rongo pai ko ēnei āhuatanga e rua (te Hyperthyroidism me te Hypothyroidism) ka taea te whakahaere angitu mā te maimoatanga me te rongoā tika, ā, ka taea e koe te noho hauora, noho noa.
Karere Tangohia ki te Kāinga
- Ko te TSH te homoni matua e whakahaere ana i te mahi a te repe tairoiti. Ka whakaputaina e te repe pituitary i roto i te roro.
- Ko te taumata TSH teitei te tikanga he ngoikore te mahi a te repe tairoiti (hypothyroidism) .
- Ko te taumata TSH iti te tikanga he nui rawa te mahi a te repe tairoiti (hyperthyroidism) .
- Mena kei a koe ngā tohu pēnei i te ngenge pinepine, te hekenga, te pikinga rānei o te taumaha, me te kore okiokinga, he mea nui kia whakamātauria he whakamātautau toto TSH.
- Kaua e mataku, kaua hoki e whakatau i a koe anō i muri i te kitenga i te uara i runga i te pūrongo toto. Me kōrero tonu ki tō tākuta mō tēnei mea.
- Ka taea te whakahaere pai i ngā āhuatanga e pā ana ki te tairoi mā te maimoatanga tika.
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