Kei te ahua kaha rawa te mahi a tō tairoi? Me kōrero tātou mō te Hyperthyroidism Subclinical!

I kī mai tō tākuta he iti iho tō taumata TSH i roto i tētahi whakamātautau toto tata nei? He tohu rerekē, he uaua ki te mārama rānei kei a koe? Tērā pea he mate kei a koe e kīia ana ko te Subclinical Hyperthyroidism. Kaua e manukanuka, ehara i te mea kino. Me kōrero tātou mō tēnei mea, kia māmā noa iho, kia mārama hoki.

He aha te Hyperthyroidism Subclinical?

Ki te kī māmā noa, ko te 'Subclinical Hyperthyroidism' he āhuatanga e mahi nui ake ana tō repe tairoiti i te mea noa. Engari kāore i te tino kino pērā i te 'open hyperthyroidism' .

Ka whakaputahia e te repe pituitary i roto i tō tātou roro he homoni e kiia nei ko te `TSH` (Hōmona Whakaoho Thyroid). Ka tohutohu tēnei `TSH` i te repe thyroid i roto i tō tātou kaki kia hanga i ngā homoni e rua e kiia nei ko te thyroxine (`T4` - `thyroxine`) me te triiodothyronine (`T3` - `triiodothyronine`). Ko ēnei homoni `T3` ​​me te `T4` ngā mea e āwhina ana i te pākia o te tinana, arā, ka huri i te kai e kainga ana e tātou hei pūngao, ā, ka whakamahia e te tinana.

I roto i te `Subclinical Hyperthyroidism`, he iti te taumata `TSH` o tō toto, engari he noa ō taumata `T3` ​​me `T4`. Ko te tikanga he nui rawa te mahi a te tairoi, nō reira ka mea te repe pituitary, "Āe, kāore au e hiahia ki te `TSH` i tēnei wā, kei te pai te mahi a taku tairoi," ā, ka whakaitihia te hanga `TSH`. Engari kāore anō kia tino piki ake ngā homoni tairoi (`T3`, `T4`). Koinei te tikanga o te `subclinical` - he mate taketake kāore e whakaatu i ngā tohu mārama.

He wā poto noa iho tēnei mate, arā, ka taea te ora ake i roto i ētahi rā. Heoi, mō ētahi tāngata ka taea te noho pumau. Kāore e hiahiatia he maimoatanga mō te katoa.

Ko wai te mea tino tūpono ka pāngia e tēnei mate?

Ka taea e te tangata katoa te pāngia e te 'Subclinical Hyperthyroidism', engari he nui ake te mōrearea o ēnei tāngata e whai ake nei:

• Ko te hunga e tango ana i te rongoā whakakapinga homoni tairoi (hei tauira, te levothyroxine) mō te hypothyroidism. I ētahi wā ka tupu tēnei mena ka paku whakanuia te horopeta o te rongoā.
• Mō te hunga neke atu i te 65 tau te pakeke.

He pēhea te noa o tēnei āhuatanga?

Ehara tēnei i te āhuatanga tino noa i ngā whenua pēnei i Amerika.

Tata ki te 0.7% o te taupori he `Subclinical Hyperthyroidism`, arā, he iti iho ngā taumata TSH i te 0.1 mIU/L. Ko tētahi atu 1.8% he iti iho ngā taumata `TSH` i te 0.4 mIU/L.

Heoi, i ngā whenua e ngoikore ana te iodine , inā koa i roto i te hunga neke atu i te 70 tau te pakeke, ka eke tēnei mate ki te 15%. I Sri Lanka, he iti tēnei mōrearea nā te mea he tote iodine tā mātou e whakamahi ana, engari he mea pai kia tūpato.

He aha ngā tohu?

I te nuinga o te wā, kāore he tohu e whakaatuhia ana e te hunga e pāngia ana e te `Subclinical Hyperthyroidism`. Koia i huaina ai ko te "subclinical".

Heoi, i ētahi wā ka pāngia koe e ngā tohu ngawari e pā ana ki te hyperthyroidism. I aua wā, ka pāngia koe e ngā mea pēnei i:

• Te āhua nei kei te tere te pao o tō ngākau (palpitations).
• Me te mea kei te wiriwiri tōku tinana, kei te mataku noa iho.
• Te whakahekenga taumaha (ahakoa te hiahia kai).
• Te pikinga o te hiahia kai.
• Te korere, te nekeneke pinepine rānei o te puku.
• He angiangi te kiri, he mahana, he makuku hoki.
• Ngā panonitanga o te huringa paheketanga o ngā wāhine ('Ngā panonitanga paheketanga').

He mea nui: Ahakoa kei a koe ēnei tohu, ehara i te mea kei a koe te 'Subclinical Hyperthyroidism'. Heoi, ki te mau tonu ēnei tohu, he mea whakaaro nui kia toro atu ki te tākuta.

He aha tēnei e tupu nei? He aha ngā take?

I te nuinga o te wā, ka mahi tahi tā tātou pūnaha endocrine me te mea he tīma. Whakaarohia he kamupene nui.

Kei te pūtake o te roro te hypothalamus, e tuku ana i tētahi homoni e kiia nei ko te TRH (Hyroid-Releasing Hormone). Mā tēnei ka kī atu ki te repe pituitary kia whakaputa i te TSH.

Kātahi ka haere te `TSH` ka kī atu ki te repe tairoiti kia hanga te `T3` ​​​​(tata ki te 20%) me te `T4` (tata ki te 80%). Ina piki ake ēnei `T3` ​​​​me te `T4` i roto i te toto, ka tukuna anō he tohu ki te repe pituitary e mea ana, "Āe, kati te hanga `TSH` inaianei, he nui te homoni." Ka kiia tēnei ko te ` huringa urupare` . Ina heke te `T3` ​​​​me te `T4`, ka tīmata anō tēnei huringa mai i te tīmatanga.

Heoi, i roto i te `Subclinical Hyperthyroidism`, nā te mea he raruraru kei roto i te repe tairoiti, ahakoa he iti te taumata `TSH`, kāore te hanga o ngā homoni tairoiti e heke iho ana e ai ki te whakaaro. Koia te take he iti te `TSH`, engari kei ngā taumata noa te `T3` ​​me te `T4`.

He rite tonu ngā take o te "Subclinical Hyperthyroidism" ki ērā e puta ai te hyperthyroidism tino kitea. Anei ētahi o ngā tino take:

• Te whakanui ake i te horopeta o te rongoā homoni (levothyroxine) e hoatu ana mō te hypothyroidism (te ngoikore o te mahi a te tairoi). Koinei te take tino noa.
• He mate pukupuku paitini maha-nodular. He āhuatanga tēnei e puta ai ngā puku (ngā nodules) ehara i te matepukupuku i roto i te repe tairoi, ka nui rawa te homoni tairoi e whakaputaina ana.
• Te mate a Kerei. He mate pūnaha ārai mate tēnei. Ko te tikanga ka whakaekea e te pūnaha ārai mate o te tinana te repe tairoi, ka whakaoho i a ia kia whakaputa i ētahi atu homoni.
• Te mate tairoidi: Ina mumura te repe tairoi , ka piki ake pea ngā taumata homoni mō tētahi wā poto.

Me pēhea koe e mōhio ai ki tēnei?

Ko ngā whakamātautau mahi o te tairoi anake te huarahi e mōhio ai koe mēnā kei a koe te 'Subclinical Hyperthyroidism'.(He whakamātautau mahi tairoi anake. He whakamātautau toto noa ēnei.)

Ko te awhe noa mō ngā taumata TSH (e kiia ana ko te thyrotropin) i roto i te pakeke kāore i te hapū kei waenga i te 0.4 me te 4.5 milli-international units ia rita (mIU/L).

Mena kei te whakaatuhia e ō whakamātautau toto he iti tō taumata TSH (i waenga i te 0.1 me te 0.4 mIU/L, iti iho rānei i te 0.1 mIU/L), engari kei roto i te awhe noa ō taumata T4 (thyroxine) me te T3 (triiodothyronine), he Subclinical Hyperthyroidism tōu.

Ka taea te wehewehe i te 'Hiperthyroidism Subclinical' ki ngā wāhanga matua e rua:

• Ngāwari: He iti ngā taumata TSH, engari ka kitea tonu - i waenga i te 0.1 me te 0.4 mIU/L. Kei roto i te 65% ki te 75% o te hunga e pāngia ana e te Subclinical Hyperthyroidism tēnei taumata.
• Tino kino: Ko ngā taumata TSH he iti iho i te 0.1 mIU/L. Ka pāngia tēnei e te 25% me te 35% o te tangata.

Me rongoā tēnei?

He rerekē ngā whakaaro o ngā tākuta mō te rongoā i te 'Subclinical Hyperthyroidism', nā te mea kāore anō kia nui ngā rangahau mō ngā painga mārama o te rongoā.

He maha ngā tākuta e taunaki ana i te huarahi "tāria, tirohia" mō te hunga e pāngia ana e te hyperthyroidism subclinical. Arā, ka tatari rātou kia pai ake te āhua i a ia anō, me te kore e tīmata i te maimoatanga.

Heoi anō, ka tūtohutia pea he maimoatanga mō te hunga kei raro iho i te 0.1 mIU/L ō rātou taumata TSH, inā koa i ngā wā e whai ake nei:

• Mena kei te 65 tau te pakeke, neke atu rānei.
• Mena kei raro iho koe i te 65 tau te pakeke, kei a koe te mate ngakau, te osteoporosis, ngā tohu rānei o te hyperthyroidism.
• Mena he wahine kua mutu te pāheketanga koe, kei raro iho i te 65 tau te pakeke, ā, kāore e tango ana i te estrogen, i te bisphosphonates rānei (he momo rongoā hei rongoā i ngā raruraru wheua).

Ko te hyperthyroidism subclinical i te wā e hapu ana, kāore e hiahiatia he maimoatanga.

Mena ka tukuna he maimoatanga, he aha te tikanga?

Ki te whakatau tō tākuta me whai maimoatanga, ka whakawhirinaki te maimoatanga ki te pūtake o te hyperthyroidism subclinical.

• Mena he puku maha-nodular paitini tōu (he puku i te kaki) he puku kotahi rānei kei runga i tō tairoiti, ko te rongoā tino noa ko te iodine radioactive . He rongoā tēnei ka tangohia e koe mā te waha. Ka mimitihia e ngā pūtau kaha rawa o tō tairoiti te iodine. Ka pakaru aua pūtau e te iodine radioactive, ka whakaiti i te tairoiti, ka heke hoki ō taumata homoni i roto i ētahi wiki.
• Mena kei a koe te mate a Graves, ko ngā rongoā tino noa ko ngā rongoā antithyroid me te iodine radioactive. Ko ngā rongoā antithyroid pēnei i te methimazole (Tapazole) me te propylthiouracil (PTU) ka mahi mā te aukati i te kaha o te repe thyroid ki te hanga homoni.

Ka taea te ārai i tēnei mea kei tupu?

I te nuinga o te wā, kāore he mea e taea e tātou te mahi hei aukati i te whanaketanga o te 'Subclinical Hyperthyroidism', te 'Hyperthyroidism' mārama noa rānei.

Heoi, ki te kore e nui te iodine i roto i tō kai (ki te nui rawa rānei) , ka pāngia koe e te 'Subclinical', te 'Overt Hyperthyroidism' rānei nā te 'toxic goiter'. Ahakoa kāore tēnei i te kitea noa i ngā whenua pēnei i a Sri Lanka nā te mea e whakamahia ana e tātou te tote iodized, ka kitea pea i ngā whenua e kitea noa ana te korenga o te iodine.

He aha ngā mea ka taea e tātou te tumanako atu mō tēnei mate? He tūponotanga kei reira?

Kāore i te maha ngā wā ka huri te hyperthyroidism iti-haumanu ki te hyperthyroidism kitea. Heoi, he paku teitei ake tēnei mōrearea i roto i te hunga he tino iti ngā taumata TSH (iti iho i te 0.1 mIU/L).

Nā te maha o ngā take, he rerekē te 'Subclinical Hyperthyroidism' o te katoa.

Ahakoa kāore e ahu whakamua ki te 'Overt Hyperthyroidism', ka pā mai pea ētahi raruraru i te 'Subclinical Hyperthyroidism'. Ko ētahi o ēnei:

• Te fibrillation atrial ( he pākia o te ngakau e te koretake).
• Te ngoikore o te ngākau (te mōrearea o te whanaketanga o te ngoikore o te ngākau ).
• Te mate manawa koronari (te mate uaua koronari ).
• Te ngaronga o te wheua me ngā whati.
• Te mate wareware ( he āhuatanga o te ngaronga mahara ka puta i te kaumātuatanga).

He tino teitei ēnei mōrearea mō te hunga neke atu i te 65 tau te pakeke me te hunga e pāngia ana e te hyperthyroidism subclinical kino.

Mena kei te āwangawanga koe mō ēnei mōrearea, he mea pai kia kōrero koe ki tō tākuta mō tēnei.

Āhea ahau me toro atu ki te tākuta?

I te nuinga o te wā, ki te whakaatu mai ō whakamātautau kei a koe te "Subclinical Hyperthyroidism," ka whai ngā tākuta i te huarahi "tāria, ka kite".

Heoi, ki te tīmata koe ki te pāngia e ngā tohu o te hyperthyroidism (manukanuka, korekore, tere te tere o te manawa), me toro atu ki tō tākuta. Kātahi ka whakamātauria anō e ia te toto o te tairoi hei tirotiro mēnā kei a koe te 'Overt Hyperthyroidism'.

Kia maumahara, he maha tonu ngā whakaaro rerekē mō te rongoā i te 'Subclinical Hyperthyroidism'. He rerekē ia tangata, ia āhuatanga. Nō reira, ko te mea pai ko te kōrero i ō pātai me ō wehi katoa ki tō tākuta. Kei te rite ia, kei te ngākau nui ki te āwhina i a koe.

Karere Tangohia ki te Kāinga

Āe, anei ētahi mea hei maumahara māu mai i ngā mea kua kōrerohia e tātou:

• Ko te "Subclinical Hyperthyroidism" he āhuatanga e paku kaha rawa ana te mahi a te repe tairoiti, engari kāore e whakaatu i ngā tohu nui.
• Ka kitea tēnei mā te whakamātautau toto e whakaatu ana i te taumata TSH iti (engari he noa te T3 me te T4).
• Nā te mea kāore he tohu i te nuinga o te wā, kāore pea e hiahiatia he maimoatanga. Tērā pea ka whai te tākuta i te huarahi "tāria, ka kite".
• Tērā pea ka hiahia ētahi tāngata ki te maimoatanga, inā koa ko te hunga kaumātua me te hunga he raruraru hauora anō ō rātou.
• Ki te pāngia koe e ngā tohu o te hyperthyroidism (pērā i te tere o te manawa, te wiri, te ngaronga taumaha), me toro atu ki te tākuta tonu.
• Ko te mea nui kia kaua e mataku, kōrero noa ki tō tākuta mō tēnei mea, ā, kia whai i ana tohutohu.

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tonu!

` Te mate taiaki taiaki iti-haumanu, te tairoi, te TSH, te T3, te T4, ngā homoni, te mate a Graves, te goiter