Kei te ahua hē tō tairoi? Me kōrero tātou mō te Hypothyroidism Subclinical!

He ngenge noa iho rānei koe i ētahi wā? Kei te ahua rānei kei te piki haere tō taumaha, engari kāore he huringa nui ki tō kai? Tērā pea ko te take o tēnei he hapa iti i roto i tō repe tairoi. I tēnei rā ka kōrero tātou mō tētahi o aua mate, e kiia nei ko te 'Subclinical Hypothyroidism'.

Āe, kei te whakaaro koe he aha te hypothyroidism subclinical. He māmā noa iho, ko te wā tēnei e piki ake ai ngā taumata o te homoni whakaoho tairoi, te TSH rānei (Hōmona Whakaoho Tairoi) i roto i tō toto. Heoi, he noa ngā taumata o tētahi atu homoni tairoi nui, te thyroxine (T4).

Ko te tikanga o te kupu 'subclinical' he mate tēnei kāore e whakaatu i tetahi tohu, kāore rānei i te tino kino ngā tohu . Ko te tikanga o tēnei kāore koe i te whai hypothyroidism, arā, he repe tairoi kāore i te mahi pai. Heoi, ko te tikanga o tēnei he tūponotanga ka whanake hei mate.

He wā poto noa iho tēnei mate, arā, ka taea te ora ake i roto i ētahi rā. Engari mō ētahi tāngata ka roa pea te noho. Tērā pea e hiahiatia he maimoatanga, kāore rānei e hiahiatia he maimoatanga.

Nā, he aha ngā tohu o tēnei?

I te nuinga o te wā, kāore tēnei āhua o te hypothyroidism iti-haumanu e whakaatu i tētahi tohu motuhake. Koinei te mea e motuhake ai. Heoi, tera pea ētahi tāngata ka pāngia e ētahi tohu iti. Tirohia mēnā he mōhio koe ki ēnei:

• Te ngenge tonu, te ngenge rawa. Me te mea kāore he ora i te tinana.
• Te pikinga o te taumaha, kāore he take, ahakoa kāore he huringa o tāu e kai ana, e inu ana rānei.
• Te mate kōroke.
• Ngā āhuatanga hinengaro pēnei i te pouri. Ngā kare ā-roto o te pouri.
• Te kore aro, te kore e taea te arotahi tika ki te mahi.
• Kāore e taea te aro atu ki te makariri. He makariri ake tōku i ētahi atu.
• Kiri me te makawe maroke, taratara.
• Te toto toto tiketike diastolic, ko te tikanga ko te tau raro anake o tō pānui toto toto ka piki ake.
• Mō ngā wāhine, he maha ngā wā ka puta te toto toto nui, ā, he nui hoki.

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

Ko te hypothyroidism subclinical te take o tētahi raruraru kei roto i tō repe tairoiti. Hei tauira, ka taea e tētahi mate pūnaha ārai mate pērā i te mate tairoiti a Hashimoto te mumura o te repe tairoiti.

Nā, kia titiro tātou ki te mahi a ēnei homoni i roto i ō tātou tinana. Ko tō tātou pūnaha endocrine he mea hanga mai i ngā homoni me ngā repe e mahi tahi ana hei whakahaere i te taumata o te TSH (Hōmona Whakaoho Thyroid) i roto i ō tātou toto. Ka whakaohohia e tēnei homoni TSH ngā pūtau o te repe thyroid kia tukuna ngā homoni thyroxine (Thyroxine, T4 rānei) me te triiodothyronine (Triiodothyronine, T3 rānei) ki roto i te toto. Ina piki ake ngā taumata o ēnei homoni T4 me T3 i roto i te toto, ka tukuna he tohu ki te repe pituitary i roto i tō tātou roro kia 'mutu te hanga i te TSH'. He rite tēnei ki tētahi pūnaha whakahaere aunoa.

Heoi, i roto i te hypothyroidism subclinical, ahakoa te teitei o ngā taumata TSH, kāore te nui o ngā homoni e tukuna ana e te repe tairoi e piki ake pērā i te mea noa. Koia te take e teitei ai ngā taumata TSH, ā, he mea noa ngā taumata T4.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei mate? (Ngā āhuatanga mōrearea)

He nui ake te tūponotanga o ētahi tāngata ki te pāngia e tēnei āhuatanga e kiia nei ko te hypothyroidism iti-haumanu. Me titiro tātou ko wai rātou:

• Ngā wāhine neke atu i te 60 tau te pakeke.
• Mena kei a koe, kei tētahi rānei o tō whānau he mate tairoi.
• He pai ngā paturopi tairoiti. Ko te tikanga tēnei kei roto i te toto ētahi matū e mahi ana ki te tairoiti.
• Mena kua whakamahia e koe i mua, kei te whakamahi rānei koe i ngā rongoā pēnei i te Amiodarone, i te Lithium rānei.
• Te korenga o te iodine (Kāore i te tino kitea tēnei i tō tātou whenua ināianei, nā te mea he tote iodine tā tātou e whakamahi ana).
• Mena kua pāngia koe e te irahiko i te mahunga, i te kaki rānei.
• Te momonatanga.
• Mō te hunga mate huka momo 1.
• Mena kua whiwhi koe i te maimoatanga mō tētahi āhuatanga pēnei i te mate a Graves, pēnei i ngā rongoā antithyroid, te ablation rānei.

He aha ngā raruraru ka pā mai i tēnei?

Ko te mea nui e kitea pinepine ana ko te hurihanga o tēnei āhua o te hypothyroidism iti-haumanu hei hypothyroidism whānui. Arā, ka tino heke te mahi a te repe tairoiti, ā, ka tīmata te puta o ngā tohu.

Hei tāpiritanga, kua whakaatuhia e ētahi rangahau he paku whakanui ake tēnei āhuatanga i te mōrearea o ngā mate pūnaha toto. Hei tauira, ko ngā mea pēnei i te toto toto tiketike me te cholesterol tiketike. Engari kāore anō kia tino whakaūngia tēnei hononga. Nō reira, kāore he mea hei manukanuka, engari he mea pai kia mōhio.

He pānga tēnei ki te haputanga?

I te Hononga o Amerika, iti iho i te 1 i roto i te 5 ngā wāhine hāpu e pāngia ana e tēnei mate, arā, te hypothyroidism iti-haumanu.

He rerekē ngā taunakitanga mō te mea ka puta he raruraru i te wā e hapu ana tēnei mate. Kua whakaatuhia e ētahi rangahau tawhito mēnā kei te noho tēnei mate i te wā e hapu ana, ka pā mai ēnei mea:

• Te toto toto tiketike i te wā hapūtanga me te mate huka i te wā hapūtanga.
• Te whānautanga o mua.
• Te whakatahe.

Heoi, he mea nui tēnei: ​​kāore anō kia whakaūngia ēnei kitenga e ngā rangahau hou ake nei.

Nō reira, ko te tikanga ka whakamātauhia tēnei mate e ngā tākuta i te wā e hapū ana mēnā he āhuatanga mōrearea tōu mō te whakawhanaketanga.

Me pēhea te tautuhi a ngā tākuta i tēnei mate? (Tautuhinga)

Ka taea anake e ngā tākuta te tautuhi i tēnei āhua o te hypothyroidism iti-haumanu mā roto i ngā whakamātautau toto tairoi.

Mena kei te whakaatuhia e ngā hua o te whakamātautau toto he taumata TSH (Hōmona Whakaoho Thyroid) teitei ake ( i waenga i te 5 me te 10 milli-international units ia rita (5 ki te 10 mIU/L) ) ā, kei roto i te awhe noa te taumata thyroxine (T4), ko te tikanga he hypothyroidism subclinical tōu.

I ētahi wā ka whakarōpūhia tēnei e ngā tākuta. Mena kei waenga i te 4.5 me te 9.9 mIU/L te taumata TSH, ka kiia ko te Taumata 1 , ā, ki te 10 mIU/L, neke atu rānei te taumata TSH, ka kiia ko te Taumata 2 .

Me rongoā tēnei?

He mea nui tēnei i runga i ētahi āhuatanga. Ka whakatau tō tākuta i runga i ngā mea pēnei i tō taumata TSH, ō tohumate, me tō hauora whānui.

I tētahi taha, mā te maimoatanga ka ārai i ētahi tāngata kei whanake hei hypothyroidism tūturu. I tētahi atu taha, mā te maimoatanga ka tūpono ētahi tāngata, inā koa ko te hunga neke atu i te 65 tau te pakeke, ki te whakawhanake i tētahi mate e kiia nei ko te thyrotoxicosis , arā, he pikinga o ngā homoni tairoi i roto i te tinana. Heoi anō, he maha ngā tāngata e pāngia ana e te hypothyroidism subclinical kāore he tohu, ā, kāore e hiahiatia he maimoatanga.

Nō reira, e taunaki ana ngā tākuta i te huarahi 'tāria, tirohia' mō te tini o te tangata. Kāore rātou e mataku, engari ka tīmata te maimoatanga.

Heoi, ka tūtohu pea ngā tākuta i te maimoatanga i roto i ngā take e whai ake nei:

• Te hunga he 10 mIU/L, neke atu rānei te taumata TSH.
• Mena he tohu kei te hunga taitamariki me te hunga waenga-pakeke.
• Mena he atu āhuatanga mōrearea kei te hunga taitamariki me te hunga waenga-pakeke.

Nā, he aha te rongoā mō tēnei?

Ki te whakatau tō tākuta me rongoā e koe te hypothyroidism iti-haumanu, ka tohua e ia he pire homoni tairoi e kiia nei ko te levothyroxine . He rongoā tēnei ka tangohia e koe mā te waha.

Heoi, i mua i te tīmatanga o tēnei maimoatanga levothyroxine, ka hiahia pea tō tākuta ki te mahi i tētahi atu whakamātautau toto hei tirotiro i tō taumata TSH i roto i ngā marama e toru i muri i te putanga tuatahi o te hua whakamātautau TSH rerekē. Nā te mea ka hoki anō ngā taumata TSH o te nuinga o te tangata ki te noho noa i roto i ngā marama e toru, me te kore he maimoatanga.

I a koe e tango ana i te rongoā, ka tūtohu anō tō tākuta kia tirohia te nui o te levothyroxine i roto i ngā toto i ia wā , i te mea ka taea e te nui rawa o te levothyroxine te arahi ki te hyperthyroidism, he āhuatanga e nui rawa ai te homoni tairoi e whakaputaina ana e te repe tairoi.

He aha tāu e mahi ai mō tēnei ina whiwhi koe i te maimoatanga whakawhānau tamariki?

Mena kei te whiwhi maimoatanga whakawhānau ngā wāhine e pāngia ana e te hypothyroidism subclinical pērā i te IVF (In Vitro Fertilization) ICSI rānei (Intracytoplasmic Sperm Werohanga) , e taunaki ana te American Thyroid Association kia tangohia te levothyroxine hei whakahaere i ngā taumata TSH ki te 2.5 mIU/L.

Āhea ahau me toro atu anō ki te tākuta?

I te nuinga o te wā, ka whai ngā tākuta i te huarahi 'tāria, ka kite'.

Engari ki te tīmata koe ki te pāngia e ngā tohu o te hypothyroidism, pērā i te ngenge me te pikinga o te taumaha kāore i te mārama, me toro atu ki tō tākuta tonu. Ka whakamātautau toto anō ia i te tairoi hei tirotiro mēnā he hypothyroidism tino kitea tōu.

He ara kei reira hei ārai i tēnei mea kei tupu?

Ki te pono, i te nuinga o te wā, kāore he mea ka taea e koe te mahi hei ārai i tēnei āhuatanga kei puta.

Heoi, ki te kore e nui te iodine i roto i tō kai, ka pāngia koe e tēnei mate. Nā te mea he mea nui te iodine mō te repe tairoi hei hanga i ngā homoni tairoi. Ahakoa kua heke iho tēnei i roto i tō tātou whenua nā te mea kei te whakamahia e tātou te tote iodine ināianei, ko te korenga o te iodine te tino take o te hypothyroidism i ētahi atu whenua o te ao.

He aha taku e tumanako ai mō tēnei āhuatanga?

He rerekē te pānga o te hypothyroidism iti-haumanu ki ia tangata, ā, i te nuinga o te wā, ka memeha noa iho i roto i ngā marama e toru, kāore he maimoatanga.

Ko te mōrearea o te whakawhanaketanga o tēnei āhuatanga hei hypothyroidism kitea rawatia kei waenga i te 2% me te 6% ia tau .

Nō reira, he mea pai kia kōrero ki tō tākuta mō ngā mahi e tika ana kia mahia mō tō āhua me te auau o ngā whakamātautau toto.

Kei te tautohetia tonutia mēnā me rongoā tēnei hypothyroidism iti-haumanu, nā te mea he rerekē ngā whakaaro o ngā rangahau maha.He rerekē te āhua o te katoa, he pai ake te kōrero ki tō tākuta mō ō āwangawanga me ngā kōwhiringa. E harikoa ana rātou ki te āwhina i a koe.

Nā, he aha ngā mea hei maumahara mā tātou i ēnei mea katoa?

Āe, me whakarāpopoto e au ētahi o ngā kōrero tino nui i roto i ngā mea kua kōrerohia e tātou:

• Ko te hypothyroidism subclinical he āhuatanga e paku teitei ake ai ō taumata homoni TSH, engari he noa tonu ō taumata homoni T4.
• I te nuinga o te wā, kāore he tohu nui, engari ka pāngia pea ētahi tāngata e te ngenge me te taumaha.
• Ehara tēnei i te hypothyroidism tūturu, engari he iti noa te tūponotanga ka pērā te putanga.
• I te nuinga o te wā, ka whai ngā tākuta i te huarahi 'tāria, tirohia'. Kāore rātou e hoatu rongoā ki te katoa i te wā kotahi.
• Ka whakaarohia anake te maimoatanga mēnā he tino tiketike te taumata TSH, mēnā he tohu, mēnā rānei he āhuatanga mōrearea kē atu.
• Ko te Levothyroxine te maimoatanga matua, engari me tango hoki i runga i ngā tohutohu a te tākuta.
• Mena he ruarua, he pātai rānei āu mō tēnei mea, ko te mea pai ko te toro atu ki tō tākuta whānau me te kōrero ki a ia. Kaua e manukanuka, he āhuatanga ngāwari tēnei e taea te whakahaere.

Kia maumahara, ko koe te tangata e tika ana kia tino mōhio ki tō hauora. Nō reira kaua e wehi ki te pātai me te kōrero ki tō tākuta!

` te hypothyroidism iti-haumanu, te tairoi, te TSH, te thyroxine, te hypothyroidism, ngā homoni, ngā tohu