Kodi chithokomiro chanu chayamba kudwala pang'ono? Tiyeni tikambirane za Subclinical Hypothyroidism!

Kodi nthawi zina mumangomva kutopa? Kapena mumamva ngati mukukula popanda kusintha kwakukulu pa zakudya zanu? Mwina chifukwa cha izi ndi vuto laling'ono la chithokomiro chanu. Lero tikambirana za vuto limodzi lotere, lotchedwa 'Subclinical Hypothyroidism'.

Chabwino, tsopano mukudabwa kuti subclinical hypothyroidism ndi chiyani. Mwachidule, ndi pamene kuchuluka kwa mahomoni olimbikitsa chithokomiro m'magazi mwanu, kapena TSH (Chithokomiro Cholimbikitsa Chithokomiro), kumakwera pang'ono. Komabe, kuchuluka kwa mahomoni ena ofunikira a chithokomiro, thyroxine (T4), kumakhala kwabwinobwino.

Mawu oti 'subclinical' amatanthauza kuti uwu ndi matenda omwe sasonyeza zizindikiro zilizonse, kapena zizindikiro zake sizowopsa kwambiri . Izi zikutanthauza kuti mulibe hypothyroidism, yomwe ndi chithokomiro chosagwira ntchito bwino. Komabe, zikutanthauza kuti pali kuthekera kuti vutoli likhoza kukula kukhala vuto limenelo.

Vutoli nthawi zina limakhala la kanthawi kochepa, zomwe zikutanthauza kuti limatha kuchira lokha m'masiku ochepa. Koma kwa anthu ena limatha kukhala nthawi yayitali. Lingafunike chithandizo kapena ayi.

Ndiye kodi zizindikiro za izi zingakhale zotani?

Nthawi zambiri, vuto la subclinical hypothyroidism siliwonetsa zizindikiro zilizonse. Ndicho chifukwa chake limapangitsa kuti likhale lapadera. Komabe, anthu ena akhoza kukhala ndi zizindikiro zazing'ono. Onani ngati izi zikumveka zachilendo kwa inu:

• Kumva kutopa komanso kutopa nthawi zonse. Ngati kuti palibe moyo m'thupi.
• Kunenepa popanda chifukwa, ngakhale popanda kusintha kulikonse pa zomwe mumadya kapena kumwa.
• Kudzimbidwa.
• Matenda a m'maganizo monga kuvutika maganizo. Kumva chisoni.
• Kusaganizira bwino, kulephera kuyang'ana bwino ntchito.
• Kulephera kupirira kuzizira. Kumva kuzizira kuposa ena.
• Khungu ndi tsitsi zimakhala zouma komanso zokwawa.
• Kuthamanga kwa magazi kwa diastolic, zomwe zikutanthauza kuti chiwerengero chochepa cha kuthamanga kwa magazi anu ndi chomwe chimakwera.
• Kwa akazi, kutuluka magazi ambiri komanso pafupipafupi msambo.

Chifukwa chiyani izi zikuchitika? Chifukwa chake ndi chiyani?

Matenda a subclinical hypothyroidism nthawi zambiri amayamba chifukwa cha vuto lomwe limabwera chifukwa cha chithokomiro chanu. Mwachitsanzo, matenda odziteteza okha monga Hashimoto's thyroiditis angayambitse kutupa kwa chithokomiro.

Tsopano tiyeni tiwone momwe mahomoni awa amagwirira ntchito m'matupi athu. Dongosolo lathu la endocrine limapangidwa ndi mahomoni ndi ma glands osiyanasiyana omwe amagwira ntchito limodzi kuti alamulire kuchuluka kwa TSH (Hormone Yolimbikitsa Chithokomiro) m'magazi mwathu. Homoni iyi ya TSH imalimbikitsa maselo a gland ya chithokomiro kuti atulutse mahomoni a thyroxine (Thyroxine kapena T4) ndi triiodothyronine (Triiodothyronine kapena T3) m'magazi. Pamene kuchuluka kwa mahomoni a T4 ndi T3 awa kukuchulukira m'magazi, kumatumiza chizindikiro ku gland ya pituitary muubongo mwathu kuti 'tisiye kupanga TSH yambiri'. Izi zili ngati njira yodzilamulira yokha.

Komabe, mu subclinical hypothyroidism, ngakhale kuti TSH imakwera, kuchuluka kwa mahomoni omwe amatulutsidwa ndi chithokomiro sikukwera kwambiri monga mwachizolowezi. Ichi ndichifukwa chake TSH imakwera ndipo milingo ya T4 ndi yabwinobwino.

Ndani amene ali ndi mwayi waukulu wopeza vutoli? (Zinthu zomwe zingakubweretsereni chiopsezo)

Anthu ena ali ndi mwayi waukulu wopeza matendawa otchedwa subclinical hypothyroidism. Tiyeni tiwone omwe ali:

• Azimayi opitirira zaka 60.
• Ngati inu kapena wina m'banja mwanu ali ndi matenda a chithokomiro.
• Ma antibodies a chithokomiro ndi abwino. Izi zikutanthauza kuti m'magazi muli zinthu zina zomwe zimagwira ntchito motsutsana ndi chithokomiro.
• Ngati mudagwiritsapo ntchito kale kapena mukugwiritsa ntchito mankhwala monga Amiodarone kapena Lithium.
• Kusowa kwa ayodini (Izi sizikupezeka kawirikawiri m'dziko lathu masiku ano, chifukwa timagwiritsa ntchito mchere wokhala ndi ayodini).
• Ngati mwakhalapo ndi radiation kumutu kapena pakhosi.
• Kunenepa kwambiri.
• Kwa anthu omwe ali ndi matenda a shuga amtundu woyamba.
• Ngati mudalandirapo chithandizo cha matenda monga matenda a Graves, monga mankhwala oletsa chithokomiro kapena ablation.

Kodi izi zingayambitse mavuto otani?

Chinthu chachikulu chomwe chimawoneka nthawi zambiri ndichakuti vutoli la subclinical hypothyroidism pamapeto pake limatha kukhala hypothyroidism yokwanira. Izi zikutanthauza kuti, ntchito ya chithokomiro imachepa kwambiri ndipo zizindikiro zimayamba kuonekera.

Kuphatikiza apo, kafukufuku wina wasonyeza kuti vutoli limawonjezera pang'ono chiopsezo cha matenda a mtima. Mwachitsanzo, zinthu monga kuthamanga kwa magazi ndi cholesterol yambiri. Koma kulumikizana kumeneku sikunatsimikizidwe mokwanira. Chifukwa chake palibe chodetsa nkhawa, koma ndibwino kudziwa.

Kodi izi zimakhudza mimba?

Ku United States, amayi ochepera 1 pa akazi 5 apakati amakhudzidwa ndi vutoli, subclinical hypothyroidism.

Umboni ukusiyana pang'ono pankhani ya ngati vutoli limayambitsa mavuto panthawi ya mimba. Kafukufuku wina wakale wasonyeza kuti ngati vutoli lilipo panthawi ya mimba, zinthu zotsatirazi zingachitike:

• Matenda a kuthamanga kwa magazi m'mimba komanso matenda a shuga m'mimba.
• Kubereka mwana asanakwane nthawi yobereka.
• Kutaya mimba.

Komabe, izi ndizofunikira: zomwe zapezekazi sizinatsimikizidwe ndi kafukufuku waposachedwa.

Choncho, madokotala nthawi zambiri amayesa vutoli panthawi ya mimba pokhapokha ngati muli ndi zinthu zomwe zingakuchititseni kuti mudwale.

Kodi madokotala amazindikira bwanji izi? (Kuzindikira)

Madokotala amatha kuzindikira vutoli la subclinical hypothyroidism pokhapokha poyesa magazi a chithokomiro.

Ngati zotsatira za mayeso anu a magazi zikusonyeza kuchuluka kwa TSH (Chithokomiro Cholimbikitsa Hormone) (nthawi zambiri pakati pa mayunitsi 5 ndi 10 a milli-international pa lita imodzi (5 mpaka 10 mIU/L) ) ndipo kuchuluka kwa thyroxine (T4) yanu kuli bwino, zikutanthauza kuti muli ndi hypothyroidism yocheperako.

Nthawi zina madokotala amaika izi mopitirira muyeso. Ngati mulingo wa TSH uli pakati pa 4.5 ndi 9.9 mIU/L, umatchedwa Giredi 1 , ndipo ngati mulingo wa TSH uli 10 mIU/L kapena kupitirira apo, umatchedwa Giredi 2 .

Kodi izi ziyenera kuthandizidwa?

Zimadalira zinthu zingapo. Dokotala wanu adzasankha malinga ndi zinthu monga kuchuluka kwa TSH yanu, zizindikiro zanu, komanso thanzi lanu lonse.

Kumbali ina, chithandizo chingalepheretse anthu ena kukhala ndi hypothyroidism yeniyeni. Kumbali ina, chithandizo chingaike anthu ena, makamaka omwe ali ndi zaka zoposa 65, pachiwopsezo chotenga matenda otchedwa thyrotoxicosis , omwe ndi kuwonjezeka kwa mahomoni a chithokomiro m'thupi. Komanso, anthu ambiri omwe ali ndi hypothyroidism ya subclinical alibe zizindikiro ndipo safunikira chithandizo.

Chifukwa chake, madokotala amalimbikitsa anthu ambiri kuti 'adikire ndikuona njira'. Sachita mantha n’kuyamba kulandira chithandizo.

Komabe, madokotala angalimbikitse chithandizo pazochitika zotsatirazi:

• Anthu omwe ali ndi TSH ya 10 mIU/L kapena kupitirira apo.
• Ngati achinyamata ndi azaka zapakati ali ndi zizindikiro.
• Ngati achinyamata ndi azaka zapakati ali ndi zinthu zina zomwe zingawabweretsere mavuto.

Ndiye, kodi chithandizo cha izi ndi chiyani?

Ngati dokotala wanu asankha kuti mukufunika kuchiza matenda a hypothyroidism omwe ali ndi kachilombo ka HIV, adzakupatsani piritsi la mahomoni a chithokomiro lotchedwa levothyroxine . Uwu ndi mankhwala omwe mumamwa pakamwa.

Komabe, musanayambe chithandizo cha levothyroxine ichi, dokotala wanu angafunenso kuyesanso magazi kuti aone kuchuluka kwa TSH yanu mkati mwa miyezi itatu kuchokera pamene mayeso oyamba a TSH ayamba. Izi zili choncho chifukwa kuchuluka kwa TSH m'thupi la anthu ambiri kumabwerera mwakale mkati mwa miyezi itatu popanda chithandizo chilichonse.

Mukumwa mankhwalawo, dokotala wanu adzakulangizaninso kuti muyeze magazi nthawi zonse kuti muwone kuchuluka kwa chithokomiro chanu, chifukwa kumwa kwambiri levothyroxine kungayambitse hyperthyroidism, vuto lomwe chithokomiro chimatulutsa mahomoni ambiri a chithokomiro.

Kodi mumatani ndi izi mukalandira chithandizo cha kusabereka?

Ngati akazi omwe ali ndi hypothyroidism ya subclinical akulandira chithandizo cha kubereka monga IVF (In Vitro Fertilization) kapena ICSI (Intracytoplasmic Sperm Injection) , bungwe la American Thyroid Association limalimbikitsa kumwa levothyroxine kuti muchepetse kuchuluka kwa TSH kufika pa 2.5 mIU/L.

Kodi ndiyenera kukaonananso ndi dokotala liti?

Nthawi zambiri, madokotala amatsatira njira ya 'kudikira ndikuwona'.

Koma ngati mwayamba kuona zizindikiro za hypothyroidism, monga kutopa ndi kunenepa kosadziwika bwino, pitani kwa dokotala nthawi yomweyo. Iye adzakuyezaninso magazi a chithokomiro kuti aone ngati muli ndi hypothyroidism yoonekeratu.

Kodi pali njira yopewera izi kuti zisachitike?

Kunena zoona, nthawi zambiri, palibe chomwe mungachite kuti vutoli lisachitike.

Komabe, ngati simukupeza ayodini wokwanira muzakudya zanu, mutha kukhala ndi vutoli. Izi zili choncho chifukwa ayodini ndi wofunikira kuti chithokomiro chipange mahomoni a chithokomiro. Ngakhale izi zachepa pang'ono m'dziko lathu chifukwa tsopano timagwiritsa ntchito mchere wokhala ndi ayodini, kusowa kwa ayodini ndiye chifukwa chachikulu cha hypothyroidism m'maiko ena padziko lapansi.

Kodi ndiyenera kuyembekezera chiyani ndi vutoli?

Matenda a subclinical hypothyroidism amakhudza munthu aliyense mosiyana, ndipo nthawi zambiri, amatha okha mkati mwa miyezi itatu popanda chithandizo chilichonse.

Chiwopsezo cha matendawa kukhala hypothyroidism yowonekera bwino chili pakati pa 2% ndi 6% pachaka .

Choncho, ndi bwino kulankhula ndi dokotala wanu za zomwe mungachite makamaka pa vuto lanu komanso kangati muyenera kuyezetsa magazi.

Pakadali mkangano wokhudza ngati ayenera kuchiza kapena ayi matenda a hypothyroidism osachiritsikawa, chifukwa maphunziro osiyanasiyana ali ndi malingaliro otsutsana.Popeza kuti vuto la aliyense ndi losiyana, ndi bwino kulankhula ndi dokotala wanu za nkhawa zanu ndi zomwe mungasankhe. Iwo ndi okondwa kukuthandizani.

Ndiye, ndi zinthu ziti zomwe tiyenera kukumbukira kuchokera pa zonsezi?

Chabwino, ndiloleni ndifotokoze mwachidule mfundo zofunika kwambiri kuchokera pa zomwe takambirana:

• Subclinical hypothyroidism ndi vuto lomwe mahomoni anu a TSH amakwera pang'ono, koma mahomoni anu a T4 ndi abwinobwino.
• Nthawi zambiri, sipamakhala zizindikiro zazikulu, koma anthu ena amatha kutopa ndi kunenepa kwambiri.
• Izi si zoona hypothyroidism, koma pali mwayi wochepa kuti zitha kukhala choncho.
• Nthawi zambiri, madokotala amatsatira njira ya 'dikirani ndikuona'. Sapatsa aliyense mankhwala nthawi imodzi.
• Chithandizo chimaganiziridwa kokha ngati mulingo wa TSH uli wokwera kwambiri, ngati pali zizindikiro, kapena ngati pali zinthu zina zoopsa.
• Levothyroxine ndiye mankhwala akuluakulu, koma iyeneranso kumwedwa monga momwe dokotala wanenera.
• Ngati muli ndi kukayikira kapena mafunso okhudza izi, chinthu chabwino kuchita ndikuwonana ndi dokotala wa banja lanu ndikukambirana naye. Musadandaule, vutoli ndi losavuta kulithetsa.

Kumbukirani kuti inuyo ndi amene muyenera kudziwa bwino za thanzi lanu. Choncho musaope kufunsa mafunso ndikulankhula ndi dokotala wanu!

hypothyroidism ya subclinical, chithokomiro, TSH, thyroxine, hypothyroidism, mahomoni, zizindikiro