Dzimwe nguva unonzwa kuneta here? Kana kuti unonzwa sekunge uri kudzikira huremu zvisinei nekuti unodya zvakadii, kana kuwedzera huremu kunyangwe uchidya zvishoma? Pamwe unongonzwa hasha uye kuzvidya mwoyo. Dzimwe nguva kuseri kwezvinhu izvi kune "boss" diki asi yakakosha kwazvo mumuviri wedu. Tinomuti thyroid gland. Saka nhasi tichataura nezveTSH, rimwe remahormone makuru anodzora mashandiro ethyroid gland.
Zvichitaurwa zviri nyore, chii chinonzi TSH?
Kunyange hazvo zita rekuti TSH richinzwika seresainzi, zvarinoreva zviri nyore. TSH inomiririra Thyroid-Stimulating Hormone . MuchiSinhala, zvinoreva "thyroid stimulating hormone". Izvi zvakafanana nemaneja muhofisi. Basa rake nderekupa "mushandi" anonzi thyroid gland mirairo yekushanda.
Homoni iyi yeTSH inogadzirwa mumuviri wedu negland diki rakakura sepizi riri pasi peuropi. Tinoridaidza kuti gland repituitary. Gland iri repituitary ndiro rinodzora mamwe mahormone akawanda mumuviri wedu.
Saka, mushure mekunge pituitary gland yaburitsa hormone yeTSH muropa, inoenda zvakananga kuthyroid gland, inova gland yakaita seshavishavi iri pasi peganda riri pamberi pemutsipa wedu. Zvichibva pamashoko anobva kuTSH, thyroid gland inogadzira nekuburitsa mahormone ayo maviri, thyroxine (T4) netriiodothyronine (T3), muropa.
Saka sei mahormone aya eT3 neT4 achikosha kwatiri?
Mahormone maviri aya anodzora mwero wekushanda kwemuviri wedu. Zvichitaurwa zviri nyore, mahormone maviri aya anosarudza mwero wekushandurwa kwechikafu chatinodya kuita simba uye muviri unoshandisa simba iroro. Kwete izvozvo chete, asiwo anoita mamwe mabasa akawanda akakosha.
- Mashandiro emoyo uye mashandiro ekugaya chikafu zvinochengetwa zvakanaka.
- Inobatsira kudzora tsandanyama dzedu .
- Zvakakosha pakukura kwehuropi (kunyanya kuvana vadiki).
- Inobatsira kuchengetedza simba remapfupa .
Fungidzira, zvese izvi zvinodzorwa nekubatana kwakanaka pakati pe "Big Manager" muuropi (hypothalamus), "Manager" ari pasi pake (pituitary gland), uye "Servant" (thyroid gland).
Mwero uyu weTSH unodzorwa sei mumuviri?
Izvi zvakafanana nethermostat iri muAC yedu yekumba. Sisitimu iyi inoshanda yega, nehungwaru. Tinoidaidza kuti "feedback loop."
1. Danho rekutanga: Chekutanga, hormone inonzi TRH (Thyrotropin-releasing hormone) inoburitswa kubva muhypothalamus iri muuropi. Ichi ndicho chiratidzo chekutanga. Zvakafanana ne "Big Manager" achidana "Manager" wake achimuudza kuti "atange kushanda."
2. Danho rechipiri:Mushure mekugamuchira meseji iyi yeTRH, pituitary gland (Manager) inoburitsa hormone yeTSH muropa.
3. Danho Rechitatu: Homoni yeTSH inoudza thyroid gland (mushandi) kuti "ishande, igadzire T3 neT4." Saka, thyroid gland inogadzira mahormone eT3 neT4 uye inoaburitsa muropa.
4. Danho rekupedzisira (Mhinduro): Zvino sezvo huwandu hwemahormone eT3 neT4 muropa hwasvika padanho rinodiwa, zvinotumira chiratidzo kuuropi, zvichiti, "Zvakanaka, ikozvino kwava nemahormone akakwana, rega kutumira TSH." Kana pituitary gland ikagamuchira meseji iyoyo, inoderedza kuburitswa kweTSH. Zvakafanana necompressor yeAC inodzima kana imba yatonhora.
Nenzira iyi, kana huwandu hweT3 neT4 muropa hukadzikira, huwandu hweTSH hunozviwedzera. Saizvozvowo, kana huwandu hweT3 neT4 huchiwedzera, huwandu hweTSH hunodzikira. Ndokusaka tichigona kuona zviri nyore kana thyroid gland yako iri kushanda nemazvo, kana kuti iri kushanda zvakanyanya, nekuongororwa ropa kweTSH.
Chii chinonzi TSH level yakajairika?
Mazinga eTSH anochinja nekukura. Anogonawo kuchinja panguva yekuzvitakura. Uye sezvo izvi zvichigona kusiyana zvishoma kubva kune imwe lab kuenda kune imwe, zvakakosha kutarisa "nzvimbo yakajairika" pamushumo wako. Asi kazhinji, mazinga eTSH akajairika kumunhu ane hutano ndeaya anotevera.
| Boka rezera | Nhamba yeTSH yakajairika (uIU/mL) |
|---|---|
| Vacheche kubva pakuzvarwa kusvika pamazuva mashanu ekuberekwa | 0.7 – 15.2 |
| Vacheche vane mazuva matanhatu kusvika makumi mapfumbamwe | 0.72 – 11.0 |
| Vacheche kubva pamwedzi mina kusvika gumi nemiviri | 0.73 – 8.35 |
| Vana vane makore 1 kusvika ku6 | 0.7 – 5.97 |
| Vana vane makore 7 kusvika ku11 | 0.6 – 4.84 |
| Vechidiki vane makore ari pakati pe12 ne20 | 0.51 – 4.3 |
| Vakuru vane makore 21 kusvika 99 | 0.27 – 4.2 |
Mazinga eTSH panguva yekuzvitakura
Kuwanda kwemahormone ethyroid mumuviri waamai panguva yekuzvitakura kwakakosha pakukura kwakanaka kwepfungwa nemuviri wemwana. Mazinga eTSH anochinja panguva iyi.
- Trimester yekutanga: 0.18 – 2.99 (uIU/mL)
- Trimester yechipiri: 0.11 – 3.98 (uIU/mL)
- Trimester yechitatu: 0.48 – 4.71 (uIU/mL)
Chii chinoitika kana mazinga eTSH akadzikira? (Hyperthyroidism)
Kana huwandu hweTSH yako huri pasi pane hwakajairwa, zvinowanzoreva kuti gland rako re thyroid riri kushanda nesimba zvakanyanya . Tinoridaidza kuti chirwere ichi chinonzi Hyperthyroidism .
Fungidzira kuti "mushandi" (thyroid gland) yatakambotaura nezvayo inoshanda yega isina simba rekutonga, isina mirairo yemaneja, uye inogadzira mahormone eT3 neT4 akawanda kupfuura zvinodiwa. Zvadaro huwandu hweT3 neT4 muropa hunowedzera zvakanyanya. Achiona izvi, "Manager" (pituitary gland) anomira kutumira TSH zvachose. Zvinoita sekuti, "Mushandi ari kushanda zvakadaro, hapana chikonzero chekuti ndishevedzere." Saka, huwandu hweTSH hunoderera. Mamiriro akadai se "Graves' disease" uye thyroid nodules zvinogona kukonzera izvi.
| Zviratidzo zvemazinga eTSH akaderera (Hyperthyroidism) | |
|---|---|
| Kurova kwemwoyo | Kunzwa kurova kwemoyo nekukurumidza muchipfuva, sekunge uri kunzwa kurova kwemoyo wako. |
| Kudedera uye kusagadzikana | Kunzwa kudedera mumakumbo, kuzvidya mwoyo, uye kusagadzikana. |
| Kuderedza uremu pasina chikonzero | Kudya kwakawedzera, asi kuderedza uremu. |
| Manyoka anowanzoitika (Diarrhea) | Kuda kuenda kuchimbuzi kakawanda nekuda kwekugaya nekukurumidza. |
| Kuchinja kwemaziso | Maziso acho anoita seari kubuda pachena. |
| Kuchinja kweganda | Kutetepa kweganda, kunzwa kudziya uye kunyorova. |
| Kuzvimba kwemutsipa (Goiter) | Kuzvimba pamberi pemutsipa nekuda kwekukura kwegland re thyroid. |
| Kuenda kumwedzi kusingaenderani nevakadzi | Kuenda kumwedzi kusingaenderane kana kudzikira. |
Kana uine zviratidzo izvi, zvakakosha kuti uone chiremba wako nekukasika kuti akupe mazano. Dambudziko iri rinogona kurapwa uye kugadziriswa zvakanaka.
Chii chinoitika kana mazinga eTSH akawedzera? (Hypothyroidism)
Kana huwandu hweTSH yako hwakakwira kupfuura zvakajairika, zvinoreva kuti gland rako re thyroid harisi kushanda zvakanaka sezvarinofanira kuita . Tinowanzoti chirwere ichi Hypothyroidism .
Chinoitika munyaya iyi ndechekuti "mushandi" (thyroid gland) ane usimbe hwakanyanya. Haiburitse mahormone eT3 neT4 akakwana. Zvadaro huwandu hweT3 neT4 muropa hunoderera. Achiziva izvi, "Manager" (pituitary gland) anonetseka uye anotumira mamwe mashoko eTSH ku "mushandi" kuti ashande.Zvakafanana nekutaura nemunhu ane usimbe kuti umumutse. Izvi zvinoita kuti huwandu hweTSH muropa hukwire zvakanyanya. Chikonzero chikuru cheizvi chirwere che autoimmune chinonzi `(chirwere chaHashimoto)`.
| Zviratidzo zvemazinga eTSH akakwira (Hypothyroidism) | |
|---|---|
| Kuneta kakawanda | Kunzwa kuneta nguva dzese, zvisinei nekuti unorara zvakadii. |
| Kusanzwa simba mumakumbo | Kunzwa kukwenya kana kuti kukwenya mumaoko neminwe. |
| Kuzvimba | Kuzvimba kunokonzerwa nekunonoka kugaya chikafu. |
| Kukura pasina chikonzero | Kuwedzera huremu kunyangwe pasina shanduko mukudya. |
| Kuora mwoyo | Kugara uchisuruvara, uchigumbuka, uye usingafariri chero chinhu. |
| Kusakwanisa kutsungirira dzihwa | Kunzwa kutonhora zvakanyanya kunyangwe munzvimbo yakajairika kune vamwe. |
| Kuderera kwekufarira zvepabonde | Kuderera kwechido uye kufarira kuita zvepabonde. |
| Kuenda kumwedzi kwakanyanya kuvakadzi | Kuenda kumwedzi kunogara kwemazuva akati wandei uye kubuda ropa rakawanda kunobuda. |
Zviratidzo izvi zvinowanzo wedzera zvishoma nezvishoma. Saka kana uri kuona zviratidzo izvi, zvakakosha kutaura nachiremba wako nezvazvo. Dambudziko iri rinogonawo kudzorwa zvinobudirira nemishonga.
Ndinofanira kunetseka here kana mushumo weTSH usina kujairika?
Kwete zvachose. Kungoti TSH report yako iri kunze kwehuwandu hwakajairika hazvirevi kuti une chirwere 100%. Chiremba wako achatarisa zvimwe zvinhu zvakawanda paanenge achiongorora mushumo uyu.
- Zera rako: Vanhu vane makore anopfuura makumi masere vanogona kunge vaine mazinga eTSH akakwira zvishoma. Hazvisi nguva dzose chiratidzo chekurwara.
- Kubata Pamuviri: Sezvatakambokurukura, mazinga eTSH anochinja-chinja panguva yekuzvitakura.
- Zvimwe zvirwere zvakakomba: Zvimwe zvirwere zvakakomba zvisina chekuita negland re thyroid (semuenzaniso, hutachiona hwakakomba) zvinogona kudzikisa mazinga eTSH kwenguva pfupi.
- Mimwe miedzo ye thyroid: Chiremba anosvika pamhedziso yekupedzisira nekuenzanisa mhedzisiro nemimwe miedzo, yakadai se TSH kwete chete, asiwo Free T4 uye thyroid antibodies.
Saka, usatya kana ukaona kukosha kweTSH report yako. Chiremba wako ndiye munhu akakodzera kutsanangura zvazvinoreva chaizvo uye zvekuita zvinotevera. Taura naye nezvazvo.
Kazhinji, TSH level isina kujairika inoratidza shanduko mukushanda kwegland re thyroid. Mashoko akanaka ndeekuti zvirwere izvi zviviri (Hyperthyroidism neHypothyroidism) zvinogona kudzorwa zvinobudirira nekurapwa kwakakodzera uye mishonga, zvichikubvumidza kurarama hupenyu hwakanaka uye hwakajairika.
Mharidzo Yekuenda Nayo Kumba
- TSH ndiyo homoni huru inodzora mashandiro egland re thyroid. Inogadzirwa negland re pituitary riri muuropi.
- Kuwanda kweTSH kunowanzoreva kuti thyroid gland haisi kushanda zvakanaka (hypothyroidism) .
- Kuderera kweTSH kunowanzoreva kuti gland re thyroid rinenge richishanda zvakanyanya (hyperthyroidism) .
- Kana uine zviratidzo zvakaita sekuneta nguva nenguva, kudzikira kwehuremu kana kuwedzera uremu, uye kusagadzikana, zvakakosha kuti uongororwe ropa reTSH.
- Usatya woita sarudzo wega mushure mekuona kukosha kweropa rako. Gara uchitaura nachiremba wako nezvazvo.
- Matambudziko ane chekuita nethyroid anogona kudzorwa zvakanaka nekurapwa kwakakodzera.
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