Ko thyroid yako yave kurwara zvishoma here? Ngatitaurei nezve Subclinical Hypothyroidism!

Dzimwe nguva unongonzwa kuneta here? Kana kuti unonzwa sekunge uri kuwedzera uremu usina kuchinja zvakanyanya kudya kwako? Pamwe chikonzero cheizvi idambudziko diki riri mugland rako re thyroid. Nhasi tichataura nezvechimwe chezvirwere zvakadaro, chinonzi 'Subclinical Hypothyroidism'.

Zvakanaka, ikozvino uri kushamisika kuti chii chinonzi subclinical hypothyroidism. Zvichitaurwa zviri nyore, ndipo apo huwandu hwehormone inokurudzira thyroid, kana kuti TSH (Thyroid-Stimulating Hormone), muropa mako hwakwira zvishoma. Zvisinei, huwandu hwehormone imwe inokosha yethyroid, thyroxine (T4), hwakajairwa.

Izwi rekuti 'subclinical' rinoreva kuti ichi chirwere chisingaratidze zviratidzo zvachose, kana kuti zviratidzo zvacho hazvina kunyanya kuipa . Izvi zvinoreva kuti hauna hypothyroidism, inova thyroid gland isingashande zvakanaka. Zvisinei, zvinoreva kuti pane mukana wekuti inogona kukura kuva chirwere ichocho.

Dambudziko iri dzimwe nguva rinogona kuva renguva pfupi, zvichireva kuti rinogona kupora roga mumazuva mashoma. Asi kune vamwe vanhu rinogona kugara kwenguva yakareba. Ringada kana kusada kurapwa.

Saka chii chingave zviratidzo zveizvi?

Kazhinji, chirwere ichi che subclinical hypothyroidism hachiratidzi zviratidzo chaizvo. Ndizvo zvinoita kuti chive chakakosha. Zvisinei, vamwe vanhu vanogona kusangana nezvimwe zviratidzo zvidiki. Ona kana izvi zvichinzwika sekunge zvakajairika kwauri:

• Kugara ndichinzwa kuneta uye kuneta. Sekunge hapana hupenyu mumuviri.
• Kuwedzera huremu pasina chikonzero, kunyangwe pasina shanduko pane zvaunodya kana kunwa.
• Kuzvimba.
• Matambudziko epfungwa akadai sekuora mwoyo. Kunzwa kusuruvara.
• Kusanyatsoteerera, kusakwanisa kunyatsoisa pfungwa pabasa.
• Kusakwanisa kushivirira kutonhora. Kunzwa kutonhora kupfuura vamwe.
• Ganda nebvudzi zvinooma uye zvinogomarara.
• Diastolic Hypertension, zvinoreva kuti nhamba yepasi chete yekuverenga BP yako ndiyo yakakwira.
• Kuvakadzi, kubuda ropa kakawanda uye kwakawanda panguva yekuenda kumwedzi.

Sei izvi zvichiitika? Chikonzero chacho ndechei?

Subclinical hypothyroidism inowanzo kukonzerwa nedambudziko riripo mugland rako re thyroid. Semuenzaniso, chirwere che autoimmune senge Hashimoto's thyroiditis chinogona kukonzera kuzvimba kwegland re thyroid.

Iye zvino ngatitarisei mashandiro anoita mahormone aya mumiviri yedu. Sisitimu yedu yeendocrine inoumbwa nemahormone akasiyana-siyana nemagland anoshanda pamwe chete kudzora huwandu hweTSH (Thyroid-Stimulating Hormone) muropa redu. Iyi TSH hormone inokurudzira masero egland rethyroid kuti abudise mahormone thyroxine (Thyroxine kana T4) uye triiodothyronine (Triiodothyronine kana T3) muropa. Kana huwandu hwemahormone aya eT4 neT3 hukawedzera muropa, inotumira chiratidzo kugland repituitary muuropi hwedu kuti 'rirege kugadzira TSH yakawanda'. Izvi zvakafanana nehurongwa hwekudzora otomatiki.

Zvisinei, mu subclinical hypothyroidism, kunyangwe mazinga eTSH akakwira, huwandu hwemahormone anoburitswa negland re thyroid hahuwedzere zvakanyanya sezvakajairwa. Ndosaka mazinga eTSH akakwira uye mazinga eT4 akajairika.

Ndiani ane mukana mukuru wekuwana chirwere ichi? (Zvinhu zvinokonzera njodzi)

Vamwe vanhu vane mukana mukuru wekuwana chirwere ichi chinonzi subclinical hypothyroidism. Ngatitarisei kuti ndivanaani:

• Vakadzi vane makore anopfuura makumi matanhatu.
• Kana iwe kana mumwe munhu mumhuri yako aine chirwere chethyroid.
• Ma antibodies e thyroid ane positive. Izvi zvinoreva kuti mune zvinhu muropa zvinoshanda zvinopesana ne thyroid.
• Kana wakamboshandisa kana kuti uri kushandisa mishonga yakaita seAmiodarone kana Lithium.
• Kushaikwa kweiodine (Izvi hazvichanyanyi kuitika munyika medu ikozvino, nekuti tinoshandisa munyu une iodine).
• Kana wakambosangana nemwaranzi mumusoro kana mumutsipa.
• Kufuta zvakanyanya.
• Kune vanhu vane chirwere cheshuga cherudzi rwekutanga.
• Kana wakamborapwa chirwere chakadai sechirwere cheGraves, chakadai semishonga inorwisa thyroid kana ablation.

Ndezvipi zvinetso zvinogona kukonzera izvi?

Chinhu chikuru chinowanzoonekwa ndechekuti chirwere ichi che subclinical hypothyroidism chinogona kuzopedzisira chave hypothyroidism yakazara. Kureva kuti, kushanda kwegland re thyroid kunoderera zvakanyanya uye zviratidzo zvinotanga kuoneka.

Pamusoro pezvo, zvimwe zvidzidzo zvakaratidza kuti chirwere ichi chinowedzera njodzi yekurwara nemwoyo zvishoma. Semuenzaniso, zvinhu zvakaita seBP yakakwira uye cholesterol yakakwira. Asi hukama uhwu hahusati hwasimbiswa zvizere. Saka hapana chekunetseka nezvahwo, asi zvakanaka kuziva.

Izvi zvinokanganisa here pamuviri?

MuUnited States, vakadzi vane pamuviri vasingasviki mumwe chete pavakadzi vashanu vane pamuviri vanobatwa nechirwere ichi, chinonzi subclinical hypothyroidism.

Uchapupu huripo hunopesana pamusoro pekuti chirwere ichi chinokonzera matambudziko panguva yekuzvitakura here. Dzimwe ongororo dzekare dzakaratidza kuti kana chirwere ichi chikaitika panguva yekuzvitakura, zvinhu zvinotevera zvinogona kuitika:

• Kukwira kweropa panguva yekuzvitakura uye chirwere cheshuga panguva yekuzvitakura.
• Kuzvara mwana asati azvarwa.
• Kubvisa pamuviri.

Zvisinei, izvi zvakakosha: zvakawanikwa izvi hazvina kusimbiswa neongororo dzichangoburwa.

Saka, vanachiremba vanowanzo ongorora chirwere ichi panguva yekuzvitakura chete kana paine zvinhu zvinokonzera kuti chiitike.

Vanachiremba vanoongorora sei izvi? (Kuongororwa)

Vanachiremba vanogona kuona chirwere ichi che subclinical hypothyroidism chete kuburikidza nekuongororwa kweropa re thyroid.

Kana zvabuda muongororo yeropa rako zvichiratidza kuti TSH (Thyroid-Stimulating Hormone) yakakwira (kazhinji iri pakati pe5 ne10 milli-international units pa litre (5 kusvika 10 mIU/L) ) uye thyroxine (T4) yako iri pakati pehuwandu hwakajairika, zvinoreva kuti une subclinical hypothyroidism.

Dzimwe nguva vanachiremba vanoisa izvi muzvikamu zviri nani. Kana huwandu hweTSH huri pakati pe4.5 ne9.9 mIU/L, hunonzi Giredhi 1 , uye kana huwandu hweTSH huri 10 mIU/L kana kupfuura, hunonzi Giredhi 2 .

Izvi zvinoda kurapwa here?

Zvinoenderana nezvinhu zvishoma. Chiremba wako achasarudza zvichienderana nezvinhu zvakaita semazinga eTSH yako, zviratidzo zvako, uye hutano hwako hwese.

Kune rumwe rutivi, kurapwa kunogona kudzivirira vamwe vanhu kuti vasaite hypothyroidism chaiyo. Kune rumwe rutivi, kurapwa kunogona kuisa vamwe vanhu, kunyanya avo vane makore anopfuura makumi matanhatu nemashanu, panjodzi yekubatwa nechirwere chinonzi thyrotoxicosis , icho chiri kuwedzera kwemahormone e thyroid mumuviri. Uyezve, vanhu vazhinji vane subclinical hypothyroidism havana zviratidzo uye havadi kurapwa.

Saka, vanachiremba vanokurudzira vanhu vazhinji kuti vamirire vaone nzira yekurapa. Havatyi votanga kurapwa.

Zvisinei, vanachiremba vanogona kukurudzira kurapwa mune zvinotevera:

• Avo vane TSH level ye10 mIU/L kana kupfuura.
• Kana vanhu vechidiki nevezera repakati vaine zviratidzo.
• Kana vanhu vechidiki nevezera repakati vaine zvimwe zvinhu zvinokonzera njodzi.

Saka, kurapwa kweizvi ndekupi?

Kana chiremba wako akasarudza kuti unofanira kurapa subclinical hypothyroidism, achakupa piritsi re thyroid hormone rinonzi levothyroxine . Uyu mushonga waunonwa nemuromo.

Zvisinei, usati watanga kurapwa kwe levothyroxine, chiremba wako angangoda kuita imwe bvunzo yeropa kuti aongorore huwandu hweTSH yako mukati memwedzi mitatu kubva pamhedzisiro yekutanga yeTSH isina kujairika. Izvi zvinodaro nekuti huwandu hweTSH hwevanhu vazhinji hunodzokera pahwakajairika mukati memwedzi mitatu vasina kurapwa.

Paunenge uchitora mushonga uyu, chiremba wako anokurudzirawo kuti uongorore ropa nguva nenguva kuti uone huwandu hwethyroid yako, sezvo kunwa levothyroxine yakawandisa kunogona kukonzera hyperthyroidism, chirwere chinoita kuti thyroid gland ibudise mahomoni ethyroid akawandisa.

Unoitei neizvi kana uchirapwa zvekusabereka?

Kana vakadzi vane subclinical hypothyroidism vari kurapwa neIVF (In Vitro Fertilization) kana ICSI (Intracytoplasmic Sperm Injection) , American Thyroid Association inokurudzira kutora levothyroxine kudzora mazinga eTSH kusvika pa2.5 mIU/L.

Ndinofanira kuona chiremba zvakare rini?

Kazhinji, vanachiremba vanotevedzera nzira yekuti 'mira uone'.

Asi kana ukatanga kuona zviratidzo zve hypothyroidism, zvakadai sekuneta uye kuwedzera uremu zvisingatsananguriki, shanyira chiremba wako nekukasika. Iye achaita imwe bvunzo yeropa re thyroid kuti aone kana une hypothyroidism yakawandisa.

Pane nzira yekudzivirira izvi kuti zvisaitike here?

Kutaura chokwadi, kazhinji, hapana chaunogona kuita kudzivirira chirwere ichi kuti chisaitike.

Zvisinei, kana usina iodine yakakwana mukudya kwako, unogona kuva nechirwere ichi. Izvi zvinokonzerwa nekuti iodine inokosha kuti thyroid gland igadzire mahormone ethyroid. Kunyangwe izvi zvadzikira zvishoma munyika medu nekuti ikozvino tava kushandisa munyu une iodine, kushomeka kwe iodine ndiko kunonyanya kukonzera hypothyroidism mune dzimwe nyika dzepasi.

Chii chandinofanira kutarisira nemamiriro ezvinhu aya?

Subclinical hypothyroidism inokanganisa munhu mumwe nemumwe zvakasiyana, uye kazhinji, inopera yoga mukati memwedzi mitatu isina kurapwa.

Njodzi yekuti chirwere ichi chiite hypothyroidism iri pakati pe2% ne6% pagore .

Saka, zvakanaka kutaura nachiremba wako nezve zvekuita zvakanangana nedambudziko rako uye kuti unofanira kuongororwa ropa kangani.

Kuchine gakava pamusoro pekuti chirwere ichi che subclinical hypothyroidism chinofanira kurapa here kana kuti kwete, sezvo zvidzidzo zvakasiyana-siyana zvine maonero akasiyana.Sezvo mamiriro ezvinhu evanhu akasiyana, zvakanaka kutaura nachiremba wako nezvezvinokunetsa uye sarudzo dzako. Vanofara zvikuru kukubatsira.

Saka, ndezvipi zvinhu zvatinofanira kurangarira kubva pane izvi zvose?

Zvakanaka, regai ndipfupise zvimwe zvezvinhu zvakakosha kubva pane zvatataura nezvazvo:

• Subclinical hypothyroidism chirwere chinokonzerwa nekuti mazinga eTSH hormone yako akakwira zvishoma, asi mazinga eT4 hormone yako akajairika.
• Kazhinji, hapana zviratidzo zvikuru, asi vamwe vanhu vanogona kuneta uye kuwedzera uremu.
• Izvi hazvisi zvechokwadi hypothyroidism, asi pane mukana mudiki wekuti zvinogona kuitika saizvozvo.
• Kazhinji, vanachiremba vanotevedzera nzira yekuti 'mirai muone'. Havape munhu wese mushonga panguva imwe chete.
• Kurapwa kunongoonekwa chete kana huwandu hweTSH hwakakwira zvakanyanya, kana paine zviratidzo, kana paine zvimwe zvinhu zvinoisa njodzi.
• Levothyroxine ndiyo mushonga mukuru, asi inofanirawo kutorwa sezvakarairwa nachiremba.
• Kana muine kusava nechokwadi kana mibvunzo nezvenyaya iyi, chinhu chakanakisa chekuita ndechekuona chiremba wemhuri yenyu motaura naye. Musazvidya mwoyo, chirwere ichi chinogona kugadziriswa.

Yeuka kuti ndiwe unofanira kunyanya kuziva nezvehutano hwako. Saka usambotya kubvunza mibvunzo uye kutaura nachiremba wako!

` subclinical hypothyroidism, thyroid, TSH, thyroxine, hypothyroidism, mahormone, zviratidzo