Ingaba i-thyroid yakho ayisekho kwimeko entle kangako? Masithethe nge-Subclinical Hypothyroidism!

Ngaba ngamanye amaxesha uziva udiniwe nje? Okanye uzive ngathi uyatyeba ngaphandle kokwenza naluphi na utshintsho olukhulu kwindlela otya ngayo? Mhlawumbi imbangela yoku kukungasebenzi kakuhle kwe-thyroid gland yakho. Namhlanje siza kuthetha ngenye yeemeko ezinjalo, ebizwa ngokuba yi-'Subclinical Hypothyroidism'.

Kulungile, ngoku uyazibuza ukuba yintoni i-subclinical hypothyroidism. Ngamafutshane, kuxa amanqanaba egazi lakho e-thyroid-stimulating hormone, okanye i-TSH (i-Thyroid-Stimulating Hormone), enyuka kancinci. Nangona kunjalo, amanqanaba akho enye i-thyroid hormone ebalulekileyo, i-thyroxine (T4), aqhelekile.

Igama elithi 'subclinical' lithetha ukuba le yimeko engabonakalisi zimpawu kwaphela, okanye iimpawu azikho mbi kakhulu . Oku kuthetha ukuba awunayo i-hypothyroidism, eyi-thyroid gland engasebenzi kakuhle. Nangona kunjalo, kuthetha ukuba kunokwenzeka ukuba ikhule ibe yimeko enjalo.

Le meko ngamanye amaxesha inokuba yeyokwexeshana, oko kuthetha ukuba inokuphila ngokwayo kwiintsuku ezimbalwa. Kodwa kwabanye abantu inokuhlala ixesha elide. Isenokufuna unyango okanye ingadingi unyango.

Ngoko ke zithini iimpawu zoku?

Ixesha elininzi, le meko ye-subclinical hypothyroidism ayibonisi zimpawu zithile. Yiyo loo nto iyenza ibe yekhethekileyo. Nangona kunjalo, abanye abantu banokufumana iimpawu ezincinci. Jonga ukuba ezi zivakala ziqhelekile na kuwe:

• Ndihlala ndiziva ndidiniwe kwaye ndidiniwe. Ngokungathi akukho bomi emzimbeni.
• Ukunyuka kobunzima ngaphandle kwesizathu, nokuba akukho tshintsho kwinto oyityayo okanye oyiselayo.
• Ukuqhinwa.
• Iimeko zengqondo ezifana nokudakumba. Iimvakalelo zosizi.
• Ukungakhathali, ukungakwazi ukugxila ngokufanelekileyo emsebenzini.
• Ukungakwazi ukunyamezela ukubanda. Ukuziva ubanda kunabanye.
• Ulusu neenwele ziya koma kwaye zirhabaxa.
• Uxinzelelo lwegazi oluphezulu kwi-Diastolic, oko kuthetha ukuba kuphela linani elisezantsi lovavanyo loxinzelelo lwegazi lakho eliphakanyisiweyo.
• Kwabasetyhini, ukopha rhoqo nokuphuma kwegazi elininzi exesheni.

Kutheni oku kusenzeka? Yintoni unobangela?

I-hypothyroidism engaphantsi kweklinikhi idla ngokubangelwa yingxaki efihlakeleyo kwi-thyroid gland yakho. Umzekelo, isifo sokuzikhusela komzimba esifana neHashimoto's thyroiditis sinokubangela ukudumba kwe-thyroid gland.

Ngoku makhe sijonge indlela ezi hormones ezisebenza ngayo emizimbeni yethu. Inkqubo yethu ye-endocrine yenziwe ngee-hormones ezahlukeneyo kunye nee-glands ezisebenzisanayo ukulawula inqanaba le-TSH (i-Thyroid-Stimulating Hormone) egazini lethu. Le hormone ye-TSH ivuselela iiseli ze-thyroid gland ukuba zikhuphe ii-hormones i-thyroxine (i-Thyroxine okanye i-T4) kunye ne-triiodothyronine (i-Triiodothyronine okanye i-T3) egazini. Xa amanqanaba ezi hormones ze-T4 kunye ne-T3 esanda egazini, ithumela umqondiso kwi-pituitary gland engqondweni yethu ukuba 'iyeke ukwenza i-TSH engaphezulu'. Oku kufana nenkqubo yokulawula ezenzekelayo.

Nangona kunjalo, kwi-subclinical hypothyroidism, nangona amanqanaba e-TSH ephakanyisiwe, inani leehomoni ezikhutshwa yi-thyroid gland alinyuki njengesiqhelo. Yiyo loo nto amanqanaba e-TSH ephakanyisiwe kwaye amanqanaba e-T4 eqhelekile.

Ngubani onokuba nethuba elikhulu lokufumana le meko? (Izinto ezibangela umngcipheko)

Abanye abantu banamathuba amaninzi okufumana le meko ibizwa ngokuba yi-subclinical hypothyroidism. Makhe sijonge ukuba bangoobani:

• Abafazi abangaphezu kweminyaka engama-60 ubudala.
• Ukuba wena okanye umntu kusapho lwakho unesifo se-thyroid.
• Ii-antibodies ze-thyroid zilungile. Oku kuthetha ukuba kukho izinto ezisegazini ezisebenza ngokuchasene ne-thyroid.
• Ukuba ukhe wasebenzisa okanye usebenzisa amayeza afana ne-Amiodarone okanye i-Lithium ngaphambili.
• Ukunqongophala kwe-iodine (Oku akuxhaphakanga kangako kwilizwe lethu ngoku, kuba sisebenzisa ityuwa ene-iodine).
• Ukuba ukhe wachaphazeleka yimitha entloko okanye entanyeni.
• Ukutyeba kakhulu.
• Kubantu abanesifo seswekile sohlobo loku-1.
• Ukuba ukhe wafumana unyango lwesifo esifana nesifo sikaGraves, esifana namayeza e-antithyroid okanye i-ablation.

Zeziphi iingxaki ezinokubangela oku?

Eyona nto iphambili edla ngokubonwa kukuba le meko ye-subclinical hypothyroidism ekugqibeleni inokuguquka ibe yi-hypothyroidism epheleleyo. Oko kukuthi, ukusebenza kwe-thyroid gland kuyehla kakhulu kwaye iimpawu ziqala ukubonakala.

Ukongeza, ezinye izifundo zibonise ukuba le meko iyawonyusa kancinci umngcipheko wezifo zentliziyo. Umzekelo, izinto ezifana noxinzelelo lwegazi oluphezulu kunye ne-cholesterol ephezulu. Kodwa olu nxibelelwano alukaqinisekiswa ngokupheleleyo. Ngoko ke akukho nto inokubangela ixhala ngayo, kodwa kulungile ukuqaphela.

Ngaba oku kuyayichaphazela into yokukhulelwa?

E-United States, ngaphantsi ko-1 kwaba-5 abafazi abakhulelweyo bachatshazelwa yile meko, i-subclinical hypothyroidism.

Ubungqina buyaphikisana malunga nokuba le meko ingabangela iingxaki ngexesha lokukhulelwa. Ezinye izifundo zakudala zibonise ukuba ukuba le meko ikhona ngexesha lokukhulelwa, ezi zinto zilandelayo zinokwenzeka:

• Uxinzelelo lwegazi oluphezulu lokukhulelwa kunye nesifo seswekile sokukhulelwa.
• Ukuzala kwangaphambi kwexesha.
• Ukuphuma kwesisu.

Nangona kunjalo, oku kubalulekile: ezi ziphumo azikaqinisekiswa zizifundo zakutshanje.

Ngoko ke, oogqirha badla ngokuyivavanya le meko ngexesha lokukhulelwa kuphela ukuba unezinto ezinokubangela ukuba ibe yingozi.

Oogqirha bayixilonga njani le nto? (Ukuxilongwa)

Oogqirha banokufumanisa le meko ye-subclinical hypothyroidism kuphela ngovavanyo lwegazi lwe-thyroid.

Ukuba iziphumo zovavanyo lwakho lwegazi zibonisa inqanaba eliphezulu le-TSH (iHormone evuselela iThyroid) (ngesiqhelo phakathi kwe-5 kunye ne-10 milli-international units ngelitha (5 ukuya kwi-10 mIU/L) ) kwaye inqanaba lakho le-thyroxine (T4) likuluhlu oluqhelekileyo, oko kuthetha ukuba une-hypothyroidism engaphantsi kweklinikhi.

Ngamanye amaxesha oogqirha bahlela oku ngakumbi. Ukuba inqanaba le-TSH liphakathi kwe-4.5 kunye ne-9.9 mIU/L, libizwa ngokuba yiBakala 1 , kwaye ukuba inqanaba le-TSH liyi-10 mIU/L okanye ngaphezulu, libizwa ngokuba yiBakala 2 .

Ngaba oku kufuneka kuphathwe?

Oku kuxhomekeke kwizinto ezimbalwa. Ugqirha wakho uya kuthatha isigqibo ngokusekelwe kwizinto ezifana nenqanaba lakho le-TSH, iimpawu zakho, kunye nempilo yakho iyonke.

Kwelinye icala, unyango lunokuthintela abanye abantu ekubeni babe yi-hypothyroidism yokwenyani. Kwelinye icala, unyango lunokubeka abanye abantu, ingakumbi abo baneminyaka engaphezu kwama-65 ubudala, emngciphekweni wokufumana imeko ebizwa ngokuba yi-thyrotoxicosis , ebangelwa kukwanda kweehomoni ze-thyroid emzimbeni. Ngaphezu koko, abantu abaninzi abane-hypothyroidism engaphantsi kweklinikhi abanazo iimpawu kwaye abadingi unyango.

Kungoko ke, oogqirha bacebisa abantu abaninzi ukuba balinde baze babone indlela yokujongana nale ngxaki. Abaphakuzeli baze baqale unyango.

Nangona kunjalo, oogqirha banokucebisa unyango kwiimeko ezilandelayo:

• Abo banezinga le-TSH eliyi-10 mIU/L okanye ngaphezulu.
• Ukuba abantu abancinci nabakwiminyaka ephakathi baneempawu.
• Ukuba abantu abancinci nabakwiminyaka ephakathi banezinye izinto ezibangela umngcipheko.

Ngoko ke, yintoni unyango lwale nto?

Ukuba ugqirha wakho ugqiba kwelokuba kufuneka unyange i-subclinical hypothyroidism, uza kukunika ipilisi yehomoni ye-thyroid ebizwa ngokuba yi-levothyroxine . Eli liyeza olisela ngomlomo.

Nangona kunjalo, ngaphambi kokuba uqale olu nyango lwe-levothyroxine, ugqirha wakho unokufuna ukwenza olunye uvavanyo lwegazi ukujonga inqanaba lakho le-TSH zingadlulanga iinyanga ezintathu emva kwesiphumo sokuqala sovavanyo lwe-TSH esingaqhelekanga. Oku kungenxa yokuba uninzi lwamanqanaba e-TSH ebantwini abuyela kwisiqhelo ngokwawo kwiinyanga ezintathu ngaphandle konyango.

Ngelixa usebenzisa amayeza, ugqirha wakho uya kucebisa ukuba uvavanye igazi rhoqo ukuze kuhlolwe amanqanaba akho e-thyroid, njengoko ukusebenzisa i-levothyroxine ngokugqithisileyo kunokukhokelela kwi-hyperthyroidism, imeko apho i-thyroid gland ivelisa i-hormone ye-thyroid eninzi kakhulu.

Wenza ntoni ngale nto xa usenza unyango lokuzala?

Ukuba abafazi abane-hypothyroidism engaphantsi kweklinikhi bafumana unyango lokuzala olufana ne-IVF (In Vitro Fertilization) okanye i-ICSI (Intracytoplasmic Sperm Injection) , i-American Thyroid Association icebisa ukuba kuthathwe i-levothyroxine ukulawula amanqanaba e-TSH ukuya kwi-2.5 mIU/L.

Kufuneka ndiphinde ndimbone ugqirha kwakhona nini?

Uninzi lwexesha, oogqirha balandela indlela ethi 'linda uze ubone'.

Kodwa ukuba uqala ukuba neempawu ze-hypothyroidism, ezinje ngokudinwa kunye nokutyeba okungachazekiyo, bonana nogqirha wakho ngoko nangoko. Uza kwenza olunye uvavanyo lwegazi le-thyroid ukuze abone ukuba unayo na i-hypothyroidism ecacileyo.

Ngaba ikho indlela yokuthintela oku ukuba kungenzeki?

Inyaniso kukuba, kwiimeko ezininzi, akukho nto unokuyenza ukuthintela le meko ukuba ingenzeki.

Nangona kunjalo, ukuba awufumani iodine eyaneleyo ekutyeni kwakho, unokuba nale meko. Oku kungenxa yokuba iodine ibalulekile kwi-thyroid gland ukwenza iihomoni ze-thyroid. Nangona oku kuye kwehla kancinci kwilizwe lethu kuba ngoku sisebenzisa ityuwa ene-iodine, ukunqongophala kwe-iodine yeyona nto ibangela i-hypothyroidism kwamanye amazwe ehlabathi.

Yintoni endimele ndiyilindele kule meko?

I-hypothyroidism engaphantsi kweklinikhi ichaphazela umntu ngamnye ngendlela eyahlukileyo, kwaye kwiimeko ezininzi, iyaziphelela kwisithuba seenyanga ezintathu ngaphandle konyango.

Umngcipheko wokuba le meko ibe yi-hypothyroidism ecacileyo uphakathi kwe-2% kunye ne-6% ngonyaka .

Ngoko ke, kungcono ukuthetha nogqirha wakho malunga nento omawuyenze ngokukodwa kwimeko yakho kunye nokuba kufuneka uvavanywe igazi kangaphi.

Kusekho ingxoxo-mpikiswano malunga nokuba kufuneka kunyangwe okanye kunganyangwa le hypothyroidism engaphantsi kwezonyango, njengoko izifundo ezahlukeneyo zinezimvo eziphikisanayo.Ekubeni imeko yomntu wonke yahlukile, kungcono ukuthetha nogqirha wakho malunga neenkxalabo zakho kunye neendlela onokukhetha kuzo. Bavuya kakhulu ukukunceda.

Ngoko ke, zeziphi izinto ekufuneka sizikhumbule kuzo zonke ezi zinto?

Kulungile, makhe ndishwankathele ezinye zezona ngongoma zibalulekileyo koko sithethe ngako:

• I-subclinical hypothyroidism yimeko apho amanqanaba akho e-TSH hormone enyuka kancinci, kodwa amanqanaba akho e-T4 hormone aqhelekile.
• Uninzi lwexesha, akukho zimpawu zibalulekileyo, kodwa abanye abantu basenokudinwa kwaye batyebe.
• Oku akusiyo i-hypothyroidism yokwenyani, kodwa kukho ithuba elincinci lokuba inokwenzeka ngaloo ndlela.
• Ixesha elininzi, oogqirha balandela indlela ethi 'linda ubone'. Abaniki wonke umntu amayeza ngaxeshanye.
• Unyango luqwalaselwa kuphela xa inqanaba le-TSH liphezulu kakhulu, ukuba kukho iimpawu, okanye ukuba kukho ezinye izinto ezinobungozi.
• I-Levothyroxine lolona nyango luphambili, kodwa kufuneka ithathwe kanye njengoko ugqirha emyalele.
• Ukuba unamathandabuzo okanye imibuzo malunga noku, eyona nto ilungileyo onokuyenza kukubona ugqirha wosapho lwakho uze uthethe naye. Ungakhathazeki, le yimeko elawulekayo.

Khumbula, nguwe ofanele ukuba uqaphela kakhulu impilo yakho. Ngoko ke ungoyiki ukubuza imibuzo nokuthetha nogqirha wakho!

i- hypothyroidism engaphantsi kweklinikhi, i-thyroid, i-TSH, i-thyroxine, i-hypothyroidism, iihomoni, iimpawu