Ingabe i-thyroid yakho isiphelile kancane? Ake sixoxe nge-Subclinical Hypothyroidism!

Ingabe ngezinye izikhathi uzizwa ukhathele nje? Noma uzizwa sengathi uthola isisindo ngaphandle kokwenza izinguquko ezinkulu ekudleni kwakho? Mhlawumbe imbangela yalokhu ukungasebenzi kahle okuncane kwendlala yakho yegilo. Namuhla sizokhuluma ngesinye isimo esinjalo, esibizwa ngokuthi 'i-Subclinical Hypothyroidism'.

Kulungile, manje usuzibuza ukuthi iyini i-subclinical hypothyroidism. Kalula nje, yilapho amazinga egazi lakho e-thyroid-stimulating hormone, noma i-TSH (i-Thyroid-Stimulating Hormone), ekhuphuka kancane. Kodwa-ke, amazinga akho enye i-thyroid hormone ebalulekile, i-thyroxine (T4), ajwayelekile.

Igama elithi 'subclinical' lisho ukuthi lesi yisimo esingabonakali nhlobo izimpawu, noma izimpawu azizimbi kakhulu . Lokhu kusho ukuthi awunayo ngempela i-hypothyroidism, okuyi-thyroid gland engasebenzi kahle. Kodwa-ke, kusho ukuthi kungenzeka ukuthi ingakhula ibe yileso simo.

Lesi simo ngezinye izikhathi singaba sesikhashana, okusho ukuthi singaba ngcono ngokwaso ezinsukwini ezimbalwa. Kodwa kwabanye abantu singahlala isikhathi eside. Kungase kudingeke ukwelashwa noma kungadingeki.

Ngakho-ke zingaba yini izimpawu zalokhu?

Esikhathini esiningi, lesi simo se-subclinical hypothyroidism asibonisi zimpawu ezithile. Yilokho okwenza kube okukhethekile. Kodwa-ke, abanye abantu bangase babe nezimpawu ezincane. Bona ukuthi lezi zizwakala zijwayelekile yini kuwe:

• Ukuzizwa ukhathele futhi ukhathele njalo. Njengokungathi akukho ukuphila emzimbeni.
• Ukukhuluphala ngaphandle kwesizathu, ngisho noma kungekho ushintsho kulokho okudlayo noma okuphuzayo.
• Ukuqunjelwa.
• Izimo zengqondo ezifana nokucindezeleka. Imizwa yokudabuka.
• Ukunganaki, ukungakwazi ukugxila kahle emsebenzini.
• Ukungakwazi ukubekezelela umkhuhlane. Ukuzizwa ubanda kunabanye.
• Isikhumba esomile, esiqinile kanye nezinwele.
• Umfutho wegazi ophakeme we-Diastolic, okusho ukuthi inani eliphansi kuphela lokufundwa komfutho wegazi eliphakanyisiwe.
• Kwabesifazane, ukuphuma kwegazi njalo nokukhulu esikhathini.

Kungani lokhu kwenzeka? Iyini imbangela?

I-hypothyroidism engaphansi kwe-subclinical ivame ukubangelwa inkinga eyisisekelo nge-thyroid gland yakho. Isibonelo, isifo sokuzivikela komzimba esifana ne -Hashimoto's thyroiditis singabangela ukuvuvukala kwe-thyroid gland.

Manje ake sibheke ukuthi la ma-hormone asebenza kanjani emizimbeni yethu. Uhlelo lwethu lwe-endocrine lwakhiwe ngama-hormone ahlukahlukene kanye nezindlala ezisebenzisana ukulawula izinga le-TSH (i-Thyroid-Stimulating Hormone) egazini lethu. Le hormone ye-TSH ivuselela amangqamuzana e-thyroid gland ukuze akhiphe ama-hormone i-thyroxine (i-Thyroxine noma i-T4) kanye ne-triiodothyronine (i-Triiodothyronine noma i-T3) egazini. Lapho amazinga ala ma-hormone e-T4 ne-T3 ekhuphuka egazini, ithumela isignali ku-pituitary gland ebuchosheni bethu ukuze 'siyeke ukwenza i-TSH eyengeziwe'. Lokhu kufana nohlelo lokulawula oluzenzakalelayo.

Kodwa-ke, ku-subclinical hypothyroidism, yize amazinga e-TSH ephakeme, inani lama-hormone akhishwa yi-thyroid gland alikhuphuki kakhulu njengokujwayelekile. Yingakho amazinga e-TSH ephakeme kanti amazinga e-T4 ajwayelekile.

Ubani onamathuba amaningi okuthola lesi simo? (Izici eziyingozi)

Abanye abantu banamathuba amaningi okuthola lesi simo esibizwa ngokuthi i-subclinical hypothyroidism. Ake sibheke ukuthi bangobani:

• Abesifazane abangaphezu kweminyaka engama-60 ubudala.
• Uma wena noma othile emndenini wakho enesifo se-thyroid.
• Ama-antibodies e-thyroid alungile. Lokhu kusho ukuthi kunezinto egazini ezisebenza ngokumelene ne-thyroid.
• Uma uke wasebenzisa noma usebenzisa imithi efana ne-Amiodarone noma i-Lithium ngaphambilini.
• Ukuntuleka kwe-iodine (Lokhu akuvamile ezweni lethu manje, ngoba sisebenzisa usawoti one-iodine).
• Uma uke wachayeka emisebeni ekhanda noma entanyeni.
• Ukukhuluphala ngokweqile.
• Kubantu abanesifo sikashukela sohlobo 1.
• Uma uke wathola ukwelashwa kwesimo esifana nesifo sikaGraves, njengemithi yokulwa ne-thyroid noma i-ablation.

Yiziphi izinkinga ezingabangelwa yilokhu?

Into eyinhloko evame ukubonakala ukuthi lesi simo se-subclinical hypothyroidism singagcina sesiphenduke i-hypothyroidism egcwele. Okusho ukuthi, ukusebenza kwe-thyroid gland kwehla kakhulu futhi izimpawu ziqala ukuvela.

Ngaphezu kwalokho, ezinye izifundo zikhombisile ukuthi lesi simo sandisa kancane ingozi yezifo zenhliziyo. Isibonelo, izinto ezifana nomfutho wegazi ophezulu kanye ne-cholesterol ephezulu. Kodwa lokhu kuxhumana akukaqinisekiswa ngokugcwele. Ngakho-ke akukho okufanele ukhathazeke ngakho, kodwa kuhle ukuqaphela.

Ingabe lokhu kuyakuthinta ukukhulelwa?

E-United States, abesifazane abakhulelwe abangaphansi koyedwa kwabahlanu bathinteka yilesi simo esibizwa ngokuthi i-subclinical hypothyroidism.

Ubufakazi buyaphikisana ngokuthi lesi simo sibangela izinkinga yini ngesikhathi sokukhulelwa. Ezinye izifundo ezindala zibonise ukuthi uma lesi simo sikhona ngesikhathi sokukhulelwa, izinto ezilandelayo zingenzeka:

• Umfutho wegazi ophezulu wokukhulelwa kanye nesifo sikashukela sokukhulelwa.
• Ukubeletha ngaphambi kwesikhathi.
• Ukuphuphuma kwesisu.

Kodwa-ke, lokhu kubalulekile: lokhu okutholakele akukaqinisekiswa yizifundo zakamuva.

Ngakho-ke, odokotela bavame ukuhlola lesi simo ngesikhathi sokukhulelwa kuphela uma unezici eziyingozi zokusithola.

Odokotela bakuthola kanjani lokhu? (Ukuxilongwa)

Odokotela bangasithola lesi simo se-subclinical hypothyroidism kuphela ngokuhlolwa kwegazi le-thyroid.

Uma imiphumela yokuhlolwa kwegazi lakho ikhombisa izinga eliphezulu le-TSH (i-Thyroid-Stimulating Hormone) (ngokuvamile phakathi kwamayunithi angama-5 kuya kwangu-10 ezigidi zamazwe ngamazwe ngelitha (5 kuya ku-10 mIU/L) ) futhi izinga lakho le-thyroxine (T4) lisezingeni elijwayelekile, kusho ukuthi une-hypothyroidism engaphansi kwe-clinical.

Ngezinye izikhathi odokotela bahlukanisa lokhu kabanzi. Uma izinga le-TSH liphakathi kuka-4.5 no-9.9 mIU/L, libizwa ngokuthi iBanga 1 , kanti uma izinga le-TSH liyi-10 mIU/L noma ngaphezulu, libizwa ngokuthi iBanga 2 .

Ingabe lokhu kudinga ukwelashwa?

Kuncike ezintweni ezimbalwa. Udokotela wakho uzonquma ngokusekelwe ezintweni ezifana nezinga lakho le-TSH, izimpawu zakho, kanye nempilo yakho iyonke.

Ngakolunye uhlangothi, ukwelashwa kungavimbela abanye abantu ekubeni yi-hypothyroidism yangempela. Ngakolunye uhlangothi, ukwelashwa kungafaka abanye abantu, ikakhulukazi labo abaneminyaka engaphezu kwengu-65, engozini yokuthola isimo esibizwa ngokuthi i-thyrotoxicosis , okuwukwanda kwama-hormone e-thyroid emzimbeni. Ngaphezu kwalokho, abantu abaningi abane-hypothyroidism engaphansi kwe-clinical abanazo izimpawu futhi abadingi ukwelashwa.

Ngakho-ke, odokotela batusa indlela 'yokulinda nokubona' kubantu abaningi. Abesabi bese beqala ukwelashwa.

Noma kunjalo, odokotela bangase batuse ukwelashwa ezimweni ezilandelayo:

• Labo abanezinga le-TSH elingu-10 mIU/L noma ngaphezulu.
• Uma abantu abasebasha kanye nabantu asebekhulile benezimpawu.
• Uma abantu abasebasha kanye nabantu asebekhulile benezinye izinto eziyingozi.

Ngakho-ke, ikuphi ukwelashwa kwalokhu?

Uma udokotela wakho enquma ukuthi udinga ukwelapha i-subclinical hypothyroidism, uzokunikeza iphilisi le-thyroid hormone elibizwa ngokuthi i-levothyroxine . Lona umuthi owuthatha ngomlomo.

Kodwa-ke, ngaphambi kokuqala lolu hlobo lokwelashwa nge-levothyroxine, udokotela wakho angase afune ukwenza olunye ukuhlolwa kwegazi ukuze ahlole izinga lakho le-TSH zingakapheli izinyanga ezintathu kusukela kumphumela wokuqala wokuhlolwa kwe-TSH ongavamile. Lokhu kungenxa yokuthi amazinga e-TSH abantu abaningi abuyela esimweni sawo esijwayelekile zingakapheli izinyanga ezintathu ngaphandle kokwelashwa.

Ngesikhathi uthatha umuthi, udokotela wakho uzophinde akuncomele ukuhlolwa kwegazi njalo ukuze kuhlolwe amazinga akho e-thyroid, njengoba ukuphuza ngokweqile i-levothyroxine kungaholela ku-hyperthyroidism, isimo lapho i-thyroid gland ikhiqiza khona i-hormone ye-thyroid eningi kakhulu.

Wenzani ngalokhu uma uphathwa ngokwelashwa kokuzala?

Uma abesifazane abane-hypothyroidism engaphansi kwe-subclinical bethola ukwelashwa kokuzala okufana ne-IVF (In Vitro Fertilization) noma i-ICSI (Intracytoplasmic Sperm Injection) , i-American Thyroid Association itusa ukuthatha i-levothyroxine ukulawula amazinga e-TSH abe ngu-2.5 mIU/L.

Kunini lapho ngidinga ukuphinde ngibone udokotela?

Esikhathini esiningi, odokotela balandela indlela ethi 'linda ubone'.

Kodwa uma uqala ukuzwa izimpawu ze-hypothyroidism, njengokukhathala nokukhuluphala okungachazeki, bona udokotela wakho ngokushesha. Uzokwenza olunye ukuhlolwa kwegazi le-thyroid ukuze abone ukuthi une-hypothyroidism ecacile yini.

Ingabe ikhona indlela yokuvimbela lokhu ukuthi kungenzeki?

Uma ngikhuluma iqiniso, ezimweni eziningi, akukho ongakwenza ukuvimbela lesi simo ukuthi singabi khona.

Kodwa-ke, uma ungatholi i-iodine eyanele ekudleni kwakho, ungahlakulela lesi simo. Lokhu kungenxa yokuthi i-iodine ibalulekile ukuze i-thyroid gland ikhiqize ama-hormone e-thyroid. Nakuba lokhu kwehle kancane ezweni lethu ngoba manje sisebenzisa usawoti one-iodine, ukuntuleka kwe-iodine kuyimbangela eyinhloko ye-hypothyroidism kwamanye amazwe omhlaba.

Yini okufanele ngiyilindele ngalesi simo?

I-hypothyroidism engaphansi kwe-subclinical ithinta umuntu ngamunye ngendlela ehlukile, futhi ezimweni eziningi, ixazululeka yodwa zingakapheli izinyanga ezintathu ngaphandle kokwelashwa.

Ingozi yokuthi lesi simo sibe yi-hypothyroidism ecacile iphakathi kuka-2% no-6% ngonyaka .

Ngakho-ke, kungcono ukukhuluma nodokotela wakho ngalokho okufanele ukwenze ngqo ngesimo sakho nokuthi kufanele uhlolwe igazi kangaki.

Kusenempikiswano mayelana nokuthi kufanele yini yelashwe le hypothyroidism engaphansi kwe-subclinical, njengoba izifundo ezahlukahlukene zinemibono ephikisanayo.Njengoba isimo somuntu ngamunye sihlukile, kungcono ukukhuluma nodokotela wakho ngezinto ezikukhathazayo nezinketho zakho. Bayajabula kakhulu ukukusiza.

Ngakho-ke, yiziphi izinto okudingeka sizikhumbule kukho konke lokhu?

Kulungile, ake ngifingqe amanye amaphuzu abaluleke kakhulu kulokho esikhulume ngakho:

• I-subclinical hypothyroidism yisimo lapho amazinga akho e-TSH ekhuphuka kancane, kodwa amazinga akho e-T4 hormone ajwayelekile.
• Esikhathini esiningi, azikho izimpawu ezinkulu, kodwa abanye abantu bangase bakhathale futhi bakhuluphale.
• Lokhu akuyona i-hypothyroidism yangempela, kodwa kunethuba elincane lokuthi kungaba njalo.
• Esikhathini esiningi, odokotela balandela indlela ethi 'linda ubone'. Abaniki wonke umuntu imithi ngesikhathi esisodwa.
• Ukwelashwa kucatshangelwa kuphela uma izinga le-TSH liphezulu kakhulu, uma kunezimpawu, noma uma kunezinye izici eziyingozi.
• I-Levothyroxine iyindlela yokwelapha eyinhloko, kodwa futhi kumele ithathwe njengoba nje udokotela eqondisile.
• Uma unokungabaza noma imibuzo ngalokhu, into engcono kakhulu ongayenza ukubona udokotela womndeni wakho bese ukhuluma naye. Ungakhathazeki, lesi yisimo esilawulekayo.

Khumbula, nguwe okufanele uqaphele kakhulu impilo yakho. Ngakho-ke ungesabi ukubuza imibuzo nokukhuluma nodokotela wakho!

i- hypothyroidism engaphansi kwe-subclinical, i-thyroid, i-TSH, i-thyroxine, i-hypothyroidism, ama-hormone, izimpawu