Wani ɓangare na Lissafin Tambaya a Abin da al'ada TSH yake
Kuna iya samun kanka (ko ƙaunataccen) a cikin halin da ke shafar mutane da yawa tare da maganin thyroid: Kana da cutar Hashimoto (ma'ana kana da maganin cututtukan thyroid peroxidase (TPO), amma thyroid stimulating hormone (TSH) ya fada cikin layin jadawali na al'ada.
Koda ma, kuna iya fuskantar wani ko fiye da yiwuwar hypothyroid-alamun bayyanar cututtuka kamar gajiya, wadata mai yawa, ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa, damuwa, ƙumburi, ko ƙuƙwalwar ƙuƙwalwar ƙwaƙwalwar ƙwaƙwalwa.
Gaskiyar lamarin ita ce yin maganin cutar Hashimoto a cikin wata al'ada (ko kuma TSH mai girma) yana da matukar damuwa, yanki na kula da lafiya.
Menene A al'ada TSH?
Mafi yawan likitocin da suka bi da cutar thyroid sunyi imanin cewa suna da ciwon cutar Hashimoto, kamar yadda aka nuna da maganin cututtukan maganin peroxidase (TPOAb) ko sakamakon maganin thyroid na biopsy, bai isa ya kula da kai ba, idan dai gwajin gwagwarmayar thyroid stimulating hormone (TSH) yana sanya ku a cikin "ma'auni".
Matsalar ita ce "Tamanin" Tambaya na labaran TSH yana jayayya a tsakanin masana, wasu suna nuna cewa kimanin 4.5 mili-kasa na kasa da lita ko mU / L shine ƙarshen al'ada, yayin da wasu sun yi imanin cewa wani abu a sama da 2.5mU / L yana da tsawo.
Duk da wannan muhawara, saboda dalilai masu mahimmanci, mafi yawan dakunan gwaje-gwaje suna ba da labarin ƙimar TSH na yau da kullum tsakanin tsakanin 0.4 da 4.5 mU / L.
Hypothyroidism mai zurfi
Da wannan, idan kuna da hypothyroidism , ma'anar TSH tana da girman girman (bari mu ce game da 6.0 mU / L) da matakin thyroxine (T4) na al'ada, gaskiyar cewa kana dauke da kwayoyin TPO masu tasiri na iya rinjayar likita a cikin zalunta da kai low kashi na magani thyroid hormone sauyawa.
Kwararrenku zai iya zama mafi mahimmanci don bi da (ko gwada shi) idan kuna da ciwon hypothyroid, kamar maƙarƙashiya, ciki, ko gashin gashi.
Dalilin da ya sa aka fara maganin shi ne cewa biyan maganin hypothyroidism na iya hana ci gaba da rinjaye hypothyroidism (lokacin da TSH ke ɗauke da girmanka kuma matakin T4 yana da ƙasa).
Jiyya na iya inganta cututtuka ko wasu alamun hypothyroidism (kamar high cholesterol).
Yin maganin Hypothyroidism: Sauran Ayyuka don Kulawa
Bugu da ƙari, a gaban ciwon TPO da kuma kuna da alamun bayyanar cututtuka, likitanku zaiyi la'akari da wasu dalilai yayin da za ku yanke shawara ko ko za ku bi da hypothyroidism subclinical:
Shekaru
Ɗaya daga cikin mahimmanci shine shekarun TSH na iya tashi tare da karuwa, har ma a cikin mutane ba tare da cututtukan thyroid ba.
Wannan shine dalilin da ya sa likita zai iya yin bayani da magani na maye gurbin maganin hormone ga wani saurayi tare da TSH mai sauƙi, al'ada T4, da magungunan TPO masu kyau, amma ba ga wani tsofaffi (wanda ya kai shekaru 60) tare da sakamakon binciken gwajin jini ba; kodayake, sau da yawa ana kula da tsarin kula da "kallon jira da jira", ma'anar cewa za a duba TSH a lokaci-lokaci don ganin idan ya tashi.
Sauran Lafiya na Lafiya
Samun tarihin iyali na cutar thyroid ko tarihin mutum na high cholesterol na iya kara miki likita a zalunta da hypothyroidism.
Tun da hypothyroidism na iya ƙara haɗari da rashin haihuwa da kuma haihuwa, an fara fara magani.
Downsides don Biyan maganin Hypothyroidism
Duk da yake magani na maye gurbin maganin hormone yana da kyau a halatta, akwai wasu matukar damuwa don farawa jiyya ga hypothyroidism subclinical.
Babban damuwa daya shine haɗarin rikice-rikice, ma'ana mutum ya zama hyperthyroid, wanda zai sa su cikin hadarin bunkasa fibrillation da osteoporosis.
Sauran matsaloli masu yawa sun hada da kudin, rashin jin daɗi, da "magani" na yanayin da ya dace.
Kalma daga
Idan kai ko ƙaunatacciyar yana da hypothyroidism na yaudara, har ila yau yana da ciwon kwayoyin TPO (cututtukan Hashimoto ) na iya saji likitanka don fara gwaji na levothyroxine.
A ƙarshe, yin la'akari da ko ka fara fara maganin thyroid ya buƙaci tattaunawa mai mahimmanci tare da likitanka-da kuma tuna, abin da ke daidai don thyroid da kuma cikakken kiwon lafiya bazai dace ga wani.
> Sources:
> Burns RB, Bates CK, Hartzband P, Smetana GW. Dole ne mu bi don yin amfani da hypothyroidism ?: Babban Ra'ayi Tattaunawa daga Bet Israel Deaconess Medical Center. Ann Intern Med. 2016 Jun 7; 164 (11): 764-70.
> Garber, J, Cobin, R, Gharib, H, et. al. "Ayyukan Gudanar da Harkokin Gudanarwa na Hypothyroidism a cikin Manya: Cikin Shaɗin Ƙungiyar Ƙungiyar Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararruyar Amirka da Ƙungiyar Ƙasa ta Amirka." Endocrine Practice. Vol 18 No. 6 Nuwamba / Disamba 2012.
> Jonklaas J et al. Sharuɗɗa don Kula da Hypothyroidism: Kungiyar Amfani da Ƙungiyar Ƙungiyar Ƙungiyar Karoid ta Thyroid wadda ta shirya daga Thyroid Hormone Replacement. Thyroid . 2014 Dec 1; 24 (12): 1670-1751.
> Reid SM, Middleton P, Cossich MC, Crowther CA, Bain E. Ayyuka don maganin ƙwaƙwalwar ƙwayar cuta da kuma jigilar mahaifa a lokacin ciki. Cochrane Database Syst Rev. 2013 Mayu 31; (5): CD007752.
> Thangarantinam S, Tan A, Knox E, Kilby MD, Franklyn J, Coomarasamy A. Ƙungiyar tsakanin thyroid autoantibodies da ɓarna da haifuwar haihuwa: meta-bincike na shaida. BMJ . 2011 Mayu 9; 342: d2616.