Cikin maganin maganin horroone (TSH) wanda ake amfani da su shine maganin jini da aka yi amfani dashi don binciko bincikar lafiya da kuma kula da hypothyroidism. Duk da haka, fassarar sakamakon TSH na mutum zai iya kasancewa mai banƙyama, kamar yadda akwai wasu muhawara game da abin da yake daidai da matakin "Tada" da "mafi kyau" TSH.
Menene Matsayi na TSH "Na al'ada"?
Ga mafi yawan dakunan gwaje-gwaje, matakan TSH "na al'ada" yana kusa da 0.4 ko 0.5 zuwa 4.5 ko 5.0 milli-kasa da kasa ta kowace lita (mU / L).
Duk da haka, akwai muhawara tsakanin masana game da wannan kewayon.
Alal misali, wasu masana suna jayayya cewa iyakar ƙimar TSH na yau da kullum za ta kasance ƙasa (kimanin 2.5 mU / L), saboda yawancin matasa, elderyroid manya suna da tasirin TSH tsakanin 0.4 da 2.5 mU / L.
Matsalar tare da canza wannan kewayon shine cewa yana nufin farawa da yawa mutane akan maganin maye gurbin maganin hormone.
Bugu da ƙari, likitoci da dama suna biye da matakan TSH, suna nufin sun yi imani da cewa iyakar iyakar al'ada ga mazan tsofaffi ya kamata ya fi girma daga 4.5 zuwa 5.0 mU / L. Wannan shi ne saboda yayin da mutane suka tsufa, ƙwarin TSH ya tashi.
Menene Matsayi na TSH "Mafi kyau"?
A cikin mutumin da aka bincikar da hypothyroidism na farko , yanke shawarar ƙaddaraccen matakin TSH na bukatar wasu tunani mai kyau.
Yayinda mutum zaiyi tunanin cewa samun TSH a cikin "ma'auni" yana da kyau, akwai wasu mahimmancin farfadowa (banda kaddamar da matakan TSH).
Wadannan manufofin maganin sun hada da:
- Inganta bayyanar cututtuka
- Ragewa a kowace karoid din kara, wanda ake kira goiter (idan akwai)
- Guje wa cin zarafi (wanda ake kira thytrotoic thyrotoxicosis)
Alal misali, idan mutum yana da TSH wanda ya fada a cikin iyakokin al'ada na al'ada, kuma suna da alamun cututtukan hypothyroid (alal misali, maƙarƙashiya ko sanyi rashin haƙuri), likita na iya kara yawan maganin maye gurbin maganin hormone tare da manufar niyya ƙananan TSH (wanda yake kusa da 1.0 MU / L).
Wannan wata hanya ce mai dacewa ta hanyar hanyar magance masu haƙuri, ba kawai adadin ba.
Duk da haka, mai yiwuwa ka yi mamaki dalilin da yasa likitoci ba su sabawa TSH a kowane lokaci ba.
Shekaru
Gaskiyar ita ce, ga wasu mutane, ƙananan matakin TSH (wanda yake tsakanin 0.4 zuwa 2.5mU / L) yana da kyau a cikin matasa da kuma tsofaffi. Wannan kuwa shi ne saboda bincike ya nuna cewa a yawancin jama'a, tara daga cikin mutane goma suna da matakin TSH na 1.4 mU / L.
Amma a cikin tsofaffi (shekaru 65 ko 70 da tsufa), TSH na 3.0 zuwa 6.0 mU / L ya fi dacewa, idan akai la'akari da ƙaddarar yanayi a TSH.
Rashin lafiya
Baya la'akari da shekaru, likita na iya la'akari da tarihin likitanku (kamar idan kuna da matsalolin zuciya), kamar yadda akwai halayen kiwon lafiya da ke haɗuwa da maganin maganin kawancin mutum.
A gaskiya ma, kan maye gurbin hawan karo na thyroid zai iya haifar da yanayin zuciya wanda ake kira fibrillation (abin da ya fi faruwa a cikin tsofaffi) da / ko hasara na kashi (wannan ya fi dacewa ga mata masu matsakaicin mata).
Kalma Daga
Da zarar an gano ku tare da hypothyroidism, ƙayyade matakin da za ku fi dacewa ko ƙaddamar da TSH zai iya ɗaukar lokaci da hakuri kamar yadda ku da likitanku suka fitar da wasu abubuwa kamar alamunku, lafiyar ku, da kuma shekarunku.
A ƙarshe, zama a cikin kwanciyar hankali cewa zaka iya samun magungunan maganin magani don gudanar da hypothyroidism.
Ku ci gaba da mayar da hankali a kan lafiyarku da kuma lafiyarku na kirki yayin da kuka kewaya ta hanyar tafiya.
> Sources:
> Braverman, L, Cooper D. Werner & Ingbar's Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.
> Jonklaas, J et al. "Sharuɗɗa don Kula da Hypothyroidism: Kungiyar Aminci ta Ƙungiyar Karoid ta Amurka ta shirya ka a kan Canjin Hormone Replacement (2014)." Thyroid 24 (12): 1670-1751, 2014.
> Ross DS. (2018). Jiyya na farko hypothyroidism a cikin manya. Cooper DS, ed. Na zamani. Waltham, MA: UpToDate Inc.