He Tangata Rawa E kore e Waea ana ki te United States
He nui atu i te kotahi nga whakamatautau e taea ana te whakamahi hei aromatawai i te mahi o to toroid.
Haunga te whakamatautau i te hormone whakaongaonga takaro (TSH) me te taumata thyroxine (T4), ka taea e te taote te whakamahi i te whakamatautau whakaoho o te himoni (TRH). E ai ki tera, kaore pea he whakamahinga o tenei whakamatautau; i roto i te meka, kaore i te wātea ki te United States, ahakoa e wātea ana ki etahi atu whenua.
Te mohio ki te Whakamātautau TRH
Hei maama pehea te mahi whakamatautau a te TRH, he awhina wawe ki te arotake wawe i nga momo homoni o te roro ki te tawhiri:
- Ko to hypothalamus he kiri i roto i to roro e huna ai i te himoni-reta (TRH).
- Ka tukua te TRH, ka whakaongaonga i te kiri pituitary o to roro hei tuku i te hormone stimulating hormone (TSH).
- Ka whakaongaonga te TSH i te taikaro hei hanga i nga homoni taika.
Ko te nuinga o nga kaitoro e whakamahi ana i te whakamatautau TSH, e whakatau ana i te taumata rereke o te TSH i roto i te toto i tetahi wa i te wa. Ko nga hua whakamatautau TSH ka whakamaramatia; ki te mea he tiketike ake, he iti iho ranei o raro i te awhe tohutoro, he taunakitanga tenei o te mate o te thyroid.
He rereke te whakamātautau TRH. Tuatahi, ka mahihia he whakamatautau TSH. Na ka hoatu ki a koe he toenga o te TRH i te mea e whakaongaonga ana i to pituitary ki te tuku TSH. Ka tohua te piti o te toto toto i te 20 ki te 60 meneti i muri mai, ka whakaatuhia te taumata TSH .
Ko etahi o nga kaiwhakaako kei te mohio ka taea e te whakamatautau TRH te kite i nga raruraru thyroid raruraru me te ine i to kaha ki te whakautu i te wa tika, i whakaritea ki te whakamatautau TSH, he whakaahua o te mahi takaroka i tetahi wa i te waa.
Me pehea te Whakamātautau TRH mai i te TSH Test
Ko te whakataurite i te whakamātautau whakangungu TRH me te whakamatautau TSH he rite te whakamatautau mate pukupuku ki te electrocardiogram, he whakamatautau peariki ranei e whakatauritea ana ki te taumata nohopuku pakihi.
I roto i te whakamatautau whakaongaonga, ka whakaatu pea te wero i te matemate i roto i te taiu.
Engari, ko te nuinga o nga kaitoro e whakaaro ana he tika rawa te whakamatautau a TSH me te kotahi o te utu toto e hiahiatia ana, me te kore he taputapu motuhake. Ano, he kore utu te TSH. Hei whakataurite, ko te mahi-kaha me te whakamatautau TRH nui atu i te utu, me wehe atu te rua haora ki te wehe i te waa, te waatea o te TRH, me te mohio ki te mahi tika me te whakamaori i te whakamatautau.
Hua o te TRH Test
Ko te whakamātautau TRH ka whakamahia i etahi wā hei awhina i te hipothyroidism tuarua (hypothyroidism e tika ana ki nga raruraru pituitary) me te hypothyroidism matua (ko te hypothyroidism e tika ana mo te mate hypothalamic).
Engari, ka taea te whakamahi i te TRH kia kitea te hipothyroidism tuarua (tertiary hypothyroidism) ranei, kaore e taea te whakamahi hei wehewehe i te mate pituitary me te mate hypothalamic.
Whakamutunga
I te mutunga, kua whakaaturia e nga kairangahau ka taea te whakamahi i te whakamatautau whakanui TRH kia kitea te hipothyroidism pokapū mai i nga mate e kore e pa ana ki te taiu.
Ko nga rangahau i mua ake e whakaatu ana ko te whakamātautau whakangungu TRH ka whakaatu i te mea e kiia ana ko te hypothyroidism wawe-pitihana i mua i te whakaatu i te whakamatautau TSH noa ake.
Mahalo, ko e ngaahi ako fo'ou ke fakahoko ke fakamahino'i'a e ngaahi painga mahu'inga ki he kau faito'o'oku lahi ange'a e faka'aonga'i'o e fakamo'oni ko'ení.
> Mahinga:
> Doi SAR, Issac D, Abalkhail S, Al-Qudhaiby MM, Hafez MF, Al-Shoumer KAS. Te Huringa a te TRH I te wa o te Basal TSH i roto i te Rangi Rangatira: He Korero Ano-"Bio-Chemical" Hypothyroidism? Medical Medicine & Research . 2007; 5 (3): 145-148. doi: 10.3121 / cmr.2007.756.
> Ross DS. (2017). Te hipothyroidism. Cooper DS, ed. UpToDate. Waltham, MA: UpToDate Inc.