Ko te TSH Ko te Tohu Matua mo te Tatauranga me te Aroturuki i te Mahi Tauau
Ko te whakamaori i nga taumata TSH ehara i te mea tino whakautu, na kaore koe i te mea koe koe kei te uiui he aha nga taangata o tou takaro , me te mea he aha te taumata TSH teitei me te iti mo te maimoatanga.
Hei tauira, ka taea e koe te uiui he aha i hiahia ai to taakuta ki te heke ake i te whakatairanga i te rongoā materoka i te wa e iti ana nga hua o te TSH, i te mea ranei, he aha te whakanui o to taakuta i to maimoatanga taikaha ina he tiketike to TSH.
Kia tino mohio, ahakoa kei te hoki ki muri, he maatauranga katoa koe ina titiro koe ki te koiora o te hangau hiroone.
Kaupapa Tauau
Ko te kawa o to kouroid e whakaputa ai i te homone thyroid. A, no te mahi tika, ko to touroid he waahanga o te mahinga urupare me to taiao pituitary e whakauru ana i etahi waaahi matua:
- Tuatahi, ka whakaarohia e to pituitary te taumata o te hiroone taikaro e tukuna ana ki roto i te toto.
- Ka tukuna e to pituitary tetahi hormone karere motuhake: hormone stimulating hormone thyroid (TSH). Ko te kawenga o te TSH ko te whakaongaonga i te tairoi ki te tuku atu i te hiroone hou.
- I te wa e mate ai koe i te taiora, mo nga take-mate, te uaua, te taatai, te whakamutu ranei, hei tauira-kaore e taea te whakaputa i te hiroone taikaro, ka kitea e te pituitary nga taumata iti o te hiroone kauaka ka neke ki te mahi ma te hanga i etahi atu TSH, na te mea ka whakaheke i to tairoi ki te hanga i te hiroone hou. Koinei te mahi a te pituitary ki te whakaara ake i nga taumata o te hormone thyroid me te whakahoki ano i te pūnaha ki te tikanga.
- Mena he pai te mahi o te toro ki a koe, me te whakaputa i te nui o te hiroone thyroid-e tika ana ki te mate, ki te tango i tetahi horopeta o te rero whakakapi reroone whakakapi-o to whakaaro pituitary kei te nui te nui o te hiroone kaare e huri ana, e whakaroa ana, e whakamutua ranei te mahi TSH. Ko tenei maturuturu i roto i te TSH he ngana ki te whakahoki i nga taumata o te himoni e haere ana ki te waa.
Te whakamaori i nga Taumata TSH
Kia mohio koe ki enei kaupapa whakawhitinga taika, he māmā ake te mohio ki te mea he iti te TSH me te TSH nui e whakaatu ana mo te mahi a tou mahi.
Mai i te mea ka whakaara ake a TSH i nga taumata himoni reta me te pupuri i te pūnaha i te taurite noa:
- Ko te TSH teitei e whakaatu ana ko to thyroid he mea kino (hypothyroid) me te kore e mahi ana i te whakaputa i te hiroone taikaro nui. Kei te mahi te TSH nui atu ki te whakaongaonga i to tairoi ki te whakaputa ake i te homone thyroid.
- Ko te TSH iti e tohu ana ko to touroid he overactive (hyperthyroid) me te whakaputa i te hironone taikaha. Ko te pituitary gland kei te tarai i te TSH kia kore ai te tiroid e hua ake.
Kei te TSH te TSH?
I te wa o te whakamatau, ko te nuinga o nga kaitohutohu e whakamahi ana i te whakamatautau TSH hei aromatawai i to mahi mahi takaro me te whakatau i te waa tino pai o te maimoatanga.
Engari, kia mahara etahi o nga kaiwhakaako kei te whakawhirinaki anake ki te TSH, me te kore hoki e arotake i nga taumata whakawhitinga o nga hormoni thyroid, rite tonu ki to thyroxine (T4), kaore pea e taea e koe te kite i nga raruraru hou o te taiu.
Hei tauira, ko te T4 noa e tua atu ki te TSH, he mea whakamatautauria i te wa e whakapaehia ana e te taote te mate o te materoki o te mate o te pituitary gland or hypothalamus. Waihoki, mehemea he mea noa te TSH, engari he tohu tonu te tangata ki te hyperthyroid, ki te hypothyroid ranei, ka tirohia te T4 korekore.
Kaore ano hoki te TSH e ranea hei aroturuki i te hypothyroidism i te wa e hapu ana , ko te aha te utu T4 noa me te / ranei te T4 katoa e tirohia ana.
I runga i te ahua hauora, ko etahi atu whakamatautau taikaro e aromatawaihia ana ko te triiodothyronine (T3), te whakamuri i te T3 , me nga whakamatautau antibody.
Ngā Tae Whakaaro TSH
Ko te mahinga nui i roto i te hononga o te TSH ki te hypothyroidism me te hyperthyroidism ko te whakawhitiwhiti tonu i roto i te ao hauora i runga i te awhe tohutoro mo te whakamatautau TSH.
Ko nga taumata i raro ake 0.4 e whakaarohia ana he taunakitanga mo te hyperthyroidism, me nga taumata i runga ake i te 5.0 e kiia ana he taunakitanga pea mo te hypothyroidism, engari ko etahi o nga tohunga kei te whakaaro he whanui rawa tenei awhe, me te whaiti ki te 0.4 ki te 2.5mU / L.
Te whakatau i nga maimoatanga I runga i te TSH
I te wa e tukinotia ana koe mo te hypothyroidism me te waipiro hei whakakapi i te homoni hou, ka kaha nga taakete ki te whakamau i a koe ki te awangawanga "noa" o te TSH mai i te 0.3 / 0.5 i runga i te iti-mutunga, ki te 3.0 / 5.0 i runga i te teitei.
Na, ka haere koe mo te arowhai ka haere mai to TSH i raro ake (ko te tikanga kei te whakamutuhia te TSH i te mea he tiketike rawa nga tohu o te himoni), ka hiahia pea to taakuta ki te whakaiti i to hua o te horroone thyroid no te mea kua mate koe i mua . Ko te mea na te mea ka nui ake te tangohanga o te TSH (te tikanga he nui te hanga hukawhakaroka) ka whakanui ake i te mate o te tangata i te waahi o te kiriwaro (te ngakau arrhythmia) ranei te osteoporosis.
A, ki te haere mai to whakamatautau TSH i runga ake i te tikanga, ka hiahia etahi taakete ki te whakanui ake i to hua o te hiroone kaiota, no te mea ko nga taumata i runga ake ka whakaarohia he hypothyroid (he kore).
He Kupu Mai i
I te whakariterite, ko te whakamatautau TSH ko te tohu toto e whakamahia ana e nga taote ki te whakamutu i te hypothyroidism me te hyperthyroidism me te aroturuki i te whakamaropi whakakapi hiroone (ki te hiahiatia).
Ahakoa nga waitohu hauora, penei i te hapu, i te whare hauora ranei, ka hiahia kia whangangahia te T4 me te T3, ka mau ki te ariā matua o te mea he nui te taumata TSH teitei mo te mahi o to takaroka ko te tino kai o nga mea e hiahia ana koe ki te mohio.
E ai ki tera, mehemea kei a koe etahi uiuinga mo te mahi toto ki a koe, kia mohio koe ki te tono i to taakuta.
> Mahinga:
> Bahn, R., Burch, H, Cooper, D, et al. Hyperthyroidism me etahi atu take o Thyrotoxicosis: Aratohu Whakahaere o te American Thyroid Association me American Association o Clinical Endocrinologists. Mahi Whakamutunga. Vol 17 Nama 3 Haratua / Pipiri 2011.
> Braverman, L, Cooper D. Werner & Ingbar Ko te Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.
> Garber, J, Cobin, R, Gharib, H, et. al. "Ngā Aratohu Mahi Mahi Hauora mo te Hypothyroidism i roto i nga Paari: I tautokohia e te American Association of Clinical Endocrinologists me te American Thyroid Association." Mahi Whakamutunga. Vol 18 No. 6 Noema / Hakihea 2012.
> Ross DS. (2017). Te aromatawai raupapa o te mahi takaroka. I: UpToDate, Cooper DS (Ed), UpToDate, Waltham, MA.