He waahanga o nga Whakawhitiwhiti i roto i te He aha te TSH Tangata
Ka kitea pea e koe (ko te tangata e arohaina ana) i roto i tetahi raruraru e pa ana ki te nuinga atu o nga tangata me te mate taikaro: Kei a koe te mate o Hashimoto (e whai ana koe i te hauroro o te hauroro (TPO) pai, engari ka takahia te hormone hiko (TSH) ki a koe. te awhe tohutoro noa.
Waihoki, kei te kite koe i tetahi tohu nui atu i te hypothyroid ranei, penei me te ngoikore, te taimaha taimaha, te ngutu roro, te ngoikore, te pupuhi, te uaua ranei-me te uiui mehemea ka whakamanahia te maimoatanga.
Ko te pono o te mea ko te mahi maimoatanga o te mate o Hashimoto i te mea he pai (ranei te TSH teitei) he ahuareka, he wahi poari o te tiaki hauora.
He aha te mea he TSH noa?
Ko te nuinga o nga kaitoro e atawhai ana i te mate o te materoto o te mate ka mate ko te mate a Hashimoto, e whakaatuhia ana e te nui o nga huapiro o te peroxidate thyroid (TPOAb) me te hua o te koiora o te kouroid , kaore i tino nui te take ki te hamani ia koe, i te mea ko te hua whakamatautau hiroone (TSH) Ka whakauru koe ki roto i te awhe tohutoro "noa".
Ko te raruraru he tautohetohe te korero "TH" noa i waenga i nga tohunga, ko etahi e kii ana ko te 4.5 miriona-wae-whenua mo te rita ranei ko te MU / L ko te mutunga teitei o te waa noa, engari ko etahi e whakapono ana he mea tiketike ake i te 2.5mU / L.
Ahakoa tenei tautohetohe, mo nga whainga whaitake katoa, kei te nuinga o te nuinga o nga whare taiao e tuhi ana i te whaautu korero TSH noa i waenga i te 0.4 me te 4.5 mU / L.
Te wairangi o te Hypothyroidism
Mehemea, kei te whai koe i te hypothyroidism , ko te tikanga kia piki te TSH (me korero mo te 6.0 mU / L) me te taumata o te thyroxine (T4), ko te mema kei te whai koe i te mate TPO tika ka awhina i to taakuta ki te atawhai ia koe. he iti iho te horopaki o te rongoā rero hei whakakapi.
Tërä pea ka kaha ake to tö täkuta ki te hamani (he whakamatautau ränei) mehemea kei te whai koe i nga tohu tohu o te hypothyroid, pera me te papakiri, te pouri, te makawe ranei o te makawe.
Ko te take matua i muri i te whakamaakotanga o te rongoā ko te maimoatanga o te hypothyroidism ka taea te whakakore i te haere ki te taraiwa i te hypothyroidism (ka piki ake to TSH, ka iti ake te taumata T4).
Ka taea ano e te maimoatanga te whakapai ake i nga tohu, i era atu tohu o te hypothyroidism (pērā i te cholesterol teitei).
Te whakahaere i te wairangi o te waipiro: etahi atu take hei pupuri i te hinengaro
I tua atu i te aroaro o te TPO me te mea kei a koe nga tohu, ka whakaarohia e to taakuta etahi atu mea ka whakatau koe mehemea kaore ranei e hamani i te hypothyroidism i raro:
Age
Ko tetahi o nga take ko te pakeke-ko te taumata TSH te tipu ake me te whakanui ake i te tau, ara i nga tangata kahore he mate o te mate.
Ko te aha tenei ka taea e te taakuta te whakatau i te rongoā mate whakakapi o te homone hei whakakapi mo tetahi taiohi me te TSH teitei, te T4 noa, me nga tapatoru TPO pai, engari ehara i te pakeke (neke ake i te 60) me nga hua o te whakamatautau toto; engari, he maha nga huarahi e whai ana ki te huarahi "tutei me te tatari", ko te tikanga ka tirohia e TSH i ia wa kia kitea ai mehemea ka ara ake.
Ētahi atu raruraru hauora
Ko te hītori o te whanau o te mate thyroid ranei, ko te hitori whaiaro o te cholesterol teitei, ka taea e te taote te mahi ki te maimoatanga i te hypothyroidism.
Mai i te mea ka nui ake te kaha o te mokupuku o te mokupuku me te mate o te whanau, ka timata te maimoatanga.
Tuhinga o mua
Ahakoa i te nuinga o te wa e tukinotia ana te rongoa o te homoni hou o te tairoro, kei reira etahi waahi kaha ki te timata i te maimoatanga mo te hypothyroidism.
Ko tetahi o nga raruraru nui ko te raruraru o te mate pukupuku, te tikanga ko te tangata ka puta ki te hyperthyroid, he mea ka tupono ki te whakawhanaketanga o te tira me te osteoporosis.
Ko ëtahi atu ohorere e whai ana ko te utu, te whakaraerae, me te "rongoatanga" o te tikanga noa.
He Kupu mai i
Mena kei a koe, kei te aroha ranei tetahi e aroha ana ki te hypothyroidism, kei te whai hoki i te mate TPO pai ( te mate o Hashimoto ) ka taea e to taau ki te whakauru i te whakamatautau o te levothyroxine.
I te mutunga, ko te whakatau mehemea kaore ranei e tīmata i te maimoatanga o te mahi takaro, me whai korero whakawhiti whakaaro ki a ratau rata-me mahara, he aha te mea tika mo to thyroid me te hauora katoa kaore e tika mo tetahi atu.
> Mahinga:
> Burns RB, Bates CK, Hartzband P, Smetana GW. Me mahi maatau mo te hypothyroidism taraiwa ?: Nga Rangatira Nui Matapaki mai i Pete Israel Deaconess Medical Center. Ann Intern Med. 2016 Pipiri 7; 164 (11): 764-70.
> 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.
> Jonklaas J et al. He Aratohu mo te Maimoatanga o te Hypothyroidism: I whakaritea e te American Task Force Thyroid Association i runga i te Hormone Replacement. Thyroid . 2014 Hakihea 1; 24 (12): 1670-1751.
> Reid SM, Middleton P, Cossich MC, Crowther CA, Bain E. Whakatakotoranga mo te waahi materopi me te waahi o mua o te hapori me te wa e hapu ana. Cochrane Database Syst Rev. 2013 Me 31; (5): CD007752.
> Thangarantinam S, Tan A, Knox E, Kilby MD, Franklyn J, Coomarasamy A. Association i waenganui i te thyanti autoantibodies me te matereke me te whanau o mua: meta-tātari o taunakitanga. BMJ . 2011 Me 9; 342: d2616.