Cov thyroid caj pas tau dhau los ua ib yam kab mob.Yav dhau los, qhov teeb meem no muaj ntau dua ntawm cov neeg laus, tshwj xeeb tshaj yog cov poj niam, tab sis vim noj tsis noj qab haus huv thiab kev ua neej tsis txaus ntseeg, ntau tus tub ntxhais hluas thiab cov menyuam yaus kuj dhau los ua cov neeg raug tsim txom.Raws li tsab ntawv tshaj tawm xyoo 2017 luam tawm los ntawm Diagnosis Chain SRL, "32% ntawm cov neeg Khab raug kev txom nyem los ntawm ntau hom thyroid kab mob."Tam sim no, cov neeg mob qog nqaij hlav qog noj ntshav tau los ua ntej.Ib txoj kev tshawb fawb los ntawm University of Texas ntawm Austin tau pom tias "ntau lab tus neeg mob yuav tsum muaj lawv cov thyroid caj pas lossis ib feem ntawm nws tshem tawm txhua xyoo vim mob qog noj ntshav."ntawm cuaj kab mob.Yog li ntawd, nws yog ib qho tseem ceeb kom paub tias qhov kev kuaj twg tuaj yeem ua tau kom raug kuaj xyuas cov thyroid caj pas.Teb: TSH, thyroid stimulating hormone test.Kawm txog–
TSH yog ua nyob rau hauv cov thyroid caj pas.Nrhiav seb cov thyroid caj pas puas ua haujlwm zoo?Puas yog nws hyperactive lossis tsis ua haujlwm?Ob qho xwm txheej yog teeb meem.Qhov zoo tshaj plaws, nrog rau qhov kev sim no, tus kab mob tuaj yeem kuaj pom txawm tias ua ntej lub cev pom cov tsos mob thyroid.
Thawj qhov uas yuav tsum paub yog dab tsi yog cov thyroid caj pas, lub cev hauv tib neeg lub cev uas zais cov tshuaj tsim nyog rau kev loj hlob ntawm lub cev.Cov thyroid caj pas zais ntau yam tshuaj hormones, suav nrog T4, suav nrog cov thyroid hormones.Cov tshuaj hormones no ua thoob plaws hauv lub cev, cuam tshuam kev loj hlob, lub cev kub, thiab cov metabolism.Cov tshuaj hormones no tseem ua lub luag haujlwm hauv kev loj hlob ntawm lub hlwb hauv cov menyuam mos thiab menyuam yaus.Kev kuaj TSH yuav tsim nyog yog tias muaj teeb meem nrog kev tsim thiab siv cov thyroid hormones hauv lub cev.Kev soj ntsuam ntawm TTG ua li cas?
Kev ntsuam xyuas yog ua los ntawm kev kuaj ntshav.Cov ntshav coj mus kuaj raws li niaj zaus thiab tshuaj xyuas hauv chav kuaj.Qib TSH hauv cov ntshav yog dab tsi?Qhov kev sim no tuaj yeem ua tiav hauv txhua qhov chaw kuaj pom.
Thaum twg thiaj kuaj tau TSH Cov neeg tshaj 40 tau pom zoo kom muaj qhov kev sim no txhua xyoo.Nws tseem tsim nyog sau cia tias feem ntau cov neeg hauv peb lub tebchaws tsis paub tias lawv muaj kab mob thyroid vim nws cov tsos mob tshwm sim heev.
Leej Twg Yuav Tau Txais Kev Ntsuas Cov thyroid Txhua tus neeg uas xav tias lawv rog dhau yuav tsum tau kuaj xyuas lawv cov thyroid ib ntus.Cov kab mob thyroid kuj tuaj yeem tshwm sim yog tias ib tus neeg nkees nkees vim tsis muaj laj thawj, qaug zog, tub nkeeg, o tes thiab taw, thiab qab los noj mov ntau dhau.Nws tuaj yeem tshwm sim rau cov neeg ntawm txhua pab pawg hnub nyoog.Cov me nyuam niaj hnub no kuj raug tsim txom thiab.Tus kab mob no feem ntau tshwm sim rau cov poj niam.
TSH cov txiaj ntsig txhais tau hais tias cov qib ib txwm rau cov neeg laus yog nyob nruab nrab ntawm 0.4 thiab 5 milliliters ntawm thoob ntiaj teb units (mIU / L) ib liter.Yog tias qib TSH hauv cov ntshav siab, hypothyroidism tuaj yeem tshwm sim.TSH tuaj yeem nce thaum cev xeeb tub.Yog tias tus neeg mob noj cov tshuaj steroids, dopamine, lossis tshuaj kho mob opioid (xws li morphine), cov kev ntsuam xyuas yuav qhia TSH qib qis dua li qub.TSH theem qis qhia tau hais tias cov thyroid caj pas overactive.Yog tias qhov kev ntsuam xyuas pom tias qib TSH qis dua li qub, qhov no txhais tau tias muaj iodine ntau dhau hauv lub cev.Tus neeg mob tau noj ntau dhau ntawm cov thyroid hormone npaj.
Dab tsi yog qhov txaus ntshai ntawm kev kuaj TSH?Qhov kev sim no feem ntau tsis muaj kev pheej hmoo.Yog lawm, yuav muaj qee qhov mob thaum coj tus neeg mob kuaj ntshav.Cov neeg mob tuaj yeem raug mob yog tias cov ntshav raug rho tawm los ntawm rab koob, tab sis qhov no tsis tshua muaj.Yog li, qhov kev sim no tuaj yeem ua tau txhua lub sijhawm, nyob qhov twg.Nws tsis yog qhov txaus ntshai heev.Raws li National Center for Biotechnology Information (NCBI), qhov kev sim tau ua tiav hauv 99.6% ntawm cov neeg mob.
Muaj qee yam tshuaj uas tuaj yeem cuam tshuam cov txiaj ntsig ntawm kev kuaj TSH ua ntej kuaj thyroid stimulating hormone (TSH).Piv txwv li - amiodarone, lithium, potassium iodide, prednisolone, dopamine.Yog li, yog tias tus neeg mob noj ib yam ntawm cov tshuaj no, nws yog ib qho tseem ceeb qhia rau tus kws kho mob ua ntej mus kuaj TSH.Raws li tus kws kho mob cov lus qhia, kev ntsuam xyuas tuaj yeem ua tau ob peb hnub tom qab tso tseg cov tshuaj no.
Tom qab TSH tsom xam thiab nyob rau hauv cov ntaub ntawv ntawm cov thyroid tsis ua hauj lwm, cov kws kho mob pom zoo kom noj ib ntsiav tshuaj ntawm hluavtaws thyroid hormone ib hnub twg.Qhov no sib npaug cov tshuaj hormones thiab tus neeg mob pib hnov zoo li qub.Cov neeg rog rog kuj poob phaus.Ob lossis peb lub hlis tom qab noj cov tshuaj, lawv rov kuaj TSH thiab tso tseg cov tshuaj tom qab normalizing qhov tshwm sim.
Kev kho mob rau hyperthyroidism Muaj ntau ntau txoj kev kho mob rau tus mob no, xws li siv xov tooj cua iodine kom txo qis cov thyroid los yog siv cov tshuaj antithyroid kom tsis txhob muaj cov tshuaj hormones ntau dhau.Qhov teeb meem no ua rau lub plawv dhia ntau dhau, uas tuaj yeem ua rau cov beta-blockers zoo li qub.Kev phais kuj tseem ua tau yog tias tus mob hnyav dua li qhov tsim nyog.
Kev kuaj mob qog noj ntshav zoo li no: Raws li Dr. Umar Afroz ntawm AIIMS cuam tshuam nrog myupchar.com, cov qog nqaij hlav qog nqaij hlav hauv cov hlwb ntawm cov thyroid caj pas.Ntau yam kev ntsuam xyuas tau ua los xyuas nws, suav nrog ultrasound, scanning, biopsy, thiab laryngoscopy.Tsis tas li ntawd, xyuas cov qib calcium, phosphorus thiab calcitonin hauv cov ntshav.
Cov ntawv kho mob sau los ntawm www.myUpchar.com.
Post lub sij hawm: Oct-08-2022