TSH xeem

Kev kuaj ntshav TSH ntsuas ntsuas seb koj cov thyroid stimulating hormone (TSH) ua li cas hauv koj cov ntshav. TSH yog tsim los ntawm cov qog pituitary. Nws yaum cov thyroid caj pas ua thiab tso cov thyroid hormones rau hauv cov ntshav.

Xav tau cov ntshav ntxiv. Lwm qhov kev ntsuam xyuas cov thyroid uas tuaj yeem ua tau tib lub sijhawm xws li:

• T3 xeem (pub dawb lossis tag nrho)
• T4 xeem (pub dawb lossis tag nrho)

Tsis muaj kev npaj dab tsi xav tau rau qhov kev ntsuas no. Nug koj tus kws kho mob txog cov tshuaj uas koj siv uas yuav cuam tshuam rau cov txiaj ntsig kev sim. TSIS TXHOB noj yam tshuaj yam tsis tau nug ua ntej.

Cov tshuaj koj yuav tsum tau nres rau ib lub sij hawm luv luv suav nrog:

• Amiodarone
• Dopamine
• Lithium
• Poov tshuaj iodide
• Prednisone lossis lwm yam tshuaj glucocorticoid

Cov vitamins biotin (B7) tuaj yeem cuam tshuam cov txiaj ntsig ntawm TSH xeem. Yog tias koj noj biotin, nrog koj tus kws kho mob tham ua ntej koj yuav tsum kuaj ntsuas cov thyroid ua haujlwm.

Thaum cov koob tau tso rau hauv cov ntshav, qee cov neeg hnov ​​mob me ntsis. Lwm tus ho hnov ​​tus mob lossis ceg tawv xwb. Tom qab ntawd, tej zaum yuav muaj qee qhov thos lossis me me sib duav. Tsis ntev no ploj mus.

Koj tus kws kho mob yuav xaj kuaj mob no yog tias koj muaj cov tsos mob los yog pom muaj qhov txawv txav qog lossis tsis txaus ua qog. Nws kuj tseem siv los saib xyuas kev kho mob ntawm cov mob no.

Koj tus kws khomob tseem yuav kuaj koj li Q yog tias koj npaj siab yuav xeeb tub.

Cov nuj nqis ib txwm muaj li ntawm 0.5 txog 5 microunits ib milliliter (µU / mL).

TSH qhov tseem ceeb tuaj yeem sib txawv hauv nruab hnub. Nws yog qhov zoo tshaj plaws kom muaj qhov kev xeem thaum sawv ntxov. Cov kws tshaj lij tsis pom zoo tag nrho cov xov tooj sab sauv yuav tsum yog thaum kuaj pom cov thyroid tsis txaus siab.

Cov kab ke tus nqi yuav txawv me ntsis ntawm ntau lub chaw soj nstuam. Qee qhov kuaj pom siv cov kev ntsuas sib txawv lossis kuaj cov qauv sib txawv. Tham nrog koj tus kws kho mob txog cov ntsiab lus ntawm koj cov kev kuaj sim.

Yog tias koj tau kho tus mob qog, koj qib TSH yuav cia li ntawm 0.5 thiab 4.0 µU / mL, tsuas yog thaum:

• Kev ntshaws siab yog qhov ua rau muaj cov thyroid teeb meem. Ib qho tsawg TSH yuav xav tau.
• Koj muaj keeb kwm txog qee yam mob qog noj ntshav. A tus nqi TSHOOJ hauv qab qhov ib txwm tsis muaj peev xwm ua tau zoo tshaj plaws los tiv thaiv tus mob qog ua cancer los ntawm kev rov qab los.
• Tus pojniam muaj menyuam hauv plab. Cov kab ke ib txwm rau TSH yog txawv rau cov poj niam cev xeeb tub. Koj tus kws kho mob yuav qhia tias koj noj cov thyroid hormone, txawm hais tias koj TSH nyob hauv qhov tsis zoo.

Ib qho tshaj-dua-li ib txwm TSH yog feem ntau feem ntau vim yog qhov tsis txaus ua cov thyroid caj pas (hypothyroidism). Muaj ntau ntau yam ua rau cov teeb meem no.

Qhov qes dua-qib-theem yuav yog vim muaj cov thyroid caj pas ua haujlwm ntau, uas tuaj yeem tshwm sim los ntawm:

• Graves tus kab mob
• Toxicular nodular goiter lossis multinodular goiter
• Iodine ntau nyob rau hauv lub cev (vim tias tau txais iodine sib piv siv thaum lub caij ntsuas, xws li CT scan)
• Kev noj tshuaj rau cov thyroid hormones txaus ntau dhau los yog cov tshuaj uas ib txwm muaj los yog tshaj tawm cov tshuaj uas muaj cov thyroid hormones txaus

Kev siv qee yam tshuaj noj kuj tseem tuaj yeem ua rau lub zog qis dua-li qhov qub. Cov no suav nrog glucocorticoids / steroids, dopamine, qee yam tshuaj kho mob, thiab tshuaj pleev xim opioid xws li morphine.

Kev pheej hmoo me me los ntawm kev cuam tshuam nrog koj cov ntshav.Veins thiab cov hlab ntsha sib txawv me me ntawm ib tus neeg mus rau lwm tus thiab ntawm ib sab ntawm lub cev mus rau lwm tus. Mus nqa cov ntshav los ntawm ib cov neeg tej zaum yuav nyuaj tshaj li los ntawm lwm tus.

Lwm yam kev phom sij los cuam tshuam nrog kev kos ntshav me ntsis, tab sis yuav suav nrog:

• Los ntshav ntau
• Tsaus muag lossis hnov ​​nkaus lub teeb
• Ntau cov punctures los nrhiav cov leeg ntshav
• Hematoma (ntshav buildup hauv qab daim tawv nqaij)
• Kev kis tus kab mob (muaj kev pheej hmoo me me txhua lub sijhawm ntawm daim tawv tawg)

Thyrotropin; Cov thyroid stimulating hormone; Cov Hypothyroidism - TSH; Hyperthyroidism - TSH; Goiter - TSH

• Cov qog endocrine
• Pituitary thiab TSH

Guber HA, Farag AF. Kev soj ntsuam ntawm endocrine muaj nuj nqi. Hauv: McPherson RA, Pincus MR, eds. Henry's Kev Kuaj Mob thiab Kev Tswj Xyuas los ntawm Laboratory Txoj KevCov. 23rd ed. St Louis, MO: Elsevier; 2017: chap 24.

Jonklaas J, Cooper DS. Lub qog. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 213.

Salvatore D, Cohen R, Kopp PA, Larsen PR. Cov thyroid pathophysiology thiab tshuaj ntsuam xyuas mob. Hauv: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Phau Ntawv ntawm EndocrinologyCov. Xab 14th. Philadelphia, PA: Elsevier; 2020: chap 11.

Weiss RE, Refetoff S. Cov thyroid muaj nuj nqi kuaj. Hauv: Jameson JL, De Groot LJ, de Kretser DM, li al, eds. Endocrinology: Cov Neeg Loj thiab PediatricCov. 7 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 78.