TSH xeem: yog dab tsi rau thiab vim li cas nws siab lossis qis

Zoo Siab

• Kev siv qhov tseem ceeb
• Dab tsi tuaj yeem tshwm sim txhais tau
• Siab TSH
• Tsawg TSH
• Yuav ua li cas li cas TSH xeem ua tiav
• Dab tsi yog ultra rhiab TSH
• Thaum kuaj TS

Kev soj ntsuam TSH ua haujlwm pabcuam kev ntsuas cov thyroid muaj nuj nqi thiab feem ntau tau thov los ntawm tus kws kho mob lossis tus kabmob endocrinologist, txhawm rau ntsuas seb lub caj pas no ua haujlwm tau zoo, thiab thaum muaj tus kabmob hypothyroidism, hyperthyroidism, lossis nyob rau qhov muaj tus kabmob sib txawv ntawm cov thyroid, follicular lossis papillary, rau Piv txwv.

Thyostimulating hormone (TSH) yog tsim los ntawm lub caj pas pituitary thiab nws lub hom phiaj yog los txhawb lub qog los tsim cov tshuaj hormones T3 thiab T4. Thaum TSHOOJ muaj nuj nqis nce ntxiv hauv cov ntshav, nws txhais tau tias qhov siab ntawm T3 thiab T4 hauv cov ntshav yog tsawg. Thaum nws pom nyob rau hauv cov tsis muaj zog, T3 thiab T4 muaj nyob rau hauv cov ntshav siab hauv cov ntshav. Saib dab tsi yog cov kev ntsuas tseem ceeb los soj ntsuam cov thyroid.

Kev siv qhov tseem ceeb

TSH siv qhov tseem ceeb sib txawv raws li tus neeg lub hnub nyoog thiab kuaj ntsuas qhov twg ua, thiab feem ntau yog:

Dab tsi tuaj yeem tshwm sim txhais tau

Siab TSH

• Hypothyroidism: Feem ntau lub sij hawm siab TSH qhia tias cov thyroid tsis tsim cov tshuaj hormones txaus, thiab yog li lub caj pas pituitary sim kom them nyiaj rau qhov no los ntawm kev nce qib TSH hauv cov ntshav kom cov thyroid ua nws txoj haujlwm kom zoo. Ib qho ntawm cov yam ntxwv ntawm hypothyroidism yog siab TSH thiab tsis tshua muaj T4, thiab tej zaum yuav qhia tau tias subclinical hypothyroidism thaum TSH yog siab, tab sis T4 yog nyob rau hauv ib txwm muaj. Nrhiav seb T4 yog dab tsi.
• Cov tshuaj kho mob: Kev siv cov tshuaj tiv thaiv qis qis rau cov tshuaj tiv thaiv hypothyroidism lossis lwm yam tshuaj, xws li Propranolol, Furosemide, Lithium thiab cov tshuaj nrog iodine tuaj yeem ua rau nce siab ntawm TSH hauv cov ntshav.
• Pituitary qog nws tseem tuaj yeem ua rau nce TSH.

Cov tsos mob cuam tshuam nrog cov TSH TSH siab tshaj yog cov mob hypothyroidism, xws li nkees, nce phaus, cem quav, hnov ​​txias, nce ntsej muag plaub hau, nyuaj mloog, tawv qhuav, puas yooj yim thiab thim cov plaub hau thiab cov rau tes. Kawm ntxiv txog kev ua haujlwm hypothyroidism.

Tsawg TSH

• Hyperthyroidism: Tsawg TSH feem ntau qhia tias cov thyroid ua tau T3 thiab T4 ntau dhau, ua kom cov txiaj ntsig no, thiab yog li lub caj pas pituitary txo qis tawm TSH los sim ua kom tswj cov thyroid muaj nuj nqi. Nkag siab tias T3 yog dab tsi.
• Kev siv tshuaj: Thaum cov koob tshuaj ntawm cov tshuaj hypothyroid ntau dhau lawm, TSH qhov tseem ceeb yog qis dua qhov zoo tagnrho. Lwm txoj kev kho mob uas tuaj yeem ua rau TSH tsawg yog: ASA, corticosteroids, dopaminergic agonists, fenclofenac, heparin, metformin, nifedipine lossis pyridoxine, piv txwv.
• Pituitary qog nws tuaj yeem tseem tuaj yeem ua rau TSH tsawg.

Cov tsos mob cuam tshuam nrog qis TSH yog cov neeg muaj mob hyperthyroidism ntau ntxiv, xws li kev ntxhov siab, mob plawv, pw tsaug zog, poob phaus, poob siab, tshee thiab cov leeg tsawg. Hauv qhov xwm txheej no, nws yog qhov ib txwm rau TSH yuav muaj tsawg thiab T4 kom siab, tab sis yog tias T4 tseem nyob nruab nrab ntawm 01 txog 04 μUI / mL, qhov no yuav qhia tau tias yog subthinical hyperthyroidism. Tsawg TSH thiab tsis tshua muaj T4, tej zaum yuav qhia txog anorexia nervosa, piv txwv li, tab sis nyob rau hauv txhua rooj plaub kev kuaj mob yog txiav txim los ntawm tus kws kho mob uas tau txiav txim kuaj. Kawm ntxiv txog kev kho mob hyperthyroidism.

Yuav ua li cas li cas TSH xeem ua tiav

Kev kuaj mob TSH yog ua los ntawm cov ntshav me me, uas yuav tsum tau ceev ceev kom ntev li 4 teev. Cov tshuaj los khaws ntshav xa mus rau chav kuaj kev txheeb xyuas.

Lub sijhawm zoo tshaj plaws los ua cov kev kuaj mob no thaum sawv ntxov, vim tias qhov concentration ntawm TSH hauv cov ntshav nws txawv txhua hnub. Ua ntej ua tiav qhov kev kuaj mob, nws yog qhov tseem ceeb uas yuav tsum tau qhia txog kev siv qee yam tshuaj, tshwj xeeb tshaj yog cov thyroid tshuaj, xws li Levothyroxine, vim nws tuaj yeem cuam tshuam nrog kev kuaj mob.

Dab tsi yog ultra rhiab TSH

Kev kuaj tus mob rhiab TSHIAB yog qhov kev kuaj pom sai dua uas tuaj yeem tshawb pom tsawg kawg ntawm TSH nyob rau hauv cov ntshav uas qhov kev kuaj mob ib txwm tsis tuaj yeem txheeb xyuas tau. Kev kuaj mob siv hauv lub chaw soj nstuam yog qhov rhiab heev thiab tshwj xeeb, thiab kev kuaj pom TSH TSH nyob hauv TSH yuav siv los ntawm cov niaj hnub ua.

Thaum kuaj TS

TSH kev kuaj mob tuaj yeem txiav txim hauv cov neeg muaj kev noj qab haus huv, tsuas yog txhawm rau ntsuas cov thyroid muaj nuj nqi, thiab tseem muaj feem cuam tshuam txog kev mob hyperthyroidism, hypothyroidism, Hashimoto's thyroiditis, mob qog, muaj cov benign lossis malignant thyroid nodule, thaum cev xeeb tub, thiab tseem yuav soj ntsuam qhov ntsuas cov thyroid hloov ntxiv. tshuaj, nyob rau hauv cov ntaub ntawv ntawm ntsoos ntsoos ntawm lub qog no.

Feem ntau, qhov kev kuaj no yog thov rau txhua tus neeg uas muaj hnub nyoog 40 xyoo, txawm tias tsis muaj mob los ntawm kev mob qog hauv tsev neeg.