Dab tsi yog subclinical hyperthyroidism, ua rau, kuaj thiab kho

Zoo Siab

• Cov tseem ceeb ua
• Yuav kuaj li cas
• Kev kho rau subclinical hyperthyroidism

Subclinical hyperthyroidism yog kev hloov pauv ntawm cov thyroid uas tus neeg tsis qhia pom cov cim lossis cov tsos mob ntawm hyperthyroidism, tab sis muaj kev hloov pauv hauv kev ntsuas uas ntsuas cov thyroid muaj nuj nqi, thiab xav tau kev kho mob yuav tsum tau tshawb xyuas thiab tshawb xyuas qhov tseeb.

Yog li, vim tias nws tsis ua rau cov tsos mob tshwm sim, kev qhia kom paub qhov kev hloov pauv tsuas yog ua tau los ntawm kev kuaj qib ntawm TSH, T3 thiab T4 hauv cov ntshav, uas yog cov tshuaj hormones cuam tshuam nrog cov thyroid. Nws yog ib qho tseem ceeb uas subclinical hyperthyroidism raug txheeb xyuas, vim tias txawm tias tsis muaj cov cim lossis tsos mob tshwm sim, qhov xwm txheej no tuaj yeem txhawb qhov kev txhim kho ntawm lub plawv thiab pob txha hloov.

Cov tseem ceeb ua

Subclinical hyperthyroidism tuaj yeem muab cais raws li qhov ua rau:

• Endogenous, uas cuam tshuam nrog kev tsim khoom thiab kev zais cia ntawm cov tshuaj hormones los ntawm lub caj pas, nws yog dab tsi tshwm sim thaum tus neeg siv cov tshuaj tsis xwm yeem, xws li Levothyroxine, piv txwv;
• Exogenous, nyob rau hauv uas cov kev hloov pauv tsis ncaj qha rau cov thyroid caj pas, xws li cov neeg mob hlwb, cov thyroiditis, mob adenoma thiab Graves 'kab mob, uas yog tus kabmob autoimmune uas cov kabmob ntawm lub cev tiv thaiv cov thyroid nws tus kheej, uas ua rau deregulation hauv kev tsim cov tshuaj hormones.

Subclinical hyperthyroidism tsis nquag ua rau pom cov tsos mob lossis cov tsos mob, raug txheeb xyuas tsuas yog los ntawm kev kuaj ntshav uas ntsuas cov thyroid muaj nuj nqi. Yog li, kev ua tau zoo ntawm kev xeem yog ib qho tseem ceeb kom qhov ua rau raug txheeb xyuas thiab qhov xav tau los pib kho kev tsim nyog raug ntsuas.

Txawm hais tias tsis ua rau pom kev tshwm sim thiab cov tsos mob, subclinical hyperthyroidism tuaj yeem ua rau muaj kev pheej hmoo ntawm cov hlab plawv hloov, txha thiab txha, tshwj xeeb tshaj yog nyob rau hauv menopausal poj niam lossis cov neeg laus dua 60 xyoo. Yog li nws yog ib qho tseem ceeb uas yuav tsum tau kuaj. Saib yuav ua li cas paub hyperthyroidism.

Yuav kuaj li cas

Kev kuaj mob ntawm subclinical hyperthyroidism yog ua rau feem ntau los ntawm kev ua tiav cov kev ntsuas uas ntsuas cov thyroid, tshwj xeeb tshaj yog ntau npaum li cas hauv cov ntshav ntawm TSH, T3 thiab T4 thiab ntawm cov tshuaj tiv thaiv antithyroid, nyob rau hauv rooj plaub uas cov qib ntawm T3 thiab T4 yog li qub thiab qib TSH yog qis dua tus nqi siv, uas rau cov neeg tshaj 18 yog nruab nrab ntawm 0.3 thiab 4.0 μUI / mL, uas tuaj yeem sib txawv ntawm lub chaw soj nstuam. Xav paub ntxiv txog TSHAJ ntsuas.

Yog li, raws li TSH qhov tseem ceeb, subclinical hyperthyroidism tuaj yeem faib ua:

• Ntsawv, nyob rau hauv cov ntshav TSH theem yog nyob nruab nrab ntawm 0.1 thiab 0.3 μUI / mL;
• Mob siab, nyob rau hauv cov ntshav TSH theem yog qis dua 0.1 μUI / mL.

Tsis tas li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tau ua lwm yam kev kuaj mob kom paub meej cov mob subclinical hyperthyroidism, txheeb xyuas qhov ua rau thiab ntsuas qhov kev xav kho. Rau qhov no, ultrasound thiab lub qog scintigraphy feem ntau ua.

Nws kuj tseem ceeb tias cov neeg uas tau kuaj mob subclinical hyperthyroidism raug saib xyuas tsis tu ncua kom cov qib hormone yuav raug tshuaj xyuas lub sijhawm thiab, yog li, nws tuaj yeem txheeb xyuas tau yog tias muaj kev hloov pauv rau hyperthyroidism, piv txwv.

Kev kho rau subclinical hyperthyroidism

Kev kho rau subclinical hyperthyroidism yog txhais los ntawm cov kws kho mob feem ntau lossis endocrinologist raws li kev soj ntsuam ntawm tus neeg txoj kev noj qab haus huv feem ntau, muaj cov tsos mob lossis qhov muaj feem, xws li lub hnub nyoog sib npaug lossis dhau 60 xyoo, mob txha caj qaum los yog lawm, ntxiv rau kev ua coj mus rau hauv tus account evolution ntawm TSH, T3 thiab T4 qib hauv 3 lub hlis dhau los.

Muaj qee kis nws tsis tsim nyog pib kho, vim tias lawv tsuas yog hloov pauv, uas yog, vim qee qhov xwm txheej dhau los ntawm tus neeg muaj kev hloov pauv ntawm cov tshuaj hormones circulating hauv cov ntshav, tab sis uas tom qab ntawd rov qab mus rau qub Cov.

Txawm li cas los xij, nyob rau lwm qhov xwm txheej, nws muaj peev xwm ua rau cov tshuaj hormones tsis rov qab zoo li qub, ntawm qhov tsis sib xws, TSH ntau ntau yuav nce qis dua thiab qib T3 thiab T4 nce siab dua, ua cim hyperthyroidism, thiab nws yog qhov tsim nyog los pib kho kev tsim nyog., Uas tuaj yeem yuav dhau los ntawm kev siv cov tshuaj uas tswj kev tsim cov tshuaj hormones, kho nrog radioactive iodine lossis phais. Nkag siab yuav ua li cas kev kho mob rau hyperthyroidism yog ua tiav.