Subclinical Hyperthyroidism

Zoo Siab

• Cov tsos mob zoo li cas?
• Cov ua
• Yuav kuaj li cas
• Qhov cuam tshuam rau lub cev yog tias tsis kho
• Yuav kho nws li cas thiab thaum twg
• Kev kho mob raws li qhov ua rau
• Kho cov xwm txheej sab hauv ntawm subclinical hyperthyroidism
• Kho cov teeb meem sab nraud ntawm subclinical hyperthyroidism
• Kev kho mob raws li kev mob loj
• Kev kho mob nrog qhov muaj cov nyom
• Tej yam uas koj tuaj yeem ua tau tom tsev
• Qhov tshwm sim yog dab tsi?

Txheej txheem cej luam

Subclinical hyperthyroidism yog ib qho mob uas koj tsis muaj cov thyroid stimulating hormone tsawg heev (TSH) tab sis feem ntau ntawm T3 thiab T4.

T4 (thyroxine) yog ib yam tshuaj loj loj uas zais los ntawm koj cov thyroid caj pas. T3 (triiodothyronine) yog hloov kho ntawm T4. Tus nqi ntawm T4 uas ua los ntawm koj cov thyroid caj pas yog tswj los ntawm theem ntawm TSH ntau lawm los ntawm koj lub caj pas pituitary thiab rov ua dua.

Yog li, yog tias koj lub qog pituitary pom T4 tsawg heev, nws yuav tsim TSH ntau dua los qhia koj cov qog caj pas kom ua T4 ntau dua. Thaum cov nyiaj ntawm T4 nce mus txog qib uas tsim nyog, koj lub caj pas pituitary pom tau tias thiab nres tsim TSH.

Hauv cov neeg uas muaj tus mob subthinical hyperthyroidism, cov thyroid tsim tawm ib txwm muaj ntawm T4 thiab T3. Txawm li cas los xij, lawv muaj qis dua-li-ib txwm TSH. Qhov tsis txaus ntseeg ntawm cov tshuaj hormones ua rau tus mob.

Kev nthuav dav ntawm subclinical hyperthyroidism hauv cov pej xeem dav dav yog kwv yees li ntawm 0.6 txog 16 feem pua. Nws nyob ntawm qhov kev kuaj mob siv.

Cov tsos mob zoo li cas?

Feem coob ntawm cov neeg uas muaj tus mob subthinical hyperthyroidism tsis muaj cov tsos mob ntawm lub qog ua haujlwm ntau. Yog tias pom cov tsos mob ntawm subclinical hyperthyroidism tshwm sim, lawv tau mob me thiab tsis tseem ceeb dab tsi. Cov tsos mob no tuaj yeem suav nrog:

• lub plawv dhia ceev ceev lossis lub plawv dhia
• tshee, feem ntau hauv koj txhais tes lossis ntiv tes
• tawm hws lossis intolerance rau tshav kub
• kev tso siab lug, ntxhov siab lossis hnov ​​txob txob siab
• poob phaus
• teeb meem kev xav

Cov ua

Subclinical hyperthyroidism tuaj yeem tshwm sim los ntawm ob qho tib si sab hauv (endogenous) thiab sab nraud (exogenous) yam.

Sab hauv ua rau subclinical hyperthyroidism tuaj yeem suav nrog:

• Graves 'tus kab mob. Graves 'kab mob yog kev tiv thaiv autoimmune uas ua rau kev ua haujlwm ntawm cov thyroid hormones ntau dhau.
• Cov neeg mus ntau ntau. Kev mob qog ua haujlwm hu ua goiter. Multinodular goiter yog qhov txhab loj nyob qhov twg ntau pob, lossis hnoos qeev, tuaj yeem pom.
• Mob caj pas. Tus mob thyroiditis yog ib qho mob ua rau cov thyroid caj pas, uas suav nrog ib pawg kev ntshawv siab.
• Lub qog adenoma. Lub qog ua ntshav (thyen adenoma) yog lub qog hlav nyob rau hauv cov qog ua cov thyroid caj pas.

Sab nraud ua rau subclinical hyperthyroidism suav nrog:

• ntau dhau TSH-kev txhawb nqa kev kho
• unintentional TSH suppression thaum kho hormone rau hypothyroidism

Subclinical hyperthyroidism tuaj yeem tshwm sim hauv cov poj niam cev xeeb tub, tshwj xeeb hauv thawj peb lub hlis. Txawm li cas los xij, nws yog qhov tshwm sim tsis zoo thaum cev xeeb tub thiab feem ntau tsis tas yuav muaj kev kho mob.

Yuav kuaj li cas

Yog tias koj tus kws kho mob xav tias koj muaj kev ua haujlwm subthinical hyperthyroidism, lawv yuav xub ntsuas koj qib TSH.

Yog tias koj qib TSH rov qab qis dua, koj tus kws kho mob yuav ntsuas koj qib T4 thiab T3 kom pom tias lawv puas nyob hauv ib txwm muaj.

Txhawm rau ua qhov kev sim no, koj tus kws kho mob yuav tsum nqa ntshav hauv koj txhais caj npab.

Cov kab ke ib txwm siv rau TSH hauv cov neeg laus feem ntau txhais tau tias yog 0.4 rau 4.0 milli-thoob ntiaj teb ib litre (mIU / L). Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum tau saib xyuas ib txwm siv qhov muab rau koj ntawm daim ntawv tshaj tawm kev sim

Subclinical hyperthyroidism feem ntau tau muab faib ua ob pawg:

• Qeb I: Tsawg, tab sis, kuaj tau TSH. Cov neeg hauv pawg no muaj TSH QIB ntawm 0.1 thiab 0.4 mlU / L.
• Qeb II: Undetectable TSH. Cov neeg hauv pawg no muaj TSH QIB tsawg dua 0.1 mlU / L.

Qhov cuam tshuam rau lub cev yog tias tsis kho

Thaum subclinical hyperthyroidism tseem tsis tau kho, nws tuaj yeem muaj ntau qhov tsis zoo ntawm lub cev:

• Nce kev pheej hmoo ntawm hyperthyroidism. Cov neeg uas muaj undetectable TSH ntau yog qhov kev pheej hmoo ntawm kev tsim hyperthyroidism.
• Cov mob plawv tsis zoo. Cov neeg tsis tau kho yuav tuaj yeem tsim kho:
  • lub plawv dhia rau lub siab
  • txo qhov ua siab ntev kom ib ce muaj zog
  • arrhythmias
  • atrial fibrillation
  • Txo cov pob txha ceev. Kev tsis ua haujlwm subclinical hyperthyroidism tuaj yeem ua rau txo qis pob txha hauv poj niam postmenopausal.
  • Kev nyuaj siab. Qee qhov lus ceeb toom hais tias tsis kho subclinical hyperthyroidism tuaj yeem tsim kho dementia.

Yuav kho nws li cas thiab thaum twg

Kev tshuaj xyuas cov ntaub ntawv pov thawj pom tau hais tias qis TSH QIB ua rau nws tus kheej rov qab mus rau hauv cov neeg muaj subthinical hyperthyroidism.

Seb qhov mob yuav tsum tau kho yog nyob ntawm:

• tus ua
• loj npaum li cas nws yog
• muaj cov lwm yam kev cuam tshuam

Kev kho mob raws li qhov ua rau

Koj tus kws kho mob yuav ua haujlwm rau kev txheeb xyuas dab tsi uas tuaj yeem ua rau koj qhov kev mob hyperthyroidism. Kev txiav txim siab qhov laj thawj tuaj yeem pab txiav txim siab txoj kev kho mob uas tsim nyog.

Kho cov xwm txheej sab hauv ntawm subclinical hyperthyroidism

Yog tias koj muaj subclinical hyperthyroidism vim yog Graves 'kab mob, kev kho mob yuav tsum tau ua. Koj tus kws kho mob tej zaum yuav sau tshuaj rau hluav taws xob kho thev naus laus zis los yog noj tshuaj tiv thaiv qog, xws li methimazole.

Kev siv tshuaj tua hluav taws xob hauv lub cev thiab cov tshuaj tiv thaiv cov thyroid kuj tseem siv tau los kho subthinical hyperthyroidism vim yog multinodular goiter lossis thyroid adenoma.

Subclinical hyperthyroidism vim muaj cov thyroiditis feem ntau daws sai sai yam tsis muaj kev kho mob ntxiv. Yog tias cov thyroiditis mob siab, koj tus kws kho mob tuaj yeem sau tshuaj los tiv thaiv. Cov no tuaj yeem suav cov tshuaj nonsteroidal anti-inflammatory (NSAIDs) lossis corticosteroids.

Kho cov teeb meem sab nraud ntawm subclinical hyperthyroidism

Yog tias qhov laj thawj yog vim TSH-tiv thaiv txoj kev kho los yog kev kho tshuaj hormone, koj tus kws kho mob tuaj yeem hloov kho ntau npaum li cas ntawm cov tshuaj no thaum tsim nyog.

Kev kho mob raws li kev mob loj

Yog tias koj qib TSH qis tsawg tab sis tseem tuaj yeem pom thiab koj tsis muaj teeb meem, koj yuav tsis tau txais kev kho mob sai. Hloov chaw, koj tus kws kho mob yuav xaiv los rov qab qib TSH koj li ntawm ob peb hlis twg kom txog thaum lawv rov qab zoo li qub los yog koj tus kws kho mob txaus siab tias koj tus mob yuav ruaj khov.

Yuav muaj kev kho mob yog tias koj qib TSH poob rau Qib I lossis Qeb II thiab koj nyob rau hauv cov pab pawg muaj kev pheej hmoo:

• koj hnub nyoog tshaj 65 xyoos
• koj muaj kab mob plawv
• koj muaj kab mob hauv
• koj muaj cov tsos mob pom ntawm hyperthyroidism

Koj txoj kev kho yuav nyob ntawm seb hom mob twg ua rau koj qhov ntshav qab zib subclinical hyperthyroidism.

Kev kho mob nrog qhov muaj cov nyom

Yog tias koj tau ntsib kev mob plawv lossis pob txha ntsig txog qhov mob vim yog koj cov ntshav liab ntau, koj yuav tau txais txiaj ntsig los ntawm beta-blockers thiab bisphosphonates.

Tej yam uas koj tuaj yeem ua tau tom tsev

Qee qhov kev tshawb fawb pom tau tias qhov tsis zoo ntawm lub cev pob txha yuav tuaj yeem ntseeg siab los ntawm kev ua kom paub tseeb tias koj tau txais cov tshuaj calcium txhua hnub txaus.

Tej zaum koj yuav muaj qee qhov poob phaus yog tias koj muaj subclinical hyperthyroidism. Qhov no vim hais tias cov neeg muaj lub qog ua ke sib tshooj muaj qhov feem ntau nce qhov tsis txaus metabolic metabolic (BMR). Qhov xav tau los tswj koj qhov hnyav yuav ua rau siab dua.

Qhov tshwm sim yog dab tsi?

Subclinical hyperthyroidism yog thaum koj muaj tsawg kawg ntawm TSH tab sis muaj qib T3 thiab T4 ib txwm muaj. Yog tias koj tau pom muaj cov tsos mob ntawm subclinical hyperthyroidism, koj tus kws kho mob tuaj yeem siv ntau txoj kev kuaj ntshav mus rau kev kuaj mob.

Txij li thaum tus mob no tuaj yeem tshwm sim los ntawm ntau yam mob sib txawv, qhov kev kho koj tau txais yuav nyob ntawm qhov ua rau thiab mob hnyav. Thaum koj cov qib rov qab zoo li ib txwm xeeb lossis los ntawm kev siv tshuaj kho mob, koj txoj kev pom yuav tsum zoo heev.