Subclinical Hypothyroidism Yog Dab Tsi?

Zoo Siab

• Dab tsi ua rau qhov no?
• Leej twg yuav muaj kev pheej hmoo?
• Cov tsos mob tshwm sim
• Yuav kuaj li cas
• Yuav kho nws li cas
• Puas muaj lwm yam teebmeem?
• Kab mob plawv
• Cev xeeb tub poob
• Kev noj haus zoo tshaj plaws kom ua raws
• Qhov tshwm sim yog dab tsi?

Subclinical hypothyroidism yog thaum ntxov, mob me ntawm hypothyroidism, ib qho mob uas lub cev tsis tau tsim cov thyroid hormones txaus.

Nws tau hu ua subclinical vim tsuas yog theem ntawm cov qib ntawm cov thyroid-stimulating hormone los ntawm sab xub ntiag ntawm lub caj pas pituitary yog me ntsis siab dua li ib txwm. Cov thyroid cov tshuaj hormones uas ua los ntawm cov thyroid caj pas tseem nyob hauv qhov chaw kuaj ib txwm muaj.

Cov tshuaj hormones no pab txhawb lub plawv, lub hlwb, thiab kev ua haujlwm ntawm lub cev metabolism. Thaum cov thyroid hormones tsis ua haujlwm zoo, qhov no cuam tshuam rau lub cev.

Raws li cov kev tshawb fawb luam tawm, ntawm tib neeg muaj subclinical hypothyroidism. Tus mob no tuaj yeem vam mus rau tag nrho-tshuab cua hypothyroidism.

Hauv ib txoj kev tshawb nrhiav, ntawm cov muaj subclinical hypothyroidism tau tsim muaj cov ntshav hypothyroidism tag nrho nyob rau hauv 6 xyoo ntawm lawv thawj qhov kev kuaj mob.

Dab tsi ua rau qhov no?

Lub caj pas pituitary, nyob rau ntawm lub hauv paus ntawm lub hlwb, zais cov tshuaj hormones ntau, nrog rau cov khoom hu ua thyroid-stimulating hormone (TSH).

TSH ua rau muaj cov thyroid, npauj npaim npauj npaim plhws nyob pem taub hau, ua kom cov tshuaj hormones T3 thiab T4. Subclinical hypothyroidism tshwm sim thaum TSH QIB txhawb siab me ntsis tab sis T3 thiab T4 yog li qub.

Subclinical hypothyroidism thiab puv ntoob ntshav hypothyroidism sib koom ua tib yam. Cov no suav nrog:

• tsev neeg muaj keeb kwm mob autoimmune lub qog, xws li Hashimoto's thyroiditis (mob autoimmune uas ua mob rau cov thyroid hlwb)
• raug mob rau lub qog (piv txwv li, muaj qee cov qog nqaij hlav hauv lub qog ua rau raug tshem tawm thaum phais mob taub hau thiab caj dab)
• siv kev siv tshuaj kho hluav taws xob, kev kho rau hyperthyroidism (mob uas thaum cov thyroid hormones ntau dhau los tsim)
• noj tshuaj uas muaj cov roj ntsha lithium lossis iodine

Leej twg yuav muaj kev pheej hmoo?

Muaj ntau yam, feem ntau ntawm cov uas nyob sab nraud ntawm koj txoj kev tswj hwm, nce txoj hauv kev los tsim subclinical hypothyroidism. Cov no suav nrog:

• Tub los ntxhais. Ib txoj kev tshawb nrhiav tawm hauv phau ntawv xov xwm tau qhia tias cov poj niam muaj feem ntau yuav muaj kev mob qog ntshav ntau dua li txiv neej. Cov laj thawj tsis meej tag nrho, tab sis cov kws tshawb nrhiav xav tias tus poj niam hormone estrogen tuaj yeem ua lub luag haujlwm.
• Lub hnub nyoog. TSH nyhav ntau ntxiv rau koj hnub nyoog, ua subclinical hypothyroidism muaj ntau dua rau cov neeg laus.
• Kev siv iodine. Subclinical hypothyroidism nyhav ua ntau dua nyob rau hauv cov pej xeem uas haus cov tshuaj iodine txaus los yog ntau dhau, ib qho tseem ceeb cov pob zeb hauv av ua haujlwm rau cov thyroid muaj nuj nqi. Nws tuaj yeem pab paub txog cov cim thiab cov tsos mob ntawm iodine tsis muaj peev xwm.

Cov tsos mob tshwm sim

Subclinical hypothyroidism feem ntau tsis muaj tsos mob dab tsi. Qhov no muaj tseeb tshwj xeeb tshaj yog thaum TSH ntau ntau tsuas yog nce me me. Thaum cov tsos mob tshwm sim, txawm li cas los xij, lawv zoo li tsis meej thiab dav dav thiab suav nrog:

• kev nyuaj siab
• cem quav
• nkees
• goiter (qhov no zoo li yog tshwm rau sab xub ntiag ntawm caj dab vim tias muaj cov thyroid caj pas loj)
• hnyav
• plaub hau poob
• intolerance rau mob khaub thuas

Nws yog ib qho tseem ceeb kom nco ntsoov tias cov tsos mob no tsis tseem ceeb, txhais tau tias lawv tuaj yeem tshwm sim rau cov tib neeg muaj cov thyroid kev ua haujlwm zoo thiab tsis cuam tshuam nrog subclinical hypothyroidism.

Yuav kuaj li cas

Subclinical hypothyroidism raug kuaj pom los ntawm kev kuaj ntshav.

Ib tus neeg muaj lub cev ua haujlwm lub qog yuav tsum muaj ntshav TSH nyeem ntawv hauv qhov ib txwm siv, uas feem ntau nce mus txog 4,5 milli-thoob rau ib pawg (mIU / L) lossis.

Txawm li cas los xij, tseem muaj kev sib cav hais txog nyob rau hauv zej zog kev kho mob hais txog kev txo qis qis tshaj qhov qub.

Cov neeg uas muaj qib TSH dua li cov qib ib txwm muaj, leej twg muaj qog ua haujlwm cov thyroid caj pas qog ua ke, suav tau tias yog subclinical hypothyroidism.

Vim tias ntau ntau ntawm TSH hauv cov ntshav tuaj yeem hloov pauv, qhov kev ntsuas yuav xav tau rov ua dua tom qab ob peb lub hlis txhawm rau pom tias qib TSH tau zoo li cas.

Yuav kho nws li cas

Muaj kev sib cav ntau txog yuav ua li cas - thiab txawm hais tias - los kho cov neeg uas muaj tus mob hypothyroidism. Qhov no yog qhov tseeb tshwj xeeb yog tias qib TSH qis dua 10 mIU / L.

Vim tias cov qib siab dua TSH QOJ tuaj yeem pib tsim cov kev tsis zoo ntawm lub cev, cov neeg muaj QC nyob dhau 10 mIU / L feem ntau kho.

Raws li, cov pov thawj feem ntau tsis txaus ntseeg tias cov neeg uas muaj QIB ntawm 5.1 thiab 10 mIU / L yuav tau txais txiaj ntsig los ntawm kev kho.

Hauv kev txiav txim siab seb puas los yog tsis kho koj, koj tus kws kho mob yuav txiav txim siab tej yam xws li:

• koj qib TSH
• txawm li cas los yog tsis muaj cov tshuaj antithyroid hauv koj cov ntshav thiab tus tso ntshav (ob qho tib si yog qhov qhia tias tus mob yuav nce mus rau hypothyroidism)
• koj cov tsos mob thiab lawv yuav cuam tshuam li cas rau koj lub neej
• koj lub hnub nyoog
• koj li keeb kwm kho mob

Thaum siv txoj kev kho mob, levothyroxine (Levoxyl, Synthroid), cov tshuaj muaj cov thyroid cov tshuaj tua kab mob noj ntawm qhov ncauj, feem ntau pom zoo thiab feem ntau tau tiv thaiv zoo.

Puas muaj lwm yam teebmeem?

Kab mob plawv

Cov kev sib txuas ntawm subclinical hypothyroidism thiab kab mob plawv yog tseem tau los sib cav. Qee qhov kev tshawb fawb tau qhia tias nce qib TSH, thaum tsis kho, nws yuav ua rau muaj kev tsim hauv qab no:

• ntshav siab
• cov roj (cholesterol) siab

Hauv kev saib ntawm cov txiv neej thiab poj niam laus dua, cov uas muaj ntshav TSH ntau ntawm 7 mIU / L thiab saum toj no tau muaj kev pheej hmoo ob zaug lossis ntau dua rau muaj mob plawv tsis ua hauj lwm piv rau cov uas muaj TSH QIB. Tab sis qee qhov kev tshawb fawb tsis qhia tseeb txog qhov kev tshawb pom no.

Cev xeeb tub poob

Thaum cev xeeb tub, qib ntshav TSH yog txiav txim siab nce siab thaum nws tshaj li 2.5 mIU / L hauv thawj peb lub hlis thiab 3.0 mIU / L hauv ob thiab peb. Cov qib qog ua haujlwm txaus yog tsim nyog rau kev xeeb tub hauv lub hlwb thiab cov leeg hlwb.

Cov kev tshawb fawb luam tawm pom tias cov poj niam cev xeeb tub uas muaj qib TSH ntawm 4.1 thiab 10 mIU / L uas tom qab kho tau zoo dua yuav muaj menyuam poob qis dua li lawv cov kws kho mob uas tsis tau kho.

Qhov zoo siab, tab sis, cov poj niam uas muaj qib TSH ntawm 2.5 thiab 4 mIU / L tsis pom muaj kev pheej hmoo txo ​​kev xeeb tub ntawm cov neeg kho thiab cov tsis kho yog tias lawv muaj cov tshuaj tiv thaiv cov thyroid tsis zoo.

Kev ntsuas cov xwm txheej ntawm cov tshuaj tiv thaiv antithyroid yog qhov tseem ceeb.

Raws li kev tshawb nrhiav xyoo 2014, cov poj niam uas muaj qhov tsis txaus nyob rau hauv lub cev thiab cov kab mob antithyroid peroxidase (TPO) cov tshuaj tiv thaiv zoo muaj feem ua rau muaj kev phom sij tshaj plaws, thiab cov txiaj ntsig tsis zoo tshwm sim ntawm qis dua TSH dua li cov poj niam tsis muaj tshuaj tiv thaiv TPO.

Kev tshuaj xyuas lub kaw lus xyoo 2017 pom tias qhov kev pheej hmoo ntawm kev muaj menyuam thaum cev xeeb tub tau pom meej meej hauv TPO-tus poj niam zoo uas muaj qib TSH ntau dua li 2.5 mU / L. Qhov kev pheej hmoo no tsis tau pom meej meej nyob hauv TPO-tsis zoo txog tus poj niam mus txog rau thaum lawv qib TSH tshaj li 5 txog 10 mU / L.

Kev noj haus zoo tshaj plaws kom ua raws

Nws tsis muaj cov pov thawj tshawb fawb tau zoo tias kev noj lossis tsis noj qee yam zaub mov yuav pab tau kom tsis txhob muaj kabmob hypothyroidism lossis kev kho nws yog tias koj twb tau kuaj pom. Nws yog ib qho tseem ceeb, txawm li cas los xij, kom tau txais ib qho zoo tshaj ntawm iodine hauv koj cov zaub mov noj.

Kev siv iodine tsawg dhau tuaj yeem ua rau mob hypothyroidism. Ntawm qhov tod tes, ntau dhau lawm yuav ua rau hypothyroidism lossis hyperthyroidism. Cov khoom siv zoo ntawm iodine suav nrog iodized rooj ntsev, ntsev dej qab ntsev, khoom noj siv mis, thiab qe.

Lub National Institutes of Health pom zoo 150 micrograms ib hnub rau cov neeg laus thiab cov hluas feem ntau. Ib-plaub me nyuam diav ntsev ntawm iodized ntsev los sis 1 khob mis uas muaj roj tsawg yogurt muab li 50 feem pua ​​ntawm koj qhov kev xav tau iodine txhua hnub.

Txhua qhov, txhua yam zoo tshaj plaws uas koj tuaj yeem ua rau koj lub qog kev noj qab haus huv yog kev noj zaub mov zoo rau lub cev thiab zaub mov zoo.

Qhov tshwm sim yog dab tsi?

Vim hais tias ntawm cov kev tshawb fawb tsis sib haum, tseem muaj ntau qhov kev sib cav txog yuav ua li cas thiab yog tias subclinical hypothyroidism yuav tsum tau kho. Qhov zoo tshaj plaws txoj kev yog ib tus neeg.

Tham nrog koj tus kws kho mob hais txog cov tsos mob, koj li keeb kwm kho mob, thiab cov ntshav uas koj pom yog dab tsi. Phau ntawv sib tham hauv phau ntawv no tuaj yeem pab koj pib. Kawm koj cov kev xaiv thiab txiav txim siab cov hom kev ua zoo ua ke.