Lub qog nyob hauv cev xeeb tub: cov kev hloov loj thiab kev saib xyuas

Zoo Siab

• 1. Cov Mob Hypothyroidism
• 2. hyperthyroidism
• Saib xyuas thaum cev xeeb tub
• Cov tshuaj kho mob
• cov khoom noj
• Kev soj ntsuam txhua hnub thiab kev sab laj

Lub qog nyob rau hauv cev xeeb tub yog qhov tseem ceeb rau kev noj qab haus huv ntawm leej niam thiab tus menyuam thiab txhua qhov kev tsis ua haujlwm yuav tsum tau txheeb xyuas thiab kho kom tsis txhob muaj teeb meem rau tus menyuam uas xav tau leej niam cov thyroid hormones kom txog thaum kwv yees li 12 lub lim tiam ntawm cev xeeb tub. Tom qab theem no, tus menyuam muaj peev xwm los tsim nws cov thyroid hormones txaus.

Cov thyroid hormones yog T3, T4 thiab TSH uas yuav ntau ntxiv lossis txo qis ua rau cov teeb meem thyroid tseem ceeb hauv cev xeeb tub xws li hypothyroidism thiab hyperthyroidism. Cov kev tsis zoo no tuaj yeem ua rau nchuav menyuam tsis tau yug menyuam ntxov ntxov lossis cuam tshuam kev loj hlob ntawm tus menyuam. Tsis tas li ntawd, kev ua haujlwm ntawm lub raum ua rau lub cev tsis tuaj yeem hloov pauv ntawm lub cev ntas, ua rau nws cev xeeb tub.

Yog li, nws yog ib qho tseem ceeb uas ua rau muaj kev tiv thaiv kev kuaj mob ua rau muaj menyuam hauv plab thiab cev xeeb tub ua ntej los kuaj ntshav hypothyroidism lossis hyperthyroidism, ua kom muaj kev noj qab haus huv ntawm leej niam thiab menyuam. Tshawb nrhiav qhov kev sim dab tsi yuav tsum tau ua thaum npaj siab cev xeeb tub.

Lub ntsiab cuam tshuam cov thyroid hauv plab yog:

1. Cov Mob Hypothyroidism

Hypothyroidism yog ib qho kev txo qis hauv cov khoom hauv cov thyroid cov tshuaj hormones thaum cev xeeb tub thiab tuaj yeem ua rau nce los ntshav, tshwm sim tsis tu menyuam, yug ntxov ntxov lossis nce ntshav siab thiab pre-eclampsia hauv cov poj niam cev xeeb tub. Hauv tus menyuam, hypothyroidism tuaj yeem ua rau ncua kev loj hlob ntawm lub hlwb, kev xav, kev tsis paub, kev txawj ntse tsawg (IQ) thiab goiter (sib tham).

Cov tsos mob tshwm sim feem ntau ntawm hypothyroidism yog tsaug zog, nkees dhau heev lawm, tsis muaj cov rau tes, plaub hau poob, lub plawv dhia, cem quav, tawv nqaij qhuav, mob leeg thiab tsis nco qab.

Hypothyroidism tseem tuaj yeem tshwm sim tom qab lub sijhawm yug menyuam lossis ob peb hlis tom qab yug tus menyuam, xav tau kev kho mob. Kawm ntxiv txog kev ua haujlwm hypothyroidism.

2. hyperthyroidism

Hyperthyroidism yog ib qho kev nce ntxiv hauv kev tsim cov thyroid cov tshuaj hormones uas, txawm hais tias tsis tshua muaj tshwm sim thaum cev xeeb tub, tuaj yeem ua rau cov poj niam cev xeeb tub nchuav me nyuam, lub plawv tsis ua haujlwm, ua ntej mob, lub cev tsis zoo lossis ua ntej yug me nyuam. Hauv tus menyuam, hyperthyroidism tuaj yeem ua rau lub sijhawm yug menyuam tsis hnyav, neonatal hyperthyroidism lossis menyuam tuag.

Cov tsos mob ntawm hyperthyroidism thaum cev xeeb tub yog cua sov, tawm hws ntau dhau, nkees, lub plawv dhia ceev thiab ntxhov siab, uas feem ntau tabkaum kev kuaj mob, vim tias cov tsos mob no tshwm sim muaj menyuam hauv plab, tab sis kev kuaj sim tso cai rau kev kuaj mob yam tsis muaj teeb meem thiab yog li pib kho zoo tshaj plaws. Kawm ntxiv txog hyperthyroidism thaum cev xeeb tub.

Saib xyuas thaum cev xeeb tub

Qee qhov kev tiv thaiv tseem ceeb thaum cev xeeb tub yog:

Cov tshuaj kho mob

Kev kho mob ntawm hypothyroidism hauv cev xeeb tub yog ua nrog cov tshuaj noj, xws li levothyroxine, piv txwv. Nws yog ib qho tseem ceeb kom noj tshuaj thaum tib lub sijhawm txhua hnub. Txawm li cas los xij, yog tias koj tsis nco qab noj tshuaj, noj sai li sai tau thaum koj nco qab, saib xyuas yuav tsum tsis txhob noj ob koob tshuaj tib lub sijhawm. Kev xeeb tub ua ntej lossis sab laj nrog tus kws kho mob endocrinologist yuav tsum tau ua txhua txhua 6 rau 8 lub lis piam los kuaj xyuas seb cov thyroid hormones txaus li cas thiab, yog tias tsim nyog, kho qhov tshuaj ntau npaum li cas ntawm cov tshuaj.

Thaum muaj mob hyperthyroidism thaum cev xeeb tub, rov ua dua txhua 4 rau 6 lub lis piam thiab cov haujlwm ib txwm muaj rau ntawm tus menyuam yuav tsum tau ua. Kev kho mob ntawm hyperthyroidism hauv cev xeeb tub yuav tsum tau pib tam sim ntawd tom qab kuaj mob thiab ua tiav nrog cov tshuaj xws li propylthiouracil, piv txwv li, thiab cov koob tshuaj yuav tsum tau kho, yog tias tsim nyog. Tom qab yug menyuam, tus kws kho mob menyuam yuav tsum paub tias nws muaj hyperthyroidism thaum cev xeeb tub kom tus menyuam tuaj yeem kuaj mob thiab, yog li, kuaj xyuas yog tias tus menyuam tseem muaj hyperthyroidism thiab, yog tias tsim nyog, pib kho. Saib 7 lwm yam kev sim uas yuav tau coj cov menyuam mos liab mus.

cov khoom noj

Kev pub mis thaum cev xeeb tub yuav tsum muaj ntau yam thiab sib npaug los muab cov zaub mov tsim nyog rau leej niam thiab tus menyuam. Qee cov khoom noj muaj cov iodine nyob rau hauv lawv cov muaj pes tsawg leeg uas tsim nyog rau kev tsim cov thyroid hormones, xws li cod, qe, nplooj siab thiab tsawb, pab tswj cov thyroid cov nyiaj tshuav. Thaum muaj mob qog ua rau lub cev tsis ua haujlwm hauv lub cev xeeb tub, saib xyuas nrog tus kws qhia noj zaub mov ua kom zoo rau kev noj zaub mov zoo. Saib 28 ntau cov khoom noj uas muaj iodine ntau.

Kev soj ntsuam txhua hnub thiab kev sab laj

Nws yog ib qho tseem ceeb heev uas cov poj niam uas tau kuaj pom tias muaj tus kab mob hypothyroidism lossis hyperthyroidism hauv kev xeeb tub yog los ntawm tus kws kho mob poj niam-kws kho mob yug menyuam los yog endocrinologist los saib xyuas kev txhim kho ntawm menyuam hauv plab thiab ua kom muaj kev noj qab haus huv ntawm leej niam thiab menyuam. Txawm li cas los xij, yog tias nyob rau lub sijhawm ntawm kev sib tham koj pom muaj cov tsos mob ntawm hypothyroidism lossis hyperthyroidism, nrhiav kev kho mob tam sim ntawd. Kawm paub ntau ntxiv txog kev saib xyuas ua ntej yug.

Thaum lub sijhawm sab laj, kev kuaj ntshav kuaj rau theem ntawm cov tshuaj hormones T3, T4 thiab TSH yog thov kom ntsuas cov haujlwm ntawm cov thyroid thiab, yog tias tsim nyog, ultrasound ntawm cov thyroid. Thaum muaj kev pauv hloov twg, txoj kev kho kom tsim nyog tshaj plaws yuav tsum pib tam sim ntawd.