Qayb ka mid ah Dhibaatooyinka ku Dhexeeya Maxay caadi u tahay
Waxaa laga yaabaa inaad naftaada (ama qof aad u jeceshahay) ku aragto xaalad saameysa dad badan oo qaba xaalad tayroodh ah: Waxaad qabtaa cudurka Hashimoto (taasoo micnaheedu yahay inaad qabto antibiyootiko (thiopoid peroxidase) antibiyootiko (positive antipsychotics), laakiin hormoonka kor u kaca ee hormoonka (TSH) qiyaasta caadiga ee tixraaca.
Xitaa in ka badan, waxaa laga yaabaa inaad la kulantid hal ama in ka badan calaamadaha la xiriira hypothyroid sida daal, miisaanka koritaanka, maskaxda maskaxda, murugada, bararka, ama murqaha xanuun-oo la yaabi haddii daaweynta loo baahan yahay.
Xaqiiqda arrintu waa in daaweynta cudurka Hashimoto uu yahay mid caadi ah (ama qafiif ah TSH), waa meel aad u murugo leh oo cidhiidhi ah.
Maxay Tahay Habka Cus?
Inta badan dhakhaatiirta daaweynaya cudurka thyroid waxay rumeysan yihiin in cudurka Hashimoto uu ku dhaco, sida lagu muujiyay natiijada difaaca jirka ee kor u kaca thyroid peroxidase (TPOAb) ama natiijooyinka thyroid biopsy, ma aha sabab ku filan oo laguula macaamilo, ilaa inta baaritaanka natiijada hormoonka kicin wuxuu kugula jiraa qaybta tixraaca "caadiga ah".
Dhibaatadu waxay tahay in qaddarka tixraaca "TSH" caadi ah lagu khilaafsan yahay khubarada, qaar ka mid ah qayaxan 4.5 cutub ee caalamiga ah ee halkii litir ama mU / L ayaa ah dhammaadka ugu sareysa ee caadiga ah, halka qaar kalena ay rumaysan yihiin in wax ka sareeya 2.5mU / L uu sarreeyo.
Inkasta oo dooddani, ujeedooyin kastoo xooggan, shaybaarada intooda badani waxay weli qeexayaan qiyaasta tixraaca ee caadiga ah ee u dhaxeysa 0.4 iyo 4.5 mU / L.
Hooska 'Hypothyroidism'
Taas waxaa la yiraahdaa , haddii aad qabto hypothyroidism , macnaheedu waxa weeye in aad TSH-ga aad u sarreeyso (waxaan dhahnaa qiyaastii 6.0 mU / L) iyo tiirkaaga Tyrokine (T4) waa caadi, xaqiiqda ah in aad leedahay habka antibiyootikada TPO waxay saameyn ku yeelan kartaa dhakhtarkaaga inuu kugu daweeyo qadar yar oo ah daawo bedel ah oo hoormoonka tayroodh.
Dhakhtarkaaga ayaa laga yaabaa inuu xitaa aad ugu roonaado inuu daaweeyo (ama uu tijaabiyo) haddii aad qabtid calaamadaha hypothyroid, sida calool-galinta, niyad-jabka, ama maqaarka timaha.
Sababta ugu weyn ee ka dambeysa daaweyntu waa in daaweynta hypotyroidism subclinical ( hypotyroidism) ay ka hortagi karto kor u kaca hypothyroidism (marka aad TSHU sareeyso oo heerkarka T4 uu hooseeyo).
Daaweyntu waxay sidoo kale sii wanaajin kartaa calaamadaha ama calaamadaha kale ee loo yaqaan 'hypothyroidism' (sida kolestaroolka sare).
Daaweynta Subkiddikada 'Hypothyroidism': Ciladaha kale ee lagu hayo Mind
Marka lagu daro joogitaanka cudurada TPO iyo haddii aad leedahay calaamadaha, dhakhtarkaagu wuxuu tixgelin doonaa qodobo kale marka uu go'aansanayo in uu daaweeyo cudurka hypothyroidism subclinical:
Da '
Hal arrin waa heerarka da'da dhiigga u sareeya waxaa laga yaabaa inay sii korodho da'da sii kordhaysa, xitaa dadka oo aan lahayn cudurka thyroid.
Tani waa sababta dhakhtarku u qori karo dawo hormoon oo hormoon ah oo loogu talagalay qof yar oo leh qadar yar oo sarreeya TSH, caadi ah T4, iyo habka difaaca jirka TPO, laakiin ma ahan qof weyn (ka weyn da'da 60) isla natiijada baaritaanka dhiigga; inkastoo, "daawashada iyo sugidda" habka badiyaa ayaa la qaadaa, taas oo macnaheedu yahay inaad QA-gaaga si joogto ah u baari doonto si loo eego haddii uu sara kaco.
Dhibaatooyinka kale ee Caafimaadka
Qaadashada taariikhda qoyska ee cudurka qanjirka thyroid ama taariikhda shakhsiga ee kolestaroolka sare waxay sii wadi kartaa dhakhtar si loo daaweeyo hypothyroidism subclinical.
Maadaama cudurka hypothyroidism ee subclinical ah uu kordhin karo halista dhicinta iyo dhalashada waqtiga hore, daaweynta guud ahaan waa la billaabay.
Hoos-u-dhac ku yimaada Daweynta Hoos-u-dhaca Hodheerka ah
Inkastoo dawooyinka bedelka hoormoonka tayroodhka uu badanaa u dulqaadanayo, haddana waxaa jira hoos u dhac ku yimaada daaweynta hypothyroidism subclinical.
Mid ka mid ah welwelka ugu weyn waa halista ah in uu qofku ku xumaado, taasoo macnaheedu yahay in qofku noqdo hyperthyroid, taas oo keeni karta halista ah in uu ku dhaco ficil-maskaxeed iyo osteoporosis.
Waxyaabaha kale ee hoos u dhigi kara waxaa ka mid ah kharashka, khalkhalka, iyo "daaweynta" xaalad caadi ah.
Ereyga ka
Haddii adiga ama qofka aad jeceshahay uu leeyahay hypotyroidism subclinical, sidoo kale isagoo qaba cudurada TPO ( Hashimoto's disease ) wuxuu ku dhejin karaa dhakhtarkaaga inuu bilaabayo tijaabo ah levothyroxine.
Ugu dambeyntii, go'aaminta in daaweynta tirokoobka iyo in kale aan loo baahnayn, waxay u baahan tahay wadahadal fekir leh dhakhtarkaaga gaarka ah-oo xusuusnow, waxa saxa ah ee tirtirkaagaaga iyo caafimaadkaaga guud maaha mid sax ah qof kale.
> Ilo:
> Gubashada RB, Bates CK, Hartzband P, Smetana GW. Miyay tahay inaan ku daaweyno hypotyroidism subclinical ?: Gawaarida Grand Rounds Sheeko ka socota Beth Israel Deaconess Medical Center. Ann Intern Intern Med. 2016 Jun 7; 164 (11): 764-70.
> Garber, J, Cobin, R, Gharib, H, et. al. "Tilmaamaha Tababarka Caafimaadka ee loogu talagalay Hypothyroidism ee Dadka Qaan-Gaarka ah: Cosponsored by American American of Endocrinologists Clinical Association iyo Ururka Tiriida ee Maraykanka." Tababarka Indhaha. Vol. 18 No 6 Noofembar / Disembar 2012.
> Jonklaas J et al. Tilmaamaha loogu talagalay Daaweynta Hypothyroidism: Waxaa diyaariya Wakaaladda American Thyroid Association oo ku saabsan Beddelaadda Qanjidhka Qanjirka 'Thyroid'. Tirada . 2014 Dec 1; 24 (12): 1670-1751.
> Reid SM, Middleton P, Cossich MC, Crowther CA, Bain E. Interventions loogu talagalay hypotyroidism clinic iyo subclinical pre-uurka iyo waqtiga uurka. Macluumaadka Cochrane Syst Rev. 2013 Maajo 31; (5): CD007752.
> Thangarantinam S, Tan A, Knox E, Kilby MD, Franklyn J, Coomarasamy A. Isbahaysiga u dhaxeeya macquulnimada tayroodhka iyo dhicinta iyo dhalashada ilmo-galeenka hore: falanqaynta maadiga caddaynta. BMJ . 2011 Maajo 9; 342: d2616.