Imtixaan aan dhicin oo aan laga helin Mareykanka
Waxaa jira wax ka badan hal imtixaan oo loo isticmaali karo in lagu qiimeeyo sida aad u shaqeyneyso tirakoobkaaga.
Marka laga reebo baaritaanka hormoonka kor u kaca thyroid (TSH) ama heerka tiiriyaha (T4), dhakhtarku wuxuu isticmaali karaa baaritaanka dareenka hormoonka thyrotropin hormone (TRH). Taasi waxay tidhi, imtixaankan si dhif ah ayaa loo isticmaalaa; Xaqiiqdii, maaha mid laga heli karo Maraykanka, inkastoo laga helo dalalka kale.
Fahmida Imtixaanka TrHH
Si aad u fahamto sida tijaabada u diyaargarawga ee "TRH" u shaqeyso, waa marka ugu horeysa ee caawimaad si dhaqso ah dib loogu eego sida hormoonnada maskaxda ee kala duwan ay ula macaamilaan qanjidhada:
- Hypothalamus-kaagu waa maskaxda maskaxdaada oo qarsoodi ah hormoon thyrotropin-hormoon (TRH).
- Marka xanuunka TRH la sii daayo, waxay kicineysaa qanjirka 'pituitary' ee maskaxda si uu u sii daayo hormoonka kicinta ee tirtirka (TSH).
- TSH wuxuu kobciyaa tiibiga naftiisa si uu u sameeyo hoormoonka tayroodh.
Dhakhaatiirta badankood waxay isticmaalaan imtixaanka TSH, kaas oo cabbiraya heerka wareega wareega ee dhiigga ee dhiigga marxaladda hal mar. Natiijooyinka imtixaanka Dib ayaa dib loo fasirayaa; haddii heerarkaagu ka sarreeyo ama ka hooseeyo tiirarka tixraaca, tan waxaa loo tixgelinayaa caddaynta cudurka qaaxada ee dhici karta.
Imtixaanka TRH waa ka duwan yahay. Marka hore, baaritaan q shareed ayaa la sameeyaa. Kadibna waxaa la siiyaa qiyaas daawo ah oo ah TRH iyada oo loo marinayo xididadaada taasoo kicinaysa cirridkaaga si ay u sii daato TSH. Sambalka dhiigga labaad ayaa markaa la qaadaa 20 illaa 60 daqiiqo kadib, heerkana TSH ayaa la maraa.
Dhaqtarka qaarkood waxay dareemayaan in baaritaanka TRH-ga uu ogaan karo dhibaatooyinka qanjirka thyroid-ka ah iyo in la cabbiro awoodaada tirtirkaaga ee jawaab-celinta wakhtiga dhabta ah, marka la barbar dhigo baadhitaanka TSH, taas oo ah shey-dhaf ah oo ku saabsan shaqada tayroodhka hal mar.
Sidee baa loo tijaabiyaa tijaabada "TRH" ka imtixaanka TSH
Isbarbardhigidda baaritaanka dareenka ee TRH iyo baaritaanka TSH waa sida baaritaanka wadnaha ee jirka marka loo eego farsamada korontada, ama tijaabada cabbiraadda gulukooska marka la barbar dhigo heerka gulukooska soonka.
Imtixaanka kicinta, caqabaddu waxay muujin kartaa naafo ku jirta qanjirka.
Hase yeeshee, dhakhaatiirta intooda badani waxay tixgeliyaan imtixaanka TSH-ga oo si sax ah ugu qulqulaya kaliya hal jeex oo dhiig ah oo loo baahan yahay oo aan sahay u lahayn Intaa waxaa dheer, Qiitaa waa qaali. Marka la barbardhigo, imtixaanka gaaban ee qiimaha badan ee TRH ayaa u baahan laba goor oo kala duwan oo kala duwan saacadaha nuska ah, helitaanka TRH, iyo aqoonta sida loo saxo oo loo tarjumo imtixaanka.
Faa'iidooyinka tijaabada "TRH"
Baaritaanka HIV-ga waxaa mararka qaarkood loo adeegsadaa si loo ogaado cudurka hypothyroidism (hypothyroidism oo sabab u ah dhibaatooyinka "pituitary") iyo jimicsiga "hypothyroidism" (hypothyroidism oo sabab u ah dhibaatada hypothalamamic).
Si kastaba ha ahaatee, halka TRH loo isticmaali karo si loo ogaado cudurka hypothyroidism (labaad oo loo yaqaan 'hypothyroidism), xaqiiqda dhabta ah looma isticmaali karo si loo kala saaro fayruska iyo cudurka hypothalamic.
Gabagabo
Ugu dambeyntiina, cilmi baarayaashu waxay muujiyeen in baaritaanka dhiigga ee TRH laga yaabo in loo isticmaalo in lagu ogaado cudurka hypothyroidism ee cudurada aan la xiriirin qanjirada.
Baaritaan horey u soo baxday ayaa sidoo kale soo jeedinaysa in baaritaanka kicinta ee TRH-ga uu muujin karo waxa loo yaqaan 'hypothyroidism sub-biochemical' ka hor inta aanay ka muuqan baaritaanka wadnaha ee caadiga ah.
Waxaa laga yaabaa, in daraasad cusub la sameyn doono si loo go'aamiyo faa'iidooyinka suuragalka ah ee bukaanada isticmaala isticmaalka ballaaran ee imtixaankan.
> Ilo:
> Doi SAR, Issac D, Abalkhail S, Al-Qudhayib MM, Hafez MF, Al-Shoumer KAS. Kacsanaanta Qaaxada (TRH) Marka Basal TSH ay ka hooseyso Rugta caadiga ah: Miyuu jiraa "Biochemical" Hypothyroidism? Daaweynta Daaweynta iyo Cilmi-baarista . 2007; 5 (3): 145-148. doi: 10.3121 / cmr.2007.756.
> DS DS. (2017). Xinjirowga Central. Cooper DS, ed. UpToDate. Waltham, MA: UpToDate Inc.