Hōʻike TSH

Kuhi kahi hōʻike TSH i ka nui o ka thyroid stimulate hormone (TSH) i kou koko. Hana ʻia ʻo TSH e ka pituitary gland. Hoʻonāukiuki ia i ke kelala thyroid e hana a hoʻokuʻu i nā homone thyroid i loko o ke koko.

Pono kahi laʻana koko. ʻO nā hoʻokolohua thyroid e hana ʻia i ka manawa like me:

• Hōʻike T3 (manuahi a i ʻole huina)
• T4 hōʻike (manuahi a huina paha)

ʻAʻole pono kahi hoʻomākaukau no kēia hōʻike. E noi i kāu mea mālama ola e pili ana i nā lāʻau āu e lawe nei e hoʻopili i nā hopena hōʻike. Mai hōʻoki i ka lawe ʻana i nā lāʻau me ka nīnau mua ʻole i kāu mea hāʻawi.

Nā lāʻau lapaʻau pono ʻoe e kū no kahi manawa pōkole e komo pū me:

• Amiodarone
• ʻO Dopamine
• Likiuma
• Potassium iodide
• Prednisone a i ʻole nā ​​lāʻau glucocorticoid ʻē aʻe

Hiki i ka biotin vitamin (B7) ke hoʻopili i nā hopena o ka ho'āʻo TSH. Inā lawe ʻoe i ka biotin, e kamaʻilio me kāu mea hoʻolako ma mua o ka loaʻa ʻana o kahi hoʻokolohua hana thyroid.

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ka ʻūlū iki. Hele koke kēia.

E kauoha kāu mea hāʻawi i kēia hoʻāʻo inā loaʻa iā ʻoe nā hōʻailona a i ʻole nā ​​hōʻailona o kahi gland thyroid overactive a underactive paha. Hoʻohana ʻia ia e nānā i ka mālama ʻana i kēia ʻano.

E nānā paha kāu mea hāʻawi i kāu pae TSH inā ʻoe e hoʻolālā ana e hāpai.

Loaʻa nā kumukūʻai maʻamau mai 0.5 a 5 microunits ma ka milliliter (µU / mL).

Hiki ke hoʻololi i nā koina TSH i ka lā. ʻOi aku ka maikaʻi i ka hoʻāʻo ʻana i ke kakahiaka. ʻAʻole ʻae like ka poʻe loea i ka mea i helu ʻia ma luna ke kuhi ʻana i nā maʻi thyroid.

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole nā ​​hoʻāʻo i nā laʻana like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Inā mālama ʻia ʻoe no kahi maʻi thyroid, e mālama ʻia kāu pae TSH ma waena o 0.5 a 4.0 µU / mL, koe wale nō inā:

• ʻO kahi maʻi pituitary ke kumu o ka pilikia thyroid. Kuhi ʻia kahi TSH haʻahaʻa.
• He moʻolelo kāu o kekahi ʻano o ka maʻi ʻaʻai thyroid. ʻOi aku ka maikaʻi TSH ma lalo o ka pae maʻamau i mea maikaʻi e pale aku ai i ka maʻi ʻaʻai thyroid mai ka hoʻi ʻana.
• Hapai ka wahine. ʻOkoʻa ka pae maʻamau no TSH no nā wahine hāpai. E kuhi paha kāu mea lawelawe e lawe ʻoe i ka hormone thyroid, ʻoiai inā aia kāu TSH i ka pae maʻamau.

ʻO ke kiʻekiʻe TSH kiʻekiʻe kiʻekiʻe ma mua o ka maʻamau ma muli o kahi kaila thyroid underactive (hypothyroidism). Nui nā kumu o kēia pilikia.

ʻO kahi pae haʻahaʻa ma mua o ka maʻamau ma muli o kahi kaona thyroid overactive, i hiki ke kumu ʻia e:

• Maʻi maʻi kupapaʻu
• Toxic nodular goiter a i ʻole multinodular goiter
• Nui loa ka iodine i ke kino (ma muli o ka loaʻa ʻana o ka iodine ʻokoʻa i hoʻohana ʻia i ka wā o nā hoʻokolohua kiʻi, e like me CT scan)
• Ke lawe nei i ka lāʻau nui o ka hormone thyroid a i ʻole kuhikuhi ʻia i nā mea hoʻopono kūlohelohe a i ʻole i loaʻa ʻole i loaʻa i loko o ka homoneoneone

Hoʻohana kekahi o nā lāʻau i kumu no ka pae TSH haʻahaʻa ma mua o ka maʻamau. Hoʻopili kēia i nā glucocorticoids / steroid, dopamine, kekahi mau lāʻau chemotherapy, a me nā painkillers opioid e like me morphine.

Aia kahi pilikia iki i ka lawe ʻia ʻana o kou koko. Hoʻohālikelike nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka loaʻa ʻana o kahi laʻana koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (kūkulu koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Thyrotropin; ʻO ka thyroid stimulate hormone; Hypothyroidism - TSH; Hyperthyroidism - TSH; ʻO Goiter - TSH

• Nānā Endocrine
• Pituitary a me TSH

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ʻO Jonklaas J, ʻo Cooper DS. ʻOhana. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 213.

ʻO Salvatore D, Cohen R, Kopp PA, Larsen PR. ʻO ka thyroid pathophysiology a me ka loiloi diagnostic. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 11.

Weiss RE, Refetoff S. Ke hoʻāʻo nei kāu hana thyroid. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 78.