Hōʻike TSI

Kū ʻo TSI i ka immunoglobulin stimulate o ka thyroid. ʻO nā TSI nā mea ʻino e haʻi i ka gland thyroid e lilo i mea ʻoi aku ka hana a hoʻokuʻu i nā nui o ka thyroid hormone i loko o ke koko. Kuhi kahi hōʻike TSI i ka nui o ka thyroid stimulate immunoglobulin i kou koko.

Pono kahi laʻana koko.

ʻAʻole pono ka hoʻomākaukau kūikawā.

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.

Hiki i kāu kauka olakino ke koi i kēia hōʻoia inā loaʻa iā ʻoe nā hōʻailona a i ʻole nā ​​hōʻailona o kahi thyroid overact (hyperthyroidism), me nā ʻōuli o:

• Maʻi maʻi kupapaʻu
• Pākuʻi multinodular ʻona
• Thyroiditis (pehu o ka thyroid gland ma muli o ka overactive pale kahua)

Hana ʻia ka hōʻoia ma loko o nā mahina 3 i hala iho nei o ka hāpai ʻana e wānana i ka maʻi Graves i ka pēpē.

Hana pinepine ʻia ka hōʻike TSI inā he mau hōʻailona a hōʻailona paha kāu o ka hyperthyroidism akā ʻaʻole hiki iā ʻoe ke loaʻa kahi hōʻike i kapa ʻia ka thyroid uptake a scan.

ʻAʻole hana pinepine ʻia kēia hōʻike no ka mea he pipiʻi ia. ʻO ka hapa nui o nā manawa, kēnā kahi hōʻike ʻē aʻe i kapa ʻia ka hōʻike hoʻohaʻohau antibody TSH.

ʻO nā kumukūʻai maʻamau ma lalo o 130% o ka hana basal.

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

E hōʻike paha kahi pae kiʻekiʻe aʻe ma mua o ka maʻamau:

• Maʻi maʻi (ʻo ka mea maʻamau)
• Hashitoxicosis (kākaʻikahi loa)
• Thyrotoxicosis Neonatal

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)

Hoʻokipa ka TSH stimulate stimulate; ʻO ka thyroid stimulate immunoglobulin; Hypothyroidism - TSI; Hyperthyroidism - TSI; ʻO Goiter - TSI; Thyroiditis - TSI

• Hōʻaʻo koko

Chuang J, Gutmark-Little I. Nā maʻi thyroid i ka neonate. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 88.

ʻO Guber HA, Farag AF. ʻO ka loiloi o ka hana endocrine. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 24.

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.