Hōʻike TSH: no ke aha ia a no ke aha he kiʻekiʻe a haʻahaʻa paha ia

Anter

• Nā manaʻo kūmole
• He aha ka manaʻo o nā hopena
• TSH kiʻekiʻe
• TSH haʻahaʻa
• Pehea e pau ai ka hōʻike TSH
• He aha ka TSH koʻikoʻi koʻikoʻi
• Ke kauoha ʻia ka hōʻike TSH

Ke nānā nei ka hōʻike TSH e nānā i ka hana thyroid a noi pinepine ʻia e ka loio maʻamau a i ʻole endocrinologist, e nānā inā e holo pono ana kēia gland, a inā he hypothyroidism, hyperthyroidism, a i ʻole inā he kanesa thyroid like ʻole, follicular a papillary paha, no ka mea laʻana.

Hana ʻia ka hormone thyostimulate (TSH) e ka pituitary gland a ʻo kāna kumu e hoʻonāukiuki i ka thyroid e hana i nā hormones T3 a me T4. Ke hoʻonui ʻia nā waiwai TSH i ke koko, ʻo ia hoʻi ka haʻahaʻa o ka T3 a me ka T4 i ke koko. Ke loaʻa ia i loko o nā haʻahaʻa haʻahaʻa, aia ʻo T3 a me T4 i nā kiʻekiʻe kiʻekiʻe i ke koko. E ʻike he aha nā hoʻokolohua kūpono e loiloi ai i ka thyroid.

Nā manaʻo kūmole

Hoʻololi nā helu kuhi TSH e like me ka makahiki o ke kanaka a me ke keʻena hoʻokolohua kahi e hana ai ka hōʻike, a maʻa mau:

He aha ka manaʻo o nā hopena

TSH kiʻekiʻe

• Hypothyroidism: ʻO ka hapa nui o ka manawa e hōʻike ka TSH kiʻekiʻe i ka hana ʻole o ka thyroid i ka nui o ka hormone, a no laila hoʻāʻo ka pituitary gland e uku no kēia me ka hoʻonui ʻana i nā pae o TSH i ke koko i hana pono ai ka thyroid i kāna hana. ʻO kekahi o nā hiʻohiʻona o ka hypothyroidism kiʻekiʻe TSH a me ka T4 haʻahaʻa, a hōʻike paha i ka hypothyroidism subclinical ke kiʻekiʻe ka TSH, akā aia ʻo T4 i loko o ka pae maʻamau. E ʻike he aha ka T4.
• Nā Lapaʻau: ʻO ka hoʻohana ʻana o nā lāʻau haʻahaʻa i nā lāʻau e kūʻē i ka hypothyroidism a i ʻole nā ​​lāʻau ʻē aʻe, e like me Propranolol, Furosemide, Lithium a me nā lāʻau me ka iodine, hiki ke hoʻonui i ka nui o ka TSH i ke koko.
• Tumo pituitary hiki iā ia ke hoʻonui i ka TSH.

ʻO nā ʻōuli e pili ana i ka TSH kiʻekiʻe he ʻano like me ka hypothyroidism, e like me ka luhi, loaʻa ke kaumaha, paʻa paʻa, ʻano anuanu, hoʻonui i ka lauoho o ka maka, paʻakikī i ka noʻonoʻo, ʻili maloʻo, lauoho palupalu a palupalu a me nā kui. E aʻo hou e pili ana i ka hypothyroidism.

TSH haʻahaʻa

• Hyperthyroidism: Hōʻike ka TSH haʻahaʻa i ka hana ʻana o ka thyroid iā T3 a me T4 nui, e hoʻonui nei i kēia mau waiwai, a no laila e hoʻoliʻiliʻi ka pituitary gland i ka hoʻokuʻu ʻia o TSH e hoʻāʻo e kaohi i ka hana thyroid. Hoʻomaopopo i ke ʻano o T3.
• Hoʻohana o nā lāʻau: Ke kiʻekiʻe loa ka mahele lāʻau o ka lāʻau hypothyroid, ʻoi aku ka maikaʻi o ka nui TSH ma lalo o ke kūpono. ʻO nā lāʻau ʻē aʻe e hiki ai ke hoʻohaʻahaʻa i ka TSH ʻo: ASA, corticosteroids, agonists dopaminergic, fenclofenac, heparin, metformin, nifedipine a i ʻole pyridoxine, no ka laʻana.
• Tumo pituitary hiki iā ia ke alakaʻi i TSH haʻahaʻa.

ʻO nā ʻōuli e pili ana i ka TSH haʻahaʻa he ʻano like ia o ka hyperthyroidism, e like me ka hoʻonāukiuki, ka puʻuwai puʻuwai, ka hiamoe, ka pohō kaumaha, ka makaʻu, ka haʻalulu a me ka hoʻemi ʻana i ka nui o nā mākala. I kēia hihia, he mea maʻamau no ka TSH e haʻahaʻa a kiʻekiʻe ai ʻo T4, akā inā aia ʻo T4 ma waena o 01 a me 04 μUI / mL, hōʻike paha kēia i ka hyperthyroidism subclinical. Low TSH a me T4 haʻahaʻa, hiki paha ke kuhikuhi i ka anorexia nervosa, no ka laʻana, akā i kēlā me kēia hihia ua hana ʻia ke kauka e ke kauka nāna i kauoha i ka hōʻike. E aʻo hou e pili ana i ka mālama ʻana i ka hyperthyroidism.

Pehea e pau ai ka hōʻike TSH

Hana ʻia ka hōʻike TSH mai kahi hāpana koko liʻiliʻi, pono e hōʻiliʻili i ka hoʻokē ʻai no 4 mau hola. Hoʻouna ʻia ke koko i hōʻiliʻili ʻia i ka hale hana no ka loiloi.

ʻO ka manawa kūpono e hana ai i kēia hoʻāʻo ʻana i ke kakahiaka, no ka mea, ʻokoʻa ka mālama ʻana o TSH i ke koko i ka lā holoʻokoʻa. Ma mua o ka hana ʻana i ka hōʻike, he mea nui e hōʻike i ka hoʻohana ʻana o kekahi lāʻau, ʻo ia hoʻi nā lāʻau lapaʻau thyroid, e like me Levothyroxine, no ka mea hiki ke hoʻopilikia i ka hopena o ka hōʻike.

He aha ka TSH koʻikoʻi koʻikoʻi

ʻO ka hōʻike TSH sensitive TSH kahi hana diagnostic ʻoi aku ka holomua e hiki ke ʻike i ka liʻiliʻi o TSH i loko o ke koko e hiki ʻole ai i ka hoʻokolohua maʻamau ke ʻike. ʻO ke ʻano hana diagnostic i hoʻohana ʻia i nā keʻena hoʻokolohua maʻalahi a kikoʻī hoʻi, a hoʻohana pinepine ʻia ka hōʻike TSH ultra sensitive i ka maʻamau.

Ke kauoha ʻia ka hōʻike TSH

Hiki ke kauoha ʻia ka hoʻāʻo TSH i ka poʻe olakino, e nānā wale i ka hana thyroid, a i ka hihia hoʻi o ka hyperthyroidism, hypothyroidism, ka thyroiditis o Hashimoto, ka hoʻonui ʻana o ka thyroid, ke kū ʻana o ka nodule thyroid maikaʻi a malignant paha, i ka wā hāpai, a e nānā pū hoʻi i ka hana o ka hoʻololi thyroid. nā lāʻau, i ka hihia o ka haʻalele ʻana i kēia gland.

ʻO ka maʻamau, noi ʻia kēia hōʻike no nā poʻe āpau ma mua o 40 mau makahiki, ʻoiai inā ʻaʻohe hihia o ka maʻi thyroid i ka ʻohana.