He aha ka hyperthyroidism subclinical, kumu, ʻike a me ka lāʻau

Anter

• Nā kumu nui
• Pehea e hana ʻia ai ke kuhi
• Iapaau ana no ka subclinical hyperthyroidism

Subclinical hyperthyroidism kahi loli i ka thyroid kahi i hōʻike ʻole ai ke kanaka i nā hōʻailona a i ʻole nā ​​ʻōuli o ka hyperthyroidism, akā loaʻa nā loli i nā hoʻokolohua e loiloi i kāu hana thyroid, a pono e noiʻi a hōʻoia ʻia ka pono no ka mālama ʻana.

No laila, no ka mea ʻaʻole ia e alakaʻi i ka hiʻona o nā hōʻailona, ​​hiki ke ʻike ʻia ka loli ma o ka nānā ʻana i nā pae o TSH, T3 a me T4 i loko o ke koko, he mau homone ia e pili ana i ka thyroid. He mea nui e ʻike ʻia ka hyperthyroidism subclinical, no ka mea inā ʻaʻohe hōʻailona a hōʻailona paha, hiki i kēia kūlana ke aloha i ka ulu ʻana o ka loli a me ka iwi.

Nā kumu nui

Hiki ke hoʻokaʻawale ʻia ka hyperthyroidism subclinical e like me ke kumu i:

• Hopena, pili e pili ana i ka hana a me ka huna ʻana o ka hormone e ka gland, ʻo ia ka mea e hana ʻia ke hoʻohana kūpono ʻole ke kanaka i nā lāʻau thyroid, e like me Levothyroxine, no ka laʻana;
• Exogenous, kahi e pili pono ʻole ai nā loli i ka pākana thyroid, e like me ka hihia o ka goiter, thyroiditis, adenoma ʻino a me ka maʻi ʻo Graves, kahi maʻi autoimmune kahi e hoʻouka ai nā hunaola o ka ʻōnaehana immune i ka thyroid ponoʻī, alakaʻi i deregulation i ka hana ʻana o nā hormoni.

ʻAʻole alakaʻi maʻamau ka hyperthyroidism subclin i ke ʻano o nā hōʻailona a i ʻole nā ​​hōʻailona, ​​ʻike wale ʻia ma o nā hōʻike koko e loiloi i kāu hana thyroid. No laila, he mea nui ka hana o nā hoʻokolokolo i ʻike ʻia ke kumu a me ka pono e hoʻomaka i kahi lapaʻau kūpono e loiloi ʻia.

Me ke alakaʻi ʻole ʻia i ke ʻano o nā hōʻailona a me nā hōʻailona, ​​hiki i ka hyperthyroidism subclinical ke hoʻonui i ka hopena o nā loli o ka maʻi, osteoporosis a me nā osteopenia, keu hoʻi i nā wahine menopausal a i ʻole nā ​​kānaka ma luna o 60 mau makahiki. No laila he mea nui e ʻike ʻia. E ʻike pehea e ʻike ai i ka hyperthyroidism.

Pehea e hana ʻia ai ke kuhi

Hana ʻia ka diagnostical o subclinical hyperthyroidism ma o ka lawe ʻana i nā hoʻokolohua e loiloi i ka thyroid, keu hoʻi i ke ana i loko o ke koko o TSH, T3 a me T4 a me nā antithyroid antibodies, a ma nā mea maʻamau nā pae o T3 a me T4 a me ka pae o TSH. aia ma lalo o ka helu kuhikuhi, no nā poʻe ma luna o 18 ma waena o 0.3 a me 4.0 μUI / mL, i ʻokoʻa paha ma waena o nā keʻena hoʻokolohua. E aʻo hou aʻe e pili ana i ka hoʻāʻo TSH.

No laila, e like me ka TSH waiwai, subclinical hyperthyroidism hiki ke hoʻokaʻawale ʻia i:

• Kānāwai, kahi o nā pae TSH o ke koko ma waena o 0.1 a me 0.3 μUI / mL;
• Kaha, ma kahi o nā pae TSH o ke koko ma lalo o 0.1 μUI / mL.

Eia hou, he mea nui e hana ʻia nā hoʻokolohua ʻē aʻe e hōʻoia i ka hōʻoia o ka hyperthyroidism subclinical, e ʻike i ke kumu a loiloi i ka pono no ka lapaʻau. No kēia, hana pinepine ʻia ka ultrasound a me ka thyroid scintigraphy.

He mea nui ia e kiaʻi pinepine ʻia ka poʻe i ʻike ʻia me ka hyperthyroidism subclinical i hiki ke loiloi ʻia nā pae hormonone i ka hala ʻana o ka manawa a, no laila, hiki ke ʻike ʻia inā aia kahi evolution i hyperthyroidism, no ka laʻana.

Iapaau ana no ka subclinical hyperthyroidism

Hoʻomaopopo ʻia ka lapaʻau ʻana no ka hyperthyroidism subclinical e ka loio maʻamau a i ʻole endocrinologist e pili ana i ka loiloi ʻana i ke kūlana olakino o ke kanaka, ke kū ʻana o nā hōʻailona a i ʻole nā ​​kumu pilikia, e like me nā makahiki i like a i ʻole 60 mau makahiki, ka osteoporosis a i ʻole ka menopause, me ka hoʻohui pū kekahi Lawe ʻia i ka helu ʻana o ka pae TSH, T3 a me T4 i nā mahina 3 i hala iho nei.

I kekahi mau hihia ʻaʻole pono e hoʻomaka i ka mālama ʻana, no ka mea he mau hoʻololi loli wale nō ia, ʻo ia hoʻi, ma muli o kekahi mau hanana i ʻike ʻia e ke kanaka he mau loli i ka nui o nā hormoni e holo i loko o ke koko, akā hoʻi hou i ka maʻamau .

Eia nō naʻe, i nā kūlana ʻē aʻe, hiki paha i nā pae hormonal ke hoʻi ʻole i ka maʻamau, i ka ʻaoʻao ʻē aʻe, e piʻi a haʻahaʻa paha nā pae TSH a kiʻekiʻe aʻe nā pae T3 a me T4, e hōʻike nei i ka hyperthyroidism, a he mea pono e hoʻomaka i ka lapaʻau kūpono., Ka mea hiki ma o ka hoʻohana ʻana i nā lāʻau e hoʻoponopono i ka hana ʻana o nā hormoni, ka mālama ʻana me ka iodine radioactive a i ʻole ke ʻoki ʻana. Hoʻomaopopo pehea e hana ai ka lāʻau no hyperthyroidism.