ʻO Hyperthyroidism Subclinical

Anter

• He aha nā hōʻailona?
• Nā kumu maʻamau
• Pehea e hōʻoia ʻia ai
• Nā hopena i ke kino inā haʻalele ʻole ʻia
• Pehea a ke mālama ʻia
• Hoʻoponopono ma muli o ke kumu
• Ka mālama ʻana i nā kumu o ka hyperthyroidism subclinical
• Mālama i nā kumu kūwaho o subclinical hyperthyroidism
• Hoʻoponopono ma muli o ke koʻikoʻi
• Hoʻomaʻo me ka loaʻa ʻana o nā pilikia
• Nā mea hiki iā ʻoe ke hana ma ka home
• He aha ke kuanaʻike?

Hōʻike Overview

ʻO kahi hyperthyroidism subclinical kahi kūlana i loaʻa ai iā ʻoe nā pae haʻahaʻa o ka thyroid stimulate hormone (TSH) akā nā pae maʻamau o T3 a me T4.

ʻO T4 (thyroxine) kahi homone nui i hūnā ʻia e kāu gland thyroid. ʻO T3 (triiodothyronine) kahi mana o T4. ʻO ka nui o ka T4 i hana ʻia e kāu thyroid gland e kaohi ʻia e nā pae o ka hana TSH e kāu pituitary gland a ʻo ka ʻaoʻao ʻē aʻe.

No laila, inā ʻike iki kāu pituitary gland i ka T4 liʻiliʻi, e hoʻonui ia i kahi TSH e haʻi aku ai i kāu gland thyroid e hoʻonui iā T4. Ke hiki aku ka nui o T4 i nā pae kūpono, ʻike kou pituitary gland i kēlā a oki i ka hana ʻana iā TSH.

I ka poʻe me ka hyperthyroidism subclinical, hana ka thyroid i nā pae maʻamau o T4 a me T3. Eia naʻe, loaʻa iā lākou nā pae TSH haʻahaʻa ma mua o ka maʻamau. ʻO kēia kaulike ʻole o nā hormoni ke alakaʻi i ke ʻano.

ʻO ka laha o ka hyperthyroidism subclinical i ka heluna lehulehu e kuhi ʻia mai ka 0.6 a ka 16 pakeneka. Aia ia i nā pae diagnostic i hoʻohana ʻia.

He aha nā hōʻailona?

ʻO ka hapa nui o ka poʻe i loaʻa ka hyperthyroidism subclinical ʻaʻohe ʻōuli o kahi thyroid overactive. Inā loaʻa nā ʻōuli o ka hyperthyroidism subclinical, akahai lākou a nonspecific. Hiki i kēia mau ʻōuli ke komo pū me:

• wikiwiki ka naʻau a i ʻole nā ​​palpitations puʻuwai
• haʻalulu, maʻamau i kou mau lima a i ʻole nā ​​manamana lima
• sweating a i ʻole intolerance i ka wela
• hopohopo, hopohopo, a i ʻole huhū huhū paha
• Kaumaha emi
• paʻakikī paʻakikī

Nā kumu maʻamau

Hiki ke kumu ʻia ka hyperthyroidism subclinical e nā mea ʻelua (endogenous) a me waho (exogenous).

Hiki i nā kūloko o ka hyperthyroidism subclinical ke hoʻopili:

• Maʻi ʻo Graves. ʻO ka maʻi ʻo Graves kahi maʻi autoimmune e kumu i ka hoʻonui ʻia ʻana o nā hormones thyroid.
• Multitodular goiter. Kāhea ʻia kahi gland thyroid hoʻonui ʻia kahi goiter. ʻO ka goiter multinodular kahi thyroid hoʻonui ʻia kahi e ʻike ʻia ai nā puʻupuʻu he nui, a i ʻole nā ​​nodule.
• ʻO Tiroiditis. ʻO ka thyroiditis kahi mumū o ka pona thyroid, kahi e hoʻopili ai i kahi hui o nā maʻi.
• Thyroid adenoma. ʻO kahi thyroid adenoma kahi tumo momona o ka momona thyroid.

Nā kumu kūwaho o subclinical hyperthyroidism nā:

• ʻoi loa TSH-suppressive therapy
• kāohi TSH ʻole ʻole i ka wā o ka hoʻomaʻamaʻa hormone no hypothyroidism

Hiki i ka hyperthyroidism subclinical ke hana i nā wahine hāpai, ʻo ia hoʻi i ka trimester mua. Eia naʻe, aia me nā hopena hāpai hāpai maikaʻi ʻole a maʻamau ʻaʻole koi i ka lāʻau.

Pehea e hōʻoia ʻia ai

Inā kuhi kāu kauka he hyperthyroidism subclinical ʻoe, e nānā mua lākou i kāu pae o TSH.

Inā hoʻi haʻahaʻa kāu mau TSH, e loiloi kāu kauka i kāu mau pae o T4 a me T3 e ʻike inā aia lākou i loko o nā pae maʻamau.

I mea e hoʻokō ai i kēia mau hoʻokolohua, pono i kāu kauka e lawe i kahi laʻana o ke koko mai kou lima aku.

ʻO ke kaha kūmole maʻamau no TSH i nā mākua e wehewehe pinepine ʻia ma ke ʻano he 0.4 a hiki i ka 4.0 milli-international unit per liter (mIU / L). Eia nō naʻe, he mea nui e kuhikuhi mau i nā pae kuhikuhi i hāʻawi ʻia nāu ma ka hōʻike keʻena hoʻokolohua.

Hoʻokaʻawale ʻia ʻo Subclinical hyperthyroidism i ʻelua mau ʻāpana:

• Papa I: Haahaa, akā TSH hiki ke ʻike ʻia. Loaʻa nā poʻe ma kēia māhele i nā pae TSH ma waena o 0.1 a me 0.4 mlU / L.
• Papa II: TSH ʻike ʻole ʻia. Loaʻa nā poʻe ma kēia ʻano i nā pae TSH ma lalo o 0.1 mlU / L.

Nā hopena i ke kino inā haʻalele ʻole ʻia

Ke waiho hemahema ʻia ka subclinical hyperthyroidism, hiki iā ia ke loaʻa nā hopena maikaʻi ʻole i ke kino:

• Hoʻonui i ka makaʻu o ka hyperthyroidism. ʻO ka poʻe i loaʻa nā pae TSH ʻike ʻole ʻia aia i ka nui o ka makaʻu no ka hoʻomohala ʻana i ka hyperthyroidism.
• Nā hopena cardiovascular maikaʻi ʻole. Hiki i nā poʻe i mālama ʻole ʻia ke hoʻomohala:
  • hoʻonui i ka helu o ka puʻuwai
  • hoʻemi i ke ahonui i ka hoʻoikaika kino
  • arrhythmia
  • fibrillation atrial
  • Hoʻoemi i ka iwi iwi. Hiki i ka hyperthyroidism subclinical i hoʻomaʻamaʻa ʻole ʻia ke alakaʻi i kahi hōʻemi o ka iwi i nā wahine postmenopausal.
  • Dementia. Hōʻike kekahi mau hōʻike e hiki i ka hyperthyroidism subclinical i hoʻomaʻamaʻa ʻole ʻia ke hoʻomohala i ka dementia.

Pehea a ke mālama ʻia

Ua ʻike ʻia kahi loiloi o nā puke ʻepekema i hoʻi haʻahaʻa nā pae TSH haʻahaʻa i ka maʻamau i nā poʻe me ka hyperthyroidism subclinical.

Inā pili ke ʻano i ka mālama ʻana:

• ke kumu
• pehea kona kaumaha
• ke kūʻana o nā pilikia pili

Hoʻoponopono ma muli o ke kumu

E hana kāu kauka e hōʻoia i ka mea e kumu ana i kāu subclinical hyperthyroidism. Ke hoʻoholo nei i ke kumu hiki ke kōkua i ka hoʻoholo ʻana i ka lāʻau kūpono.

Ka mālama ʻana i nā kumu o ka hyperthyroidism subclinical

Inā loaʻa iā ʻoe ka hyperthyroidism subclinical ma muli o ka maʻi ʻo Graves, koi ʻia ka lāʻau lapaʻau. E kauoha paha kāu kauka i ka radioactive iodine therapy a i ʻole nā ​​lāʻau anti-thyroid, e like me methimazole.

Hiki ke hoʻohana ʻia ʻo Radioactive iodine therapy a me anti-thyroid i nā lāʻau e mālama ai i ka hyperthyroidism subclinical ma muli o ka goin multinodular a i ʻole adroido thyroid.

Subclinical hyperthyroidism ma muli o ka thyroiditis maʻamau hoʻonā maʻamau me ka ʻole o nā lāʻau lapaʻau e koi ʻia ai. Inā koʻikoʻi kou thyroiditis, hiki i kāu kauka ke kuhikuhi i nā lāʻau anti-inflammatory. Hiki i kēia ke hoʻopili i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) a i ʻole corticosteroids.

Mālama i nā kumu kūwaho o subclinical hyperthyroidism

Inā ke kumu ma muli o ka TSH-suppressive therapy a i ʻole ka hormone therapy, hiki i kāu kauka ke hoʻoponopono i ke ana o kēia mau lāʻau i kahi kūpono.

Hoʻoponopono ma muli o ke koʻikoʻi

Inā haʻahaʻa kāu pae TSH akā hiki ke ʻike ʻia a ʻaʻohe ou pilikia, ʻaʻole paha e loaʻa koke iā ʻoe ka lāʻau. Ma kahi o, hiki i kāu kauka ke koho hou i kāu pae TSH i kēlā me kēia mahina a hoʻi lākou i ka maʻamau a ʻoluʻolu paha kāu kauka i ka paʻa o kāu ʻano.

Koi ʻia paha ka hoʻomaʻamaʻa inā hāʻule kāu pae TSH i ka papa I a i ʻole Papa II a aia ʻoe i nā pūʻulu pilikia aʻe:

• ʻoi aku ʻoe i ka 65 mau makahiki
• he maʻi maʻi maʻi kou
• Loaʻa iā ʻoe ka osteoporosis
• Loaʻa iā ʻoe nā ʻōuli manaʻo o ka hyperthyroidism

E pili ana kāu mālama ʻana i ke ʻano o ke ʻano o ke ʻano o kāu hyperthyroidism subclinical.

Hoʻomaʻo me ka loaʻa ʻana o nā pilikia

Inā ʻoe e ʻike nei i nā ʻōuli e pili ana i ka naʻau a i ʻole ka iwi ma muli o kāu subclinical hyperthyroidism, loaʻa iā ʻoe ke pōmaikaʻi mai nā beta-blockers a me nā bisphosphonates.

Nā mea hiki iā ʻoe ke hana ma ka home

Ua hōʻike ʻia kekahi mau noiʻi ʻana e hiki ke hōʻoluʻolu i nā hopena maikaʻi ʻole i ka nui o ka iwi ma o ka hōʻoia ʻana e loaʻa iā ʻoe kahi lāʻau o ka calcium i kēlā me kēia lā.

Loaʻa paha iā ʻoe kahi pohō kaumaha inā loaʻa ʻoe i ka hyperthyroidism subclinical. ʻO kēia no ka mea ʻo ka poʻe me ka nui o ka thyroid e hoʻonui i ka nui o ka metabolic basal (BMR). ʻOi aku ka kiʻekiʻe o nā koina no ka mālama ʻana i kāu kau paona.

He aha ke kuanaʻike?

ʻO ka hyperthyroidism subclinical ke loaʻa iā ʻoe nā pae haʻahaʻa o TSH akā loaʻa nā pae maʻamau o T3 a me T4. Inā ʻoe e ʻike nei i nā ʻōuli o ka hyperthyroidism subclinical, hiki i kāu kauka ke hoʻohana i kahi o nā hoʻokolohua koko e hele mai i kahi hōʻailona.

ʻOiai hiki i kēia ʻano ke kumu ʻia e nā ʻano ʻano like ʻole, e pili ka mālama ʻana i kāu kumu a me ka paʻakikī. Ke hoʻi hou kāu mau pae i ka maʻamau a i ʻole ma o ka hoʻohana ʻana i ka lāʻau, pono e maikaʻi loa kāu maka.