He aha ka hypothyroidism Subclinical?

Anter

• He aha ke kumu o kēia?
• ʻO wai ka pilikia?
• Nā ʻōuli maʻamau
• Pehea e hōʻoia ʻia ai
• Pehea e mālama ʻia ai
• Aia kekahi pilikia?
• Maʻi maʻi puʻuwai
• Lilo hāpai keiki
• ʻO ka papaʻai maikaʻi loa e ukali ai
• He aha ke kuanaʻike?

ʻO ka hypothyroidism subclinical kahi ʻano mua, akahai o ka hypothyroidism, kahi ʻano a ke kino e hoʻohua ʻole ai i nā hormona thyroid.

Kapa ʻia ia subclinical no ka mea ʻo ka pae serum wale o ka thyroid-stimulate hormone mai ke alo o ka pituitary gland ma mua iki o ka maʻamau. ʻO nā homone thyroid i hana ʻia e ka thyroid gland aia nō i loko o ka pae maʻamau o ka hale hana.

Kōkua kēia mau hormoni i ke kākoʻo i ka naʻau, ka lolo, a me nā hana metabolic. Ke holo pono ʻole nā ​​homone thyroid, hoʻopili kēia i ke kino.

Wahi a nā noiʻi i paʻi ʻia, loaʻa i ka poʻe ka hypothyroidism subclinical. Hiki i kēia kūlana ke holomua i ka hypothyroidism piha piha.

I hoʻokahi noiʻi, ʻo ka poʻe me ka hypothyroidism subclinical i hoʻomohala i ka hypothyroidism piha i loko o 6 mau makahiki o kā lākou hōʻike mua.

He aha ke kumu o kēia?

ʻO ka pituitary gland, aia ma ke kumu o ka lolo, hūnā i nā homona he nui, me kahi mea i kapa ʻia ʻo ka thyroid-stimulate hormone (TSH).

Hoʻokumu ʻo TSH i ka thyroid, kahi gland butterfly-shaped ma mua o ka ʻāʻī, e hana i nā hormones T3 a me T4. Hana ʻia ka hypothyroidism subclinical ke kiʻekiʻe iki nā pae TSH akā maʻamau ʻo T3 a me T4.

Māhele ka hypothyroidism subclinical a me ka hypothyroidism piha i nā kumu like. Pākuʻi ʻia kēia mau mea:

• kahi moʻolelo ʻohana o ka maʻi thyroid autoimmune, e like me ka thyroiditis o Hashimoto (kahi kūlana autoimmune e hōʻeha ai i nā hunaola thyroid)
• ʻeha i ka thyroid (e laʻa me ka lawe ʻia ʻana o kahi kikoʻī thyroid i ka wā o ke poʻo a me ka ʻāʻī.
• ka hoʻohana ʻana o ka iodine radioactive therapy, kahi lapaʻau no hyperthyroidism (kahi ʻano ke hana ʻia ka nui o ka hormone thyroid)
• lawe i nā lāʻau i loaʻa ka lithium a iodine paha

ʻO wai ka pilikia?

ʻO nā mea like ʻole, ka hapa nui o waho o kāu kaohi, hoʻonui i nā manawa o ka hoʻomohala ʻana i ka hypothyroidism subclinical. Pākuʻi ʻia kēia mau mea:

• Hoohanau. Ua hōʻike ʻia kahi noiʻi i paʻi ʻia i loko o ka puke pai e hoʻonui paha nā wahine i ka hypothyroidism subclinical ma mua o nā kāne. ʻAʻole maopopo loa nā kumu, akā manaʻo ka poʻe noiʻi he kuleana nui kā ka wahine wahine estrogen.
• Makahiki. Piʻi ʻo TSH i kou wā ʻelemakule, e hoʻonui ana i ka hypothyroidism subclinical i nā mākua makua.
• Ka lawe ʻana o ka iodine. Hoʻonui pinepine ka hypothyroidism subclinical i nā heluna kanaka e hoʻopau i ka iodine lawa a ʻoi paha, kahi mineral mineral pono no ka hana thyroid pono. Hiki iā ia ke kōkua e maʻa me nā ʻōuli a me nā ʻōuli o ka hemahema iodine.

Nā ʻōuli maʻamau

ʻO ka hypothyroidism subclinical ka hapanui o nā manawa ʻaʻohe ʻōuli. Heʻoiaʻiʻo maoli nō kēia ke hoʻokiʻekiʻe wale ʻia nā pae TSH. Ke kū aʻe nā ʻōuli, eia nō naʻe, maopopo ʻole a laulā a hoʻopili pū ʻia:

• kaumaha
• kōpaʻa
• luhi
• goiter (ʻike ʻia kēia me he ʻōhū ʻana i mua o ka ʻāʻī ma muli o ka hoʻonui ʻia o ka gland thyroid)
• loaʻa kaupaona
• poho lauoho
• hoʻomanawanui ʻole i ke anu

He mea nui e hoʻomaopopo he nonspecific kēia mau hōʻailona, ​​ʻo ia hoʻi hiki iā lākou ke loaʻa i kēlā me kēia kanaka me ka hana thyroid maʻamau a pili ʻole i ka hypothyroidism subclinical.

Pehea e hōʻoia ʻia ai

Hōʻike ʻia ka hypothyroidism subclinical me kahi hōʻike koko.

ʻO ke kanaka me ka thyroid e hana maʻamau e pono iā TSH ke heluhelu i ke koko ma loko o ka pae kuhikuhi maʻamau, a piʻi pinepine a i nā 4.5 milli-international unit per liter (mIU / L) a i ʻole.

Eia nō naʻe, ke holo nei kahi paio ma ke kaiāulu olakino e pili ana i ka hoʻohaʻahaʻa ʻana i ka paepae maʻamau kiʻekiʻe loa.

ʻO ka poʻe me kahi pae TSH ma luna aʻe o ka pae maʻamau, i loaʻa nā pae o ka hormone thyroid maʻamau, manaʻo ʻia he hypothyroidism subclinical.

Ma muli o ka nui o ka TSH i ke koko e hiki ai ke fluctuate, pono e hana hou i ka hōʻike ma hope o kekahi mau mahina e ʻike inā ua normalized ka pae TSH.

Pehea e mālama ʻia ai

Nui nā hoʻopaʻapaʻa e pili ana i ka pehea - a inā paha - e mālama i kēlā mau mea me ka hypothyroidism subclinical. ʻOi loa kēia inā ʻoi aku ka liʻiliʻi o nā pae TSH ma mua o 10 mIU / L.

No ka mea hiki i kahi pae TSH kiʻekiʻe ke hoʻomaka e hana i nā hopena maikaʻi ʻole i ke kino, mālama pinepine ʻia ka poʻe me kahi pae TSH ma mua o 10 mIU / L.

Wahi a, hōʻoia ʻole ka hapanui o nā hōʻike e loaʻa i nā mea me nā pae TSH ma waena o 5.1 a me 10 mIU / L e pōmaikaʻi ai i ka lapaʻau.

I ka hoʻoholo ʻana inā mālama ʻoe iā ʻoe, ʻaʻole e noʻonoʻo kāu kauka i nā mea e like me:

• kou pae TSH
• inā he antithyroid paha kāu i ʻole i ʻole i loko o kou koko a me kahi goiter (ʻo nā hōʻailona ʻelua ke holomua ke ʻano i ka hypothyroidism)
• kou mau hōʻailona a pehea ka hopena o lākou i kou ola
• kou mau makahiki
• kou mōʻaukala olakino

Ke hoʻohana ʻia ka lāʻau, ʻo levothyroxine (Levoxyl, Synthroid), kahi hormone thyroid synthetic i lawe waha ʻia, paipai pinepine ʻia a ʻoluʻolu maikaʻi ʻia.

Aia kekahi pilikia?

Maʻi maʻi puʻuwai

Ke hoʻopaʻapaʻa ʻia nei ka pilina ma waena o ka hypothyroidism subclinical a me ka maʻi maʻi maʻi. Hōʻike kekahi mau noiʻi e piʻi i luna nā pae TSH, ke haʻalele ʻole ʻia, hiki ke kōkua i ka hoʻomohala ʻana i kēia mau mea:

• kahe koko kiʻekiʻe
• kolesterol kiʻekiʻe

I ka nānā ʻana i nā kāne a me nā wahine ʻelemakule, ʻo ka poʻe me ke kiʻekiʻe TSH o 7 mIU / L a ʻoi aku i ka manawa he ʻelua a ʻoi paha ka hopena a ʻoi paha no ka loaʻa ʻole o ka puʻuwai puʻuwai e hoʻohālikelike ʻia me nā mea me kahi pae TSH maʻamau. Akā ʻaʻole kekahi o nā noiʻi ʻē aʻe i hōʻoia i kēia loaʻa.

Lilo hāpai keiki

I ka wā o ka hāpai ʻana, manaʻo ʻia kahi pae TSH o ke koko ke kiʻekiʻe aʻe ma mua o 2.5 mIU / L i ka trimester mua a me 3.0 mIU / L i ka lua a me ke kolu. Pono nā pae hormonone thyroid kūpono no ka lolo fetal a me ka hoʻomohala ʻana o ka ʻōnaehana.

Ua paʻi ʻia ka noiʻi i loko o nā wahine hāpai me kahi pae TSH ma waena o 4.1 a me 10 mIU / L i mālama ʻia ma hope mai ka liʻiliʻi o ka loaʻa ʻana o ka hāpai keiki ma mua o kā lākou mau hoa i mālama ʻole ʻia.

ʻO ka mea e pīhoihoi ai, ʻo nā wahine me ka pae TSH ma waena o 2.5 a me 4 mIU / L ʻaʻole i ʻike i kahi hoʻemi hoʻemi o ka lilo o ka hāpai ma waena o nā mea i mālama ʻia a me nā mea i mālama ʻole ʻia inā loaʻa iā lākou nā pūʻali thyroid maikaʻi ʻole.

ʻO ka loiloi i ke kūlana o nā antithyroid antibodies he mea nui.

Wahi a kahi noiʻi 2014, ʻo nā wahine me ka hypothyroidism subclinical a me nā antithyroid peroxidase (TPO) antodies e loaʻa i ka nui o ka hopena o ka hopena o ka hāpai hāpai ʻana, a ʻo nā hopena maikaʻi ʻole e loaʻa ma kahi pae TSH haʻahaʻa ma mua o nā wahine me nā Antimonio TPO.

Ua ʻike ʻia kahi loiloi ʻōnaehana 2017 e ʻike ʻia ka makaʻu o nā pilikia hāpai hāpai ma TPO-wahine maikaʻi me kahi pae TSH ʻoi aku ma mua o 2.5 mU / L. ʻAʻole i ʻike mau ʻia kēia makaʻu i nā wahine TPO-maikaʻi ʻole a ʻoi aku ko lākou kiʻekiʻe TSH ma mua o 5 a 10 mU / L.

ʻO ka papaʻai maikaʻi loa e ukali ai

ʻAʻohe mea ʻepekema maikaʻi e ʻike ai ka ʻai ʻana a me ka ʻai ʻole ʻana paha i kekahi mau meaʻai e kōkua pono ai e pale aku i ka hypothyroidism subclinical a mālama paha iā ia inā ua ʻike mua ʻia ʻoe. He mea nui nō naʻe, e kiʻi i kahi iodine maikaʻi loa i kāu papaʻai.

Hiki i ka iodine liʻiliʻi ke alakaʻi i ka hypothyroidism. Ma ka lima ʻē aʻe, hiki i ka nui ke alakaʻi i kekahi hypothyroidism a i ʻole hyperthyroidism. ʻO nā kumuwaiwai maikaʻi o iodine me ka paʻakai pākaukau iodized, ka iʻa wai paʻakai, nā huahana waiū, a me nā hua manu.

Paipai ka National Institutes of Health iā 150 microgram i kēlā me kēia lā no ka hapanui o nā mākua a me nā ʻōpio. Hāʻawi kahi hapaha hapaha o ka paʻakai iodized a i ʻole 1 kīʻaha o ka yogurt momona momona momona e pili ana i 50 pakeneka o kāu iodine e pono ai i kēlā me kēia lā.

ʻO nā mea āpau, ʻo ka mea ʻoi loa i hiki iā ʻoe ke hana no kāu hana thyroid e ʻai i kahi papaʻai kaulike, momona.

He aha ke kuanaʻike?

Ma muli o nā hoʻopaʻapaʻa hakakā, aia nō i ka nui o ka hoʻopaʻapaʻa e pili ana i ka pehea a inā e mālama ʻia ka hypothyroidism subclinical. ʻO ke ala maikaʻi loa kahi mea hoʻokahi.

E kamaʻilio me kāu kauka e pili ana i nā hōʻailona, ​​kāu mōʻaukala olakino, a me nā mea e hōʻike ai i nā hoʻokolohua koko. Hiki i kēia alakaʻi kūkā kamaʻilio maʻalahi ke kōkua iā ʻoe e hoʻomaka. E hoʻopaʻa i kāu mau koho a hoʻoholo pū i ka papa ʻoi loa o ka hana.