Subperinikada 'Hyperthyroidism'

Qanacsan

• Waa maxay astaamuhu?
• Sababaha guud
• Sidee lagu ogaadaa
• Saameynta jirka hadii aan la daaweyn
• Sidee iyo goorta la daaweeyo
• Daaweyn ku saleysan sababta
• Daweynta sababaha gudaha ee hyperthyroidism subclinical
• Daweynta sababaha dibedda ee hyperthyroidism subclinical
• Daaweynta ku saleysan darnaanta
• Daaweynta jiritaanka dhibaatooyinka
• Waxyaabaha aad ku sameyn karto guriga
• Waa maxay aragtida?

Guudmarka

Subclinical hyperthyroidism waa xaalad aad ku leedahay heerar hoose oo hoormoonka kiciya tayroodhka (TSH) laakiin heerarka caadiga ah ee T3 iyo T4.

T4 (thyroxine) waa hormoon weyn oo qarsoodi ah qanjirkaaga qanjirka 'thyroid'. T3 (triiodothyronine) waa nooc wax laga beddelay oo ah T4. Qadarka T4 ee ay soo saarto qanjirkaaga qanjirka 'thyroid' waxaa gacanta ku haya heerarka wax soo saarka TSH ee qanjirkaaga 'pituitary gland' iyo qeybaha kale.

Sidaa darteed, haddii qanjirka 'pituitary gland' uu arko wax aad u yar T4, waxay soo saari doontaa wax badan oo TSH ah si loogu sheego qanjirkaaga qanjirka 'thyroid' inuu soo saaro T4 badan. Marka xaddiga T4 uu gaaro heerarka ku habboon, qanjirkaaga 'pituitary gland' ayaa garta taas oo joojiya soo saarista TSH.

Dadka qaba subclinical hyperthyroidism, tayroodhku wuxuu soo saaraa heerar caadi ah oo ah T4 iyo T3. Hase yeeshe, waxay leeyihiin heerar ka hooseeya heerka caadiga ah ee TSH. Isku dheelitir la'aanta hormoonnada ayaa keenta xaaladda.

Baahsanaanta hyperthyroidism subclinical ee guud ahaan dadweynaha ayaa lagu qiyaasaa inay u dhaxeyso 0.6 ilaa 16 boqolkiiba. Waxay kuxirantahay shuruudaha ogaanshaha cudurka ee la isticmaalay.

Waa maxay astaamuhu?

Dadka intooda ugu badan ee leh hyperthyroidism subclinical ma laha astaamo tayroodh xad dhaaf ah. Haddii astaamaha cudurka subclinical hyperthyroidism ay jiraan, waa kuwo khafiif ah oo aan qeexnayn. Calaamadahaas waxaa ka mid noqon kara:

• garaaca wadnaha oo degdeg ah ama wadne garaac
• gariir, sida caadiga ah gacmahaaga ama farahaaga
• dhidid ama dulqaad la'aan kuleylka
• gariir, walaac, ama dareemid xanaaq
• miisaanka oo yaraada
• adkaanshaha feejignaanta

Sababaha guud

Subclinical hyperthyroidism waxaa sababi kara arrimo gudaha ah (endogenous) iyo arrimo dibadeed (exogenous).

Sababaha gudaha ee hyperthyroidism subclinical waxaa ka mid noqon kara:

• Cudurka xabaalaha. Cudurka 'Graves' waa cillad autoimmune ah oo sababa soo saarid saaid ah hormoonnada tayroodhka
• Goolal badan. Qanjirka 'thyroid' oo la weyneeyo waxaa loo yaqaan 'goiter'. Goiter-ka 'multinodular goiter' waa qanjirka 'tayroodh' oo la ballaadhiyey halkaas oo buro badan, ama qanjira, lagu arki karo
• Qanjirka 'thyroid'. Qanjirka 'Thyroiditis' waa caabuq qanjirka 'thyroid', oo ay ku jiraan koox cilado ah.
• Thyroid adenoma. Adenoma tayroodh waa buro aan fiicnayn oo qanjirka 'thyroid'.

Sababaha dibedda ee hyperthyroidism subclinical waxaa ka mid ah:

• daaweynta xad-dhaafka ah ee 'TSH'
• xakamaynta TSH aan ula kac ahayn inta lagu jiro daaweynta hoormoonka ee hypothyroidism

Subclinical hyperthyroidism wuxuu ku dhici karaa haweenka uurka leh, gaar ahaan saddexda bilood ee ugu horreeya. Si kastaba ha noqotee, waxay ku jirtaa natiijooyinka uurka ee xun oo caadi ahaan uma baahna daaweyn.

Sidee lagu ogaadaa

Haddii dhakhtarkaagu ka shakiyo inaad qabto hyperthyroidism subclinical, waxay marka hore qiimeyn doonaan heerarkaaga TSH.

Haddii heerarkaaga TSH ay soo noqdaan hoose, dhakhtarkaaga ayaa markaa qiimeyn doona heerarkaaga T4 iyo T3 si loo arko haddii ay ku jiraan heerarka caadiga ah.

Si loo sameeyo baaritaanadan, dhakhtarkaagu wuxuu u baahan doonaa inuu dhiig ka qaado gacantaada.

Heerka tixraaca caadiga ah ee TSH ee dadka qaangaarka ah waxaa caadi ahaan lagu qeexaa inuu yahay 0.4 illaa 4.0 unugyo caalami ah halkii litir (mIU / L). Si kastaba ha noqotee, waxaa muhiim ah inaad marwalba tixraacdo kala duwanaanshaha tixraaca ee lagugu siiyay warbixinta sheybaarka.

Subclinical hyperthyroidism guud ahaan waxaa loo qaybiyaa laba qaybood:

• Fasalka I: Hoose, laakiin la ogaan karo TSH. Dadka ku jira qaybtaan waxay leeyihiin heerarka TSH inta udhaxeysa 0.1 iyo 0.4 mlU / L.
• Fasalka II: TSH aan la ogaan karin Dadka ku jira qaybtaan waxay leeyihiin heerarka TSH wax ka yar 0.1 mlU / L.

Saameynta jirka hadii aan la daaweyn

Marka hyperthyroidism subclinical aan la daaweyn, waxay ku yeelan kartaa dhowr saameyn taban jirka:

• Khatarta sii kordheysa ee hyperthyroidism. Dadka leh heerarka TSH ee aan la ogaan karin waxay ku jiraan halista sii kordheysa ee ku dhaca hyperthyroidism.
• Saamaynta wadnaha oo xun. Dadka aan la daaweyn waxay ku dhici karaan:
  • garaaca wadnaha oo kordhay
  • dulqaadka jimicsiga oo yaraaday
  • arrhythmias
  • cilladda wadnaha
  • Cufnaanta lafaha oo yaraatay. Hyperthyroidism subclinical subclinical aan la daaweyn waxay u horseedi kartaa hoos u dhaca cufnaanta lafaha ee haweenka postmenopausal.
  • Asaasaqa Warbixinnada qaar waxay soo jeedinayaan in hyperthyroidism subclinical subclinical ay ku dhici karto waallida.

Sidee iyo goorta la daaweeyo

Dib u eegis lagu sameeyay suugaanta sayniska ayaa lagu ogaaday in heerarka TSH ee hooseeya ay si iskood ah caadi ugu noqdeen dadka qaba subklinikada 'hyperthyroidism'.

Haddii xaaladdu u baahan tahay daaweyn waxay kuxirantahay:

• sababta
• sida ay u daran tahay
• jiritaanka wixii dhibaatooyin ah ee la xiriira

Daaweyn ku saleysan sababta

Dhakhtarkaaga ayaa ka shaqeyn doona si loo ogaado waxa sababi kara hyperthyroidism-kaaga subclinical. Go'aaminta sababta ayaa gacan ka geysan karta go'aaminta daaweynta ku habboon.

Daweynta sababaha gudaha ee hyperthyroidism subclinical

Haddii aad qabtid hyperthyroidism subclinical sababtoo ah cudurka Graves, daaweyn caafimaad ayaa loo baahan yahay. Dhakhtarkaaga ayaa u badan inuu kuu qoro daaweynta iodine-ka shucaaca ama daawooyinka anti-tayroodhka, sida methimazole.

Daaweynta iodine ee shucaaca iyo daawooyinka anti-tayroodhka ayaa sidoo kale loo isticmaali karaa in lagu daaweeyo hyperthyroidism subclinical sababtoo ah goiter multinodular ama thyroid adenoma.

Subclinical hyperthyroidism oo ay ugu wacan tahay tayroodhku caadi ahaan si iskiis ah ayuu u xaliyaa iyada oo aan loo baahnayn daaweyn dheeraad ah. Haddii tayroodh aad u daran, dhakhtarkaagu wuxuu kuu qori karaa daawooyinka ka hortagga bararka. Kuwaas waxaa ka mid noqon kara daawooyinka nonsteroidal anti-bararka (NSAIDs) ama corticosteroids.

Daweynta sababaha dibedda ee hyperthyroidism subclinical

Haddii sababta ay sabab u tahay daaweynta TSH-xakamaynta ama daaweynta hoormoonka, dhakhtarkaagu wuxuu hagaajin karaa qiyaasta daawooyinkan halka ay ku habboon tahay.

Daaweynta ku saleysan darnaanta

Haddii heerarkaaga TSH ay hooseeyaan laakiin weli la ogaan karo oo aadan wax dhibaato ah qabin, waxaa laga yaabaa inaadan helin daaweyn degdeg ah. Taabadalkeed, dhakhtarkaagu wuxuu dooran karaa inuu dib-u-tijaabiyo heerarkaaga TSH dhawrkii biloodba mar illaa ay caadi ku noqdaan ama dhakhtarkaagu ku qanco in xaaladdaadu deggan tahay.

Daaweynta waa loo baahan karaa hadii heerarkaaga TSH ay ku dhacaan Fasalka I ama Fasalka II oo aad ku jirto kooxaha halista soo socda:

• waxaad ka weyn tahay 65 sano
• waxaad qabtaa cudurada wadnaha
• waxaad qabtaa lafo-beel
• waxaad leedahay astaamo muujinaya hyperthyroidism

Daaweyntaadu waxay ku xirnaan doontaa nooca xaalad ee kuu keenaya hyperthyroidism-ka hooseeya.

Daaweynta jiritaanka dhibaatooyinka

Haddii aad la kulantid astaamaha wadnaha ama xididdada la xiriira sababo la xiriira subclinical hyperthyroidism, waxaad ka faa’iideysan kartaa beta-blockers iyo bisphosphonates.

Waxyaabaha aad ku sameyn karto guriga

Daraasadaha qaarkood waxay muujiyeen in saameynta xun ee cufnaanta lafaha lagu nafisi karo iyadoo la hubiyo inaad hesho qiyaas maalinle ah oo ku filan oo kaalshiyam ah.

Waxa laga yaabaa inaad xoogaa miisaankaaga hoos u dhacdo haddii aad qabtid hyperthyroidism subclinical. Tani waa sababta oo ah dadka qaba tayroodh xad-dhaaf ah waxay leeyihiin heerka dheef-shiid kiimikaadka hooseeya (BMR). Shuruudaha kalooriga ee lagu ilaalinayo culeyskaaga ayaa ka sarreyn doona.

Waa maxay aragtida?

Subclinical hyperthyroidism waa markaad leedahay heerar hoose oo TSH laakiin aad leedahay heerar caadi ah oo ah T3 iyo T4. Haddii aad isku aragto astaamaha hyperthyroidism subclinical, dhakhtarkaagu wuxuu isticmaali karaa taxane ah baaritaano dhiig si uu u yimaado ogaanshaha.

Maadaama xaaladan ay sababi karto xaalado kala duwan oo kala duwan, daaweynta aad heleyso waxay ku xirnaan doontaa sababta iyo darnaanta. Marka heerarkaagu caadi ku soo noqdaan ama dabiici ahaan ama isticmaalka daawada, aragtidaadu waa inay fiicnaataa.