TSH (Hormone kicinta qanjirka 'Thyroid)

Qanacsan

• Maxay Tahay Sababta Loo Sameeyo Tijaabada Hormone-kicinta?
• Hypothyroidism-ka
• Hyperthyroidism
• Sideen Ugu Diyaar Garoobaa Tijaabada Hormone-Kicin Kicin?
• Sidee Loo Sameeyaa Tijaabada Hormone-kicinta?
• Maxay Ka Dhigantahay Natiijooyinka Tijaabada Hormone-kicinta Hormone-ka?

Waa Maxay Tijaabada Hormone-Kicin Kicin?

Tijaabada hormoonka tayroodhka kiciya (TSH) ayaa cabiraya qadarka TSH ee dhiiga. TSH waxaa soo saaray qanjirka 'pituitary gland', oo ku yaal salka maskaxdaada. Waxay mas'uul ka tahay nidaaminta xaddiga hormoonnada ee ay sii daayaan qanjirka 'thyroid'.

Qanjirka 'thyroid' waa qanjir yar oo qaab-balanbaalis ah oo ku yaalo qoorta hore. Waa qanjir muhiim ah oo abuura saddex hormoon oo asaasi ah:

• triiodothyronine (T3)
• thyroxine (T4)
• calcitonin

Qanjirka 'thyroid' wuxuu xakameynayaa shaqooyin badan oo kala duwan oo jirka ah, oo ay ku jiraan dheef-shiid kiimikaad iyo koritaan, iyada oo loo sii daayo seddexdan hoormoon.

Qanjirka 'thyroid' wuxuu soo saari doonaa hormoonno badan haddii qanjirka 'pituitary gland' uu soo saaro TSH badan. Sidan oo kale, labada qanjirrood ayaa wada shaqeeya si loo hubiyo in xaddiga saxda ah ee hormoonnada tayroodh la soo saaray. Si kastaba ha noqotee, marka nidaamkan la carqaladeeyo, qanjirka 'thyroid' wuxuu soo saari karaa hormoonno aad u tiro badan ama aad u yar.

Tijaabada 'TSH' waxaa badanaa la sameeyaa si loo go'aamiyo sababaha keena heerarka hoormoonka tayroodh ee aan caadiga ahayn. Waxaa sidoo kale loo isticmaalaa in lagu baaro qanjirka 'thyroid' oo aan firfircooneyn ama kacsan. Adoo cabiraya heerka TSH ee dhiiga, dhakhtarkaaga ayaa go'aamin kara sida ugu wanaagsan ee tayroodhku u shaqeynayo.

Maxay Tahay Sababta Loo Sameeyo Tijaabada Hormone-kicinta?

Dhakhtarkaaga ayaa laga yaabaa inuu dalbado baaritaanka TSH haddii aad la kulantid astaamaha cilladda qanjirka 'thyroid'. Cudurada qanjirka 'thyroid' waxaa loo kala saari karaa inay yihiin hypothyroidism ama hyperthyroidism.

Hypothyroidism-ka

Hypothyroidism waa xaalad ay tayroodhku soo saaraan hormoonno aad u yar, taas oo keenaysa in dheef-shiid kiimikaad hoos u dhaco. Calaamadaha cudurka hypothyroidism waxaa ka mid ah daal, daciifnimo, iyo feejignaan la'aan. Kuwa soo socda ayaa ah qaar ka mid ah sababaha ugu badan ee loo yaqaan 'hypothyroidism':

• Hashimoto's thyroiditis waa xaalad isdifaaca jirka oo keenta in jirka uu weeraro unugyadiisa tayroodhka u gaarka ah. Sidaa darteed, tayroodhku ma awoodo inuu soo saaro qaddar ku filan oo hormoonno ah. Xaaladdu had iyo jeer ma keento astaamo, sidaa darteed way ku sii socon kartaa dhowr sano ka hor inta aysan u geysan waxyeello muuqata.
• Qanjirka 'thyroid' waa barar ku dhaca qanjirka 'thyroid'. Badanaa waxaa sababa infakshanka fayraska ama cillad isdifaac ah, sida Hashimoto's thyroiditis. Xaaladani waxay faragelisaa wax soo saarka hoormoonka tayroodhka ugu dambayntiina waxay keentaa hypothyroidism.
• Qanjirka 'Postpartum thyroiditis' waa qaab kumeel gaar ah oo loo yaqaan 'thyroiditis' oo laga yaabo inuu ku soo kordho dumarka qaarkood dhalmada ka dib.
• Qanjirka 'thyroid' wuxuu adeegsadaa iodine si uu u soo saaro hormoonno. Yaraanta iodine waxay u horseedi kartaa hypothyroidism. Yaraanta odine-ka ayaa aad ugu yar Mareykanka gudaheeda adeegsiga cusbada iodized. Si kastaba ha noqotee, waxay ku badan tahay gobollada kale ee adduunka.

Hyperthyroidism

Hyperthyroidism waa xaalad ay tayroodhku soo saaraan hormoonno aad u tiro badan, taas oo keenaysa dheef-shiid kiimikaadka si uu u dedejiyo. Astaamaha hyperthyroidism waxaa ka mid ah rabitaanka cuntada oo kordha, walaac, iyo hurdo la aan. Kuwa soo socdaa waa qaar ka mid ah sababaha ugu badan ee keena hyperthyroidism:

• Cudurka Graves waa cilad caadi ah oo qanjirka 'thyroid' uu ka weynaado wuxuuna soo saaraa xaddi badan oo hoormoonno ah. Xaaladdu waxay la wadaagtaa astaamo badan oo isku mid ah sida 'hyperthyroidism' waxayna badanaa gacan ka geysataa horumarinta hyperthyroidism.
• Qanjirka 'thyroid' ugu dambeyn wuxuu keenaa hypothyroidism, laakiin muddada gaaban, waxay sidoo kale kicin kartaa hyperthyroidism. Tani waxay dhici kartaa marka caabuqu sababo qanjirka 'tayroodhku inuu soo saaro hormoonno aad u tiro badan isla markaana wada daayo dhammaantood hal mar.
• Iodine badan oo jirka kujira waxay sababi kartaa qanjirka 'thyroid' inuu noqdo mid kacsan. Tani waxay caadi ahaan dhacdaa iyadoo si joogto ah loo isticmaalo daawooyinka ay ku jiraan iodine. Daawooyinkaan waxaa ka mid ah xoogaa sharoobooyin qufac ah iyo sidoo kale amiodarone, oo loo isticmaalo in lagu daaweeyo xasaasiyadda wadnaha.
• Qanjirrada qanjirka 'thyroid' waa qanjidhada aan fiicnayn ee mararka qaarkood ku dhaca qanjirka 'thyroid'. Markay burooyinkaasi bilaabaan inay sii kordhaan cabirkooda, waxay noqon karaan kuwo kacsan oo qanjirka 'thyroid' wuxuu bilaabi karaa inuu soo saaro hormoono badan

Sideen Ugu Diyaar Garoobaa Tijaabada Hormone-Kicin Kicin?

Imtixaanka TSH uma baahna diyaarin gaar ah. Si kastaba ha noqotee, waa muhiim inaad u sheegto dhakhtarkaaga haddii aad qaadanaysid dawooyin faragelin ku yeelan kara saxnaanta cabirka TSH. Daawooyinka qaar ee faragalin kara baaritaanka TSH waa:

• amiodarone
• Dopamine
• lithium
• horyaal
• potassium iodide

Waxaa laga yaabaa inaad u baahato inaad iska ilaaliso isticmaalka daroogooyinka baaritaanka ka hor. Si kastaba ha noqotee, ha joojin qaadashada daawooyinkaaga illaa dhakhtarkaagu kuu sheego inaad sidaas sameyso mooyee.

Sidee Loo Sameeyaa Tijaabada Hormone-kicinta?

Tijaabada TSH waxay ku lug leedahay sambal dhiig ah. Dhiiga ayaa sida caadiga ah laga soo qaataa xididka ku jira xusulka gudaha.

Bixiye daryeel caafimaad ayaa sameyn doona nidaamka soo socda:

1. Marka hore, waxay ku nadiifin doonaan aagga sunta jeermiga ama xalka jeermiga nadiifiya.
2. Kadib waxay ku xidhayaan faashad gacantaada ah si xididadu dhiiga uga bararaan.
3. Mar alla markii ay helaan xididka, waxay irbad ka gelin doonaan xididka si ay dhiig uga qaataan. Dhiigga waxaa lagu ururin doonaa tuubo yar ama weel ku xiran cirbadda.
4. Ka dib markay soo qaadaan dhiig ku filan, waxay ka saari doonaan irbadda waxayna ku dabooli doonaan faashad faashad si loo joojiyo wax dhiig bax ah.

Nidaamka oo dhan waa inuu qaataa oo keliya dhowr daqiiqo in la dhammaystiro. Tijaabada dhiigga waxaa loo diri doonaa shaybaar si loo baaro. Markii dhakhtarkaagu helo natiijooyinka baaritaanka, waxay kula ballaminayaan ballan si ay ugala hadlaan natiijooyinka una sharxaan macnaha ay u lahaan karaan.

Maxay Ka Dhigantahay Natiijooyinka Tijaabada Hormone-kicinta Hormone-ka?

Heerarka caadiga ah ee heerarka TSH waa 0.4 illaa 4.0 unugyo caalami ah halkii litir. Haddii mar hore lagaa daweynayay cilladda qanjirka 'thyroid', qiyaasta caadiga ah waa 0.5 ilaa 3.0 bilyan unugyo caalami ah halkii litir.

Qiime ka sarreeya heerka caadiga ah wuxuu caadi ahaan muujiyaa in qanjirka 'thyroid' aan firfircooneyn. Tani waxay muujineysaa hypothyroidism. Marka tayroodhku aanu soo saarin hormoonno ku filan, qanjirka 'pituitary gland' ayaa sii deynaya TSH badan si uu isugu dayo inuu kiciyo.

Qiime ka hooseeya heerka caadiga ah waxay ka dhigan tahay in qanjirka 'thyroid' uu yahay mid kacsan. Tani waxay muujineysaa hyperthyroidism. Marka tayroodhku soo saaro hormoonno aad u tiro badan, qanjirka 'pituitary gland' ayaa sii deynaya wax ka yar TSH.

Waxay kuxirantahay natiijooyinka, dhakhtarkaagu wuxuu rabi karaa inuu sameeyo baaritaano dheeri ah si loo xaqiijiyo cudurka.