TSH (Hormone-kicinta hoormoonka) Tijaabada

Qanacsan

• Waa maxay imtixaanka TSH?
• Maxaa loo adeegsadaa?
• Maxaan ugu baahanahay imtixaanka TSH?
• Maxaa dhacaya inta lagu jiro baaritaanka TSH?
• Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?
• Ma jiraan wax khatar ah oo imtaxaanku leeyahay?
• Maxay natiijooyinka ka dhigan yihiin?
• Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado imtixaanka TSH?
• Tixraacyo

Waa maxay imtixaanka TSH?

TSH waxay u taagan tahay hoormoonka kiciya tayroodhka. Tijaabada TSH waa baaritaan dhiig oo cabbira hormoonkan. Qanjirka 'thyroid' waa qanjir yar oo qaab-balanbaalis ah oo ku yaal agagaarka cunahaaga. Qanjirka 'thyroid' wuxuu sameeyaa hormoonno nidaamiya habka jirkaagu u isticmaalo tamarta. Waxa kale oo ay door muhiim ah ka ciyaartaa dejinta miisaankaaga, heerkulka jidhkaaga, xoogga murqahaaga, iyo xitaa niyaddaada. TSH waxaa lagu sameeyaa qanjirka maskaxda ee loo yaqaan 'pituitary'. Marka heerarka tayroodh ee jirkaagu hooseeyo, qanjirka 'pituitary gland' wuxuu sameeyaa wax badan oo TSH ah. Marka heerarka tayroodhku sarreeyo, qanjirka 'pituitary gland' ayaa ka yaraada TSH. Heerarka TSH ee aad u sarreeya ama aad u hooseeya ayaa muujin kara in qanjirkaaga 'tayroodh' uusan si sax ah u shaqeyneynin.

Magacyada kale: Tijaabada 'thyrotropin'

Maxaa loo adeegsadaa?

Tijaabada TSH waxaa loo isticmaalaa in lagu ogaado sida wanaagsan ee tayroodhku u shaqeynayo.

Maxaan ugu baahanahay imtixaanka TSH?

Waxaad u baahan kartaa baaritaanka TSH haddii aad leedahay astaamo aad u badan oo ah hoormoonka tayroodh ee dhiiggaaga (hyperthyroidism), ama aad u yar hormoonka tayroodhka (hypothyroidism).

Calaamadaha cudurka 'hyperthyroidism', oo sidoo kale loo yaqaanno firfircoonaanta firfircoonida, waxaa ka mid ah:

• Walaac
• Miisaanka oo yaraada
• Gariir gacmaha ku jira
• Kordhinta garaaca wadnaha
• Isku-buuq
• Indhaha oo ku soo booda
• Hurdo xumo

Calaamadaha cudurka 'hypothyroidism', oo sidoo kale loo yaqaan 'thyroid' oo aan firfircooneyn, waxaa ka mid ah:

• Miisaanka oo kordha
• Daal
• Timo lumis
• Dulqaad hooseeya heerkulka qabow
• Xilliga caadada oo aan caadi ahayn
• Calool fadhiga

Maxaa dhacaya inta lagu jiro baaritaanka TSH?

Xirfadlaha daryeelka caafimaadka ayaa tijaabo dhiig ka qaadi doona xididka gacantaada, isagoo isticmaalaya cirbad yar. Kaddib cirbada la geliyo, qadar yar oo dhiig ah ayaa lagu ururin doonaa tuubada baaritaanka ama fijaan. Waxaa laga yaabaa inaad dareento xoog wax yar ah markii irbadda ay soo galayso ama ay ka baxeyso. Tani badanaa waxay qaadataa in ka yar shan daqiiqo.

Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?

Uma baahnid wax diyaargarow gaar ah oo loogu talagalay baaritaanka dhiigga ee TSH. Haddii takhtarkaaga caafimaad uu amar ku bixiyay baaritaanno kale oo dhiig ah, waxaa laga yaabaa inaad u baahan tahay inaad soonto (waxna ha cunin ama cabin) dhowr saacadood baaritaanka ka hor. Bixiyaha xanaanada caafimaadkaaga ayaa kula socodsiin doona hadii ay jiraan tilmaamo gaar ah oo la raaco.

Ma jiraan wax khatar ah oo imtaxaanku leeyahay?

Khatar aad u yar baa jirta in dhiig lagaa qaado. Waxaa laga yaabaa inaad xanuun yar ama nabar ku yeelato barta irbadda lagu muday, laakiin astaamaha badankood si dhakhso leh ayey u baxaan.

Maxay natiijooyinka ka dhigan yihiin?

Heerarka sare ee 'TSH' ayaa macnaheedu noqon karaa in qanjirkaaga 'thyroid' uusan sameynaynin hoormoonno tayroodh ku filan, xaalad loo yaqaan 'hypothyroidism'. Heerarka TSH ee hooseeya waxay macnaheedu noqon karaan in qanjirkaaga tayroodhku uu aad u badan ka sameeyo hormoonnada, xaalad loo yaqaan 'hyperthyroidism'. Imtixaanka TSH ma sharxayo sababta heerarka TSH ay aad u sarreeyaan ama u hooseeyaan. Haddii natiijooyinka baaritaankaaga aan caadi ahayn, bixiyahaaga daryeelka caafimaadka ayaa laga yaabaa inuu dalbado baaritaanno dheeri ah si loo ogaado sababta dhibaatada qanjirkaaga. Imtixaanadan waxaa ka mid noqon kara:

• Tijaabooyinka hormoonka tayroodhka
• Tijaabooyinka hormoonka tayroodhka
• Tijaabooyin lagu ogaanayo cudurka Graves, waa cudur isdifaaca jirka oo sababa hyperthyroidism
• Tijaabooyinka lagu ogaanayo cudurka thyroiditis ee Hashimoto, oo ah cudur isdifaaca jirka oo keena hypothyroidism

Wax badan ka baro baaritaanka shaybaarka, kala duwanaanshaha tixraaca, iyo fahamka natiijooyinka.

Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado imtixaanka TSH?

Isbedelada tayroodh waxay dhici karaan inta lagu jiro uurka. Isbeddeladani badanaa ma ahan kuwo muhiim ah, laakiin haweenka qaarkood waxay ku dhici karaan cudurka qanjirka 'thyroid' inta lagu jiro uurka. Hyperthyroidism wuxuu ku dhacaa qiyaastii mid ka mid ah 500 uur kasta, halka hypothyroidism uu ku dhaco ku dhowaad mid ka mid ah 250 uur kasta. Hyperthyroidism, iyo marar yar, hypothyroidism, ayaa laga yaabaa inuu sii jiro uurka ka dib. Haddii aad isku aragto xaalad tayroodh inta aad uurka leedahay, daryeel caafimaad bixiyahaaga ayaa la socon doona xaaladdaada ka dib dhalashada ilmahaaga. Haddii aad taariikh ku leedahay cudurka tayroodhka, hubi inaad la hadasho bixiyahaaga daryeelka caafimaadka haddii aad uur leedahay ama aad ka fekereyso inaad uur yeelato.

Tixraacyo

1. Ururka Thyroid-ka Mareykanka [Internet]. Kaniisada Falls (VA): American Thyroid Association; c2017. Cudurka Qaaxada iyo Uurka; [daliishaday 2017 Mar 15]; [ilaa 2 shaashad]. Waxaa laga heli karaa: http://www.thyroid.org/thyroid-disease-pregnancy
2. Hinkle J, Cheever K. Brunner & Suddarth's Buug-gacmeedka Shaybaarka iyo Tijaabooyinka Baaritaanka. 2^nd Ed, shidan Philadelphia: Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. Hormone-kicinta qanjirka 'thyroid', Serum; bog. 484.
3. Tijaabooyinka Shaybaarka ee Internetka [Internetka] Washington DC: Ururka Mareykanka ee Kiimikada Caafimaadka; c2001–2017. TSH: Imtixaanka; [la cusboonaysiiyay 2014 Oktoobar 15; daliishaday 2017 Mar 15]; [ilaa 4 shaashadood]. Waxaa laga heli karaa: https://labtestsonline.org/understanding/analytes/tsh/tab/test
4. Nooca Merck Manual Consumer Version [Internet]. Kenilworth (NJ): Shirkadda Merck & Co Inc.; c2017. Guudmarka qanjirka 'Thyroid Gland'; [daliishaday 2017 Mar 15]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.merckmanuals.com/home/hormonal-and-metabolic-disorders/thyroid-gland-disorders/overview-of-the-thyroid-gland
5. Buugga 'Merck Manual Professional Version' [Internet]. Kenilworth (NJ): Shirkadda Merck & Co. c2017. Guudmarka Waxqabadka Xanjadada 'Thyroid' [cusbooneysiiyay 2016 Jul; daliishaday 2017 Mar 15]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/thyroid-disorders/overview-of-thyroid-function
6. Machadka Wadnaha, Sambabka, iyo Machadka Dhiiga [Internet]. Bethesda (MD): Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; Waa Maxay Khataraha Dhiigga laga baaro ?; [la cusboonaysiiyay 2012 Jan 6; daliishaday 2017 Mar 15]; [ilaa 5 shaashad]. Waxaa laga heli karaa: https://www.nhlbi.nih.gov/health/health-topics/topics/bdt/risks
7. Machadka Wadnaha, Sambabka, iyo Machadka Dhiiga [Internet]. Bethesda (MD): Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; Waxa Laga Filayo Baaritaanka Dhiiga; [la cusboonaysiiyay 2012 Jan 6; daliishaday 2017 Mar 15]; [ilaa 4 shaashadood]. Waxaa laga heli karaa: https://www.nhlbi.nih.gov/health/health-topics/topics/bdt/with
8. Machadka Qaranka ee Sonkorowga iyo Cudurada Dheefshiidka iyo Kelyaha [Internet]. Bethesda (MD): Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; Cudurka Qabuuraha; 2012 Ogos [daliishaday 2017 Mar 15]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.niddk.nih.gov/health-information/endocrine-diseases/graves-disease#what
9. Machadka Qaranka ee Sonkorowga iyo Cudurada Dheefshiidka iyo Kelyaha [Internet]. Bethesda (MD): Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; Cudurka Hashimoto; 2014 Meey [daliishaday 2017 Mar 15]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.niddk.nih.gov/health-information/endocrine-diseases/hashimotos-disease#what
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12. Jaamacadda Rochester Medical Center [Internet]. Rochester (NY): Jaamacadda Rochester Medical Center; c2017. Encyclopedia Caafimaadka: Hormone kicinta qanjirka 'Thyroid'; [daliishaday 2017 Mar 15]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=thyroid_stimulating_hormone

Macluumaadka ku yaal boggan waa in aan loo isticmaalin beddel daryeel caafimaad oo xirfad leh ama talo. La xiriir bixiye daryeel caafimaad haddii aad su'aalo ka qabtid caafimaadkaaga.