Teko ea TSH: ke ea eng mme hobaneng e le holimo kapa e le tlase
Litaba
- Litekanyetso tsa litšupiso
- Liphetho li ka bolela eng
- TSH e phahameng
- TSH e tlase
- Tlhahlobo ea TSH e etsoa joang
- TSH ke eng e sa utloisiseheng habonolo?
- Ha tlhahlobo ea TSH e laeloa
Teko ea TSH e sebeletsa ho lekola tšebetso ea qoqotho 'me hangata e kopuoa ke ngaka e akaretsang kapa endocrinologist, ho lekola hore na tšoelesa ena e sebetsa hantle, le haeba ho na le hypothyroidism, hyperthyroidism, kapa ha ho na le mofets'e o khetholloang ke kankere ea qoqotho, follicular kapa papillary, bakeng sa mohlala.
Hormone ea Thyostimulating (TSH) e hlahisoa ke tšoelesa ea pituitary mme sepheo sa eona ke ho khothaletsa qoqotho ho hlahisa lihormone T3 le T4. Ha litekanyetso tsa TSH li eketseha maling, ho bolela hore mokokotlo oa T3 le T4 maling o tlase. Ha e fumanoa e le maemong a tlase, T3 le T4 li fumaneha ka bongata maling. Bona hore na liteko tsa bohlokoa ke life ho lekola qoqotho.
Litekanyetso tsa litšupiso
Litekanyetso tsa TSH li fapana ho latela lilemo tsa motho le laboratori moo tlhahlobo e etsoang teng, 'me hangata ke tsena:
Lilemo | Melao ea boitšoaro |
Beke ea 1 ea bophelo | 15 (μUI / mL) |
Beke ea bobeli ho fihlela likhoeli tse 11 | 0.8 - 6.3 (μUI / mL) |
Lilemo tse 1 ho isa ho tse 6 | 0.9 - 6.5 (μUI / mL) |
Lilemo tse 7 ho isa ho tse 17 | 0.3 - 4.2 (μUI / mL) |
+ Lilemo tse 18 | 0.3 - 4.0 (μUI / mL) |
Boimana | |
Kotara ea 1 | 0.1 - 3.6 mUI / L (μUI / mL) |
Kotara ea bobeli | 0.4 - 4.3 mUI / L (μUI / mL) |
Kotara ea boraro | 0.4 - 4.3 mUI / L (μUI / mL) |
Liphetho li ka bolela eng
TSH e phahameng
- Hyspothyroidism: Boholo ba nako TSH e phahameng e bontša hore qoqotho ha e hlahise hormone e lekaneng, ka hona tšoelesa ea pituitary e leka ho lefella sena ka ho eketsa maemo a TSH maling e le hore qoqotho e etse mosebetsi oa eona hantle. E 'ngoe ea litšobotsi tsa hypothyroidism ke TSH e phahameng le T4 e tlase,' me e kanna ea bonts'a subclinical hypothyroidism ha TSH e phahame, empa T4 e maemong a tloaelehileng. Fumana hore na T4 ke eng.
- Meriana: Ts'ebeliso ea tekanyetso e tlase ea lithethefatsi khahlano le hypothyroidism kapa lithethefatsi tse ling, joalo ka Propranolol, Furosemide, Lithium le meriana e nang le iodine, e ka eketsa mohopolo oa TSH maling.
- Hlahala ea pituitary e ka baka keketseho ea TSH.
Matšoao a amanang le TSH e phahameng a tšoana le mokhathala, joalo ka mokhathala, ho nona, ho sokela, ho ikutloa o bata, ho eketsa moriri oa sefahleho, ho thatafalloa ho tsepamisa mohopolo, letlalo le omeletseng, moriri le lipekere tse senyehang habonolo. Ithute haholoanyane ka hypothyroidism.
TSH e tlase
- Hyperthyroidism: TSH e tlase hangata e bontša hore qoqotho e hlahisa T3 le T4 ka mokhoa o feteletseng, e eketsa litekanyetso tsena, ka hona tšoelesa ea pituitary e fokotsa tokollo ea TSH ho leka ho laola ts'ebetso ea qoqotho. Utloisisa hore na T3 ke eng.
- Ts'ebeliso ea meriana: Ha tekanyetso ea lithethefatsi ea hypothyroid e le holimo haholo, litekanyetso tsa TSH li tlase hantle. Mekhoa e meng e ka bakang TSH e tlase ke: ASA, corticosteroids, dopaminergic agonists, fenclofenac, heparin, metformin, nifedipine kapa pyridoxine, mohlala.
- Hlahala ea pituitary e ka lebisa ho TSH e tlase.
Matšoao a amanang le TSH e tlase a tloaelehile ho hyperthyroidism, joalo ka ho ferekana, ho otloa ke pelo, ho hlobaela, ho theola boima ba 'mele, ho tšoha, ho thothomela le ho fokotsa mesifa. Maemong ana, ho tloaelehile hore TSH e be tlase le T4 e be holimo, empa haeba T4 e ntse e le lipakeng tsa 01 le 04 μUI / mL, sena se ka supa subclinical hyperthyroidism. TSH e tlase le T4 e tlase, e ka supa anorexia nervosa, ka mohlala, empa maemong afe kapa afe tlhahlobo e etsoa ke ngaka e laetseng tlhahlobo. Ithute haholoanyane ka kalafo ea hyperthyroidism.
Tlhahlobo ea TSH e etsoa joang
Teko ea TSH e etsoa ka sampole e nyane ea mali, e lokelang ho bokelloa ho itima lijo bonyane lihora tse 4. Mali a bokelletsoeng a romeloa laboratoring ho ea hlahlojoa.
Nako e ntle ea ho etsa tlhahlobo ena ke hoseng, kaha mohopolo oa TSH maling o fapana ho pholletsa le letsatsi. Pele o etsa tlhahlobo, ho bohlokoa ho bonts'a ts'ebeliso ea meriana e meng, haholo-holo litlhare tsa qoqotho, joalo ka Levothyroxine, kaha e ka sitisa sephetho sa tlhahlobo.
TSH ke eng e sa utloisiseheng habonolo?
Teko ea TSH e hlokolosi haholo ke mokhoa o tsoetseng pele oa ho hlahloba o ka fumanang TSH e fokolang maling eo teko e tloaelehileng e neng e ke ke ea khona ho e khetholla. Mokhoa oa ho hlahloba o sebelisitsoeng lilaboratoring o hlokolosi ebile o totobetse, mme tlhahlobo ea TSH e hlokolosi haholo e tloaetse ho sebelisoa moetlong.
Ha tlhahlobo ea TSH e laeloa
Ho hlahlojoa ha TSH ho ka laeloa ho batho ba phetseng hantle, feela ho lekola ts'ebeliso ea qoqotho, hape le haeba ho na le hyperthyroidism, hypothyroidism, Hashimoto's thyroiditis, kholo ea qoqotho, boteng ba lefu la qoqotho le kotsi kapa le bohloko, nakong ea bokhachane le ho lekola litekanyetso tsa phetisetso ea qoqotho. lithethefatsi, haeba ho ka tlosoa tšoelesa ena.
Hangata, tlhahlobo ena e kopuoa ho batho bohle ba fetang lilemo tse 40, leha ho se na linyeoe tsa lefu la qoqotho ka lapeng.