Gịnị bụ subclinical hyperthyroidism, ihe na-akpata, nchoputa na ọgwụgwọ

Ndinaya

• Isi ihe kpatara ya
• Kedu ka esi eme nchoputa
• Ọgwụgwọ maka hyperthyroidism dị n'okpuru

Subtlinical hyperthyroidism bụ mgbanwe nke thyroid nke mmadụ anaghị egosi ihe ịrịba ama ma ọ bụ ihe mgbaàmà nke hyperthyroidism, mana enwere mgbanwe na nyocha ndị na-enyocha ọrụ thyroid, yana mkpa maka ọgwụgwọ kwesịrị nyocha ma nyochaa.

Ya mere, ebe ọ na-adịghị eduga na ọdịdị nke mgbaàmà, njirimara nke mgbanwe ahụ ga-ekwe omume naanị site na ịlele ogo nke TSH, T3 na T4 n'ime ọbara, nke bụ homonụ metụtara thyroid. Ọ dị mkpa na a na-achọpụta hyperthyroidism dị n'okpuru, n'ihi na ọbụlagodi na enweghi ihe ịrịba ama ma ọ bụ ihe mgbaàmà, ọnọdụ a nwere ike ịkwado mmepe nke mgbanwe obi na ọkpụkpụ.

Isi ihe kpatara ya

Subclinical hyperthyroidism nwere ike nkewa dị ka ihe na-akpata:

• Ntughari, nke metụtara mmepụta na nzuzo nke hormone site na gland, nke bụ ihe na-eme mgbe mmadụ na-eji ọgwụ na-adịghị mma nke ọgwụ thyroid, dị ka Levothyroxine, dịka ọmụmaatụ;
• Mbibi, nke mgbanwe ndị ahụ na-enweghị njikọ chiri anya na nke gland, dị ka ọ dị goiter, thyroiditis, adenoma na-egbu egbu na ọrịa Graves, nke bụ ọrịa autoimmune nke sel nke usoro ahụ ji alụso ọrịa ọgụ ọgụ na thyroid onwe ya, na-eduga na nchịkwa na mmepụta nke homonụ.

Hyperthyroidism dị n'okpuru adịghị eduga na ọdịdị nke ihe ịrịba ama ma ọ bụ ihe mgbaàmà, na-achọpụta naanị site na nyocha ọbara nke na-enyocha ọrụ gị. Ya mere, arụmọrụ nke ule dị mkpa ka e wee chọpụta ihe kpatara ya na mkpa ịmalite ọgwụgwọ kwesịrị ekwesị ka enyocha.

N’agbanyeghi n’adighi ebute egosiputa ihe iriba-ama na ihe mgbaàmà, hyperthyroidism dị ala nwere ike ime ka ohere mgbanwe obi, osteoporosis na osteopenia, karisia n’ime ụmụ nwanyị na-eto eto ma ọ bụ ndị gafere afọ iri isii. N'ihi ya, ọ dị mkpa ka a chọpụta ya. Hụ otu esi amata hyperthyroidism.

Kedu ka esi eme nchoputa

Nchoputa nke hyperthyroidism dị n'okpuru na-abụkarị site na nyocha nke na-enyocha thyroid, ọkachasị usoro onunu ogwu nke ọbara TSH, T3 na T4 na nke antithyroid antibodies, nke mere ọkwa nke T3 na T4 bụ ihe nkịtị na ọkwa nke TSH dị n'okpuru uru nrụtụ aka, nke maka ndị mmadụ karịa 18 nọ n'agbata 0.3 na 4.0 μUI / mL, nke nwere ike ịdị iche n'etiti ụlọ nyocha. Muta ihe banyere ule TSH.

Yabụ, dị ka ụkpụrụ TSH si dị, enwere ike ịkọwa hyperthyroidism dị n'okpuru:

• Agafeghị oke, nke ọkwa TSH ọbara dị n'etiti 0.1 na 0.3 μUI / mL;
• Siri ike, nke ọkwa TSH ọbara dị n'okpuru 0.1 μUI / mL.

Tụkwasị na nke ahụ, ọ dị mkpa na a na-eme nyocha ndị ọzọ iji gosipụta nchoputa nke hyperthyroidism dị n'okpuru, chọpụta ihe kpatara ya ma chọpụta mkpa ọ dị maka ọgwụgwọ. Maka nke a, a na-arụkarị ultrasound na thyroid scintigraphy.

Ọ dịkwa mkpa na ndị mmadụ a na-enyocha hyperthyroidism dị n'okpuru ala na-enyocha mgbe niile ka e wee nwee ike ịtụle ogo homonụ karịa oge, ma, ya mere, enwere ike ịmata ya ma ọ bụrụ na mgbanwe mgbanwe na hyperthyroidism, dịka ọmụmaatụ.

Ọgwụgwọ maka hyperthyroidism dị n'okpuru

Ọgwụgwọ maka hyperthyroidism dị n'okpuru akọwapụtara site n'aka onye isi ọrụ ma ọ bụ endocrinologist dabere na nyocha nke ọnọdụ ahụike mmadụ niile, ọnụnọ nke mgbaàmà ma ọ bụ ihe egwu, dịka afọ hà ma ọ bụ karịa afọ 60, osteoporosis ma ọ bụ menopause, na mgbakwunye ịbụ ịbụ na-eburu n'uche ntụgharị nke TSH, T3 na T4 na ọnwa 3 gara aga.

N'ọnọdụ ụfọdụ ọ dịghị mkpa ịmalite ọgwụgwọ, n'ihi na ha nwere ike ịbụ naanị mgbanwe na-adịghị agafe agafe, ya bụ, n'ihi ọnọdụ ụfọdụ onye ahụ nwetara enwere mgbanwe na ịta nke homonụ na-ekesa n'ime ọbara, mana nke laghachiri nkịtị .

Otú ọ dị, n'ọnọdụ ndị ọzọ, ọ ga-ekwe omume na ogo nke hormonal anaghị alaghachi na nkịtị, na ntụle, ọkwa TSH nwere ike ịdawanye ala na ọkwa T3 na T4 dị elu, na-egosipụta hyperthyroidism, ọ dịkwa mkpa ịmalite ọgwụgwọ kwesịrị ekwesị., Nke nwere ike bụrụ site n'iji ọgwụ ndị na-achịkwa mmepụta nke homonụ, ịgwọ ọgwụgwọ iodine ma ọ bụ ịwa ahụ na-arụ ọrụ. Ghọta otu esi eme ọgwụgwọ maka hyperthyroidism.