Nkhani

Chithokomiro chakhala matenda wamba.Poyamba, vutoli linali lofala kwambiri pakati pa anthu okalamba, makamaka amayi, koma chifukwa cha zakudya zopanda thanzi komanso moyo wachisokonezo, chiwerengero chachikulu cha achinyamata ndi ana akhalanso ozunzidwa.Malinga ndi lipoti la 2017 lofalitsidwa ndi Diagnosis Chain SRL, "32% ya amwenye amadwala matenda osiyanasiyana a chithokomiro."Pakalipano, milandu ya khansa ya chithokomiro ikubwera.Kafukufuku amene anachitika pa yunivesite ya Texas ku Austin anapeza kuti “odwala mamiliyoni ambiri amachotsedwa chithokomiro kapena mbali yake chaka chilichonse chifukwa cha khansa ya chithokomiro.”wa matenda asanu ndi anayi.Choncho, nkofunika kudziwa kuti ndi mayeso ati omwe angapangidwe kuti azindikire molondola chithokomiro.Yankho: TSH, chithokomiro stimulating hormone test.Phunzirani za-
Mayeso a TSH amachitidwa pa chithokomiro.Dziwani ngati chithokomiro chikugwira ntchito bwino?Kodi ali wotanganidwa kwambiri kapena wofooka?Zinthu zonsezi ndi zovulaza.Koposa zonse, ndi mayesowa, matendawa amatha kudziwika ngakhale thupi lisanasonyeze zizindikiro za chithokomiro.
Chinthu choyamba kudziwa ndi chomwe chithokomiro, chiwalo m'thupi la munthu chomwe chimatulutsa mankhwala ofunikira kuti thupi likhale lolimba.Chithokomiro chimatulutsa mahomoni osiyanasiyana, kuphatikizapo T4, omwe amadziwika kuti mahomoni a chithokomiro.Mahomoniwa amagwira ntchito m’thupi lonse, zomwe zimakhudza kukula, kutentha kwa thupi, ndi kagayidwe kachakudya.Mahomoniwa amathandizanso kuti ubongo uyambe kukula ndi ana obadwa kumene.Kuyeza kwa TSH kumakhala kofunikira ngati pali vuto ndi kupanga ndi kugwiritsa ntchito mahomoni a chithokomiro m'thupi.Kodi kusanthula kwa TTG kumachitika bwanji?
Kuyezetsa kumachitika pogwiritsa ntchito kuyezetsa magazi.Magazi amatengedwa monga mwachizolowezi ndikuwunikiridwa mu labotale.Kodi mlingo wa TSH m'magazi ndi chiyani?Mayesowa amatha kuchitidwa mu labotale iliyonse wamba.
Nthawi yoyezetsa TSH Anthu opitilira zaka 40 akulimbikitsidwa kuyezetsa izi chaka chilichonse.Ndiyeneranso kudziwa kuti anthu ambiri m'dziko lathu sadziwa kuti ali ndi matenda a chithokomiro chifukwa zizindikiro zake ndizofala kwambiri.
Ndani Ayenera Kuyezetsa Chithokomiro Aliyense amene amadziona kuti wanenepa kwambiri ayenera kukayezetsa chithokomiro chake nthawi ndi nthawi.Matenda a chithokomiro amathanso kuchitika ngati wina akumva kutopa popanda chifukwa, wofooka, waulesi, kutupa manja ndi mapazi, ndi chilakolako chochuluka.Zitha kuchitika kwa anthu a msinkhu uliwonse.Ana amasiku ano nawonso amazunzidwa.Matendawa amapezeka kwambiri mwa amayi.
Zotsatira za TSH zikutanthauza kuti milingo yabwinobwino kwa akulu ndi pakati pa 0.4 ndi 5 milliliters ya mayunitsi apadziko lonse (mIU/L) pa lita.Ngati mulingo wa TSH m'magazi ndi wapamwamba, hypothyroidism imatha kuchitika.TSH ikhoza kukwera pa nthawi ya mimba.Ngati wodwala akumwa steroids, dopamine, kapena mankhwala opweteka a opioid (monga morphine), mayesero angasonyeze milingo ya TSH yocheperako.Kutsika kwa TSH kumasonyeza kuti chithokomiro chimagwira ntchito mopitirira muyeso.Ngati mayeso akuwonetsa kuti mulingo wa TSH uli pansi pazabwinobwino, izi zikutanthauza kuti pali ayodini wambiri m'thupi.Wodwalayo anali ndi mankhwala osokoneza bongo a mahomoni a chithokomiro.
Kuopsa koyezetsa TSH ndi kotani?Mayesowa nthawi zambiri amakhala opanda chiopsezo.Inde, padzakhala ululu potenga magazi a wodwala.Odwala akhoza kuvulazidwa ngati magazi atengedwa mwangozi kuchokera ku singano, koma izi ndizosowa.Chifukwa chake, mayesowa amatha kuchitidwa nthawi iliyonse, kulikonse.Sichiwopsezo chachikulu.Malinga ndi National Center for Biotechnology Information (NCBI), mayesowa adapambana mu 99.6% yamilandu.
Pali mankhwala ena omwe angakhudze zotsatira za kuyezetsa kwa TSH musanayambe kuyezetsa chithokomiro cholimbikitsa mahomoni (TSH).Mwachitsanzo - amiodarone, lithiamu, potaziyamu iodide, prednisolone, dopamine.Choncho, ngati wodwala akumwa mankhwala aliwonsewa, ndikofunika kuuza dokotala musanayese kuyesa kwa TSH.Paupangiri wa dokotala, kuyezetsa kungachitike patatha masiku angapo mutasiya mankhwalawa.
Pambuyo pakuwunika kwa TSH komanso ngati chithokomiro sichigwira ntchito bwino, madokotala amalangiza kumwa piritsi limodzi la mahomoni opangidwa ndi chithokomiro patsiku.Izi zimayendera bwino mahomoni ndipo wodwalayo amayamba kumva bwino.Anthu onenepa nawonso amawonda.Miyezi iwiri kapena itatu atamwa mankhwalawa, adayezetsanso TSH ndikuchotsa mankhwalawa atatha kusintha zotsatira zake.
Chithandizo cha hyperthyroidism Pali njira zingapo zochizira matendawa, monga kugwiritsa ntchito ayodini wa radioactive kuti achepetse kuchuluka kwa chithokomiro kapena kugwiritsa ntchito mankhwala oletsa chithokomiro kuti aletse kuchulukitsitsa kwa mahomoni.Matendawa amayambitsa kugunda kwamtima kwambiri, komwe kumatha kusinthidwa ndi beta-blockers.Opaleshoni imachitidwanso ngati vutoli likuipiraipira kuposa kufunikira.
Kuyeza khansa ya chithokomiro kumawoneka motere: Malinga ndi Dr. Umar Afroz wa AIIMS yokhudzana ndi myupchar.com, khansa ya chithokomiro imapanga maselo a chithokomiro.Mayesero osiyanasiyana amachitidwa kuti azindikire, kuphatikizapo ultrasound, scanning, biopsy, ndi laryngoscopy.Komanso, fufuzani milingo ya calcium, phosphorous ndi calcitonin m'magazi.

 
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