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Menene gwajin TSH kuma menene ma'anar sakamakon ku?

Menene gwajin TSH kuma menene maIlimin Kiwon Lafiya

Gwajin kwayar cutar da ke kara kuzari (TSH) yana kimanta aikin karoid da matakan karoid. An samar da shi ta hanyar pituitary gland, wanda ke gayawa glandon ka, wanda yake a kasan gaban wuyan ka, don yin da kuma sakin kwayoyin halittar da ke kula da yawan zafin jikin mu, metabolism, da kuma kiyaye kwakwalwar mu, zukatan mu, da sauran gabobin su da kyau.





Tungiyar Thyroid ta Amurka (ATA) ta ba da shawarar cewa manya su fara gwajin TSH tun suna ɗan shekara 35 kuma su maimaita gwaje-gwaje kowane shekara biyar idan sakamako ya kasance a cikin zangon al'ada. Hakanan likitan ku na iya yin odan gwajin TSH idan kuna fuskantar alamun bayyanar cututtukan thyroid ko rashin aiki. Kwayar cututtukan cututtukan hypothyroidism (cututtukan thyroid) na iya haɗawa da gajiya, hazo na ƙwaƙwalwa, fata mai bushewa, zubar gashi, da jin sanyi. Kwayar cututtuka na hyperthyroidism (mai saurin motsa jiki) na iya haɗawa da gumi, saurin zuciya, rauni na tsoka, damuwa, da kuma rashin hankali. A kowane hali, kai - ko mai ba da kiwon lafiya - na iya gano cewa ƙarar ka ta faɗaɗa, wanda ake kira goiter, ko thyroid nodules, waɗanda ƙananan kumbura ne akan glandar thyroid.



Menene gwajin TSH ya ƙunsa?

Gwajin jinin TSH galibi ana gudanarwa ne a matsayin wani ɓangare na rukunin gwajin jini tare da gwajin lafiyar shekara-shekara. Gwajin yana tabbatar da yadda maganin ka na thyroid yake aiki ta hanyar auna yawan sinadarin kara kawan jini a cikin jininka. Gwajin jini ne mara azumi, ma’ana ba lallai bane ku yi wani abu na musamman don shiryawa.

Ya kamata likitoci su ɗauki samfurin jini na TSH don marasa lafiyar thyroid kowane mako huɗu zuwa takwas bayan bincikensu na farko. Da su yana bada shawarar gwajin TSH kowane watanni shida zuwa 12 yayin da kake kan tsayayyen maganin kuma sau da yawa idan yanayin ka ya canza.

Menene matakin TSH ya zama?

Yawancin dakunan gwaje-gwaje suna rarraba matakan TSH na yau da kullun tsakanin miliyon 0.4 da 4.5 a kowace lita (mU / L), a cewar Tungiyar Thyroid ta Amurka (ATA). Matsayi na TSH na yau da kullun a mafi yawan lokuta, yawanci yana nuna cewa baku da matsalar matsalar maganin karoid.



Da su rahoton cewa kusan Amurkawa miliyan 20 suna da wani nau'i na cututtukan thyroid. Duk da haka fiye da kashi 60% na waɗanda ke fama da cutar thyroid ba su san yanayin lafiyar su ba.

Menene ma'anar lokacin da TSH yayi ƙasa?

A mafi yawan lokuta, matakan TSH suna ƙasa da 0.4 mU / L suna nuna hyperthyroidism, wanda aka fi sani da overactive thyroid, ma'ana, jikinku yana samar da hormone mai yawan gaske. Cututtukan Graves cuta ce ta autoimmune wanda wani lokacin ke haifar da hyperthyroidism.

Menene ya faru lokacin da TSH ɗinka yake girma?

Gabaɗaya, matakan TSH mafi girma fiye da 4.5 mU / L suna nuna hypothyroidism, ko ƙarancin ƙwayar cuta, ma'ana jikinku baya yin isasshen ƙwayar thyroid. Hashimoto ta thyroiditis cuta ne na autoimmune wanda wani lokacin ke haifar da hypothyroidism.



Shin har yanzu kuna iya samun matsala idan TSH ɗinku ta al'ada ce?

Jarabawar TSH alama ce mai matukar mahimmanci game da lafiyar lafiyar ku duka, in ji Brittany Henderson, MD, ƙwararren masanin ilimin likita a Charleston Thyroid Center a Dutsen Pleasant, South Carolina . Fassara na iya zama da wahala saboda akwai fadi-tashin ‘al'ada’ a sikelin TSH.

Magunguna da kari da kake ɗauka a halin yanzu na iya shafar sakamakon gwajin TSH naka. Misali ɗaya shine biotin, wanda zai iya nuna ƙaramin matakan TSH da ƙarya.

Abinda akayi la'akari da al'ada al'ada ce ta rinjayi abubuwa da yawa:



  • Shekaru
  • Ciki
  • Kabilanci

Bincike ya nuna cewa matakan TSH yakan karu da tsufa, raguwa da juna biyu, kuma ya bambanta da ƙabila.

Shekaru

Daya karatu gano cewa 97.5% na marasa lafiya har zuwa shekaru 55 suna da ƙimar TSH ƙasa da 4.0 mU / L. Sama da wannan shekarun babban darajar don kashi 97.5 na ƙarni a hankali ya tashi, ya kai kimanin 4.75 mU / L tsakanin shekaru 75 zuwa 85 da 5.0 mU / L a cikin marasa lafiya tsakanin 85 da 90. Binciken ya ci gaba da cewa matakan TSH da ke da ɗan girma a cikin tsofaffi manya ba lallai bane su nemi magani.



Hakanan matakan TSH na iya bambanta ga yara kuma zangon zai iya canzawa gwargwadon shekaru. An ba da shawarar cewa iyaye su bincika tare da likitan ilimin likitancin yara don sanin ƙimar TSH mafi kyau na ɗansu.

Ciki

A cikin mata masu ciki a cikin farkon shekarun su na farko, Tungiyar Thyroid ta Amurka ta ba da shawarar kiyaye matakan TSH bisa matsayin yanayin ƙwayar jikin mutum. Yawancin lokaci, ana kiyaye TSH tsakanin 0.2-<2.5 mU/L or the upper limit of TSH ie, 4.5 mU/L based on autoimmunity. TSH is recommended to be maintained between 0.3-3 mU/L in the remaining trimesters.



Kabilanci

Dr. Henderson, wanda ya kirkiro littafin, Abin da Dole ne Ku sani Game da Cutar Hashimoto , ya lura cewa sakamakon TSH kuma na iya bambanta gwargwadon ƙabila. Matakan TSH a gargajiyance sun fi girma a cikin fararen fata, ƙasa da baƙar fata, kuma wani wuri a tsakiya don yawan mutanen Hispanic, in ji ta.

Ta ce marasa lafiya na iya samun sakamakon TSH a cikin kewayon 'al'ada', yayin da har yanzu ke fuskantar alamun bayyanar cututtuka (kamar su rage nauyi ko riba, zubewar gashi, gajiya, damuwa da ƙari). Matakan TSH suna nuna idan thyroid ɗinku yana da matsala, amma ba sa nuna abin da ke haifar da matsalar. Don gano hakan, mai kula da lafiyar ku na iya yin odar ƙarin gwaje-gwaje.



Lokacin da zaka iya buƙatar ƙarin gwaje-gwaje

A waɗannan lokuta, likitoci na iya zaɓar yin odar cikakken bincike na gwajin aikin maganin karoid don auna thyroxine kamar Free T4, Total T4, Total T3, da kuma maganin kawancin, ban da TSH. Wani ɓangare mai mahimmanci don samun mafi kyawun sakamakon gwajin TSH da maganin thyroid ya haɗa da tabbatar da cewa kana karɓar gwajin gwaji daidai.

T4 gwaji

Free T4 shine gwajin jini mara azumi wanda ke matakan matakan T4, hormone na thyroid. Matsayi na yau da kullun na kyauta na T4 tsakanin0.8 zuwa 1.5microgram a kowace deciliter (ng / dL). Zai iya bambanta dangane da gwajin gwajin da aka yi amfani da shi. Jimlar T4 ba al'ada ake yi ba sai a cikin ciki lokacin da ya fi daidai fiye da gwajin T4 na kyauta.Matsakaicin Tsarin T4 na yau da kullun shine 5-12 ug / dl. Levelsananan matakan T4 ana gani tare da hypothyroidism, yayin da ake ganin manyan matakan tare da hyperthyroidism.

T3 gwaji

Jimlar T3 gwajin jini mara azumi wani lokacin ana ba da shawarar azaman hanyar binciko cutar ta hyperthyroidism da kuma ƙayyade tsananin cutar. Sakamakon T3 na al'ada ana auna su azaman jere daga 100 zuwa 200 nanogram a kowane deciliter (ng / dl). Ba a ba da shawarar gwajin T3 kyauta ba saboda rashin daidaiton dakin gwaje-gwajensa. T3 na baya yana da iyakantaccen rawa wajen gano matsalolin thyroid kuma ba a ba da shawarar yau da kullun.

Yaushe kuke buƙatar magani?

Mutane da yawa marasa lafiya na hypothyroid suna jin mafi kyawun lokacin da suke shan magani kuma matakan su na thyroid suna cikin yanayin 'TSH' mafi kyau na 0.5-2.00 (tare da sikelin sikelin 0.45-4.5), in ji Dokta Henderson. Tunda gwajin gwaje-gwaje da jeri sun bambanta, matakan da aka inganta don takamaiman dakin gwaje-gwaje na marasa lafiya na iya bambanta. Ga tsofaffi marasa lafiya, ƙaddarar TSH tana cikin kewayon 4.0 - 6.0.

Yawancin likitoci galibi suna kula da marasa lafiya na hypothyroid tare da yawan kwayar levothyroxine na yau da kullun, samfurin da mutum yayi na T4 thyroid hormone wanda jiki yayi, wasu likitoci suna ba da shawarar amfani da T4 da T3 azaman zaɓi na jiyya.

Dangantaka: Abubuwa 5 da zasu iya rikicewa tare da maganin maganin ka

Tare da maganin thyroid, dosing ya zama daidai, Dokta Henderson ya ce. Yawan magani ko yawa kadan na iya haifar da illolin da ke shafar lafiyar mara lafiya.

A cikin marasa lafiya wadanda suke bincikar lafiya kamar hyperthyroid, magani zai iya haɗawa da maganin antithyroid kamar methimazole, wanda ke aiki don sarrafa ƙwanƙwasa ƙwayar cuta. Wasu marasa lafiya ana basu iodine mai narkewa, wanda ake bayarwa a cikin kwaya domin a hankali a hankali ya rage maganin ka.

Idan kana fuskantar alamun rashin maganin cutar thyroid, nemi shawarar kwararrun likitoci daga likitanka ko kwararre a fannin ilimin likitanci game da wadannan gwaje-gwajen da maganin.