Chithokomiro-zolimbikitsa timadzi: ndichiyani? Chithokomiro-zolimbikitsa timadzi: akazi yachibadwa

Monga mukudziwa, ukugwiradi ntchito ndi yosalala machitidwe onse ndi ziwalo za thupi lathu zimadalira kaphatikizidwe yoyenera mahomoni. Ndipo ngakhale mbadwo kugamuka mmodzi wa iwo akhoza kusokoneza thupi lonse. Today tiyeni tikambirane za zinthu zina zofunika monga chithokomiro zolimbikitsa timadzi. Ponseponse pa chizindikiro ichi mu thupi, ntchito zake, amachititsa kuchuluka kapena kuchepa - awa ndi mafunso ena m'nkhani.

zambiri

Chithokomiro-zolimbikitsa timadzi - ndichiyani? timadzi ichi, chimene opangidwa ndi pituitary England. Ozama mu magazi, izo kumapangitsa ulimi wa mahomoni chithokomiro monga triiodothyronine (T3) ndi thyroxine (T4) komanso limathandiza kuti "kumasulidwa" zidulo mafuta maselo mafuta. Choncho, ngati mabele popatsana timadzi kuchuluka, zifukwa likhoza kulumikizidwa ndi kuchepa mu chithokomiro ntchito. Kuyendera mahomoni T3 ndi T4, ndi milingo TSH anatsimikiza

Kudzera endocrine anayendera, onetsetsani kuti mankhwala ndi magazi kuti chithokomiro-zolimbikitsa timadzi. Ponseponse kwa akazi ndi amuna ali ndi phindu zonse. Ichi ndi chifukwa chakuti chithunzi angakhale osiyana ndi zimadalira nthawi ya tsiku ndi thanzi wodwalayo.

Chithokomiro-zolimbikitsa timadzi: yachibadwa

misinkhu Normal wa TSH akazi ndi 0.4-4 mkIE / ml. Munthu akakhala wathanzi ndende ya chithokomiro-zolimbikitsa timadzi angakhale osiyana masana: mlingo wokweretsa anawona m'mawa. Nkofunika kuti aziona chithokomiro timadzi pa mimba ndi akazi patapita zaka 40, ngakhale pali kudandaula ayi.

Kodi kukonzekera kuwunika?

Anthu ambiri TSH amakhudza maganizo boma, zakudya, masewera olimbitsa thupi. zinthu izi zikhoza kusintha ndende ya chithokomiro-zolimbikitsa timadzi masana. Pofuna amanena ndende ndi zinthu anali magazi okwanira zofunika kutenga za 8 koloko. Pa Hava ayenera kusiya kumwa mowa, kusuta fodya, kuthetsa zofuna kukhetsa thukuta.

Zikuonetsa kukayezetsa zasayansi

Boma la a chithokomiro England mwachindunji anakhudzidwa ndi chithokomiro-zolimbikitsa timadzi. Analysis analamula kuti:

• Chotupa chija;
• amaganiziridwa chobisika hypothyroidism;
• akakufunsani khosi lotupa poizoni ;
• amenorrhea;
• osabereka;
• misinkhu apamwamba prolactin mu thupi;
• monyanyira ntchito minofu;
• thupi yafupika kutentha chifukwa osadziwika.

N'chifukwa chiyani kuchuluka TSH timadzi?

Chithokomiro timadzi mkulu akhale woyamba chizindikiro cha wonongeka ya chithokomiro England. Ndende wa mahomoni T3 ndi T4 mu wa seramu magazi choncho ndi pa mlingo yachibadwa.

Ngati kafukufuku anasonyeza kuti chithokomiro n'kulowa anamuukitsa, chifukwa zodabwitsazi angakhale zotsatirazi:

• aakulu maganizo ndi somatic matenda;
• osakwanira ntchito ya zopangitsa kwa adrenal;
• mitundu yosiyanasiyana ya zotupa (pituitary chotupa , etc.);
• tirotropinoma;
• Mulibe malamulo oletsa kaphatikizidwe TTG syndrome;
• syndrome kukaniza kuti chithokomiro timadzi;
• aakulu preeclampsia;
• subacute thyroiditis ndi thyroiditis Hashimoto ndi;
• cholecystectomy;
• Hepatology.

Mkulu TTG zili mwina chifukwa cha ntchito yaikulu thupi kapena phwando la mankhwala (mwachitsanzo, beta-blockers, antipsychotics, iodides, "prednisolone" ndi ena).

Mimba akhoza ziwonjezeke chithokomiro timadzi, chifukwa boma ndi osiyana ndi si kupatuka ndi.

Pambuyo mankhwala hemodialysis opaleshoni kuti achotse ndulu angakhale nayo kuchuluka misinkhu ya TSH.

Decompensated chachikulu adrenal insufficiency ndi mitundu ina ya kutupa chithokomiro zambiri limodzi ndi mkulu wa ndende chithokomiro zolimbikitsa timadzi.

Yafupika ndende ya TSH

Ngati chithokomiro timadzi ndi adatchithisira, kungasonyeze:

• matenda Plummer ndi;
• kuchepetsa ntchito pituitary ;
• chosaopsa zophuka mu chithokomiro England;
• syndrome Sheehan ndi;
• ndi muyeso wa mahomoni chithokomiro chifukwa chololera poika njira m'thupi;
• maganizo nkhawa.

Nthawi zambiri, kuchepa kwa TSH amagwirizana ndi ambiri osokoneza mankhwala okhala chithokomiro mahomoni.

Chithokomiro timadzi akhoza adatchithisira chifukwa cha njala. Komanso, chifukwa cha chikhalidwe ichi kungakhale kutupa kwa chithokomiro England kapena pituitary choipa, chifukwa umene sangathe lithe mahomoni.

Chithokomiro-zolimbikitsa timadzi: mlingo wa akazi pa mimba

TSH mfundo zachilendo kwa amayi tsogolo akusiyanako. Kudziwa chizindikiro ichi nkofunika kuganizira zaka gestational:

• milungu 12 yachibadwa TSH msinkhu ndi 0,35-2,5 mkIE / ml ya;
• kwa mphindi 12 mpaka 42 makhalidwe TH sabata timadzi ali mu uthunthu 0,35-3 mkIE / ml.

Pa gestation mwana asungike pansi pa ulamuliro wa awo mahomoni ndi dongosolo endocrine. Zimenezi n'zofunika kwambiri mu sabata ya 10 ya mimba. Mwana nthawi iyi chithokomiro England yekha osati kugwira ntchito ndi mwana thupi amadalira pa mahomoni mayi.

Pakuti yokonza TSH mwachindunji anakhudzidwa ndi chikhalidwe cha umoyo wa amayi. Kotero, palibe lalikulu, ngati chithokomiro timadzi pa mimba ndi pang'ono adatchithisira kapena m'mwamba. Komabe, zolakwika kwambiri ku makhalidwe yawamba kusokoneza mimba ndipo angabweretse chiopsezo kwambiri mwanayo.

misinkhu TSH pa mimba dokotala. Nthawi zina, mankhwala kufufuza zina ndi kusanthula. Mwachitsanzo, pezani:

• echographic phunziro;
• chabwino-singano kukhumba biopsy ya chithokomiro England.

Pa woipa apamwamba TSH timadzi pa mimba mankhwala monga katemela, ntchito L-thyroxine.

Zizindikiro za TSH mkulu

Mkulu chithokomiro zolimbikitsa timadzi (amene wakhala tafotokozazi) kukuonetsedwa zinthu zotsatirazi:

• pang'ono unakhuthala khosi;
• ambiri kufooka (kutopa, wotsikirapo ntchito);
• retardation maganizo, inattention, mphwayi, maganizo pang'onopang'ono, irritability;
• kugona matenda: tulo adzazunzidwa usiku, tsiku munthu sangathe kulimbana ndi tulo;
• wotumbululuka khungu, kutupa;
• Kunenepa, amene ali kovuta kuchiza;
• kutsitsa kutentha thupi;
• nseru, kusafuna chakudya, kudzimbidwa.

Kodi otsika TSH zili?

Ndi mkulu mlingo wa chithokomiro-zolimbikitsa timadzi anaona zochitika izi:

• malungo;
• palpitations mtima;
• mutu;
• kuthamanga magazi;
• kunjenjemera mu zikope, manja, vutoli maganizo;
• kuzikonzanso kudya;
• kudzimbidwa.

chithandizo

Pamwamba tinakambirana za ngati nkhani yofunika monga chithokomiro-zolimbikitsa timadzi: chimene icho chiri, chimene ndi wakudziko, bwanji mlingo wake zingasiyane. Tsopano tiyeni tiyang'ane pa njira ya chithandizo cha zili mkulu ndi otsika TSH.

Ngati TSH ndende ndi mkulu ndipo ali mkati 7.1-7.5 mkIE / ml, amasonyeza hyperthyroidism. Pa chithokomiro okwera mankhwala zolimbikitsa timadzi ikuchitika pogwiritsa ntchito thyroxine kupanga.

Poyamba ntchito zolinga mankhwala zouma ndi milled nyama zachilengedwe chithokomiro. Panopa, izo sikawirikawiri ntchito, ndi odwala Kwalamulidwa mankhwala kupanga lomwe lili ndi mlingo zonse zochitika.

Popeza ntchito thyroxine zachilengedwe odwala onse osiyana, katswiri payekha amasankha mtengo yokonza zofunika mankhwala.

Mu gawo loyamba la mankhwala ntchito Mlingo ka thyroxine, iwo kuonjezera pang'onopang'ono bola ngati anthu ambiri TSH ndi T4 sadzabwera kubwerera mwakale ndi thanzi wodwalayo bwino.

TTG ankaona mtengo wotsika mpaka 0.01 mkIE / ml. Kubwezeretsa bwino m'thupi ndipo kuwonjezera ndende ya timadzi zimenezi ziyenera kutumikiridwa yekha kuyang'aniridwa ndi m'thupi yemwenso ndi.

Ndi bwino kuti alandire kufufuza mankhwala chaka chilichonse kuyan'ana kaperekedwe ka TSH, T3, T4.

zochiritsira zosagwiritsidwa

Matenda endocrine mankhwala mankhwala zofunika atengedwa ndi payekha analemba dokotala chiwembu. Folk azitsamba ndi chabe zotsatira zina, ndipo sangathe ntchito ngati mankhwala paokha.

maphikidwe Traditional kwa kutsitsa TSH milingo:

1. masamba Birch, licorice muzu ndi Angelica, yarrow, celandine, ananyamuka m'chiuno, udzu mayi ndi akulera ana opeza.
2. Zipatso za phiri phulusa, elecampane mizu, masamba birch, liziwawa St. Yohane.
3. Chamomile maluwa, yarrow ndi chicory, chilombo ananyamuka zipatso, muzu Echinops.

Aliyense Chinsinsi, zigawo zikuluzikulu ali osokonezeka mulingo ofanana. supuni awiri osakaniza chifukwa umafululidwa ndi madzi otentha, yokutidwa ndi chivindikiro, anaika mu moto wodekha ndi yophika kwa mphindi 10. The madzi chifukwa kunditumiza ku botolo zingalowe ndi kupanga phyto theka kapu ya tiyi kwa mphindi 30 asanayambe kudya. Chiritsani mtundu wa chopereka ndi miyezi 3-4, itatha nthawi kuti mankhwala linasinthidwa ndi mzake.

Monga njira zingapo kuchitira otsika mankhwala TSH wowerengeka:

1. Sakanizani zipatso, shuga ndi phiri phulusa kudya 2-3 spoons analandira misa pamaso kadzutsa.
2. 1 h. L. ufa wa masamba a kelp kutenga usiku ndi kusamba izo pansi ndi madzi. Gwiritsani ntchito chida kwa mwezi umodzi. Itatha nthawi iyi, yopuma ndi dokotala wanu chithandizo zina.

Pomaliza

M'nkhani ino ife tayesera kuti ndikuuzeni inu zambiri pankhani imeneyi, monga chithokomiro zolimbikitsa timadzi (icho chiri, ntchito zazikulu, zimatipatsa kulera ndi kutsitsa ndende yake, ndi zina zotero. D.). Kumbukirani kuti Mulimonsemo n'zosatheka kuchita kudzikonda, kudzikonda kusankha ndekha mahomoni ena. Chinawathandiza kumvetsa n'chakuti mayesero kukhazikitsa matenda zolondola, kuwunika zina ndi utsogoleli wa mankhwala oyenerera - zinthu zonsezi, zomwe tiyenera kuchita basi ndi katswiri wa. Dzisamalire ndi kukhala wathanzi!