TTG ndi adatchithisira - zikutanthauza chiyani? TTG ndi adatchithisira pa mimba

Ndipo gynecologists ndi endocrinologists zimadziŵa kufunika kulamulira mlingo wa mahomoni mu akazi, makamaka pa mimba. Panthawi imeneyi, pafupifupi ziwalo zonse ndi machitidwe akusintha zochita za ntchito yawo, kusintha kwa zinthu zatsopano. Ndipotu pa miyezi inayi ya ntchito yaikulu adzakhala kuonetsetsa chitukuko wabwinobwino wa mwana ndi kusamalila thanzi la mayi woyembekezera. Kumene, kusintha kwambiri kuti lizigwira ntchito ya chithokomiro England. Kulakwila mlingo wa mahomoni opangidwa ndi izo, makamaka umakhudza chitukuko ndi Inde mimba.

TSH timadzi mlingo amalola kuti aone ngati mimba ndi zachilendo kapena pali kuvutika aliyense azitha. mlingo uwu anatsimikiza ndi kusanthula magazi otengedwa mtsempha wa. Ngati TSH ndi adatchithisira kapena M'malo mwake, kuchuluka, dokotala mankhwala kufufuza zina. Iwo angakuthandizeni kupeza chomwe chidapangitsa kuchuluka kwa kuvutika ndi timadzi.

TTG ndi chiyani?

Kudziwa chimene chiri pafupi, muyenera kuganizira ndi timadzi opangidwa ndi mabele England wa munthu. Tierotropny timadzi udindo ntchito wabwinobwino wa pituitary zapambuyo. Iwo akulamulira chitukuko ndi ntchito ya chithokomiro England, komanso kupanga triiodothyronine (T3) ndi thyroxine (T4). mahomoni izi nzofunikira kwambiri kuti uziyenda yachibadwa kachitidwe ubereki ndi mtima kumatanthauza njira kagayidwe kachakudya ndi yaikulu boma psycho-maganizo a munthu.

Chiyani muyenera kuwerenga mlingo TSH?

kusinthasintha mu kuchuluka kwa timadzi mu magazi kungayambitse zosiyanasiyana mavuto thanzi. Nkofunika kuti akhale pansi pa ulamuliro magawo zonse zofunika pa kubala ana. Nthawi zambiri pali zochitika pamene nyengo ya kusintha m'thupi. Zimachitika kuti TSH ndi adatchithisira pa mimba. N'kofunika kwambiri kulabadira kusinthasintha amenewa, ngati mkazi kale anakumana ndi matenda a chithokomiro kapena zinthu zoipa kugwirizana ndi kupita padera kapena yoopsa likumira.

Popeza kuti timadzi imeneyi ndi yovuta kwambiri kusintha pathological mu dongosolo endocrine. Ichi ndi chifukwa chimodzi cha malamulo zofunika mankhwala - mfundo za maganizo olakwika. Ngati TSH ndi adatchithisira, zikutanthauza chiyani? Izi zikusonyeza kuwonjezeka mlingo wa ufulu thyroxine. Tikawonetsetsa, kuchuluka zizindikiro TSH utachepa T4. Motero, kudziwa magawo waukulu mahomoni ndi opangidwa ndi mabele England, n'zotheka kuti aziona thanzi la akazi, makamaka amene ankakhala mu "chidwi" malo.

TSH ponseponse pa mimba

Mlingo wa chithokomiro zolimbikitsa timadzi, anatsimikiza mtima Elisa (puloteni-zogwirizana immunosorbent zofufuza) m'mwazi wa mkazi, ayenera kukhala wochokera 0.4 kuti 4 IU / lita. Woyembekezera, Chiwerengerochi angakhale pang'ono kupatuka mwakale. Nthawi imeneyi, mlingo TSH zonse kusintha. Choncho ndi zovuta amapeza magawo aliyense pafupifupi, umene ayenera kutsatira. Akukhulupirira kuti koposa zonse TTG ndi adatchithisira pa nthawi ya masabata 10-12. Koma pali nthawi ndi otsika kwa miyezi zonse zisanu ndi zinayi. TSH zambiri downgraded mu mimba angapo. Komabe, zolakwika zazing'ono ku ponseponse mu umodzi ndi mbali zina si pathological.

Mmene timadzi opangidwa ndi mabele England mimba

Dongosolo endocrine amagwira ntchito yofunika kwambiri. Mabele England umabala thyroxine ndi triiodothyronine, ndi amalowerera ndondomeko pituitary. Chifukwa amapangidwa ndi zapambuyo pituitary TSH, amene akulamulira kuchuluka kwa T3 ndi T4. Pamodzi ndi magazi iwo kupeza pafupifupi onse maselo a anthu ndipo amagwira ntchito mwachangu moyo wawo.

Ntchito yaikulu ya triiodothyronine ndi thyroxine ndi lamulo ndi yokonza kagayidwe woyambira. mahomoni zimenezi malangizo magawano selo. Woyembekezera, iwo ndi zotsatira popatsana pa corpus luteum, kuteteza kufala kwa padera mu mimba msanga. Mofananamo, T3 ndi T4 chikoka pa thupi akazi, nawo chitukuko cha mwana wosabadwayo, makamaka mu mapangidwe ubongo.

Tsopano tikudziwa kufunika kwa milingo yachibadwa mahomoni opangidwa ndi mabele England, mayi ndi mwana wosabadwa, mukhoza kumvetsetsa chifukwa chake kuli kofunika kulamulira ntchitoyo thyroxine ndi triiodothyronine. Sing'anga ayenera kuchenjeza zinthu komwe T4 ndi adatchithisira (ndipo anakweza TSH). Pankhaniyi, kuphunzira zambiri akapatsidwa.

TSH pamene akukonzekera kukhala ndi pakati

N'kulakwa kukhulupirira kuti kuphunzira m'thupi maziko n'kofunika kokha pamene mkaziyo kale mtima wa mwana. Monga tanena kale, thyroxine, triiodothyronine ndi TSH mbali yofunika kwambiri mu thanzi la munthu. Zikukhudzira ziwalo zoberekera. Choncho, ngati TSH timadzi yafupika, si wowopsa kwambiri. Koma ngati mlingo wake liukitsidwa nthawi yomweyo ndi kuchepa T3 ndi T4 ntchito, dokotala anu angawauze kuphwanya ntchito yamchiberekero. Izi, mu zingathandize kuti kuchepa Mwina kuti pakati ndipo adzabala mwana.

Amasokoneza ulimi wa follicles ndi umakakumana ndi mapangidwe a corpus luteum. Choncho, ngati mkazi apita kwa dokotala kudandaula za kulephera pakati, m'thupi yemwenso kwenikweni anaika kusanthula kwa mahomoni chithokomiro. Chizindikiro abwino mapulani lingaliro ankaona TSH mlingo wa 1.5 mkIE / ml. Izi ndi pafupifupi munthu wamkulu.

TSH downgraded Kodi zimenezi zikutanthauza chiyani?

Mwatsoka, kawirikawiri izo zimachitika kuti mayesero onse ali bwinobwino. Nthawi zambiri, ngakhale mmodzi wa iwo, koma kupatuka pa. Mwachitsanzo, TSH utachepa. Kodi zikutanthauza chiyani? Childs, chotero chifukwa cha kuwunika sayenera kuchenjeza clinician. The kuchepa pang'ono kupanga timadzi ili pa mimba akukhuzidwa. Koma nthawi zina zingakhale chifukwa ndi pathological zinthu:

1. Ngati TSH ndi adatchithisira woyembekezera, muyenera kuonanso ntchito ya pituitary England.
2. Pali yaing'ono mwayi Plummer syndrome.
3. zotupa chosaopsa a chithokomiro a.
4. Necrosis wa pituitary England atabadwa.
5. misinkhu okwera mahomoni opangidwa ndi mabele England.
6. Mantha chisangalalo ndi kupsyinjika.

Choncho, ngati inu mukudabwa, "TRG ndi adatchithisira, amatanthauza" musati muziyang'anira zambiri mu mabuku, ndi bwino nthawi yomweyo kufunsa munthu m'thupi yemwenso. Iye adzapeza chifukwa cha kusintha ndi mankhwala chithandizo choyenera.

Ngati TSH ndi adatchithisira, mkazi kuzindikira zizindikiro zina, monga mutu, palpitations, malungo ndi kudzimbidwa. Koma nthawi zambiri kusintha zimachitikira pafupifupi asymptomatic.

TSH kuchuluka

Ngati kuwunika anasonyeza kuti mlingo wa timadzi ili pa mimba kuchuluka, madokotala angathe perekani kafukufuku zina, izi ndi chizindikiro cha limati zotsatirazi:

1. Akusokoneza adrenal zopangitsa.
2. Ndili ndi matenda okhudza ubongo.
3. Mavuto ndi pituitary England.
4. misinkhu okwera mahomoni chithokomiro.
5. Pituitary chotupa.
6. Aimpso insufficiency.
7. Preeclampsia mu siteji kwambiri.

Zizindikiro kukhala okwera TTG otsika kutentha, kufooka, kutopa ambiri, kusowa tulo, chilakolako osauka ndi pallor. Zowoneka, khosi zikuwoneka chachikulu.

Timadzi T4 mchikhalidwe ndi zolakwika

Thyroxine chimakhudzana ndi TSH Choncho, zambiri zotchulidwa mayesero phunziro la milingo yawo mu akaphatikiza lapansi. T4 - mmodzi wa stimulators zofunika kwambiri kuimira selo ndi kusinthika mu thupi. Kuyambira kuchuluka kwake kumadalira kulemera munthu, monga thyroxine akhoza kusonkhezera kagayidwe ndi kaphatikizidwe mapuloteni. Ndi timadzi izi Mzimuyo kufunika thupi kwa mavitamini, komanso bwino digestibility carotene chiwindi. Komanso, Sachita mlingo wa mafuta m'magazi ndi kupewa zosayembekezereka ya mipukutuyi mu zotengera ubongo. M'pofunikanso kwambiri pa ntchito ziwalo zoberekera wamkazi. Pa nthawi imene mlingo T4 ndi adatchithisira kapena anamuukitsa, kawirikawiri amakhala ndi mavuto ndi kukonza mapulani ndiponso mimba.

Wakudziko thyroxine ndi 9-22 picomoles pa lita. Chiwerengerochi kokha ntchito kwa akazi, popeza anthu apamwamba. Si nthawi zonse ndi aberration ndi chizindikiro cha matenda aakulu, mwina thupi mavuto osakhalitsa. Ngati njira ya chithandizo, Mwina zonyamula n'kubereka mwana wathanzi ndi mkulu.

Kubverana T4 ndi TSH

Indicators mahomoni kuti amapangidwa ndi mabele England, zogwirizana. Pali zinthu pamene TSH ndi adatchithisira, T4 kuchuluka. Ntchito bwinobwino, ndi pituitary, pammero yomweyo siziyenera kukhala. Kawirikawiri, ngati TSH ndi adatchithisira, T4 yachibadwa. Izi zikutanthauza kuti thyroxine kwambiri limaleka kutulutsa thyrotropin.