Ọgwụ dị irè nke hypothyroidism subclinical

N’isiokwu a, ị ga-amụta:

Subclinical hypothyroidism - nke a bụ ihe ndị dọkịta na-akpọ ọnọdụ ahụ mgbe homonụ thyroid na-adị ụkọ, ọ nweghịkwa mgbaàmà ọ bụla. Subclinical hypothyroidism siri ike nchọpụta, mana ọ bụ ya na-ebutekarị ọtụtụ ọrịa ndị ọzọ.

Ihe kpatara oria a

Onye ndu n’otu oge nke hypothyroidism nke subclinical ma ọ bụ latent bụ ụdị ọrịa autoimmune thyroiditis na-adịghị ala ala. Mpaghara akụkụ nke glandị thyroid mepụtara site na mbufụt na-eji nwayọọ nwayọọ, ya bụ, anụ ahụ juputara na anụ ahụ na-adịghị emerụ ahụ na-abaghị uru ọ bụla. Mkpụrụ afọ nke thyroid na-aga n'ihu na-etolite homonụ, mana enweghị ike ịnagide.

N’ebe nke abụọ, ọnọdụ ahụ bụ mgbe mwepụ nke gland gland n’ime akụkụ ma ọ bụ n ’ụzọ zuru oke, ọ bụrụ na mmadụ ewere ọgwụ ezughi oke nke levothyroxine.
Subclinical hypothyroidism nwekwara ike ịpụta site na ọgwụgwọ ọrịa Graves na thionamides ma ọ bụ ayodiin redioaktivu.

Mgbe akwara ozi ma ọ bụ subacute thyroiditis, ekpughepụ isi n’olu na olu, ogologo oge na oke amiodarone, nnu iodine, ịkwado lithium na ụfọdụ ọgwụ ndị ọzọ abụghị obere ihe kpatara ọrịa ahụ.

Mgbe ụfọdụ, glandia thyroid na-akpụ akpụ, ma ọ bụ ọ bụ na-anọghị ya kpamkpam. N'okwu abụọ ahụ, mgbe nyochachara ya, onye ọrịa ahụ na-ewere homonụ thyroid, ọ bụrụkwa na ọgwụ ha ezughị oke, mgbe ahụ hypothyroidism subclinical na-amalite.

N'adịghị ka nkwenye a ma ama, ụkọ ayodiin, ọ bụ ezie na ọ nwere ike ime ka hypothyroidism subclinical, dị ụkọ ugbu a. Ihe kpatara nke a bụ nnu iodized. Yabụ, a na-eji nnu iodized n'ọtụtụ ụlọ sausa, chiiz, ngwaahịa ndị mechiri emechi na ngwaahịa ndị ọzọ. Na mgbakwunye, ọtụtụ ndị na-eji iodine azụta nnu n'echeghị echiche ya ma ọlị.

Etu esi eme nyocha?

Subclinical hypothyroidism n'etiti ụmụ nwanyị, ọkachasị n'afọ nke anọ nke ndụ, pụtara ugboro 9 karịa na ụmụ nwoke.

Ọ na - apụta kpamkpam asymptomatic ma ọ bụ nwee nnukwu mgbaàmà na - enweghị atụ, ya bụ, ha nwere ike ikwekọ n'ọtụtụ ọrịa ndị ọzọ. Yabụ, na hypothyroidism subclinical, ọgụgụ isi, ikike mmụta, ebe nchekwa, nlebara anya, ikwu okwu na-adalata, mmadụ na-adị phlegmatik, ntutu na-eto n’ike, mbọ na-agbaji… A ga-aga n’ihu ndepụta a, mana ị ga-ekwenye na nkọwa ahụ dabara adaba maka enweghi vitamin ma ọ bụ naanị ike ọgwụgwụ.
A maara na na hypothyroidism, ọbara ọbara na ụbụrụ na-agbadata ruo 38% n'okpuru nkịtị, yana oxygen na glucose ruo 27%. Ọ bụghị naanị nke a na - eme ka usoro iche echiche kwụsịlata, kamakwa ọ na - akpata ịda mba. Otu onye n'ime mmadụ iri na-achọ enyemaka maka ịda mba nwere hypothyroidism subclinical. N’ime nkụda mmụọ niile na-adakwasị onye ọrịa n’oge, ihe dị ka ọkara bụ maka hypothyroidism, ma ọ bụ n’oge na-adịbeghị anya.

Banyere hypothyroidism dị n'okpuru ala na-ekwu njikọta nke akara atọ ndị a:

Ọnụnọ ma ọ bụ mgbaàmà na-enweghị atụ.
Ọkọlọtọ kwesịrị bụ T4 na T3 ma ọ bụ na njedebe dị ala.
Nnukwu homonụ na-akpali akpali.

Isi okwu ikpeazụ bụ ihe kachasị mkpa, n'ihi na a na-eji ya dịka njikwa ọgwụgwọ.

Ihe ọ bụla kpatara hypothyroidism subclinical, ọ bụ nhazi nke nsonaazụ TSH bụ nkọwa nke ọgwụgwọ.

Gịnị kpatara eji agwọ ọrịa?

Ọ ga - adị ka enweghị mgbaàmà ọ bụla, homonụ bụ ihe nkịtị - yabụ gịnị kpatara eji agwọ ọrịa? Agbanyeghị, enweghị ezi uche banyere hormonal na-emebi nkwekọ nke ahụ ike nke usoro metabolic ma na - eme ka ohere nke ọrịa dị ogologo.
Enweghi homonụ thyroid, ọbụna latent, na-abawanye cholesterol ma si otú a na-enyere aka na mmepe nke atherosclerosis.

Ọzọkwa, ọkwa nke homonụ thyroid na-emetụtakwa obi. Ọ bụrụ na ọnọdụ anaghị emegharị ahụ, obi na-arụ ọrụ zuru oke, mgbe ahụ mgbe ị na-enye ibu, opekata mpe karịa nke mbụ, ọ na-akwụsị ịnagide.

Ọbụna obere ụkọ homonụ thyroid, ọ bụrụ na ọ dị ogologo oge, ọ na-eduga ná mbelata libido, yana ọbụna ịmụ nwa. Nwanyị na-agakwuru ndị ọkachamara n'ọrịa ụmụ nwanyị, na-achọ ihe na-akpata ịmụghị nwa, nke na-anaghị eme nke ọma ma ọ nweghị akara ọria ọ bụla. Nnyocha nyocha nke homonụ thyroid maka enyocha infertility na achọrọ.

Hypothyroidism, ọbụlagodi subclinical, n'ime ụmụ nwanyị dị ime nwere ike ịkpaghasị mmepe nke nwata. Nsonaazụ kachasị emetụta na ọkwa nke ikpeazụ bụ mmebe nke sistem ụjọ, dementia, na nsogbu ịnụ ntị. Na mmalite nke ịtụrụ ime, hypothyroidism ọgwụ subclinic na-eduga ime ọpụpụ.

Ọtụtụ na-eme mkpesa na ha enweghị ike ifelata, n'agbanyeghị mbọ niile. Homonụ thyroid nwere mmetụta na-akpali akpali n'ihe fọrọ nke nta ka ọ bụrụ ihe niile dị n'ahụ, gụnyere metabolism ngwa ngwa. Ma n’enweghi ike ha n’arụ na-pere mpe ma ọ na-esiri mmadụ ike ifelata.

A ga-agwọta hypothyroidism nke Subclinical, ọ bụrụ na ahapụghị ya, enwere ike ịgwọ onwe ya na enweghị ezigbo ihe kpatara ya. Na nwute, enwere ọtụtụ ikpe mgbe hypothyroidism na-akawanye njọ ka oge na-aga.

Mee oghere hypothyroidism site na postpartum, nke nwekwara ike ịbụ subclinical. Ọnọdụ a na-ala n'onwe ya ma ọ naghị achọ ọgwụgwọ, naanị nlele.

Olee otú na-emeso?

Nkwupụta na ekwesighi ile homonụ thyroid na ntinye ha yiri ihe ezi uche dị na ya. Yabụ, mgbe ọnwa itoolu gasịrị site na levothyroxine, a tụleghachi TSH. Mgbe anụ ahụ na-enweghị homonụ thyroid zuru oke, ọ na-akpali akwara thyroid site na enyemaka nke TSH, nke na-abawanye ọrụ homonụ ya.

TSH bụ ọkwa nkịtị, nke pụtara na dose nke homonụ ahụ dị mma. N'oge ụfọdụ, na dọkịta, jiri nwayọ belata dose nke homonụ iji chọpụta opekempe usoro kwesịrị ekwesị maka onye ahụ. Yabụ enwere ike belata nsonaazụ ọgwụ ọjọọ.
A ka na - ebuli TSH elu - ekwesịrị ịba ụba nke levothyroxine, onye ahụ ka nwere hypothyroidism.
TTG n'okpuru nkịtị - ịdoụbiga mmanya ókè. Ọbụna na-enweghị nyocha, dọkịta ma ọ bụ onye ọrịa na-agụ akwụkwọ nke ọma nwere ike ịtụnye nnukwu ọgwụ nke levothyroxine. Nchekasị, iwe dị mkpụmkpụ, mgbanwe ọnọdụ, ibu dị arọ, ịma jijiji n'aka gị na ọbụna imebi ọnya obi na-arịa enweghị isi ihe kpatara ya bụ ihe mgbaàmà hyperthyroidism, yabụ, ịba ụba homonụ thyroid. Ọ bụrụ na ịdoụbiga mmanya ókè dị obere, mgbe ahụ hyperthyroidism subclinical, nchoputa nke enweghị ike ime na-enweghị nyocha nke TSH.

Ọnọdụ nke ikpeazu kacha njọ maka ndị mere agadi, ebe ọ bụ na ihe dị ka otu narị n’ime ha nwere ọrịa obi. Na levothyroxine, dịka o kwesiri kwesịrị ịkwadebe homonụ thyroid, na-eme ka obi na-arụ ọrụ n'ụba. Obi ọgụ nwere ike ịmalite, ka njọ ma ọ bụ mebie ọrịa obi.
"Thsgha" "njehie" na njehie na nhọpụta levothyroxine:

Mkpa nke sodium levothyroxine dịgasị iche n'oge dị iche iche n'afọ.
Agbaji na nhọpụta nke ọgwụ.
Drawepụ izu ole na ole tupu ule TSH ahụ na-atụ anya.
Belata dose nke levothyroxine n'oge afọ ime.

N'otu oge ahụ, a na-enyocha onye ọrịa maka ihe kpatara hypothyroidism wee malite ịgwọ ya. Ọ dị mkpa ịghọta na ọ bụrụ na enweghị ike iwepụ ihe kpatara hypothyroidism na gland thyroid ka na-emepụtaghị homonụ nke zuru ezu, mgbe ahụ mmadụ ga-ewere levothyroxine ruo ọtụtụ afọ.

Usoro nke mmepe nke ọrịa

E gosipụtaghị hypothyroidism Primary hypothyroidism (SG), ya mere a na-akpọ ya latent ma ọ bụ latent. Ọrịa ụbụrụ na-eme n'ihi nsogbu nke akwara thyroid ma kpebisiri ike naanị na ụlọ nyocha ahụ site na nnukwu ọdịnaya nke TSH n'ime ọbara. Dabere na ọnụ ọgụgụ, a na-achọpụtakarị ya na ụmụ nwanyị mgbe afọ 50 gasịrị.

Subdị subclinical hypothyroidism bụ nke a na-ahụkarị karịa ọgwụgwọ siri ike. N'ime obi nke ọrịa bụ ụkọ thyroxine, nke na-ekere òkè na metabolism metabolism. Iji nọgide na-enwe ọ̀tụ̀tụ̀ homonụ na-adịkarị, glands akụkụ ahụ na-amalite imepụta TSH. Homonụ a na-akpali ọrụ nzuzo nke akwara thyroid. Ọ na - amalite izobe ihe sitroxineine, nke na - egbochi nsogbu dị ukwuu na ọrụ nke endocrine na sistemụ ndị ọzọ.

Ọnụ ọgụgụ hypothyroidism nke subclinical n'etiti ndị bi na abụghị ihe karịrị 1%, n'etiti ụmụ nwanyị na-amụ nwa - 2%. Mgbe menopause gasịrị, ohere nke thyroid dysfunction na-abawanye site na ugboro 3.5.

N'ime mpaghara jupụtara, a na-ahụkarị hypothyroidism subclinical n'ihi ụkọ iodine. Ihe a choputara so na homonụ thyroid:

Ihe a choro kwa ubochi n’etiti ayodiin bu 0.15 mg. A na - enweta ọrịa na - adịghị ala ala site na ọrịa ọrịa endocrine siri ike - subclinical na hypothyroidism siri ike, ọgwụ na-akpata ọrịa, ọrịa Bazedova, cretinism.

Endocrinologists chọpụtara ọtụtụ ihe na-akpalite thyroid ọdịda na subclinical hypothyroidism:

odida autoimmune
redioaktivu ayodiin,
nkwarụ na njikọta nke homonụ thyroid,
Ọnọdụ ayodiin iodine
Mwepu ịwa ahụ nke akụkụ gland thyroid,
nri adịghị edozi.

Site n'ụdị hypothyroidism dị n'okpuru, ihe osise Symptomatic adịghị. A na-achọpụta ọrịa ahụ dabere na nyocha nke ọdịnaya nke TSH, T3 na T4. A na - ahụkarị ihe ọmụmụ maka ụmụ nwanyị meworo okenye. Mgbe afọ 3-5 gachara, a na-egosipụta ọgba aghara nke homonụ site na mgbaàmà siri ike na ọkara nke ndị ọrịa.

Kedu otu esi enyo ụdị hypothyroidism asymptomatic

Ihe akara nke subclinical, ma ọ bụ latent, hypothyroidism dị adị, mana ha akọwapụtaghị ya. A na-ejikọ ọrịa thyroid na ọrịa ndị ọzọ, yabụ, ruo ogologo oge ndị mmadụ anaghị aga ụlọ nyocha endocrinologist.

Subclinical hypothyroidism na-amụba ohere nke ịda mba. Na 52% nke ndị ọrịa nwere nnukwu ịda mbà, a na-achọpụta nsogbu nke thyroid.

Mgbaàmà na hypothyroidism latent:

afọ ntachi
osteoarthrosis,
nsọ ya.
biliary dyskinesia,
ọrịa gallstone
ọbara ọgbụgba,
Ọrịa polyarthritis
mbelata nke ọmụmụ.

Na mkpokọta, site na ụdị ọrịa ahụ, usoro ngosipụta ọ bụla kwesịrị ịdị na-anọghị. Ma mgbanwe na metabolism nke hormonal, metabolism na-emetụta arụmọrụ nke sistemụ dị mkpa - mgbochi, nri, akwara, ụjọ. Na-emegide ihe ndabere iodine erughi egosipụta:

nwere ọgụgụ isi belata
Ọnọdụ immunodeficiency
wedata ọbara mgbali elu,
isi ọwụwa
enweghi ike
iro ụra
oge oyi.

Otu njiri mara nke hypothyroidism subclinical bụ enweghị mmetụta uche (enweghị ike). Ọ bụrụ na akwadoghị ya, a na-agbakwụnye onyonyo a site na:

ịda mba
iju
nchegbu
ebe nchekwa
ike ọgwụgwụ,
iju.

Ọbụlagodu enweghị T4 n'ahụ na-eduga na imebi metabolism nke abụba, nke a gbakwunyere na:

I nweta ibu
atherosclerosis,
ogwe nke angina pectoris.

Na 80% nke ndị ọrịa nwere hypothyroidism nke oge na-adịghị anya, a na-ahụta mgbanwe mgbanwe ọrịa obi na sistemụ akwara - myocardial hypertrophy, tachycardia, hypotension.

Correctiongbazi ụdị mmiri dị n’okirikiri n’oge ọ dị ime dị ize ndụ mmekpa ahụ nke nwa ebu n’afọ, akwara ozi gbasara ọgụgụ isi na ụmụ amụrụ ọhụrụ.

Ihe ga - eme ma ọ bụrụ na a gwọghị ya

Formdị ọrịa a na-efe efe, ọkwa nke T3 na T4 na 98% nke ndị ọrịa na-anọgide na oke. Ya mere, ọtụtụ n'ime ha na-ajụ endocrinologists ma ọ bụrụ na a ga-agwọ hypethyroidism subclinical. Ndị dọkịta na-atụ aro ọgwụ siri ike n'ihi nnukwu ihe egwu nke nsogbu.

Ka oge na-aga, ọrụ thyroid na-ebelata, ya mere, ọbụna n'okpuru nduzi nke TSH, mkpokọta homonụ thyroid dị na ahụ na-eji nke nta nke nta belata. Ileghara ọrịa a anya na-ebute nsonaazụ na-adịghị mma:

na-ebelata mmeghachi omume metabolic,
ịmụba thyroid,
oke ibu
ọnọdụ ịda mba
afọ ntachi
arrhythmia,
infarction myocardial
ncheta
amụghị nwa
ibelata ọrụ ọgụgụ isi,
ujo ụra
ụbụrụ n'ụbụrụ,
mmụba nke mmiri n’eriri anụrị,
wedata okpomoku ahu di ala
hypothyroid coma.

Iji kwụọ ụkọ maka ụkọ T3 na T4, anụ ahụ na-akpalite uto nke gland thyroid. Site na mmụba na mpaghara ya, arụmọrụ nke iodine ijide na ọbara na-abawanye, nke dị mkpa maka njikọta homonụ thyroid. Ọ bụrụ n'ụdị hypothyroidism na-agakọ ọnụ, onye ọrịa ahụ ga-adaba na mmiri hypothyroid.

Ule ndị dị mkpa ka agafee

A na - eme nchọpụta nchọpụta nke hypothyroidism nke subclinicalism site na endocrinologist dabere na nsonaazụ nyocha. Ọ bụrụ na echere na nsogbu nke homonụ, a na-enye nnwale ọbara na ultrasound nke thyroid gland.

Mainzọ ndị bụ isi maka ịchọpụta hypothyroidism:

Nnwale ọbara maka TSH, T3 na T4. Site na hypothyroidism latent, T3 na T4 na-anọgide na njedebe nkịtị, na ntinye uche nke TSH karịrị 4 mIU / L.
Ultrasound nke thyroid gland. Site n'ụdị dị ala nke ọrịa ahụ n'ọtụtụ ndị ọrịa, olu nke gland na-ebelata. Naanị 2% n'ime ha nwere hypertrophy thyroid na-akwụ ụgwọ.
Nyocha maka homonụ steroid. N'ime ụmụ nwoke, ọkwa testosterone na-ebelata, na ụmụ nwanyị - estradiol.
Nnyocha ọgwụ thyroid. N'ime usoro ikpe asatọ n'ime iri, usoro mmụta subclinical nke pathology jikọtara ya na autoimmune thyroiditis. Dabere na nyocha ahụ, endocrinologist na-ekpebi ọnụnọ nke autoantibodies maka mkpụrụ ndụ thyroid na ọbara. Ọ bụrụ na itinye uche ha karịa 34 IU / ml, a na-achọpụta hycọrtiroidism nke dị n'okpuru ala.

N'ọnọdụ ndị a na-enyo enyo, a na-eme gland biopsy na nyocha nke akụkọ ihe mere eme nke anụ ahụ glandular. A na-eme nyocha ahụ site na iji neoplasia echere, ya bụ, akpụ.

Ọgwụ hypothyroidism nke subclinical

N'ọnọdụ ụfọdụ, a na-atụgharị ọbara mgbali elu, yabụ, mgbe ejiri chọpụta ya, a na-eme nyocha ugboro ugboro maka homonụ thyroid na thyrotropin. Mgbe ikwenye nchoputa ajuju a, ajuju a putara banyere n ’ime ogwu gwochie oria (HRT). Enweghị ngosipụta nke ụlọ ọgwụ, a na-eme ọgwụgwọ na-enweghị homonụ. Mana nhazi ma obu ime n’oge a bu ihe ngosi zuru oke maka HRT.

N'itinye ọgwụ hypothyroidism nke subclinical n'oge mmebi dị ize ndụ site na ịmụ nwa, ịmụ nwa ebu n'afọ.

Ogwu, nri ndi ozo, vitamin

Tupu ị gwọọ ọrịa thyroid, chọpụta ihe kpatara ọdịda n’ọrụ ya. Ndị ọrịa nwere iodine erughi ọnọdụ bụ ka usoro ọgwụ ndị ọgwụ ọgwụ na ọgwụ iodine nyere ha:

Antistrumine
Iodomarin
Iodine-Nkịtị,
Iodine Asset
Potassium iodide
Iodovital.

A na-aụ ọgwụ n’usoro nke kwekọrọ n’ihe a na-eme kwa ụbọchị nke ahụ maka ayodiin. Ọ bụrụ na ihe kpatara Hashimoto's thyroiditis kpatara mmezu nke homonụ, usoro ọgwụgwọ ahụ gụnyere:

L-Thyrox Euro,
Bagothyrox,
Levothyroxine,
L-thyroxine,
Gịreotome
Tivoral
Eutirox.

Site na ụzụ thyroid, mbelata nke ego B₁₂ na anụ ahụ. Ya mere, a na-enye ndị ọrịa ọrịa vitamin-mineral na cyanocobalamin - Vitrum, Doppelherz Asset, Complivit ka ndị ọrịa. Ndị ọrịa nwere ọrịa autoimmune bụ ndị a na-atụ aro ka a na-eji usoro nri nwere selenium - Cefoselen, Poverful, Natumin Selen. Supakingụ mmeju maka ọnwa 2-3 na-eduga n'ịbelata mkpokọta autoantibodies na gland thyroid.

Ihe Na-akpata Hypothyroidism nke Subclinical

Ihe na - akpata hypothyroidism latent bụ otu usoro nke na - eso na mmepe nke hypothyroidism oge gboo:

mmepe nke thyroiditis autoimmune,

ndiiche nke akụkụ ahụ na oge ime ime,

ego ayodiin ezughi ezu n’ahụ mmadụ,

wepụrụ gland thyroid (nke zuru oke ma ọ bụ nke ọzọ) (nke a na - eme dị ka njiri mara - cancer nke gland),

ogologo oge iji ọgwụ ọjọọ eme ihe na-egbochi ọrịa thyroid (amiodarone, ọgwụ na-agwọ nsogbu obi).

Filiks nke metụtara akụkụ (subacute mbufụt nke gland, postpartum ma ọ bụ enweghi mgbu),

irradiation nke olu (ọnụnọ nke neoplasms ọjọọ),

ọgwụgwọ gland na iodine redioaktivu.

Ọrịa nke hypothyroidism subclinical

Ekwupụtaghị usoro nke hypothyroidism nke subclinical, ọ gaghị achọpụta ya ma ọ bụ nwee mgbagwoju anya na oke ahụ nke anụ ahụ:

oge chi jiri, na ịda mba,

ike ọgwụgwụ, mmetụta nke ike ọgwụgwụ ngwa ngwa, ndọpụ uche, iro ụra,

ọjụjụ na achọghị ịrụ ọrụ ọ bụla,

echiche nke ịda mba na ndakpọ ụjọ,

ntị dị ntakịrị,

Site na mmepe nke ọrịa, a na-ekwukarị mgbaàmà ndị ọzọ:

ikike nwetụrụ ikike,

I nweta ibu

ụba intraocular mgbali,

nsogbu nsogbu

akọrọ, isi ike na ịkpọ akpụkpọ ahụ,

ime ime - amụkwo amụkwo amụkwo, amụ nwa,

oke mgbu na akwara,

imebi mmamịrị ezumike,

ntutu isi, akpọnwụ na irighiri ihe,

nkuanya fụrụ akpụ, iru uju,

mụbaa endothelial dysfunction,

hypochromic anaemia (mbelata hemoglobin na sel ọbara).

Nchoputa nke oria

Iji gosi nchoputa, odi nkpa iji duzie otutu onu akwukwo:

nyocha ọbara iji chọpụta ọkwa nke homonụ thyroid nke ọrịa thyroid: na -adakarị ihe ngosi a bụ 2.6-5.7 mmol / l, yana 9.0-22.0 mmol / l nke triiodothyronine na thyroxine kwekọrọ. Ọ gaghị ekwe omume ime nchọpụta ziri ezi dabere na data nke nyocha a, ebe ọ bụ na na subclinical hypothyroidism ọkwa nke homonụ nke nta nke nta.

mkpebi siri ike nke ọgwụ mgbochi iji AT-TG (thyroglobulin) na AT-TPO (thyropercosidase). N’ime ahụike, dịka ndị na - anọchi anya ndị a anaghị anọ ma ọ bụ itinye uche ha dị ala: 0-19 U / ml na 0-5.7 U / ml. Mmụba dị ukwuu na arụmọrụ nke ọgwụ nje ndị a na-egosi ọdịdị hypothyroidism nke ọrịa autoimmune.

nyocha ọbara iji chọpụta ọkwa nke homonụ na-akwalite homonụ (TSH) nke ọnya na-emetụta ọria: na -adakarị nsị ya bụ 0.5 - 4.3 Mmanụ a /ụ / L. Nke a bụ otu n'ime ngosipụta ndị a pụrụ ịtụkwasị obi na mmepe nke hypothyroidism subclinical - pituitary gland bụ otu n'ime akụkụ ụbụrụ kachasị emetụta nke na-aza mgbanwe ọ bụla na ahụ mmadụ. N'ihe banyere sistem gland na-arụ ọrụ, ọkwa TSH na-arị elu nke ukwuu, ebe ọ bụ na mmepụta nke homonụ nke akụkụ a na - arụ ọrụ arụ ọrụ belatara nke ukwuu.

Otu n'ime ụzọ dị mkpa esi mụọ banyere ọrịa a bụ scintigraphy, nke dabere na iji redioto isotopes. N'iji usoro a, ị nwere ike nyochaa arụmọrụ nke gland thyroid, foci nke usoro pathological ma ọ bụ mgbanwe na usoro vaskụla. Site na hypothyroidism, a na-emeju gland thyroid na ayodiin nwere obere ala, nke a na-ahụ nke ọma n'oge ọmụmụ ihe ahụ.

Nyocha ọbara, ị nwere ike ịchọpụta anaemia, ihe na - akpata ya bụ na haemoglobin nwere mgbagwoju anya, ụkọ nke iron ma ọ bụ vitamin B12.

A na-ejikwa ọtụtụ ọmụmụ ihe ndị ọzọ iji chọpụta hypothyroidism subclinical:

a na - eme nyocha nke ultrasound (ultrasound) nke gland thyroid - a na - eme maka ịmụpụta ogo na oke akụkụ ahụ. Mgbanwe ndị a dabere na isi ihe kpatara ọrịa ahụ. Dịka ọmụmaatụ, n'ọrịa Hashimoto, gland thyroid nwere ọdịdị mara mma - "ebe nla riri ahịhịa".

A na-eme Ultrasound nke oghere dị n’afọ na-eji akara akpọrọ nke nwere ike igosi nleghara anya nke ọrịa ahụ.

Nyochaa X-ray nke obi - na - enye gị ohere inyocha ogo mmepe ọkpụkpụ (ana - enyocha hypothyroidism n'ime ụmụaka) yana ọnụnọ nke mmiri nwere usoro ọnya.

electrocardiography - na-egosi ugboro ole mbelata obi ọnụ ala na nkwụsịtụ voltaji dị ala, nke bụkwa akara dị mkpa maka mmepe nke ọrịa siri ike.

Mgbochi

Ruo ugbu a, ọ bụ naanị ụdị hypothyroidism ndị a na - ejikọta na enweghị iodine nwere ike igbochi, nke a bụkwa ọrịa na - adịghị ahụkebe.

Iji gbochie mmepe intrauterine nke ọrịa, nwanyị dị ime ga-agafe ule niile dị n’elu ma, ọ bụrụ na ọ dị mkpa, bido usoro n’oge.

Mmụta: Diploma nke Russian State Medical University aha mgbe N. I. Pirogov, ọpụrụiche "General Medicine" (2004). Ebe obibi na Mahadum Moscow State Medical na Dental University, diplọma na "Endocrinology" (2006).

14 sayensi gosipụtara ihe mere ị ga eri nri ube kwa ụbọchị!

Kedu nri ndị na-abụghị omega-3s dị mma maka obi ma na-echebe ya na ọrịa strok?

Hypothyroidism bụ usoro na - apụta n'ihi enweghị homonụ thyroid na gland thyroid. Ọrịa a na-aputa ihe ruru otu n’ime ụmụ nwoke puku na iri na iteghete n’ime ụmụ nwanyị otu nwanyị. Ọtụtụ mgbe, enwere oge ọrịa ọ na-esiri ike ịchọpụta, na ogologo oge.

Zọ ọhụụ eji agwọ hypothyroidism gụnyere ma ọgwụ ọgwụ yana iji ọgwụ homonụ yana nri nri. Ebe obu na oria a putara n'ihi emeputa homonụ nke thyroid, uru ha n’arụ kwesịrị ịgbaghari.

Site na mmebi nke glandia thyroid, nke bụ mbelata nke ọkwa nke mmepụta homonụ, ọrịa ụbụrụ dị iche iche na-etolite n'ahụ mmadụ n'ike nwayọ. Ejiri hypothyroidism jiri nwayọ nwayọ n'ọtụtụ usoro metabolic. Ọ bụrụ na i lee ọnọdụ si n’ime ya pụta, mgbe ahụ enwere mbelata na mmepụta ngwa nri.

Hypothyroidism na ụmụ nwanyị bụ ọrịa a na-ahụkarị, ọkachasị n'oge agadi, mana ọ na-achọpụtakarị n'ọgwụgwụ ndị ọzọ. Nke a bụ n'ihi enweghị ngosipụta nke ihe nrịba ama, nke a na-ahụkarị ka arụ ọrụ karịrị akarị.

Ihe ịchọrọ ịma gbasara ụdị hypothyroidism nke subclinical

Subclinical hypothyroidism bụ ọrịa jikọtara yana ọre ọria nke thyroid gland, mana enweghị mgbaàmà akpọrọ. Thedị ọgwụgwọ ọrịa a bụ nke a na-ahụkarị. N'aka nke ya, a na-achọpụta hypothyroidism latent naanị na ndabere nke nsonaazụ ule. Ọnọdụ a kacha ahụkarị n'etiti ndị okenye (20%).

Vidiyo (pịa igwu egwu).

Gịnị bụ hypothyroidism subclinical na gịnị bụ ihe na-akpata ya, olee mgbaàmà na ọgwụgwọ? Ọrịa a na - ebilite megide ndabere nke mmụba dị ukwuu na ọbara TSH (homonụ na-akpali akpali). N'okwu a, T3 na T4 na-akwụghị ụgwọ na-anọgide na ọkwa nkịtị.

Vidiyo (pịa igwu egwu).

Ihe kpatara mmepe nke ọnọdụ a bụ ihe ọjọọ ndị a:

ọnụnọ nke thyroiditis autoimmune. AIT bụ hypothyroidism nke subclinical, nke na-eso ọnya ọnya nke gland thyroid. Ọrịa a gosipụtara onwe ya megide usoro nke sistem, mgbe ahụ mmadụ mebiri mkpụrụ ndụ nke ya.
oge ohuru. 2bọchị abụọ mbụ a mụsịrị nwa, nnwale ọbara na-ekpughe nke dị elu karịa ịta TSH nkịtị. Ndị dọkịta na-eche na usoro a na-ejikọta anụ ahụ nwatakịrị ahụ. Nke sochirinụ, ịba uru nke homonụ thyroid na-ahazi,

ị certainụ ọgwụ ụfọdụ. Nke kachasị emetụta ọrụ nke ọgwụ gland thyroid nwere analogues nke dopamine, yana cordarone,
Central hypothyroidism, nke a na-akpata site na malfunction nke pituitary ma ọ bụ hypothalamus. N'okwu a, enwere nnukwu mbelata nke ọkwa homonụ thyroid, nke na-eduga n'ịba ụba na TSH. Ọzọkwa, ọrụ ihe ndị dị ndụ nke ihe ndị a na-ebelata nke ukwuu,

ọnụnọ nke ọrịa ọmụmụ ọria, nke jikọtara ya na nguzogide homonụ thyroid. E jikọtara ya na mmụba sitere na mkpụrụ ndụ ihe nketa maka ndị nnabata b,
thyrotropinoma. Ihe e ji mara ya bụ ọnụnọ nke ọgwụ adenoma, nke na-emepụta TSH. Ọrịa a na - anaghị ahụkebe,
isi mgbaka. Nke a mebiri megide ndabere nke ọgwụgwọ ọgwụ na otu ụzọ n'ụzọ anọ nke ndị ọrịa,

adrenal ezughi oke (ụdị nke mbụ),
ọrịa euthyroid
ọdịda gbasara akụrụ (ụdị adịghị ala),
erughi ayodiin n’anu ahu,
mwepụ nke glandị thyroid (zuru ezu ma ọ bụ nke akụkụ),
ọnụnọ nke usoro mkpali na akwara thyroid nke ọdịdị dị iche,
radieshon nke olu n’iru ọnya ojoo ma ọ bụ ọgwụgwọ iodine na -akasị redio.

Hypothyroidism na ụmụ nwanyị ma ọ bụ ụmụ nwoke (ụdị subclinical) anaghị eso ya na akara ngosipụta akpọrọ. Onye ọrịa nwere ike jikọta ike nke ọrịa ahụ na ike ọgwụgwụ nkịtị. Ya mere, na ọnụnọ nke ọtụtụ mgbaàmà hypothyroidism latent, nke na-egosipụtakarị onwe ha, ọ dị mkpa iji nyocha nke endocrinologist dị mkpa. Ihe ịrịba ama nke oria a gunyere:

ebelatala, nchebara echiche. Enwere ịda mmụọ n'ozuzu nke ọrụ ọgụgụ isi,
enwere mmetuta nke imeputara ọnọdụ ịda mba (na ọkara nke ndị ọrịa),
N’ime ụmụ nwanyị, njiri mara njiri mara ọrịa a bụ ihe mebiri usoro nsọ nwanyị, ya na amụghị nwa. Achọpụtara ya na 28% nke ndị ọrịa niile nwere usoro ịmụ nwa

Ugboro ugboro, obi esighị ike,
enwere mmụba na nrụgide intraocular,
hypothermia, nke ọnọdụ ahụ mmadụ na-ada n'okpuru nkịtị,
ike ọgwụgwụ, enweghị mmetụta nke ike ọgwụgwụ, iro ụra,
ịdị umengwụ
obere agụụ,
galactorrhea, nke na-esite na mwepu mmiri ara ehi ma ọ bụ colostrum,
mbelata Libido, nsogbu nwere ike nwoke
ntutu na-ehicha ntutu na ntutu isi.

Ihe mgbaàmà nke ụdị hypothyroidism dị ala. Achọpụtara ha naanị na 25-50% nke ndị ọrịa. N'ọnọdụ ụfọdụ, mmebi nke thyroid gland nwere ike ọ gaghị eme.

Ọ bụrụ na a na-enyo enyo ụdị hypothyroidism, a na-egosipụta ọmụmụ zuru ezu nke gụnyere usoro ndị a:

Onyinye ọbara iji chọpụta ọkwa nke homonụ thyroid. Ntinye uche nke thyroid kwesịrị ịbụ 2.6-5.7 mmol / l, 9-22 mmol / l - ego kachasị mma nke triiodothyronine na thyroxine. Site na nyocha a naanị, o siri ike ime nyocha nke ikpeazụ, ebe ọkwa nke homonụ na-agbanwe nwayọ. N'oge mbido ọrịa ahụ, ntụpụ ihe a na-ezighi ezi nwere ike enweghị isi,
Onyinye ọbara iji chọpụta ọnụnọ nke ọgwụ mgbochi ọrịa ụfọdụ AT-TG, AT-TPO. N’ime ahụike, ihe ndị a adịghị kpamkpam ma ọ bụ itinye uche ha pere mpe. Mgbe achoputara ogwu ndi a, anyi puru ikwu banyere oria a bu oria,

mkpebi nke larịị nke ihe dịka TSH. Nọmalị, itinye uche ya kwesịrị ịgbanye site na 0.5-4.3 Mmanụ a /ụ / L. Ọ bụrụ na achọpụtara mgbanwe ọ bụla na oke nke homonụ a, anyị nwere ike ikwu maka mmebi nke gland thyroid,
ngwa scintigraphy. Usoro nyocha a dabere n'iji isotopes redioaktivu. N'iji usoro nchọpụta a, ọ dị mfe ịchọpụta mgbanwe mgbanwe ọrịa ọ bụla na akwara thyroid, gbasara usoro na-adịghị mma na mmebi ọ bụla nke usoro vaskụla,

nnwale ọbara dum. Mgbe ọ gafesịrị nyocha a, anaemia, ụkọ iron, ụkọ vitamin B12 na-ahụkarị,
Ultrasound nke thyroid gland. A na-eme nnyocha banyere nchọpụta nke na-enyere aka ikpebi ọnọdụ nke akụkụ a, na-adabere na nchoputa nke hypothyroidism subclinical nwere ike,

Ultrasound nke eriri afọ. Edoro ya na usoro ọgbụgba na-agba ọsọ, nke na-emetụta ọrụ ahụ niile.
Nchọpụta X-ray nke obi. Ebumnuche ya bụ ịchọpụta mgbanwe na-adịghị mma na ọkpụkpụ ahụ, na-ekpebi ọnụnọ nke mmiri mmiri n'ọnọdụ dị egwu,
electrocardiography. Na-achọpụta nsogbu ndị metụtara ọrụ obi, nke kpalitere hypothyroidism.

Site na hypothyroidism subclinical, ọgwụgwọ gụnyere ị medicationsụ ọgwụ ndị na-edozi ọkwa nke homonụ thyroid dị na ahụ. Usoro ọgwụgwọ dị otú a kwesịrị ịmalite mgbe nyochachara nke ọma banyere ọnọdụ onye ọrịa yana nyocha ihe ọghọm dị na ibute nsonaazụ na-adịghị mma.

Usoro iji dochie homonụ gụnyere ịre L-thyroxine. Ọgwụ a dị mkpa maka ụmụ nwanyị dị ime mgbe nchọpụta nke hypothyroidism. N’aka ndị ọzọ, dọkịta ahụ nwere ike ikpebi ịghara iji ọgwụ dochie hormone ruo ọtụtụ ọnwa. Mgbe oge ụfọdụ gachara, enyere ndị ọrịa nyocha nke abụọ. Ọ na - enyere gị aka ikpebi ole ịbawanye nke homonụ n’ime ọbara agbanweela. Ọ bụrụ na enweghị mgbanwe dị mma, a na-ekpebi ikpebi iwere L-thyroxine. Nnyocha e mere n’oge gara aga achọpụtala na mgbe iji ọgwụ ndị a emeziwanye, ọnọdụ nke ndị ọrịa na-apụta na 30% nke ndị ọrịa.

N'agbanyeghị nsonaazụ dị mma, ọtụtụ ndị ọrịa na-akọ mmetụta ọjọọ na-adịghị mma mgbe ha na-ewere L-thyroxine. Mgbe ị na-eji ọgwụ a na-agwọ ụdị hypothyroidism nke hypothyroidism, n'ọnọdụ ụfọdụ, ndị ọrịa na-achọpụta mmụba nke ahụ mmadụ, ọdịdị nke nchegbu na-enweghị isi, mgbakasị ụra na tachycardia.

Ọzọkwa, mgbe ị na-achọpụta ụdị hypothyroidism dị n'okpuru, ọ dị ezigbo mkpa ịchọpụta ma kpochapụ ihe kpatara ọnọdụ a. Ya mere, dabere na usoro ọrịa akọwapụtara, akọwapụtara otu usoro ọgwụgwọ. Ọ bụ iwu na ị takeụ ọgwụ mgbochi vitamin-mineral, gụnyere ọgwụ nwere ayodiin (Iodomarin na ndị ọzọ). Imeghari ahụ n’ime ihe ụfọdụ nke ihe ụfọdụ na-emetụta ọrụ nke akụkụ ahụ niile na sistem niile. Karịsịa, ayodiin dị ezigbo mkpa maka gland thyroid. Ọdịmma ya na-emetụta mmepe nke hypothyroidism.

Na ọnụnọ nke ụdị hypothyroidism, ọ dị ezigbo mkpa ịgbanwe nri gị. A na-atụ aro iwepu na nri nri nwere soy, polyunsaturated fatty acids (azụ mara abụba, ahụekere, sunflower na bọta, ube oyibo). Okwesiri ka amachibido iji shuga dika o kwere mee, belata oke mmiri ọ theụ toụ na 600 ml kwa ụbọchị. A na-atụ aro ịgụnye ụdị azụ, anụ, mkpụrụ osisi ọhụrụ, obere kọfị nkịtị na nri. Nri dị otú ahụ ga-emetụta ọrụ nke gland thyroid na-arụ ọrụ.

Ọrịa thyroid. Ọgwụ na enweghị njehie. - M.: AST, Sova, VKT, 2007 .-- 128 p.
Henry, M. Cronenberg Ọrịa nke thyroid gland / Henry M. Cronenberg et al. - M.: Reed Elsiver, 2010. - 392 p.
Grekova, T. Ihe niile ị maghị gbasara gland thyroid / T. Grekova, N. Meshcheryakova. - M.: Centerpolygraph, 2014 .-- 254 p.

Ольга Melikhova Olga Aleksandrovna - dọkịta endocrinologist, ahụmahụ afọ 2.

Ọ na - etinye aka na mgbochi, nchọpụta na ọgwụgwọ nke ọrịa nke usoro endocrine: gland thyroid, pancreas, adrenal gland, pituitary gland, gland sex, parathyroid glands, thymus gland, wdg.

Subclinical hypothyroidism na-abụkarị n'ụdị asymptomatic. Ọnọdụ a na - akpata ọrịa na - eme ka mmiri na - akwalite homonụ na - akpali akpali, nke na - eduga n'ịrụ ọrụ nke akụkụ ahụ na sistem ndị ọzọ.Yabụ, na ọkwa homonụ nke ihe karịrị 10 mU / l, ihe ọghọm nke ịmalite iku obi na-arịwanye elu. Otu n'ime ihe ndị dị n'ihe ize ndụ bụ ịka nká, yabụ na-atụ aro ka ị nyochaa ọkwa nke homonụ dị n'ọbara opekata mpe 1 n'otu afọ. A na-eji ọgwụ ọgwụgwọ homonụ na-agwọ ọrịa. Ọgwụ nke hypothyroidism nke subclinical nwere njiri mara ya na ime na nwata.

Ọrụ kachasị nke gland thyroid na ahụ mmadụ bụ mmepụta nke homonụ thyroid - thyroxine T4 na triiodothyronine T3, nke nwere atam ayodiin. Homonụ ndị a na-edozi usoro ndị a:

uto na mmepe,
ọgbọ agha
absorption nke oxygen na mmezi nke akụkụ iku ume,
ụkpụrụ nke ike na ume,
eriri afọ,
njikọ protein
steeti adrenergic ndị na-anabata ya na gbasara obi na akwara na akwara.

A na-ahazi mmepụta nke T4 na T3 site na homonụ na-akpali akpali nke mkpụrụ ndụ (TSH), nke a na-agwakọta n'ime glanduaturu. Hyperthyroidism nke subclinical bụ ụdị dysfunction thyroid ebe enwere mmụba na TSH ma na-ahụ ọkwa nkịtị nke homonụ na-enweghị nsogbu T3 na T4.

Enwere mmekọrịta dị n'etiti homonụ ndị a - karịa homonụ na-akpali akpali, a na-emepụta obere T3 na T4.

Mmụba na TSH bụ akara izizi nke mbibi akwara thyroid, ya mere, ọtụtụ ndị ọkachamara na-atụle ọrịa a dị ka mmalite mbụ na mmepe nke hypothyroidism. Ihe dị egwu maka ntụgharị nke ụdị subclinical nke ọrịa ahụ na nke pụtara ìhè bụ mmụba nke ọkwa mgbochi nke anụ ahụ na akwara. Nyocha nyocha ahụike nke ndị ọrịa nwere ihe ngosi abụọ gosipụtara na hypothyroidism pụtara ìhè na 20-50% nke ndị ọrịa n'ime afọ 4-8, na ndị mmadụ karịa afọ 65, ihe egwu nke ọrịa a bụ 80%.

Enddabere na ọkwa TSH dị elu na afọ

Subclinical hypothyroidism bụ ihe a na-ahụkarị karịa ọgwụgwọ siri ike, ihe ruru 15% na 2-3%, otu isi. Ọrịa a na-ahụkarị n'ọrịa ụmụ nwanyị karịa n'etiti ụmụ nwoke. Ebe ọ bụ na e ji ụdị hypothyroidism n'ụdị a dị oke njọ, ọrịa na-enye ọfụma ma ọ bụ na ọ nweghị, a na-atụ aro ka ọ dịkarịa ala afọ 5 ọ bụla, a ga-ewere nyocha ọbara ọbara homonụ iji mụọ TSH maka ụmụ nwanyị niile gbara afọ 35 na ụmụ nwoke karịa afọ 50.

Ihe egwu nke oria a bu na o zoro ezo ma “kpuchie” ya dika ihe ngosiputa ogwu di iche-iche nke oria ndi ozo, na-ebute mgbanwe oria na aru nke ihe di nkpa. Yabụ, mmebi nke usoro metabolic na-eduga na imebi metabolism abụba, mmụba nke ahụ mmadụ, yana imegide ihe a, atherosclerosis na ọrịa obi na-efe efe. Ihe ọghọm nke infarction myocardial ji okpukpu abụọ dị elu karịa mmadụ abụọ siri ike. Ojiji nke ọgwụ mgbochi ọgwụ homonụ maka ọgwụgwọ nke hypothyroidism subclinical nwere ike wepu ezigbo ihe kpatara ọnọdụ pathologies ma weghachite ọrụ obi. Ọ dị ezigbo mkpa ịchọpụta ọrịa a na ụmụ nwanyị dị ime n'oge, n'ihi na nke a ga - enyere aka igbochi mmepe nke ọrịa na-ebu nwa ebu n’afọ.

N'ime obi usoro a na - ahụ maka hypothyroidism subclinical bụ enweghị homonụ nke T4, nke dị mkpa maka usoro metabolic ọbụlagodi ma achọpụtara ọkwa ya na ọbara. A na-egosipụta ụkọ T4 na mmụba nke ọkwa TSH. Ihe kpatara oria ahu bu:

Autoimmune thyroiditis bụ isi ihe na mmepe nke pathology.
Usoro mmerụ ahụ na gland thyroid, gụnyere ndị nke asymptomatic.
Medicationsnweta ogwu nwere lithium, ọgwụgwọ iji iodine redioaktivu.
Ọrụ iji wepu akụkụ nke "thyroid gland" na thyrotoxicosis.

Ihe ndị nwere ike imepụta hypothyroidism subclinical gụnyere:

oke ibu
Afọ ọrịa onye agadi karịrị afọ 80,
nchekasị na-adịghị ala ala na ọrụ abalị,
ọrịa afọ ọsịsọ,
enweghi ayodiin na nri,
nsogbu nke homonụ.

Ihe kpatara mgbakwunye nke TSH nwekwara ike ịbụ ọnọdụ ndị a, nke aga-eme nchọpụta nchọpụta ọdịiche:

physiologically kpebiri hapụ TSH n'ime ụmụ amụrụ ọhụrụ n’ụbọchị mbụ amụrụ nwa (ruo 20 mU / l),
ọgwụgwọ ọgwụ - dopamine antagonists, ndị na - egbochi biosynthesis nke homonụ thyroid (Cerucal, Eglonil, Cordaron, Amiodarone na ndị ọzọ),
hypothyroidism kpatara nsogbu na hypothalamus na pituitary gland,
ọrịa ndị a na-ahụkarị maka ọrịa iguzogide ọgwụ nke thyroid,
ụkwara akwara na-adịghị ala ala
akpụ nke glandular anụ ahụ nke pituitary gland,
ọrịa uche metụtara rụọ ọrụ nke hypothalamic-pituitary sistemụ,
adrenal ezughi ezu,
nnukwu ọrịa pathologies siri ike, mmerụ ahụ na arụmọrụ. N'ime oge mgbake ahụ, ọkwa TSH nwere ike iru ihe ruru 20 mU / l, yabụ, ọ dị mkpa iji tụgharịa ọnụ ọgụgụ homonụ dị n'ọbara.

Subclinical hypothyroidism na-egosi enweghị enweghị ihe ịrịba ama ọ bụla nke ọrịa ahụ. Agbanyeghị, ụdị ọrịa a bụ otu ihe ejiri mara ya na hypothyroidism doro anya, mana akpọpụtaghị ya. Otutu uzo nke ogwu a na - aputa ihe di iche, na-adabere n’ime sistemu na aru ndi mmadu na - ata ahuhu:

Ọkụ afọ: afọ ntachi, ọgbụgbọ, vomiting, nnukwu ihe mgbu na hypochondrium ziri ezi, jikọtara ya na mkpali nke biliary traktị.
Rheumatological: mbufụt na ihe mgbu na nkwonkwo, nrụrụ ha, nkwụsị nke agagharị n'ihi ịmalite osteoarthritis.
Ynegba ọgwụ na nwanyị: ọbara ọgbụgba na ọgbụgba, amụghị nwa (na 28% nke ikpe), mmebi nke usoro ọnwa kwa ọnwa na ụmụ nwanyị, ịmụ nwa na ụmụ nwanyị dị ime, afọ ime.
Cardiac na vaskụla: ọbara mgbali elu, arrhythmia, ịmụba ọnụ ọgụgụ nke obi, ọbara mgbali akwara obi, atherosclerosis n'ihi mmụba nke cholesterol “ọjọọ” n'ọbara, anaemia, mmụba intraocular.

Ebe ọ bụ na homonụ thyroid na-emetụta usoro nke metabolic, ihe omume ndị a nwere ike ịbụ na ọnụnọ ndị ọzọ nọkwa:

ọnọdụ na-akawanye njọ, ịda mba, nchekasị (ihe karịrị ọkara nke ndị ọrịa),
ebe nchekwa dị ụbụrụ, ọrụ ụbụrụ na itinye uche
adighi ike na ume agha,
ụba prolactin mmepụta.

Mainzọ kachasị eji achọpụta ọrịa bụ ịchọpụta etu homonụ dị n’ọbara. N'okwu a, ọkwa nke TSH dị na 4-10 mU / l ma ọ bụ karịa. Akọwapụtara ihe ndị mere maka ndọpụ ahụ site na iji usoro ndị a maka nyochaa gland thyroid:

Ultrasound
scintigraphy (nchọpụta radionuclide),
ihe omumu ihe omumu (
mkpebi siri ike nke mgbochi mgbochi nke thyroperoxidase (maka nchọpụta nke ọrịa autoimmune).

Ebe ọ bụ na n'ọtụtụ ọnọdụ, ịba ụba nke ọkwa TSH bụ ihe a na-atụgharị anya, a chọrọ nnwale ọbara ugboro ugboro tupu ịkọwa ọgwụ 3-6 ọnwa mgbe nke mbụ gasịrị. Ihe ngosiputa maka oria ogwu dochiri anya dika ndi a:

TSH larịị> 10 IU / L,
5
dị ime ma ọ bụ atụmatụ ya,
ọgwụgwọ nke infertility n'ihi nrụpụta ọrụ nke homonụ thyroid.

Ihe ndị a na-adịghị mma na-egosi na a kwadoro ọgwụgwọ ọgwụ maka hypothyroidism subclinical:

mmeghasị nke ọrụ nke ọtụtụ akụkụ na sistemụ,
ọnụnọ nke ọrịa dịpụrụ adịpụ, ọkachasị akụrụngwa n'ime ụmụ nwanyị gbara afọ 50,
elu ohere nke oria a usoro akpọ,
ntakịrị ego nke ọgwụgwọ onwe onye na ndị okenye,
Ibawanye n'ihe egwu dị na nwa ebu n’afọ n’oge afọ ime.

Ofdị irè nke ọgwụgwọ bụ ihe dịka 30%. A na-eme usoro ọgwụgwọ ahụ site na ọgwụ ndị sitere na sodium levothyroxine, homonụ thyroid na-agbanwe agbanwe (Eferox, Bagothyrox, Eutiroks, Iodtiroks, L-Tirok, L-thyroxine, Levothyroxine, Tyro-4). S Theụ ọgwụ a na-enye ndị okenye bụ 1 μg / kg (nke mbụ bụ 25-50 μg, otu ahụ bụ 50-75 μg / ụbọchị.). N'ime ndị ọrịa karịrị afọ iri ise na iri isii na ise n’enweghi ọrịa obi, a na-edenye ọgwụ izizi n ’akara 50 μg / ụbọchị. A na-ewere ọgwụ ahụ na afọ efu n'ụtụtụ, otu ugboro. Nsonaazụ ọgwụgwọ kwesịrị ịbụ mbelata ọkwa nke TSH ruo 0.3-3 IU / L. A na-achịkwa njikwa ya mgbe izu 4-8 gachara ma ọ bụ mgbe ọ gbanwere usoro ọgwụ a. Ogologo oge ọgwụgwọ ahụ na-adịgide adịgide na ndozi nke ọgwụ ka ọrụ ahụ na-agbake.

Mgbe ọ gwachara ọgwụgwọ, achọpụtala mmetụta ọma ndị a:

mmezi nke metabolism, iwetulata cholesterol ọbara,
ibelata mgbali intraocular,
rụọ ọrụ ebe nchekwa na ịrụ ọrụ.
mmegharị nke ọrụ mọ akwara,
ibelata ọrịa ịda mba.

N'ime ụmụ nwanyị dị ime, ọkwa TSH nkịtị dị na usoro ndị a:

oge mbu: 0.1-2.5 mU / l,
nke abụọ: 0.2-3.0 mU / l,
nke atọ: 0.3-3.0 mU / l.

Okwa TSH na ime

Obere ụkpụrụ (

Ọnụnọ hypothyroidism nke nwanyi dị ime nwere ike inwe nnukwu nsogbu na nne na nwa ebu n’afọ:

ime ọpụpụ,
afọ ime dị ime
amụghị amụ
preeclampsia - toxicosis n'oge afọ ime, nke na n'ihe ikpe siri ike na-eduga na imebi ọbara ọkọnọ na ụbụrụ na akụkụ ya,
ndakpọ ahụ n’ọdịniihu ọdịnihu nwatakịrị.

N'ihi ya, a na-enyekwa ndị inyom dị ime ọgwụ levothyroxine, dabere na usoro onunu ogwu nke 1.2 mcg / kg kwa ụbọchị ruo mgbe TSH ga-ebelata

Mgbe amuchara nwa, a ga-ebelata ogwu ya ka uru ya di tupu ime ime. Ọ bụrụ na a chọpụtara ọrịa ahụ naanị n’oge mmegharị ahụ, TSH

Enyere ozi niile dị na saịtị ahụ maka ebumnuche ọhụụ. Tupu itinye ndụmọdụ ọ bụla, jide n'aka na ị ga-akpọtụrụ dọkịta gị.
Ijupụta ozi zuru ezu ma ọ bụ nke saịtị site na saịtị ahụ na-egosighi njikọ njikọ n'ime ya ka amachibidoro.

Nri na ndu gi

Maka usoro ọmụmụ nke prology, a na-atụ aro nri nwere iodine na vitamin B Iji kpochapụ adịghị ike iodine ma mekwaa gland thyroid, ihe oriri ahụ gụnyere:

oporo
ọzọ,
nri anụ
azu iyak
ahihia
oge
bali groats
akwụkwọ nri

N'oge ọgwụgwọ, soy, shuga na ngwaahịa nwere abụba polyunsaturated (mmanụ, mkpụrụ) anaghị apụ apụ.

Iji meziwanye ọdịmma mmadụ n'ozuzu, ị kwesịrị:

hapụ ihe ọjọọ,
zere emegaghị ahụ
rie ezi.

Site na ọrịa thyroiditis akpaaka, a na-egosipụta HRT oge ndụ. Ya mere, ọ dị mkpa ọ dịkarịa ala ugboro abụọ n’afọ ka onye nyocha endocrinologist lelee ya iji belata ọgwụ ole ọ .ụrụ.

Njirimara Ọrịa

Ọkpụkpụ thyroid dị na olu ma nwee ọdịdị nke nru ububa. Dị ka ọ na-adịkarị, ọ naghị emegharị ahụ. Homonụ nke aru a na-arụ ka achọrọ maka ịrụ ọrụ nke ọtụtụ akụkụ na sistem. Homonụ thyroid na-emetụta ibu, ọrụ omumu, metabolism, thermoregulation.

Iji kọọ ọgwụgwọ ziri ezi, ị ga-amatarịrị ọrịa hypothyroidism nke subclinical bụ yana etu ọrịa a si egosipụta onwe ya. Nke a bụ ụdị mbibi mbufụt thyroid, na-agbanyeghị, anaghị achọpụta mgbaàmà siri ike. Ọ bụrụ na enwere ezigbo ahaghị n ’ịba uru ọhụụ nke hormonal, enwere ike ịhụ mmebi nke arụ ọrụ niile na sistem. Ọrịa a na-amalite na nzuzo ma mara ya na mkpochapụ nwayọ nke ọrụ ọrụ akwara gland.

Ọ dị ezigbo mkpa iji duzie ọgwụgwọ n'oge, ebe ọ bụ na nsonaazụ nke usoro pathological nwere ike ịdị oke egwu. N'ime ụmụ nwanyị, ọnọdụ a nwere ike ibute enweghị nsogbu na amụghị nwa, na ụmụ nwoke, ọ na - akpalite nsogbu na ikike. Na mgbakwunye, ọrịa ahụ nwere ike ịkpalite mmebi na ọrụ nke akwara, akwara na usoro nri. Dabere na ọkwa nke hypothyroidism subclinical, a na-ekpebi prognosis na ọdịdị nke pathology.

Ihe na-eme

Ihe ndị na-akpata hypothyroidism subclinical nwere ike ịdị iche iche, karịchaa, ụfọdụ ọrịa ndị ọzọ, iji ọgwụ eme ihe, yana ọgwụgwọ homonụ na radieshon nwere ike ịkpasu mmebi. Na mgbakwunye, n'etiti ihe ndị na-akpata mkpali, ọ dị mkpa ịmata ọdịiche dịka:

etolite n'ime akwara di na nwata,
akụkụ ma ọ bụ wepụrụ gland thyroid kpamkpam,
enweghi ayodiin n’anu ahu,
iji ọgwụ ike na-emetụta ogologo anụ ahụ,
Filiks a na-ahụkarị n'ime anụ ahụ,
ekpughere iodine redioactive.

Ọ bụrụ na enwere otu ihe ma ọ bụ karịa na-akpata hypothyroidism subclinical, ịkwesịrị ị nyocha oge site n'oge ruo n'oge iji mata usoro ọrịa ahụ n'oge. A puru inweta ogwu ogwu ma gha eme ya ma obu gosiputa ya n’oge uto. Enwere ike ịmalite mmebi nke hypothyroidism site na mbufụt nke gland thyroid ma ọ bụ ị anụbiga ayodiin. N'ihe dị ka ndị ọrịa nwere ọrịa thyroid na-arịa goiter ma ọ bụ autoimmune thyroiditis.

Isi ihe mgbaàmà

N'agbanyeghi eziokwu na ekwuputaghi na akara nke hypothyroidism nke ozo di ala, otu akara puru iche nwere ike iso ya. Nkpughe nke oria a nwere ike gbagwojuo ya anya na nsogbu ndi ozo na nsogbu uche. Ọtụtụ mgbe, n'etiti ihe ndị bụ isi gosiri, afọ nri bụ ihe na-apụ iche, nke nwere ike ịgbanwe ya na ọrịa shuga. Ihe nrịba ama nke ihe mgbaàmà nke ọrịa gallstone nwekwara ike.

Na mgbakwunye, na hypothyroidism, enwere ike ịnwe ọrịa nke usoro akwara obi, karịchaa, nrụgide na-abawanye, ikpochapụ na oghere pericardial. N'ime ụmụ nwanyị, hypothyroidism nke subclinical nwere ike igosipụta onwe ya n'ụdị ọbara ọgbụgba na-abịanụ, yana Ọkwa nke osteoarthrosis.

N'ime akara ndị a kapịrị ọnụ, ọ dị mkpa ịmata ọdịiche nke ụda olu, mmụba nke ire, iza ihu. Ka ọrịa ahụ na-aga n'ihu, mgbaàmà ya na-abawanye. N'ihi ụkọ nke homonụ, mmebi nke nwayọ nke ikike ọgụgụ mmadụ na enweghi ncheche ya. Na agba ikpeazụ nke hypothyroidism dị n'okpuru, a na-achọpụta mmụba nke nrụgide na nkwarụ anya. N'otu oge ahụ, ntutu ga-agbawa agbawa ma nwee ntutu, akpụkpọ ahụ wee na-acha odo odo-acha odo odo. Na mgbakwunye, megide ndabere nke mbelata ọrụ thyroid, anaemiaia anaemia na bradycardia.

Diagnostics

Iji kpebie otu esi ele hypothyroidism subclinical, a ga-ebu ụzọ chọpụta nchoputa. Emere nchoputa a dabere na nyocha ọbara. Njirimara na nke a bụ mmụba nke homonụ na-akpali akpali na ọkwa nke homonụ thyroid dị mma.

Na mgbakwunye, enwere ike ịkọwa ụzọ nyocha ndị ọzọ, ọkachasị, dịka:

nnwale antibody
electrocardiography
nyocha nke ultrasound
ihe nlere
scintigraphy,
ọbara biochemistry.

Usoro ndị dị otú a na-eme ka o kwe omume ịchọpụta ihe pụrụ iche n’ọrụ gland thyroid, yana ọgba aghara n’ọrụ nke akụkụ ahụ ndị ọzọ na-esite n’ọrịa.

Hypothyroidism dị ime

Ọtụtụ ụmụ nwanyị n'oge afọ ime nwere mmasị na ihe ọ bụ - hypothyroidism nke bụ isi Subclinical na otu o si emetụta ọmụmụ nwa. Ọ dị mma ịmara na ọrịa ahụ agaghị agabiga n'onwe ya, ya mere a ga-ebu ọgwụgwọ ozugbo.Na mkpokọta, ọgba aghara na-eme na ọnwa atọ mbụ nke ịtụrụ ime, site na nke a nwa a nwere ike itolite na-ezighi ezi ma ọ bụ nwụọ.

Ọ bụ ya mere ị ga-eji gaa hụ dọkịta mgbe niile na nhazi nke ịtụrụ ime. Nke a ga - eme ka o kwe omume ịchọpụta ọrịa ahụ na mmalite mmalite nke mmepe yana ọgwụgwọ oge. Ọ bụrụ na nwanyị na-eme atụmatụ ime naanị, a ga-ejikwa ọgwụ mgbochi tupu ogo ọkwa nke hormone ahụ idobe nke ọma.

A na-eme usoro ọgwụgwọ ahụ site na ọgwụ ndị na-enyere aka ịhazi ọkwa nke homonụ dị n'ọbara. Iji duzie ọgwụgwọ, dọkịta ahụ nyere ọgwụ ọgwụ thyrethoxins na ọgwụ iodine nwere ọgwụ nnọchi. A na-ahọrọ usoro onyonyo otu n'otu dabere na ịdị arọ nke nwanyị ahụ adịghị agbanwe n'oge oge eji ọgwụ ahụ. Usoro ọgwụgwọ ndị mmadụ n'oge afọ ime bụ ihe a na-achọghị, ebe ọ bụ na nke a nwere ike ịkpalite nnukwu njo na ọdịmma ma na-emetụta mmepe nke nwa ebu n’afọ.

Ọ dị mma ịmara na ọrịa a nwere ike ịgafe n’akụkụ nwa ebu n’afọ. Enwere ohere na ọrịa nwatakịrị ahụ ga-aga n'ihu na ọkwa dị elu. Mgbe emechara ọgwụgwọ ya na ịmụ nwa, nwanyị ga-eleru ya anya site n'ọgwụ endocrinologist rue mgbe ọ ga-agbake. May nwere ike ịdebanye aha nwa ahụ.

Hypothyroidism n'ime ụmụaka

Mgbaàmà na ọgwụgwọ nke hypothyroidism subclinical bụ ihe fọrọ nke nta ka ọ bụrụ na ndị okenye, mana n'ụdị congenital, ọrịa ahụ na-agbagha agbagha. Enwere ike mata ọnụnọ nke imebi ihe site na nyocha nke nyocha na ọkwa nke homonụ thyroid. Mgbaàmà siri ike abiaghi ma ọ bụ ihe iriba ama a.

N'ime ụmụ amụrụ ọhụrụ, a na-enyocha ule n'ime awa mbụ mgbe ha mụsịrị. Gbalia ichita dọkịta ma oburu na inwere akara ndi a:

ọzịza
iti mkpu
hourse na-ebe ákwá
akpụkpọ akọrọ,
ahụ dị ala
inweta ibu dị ngwa.

Ihe ịrịba ama ndị a na-egosi mmalite nke ọrịa ahụ. Ejiri hypothyroidism nke subclinical n'ime ụmụaka toro eto nwere nsogbu ọgụgụ isi na nke anụ ahụ, yana ọhụhụ ụzọ.

Ekwesịrị ịmalite ọgwụgwọ ozugbo ịmalite nchọpụta. N'oge ọgwụgwọ, a na-eji homonụ thyroid eme ihe. Usoro nke iji ọgwụ a dabere na ibu, afọ nwatakịrị na ogo nke ọrịa ahụ. Na mgbakwunye, ọ dị mkpa ịchịkwa ọkwa ya na ọbara.

Site na ibelata ọdịnaya nke homonụ ndị a dị n'ime ahụ, ịkwesịrị ị consumeụ nri nwere ayodiin, ọ bụrụ na ọ dị mkpa, egosi ọgwụ "Iodomarin". Ọ bụrụ na achọpụtara ọrịa ahụ n'ime nwatakịrị gbara afọ abụọ, mgbe ahụ ọ ga-anara ọgwụ mgbochi homonụ na ndụ ya niile.

Mgbe ọrịa a na-amụ nwa, mgbanwe ndị na-adịghị mma na sistem obi nwere ike ime. Achọpụtara nyocha na ọgwụgwọ hypothyroidism n'ime ndị nọ n'afọ iri na ụma n'otu ụzọ ahụ dịka ndị okenye, agbanyeghị, ebe ọkwa homonụ nwere ike ịhazi onwe ya.

Njirimara ọgwụgwọ

A pụrụ ịgwọ hypothyroidism nke Subclinical ma ọ bụrụ na achọpụtara ọrịa ahụ na mbido mbụ. N'okwu nke ọ bụla, a na-ahọpụta usoro ọgwụgwọ ka ejiri aka ha niile. Onye ọrịa ọ bụla na-eme mmemme nke ya iji weghachite oke homonụ dị n’ahụ.

N'ụfọdụ ọnọdụ, anaghị enye ọgwụ ọgwụgwọ ma ọ bụrụ na enwere ajọ ọrịa nke akụkụ ahụ na sistemụ ndị ọzọ. Ọtụtụ mgbe, a na-enye ọgwụ ntụgharị, mana naanị ndị ọrịa na-eto eto. Dịka ọgwụ, a na-eji homonụ thyroxine mee ihe n'ụba. A na-ahọrọ usoro ọgwụgwọ na usoro ọgwụgwọ n'otu n'otu n'ọnọdụ ọ bụla.

Na mgbakwunye, ọ bụ ihe amamihe dị na iji ọgwụ ndị mmadụ na-eme nke ọma nwere ahụ dị mma. A choro iji soro otu nri ma webata nri nwere iodine hiri nne n’ime nri odi.

Ọgwụ ọgwụ

Ọ bụrụ na hypothyroidism subclinical pụtara n'ihi ụkọ iodine, ị kwesịrị ịmalite ọgwụgwọ ngwa ngwa site na ọgwụ ọgwụ nnọchi homonụ. Mgbe ị na-eme ọgwụgwọ, ọ dị mkpa ịchịkwa ọkwa nke homonụ ma na-enyocha nyocha kwa ọnwa 6 ọ bụla. Ọ gaghị ekwe omume ịgwọ ọrịa ahụ kpamkpam, mana ọ ga - ekwe omume ịchịkwa ọrụ nke gland thyroid ma belata ngosipụta na-adịghị mma.

A na-eji ọgwụ ahụ Levothyroxine eme ihe iji dochie anya ọgwụ. A na-agbakọta usoro onunu ogwu site na ibu ọrịa A na-etinye ọgwụ ahụ n'ụtụtụ nke ọma na afọ efu. A naghị atụ aro ịgbanwe ọgwụ ịchọrọ iji aka gị gbanwee, ebe nke a nwere ike ịka mma nke ọma.

Na mgbakwunye, enwere ike ịchọ ọgwụgwọ Symptomatic, nke gụnyere iji ọrịa obi, ọgwụ hormonal, cardioprotector na vitamin ogige. Iji kpochapụ ịda mba na enweghị mmasị, a na-atụ aro iji “Amitriptyline”.

Ndi Ogbo

Ọtụtụ mmadụ na-eji ọgwụ ndị mmadụ na-agwọ hypothyroidism subclinical. Akwụkwọ ahịhịa na mkpụrụ osisi nke ahịhịa nwere àgwà na-agwọ ọrịa ndị amabeghị ogologo oge. Maka ọgwụgwọ ejiri ụgwọ ọgwụ herbal dịka:

St John's wort, elecampane, chamomile, gimlet, etolite hip,
birch buds, St John's wort, ash ash, elecampane, oke osisi,
celandine, coltsfoot, chamomile, yarrow, licorice, angelica.

A na-ahụta mkpokọta ahihia ndị a dị ka nke kachasị arụ ọrụ ma ejiri ya maka ọrịa nke gland thyroid. Ọ dị mma icheta na site na hypothyroidism subclinical, enwere ike iji ọgwụgwọ ọzọ naanị mgbe ịgachara dọkịta ka ịghara ịkpasu nsogbu nke mmetụta ndị ọzọ.

Oriri na-edozi ahụ maka hypothyroidism

Site na hypothyroidism nke subclinical, a ga-enyocharịrị usoro nri ya. Ekwesịrị iwepu nri ụfọdụ na nri ndị ọzọ, ọkachasị, dịka:

ngwaahịa soy
shuga
azu na anu nwere abuba,
bọta
ahuekere.

A naghị akwado ya ka ọ consumeụkọta ọtụtụ mmiri, ebe ọ na-enye aka na ịme edema ma na-akpasu nsogbu nke akụrụ. Mgbe hypothyroidism mere, a na-atụ aro ka etinye ya na nri gị:

riputara na ahihia selenium na ayodiin.
Mkpụrụ osisi na akwụkwọ nri
kọfị
anụ ezi na anụ ọkụkọ.

Nri dị otú ahụ na-enye mmadụ ohere iweghachi ahụike ngwa ngwa ma kpochapụ ọrịa dị adị. N'ime oge nri gị, ịkwesịrị ijikwa ibu gị ma rịba ama njupụta ya.

Ihe butere ọrịa a

Ihe omuma ndi nke homonu nke thyroid n’oge hypothyroidism nke subclinical nwere ike kwado oru di nkpa. Agbanyeghị, ọ dị mma ịmara na ọrịa a na-emetụta ọrụ mmekọahụ n'ụzọ dị mma, yana ọrụ nke akwara obi na akụkụ ahụ ndị ọzọ. Otu n'ime ihe ndị ga-esi na ya pụta nwere ike mata

vaskụla atherosclerosis,
ụba cholesterol
anaemia
nsọchi
njọ nwoke na nwanyi,
amụghị nwa
ọnọdụ ịda mba.

Mmetụta ndị a niile bụ naanị ụfọdụ ndị ọrịa. Ndị kachasị nwee mmetụta hypothyroidism bụ ndị na-erubeghị afọ 40. Adị ọrịa ahụ na-eleghara anya nwere ike iduga n'ọbọ nke onye ọrịa.

Prophylaxis

Mgbochi bụ ịchịkwa ayodiin n’ahụ. Iji mee nke a, ịkwesịrị ịchọpụta ihe oriri kwesịrị ekwesị, ọkachasị, rie ihe oriri nwere ayodiin. Na mgbakwunye, ịkwesịrị ijikwa ịdị arọ gị ma dọkịta gị kwesịrị ileba anya n'ịhazi ya.

Ndị nwere ọrịa thyroid kwesịrị izere mgbatị ahụ dị egwu. Ọ bụ ihe amamihe dị na ya ịkwụsịlata ịga ije na ikuku ọhụrụ, igwu mmiri, yoga. Ọ dị mkpa izere ị emotionalụbiga mmụọ ókè. Sanatorium ọgwụgwọ nwere ezigbo mmetụta.

Hypothyroidism nke subclinical: akpata, usoro, akara na ọgwụgwọ nke ọrịa ahụ

Subclinical hypothyroidism bụ ọrịa thyroid dị mgbagwoju anya. N'otu oge ahụ, akụkụ ahụ anaghị arụ ọrụ na ọnọdụ nkịtị wee jiri nwayọọ nwayọọ malite ibibi onwe ya. Site n'ịrụ ọrụ nkịtị, glandia na-ewepụta homonụ na-abanye n'ọbara nke na-enye onye ọrịa ohere ibi ndụ zuru oke.

Ọrụ nke anụ ahụ na-emetụta ahụ niile, na-akpali ọrụ nke akụkụ ahụ. Imebi ihe na-akpata ya bụ ụkọ homonụ, yana imirikiti ha n'ahụ. Nkpughe nke ụdị mmebi a nwere ike ịdị iche kpamkpam. Ebe enweghi homonụ thyroid, ahụ ga-amalite ị jiri nwayọ nwayọ, ihe niile dị na ya na-agbada. N'ihi ịba ụba homonụ, glandia thyroid na-amalite iwepu onwe ya, nke na-emetụta ọrụ akụkụ ahụ niile.

Ihe egwu nke oria a bu eziokwu na o nwere ike gha aghagharia onwe ya dika oria somatic, ọgwụgwọ nke adighi aghaputa ya. Onye ọrịa ahụ nwere ihe mgbaàmà dịnụ na-ajụ dibịa, ọkachamara n'ọrịa ụmụ nwanyị na neuropathologist. Ma ọ bụ naanị na ikpeazụ ikpeazụ ka ọ na-eme oge ọhụụ na endocrinologist.

N'ihe banyere nsị thyroid, ọ dị mkpa ịmalite ọgwụgwọ n'oge ọ bụla iji gbochie nsogbu.

etolite n'ime akwara di na nwata,
akụkụ ma ọ bụ wepụrụ gland thyroid kpamkpam,
enweghi ayodiin n’anu ahu,
iji ọgwụ ike na-emetụta ogologo anụ ahụ,
Filiks a na-ahụkarị n'ime anụ ahụ,
ekpughere iodine redioactive.

Na mgbakwunye, enwere ike ịkọwa ụzọ nyocha ndị ọzọ, ọkachasị, dịka:

nnwale antibody
electrocardiography
nyocha nke ultrasound
ihe nlere
scintigraphy,
ọbara biochemistry.

Usoro ndị dị otú a na-eme ka o kwe omume ịchọpụta ihe pụrụ iche n’ọrụ gland thyroid, yana ọgba aghara n’ọrụ nke akụkụ ahụ ndị ọzọ na-esite n’ọrịa.

Ọtụtụ ụmụ nwanyị n'oge afọ ime nwere mmasị na ihe ọ bụ - hypothyroidism nke bụ isi Subclinical na otu o si emetụta ọmụmụ nwa. Ọ dị mma ịmara na ọrịa ahụ agaghị agabiga n'onwe ya, ya mere a ga-ebu ọgwụgwọ ozugbo. Na mkpokọta, ọgba aghara na-eme na ọnwa atọ mbụ nke ịtụrụ ime, site na nke a nwa a nwere ike itolite na-ezighi ezi ma ọ bụ nwụọ.

Mgbaàmà na ọgwụgwọ nke hypothyroidism subclinical bụ ihe fọrọ nke nta ka ọ bụrụ na ndị okenye, mana n'ụdị congenital, ọrịa ahụ na-agbagha agbagha. Enwere ike mata ọnụnọ nke imebi ihe site na nyocha nke nyocha na ọkwa nke homonụ thyroid.Mgbaàmà siri ike abiaghi ma ọ bụ ihe iriba ama a.

N'ime ụmụ amụrụ ọhụrụ, a na-enyocha ule n'ime awa mbụ mgbe ha mụsịrị. Gbalia ichita dọkịta ma oburu na inwere akara ndi a:

ọzịza
iti mkpu
hourse na-ebe ákwá
akpụkpọ akọrọ,
ahụ dị ala
inweta ibu dị ngwa.

Na mgbakwunye, ọ bụ ihe amamihe dị na iji ọgwụ ndị mmadụ na-eme nke ọma nwere ahụ dị mma. A choro iji soro otu nri ma webata nri nwere iodine hiri nne n’ime nri odi.

St John's wort, elecampane, chamomile, gimlet, etolite hip,
birch buds, St John's wort, ash ash, elecampane, oke osisi,
celandine, coltsfoot, chamomile, yarrow, licorice, angelica.

Site na hypothyroidism nke subclinical, a ga-enyocharịrị usoro nri ya. Ekwesịrị iwepu nri ụfọdụ na nri ndị ọzọ, ọkachasị, dịka:

ngwaahịa soy
shuga
azu na anu nwere abuba,
bọta
ahuekere.

A naghị akwado ya ka ọ consumeụkọta ọtụtụ mmiri, ebe ọ na-enye aka na ịme edema ma na-akpasu nsogbu nke akụrụ. Mgbe hypothyroidism mere, a na-atụ aro ka etinye ya na nri gị:

riputara na ahihia selenium na ayodiin.
Mkpụrụ osisi na akwụkwọ nri
kọfị
anụ ezi na anụ ọkụkọ.

Nri dị otú ahụ na-enye mmadụ ohere iweghachi ahụike ngwa ngwa ma kpochapụ ọrịa dị adị. N'ime oge nri gị, ịkwesịrị ijikwa ibu gị ma rịba ama njupụta ya.

vaskụla atherosclerosis,
ụba cholesterol
anaemia
nsọchi
njọ nwoke na nwanyi,
amụghị nwa
ọnọdụ ịda mba.

Danilova, N.A. Etu esi acho ime oria mamiri / N.A. Danilova. - M.: Vector, 2010 .-- 128 p.
Akhmanov, Mikhail Sergeevich Ọrịa shuga. Ndụ na-aga! Ihe niile gbasara oria gi / Akhmanov Mikhail Sergeevich. - M.: Vector, 2012 .-- 567 p.
Milku -M., Daniela-Muster Aneta Gynecological Endocrinology, Mbipụta oflọ nke Academy of the Socialist Republic of Romania - M., 2015. - 490 p.

Ka m kọwaa onwe m. Aha m bụ Elena. Anọwo m na-arụ ọrụ dị ka ọkà mmụta endocrinologist ruo ihe karịrị afọ 10. Ekwenyere m na abụ m ọkachamara n'ọhịa m ugbu a, m chọrọ inyere ndị ọbịa niile nọ na saịtị ahụ aka idozi ihe dị mgbagwoju anya ọ bụghị ọrụ. A na-achịkọta ihe niile dị na saịtị ahụ ma jiri nlezianya hazie iji kọọ ozi niile dị mkpa. Tupu itinye ihe akowara na weebụsaịtị, itinye aka na ndị ọkachamara na-adị mkpa mgbe niile.

Klọ ọgwụ ndị na-ewu ewu

N'agbanyeghị na ụzọ hypothyroidism dị, ọtụtụ na-eme mkpesa banyere ike ọgwụgwụ, isi awọ, uru ibu, na ụcha akpụkpọ ahụ. Iji kpalie usoro endocrine, a na-atụ aro iji ọgwụgwọ herbal:

Laminaria A na-egwepịa Thalli nke algae dị ọcha gaa na ntụ ntụ. Tsp a na-agbakwunye ngwa nri na 100 ml nke mmiri esi mmiri ma drunkụọ mmiri mgbe 30 nkeji tupu nri ugboro atọ n'ụbọchị.
Schisandra. A na-eji mmanụ na-a crushedụ mkpụrụ osisi kpọrọ nkụ. Yet vodka ke rash nke 1: 5. Ọnwụ ụbọchị 14 ebe gbara ọchịchịrị. Na-a 25ụ 25 tụlee ugboro atọ n'ụbọchị maka ọkara otu awa tupu nri.
Cinquefoil. A na-eji mmiri dị milimita ghaa nke 10 g nke ahịhịa ghere eghe. Ọnwụ na ke anọkwasị akpa 3 awa. Filter infusion ẹka 100 ml 3 ugboro n'ụbọchị.

A na-aga n'ihu ọgwụ ogwu ruo n'ọdịmma. Usoro ọgwụgwọ kachasị nta bụ izu 3.

Prognosis maka ọrịa thyroid na-akụ afọ n’ala

Site na usoro hypothyroidism nke subclinical, ihe ize ndụ nke nnukwu nsogbu nke usoro obi na-abawanye nke ukwuu. Mana ka ị na-ejigide ọkwa T3 na T4 dị n’ahụ, nsogbu ndị na-eyi ndụ egwu anaghị ebilite. Ọganiihu ọgwụgwọ dabere na ọtụtụ ihe:

ihe kpatara hypothyroidism,
ogo nke imebi na endocrine system,
mgbanwe ndị a na - atụgharịghị agbanwe.

Site na hypothyroidism n'ihi ụkọ ayodiin, ọ fọrọ nke nta ka ọ bụrụ ndị ọrịa niile nwere ike ịgwọ. Mana ọ bụrụ na enweghị homonụ nwere ayodiin bụ ihe kpatara ọdịda arụ, a na-edenye HRT oge ndụ.