Izindaba

Indlala yegilo isiphenduke isifo esivamile.Ngaphambilini, le nkinga yayivame kakhulu kubantu asebekhulile, ikakhulukazi abesifazane, kodwa ngenxa yokudla okungenampilo kanye nokuphila okunesiphithiphithi, inani elikhulu lentsha kanye nezingane nabo baye baba izisulu zayo.Ngokombiko wango-2017 oshicilelwe yi-Diagnosis Chain SRL, “amaphesenti angu-32 amaNdiya ahlushwa izifo ezihlukahlukene zegilo.”Njengamanje, amacala omdlavuza wegilo aya phambili.Ucwaningo olwenziwa yiNyuvesi yaseTexas e-Austin lwathola ukuthi “izigidi zeziguli kufanele zikhishwe indlala yegilo noma ingxenye yayo unyaka ngamunye ngenxa yomdlavuza wegilo.”zezifo eziyisishiyagalolunye.Ngakho-ke, kubalulekile ukwazi ukuthi yikuphi ukuhlolwa okungenziwa ukuze kutholakale ngokunembile indlala yegilo.Impendulo: I-TSH, ukuhlolwa kwe-hormone evuselela i-thyroid.Funda mayelana-
Ukuhlolwa kwe-TSH kwenziwa ku-gland yegilo.Thola ukuthi indlala yegilo isebenza kahle yini?Ingabe i-hyperactive noma ingasebenzi?Zombili izimo ziyingozi.Okuhle kunakho konke, ngalokhu kuhlolwa, lesi sifo singatholwa ngisho nangaphambi kokuba umzimba ubonise noma yiziphi izimpawu zegilo.
Into yokuqala okufanele uyazi ukuthi iyini indlala yegilo, isitho esisemzimbeni womuntu esifihla amakhemikhali adingekayo ekuthuthukisweni komzimba.Indlala yegilo ikhiqiza amahomoni ahlukahlukene, okuhlanganisa i-T4, eyaziwa ngokuthi amahomoni egilo.Lawa ma-hormone asebenza kuwo wonke umzimba, athinta ukukhula, izinga lokushisa lomzimba, kanye ne-metabolism.Lawa ma-hormone aphinde abambe iqhaza ekukhuleni kobuchopho ezinganeni ezisanda kuzalwa nasezinganeni.Ukuhlolwa kwe-TSH kuba kudingekile uma kunenkinga ngokukhiqizwa nokusetshenziswa kwamahomoni egilo emzimbeni.Ukuhlaziywa kwe-TTG kwenziwa kanjani?
Ukuhlolwa kwenziwa kusetshenziswa ukuhlolwa kwegazi.Isampula yegazi lithathwa njengokujwayelekile futhi lihlaziywe elabhorethri.Liyini izinga le-TSH egazini?Lokhu kuhlolwa kungenziwa kunoma iyiphi ilabhorethri evamile.
Uhlolelwa nini i-TSH Abantu abangaphezu kweminyaka engama-40 bayanconywa ukuthi benze lokhu kuhlolwa njalo ngonyaka.Kuyaphawuleka futhi ukuthi abantu abaningi ezweni lakithi abazi ukuthi banesifo se-thyroid ngenxa yokuthi izimpawu zaso zivame kakhulu.
Ubani Okufanele Ahlolwe I-Thyroid Noma ubani ozizwa ekhuluphele kufanele ahlolwe i-thyroid yakhe ngezikhathi ezithile.Isifo sendlala yegilo singenzeka futhi uma umuntu ezizwa ekhathele ngaphandle kwesizathu, ebuthakathaka, evilapha, evuvukele izandla nezinyawo, nesifiso sokudla ngokweqile.Kungenzeka kubantu banoma ibuphi ubudala.Izingane zanamuhla nazo ziyizisulu.Lesi sifo sivame kakhulu kwabesifazane.
Imiphumela ye-TSH isho ukuthi amazinga avamile kubantu abadala aphakathi kuka-0.4 no-5 wamamililitha wamayunithi wamazwe ngamazwe (mIU/L) ilitha ngalinye.Uma izinga le-TSH egazini liphezulu, i-hypothyroidism ingase ivele.I-TSH ingakhuphuka ngesikhathi sokukhulelwa.Uma isiguli sithatha i-steroids, i-dopamine, noma imithi yobuhlungu be-opioid (njenge-morphine), ukuhlolwa kungase kubonise amazinga e-TSH angaphansi kokujwayelekile.Izinga le-TSH eliphansi libonisa indlala yegilo esebenza ngokweqile.Uma ukuhlolwa kubonisa ukuthi izinga le-TSH lingaphansi kokujwayelekile, lokhu kusho ukuthi kune-iodine eningi emzimbeni.Isiguli sasine-overdose yamalungiselelo e-hormone yegilo.
Yiziphi izingozi zokuhlolwa kwe-TSH?Lokhu kuhlola ngokuvamile akunabungozi.Yebo, kuzoba nobuhlungu obuthile lapho uthatha isampula yegazi lesiguli.Iziguli zingalimala uma igazi likhishwa ngengozi enalithini, kodwa lokhu akuvamile.Ngakho, lokhu kuhlolwa kungenziwa noma nini, noma kuphi.Akuyona ingozi enkulu.Ngokusho kweNational Center for Biotechnology Information (NCBI), ukuhlolwa kube yimpumelelo ku-99.6% wamacala.
Kunemithi ethile engathinta imiphumela yokuhlolwa kwe-TSH ngaphambi kokuhlolwa kwe-thyroid stimulating hormone (TSH).Isibonelo - i-amiodarone, i-lithium, i-potassium iodide, i-prednisolone, i-dopamine.Ngakho-ke, uma isiguli sithatha noma iyiphi yalezi zidakamizwa, kubalulekile ukutshela udokotela ngaphambi kokuthatha ukuhlolwa kwe-TSH.Ngokweseluleko sikadokotela, ukuhlolwa kungenziwa ezinsukwini ezimbalwa ngemva kokuyeka le mithi.
Ngemuva kokuhlaziywa kwe-TSH futhi esimweni se-thyroid engasebenzi, odokotela batusa ukuthatha ithebhulethi eyodwa ye-hormone yegilo yokwenziwa ngosuku.Lokhu kulinganisa ama-hormone futhi isiguli siqala ukuzizwa sijwayelekile.Abantu abakhuluphele nabo bayancipha.Ezinyangeni ezimbili noma ezintathu ngemuva kokuthatha umuthi, baphinde bahlolela i-TSH futhi bawukhansela umuthi ngemuva kokujwayelekile umphumela.
Ukwelashwa kwe-hyperthyroidism Kunezindlela eziningana zokwelapha lesi simo, njengokusebenzisa iodine enemisebe ukwehlisa amazinga egilo noma ukusebenzisa imishanguzo ye-antithyroid ukumisa ukukhiqizwa ngokweqile kwamahomoni.Lokhu kuphazamiseka kubangela ukwanda ngokweqile kwesilinganiso senhliziyo, okungahle kujwayeleke ngama-beta-blockers.Ukuhlinzwa kuyenziwa futhi uma isimo siba sibi kunesidingo.
Ukuhlolwa komdlavuza wegilo kubukeka kanje: NgokukaDkt. Umar Afroz we-AIIMS ehlotshaniswa ne-myupchar.com, umdlavuza wegilo uyakheka kumaseli endlala yegilo.Ukuhlolwa okuhlukahlukene kwenziwa ukuze kuhlonzwe, okuhlanganisa i-ultrasound, ukuskena, i-biopsy, ne-laryngoscopy.Ngaphezu kwalokho, hlola amazinga e-calcium, i-phosphorus ne-calcitonin egazini.

 
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