Tšoelesa ea qoqotho ke e 'ngoe ea likarolo tsa bohlokoahali tsa tsamaiso ea endocrine. O ikarabella bakeng sa tlhahiso ea lihormone tse hlokahalang bakeng sa 'mele oa motho - thyroxine (T3) le triiodothyronine (T4).
Kantle ho bona, tsela e tloaelehileng ea lits'ebetso tse ngata tsa metabolic ha e khonehe. Haeba lihormone tsena li sa hlahisoe ka bongata bo lekaneng, ho ka hlaha lefu le kotsi le kang hypothyroidism. Autoimmune thyroiditis, Psychology e ikemiselitseng ka liphatsa tsa lefutso, hangata e fetoha sesosa sa motso.
Matšoao a tšoaetso ea lefu lena a hlaha hangata hang, empa maemong a mang setšoantšo sa lefu lena le bohlasoa, mokuli a ka nna a se ke a belaella hore oa kula. Mofuta ona oa lefu o bitsoa subclinical hypothyroidism.
Boloetse ke bofe?
Ha e le hantle, "subclinical" e bolela "pele matšoao a hlaha." Ka mantsoe a mang, lefu lena le se le hlahile, 'me le ntse le tsoela pele, empa matšoao a lona ha a bonahale.
Subclinical hypothyroidism le eona e na le mokhoa o fapaneng - o bonts'a hypothyroidism. Maemong ana, matšoao a bonahala habonolo ka thuso ea liteko tsa laboratori, le tlhahlobo ea kantle ea mokuli.
Subclinical hypothyroidism e hlaha ka mabaka a tšoanang le a eona a atileng sebopeho - a bontša hypothyroidism. Lisosa tsa lefu lena ke tse latelang:
- Ho haelloa ke iodine 'meleng (hangata ho bonoang ho baahi ba libaka tse haufi);
- Congenital hypothyroidism le tlhekefetso ho nts'etsopele ea tšoelesa ea qoqotho;
- Tšoelesa ea qoqotho e tlosoa ka ho feletseng kapa ka tsela e itseng ka lebaka la sebopeho sa litla tse mpe;
- Phekolo ea qoqotho e sebelisa iodine ea radioactive;
- Phekolo ea nako e telele le thyreostatics - lithethefatsi tse hatellang tšebetso ea tšoelesa ea qoqotho;
- Ho ruruha ha radioactive ea tšoelesa kapa likarolo tse haufi tsa 'mele le eona ke tšusumetso ho nts'etsopele ea autoimmune thyroiditis;
- Thyroiditis ea tlholeho e fapaneng ea tlhaho e bang teng ka eona ke phetiso ea lisele tse sebetsanang tsa tšoelesa.
Autoimmune thyroiditis e ka tsamaisana le subclinical hypothyroidism. Ka lefu lena la methapo, li-antibodies tse khethehileng li qala ho hlahisoa 'meleng oa motho - lintho tse hlahisoang ke sesole sa' mele tse arabelang liseleng tsa qoqotho li tšoana le tsa linaha tse ling 'me li qala ho li senya. Matšoao a boetse a bobebe haholo Ka hona, ho thata ho qala kalafo ka nako.
Autoimmune thyroiditis ke lefu le futsitsoeng kapa le hlaha kamora mafu a tšoaetsanoang a tšoaetsanoang le a vaerase.
Subclinical hypothyroidism hangata e hlaha ka lebaka la lefu lena la mafu a itseng, hobane thupelo ea eona le nts'etsopele e lieha haholo, matšoao a itseng hangata a ba sieo.
Setšoantšo sa kliniki ea lefu lena
Matšoao a lefu lena a lula a le bonolo, hangata ha a hlokomeloe ho hang, a re ba sebetsa ka thata kapa ho ba le moea o mobe. Matšoao a mantlha mohato oa pele, a bonts'a hore mokuli o hlaolela subclinical autoimmune hypothyroidism:
- Lethargy, ho hloka thahasello;
- Ho lieha, ho se batle ho nka khato.
- Takatso ea thobalano e theohile.
- Ho phahamisa boima ba 'mele, empa, ho fapana le ho bontša hypothyroidism, e lieha ho e-na le ho ba bohale.
Matšoao a lefu le tsoelang pele a tsebahala. Ho eketsa hypothyroidism e atamelaneng ho ka lemohuoa ka matšoao a latelang:
- Letlalo le omeletseng, le letsoai le sa phetseng hantle;
- Moriri o bobebe, o bobebe o tloaetse ho lahleheloa;
- Ho sokela hangata, ho otla ha pelo, bohloko bo ka mpeng - matšoao a tloaelehileng a lefu lena;
- Ho eketsa boima ba 'mele khafetsa, leha o ikoetlisa le ho ja;
- Myxedema - ho ruruha ha mmele le litho tsa ka hare;
- Ho ilela khoeli ho sa tloaelehang, ho fokotseha potency.
Bohlokoa: subclinical hypothyroidism hangata e bonoa nakong ea tlhahlobo e tloaelehileng kapa ha ho hlahlojoa pathology ea litho tse ling. Ke ka seoelo a mo tsebang ka boiketlo ba hae.
Mokhoa oa ho fumana lefu
Bakeng sa ho tseba lefu le ho fana ka kalafo, ho hlokahala ho etsa tlhahlobo e felletseng ea mokuli. Hangata ho hlokahala liteko tse tšoanang tse reretsoeng ho belaela autoimmune thyroiditis.
Teko ea mali bakeng sa boteng ba li-hormone tsa qoqotho ea tšoelesa ea qoqotho. Triiodothyronine le thyroxine e lokela ho ba ka tekanyo ea 2,6-5.7 mmol / litha le 9.0-22.0 mmol / litha, ka ho latellana, haeba lefu le sa hōle. Bothata ke hore haeba "subclinical hypothyroidism" e hlaha, boemo ba li-hormone bo fokotseha butle butle. Ho latela lipatlisiso tsena feela, ho batla ho le thata ho fumana lefu lena.
Teko ea mali bakeng sa lihormone tse hlasimollang tsa qoqotho. Tekanyo ea lihormone tsena ho motho ea phetseng hantle ke 0,4-4.0 mU / litha. Tšoelesa ea pituitary hang-hang e sebetsana le liphetoho tse nyane 'meleng, hobane tlhahlobo ena ke senotlolo haeba u hloka ho hlahloba lefu la qoqotho.
Ho fumanoa ha li-antibodies ho thyroglobulin le thyroperoxidase maling. Haeba motho a phetse hantle, joale a ka ba sieo maling, kapa a bonoa ka bongata bo sa feteng 0-18 U / ml le 0-5.6 U / ml. Haeba matšoao ana a fetisoa, ho ka boleloa hore autoimmune thyroiditis e-ba teng, le haeba matšoao a mang a sa hlokomeloe.
Scintigraphy ea tlameha - ena ke mokhoa oa ho bona bokhoni ba tšoelesa ea qoqotho ho ntša iodine maling le ho kopanya lihormone ho eona. Mofuta o mong le o mong oa hypothyroidism o tšoauoa haholo ke taba ea hore tšoelesa ea qoqotho e amohela iodine makhetlo a mangata ho feta ho motho ea phetseng hantle.
Haeba lefu le fumanoa ke litholoana tsa liteko tsohle tse ka holimo, ho tla hlokahala lithuto tse ling. Sena sea hlokahala e le hore u tsebe sesosa sa hypothyroidism. Sena se kenyelletsa mesebetsi e kang ultrasound, tomography e kopantsoeng, MRI, palpation ea qoqotho ke endocrinologist.
Kamora ho hlahloba sephetho sa tlhahlobo, ho tla khethoa maqheka a nepahetseng a kalafo.
Phekolo e joang?
Phekolo ea subclinical hyperteriosis e ipapisitse le melao-motheo e tšoanang le kalafo ea lipontšo leha e le life tsa khaello ea lihomone tsa qoqotho. Ho joalo
- Pheko ea Hormone. Phekolo le litekanyetso tsa lithethefatsi li khethoa feela ke ngaka. Thyroxine kapa levothyroxine hangata e laetsoe.
- Phekolo ea lefu le ileng la qholotsa nts'etsopele ea hypothyroidism.
- Phetoho ea matla. Ho sa tsotelehe hore na ho fumanoe mofuta ofe oa hypothyroidism, kalafo e sebetsang e ka se khonehe ntle le phepo e nepahetseng le e nepahetseng ea mokuli.
Khaello ea iodine hangata e bakoa ke mathata a metabolic. Ka hona, ho bohlokoa haholo ho kenyelletsa lijo tse nang le mafura a mangata, tšilo ea lijo tse hlasimollang - litholoana tse tala le meroho, lijo-thollo, litlama. Ho thibela ho sokela, etsa bonnete ba hore o sebelisa oli ea meroho.
Iodine e fumanoa litlhapi tsa leoatleng, leha e le efe ea lijo tsa leoatleng, leoatle la leoatle. Lijo tse joalo li lokela ho fanoa pele bakeng sa lefu leha e le lefe la qoqotho.
Phepo e khothalelitsoeng
- Ho hana lijo tse nang le mafura le lihlahisoa tse felileng, lijo tse potlakileng, soseji, lijo tse ka makotong;
- Thibelo e phahameng haholo ts'ebelisong ea li-muffin le lihlahisoa tsa phofo;
- Fokotsa tšebeliso ea letsoai le metsi ka lebaka la kotsi e kholo ea edema.
Ho kenyelletsoa ho tlatselletso lijong tsa lijo tse kenyelletsoeng li-multivitamin complexes. Phekolo ka litokisetso tse nang le livithamini le liminerale e khothalletsoa makhetlo a 'maloa ka selemo.
