TSH - emagama. Ukuhlolwa kwegazi, TSH - okulotshiweyo

Abanye abantu baye bathola ukuthi basuke ukuhlaziywa yabelwe ku TTG, emagama ayaziwa kubo. Lokhu i-hormone yegilo-inkanuko, okuyinto hormone glycoprotein ka pituitary. Phakathi kwabo, kungase futhi kube ngokuthi hCG, FSH futhi LH. Kodwa kungenjongo yegilo-inkanuko-hormone okuthiwa i - iyona Regulator eyinhloko ukusebenza yegilo indlala ngokwawo. Linganisela ilawula uketshezi of thyrotropin-ukukhulula isici. Iphinde ulawula uketshezi of thyroxine futhi triiodothyronine, okuyinto ifakwe T4 futhi i-T3, ngokulandelana. ingqondo kubaluleke kakhulu igazi lomuntu, nokudludliza kwakhona ubufakazi bokuthi izinguquko ezinkulu olwenziwa emzimbeni womuntu.

Meaning of yegilo inkanuko i-hormone emzimbeni womuntu

TSH Assay kulungiswa ufeza indima ebaluleke kakhulu kubona bonke abantu. Lokhu i-hormone sina kuthinta izinqubo ezahlukene umzimba ezenzeka indlala yegilo. Sinenkosi ukuxhumana receptor cell ulwelwesi kuka kusebenze adenylate cyclase. Kugcine ezizokhuthaza ukukhiqizwa kwamangqamuzana ekamu. Lapho zamagama futhi uketshezi of T3 ne-T4 kuthiwa iyakhula, futhi indlala yegilo uhlala okuhlangene ngokomzimba futhi umsebenzi wayo umthetho. I-hormone lokuhlushwa ukuhlaziywa ukucacisa igazi TSH, emagama zazo ukudweba isithombe esicacile okwenzekayo. Njengomthetho, it is ebekiwe ezimweni ezinjalo:

- ukubekela eceleni hyperthyroidism noma i-hypothyroidism;

- ukulandelela imiphumela antithyroid yokwelapha izidakamizwa e-hyperthyroidism;

- ngenhloso ukuqapha T4 ukucindezelwa endaweni goiter akunabo ubuthi, noma ukulawula nokucindezela T4 - umthelela trophic ka TSH endaweni goiter akunabo ubuthi noma "amasayithi cool";

- ukuhlola Ukuphendula inkanuko test.

izindlela zesimanje ekutholweni TSH kuphumelela kakhulu futhi ngempela kufinyeleleke. ukuhlaziywa wabo usetshenziselwa ukukhomba amafomu subclinical futhi esicashile ka-hyperthyroidism noma i-hypothyroidism. Lokhu inhlolovo kungenzeka ukufeza noma iyiphi laboratory zokuxilonga.

izinkomba ngoba

- ukuhlolwa kwe-TSH Assay inhlolovo, sokuqonda okuzokwenza enze kube nokwenzeka ukuba ichaze hypothyroidism kufihlwe;

- ukuze kuhlonzwe umehluko yizifo ezihlobene nokungabikho indlala yegilo;

- ukunquma esiteji hypothyroidism eyinhloko noma i-hyperthyroidism;

- ukuqapha nokwanela yokwelashwa nge-hormone.

Ukulungiselela i-ukuhlaziywa

Ukuze ucwaningo wayeqinisile, kufanele unikele ngegazi esiswini esingenalutho. amanzi kuphela ovumeleke. Kuzothatha okungenani amahora angu-8 ngemva esidlweni sokugcina. Inhlolo-vo kumele kwenziwe ngaphambi kokuba uqale ngemithi. Uma baye kakade, bese kudingeka ulinde kudlule amasonto amabili kusukela ukusetshenziswa yabo yokugcina. Uma udinga ukuhlolwa ngesikhathi ukwelashwa ke qiniseka ucacise ukuthi yamukelwe yisiguli. Ngaphambi kosuku luhlolo singadli ukudla okuthosiwe nokudla okunamafutha, utshwala akuvunyelwe kanye nokuzivocavoca sina. Akubalulekile ukuya lab emva ukwelashwa ngokomzimba, luhlolo rectal, ultrasound, fluoroscopy, x-ray. On umphumela isifundo okungaphazamisa izidakamizwa ngabanye ezifana acetylsalicylic acid, corticosteroids, amalungiselelo iodine. Hilez isampula kanye hemolysis - futhi esinye sezici ezingathinta ukuhlolisisa efanayo.

ukuhumusha imiphumela

Igazi yokuhlola TSH, sokuqonda enikeza ithuba elihle kakhulu lokuhlola umsebenzi indlala yegilo kubaluleke kakhulu kulabo bantu banezinkinga ezithile zezempilo. Ngokuhlola nesineke, odokotela unaka ngokukhethekile nenani engezansi inkomba. I lokuhlushwa le hormone kubaluleke kakhulu kulezi zimo:

- uma udinga ukuxilonga i-hyperthyroidism;

- ukuqapha lezi zinhlobonhlobo zezenzo ezingafanele goiter;

- ukucindezela amazinga TSH futhi ukuhlukanisa i-hyperthyroidism kweqiniso ukuthi kwenzeka ngesikhathi yokuzala;

- ukuthola izizathu Imiphumela etshiyeneyo ka ukuzimisela T4 futhi hormone yegilo-inkanuko kusukela isithombe emtholampilo;

- endabeni ukusetshenziswa esiningi ama-hormone egilo;

- endabeni zinsiza, equkethe T3;

- uma kukhona zokugula vnetireoidnaya;

- endabeni enganele yokwelapha i-hormone yegilo;

- uma usebenzisa imithi okungase kuthinte isimo yegilo;

- endabeni all-out ukumelana tireogormonam.

Kukhona izinkomba ezithile, owawuthi kunqunywa ukuhlolwa igazi TSH, emagama, isilinganiso. Ngokuhambisana kubo umuntu lo mphumela ifinyelela okubaluleke kakhulu ka 3.5 10 iminyaka, futhi abesifazane - 4.2. Kube nomphumela omuhle kakhulu kungabonakala nasemkhakheni abesifazane abakhulelwe senyanga zokugcina - 3.2.

Uyini umphumela omuhle?

Lapho kubaqoqi ihlaziya hormone TTG, sokuqonda kwabo kubonisa ukuthi izinga ephakeme kunalokhu okujwayelekile, lokho kubonisa khona kungenzeka izifo ezifana:

- umdlavuza indlala yegilo;

- goiter sendawo;

- uketshezi ethunjini ezenzeka izimila wamaphaphu noma nomdlavuza;

- thyroiditis;

- yegilo hypofunction e esigabeni sokuqala;

- isimila pituitary.

Yini Ngenani eliphansi?

Uma imiphumela yokuhlaziya ngezansi evamile, liphinde eyabonisa pathologies ezehlukene, ezihlanganisa:

- yokulimala noma pituitary isimila;

- khona lesi sifo Cushing ;

- hypothalamo-hypophyseal esingamahlalakhona;

- Hyper umsebenzi ndlala esigabeni eyinhloko.

Ngakho, siyabona ukuthi ukuhlaziywa TSH, kulungiswa kubaluleke kakhulu kuwo wonke umuntu. Lokhu i-hormone ulawula umsebenzi indlala yegilo, futhi kuwo kukhona izinqubo kuyindaba ebalulekile umzimba, okuyinto kusithinta ngempela isimo somuntu. Noma yimuphi ngeziphambeko emalungiselelweni ayo kungaholela emiphumeleni engathí sina. Ngokuvamile kungaba ngisho ukubulala. Ngakho-ke kudingekile ukuba ngempela unake empilweni yabo. Uma uzizwa nakakhulu, unganqikazi, une ukuya kudokotela. Lo chwepheshe uzoqoka ukuhlolwa ezifanele futhi bakwazi ngesikhathi ukuxwayisa kwesifo ngokwaso noma imiphumela yayo yingozi. Zinakekele, obathandayo futhi uhlale unempilo!