Kho tau zoo ntawm subclinical hypothyroidism > Mob ntshav qab zib muaj teeb meem

Hauv tsab xov xwm no koj yuav kawm:

Subclinical hypothyroidism - qhov no yog yam uas kws kho mob hu ua tus mob thaum cov thyroid hormones txaus me ntsis, thiab tsis muaj cov tsos mob tshwm sim. Subclinical hypothyroidism nyuaj rau kuaj mob, tab sis nws yog nws leej twg ua rau ntau lwm yam kabmob.

Ua rau muaj tus kabmob

Tus thawj coj hauv ntau zaus ntawm subclinical los yog latent hypothyroidism yog ib hom mob ntev ntawm cov leeg mob qog ua ntshav. Cov chaw ntawm cov thyroid caj pas puas los ntawm o yog maj scarring, uas yog, lawv dhau nrog cov tsis muaj mob thiab tsis zoo sib txuas ua ke. Tus so ntawm cov thyroid caj pas txuas ntxiv ua cov tshuaj hormones, tab sis tsis tuaj yeem tiv thaiv.

Nyob hauv thib ob yog qhov xwm txheej tom qab tawm qee cov thyroid caj pas los yog tom qab rov ua tiav, yog tias ib tug neeg noj tshuaj levothyroxine tsis txaus.
Subclinical hypothyroidism kuj tseem tuaj yeem los ntawm kev kho mob Graves 'kab mob nrog thionamides lossis radioactive iodine.

Tom qab yug menyuam los yog subacute thyroiditis, hluav taws xob tawg ntawm lub taub hau thiab caj dab, ncua sijhawm ntau thiab ntau dua ntawm amiodarone, tshuaj ntsev iodine, lithium npaj thiab qee lwm yam tshuaj yog qhov tsawg dua ua rau tus kab mob.

Qee zaum cov qog ua haujlwm lub qog ua haujlwm tsis tiav, lossis tseem tsis tuaj kiag li. Hauv ob qho xwm txheej, tom qab kuaj pom, tus neeg mob yuav siv cov thyroid hormones, thiab yog tias lawv cov koob tshuaj me ntsis tsis txaus, ces subclinical hypothyroidism tshwm sim.

Txheeb nrog kev ntseeg nrov, iodine tsis muaj peev xwm, txawm hais tias nws tuaj yeem ua rau subclinical hypothyroidism, tam sim no tsis tshua muaj. Qhov laj thawj rau qhov no yog iodized ntsev. Yog li, ntau cov hnyuv ntxwm, cheeses, cov khoom tiav ib nrab thiab lwm cov khoom lag luam yog cov ntsev ntawm lub Hoobkas nrog iodized ntsev. Ib qho ntxiv, ntau tus neeg yuav ntsev nrog iodine yam tsis xav txog nws txhua.

Yuav kuaj li cas?

Subclinical hypothyroidism ntawm cov poj niam, tshwj xeeb hauv plaub xyoo caum ntawm lub neej, tshwm sim 9 lub sijhawm muaj ntau dua li tus txiv neej.

Nws feem ntau tau nyaij tiav kiag li asymptomatic los yog nrog cov tsos mob heev heev uas tsis tseem ceeb, uas yog, lawv tuaj yeem sib raug rau ntau lwm yam kab mob. Yog li, nrog subclinical hypothyroidism, kev txawj ntse, kev kawm muaj peev xwm, cim xeeb, mloog, hais lus qeeb, txav qeeb, ib tug neeg ua phlegmatic, plaub hau hlob zoo npub, cov rau tes tawg ... Daim ntawv no tuaj yeem txuas ntxiv, tab sis koj yuav tsum lees tias qhov kev piav qhia yog qhov tsim nyog rau lub caij tsis muaj cov vitamins lossis nkees.
Nws paub tias nrog hypothyroidism, ntshav txaus hauv lub hlwb txo qis rau 38% qis dua qub, thiab oxygen thiab qabzib nce mus txog 27%. Qhov no tsis tsuas yog ua rau qeeb kev xav, tab sis kuj tsim kev nyuaj siab. Ib ntawm kaum leej nrhiav kev pab rau kev nyuaj siab muaj subclinical hypothyroidism. Ntawm txhua qhov kev nyuab siab uas tshwm sim hauv tus neeg mob tsis tseg, yuav luag ib nrab yog vim yog subclinical, lossis tam sim no tsis ntev, hypothyroidism.

Txog subclinical hypothyroidism hais lus ua ke ntawm peb yam cim no:

Tsis tuaj los yog cov tsos mob tsis tseem ceeb.
Qeb ib txwm yog T4 thiab T3 lossis ntawm tus nqi qis dua ntawm tus txheej txheem.
High-thyroid-stimulating hormone.

Qhov kawg nkaus yog qhov tseem ceeb tshaj plaws, vim tias nws yog siv los ua kev tswj hwm kev kho mob.

Dab tsi los xij ua rau ntawm subclinical hypothyroidism, nws yog qhov ib txwm ua ntawm TSH concentration uas yog tus qauv ntawm kev kho.

Vim li cas thiaj tau kho?

Nws yuav zoo li tias tsis muaj cov tsos mob, cov tshuaj hormones yog dab tsi - yog li vim li cas kho? Txawm li cas los xij, hormonal tsis txaus ua rau lub cev noj qab haus huv kev sib haum xeeb ntawm cov txheej txheem hauv lub cev thiab ua kom ntau ntxiv ntawm cov kab mob ntev.
Qhov tsis muaj cov thyroid hormones, txawm tias ua tsis tau, ua rau muaj cov roj cholesterol ntau dua thiab yog li pab txhawb kev txhim kho atherosclerosis.

Ntxiv mus, theem ntawm cov thyroid hormones tseem ua rau lub siab. Yog hais tias nyob rau hauv ib lub xeev tsis txav chaw lub plawv ua haujlwm zoo kawg nkaus, tom qab ntawd thaum muab qhov kev thauj khoom tsawg kawg siab dua li ib txwm, nws nres tsis kam.

Txawm tias qhov me me tsis muaj cov thyroid hormones txaus, yog tias nws kav ntev txaus, ua rau txo qis hauv libido, thiab ua rau muaj menyuam. Tus poj niam taug kev mus rau cov kws kho mob poj niam, nrhiav qhov ua kom muaj menyuam muaj sia, ua tsis tiav IVF thiab tsis muaj cov tsos mob tshwm sim tam sim no. Kev soj ntsuam cov thyroid cov tshuaj hormones rau kev xav tias muaj menyuam yaus xav tau.

Hypothyroidism, txawm tias subclinical, hauv cov poj niam cev xeeb tub tuaj yeem cuam tshuam kev loj hlob ntawm tus menyuam. Cov teeb meem feem ntau tshwm sim nyob rau theem tom ntej yog kev txhim kho hauv kev tiv thaiv cov kab mob hlwb, dementia, thiab teeb meem hnov lus. Thaum pib cev xeeb tub, subclinical hypothyroidism predisposes rau nchuav menyuam.

Coob tus neeg yws tias lawv tuaj yeem tsis tuaj yeem yuag, txawm hais tias tag nrho cov kev siv zog. Cov thyroid hormones muaj qhov tshwm sim rau yuav luag txhua yam hauv lub cev, suav nrog kev ua kom metabolism sai. Thiab nrog lawv tsis muaj lub zog ntawm cov nqi hauv lub cev yog qhov tsawg heev thiab nws yog qhov nyuaj heev rau ib tus neeg poob phaus.

Subclinical hypothyroidism, yog tias tsis kho, nws tuaj yeem kho nws tus kheej thiab yam uas tsis pom tseeb. Hmoov tsis zoo, muaj ntau kis mob thaum hypothyroidism cuam tshuam lub sijhawm.

Caws cov neeg tom qab lub sijhawm hypothyroidism, uas tuaj yeem ua rau subclinical. Tus mob no ploj mus nws tus kheej thiab feem ntau tsis tas yuav kho, tsuas yog saib xyuas.

Yuav kho li cas?

Cov lus hais tias qhov tsis muaj cov thyroid hormones yuav tsum tau kho nrog lawv cov kev qhia zoo li lub laj thawj. Yog li, tom qab peb mus rau rau lub hlis ntawm kev kho mob nrog levothyroxine, TSH raug rov tshawb xyuas dua. Thaum lub cev tsis muaj cov thyroid hormones txaus, nws ua rau lub qog ua haujlwm nrog lub qog ua haujlwm nrog TSH, uas ua rau nws muaj kev ua haujlwm ntau ntxiv.

TSH yog qib theem ib txwm, uas txhais tau hais tias qhov koob tshuaj ntawm lub cev yog qhov zoo tagnrho. Qee zaum hauv qhov no, tus kws kho mob maj mam txo qhov koob tshuaj ntawm lub cev lawm kom thiaj li txiav txim siab yam tsawg kawg uas tsim nyog rau tus neeg. Yog li nws yog qhov ua tau kom txo qis kev phiv tshuaj.
TSH tseem nce siab - qhov koob tshuaj levothyroxine yuav tsum nce ntxiv, tus neeg tseem muaj cov hypothyroidism.
TTG hauv qab ib txwm - noj ntau dhau. Txawm tias tsis muaj kev tsom xam, kws kho mob lossis tus neeg mob nyeem tau zoo yuav qhia tias muaj kev levothyroxine ntau dhau heev lawm. Ntxhov siab vim, npau luv luv, hloov pauv hloov pias, poob phaus, tshee tshee hauv tes thiab tseem muaj kev puas tsuaj ntawm txoj hlab ntshav plawv tsis muaj laj thawj yog txhua yam tshwm sim ntawm hyperthyroidism, i.e., dhau li ntawm cov thyroid hormones. Yog hais tias kev noj tshuaj tshaj yog me me, ces subclinical hyperthyroidism, kev kuaj mob uas tsis tuaj yeem ua yam tsis muaj kev tshawb xyuas TSH.

Qhov xwm txheej tom ntej no yog qhov txaus ntshai tshaj plaws rau cov neeg hauv hnub nyoog laus, txij li yuav luag ib puas feem pua ntawm lawv muaj kab mob plawv. Thiab levothyroxine, zoo li kev tsim cov thyroid hormones txaus, ua rau lub siab ua haujlwm hauv ntau hom. Ib qho mob plawv tuaj yeem tsim, pauj lossis ua rau lub plawv mob plawv.
"Myths", yuam kev thiab "ntxiab" hauv kev teem caij ntawm levothyroxine:

Qhov xav tau rau levothyroxine sodium nws txawv nyob rau lub sijhawm sib txawv ntawm lub xyoo.
Txhaum hauv lub sijhawm teem ntawm cov tshuaj.
Thau tawm ob peb lub lis piam ua ntej qhov kev ntsuas ntsuas TSH kuaj pom.
Txo cov koob tshuaj levothyroxine thaum cev xeeb tub.

Tib lub sijhawm, tus neeg mob tau kuaj xyuas seb yog vim li cas thiaj ua rau hypothyroidism thiab pib kho nws. Nws yog ib qho tseem ceeb kom nkag siab tias yog tias qhov ua rau hypothyroidism tsis tuaj yeem tshem tawm thiab cov thyroid caj pas tseem tsis tuaj yeem tsim cov tshuaj hormones txaus, ces ib tus neeg yuav tsum noj levothyroxine ntau xyoo.

Tus txheej txheem ntawm kev txhim kho cov kabmob

Thawj subclinical hypothyroidism (SG) tsis muaj qhov tshwm sim los ntawm cov phiaj xwm sab nraud, yog li nws tseem hu ua latent lossis latent. Pathology tshwm sim vim qhov ua haujlwm tsis zoo hauv cov thyroid caj pas thiab txiav txim siab tsuas yog nyob hauv kev sim los ntawm cov ntsiab lus siab ntawm TSH hauv cov ntshav. Raws li kev txheeb cais, nws yog ntau yam mob hauv cov poj niam tom qab 50 xyoo.

Ib subclinical daim ntawv ntawm hypothyroidism muaj ntau dua li kev kuaj mob hnyav. Hauv plawv ntawm cov kab mob pathology yog thyroxine deficiency, uas koom nrog cov metabolism hauv metabolism. Txhawm rau tswj cov theem qoj ib ce, cov qog paim ua ntej pib ua TSH. Qhov no cov tshuaj no stimulates secretory kev ua si ntawm cov thyroid caj pas. Nws pib zais ntau dua thyroxine, uas txwv tsis pub muaj kev cuam tshuam loj heev nyob rau hauv kev ua haujlwm ntawm cov endocrine thiab lwm cov kab ke.

Feem ntau ntawm subclinical hypothyroidism ntawm cov pejxeem tsis ntau dua 1%, ntawm cov poj niam ntawm lub hnub nyoog yug menyuam - 2%. Tom qab lawm, qhov txaus ntshai ntawm lub qog ua hauj lwm nce li 3.5 zaug.

Hauv cov cheeb tsam cuam tshuam, subclinical hypothyroidism feem ntau pom vim muaj iodine tsis muaj peev xwm. Ib qhov cim tseg keeb yog ib feem ntawm cov thyroid hormones:

Kev tsim nyog rau txhua hnub rau ib tus neeg laus hauv iodine yog 0.15 mg. Ib qhov tsis txaus micronutrient yog fraught nrog cov kab mob endocrine loj - subclinical thiab chaw kho mob hypothyroidism hnyav, mob ntxiv mus, tus kab mob Bazedova, cretinism.

Endocrinologists qhia txog ntau yam uas ua rau muaj cov thyroid tsis ua haujlwm thiab subclinical hypothyroidism:

autoimmune swb
kev siv tshuaj kho hluav taws xob,
kho nyob rau hauv cov synthesis ntawm cov thyroid hormones,
iodine deficiency mob
kev phais mob tshem tawm ntawm ib feem ntawm cov thyroid caj pas,
kev noj tsis txaus.

Nrog rau subclinical daim ntawv ntawm hypothyroidism, daim duab tsos mob tsis tuaj. Tus kab mob yog kuaj tau raws li kev txheeb xyuas cov ntsiab lus ntawm TSH, T3 thiab T4. Pathology feem ntau pom muaj rau cov pojniam laus dua. Tom qab 3-5 xyoos, kev cuam tshuam los ntawm hormonal tshwm sim los ntawm cov tsos mob hnyav hauv ib nrab ntawm cov neeg mob.

Yuav ua li cas thiaj xav tias yog qhov asymptomatic form ntawm hypothyroidism

Cov yam ntxwv ntawm subclinical, lossis latent, hypothyroidism muaj, tab sis lawv tsis qhia meej. Cov thyroid tsis muaj qhov ncauj qhov ntswg los ntawm lwm yam kab mob, yog li lub sijhawm ntev ntev cov neeg tsis mus rau tus kws kho mob endocrinologist.

Subclinical hypothyroidism ua rau muaj kev nyuaj siab ntau dua. Hauv 52% ntawm cov neeg mob uas muaj kev nyuaj siab ntau, kev kuaj pom cov thyroid tsis txaus.

Cov tsos mob nrog tus mob hypothyroidism latent:

cem quav ntev
osteoarthrosis,
coj khaub tsis xwm yeem,
biliary dyskinesia,
mob gallstone
diastolic tawg,
polyarthritis
tsawg fertility.

Nyob rau hauv dav dav, nrog subclinical daim ntawv ntawm tus kab mob, lwm qhov kev qhia sab nraud yuav tsum tsis tuaj. Tab sis kev hloov pauv hauv cov tshuaj hormonal metabolism, cuam tshuam rau kev ua haujlwm ntawm cov kab ke tseem ceeb - kev tiv thaiv lub cev, lub plab zom mov, lub plawv, lub siab. Tawm tsam keeb kwm ntawm iodine tsis muaj tseeb:

poob qis kev txawj ntse
txhaj tshuaj tiv thaiv kab mob
tej ntshav siab,
mob taub hau
impotence
tsaug zog
heev los ntawm khaub thuas.

Tus yam ntxwv ntawm subclinical hypothyroidism yog tus cwj pwm kev ua lub siab tawv (tsis khov). Yog tias tsis kho, cov duab hauv chaw soj ntsuam ntxiv los ntawm:

nyuaj siab lub xeev
nkees
ntxhov siab
nco tau tsis meej,
qaug zog,
nkees.

Txawm tias qhov me ntsis tsis muaj T4 nyob rau hauv lub cev ua rau ua txhaum ntawm cov rog metabolism, uas yog fraught nrog:

hnyav
atherosclerosis,
mob hlwb ntawm angina pectoris.

Hauv 80% ntawm cov neeg mob latent hypothyroidism, hloov pauv pathological ntawm cov hlab plawv yog sau tseg - myocardial hypertrophy, tachycardia, hypotension.

Kev kho tsis txaus ntawm keeb kwm yav dhau los thaum cev xeeb tub yog qhov txaus ntshai rau kev xeeb tub hauv plab, lub paj hlwb thiab kev txawj ntse ntawm cov menyuam mos.

Yuav ua li cas yog tias tsis kho

Hauv daim ntawv latent ntawm tus kabmob, theem ntawm T3 thiab T4 hauv 98% ntawm cov neeg mob tseem nyob hauv ib txwm muaj. Yog li, ntau ntawm lawv thov endocrinologist yog tias subclinical hypothyroidism yuav tsum tau kho. Cov kws kho mob xav siv tshuaj vim qhov muaj qhov phom sij loj ntawm qhov teeb meem.

Sij hawm dhau mus, lub qog ua haujlwm tsawg dua, yog li txawm tias nyob hauv lub zog ntawm TSH, qhov tseem ceeb ntawm cov thyroid hormones hauv lub cev maj mam poob qis. Kev tsis quav ntsej tus kabmob coj mus rau qhov tsis zoo:

Ua rau cov tshuaj metabolic qeeb,
lub qog o
rog dhau
kev nyuaj siab mob
cem quav ntev
arrhythmia,
myocardial infarction
nco qab tsis zoo
ntxiv lawm tshob
txo qis hauv kev txawj ntse kev ua si,
ua kom tsaug zog dhau hwv
cerebral arteriosclerosis,
txuam nrog kua hauv pleural kab noj hniav,
txos qhov kub ntawm lub cev
hypothyroid coma.

Txhawm rau them nyiaj rau qhov tsis muaj T3 thiab T4, lub cev txhawb kev loj hlob ntawm cov thyroid caj pas. Nrog rau qhov nce ntxiv hauv nws thaj chaw, qhov ua tau ntawm iodine ntes los ntawm cov ntshav nce ntxiv, uas yog qhov tsim nyog rau kev tsim hluav taws xob ntawm cov thyroid hormones. Yog hais tias subclinical daim ntawv ntawm hypothyroidism dhau los ua qhov tsis sib haum xeeb, tus neeg mob poob rau hauv lub ntsej muag hypothyroid.

Yuav tsum tau xeem dab tsi dhau

Kev kuaj mob ntawm subclinical hypothyroidism yog tsim los ntawm tus endocrinologist raws li cov txiaj ntsig ntawm kev soj ntsuam txhua yam. Yog tias xav paub tsis meej cov tshuaj tiv thaiv hormonal, kuaj ntshav thiab ultrasound ntawm cov thyroid caj pas yog kho.

Cov hau kev tseem ceeb rau kev soj ntsuam hypothyroidism:

Kuaj ntshav rau TSH, T3 thiab T4. Nrog latent hypothyroidism, T3 thiab T4 nyob rau hauv thaj tsam li ib txwm txwv, thiab cov concentration ntawm TSH ntau dua li 4 mIU / L.
Ultrasound ntawm cov ua cov thyroid caj pas. Nrog rau subclinical daim ntawv ntawm tus kabmob hauv feem ntau cov neeg mob, qhov ntim ntawm lub caj pas txo. Tsuas yog 2% ntawm lawv thiaj li muaj kho mob qog ntshav qab zib.
Kev ntsuam xyuas rau cov tshuaj hormones steroid. Hauv cov txiv neej, qib ntawm testosterone tsawg dua, thiab hauv poj niam - estradiol.
Kev kuaj ntshav thyroid. Hauv 8 ntawm 10 kis, cov subclinical chav kawm ntawm pathology yog txuam nrog autoimmune thyroiditis. Raws li kev kuaj mob, tus kws kho mob endocrinologist txiav txim siab muaj cov autoantibodies rau cov thyroid hlwb hauv cov ntshav. Yog tias lawv lub siab tshaj 34 IU / ml, subclinical thawj hypothyroidism raug kuaj.

Nyob hauv cov xwm txheej tsis txaus ntseeg, kev kuaj qog thiab kuaj keeb kwm ntawm cov qog ua haujlwm nrog ua haujlwm. Kev txheeb xyuas tau ua nrog xav tias neoplasia, uas yog, qog.

Kev kho mob ntawm subclinical hypothyroidism

Qee qhov xwm txheej, kev kub siab rov qab yog qhov thim rov qab, yog li, tom qab kev txheeb xyuas qhov tseeb, kev tshawb xyuas ntxiv yog coj mus rau cov thyroid hormones thiab thyrotropin. Thaum paub tseeb tias kev kuaj mob, cov lus nug tshwm sim ntawm kev teem sijhawm kho cov tshuaj hormone hloov kho (HRT). Thaum tsis muaj qhov kev sim kho mob, kev kho mob yog nqa tawm yam tsis muaj tshuaj hormones. Tab sis txoj kev npaj lossis chav kawm ntawm cev xeeb tub yog qhov qhia meej rau HRT.

Kev tsis ncaj ncees kev kho mob ntawm subclinical hypothyroidism thaum xeeb tub yog qhov txaus ntshai nrog kev yug ntxov, menyuam khov.

Cov tshuaj noj, pab zaub mov noj, tshuaj vitamins

Ua ntej kho tus mob ua cov thyroid, txiav txim siab qhov ua rau muaj qhov ua tsis tiav hauv nws txoj haujlwm. Cov neeg mob uas muaj cov iodine tsis muaj mob txaus yuav tau noj tshuaj pab thiab tshuaj muaj iodine:

Antistrumine
Iodomarin
Iodine-Li Qub,
Iodine Khoom Siv
Poov tshuaj iodide,
Iodovital.

Cov tshuaj yeeb tshuaj yog coj hauv ib qho koob tshuaj uas sib haum rau lub cev txhua hnub ntawm lub cev rau iodine. Yog tias kev tsis txaus tshuaj hormonal yog los ntawm Hashimoto's thyroiditis, txoj kev kho suav nrog:

L-Thyrox Euro,
Bagothyrox,
Levothyroxine,
L-thyroxine,
Thyreotome
Kev Tiv Thaiv
Eutirox.

Nrog rau cov thyroid tsis muaj txhij txhua, txo qis hauv B₁₂ hauv lub cev. Yog li, cov neeg mob tau kho cov vitamins-mineral ntau nrog cyanocobalamin - Vitrum, Doppelherz Cov Khoom Siv, Kev Ua Kom Siab. Cov neeg mob nrog autoimmune tsis zoo yog pom zoo kom noj zaub mov zoo nrog selenium - Cefoselen, Poverful, Natumin Selen. Noj tshuaj pab rau 2-3 lub hlis ua rau muaj kev txo qis hauv kev ua haujlwm ntawm autoantibodies rau cov thyroid caj pas.

Cov Ua Rau Subclinical Hypothyroidism

Cov ua rau mob latent hypothyroidism yog tib cov txheej txheem uas ua rau kom muaj kev loj hlob ntawm classical hypothyroidism:

kev txhim kho ntawm tus mob autoimmune thyroiditis,

kev txhim kho plab hnyuv siab hauv lub cev xeeb tub,

tsis muaj txhij txhua ntawm cov iodine hauv tib neeg lub cev,

tshem tawm (tag nrho lossis ib nrab) cov thyroid caj pas (qhov no tshwm sim raws li kev taw qhia - mob qog ntawm lub qog),

siv sijhawm ntev hauv cov tshuaj uas kho cov thyroid caj pas (amiodarone, tshuaj uas kho teeb meem hauv lub plawv),

cov txheej txheem mob hauv ib cheeb tsam hauv nruab nrog cev (subacute o ntawm lub caj pas, tom qab yug lossis mob tsis muaj mob),

irradiation ntawm caj dab (muaj qhov tsis zoo ntawm qog caj dab),

kev kho mob ntawm lub qog nrog radioactive iodine.

Cov tsos mob ntawm subclinical hypothyroidism

Lub chav kawm ntawm subclinical hypothyroidism tsis yog tshwj xeeb tshaj tawm, nws tsis tuaj yeem tsis pom lossis tsis meej pem nrog qhov tsis zoo ntawm lub cev:

ua daus no tas li thiab lub siab chilliness,

qaug zog, zoo nkaus li nkees sai, cuam tshuam, nkees nkees,

tsis kam thiab tsis kam ua ib qho haujlwm,

nyiam kev nyuaj siab thiab poob siab,

tsawg dua mloog nrog,

Nrog rau kev txhim kho ntawm tus kab mob, cov tsos mob tau hais meej tshaj:

tsis muaj peev xwm ntawm kev txawj ntse,

hnyav

siab intraocular,

potency teeb meem

dryness, roughness thiab yellowness ntawm daim tawv nqaij,

nchuav menyuam - yug ntxov ntxov, tso tus menyuam tawm mus,

mob hnyav hauv cov leeg nqaij,

ua txhaum ntawm qhov excretion ntawm zis,

plaub hau poob, dryness thiab brittleness,

plaub muag o, lub ntsej muag puffy,

muaj zog endothelial kawg,

hypochromic anemia (kev txo qis hauv hemoglobin hauv cov ntshav liab).

Kev kuaj mob ntawm tus kabmob

Txhawm rau kom paub tseeb tias kev kuaj mob, nws yog ib qhov tsim nyog yuav tsum ua ib qho kev tshawb fawb tseeb:

kev ntsuam xyuas ntshav los txiav txim siab txog theem ntawm cov thyroid gland ntawm cov thyroid caj pas: feem ntau qhov ntsuas no yog 2.6-5.7 mmol / l, thiab sib piv 9.0-22.0 mmol / l ntawm triiodothyronine thiab thyroxine. Nws yog tsis yooj yim sua kom ua qhov tseeb kuaj mob tsuas yog ua raws cov ntaub ntawv ntawm qhov kev tshuaj xyuas no, txij li nrog subclinical hypothyroidism cov qib ntawm cov tshuaj hormones poob qis zuj zus.

kev txiav txim siab ntawm cov tshuaj tiv thaiv rau AT-TG (thyroglobulin) thiab AT-TPO (thyropercosidase). Hauv cov neeg muaj kev noj qab haus huv, feem ntau cov ntsuas no tsis tuaj yeem lossis lawv qhov kev kub siab yog tsawg heev: 0-19 U / ml thiab 0-5.7 U / ml. Ib qho kev nce ntxiv hauv kev ua tau zoo ntawm cov tshuaj tiv thaiv kab mob no qhia tau tias qhov xwm txheej autoimmune ntawm hypothyroidism.

ntsuam xyuas ntshav los txiav txim theem ntawm cov thyroid-stimulating hormone (TSH) ntawm lub caj pas pituitary: feem ntau nws qhov siab yog 0.5 - 4.3 Zib ntab / L. Qhov no yog ib qho ntawm cov pov thawj txaus ntseeg tshaj plaws ntawm kev txhim kho ntawm subclinical hypothyroidism - lub caj pas pituitary yog ib qho ntawm feem ntau rhiab ntawm lub hlwb uas teb rau txhua yam hloov pauv ntawm tib neeg lub cev. Thaum ua haujlwm ntawm lub qog ua haujlwm nrog lub qog ua qog, TSH QIB nce siab heev, vim tias cov khoom tsim los ntawm cov tshuaj hormones synthesized los ntawm cov khoom hauv nruab nrog tau poob qis dua.

Ib qho ntawm txoj hauv kev tsim nyog rau kev kawm cov pathology no yog scintigraphy, uas yog los ntawm kev siv isotopes siv hluav taws xob. Siv cov txheej txheem no, koj tuaj yeem soj ntsuam cov haujlwm ntawm cov thyroid caj pas, foci ntawm cov txheej txheem pathological lossis hloov pauv ntawm cov qauv vascular. Nrog hypothyroidism, cov thyroid caj pas yog khov kho nrog iodine ntau tsawg dua, uas pom meej meej thaum pom kev kawm.

Hauv kev kuaj ntshav, koj tuaj yeem nrhiav pom ntau yam ua haujlwm tsis txaus, qhov ua rau uas cuam tshuam los ntawm hemoglobin, tsis muaj hlau lossis vitamin B12 ntau.

Ib tug xov tooj ntawm cov kev tshawb fawb ntxiv tseem siv los kuaj subclinical hypothyroidism:

kev kuaj tshuaj ultrasound (ultrasound) ntawm cov thyroid caj pas - yog nqa los kawm cov qauv thiab qhov loj ntawm cov khoom nruab nrog. Cov kev pauv feem ntau nyob ntawm qhov ua kom muaj tus mob. Piv txwv li, hauv Hashimoto's disease, lub qog ua haujlwm lub qog muaj cov yam ntxwv zoo - "cov npauj-noj chaw".

Ultrasound ntawm lub plab zom plab yog ua nrog cov tsos mob hais tawm uas tuaj yeem qhia kev tsis saib xyuas ntawm tus kab mob.

Kev ntsuam xyuas xoo hluav taws xob ntawm lub hauv siab - tso cai rau koj los ntsuas qhov qib ntawm kev txhim kho ntawm lub cev pob txha (xav tias hypothyroidism hauv cov menyuam yaus) thiab muaj cov kua dej uas muaj cov qauv tshiab ntawm pathology.

electrocardiography - qhia cov zaus ntawm lub plawv txo qis thiab qis hluav taws xob tawg, uas tseem yog lub cim tseem ceeb ntawm kev txhim kho ntawm kev mob hnyav.

Kev Tiv Thaiv

Txog rau hnub no, tsuas yog cov hom hypothyroidism uas cuam tshuam nrog iodine tsis muaj peev xwm tiv thaiv tau, thiab qhov no yog qhov tsis tshua muaj pathology.

Txhawm rau zam kom tsis txhob muaj kev txhim kho kab mob pathology, tus poj niam cev xeeb tub yuav tsum xeem dhau tag nrho cov kev ntsuam xyuas saum toj no thiab, yog tias tsim nyog, pib kho rau sijhawm.

Kev Kawm: Diploma ntawm Lavxias State Medical University muaj npe tom qab N. I. Pirogov, tshwj xeeb "Cov Tshuaj Tshwj Xeeb" (2004). Chaw Nyob hauv Moscow State Medical thiab Dental University, daim ntawv pov thawj hauv "Endocrinology" (2006).

14 Qhov tseeb ua pov thawj rau kev noj walnuts txhua hnub!

Cov zaub mov dab tsi ntxiv ntawm omega-3s yog qhov zoo rau lub plawv thiab tiv thaiv tawm tsam mob stroke?

Hypothyroidism yog txheej txheem uas tshwm sim vim qhov tsis muaj cov thyroid hormones nyob rau hauv cov thyroid caj pas. Tus kab mob no tshwm sim muaj kwv yees li ntawm ib txhiab hauv tus txiv neej thiab nyob rau cuaj caum tawm ntawm ib txhiab tus poj niam. Feem ntau muaj qee lub sijhawm thaum tus kab mob nyuaj rau kev kuaj pom, thiab lub sijhawm ntev.

Cov txheej txheem niaj hnub ntawm kev kho tus mob hypothyroidism suav tag nrho ob qho kev kho tshuaj thiab kev siv tshuaj hormonal ua ke nrog qee yam kev noj haus. Txij li thaum tus kab mob tshwm sim vim qhov tsis muaj ntau lawm hauv cov thyroid hormones txaus, lawv cov nyiaj hauv lub cev yuav tsum rov qab ua dua tshiab.

Nrog kev ua txhaum ntawm cov qog ua haujlwm lub qog, uas yog txo qis hauv theem ntawm kev tsim khoom, ntau cov kab ke ntawm cov kabmob hauv tib neeg lub cev ntawm lub sijhawm qeeb. Hypothyroidism yog tus cwj pwm los ntawm kev poob qis hauv ntau cov txheej txheem hauv cov metabolism. Yog tias koj saib cov xwm txheej los ntawm sab hauv, ces muaj kev txo qis hauv cov khoom siv zom zaub mov.

Hypothyroidism rau cov poj niam yog cov kabmob uas muaj haum, tshwj xeeb tshaj yog rau cov neeg laus, tab sis feem ntau nws tau kuaj pom tom qab. Qhov no yog vim qhov tsis txaus ntseeg ntawm qhov tshwm sim ntawm cov tsos mob, uas feem ntau pom tias yog kev ua haujlwm dhau.

Dab tsi koj yuav tsum paub txog subclinical daim ntawv ntawm hypothyroidism

Subclinical hypothyroidism yog ib yam kabmob uas nrog kev ua haujlwm ntawm lub qog ua haujlwm tsis zoo, tab sis tsis muaj cov tsos mob hais tawm. Cov chaw kuaj mob tus mob pathological no tsis tshua pom muaj pes tsawg. Nyeg, latent hypothyroidism raug kuaj xyuas ib leeg ntawm lub hauv paus ntawm kev sim cov txiaj ntsig. Tus mob no yog tshwj xeeb tshaj rau cov poj niam laus (20%).

Video (nyem mus ua si).

Yog dab tsi subclinical hypothyroidism thiab dab tsi yog qhov ua rau nws tshwm sim, cov tsos mob thiab kho yog dab tsi? Tus kab mob no tsim tawm ntawm keeb kwm yav dhau los ntawm kev nce ntxiv hauv cov ntshav TSH (cov thyroid stimulating hormone). Hauv qhov no, T3 dawb thiab T4 nyob twj ywm hauv ib qib.

Video (nyem mus ua si).

Cov laj thawj ntawm kev txhim kho tus mob no yog cov hauv qab no tsis zoo:

lub xub ntiag ntawm tus mob autoimmune thyroiditis. AIT yog subclinical hypothyroidism, uas yog nrog los ntawm o ntawm cov ntaub so ntswg ntawm cov thyroid caj pas. Tus kab mob no ua rau nws tus kheej tawm tsam keeb kwm ntawm lub cev tsis ua haujlwm ntawm lub cev tsis muaj zog, thaum tib neeg lub cev rhuav nws lub hlwb,
neonatal lub sij hawm. Thawj 2 hnub tom qab yug, kuaj ntshav qhia pom qhov nce siab dua li ib txwm muaj siab ntawm TSH. Cov kws kho mob yuav xav tias qhov txheej txheem no cuam tshuam nrog ua kom txias tus menyuam lub cev. Tom qab, cov concentration ntawm cov thyroid hormones yog li qub,

noj qee yam tshuaj. Tshwj xeeb muaj qhov tsis zoo cuam tshuam rau kev ua haujlwm ntawm cov thyroid caj pas tshuaj muaj cov tshuaj analogues ntawm dopamine, zoo li mob cordarone,
nruab nrab hypothyroidism, uas yog tshwm sim los ntawm kev ua haujlwm tsis zoo ntawm lub pituitary lossis hypothalamus. Hauv qhov no, muaj qhov tseem ceeb txo nyob rau theem ntawm cov thyroid hormones, uas ua rau muaj kev nce hauv TSH. Ntxiv mus, kev lom neeg ntawm cov tshuaj ntawm cov tshuaj no tau txo qis,

muaj cov kab mob ua ntej plab, uas yog nrog los tiv thaiv cov thyroid hormones. Nws cuam tshuam nrog kev hloov pauv ntawm cov noob tau txais kev lees paub rau b receptors,
thyrotropinoma. Nws yog tsiag ntawv los ntawm qhov muaj nyob ntawm pituitary adenoma, uas tsim TSH. Txoj kev pathology no tsis tshua muaj,
kev mob hlwb. Qhov kev ua txhaum no tshwm sim tawm tsam keeb kwm ntawm kev siv tshuaj hauv ib feem plaub ntawm cov neeg mob,

adrenal tsis txaus (thawj daim ntawv),
euthyroid mob ntsws
raum tsis ua haujlwm (daim ntawv mob),
iodine deficiency hauv tib neeg lub cev,
tshem tawm cov qog ua kua (puv lossis ib nrab),
lub xub ntiag ntawm cov txheej txheem o nyob rau hauv cov thyroid caj pas ntawm qhov sib txawv,
hluav taws xob ntawm caj dab nyob hauv qhov muaj cov hlav qog ua haujlwm lossis kev kho mob nrog cov pa hluav taws xob iodine.

Hypothyroidism rau cov poj niam lossis tus txiv neej (daim ntawv subclinical) tsis nrog cov tsos mob tshwm sim. Tus neeg mob yuav koom nrog cov cim ntawm tus mob nrog qaug zog zoo li qub. Yog li ntawd, nyob rau hauv muaj ntau cov tsos mob ntawm latent hypothyroidism, uas feem ntau qhia lawv tus kheej, yuav tsum tau sab laj nrog tus kws kho qhov muag endocrinologist yog qhov tsim nyog. Cov cim ntawm tus kabmob no suav nrog:

tsis tshua muaj qhov cim xeeb, nco txog qhov ntev. Muaj ib qho kev txwv tsis pub muaj kev txawj ntse,
muaj ib qho kev ywj pheej los txhim kho kev nyuaj siab hauv lub xeev (hauv ib nrab ntawm cov neeg mob),
nyob rau hauv cov poj niam, tus yam ntxwv ntawm tus kab mob no yog kev ua txhaum ntawm lub cev ntas, uas yog nrog poj niam muaj menyuam. Nws raug soj ntsuam hauv 28% ntawm txhua tus neeg mob uas muaj lub cev tsis sib xws

nquag hnov txias, ua daus no,
muaj kev nce hauv intraocular siab,
hypothermia, nyob rau hauv uas tib neeg lub cev kub poob qis tshaj li ib txwm,
qaug zog, tsis muaj qhov sawv ntawm qhov nkees nkees, nkees nkees,
pauj kev
noj me me kom tsis qab los,
galactorrhea, uas yog nrog los ntawm tso kua mis los yog colostrum los ntawm lub txiv mis,
txo qis libido, teeb meem nrog potency rau tus txiv neej,
cov plaub hau qhuav thiab kub taub hau.

Tag nrho cov tsos mob ntawm daim ntawv subclinical ntawm hypothyroidism yog txheeb ze. Lawv nrhiav tau tshwj xeeb hauv 25-50% ntawm cov neeg mob. Muaj qee kis, kev ua haujlwm tsis zoo ntawm cov thyroid caj pas yuav luag tsis tshwm sim.

Yog tias pom tias subclinical daim ntawv ntawm hypothyroidism xav tias muaj, kev kawm paub qhia pom tias muaj cov txheej txheem hauv qab no:

ntshav pub dawb los txiav txim theem ntawm cov thyroid hormones. Qhov siab ntawm cov thyroid yuav tsum yog 2.6-5.7 mmol / l, 9-22 mmol / l - qhov zoo ntawm triiodothyronine thiab thyroxine. Raws li kev txheeb xyuas no ib leeg, nws yog qhov nyuaj heev los ua qhov kev kuaj mob zaum kawg, txij li theem ntawm cov tshuaj hormones hloov zuj zus. Ntawm thawj theem ntawm tus kab mob, qhov sib txawv ntawm qhov tsis zoo ib yam yuav tsis tseem ceeb,
muab ntshav pub dawb los txiav txim seb qhov tshuaj tiv thaiv tshwj xeeb AT-TG, AT-TPO. Hauv ib tus neeg muaj kev noj qab haus huv, cov tshuaj no tsis tuaj kawm ntawv tag nrho lossis lawv qhov kev xav tsawg heev. Thaum kuaj pom cov tshuaj tiv thaiv kab mob, peb tuaj yeem tham txog tus kabmob autoimmune ntawm tus kabmob,

kev txiav txim siab ntawm theem ntawm cov khoom xws li TSH. Nquag, nws qhov siab yuav tsum yog li 0.5-4.3 Zib ntab / L. Yog tias ib qho kev hloov hauv qhov ntau npaum li cas ntawm cov tshuaj hormones no tau tshawb pom, peb tuaj yeem tham txog kev ua txhaum ntawm lub qog ua haujlwm,
scintigraphy thov. Qhov txheej txheem kev tshawb fawb no yog tsim raws li kev siv lub xov tooj cua isotopes. Siv cov txheej txheem kuaj mob no, nws yog ib qho yooj yim los txheeb xyuas txhua yam kev hloov pauv hauv cov thyroid caj pas, foci ntawm cov txheej txheem tsis zoo thiab ib qho kev ua txhaum ntawm cov leeg ntshav,

kev kuaj ntshav dav. Tom qab dhau qhov kev txheeb xyuas no, ua haujlwm ntshav, tsis muaj hlau, vitamin B12 tsis muaj peev xwm feem ntau pom,
Ultrasound ntawm cov ua cov thyroid caj pas. Kev txheeb xyuas kev ua haujlwm raug ua haujlwm uas pab txiav txim siab txog qhov kev mob ntawm lub cev, raws li qhov kev kuaj mob ntawm subclinical hypothyroidism yog ua tau,

Ultrasound ntawm lub plab zom plab. Raug xaiv nrog lub txheej txheem khiav pathological, uas cuam tshuam tsis zoo rau kev ua haujlwm ntawm tag nrho cov kab mob,
Xoo hluav taws xob xoo ntawm lub hauv siab. Nws yog tsom xyuas pom qhov hloov pauv tsis zoo ntawm lub cev pob txha, txiav txim siab muaj kua dej hauv cov kab mob pathological loj,
hluav taws xob hluav taws xob. Txheeb xyuas cov teeb meem uas cuam tshuam nrog kev ua haujlwm hauv lub siab, uas ua rau kev ua haujlwm hypothyroidism.

Nrog subclinical hypothyroidism, kev kho mob cuam tshuam nrog kev noj tshuaj uas tswj cov theem ntawm cov thyroid hormones hauv lub cev. Cov kev kho mob zoo li no yuav tsum tau ua tom qab kev ua tib zoo kawm txog tus neeg mob lub sijhawm thiab kev txheeb xyuas cov kev pheej hmoo ntawm kev txhim kho cov kev tsis zoo.

Kev hloov kho Hormone cuam tshuam siv L-thyroxine. Cov tshuaj no yog qhov yuav tsum tau ua rau cov poj niam cev xeeb tub tom qab kuaj mob hypothyroidism. Hauv lwm qhov xwm txheej, tus kws kho mob yuav txiav txim siab tsis siv kev hloov tshuaj hormone ntau lub hlis. Tom qab qee lub sijhawm, cov neeg mob tau raug kuaj xyuas thib ob. Nws tso cai rau koj los txiav txim siab tias ntau npaum li cas cov concentration ntawm cov tshuaj hormones hauv cov ntshav tau hloov pauv mus. Yog tias tsis muaj qhov ua tau zoo, qhov kev txiav txim siab tau txiav txim siab noj L-thyroxine. Cov kev tshawb fawb tsis ntev los no tau pom tias tom qab siv cov tshuaj no, txhim kho kev mob ntawm cov neeg mob tshwm sim hauv 30% ntawm cov neeg mob.

Txawm hais tias muaj txiaj ntsig zoo, ntau tus neeg mob qhia txog kev mob tsis zoo thaum noj L-thyroxine. Thaum kho cov subclinical daim ntawv ntawm hypothyroidism nrog cov yeeb tshuaj no, qee qhov xwm txheej, cov neeg mob nco qab nce ntawm lub cev qhov hnyav, cov tsos ntawm causless kev ntxhov siab, pw tsaug zog thiab tachycardia.

Tsis tas li, thaum txheeb xyuas ib daim ntawv subclinical ntawm hypothyroidism, nws yog qhov tseem ceeb heev uas yuav tsum txheeb xyuas thiab tshem tawm qhov ua rau tus mob no. Yog li ntawd, nyob ntawm cov pathology tshwj xeeb, ib qho kev kho mob tshwj xeeb raug kho. Nws yog qhov tsim nyog yuav tsum noj cov tshuaj vitamin-mineral ntau, nrog rau cov tshuaj uas muaj iodine (Iodomarin thiab lwm tus). Rov ua haujlwm rau hauv lub cev ntawm kev tsis txaus ntawm qee yam tshuaj muaj txiaj ntsig zoo cuam tshuam rau kev ua haujlwm ntawm txhua lub nruab nrog cev thiab kab ke. Hauv qhov tshwj xeeb, iodine yog qhov tsim nyog heev rau lub qog ua haujlwm cov qog. Nws qhov tsis muaj peev xwm cuam tshuam ncaj qha rau kev txhim kho hypothyroidism.

Nyob rau hauv muaj ib subclinical daim ntawv ntawm hypothyroidism, nws yog ib qho tseem ceeb heev rau koj yoo mov. Nws raug nquahu kom tsis suav los ntawm cov khoom noj muaj cov kua roj, polyunsaturated fatty acids (rog ntses, txiv laum huab xeeb, paj noob hlis thiab butter, avocados). Nws yog ib qho tseem ceeb rau kev txwv kev siv cov piam thaj ntau li ntau tau, txo cov dej haus mus rau 600 ml ib hnub. Nws raug nquahu kom suav cov nqaij nruab deg, nqaij, txiv hmab txiv ntoo tshiab, qee qhov me me ntawm kas fes ntuj hauv kev noj haus. Kev noj haus zoo li no yuav cuam tshuam zoo rau kev ua haujlwm ntawm cov thyroid caj pas.

Mob qog noj ntshav. Kev kho mob tsis muaj qhov ua yuam kev. - M .: AST, Sova, VKT, 2007 .-- 128 p.
Henry, M. Cronenberg Cov kab mob ntawm cov thyroid caj pas / Henry M. Cronenberg li al - M.: Reed Elsiver, 2010. - 392 p.
Grekova, T. Txhua yam uas koj tsis tau paub txog ntawm cov thyroid caj pas / T. Grekova, N. Meshcheryakova. - M .: Centerpolygraph, 2014 .-- 254 p.

Melikhova Olga Aleksandrovna - tus kws kho mob endocrinologist, muaj 2 xyoos.

Nws koom nrog kev tiv thaiv, kuaj mob thiab kho cov kab mob ntawm cov kab mob endocrine: cov thyroid caj pas, tus poom, tus qog adrenal, lub caj pas pituitary, qog pw ua ke, parathyroid caj pas, thymus gland, thiab lwm yam.

Subclinical hypothyroidism feem ntau tau nyaij nyob rau hauv ib daim ntawv asymptomatic. Qhov kev mob pathological no cuam tshuam nrog kev tsim cov thyroid-stimulating hormone, uas ua rau lub cev tsis ua haujlwm ntawm lwm cov kabmob thiab cov kab ke.Yog li, nrog kev nce qib qib ntawm ntau dua 10 mU / l, qhov kev pheej hmoo ntawm kev txhim kho lub plawv tsis ua hauj lwm tau nce ntau. Ib qho kev pheej hmoo yog qhov muaj hnub nyoog laus, yog li nws raug nquahu kom kuaj xyuas theem ntawm cov tshuaj hormones hauv cov ntshav tsawg kawg 1 zaug hauv ib xyoos. Kev kho mob ntawm tus kab mob yog nqa tawm siv cov tshuaj hormonal hluavtaws. Kev kho mob ntawm subclinical hypothyroidism nws muaj nws tus yam ntxwv hauv kev xeeb tub thiab menyuam yaus.

Lub luag haujlwm tseem ceeb ntawm cov thyroid caj pas hauv tib neeg lub cev yog qhov tsim muaj cov thyroid hormones - thyroxine T4 thiab triiodothyronine T3, uas muaj cov iodine atoms. Cov tshuaj hormones no tswj hwm cov haujlwm hauv qab no:

ib txwm kev loj hlob thiab kev loj hlob,
tshav kub tiam
kev nqus cov pa thiab kev saib xyuas ntawm cov pa hauv lub cev,
kev cai ntawm lub plawv dhia thiab lub zog,
lub plab zom zaws,
protein ua kom sib haum
xeev ntawm adrenergic receptors nyob rau hauv cov hlab plawv thiab pob txha leeg.

Kev tsim tawm ntawm T4 thiab T3 yog tswj hwm los ntawm thyroid stimulating hormone (TSH), uas yog cov tshuaj nyob hauv lub caj pas pituitary. Subclinical hyperthyroidism yog ib hom kev ua kom cov thyroid kawg nyob rau qhov uas muaj ntau ntxiv rau TSH thiab yog ib theem ntawm cov ntshiab dawb peripheral cov tshuaj hormones T3 thiab T4 yog cai.

Muaj kev cuam tshuam ntawm kev cuam tshuam ntawm cov tshuaj hormones no - ntau dua cov thyroid-stimulating hormone, tsawg dua T3 thiab T4 yog ua.

Kev nce hauv TSH yog qhov tshwm sim ntxov tshaj plaws ntawm kev rhuav tshem cov thyroid caj pas, yog li cov kws tshaj lij xav txog cov kab mob no yog thawj theem hauv kev txhim kho overt hypothyroidism. Ib qho kev pheej hmoo txaus rau kev hloov ntawm subclinical daim ntawv ntawm tus kab mob mus rau qhov pom ib qho yog qhov nce ntawm qib ntawm cov tshuaj tiv thaiv mus rau cov ua cov thyroid cov ntaub so ntswg. Kev soj ntsuam kev kho mob ntawm cov neeg mob uas muaj ob qho cim qhia pom tias pom meej tias hypothyroidism muaj kev tsim kho hauv 20-50% ntawm cov neeg mob li ntawm 4-8 xyoo, thiab hauv cov neeg muaj hnub nyoog 65 xyoos, qhov pheej hmoo ntawm tus kab mob no yog 80%.

Qhov tos ntawm leej twg TSH rau ntawm lub hnub nyoog

Subclinical hypothyroidism muaj ntau dua qhov mob loj, nce txog 15% tiv thaiv 2-3%, feem. Pathology feem ntau ntawm cov poj niam ntau dua li tus txiv neej. Txij li daim ntawv no ntawm hypothyroidism yog tus cwj pwm los ntawm tus neeg muaj mob ntau dua, cov tsos mob plooj lossis nws qhov kev qhaj tag, nws raug pom zoo tias tsawg kawg txhua 5 xyoos, kuaj ntshav hormonal coj mus kawm TSH rau txhua tus pojniam muaj hnub nyoog 35 xyoos thiab txiv neej dhau 50 xyoo.

Qhov phom sij ntawm cov kab mob yog qhov tseeb tias nws tau muab zais thiab "zais" raws li kev soj ntsuam ntau yam ntawm lwm yam kab mob, ua rau muaj kev hloov pauv hauv kev ua haujlwm ntawm cov kabmob tseem ceeb. Yog li, qhov tsis zoo ntawm cov txheej txheem metabolic ua rau kev ua txhaum ntawm cov rog metabolism, kev nce hauv lub cev qhov hnyav, thiab tawm tsam ntawm cov keeb kwm ntawm no, atherosclerosis thiab mob plawv txhim kho. Txoj kev pheej hmoo ntawm myocardial infarction yog 2.5 npaug ntau dua ntawm cov neeg muaj kev noj qab haus huv. Kev siv cov tshuaj hormone hloov tshuaj rau kev kho mob ntawm subclinical hypothyroidism tuaj yeem tshem tawm qhov tseeb ua rau pathological thiab rov ua haujlwm lub plawv. Nws yog qhov tseem ceeb tshwj xeeb los txheeb xyuas tus kab mob no hauv cov poj niam cev xeeb tub kom ncav sijhawm, vim tias qhov no yuav pab tiv thaiv kev txhim kho ntawm qhov txawv txav hauv cov menyuam hauv plab.

Hauv plawv ntawm cov txheej txheem pathological ntawm subclinical hypothyroidism yog qhov tsis muaj ntawm cov tshuaj hormone T4, uas tsim nyog rau cov txheej txheem metabolic txawm hais tias nws qib ib txwm hauv cov ntshav tau kuaj pom. T4 qhov tsis txaus ntseeg tau cuam tshuam hauv kev nce qib hauv TSH. Cov ua rau ntawm tus kab mob yog li nram no:

Tus kab mob autoimmune thyroiditis yog qhov tseem ceeb hauv kev txhim kho pathology.
Cov txheej txheem o nyob rau hauv cov thyroid caj pas, nrog rau cov uas tsis muaj asymptomatic.
Kev noj tshuaj uas muaj cov roj ntsha lithium, kev kho mob nrog kev siv hluav taws xob iodine.
Kev ua haujlwm txhawm rau tshem tawm qee qhov "thyroid caj pas" nrog thyrotoxicosis.

Cov kev pheej hmoo txaus rau tsim subclinical hypothyroidism suav nrog:

rog dhau
Tus neeg mob lub hnub nyoog laus dua 80
kev nyuaj siab mob ntsws thiab ua haujlwm hmo ntuj,
yug los ua tus kab mob qog,
tsis muaj iodine nyob rau hauv cov zaub mov,
hormonal ntshawv siab.

Cov laj thawj rau kev tsim ntau ntxiv ntawm TS kuj tseem tuaj yeem ua cov xwm txheej hauv qab no, nrog ntxiv cov kev kuaj xyuas kabmob sib txawv yog nqa tawm:

kev mob physiologically txiav txim siab tso TSH hauv cov menyuam yug hauv thawj hnub tom qab yug (txog 20 mU / l),
kho nrog tshuaj - dopamine antagonists, blockers ntawm biosynthesis ntawm cov thyroid hormones (Cerucal, Eglonil, Cordaron, Amiodarone thiab lwm tus),
hypothyroidism tshwm sim los ntawm kev tsis sib haum xeeb hauv hypothalamus thiab pituitary caj pas,
yug los ua kab mob cuam tshuam nrog kev tawm tsam cov thyroid hormones txaus receptors,
mob raum tsis ua hauj lwm
qog cov qog ua qog ntshav ntawm lub qog pituitary,
kev puas siab puas ntsws cuam tshuam nrog kev ua kom ntawm hypothalamic-pituitary system,
adrenal tsis txaus,
cov kab mob dav dav, kev raug mob thiab kev khiav haujlwm. Thaum lub sijhawm rov qab los, TSH QIB yuav nce ntxiv siab txog 20 mU / l, yog li ntawd, nws yog qhov yuav tsum tau rov txiav txim siab cov tshuaj hormones hauv ntshav.

Subclinical hypothyroidism qhia txog qhov tsis muaj cim ntawm tus mob. Txawm li cas los xij, cov kab mob pathology no yog cov yam ntxwv zoo li cov mob hypothyroidism pom tseeb, tab sis tsis tshua hais tawm. Ntau hom kev kho mob hauv lub chaw muaj tus mob, muaj qhov txawv txav, nyob ntawm seb cov kab ke thiab kabmob nruab nrog cev mob siab tshaj plaws:

Gastroenterological: cem quav, xeev siab, ntuav, mob hnyav hauv txoj cai hypochondrium, cuam tshuam nrog kev ua kom tsis muaj zog ntawm cov hlab plab.
Rheumatological: o mob thiab mob hauv pob qij txha, lawv cov deformation, txwv tsis pub txav ntawm tes vim kev txhim kho osteoarthritis.
Gynecological: uterine los ntshav, ntxiv lawm tshob (hauv 28% ntawm tus neeg mob), kev ua txhaum ntawm lub hlis txhua hli hauv cov poj niam, kev yug ntxov hauv cov poj niam cev xeeb tub, kev tsim txom hauv lub cev.
Mob plawv thiab vascular: ntshav siab, arrhythmia, mob pathological ntawm lub plawv, hypertrophy ntawm lub plawv nqaij, atherosclerosis vim muaj qhov nce ntawm theem ntawm "tsis zoo" cov cholesterol nyob rau hauv cov ntshav, ua kom ntshav khov, nce siab intraocular siab.

Txij li thaum cov thyroid hormones cuam tshuam rau cov txheej txheem metabolic, cov kev tsis sib xws hauv qab no kuj yuav ntxiv rau cov neeg mob:

kev xav tsis zoo hauv lub siab, kev nyuaj siab, ntxhov siab (hauv ntau dua ib nrab ntawm cov neeg mob),
tsis nco qab, nco qab lub luag haujlwm ntawm lub hlwb thiab lub siab xav,
kev tsis muaj zog thiab nkees,
nce prolactin ntau lawm.

Txoj kev tseem ceeb rau kev kuaj tus kab mob yog txiav txim siab tias yuav muaj pes tsawg cov tshuaj hormones hauv ntshav. Hauv qhov no, qib ntawm TSH yog nyob hauv qhov ntau ntawm 4-10 mU / l lossis ntau dua. Cov laj thawj rau kev sib txawv yog tau teev tseg uas siv cov hauv qab no rau kev kuaj cov qog lub qog:

Ultrasound
scintigraphy (radionuclide kuaj mob),
puncture me me (nrog xav tias muaj cov txheej txheem ua haujlwm tsis zoo),
kev txiav txim siab ntawm cov tshuaj tiv thaiv rau thyroperoxidase (rau kev kuaj mob ntawm cov kabmob autoimmune).

Txij li feem ntau, ib qho dhau ntawm TSH QIB yog qhov tshwm sim rov ua dua, rov kuaj ntshav dua yog yuav tsum tau ua ntej muab tshuaj rau 3-6 lub hlis tom qab thawj zaug. Kev qhia rau kev hloov kho cov tshuaj hormones yog raws li nram no:

TSH theem> 10 IU / L,
5
cev xeeb tub los yog nws cov phiaj xwm,
kev kho mob ntxiv lawm tshob vim qhov tsis zoo cov thyroid hormones txaus.

Cov tsis zoo hauv qab no yog qhia hauv kev nyiam siv tshuaj kho rau subclinical hypothyroidism:

muaj kev cuam tshuam nrog kev ua haujlwm ntawm ntau lub cev thiab cov tshuab,
muaj qhov kev pheej hmoo ntawm cov kab mob, tshwj xeeb tshaj yog mob plawv rau cov poj niam laus dua 50 xyoo,
nce ntau ntxiv ntawm kev hloov ntawm tus kabmob mus rau hauv cov ntawv tshaj tawm,
ib qho me me ntawm cov tshwm sim kho tus kheej hauv cov neeg laus,
nce kev pheej hmoo ntawm qhov txawv txav hauv plab hauv plab thaum cev xeeb tub.

Qhov ua tau ntawm kev kho mob yog kwv yees li 30%. Kev kho yog nqa nrog cov tshuaj raws li sodium levothyroxine, lub cev cov thyroid hormones hluavtaws (Eferox, Bagothyrox, Eutiroks, Iodtiroks, L-Tirok, L-thyroxine, Levothyroxine, Tyro-4). Qhov ntau npaum li cas ntawm cov tshuaj hauv cov neeg laus yog 1 μg / kg (qhov pib siv yog 25-50 μg, qhov tsis tu ncua yog 50-75 μg / hnub.). Hauv cov neeg mob uas muaj hnub nyoog ntau dua 50-60 xyoo hauv qhov tsis muaj mob plawv, qhov kev muab tshuaj thawj zaug yog tau 50 prescribedg / hnub. Cov tshuaj yuav tshwm sim nyob rau ntawm lub plab khoob thaum sawv ntxov, ib zaug. Qhov tshwm sim ntawm kev kho mob yuav tsum yog txo qis ntawm theem ntawm TSH rau 0.3-3 IU / L. Nws txoj kev tswj hwm yog nqa tawm tom qab 4-8 lub lis piam lossis tom qab hloov txoj kev noj ntau npaum li cas. Lub sijhawm kho yog mus tas li nrog cov tshuaj kho kom haum raws li kev hloov khoom nruab nrog.

Tom qab kho, cov txiaj ntsig zoo nram qab no raug sau tseg:

normalization ntawm metabolism, txo cov roj cholesterol,
txo hauv intraocular siab,
kev txhim kho ntawm txoj kev nco thiab kev ua haujlwm,
ib txwm muaj ntawm kev ua si ntawm cov leeg plawv,
txo hauv kev nyuaj siab syndrome.

Hauv cov poj niam cev xeeb tub, qib TSH yog nyob rau hauv cov hauv qab no:

thawj peb lub hlis: 0.1-2.5 mU / l,
thib ob: 0.2-3.0 mU / l,
qhov thib peb: 0.3-3.0 mU / l.

TSH theem thiab kev xeeb tub

Tsawg dua tus nqi (

Lub xub ntiag ntawm subclinical hypothyroidism nyob rau hauv tus poj niam cev xeeb tub tuaj yeem muaj teeb meem loj rau leej niam thiab tus menyuam hauv plab:

nthawv mauv mis loj,
mob ntshav qab zib
thaum ntxov yug
preeclampsia - mob toxicosis hauv cev xeeb tub lig, uas nyob rau hauv rooj plaub loj ua rau muaj kev ua txhaum ntawm cov ntshav mus rau lub hlwb thiab lub cev o,
kev tsis zoo nyob rau hauv lub neej yav tom ntej kev loj hlob ntawm tus me nyuam.

Yog li, cov poj niam cev xeeb tub kuj tau npaj levothyroxine npaj, raws li ntau npaum li ntawm 1.2 mcg / kg ib hnub twg kom txog thaum TSH txo qis

Tom qab yug menyuam, qhov koob tshuaj raug txo kom tus nqi uas tau muaj ua ntej muaj menyuam hauv plab. Yog hais tias tus kab mob tsuas kuaj tau thaum lub sijhawm cev xeeb tub, TSH

Txhua yam ntaub ntawv ntawm lub xaib yog npaj rau kev qhia xov xwm. Ua ntej thov cov lus pom zoo, nco ntsoov sab laj nrog koj tus kws kho mob.
Tag nrho los yog ib nrab ntawm kev luam cov ntaub ntawv los ntawm lub xaib tsis muaj qhov taw qhia tsis txuas rau nws yog txwv tsis pub.

Kev noj haus thiab kev ua neej

Yuav kom tshem tawm cov tshuaj iodine tsis txaus thiab ua kom cov thyroid caj pas ua haujlwm, cov zaub mov muaj xws li:

cw
hiav txwv kale,
noj nqaij
hiav txwv ntses
zaub ntsuab
persimmon
barley groats
zaub ntsuab

Thaum kho, kua zaub, piam thaj thiab cov khoom ua muaj rog polyunsaturated rog (roj, noob txiv) tsis suav nrog.

Txhawm rau txhawm rau txhim kho kev nyab xeeb tag nrho, koj yuav tsum:

muab mus rau qhov tsis zoo,
zam lub cev txav ntawm lub cev
noj kom haum.

Nrog autoimmune lub qog, ib sim neej HRT yog qhia. Yog li, nws yog qhov tsim nyog tsawg kawg 2 zaug hauv ib xyoos uas yuav tsum tau los ntawm tus kws kuaj xyuas endocrinologist los kho qhov tshuaj ntawm cov tshuaj.

Tus kab mob feature

Cov thyroid caj pas yog nyob ntawm caj dab thiab muaj cov duab ntawm npauj npaim. Nquag, nws tsis yog palpable. Cov tshuaj hormones uas tsim los ntawm lub cev no yuav tsum muaj rau kev ua haujlwm tsis zoo ntawm ntau cov kabmob thiab cov kabmob. Cov thyroid hormones muaj feem cuam tshuam rau lub cev nyhav, kev ua me nyuam, metabolism, thermoregulation.

Txhawm rau sau ntawv kho txoj kev kho mob kom zoo, koj yuav tsum paub dab tsi subclinical lub qog hypothyroidism yog thiab li cas tus kab mob no nthuav qhia nws tus kheej. Qhov no yog thawj daim ntawv ntawm kev rhuav tshem cov thyroid caj pas, txawm li cas los xij, cov tsos mob hnyav tsis tau pom. Nrog rau qhov kev cuam tshuam ntawm hormonal tsis txaus, ib qho kev ua tsis zoo hauv kev ua haujlwm ntawm txhua lub nruab nrog cev thiab kab ke. Tus kab mob no ua mus yam tsis pub leej twg paub thiab yog tus cwj pwm ntawm qeeb me ntsis ntawm cov haujlwm yooj yim ntawm cov qog ua haujlwm.

Nws yog ib qho tseem ceeb heev rau kev coj ua kev kho mob raws sij hawm, vim tias qhov tshwm sim ntawm txoj kev pathological tuaj yeem txaus ntshai heev. Rau cov poj niam, tus mob no tuaj yeem ua rau poj niam cev ntas tsis xwm yeem thiab muaj menyuam hauv plab, thiab hauv cov txiv neej nws provokes teeb meem nrog potency. Tsis tas li ntawd, tus kab mob tuaj yeem ua rau muaj kev cuam tshuam tsis zoo hauv kev ua haujlwm ntawm lub plawv hlab ntsha, hlab ntaws thiab lub plab zom mov. Nyob ntawm theem ntawm subclinical hypothyroidism, kev soj ntsuam thiab qhov tshwm sim ntawm tus kab mob pathology tau txiav txim siab.

Ua rau

Qhov ua rau ntawm subclinical hypothyroidism tuaj yeem sib txawv, tshwj xeeb, qee lwm yam kabmob, kev siv tshuaj noj, nrog rau kev kho tshuaj hormones thiab hluav taws xob tuaj yeem ua rau ua txhaum cai. Tsis tas li ntawd, ntawm cov kev cuam tshuam, nws yog qhov tsim nyog kom paub qhov txawv xws li:

kev txhim kho cov plab hnyuv siab raum tsis raug hauv tus menyuam,
cov ua ib feem los sis ua tiav tshem tawm cov qog,
tsis muaj iodine nyob rau hauv lub cev,
Lub caij nyoog siv cov tshuaj uas cuam tshuam rau cov khoom nruab nrog cev no,
cov txheej txheem mob tshwm sim hauv cov ntaub so ntswg uas nyob ib sab,
raug rau radioactive iodine.

Yog hais tias muaj ib lossis ntau qhov ua rau subclinical hypothyroidism, koj yuav tsum tau tsis tseg sijhawm tshuaj ntsuam xyuas txhawm rau kom paub txog lub sijhawm muaj tus kabmob. Pathology tuaj yeem tau txais los ntawm caj ces thiab yug los ua neeg laus los yog tshwm sim thaum tiav hluas. Txoj kev loj hlob ntawm hypothyroidism tuaj yeem tshwm sim los ntawm o ntawm cov thyroid caj pas lossis kev noj tshuaj iodine ntau dhau. Ntawm kev pheej hmoo yog cov neeg mob uas tau mus kuaj lossis tus mob qog nqaij hlav thyroid.

Cov tsos mob tseem ceeb

Txawm hais tias qhov tseeb hais tias cov tsos mob ntawm subclinical hypothyroidism tsis dhau los tshaj tawm, qhov mob uas zoo sib xws yuav muaj nrog qee cov cim tshwj xeeb. Cov tsos mob ntawm tus kab mob no tuaj yeem nkag siab yooj yim nrog lwm cov kev xav ntawm lub hlwb thiab somatic. Feem ntau, ntawm kev nthuav tawm lub ntsiab, cem quav yog qhov txawv txav, uas tuaj yeem hloov nrog kev mob raws plab. Qhov tshwm sim ntawm cov tsos mob ntawm tus mob gallstone tseem muaj feem ntau.

Tsis tas li ntawd, nrog hypothyroidism, tej zaum yuav muaj cov kab mob ntawm cov hlab plawv system, tshwj xeeb, kev nce siab, effusion hauv pericardial kab noj hniav. Rau cov poj niam, subclinical hypothyroidism tuaj yeem tshwm sim nws tus kheej hauv daim ntawv los ntshav tsis tu ncua, nrog rau kev ua kom zoo ntawm osteoarthrosis.

Ntawm cov phiajcim tshwj xeeb, nws yog qhov yuav tsum tau ua kom paub qhov sib txawv ntawm lub suab, kev nce ntawm tus nplaig, o ntawm lub ntsej muag. Thaum tus kabmob zuj zus, cov tsos mob nce qee yam. Raws li qhov tseeb ntawm qhov tsis muaj cov tshuaj hormones, ib qho zuj zus zuj zus ntawm tib neeg lub peev xwm kev txawj ntse thiab kev nco tau tshwm sim. Nyob rau theem kawg ntawm subclinical hypothyroidism, kev nce siab hauv lub siab thiab pom qhov muag pom. Nyob rau tib lub sijhawm, cov plaub hau ua nkig thiab nyias, thiab cov tawv nqaij ua grey-daj. Tsis tas li ntawd, tawm tsam cov keeb kwm yav dhau los ntawm qhov txo qis hauv cov thyroid muaj nuj nqi, kuaj ntshav liab thiab bradycardia yog cai.

Kev kuaj mob

Txhawm rau txiav txim siab yuav ua li cas kho subclinical hypothyroidism, kev kuaj mob yuav tsum yog thawj zaug. Ib qho kev kuaj mob yog txiav txim siab feem ntau raws li kev kuaj ntshav. Cov yam ntxwv hauv qhov no yog qhov nce ntawm cov thyroid-stimulating hormone nrog cov theem ntawm cov thyroid hormones txaus.

Ib qho ntxiv, cov kev tshawb nrhiav ntxiv tuaj yeem tsim nyog, tshwj xeeb, xws li:

tshuaj tiv thaiv kab mob
hluav taws xob hluav taws xob
kuaj mob ultrasound
duab hluav taws xob
scintigraphy,
ntshav biochemistry.

Cov tswv yim zoo li no ua rau nws muaj peev xwm txiav txim siab qhov hloov pauv ntawm kev ua haujlwm ntawm lub qog ua haujlwm, nrog rau kev cuam tshuam hauv kev ua haujlwm ntawm lwm cov kabmob uas ua los ntawm chav kawm ntawm tus kabmob.

Hypothyroidism thaum xeeb menyuam

Coob tus pojniam thaum cev xeeb tub txaus siab rau qhov nws yog - thawj subclinical hypothyroidism thiab nws cuam tshuam licas rau kev yug menyuam. Nws tsim nyog sau cia tias tus kab mob yuav tsis ploj nws tus kheej thiab yog li kev kho yuav tsum tau nqa tawm sai sai.Feem ntau, kev mob tshwm sim hauv thawj 3 lub hlis uas cev xeeb tub, thiab los ntawm no tus menyuam yuav pib loj hlob tsis raug lossis tuag taus.

Yog vim li cas koj thiaj li yuav tsum mus ntsib kws kho mob tsis tu ncua thaum lub sij hawm phiaj xwm ntawm cev xeeb tub. Qhov no yuav ua rau nws muaj peev xwm txiav txim siab lub sijhawm ntawm tus kabmob thaum pib ntawm kev txhim kho thiab kev kho kom raws sijhawm. Yog tias tus poj niam tsuas npaj kho cev xeeb tub, ces yuav tsum siv tshuaj tiv thaiv ua ntej cov tshuaj hormones qib ib txwm ua.

Txoj kev kho yog nqa nrog cov tshuaj uas pab ua kom muaj kev sib luag ntawm cov tshuaj hormones hauv ntshav. Txhawm rau ua kev kho mob, tus kws kho mob sau ib qho kev hloov pauv nrog cov thyrethoxins hluavtaws thiab cov tshuaj muaj tshuaj iodine. Qhov ntau npaum li cas yog xaiv ib tus zuj zus nyob ntawm tus luj ntawm tus poj niam thiab tsis hloov thoob plaws hauv lub sijhawm siv tshuaj. Cov tshuaj hauv zej zog thaum cev xeeb tub yog qhov tsis xav tau, vim tias qhov no tuaj yeem ua rau muaj teeb meem tsis zoo rau lub luag haujlwm thiab kev cuam tshuam tsis zoo rau kev txhim kho ntawm lub cev xeeb tub.

Nws yog tsim nyog sau cia tias tus kab mob no tuaj yeem hla los ntawm qub txeeg qub teg rau tus me nyuam hauv plab. Muaj qhov ntxim siab tias tus menyuam yaus tus kabmob yuav mus nyob rau theem siab dua. Tom qab ua tiav ntawm kev kho mob thiab kev yug menyuam, tus poj niam yuav tsum tau saib xyuas los ntawm tus kws endocrinologist tsis tseg kom txog thaum rov zoo tuaj. Tej zaum koj yuav tsum sau npe tus menyuam.

Hypothyroidism rau menyuam yaus

Cov tsos mob thiab kev kho mob ntawm subclinical hypothyroidism yuav luag zoo tib yam rau cov neeg laus, tab sis nrog hom mob qog nqaij hlav, mob ntau dua. Lub xub ntiag ntawm kev ua txhaum tuaj yeem lees paub los ntawm kev txheeb xyuas ntawm theem ntawm cov thyroid hormones. Cov tsos mob hnyav tsis tuaj kawm ntawv lossis cov tsos mob plooj.

Hauv cov menyuam mos, kuaj thawj zaug hauv lub sijhawm lawv yug. Nco ntsoov sab laj tus kws kho mob yog tias koj muaj cov paib xws li:

o tuaj
yellowness
txhaws suab
daim tawv nqaij qhuav,
tsawg lub cev kub
nce lub cev yuag.

Cov phiajcim no qhia lub sijhawm ntawm kev pib txhim kho kabmob. Subclinical hypothyroidism rau cov menyuam yaus hnub nyoog laus yog tus cwj pwm tsis pom kev loj hlob ntawm lub hlwb thiab lub cev, nrog rau lub zeem muag pom me ntsis.

Txoj kev kho yuav tsum tau pib tam sim ntawd tom qab kuaj mob. Thaum kho, cov tshuaj hormones thyroid yog siv. Cov ntau npaum li cas ntawm cov tshuaj feem ntau nyob ntawm qhov hnyav, lub hnub nyoog ntawm tus menyuam thiab qhov hnyav ntawm cov chav kawm ntawm tus kabmob. Ib qho ntxiv, nws yog qhov tsim nyog los tswj nws qib hauv cov ntshav.

Nrog rau kev txo qis hauv cov ntsiab lus ntawm cov tshuaj hormones no hauv lub cev, koj yuav tsum tau noj zaub mov ntau nyob hauv iodine, thiab yog tias tsim nyog, cov tshuaj "Iodomarin" tau qhia. Yog hais tias tus kab mob tau kuaj pom hauv cov menyuam yaus hnub nyoog qis dua 2 xyoos, ces nws yuav tsum tau noj tshuaj hormonal thoob plaws nws lub neej.

Nrog rau chav kawm ntawm tus kab mob hauv cov menyuam yaus, kev hloov tsis zoo ntawm cov hlab plawv tuaj yeem tshwm sim. Kev kuaj mob thiab kev kho mob ntawm hypothyroidism hauv cov hluas yog coj tib txoj hauv kev rau cov neeg laus, txawm li cas los xij, thaum theem ntawm cov tshuaj hormones tuaj yeem ua rau tus kheej li qub.

Cov yam ntxwv khomob

Subclinical hypothyroidism tuaj yeem kho yog tias tus mob tau kuaj pom thaum pib. Hauv txhua kis, txheej txheem txheej txheem ntawm kev kho yog xaiv kom ncaj tus kheej. Txhua tus neeg mob tau tsim kho nws tus kheej kom rov qab cov tshuaj hormones hauv lub cev.

Hauv qee qhov xwm txheej, kev kho mob tsis raug xaj yog tias muaj kab mob hnyav ntawm lwm yam kabmob thiab cov kabmob. Feem ntau, kev hloov pauv kho yog kho, tab sis tsuas yog rau cov neeg hluas. Raws li ib qho tshuaj, cov tshuaj hormones thyroxine yog siv hauv cov tshuaj hluavtaws. Qhov ntau thiab cov chav kawm ntawm txoj kev kho yog xaiv tau txhua tus nyob rau txhua kis.

Tsis tas li ntawd, nws raug nquahu kom ntxiv kev siv tshuaj ntsuab uas muaj qhov zoo ntawm lub cev. Nws kuj tseem yuav tsum tau ua raws qee qhov kev noj haus thiab qhia cov zaub mov uas muaj iodine ntau rau hauv kev noj zaub mov kom ib txwm muaj.

Tshuaj kho mob nkeeg

Yog tias subclinical hypothyroidism tshwm sim vim muaj iodine tsis txaus, koj yuav tsum pib kho nrog cov tshuaj hormone hloov kho. Thaum ua kev kho mob, nws yog qhov tsim nyog los tswj qib ntawm cov tshuaj hormones thiab raug soj ntsuam txhua txhua 6 lub hlis. Nws tsis tuaj yeem kho cov kab mob kom tiav, tab sis nws muaj peev xwm tswj hwm kev ua haujlwm ntawm lub qog ua haujlwm thiab txo cov kev tsis zoo.

Cov tshuaj Levothyroxine yog siv los ua kev hloov kho. Tsuas tshuaj yog xam los ntawm tus neeg mob lub cev qhov hnyav. Cov tshuaj tau thov thaum sawv ntxov nruj me ntsis ntawm lub plab khoob. Hloov cov tshuaj rau koj tus kheej tsis pom zoo, vim tias qhov no tuaj yeem ua rau tsis zoo.

Ib qho ntxiv, kev tuaj yeem ua tus mob yuav tsum muaj, cuam tshuam txog kev siv tshuaj plhaw, tshuaj hormonal, cardioprotectors, thiab vitamin complexes. Txhawm rau tshem tawm kev nyuaj siab thiab mob siab, nws raug nquahu kom siv "Amitriptyline".

Pej xeem noj tshuaj

Coob tus neeg siv cov tshuaj cawm neeg los kho tus mob hypothyroidism. Tshuaj ntsuab thiab txiv hmab txiv ntoo ntawm cov nroj tsuag muaj qhov ua kom zoo uas tau paub ntev los lawm. Txog kev kho, xws li tshuaj ntsuab npaj siv raws li:

John lub wort, elecampane, chamomile, gimlet, sawv duav,
Yauhas tsob ntoo, St. John lub wort, roob tshauv, elecampane, txiv ntoo qab zib,
celandine, coltsfoot, chamomile, yarrow, licorice, angelica.

Cov tshuaj sib xyaw ua ke no suav hais tias yog qhov feem ntau thiab siv rau kab mob ntawm cov thyroid caj pas. Nws yog tsim nyog kom nco ntsoov tias nrog subclinical hypothyroidism, lwm txoj kev kho tuaj yeem siv tsuas yog tom qab sab laj tus kws kho mob thiaj li tsis ua rau muaj kev cuam tshuam ntawm kev tshwm sim tshwm sim.

Khoom noj khoom haus rau hypothyroidism

Nrog subclinical hypothyroidism, nws cov khoom noj khoom haus yuav tsum tau rov los xyuas dua. Qee cov khoom noj yuav tsum raug cais tawm ntawm cov zaub mov ib txwm noj, tshwj xeeb, xws li:

kua zaub
qab zib
rog ntses thiab nqaij,
butter
txiv laum huab xeeb.

Nws tsis pom zoo kom haus cov kua dej ntau, vim nws ua rau kom muaj pob zeb txhaws thiab ua rau muaj qhov tshwm sim ntawm cov teeb meem nrog lub raum. Thaum hypothyroidism tshwm sim, nws raug nquahu kom suav nrog hauv koj cov zaub mov noj:

enriched nrog selenium thiab iodine khoom,
Txiv hmab txiv ntoo thiab zaub tshiab
kas fes
tawv nqaij thiab nqaij qaib.

Xws li kev noj zaub mov pub rau tus neeg los kho kev noj qab haus huv sai dua thiab tshem tawm tus kab mob uas twb muaj lawm. Thoob plaws hauv kev noj zaub mov, koj yuav tsum tswj hwm koj qhov hnyav thiab sau cia txhua qhov nws hloov pauv.

Qhov tshwm sim ntawm tus kab mob

Qhov qhia tau hais tias ntawm cov thyroid hormones thaum lub caij ntawm subclinical hypothyroidism tuaj yeem txhawb nqa cov haujlwm tseem ceeb ntawm lub cev. Txawm li cas los xij, nws yog tsim nyog sau cia tias tus kab mob no cuam tshuam tsis zoo rau kev ua haujlwm ntawm kev sib deev, nrog rau kev ua haujlwm ntawm cov hlab plawv thiab lwm yam kabmob. Ntawm cov kev rau lub ntsiab muaj peev xwm txheeb xyuas xws li:

leeg mob atherosclerosis,
ntxiv cov roj (cholesterol)
anemia
coj khaub ncaws tsis xwm yeem
tsis deev tsav,
ntxiv lawm tshob
nyuaj siab lub xeev.

Txhua qhov kev cuam tshuam no tau pom tsuas yog hauv qee cov neeg mob. Qhov tshwj xeeb tshaj yog cuam tshuam rau qhov tshwm sim ntawm hypothyroidism yog cov neeg muaj hnub nyoog qis dua 40 xyoo. Daim ntawv tsis saib xyuas zoo ntawm tus kabmob tuaj yeem ua rau tus neeg mob tsis nco qab.

Prophylaxis

Kev tiv thaiv yog tswj iodine hauv lub cev. Txhawm rau ua qhov no, koj yuav tsum ua kom muaj kev noj zaub mov kom raug, tshwj xeeb, noj cov zaub mov nrog lub siab iodine ntau. Ntxiv rau, koj yuav tsum tswj koj qhov hnyav thiab koj tus kws kho mob yuav tsum saib xyuas nws qhov kev ua kom zoo li qub.

Cov neeg muaj lub siab xav tiv thaiv cov thyroid tus kab mob yuav tsum zam kev tawm dag zog lub cev. Nws raug nquahu kom tsis pub mus taug kev hauv huab cua huv, ua luam dej, yoga. Nws yog ib qho tseem ceeb kom tsis txhob muaj kev ntxhov siab. Sanatorium kev kho mob muaj cov txiaj ntsig zoo.

Subclinical hypothyroidism: ua rau, theem, cov tsos mob thiab kev kho mob ntawm tus kab mob

Subclinical hypothyroidism yog tus kabmob ua cov thyroid nyuaj. Nyob rau tib lub sijhawm, lub cev tsis tuaj yeem ua haujlwm hauv qhov qub thiab maj mam pib ua rau nws tus kheej ploj. Nrog kev ua haujlwm zoo li qub, cov thyroid caj pas tso cov tshuaj hormones rau hauv cov ntshav uas tso cai rau tus neeg mob kom lub neej tag nrho.

Cov kev ua ntawm cov khoom no cuam tshuam rau tag nrho lub cev, txhawb kev ua haujlwm ntawm cov kabmob. Kev ua txhaum yog tshwm sim nrog lub cev tsis muaj cov tshuaj hormones, nrog rau ib qho dhau ntawm lawv lub cev. Qhov tseeb ntawm cov kev ua txhaum cai no tuaj yeem sib txawv kiag li. Nrog cov tsis muaj cov thyroid hormones txaus, lub cev pib maj mam poob, thiab tag nrho nws cov peev txheej yog ploj mus. Nrog rau kev tshaj dhau ntawm cov tshuaj hormones, lub qog ua haujlwm pib tshem tawm nws tus kheej, uas cuam tshuam rau kev ua haujlwm ntawm txhua lub cev.

Qhov txaus ntshai ntawm tus kab mob nyob rau hauv qhov tseeb tias nws tuaj yeem muab nws tus kheej yam tsis muaj qab hau, kev kho mob uas muab tsis muaj txiaj ntsig kiag li. Tus neeg mob nrog rau cov kev mob tshwm sim tawm tswv yim tus kws kho plawv, kws kho mob poj niam thiab neuropathologist. Thiab tsuas yog nyob rau theem kawg yog nws tau txais teem nrog endocrinologist.

Thaum muaj cov thyroid kawg, nws yog ib qho tseem ceeb kom pib kho kom ncav sijhawm kom tiv thaiv kev nyuaj siab.

kev txhim kho cov plab hnyuv siab raum tsis raug hauv tus menyuam,
cov ua ib feem los sis ua tiav tshem tawm cov qog,
tsis muaj iodine nyob rau hauv lub cev,
Lub caij nyoog siv cov tshuaj uas cuam tshuam rau cov khoom nruab nrog cev no,
cov txheej txheem mob tshwm sim hauv cov ntaub so ntswg uas nyob ib sab,
raug rau radioactive iodine.

Ib qho ntxiv, cov kev tshawb nrhiav ntxiv tuaj yeem tsim nyog, tshwj xeeb, xws li:

tshuaj tiv thaiv kab mob
hluav taws xob hluav taws xob
kuaj mob ultrasound
duab hluav taws xob
scintigraphy,
ntshav biochemistry.

Coob tus pojniam thaum cev xeeb tub txaus siab rau qhov nws yog - thawj subclinical hypothyroidism thiab nws cuam tshuam licas rau kev yug menyuam. Nws tsim nyog sau cia tias tus kab mob yuav tsis ploj nws tus kheej thiab yog li kev kho yuav tsum tau nqa tawm sai sai. Feem ntau, kev mob tshwm sim hauv thawj 3 lub hlis uas cev xeeb tub, thiab los ntawm no tus menyuam yuav pib loj hlob tsis raug lossis tuag taus.

Cov tsos mob thiab kev kho mob ntawm subclinical hypothyroidism yuav luag zoo tib yam rau cov neeg laus, tab sis nrog hom mob qog nqaij hlav, mob ntau dua. Lub xub ntiag ntawm kev ua txhaum tuaj yeem lees paub los ntawm kev txheeb xyuas ntawm theem ntawm cov thyroid hormones.Cov tsos mob hnyav tsis tuaj kawm ntawv lossis cov tsos mob plooj.

Hauv cov menyuam mos, kuaj thawj zaug hauv lub sijhawm lawv yug. Nco ntsoov sab laj tus kws kho mob yog tias koj muaj cov paib xws li:

o tuaj
yellowness
txhaws suab
daim tawv nqaij qhuav,
tsawg lub cev kub
nce lub cev yuag.

John lub wort, elecampane, chamomile, gimlet, sawv duav,
Yauhas tsob ntoo, St. John lub wort, roob tshauv, elecampane, txiv ntoo qab zib,
celandine, coltsfoot, chamomile, yarrow, licorice, angelica.

Nrog subclinical hypothyroidism, nws cov khoom noj khoom haus yuav tsum tau rov los xyuas dua. Qee cov khoom noj yuav tsum raug cais tawm ntawm cov zaub mov ib txwm noj, tshwj xeeb, xws li:

kua zaub
qab zib
rog ntses thiab nqaij,
butter
txiv laum huab xeeb.

enriched nrog selenium thiab iodine khoom,
Txiv hmab txiv ntoo thiab zaub tshiab
kas fes
tawv nqaij thiab nqaij qaib.

leeg mob atherosclerosis,
ntxiv cov roj (cholesterol)
anemia
coj khaub ncaws tsis xwm yeem
tsis deev tsav,
ntxiv lawm tshob
nyuaj siab lub xeev.

Danilova, N.A. Yuav ua li cas kom tsis txhob mob ntshav qab zib / N.A. Danilova. - M.: Vector, 2010 .-- 128 p.
Akhmanov, Mikhail Sergeevich Ntshav Qab Zib. Lub neej mus! Txhua yam txog koj cov ntshav qab zib / Akhmanov Mikhail Sergeevich. - M.: Vector, 2012 .-- 567 p.
Milku -M., Daniela-Muster Aneta Gynecological Endocrinology, Kev Tshaj Tawm Tsev Kawm Tshaj Tawm ntawm Tsev Kawm Txuj Ci Kev Koom Tes ntawm Romania - M., 2015. - 490 p.

Cia kuv qhia kuv tus kheej. Kuv lub npe yog Elena. Kuv tau ua haujlwm li endocrinologist rau ntau dua 10 xyoo. Kuv ntseeg hais tias tam sim no kuv yog tus kws tshaj lij hauv kuv daim teb thiab kuv xav pab txhua tus neeg tuaj saib lub vev xaib kom daws qhov nyuaj thiab tsis yog li cov haujlwm. Txhua cov ntaub ntawv rau lub xaib tau sau thiab ua tib zoo ua kom tiav thiaj li xa ntau li ntau tau cov ntaub ntawv tsim nyog. Ua ntej thov cov ntaub ntawv uas tau piav qhia hauv lub vev xaib, kev sab laj yuav tsum nrog tus kws tshaj lij yog ib txwm tsim nyog.

Cov tshuaj kho neeg mob

Txawm hais tias lub subclinical chav kawm ntawm hypothyroidism, ntau tus tsis txaus siab ntawm nkees, puffiness ntawm lub ntsej muag, hnyav nce, thiab yellowness ntawm daim tawv nqaij. Txhawm rau txhim kho endocrine system, nws raug nquahu kom siv tshuaj ntsuab kho mob:

Laminaria Thalli ntawm algae yog crushed hauv rab rab rau hauv lub xeev hmoov. Tsp cov ntaub ntawv nyoos tau ntxiv rau 100 ml dej rhaub thiab haus cawv 30 feeb ua ntej noj mov peb zaug ib hnub.
Schisandra. Txiv hmab txiv ntoo qhuav yog tsoo nrog rab. Ncuav vodka hauv qhov sib piv ntawm 1: 5. Ntsuas 14 hnub hauv qhov chaw tsaus. Haus 25 tee peb zaug ib hnub rau ib nrab teev ua ntej noj mov.
Cinquefoil. 10 g ntawm tws nplooj yog steamed nrog 300 ml dej. Tso rau hauv lub thawv kaw rau 3 teev. Lim Txoj kev lis ntshav yog noj 100 ml 3 zaug ib hnub.

Tshuaj ntsuab txuas ntxiv mus kom txog thaum zoo. Yam tsawg kawg nkaus kev kho mob yog 3 lub lis piam.

Kev twv rau koj lub qog tsis ua hauj lwm

Nrog rau subclinical cov chav kawm ntawm hypothyroidism, qhov kev pheej hmoo ntawm kev mob nyhav ntawm cov hlab plawv cov ntshav nce ntau. Tab sis thaum tswj hwm theem ib txwm ntawm T3 thiab T4 hauv lub cev, kev phom sij txog lub neej tsis tshwm sim. Qhov ua tiav ntawm txoj kev kho yog nyob ntawm ntau yam:

qhov ua rau ntawm hypothyroidism,
kev mob loj heev ntawm cov kab mob ntawm cov tshuaj endocrine,
hloov tsis tau.

Nrog hypothyroidism vim muaj iodine tsis muaj peev xwm, yuav luag txhua tus neeg mob tuaj yeem kho tau. Tab sis yog tias qhov tsis muaj iodine-muaj cov tshuaj hormones yog tshwm sim los ntawm autoimmune tsis ua haujlwm, lub neej HRT tau txais kev kho mob.