Cov thyroid caj pas yog ib qho tseem ceeb tshaj plaws ntawm cov nruab nrog ntawm endocrine system. Nws yog lub luag haujlwm rau cov synthesis cov tshuaj hormones tsim nyog rau tib neeg lub cev - thyroxine (T3) thiab triiodothyronine (T4).
Yog tsis muaj lawv, cov kev kawm ib txwm muaj ntau cov txheej txheem hauv lub cev yog tsis yooj yim sua. Yog tias cov tshuaj hormones no tsis tau tsim kom muaj txaus, cov kab mob phom sij xws li hypothyroidism kev loj hlob. Tus mob qog ua rau lub qog ua paug, cov caj ces qog ua cov thyroid pathology, feem ntau ua lub hauv paus.
Cov yam ntxwv ntawm tus kab mob tshwm sim yuav luag txhua lub sijhawm, tab sis qee qhov xwm txheej ntawm cov duab hauv lub qhov muag plooj, tus neeg mob yuav tsis xav tias nws muaj mob. Daim ntawv ntawm tus kab mob no yog hu ua subclinical hypothyroidism.
Tus kab mob yog dab tsi?
Lus, "subclinical" txhais tau tias "ua ntej cov tsos mob tshwm sim." Ntawd yog, tus kab mob twb tau tsim thiab muaj kev vam meej, tab sis cov tsos mob tus yam ntxwv ntawm nws tsis tshwm sim.
Subclinical hypothyroidism kuj tseem muaj daim ntawv rov qab - ua kom pom hypothyroidism. Hauv qhov no, cov tsos mob tau yooj yim nrhiav tau ob qho tib si nrog kev pab kuaj, thiab los ntawm kev kuaj sab nraud ntawm tus neeg mob.
Subclinical hypothyroidism kev tsim tawm rau tib lub laj thawj raws li nws muaj ntau hom tshuaj - tshwm sim hypothyroidism. Kev ntsuas ua ntej rau tus mob yog raws li nram no:
- Tsis muaj iodine hauv lub cev (feem ntau pom nyob hauv cov neeg nyob ntawm thaj tsam cuam tshuam);
- Congenital hypothyroidism thiab kev txawv txav hauv kev txhim kho cov thyroid caj pas;
- Lub qog ua haujlwm tag nrho lossis ib nrab raug tshem tawm vim yog qhov tsim ntawm cov hlav hlav ua haujlwm siab;
- Kev kho mob ntawm cov thyroid caj pas nrog kev siv tshuaj hluav taws xob iodine;
- Kev kho mob ncua ntev nrog thyreostatics - tshuaj uas txwv qhov kev ua haujlwm ntawm lub qog ua haujlwm;
- Kev siv hluav taws xob tsis ua haujlwm ntawm lub qog lossis cov chaw nyob sib ze ntawm lub cev kuj yog lub zog ua rau kev txhim kho ntawm cov qog ua rau cov thyroiditis;
- Lub qog ua haujlwm ntawm ntau yam xwm txheej ntawm qhov tshwm sim nrog kev hloov ntawm cov qog nqaij txuas ntawm lub caj pas.
Lub qog ua ntshav thyroiditis tuaj yeem ua ke nrog subclinical hypothyroidism. Nrog cov kab mob pathology no, cov tshuaj tiv thaiv tshwj xeeb pib tsim hauv tib neeg lub cev - cov tshuaj tsim los ntawm cov kab mob tiv thaiv kab mob uas ua rau cov thyroid hlwb txawv teb chaws thiab pib rhuav tshem lawv. Cov tsos mob feem ntau kuj yog mob me me Yog li ntawd, nws nyuaj rau pib kho kom ncav sijhawm.
Autoimmune thyroiditis yog ib qho kab mob muaj keeb lossis ua tom qab kis mob hnyav thiab kis kab mob.
Subclinical hypothyroidism feem ntau muaj kev txhim kho vim qhov tshwj xeeb pathology, vim nws txoj kev kawm thiab kev loj hlob qeeb heev, cov tsos mob tshwj xeeb feem ntau tsis tuaj.
Cov chaw kab mob ntawm tus kab mob
Cov tsos mob ntawm tus kab mob yog ib txwm mob me, feem ntau lawv tsis pom txhua lub sijhawm, muab lawv rau kev ua haujlwm dhau ib txwm lossis kev xav tsis zoo. Cov cim tseem ceeb hauv thawj theem, qhia tias tus neeg mob txhim kho subclinical autoimmune hypothyroidism:
- Tsis muaj zog, nkees;
- Kev poob siab, tsis xav ua dab tsi.
- Tsis tshua muaj siab kev sib deev.
- Qhov hnyav nce, tab sis, nyob rau hauv kev sib piv rau manifest hypothyroidism, yog maj mam es tsis ntse.
Cov tsos mob ntawm tus mob hnyav zuj zus ntxiv, tau hais meej dua. Ua subclinical hypothyroidism tuaj yeem lees paub los ntawm cov tsos mob hauv qab no:
- Cov tawv nqaij qhuav, icteric, tsis hnov tsw tawv nqaij zas;
- Npub, plam plaub hau yuav plam;
- Nquag cem quav, kub siab, mob hauv plab - cov tsos mob tshwm sim ntawm tus kab mob;
- Lub cev hnyav dua li qub, txawm tias ua haujlwm lub cev thiab noj zaub mov zoo;
- Myxedema - o ntawm lub cev thiab kabmob;
- Kev coj khaub ncaws tsis xwm yeem, txo qis potency.
Tseem Ceeb: subclinical hypothyroidism feem ntau pom thaum kuaj ib txwm los sis thaum kuaj lub pathology ntawm lwm yam kabmob. Nws yog qhov tsawg kawg kom paub nws los ntawm kev nyob zoo.
Yuav kuaj li cas thiaj muaj mob
Txhawm rau kom paub tus kab mob thiab muab tshuaj kho, nws yog qhov yuav tsum tau ua qhov kev soj ntsuam kev ntsuas ntawm tus neeg mob. Feem ntau tib cov kev kuaj mob uas yuav tsum tau muaj uas yog cov tshuaj tua kab mob autoimmune thyroiditis.
Kev kuaj ntshav rau qhov muaj cov thyroid hormones nyob rau hauv cov thyroid caj pas. Triiodothyronine thiab thyroxine yuav tsum yog qhov ntau ntawm 2.6-5.7 mmol / liter thiab 9.0-22.0 mmol / litre, feem, yog tias tus kab mob tsis loj tuaj. Qhov teeb meem yog tias yog subclinical hypothyroidism kev loj hlob, cov qib hormone tsawg zuj zus lawm. Raws li cov kev tshuaj xyuas no ib leeg, nws yuav luag tsis muaj peev xwm txheeb xyuas tus kab mob.
Kev kuaj ntshav rau cov thyroid-stimulating hormone ntawm lub caj pas pituitary. Qib ntawm cov tshuaj no hauv cov neeg muaj kev noj qab haus huv yog 0.4-4.0 mU / liter. Lub caj pas pituitary yuav luag tam sim ntawd cuam tshuam rau qhov kev hloov me me hauv lub cev, vim tias qhov kev tsom xam no yog qhov tseem ceeb yog tias koj xav tau kuaj mob thyroiditis.
Kev ntsuam xyuas cov tshuaj tiv thaiv rau thyroglobulin thiab thyroperoxidase hauv cov ntshav. Yog tias tus neeg noj qab haus huv, ces lawv yuav qhaj hauv cov ntshav, lossis kuaj pom tsis ntau tshaj 0-18 U / ml thiab 0-5.6 U / ml. Yog tias cov ntsuas no tau dhau los, nws muaj peev xwm hais tau tias kev mob autoimmune thyroiditis, tab txawm lwm cov tsos mob tsis tshwm sim.
Scintigraphy yog qhov yuav tsum tau ua - qhov no yog ib txoj hauv kev los txhawm rau kev muaj peev xwm ntawm cov thyroid caj pas los mus rho iodine los ntawm cov ntshav thiab coj cov tshuaj hormones los ntawm nws. Txhua yam kev ua haujlwm ntawm hypothyroidism yog tus cwj pwm feem ntau los ntawm qhov tseeb tias cov thyroid caj pas tau txais ob peb zaug tsawg dua iodine ntau dua li nyob rau hauv tus neeg noj qab haus huv.
Yog hais tias tus kabmob yog kuaj tau los ntawm cov txiaj ntsig ntawm tag nrho cov kev tshuaj ntsuam saum toj no, kev tshawb nrhiav ntxiv yuav tsim nyog. Qhov no yog qhov xav tau txhawm rau txhawm rau txheeb xyuas qhov ua rau ntawm hypothyroidism. Qhov no suav nrog cov haujlwm xws li ultrasound, suav tomography, MRI, thyroid palpation los ntawm endocrinologist.
Tom qab ntsuas qhov ntsuas tau los ntawm kev tsom xam, kev xaiv kev kho mob zoo yuav raug xaiv.
Yuav kho tus mob li cas
Kev kho ntawm subclinical hyperteriosis yog ua raws li cov ntsiab cai ib yam li kev kho mob ntawm ib qho kev pom ntawm cov thyroid hormones txaus. Nws yog
- Kev kho tshuaj hormones. Txoj kev kho thiab tsuas noj tshuaj ntau yog txiav txim los ntawm kws kho mob nkaus xwb. Thyroxine lossis levothyroxine feem ntau yog kho mob.
- Kev kho mob ntawm tus kab mob uas ua rau kev loj hlob ntawm hypothyroidism.
- Kho hluav taws xob. Txawm li cas los xij ntawm hom mob hypothyroidism raug kuaj mob, txoj kev kho kom zoo yog tsis tuaj yeem tsis muaj ib daim ntawv qhia thiab kev noj zaub mov zoo ntawm tus neeg mob.
Iodine deficiency feem ntau tshwm sim los ntawm kev mob plab zom mov tsis txaus. Yog li, nws yog qhov tseem ceeb heev kom suav nrog cov zaub mov muaj fiber ntau, txhawb kev zom - cov txiv hmab txiv ntoo thiab zaub, zaub mov, tshuaj ntsuab. Txhawm rau tiv thaiv cem quav, nco ntsoov haus cov zaub roj.
Iodine pom nyob hauv hiav txwv ntses, nqaij ntses, hiav txwv kale. Cov zaub mov zoo li no yuav tsum tau muab ua ntej rau txhua tus mob thyroid.
Cov Khoom Noj Muaj Khoom Noj
- Kev tsis kam ntawm cov nqaij rog cov zaub mov thiab cov khoom lag luam ua tiav, cov khoom noj ceev, cov hnyuv ntxwm, cov zaub mov kaus poom;
- Qhov txwv ntau tshaj plaws ntawm kev siv muffins thiab hmoov nplej khoom;
- Txo kev siv ntsev thiab dej haus vim qhov muaj qhov pheej hmoo ntawm edema.
Qhov yuav tsum tau suav hauv cov khoom noj ntawm cov khoom noj khoom haus muaj ntxiv multivitamin complexes. Kev kho mob nrog kev npaj muaj cov vitamins thiab minerals yog pom zoo ob peb zaug hauv ib xyoos.
