Indlala yegilo ingenye yezitho ezibaluleke kakhulu zohlelo lwe-endocrine. Ubhekene nesibopho sokuhlanganiswa kwamahomoni adingekayo emzimbeni womuntu - i-thyroxine (T3) ne-triiodothyronine (T4).
Ngaphandle kwabo, inkambo evamile yezinqubo eziningi ze-metabolic ayinakwenzeka. Uma la mahomoni engakhiqizwa ngenani elanele, kuvela isifo esiyingozi njenge-hypothyroidism. I-Autoimmune thyroiditis, i-pathology enqunywa ngofuzo, ihlala iba imbangela.
Izimpawu zokuphazamiseka kwalesi sifo zibonakala cishe ngaso sonke isikhathi, kepha kwezinye izikhathi isithombe somtholampilo salesi sifo sisifiphele, isiguli singavumeli ngisho nokusola ukuthi uyagula. Le ndlela yalesi sifo ibizwa ngokuthi i-subclinical hypothyroidism.
Yini isifo?
Empeleni, "subclinical" kusho "ngaphambi kokuba kubonakale izimpawu." Okusho ukuthi, lesi sifo sesivele sikhulile futhi siyathuthuka, kepha izimpawu zaso aziveli.
I-subclinical hypothyroidism nayo inefomu eliphikisanayo - i-expression hypothyroidism. Kulokhu, izimpawu zitholakala kalula zombili ngosizo lokuhlolwa kwelebhu, nangokuhlolwa kwangaphandle kwesiguli.
I-subclinical hypothyroidism iba ngezizathu ezifanayo nefomu layo elivame kakhulu - i-hypothyroidism ebonakalayo. Izici ezibikezela lesi sifo yilezi ezilandelayo:
- Ukuntuleka kwe-iodine emzimbeni (okuvame ukubonwa kubahlali bezindawo ezisekupheleni);
- I-Congenital hypothyroidism kanye nokungahambi kahle ekuthuthukiseni indlala yegilo;
- I-gland yegilo isuswe ngokuphelele noma ingxenye ethile ngenxa yokwakheka kwezimila ezinobungozi;
- Ukwelashwa kwe-yegilo yegilo ngokusebenzisa iodine e-radioactive;
- Ukwelashwa isikhathi eside nge-thyreostatics - izidakamizwa ezicindezela ukusebenza kwe-yegilo yegilo;
- Iradiation ye-radioactive ye-gland noma izingxenye zomzimba ezingomakhelwane nayo iyisikhuthazo ekwakheni i-autoimmune thyroiditis;
- I-thyroiditis yemvelo ehlukahlukene yokuvela ngokuthathelwa kwezicubu ezithintekayo ze-gland.
I-Autoimmune thyroiditis nayo ingahambisana ne-hypclotic ye-subclinical. Ngalesi sifo, ama-antibodies akhethekile aqala ukukhiqizwa emzimbeni womuntu - izinto ezikhiqizwa amasosha omzimba asabela kumaseli we-thyroid njengakwamanye amazwe futhi aqala ukuwachitha. Izimpawu zivame nokuba mnene kakhulu. Ngakho-ke, kunzima ukuqala ukwelashwa okufika ngesikhathi.
I-Autoimmune thyroiditis yisifo esiyinzalo noma yakhiwa ngemuva kwezifo ezithathelwanayo nezihlasela amagciwane.
I-subclinical hypothyroidism imvamisa kakhulu ikhula ngenxa yalesi sifo esithile, ngoba inkambo yayo kanye nokuthuthuka kuhamba kancane, izimpawu ezithile zivame ukungabikho.
Isithombe somtholampilo sesi sifo
Izimpawu zesifo zihlala zimnene, kwesinye isikhathi azibonakali, zibabonisa ukuthi basebenza ngokweqile noma isimo esibi. Izimpawu eziphambili ezisesigabeni sokuqala, okubonisa ukuthi isiguli sakha i-autoclimical hypimelism ye-autoimmune:
- I-Lethargy, ukunganaki;
- Ukuhamba kancane, ukungafuni ukwenza noma yisiphi isenzo.
- Yehliswe isifiso sobulili.
- Isisindo sizuza, kepha, ngokuhlukile ukubonisa i-hypothyroidism, kuhamba kancane kunokuba kube bukhali.
Izimpawu zesifo esiqhubekayo zivezwa kakhudlwana. Ukwanda kwe-subclinical hypothyroidism kungabonakala ngezimpawu ezilandelayo:
- Isikhumba esomile, i-icteric, isikhumba esingenampilo;
- Dull, Brittle izinwele ukuthambekela ukulahlekelwa;
- Ukuqunjelwa kaningi, ukushisa kwenhliziyo, izinhlungu esiswini - izimpawu ezijwayelekile zesifo;
- Ukuqina kwesisindo njalo, naphezu kokuzivocavoca umzimba nokudla;
- I-Myxedema - ukuvuvukala komzimba nezitho zangaphakathi;
- Ukuya esikhathini ngokungejwayelekile, ukwehla kwe-potency.
Okubalulekile: i-subclinical hypothyroidism ivame ukutholwa ngesikhathi sokuhlolwa okujwayelekile noma lapho kuhlolwa isifo sezinye izifo zezitho zomzimba. Kuqabukela kakhulu ukumbona ngenhlalakahle yakhe.
Ungasithola kanjani isifo
Ukuze ukhombe isifo futhi unikeze ukwelashwa, kuyadingeka ukwenza ukuhlolwa okugcwele kweziguli. Imvamisa kuvame ukuhlolwa okufanayo okuqondiselwa i-autoimmune thyroiditis.
Ukuhlolwa kwegazi ngokuba khona kwama-hormone egilo e-gland yegland. I-Triiodothyronine ne-thyroxine kufanele zibe ngesilinganiso esingu-2.6-5.7 mmol / lit kanye ne-9.0-22.0 mmol / lit, ngokulandelana, uma lesi sifo singakhuli. Inkinga ukuthi uma i-subclinical hypothyroidism ikhula, amazinga e-hormone ancipha kancane. Ngokusekelwe kulokhu kuhlaziya kuphela, cishe akunakwenzeka ukuthola isifo.
Ukuhlolwa kwegazi kwehomoni ekhuthaza ukwanda kwe-pituitary gland. Izinga laleli hormone kumuntu ophilile lingu-0.4-4.0 mU / lit. I-pituitary gland cishe ihlangana ngokushesha nezinguquko ezincane emzimbeni, ngoba lokhu kuhlaziywa kuyisihluthulelo uma udinga ukuthola i-thyroiditis.
Ukutholwa kwama-antibodies ku-thyroglobulin kanye ne-thyroperoxidase egazini. Uma umuntu ephilile, khona-ke abekho egazini, noma atholwe ngenani elingeqi ku-0-18 U / ml no-0-5.6 U / ml. Uma lezi zinkomba zidluliwe, kungashiwo ukuthi i-autoimmune thyroiditis iyakhula, noma ngabe azibonakalanga ezinye izinkomba.
I-Scintigraphy iyimpoqo - lokhu kuyindlela yokuthola amandla endlala yegilo ukukhipha i-iodine egazini futhi ihlanganise ama-hormone kuyo. Noma yiluphi uhlobo lwe-hypothyroidism luboniswa ngokuyinhloko iqiniso lokuthi indlala yegilo ithola iodine amahlandla ambalwa kunasemuntwini ophilile.
Uma lesi sifo sitholwa imiphumela yazo zonke izivivinyo ezingenhla, kuzodingeka izifundo ezengeziwe. Lokhu kuyadingeka ukuze kukhonjwe imbangela ye-hypothyroidism. Lokhu kufaka phakathi imisebenzi efana ne-ultrasound, i-compact tomography, i-MRI, i-palopation ye-thyroid yi-endocrinologist.
Ngemuva kokuhlola imiphumela yokuhlaziywa, kuzokhethwa amaqhinga wokulapha kahle.
Ngabe ukuphathwa kanjani?
Ukwelashwa kwe-subclinical hyperteriosis kususelwa ezimisweni ezifanayo nokwelashwa kwanoma yikuphi ukubonakaliswa kokuntuleka kwe-hormone ye-thyroid. Kuyinto
- Ukwelashwa ngeHormone. Ukwelashwa nomthamo wezidakamizwa kunqunywa kuphela ngudokotela. I-Thyroxine noma i-levothyroxine ivame ukunqunywa.
- Ukwelashwa kwesifo okwakhuthaza ukuthuthukiswa kwe-hypothyroidism.
- Ukulungiswa kwamandla. Kungakhathalekile ukuthi hlobo luni lwe-hypothyroidism olutholakalayo, ukwelashwa okusebenzayo akunakwenzeka ngaphandle kokudla okugcwele nokunempilo kwesiguli.
Ukuntuleka kwe-iodine kuvame ukubangelwa ukuphazamiseka kwe-metabolic. Ngakho-ke, kubaluleke kakhulu ukufaka ukudla okugcwele i-fiber, ukugaya okushukumisayo - izithelo ezingavuthiwe kanye nemifino, okusanhlamvu, amakhambi. Ukuvimbela ukuqunjelwa, qiniseka ukuthi udla uwoyela wemifino.
Iodine itholakala ezinhlanzini zasolwandle, noma yikuphi ukudla kwasolwandle, ulwandle i-kale. Ukudla okunjalo kufanele kunikezwe kuqala kunoma yisiphi isifo se-thyroid.
Ukudla Okunconyiwe
- Ukwenqatshelwa kokudla kwenyama okunamafutha nemikhiqizo eseqediwe, ukudla okusheshayo, amasoseji, ukudla okusemathinini
- Imikhawulo ephezulu ekusetshenzisweni kwama-muffin nemikhiqizo kafulawa;
- Yehlisa ukusetshenziswa kosawoti kanye noketshezi ngenxa yengozi ephezulu ye-edema.
Ukufakwa okuphoqelekile ekudleni kwezithasiselo zokudla okuqukethe izakhiwo ze-multivitamin. Ukwelashwa ngamalungiselelo aqukethe amavithamini kanye namaminerali kunconywa kaningi ngonyaka.
