Hoʻohana maikaʻi me nā hypothyroidism subclinical

Ma kēiaʻatikala e aʻo ai ʻoe:

ʻO ka hypothyroidism subclinical - ʻo ia ka mea e kapa ai nā kauka i ke kūlana i ka wā i emi iki ai ka nui o ka hormone thyroid, aʻaʻohe mau hōʻailona. He mea paʻakikī ke hoʻāʻo ʻia ka subclinical hypothyroidism, akā ʻo ia ka mea e hoʻomohala pinepine i nā maʻi ʻē aʻe.

Nā kumu kumu o ka maʻi

ʻO ke alakaʻi i ke alapine o ka subclinical a latent hypothyroidism kahi ʻano ʻano maʻamau o ka autoimmune thyroiditis. ʻO nā wahi o ka momona thyroid i hōʻino ʻia e ka mumū i hōʻemi mau ʻia, ʻo ia hoʻi, ua nui ka nui me ka pumehana pili ʻole a me ka pono ʻole. Ke hoʻomau nei ke koena o ka thyroid gland e hana i nā hormone, ʻaʻole hiki ke hoʻokō.

I ka lua o ke ala aia ma hope o ka wehe ʻana i kahi mahele o ka gland thyroid a i ʻole ma hope o ka hoʻokaʻa piha ʻana, inā ka lawehala ʻana kekahi kanaka i ka pau ʻole o ka levothyroxine.
Hiki ke hopena ka subclinical hypothyroidism i ka mālama ʻana i ka maʻi Graves me ka thionamides a i ʻole ka radioactive iodine.

ʻO ka postpartum a subacute thyroiditis, radiation radiation o ke poʻo a me ka ʻāʻī, ka lōʻihi a me nā koina o ka amiodarone, paʻakai iodine, hoʻomākaukau lithium a me kekahi mau lāʻau ʻē aʻe nā mea like ʻole o ka maʻi.

I kekahi manawa ua hohola ʻia ka nui thyroid gland, a ʻano paʻa ʻole paha. I nā pilikia ʻelua, ma hope o ke kūleʻa ʻana, e lawe ka mea maʻi i nā hormone thyroid, a inā i lawa ʻole ko lākou dosis, a laila ulu nā subclinical hypothyroidism.

Kūlike ʻole i ka manaʻo maʻamau, he hemahema ka iodine, ʻoiai hiki ke kumu no ka hypothyroidism subclinical. ʻO ke kumu no kēia paʻakai iodized. No laila, nui nā ʻōmaka, nā ʻīwī, nā huahana semi-hoʻopau a me nā huahana ʻē aʻe i paʻakai ʻia i ka hale kūʻai me ka paʻakai iodized. Eia kekahi, kūʻai ka poʻe he nui i ka paʻakai me ka iodine me ka noʻonoʻo ʻole i ka manaʻo āpau.

Pehea e hana ai i kahi maʻi maʻi?

I ka subclinical hypothyroidism ma waena o nā wahine, ʻoiai paha i ke kanaha o ke ola o ke ola, he 9 mau manawa e ʻoi aku ma mua o ka kāne.

Mālama pinepine ia i ka asymptomatic a i ʻole me nā hōʻailona koʻikoʻi loa he mau nonspecific, ʻo ia hoʻi, hiki iā lākou ke pili me nā maʻi ʻē aʻe. No laila, me ka subclinical hypothyroidism, naʻauao, ʻike hoʻonaʻauao, hoʻomanaʻo, nānā, ʻōlelo ʻana i ka ʻōlelo, e hoʻolōʻihi i ka neʻe, hele lūlū kekahi kanaka, ulu nā lauoho, weluwelu nā peʻahi ... Hiki ke hoʻomau kēia papa inoa, akā pono e hoʻomaopopo ʻoe i kūpono ke ʻano o ka wehewehe no ka wā hemahema o nā waora a i ʻole ka momona wale nō.
Ua ʻike ʻia me ka hypothyroidism, hoʻokahe kahe o ke koko i loko o ka lolo i ka 38% ma lalo o ka maʻamau, a me ka oxygen a mālama i ka glucose a 27%. ʻAʻole kēia e hoʻolōʻihi i nā hana noʻonoʻo, akā ua hoʻonāukiuki hoʻi i ke kaumaha. ʻO ka mea ʻumi i ʻimi i ke kōkua no ke kaumaha i loaʻa ka subclinical hypothyroidism. ʻO nā mea kaumaha a pau i loaʻa i ka mea maʻi me kēlā me kēia manawa, aneane ka hapalua e hiki i ka subclinical, a i ʻole e kala nei i ka manawa, hypothyroidism.

E pili ana i ka subclinical hypothyroidism e ʻōlelo i ka hui pū ʻana o kēia mau hōʻailona ʻekolu.

Nā hōʻailona a i ʻole nā nonspecific hōʻailona.
ʻO ka pae maʻamau ka T4 a me T3 a i ka palena haʻahaʻa paha o ka maʻamau.
Hulu kaila hoʻoneʻe kiʻekiʻe.

ʻO ka mea nui ka mea nui loa, no ka mea, ʻo ia ke ʻano he mana mālama.

ʻO ke kumu o ka subclinical hypothyroidism, ke ʻano o ka maʻamau o ka TSH ka mea e hōʻemi ai ka hoʻōla.

No ke aha lā e mālama ʻia ai?

Me he mea lā, ʻaʻohe ʻano hōʻailona, he maʻi maʻamau nā kumu - no laila ke aha nei e mālama ai? Eia naʻe, hoʻonāukiuki ka hormonal imbalance i ke kūlohelohe o ka hoʻōla o nā metabolic a hoʻonui i ka nui o ka papa lōʻihi o nā maʻi.
ʻO ka nele o nā hormone thyroid, ʻoiʻole hoʻi, hoʻonui i ka cholesterol a ma laila e kōkua i ka hoʻomohala ʻana o ka atherosclerosis.

Eia kekahi, ʻo ka pae o nā hormone thyroid ka hopena i ka naʻau. Inā hele i kahi laka e hana maikaʻi ka naʻau, a laila i ka wā e hāʻawi ai i ka ukana ma kahi liʻiliʻi ʻoi aku ka kiʻekiʻe ma mua o ka mea maʻamau, pau ka hoʻokō.

ʻOiai ka hapa liʻiliʻi o nā hormone thyroid, inā lōʻihi mau ia, hiki i kahi hōʻemi i ka libido, a me ka maʻiʻole. Ke hele nei ka wahine i nā maʻi gynecologists, ke nānā nei i ke kumu o ka hānau keiki ʻole ʻana, ʻaʻole maikaʻi ʻo IVF ka loaʻa ʻole nā hōʻailona o ka maʻi maʻamau. Pono ʻia ka nānā ʻana i nā hormone thyroid no ka mea e kānalua nei i ka infertility.

ʻO ka Hypothyroidism, ʻo subclinical, ma nā wahine hāpai e hiki ke hoʻopau i ka hoʻomohala ʻana o ke keiki. ʻO nā hopena maʻamau loa i nā hope hope aʻe, he hopohopo o ka ʻōnaehana o ka pīhoihoi, dementia, a me ka lohe ʻana i nā pilikia. I ka hoʻomaka ʻana o ka wā hāpai, subclinical hypothyroidism predisposes to miscarriage.

Hoʻopiʻi ka poʻe he nui ʻaʻole hiki ke lilo i ke kaupaona, ʻoiai nā hana a pau. He hopena hoʻonāukiuki o ka hormone thyroid i nā mea āpau i ke kino, e komo pū ana i ka metabolism. A me ko lākou nele o ka uku ikaika o ke kino ma ke kino he mea liʻiliʻi loa ia a paʻakikī loa no kahi kanaka e nalowale i ke kaumaha.

Hiki ke hoʻōla ʻia ma ke ʻano iho a me ke kumu ʻole i ʻike ʻole ʻia. Minamina, nui aʻe nā hihia i ka nui o ka ulu ʻana o ka hypothyroidism i kekahi manawa.

Hāʻawi i ka hypothyroidism postpartum, hiki nō hoʻi i ka subclinical. Ke hele nei kēia kūlana ma kahi maʻamau a pono ʻole e koi i ka mālama ʻana, ʻike wale ʻia.

Pehea e mālama ai?

ʻO ka ʻōlelo e hoʻopau pono ʻia nā hemahema o ka nui o ka hormone thyroid me kā lākou hoʻolaha No laila, ma hope o ʻekolu a ʻeono mau mahina o ka mālama ʻana me ka levothyroxine, ʻike hou ʻia ka TSH. Ke lawa ka nui o ka nui o ka hormone thyroid, hoʻoulu ʻia ia i ka gland thyroid me ke kōkua o TSH, e hoʻonui ana i kāna hana hormonal.

ʻO TSH kahi pae maʻamau, ʻo ia ka mea kūpono o ke ʻano o ka hormone. ʻO kekahi manawa i kēia hihia, hoʻemi lūlū ke kauka i ka nui o ka lāʻau e hiki ai ke hoʻoholo i ka palena ʻai ʻona ʻokoʻa no ke kanaka. No laila hiki ke hōʻemi i ka hopena o nā lāʻau.
Hoʻohana ʻia ka TSH - hoʻonui ʻia ke ʻano o ka levothyroxine, ke loaʻa mau ka hypothyroidism.
ʻO TTG ma lalo o ka maʻamau - overdose. ʻOiai ʻaʻohe loiloi, he kauka a i kahi mea heluhelu pono paha e kuhikuhi aku i kahi overdose nui o ka levothyroxine. ʻO ka hopohopo, pōkole, ka luhi o ka lohi, ke kaumaha ʻana, nā haʻalulu ma nā lima a hiki i ka neʻe ʻana o ka maʻi naʻau coronary no ka ʻike ʻole ʻia he mau maʻi āpau o ka maʻi o ka hyperthyroidism, i.e., ka nui o nā hormone thyroid. Inā he mea liʻiliʻi ka overdose, a laila subclinical hyperthyroidism, ʻo ka hopena o ka maʻi hiki ʻole ke hana me ke nānā ʻole o ka TSH.

ʻO ke kūlana hope loa he mea pōʻino loa no ka poʻe i ka wā kahiko, ʻoiai ua kokoke hoʻokahi haneri haneli o lākou e maʻi ʻeha. A ʻo ka levothyroxine, e like me ka mea i hoʻomākaukau ʻia i ka hoʻomākaukau ʻana o ka hormone thyroid, hana i ka naʻau ma kahi ʻano nui. Hiki i ke ʻeha puʻuwai ke ulu, hoʻonui a hoʻolilo i ka maʻi naʻau coronary.
"ʻOkuʻu", nā hewa a me nā "pahele" i ka manawa e koho ʻia ai ka levothyroxine:

Ka mea pono no ka sodium levothyroxine mahele i nā manawa ʻokoʻa o ka makahiki.
Wehe i ke koho ʻana o ka lāʻau lapaʻau.
Ke hoʻihoʻi nei i ʻelua mau pule ma mua o ka hoʻokolokolo ʻana o TSH.
E hōʻemi i ka nui o ka levothyroxine i ka wā hāpai.

I ka manawa like, ua ʻike ʻia ka mea maʻi no ke kumu o ka hypothyroidism a hoʻomaka e mālama iā ia. He mea nui ia e hoʻomaopopo inā ʻaʻole hiki ke hōʻoka ʻia nā kumu o ka hypothyroidism a ʻaʻole naʻe ka hua i ka hoʻoneʻe o ka thyroid i ka nui o nā hormones, a laila pono kekahi kanaka e lawe i ka levothyroxine i nā makahiki.

ʻO ka hoʻokolohua o ka hoʻomohala ʻana o ka maʻi

ʻAʻole ia i hōʻike ʻia mai e nā hōʻailona waho o ka subclinical hypothyroidism (SG), no laila ua kapa ʻia kekahi mau mea a i ʻole ka leʻaleʻa. Ke hele nei nā hana maʻamau ma muli o nā malfunctions i ka gland thyroid a hoʻoholo ʻia ma ka laboratoʻo wale nō ka ʻike kiʻekiʻe o TSH i loko o ke koko. Wahi a nā helu helu, hele pinepine ʻia i ka poʻe wahine ma hope o 50 mau makahiki.

ʻO kahi ʻano subclinical o ka hypothyroidism kahiʻoi aku ka maʻi maʻamau ma mua o ka maʻi nui. I ka puʻuwai o ka papa kulai he hapa thyroxine e lawe ana i ka hana o ka aila hormonal. No ka mālama pono i nā pae hormonal maʻamau, hoʻomaka ka nui o nā aniani pituitary i hua mai TSH. Hoʻokomo kēia hormon i ka hana pilikino o ka nui o ka lāʻau thyroid. Hoʻomaka ʻo ia e kahakaha hou aku i kāu thyroxine, i mea e pale ai i nā hōʻehaʻino i ka hana ʻana o ka endocrine a me nā ʻōnaehana ʻē aʻe.

ʻO ka nui o ka hypothyroidism subclinical ma waena o ka heluna kanaka ʻaʻole iʻoi aku ma mua o 1%, i waena o nā wahine o ka hānau keiki ʻana - 2%. Ma hope o ka menopause, hoʻonui nui ʻia ka hōʻemi o ka maʻi thyroid e 3 mau manawa.

I nā wahi endema, ʻike pinepine ʻia ka subclinical hypothyroidism ma muli o ka nele o ka iodine. ʻO ke kumuhana neʻeneʻe he ʻāpana o nā hormones thyroid:

ʻO ka pono o kēlā me kēia lā no kahi pākeke i iodine he 0.15 mg. Kuhi ka micronutrient e hoʻopiʻi me nā maʻi endocrine koʻikoʻi - subclinical and clinically grabe hypothyroidism, endemic goiter, Bazedova maʻi, cretinism.

Hoʻokomo ka Endocrinologists i kekahi mau kumu i hoʻonāukiuki i ka hāʻule ʻana o ka thyroid a me ka hypothyroidism subclinical.

ole nā hoʻolimalima autoimmune
radiood iodine therapy,
ʻeha i ka synthesis o nā hormone thyroid,
i nā hemahema iodine
wehe ʻana i kahi ʻāpana o ka momona thyroid,
ʻai maikaʻi ʻole.

Me kahi ʻano subclinical o ka hypothyroidism, nele ka kiʻi hōʻailona hōʻailona. Hoʻonui ʻia ka maʻi e pili ana i ka loiloi o ka ʻike ma TSH, T3 a me T4. ʻIke pinepine ʻia ka pathology i nā wāhine kahiko. Ma hope o 3-5 mau makahiki, hōʻike ʻia nā hilahila hormonal e nā maʻi koʻikoʻi i ka hapalua o nā mea maʻi.

Pehea e hiki ai ke kahuli i kahi ʻano asymptomatic o ka hypothyroidism

ʻO nā hōʻailona hōʻiliʻili o nā subclinical, a i ʻole ka latent, ua loaʻa ka hypothyroidism, akā naʻe kekahi kikoʻī. Hoʻokomo ʻia ka hema o thyroid e nā maʻi ʻē aʻe, no laila no ka manawa lōʻihi ʻaʻole nā poʻe e hele i ka endocrinologist.

Hiki i ka subclinical hypothyroidism ke hoʻonui i ka uluʻana o ke kaumaha. Ma 52% o nā maʻi me ka maʻi kaumaha, ʻike ʻia ka maʻi thyroid.

ʻO nā hōʻailona me ka latothyroidism latent:

Ka maʻi constipation
alohialoha,
nā kāne haole
biliary dyskinesia,
maʻi maʻi
diypical hypertension,
polyarthritis
ho'ēmi i ka momona.

Ka laulā, me kahi ʻano subclinical o ka maʻi, kekahi mau hōʻike ʻokoʻa e hala. Akā hoʻololi i ka hana o ka hormonal metabolism, pili ka metabolism i ka hana ʻana o nā ʻōnaehana koʻikoʻi - ka pale ʻole, ka hoʻoweliweli, cardiovascular, ʻeha. E hōʻike ʻia ana i ka hemahema o ka iodine:

ho'ēmi i ka naʻauao
kūlana paʻa ole
e hoʻohaʻahaʻa i ke koko,
poʻomanaʻo
huakai
hiamoe
mau ʻōpū pinepine ʻole.

He ʻano hiʻohiʻona o ka subclinical hypothyroidism ʻo ka hana hoʻoikaika (instability). Inā hoʻokaʻawale ʻia, hoʻohui ʻia ke kiʻi o ka lāʻau lapaʻau e:

kūlana ʻeha
lethargy
hopohopo
nā hoʻomanaʻo hoʻomanaʻo,
luhi, luhi
lethargy.

ʻO kahi hapa liʻiliʻi o ka T4 i ke kino e alakaʻi i kahi kuhi ʻo ka momona o ka momona, kahi i loko:

loaʻa ka paona
kokohiwi,
nā ʻaʻano o ka angina pectoris.

I ka 80% o nā mea maʻi me ka latothyroidism latent, ʻike ʻia nā loli o ka pathological i ka ʻōnaehana cardiovascular - he myocardial hypertrophy, tachycardia, hypotension.

ʻO ka hoʻoponopono kūpono ʻana o ka papa o ka hormonal i ka wā hapai he mea pōmaikaʻi no nā maʻi malalvelopment, neurological a me nā pilikia naʻauao i nā keiki hou.

He aha ka mea e hana ʻia inā ʻaʻole mālama ʻole ʻia

Ma ka kiko o ka maʻi, e waiho ana ka pae o T3 a me T4 ma 98% o nā mea maʻi i loko o ka laulā maʻamau. No laila, nui o lākou e nīnau i ka endocrinologists inā mālama ʻia ka subclinical hypothyroidism. Hōʻoiaʻiʻo nā kauka i nā lāʻau lapaʻau ma muli o ke kiʻekiʻe nui o nā ʻōpiopio.

I ka hala ʻana o ka manawa, emi ka hana o ka thyroid, no laila ma lalo o ka mana o TSH, ke emi nei ka makemake o nā hormones thyroid i ke kino. I ka nānā ʻana i ka maʻi e alakaʻi i ka hopena maikaʻi ʻole:

e hoʻolohi ana i nā hopena metabolic,
hoʻonui ʻia thyroid,
ʻopi momona
nā kūlana kaumaha
Ka maʻi constipation
ireliaia,
myocardial infarction
nā hoʻomanaʻo hoʻomanaʻo
hoʻōla
hoʻemi i ka hana naʻauao,
ka hoʻonui ʻana i ka hiamoe
cerebral arteriosclerosis,
ka hōʻiliʻili ʻana o ka wai i loko o ka puʻu pleural,
hoʻohaʻahaʻa i ke ʻano kino kino
koma hypothyroid.

No ka hoʻopihapiha i ka hemahema o T3 a me T4, hoʻonāukiuki ke kino i ka ulu o kāu keleko thyroid. Me ka hoʻonui ʻana o kona wahi, ʻo ka hoʻokō ʻana o ka iodine kaomi mai ka piʻi ʻana o ke koko, pono pono no ka synthesis o nā hormone thyroid. Inā lilo ka palapala subclinical o ka hypothyroidism i pani ʻole ʻia, hāʻule ka mea maʻi i loko o ka coma hypothyroid.

He aha nā hōʻike e pono ai e kau ʻia

Ua hoʻokumu ʻia ka maʻi ʻo ka subclinical hypothyroidism e ka endocrinologist e pili ana i nā hualoaʻa o kahi hoʻokolohua holoʻokoʻa. Inā kānalua ka pilikia o ka hormonal, e hōʻike ʻia ka hoʻokahe koko a me ka ultrasound o ka gland thyroid.

ʻO nā ala nui no ka hōʻike ʻana i ka hypothyroidism:

Hoʻi koko koko no TSH, T3 a me T4. Me nā latothyroidism latent, T3 a me T4 e noho mau i loko o nā palena maʻamau, a ʻoi aku ka ʻike o TSH ma mua o 4 mIU / L.
Hōʻōnaehana o ka kelepaʻa thyroid. Me ka ʻano subclinical o ka maʻi i ka hapa nui o nā maʻi, ka hoʻohaʻahaʻa i nā nui o nā kumulima. ʻO ka 2% wale nō o lākou ka mea i hoʻokō ʻia i ka hypertrophy thyroid.
Hōʻike no nā hormones steroid. I nā kāne, ua hoʻemi ka pae o ka testosterone, a i nā kāne - estradiol.
ʻO ka hoʻokolohua antibody antix. Ma 8 o 10 mau hihia o ka subclinical papa o ke pathology e pili ana me ka thyroiditis autoimmune. Wahi a nā hoʻokolohua, hoʻoholo ka endocrinologist i ka heleʻana o nā autoantibodies i nā loko thyroid ma ke koko. Inā heʻoi aku ko lākou mālama i ka 34 IU / ml, ʻike ʻia ka subclinical primody hypothyroidism.

I nā kuhi kānalua, hana ʻia ka biopsy gland a me ka loiloi histological o ka lau glandular. Hoʻololi ʻia ka hōʻike ʻana me ka neoplasia i ʻaihue, ʻo ia hoʻi, he ʻano luhi.

Ke ʻano o ka subclinical hypothyroidism

I kekahi mau hihia, hoʻihoʻi ka hypertension, no laila, ma hope o ka ʻike ʻana, ua hana ʻia kahi hana hoʻāʻo hou i nā hormones thyroid a me thyrotropin. Ke hōʻoia nei i ka hoʻomohala ʻana, ua kū ka nīnau no ka koho ʻana i ka lāʻau hoʻokolohua hormone (HRT). I ka haʻalele ʻana o nā hōʻike pilikino, ke mālama ʻia nei ka hana me ka ʻole o nā hormone. Akā ʻo ka hoʻolālā a iʻole keʻano o ka hāpaiʻana he hōʻailona maopopo loa ia no HRT.

Pono ka mālama kino ʻana o ka hypothyroidism subclinical i ka wā gestation me ka hānau mua ma mua o ka hānau mua, ʻoi ʻana o ka pūpū.

Nā lāʻau lapaʻau, nā mea kanu eʻai ai, nā huaora

Ma mua o ka mālama ʻana i ka maʻi thyroid, e hoʻoholo i ke kumu o nā hemahema ma kāna hana. ʻO nā mea maʻi me nā hemahema o ka iodine e kuhikuhi i nā meaʻai a me nā lāʻau ʻai me ka iodine:

Antistrumine
Iodomarin
Iodine-maʻamau
Iainine Asset
Palapala iodide
Iodovital.

Lawe ʻia nā lāʻau ma nā hopena i kūpono i ka pono o kēlā me kēia lā i ke kino no ka iodine. Inā hoʻokomoʻia ka hormonal imbalance e Hashimoto's thyroiditis, hui pū me ka:

L-Thyrox Euro,
Bagothyrox,
Kaleulaia,
L-thyroxine,
Kauiuowa
Kauhai
Eutirox.

Me ka nele o ka thyroid, kahi hōʻemi i ka nui o B₁₂ i ke kino. No laila, ʻōmole mineral-mineral paʻakikī me cyanocobalamin - Vitrum, Doppelherz Asset, Complivit i kuhikuhi ʻia i nā mea maʻi. ʻO nā mea maʻi me nā maʻi autoimmune e hoʻolako ʻia i nā mea hoʻolako meaʻai me ka selenium - Cefoselen, Poverful, Natumin Selen. ʻO ka lawe ʻana i nā mea lako no 2-3 mau mahina e hoʻoneʻe i ka lohi ʻana o ka autoantibodies i ka thyroid gland.

Nā kumu o ke Subclinical Hypothyroidism

ʻO nā kumu o ka haiki hypothyroidism nā hana like i loaʻa i ke kūkulu ʻana i ka hypothyroidism papa.

hoʻomohala ʻana i ka thyroiditis autoimmune,

hooulu kino o na io o ka prenatal,

lawa ʻole o ka iodine i loko o ke kino kanaka,

neʻe (ʻokoʻa a ʻokoʻa paha) i ka kelepaʻi thyroid (e hana ʻia kēia e like me nā hōʻike ʻana - ke kanesa o ke kelepona).

hoʻohana lōʻihi ʻana i nā lāʻau lapaʻau e pale i ka nui o ka thyroid gland (amiodarone, nā lāʻau lapaʻau e mālama ai i nā pilikia o ka naʻau),

nā hana hoʻomāliʻi i hoʻopaʻa ʻia i loko o ke kino (paleka nā subacute o ka lipi, postpartum a i ʻole ka hōʻeha ʻana).

ka huhū o ka ʻāʻī (ke ʻano o nā neoplasms malignant),

ka mālama ʻia ʻana o ka aila me ka iodine radioactive.

Nā hōʻailona o ka subclinical hypothyroidism

ʻAʻole maopopo ʻia ke ʻano o ka subclinical hypothyroidism, hiki ʻole ke nānā ʻia a hilahila ʻole paha me ka maʻi maʻamau o ke kino.

holo pinepine mau a me kahi manaʻo ʻana i ke aloha,

lethargy, ʻike ʻana i ka wikiwiki luhi, ke hoʻopilikia nei, ke hiamoe nei,

hōʻole a makemake ʻole e hana i kekahi hana,

piʻeha i ke kaumaha a me nā uulana,

hoemi ana ka pane ana,

Me ka hoʻomohala ʻana o ka maʻi, ua ʻoi aku nā ʻōuli o ka maʻi:

ho'ēmi i ka mana akamai,

loaʻa ka paona

hooulu ae la ka paa intraocular,

pilikia pilikia

maloo, maloʻo a ʻōlelo i ke ʻano o ka ʻili.

hanau hānai - hānau hānau, plruption abruption

hōʻeha nui ma nā ʻāʻī,

kuʻe o ka urine excretion,

ka lauoho, maloʻo a me ka olala,

nā maka ulaula, piffy face,

mahuahua endothelial dysfunction,

ʻO ka anemia hypochromic (kahi hōʻemi i ka hemoglobin i loko o nā ʻāpana koko ʻulaʻula).

Ka hoʻomāhuā ʻana o ka maʻi

I mea e hōʻoia ai i ka lolo, pono kekahi ʻano mau haʻawina:

ka hoʻāʻo ʻana i ke koko e hoʻoholo i ke kiʻekiʻe o ka hormone thyroid o ka nui o ka nui o ka thyroid: ma ka maʻamau ʻo kēia hōʻailona he 2.6-5.7 mmol / l, a me nā 9.0-22.0 mmol / l o ka triiodothyronine a me ka thyroxine. ʻAʻole hiki ke hoʻoholo i kahi maʻi kūpono e pili wale ana i ka ʻikepili o kēia loiloi, ʻoiai me ka subclinical hypothyroidism ka piʻi ʻana o ka pae o ka hormone.

ka hoʻoholo ʻana o nā antibodies i ka AT-TG (thyroglobulin) a me AT-TPO (thyropercosidase). I loko o kahi kanaka olakino, maʻamau nā mahele iki i kēia mau ʻōuli a he haʻahaʻa loa ko lākou neʻe: 0-19 U / ml a me 0-5.7 U / ml. ʻO ka hoʻonui hoʻonui nui i ka hana o kēia mau antibodies e hōʻike i ke ʻano autoimmune o ka hypothyroidism.

hoʻāʻo ʻia ke koko e hoʻoholo i ke kiʻekiʻe o ka hormone thyroid-stimulating (TSH) o ka gland pituitary: maʻamau ka ʻike i kona ʻūʻī he 0.5 - 4.3 ʻo Honey / L. ʻO ia kekahi o nā hōʻailona pono loa o ka hoʻomohala ʻana o ka hypothyroidism subclinical - ʻo ka pituitary gland kekahi o nā wahi ʻeha o ka lolo e pane i nā hoʻololi i ke kino o ke kanaka. I ka hihia o ka maʻi thyroid gland malfunction, piʻi ke kiʻekiʻe TSH, me ke ʻano o ka nui o nā hormones synthesized e kēia ʻōpū.

ʻO kekahi o nā ʻano kauoha no ke aʻo ʻana i kēia pathology he scintigraphy, kahi i hoʻokumu ʻia ma ka hoʻohana ʻana o ka isotopes radioactive. Ke hoʻohana nei i kēia kaʻina hana, hiki iā ʻoe ke loiloi i ka hana o ke kinulau thyroid, foci o nā kaʻina hololi a i ʻole nā loli i ka ʻano vascular. Me ka hypothyroidism, hoʻopaʻapaʻa ʻia ka nui o ka thyroid gland me ka iodine, ka mea i ʻike ʻia i ka wā o ke aʻo ʻana.

I nā hoʻāʻo ai i ke koko, hiki pinepine iā ʻoe ke ʻike i ka anemia, ke kumu o ka paʻakikī o ka hoʻopīpī ʻana o ka hemoglobin, kahi hemahema o ka hao a i ʻole vitamin B12.

Hoʻohana ʻia kekahi mau haʻawina hou e hōʻike ai i ka subclinical hypothyroidism:

ʻO ka loiloi ultrasound (ultrasound) o ka gland thyroid - ua lawe ʻia e hoʻopaʻa i ke ʻano o ka nui a me ka nui o ka huelo. Ke hoʻololi nui nei nā loli i ke kumu o ka maʻi. No ka laʻana, ma ka maʻi Hashimoto, he ʻano hiʻohiʻona ka thyroid gland - "" nā wahi i ʻai ʻia ".

Hoʻomaʻamaʻa ʻia ka mākēkē o ka puʻuwai o nā pūpū me nā hōʻailona i haʻi ʻia e hōʻike paha i ka haʻalele ʻana i ka maʻi.

ʻO ka hoʻokolokolo X-ray o ka umauma - hiki iā ʻoe ke nānā i ke kiʻekiʻe o ka hoʻomohala ʻana i ka huila (manaʻo i ka hypothyroidism i loko o nā keiki) a me ka wehe ʻana o ka wai me nā hana holomua o ka pathology.

ka electrocardiography - e hōʻike i ka pinepine o ka hōʻemi haʻahaʻa o ka puʻuwai a me nā haʻahaʻa hoʻohaʻahaʻa haʻahaʻa, ʻo ia hoʻi kahi hōʻailona nui o ka hoʻomohala ʻana i kahi maʻi maʻi.

Kāohi

I kēia manawa, aia wale nō kēlā mau ʻano o ka hypothyroidism i hoʻopili ʻia me ka nele o ka iodine, hiki ke pale ʻia, a he ʻano hōʻehaʻeleʻī kēia.

I mea e pale ʻole ai i ka hoʻomohala uluʻana o ka pathology, pono nā wahine hāpai i nā maʻi āpau i luna aʻe a, inā pono, e hoʻomaka i ka mālama ʻana i ka manawa.

Hoʻonaʻauao: ʻO Ke Kaukaila o ka Kauka Kauka ʻo Lūkini ma hope i kapa ʻia N. I. Pirogov, hanohano "General Medicine" (2004). ʻO ka noho ma Moscow State Medical and Dental University, diploma ma "Endocrinology" (2006).

ʻO nā kumu ʻepekema e hōʻoia ʻia e ʻai i nā walnuts i kēlā me kēia lā!

He aha nā meaʻai ʻē aʻe nā omega-3s i maikaʻi no ka puʻuwai a pale aku i ka hōʻeha?

ʻO ka hypothyroidism kahi kaʻina e hiki mai ana ma muli o ka nele o nā hormones thyroid i loko o ka lāʻau thyroid. Ua mālama ʻia kēia maʻi ma kahi o hoʻokahi i hoʻokahi mau kāne a he ʻumikūmāiwa mai loko hoʻokahi tausani wahine. Hōʻike pinepine i kekahi manawa a he mau mea paʻakikī ke ʻike, a ma luna o ka lōʻihi.

ʻO nā ala hou o ka mālama ʻana i ka hypothyroidism ka hopena o ka lāʻau lapaʻau a me ka hoʻohana ʻana i nā lāʻau hormonal i hui pū ʻia me kekahi kīʻai. Ma muli o ka loaʻa ʻana o ka maʻi ma muli o ka nele o ka hana ʻana o nā hormone thyroid, pono e hoʻopiha hou ʻia kā lākou nui i ke kino.

Me ke kueʻole ʻana i ka lolo ole thyroid, ʻo ia hoʻi ka emi ʻana o ka pae o ka hana hormone, nā ʻōnaehana ʻōnaehana ʻano he nui i ke kino o ke kanaka i kahi wikiwiki. Hōʻike ʻia ka hypothyroidism e ka hoʻoluliluli ʻana i nā nui o ka pae hoʻokūkū. Inā nānā ʻoe i ke kūlana mai loko mai, a laila aia ka hōʻemi i ka hana o ke kūwili ʻana.

ʻO ka hypothyroidism i loko o nā wahine he maʻi maʻamau loa, ʻoi aku ka ʻelemakule, akā pili pinepine i ka maʻi maʻamau. ʻO kēia ma muli o ka hana koʻikoʻi o ka hōʻailona o nā hōʻailona, ka ʻike pinepine ʻia ma ke ʻano o ka hana nui.

ʻO ka mea e pono ai ʻoe e ʻike e pili ana i ka palapala subclinical o ka hypothyroidism

ʻO ka subclinical hypothyroidism kahi maʻi i hele pū ʻia e ka malfunction o ka gland thyroid, akā me ka ʻole o nā hōʻailona i haʻi ʻia. ʻO ke ʻano o ke ʻano o ke kūlana holomua ʻoi aku ka liʻiliʻi. I ka huli, ua hōʻike wale ʻia ka latothyroidism i ke kumu o nā hopena hōʻike. Loaʻa kēia kūlana i nā wahine kahiko (20%).

Wikiō (kaomi ke pāʻani).

He aha ia subclinical hypothyroidism a he aha nā kumu o kona ulu ʻana, he aha nā hōʻailona a me ka mālama? Hoʻoulu kēia maʻi e pili ana i ka ulu ʻana o ka hoʻonui nui ʻana i ka koko TSH (hoʻōla i ka hormone thyroid). I kēia hihia, noho ʻo T3 a me T4 ma kahi pae maʻamau.

Wikiō (kaomi ke pāʻani).

ʻO nā kumu no ka hoʻomohala ʻana i kēia ʻano mea o nā mea maikaʻi ʻole:

ka nohoʻana o ka autoimmune thyroiditis. ʻO AIT he subclinical hypothyroidism, ka mea i hui pū ʻia e ka nāwīwili o nā kihi o ka kelepa thyroid. Ua hōʻike ʻia kēia maʻi kūloko ma kahi o ke kuhi ʻole o ka ʻōnaehana pale, i ka wā e luku ai ke kino o ke kanaka i kāna mau ʻāpana,
manawa neonatal. ʻO nā lā 2 mua ma hope o ka hānau ʻana, ke hōʻike nei nā hōʻike koko i kahi kiʻekiʻe loa ma mua o ka maʻamau o ka TSH. Hoʻomaopopo nā kauka i ke ʻano o kēia kaʻina pili i ka hoʻōla ʻana i ke kino o ke keiki. Ma hope aku, ʻo ka hoʻoliʻiliʻi o nā hormones thyroid,

ka lawe ʻana i kekahi mau lāʻau lapaʻau. Hoʻopilikia pili i nā hana a nā kinikini thyroid i nā huaʻala o ka dopamine, a me ka cordarone,
kikowaena hypothyroidism, kahi i hana ʻia e kahi pōʻino o ka pituitary a i ʻole hypothalamus. I kēia hihia, loaʻa ka nui o ka hōʻemi o ka pae o ka nui o ka hormone thyroid, ka mea e alakaʻi i ka hoʻonui ma TSH. Eia kekahi, ua hoʻemi nuiʻia ka hana biology o kēia mau mea.

ka heleʻana o nā patoliona kongenital, ka mea i hui pū ʻia e ka pale ʻana i ka hormone thyroid. Ua pili pū ia me ka hoʻohālikelike ʻana o ka hua e kuleana ai no nā ʻenekena b,
thyrotropinoma. Hoʻohālikelike ia me ka hele ʻana o ka adenoma pituitary, ka mea e hoʻouka ai iā TSH. Loaʻa loa kēia ʻatikala.
maʻi noʻonoʻo. Kūʻē kēia kue i ke ʻano o ka lāʻau lapaʻau i ka hā o nā maʻi,

lawa adrenal (form form),
euthyroid syndrome
ua kūlohelohe (puka kūlana),
ka ʻai ʻana o ka iodine i loko o ke kino kanaka,
ka hemo o ke kelepulu thyroid (piha a ʻāpana paha),
ka nui o nā kaʻina hana a me nā ʻōnaehana ʻōmaʻomaʻo o kahi ʻokoʻa ʻē,
ka radiation o ka ʻāʻī ma mua o nā pehu o nā maʻi manuahi a i ʻole ke mālama ʻana me ka iodine radioactive.

Hypothyroidism i ka wahine a me nā kāne (subclinical form) ʻaʻole i hoʻopili ʻia e nā hōʻailona haʻi ʻia. Hiki i ka mea maʻi ke hoʻopili i nā hōʻailona o ka maʻi me ka maʻa mau. No laila, i mua o kekahi mau hōʻailona o ka latothyroidism latent, ka mea e hōʻike pinepine ana iā lākou iho, pono ke kūkākūkā mandatory me kahi endocrinologist. ʻO nā hōʻailona o kēia maʻi.

ho'ēmi i ka hoʻomanaʻo, span span. Aia ka papa paʻa o ka hana naʻauao,
aia kekahiʻano e hoʻomohala i nā wahi kaumaha (i ka hapalua o nā maʻi),
i loko o nā wahine, kahi hōʻailona hōʻailona o kēia alahele ke pale hewa i ka hānai kāne, a hele pū ʻia e ka infertility. Hoʻomaopopo ia i ka 28% o nā mea āpau me nā maʻi reproduction abnormal

ka ʻōpū pinepine ʻana o ke kani ʻana, ke kani nei,
aia ka nui o ka hoʻoikaika i ka intraocular,
ka hypothermia, ma lalo o ke ʻano o ke kino o ke kanaka ma lalo o ka maʻamau,
leʻāhewa, lohi aku i ka paluhi, ke kaumaha,
molowa
ka emi iki ana i ka momona,
galactorrhea, ka mea i hui pū ʻia e ka hoʻokuʻu ʻana i ka waiū a i ʻole ka colostrum mai nā leʻaleʻa,
ho'ēmi i ka libido, pilikia me ka nui o ka kāne,
lau maloʻo a me ka lauoho lauoho.

ʻO nā hōʻailona āpau o kahi ʻano subclinical o ka hypothyroidism he pilina. ʻIke wale ʻia lākou ma ka 25-50% o nā maʻi. I kekahi mau hihia, ʻaʻole paha e holo maikaʻi paha ka kelepona thyroid.

Inā kānalua ka ʻano subclinical o ka hypothyroidism, hōʻike ʻia kahi hōʻike holoʻokoʻa e pili ana i kēia mau hana:

hāʻawi koko e hoʻoholo ai i ka pae o nā hormone thyroid. ʻO ka paʻa o kāu thyroid he 2.6-5.7 mmol / l, 9-22 mmol / l - ka nui o ka nui o ka triiodothyronine a me ka thyroxine. Ma muli o kēia loiloi wale nō, paʻakikī paʻakikī ke hana i kahi maʻi hopena hope loa, ʻoiai e loli iki ka pae o ka hormone. I ka hoʻomaka ʻana o ka maʻi, mai ka haʻalele ʻana mai ke ʻano maʻamau i mea nui ʻole.
hāʻawi kālā koko e hoʻoholo ai i ka loaʻa ʻana o nā antibodies kūikawā o AT-TG, AT-TPO. I kahi kanaka olakino, holoʻokoʻa kēia mau mea a i ʻole hoʻohiolo loa kā lākou paʻa. Ke ʻike ʻia kēia mau antibodies, hiki iā mākou ke kamaʻilio e pili ana i ke ʻano o ka autoimmune o ka maʻi.

ka hoʻoholo o ke kiʻekiʻe o kahi mea e like me TSH. ʻO ka maʻamau, ʻo ia ka ʻū ʻana ma ka 0.5-4.3 Honey / L. Inā ʻike ʻia nā mea loli i ka nui o kēia hormone, hiki iā mākou ke kamaʻilio e pili ana i ka hōʻino ʻana o ka aila thyroid.
noi noi scintigraphy. Kuhi ʻia ke ʻano o kēia noiʻi ma ka hoʻohana ʻana o ka isotopes radioaktif. Ke hoʻohana nei i kēia kaʻina diagnostic, mea maʻalahi ia e ʻike i nā loli pathological i ka nui o ke kūkaʻa thyroid, ʻoi pūpū o nā hana maikaʻi ʻole a me nā kipi o ka ʻōnaehana vascular,

hōʻike koko lahilahi. Ma hope o ke kau ʻana i kēia loiloi, ʻike ʻia ka anemia, ka nele o ka hao, ua ʻike pinepine ʻia ka hapa B12.
Hōʻōnaehana o ka kelepaʻa thyroid. Ke mālama ʻia nei kahi hoʻokolohua diagnostic e kōkua ana i ke koho ʻana i ke ʻano o kēia ʻano, ma muli o ka loaʻa ʻana o kahi maʻi maʻi subclinical hypothyroidism,

Paona o ka kahe ʻōpū. Hoʻohala ʻia me kahi kaʻina holo holomua, ka mea e hoʻopilikia i ka hana o ke ʻano holoʻokoʻa,
Hoʻolālā X-ray o ka umauma. Hoʻopiʻi ia i ka hoʻomaopopo ʻana i nā loli maikaʻi ʻole i ka huipuna, e hoʻoholo i ka hele ʻana o ka wai i loko o nā kūlana pathological koʻikoʻi,
electrocardiography. Hoʻomaopopo i nā pilikia i pili i ka hana o ka puʻuwai, ka mea i hoʻonāukiuki i ka hypothyroidism.

Me ka subclinical hypothyroidism, pili i ka mālama ʻana i nā lāʻau lapaʻau e hoʻoponopono i ke kiʻekiʻe o nā hormone thyroid i ke kino. Pono e hana ʻia kēlā ʻano ma hope o ka hoʻopaʻa ʻana ʻimi ʻana i ke kūlana o ka mea maʻi a me ke loiloi o nā hopena hiki paha i ka ulu ʻana i nā hopena maikaʻi ʻole.

Hoʻokomo ʻia ka terapi hoʻololi Hormone i ka lawe ʻana i ka L-thyroxine. He kauoha kēia lāʻau lapaʻau no nā wahine hāpai ma hope o ka hōʻoia ʻana o ka hypothyroidism. I nā kūlana ʻē aʻe, hiki i ke kauka ke hoʻoholo inā ʻaʻole e hoʻohana i ka lāʻau hoʻokolohua hormone no nā mahina he nui. Ma hope o kekahi kīmaha kekahi, ua hāʻawi ʻia nā maʻi ma kahi helu lua. Hiki iā ia ke hoʻoholo i ka nui o ka loli ʻana o nā hormones i loko o ke koko. Inā ʻaʻohe mau hanana maikaʻi, ua hoʻoholo ʻia ka lawe ʻana i ka L-thyroxine. Ua ʻike ʻia nā noiʻi hope loa ma hope o ka hoʻohana ʻana i kēia mau lāʻau, holomua ke kūlana o nā mea maʻi e 30% o nā maʻi.

ʻOiai ka hopena kūpono, hōʻike ka mea maʻi i nā hopena maikaʻi ʻole i ka wā e lawe ai i ka L-thyroxine. Ke mālama nei i ka ʻano subclinical o ka hypothyroidism me kēia lāʻau lapaʻau, i kekahi mau mea, ʻike ka mea maʻi i ka nui o ke kaumaha kino, ke ʻano o ke kaumaha ʻana o ka hopohopo, nā hana hiamoe a me ka tachycardia.

Eia kekahi, ke kau nei i kahi ʻano subclinical o hypothyroidism, koʻikoʻi loa ia e ʻike a hoʻopau loa i ke kumu o kēia ʻano. No laila, ma muli o ke ʻano kikoʻī kūikawā, ua kuhikuhi ʻia kahi mālama kūikawā. He kauoha ia e lawe i nā hōʻuluʻulu huaʻai vitamin-mineral, me nā lāʻau lapaʻau e pili ana i ka iodine (Iodomarin me nā mea ʻē aʻe). Hoʻonui hou i loko o ke kino o ka nele o kekahi mau mea kūpono i ka hana o nā mea āpau a me nā ʻōnaehana. I keʻano kūikawā, pono loa ka iodine no ka kelu thyroid. ʻO kona hemahema e hoʻopuka pololei i ka kūkulu ʻana o ka hypothyroidism.

Ke hele nei i kahi ʻano subclinical o hypothyroidism, koʻikoʻi nui ia e hoʻoponopono i kāuʻai. Hoʻohana ʻia e haʻalele i nā huahana papa i loaʻa i ka soy, polyunsaturated fatty acid (mau iʻa momona, huʻai, ʻona a me nā pata, nā alpococ). He kūpono no hoʻi ke kau ʻana i ka hoʻohana ʻana i ke kō e like me ka mea hiki, e hoʻemi ana i ka nui o ka wai inu i ka 600 ml i kēlā me kēia lā. Hōʻike ʻia ia e hoʻopili i ka kai, ka ʻai, nā hua ʻai hou, kahi liʻiliʻi o ke kō kūlohelohe i ka meaʻai. Ma kēlā kīʻai e hoʻopilikia maikaʻi loa i ka hana o ke kelepona thyroid.

ʻO ka maʻi thyroid. Hana ʻia ʻole me nā hala ʻole. - M .: AST, Sova, VKT, 2007 .-- 128 p.
Henry, M. Cronenberg maʻi o ka maʻi thyroid gland / Henry M. Cronenberg et al. - M.: Reed Elsiver, 2010. - 392 p.
Grekova, T. ʻO nā mea āpau āu i ʻike ʻole ai e pili ana i ka gland thyroid / T. Grekova, N. Meshcheryakova. - M.: Centerpolygraph, 2014 .-- 254 p.

Ольга Melikhova Olga Aleksandrovna - wahine endocrinologist, ʻike makahiki 2 makahiki.

Pānaʻi ʻo ia i ka pale ʻana, ka nānā ʻana a me ka mālama ʻana i nā maʻi o ka ʻōnaehana endocrine: kelepona thyroid, pancreas, kelepaʻi adrenal, gland pituitary, nā kime kelepaʻi, nā kuʻi parathyroid, ka hiʻi thymus, etc.

Mālama pinepine nā subclinical hypothyroidism i kahi ʻano asymptomatic. Hoʻopili ʻia kēia ʻano pathological me ka hoʻonui ʻia ʻana o ka hormone thyroid-hoʻoulu, kahi e alakaʻi ai i nā hana like ʻole o nā kino āpau a me nā ʻōnaehana.No laila, me kahi pae o ka hormone ma mua o 10 mU / l, ua hoʻonui nui ʻia ka hopena o ka ulu ʻana o ka naʻau puʻuwai. ʻO kekahi o nā mea pilikia i ka ʻōpiopio, no laila e ʻōlelo ʻia e nānā i ke kiʻekiʻe o ka hormone ma ke koko ma ka liʻiliʻi o 1 mau manawa i kēlā me kēia makahiki. Lawe ʻia ka mālama ʻia ʻana o ka maʻi me ka hoʻohana ʻana i nā lāʻau lapaʻau synthetic. ʻO ka Therapy o subclinical hypothyroidism kona mau hiʻohiʻona pono i ka wā hāpai a i ka wā kamaliʻi.

ʻO ka hana nui o nā keleko thyroid ma ke kino o ke kanaka, ka hana ʻana i nā hormones thyroid - thyroxine T4 a me ka triiodothyronine T3, aia nā iod iodine. Ke hoʻoponopono nei kēia mau hormones i kēia mau hana:

ka ulu maʻamau a me ka hoʻomohala ʻana,
ʻāhā wela
ka hoʻopuka ʻana o ka oxygen a me ka mālama i nā hana hanu,
hoʻoponopono o ka naʻau puʻuwai a me ka ikaika,
hana kumu,
hoʻonani protein
ka'āina o nā mea paʻi adrenergic ma nā uaua uaua a me nā ʻili kūwaha.

Mālama ʻia ka hana ʻana o T4 a me T3 e ka hoʻoneʻe ʻana i ka hormone thyroid (TSH), i hoʻohuihui ʻia i ka ʻenehana pituitary. ʻO Subclinical hyperthyroidism kahi ʻano o ka maʻi thyroid kahi e hoʻonui ai i TSH a me kahi pae maʻamau o ka serum free peripheral hormones T3 a me T4 i nānā.

Aia kahi pilina hewa ma waena o kēia mau hormones - ʻoi aku ka nui o ka hormone thyroid-hoʻoikaika, ʻoi aku ka liʻiliʻi o ka T3 a me T4.

ʻO ka hoʻonui pinepine ʻana i TSH ka hōʻailona mua loa o ka luku ʻana i ka gland thyroid, no laila he nui nā poʻe loea e noʻonoʻo i kēia pathology i lilo i ke ʻano mua i ka hoʻomohala ʻana i ka hypothyroidism. ʻO kahi kumu kūpono no ka hoʻololi ʻana o ka subclinical form o ka maʻi i ka mea ʻike i hoʻonui ʻia i ke kiʻekiʻe o nā antibodies i ka thyroid kiko. ʻO nā mākaʻi o nā lāʻau lapaʻau me nā hōʻailona ʻelua e hōʻike ana i ka ulu ʻana o ka hypothyroidism i hoʻomohala ma 20-50% o nā mea maʻi i loko o nā makahiki 4-8 mau makahiki, a ma ka poʻe he 65 mau makahiki he keu, ʻo 80% ka nui o kēia maʻi.

Ke kau nei o ke kiʻekiʻe TSH ma ka makahiki

ʻOi aku ka maʻamau o ka subclinical hypothyroidism ma mua o nā maʻi paʻakikī, a hiki i ka 15% kū'ē i ka 2-3%, kekahi. He ʻoi aku ka maʻamau o nā maʻi ma nā wāhine ma mua o nā kāne. Ma ke ʻano o kēia ʻano hypothyroidism e ka kiʻekiʻe incidence rate, blurred hōʻailona a i kona paʻa ʻole ʻana, pono ia e liʻiliʻi i kēlā me kēia 5 makahiki, e hōʻike ʻia kahi hōʻike koko hormonal e aʻo iā TSH no nā wahine he 35 a ʻoi aku nā kāne a ʻoi aku ma mua o 50 makahiki.

Pilikia ka maʻi o ka maʻi ma ka ʻoiaʻiʻo ua hūnā ʻia a "huna" ʻo ia i like me nā hōʻike like ʻole o nā maʻi ʻē aʻe. No laila, ʻo ka nāwaliwali o nā kaʻina metabolic e alakaʻi i kahi kolohe i ka metabolism momona, kahi hoʻonui i ke kaumaha o ke kino, a me ke kūpaʻa ʻana i ke ʻano o kēia mea, ulu ka atherosclerosis a me nā maʻi naʻau coronary. ʻO ka hōʻeha o ka pōpoki myocardial he 2.5 manawa ʻoi aku ka nui o ke olakino olakino. ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau hou o ka hormone no ka mālama ʻana i ka hypothyroidism subclinical e hiki ke hoʻopau i ke kumu maoli o nā kūlana pathological a hoʻihoʻi i ka hana naʻau. He mea koʻikoʻi loa ia e ʻike i kēia maʻi ma nā wahine hāpai i ka manawa manawa, ʻoiai e kōkua kēia i ka pale ʻana i ka hoʻolālā ʻana o nā abnormalities i ka hāpai ʻana o ka pēpē.

I ka puʻuwai o ke ala o ke pathological o subclinical hypothyroidism ka nele o ka hormone T4, pono ia no nā kaʻina metabola ʻoiai inā ʻike ʻia ka pae maʻamau ma ke koko. Hōʻike ka hemahema o T4 i ka piʻi o nā pae TSH. Penei nā kumu o nā maʻi:

ʻO ka Autoimmune thyroiditis kahi mea nui i ka hoʻomohala ʻana o ka pathology.
Hoʻopilikia nā kaʻina i nā kinipili thyroid, me ka poʻe o ka asymptomatic.
ʻO ka lawe ʻana i nā lāʻau lapaʻau me ka lithium, mālama ʻia me ka hoʻohana ʻana i ka radio iodine.
ʻO ka hana hana e kāpae i kahi ʻāpana o ka "kelima thyroid" me ka thyrotoxicosis.

ʻO nā mea pilikia no ka hoʻomohala ʻana i ka hypothyroidism subclinical:

ʻopi momona
ʻO nā makahiki ahonui ma luna o 80
nā hana kaumaha a me ka hana ʻana i ka pō,
maʻi maʻi thyroid
nele o ka iodine i ka meaʻai,
nā maʻi maʻi hormonal.

ʻO nā kumu no ka hoʻonui nui ʻana o ka TSH hiki i kēia ke ʻano aʻe, me ke ʻano hou o nā maʻi maʻi ʻē aʻe.

hoʻokuʻu i ka physiologically hoʻokuʻu i ka TSH i nā keiki hou i ka lā mua ma hope o ka hānau ʻana (a hiki i 20 mU / l),
hana me ka lāʻau lapaʻau - nā antagonis dopamine, nā mākaʻi o ka biosynthesis o nā hormone thyroid (Cerucal, Eglonil, Cordaron, Amiodarone a me nā mea ʻē aʻe),
ʻO ka hypothyroidism i hoʻoulu ʻia e nā maʻi ma ka hypothalamus a me ka glandula pituitary,
mau alahele e pili ana i ka pale ʻana o ka receptors hormone tela,
uhaola hooulu pila
nā loko o nā mea ʻili o ka lipipiary o ka glandula,
maʻi maʻi noʻonoʻo pili me ka hoʻōla o ka hypothalamic-pituitary ʻōnaehana,
lawa adrenal,
nā maʻi ākea ākea, nā hōʻeha a me nā hana holo. I ka wā o ka hōʻola, hiki ke kiʻekiʻe ka TSH i ka 20 mU / l, no laila, pono e hoʻoponopono hou i ka nui o nā homena i ke koko.

Hōʻike ka subclinical hypothyroidism i ka loaʻa ʻole o nā hōʻailona o ka maʻi. Eia nō naʻe, ʻike ʻia kēia maʻa kuʻina i nā hōʻailona like me ka hypothyroidism maopopo, akā ʻaʻole i haʻi ʻia. Hoʻokaʻawale ʻia nā ʻano o ke ʻano o nā maʻi ma kēia maʻi, e pili ana i nā ʻōnaehana a me nā ʻōpala he nui loa.

Gastroenterological: constipation, nuala, luaʻi, ʻeha ʻeha i ka hypochondrium kūpono, pili ʻia me ka maʻi kīnā o ka pākuʻu biliary.
Rheumatological: hanaʻino a me ke ʻeha i nā kuʻina, ko lākou deformation, palena o ka neʻe ʻana ma muli o ka hoʻomohala ʻana i ka osteoarthritis.
ʻO nā maʻi luhi: ka kuʻi koko, ka maʻi (i ka 28% o nā hihia), mau hana hōʻeha i ka hopena o ke koina o ka wahine, ka hānau hānau ma mua o nā wahine hāpai, ka hana hōʻolo.
ʻO ka cardiac a me ka vascular: kiʻekiʻe o ke koko, arrhythmia, pathological nui o ka puʻuwai, hypertrophy o ka puʻuwai naʻau, atherosclerosis ma muli o ka hoʻonui o ka pae o ka "maikaʻi" kolamu i ke koko, anemia, piʻi nui ke kaomi intraocular.

No ka mea e pili ana i ka nui o nā hormone thyroid i ke kaʻina o ka metabolic, hiki aʻe ke kau aʻe nei ka maʻi iki i nā mea maʻi.

kaumaha ke kaumaha, kaumaha, hopohopo (ma mua o ka hapalua o nā maʻi),
hoʻomanaʻo hoʻomanaʻo ʻole, ka hana cognitive o ka lolo a me ka hoʻokipa,
nāwaliwali nui a me ka luhi,
ua hoʻonui i ka hana prolactin.

ʻO ke ala nui no ka hoʻomohala ʻana i ka maʻi ke hoʻoholo i ka nui o nā hormones i loko o ke koko. I kēia hihia, aia ka pae o TSH i ka pae o 4-10 mU / l a oi aʻe. Kuhi ʻia nā kumu no ka hoʻolimalima me ka hoʻohana ʻana i kēia mau ʻoihana no ka nānā ʻana i ka papa thyroid.

Uiuei
scintigraphy (hoʻonāukiuki ʻo Radionuclide),
kahi hana biopsy (me nā hana i hoʻopiʻi hewa ʻia ʻana,)
ka hoʻoholo ʻana i nā antibodies i ka thyroperoxidase (no ka ʻike ʻana i nā maʻi autoimmune).

ʻOiai ka nui o nā hihia, he nui nā papa o ka TSH he hoʻohālikelike e hoʻoneʻe ʻia, ʻike ʻia kahi hōʻike hoʻoliʻi hou ma mua o ke kau ʻana i nā lāʻau lapaʻau 3-6 mau mahina ma hope o ka mua. ʻO nā ʻōkuhi no ka hāmeʻa hoʻololi ʻana i nā hāhā:

TSH pae> 10 IU / L,.
5
ʻōpiopio a hoʻolālā paha,
ka mālama ʻana i ka infertility ma muli o ka hana hōʻemi ʻana o nā hormone thyroid.

Hōʻike nā mea maikaʻi ʻole i ka hopena o ka lāʻau lapaʻau no ka subclinical hypothyroidism:

ka hana ʻana o ka hana a nā kolo a me nā ʻōnaehana,
ka loaʻa ʻana o kahi hopena mamao loa o nā maʻi, ʻoi aku ka maʻi cardiovascular ma nā wahine ʻoi aku ma mua o 50 makahiki,
ka hoʻonui ʻana o ka hoʻololi i ka maʻi i kahi ʻano i haʻi ʻia,
he liuliu liilii ana iho i koe i na makua,
i ka hoʻonui ʻia ʻana o ka nui o ka wahine i ka wā hāpai ma ka wā hāpai.

ʻO ka hopena o ka mālamaʻana e pili ana i ka 30%. Lawe ʻia ka Therapy me nā lāʻau lapaʻau e pili ana i ka sodium levothyroxine, kahi hormone thyroid synthetic (Eferox, Bagothyrox, Eutiroks, Iodtiroks, L-Tirok, L-thyroxine, Levothyroxine, Tyro-4). ʻO ka hopena o ka lāʻau i ka pākeke ʻo 1 μg / kg (ʻo ka mua ma mua he 25-50 μg, mau ka 50-75 μg / lā.). I nā mea maʻi i ʻoi aku ma mua o 50-60 mau makahiki i ka hala ʻole o ka maʻi puʻuwai, ua kuhikuhi ʻia ka lāʻau mua ma loko o kahi nui o 50 μg / lā. Lawe ʻia ka lāʻau ma luna o ka ʻōpū ʻole i ke kakahiaka, hoʻokahi. ʻO ka hopena o ka lapaʻau e pono ke emi o ka pae ma TSH i 0.3-3 IU / L. Lawe ʻia kāna kaomi ma hope o 4-8 mau pule a ma hope o ka hoʻololi ʻana i ka nui o ka lāʻau. ʻO ka lōʻihi o ke kau ʻana me ka hoʻoponopono ʻana i nā lāʻau lapaʻau me ka hoʻōla ʻana o nā hana organ.

Ma hope o ka mālama ʻana, ʻike ʻia nā hopena maikaʻi o kēia:

ka hoʻohaʻahaʻa i ka metabolism, hoʻohaʻahaʻa i ke kolamu koko,
ka hoʻoemi ʻana i loko o ke kaomi intraocular,
ka hoʻomaikaʻi ʻana o ka hoʻomanaʻo a me nā hana cognitive,
ka hoʻōla ʻana o nā hana a ka naʻau puʻuwai,
hoʻemi i ka maʻi kaumaha.

I nā wahine hāpai, ua pae nā pae TSH maʻamau.

trimester mua: 0.1-2.5 mU / l, ma
lua: 0.2-3.0 mU / l,
kolu: 0.3-3.0 mU / l.

Nā pae TSH a me ka hapai

Nā helu haʻahaʻa (

ʻO ka hiki ke subclinical hypothyroidism ma kahi wahine hāpai i loaʻa nā hōʻeha koʻikoʻi no ka makuahine a me ka maʻi fetus.

hala kolohe,
maʻi hānai
hanau hānau
preeclampsia - toxicosis i ka wā lohi ma ka hopena, kahi i nā hihia koʻikoʻi e alakaʻi i ka hoʻonāukiuki i ke kahe koko i loko o ka lolo a me kāna edema,
ka hahao o ka ulu ʻana o ka noʻonoʻo i ka wā e hiki mai ana o ke keiki.

No laila, ua kau pū ʻia nō hoʻi nā wahine hāpai i ka hoʻomākaukau ʻana o ka levothyroxine, ma muli o ke ʻano o ka nui o 1,2 mcg / kg i kēlā me kēia lā a hiki i ka emi ʻana o TSH.

Ma hope o ka hānau keiki ʻana, hoʻemi ʻia ka hopena i ka waiwai ma mua o ka hāpai ʻana. Inā hōʻike wale ʻia ka maʻi i ka manawa o ka wā o ka gestation, ʻo TSH

Hāʻawi ʻia ka ʻike āpau ma ka pūnaewele no ka ʻike ʻike. Ma mua o ka noi ʻana i kekahi mau ʻōlelo hōʻike, e maopopo e nīnau aku i kāu kauka.
ʻO ka kope piha ʻana i ka ʻikepili mai ka pūnaewele me ka ʻole o ka hōʻike ʻana i kahi pilina pili iā ia i pāpā ʻia.

Kai ʻaʻai a me ke ʻano

No kahi papa subclinical pathology, ʻōlelo ʻia kahi papa momona i ka iodine a me B nā huaora E kinai i nā kūlana hapa iodine a normalize i ka nui o ka thyroid gland, nā meaʻai i ka:

hopa
moana kale,
mea ʻai ʻai
iʻa kai
greens
persimmon
mau waʻa palaoa
kihua

I ka wā mālama, soy, ke kō a me nā huahana me nā momona polyunsaturated (nāʻaila, nā huaʻai) i haʻalele ʻia.

E hoʻomaikaʻi i ke olakino holoʻokoʻa, pono ʻoe:

hāʻawi pio
pale i ka hana kūlohelohe kino
ʻai ʻai.

Me ka thyimitis autoimmune, kahi hōʻike kahi ola HRT. No laila, pono ia ma kahi o 2 mau manawa i ka makahiki e nānā ʻia e ka endocrinologist e hoʻoponopono i ka hopena o nā lāʻau lapaʻau.

Nā hiʻohiʻona

Aia ka kelu thyroid ma ka ʻāʻī a he ʻano ʻano o kahi pōpō kau. ʻO ka maʻamau, ʻaʻole ia he palpable. Pono ʻia nā hone nui e kēia kino no ka hana maʻamau no nā hana he nui a me nā ʻōnaehana. Hoʻopilikia ka huina o ka thyroid i ke kaumaha, hana hoʻohālikelike, ka hana metabolism, thermoregulation.

I mea e kuhikuhi ai i ka mālama kūpono, pono ʻoe e ʻike he aha subclinical thyroid hypothyroidism a pehea e hōʻike nei kēia maʻi iā ia iho. ʻO kēia ke kumu mua o ka luku ʻana i ka gland thyroid, naʻe, ʻaʻole ʻike ʻia nā hōʻailona koʻikoʻi. Me ka paleʻole hormonal koʻikoʻi, hiki ke nānā ʻia kahi hewa ma ka hana o nā mea āpau a me nā ʻōnaehana. Hoʻomaka malū ʻia ka maʻi a ʻike ʻia e ka hoʻolohi lohi ʻana i nā hana maʻamau o nā iʻa thyroid.

He mea koʻikoʻi loa ia e mālama i ka mālama ʻana i ka wā kūpono, ʻoiai ʻo ka hopena o ke kaʻina pili i hiki ke pilikia loa. I nā wahine, hiki i kēia kūlana ke hōʻeha i nā menregualities a me nā maʻi o ka kāne, a me nā kāne ke hoʻonāukiuki i nā pilikia me ka maʻa. Eia kekahi, hiki i ka maʻi ke hoʻowalewale i ka hōʻeha i ka hana o nā cardiovascular, nerve a me nā digestive system. Wahi a ka ʻōpū o ka hypothyroidism subclinical, ua hoʻoholo ka prognosis a me ke ʻano o nā pathology.

Nā kumu

Hiki i nā kumu kumu o ka subclinical hypothyroidism ke ʻano like ʻole, ka maʻi āpau, kekahi mau maʻi ʻē aʻe, ka hoʻohana ʻana i nā lāʻau lapaʻau, a me ka hoʻōla ʻana o ka hormonal a me ka radiation hiki ke hoʻonāukiuki i kahi hoʻokūkū. Eia kekahi, i waena o nā mea hoʻonāukiuki, pono e hoʻokaʻawale i nā:

ʻaʻole kūpono e hoʻomohala i nā ʻōpū o loko i ke keiki.
hoʻoneʻe ʻokoʻa a wehe paha i ka thyroid gland.
nele o iodine i ke kino,
hoʻohana mau i nā lāʻau lapaʻau e pili ana i kēia kino,
e hana ʻia nā ʻōlaʻi ma nā ʻaoʻao pili.
hōʻike i ka radio iodine.

Inā he kumu a hoʻokahi paha o nā kumu o ka hypothyroidism subclinical, pono ʻoe i kēlā me kēia manawa ke nānā i ka hoʻokolokolo ʻana i ka manawa o ka hoʻomaopopo ʻana i ke ʻano o ka maʻi. Hiki ke hoʻoilina i ka ʻatikala a hoʻomālamalama a ʻike ʻia i kona wā ʻōpio. Hiki i ka hoʻomohala ʻana o ka hypothyroidism ke hoʻowalewale ʻia e ka ʻaihue o nā kelepa thyroid a i ʻole ka overdose o ka iodine. Ma ka pilikia he poʻe maʻi e loaʻa goiter a autoimmune thyroiditis.

ʻO nā hōʻailona nui

ʻOiai ke ʻano o ka ʻike ʻana i ka subclinical hypothyroidism, ʻaʻole ia e hoʻopiʻi ʻia, hiki ke hele pū kekahi ʻano like me kekahi mau hōʻailona kikoʻī. ʻO kahi hōʻike o kēia maʻi e hiki ke maʻalahi me ka pilie a me nā maʻi ʻē aʻe. Hōʻike pinepine, i waena o nā hōʻike maʻamau, ka constipation ka mea, hiki ke hoʻohuli i ka maʻi diarrheal. ʻO ke hele pū kekahi o nā hōʻailona o ka maʻi puhipuhi ka maʻi.

Eia kekahi, me nā hypothyroidism, loaʻa paha nā maʻi o ka ʻōnaehana cardiovascular, ʻo ia hoʻi, hoʻonui i ka lohi, effusion i ka lua pericardial. I nā wahine, hiki i ka subclinical hypothyroidism ke hōʻike iā ia iho i ke ʻano o ka wā e hele wāholo ʻana, a me ka holomua o ka osteoarthrosis.

ʻO nā hōʻailona kikoʻī, pono ke hoʻokaʻawale i nā loʻaka o ka leo, ke hoʻonui ʻana i ka alelo, e kahe ana o ka maka. Ke holomua nei ka maʻi, hoʻonui iki aʻe nā hōʻailona. Ma muli o ka nele o nā hormones, hōʻemi iki ka pono o ka hana noʻonoʻo kanaka a me ka hoʻomanaʻo ʻana i ka hoʻomanaʻo. I ka hana hope loa o ka subclinical hypothyroidism, ʻike ʻia kahi hoʻonui ʻana i ke kaomi a me ka ʻike maka ʻana. I ka manawa like, lilo a lauoho ka lauoho, a lilo ka ʻulaʻulaʻula. Eia kekahi, e kūlike ana i ke ʻano o ka emi ʻana o ka hana thyroid, ua nānā ʻia ka anemia a me ka bradycardia.

Nā huapau

I ka hoʻoholo ʻana i ke ʻano o ka mālama ʻana i ka hypothyroidism subclinical, pono e hana mua i kahi maʻi maʻi. Hana ʻia kahi maʻi maʻi ma muli o nā ʻike koko. ʻO nā hiʻohiʻona ma kēia hihia he hoʻonui i nā hormone thyroid-hoʻoulu i nā pae maʻamau o nā hormone thyroid.

Eia kekahi, hiki ke kuhikuhi ʻia nā ʻano noiʻi hou, e like me:

hōʻike maʻi antibody
electrocardiography
nā diagnostics ultrasound
radiology
mouwuhi,
biochemistry koko.

ʻO kēia mau ʻano hana e hiki ai ke hoʻoholo i nā ʻikepili i ka hana o ke kinikini thyroid, me ka hōʻole ʻia o ka hana o nā kino ʻē aʻe o ka hopena o ka maʻi.

ʻO ka Hypothyroidism ma Pregnancy

Nui nā wahine i ka wā hāpai a makemake i ka mea ʻae - ke kumu o ka hypothyroidism subclinical a pehea e pili ai i ka hānau ʻana o kahi keiki. He mea pono e hoʻomaopopo ʻole, ʻaʻole e haʻalele ka maʻi iā ia iho a no laila e lawe koke ʻia ka lāʻau lapaʻau.I ka nui o ka mea maʻamau, hiki i nā pilikia ke 3 mau mahina o ka hapai, a mai kēia pēpē e ulu hewa a make paha.

ʻO ia ke kumu e pono ai e kipa pinepine i ke kauka i ka hoʻolālā ʻana o ka hāpai ʻana. ʻO kēia ka mea e hiki ai ke hoʻoholo i ke ala o ka maʻi i ka wā mua o ka hoʻolālā ʻana a me ka mālama ʻana i ka manawa. Inā hoʻolālā wale ka wahine i ka hapai, a laila pono e hoʻohana ʻia nā contraceptives ma mua o nā ʻano o ka hormone.

Lawe ʻia ka Therapy me nā lāʻau lapaʻau e kōkua i ka hiki ʻana o ka pae o nā hormones i loko o ke koko. No ka hana ʻana i ka mālama ʻana, ke kau nei ke kauka i kahi lāʻau lapaʻau me ka thyrethoxins synthetic a me nā lāʻau iodine iodine. Koho ʻia ka nui o ka dosage i ke koʻikoʻi o ka wahine a ʻaʻole i loli i ka manawa a pau ka lāʻau lapaʻau. ʻAʻole pono nā mea lapaʻau i ka wā hapai, ʻoiai hiki ke hoʻonāukiuki i ka nui o ka maikaʻi i ka mālama maikaʻi a hoʻopilikia i ka hoʻomohala ʻana o ka pūpū.

ʻAʻole ia e hoʻomaopopo i hiki i kēia maʻi ke hele i ka hoʻoilina ma ka hānau keiki. Aia aia kahi kūpono e hoʻomau ka maʻi o ke keiki i kahi pae kiʻekiʻe. Ma hope o ka hoʻopau ʻana i ka mālama ʻana a me ka hānau ʻana o kahi keiki, pono ka wahine e nānā maʻamau ʻia e kahi endocrinologist a hiki i ka hoʻōla hou ʻana. ʻO ʻoe paha ke hoʻopaʻa inoa i ke keiki.

Hypothyroidism ma nā keiki

Nā hōʻailona a me ka mālama ʻana i ka hypothyroidism subclinical like like me nā pākeke, akā me ke ʻano congenital, ʻoi aku ka paʻakikī o ka maʻi. Hiki ke ʻike ʻia ka hōʻino ʻia e ka hopena o nā hōʻike i ke kiʻekiʻe o nā hormone thyroid. ʻAʻohe nā hōʻailona koʻikoʻi a i ʻole nā mālamālua nā hōʻailona.

I nā pēpē hou, lawe ʻia nā hōʻike i loko o nā hola mua ma hope o ka hānau ʻana. E noʻonoʻo e nīnau aku i ke kauka inā loaʻa kāu mau hōʻailona e like me:

ka māla ʻana
ʻiliwai
hoʻōho hoʻi
maloʻo maloʻo
haʻahaʻa haʻahaʻa kino
loaʻa kālā wikiwiki.

Hoʻomaopopo kēia mau hōʻailona i ka hoʻomaka o ka hoʻomohala ʻana o ka maʻi. Hōʻike ʻia ka subclinical hypothyroidism i nā keiki kahiko ma ka ulu ʻana o ka noʻonoʻo a me ka hoʻoikaika kino, a me ka ʻike hoʻi iki ʻole.

Pono e hoʻomaka koke ka mālama ʻana ma hope o ka maʻi maʻi. I ka wā maʻi, hoʻohana ʻia nā hormone thyroid. ʻO ka nui o ka lāʻau lapaʻau ke hilinaʻi nui loa i ke kaumaha, umauma o ke keiki a me ka nui o ka papa o ka maʻi. Eia kekahi, pono e mālama i kona pae i ke koko.

Me ka hoʻohaʻahaʻa ʻana i nā mea o kēia mau hormones i ke kino, pono ʻoe e hoʻopau i nā meaʻai i momona i ka iodine, a inā pono, hōʻike ʻia ka lāʻau lapaʻau "Iodomarin". Inā ua ʻike ʻia ka maʻi i loko o kahi keiki i lalo o ke mau makahiki he 2, a laila pono ʻo ia e lawe i ka lāʻau lapaʻau i ka wā o kona ola.

Me ke aʻo ʻana o nā maʻi i ka pēpē, hiki ke loli i nā loli hewa i ke ʻano cardiovascular. Hōʻike ʻia i ka maʻi a me ka mālama ʻana i ka hypothyroidism i ka wā'ōpiopio ma ke ʻano like me ka poʻe pāʻelemakule, akā naʻe, ʻo ke ʻano o ka hormone hiki ke kūʻokoʻa kūʻokoʻa.

Nā hiʻohiʻona hana

Hiki ke ho'ōla ia Subclinical hypothyroidism inā ua ʻike ʻia ka maʻi ma ka hoʻomaka mua ʻana. I kēlā me kēia kūlana, ke koho pono nei ke ʻano o ke ʻano o ka maʻi hoʻolaʻa. Hoʻokumu kēlā me kēia maʻi i kāna papahana ponoi e hoʻihoʻi i ka nui o nā hormones i ke kino.

I kekahi mau kūlana, ʻaʻole i kuhikuhi ʻia ka mālama ʻana inā inā he mau maʻi koʻikoʻi nā kino a me nā ʻōnaehana. Hoʻomaʻamaʻa pinepine ʻia, nā mea maʻi kūlohelohe, akā hiki i nā mea maʻi ʻōpio. Me ka lāʻau lapaʻau, hoʻohana ʻia ka thyroxine hormone ma kahi hana synthetic. Kahi ʻia ka nui o ka maʻi a me ke ʻano o ka maʻi i kēlā me kēia hihia.

Eia kekahi, pono e hoʻonui pū me ka hoʻohana ʻana i nā mea hoʻoponopono pilikino i hopena maikaʻi i ke kino. Pono nō hoʻi e hahai i kekahi mau meaʻai a hoʻokomo i nā meaʻai i loaʻa i ka nui o ka iodine i loko o kaʻai maʻamau.

ʻO ka lāʻau lapaʻau

Inā hele mai ka subclinical hypothyroidism ma muli o ka nele o ka iodine, pono ʻoe e hoʻomaka koke i ka hoʻōla me nā lāʻau hoʻokolohua hormone. Ke alakaʻi nei i ka ʻoihana, pono e mālama i ke kiʻekiʻe o nā hormone a hoʻomālamalama i kēlā me kēia 6 mahina. ʻAʻole hiki i ka ho'ōla pono ʻana i ka maʻi, akā hiki ke kaohi i ka hana o ke kelepona thyroid a hōʻemi i nā hōʻike ʻino ʻole.

Hoʻohana ʻia ka lāʻau lapaʻau Levothyroxine i mea hoʻololi. Hoʻohālikelike ʻia ka dosis e ka paona maʻi. Hoʻohana ʻia ka lāʻau lāʻau i ke kakahiaka ma ka ʻōpū ʻole. ʻAʻole ke kuhikuhi ʻana i ka dosage iā ʻoe iho, no ka mea e hiki ai kēia ke hoʻonui i ka pono.

Eia kekahi, pono e koi ʻia ka hōʻailona symptomatic, e pili ana i ka hana o ke cardiac, nā lāʻau lapaʻau hormonal, cardioprotectors, a me nā hōʻolaha huaora. No ka hoʻopauʻana i ke kaumaha a me ka manaʻo ole, ua noi ʻia e hoʻohana i ka "Amitriptyline".

ʻO ka lāʻau lapaʻau

Hoʻohana ka nui o nā poʻe i ka hoʻoponopono kūlohelohe e mālama i ka subclinical hypothyroidism. Loaʻa nā hua lāʻau a me nā hua o nā mea kanu i nā mau hiʻohiʻona i ʻike ʻia no ka wā lōʻihi. No ka hana maʻi, hoʻohana ʻia nā ʻano mea kanu like me:

ʻO Mr. John's wort, elecampane, chamomile, gimlet, rose hip,
ʻaukā birch, St. John's wort, ash ash, elecampane, fruit cock,
celandine, coltsfoot, chamomile, yarrow, licorice, angelica.

ʻO kēia mau hui pū ʻana o nā mea kanu i manaʻo ʻia ka mea maʻamau a hoʻohana ʻia no nā maʻi o ka gland thyroid. He mea kūpono no ka hoʻomanaʻo me ka subclinical hypothyroidism, hiki ke hoʻohana ʻia nā mea aʻoaʻo hou aku ma hope o ka nīnau ʻana i ke kauka no ka ʻole e hoʻonāukiuki i ka hopena o nā hopena ʻaoʻao.

ʻO nā meaʻai no ka hypothyroidism

Me ka subclinical hypothyroidism, pono e nānā pono ia mea kanu. ʻAe ʻia kekahi mau meaʻai mai ka papa maʻamau, ma ke ʻano, e like me:

nā huahana soy
liuliu
iʻa momona a me nā ʻiʻo,
pata
huʻakai.

ʻAʻole ia e ʻai i hiki ke hoʻopau i nā nui o nā wai, no ka mea e kōkua ai i ka hoʻokumu ʻana o edema a hoʻonāukiuki i ka hopena o nā pilikia me nā keiki. Ke hele nei ka hypothyroidism, ʻoi ʻia ia e hoʻokomo i kāu papa:

nā waiwai me nā hua selenium a iodine,
Nā huaʻai hou a me nā lau
kope
ka ʻai momona a me ka moa.

Ma kēlā ʻano meaʻai e hiki ai i ke kanaka ke hoʻihoʻi hou i ke olakino wikiwiki a hoʻopau i kahi maʻi e noho nei. I ka papaʻai, pono ʻoe e kāohi i kou koʻikoʻi a me ke kahaha i nā loli a pau loa.

ʻO nā hopena o ka maʻi

ʻO nā hōʻike maʻamau o nā hormone thyroid i ka wā o ka subclinical hypothyroidism hiki ke kākoʻo i ka hana nui o ke kino. Eia nō naʻe, he mea hoʻomanaʻo ia e pili kēia pilikia i ka hana pilikino, a me ka hana o ka ʻōnaehana cardiovascular a me nā kino ʻē aʻe. Ma waena o nā hopena nui hiki ke hoʻomaopopo e like me:

vascular atherosclerosis,
māhuahua kolamu
anemia
wahahee o na kane
ka hoemi ana o ka moe kolohe,
hoʻōla
nā kūlana kaumaha.

Hoʻomaopopo wale kēia mau hopena āpau i kekahi mau maʻi. ʻO ka naʻau pili loa i ka uluʻana o ka hypothyroidism he mau kānaka ma lalo o 40 makahiki. ʻO kahi hana haʻalele i ka maʻi hiki ke alakaʻi i kahi coma o ka mea maʻi.

Nā huakaʻi

ʻO ka pale ʻana ke mālama i ka iodine i loko o ke kino. No ka hana ʻana i kēia, pono ʻoe e hōʻoia i ka ʻai pono, no ka mea, hoʻopau i ka meaʻai me nā mea iodine kiʻekiʻe. Eia kekahi, pono e pale i kou paona a pono e ʻike i kāu kauka i ka maʻamau.

ʻO ka poʻe me ka predisposition i ka maʻi thyroid e pale i ka hoʻoikaika kino kino nui. Manea ʻia e kaupalena i nā hele wāwae i ka lewa hou, ʻauʻau, yoga. He mea nui e pale i ka naʻau nui. He hopena maikaʻi ka hopena o Sanatorium.

ʻO ka subclinical hypothyroidism: nā kumu, nā kihi, nā hōʻailona a me ka mālama o ka maʻi

ʻO ka subclinical hypothyroidism kahi maʻi maʻi thyroid. I ka manawa like, ʻaʻole hiki ke hana ka mea maʻi i ka hana maʻamau a hoʻomaka e luku iā ia iho. Me ka hana maʻamau, hoʻokuʻu ka thyroid gland i nā hormone i loko o ke kaawai e hiki ai i ka mea maʻi e ola i kahi ola piha.

Hoʻohana ka hana o kēia ʻano i ke kino holoʻokoʻa, e hoʻoikaika ana i ka hana ʻana o nā huelo. Hoʻopilikia kekahi hanaʻinoʻole me kahi kaʻe o ka hormone, me ka ʻoi aʻe o lākou i ke kino. Hiki i ke ʻano o ke ʻano o nā hōʻino. Me ka nele o nā hormone thyroid, hoʻomaka ke kino i hāʻule ʻole i loko o ke kino a pau. Me ka nui o nā hormones, hoʻomaka ke kelepona thyroid e kāpae iā ia iho, ka mea e hoʻopilikia i ka hana o nā iwi āpau.

Loaʻa ka pōʻino o ka maʻi ma ka ʻoiaʻiʻo e hiki iā ia ke hoʻōki pono iā ia iho ʻoiai he pilikia somatic, ka mālama ʻia ʻana e hāʻawi ʻole i kahi hopena. ʻO ka mea maʻi me nā hōʻailona i loaʻa i ka kūkākūkā me kahi cardiologist, gynecologist a me neuropathologist. A ma nā papa hope loa i loaʻa iā ia ka manawa me kahi endocrinologist.

I ka hihia o ka thyroid diffunction, he mea nui e hoʻomaka i ka mālama ʻana i ka wā hiki i ka wā e pale ai i nā hōʻeha.

ʻaʻole kūpono e hoʻomohala i nā ʻōpū o loko i ke keiki.
hoʻoneʻe ʻokoʻa a wehe paha i ka thyroid gland.
nele o iodine i ke kino,
hoʻohana mau i nā lāʻau lapaʻau e pili ana i kēia kino,
e hana ʻia nā ʻōlaʻi ma nā ʻaoʻao pili.
hōʻike i ka radio iodine.

Eia kekahi, hiki ke kuhikuhi ʻia nā ʻano noiʻi hou, e like me:

hōʻike maʻi antibody
electrocardiography
nā diagnostics ultrasound
radiology
mouwuhi,
biochemistry koko.

ʻO kēia mau ʻano hana e hiki ai ke hoʻoholo i nā ʻikepili i ka hana o ke kinikini thyroid, me ka hōʻole ʻia o ka hana o nā kino ʻē aʻe o ka hopena o ka maʻi.

Nui nā wahine i ka wā hāpai a makemake i ka mea ʻehā - subclinical hypothyroidism subclinical a pehea e pili ai i ka hānau ʻana o kahi keiki. He mea pono e hoʻomaopopo ʻole, ʻaʻole e haʻalele ka maʻi iā ia iho a no laila e lawe koke ʻia ka lāʻau lapaʻau. I ka nui o ka mea maʻamau, hiki i nā pilikia ke 3 mau mahina o ka hapai, a mai kēia pēpē e ulu hewa a make paha.

Nā hōʻailona a me ka mālama ʻana i ka hypothyroidism subclinical like like me nā pākeke, akā me ke ʻano congenital, ʻoi aku ka paʻakikī o ka maʻi. Hiki ke ʻike ʻia ka hōʻino ʻia e ka hopena o nā hōʻike i ke kiʻekiʻe o nā hormone thyroid.ʻAʻohe nā hōʻailona koʻikoʻi a i ʻole nā mālamālua nā hōʻailona.

I nā pēpē hou, lawe ʻia nā hōʻike i loko o nā hola mua ma hope o ka hānau ʻana. E noʻonoʻo e nīnau aku i ke kauka inā loaʻa kāu mau hōʻailona e like me:

ka māla ʻana
ʻiliwai
hoʻōho hoʻi
maloʻo maloʻo
haʻahaʻa haʻahaʻa kino
loaʻa kālā wikiwiki.

ʻO Mr. John's wort, elecampane, chamomile, gimlet, rose hip,
ʻaukā birch, St. John's wort, ash ash, elecampane, fruit cock,
celandine, coltsfoot, chamomile, yarrow, licorice, angelica.

Me ka subclinical hypothyroidism, pono e nānā pono ia mea kanu. ʻAe ʻia kekahi mau meaʻai mai ka papa maʻamau, ma ke ʻano, e like me:

nā huahana soy
liuliu
iʻa momona a me nā ʻiʻo,
pata
huʻakai.

nā waiwai me nā hua selenium a iodine,
Nā huaʻai hou a me nā lau
kope
ka ʻai momona a me ka moa.

vascular atherosclerosis,
māhuahua kolamu
anemia
wahahee o na kane
ka hoemi ana o ka moe kolohe,
hoʻōla
nā kūlana kaumaha.

Danilova, N.A. Pehea e loaʻa ai ka maʻi diabetes / N.A. Danilova. - M .: Vector, 2010 .-- 128 p.
Akhmanov, ʻo Mikhail Sergeevich Diabetes. E hele ka ola! ʻO nā mea āpau e pili ana i kou maʻi maʻi / Akhmanov Mikhail Sergeevich. - M .: Vector, 2012 .-- 567 p.
Milku -M., Daniela-Muster Aneta Gynecological Endocrinology, Hale Paʻi o ka ʻAmelika o ka Hale Kuʻina o Socialist Republic o Romania - M., 2015. - 490 p.

E haʻi iaʻu iaʻu. ʻO Elena koʻu inoa. Ua hana wau ma ka endocrinologist ma mua o 10 mau makahiki. Ke manaʻoʻiʻo nei wau he kanaka mākeke wau i kaʻu kahua a makemake wau e kōkua i nā malihini a pau i ka pūnaewele e hoʻonā i nā paʻakikī a ʻaʻole pēlā nā hana. ʻO nā ʻikepili a pau no ka pūnaewele e hōʻiliʻili a hoʻomaʻamaʻa maikaʻi i mea e hōʻike ʻia e like me nā mea e pono ai ka ʻike. Ma mua o ka hoʻopili ʻana i ka mea i hōʻike ʻia ma ka pūnaewele, he kūkākūkā mandatory me nā mea loea.

ʻO nā hopena palekana

ʻOiai me ka papa subclinical o ka hypothyroidism, huhū ka nui o ka lethargy, puffiness o ka maka, loaʻa ka paona, a me ka ʻellowness o ka ʻili. No ka hoʻoulu ʻana i ka ʻoihana endocrine, ua ʻōlelo ʻia e hoʻohana i nā lāʻau lapaʻau:

Laminaria Thalli o ke algae a wāwahi ʻia i loko o kahi mea hoʻopiʻi i kahi kūlana ʻāpana. ʻ½ tsp Hoʻohui ʻia nā lau maka i ka 100 ml o ka wai i hoʻolapalapa a inu i nā minuke 30 ma mua o ka ʻai ʻekolu mau manawa i ka lā.
Schisandra. Hōʻalo ʻia nā hua maloʻo me kahi blender. E ninini i ka vodka i kahi kiko o 1: 5. E hoʻomau i nā lā 14 i kahi wahi pouli. E inu i ka 25 i ʻekolu mau manawa i ka lā no ka hapalua hola ma mua o ka papaʻaina.
Kālehu. Kūpili ʻia ka 10 g o nā lau i kālai ʻia me 300 ml wai. E hoʻomoʻe i loko o kahi pahu i hoʻopaʻa ʻia no 3 mau hola. Kili ʻia ka infusion filter i ka 100 ml 3 mau manawa i ka lā.

Hoʻomau ʻia ka lāʻau lapaʻau a hiki i ka mālama pono ʻana. ʻO ka papa haʻahaʻa o ka mālama maʻi he 3 mau pule.

Hoʻomaʻamaʻa no ka nele o ka thyroid

Me kahi papa subclinical o ka hypothyroidism, ʻoi ka nui o ka pilikia o ka hōʻeha ʻana o ka ʻōnaehana cardiovascular me ka nui. Akā ʻoiai e mālama ana i ka pae maʻamau o T3 a me T4 i loko o ke kino, ʻaʻole i ala mai ka hoʻopiʻi ʻana i ke ola. ʻO ka kūleʻa o nā maʻi e hilinaʻi i nā ʻano like ʻole:

ke kumu o ka hypothyroidism,
ka loaʻa o nā pilikia o ka hoʻonā endocrine,
nā hoʻololi ʻē aʻe.

Me ka hypothyroidism ma muli o ka nele o ka iodine, aneane hiki ke hoʻōla ʻia nā maʻi āpau. Akā inā ʻaʻohe o nā hormones iodine e loaʻa i ka pilikia ole e ka autoimmune, i ʻōlelo ʻia kahi ola o HRT.