TSH - seev suab. Ib tug ntshav kuaj, TSH - transcript

Ib txhia neeg tau pom tias lawv raug tsom xam rau TTG, seev suab yog tsis paub hais tias mus rau lawv. Qhov no thyroid-stimulating lawm, uas yog ib tug glycoprotein hormone ntawm pituitary. Ntawm lawv, nws tseem hu ua hCG, FSH thiab LH. Tab sis nws yog thyroid-stimulating lawm - yog qhov tseem ceeb regulator ntawm hauj lwm ntawm lub qog caj pas xwb. Npaum nws tswj lub tso pa tawm ntawm thyrotropin-tso tau. Nws kuj regulates lub tso pa tawm ntawm thyroxine thiab triiodothyronine, uas yog sau tias T4 thiab T3, ntsig txog. Lawv concentration yog qho tseem ceeb heev nyob rau hauv ib tug neeg cov ntshav, thiab nws deeg yog cov pov thawj uas loj cov kev hloov noj qhov chaw nyob rau hauv tib neeg lub cev.

Lub ntsiab lus ntawm cov thyroid stimulating lawm nyob rau hauv tib neeg lub cev

TSH tshuaj ntsuam suab plays ib qho tseem ceeb luag hauj lwm rau tag nrho cov neeg. Qhov no lawm tiag muaj feem xyuam rau ntau metabolic dab uas tshwm sim nyob rau hauv lub qog caj pas. Lawv muaj ib tug kev twb kev txuas mus rau lub cell daim nyias nyias receptors tshaj qhib adenylate cyclase. Xeem nkoos zus tau tej cov yeej thoj nam. Nyab lub synthesis thiab secretion ntawm T3 thiab T4 yog amplified, thiab cov thyroid caj pas tseem lub cev kev thiab nws txoj kev ua yog tsis tau ua txhaum. Lawm concentration tsom xam los mus txiav txim lub TSH ntshav, seev suab uas kos ib tug ntshiab daim duab ntawm dab tsi tshwm sim. Raws li ib tug txoj cai, nws yog tshuaj nyob rau hauv xws li mob:

- mus cais hyperthyroidism los yog hypothyroidism;

- mus taug qab qhov kev tshwm sim ntawm antithyroid tshuaj kho nyob rau hauv hyperthyroidism;

- nrog lub hom phiaj los saib xyuas cov T4 hluav nyob rau hauv ib tug havzoov goiter, los tswj cov hluav ntawm T4 - trophic tus ntawm TSH nyob rau hauv ib tug havzoov goiter los yog "laj qhov chaw";

- mus ntsuam xyuas cov lus teb rau stimulating xeem.

Niaj hnub nimno cov hau kev rau qhov kev txiav txim ntawm TSH zoo heev thiab heev puas siv tau. Lawv tsom xam yog siv los mus taw qhia subclinical thiab latent ntaub ntawv ntawm hyperthyroidism los yog hypothyroidism. Qhov no daim ntawv ntsuam xyuas yog tseem ua tau kom nqa tawm tej diagnostic kuaj.

indications rau

- kev kuaj rau TSH tshuaj ntsuam daim ntawv ntsuam xyuas, deciphering uas yuav ua rau nws tau los txhais tau ib tug zais hypothyroidism;

- rau differential mob ntawm cov kab mob uas txuam nrog rau cov thyroid caj pas;

- los mus txiav txim rau theem ntawm thawj hypothyroidism los yog hyperthyroidism;

- mus saib xyuas lub adequacy ntawm kev kho mob nrog cov tshuaj hormones.

Kev npaj rau kev tsom xam

Yuav kom txoj kev kawm yog tseeb, yuav tsum pub yus cov ntshav nyob rau hauv ib qho kev npliag plab. Tsuas yog dej yog tso cai. Nws yuav siv sij hawm tsawg kawg yog 8 teev tom qab kawg noj mov. Ib tug daim ntawv ntsuam xyuas yuav tsum tau nqa tawm ua ntej nws pib nyob rau hauv cov tshuaj. Yog hais tias lawv twb noj, ces koj yuav tau tos rau ob lub lis piam dhau vim lawv lub xeem siv. Yog hais tias koj yuav tsum tau soj ntsuam thaum lub sij hawm kev kho mob kev kho mob, ces yuav tsum qhia kom meej hais tias nws yog txais los ntawm tus neeg mob. Ua ntej qhov kev xeem hnub tsis tau noj kib thiab zaub mov, haus dej cawv yog txwv tsis pub thiab loj ce. Nws yog tsis tsim nyog mus rau hauv lub lab tom qab lub cev txoj kev kho, lub qhov quav xeem, ultrasound, fluoroscopy, x-ray. Nyob rau hauv kev tshwm sim ntawm txoj kev tshawb yuav cuam tshuam rau ib tug neeg siv tshuaj yeeb xws li acetylsalicylic acid, corticosteroids, iodine npaj. Hilez qauv thiab hemolysis - kuj yog ib yam uas yuav cuam tshuam rau ib tug zoo xws li cov kev soj ntsuam.

txhais lus ntawm tau

Ntshav xeem rau TSH, deciphering uas muab ib lub sijhawm zoo los soj ntsuam hauj lwm ntawm lub thyroid caj pas yog qho tseem ceeb heev rau cov neeg uas muaj tej yam teeb meem mob nkeeg. Los ntawm cov tshuaj ntsuam tus neeg mob, tus clinician them tshwj xeeb mloog mus rau sab tus nqi ntawm qhov ntsuas. Lub concentration ntawm no lawm yog ib qho tseem ceeb heev nyob rau hauv cov neeg mob:

- thaum koj xav tau kev tshawb nrhiav hyperthyroidism;

- mus saib xyuas cov ntau yam ntaub ntawv ntawm goiter;

- mus suppress TSH ntau ntau thiab qha tseeb hyperthyroidism uas tshwm sim thaum lub sij hawm nyuam;

- mus nrhiav tau tawm yog vim li cas rau divergent tau ntawm qhov kev txiav txim ntawm lub T4 thiab thyroid-stimulating lawm los ntawm tus soj ntsuam daim duab;

- nyob rau hauv cov ntaub ntawv ntawm qhov kev siv ntawm loj nyiaj ntawm cov thyroid hormones;

- nyob rau hauv cov ntaub ntawv ntawm supplementation, uas muaj T3;

- yog hais tias muaj yog vnetireoidnaya pathology;

- nyob rau hauv cov ntaub ntawv ntawm tsis txaus thyroid hormone txoj kev kho;

- thaum uas siv cov tshuaj uas tej zaum yuav muaj kev cuam tshuam rau cov thyroid raws li txoj cai;

- nyob rau hauv cov ntaub ntawv ntawm tag nrho cov-tawm kuj mus tireogormonam.

Muaj ntau yam kev qhia, raws li uas yog txiav txim los ntawm cov ntshav mus kuaj TSH, seev suab, tus nqi. Nyob rau hauv raws li lawv cov txiv neej no tshwm sim nce mus txog lub siab tshaj plaws nqi ntawm 3.5 nyob rau hauv 10 lub xyoos, thiab rau cov poj niam - 4.2. Qhov zoo tshaj plaws tshwm sim tau cai nyob rau hauv cev xeeb tub cov poj niam nyob rau hauv lub kawg peb lub hlis - 3.2.

Yuav ua li cas yog ib tug zoo tshwm sim?

Thaum muab tshaj ntsuam rau cov tshuaj hormones TTG, deciphering lawv qhia tau hais tias tus nqi ntawm ntau dua li ib txwm, nws qhia tias cov tau muaj ntawm cov kab mob xws li:

- cancer ntawm lub qog caj pas;

- teb goiter;

- ectopic secretion uas tshwm sim nyob rau hauv hlav ntawm lub ntsws los yog lub mis mob cancer;

- thyroiditis;

- thyroid hypofunction nyob rau hauv thawj zaug rau theem;

- ib tug pituitary qog.

Yuav ua li cas yog ib feem tsawg tsawg?

Yog hais tias qhov kev tshwm sim ntawm tus tsom xam rau hauv qab no ib txwm, nws tseem yog indicative ntawm ntau yam pathologies, xws li:

- kev raug mob los yog pituitary mob;

- lub xub ntiag ntawm lub syndrome Cushing ;

- hypothalamo-hypophyseal insufficiency;

- cus muaj nuj nqi ntawm lub qog nyob rau hauv cov thawj theem.

Yog li, peb pom tias lub TSH tsom xam, seev suab nws yog ib qho tseem ceeb heev rau txhua tus neeg. Qhov no lawm regulates lub chaw ua hauj lwm ntawm lub qog caj pas, thiab nyob rau hauv nws muaj heev loj metabolic dab, uas tiag cuam tshuam rau tib neeg mob. Tej deviations los ntawm nws cov kev cai yuav ua tau kom loj txim. Feem ntau nws muaj peev xwm txawm yuav tuag taus. Nws yog yog li ntawd tsim nyog yuav tsum tau heev attentive mus rau lawv noj qab haus huv. Yog hais tias koj xav tias loj tuaj lawm, tsis txhob tos, koj yuav tsum mus rau tus kws kho mob. Lub tshwj xeeb yuav xaiv tus tsim nyog kev ntsuam xyuas thiab muaj peev xwm nyob rau hauv lub sij hawm mus rau ceeb toom tus kab mob no rau nws tus kheej los yog nws txaus ntshai rau txim. Saib xyuas ntawm koj tus kheej, koj tus hlub thiab noj qab nyob zoo!