Subclinical hypothyroidism yog ib hom kab mob thyroid complex. Nyob rau tib lub sijhawm, lub cev tsis tuaj yeem ua haujlwm nyob rau hauv ib qho kev ua haujlwm thiab maj mam pib rhuav tshem nws tus kheej. Thaum lub sijhawm ua haujlwm ib txwm muaj, cov thyroid caj pas tso tawm cov tshuaj hormones rau hauv cov hlab ntsha uas tso cai rau tus neeg mob tau lub neej tag nrho.
Txoj haujlwm ntawm lub cev no cuam tshuam rau tag nrho lub cev, txhawb kev ua haujlwm ntawm cov kabmob. Kev ua txhaum cai tshwm sim nrog qhov tsis txaus ntawm cov tshuaj hormones, nrog rau ntau dhau ntawm lawv hauv lub cev. Qhov tshwm sim ntawm hom kev ua txhaum cai no tuaj yeem sib txawv heev. Nrog rau qhov tsis muaj cov thyroid hormones, lub cev pib maj mam poob, thiab tag nrho nws cov peev txheej yog depleted. Nrog rau ntau cov tshuaj hormones, cov thyroid caj pas pib tshem tawm nws tus kheej, uas cuam tshuam rau kev ua haujlwm ntawm tag nrho cov kabmob.
Qhov phom sij ntawm tus kab mob nyob ntawm qhov tseeb tias nws tuaj yeem zais nws tus kheej li kev mob somatic, kev kho mob uas tsis ua rau muaj txiaj ntsig. Tus neeg mob uas muaj cov tsos mob uas twb muaj lawm tig mus rau tus kws kho plawv, gynecologist thiab neuropathologist. Thiab tsuas yog nyob rau theem kawgtau teem sijhawm nrog tus kws kho mob endocrinologist.
Yog cov qog thyroid ua haujlwm tsis zoo, nws yog ib qho tseem ceeb uas yuav tau pib kho raws sijhawm kom tsis txhob muaj teeb meem.
Tus kab mob
Cov thyroid caj pas nyob ntawm caj dab thiab muaj tus npauj npaim. Feem ntau, nws tsis yog palpable. Cov tshuaj hormones tsim los ntawm lub cev no yog xav tau rau kev ua haujlwm ntawm ntau lub cev thiab lub cev. Cov thyroid hormones cuam tshuam qhov hnyav, kev ua haujlwm me me, metabolism, thermoregulation.
Txhawm rau sau cov kev kho mob kom raug, koj yuav tsum paub tias subclinical hypothyroidism yog dab tsi thiab tus kab mob no tshwm sim nws tus kheej li cas. Qhov no yog thawj daim ntawv ntawm kev puas tsuaj ntawm cov thyroid caj pas, tab sis tsis muaj cov tsos mob tshwm sim. Nrog rau qhov hais tawm hormonal tsis txaus, tej zaum yuav muaj kev ua txhaum ntawm kev ua haujlwm ntawm txhua lub cev thiab lub cev. Tus kab mob no tau muab zais thiab yog tus cwj pwm los ntawm kev qeeb qeeb ntawm lub luag haujlwm tseem ceeb ntawm cov thyroid caj pas.
Nws yog ib qho tseem ceeb heev uas yuav tsum tau ua raws li kev kho mob raws sijhawm, vim tias qhov tshwm sim ntawm cov txheej txheem pathological tuaj yeem txaus ntshai heev. Hauv cov poj niam, tus mob no tuaj yeem ua rau poj niam cev xeeb tub thiab tsis muaj menyuam, 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 ntawm kev ua haujlwm ntawm cov hlab plawv, cov hlab ntsha thiab lub plab zom mov ntawm lub cev. Nyob ntawm theem ntawm subclinical hypothyroidism, qhov kev tshwm sim thiab qhov xwm txheej ntawm cov kab mob pathology tau txiav txim siab.
Kev tshwm sim
Ua rau subclinical hypothyroidismtuaj yeem sib txawv heev, tshwj xeeb, qee yam kab mob, kev siv tshuaj, nrog rau kev kho tshuaj hormonal thiab hluav taws xob tuaj yeem ua rau muaj kev ua txhaum cai. Tsis tas li ntawd, ntawm qhov ua rau muaj qhov tshwm sim, nws yog ib qho tsim nyog yuav tsum tau hais txog xws li:
- kev loj hlob tsis zoo ntawm cov kabmob sab hauv hauv tus menyuam;
- ib nrab lossis tag nrho tshem tawm cov thyroid caj pas;
- tsis muaj iodine hauv lub cev;
- siv sijhawm ntev ntawm cov tshuaj uas cuam tshuam rau lub cev;
- cov txheej txheem inflammatory hauv cov ntaub so ntswg uas nyob ib sab;
- raug rau xov tooj cua iodine.
Thaum muaj ib lossis ntau qhov ua rau subclinical hypothyroidism, nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas ib ntus txhawm rau txhawm rau paub txog cov kab mob hauv lub sijhawm. Cov kab mob pathology tuaj yeem tau txais txiaj ntsig thiab muaj tus cwj pwm congenital lossis tshwm sim nws tus kheej thaum hluas. Kev loj hlob ntawm hypothyroidism tuaj yeem tshwm sim los ntawm kev mob ntawm cov thyroid caj pas lossis kev noj tshuaj ntau dhau ntawm iodine. Cov neeg mob uas muaj goiter lossis autoimmune thyroiditis yog qhov txaus ntshai.
Cov tsos mob tseem ceeb
Txawm hais tias qhov tseeb tias cov tsos mob ntawm subclinical hypothyroidism tsis tau hais dhau los, txawm li cas los xij, qhov xwm txheej no tuaj yeem nrog qee yam cim tshwj xeeb. Qhov tshwm sim ntawm tus kab mob no tuaj yeem yooj yim tsis meej pem nrog lwm yam kev puas siab puas ntsws thiab somatic. Feem ntau, ntawm qhov tshwm sim tseem ceeb, cem quav yog qhov txawv, uas tuaj yeem hloov nrog cov mob raws plab. Cov tsos mob ntawm tus kab mob gallstone kuj yuav zoo li.
Ntxiv rau, nrog hypothyroidism, tej zaum yuav muaj cov kab mob ntawm cov hlab plawv, tshwj xeeb, nce siab, effusion hauv cov kab noj hniav pericardial. Hauv cov poj niam, subclinical hypothyroidism tuaj yeem tshwm sim nws tus kheej nyob rau hauv daim ntawv ntawm cov los ntshav tsis sib xws, nrog rau kev loj hlob ntawm osteoarthritis.
Ntawm cov cim tshwj xeeb, coarsening ntawm lub suab, nce tus nplaig, o ntawm lub ntsej muag yuav tsum paub qhov txawv. Raws li tus kab mob loj tuaj, cov tsos mob nce me ntsis. Raws li qhov tshwm sim ntawm qhov tsis muaj cov tshuaj hormones, nws maj mam deterioration nyob rau hauv kev txawj ntse lub peev xwm ntawm ib tug neeg thiab ib tug deterioration ntawm lub cim xeeb. Nyob rau theem kawg ntawm subclinical hypothyroidism, muaj qhov nce hauv siab thiab tsis pom kev. Nyob rau tib lub sijhawm, cov plaub hau ua nkig thiab nyias, thiab daim tawv nqaij ua grey-daj. Tsis tas li ntawd, tiv thaiv keeb kwm yav dhau los ntawm kev txo qis hauv cov thyroid ua haujlwm, ntshav ntshav thiab bradycardia tau pom.
Diagnostics
Txhawm rau txiav txim siab yuav kho li cas subclinical hypothyroidism, koj yuav tsum pib kuaj mob. Kev kuaj mob yog tsim los ntawm kev kuaj ntshav. Cov yam ntxwv hauv qhov no yog qhov nce hauv cov thyroid-stimulating hormone nrog rau qib ntawm cov thyroid hormones.
Ntxiv rau, cov kev tshawb fawb ntxiv yuav raug sau tseg, tshwj xeeb, xws li:
- tshuaj tiv thaiv kab mob;
- electrocardiography;
- kuaj mob ultrasound;
- radioography;
- scintigraphy;
- ntshav biochemistry.
Cov tswv yim zoo li no ua rau nws muaj peev xwm txiav txim siab qhov sib txawvHauv kev ua haujlwm ntawm cov thyroid caj pas, nrog rau kev cuam tshuam hauv kev ua haujlwm ntawm lwm yam kabmob uas tshwm sim los ntawm cov kab mob.
Hypothyroidism thaum cev xeeb tub
Ntau tus poj niam thaum cev xeeb tub txaus siab rau qhov nws yog - thawj subclinical hypothyroidism thiab nws cuam tshuam li cas rau kev xeeb tub ntawm tus menyuam. Nws yog tsim nyog sau cia tias tus kab mob yuav tsis ploj mus ntawm nws tus kheej thiab yog li kev kho mob yuav tsum tau ua tam sim ntawd. Feem ntau, cov kab mob tshwm sim hauv thawj 3 lub hlis ntawm cev xeeb tub, thiab los ntawm qhov no tus menyuam tuaj yeem loj hlob txawv txav lossis txawm tuag.
Yog vim li cas koj yuav tsum mus ntsib kws kho mob tsis tu ncua txawm tias nyob rau theem ntawm kev npaj cev xeeb tub. Qhov no yuav ua rau nws muaj peev xwm txiav txim siab txog kab mob ntawm qhov pib ntawm txoj kev loj hlob thiab ua tiav kev kho mob raws sijhawm. Yog hais tias tus poj niam tsuas yog npaj cev xeeb tub, ces nws yog ib qho tsim nyog yuav tsum siv cov tshuaj tiv thaiv kab mob ua ntej qhov normalization ntawm cov tshuaj hormones.
Kev kho yog ua nrog cov tshuaj uas pab normalize cov tshuaj hormones hauv cov ntshav. Rau kev kho mob, tus kws kho mob tau sau cov tshuaj hloov pauv nrog cov tshuaj thyretoxins thiab cov tshuaj uas muaj iodine. Cov koob tshuaj raug xaiv ib tus zuj zus nyob ntawm qhov hnyav ntawm tus poj niam thiab tsis hloov pauv txhua lub sijhawm ntawm cov tshuaj. Nws yog qhov tsis tsim nyog siv cov tshuaj pej xeem thaum cev xeeb tub, vim qhov no tuaj yeem ua rau muaj kev cuam tshuam loj hauv kev noj qab haus huv thiab cuam tshuam rau kev loj hlob ntawm fetus.
Nws tsim nyog sau cia tias tus kab mob no tuaj yeem ua rau tus menyuam hauv plab. Muaj lub caij nyoog uas tus menyuam yuav muaj tus kabmob nyob rau theem siab dua. Tom qab ua tiav kev kho mob thiab yug me nyuam, tus poj niam yuav tsum tau soj ntsuam ib ntus los ntawm tus kws endocrinologist kom txog thaum rov ua tiav. Tej zaum koj yuav tau sau npe rau tus menyuam thiab.
Hypothyroidism hauv menyuam yaus
Cov tsos mob thiab kev kho mob ntawm subclinical hypothyroidism yuav luag zoo ib yam li cov neeg laus, tab sis nrog rau hom congenital, tus kab mob nyuaj dua. Lub xub ntiag ntawm cov teeb meem tuaj yeem raug lees paub los ntawm cov txiaj ntsig ntawm kev sim rau qib ntawm cov thyroid hormones. Hauv qhov no, tsis muaj cov tsos mob tshwm sim lossis cov tsos mob tsis pom tseeb.
Nyob rau hauv cov menyuam yug tshiab, cov kev ntsuam xyuas raug kuaj thawj zaug tom qab lawv yug los. Nco ntsoov sab laj nrog kws kho mob yog tias koj muaj cov tsos mob xws li:
- puffiness;
- jaundice;
- hoarse quaj;
- tawv nqaij;
- qis lub cev kub;
- nrawm nrawm.
Cov cim qhia no qhia txog qhov pib ntawm kev txhim kho tus kabmob. Subclinical hypothyroidism nyob rau hauv cov me nyuam loj yog tus cwj pwm los ntawm kev puas hlwb thiab lub cev kev loj hlob, nrog rau me ntsis tsis pom kev.
Kev kho mob yuav tsum pib tam sim tom qab kuaj mob. Thaum kho, cov thyroid hormones yog siv. Cov tshuaj ntau npaum li cas nyob ntawm qhov hnyav, hnub nyoog ntawm tus menyuam thiab qhov hnyav ntawm cov kab mob. Tsis tas li ntawd, nws yog ib qho tsim nyog los tswj nws qib hauv cov ntshav.
Thaum cov ntsiab lus qis duaCov tshuaj hormones no nyob rau hauv lub cev, koj yuav tsum tau noj cov zaub mov uas muaj iodine, thiab yog tias tsim nyog, cov tshuaj "Iodomarin" qhia. Yog tias kuaj pom tus kab mob no hauv tus menyuam hnub nyoog qis dua 2 xyoos, ces nws yuav tsum tau noj tshuaj hormonal thoob plaws nws lub neej.
Thaum lub sijhawm muaj tus kabmob, tus menyuam yuav muaj kev hloov pauv tsis zoo hauv cov hlab plawv. Kev kuaj mob thiab kev kho mob ntawm hypothyroidism hauv cov tub ntxhais hluas yog ua tib yam li hauv cov neeg laus, txawm li cas los xij, cov tshuaj hormones tuaj yeem rov qab los rau lawv tus kheej.
Txoj kev kho mob
Subclinical hypothyroidism tuaj yeem kho tau yog tias kuaj pom tus kab mob thaum pib. Nyob rau hauv txhua rooj plaub, txoj kev kho yog xaiv los ntawm tus kheej nkaus xwb. Txhua tus neeg mob tsim lawv tus kheej txoj haujlwm los kho cov tshuaj hormones hauv lub cev.
Qee qhov xwm txheej, kev kho mob tsis raug sau tseg, yog tias muaj kab mob hnyav ntawm lwm yam kabmob thiab lub cev. Feem ntau, kev hloov pauv kev kho yog raug sau tseg, tab sis tsuas yog rau cov neeg mob hluas xwb. Synthetic hormone thyroxine yog siv los ua tshuaj. Qhov ntau npaum thiab cov kev kho mob yog xaiv ib tus zuj zus nyob rau hauv txhua rooj plaub.
Tsis tas li ntawd, nws yog qhov tsim nyog los siv lwm txoj kev kho mob uas muaj txiaj ntsig zoo rau lub cev. Nws kuj tseem yuav tsum tau ua raws li qee qhov kev noj haus thiab qhia cov khoom noj uas muaj ntau cov iodine rau hauv cov zaub mov ib txwm muaj.
kev kho mob
Y Yog tias subclinical hypothyroidism tshwm sim vim iodineinsufficiency, koj yuav tsum tam sim pib kho nrog tshuaj hloov tshuaj hormones. Thaum kho, nws yog ib qho tsim nyog yuav tsum tau saib xyuas qib ntawm cov tshuaj hormones thiab kuaj xyuas txhua 6 lub hlis. Nws yog tsis yooj yim sua kom kho tau tus kab mob no, tab sis nws muaj peev xwm tswj tau txoj haujlwm ntawm cov thyroid caj pas thiab txo cov tsos mob tsis zoo.
Levothyroxine yog siv los hloov kho. Cov koob tshuaj yog xam raws li qhov hnyav ntawm tus neeg mob. Cov tshuaj yog siv thaum sawv ntxov nruj me ntsis ntawm lub plab khoob. Nws tsis pom zoo kom hloov cov koob tshuaj ntawm koj tus kheej, vim qhov no yuav ua rau koj mob hnyav dua.
Tsis tas li ntawd, yuav tsum tau kho cov tsos mob, uas suav nrog kev siv lub plawv, tshuaj hormonal, cardioprotectors, vitamin complexes. Txhawm rau tshem tawm kev nyuaj siab thiab tsis txaus siab, nws raug nquahu kom siv Amitriptyline.
tshuaj ntsuab
Ntau tus neeg siv cov tshuaj pej xeem los kho subclinical hypothyroidism. Tshuaj ntsuab thiab txiv hmab txiv ntoo ntawm cov nroj tsuag muaj cov khoom kho, uas tau paub ntev ntev. Rau kev kho mob, xws li tshuaj ntsuab npaj yog siv raws li:
- St. John's wort, elecampane, chamomile, cocklebur, qus sawv;
- birch buds, St. John's wort, roob tshauv, elecampane, cocklebur;
- celandine, coltsfoot, chamomile, yarrow, licorice, angelica.
Cov tshuaj sib xyaw ua ke ntawm cov tshuaj ntsuab no suav tias yog qhov ntau tshaj plaws thiab siv rau cov kab mob ntawm cov thyroid caj pas. Nws yog tsim nyog nco ntsoov tias nyob rau hauv subclinical hypothyroidismLwm txoj kev kho mob tuaj yeem siv tom qab sab laj nrog kws kho mob nkaus xwb, thiaj li tsis ua rau muaj qhov tshwm sim tshwm sim.
Khoom noj khoom haus rau Hypothyroidism
Nrog subclinical hypothyroidism, koj cov zaub mov yuav tsum tau tshuaj xyuas. Qee cov zaub mov yuav tsum raug cais tawm ntawm cov khoom noj niaj hnub, tshwj xeeb, xws li:
- khoom lag luam;
- sugar;
- ntses ntses thiab nqaij;
- butter;
- peanuts.
Nws tsis pom zoo kom haus cov kua ntau, vim nws ua rau muaj kev tsim cov edema thiab provokes teeb meem raum. Thaum hypothyroidism tshwm sim, nws raug nquahu kom suav nrog hauv koj cov zaub mov:
- selenium thiab iodine fortified zaub mov;
- txiv hmab txiv ntoo tshiab thiab zaub;
- coffee;
- nqaij qaib thiab nqaij qaib.
Kev noj zaub mov zoo li no ua rau tus neeg muaj kev noj qab haus huv sai dua thiab tshem tawm cov kab mob uas twb muaj lawm. Thoob plaws tag nrho lub sijhawm ntawm kev noj haus, koj yuav tsum tswj koj qhov hnyav thiab nco ntsoov txhua qhov kev hloov pauv.
Txoj kev mob tshwm sim
Cov lus qhia ib txwm muaj ntawm cov thyroid hormones thaum lub sijhawm subclinical hypothyroidism tso cai rau koj tswj hwm cov haujlwm tseem ceeb ntawm lub cev. Txawm li cas los xij, nws tsim nyog sau cia tias tus kab mob no cuam tshuam rau kev ua haujlwm ntawm kev sib deev, nrog rau kev ua haujlwm ntawm cov hlab plawv thiab lwm yam kabmob. Ntawm cov txiaj ntsig tseem ceeb yog cov hauv qab no:
- vascular atherosclerosis;
- ntshav qab zib;
- mob khaub thuas;
- txoov deev tsav;
- kev muaj menyuam;
- xeev kev nyuaj siab.
cov cholesterol
Txhua qhov teebmeem no tsuas yog pom hauv qee tus neeg mob xwb. Qhov tseem ceeb tshaj plaws rau qhov tshwm sim ntawm hypothyroidism yog cov neeg muaj hnub nyoog qis dua 40 xyoo. Ib hom kab mob siab heev tuaj yeem ua rau tus neeg mob coma.
prophylaxis
Kev Tiv Thaiv yog tswj hwm ntawm iodine hauv lub cev. Txhawm rau ua qhov no, koj yuav tsum ua kom cov khoom noj kom zoo, tshwj xeeb, noj cov zaub mov muaj iodine. Tsis tas li ntawd, koj yuav tsum tswj koj qhov hnyav thiab koj tus kws kho mob yuav tsum saib xyuas nws qhov normalization.
Cov neeg uas muaj tus kab mob thyroid yuav tsum zam kev tawm dag zog lub cev. Nws raug nquahu kom txwv koj tus kheej mus taug kev hauv huab cua ntshiab, ua luam dej, yoga. Nws yog ib qho tseem ceeb kom tsis txhob muaj kev xav ntau dhau. Kev kho Spa muaj txiaj ntsig zoo.
