TSH - kokuhlaziya. A test igazi, TSH - transcript

Abanye abantu baye bafumanisa ukuba abelwe uhlalutyo kwi TTG, ukucazulula ayaziwa kubo. Le hormone lengqula-ekhuthazayo, nto leyo hormone glycoprotein of yebhinqa. Phakathi kwabo, lingakwazi ngokuba hCG, FSH kunye LH. Kodwa ke lengqula-oluvuselela enama - yengundoqo umalusi ukusebenza ndlala ndlala ngokwayo. Kala olawula secretion of thyrotropin-lokukhululwa factor. Kananjalo ilawula secretion ka thyroxine kunye triiodothyronine, ezo zibizwa T4 T3, ngokulandelelana kwazo. ingqondo yabo ebaluleke gqitha igazi lomntu, kunye intlokoma zibe ubungqina bokuba utshintsho ezinzulu olwenzekayo emzimbeni womntu.

Intsingiselo yendlala ekuvuseleleni hormone emzimbeni womntu

TSH Uvavanyo yokususa ludlala indima ebalulekileyo abantu bonke. Le hormone ngokunzulu ezahlukeneyo pathways iinkqubo ezithi zenzeke ndlala ndlala. Zinelungelo uqhagamshelwano receptors iseli inwebu kunokuba chukumisa adenylate cyclase. Last kukhuthaza ukwenziwa kweminquba. Apho ezwi kunye secretion of T3 kunye T4 ziyanyuswa, kwaye esinobubovu lengqula ihlala ehlanganisiweyo emzimbeni kwaye umsebenzi wayo badlwengulwe. Uhlalutyo hormone xi ukujonga igazi TSH, ukucazulula apho bazoba umfanekiso ocacileyo okwenzekayo. Njengomgaqo, oko kumiselwe kulo zamatyala:

- ngaphandle hyperthyroidism okanye hypothyroidism;

- ukulandelela iziphumo unyango ngamachiza antithyroid in hyperthyroidism;

- ngenjongo iliso T4 kwezithandani kwindawo goiter ubuthi, okanye ukulawula kwezithandani of T4 - impembelelo trophic of TSH ngendlela goiter ubuthi okanye "iziza epholileyo";

- ukuvavanya impendulo ekhuthazayo uvavanyo.

iindlela Modern yokumisela TSH zisebenza kakuhle kakhulu kwaye kakhulu zifikeleleka. Uhlalutyo lwabo kusetyenziswa ukuchonga iindlela subclinical kunye abagxothwa hyperthyroidism okanye hypothyroidism. Olu phando kakhulu kungenzeka ukuba afeze wobunzululwazi diagnostic.

Ubungqina obubonakalayo buxela ukuba

- ukuhlolwa uphando TSH kulingwa, ziqonde leyo eya kwenza kube lula ukuchaza hypothyroidism efihliweyo;

- ngokuba umahluko izifo ezinxulumene ne ingaba lengqula;

- ukumisela ibakala hypothyroidism lokuqala okanye hyperthyroidism;

- ukujonga ukufaneleka unyango kunye hormone.

Ukulungiselela ukuhlaziya

Ukuze isifundo ilungile, kufuneka unikele ngegazi ungatyanga. amanzi kuphela ubuninzi. Kuya kuthatha iiyure eziyi-8 emva kwesidlo wokugqibela. Uphando kufuneka yenziwe phambi kokuba uqale kumayeza. Ukuba sele uwathabathile, ngoko ke kufuneka ukuba ulinde ukuba kudlula iiveki ezimbini ukususela ukusetyenziswa yabo yokugqibela. Ukuba ufuna kuvavanywa ngethuba unyango, ngoko qiniseka ukuba ucacise ukuba yamkelwe sisigulane. Phambi ngosuku loviwo akakwazi kutya du uyadinga, utywala akuvumelekanga kunye umthambo kakhulu. Akukho mfuneko ukuya kwilebhu emva unyango ngokwasemzimbeni, uvavanyo efakwa, ultrasound, fluoroscopy, x-reyi. Kwiziphumo zesifundo okungaphazamisa amachiza azimeleyo afana acetylsalicylic acid, corticosteroids, amalungiselelo iodine. Hilez isampula kunye hemolysis - Kwakhona enye ezinokuphembelela uviwo olufanayo.

nokutolikwa iziphumo

Uphononongo kwegazi TTG, ziqonde ebonelela ithuba elihle ukuvavanya umsebenzi esinobubovu lengqula kubaluleke kakhulu ukuba abantu abaneengxaki ezithile zempilo. Ekuhloleni kwisigulana, nonoklinikhi uhlawula eyodwa kuli nexabiso kuvezwa. Ukufumaneka kwale hormone ibaluleke kakhulu kule meko:

- xa ufuna ukuxilonga hyperthyroidism;

- ukujonga iintlobo ezahlukeneyo goiter;

- ukucinezela amanqanaba TSH kwaye umahluko hyperthyroidism lwenene kwenzeka ngexesha yokuzalwa;

- ukufumanisa izizathu iziphumo eziphambukileyo ngokumiselwa T4 lengqula-ekuvuseleleni hormone osuka kumfanekiso lwezonyango;

- kwimeko yokusetyenziswa oluninzi hormone;

- kwimeko nokufakelelwa, oluqulathe T3;

- Ukuba kukho zoxilongo vnetireoidnaya;

- kwimeko yokungeneli unyango ihomoni;

- xa usebenzisa amayeza enokuchaphazela imo lengqula;

- kwimeko zonke-out ukuxhathisa tireogormonam.

Kukho izalathi ezithile, njengoko leyo emiselwe uvavanyo lwegazi TSH, ukucazulula, rate. Ngokuhambelana kunye nabo indoda esi siphumo ifikelela ixabiso eliphezulu iminyaka 3.5 ngo-10, yaye kwabasetyhini - 4.2. Isiphumo engcono ibonakala abafazi abakhulelweyo kwithuba leenyanga ezintathu yokugqibela - 3.2.

Yintoni nemiphumo emihle?

Xa sidluliselwe ahlalutye hormone TTG, ziqonde ukuba ibonisa ukuba izinga eliphezulu kunesiqhelo, libonisa ukuba ubukho kunokwenzeka zezifo ezifana:

- umhlaza le ndlala lengqula;

- sendawo goiter;

- secretion ethunjini ukuba kwenzeka yamathumba of kwemiphunga okanye webele umhlaza;

- thyroiditis;

- hypofunction ze esinobubovu lengqula kwi isanda;

- ithumba yebhinqa.

Yintoni ngexabiso eliphantsi?

Ukuba iziphumo zohlalutyo ngezantsi eziqhelekileyo, oku kwakhona kubonisa ezimbi eyahlukeneyo, kuquka:

- ukwenzakala okanye yebhinqa ithumba;

- phambi kokuba syndrome Cushing ;

- hypothalamo-hypophyseal insufficiency;

- ehleliyo umsebenzi ndlala kweqonga zaseprayimari.

Ngenxa yoko, siyabona ukuba uhlalutyo TSH, zokucazulula kubalulekile kakhulu wonke umntu. Le hormone lilawula umsebenzi nobubovu lengqula, yaye kuyo kukho iinkqubo ezinzulu kakhulu pathways, leyo kuchaphazela kakubi imeko umntu. Naziphi na ukutenxa amalungiselelo alo kunokukhokelela kwintlekele. Lidla zingathatha lunokubulala. Kuyimfuneko ke ngoko ukuba kakhulu ingqalelo kwimpilo yazo. Ukuba uziva ubambekile, musa ukuthandabuza, kufuneka uye kwagqirha. Yingcali liya kumisela ezi mvavanyo efanelekileyo kwaye akwazi kwangethuba ukuze alumkise sifo okanye nemiphumo eyingozi. Thatha nokuzikhathalela wena, abantwana bakho nezinto uhlale usempilweni!