Kugwiritsa ntchito moyenera subclinical hypothyroidism

Munkhaniyi muphunzira:

Subclinical hypothyroidism - izi ndi zomwe madokotala amatcha mkhalidwe pamene mahomoni a chithokomiro akucepa pang'ono, ndipo palibe umboni uliwonse. Subclinical hypothyroidism ndizovuta kudziwa, koma ndi iye yemwe nthawi zambiri amayambitsa matenda ena ambiri.

Zomwe zimayambitsa matendawa

Mtsogoleri mu pafupipafupi wa subclinical kapena latent hypothyroidism ndi mawonekedwe a autoimmune thyroiditis. Madera a chithokomiro cha chithokomiro chowonongeka chifukwa cha kutupa amayamba kuwonongeka pang'onopang'ono, ndiye kuti, amadzala ndi minyewa yopanda vuto komanso yopanda pake. Chitsamba chotsala cha chithokomiro chimapitilirabe kupanga mahomoni, koma osatha kupirira.

Mu malo achiwiri ndi pamene chithokomiro chachotsedwa chithokomiro kapena mutatha kuchotsera kwathunthu, ngati munthu atamwa mlingo woyenerera wa levothyroxine.
Subclinical hypothyroidism imatha kuthandizanso pochiza matenda a Graves omwe ali ndi thionamides kapena ayodini.

Postpartum kapena subacute thyroiditis, kuwonetsa kwa mutu ndi khosi, kutalika kwa nthawi yayitali komanso kwapamwamba kwa amiodarone, mchere wa ayodini, kukonzekera kwa lifiyamu ndi mankhwala ena osokoneza bongo.

Nthawi zina chithokomiro cha chithokomiro chimakwiririka, kapenanso palibe. M'njira zonsezi, wodwala atazindikira, wodwala amatenga mahomoni a chithokomiro, ndipo ngati mankhwalawo ali osakwanira, ndiye kuti matenda ena oopsa amayamba.

Mosiyana ndi zikhulupiriro zodziwika bwino, kuchepa kwa ayodini, ngakhale kungayambitse matenda ang'onoang'ono, tsopano ndikosowa. Chomwe chimapangitsa izi ndi mchere wopanda mchere. Chifukwa chake, masoseji ambiri, tchizi, zinthu zomalizidwa ndi zinthu zina zimasungidwa kumafakitole ndi mchere wopanda ayodini. Kuphatikiza apo, anthu ambiri amagula mchere ndi ayodini osaganizira nkomwe.

Momwe mungadziwire?

Subclinical hypothyroidism pakati pa akazi, makamaka mchaka chachinayi cha moyo, amapezeka kangapo ka 9 kuposa amuna.

Nthawi zambiri imapitilira kwathunthu kukhala ndi asymptomatic kapena ndi zizindikiro zochepa kwambiri zosakhazikika, ndiye kuti, zimatha kufanana ndi matenda ena ambiri. Chifukwa chake, ndi subclinical hypothyroidism, nzeru, kuphunzira, kukumbukira, kuyankhula pang'onopang'ono, kuyenda kumayenda pang'onopang'ono, munthu amakhala phlegmatic, tsitsi limayamba kuzimiririka, kuphwanya misomali ... Mndandandawu ukhoza kupitilizidwa, koma muyenera kuvomereza kuti malongosoledwewa ndi oyenera chifukwa chosowa mavitamini kapena kutopa chabe.
Amadziwika kuti ndi hypothyroidism, kuthamanga kwa magazi mu ubongo kumatsika mpaka 38% pansi pazonse, ndipo mpweya ndi glucose mpaka 27%. Izi sizimangochepetsa njira zamaganizidwe, komanso zimakwiyitsa kukhumudwa. Mmodzi mwa khumi amene amafunafuna thandizo la kukhumudwa ali ndi matenda oopsa. Mwa zovuta zonse zomwe zimachitika wodwala nthawi ndi nthawi, pafupifupi theka limakhala chifukwa cha subclinical, kapena yaposachedwa, hypothyroidism.

About subclinical hypothyroidism amalankhula kuphatikiza kwa zinthu zitatu izi:

Kukhalapo kapena zizindikiro zopanda pake.
Mulingo wabwinobwino ndi T4 ndi T3 kapena m'munsi mwa malire.
Thupi lokwera kwambiri la chithokomiro.

Mfundo yomaliza ndiyofunikira kwambiri, chifukwa imagwiritsidwa ntchito ngati chithandiziro pakuchiritsa.

Chilichonse chomwe chimayambitsa matenda a subclinical hypothyroidism, ndikofunikira kwa TSH ndende yomwe ndiyo njira yodziwira bwino.

Chifukwa chiyani amathandizidwa?

Zikuwoneka kuti palibe zizindikiro, mahomoni amakhala abwinobwino - chifukwa chake amathandizira? Komabe, kusasamala kwa mahomoni kumawononga kuyanjana koyenera kwa kagayidwe kachakudya ndikuwonjezera mwayi wa mndandanda wautali wa matenda.
Kuperewera kwa mahomoni a chithokomiro, ngakhale obisika, kumachulukitsa cholesterol ndipo potero kumathandizira kukulitsa kwa atherosulinosis.

Komanso, kuchuluka kwa mahomoni a chithokomiro amakhudzanso mtima. Ngati mtima wosagwedezeka mtima umagwira bwino ntchito, ndiye kuti mukapereka katundu osachepera pang'ono kuposa masiku onse, umatha kupirira.

Ngakhale kuperewera pang'ono kwa mahomoni a chithokomiro, ngati kumatenga nthawi yayitali mokwanira, kumapangitsa kuchepa kwa libido, komanso ngakhale kubereka. Mzimayi amapita kwa azachipatala, amayang'ana zomwe zimayambitsa kusabala kwa mwana, IVF yosapindulira ndipo alibe zizindikiro zamatenda aposachedwa. Kusanthula kwa mahomoni a chithokomiro chifukwa choganiza kuti ndi osabereka pamafunika.

Hypothyroidism, ngakhale pang'ono, mwa amayi apakati amatha kusokoneza kukula kwa mwana. Zotsatira zoyipa kwambiri paziwonetsero zakumapeto kwa gawo la mitsempha, kuchepa kwa magazi, komanso mavuto akumva. Kumayambiriro kwa mimba, subclinical hypothyroidism imasankha kupweteka.

Ambiri amadandaula kuti sangachepetse thupi, ngakhale atayesetsa motani. Mahomoni a chithokomiro amakhala ndi mphamvu yolimbikitsa pachilichonse m'thupi, kuphatikizapo kufulumizitsa kagayidwe. Ndipo chifukwa chosowa mphamvu zamagetsi m'thupi ndizochepa ndipo ndizovuta kwambiri kuti munthu achepetse thupi.

Subclinical hypothyroidism, ngati siyiyambidwanso kuchiritsidwa, imatha kuchira yokha popanda chifukwa chomveka. Tsoka ilo, pamakhala zochitika zambiri pamene hypothyroidism imangokuliraku pakapita nthawi.

Gawani hypothyroidism yobereka pambuyo pake, yomwe imathanso kukhala yaying'ono. Vutoli limangokhala lokha ndipo silifunika chithandizo, kungoyang'ana chabe.

Kodi kuchitira?

Mawu oti kuchepa kwa mahomoni a chithokomiro amayenera kuthandizidwa ndi kuyambitsa kwawo kumawoneka kuti ndizomveka. Chifukwa chake, atatha miyezi itatu kapena isanu ndi umodzi chithandizo ndi levothyroxine, TSH imayang'anidwanso. Thupi likapanda kukhala ndi mahomoni okwanira a chithokomiro, limalimbikitsa chithokomiro mothandizidwa ndi TSH, yomwe imawonjezera ntchito yake ya mahomoni.

TSH ndi mulingo wabwinobwino, zomwe zikutanthauza kuti mlingo wa mahomoni ndi wabwino. Nthawi zina pankhani iyi, adotolo amayendetsa pang'onopang'ono kuchuluka kwa timadzi tomwe timayamwa. Chifukwa chake ndizotheka kuchepetsa mavuto omwe amabwera chifukwa cha mankhwala.
TSH ikadakwezedwa - mlingo wa levothyroxine uyenera kuchuluka, munthuyo adakali ndi hypothyroidism.
TTG pansipa yabwinobwino - bongo. Ngakhale popanda kusanthula, dokotala kapena wodwala amawerengedwa akhoza kunena kuchuluka kwa levothyroxine. Kuda nkhawa, kupsya mtima, kusinthasintha, kuchepa thupi, kunjenjemera m'manja popanda chifukwa chodziwika bwino. Ngati bongo ndi laling'ono, ndiye subclinical hyperthyroidism, kuzindikira komwe sikungatheke popanda kusanthula kwa TSH.

Mkhalidwe wotsirizawu ndiowopsa kwambiri kwa anthu okalamba, chifukwa pafupifupi zana limodzi la iwo ali ndi matenda a mtima. Ndipo levothyroxine, monga momwe ikukonzekera kukonzekera kwa mahomoni a chithokomiro, amachititsa mtima kugwira ntchito yowonjezera. Vuto la mtima likhoza kukhala, kuwonjezera kapena kufalitsa matenda a mtima.
"Zabodza", zolakwika ndi "misampha" poika levothyroxine:

Kufunika kwa levothyroxine sodium kumasiyana nthawi zosiyanasiyana pachaka.
Imaphwanya poika mankhwala.
Chotsani masabata angapo zisanachitike kuyezetsa kwa TSH.
Kuchepetsa mlingo wa levothyroxine pa nthawi yapakati.

Nthawi yomweyo, wodwalayo amawunika chifukwa cha matenda a hypothyroidism ndikuyamba kuwachiritsa. Ndikofunikira kumvetsetsa kuti ngati chifukwa cha hypothyroidism sichingathetsedwe ndipo chithokomiro cha chithokomiro sichikupanga mahomoni ake okwanira, ndiye kuti munthu ayenera kutenga levothyroxine wazaka.

Limagwirira a chitukuko cha matenda

Main subclinical hypothyroidism (SG) sikuwonetsedwa ndi zizindikiro zakunja, chifukwa chake imatchedwa latent kapena latent. Pathology imachitika chifukwa cha kusayenda bwino kwa chithokomiro ndipo imangotsimikizika mu labotale chifukwa cha zomwe zili ndi TSH yambiri m'magazi. Malinga ndi ziwerengero, zimapezeka zambiri mwa akazi pambuyo pa zaka 50.

Njira yocheperako ya hypothyroidism imakhala yofala kwambiri kuposa zovuta zamankhwala. Pamtima wa pathology ndimatenda a thyroxine, omwe amatenga gawo mu metabolism ya mahomoni. Kuti mukhale ndi mahomoni abwinobwino, tiziwalo tating'onoting'ono timene timayamba kutulutsa TSH. Hormone iyi imapangitsa ntchito zachinsinsi za chithokomiro. Amayamba kupanga chithokomiro chochuluka, chomwe chimalepheretsa kusokonezeka kwakukulu kwa ntchito ya endocrine ndi machitidwe ena.

Kuchuluka kwa subclinical hypothyroidism pakati pa anthu sikupitilira 1%, mwa azimayi amsinkhu wobala - 2%. Pambuyo pa kusamba, chiwopsezo cha kusowa kwa chithokomiro chimachulukitsa nthawi 3.5.

M'madera akumapeto, subclinical hypothyroidism nthawi zambiri imadziwika chifukwa cha kusowa kwa ayodini. Chofunikira ndi gawo la mahomoni a chithokomiro:

Chofunikira cha tsiku lililonse kwa munthu wamkulu mu ayodini ndi 0,15 mg. Kuperewera kwa micronutrient kumakhala ndi matenda akulu amtundu wa endocrine - subclinical komanso matenda oopsa a hypothyroidism, endic Goiter, matenda a Bazedova, cretinism.

Ma endocrinologists amadziwa zinthu zingapo zomwe zimapangitsa kuti chithokomiro chizitha kugwira ntchito komanso kusokonekera kwa zinthu zina:

kulephera kwam autoimmune
radioactive ayodini mankhwala,
chilema pakuphatikizika kwa mahomoni a chithokomiro,
vuto la ayodini
kuchotsa kwa gawo la chithokomiro
chakudya chopanda malire.

Ndi mawonekedwe apadera a hypothyroidism, chithunzi chazizindikiro sichipo. Matendawa amadziwika chifukwa cha kuwunika kwa zomwe zili mu TSH, T3 ndi T4. Pathology nthawi zambiri imapezeka mwa amayi achikulire. Pambuyo pazaka 3-5, kusokonezeka kwa mahomoni kumawonetsedwa ndi zizindikiro zazikulu mu theka la odwala.

Kodi mawonekedwe a asymptomatic a hypothyroidism angayikiridwe bwanji

Zizindikiro za subclinical, kapena latent, hypothyroidism zilipo, koma sizili zachindunji. Kuperewera kwa chithokomiro kumaphimbidwa ndi matenda ena, kotero kwa nthawi yayitali anthu samapita kwa endocrinologist.

Subclinical hypothyroidism kwambiri imawonjezera chiopsezo cha kukhumudwa. Mu 52% ya odwala omwe ali ndi nkhawa yayikulu, matenda a chithokomiro amapezeka.

Zizindikiro ndi hypentroidism yaposachedwa:

kudzimbidwa
osteoarthrosis,
kusamba kwa msambo,
biliary dyskinesia,
matenda a ndulu
diastolic matenda oopsa,
polyarthritis
kuchepa chonde.

Mwambiri, ndi mawonekedwe apadera a matendawa, mawonekedwe aliwonse akunja sayenera kukhalapo. Koma kusintha kwa kagayidwe kachakudya ka m'thupi, kagayidwe kachakudya kamakhudza kugwira ntchito kwa machitidwe ofunikira - chitetezo cha m'thupi, kugaya chakudya, mtima, mantha. Potengera komwe kusowa kwa ayodini kumawonekera:

luntha lachepera
chitetezo chokwanira
kutsitsa magazi,
mutu
kusabala
kugona
chimfine pafupipafupi.

Chizindikiro cha subclinical hypothyroidism ndi kutengeka mtima (kusakhazikika). Ngati sichichiritsidwa, chithunzicho chimathandizidwa ndi:

mkhalidwe wopsinjika
ulesi
nkhawa
kusokonezeka kukumbukira
kutopa,
ulesi.

Ngakhale kusowa pang'ono kwa T4 mthupi kumayambitsa kuphwanya mafuta kagayidwe, kamene kamadzala ndi:

kunenepa
atherosulinosis,
kupingika kwa angina pectoris.

Mu 80% ya odwala omwe ali ndi hypothyroidism yaposachedwa, kusintha kwatsimikizidwe mu mtima kumadziwika - myocardial hypertrophy, tachycardia, hypotension.

Kukonzanso mosasamala kwa tsogolo la mahormoni panthawi yoyembekezera ndi kowopsa pakubadwa kwa fetal, matenda amitsempha ndi luntha mu makanda.

Zidzachitika ndi chiyani ngati sizichitika

Munthawi yamatenda, kuchuluka kwa T3 ndi T4 mu 98% ya odwala kumakhalabe kosadabwitsa. Chifukwa chake, ambiri a iwo amafunsa ma endocrinologists ngati subclinical hypothyroidism iyenera kuthandizidwa. Madokotala amalimbikitsa kwambiri chithandizo chamankhwala chifukwa chowopsa kwambiri cha zovuta.

Popita nthawi, ntchito ya chithokomiro imachepa, motero ngakhale motsogozedwa ndi TSH, kuchuluka kwa mahomoni a chithokomiro m'thupi kumachepa. Kunyalanyaza matendawa kumabweretsa zotsatirapo zoyipa:

Kuchepetsa kagayidwe kachakudya,
kukulira kwa chithokomiro,
kunenepa
mavuto
kudzimbidwa
arrhasmia,
myocardial infaration
kusokonezeka kwa kukumbukira
kusabereka
kuchepa kwa luntha.
kuchuluka kugona
matenda amiseche,
kudzikundikira kwamadzimadzi m'mimba,
kutsitsa kutentha kwa thupi
hyposaroid chikomokere.

Kuti athandize kufooka kwa T3 ndi T4, thupi limakwiyitsa kukula kwa chithokomiro. Ndi kuwonjezeka kwa malo ake, mphamvu ya kuyamwa kwa ayodini kuchokera ku magazi imachulukanso, komwe ndikofunikira pakapangidwe ka mahomoni a chithokomiro. Ngati mtundu wina wa hypothyroidism ukakhala wopanda kulipidwa, wodwalayo amatha kugwa.

Ndi mayeso ati omwe amafunikira kudutsidwa

Kuzindikira kwa subclinical hypothyroidism kumakhazikitsidwa ndi endocrinologist kutengera zotsatira zakuwunika kwathunthu. Ngati kusokonekera kwa mahomoni kumayikiridwa, kuyezetsa magazi ndi ultrasound ya chithokomiro chokhazikika.

Njira zikuluzikulu zodziwira hypothyroidism:

Kuyesa kwa magazi kwa TSH, T3 ndi T4. Ndi hypentroidism yam'mbuyo, T3 ndi T4 zimakhalabe malire, ndipo TSH imapitilira 4 mIU / L.
Ultrasound ya chithokomiro. Ndi subclinical mawonekedwe a matenda ambiri mwa odwala, kuchuluka kwa gland amachepetsa. 2% okha ndi omwe ali ndi chithokomiro chithokomiro.
Kuyesa kwa mahomoni a steroid. Mwa amuna, kuchuluka kwa testosterone kumachepa, ndipo mwa akazi - estradiol.
Mayeso a antiotic a chithokomiro. Mu milandu 8 mwa 10, njira yodziwika bwino ya matenda am'mimba imalumikizidwa ndi autoimmune thyroiditis. Malinga ndi kafukufukuyo, endocrinologist imazindikira kukhalapo kwa autoantibodies ku maselo a chithokomiro m'magazi. Ngati kupsinjika kwawo kupitirira 34 IU / ml, subclinical chachikulu hypothyroidism imapezeka.

Mwazovuta, kukayikira kwa gland biopsy ndikuwunika kwa glandular minofu imachitika. Kusanthula kumachitika ndi neoplasia yomwe ikukayikira, ndiye kuti chotupa.

Chithandizo cha subclinical hypothyroidism

Nthawi zina, matenda oopsa amathanso kusintha, chifukwa cha chizindikiritso, kusanthula mobwerezabwereza kumachitika mahomoni a chithokomiro komanso chithokomiro cha chithokomiro. Potsimikizira za matendawa, funso limakhala la kupatsidwa kwa mankhwala obwezeretsa mahomoni (HRT). Palibe mawonekedwe a chipatala, chithandizo chimachitika popanda mahomoni. Koma kukonzekera kapena njira yokhala ndi pakati ndi chidziwitso chokwanira kwa HRT.

Chithandizo chokhacho cha subclinical hypothyroidism pa nthawi ya bere ndi chowopsa pakubadwa msanga, kuzizira kwa fetal.

Mankhwala, zowonjezera mavitamini, mavitamini

Musanachiritse matenda a chithokomiro, onani chomwe chimayambitsa zolephera mu ntchito yake. Odwala omwe ali ndi ayodini akusowa zina zotchulidwa zakudya ndi mankhwala ayodini:

Antistrumine
Iodomarin
Iodine-Yabwinobwino,
Katundu wa Iodini
Potaziyamu iodide,
Iodovital.

Mankhwala amatengedwa muyezo womwe umagwirizana ndi zofunika tsiku lililonse za ayodini. Ngati kuperewera kwa mahomoni kumayamba chifukwa cha chithokomiro cha Hashimoto, mankhwalawa akuphatikizapo:

L-Thyrox Euro,
Chikwawa,
Aleximasine,
L-thyroxine,
Chikumbutso
Zachisanu
Eutirox.

Ndi kusakwanira kwa chithokomiro, kuchepa kwa kuchuluka kwa B₁₂ mthupi. Chifukwa chake, odwala adayikidwa mavitamini amamineral mineral omwe ali ndi cyanocobalamin - Vitrum, Doppelherz Asset, Complivit. Odwala omwe ali ndi vuto la autoimmune amalimbikitsidwa pazakudya zowonjezera ndi selenium - Cefoselen, Umphawi, Natumin Selen. Kutenga zowonjezera kwa miyezi iwiri ya 2-3 kumayambitsa kuchepa kwa kuchuluka kwa autoantibodies ku chithokomiro cha chithokomiro.

Zimayambitsa Subclinical Hypothyroidism

Zomwe zimayambitsa hypotherroidism yamakono ndi njira zomwezo zomwe zimathandizira kuti pakhale hypothyroidism yapamwamba:

chitukuko cha autoimmune chithokomiro,

nthenda yachilendo ya ziwalo zapakati pa bere,

kuchuluka kwa ayodini m'thupi la munthu,

Chotupa (chokwanira kapena pang'ono) chithokomiro (izi zimachitika malinga ndi zomwe zikuwonetsa - khansa ya England),

kugwiritsa ntchito mankhwala kwa nthawi yayitali komwe kumalepheretsa chithokomiro cha chithokomiro (amiodarone, mankhwala omwe amathetsa mavuto a mtima),

zotupa yotupa kutukusira kwa ziwalo (kutukusira kwachuma, chimalira kapena chosapweteka),

kutsitsa kwa khosi (kupezeka kwa neoplasms yoyipa),

mankhwalawa England.

Zizindikiro za subclinical hypothyroidism

Njira ya subclinical hypothyroidism sichimatchulidwa kwambiri, singathe kuzindikirika kapena kusokonezeka ndi mawonekedwe a thupi:

kupsa mtima kosalekeza komanso kumva kuti ndife oyera.

ulesi, kumva kutopa msanga, kusokonezeka, kugona.

kukana komanso kusafuna kugwira ntchito iliyonse,

chizolowezi cha kukhumudwa komanso kusokonezeka kwamanjenje,

kuchepa kwa chidwi,

Ndi kukula kwa matendawa, zizindikiro zimayamba kutchulidwa:

kuchepa kwa luntha,

kunenepa

kuchuluka kwazovuta zamitsempha,

mavuto a potency

kuyanika, kuwuma komanso kutulutsa khungu

kusokonezedwa m'mimba - kubadwa msanga, kusokonezeka kwachuma,

kupweteka kwambiri m'matumbo,

kuphwanya kwamtundu wa mkodzo,

kutayika kwa tsitsi, kuuma ndi kutsuka,

matope amatupa, nkhope yakufunda,

kuchuluka endothelial kukanika,

Hypochromic anemia (kuchepa kwa hemoglobin m'maselo ofiira a magazi).

Kuzindikira matendawa

Kuti mutsimikizire matendawa, ndikofunikira kuchita maphunziro angapo:

kuyezetsa magazi kuti mupeze kuchuluka kwa mahomoni a chithokomiro cha chithokomiro cha chithokomiro. Sizingatheke kudzipezera matenda moyenera pokhapokha pozindikira za kusanthula uku, chifukwa ndi subclinical hypothyroidism kuchuluka kwa mahomoni kumachepa pang'onopang'ono.

kutsimikiza kwa ma antibodies ku AT-TG (thyroglobulin) ndi AT-TPO (thyropercosidase). Mwa munthu wathanzi, nthawi zambiri izi zimakhala kuti sizikupezeka kapena kuzungulira kwake kumakhala kotsika kwambiri: 0-19 U / ml ndi 0-5.7 U / ml. Kuwonjezeka kwakukulu kwa magwiridwe antchito a antibodies amenewa kukuwonetsa chikhalidwe cha autoimmune cha hypothyroidism.

kuyezetsa magazi kuti muwone mulingo wa mahomoni olimbitsa mtima a chithokomiro (TSH) cha pituitary gland: kawirikawiri kupindika kwake ndi 0.5 - 4.3 Uchi / L. Ichi ndi chimodzi mwazizindikiro chodalirika cha chitukuko cha subclinical hypothyroidism - chida cha pituitary ndichimodzi mwazinthu zanzeru kwambiri zaubongo zomwe zimayankha kusintha kulikonse mthupi la munthu. Pankhani ya vuto la chithokomiro, chiwonetsero cha TSH chimakwera kwambiri, chifukwa kupanga kwa mahomoni opangidwa ndi chiwalochi kwatsika kwambiri.

Njira imodzi yovomerezeka yophunzirira matendawa ndi scintigraphy, yomwe imakhazikitsidwa pakugwiritsa ntchito ma isotopes a radioactive. Pogwiritsa ntchito njirayi, mutha kuwunikira magwiridwe antchito a chithokomiro, magawo a kagayidwe kazinthu kana kusintha kwa mitsempha. Ndi hypothyroidism, chithokomiro cha chithokomiro chimadzaza ndi ayodini pang'ono, zomwe zimawonekera bwino nthawi yophunzira.

Pakayezetsa magazi, mumatha kupeza magazi m'thupi, zomwe zimapangitsa kuti kuphatikizika kwa hemoglobin, kuchepa kwa chitsulo kapena vitamini B12.

Maphunziro owonjezera angapo amagwiritsidwanso ntchito kuti adziwe matenda a subclinical hypothyroidism:

kupimidwa kwa ultrasound (ultrasound) kwa chithokomiro cha chithokomiro - kumachitika kuti muphunzire mawonekedwe ndi kukula kwa chiwalo. Zosintha zimatengera chomwe chimayambitsa matendawa. Mwachitsanzo, mu matenda a Hashimoto, chithokomiro chimakhala ndi mawonekedwe - "malo anadyedwa ndi njenjete".

Ultrasound yam'mimbamo imachitidwa ndi zizindikiro zotchulidwa zomwe zingasonyeze kunyalanyaza matendawa.

Kuunika kwa chifuwa cha X-ray - kumakuthandizani kuti muweze kuchuluka kwa chitukuko cha mafupa (akuyerekeza hypothyroidism mwa ana) ndi kukhalapo kwa madzimadzi okhala ndi mitundu yapamwamba ya matenda.

electrocardiography - iwonetsa kuchuluka kwa kuchepetsedwa kwa kugunda kwa mtima komanso kuchepa kwamagetsi, komwe kumakhalanso chizindikiritso chakukula kwa matenda oopsa.

Kupewa

Mpaka pano, mitundu yokha ya hypothyroidism yomwe imalumikizidwa ndi kuchepa kwa ayodini ingathe kupewedwa, ndipo izi ndi zovuta zachilengedwe.

Pofuna kupewa kulowetsedwa kwa matenda amitsempha, mayi woyembekezera ayenera kuyesa mayeso onse pamwambapa, ndipo ngati ndi kotheka, ayambe kulandira chithandizo panthawi yake.

Maphunziro: Diploma ya Russian State Medical University yotchedwa N. I. Pirogov, wapadera "General Medicine" (2004). Residency ku Moscow State Medical and Dental University, diploma mu "Endocrinology" (2006).

14 zifukwa zotsimikizika zasayansi kudya walnuts tsiku lililonse!

Ndi zakudya ziti kupatula omega-3 zomwe zili zabwino mtima ndi kuziteteza ku stroke?

Hypothyroidism ndi njira yomwe imachitika chifukwa chosowa mahomoni a chithokomiro mu chithokomiro cha chithokomiro. Matendawa amapezeka pafupifupi mwa amuna chikwi chimodzi ndipo mwa azimayi khumi ndi anayi mwa akazi chikwi. Nthawi zambiri pamakhala nthawi zina pomwe matenda amavuta kuwazindikira, komanso pakapita nthawi yayitali.

Njira zamakono zochizira matenda a hypothyroidism zimaphatikizira onse kugwiritsa ntchito mankhwala osokoneza bongo komanso kugwiritsa ntchito mankhwala a mahomoni limodzi ndi zakudya zina. Popeza matendawa amapezeka chifukwa chosowa kupanga mahomoni a chithokomiro, kuchuluka kwawo mthupi kuyenera kubwezeretsedwanso.

Ndi kuphwanya chithokomiro cha chithokomiro, chomwe ndi kuchepa kwa kuchuluka kwa maselo a mahomoni, kusokonezeka kwazinthu zingapo zokhwima m'thupi la munthu pang'onopang'ono. Hypothyroidism imadziwika ndi kuchepa mu njira zambiri za metabolic. Ngati mukuyang'ana momwe zinthu ziliri mkatimo, ndiye kuti pali kuchepetsedwa pakupanga zamkati.

Hypothyroidism mwa amayi ndi matenda omwe amafala kwambiri, makamaka ukalamba, koma nthawi zambiri amapezeka m'magawo amtsogolo. Izi zimachitika chifukwa cha kuchepa kwa kuwonetsa kwa zizindikiro, zomwe nthawi zambiri zimadziwika chifukwa chogwira ntchito mopitirira muyeso.

Zomwe muyenera kudziwa zamtundu wa hypothyroidism

Subclinical hypothyroidism ndimatenda omwe amaphatikizidwa ndi vuto la chithokomiro, koma popanda chizindikiro. Njira zamankhwala zokhudzana ndi matenda amtunduwu ndizochepa kwambiri. Nawonso, hypothyroidism yamtundu wam'mawa imapezeka pamaziko azotsatira zoyeserera zokha. Izi zimachitika makamaka mwa amayi achikulire (20%).

Kanema (dinani kusewera).

Kodi subclinical hypothyroidism ndi ziti zomwe zimayambitsa, zimachitika ndi chiyani? Matendawa amakula motsutsana ndi maziko a kuchuluka kwa magazi ku TSH (mahomoni olimbitsa mtima a chithokomiro). Pankhaniyi, T3 ndi T4 yaulere imakhalabe yokhazikika.

Kanema (dinani kusewera).

Zomwe zimapangitsa kuti izi zitheke ndi izi:

kukhalapo kwa autoimmune chithokomiro. AIT ndi subclinical hypothyroidism, yomwe imayendera limodzi ndi kutukusira kwa minyewa ya chithokomiro. Matendawa amadziwonetsa pokha pang'onopang'ono chifukwa cha kusachita bwino kwa chitetezo chathupi, pamene thupi la munthu liwononga maselo ake.
nthawi yamtsogolo. Masiku awiri oyamba kubadwa, kuyezetsa magazi kumawonetsa kuchuluka kwambiri kuposa kuchuluka kwa TSH. Madokotala amakonda kuganiza kuti njirayi imalumikizidwa ndi kuziziritsa thupi la mwana. Pambuyo pake, kuchuluka kwa mahomoni a chithokomiro kumapangidwira,

kumwa mankhwala ena. Makamaka zimasokoneza magwiridwe antchito a chithokomiro cha chithokomiro chomwe chimafanana ndi dopamine komanso chingwe,
hypothyroidism yapakati, yomwe imayamba chifukwa cha kusachita bwino kwa pituitary kapena hypothalamus. Pankhaniyi, pali kuchepa kwakukulu kwa kuchuluka kwa mahomoni a chithokomiro, omwe amachititsa kuti TSH iwonjezeke. Kuphatikiza apo, zochita zathu za zinthu izi zimachepetsedwa kwambiri,

kukhalapo kwa kubadwa kwa matenda, komwe kumayendetsedwa ndi kukana kwa mahomoni a chithokomiro. Zimagwirizanitsidwa ndi kusintha kwa mtundu womwe umayambitsa ma b receptors,
thyrotropinoma. Amadziwika ndi kukhalapo kwa pituitary adenoma, yomwe imatulutsa TSH. Izi ndizosowa kwambiri,
matenda amisala. Kuphwanya kumeneku kumachitika motsutsana ndi maziko azamankhwala

adrenal kusakwanira (mawonekedwe oyamba),
euthyroid syndrome
kulephera kwa aimpso (mawonekedwe osakhazikika),
akusowa kwa ayodini m'thupi la munthu,
kuchotsa kwa chithokomiro cha chithokomiro (chokwanira kapena pang'ono),
kukhalapo kwa njira zotupa m'matumbo a chithokomiro amtundu wina,
poizoniyu pakhosi pali zotupa zoyipa kapena mankhwalawa ayodini.

Hypothyroidism mwa akazi kapena amuna (mawonekedwe apansi) samatsagana ndi zizindikiro zotchulidwa. Wodwala amatha kuphatikiza zizindikiro za matendawa ndi kutopa wamba. Chifukwa chake, pamaso pa zizindikiro zingapo za hypentroidism yam'mbuyo, yomwe imadziwonetsa, kufunikira kofunikira ndi endocrinologist ndikofunikira. Zizindikiro za matendawa ndi monga:

kuchepa kukumbukira, nthawi yayitali. Pali choletsa china chilichonse chanzeru,
Pali chizolowezi chokhazikitsa madera okhumudwitsa (theka la odwala),
mwa akazi, chizindikiro cha matenda amenewa ndikuphwanya msambo, komwe kumayendetsedwa ndi kusabereka. Amawonedwa mu 28% ya odwala onse omwe ali ndi vuto losabereka

kumva pafupipafupi kuzizira, kuzizira,
pali kuwonjezeka kwa kukakamizidwa kwa intraocular,
hypothermia, momwe kutentha kwa thupi kumatsikira pansi,
ulesi, kumva wopanda pake wa kutopa, kugona,
wodekha
kutsika pang'ono kwa njala,
galactorrhea, yomwe imayendera limodzi ndi kutulutsidwa kwa mkaka kapena colostrum ku ma nipples,
utachepa libido, mavuto ndi potency mwa amuna,
tsitsi lowuma komanso tsitsi.

Zizindikiro zonse za mtundu wina wa hypothyroidism ndi zocheperako. Amapezeka okha 25-50% ya odwala. Nthawi zina, vuto la chithokomiro silitha kuchitika.

Ngati kaganizidwe kakang'ono ka hypothyroidism kakaikiridwa, kafukufuku wokwanira akuwonetsedwa wophatikiza njira zotsatirazi:

chopereka chamagazi kuti mudziwe kuchuluka kwa mahomoni a chithokomiro. Kutulutsa kwa chithokomiro kuyenera kukhala 2.6-5.7 mmol / l, 9-22 mmol / l - mulingo woyenera wa triiodothyronine ndi thyroxine. Kutengera kusanthula uku kokha, ndizovuta kwambiri kuti athe kuzindikira koyesa kotsiriza, popeza kuchuluka kwa mahomoni kumasintha pang'onopang'ono. Poyamba matendawa, kupatuka panjira kungakhale kochepa,
chopereka chamagazi kuti mudziwe kupezeka kwa ma antibodies enaake AT-TG, AT-TPO. Mwa munthu wathanzi, zinthu izi sizikupezeka kwathunthu kapena kuikirapo kwake. Ma antibodies atapezeka, titha kulankhula za mtundu wa autoimmune matendawa.

kutsimikiza kwa mulingo wa chinthu monga TSH. Nthawi zambiri, kuphatikiza kwake kuyenera kuyambira pa 0.5-4.3 Uchi / L. Ngati kusintha kulikonse mu kuchuluka kwa mahomoni awa kwapezeka, titha kulankhula za kuphwanya kwa chithokomiro cha chithokomiro.
ntchito scintigraphy. Njira yofufuzira iyi ndiyotengera kugwiritsa ntchito ma radio isotopes. Kugwiritsa ntchito njira yodziwikirayi, ndikosavuta kuzindikira kusintha kulikonse kwamatenda mu chithokomiro cha chithokomiro, njira zoyipa ndi kuphwanya kulikonse kwamitsempha yamitsempha.

kuyezetsa magazi konse. Pambuyo pakuwunikira, kuperewera kwa magazi, kuchepa kwa mchere, kuchepa kwa vitamini B12 kumadziwika.
Ultrasound ya chithokomiro. Kafukufuku wofufuza akuchitika omwe amathandizira kudziwa momwe thupilo limakhalira, malinga ndi momwe matendawo angadziwire,

Ultrasound yam'mimba. Wokhazikitsidwa ndi njira yothandizira matenda, yomwe idasokoneza ntchito ya thupi lonse,
Kuzindikira kwa X-ray pachifuwa. Cholinga chake ndikuwonetsa kusintha koyipa kwa mafupa, kumatsimikizira kupezeka kwa madzimadzi m'mikhalidwe yovuta kwambiri.
electrocardiography. Amazindikira mavuto omwe amakhudzidwa ndi ntchito ya mtima, omwe adalimbikitsa hypothyroidism.

Ndi subclinical hypothyroidism, chithandizo chimaphatikizapo kumwa mankhwala omwe amawongolera kuchuluka kwa mahomoni a chithokomiro m'thupi. Chithandizo choterechi chikuyenera kuchitika pambuyo poti afufuze bwinobwino za momwe wodwalayo alili komanso kuwunika komwe kungakhale ndi zotsatirapo zoipa.

Hormone m'malo mwake imaphatikizapo kumwa L-thyroxine. Mankhwalawa amayenera amayi apakati atazindikira kuti hypothyroidism. Nthawi zina, adotolo amatha kusankha kuti asagwiritse ntchito mankhwala omwe amabweza m'mimba kwa miyezi ingapo. Pakapita nthawi, odwala amapatsidwanso mayeso. Zimakupatsani mwayi wodziwa kuchuluka kwa kuchuluka kwa mahomoni m'magazi kwasintha. Ngati palibe zabwino, chosankha chimatenga L-thyroxine. Kafukufuku waposachedwa apeza kuti mutatha kugwiritsa ntchito mankhwalawa, kusintha kwa odwala kumachitika mu 30% ya odwala.

Ngakhale zotsatilapo zabwino, odwala ambiri amafotokoza mavuto obwera chifukwa chakumwa L-thyroxine. Pochiza matenda ena achilendo a hypothyroidism ndi mankhwalawa, nthawi zina, odwala amawona kuwonjezeka kwa thupi, mawonekedwe a nkhawa zopanda pake, kusokonezeka kwa tulo ndi tachycardia.

Komanso, pozindikira mtundu wina wa hypothyroidism, ndikofunikira kwambiri kuzindikira ndikuchotsa kwathunthu zomwe zimayambitsa vutoli. Chifukwa chake, kutengera matenda enieni, ndi mankhwala omwe amakupatsani mankhwala. Ndikofunikira kumwa ma vitamini-mineral complexes, kuphatikizapo mankhwala okhala ndi ayodini (Iodomarin ndi ena). Kubwezeretsanso thupi la kusowa kwa zinthu zina kumakhudza ntchito ya ziwalo zonse ndi machitidwe. Makamaka, ayodini ndiwofunika kwambiri ku chithokomiro cha chithokomiro. Kuperewera kwake kumakhudza mwachindunji chitukuko cha hypothyroidism.

Pamaso pa mawonekedwe apadera a hypothyroidism, ndikofunikira kwambiri kusintha zakudya zanu. Ndikulimbikitsidwa kupatula muzakudya zomwe zimakhala ndi soya, mafuta ochulukirapo a polyunsaturated acid (nsomba zamafuta, mafuta amphaka, mpendadzuwa ndi batala, avocados). Ndikofunikanso kuchepetsa kugwiritsa ntchito shuga momwe ndingathere, kuchepetsa kuchuluka kwa madzi akumwa mpaka 600 ml patsiku. Ndikulimbikitsidwa kuti muphatikize nsomba zam'madzi, nyama, zipatso zatsopano, khofi yocheperako pang'ono muzakudya. Zakudya zoterezi zimakhudza kugwira ntchito kwa chithokomiro.

Matenda a chithokomiro. Chithandizo chopanda zolakwika. - M: AST, Sova, VKT, 2007 .-- 128 p.
Henry, M. Cronenberg Matenda a chithokomiro / Henry M. Cronenberg et al. - M. Reed Elsiver, 2010. - 392 p.
Grekova, T. Chilichonse chomwe simunadziwe za chithokomiro cha chithokomiro / T. Grekova, N. Meshcheryakova. - M: Centerpolygraph, 2014 .-- 254 p.

Ольга Melikhova Olga Aleksandrovna - dokotala endocrinologist, wazaka 2.

Amathandizira kupewa, kuzindikira komanso kuchiza matenda a endocrine system: chithokomiro cha chithokomiro, kapamba, “adrenal gland, gland”

Subclinical hypothyroidism nthawi zambiri amakhala asymptomatic mawonekedwe. Mkhalidwe wamtunduwu umalumikizidwa ndikuwonjezereka kwa mahomoni opatsirana a chithokomiro, omwe amachititsa kuti ziwalo zina ndi machitidwe ena asokonezeke.Chifukwa chake, ndi kuchuluka kwa mahomoni opitilira 10 mU / l, chiopsezo chokhala ndi mtima kulephera chimakulitsidwa kwambiri. Chimodzi mwamavuto omwe ali pachiwopsezo ndi kukalamba, choncho tikulimbikitsidwa kuti mupeze kuchuluka kwa mahomoni m'magazi osachepera 1 pachaka. Chithandizo cha matendawa chimachitika pogwiritsa ntchito mankhwala opangira mahomoni. Therapy ya subclinical hypothyroidism imakhala ndi machitidwe ake pakukonzekera mimba komanso ubwana.

Ntchito yayikulu ya chithokomiro m'thupi la munthu ndikupanga mahomoni a chithokomiro - thyroxine T4 ndi triiodothyronine T3, omwe ali ndi ma atomu a iodini. Ma mahomoni awa amawongolera njira zotsatirazi:

Kukula kwabwino,
kutenthetsa
mayamwidwe okosijeni ndi kukonza ntchito kupuma,
kayendedwe ka mtima ndi mphamvu,
m'mimba,
mapuloteni kaphatikizidwe
mkhalidwe wa adrenergic zolandilira mu mtima ndi minofu mafupa.

Kupanga kwa T4 ndi T3 kumayendetsedwa ndi mahomoni olimbitsa mtima a chithokomiro (TSH), omwe amapangika mu gland pituitary. Subclinical hyperthyroidism ndi mtundu wa kusowa kwa chithokomiro momwe kumakhala kuwonjezeka kwa TSH ndipo mulingo wabwinobwino wa ma serum ya zotumphukira za seramu T3 ndi T4 imawonedwa.

Pali ubale wosagwirizana pakati pamahomoni awa - mahomoni ochulukitsa a chithokomiro, T3 ndi T4 ochepa amapangidwa.

Kuwonjezeka kwa TSH ndi chizindikiro choyambirira cha kuwonongeka kwa chithokomiro, akatswiri ambiri amawona izi kukhala gawo loyambira pakukula kwa hypothyroidism. Choopseza kusintha kwa mtundu wina wamatendawa kumawonekera ndikuwonjezereka kwa kuchuluka kwa ma antibodies ku minofu ya chithokomiro. Kupenda kwamankhwala kwa odwala omwe ali ndi zizindikiro zonsezi kunawonetsa kuti hypothyroidism yodziwika imayamba mu 20-50% ya odwala mkati mwa zaka 4-8, ndipo mwa anthu opitilira zaka 65, chiopsezo cha matendawa ndi 80%.

Kudalira kwa TSH yokwera pa msinkhu

Subclinical hypothyroidism ndizofala kwambiri kuposa zovuta zamatenda, mpaka 15% motsutsana ndi 2-3%, motsatana. Matenda achifwamba amafala kwambiri mwa azimayi kuposa abambo. Popeza mtundu uwu wa hypothyroidism umadziwika ndi kuchuluka kwambiri, zizindikiro zopanda pake kapena kusakhalapo kwathunthu, ndikulimbikitsidwa kuti pafupifupi zaka zisanu zilizonse, kuyezetsa magazi kwa mahomoni amayenera kutengedwa kuti aphunzire TSH kwa akazi onse azaka zopitilira 35 ndi abambo opitirira zaka 50.

Kuopsa kwa matendawa kumatanthauza kuti kubisika komanso “kubisidwa” ngati ziwonetsero zosiyanasiyana zamatenda ena, zomwe zimapangitsa kusintha kwazomwe zimagwira mu ziwalo zofunika. Chifukwa chake, kuwonongeka kwa kagayidwe kachakudya kumayambitsa kuphwanya mafuta kagayidwe, kuwonjezeka kwa kulemera kwa thupi, ndipo motsutsana ndi maziko a izi, matenda a mtima ndi mtima. Chiwopsezo cha infracation ya myocardial ndichipamwamba kuchulukirapo ka 2,5 kuposa mwa anthu athanzi. Kugwiritsa ntchito mankhwala obwezeretsa mahomoni pochiza matenda ena ang'onoang'ono kungathetse chifukwa chenicheni cha matenda a mtima komanso kubwezeretsanso mtima. Ndikofunikira kwambiri kuzindikira matendawa kwa amayi apakati nthawi, chifukwa izi zithandiza kupewa kukhumudwa kwa mwana wosabadwayo.

Pa mtima wa pathological process of subclinical hypothyroidism ndi kuchepa kwa timadzi T4, yomwe imafunikira pakapangidwe ka metabolic ngakhale ngati mulingo wabwinobwino m'mwazi wapezeka. Kuperewera kwa T4 kumaonekera pakuwonjezeka kwa milingo ya TSH. Zomwe zimayambitsa matendawa ndi izi:

Autoimmune chithokomiro ndichinthu chofunikira kwambiri pakukula kwa matenda.
Njira zotupa mu chithokomiro cha chithokomiro, kuphatikizapo zomwe zimapangidwa ndi asymptomatic.
Kumwa mankhwala okhala ndi lifiyamu, mankhwalawa pogwiritsa ntchito ayodini.
Opaleshoni yochotsa gawo la "chithokomiro cha chithokomiro" ndi chithokomiro.

Zowopsa zomwe zingayambitse subclinical hypothyroidism zimaphatikizapo:

kunenepa
Wodwala wazaka zopitilira 80
kupsinjika kwakanthawi ndi ntchito usiku,
matenda a chithokomiro obadwa nawo,
kusowa kwa ayodini mu chakudya,
kusokonezeka kwa mahomoni.

Zomwe zimapangitsa kuti TSH ipangike kwambiri imatha kukhala zotsatirazi, zomwe zimapangitsa kuti matenda ena azidziwikirane mosiyanasiyana:

kakhazikitsidwe kamatenda a TSH mu tsiku loyamba pambuyo pobadwa (mpaka 20 mU / l),
Chithandizo cha mankhwala osokoneza bongo - dopamine antagonists, blockers a biosynthesis ya mahomoni a chithokomiro (Cerucal, Eglonil, Cordaron, Amiodarone ndi ena),
hypothyroidism yoyambitsidwa ndi kusokonezeka mu hypothalamus ndi pituitary gland,
Matenda obadwa nawo omwe amakhudzidwa ndi kukana kwa mahomoni a chithokomiro,
aakulu aimpso kulephera
zotupa za tinthu tating'onoting'ono ta tinthu tacheni,
matenda amisala omwe amaphatikizidwa ndi kutsegula kwa dongosolo la hypothalamic-pituitary,
kuperewera kwa adrenal,
kwambiri pathologies, kuvulala ndi ntchito. Panthawi yochira, mulingo wa TSH ukhoza kukwera mpaka 20 mU / l, chifukwa chake, ndikofunikira kudziwa kuchuluka kwa mahomoni m'magazi.

Subclinical hypothyroidism ikuwonetsa kusapezeka kwa zizindikiro zilizonse za matendawa. Komabe, matenda amtunduwu amadziwika ndi zofanana ndi zomwe zimadziwika ndi hypothyroidism, koma kutchulidwa kochepa. Mitundu ingapo yachipatala yamatenda ino imasiyanitsidwa, kutengera ndi machitidwe ndi ziwalo zomwe zimavutika kwambiri:

Mimba: kudzimbidwa, nseru, kusanza, kupweteka kwapanja kwa hypochondrium, komwe kumakhudzana ndi kusokonekera kwa mtima wamitsempha.
Rheumatological: kutupa ndi kupweteka m'malo olumikizirana mafupa, kuchepa kwawo, kuchepa kwa kayendedwe chifukwa chokhala ndi nyamakazi.
Gynecological: uterine magazi, kusabereka (mu 28% ya milandu), kuphwanya kuzungulira kwa mwezi kwa akazi, kubadwa msanga mwa amayi apakati, kusokonekera kwa placental.
Mtima ndi mtima: kuthamanga kwa magazi, arrhythmia, kukweza kwa mtima, kupindika kwa minofu ya mtima, atherosulinosis chifukwa cha kuchuluka kwa cholesterol yoyipa m'magazi, kuchepa magazi, kuchepa kwa magazi.

Popeza mahomoni a chithokomiro amakhudza kagayidwe kachakudya, kupatuka koteroko mwina kungapezekenso mwa odwala:

kuchuluka kwa nkhawa, kukhumudwa, nkhawa (zopitilira theka la odwala),
kukumbukira kusokonezeka, ntchito zamaubongo ndi kusamala,
kufooka kwathunthu ndi kutopa,
kuchuluka kwa prolactin.

Njira yayikulu yodziwira matendawa ndikuwonetsa kuchuluka kwa mahomoni m'magazi. Poterepa, mulingo wa TSH uli pamtunda wa 4-10 mU / l kapena kuposa. Zomwe zidasinthirazi zimafotokozedwa pogwiritsa ntchito njira zotsatirazi poyang'ana chithokomiro cha chithokomiro:

Ultrasound
scintigraphy (radionuclide diagnostics),
punct biopsy (ndi njira zoyipa zoyipa),
kutsimikiza kwa ma antibodies a thyroperoxidase (pofuna kudziwa matenda a autoimmune).

Popeza nthawi zambiri, kuchuluka kwa TSH ndi chinthu chosinthanso, kuyezetsa magazi mobwerezabwereza kumafunikira musanapange mankhwala 3-6 miyezi itatha yoyamba. Zisonyezero zamankhwala amadzimadzi am'magazi ndi awa:

Mlingo wa TSH> 10 IU / L,
5
mimba kapena kukonzekera kwake,
Chithandizo cha kusabereka chifukwa cha kusokonekera kwa mahomoni a chithokomiro.

Zotsatirazi zotsatirazi zikusonyeza kuti amakonda kulandira mankhwala osokoneza bongo a subclinical hypothyroidism:

kusokonekera kwa ntchito ya ziwalo zambiri ndi machitidwe,
kukhalapo kwa chiopsezo chakutali cha matenda, makamaka mtima mwa azimayi ochepera zaka 50,
kuchuluka kwa kusintha kwa matendawa kukhala mawonekedwe ake,
pang'ono pokha kudzichiritsa nokha mu akulu,
chiopsezo chowonjezereka cha mikwingwirima yosabereka m'mimba mwa mayi panthawi yoyembekezera.

Kugwiritsa ntchito bwino kwa mankhwala kuli pafupifupi 30%. Mankhwalawa amachitika ndi mankhwala ozikidwa ndi sodium levothyroxine, mahomoni opanga a chithokomiro (Eferox, Bagothyrox, Eutiroks, Iodtiroks, L-Tirok, L-thyroxine, Levothyroxine, Tyro-4). Mlingo wa mankhwalawa mu akulu ndi 1 μg / kg (muyeso woyamba ndi 25-50 μg, nthawi zonse ndi 50-75 μg / tsiku.). Odwala omwe ali ndi zaka zopitilira 50-60 pakalibe matenda a mtima, mlingo woyambirira umafotokozedwa kuchuluka kwa 50 μg / tsiku. Mankhwala amatengedwa pamimba yopanda kanthu m'mawa, kamodzi. Zotsatira zamankhwala ziyenera kukhala kuchepa pamlingo wa TSH mpaka 0.3-3 IU / L. Kuwongolera kwake kumachitika pambuyo pa masabata 4-8 kapena mutasintha kusintha kwa mankhwalawa. Kutalika kwa mankhwalawa kumakhala kokhazikika ndi kusintha kwa mankhwalawa ngati mankhwala amathandizanso.

Pambuyo pa chithandizo, zotsatirazi zabwino zimadziwika:

Matenda a metabolism, kutsitsa cholesterol yamagazi,
kutsika kwa kupanikizika kwamitsempha,
kukonza makumbukidwe ndi zidziwitso,
Matenda a minofu yamtima,
Kuchepetsa kwa kukhumudwa.

Mwa amayi apakati, magulu abwinobwino a TSH ali m'magulu otsatirawa:

trimester yoyamba: 0.1-2.5 mU / l,
chachiwiri: 0.2-3.0 mU / l,
lachitatu: 0.3-3.0 mU / l.

Misinkhu ya TSH komanso kutenga pakati

Mfundo zotsika (

Kukhalapo kwa subclinical hypothyroidism mwa mayi wapakati kumatha kukhala zovuta kwambiri kwa mayi ndi mwana wosabadwayo:

zolakwika zokha.
matenda ashuga
kubadwa msanga
preeclampsia - toxicosis kumapeto kwakanthawi, komwe nthawi zambiri kumayambitsa kuphwanya kwa magazi ku ubongo ndi edema yake.
kuwonongeka m'tsogolo m'maganizo a mwana.

Chifukwa chake, amayi oyembekezera amakhalanso ndi levothyroxine kukonzekera, kutengera mlingo wa 1,2 mcg / kg patsiku mpaka TSH itachepa

Pambuyo pa kubala, mlingo umachepetsedwa mpaka mtengo womwe unali asanakhale ndi pakati. Ngati matendawa adapezeka pokhapokha pakubala, TSH

Zambiri patsamba lino zimaperekedwa kuti zidziwitso. Musanagwiritse ntchito malingaliro aliwonse, onetsetsani kuonana ndi dokotala.
Kukopera kwathunthu kapena pang'ono tsambalo kuchokera pamalowo popanda kuwonetsa kulumikizana komwe kuli komweko sikuletsedwa.

Zakudya ndi moyo

Pazinthu zina zam'magazi, zakudya zomwe zimakhala ndi ayodini komanso mavitamini a B ndizoyendetsedwa.

shrimp
nyanja kale,
kudya nyama
nsomba zam'nyanja
amadyera
Persimmon
balere wogulira
sipinachi

Pa chithandizo, soya, shuga ndi zinthu zomwe zimakhala ndi mafuta a polyunsaturated (mafuta, mtedza) sizichotsedwa.

Kuti mukhale ndi thanzi labwino, muyenera:

lekani zizolowezi zoyipa,
pewani kuchita masewera olimbitsa thupi
Idyani moyenera

Ndi autoimmune chithokomiro, HRT ya moyo imasonyezedwa. Chifukwa chake, ndikofunikira osachepera 2 pachaka kuyesedwa ndi endocrinologist kuti musinthe mlingo wa mankhwalawa.

Vuto la matenda

Chotupa cha chithokomiro chili pakhosi ndipo chili ndi mawonekedwe a gulugufe. Nthawi zambiri, samatha kukomoka. Mahomoni opangidwa ndi thupi lino amafunikira magwiridwe antchito a ziwalo zambiri ndi machitidwe. Mahomoni a chithokomiro amakhudza kulemera, ntchito yobereka, kagayidwe kazinthu, kutulutsa thupi.

Kuti mupeze chithandizo choyenera, muyenera kudziwa chomwe subclinical chithokomiro hypothyroidism ndi momwe matendawa amadziwonekera. Umu ndi mtundu woyamba kuwonongera kwa chithokomiro, komabe, zizindikiro zoopsa sizikuwonetsedwa. Ndi kukhudzika kwakukulu kwa mahomoni, kusayenda bwino kwa ziwalo zonse ndi kachitidwe ka zinthu kumaonedwa. Matendawa amapita mobisa ndipo amadziwika ndi kuchepa kwapang'onopang'ono kwa zofunikira za chithokomiro cha chithokomiro.

Ndikofunikira kwambiri kuchitira chithandizo munthawi yake, chifukwa zomwe zimachitika m'mayendedwe a pathological zimakhala zowopsa. Mwa akazi, izi zimatha kuyambitsa kusamba komanso kusabereka, ndipo mwa abambo zimabweretsa mavuto ndi potency. Kuphatikiza apo, matendawa amatha kubweretsa kuwonongeka pakugwira ntchito kwa mtima, mantha komanso kugaya chakudya. Kutengera ndi gawo la subclinical hypothyroidism, zakukula ndi chikhalidwe cha matenda amatsimikiza.

Zomwe zimachitika

Zomwe zimayambitsa subclinical hypothyroidism zimatha kukhala zosiyana kwambiri, makamaka, matenda ena, kugwiritsa ntchito mankhwala, komanso mankhwala a mahomoni ndi ma radiation zingayambitse kuphwanya. Kuphatikiza apo, pazinthu zopsetsa mtima, ndikofunikira kusiyanitsa monga:

kukula kolakwika zamkati mwa mwana,
pang'ono pang'ono kapena kuchotseratu chithokomiro,
kusowa kwa ayodini m'thupi,
kugwiritsa ntchito mankhwala osokoneza bongo kwa nthawi yayitali.
zotupa zomwe zimachitika m'mbali pafupi,
kuyamwa kwa ayodini.

Ngati pali chifukwa chimodzi kapena zingapo zomwe zimapangitsa kuti matenda ena azikhala ochepa, muyenera kupimidwa nthawi ndi nthawi kuti muzindikire kuti matendawo ayamba. Pathology imatha kubadwa komanso kukhala yachilendo kapena kuwonekera paunyamata. Kukula kwa hypothyroidism kumatha kuyambitsidwa ndi kutupa kwa chithokomiro cha chithokomiro kapena mankhwala a ayodini. Pangozi ndi odwala omwe ali ndi goiter kapena autoimmune thyroiditis.

Zizindikiro zazikulu

Ngakhale kuti zizindikiro za subclinical hypothyroidism sizinatchulidwe kwambiri, zofanana zitha kutsatiridwa ndi zizindikilo zina. Kuwonetsedwa kwa matendawa kumatha kusokonezeka mosavuta ndi zovuta zina zama psychogenic ndi somatic. Nthawi zambiri, pakati pazowonetsera zazikulu, kudzimbidwa kumasiyanitsidwa, komwe kumatha kusinthana ndi diarrheal syndrome. Kupezeka kwa zizindikiro za matenda a ndulu ndiwonekanso.

Kuphatikiza apo, ndi hypothyroidism, pakhoza kukhala matenda a mtima, makamaka, kukhathamira, kuphatikizidwa kwamitsempha yama m'mimba. Mwa akazi, subclinical hypothyroidism imatha kudziwonetsa mu mawonekedwe a magazi omwe amapezeka nthawi ndi nthawi, komanso kupitirira kwa osteoarthrosis.

Mwa zizindikiritso zenizeni, ndikofunikira kusiyanitsa kutulutsa mawu, kukweza lilime, ndi kutupa kwa nkhope. Matendawa akamakula, zizindikirizo zimakulirakulira. Chifukwa cha kuchepa kwa mahomoni, kuwonongeka pang'onopang'ono kwa luso laumunthu laumunthu ndikuwonongeka kwa kukumbukira kumachitika. Pa gawo lotsiriza la subclinical hypothyroidism, kuwonjezeka kwa kupsinjika ndi kuwonongeka kowonekera kumawonedwa. Nthawi yomweyo, tsitsilo limakhala locheperako komanso loonda, ndipo khungu limakhala la imvi. Kuphatikiza apo, motsutsana ndi maziko a kuchepa kwa chithokomiro, kuchepa kwa magazi m'thupi ndi bradycardia kumawonedwa.

Zizindikiro

Kuti mudziwe momwe mungathandizire subclinical hypothyroidism, muyenera kupeza kaye matenda. Kuzindikira kumapangidwa makamaka kutengera kuyesedwa kwa magazi. Khalidwe pankhaniyi ndikuwonjezereka kwa mahomoni opatsa mphamvu a chithokomiro pamasamba abwinobwino a mahomoni a chithokomiro.

Kuphatikiza apo, njira zowonjezera zowerengera zitha kuperekedwa, makamaka, monga:

kuyesa kwa antibody
electrocardiography
ma diagnostics a ultrasound
radiology
scintigraphy
magazi zamankhwala.

Maluso ngati amenewa amachititsa kuti azindikire kupatuka kwa magwiridwe antchito a chithokomiro, komanso kusokonezeka kwa ntchito ya ziwalo zina zomwe zimachitika chifukwa cha matenda.

Hypothyroidism mu Mimba

Amayi ambiri panthawi yomwe ali ndi pakati amakhala ndi chidwi ndi zomwe zimachitika - chachikulu subclinical hypothyroidism komanso momwe zimakhudzira kubereka kwa mwana. Ndikofunika kudziwa kuti matendawa sadzadutsa okha choncho chithandizo chikuyenera kuchitika nthawi yomweyo.Pazonse, zovuta zimachitika m'miyezi itatu yoyambirira ya kubereka, ndipo kuyambira izi mwana amatha kubereka molakwika kapena kufa.

Ichi ndichifukwa chake muyenera kuyendera dokotala pafupipafupi pokonzekera kutenga pakati. Izi zipangitsa kuti njira yamatendawa ichitike poyambira chitukuko ndi chithandizo chanthawi yake. Ngati mayi akungopanga pakati, ndiye kuti njira zakulera ziyenera kugwiritsidwa ntchito mahomoni ake asanasinthe.

Mankhwalawa amachitika ndi mankhwala omwe amathandizira kukula kwa mahomoni m'magazi. Kuti muchiritsidwe, dokotala amakupatsani mankhwala ena omwe amathandizanso kupanga mankhwala ophatikizira a chithokomiro komanso mankhwala okhala ndi ayodini. Mlingo amasankhidwa payekha kutengera kulemera kwa mkazi ndipo sasintha nthawi yonse yomwe mankhwalawo amagwiritsidwa ntchito. Zithandizo zapakati pa kubereka ndizosayenera, chifukwa izi zimatha kuyipa kwambiri m'moyo wabwino komanso zimasokoneza kukula kwa mwana wosabadwayo.

Ndikofunika kudziwa kuti matendawa amatha kudutsa choloŵa cha fetus. Pali kuthekera kwakuti matenda a mwana adzapitirira patsogolo. Akamaliza kulandira chithandizo chamankhwala komanso kubadwa kwa mwana, mkazi ayenera kuwonedwa pafupipafupi ndi endocrinologist mpaka atachira kwathunthu. Muyenera kulembetsa mwanayo.

Hypothyroidism mwa ana

Zizindikiro ndi chithandizo cha subclinical hypothyroidism ndi pafupifupi zofanana ndi akulu, koma ndi mtundu wobadwa nawo, matendawa amakhala ovuta. Kukhalapo kwa kuphwanya kutha kuzindikiridwa ndi zotsatira za kusanthula pamawonekedwe a mahomoni a chithokomiro. Zizindikiro zazikulu sizikupezeka kapena zizindikiro zake ndi zopanda pake.

Makanda obadwa kumene, kuyezetsa magazi kumatengedwa m'maola ochepa pambuyo pobadwa. Onetsetsani kuti mwawonana ndi dokotala ngati muli ndi zizindikiro monga:

kutupa
jaundice
kulira mokweza mawu
khungu lowuma,
kutentha pang'ono kwa thupi
kulemera mwachangu.

Zizindikirozi zikuwonetsa kuyambika kwa matendawo. Subclinical hypothyroidism mwa ana okalamba amadziwika ndi vuto la m'maganizo ndi thupi, komanso mawonekedwe opuwala pang'ono.

Kuchiza kuyenera kuyamba pomwe atazindikira kuti ali ndi matendawa. Pochita mankhwala, mahomoni a chithokomiro amagwiritsidwa ntchito. Mlingo wa mankhwalawa umadalira kulemera, msinkhu wa mwana komanso kuopsa kwa matendawa. Kuphatikiza apo, ndikofunikira kuwongolera mulingo wake m'magazi.

Ndi kuchepa kwa zomwe mahomoni awa ali mthupi, muyenera kudya zakudya zomwe zili ndi ayodini, ndipo ngati ndi kotheka, mankhwalawa "Iodomarin" akuwonetsedwa. Ngati matendawa adapezeka mwa mwana wosakwana zaka 2, ndiye kuti ayenera kumwa mankhwala a mahomoni moyo wawo wonse.

Ndi matenda a mwana wakhanda, kusintha koyipa kwamtima kumatha kuchitika. Kuzindikira ndi kuchitira hypothyroidism mu achinyamata kumachitika chimodzimodzi monga akulu, pomwe kuchuluka kwa mahomoni kumatha kusinthasintha.

Zochizira

Subclinical hypothyroidism imatha kuchiritsidwa ngati matendawa adapezeka koyambirira. Munthawi zonsezi, njira zamankhwala zimasankhidwa zokha. Wodwala aliyense amapanga pulogalamu yake yobwezeretsa kuchuluka kwa mahomoni m'thupi.

Nthawi zina, chithandizo sichimatchulidwa ngati pali matenda ena akulu a ziwalo zina ndi machitidwe. Nthawi zambiri, chithandizo chamankhwala chimayikidwa, koma kwa achinyamata okha. Monga mankhwala, mahomoni a thyroxine amagwiritsidwa ntchito popanga. Mlingo ndi njira ya mankhwalawa imasankhidwa payekhapayekha.

Kuphatikiza apo, ndikofunikira kuphatikiza kugwiritsa ntchito mankhwala azikhalidwe zomwe zimakhudza thupi. Timafunikanso kutsatira zakudya zinazake ndikuyambitsa zakudya zomwe zimakhala ndi ayodini ambiri m'zakudya zathu.

Mankhwala

Ngati subclinical hypothyroidism imachitika chifukwa cha kuchepa kwa ayodini, muyenera kuyamba kulandira mankhwalawa. Popanga chithandizo, ndikofunikira kuwongolera kuchuluka kwa mahomoni ndikuyesedwa miyezi isanu ndi umodzi iliyonse. Ndikosatheka kuchiritsa matendawa kwathunthu, koma ndizotheka kuyendetsa magwiridwe antchito a chithokomiro ndikuchepetsa mawonekedwe owoneka.

Mankhwala Levothyroxine amagwiritsidwa ntchito ngati mankhwala. Mlingo amawerengedwa ndi kulemera kwa odwala. Mankhwalawa amayikidwa m'mawa mosamalitsa pamimba yopanda kanthu. Kusintha mlingo nokha sikulimbikitsidwa, chifukwa izi zitha kukhala bwino.

Kuphatikiza apo, chithandizo chamankhwala chofunikira chitha kuphatikizidwa, kuphatikiza kugwiritsa ntchito mtima, mankhwala a mahomoni, mtima wama mtima, ma protein. Kuti muchepetse kukhumudwa komanso kusachita chidwi, ndikofunikira kugwiritsa ntchito "Amitriptyline".

Chithandizo cha anthu

Anthu ambiri amagwiritsa ntchito wowerengeka azitsamba pochiza matenda ang'ono ang'ono. Zitsamba ndi zipatso zamasamba zimakhala ndi machitidwe ochiritsa omwe akhala akudziwika kwanthawi yayitali. Mankhwalawa amagwiritsidwa ntchito monga zitsamba monga:

Wort wa St. John, elecampane, chamomile, gimlet, rose m'chiuno,
masamba a birch, wort wa St. John, phulusa la kumapiri, elecampane, tambala wazipatso,
celandine, coltsfoot, chamomile, yarrow, licorice, angelica.

Kuphatikiza kwa zitsamba kotereku kumadziwika kuti ndi kofala kwambiri ndipo kumagwiritsidwa ntchito matenda a chithokomiro. Ndikofunika kukumbukira kuti ndi subclinical hypothyroidism, njira zina zitha kugwiritsidwa ntchito pokhapokha mukaonana ndi dokotala kuti musayambitse zovuta.

Kupatsa thanzi kwa hypothyroidism

Ndi subclinical hypothyroidism, zakudya zake ziyenera kuunikidwanso. Zakudya zina siziyenera kuphatikizidwa kuchokera kuzakudya zilizonse, makamaka, monga:

zopangidwa ndi soya
shuga
nsomba zamafuta ndi nyama,
batala
mtedza.

Sitikulimbikitsidwa kudya madzi ambiri, chifukwa amathandizira kuti mapangidwe a edema komanso akhumudwitse kupezeka kwamavuto ndi impso. Hypothyroidism ikachitika, tikulimbikitsidwa kuphatikiza muzakudya zanu:

zopindulitsa ndi selenium ndi ayodini mankhwala,
Zipatso zatsopano ndi masamba
khofi
nyama yokonda ndi nkhuku.

Zakudya zoterezi zimathandiza munthu kuti abwezeretse thanzi mwachangu ndikuchotsa matenda omwe alipo. Pazakudya zonse, muyenera kuyang'anira kulemera kwanu ndikuwona kusintha kwake konse.

Zotsatira za matendawa

Zizindikiro zodziwika bwino zamahomoni a chithokomiro panthawi ya subclinical hypothyroidism imatha kuthandizira ntchito yofunika yokhudza thupi. Komabe, ndikofunikira kudziwa kuti matendawa amakhudza kwambiri kugonana, komanso ntchito yamtima ndi ziwalo zina. Zina mwazotsatira zazikulu zingadziwike monga:

mitsempha ya mitsempha,
kuchuluka mafuta m'thupi
kuchepa magazi
kusamba kwa msambo
kuchepera kuyendetsa galimoto,
kusabereka
mayiko ovuta.

Zotsatira zonsezi zimawonedwa mwa odwala ena okha. Omwe amamva kwambiri kupezeka kwa hypothyroidism ndi anthu ochepera zaka 40. Mtundu wosiyidwa wamatenda ungayambitse kudwala.

Prophylaxis

Kupewa ndikuwongolera ayodini m'thupi. Kuti muchite izi, muyenera kuonetsetsa kuti pali zakudya zoyenera, makamaka, muzidya zakudya zokhala ndi ayodini wambiri. Kuphatikiza apo, muyenera kuwongolera kulemera kwanu ndipo dokotala amayenera kuyang'anira kukula kwake.

Anthu omwe ali ndi vuto la chithokomiro ayenera kupewa kulimbikira. Ndikofunika kuti muchepetse kuyenda mlengalenga, kusambira, yoga. Ndikofunika kupewa kukhumudwa kwambiri. Mankhwala a Sanatorium ali ndi zotsatira zabwino.

Subclinical hypothyroidism: zimayambitsa, magawo, zizindikiro ndi chithandizo cha matendawa

Subclinical hypothyroidism ndi matenda ovuta a chithokomiro. Nthawi yomweyo, chiwalo sichingagwire bwino ntchito ndipo pang'onopang'ono chimayamba kudziwononga. Pogwira ntchito bwino, chithokomiro chimatulutsa mahomoni m'magazi omwe amalola wodwalayo kukhala ndi moyo wonse.

Zochita za chiwalochi zimakhudza thupi lonse, zomwe zimalimbikitsa kugwira ntchito kwa ziwalo. Kuphwanya kumachitika ndi kusowa kwa mahomoni, komanso ndi kuchuluka kwa thupi. Mawonekedwe a mitundu iyi ya kuphwanya malamulo akhoza kukhala osiyana kwambiri. Ndikusowa kwa mahomoni a chithokomiro, thupi limayamba kuchepa pang'onopang'ono, ndipo zinthu zake zonse zimatha. Ndi mahomoni ochulukirapo, chithokomiro cha chithokomiro chimayamba kudzipatula, chomwe chimakhudza kugwira ntchito kwa ziwalo zonse.

Kuopsa kwa matendawa kuli m'lingaliro loti limatha kudzipanga lokha ngati matenda amisomali, chithandizo chake sichimakhala chotulukapo. Wodwala yemwe ali ndi zizindikiro zomwe zimapezeka amafunsira dokotala wa mtima, gynecologist ndi neuropathologist. Ndipo mu magawo omaliza okha pomwe amapangana ndi endocrinologist.

Ngati vuto la chithokomiro likutha, ndikofunikira kuyambitsa chithandizo munthawi yake kuti mavuto azisokonekera.

kukula kolakwika zamkati mwa mwana,
pang'ono pang'ono kapena kuchotseratu chithokomiro,
kusowa kwa ayodini m'thupi,
kugwiritsa ntchito mankhwala osokoneza bongo kwa nthawi yayitali.
zotupa zomwe zimachitika m'mbali pafupi,
kuyamwa kwa ayodini.

Kuphatikiza apo, njira zowonjezera zowerengera zitha kuperekedwa, makamaka, monga:

kuyesa kwa antibody
electrocardiography
ma diagnostics a ultrasound
radiology
scintigraphy
magazi zamankhwala.

Maluso ngati amenewa amachititsa kuti azindikire kupatuka kwa magwiridwe antchito a chithokomiro, komanso kusokonezeka kwa ntchito ya ziwalo zina zomwe zimachitika chifukwa cha matenda.

Amayi ambiri panthawi yomwe ali ndi pakati amakhala ndi chidwi ndi zomwe zimachitika - chachikulu subclinical hypothyroidism komanso momwe zimakhudzira kubereka kwa mwana. Ndikofunika kudziwa kuti matendawa sadzadutsa okha choncho chithandizo chikuyenera kuchitika nthawi yomweyo. Pazonse, zovuta zimachitika m'miyezi itatu yoyambirira ya kubereka, ndipo kuyambira izi mwana amatha kubereka molakwika kapena kufa.

Ndikofunika kudziwa kuti matendawa amatha kudutsa choloŵa cha fetus. Pali kuthekera kwakuti matenda a mwana adzapitirira patsogolo. Akamaliza kulandira chithandizo chamankhwala komanso kubadwa kwa mwana, mkazi amayenera kuwonedwa pafupipafupi ndi endocrinologist mpaka atachira kwathunthu. Muyenera kulembetsa mwanayo.

Zizindikiro ndi chithandizo cha subclinical hypothyroidism ndi pafupifupi zofanana ndi akulu, koma ndi mtundu wobadwa nawo, matendawa amakhala ovuta. Kukhalapo kwa kuphwanya kutha kuzindikiridwa ndi zotsatira za kusanthula pamawonekedwe a mahomoni a chithokomiro.Zizindikiro zazikulu sizikupezeka kapena zizindikiro zake ndi zopanda pake.

Makanda obadwa kumene, kuyezetsa magazi kumatengedwa m'maola ochepa pambuyo pobadwa. Onetsetsani kuti mwawonana ndi dokotala ngati muli ndi zizindikiro monga:

kutupa
jaundice
kulira mokweza mawu
khungu lowuma,
kutentha pang'ono kwa thupi
kulemera mwachangu.

Zizindikirozi zikuwonetsa kuyambika kwa matendawo. Subclinical hypothyroidism mwa ana okalamba amadziwika ndi vuto la m'maganizo ndi thupi, komanso mawonekedwe opuwala pang'ono.

Wort wa St. John, elecampane, chamomile, gimlet, rose m'chiuno,
masamba a birch, wort wa St. John, phulusa la kumapiri, elecampane, tambala wazipatso,
celandine, coltsfoot, chamomile, yarrow, licorice, angelica.

Ndi subclinical hypothyroidism, zakudya zake ziyenera kuunikidwanso. Zakudya zina siziyenera kuphatikizidwa kuchokera kuzakudya zilizonse, makamaka, monga:

zopangidwa ndi soya
shuga
nsomba zamafuta ndi nyama,
batala
mtedza.

zopindulitsa ndi selenium ndi ayodini mankhwala,
Zipatso zatsopano ndi masamba
khofi
nyama yokonda ndi nkhuku.

Zakudya zoterezi zimathandiza munthu kuti abwezeretse thanzi mwachangu ndikuchotsa matenda omwe alipo. Pazakudya zonse, muyenera kuyang'anira kulemera kwanu ndikuwona kusintha kwake konse.

mitsempha ya mitsempha,
kuchuluka mafuta m'thupi
kuchepa magazi
kusamba kwa msambo
kuchepera kuyendetsa galimoto,
kusabereka
mayiko ovuta.

Zotsatira zonsezi zimawonedwa mwa odwala ena okha. Omwe amamva kwambiri kupezeka kwa hypothyroidism ndi anthu ochepera zaka 40. Mtundu wosiyidwa wamatenda ungayambitse kudwala.

Danilova, N.A. Momwe mungapezere shuga / N.A. Danilova. - M: Vector, 2010 .-- 128 p.
Akhmanov, Mikhail Sergeevich Shuga. Moyo umapitirira! Zonse zokhudza matenda anu a shuga / Akhmanov Mikhail Sergeevich. - M: Vector, 2012 .-- 567 p.
Milku -M., Daniela-Muster Aneta Gynecological Endocrinology, Publishing House of the Academy of the Socialist Republic of Romania - M., 2015. - 490 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusayiti, kukambirana ndi akatswiri ndizofunikira nthawi zonse.

Zithandizo za anthu

Ngakhale ndi maphunziro ochepa a hypothyroidism, ambiri amadandaula za kutopa, nkhope ya thupi, kunenepa kwambiri, komanso khungu. Kuti mulimbikitse endocrine dongosolo, tikulimbikitsidwa kugwiritsa ntchito mankhwala azitsamba:

Laminaria Thalli wa algae amaphwanyidwa mu blender kupita kumayiko a ufa. ½ tsp Zipangizo zowonjezera zimaphatikizidwa ndi 100 ml ya madzi owiritsa ndi kumwa mphindi 30 musanadye katatu patsiku.
Schisandra. Zipatso zouma zimaphwanyidwa ndi blender. Thirani vodka m'chiyerekezo cha 1: 5. Kuumirira masiku 14 m'malo amdima. Imwani 25 akutsikira katatu patsiku kwa theka la ola musanadye.
Cinquefoil. 10 g wa masamba odulidwa amakhala otentha ndi 300 ml ya madzi. Limbikani mu chidebe chosindikizidwa kwa maola atatu. Wosefedwa kulowetsedwa amatengedwa 100 ml katatu patsiku.

Mankhwala azitsamba amapitilizidwa mpaka kukhala bwino. Njira yochepetsetsa yamankhwala ndi milungu itatu.

Kuzindikira kwa kulephera kwa chithokomiro

Ndi maphunziro apadera a hypothyroidism, chiopsezo cha zovuta zam'mtima zimawonjezeka kwambiri. Koma ndikusungabe kuchuluka kwa T3 ndi T4 mthupi, zovuta zowononga moyo sizimabwera. Kupambana kwamankhwala kumadalira zifukwa zingapo:

choyambitsa cha hypothyroidism,
zovuta zakuphwanya dongosolo la endocrine,
kusintha kosasintha.

Ndi hypothyroidism chifukwa cha kusowa kwa ayodini, pafupifupi odwala onse amatha kuchiritsidwa. Koma ngati kusowa kwa mahomoni okhala ndi ayodini kumachitika chifukwa cha zolephera za autoimmune, HRT imayikidwa pamoyo.