Ole thyroid gland o se tasi o totoga sili ona taua o le endocrine system. O ia e nafa ma le tuufaatasiga o hormones talafeagai mo le tino o le tagata - thyroxine (T3) ma triiodothyronine (T4).
A aunoa ma latou, o le masani masani o le tele metabolic faagasologa e le mafai. A le gaosia nei hormone ile tele o taimi, e tupu mai se faʻamaʻi mataʻutia e pei o le hypothyroidism. Autoimmune tiroiditis, o se faʻatupuina faʻataʻitaʻiga faʻatonuga tiroid, masani ona avea ma mafuaʻaga.
O foliga vaaia o le faʻamaʻi e aliali mai i taimi uma vave, ae i nisi tulaga, o le faʻataʻitaʻiina o le faʻamaʻi e faʻapipiʻi, e ono masalosalo lava le tagata maʻi ua maʻi. O lenei ituaiga o faʻamaʻi e taʻua o le subclinical hypothyroidism.
O le a le faʻamaʻi?
O lona uiga moni, "subclinical" o lona uiga "aʻo leʻi oʻo i ai faʻailoga." O lona uiga, o le faʻamaʻi ua uma ona atiaʻe ma alualu i luma, ae o faʻailoga uiga ia e foliga mai ai.
Subclinical hypothyroidism ei ai foi le faʻafeagai foliga - faʻaalia hypothyroidism. I lenei tulaga, o faʻailoga e faigofie ona iloa uma faʻatasi ai ma le fesoasoani a suʻesuʻega faʻataʻitaʻi, ma e se suʻesuʻega mai fafo o le gasegase.
Subclinical hypothyroidism atiaʻe mo lava mafuaʻaga e pei ona sili atu ona masani ai - faʻaalia hypothyroidism. O vala muamua mo le faamaʻi e pei ona taua i lalo:
- Le lava o le yodium i le tino (masani ona matauina i tagata o nofoaga endemic);
- Congenital hypothyroidism ma faʻaletonu i le atinaʻeina o le thyroid gland;
- Ua faʻamamaina atoa le vaega o le thyroid gland ona o le faʻatupuina o malignary tumors;
- Togafitiga o le thyroid gland i le faʻaaogaina o le radioactive iodine;
- Togafitiga umi ma le thyreostatics - vailaʻau e taofia ai le aoga o le laupepa;
- Ole faʻaʻautio faʻapipiʻi ole keleneti poʻo isi vaega o le tino o se gaioiga lelei mo le faʻatupuina o le autoimmune tiroiditis;
- Thyroiditis o uiga eseese o le tutupu ma le suia o le fesoʻotaʻiga tisu o le kaleneti.
O le autoimmune thyroiditis mafai foi ona o faatasi ma le hypothyroidism subclinical. I lenei auala, o mea faʻapitoa e amata ona gaosia i totonu o le tino o le tagata - vailaʻau e gaosia e le tino puipuia e tali atu i sela tiroid pei fafo ma amata ona faʻaleaga ia mea. O auga foi e masani ona agamalu.O lea la, e faigata ona amata togafiti taimi.
Autoimmune tiroiditis o se faʻafitauli mai le gafa pe ua fausia ina ua maeʻa faʻamaʻi pipisi ma faʻamaʻi viral.
Subclinical hypothyroidism e masani ona atiaʻe ona o lenei faʻataʻitaʻiga faʻapitoa, talu ai o lona ala ma le atinaʻega e telegese, o faʻailoga faʻapitoa e masani ona leai.
O le faʻatinoina o ata o le faʻamaʻi
Faʻailoga o le faʻamaʻi e agamalu i taimi uma, tele lava e le o matauina, faʻapogai i le masani ona ova le galue poʻo le leaga lagona. O faʻailoga iloga i le amataga lava, faʻaalia mai o le tagata maʻi e atiaʻe subclinical autoimmune hypothyroidism:
- Faʻaleagaina, le faʻamaoni;
- Telegese, le naunau e faia se gaioiga.
- Faaitiitia le manao feusuaiga.
- O le mamafa o le mamafa, ae, faʻafeagai ma le faʻaaliga hypothyroidism, e faifai malie nai lo le maʻai.
Faailoga o se alualu i luma faamai e sili atu ona manino. Faʻaopopoina subclinical hypothyroidism mafai ona iloa e le faʻailoga nei:
- Faʻamago le paʻu, aisika, faʻaleagaina le paʻu o le paʻu;
- Lulu, manifinifi laulu e foliga mai e leiloa;
- Faigata soo, maʻi, tiga i le manava - faʻailoga masani o le faʻamaʻi;
- Faʻateleina le mamafa maua, e ui lava i gaioiga faʻamalositino ma meaai;
- Myxedema - fulafula o le tino ma totoga ole totonu;
- Faʻatupuina le maʻitaga, faʻaitiitia le malosi.
Taua: subclinical hypothyroidism e masani ona iloa i le taimi o suʻesuʻega masani poʻo le taimi e iloiloina ai le pathology o isi totoga. E seasea ona iloaina o ia i lona soifua manuia.
Faʻafefea ona fai o se maʻi
Ina ia mafai ona e iloa le faʻamaʻi ma faʻatonu togafitiga, e manaʻomia le faia o se suesuega maeʻaeʻa o le gasegase. E masani lava ona faʻataʻitaʻiina ia e manaʻomia mo le masalomia o le autoimmune tiroiditis.
Ole suʻega o le toto mo le i ai o tototoma o hormone tiroid. Triiodothyronine ma thyroxine e tatau ona i ai i se aofaiga e 2.6-5.7 mmol / lita ma 9.0-22.0 mmol / lita, faʻatusa, pe a fai e le tupu le faʻamaʻi. O le faʻafitauli o le, pe a fai o le hypothyroidism o le subclinical, o le maualuga o le hormone e faʻasolo malie lava. Faʻavae i nei faʻamatalaga na o ia, e toetoe lava a le mafai ona iloa ai se maʻi.
Ole suʻega toto mo le thyroid-stimulating hormone ole pituitary gland. Ole maualuga ole hormone i se tagata soifua maloloina o 0.4-4.0 mU / lita. O le pituitary gland e toetoe a vave ona tali mai i sina suiga o le tino, aua o lenei auiliiliga o le ki pe a fai e te manaʻomia e suʻesuʻeina le thyroiditis.
Le sailia o antibodies i thyroglobulin ma thyroperoxidase i le toto. Afai o soifua maloloina se tagata, o lona uiga o loʻo latou toesea i le toto, pe o iloa foi i se aofaiga e le sili atu nai lo 0-18 U / ml ma 0-5,6 U / ml. A faʻapea e ova le faʻaalia o nei faʻailoga, e mafai ona faʻapea e atiaʻe le autoimmune tiroiditis, tusa lava pe leʻo matauina isi faʻailoga.
Scintigraphy e faʻatagaina - o se auala lea mo le iloaina o le agavaʻa o le thyroid gland e aveese ai le iodine mai le toto ma faʻapipiʻi hormones mai ia. Soʻo se ituaiga o faʻamaʻi o le hypothyroidism o loʻo iloga e le mea moni e faʻapea e tele taimi e maua ai le iodine i le gland tiroid nai lo se tagata soifua maloloina.
Afai o le faʻamaʻi ua faʻamaonia e ala i faʻaiuga o suʻega uma o i luga, e manaʻomia ni suʻesuʻega faaopoopo. E manaʻomia lea mea ina ia iloa ai le mafuaʻaga o le hypothyroidism. E aofia ai gaoioiga e pei ole ultrasound, computed tomography, MRI, thyroid palpation e se endocrinologist.
A uma ona iloiloina iʻuga o suʻesuʻega, o togafitiga sili ona lelei o le a filifilia.
Faʻafefea togafitiga
Le togafitiga o le subclinical hyperteriosis e faʻavae i luga o faʻavae tutusa e pei o le togafitia o soʻo se faʻaaliga o le paʻu o hormone hormone. O le
- Hormone togafitiga. Togafitiga ma fofo o vailaʻau faʻatino e naʻo le fomaʻi. Thyroxine poʻo le levothyroxine e masani ona faatonuina.
- Togafitiga o se faʻamaʻi na faʻatupuina le faʻatupuina o le hypothyroidism.
- Fetuunaiga mana. E tusa lava poʻo le a le ituaiga o hypothyroidism ua faʻamaonia, lelei togafitiga e le mafai e aunoa ma le atoatoa ma lelei meaai a le gasegase.
Iodine o faaletonu e masani ona mafua mai i metabolic faaletonu. O le mea lea, e taua tele le aofia ai o meaʻai e tele i le fiber, faʻamalosia le faʻamalositino - o fualaʻau ma fualaʻau mataʻina, cereals, laʻau. Ina ia puipuia le mai loa, ia mautinoa e taumafa suauu fualaʻau.
O le Iodine e maua i iʻa mai le sami, o meaʻai mai le sami, kale sami. O mea taumafa faapena e tatau ona ave i ai le faʻamuamua mo soʻo se faʻamaʻi tiroid.
Fautuaina Fuafua
- Teena meaʻai gaʻoa gaʻo ma mea ua maeʻa, meaʻai vave, sosisi, meaʻai tuuapa;
- Le tapulaʻa maualuga i luga o le faʻaaogaina o muffins ma falaoamata oloa;
- Faʻaititia le faʻaaogaina o masima ma vaivaia ona o le maualuga o le aʻafiaga o edema.
Tuʻufaʻatasia faʻapitoa i le taumafataga o meaʻai meaʻai faʻaopoopo o loʻo aofia ai multivitamin complexes. Togafitiga ma sauniuniga o loʻo iai vitamini ma minerale ua fautuaina i le tele o taimi i le tausaga.
