TTG lehliselwa - kusho ukuthini? TTG lehliselwa ngesikhathi sokukhulelwa

Futhi gynecologists futhi endocrinologists bayazi kahle ukuthi kubaluleke kangakanani ukulawula izinga lama-hormone kwabesifazane, ikakhulukazi lezo ezimithi. Ngalesi sikhathi, cishe zonke izinhlaka futhi izinhlelo Ushintsha Yiqiniso yomsebenzi wabo, ukuzijwayeza indlela entsha. Phela, phakathi nezinyanga eziyisishiyagalolunye umsebenzi wabo oyinhloko kuyoba ukuqinisekisa ukuthuthukiswa evamile wengane kanye nokugcina impilo umama okhulelwe. Yiqiniso, lezi zinguquko zithinta nekusebenta indlala yegilo. Ukwephula izinga lama-hormone ekhiqizwa ngu-ke, ngokuyinhloko kuba nomthelela ekuthuthukisweni kanye Yiqiniso yokukhulelwa.

TSH-hormone okuthiwa i ezingeni ivumela ukunquma ukuthi ukukhulelwa kungokwemvelo noma kukhona kwezinso bathuthukise. Lokhu kulinganisela kunqunywa ukuhlaziywa egazi losana emthanjeni. Uma TSH lehliselwa noma, kunalokho, landa, udokotela imithi ucwaningo olwengeziwe. Bazokusiza ukuthola ukuthi yini edale le amazinga kwezinso hormone.

Kuyini TTG?

Ukuze ukwazi ukuthi kumayelana, kudingeka ucabangele i-hormone ekhiqizwa yi-ndlala yegilo yomuntu. Tierotropny i-hormone athweswe cala ngokusebenza evamile pituitary anterior. Ilawula ukuthuthukiswa futhi umsebenzi indlala yegilo, kanye ukukhiqizwa triiodothyronine (T3) kanye thyroxine (T4). La ma-hormone kubaluleke kakhulu ukusebenza evamile izinhlelo wokuzala kanye nokuya senhliziyo ehilelekile izinqubo umzimba kanye nomthelela isimo psycho-ngokomzwelo umuntu.

Kungani vele kufanele ngitadishe TSH ezingeni?

Noma yimuphi ekushintshashintsheni lemali yama-hormone igazi kungabangela ezihlukahlukene imiphumela yempilo ezingezinhle. Kubalulekile ukugcina ngaphansi kolawulo zonke nemingcele ezibalulekile ngesikhathi ukuzalwa. Ngokuvamile kunezimo lapho lokhu inkathi ukushintsha kwama-hormone. Kwenzeka ukuthi TSH lehliselwa ngesikhathi sokukhulelwa. Kubaluleke ngokukhethekile ukuba banake iyehla iyenyuka ezinjalo, uma owesifazane ngaphambilini nazo izifo yegilo noma izinto ezimbi ezamehlela elihlobene ne kucwila kwesisu noma fetus.

Iqiniso lokuthi le hormone kakhulu sensitive izinguquko sokugembula ohlelweni endocrine. Lokhu kungenxa omunye wemithetho eziyisisekelo imithi - isimiso impendulo engeyinhle. Uma TSH lehliselwa, kusho ukuthini? Lokhu kubonisa ukwanda ezingeni thyroxine khulula. Ngakolunye uhlangothi, ukwanda TSH izinkomba kwehle-T4. Ngakho, ngokwazi kwemigomo esemqoka amahomoni ezivezwa indlala yegilo, kungenzeka ukuqapha impilo abesifazane, ikakhulukazi labo ebekwe esigabeni "ezithakazelisayo" isikhundla.

TSH kuyinsakavukela ngesikhathi sokukhulelwa

Izinga yendlala inkanuko hormone, kunqunywa ELISA (enzyme-exhumene Assay immunosorbent) egazini sowesifazane, kumele kube kusuka 0.4 kuya 4 IU / ilitha. Phakathi nenkathi yokukhulelwa, lezi zibalo zingase kancane bachezuke kuyinsakavukela. Phakathi nale nkathi, ezingeni TSH kushintsha njalo. Ngakho-ke kunzima kakhulu athola yimiphi imingcele Ngokwesilinganiso, yena kufanele uhambisane. Kukholakala ukuthi iningi zonke TTG lehliselwa ngesikhathi amasonto 10-12. Kodwa zikhona izikhathi lapho kuba low zonke izinyanga eziyisishiyagalolunye. TSH ngokuvamile behliselwe phansi e kaningana. Nokho, ngeziphambeko ezincane kusukela uthola omunye kanti olunye uhlangothi akubhekwa sokugembula.

Umthelela hormone ekhiqizwa yi-ndlala ndlala sokukhulelwa

Uhlelo endocrine linendima ebalulekile. Indlala yegilo ikhiqiza thyroxine futhi triiodothyronine, futhi uphatha inqubo pituitary. It is ekhiqizwa anterior pituitary TSH, olawula amazinga T3 ne-T4. Bekanye ukugeleza kwegazi bathola cishe wonke amaseli abantu futhi bahileleke ekuphileni kwabo.

Umsebenzi oyinhloko triiodothyronine kanti thyroxine kungumnikelo kanye nokugcinwa umzimba basal. La ma-hormone ukusiza lokulawula cell division. Phakathi nenkathi yokukhulelwa, baba nethonya emnandi phezu luteum Corpus, ekuvimbeleni ingozi kwesisu ekukhulelweni ekuseni. Ngokufanayo, T3 ne-T4 ithonya umzimba female, bona babamba iqhaza ekuthuthukisweni umbungu, ikakhulukazi ukwakheka kobuchopho.

Manje njengoba siyazi ukubaluleka amazinga evamile yama-hormone ekhiqizwa indlala yegilo, ngoba umama nomntwana ongakazalwa, ungakwazi ukuqonda ukuthi kungani kubalulekile ukulawula ukusebenza thyroxine futhi triiodothyronine. Udokotela kufanele wazise isimo lapho i-T4 lehliselwa (futhi ngawakhulisa TSH). Kulokhu, cwaningo enemininingwane inikezwa.

TSH uma uhlela ukukhulelwa

Kuyiphutha ukukholelwa ukuthi cwaningo isizinda hormone kubalulekile kuphela uma owesifazane isivele ine inhliziyo yomntwana. Njengoba kushiwo ngaphambili, thyroxine, triiodothyronine kanti TSH ukudlala indima ebalulekile empilweni yomuntu. Ingathinta uhlelo zokuzala. Ngakho, uma le hormone TSH encishisiwe, akusiyo very scary. Kodwa uma ezingeni layo ophakamayo ngesikhathi esifanayo ne ukwehla T3 ne-T4 ukusebenza, udokotela wakho kungase kusikisele ukuhlukumeza umsebenzi wesibeletho. Lokhu, kuholela ukwehla ematfuba uzale ingane.

Kuphazamisa ukukhiqizwa kwe follicle kanye ova kumiswa luteum Corpus. Ngakho-ke, uma owesifazane uya kudokotela okhalazayo ukwehluleka esizicabangelayo, endocrinology ngempela ukhethe ukuhlaziya sama-hormone egilo. Inkomba ekahle nokuhlela ukuba akhulelwe kubhekwe TSH ezingeni 1.5 mkIE / ml. Lona ezimaphakathi omdala.

TSH behliselwe phansi Kusho ukuthini lokhu?

Ngeshwa, akuvamile kwenzeka ukuthi konke ukuvivinywa ijwayelekile. Ngokuvamile, noma omunye wabo, kodwa ukuphambuka. Ngokwesibonelo, TSH kwehle. Kusho ukuthini? Ngokuvamile, yalokho enjalo yokuhlaziya akufanele wazise odokotela. Ukwehla omncane ukukhiqizwa kwale hormone ngesikhathi ukhulelwe ngokuphelele evamile. Kodwa kwezinye izimo lokhu kungase kube nezimo ngenxa kanye sokugembula:

1. Uma TSH lehliselwa ngesikhathi sokukhulelwa, udinga ukuhlola ukusebenza kwe-ndlala pituitary.
2. Kukhona ithuba elincane Plummer syndrome.
3. izimila Benign we yegilo.
4. Necrosis of pituitary indlala emva kokuzalwa.
5. Amazinga aphakeme ama-hormone ekhiqizwa indlala yegilo.
6. injabulo Ngethukile kodwa uhlobo.

Ngakho, uma sizibuza, 'TRG lehliselwa, kusho "ungabheki for ulwazi ezincwadini, kungcono ngokushesha ubuze endocrinology. Ngeke ukuthola imbangela ushintsho futhi zibeka ukwelashwa okufanele.

Uma TSH lehliselwa, owesifazane angase uqaphela ezinye izimpawu, ezifana ikhanda, palpitations, imfiva kanye ukuqunjelwa. Kodwa ngokuvamile lezi zinguquko zenzeka cishe asymptomatic.

TSH kukhuphuke

Uma ukuhlaziywa wabonisa ukuthi ezingeni kwale hormone ngesikhathi sokukhulelwa landa, odokotela bangakwazi ukunikeza ucwaningo olwengeziwe, njengoba lokhu kungase kube uphawu uthi ezilandelayo:

1. Iphazamiseke nezindlala adrenal.
2. Nginesifo esithile sengqondo.
3. Izinkinga indlala pituitary.
4. Amazinga aphakeme ama-hormone.
5. isimila pituitary.
6. esingamahlalakhona kwezinso.
7. Preeclampsia esigabeni ezinzima.

Izimpawu babe ephakeme TTG lokushisa ongaphakeme, ubuthakathaka, ukukhathala jikelele, ukuqwasha, imnyama futhi pallor. Ngokubukeka, entanyeni ubukeka mkhulu.

I-hormone i-T4 kwezinkambiso ngeziphambeko

Thyroxine Ihlobene ngokuseduze TSH, ukuhlolwa ke, ngokuvamile ezinqunyiwe ekutadisheni in the aggregate amazinga abo. T4 - omunye stimulators ebaluleke kakhulu cell division nokuvuselelwa emzimbeni. Kusukela senani kuxhomeke kakhulu isisindo umuntu, njengoba thyroxine uyakwazi ukuthonya umzimba amaprotheni zamagama. Kuyinto le hormone inquma isidingo samanzi emzimbeni ukuze amavithamini, kodwa kuthuthukisa kwesibindi digestibility carotene. Ngaphezu kwalokho, it kwehlisa lizinga cholesterol egazini iphinde ivimbele okuvela zingcwecwe e izitsha palsy. Kubalulekile futhi kakhulu umsebenzi insikazi uhlelo zokuzala. Ezimweni lapho ezingeni T4 lehliselwa noma avuswe, ngokuvamile unezinkinga ukuhlela kanye nokukhulelwa.

Norm thyroxine kuyinto 9-22 picomoles ilitha. Lezi zinombolo zisebenza abesifazane, ngoba bangamadoda ephakeme. Akukhona njalo i wayephazamisekile kuwuphawu ukugula okungathí sina, cishe umzimba ihlangabezana nezinkinga yesikhashana. Uma imithi oyinikiwe, ematfuba sife futhi ubelethe ingane enempilo kakhulu.

Ubudlelwano obuphakathi T4 futhi TSH

Izinkomba hormone ukuthi akhiqizwa indlala yegilo, eduze munye. Kunezimo lapho TSH lehliselwa, T4 anda. Ngo ukusebenza evamile, pituitary kanye yegilo indlala lokhu akufanele kube. Ngokuvamile, uma TSH lehliselwa, T4 evamile. Lokhu kusho ukuthi-thyroxine kakhulu suppresses ukukhiqizwa kwe thyrotropin.