TTG uvikivwa - oko kuthetha ntoni? TTG uvikivwa ngexesha lokukhulelwa

Kunye gynecologists kunye endocrinologists bayazi kakuhle kubaluleke kangakanani na ukulawula umgangatho hormone abasetyhini, ingakumbi ngexesha lokukhulelwa. Ngeli xesha, phantse onke amalungu kunye neenkqubo ezingqingqwa ikhondo lomsebenzi wabo, ukunyenyisa ngendlela entsha. Ngapha koko, phezu kwiinyanga ezilithoba msebenzi zazo eziphambili ngokubaluleka iya kuba kukuqinisekisa uphuhliso eqhelekileyo umntwana nokugcina impilo kamama okhulelwe. Kakade ke, olu tshintsho luchaphazela kanye nokusebenza le ndlala lengqula. Ukophulwa inqanaba hormone eziveliswa ngayo, ubukhulu becala iphembelela uphuhliso kunye ikhondo lokukhulelwa.

inqanaba TSH hormone ivumela ukuqinisekisa ukuba ukukhulelwa eziqhelekileyo okanye kukho naziphi na ukungaqheleki nokuphuhlisa. Le rate ujongwa uhlalutyo igazi losana emthanjeni. Ukuba TSH uvikivwa okanye ngokuchasene noko, ukwanda, ugqirha uyakukumisela zophando ezongeziweyo. Aya kukunceda ufumanise oko kwabangela amanqanaba ezingaqhelekanga hormone.

Yintoni TTG?

Ukuze ukwazi ukuba yintoni na ngayo, kufuneka ucinge hormone yi ndlala kwidlala womntu. Tierotropny hormone linoxanduva lokusebenza yesiqhelo yebhinqa sobuKristu. Ilawula uphuhliso kunye nomsebenzi nobubovu lengqula, kwakunye nokuveliswa triiodothyronine (T3) kunye thyroxine (T4). zibaluleke kakhulu eqhelekileyo yokusebenza iinkqubo ekuzaleni yaye sentliziyo inxaxheba kwiinkqubo pathways kunye nempembelelo kurhulumente ngokwasengqondweni nangokweemvakalelo umntu La iihomoni.

Kutheni ukufunda level TSH?

Nakuphi na ukuhla nokunyuka isixa hormone egazini kungabangela iindidi empilweni ezibi. Kubalulekile ukuba sihlale phantsi kolawulo zonke iparameters ezibalulekileyo ngexesha yokuzala. Kudla kukho iimeko apho eli xesha utshintsho hormone. Kuyenzeka ukuba TSH uvikivwa ngexesha lokukhulelwa. Kubaluleke ngokukodwa ukuba anikele ingqalelo ukuhla ezinjalo, ukuba lo mfazi ngaphambili wadibana kunye nezifo lengqula okanye amava embi ezinxulumene yokuzika kwesisu okanye ukukhubazeka.

Isibakala sokuba le hormone-ethe kakhulu utshintsho zophendlo lwezifo kwinkqubo yonyango. Oku kungenxa ngomnye imigaqo esisiseko amayeza - umgaqo ingxelo embi. Ukuba TSH uvikivwa, oko kuthetha ntoni? Oku kubonisa ukunyuka kwizinga thyroxine free. Kwelinye icala, ukwanda zalathisi TSH yehle T4. Ngaloo ndlela, ukwazi parameters eziyintloko hormone eziveliswa nobubovu lengqula, kunokwenzeka ukuba iliso impilo yabafazi, ingakumbi ezo ibekwe kwindawo 'umdla ".

TSH yamihla ngexesha lokukhulelwa

Inqanaba yendlala ekuvuseleleni hormone, kumiselwa ELISA (olungqanyaniswa enzyme-kulingwa immunosorbent) egazini lomfazi, kufuneka ukususela 0.4 ukuya kwi-4 IU / ilitha. Ngexa lokukhulelwa, la manani ukuze zitenxe kancinane ukusuka kwisiqhelo. Ngeli xesha, inqanaba TSH esoloko itshintsha. Ngoko ke kunzima kakhulu ukuba abafumana avareji iparameters, leyo kufuneka athobele. Kukholelwa ukuba uninzi zonke TTG uvikivwa ngexesha kwiiveki 10-12. Kodwa kukho amaxesha xa iphantsi kuzo zonke iinyanga ezilithoba. TSH wayedla .o zokukhulelwa ezininzi. Nangona kunjalo, zikhona izinto ezincinane kwisiqhelo kwenye kwaye elinye icala akujongwa zophendlo lwezifo.

Isiphumo hormone yi ndlala ndlala ngexesha lokukhulelwa

Inkqubo yonyango ludlala indima ebalulekileyo. Le ndlala lengqula ivelisa thyroxine kunye triiodothyronine, kwaye ilawula inkqubo le yebhinqa. It yenziweyo TSH yebhinqa akudala, elawula amanqanaba T3 kunye T4. Kunye ukuhamba kwegazi bafumane phantse zonke iiseli zabantu kwaye athathe inxaxheba ebomini babo.

Umsebenzi ophambili triiodothyronine kunye thyroxine lo ummiselo nokugcinwa ukutya Uhlobo Lokuqala. Ezi hormone ilawula division cell. Ngexa lokukhulelwa, kuba nefuthe oluvuselela kwi luteum corpus, ukuthintela umngcipheko isisu ekukhulelweni ekuqaleni. Ngokufanayo, T3 kunye T4 azinampembelelo umzimba nemazi, ukuba bathathe inxaxheba kuphuhliso ndingekazalwa, ingakumbi ekubunjweni ingqondo.

ukuqonda Ngoku siyazi ukubaluleka yamanqanaba eziqhelekileyo zamadlala eziveliswa nobubovu lengqula, kuba umama nomntwana olungekazalwa, ungenza kutheni kuyimfuneko ukulawula intsebenzo thyroxine kunye triiodothyronine. Ugqirha kufuneka wazise imeko apho T4 uvikivwa (kwaye wamvusa TSH). Kulo mzekelo, ukufunda eneenkcukacha wabelwa.

TSH xa uceba ukukhulelwa

Kuyinto yimpazamo ukukholelwa ukuba nasekufundweni imvelaphi kwamadlala kubalulekile kuphela xa umfazi sele intliziyo yomntwana. Njengoko kuchaziwe ngaphambili, thyroxine, triiodothyronine kunye TSH zidlala indima ebalulekileyo kwimpilo yabantu. Kunempembelelo ngayo uhlelo zokuzala. Ngoko ke, ukuba hormone TSH yancitshiswa, akukho eyoyikisayo kakhulu. Kodwa ukuba kumgangatho uvuka ngexesha elinye kunye ukuncipha T3 kunye nokusebenza T4, ugqirha wakho kusenokubonisa kukwaphula umsebenzi ovarian. Oku kukhokelela ekuncipheni amathuba ukuze kumitha, uzale umntwana.

Kuphazamisa ukuveliswa zoboya ova lokusekwa luteum corpus. Ngoko ke, umfazi ukuba aye kwagqirha ekhala ukungakwazi kumitha, endocrinologist ngokuyimfuneko onyule ngohlalutyo hormone. Isalathisi ezilungele ucwangciso ekumitheni kwinqanaba TSH igqalwa 1.5 mkIE / ml. Le yi-avareji ye omdala.

TSH zathotywa Kuthetha ntoni oku?

Ngelishwa, akufane kwenzeke ukuba zonke iimvavanyo eziqhelekileyo. Amaninzi, nangona omnye wabo, kodwa nokutenxa kokumiselweyo. Umzekelo, TSH sehle. Kuthetha ukuthini? Ngokuqhelekileyo, ngenxa enjalo yokuhlaziya kufuneka tufwile nonoklinikhi. Ukuhla okungephi ekuvelisweni kwale hormone ngexesha lokukhulelwa nakanjani eqhelekileyo. Kodwa kwezinye iimeko oku iimeko ngenxa and zophendlo lwezifo:

1. Ukuba TSH uvikivwa ngexesha lokukhulelwa, kufuneka ukukhangela ukusebenza ingqondo yebhinqa.
2. Kukho amathuba amancinci Plummer syndrome.
3. yamathumba ebubonisayo le ndlala.
4. Necrosis of posa emva kokuzalwa.
5. imigangatho ephakamileyo hormone eziveliswa kwidlala lengqula.
6. uchulumanco Wayesoyika uhlobo.

Ngoko ke, ukuba uyazibuza, 'trg uvikivwa, lithetha "musa ukukhangela ulwazi kule ncwadi, kuya kuba kuhle ukuba ukudibana kwaoko nofumana endocrinologist. Uya kufumanisa ukuba unobangela utshintsho kwaye amisele unyango olufanelekileyo.

Ukuba TSH uvikivwa, umfazi ungaqaphela ezinye iimpawu, intloko ebuhlungu, iyangongoza, icesina kunye ukungacoleki kokutya. Kodwa ke amaxesha amaninzi ezi nguqu zenzeke phantse nazimpawu.

TSH landa

Ukuba Uhlalutyo lwabonisa ukuba umgangatho kwale hormone ngexesha lokukhulelwa landa, oogqirha ukwabela uphando olongezelelweyo, njengoko oku kube ngumqondiso ithi zilandelayo:

1. Iphazamisekile adrenal.
2. Mna unesifo sengqondo.
3. Iingxaki kunye ingqondo yebhinqa.
4. imigangatho ephakamileyo hormone.
5. ithumba yebhinqa.
6. insufficiency kwezintso.
7. Yokukhulelwa kwinqanaba kakhulu.

Iimpawu baba TTG lobushushu ophakamileyo ephantsi, ubuthathaka, ukudinwa jikelele, sokulibala, emnyama kunye pallor. Ngokweliso, intamo ibukeka ziyatyeba.

Hormone nemigangatho T4 ezinxaxhileyo

Thyroxine ngokusondeleyo ezinxulumene ne TSH, iimvavanyo ngoko, idla ezimiselweyo isifundo amanqanaba abo kumanqaku ewonke afunyenwe ngumviwa. T4 - enye stimulators ibalulekileyo sisahlula iseli kunye ngokutsha emzimbeni. Kwimali yayo kuxhomekeke kakhulu ubunzima somntu, njengokuba thyroxine uyakwazi ukuphembelela ukutya kunye ziiprotein yokuqaphela. Yiyo le hormone limisela imfuneko komzimba ukuba iivithamini, kodwa kwenza isibindi digestibility carotene. Ngaphezu koko, oko lihlisa inqanaba cholesterol egazini kwaye uthintele kukuvela umonakalo kwi iimpahla lobuchopho. Kwakhona kubalulekile kakhulu ukuba umsebenzi kwenkqubo ababhinqileyo okuzala. Kwiimeko apho inqanaba T4 uvikivwa okanye kuvuswa, zisoloko zineengxaki kucwangciso kunye nokukhulelwa.

KwiSithethe thyroxine yi picomoles 9-22 ilitha nganye. La manani kusebenza kuphela kumabhinqa, ekubeni amadoda aphezulu. Akusoloko kukho aberration yi iliphawu ukugula kakhulu, mhlawumbi emzimbeni kudweliso lwenkqubo olunokwenza iingxaki okwethutyana. Ukuba kwikhondo unyango, amathuba ndithwale uzale umntwana onempilo iphezulu kakhulu.

Ubudlelwane phakathi T4 TSH

Izalathi si zokunikwa iincindi zamadlala ziveliswa esinobubovu lengqula, ngokusondeleyo munye. Kukho iimeko xa TSH uvikivwa, T4 landa. Ukusebenza oqhelekileyo, yebhinqa kunye ndlala ndlala oku akuzukuba. Ngokuqhelekileyo, ukuba TSH uvikivwa, T4 eqhelekileyo. Oku kuthetha ukuba thyroxine kakhulu ayisayicinezeli imveliso thyrotropin.