Dukkan tsarin nazarin halittu a cikin jikin mutum suna sarrafawa ta hanyar hormones. Wadannan mahadar sunadawa ba kawai ta jiki ba, amma har ma da tunanin mutum, musamman a mata. Ko da wani sabon kuskure daga ma'auni na endocrin daga ka'ida zai iya kara yawan yanayin kiwon lafiya da kuma haifar da matsaloli mai tsanani.
Hanyoyin maganin horroone-maganin kawo - menene wannan a cikin mata?
An tsara abu da aka kwatanta a cikin glanden kwakwalwa na baya, da tsarin tsakiya na tsakiya (domin mafi yawancin) ya tsara shi. Tarin hormone TSH ko thyroetpin shine glycoprotein wanda ke da wadannan sakamakon a kan jikin mace:
- iko da samar da T3 (triiodothyronine) da T4 ( thyroxine );
- tsari na juyayi, aikin haifa da kuma motsa jiki na hanji;
- tabbatar da daidaitaccen makamashin jikin;
- shiga cikin kira na bitamin A, phospholipids, acid nucleic da sunadarai;
- daidaituwa game da aikin da kwayoyin gani, ji, na zuciya da jijiyoyin jiki;
- gyare-gyaren iodine assimilation by thyroid gland shine Kwayoyin;
- haɓakawa da halayen halayen kwakwalwa don damuwa.
Yawanci, akwai kuskuren T3, T4 da TTG. Tare da karuwa ko ƙananan ƙananan a cikin maida hankali na triiodothyronine da thyroxine a cikin plasma jini, glandon thyroid gwargwadon rahotanni na nuna rashin daidaituwa. A sakamakon haka, yawancin samar da thyroratpin ya bambanta, don haka don ganewar asali yana da muhimmanci don ƙayyade yawan waɗannan mahallin halittu a cikin hadaddun.
Analysis for hormones - TTG
Kwayar sinadarin a cikin tambaya yana nuna halin yau da kullum a cikin daidaituwa. Ana kiyasta yawancin adadin plasma tsakanin 2-4 hours na dare. Da misalin karfe takwas na dare, thyrotropin fara farawa, yana kaiwa maraice a maraice, don haka jini a kan TTG yafi kyau ya dauki da safe. Idan kuna farka da dare, samar da hormone yana da mummunan rauni.
Shirye-shirye don aikawa gwajin jini ga TTG
Don daidaita ƙayyadaddun ƙwararren ka, duk abin da zai shafi tasirin binciken ya kamata a cire. Masana sun bayar da shawara da safe su dauki TTG - gwajin jini a farkon lokutan zasu taimaka wajen ƙayyade darajar abin dogara, kusa da iyakar. Yana da muhimmanci a yi barci mai kyau kafin ka je dakin gwaje-gwaje, in ba haka ba sai amincin binciken zai rage.
Kafin kayi gwaji don TTG, kana buƙatar:
- Kada ku ci domin 8 hours.
- Yi watsi da shan taba a kan karatun rana.
- A ranar da ta ziyarci dakin gwaje-gwaje, fi son abincin da ke da sauƙi don narkewa, kuma kada ku ci da kyau.
- Ka guje wa rikice-rikice na jiki da na tunani.
- Kada ku sha barasa don kwana biyar kafin binciken.
Hanyoyin karo ne na al'ada a cikin mata
A cikin dakunan gwaje-gwaje daban-daban, dabi'u na fasalin da aka kwatanta ya danganta da haɓakawar kayan aiki, saboda haka yana da al'adar nuna alamun alamar. TTG - al'ada a cikin mata ta tsufa (mIU / l):
- 14-25 - 0.6-4,5;
- 26-50 shekara - 0.4-4.0;
- bayan shekaru 51 - har zuwa 4,5.
Dole ne a ba da hankali ta musamman ga magungunan ku a mata, kai 40 da haihuwa. Wannan lokacin ya wuce menopause, saboda haka halayen hormonal da matsaloli masu alaka zasu yiwu. Bayan yin jima'i, yana da mahimmanci a kula da matakin TSH - yawancin wannan alamar bai wuce iyakar 0.4-4.5 mIU / l. Ƙarawa ko karuwa a cikin maganinka yana fama da cututtukan cututtukan thyroid da tsarin tsarin da yake sarrafawa.
TTG an tashe shi ko ƙãra - me ake nufi a mata?
Ƙarin ƙaramin sau ɗaya a cikin maida hankali akan magungunan sunadarai da aka gabatar ya dauke shi ne ta hanyar likita kamar bambanci na al'ada. An haɓakar da hormone mai maganin maganin kawo-tsaye a cikin iyakoki masu dacewa a kan ƙarshen irin waɗannan yanayi:
- rashin barci;
- matsayayyar jiki;
- damuwa ko tunanin zuciya;
- cin zarafin dokoki na shiri don bincike;
- amfani da kima na iodine.
Ana ɗaukaka TTG - haddasawa
Idan murfinka a cikin jini jini yana da yawa fiye da al'ada, kana buƙatar tuntuɓar masu binciken likitan. Kwararren gwani kawai za su iya gano dalilin da yasa aka haɓaka hormone mai maganin thyroid-stimulating - abin da wannan ke nufi, ba za a iya ƙaddara akan sakamakon binciken daya ba tare da bincike na jiki. Don sanin ainihin mawuyacin matsalar, dole ne ku ɗauki jerin nazarin kuma ku gano muhimmancin T3 da T4.
Akwai abubuwa da yawa wadanda suka shafi ka'idar maganin maganin maganin maganin maganin rashin lafiyarka - yawanci ya wuce a cikin wadannan lokuta:
- kumburi da thyroid gland shine giya;
- hypothyroidism ;
- guba tare da mahadar gubar;
- firamare ƙananan renal rauni;
- ciwo mai tsanani;
- immunity na kyallen takarda zuwa thyroid hormones;
- ciwan daji;
- gestosis ;
- haddasa mummunan tsarin tsarin kulawa;
- Hashimoto ta thyroiditis da sauransu.
Ana ɗaukaka TTG - magani
Farfesa wannan matsala ta dogara ne akan bita, wanda ya haɗa da hormone da thyroxine. Don kawo halin da ake ciki zuwa al'ada zai kara yawan ƙaddarar cutar plasma na T4. Lokacin da aka taso TSH, magungunan na ƙarshen ya umurci shan magunguna tare da abun ciki na thyroxine. Ana yin lissafin jita-jita, yawan amfani da tsawon lokaci da tsawon lokacin jiyya a cikin mata. Shirye-shirye masu kyau:
- Bagotiroks;
- Tivoral;
- Euterox;
- Thyreotome;
- L-thyroxine da analogues.
An saukar da hormone mai maganin maganin maganin kawo - abin da ake nufi?
Kamar yadda yake a cikin ƙari, ƙananan ƙimar yawan TSH ba ta zama alama mai hatsari ba. A cikin mata, wannan matsala yakan faru ne sau da yawa tare da haɓakawa a cikin juyayi. Low TSH a matsayin bambance-bambance na al'ada ana kiyaye akan tushen wasu dalilai:
- yunwa ko biyan kuɗi da ƙananan abincin ga asarar nauyi;
- shan magungunan da za su shafe kajin gwiwarka;
- damuwa a kan gobe na bincike;
- Amfani da kwayoyin hormonal ba daidai ba.
An saukar da TTG - dalilai
Idan matakin nau'in halitta ya zama ƙasa da ƙananan al'ada, yana da muhimmanci a ziyarci likita nan da nan. Cututtuka da kuma yanayin cututtuka wanda aka saukar da hormone ta thyroid-stimulating:
- ciwace-ciwacen daji na thyroid gland shine;
- encephalitis;
- ilenko-Cushing ciwo;
- meningitis;
- Ciwon Grevs;
- Shihan ciwo;
- neoplasms a cikin pituitary gland shine;
- thyrotoxicosis;
- Plummer ta ciwo;
- bakin ciki da sauransu.
An saukar da TTG - magani
Don daidaita al'amuran thyrotropin a cikin jini jini ya zama wajibi ne don jimre wa cututtukan ƙwayar cuta kuma a cikin layi tare da yin amfani da haɗari na roba. Za'a iya ƙara matakin TSH da ƙwayoyin magungunan, wanda wajibi ne kawai ya sanya su ta hanyar maganin cututtuka:
- Daidaran;
- Amiodarone;
- Methimazole;
- Tsutsa.
- Erythrosine da analogues.
TTG a ciki
A cikin iyaye masu zuwa, tsarin endocrin yayi aiki daban, saboda ba'a samo asalin yaron ba. Daga lokacin gestation da adadin embryos, ƙaddamar da TSH - al'ada a cikin mata da ke shirya don bayyanar jariri (mIU / l) ma ya dogara da:
- 1 sau uku - har zuwa 0.4;
- 2 biliyan - 0,3-2,8;
- 3 uku - har zuwa 3,5.
Nan da nan bayan da zane zane, wani ƙananan karfin da kake ciki a halin kirki ne. Wannan shi ne saboda ƙara yawan jini zuwa glandwar thyroid, wanda shine dalilin da ya sa aka samar da T3 da T4. Dangane da maganganun rashin fahimta, haɓakawa a cikin maida hankali yana haifar da katsewa daga samar da hormone da aka bayyana. Idan akwai tayi da yawa a cikin mahaifa, wannan mai nuna alama zai iya zama daidai da nau'i, wannan jiha yana dauke da bambanci na al'ada.
Idan TTG yana da girma a cikin ciki, dole ne a sake gwada gwajin kuma ziyarci masanin kimiyya. Yawancin maganin karo yana da haɗari ga yaron kuma yakan haifar da rikitarwa na gestation, dakatar da ci gaba da amfrayo da kuma rashin hasara. Don normalize matakin TSH a cikin mata shirya don haihuwa, da magunguna musamman wajabta:
- levothyroxine sodium;
- Bagotiroks;
- L-thyroxine;
- Tiro-4;
- L-Tirok da analogues.