TSH gwajin: menene don me yasa yake sama ko ƙasa

Wadatacce

• Abubuwan bincike
• Menene sakamakon zai iya nufi
• Babban TSH
• Tananan TSH
• Yadda ake yin jarrabawar TSH
• Menene TSH mai mahimmanci
• Lokacin da aka umarci jarrabawar TSH

Jarabawar TSH tana aiki ne don tantance aikin karoid kuma yawanci ana buƙata ta babban likita ko endocrinologist, don tantance ko wannan glandon yana aiki yadda ya kamata, kuma idan akwai hypothyroidism, hyperthyroidism, ko kuma a cikin yanayin bambancin cututtukan thyroid, follicular ko papillary, don misali.

An samar da kwayar Thyostimulating hormone (TSH) ta cikin gland na pituitary kuma maƙasudin sa shine ta da kuzarin don samar da homonin T3 da T4. Lokacin da ƙimar TSH ta ƙaru a cikin jini, wannan yana nufin cewa ƙarancin T3 da T4 a cikin jini yayi ƙasa. Lokacin da aka samo shi a cikin ƙananan ƙwayoyi, T3 da T4 suna cikin manyan ƙwayoyi a cikin jini. Duba menene gwaji masu mahimmanci don kimanta thyroid.

Abubuwan bincike

Valuesididdigar TSH tana bambanta gwargwadon shekarun mutum da dakin gwaje-gwaje inda ake yin gwajin, kuma yawanci:

Menene sakamakon zai iya nufi

Babban TSH

• Hypothyroidism: Yawancin lokaci babban TSH yana nuna cewa thyroid ba ya samar da isasshen hormone, sabili da haka glandon pituitary yana ƙoƙari ya biya wannan ta hanyar ƙara matakan TSH a cikin jini don thyroid ya yi aikinsa yadda ya kamata. Aya daga cikin halayen hypothyroidism shine babban TSH da ƙananan T4, kuma yana iya nuna ƙarancin hypothyroidism lokacin da TSH yayi girma, amma T4 yana cikin kewayon al'ada. Gano menene T4.
• Magunguna: Amfani da ƙananan ƙwayoyi na ƙwayoyi akan hypothyroidism ko wasu kwayoyi, kamar Propranolol, Furosemide, Lithium da magunguna tare da iodine, na iya ƙara yawan TSH a cikin jini.
• Ciwon ƙwayar cuta Hakanan yana iya haifar da ƙaruwa a cikin TSH.

Kwayar cututtukan da ke da alaƙa da TSH mai girma sune na hypothyroidism, kamar su gajiya, karɓar nauyi, maƙarƙashiya, jin sanyi, ƙarar gashin fuska, wahalar tattarawa, busassun fata, gashi mai laushi da ƙusa. Ara koyo game da hypothyroidism.

Tananan TSH

• Hyperthyroidism: Tananan TSH yawanci yana nuna cewa thyroid yana samar da T3 da T4 da yawa, yana ƙaruwa da waɗannan ƙimomin, sabili da haka glandon pituitary yana rage sakin TSH don ƙoƙarin daidaita aikin thyroid. Fahimci menene T3.
• Amfani da magunguna: Lokacin da maganin hypothyroid yayi yawa, ƙimar TSH tana ƙasa da manufa. Sauran magungunan da zasu iya haifar da ƙananan TSH sune: ASA, corticosteroids, dopaminergic agonists, fenclofenac, heparin, metformin, nifedipine or pyridoxine, misali.
• Ciwon ƙwayar cuta Hakanan yana iya haifar da ƙananan TSH.

Kwayar cututtukan da ke da alaƙa da ƙananan TSH sune na hyperthyroidism, kamar tashin hankali, bugun zuciya, rashin bacci, asarar nauyi, jijiyoyi, rawar jiki da rage ƙwayar tsoka. A wannan yanayin, al'ada ne don TSH ya zama ƙasa kuma T4 ya zama babba, amma idan T4 har yanzu yana tsakanin 01 da 04 μUI / mL, wannan na iya nuna alamar hyperthyroidism. Tananan TSH da ƙananan T4, na iya nuna alamun rashin abinci, alal misali, amma a kowane hali likitan da ya ba da umarnin gwajin ne ya gano cutar. Ara koyo game da maganin hyperthyroidism.

Yadda ake yin jarrabawar TSH

Ana yin gwajin TSH ne daga ƙaramin samfurin jini, wanda dole ne a tara azumin aƙalla awanni 4. Ana aika jinin da aka tattara zuwa dakin gwaje-gwaje don bincike.

Mafi kyawun lokacin yin wannan gwajin shine da safe, saboda yawan TSH a cikin jini ya banbanta ko'ina cikin yini. Kafin yin gwajin, yana da mahimmanci a nuna amfani da wasu magunguna, musamman magungunan thyroid, kamar su Levothyroxine, saboda yana iya tsoma baki tare da sakamakon gwajin.

Menene TSH mai mahimmanci

Gwajin TSH mai matukar mahimmanci shine ingantacciyar hanyar bincike wacce zata iya gano ƙananan TSH a cikin jini wanda gwajin al'ada bazai iya ganowa ba. Hanyar binciken da aka yi amfani da ita a cikin dakunan gwaje-gwaje abu ne mai matukar mahimmanci da takamaiman, kuma ana amfani da gwajin TSH mai matukar mahimmanci a cikin aikin yau da kullun.

Lokacin da aka umarci jarrabawar TSH

Ana iya umartar gwajin TSH a cikin mutanen da ke cikin koshin lafiya, kawai don auna aikin aikin ka na thyroid, haka nan idan har da hyperthyroidism, hypothyroidism, Hashimoto's thyroiditis, kara girman thyroid, gaban mara kyau ko mara kyau thyroid nodule, a lokacin daukar ciki, da kuma lura da yadda ake maye gurbin maganin ka. magunguna, idan akwai batun janyewar wannan gland.

Yawancin lokaci, ana buƙatar wannan gwajin don duk mutanen da suka wuce shekaru 40, koda kuwa babu lokuta na cutar thyroid a cikin iyali.