TSH thaum cev xeeb tub: qauv (1 trimester), ntsuas, sib txawv thiab txhais lus
TSH thaum cev xeeb tub: qauv (1 trimester), ntsuas, sib txawv thiab txhais lus
Anonim

Thaum cev xeeb tub, cov tshuaj hormones tuaj yeem ua rau saum toj thiab qis dua qub. Yog li ntawd nws yog ib qho tseem ceeb heev los saib xyuas lawv tus lej. Qhov no yuav ua rau leej niam muaj kev ntseeg siab tias tus menyuam yuav yug los noj qab nyob zoo thiab tsis muaj ntau yam pathologies. Thaum cev xeeb tub, cov kws kho mob tau saib xyuas tshwj xeeb rau qib TSH, uas tswj kev ua haujlwm ntawm cov thyroid caj pas.

Cov qog pituitary, uas tswj cov kab mob endocrine, tsim cov thyroid-stimulating hormone. Nrog kev pab los ntawm cov tshuaj no, kev ua haujlwm ntawm cov khoom nruab nrog cev yog tswj hwm. Raws li kev kuaj ntshav, raws li qee qhov ntsuas TSH, ib tus tuaj yeem txiav txim siab txog kev xeeb tub. Ua li no, cov kws kho mob tshwj xeeb tuaj yeem txheeb xyuas qhov cuam tshuam hormonal hauv tus poj niam lub cev uas tuaj yeem ua mob rau menyuam yaus.

YThyrotropic hormone thaum cev xeeb tub

Cov tshuaj no cuam tshuam rau cov thyroid caj pas zoo. Nws, nyob rau hauv lem, yog lub luag hauj lwm rauCov txheej txheem metabolic ntawm cov protein, carbohydrates thiab cov rog, tswj kev ua haujlwm ntawm cov menyuam yaus, paj hlwb thiab lub plawv, nrog rau kev ua haujlwm ntawm lub plab zom mov.

Ntau tus tsis nkag siab vim li cas thiaj li tsim nyog los tswj TSH thaum cev xeeb tub. Nws yog ib qho tseem ceeb kom paub tias cov thyroid hormones txhawb nqa lub cev ntawm zes qe menyuam, ua haujlwm uas ua rau lub cev xeeb tub.

Raws li cov ntshav txaus, cov haujlwm ntawm cov thyroid caj pas nce. TSH thaum lub sij hawm cev xeeb tub (tus qauv ntawm lub 1st trimester, tshwj xeeb tshaj yog, muaj cov nqi qis heev) yuav tsum tau saib xyuas.

Dab tsi yuav tsum ntsuas?

Ib tug poj niam, ua ntej ntawm tag nrho cov, yuav tsum tau sau npe nyob rau hauv lub tsev kho mob, qhov twg gynecologist, tom qab kuaj, yuav sau cov kev ntsuam xyuas tseem ceeb tshaj plaws. Ntawm lwm yam, koj yuav tsum saib xyuas koj tus TSH thaum cev xeeb tub. Tus qauv (1 trimester) feem ntau lees txais qhov ntsuas ntawm 0.1 txog 2.0 zib ntab / l. Thaum pib cev xeeb tub, tus nqi ntawm cov tshuaj hormones yuav txawv ntawm lub sijhawm tom ntej, tab sis nws yuav tsum tsis txhob tshaj tus nqi teev ua ntej pib ua haujlwm.

normal TSH thaum cev xeeb tub 1st trimester
normal TSH thaum cev xeeb tub 1st trimester

Thyroid Stimulating Hormone Norm Chart

Daim ntawv teev qhia tias TSH qis npaum li cas thaum cev xeeb tub (1st trimester). Cov lus tseem muaj cov cim qhia uas yuav tsum nyob rau hauv tag nrho peb lub voj voog ntawm cev xeeb tub. Tsis tas li ntawd, ntau yuav nyob ntawm lub xeev kev noj qab haus huv ntawm tus poj niam. Thaum pib cev xeeb tub, koj tuaj yeem pom cov ntsiab lus qis ntawm cov tshuaj hormones. Tab sis tsis txhob txhawj: xws li TSH thaum cev xeeb tub yog tus qauv (1 trimester feem ntau yog qhov hloov pauv hauv qibthyroid-stimulating hormone). Yog hais tias leej niam twb muaj teeb meem nrog cov thyroid caj pas ua ntej xeeb tub, nws yog ib qho tsim nyog yuav tsum tau kuaj tam sim los txiav txim seb qib ntawm cov tshuaj hormones. Thaum lub sijhawm no, tus menyuam hauv plab tsis tso cov thyroid hormones. Tsuas muaj ib qhov chaw sab laug - niam lub cev. Vim li no, qhov nce ntawm T 3 thiab qhov txo qis hauv T 4 tuaj yeem pom hauv leej niam cov ntshav, yog li, koj yuav tsum tau saib xyuas TSH thaum cev xeeb tub. Cov qauv ntawm lub 1st trimester tuaj yeem qis heev, tab sis qhov no nkag siab thiab tsis txaus ntshai.

Tim sijhawm nyeem ib txwm, zib ntab / l
1st trimester 0, 1-2, 0
2 lub hlis twg 0, 2-3, 0
3 lub hlis twg 0, 3-3, 0

Thaum lub sijhawm thib ob ntawm cev xeeb tub, tus menyuam yaus tsim cov thyroid caj pas thiab normalizes cov tshuaj hormones. Lub sijhawm no, thyroxine qib txo qis, thiab cov thyroid-stimulating hormone theem nce. Hauv peb lub hlis twg tom ntej, qib ntawm cov tshuaj hormones nce siab dua, tab sis qhov no tsis txhais hais tias nws yuav tsum dhau qhov kev tso cai txwv.

Kev sib txawv me me tsis muaj peev xwm ua mob rau leej niam thiab tus menyuam hauv plab, tab sis qhov sib txawv tseem ceeb yuav tsum yog lub cim qhia tias yuav tsum tau ua.

TSH above normal

Cov tshuaj hormones thaum cev xeeb tub tuaj yeem ua rau ntau zaus ntau dua li qhov qub, uas ua rau muaj kev loj hlob ntawm cov thyroid. Hauv qhov no, cov thyroid caj pas txo nws txoj haujlwm thiab tsis ua cov tshuaj hormones hauv qhov xav tau ntim. TSH siab dua li qub thaum cev xeeb tub (1st trimester) yuav qhia tau tias muaj pituitary lossis thyroid qog.

TSH siab dua li qub thaum cev xeeb tub 1st trimester
TSH siab dua li qub thaum cev xeeb tub 1st trimester

Nws yog ib qho tseem ceeb heev kom txo tau qib no, txwv tsis pub tus me nyuam yuav tsis tau txais cov khoom tsim nyog rau kev loj hlob ntawm cov thyroid caj pas. Tag nrho cov no tuaj yeem ua rau nchuav menyuam thaum ntxov lossis tshwm sim ntawm pathologies.

Symptoms of elevated TSH levels

nce qib ntawm cov thyroid-stimulating hormone tuaj yeem ua rau koj nkees thiab nkees. Cov cim hauv qab no kuj muaj:

  • Pleev tawv nqaij tshwm.
  • ntsuas kub qis tuaj yeem pom.
  • Tej zaum yuav nce lub cev hnyav thaum tsis muaj kev tshaib plab.
  • Insomnia tshwm.
  • Pom pom o.

Cov tsos mob no qhia tias tus poj niam lub cev tuaj yeem nce TSH thaum cev xeeb tub. Nws yog dab tsi? TSH tus qauv tuaj yeem sib txawv ntawm qhov feem ntau lees txais qhov tseem ceeb, thiab cov tsos mob uas tau teev tseg kuj tau pom thaum lub sijhawm cev xeeb tub. Tsuas yog ib tus kws kho mob muaj peev xwm tuaj yeem nkag siab cov nuances no. Thaum TSH nce siab thaum cev xeeb tub, qhov ua rau thiab cov tsos mob tuaj yeem muaj ntau yam. Yog vim li ntawd nws yog qhov zoo dua los ua si nws nyab xeeb thiab kuaj ntshav rau cov tshuaj hormones. Kev txiav txim los ntawm cov txiaj ntsig ntawm kev tshuaj ntsuam, tus kws kho mob yuav kos qhov xaus thiab kos cov phiaj xwm kho kom raug.

TSH qis dua li qub thaum cev xeeb tub

Muaj cov xwm txheej uas qhov ntsuas no tuaj yeem tsis tsuas yog nce, tab sis kuj txo qis.

Cov tsos mob ntawm qib TSH qis yog raws li hauv qab no:

  • Headache tuaj yeem tshwm sim.
  • ntshav siab tsis ruaj khov.
  • Koj tuaj yeem pom qhov nce ntxivkub.
  • Lub cev hnyav tuaj yeem txo qis, thaum qab los, ntawm qhov tsis sib xws, nce.
  • muaj kev ntxhov siab thiab ua phem.
TSH qis dua qub thaum cev xeeb tub
TSH qis dua qub thaum cev xeeb tub

Yog li no, koj tsis tuaj yeem kho tus kheej. Yog tias koj pom cov tsos mob, koj yuav tsum mus ntsib kws kho mob tam sim ntawd.

Cov tshuaj hormones qis thaum cev xeeb tub ua rau hyperthyroidism. Thaum lub sij hawm no, cov thyroid caj pas tsim ib tug loj npaum li cas ntawm cov tshuaj no. Cov thyroid-stimulating cov tshuaj hormones txo qis vim muaj kev ntxhov siab lossis vim kev loj hlob ntawm cov qog. Tag nrho cov no cuam tshuam tsis zoo rau kev noj qab haus huv ntawm tus poj niam cev xeeb tub thiab tus menyuam hauv plab. Txhawm rau tiv thaiv cov txiaj ntsig zoo li no, nws yuav tsum tau noj cov tshuaj uas cuam tshuam cov kev sib txuas ntawm cov thyroid hormones.

Pawg kws tshaj lij

Cov kws kho mob uas daws qhov teeb meem no pom zoo ua raws li kev noj haus tshwj xeeb kom nce TSH qib thaum cev xeeb tub. Nws yog ib qho tsim nyog yuav tsum noj cov zaub mov muaj protein, thiab cov rog, carbohydrates thiab ntsev yuav tsum txwv. Buckwheat, beets, lettuce thiab hiav txwv kale yog suav hais tias tseem ceeb heev.

Dab tsi yog qhov txaus ntshai ntawm cov thyroid-stimulating hormone thaum cev xeeb tub?

Lub sijhawm tsis xav tau thaum cev xeeb tub yog nce qib ntawm cov thyroid-stimulating hormone, vim qhov no ua rau kev loj hlob ntawm tus menyuam hauv plab. Nws tseem ceeb heev uas yuav tsum tau ua sai sai vim tias tus menyuam tuaj yeem yug los muaj teeb meem ntawm lub hlwb thiab lub cev.

Qhov kev hem thawj loj tshaj plaws yog tshwm sim thaum pib cev xeeb tub - lub sijhawm no, cov kabmob tseem ceeb tshaj plaws ntawm tus menyuam hauv plab pib tsim. Tus me nyuam pom hormonalkeeb kwm ntawm leej niam vim tsis muaj kev ua haujlwm ntawm nws lub caj pas thyroid.

nce TSH thaum cev xeeb tub
nce TSH thaum cev xeeb tub

Ib tug poj niam uas muaj qib TSH siab tuaj yeem ntsib ntau yam kab mob:

  • Severe preeclampsia.
  • Cholecystectomy thiab ntau yam neoplasms.
  • Koj tuaj yeem pom muaj teeb meem nrog kev ua haujlwm adrenal.
  • nce qib hormone tuaj yeem ua rau muaj kev puas siab puas ntsws lossis somatic.

Cov no yog cov kab mob hnyav heev uas ua rau muaj mob loj heev rau lub cev ntawm niam thiab txiv, yog li ntawd, yuav tsum tau ceev faj txog lawv lub sijhawm.

Kuv yuav tswj hwm cov thyroid-stimulating cov tshuaj hormones li cas?

Kev kho yuav tsum tau pib thaum TSH qib siab dua li qub. Yog tias qhov sib txawv me me, ces tsis muaj dab tsi ua tau. Tau kawg, qhov kev txiav txim siab no tsuas yog txiav txim los ntawm tus kws kho mob xwb.

Qhov no yuav tsum tau saib xyuas los ntawm thawj peb lub hlis twg. Yog tias pib kho raws sijhawm, ntau yam teeb meem tuaj yeem zam tau.

Kev kho mob siab TSH thaum cev xeeb tub
Kev kho mob siab TSH thaum cev xeeb tub

Kev siv tshuaj

Feem ntau siv ntau yam analogues ntawm "Thyroxin". Tej zaum koj yuav xav tau cov tshuaj uas muaj iodine. Cov nyiaj no yog sau los ntawm tus kws kho mob uas tuaj koom thiab raug coj los ua, raws li txoj cai, ntev. Pib noj ib koob tshuaj me me. Cov tshuaj no siv tsis tau yam tsis muaj kws kho mob cov tshuaj, vim lawv raug xaiv ib tus zuj zus.

tiv thaiv kab mob

Ntau tus tsis meej pem thaum lawv pom tias lawv tau nce TSH theem thaum cev xeeb tub. Twb thaumkev npaj yog tsim nyog los tiv thaiv koj tus kheej los ntawm tej teeb meem. Txhawm rau ua qhov no, koj yuav tsum tau kuaj cov tshuaj hormones. Yog tias muaj teeb meem tshwm sim, nws yuav tsum tau kho sai

Kuv yuav ua li cas?

Tus kws kho mob yuav qhia kom noj Iodomarin. Nws yog vim qhov tsis muaj cov tshuaj no uas qib ntawm cov tshuaj hormones tsis ruaj khov. Nws yog tsis yooj yim sua kom noj tshuaj hormonal uncontrollably. Cov kws tshaj lij tuaj yeem tswj cov txheej txheem raws li cov lus xaus tsuas yog tom qab dhau qhov kev xeem.

Nws yog ib qho tseem ceeb heev rau tus poj niam cev xeeb tub kom so ntau zaus. Thaum lub sij hawm no, lub teeb gymnastic ce thiab taug kev hauv huab cua ntshiab yog qhov tseem ceeb. Koj tsis tuaj yeem kho tus kheej, ntawm qhov tsis sib xws, koj yuav tsum mus ntsib kws kho mob tam sim ntawd.

Kev tiv thaiv kab mob
Kev tiv thaiv kab mob

cov lus qhia pab tau

Muaj qhov tseeb nthuav tias iodine nkag mus rau cov thyroid hlwb tsuas yog thaum lub lim tiam thib kaum, thiab thaum lub hlis thib plaub ntawm cev xeeb tub, cov tshuaj hormones pib tsim hauv fetus. Yog hais tias tus mob tau piav qhia mus rau hauv daim ntawv hnyav, ces kev yug menyuam yog txwv tsis pub. Tab sis muaj qee zaus thaum koj tuaj yeem ua rau nws tus kheej ua haujlwm ntawm cov thyroid caj pas. Ua li no, koj yuav tsum qhia iodized ntsev rau hauv koj cov zaub mov. Yuav kom cev xeeb tub ib txwm, koj yuav tsum ua raws li tag nrho cov lus pom zoo ntawm kws kho mob thiab ua kom lub siab zoo ntau zaus.

Pom zoo: