Idanwo

Akoonu

• Kini idanwo TSH?
• Kini o ti lo fun?
• Kini idi ti Mo nilo idanwo TSH?
• Kini yoo ṣẹlẹ lakoko idanwo TSH?
• Ṣe Mo nilo lati ṣe ohunkohun lati mura fun idanwo naa?
• Ṣe eyikeyi awọn eewu si idanwo naa?
• Kini awọn abajade tumọ si?
• Njẹ ohunkohun miiran ti Mo nilo lati mọ nipa idanwo TSH kan?
• Awọn itọkasi

Kini idanwo TSH?

TSH dúró fun tairodu safikun tairodu. Idanwo TSH jẹ idanwo ẹjẹ ti o ṣe iwọn homonu yii. Tairodu jẹ kekere, iru awọ labalaba ti o wa nitosi ọfun rẹ. Tairodu rẹ ṣe awọn homonu ti o ṣe itọsọna ọna ti ara rẹ nlo agbara. O tun ṣe ipa pataki ninu ṣiṣakoso iwuwo rẹ, iwọn otutu ara, agbara iṣan, ati paapaa iṣesi rẹ. TSH ni a ṣe ninu ẹṣẹ kan ninu ọpọlọ ti a pe ni pituitary. Nigbati awọn ipele tairodu ninu ara rẹ ba kere, ẹṣẹ pituitary ṣe diẹ sii TSH. Nigbati awọn ipele tairodu ba ga, ẹṣẹ pituitary ko dinku TSH. Awọn ipele TSH ti o ga julọ tabi kekere le tọka tairodu rẹ ko ṣiṣẹ ni deede.

Awọn orukọ miiran: idanwo thyrotropin

Kini o ti lo fun?

A lo idanwo TSH lati wa bii tairodu ti n ṣiṣẹ daradara.

Kini idi ti Mo nilo idanwo TSH?

O le nilo idanwo TSH ti o ba ni awọn aami aiṣan ti homonu tairodu pupọ pupọ ninu ẹjẹ rẹ (hyperthyroidism), tabi homonu tairodu kekere pupọ (hypothyroidism).

Awọn aami aisan ti hyperthyroidism, ti a tun mọ ni tairodu overactive, pẹlu:

• Ṣàníyàn
• Pipadanu iwuwo
• Iwariri ni awọn ọwọ
• Alekun oṣuwọn ọkan
• Puffness
• Bulging ti awọn oju
• Iṣoro sisun

Awọn aami aisan ti hypothyroidism, ti a tun mọ ni tairodu alaiṣẹ, pẹlu:

• Ere iwuwo
• Àárẹ̀
• Irun ori
• Ifarada kekere fun awọn iwọn otutu tutu
• Awọn akoko oṣu alaibamu
• Ibaba

Kini yoo ṣẹlẹ lakoko idanwo TSH?

Onimọṣẹ ilera kan yoo mu ayẹwo ẹjẹ lati iṣọn kan ni apa rẹ, ni lilo abẹrẹ kekere kan. Lẹhin ti a fi sii abẹrẹ, iye ẹjẹ kekere yoo gba sinu tube idanwo tabi igo kan. O le ni irọra diẹ nigbati abẹrẹ ba wọ inu tabi jade. Eyi maa n gba to iṣẹju marun.

Ṣe Mo nilo lati ṣe ohunkohun lati mura fun idanwo naa?

O ko nilo awọn ipese pataki eyikeyi fun idanwo ẹjẹ TSH. Ti olupese ilera rẹ ti paṣẹ fun awọn ayẹwo ẹjẹ miiran, o le nilo lati yara (ko jẹ tabi mu) fun awọn wakati pupọ ṣaaju idanwo naa. Olupese ilera rẹ yoo jẹ ki o mọ boya awọn itọnisọna pataki eyikeyi wa lati tẹle.

Ṣe eyikeyi awọn eewu si idanwo naa?

Ewu pupọ wa si nini idanwo ẹjẹ. O le ni irora diẹ tabi ọgbẹ ni aaye ibiti a ti fi abẹrẹ sii, ṣugbọn ọpọlọpọ awọn aami aisan lọ ni kiakia.

Kini awọn abajade tumọ si?

Awọn ipele TSH giga le tumọ si tairodu rẹ ko ṣe awọn homonu tairodu to, ipo ti a pe ni hypothyroidism. Awọn ipele TSH kekere le tumọ si tairodu rẹ n ṣe pupọ ti awọn homonu, ipo ti a pe ni hyperthyroidism. Idanwo TSH ko ṣe alaye idi ti awọn ipele TSH ga tabi ga ju. Ti awọn abajade idanwo rẹ jẹ ohun ajeji, olupese iṣẹ ilera rẹ le ṣe paṣẹ awọn idanwo afikun lati pinnu idi ti iṣoro tairodu rẹ. Awọn idanwo wọnyi le pẹlu:

• T4 awọn ayẹwo homonu tairodu
• T3 awọn ayẹwo homonu tairodu
• Awọn idanwo lati ṣe iwadii aisan Graves, arun autoimmune ti o fa hyperthyroidism
• Awọn idanwo lati ṣe iwadii thyroiditis Hashimoto, arun autoimmune ti o fa hypothyroidism

Kọ ẹkọ diẹ sii nipa awọn idanwo yàrá, awọn sakani itọkasi, ati oye awọn abajade.

Njẹ ohunkohun miiran ti Mo nilo lati mọ nipa idanwo TSH kan?

Awọn ayipada tairodu le ṣẹlẹ lakoko oyun. Awọn ayipada wọnyi kii ṣe pataki, ṣugbọn diẹ ninu awọn obinrin le dagbasoke arun tairodu lakoko oyun. Hyperthyroidism waye ni bii ọkan ninu gbogbo awọn oyun 500, lakoko ti hypothyroidism waye ni to ọkan ninu gbogbo awọn oyun 250. Hyperthyroidism, ati pe o kere si igbagbogbo, hypothyroidism, le wa lẹhin oyun. Ti o ba dagbasoke ipo tairodu lakoko oyun, olupese iṣẹ ilera rẹ yoo ṣe atẹle ipo rẹ lẹhin ibimọ ọmọ rẹ. Ti o ba ni itan itan tairodu, rii daju lati ba olupese ilera rẹ sọrọ ti o ba loyun tabi ti o nroro lati loyun.

Awọn itọkasi

1. Ẹgbẹ Amẹrika Thyroid [Intanẹẹti]. Ijo Falls (VA): Ẹgbẹ Amẹrika Thyroid; c2017. Arun tairodu ati oyun; [toka si 2017 Mar 15]; [nipa iboju 2]. Wa lati: http://www.thyroid.org/thyroid-disease-pregnancy
2. Hinkle J, Cheever K. Brunner & Suddarth's Iwe amudani ti yàrá ati Awọn Idanwo Ayẹwo. 2^nd Ed, Kindu. Philadelphia: Ilera Ilera Wolters, Lippincott Williams & Wilkins; c2014. Hormone-Stimulating Hormone, Omi ara; p. 484.
3. Awọn idanwo Lab lori Ayelujara [Intanẹẹti]. Washington DC: Association Amẹrika fun Kemistri Iṣoogun; c2001–2017. TSH: Idanwo naa; [imudojuiwọn 2014 Oṣu Kẹwa 15; toka si 2017 Mar 15]; [nipa iboju 4]. Wa lati: https://labtestsonline.org/understanding/analytes/tsh/tab/test
4. Ẹya Olumulo Afowoyi Merck [Intanẹẹti]. Kenilworth (NJ): Merck & Co Inc.; c2017. Akopọ ti Ẹṣẹ Thyroid; [toka si 2017 Mar 15]; [nipa iboju 2]. Wa lati: https://www.merckmanuals.com/home/hormonal-and-metabolic-disorders/thyroid-gland-disorders/overview-of-the-thyroid-gland
5. Ẹya Ọjọgbọn Merck Manual [Intanẹẹti]. Kenilworth (NJ): Merck & Co. Inc.; c2017. Akopọ ti Iṣẹ Gall Thyroid; [imudojuiwọn 2016 Jul; toka si 2017 Mar 15]; [nipa iboju 3]. Wa lati: https://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/thyroid-disorders/overview-of-thyroid-function
6. Okan Orilẹ-ede, Ẹdọfóró, ati Ẹjẹ Ẹjẹ [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Kini Awọn Ewu ti Awọn Idanwo Ẹjẹ?; [imudojuiwọn 2012 Jan 6; toka si 2017 Mar 15]; [nipa iboju 5]. Wa lati: https://www.nhlbi.nih.gov/health/health-topics/topics/bdt/risks
7. Okan Orilẹ-ede, Ẹdọfóró, ati Ẹjẹ Ẹjẹ [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Kini Lati Nireti Pẹlu Awọn idanwo Ẹjẹ; [imudojuiwọn 2012 Jan 6; toka si 2017 Mar 15]; [nipa iboju 4]. Wa lati: https://www.nhlbi.nih.gov/health/health-topics/topics/bdt/with
8. National Institute of Diabetes and Digestive and Kidney Arun [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Arun Ibojì; 2012 Aug [toka si 2017 Mar 15]; [nipa iboju 3]. Wa lati: https://www.niddk.nih.gov/health-information/endocrine-diseases/graves-disease#what
9. National Institute of Diabetes and Digestive and Kidney Arun [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Arun Hashimoto; 2014 May [toka si 2017 Mar 15]; [nipa iboju 3]. Wa lati: https://www.niddk.nih.gov/health-information/endocrine-diseases/hashimotos-disease#what
10. National Institute of Diabetes and Digestive and Kidney Arun [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Oyun & Arun tairodu; 2012 Mar [toka si 2017 Mar 15]; [nipa iboju 3]. Wa lati: https://www.niddk.nih.gov/health-information/endocrine-diseases/pregnancy-thyroid-disease
11. National Institute of Diabetes and Digestive and Kidney Arun [Intanẹẹti]. Bethesda (MD): Ẹka Ilera ti U.S. ati Awọn Iṣẹ Eda Eniyan; Awọn idanwo Thyroid; 2014 May [toka si 2017 Mar 15]; [nipa iboju 3]. Wa lati: https://www.niddk.nih.gov/health-information/diagnostic-tests/thyroid
12. Yunifasiti ti Rochester Medical Center [Intanẹẹti]. Rochester (NY): Yunifasiti ti Ile-iṣẹ Iṣoogun ti Rochester; c2017. Encyclopedia Health: Hormone Stimulating Thyroid; [toka si 2017 Mar 15]; [nipa iboju 2]. Wa lati: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=thyroid_stimulating_hormone

Alaye lori aaye yii ko yẹ ki o lo bi aropo fun itọju iṣoogun ọjọgbọn tabi imọran. Kan si olupese ilera kan ti o ba ni awọn ibeere nipa ilera rẹ.