Kufanele bazi ukuthi kufanele ihlolwe sama-hormone egilo. Inani ukuhlaziywa sama-hormone egilo

Akuyona imfihlo ukuthi indlala yegilo - kuyingxenye ebalulekile kakhulu kohlelo endocrine. Kuyinto ngokusebenzisa isiqondiso yayo kwenzeka izinqubo eziyisisekelo umzimba emzimbeni. Futhi ngaleso izinsolo kancane isitho esithile sifo idinga ukuhlolwa okukhethekile. Namuhla, iziguli eziningi unesithakazelo umbuzo kanjani ukuze nginikeze ukuhlaziya hormone we indlala yegilo. Kuphi futhi kanjani inqubo eyenziwa? Uyini ukuhlaziywa izindleko kwama-hormone egilo? Kungenzeka yini ukuba wokufunda imiphumela ngokwakho?

Kungani ukunikeza amasampula egazi sama-hormone egilo?

Lolu cwaningo livame ukusetshenziswa zokwelapha zanamuhla. Baningi abantu ebhekene nsuku zonke ngenhloso "test sama-hormone egilo." Kuyini futhi kungani kudingeka?

ukuhlolwa okunjalo ikuvumela ukuba ahlole umsebenzi indlala yegilo, ukucacisa khona izifo noma ukuphazamiseka kwempilo, futhi-ke, uphethwe yini. Eqinisweni, ucwaningo isetshenziselwa sitholakele ezimbili uthi - a-hyperthyroidism (zamagama anda hormone) futhi i-hypothyroidism (ukwehla kwenani hormone). Phela, uma okungenani eyodwa yensimbi ayisebenzi kahle, kuthinta ekusebenzeni kwenqubo endocrine.

Izinkomba sesifundo somuntu

Yiqiniso, yokuhlaziya okwenziwe phambi esolwa hypo- noma i-hyperthyroidism, kusukela zombili lezi izimo ahambisana izimpawu isici kakhulu. Ngaphezu kwalokho, izinkomba sokufeza ukuhlaziya yilezi:

• Ukuba khona goiter.
• Impandla ngaphandle kwesizathu.
• arrhythmia inhliziyo.
• Okwehlisa yentuthuko engokwengqondo, engokomzimba futhi ngokocansi ezinganeni.
• Ukungabi bikho esikhathini.
• ukungazali Iduna nensikazi.
• Kwehliswe ubulili drive, nokuvusa induku.
• Kuhlatiya nazo kwenziwe ukuze ukusebenza imishanguzo i-hypothyroidism.
• Izinkomba ezibhekwa ezinye izifo esimiso senhliziyo nemithambo yegazi, okungakwazi aphathwe usebenzisa izindlela ezijwayelekile.
• Ucwaningo wabonisa ukuze kuhlonzwe izifo ezihlukahlukene sokuhlasela kwamasosha omzimba kuhlanganise samathambo, dermatomyositis, lupus erythematosus, scleroderma letindzala.
• Ngokuvamile isivivinyo Kwenziwa ngesikhathi sokukhulelwa, kusukela ngalesi sikhathi, ngezinye izikhathi zikhona izinkinga zempilo ezahlukene.

Ukuhlaziywa kwama-hormone egilo: amalungiselelo

Njenganoma iyiphi enye ucwaningo, kulesi simo-ke, kudinga ukuqeqeshwa abanye. By the way, kubaluleke kakhulu, ngoba kuthinta ukunemba imiphumela futhi, ngokufanelekile, uphethwe yini. Yiqiniso, udokotela ukuba khona Bayokhuluma indlela ukulungiselela nokuthi ukunikela. Ama-hormone egilo kakhulu "ngikhetha" - lizinga labo zingashintsha bedle izici ngisho encane. Yingakho ukugcinwa le mithetho elandelayo kubaluleke kakhulu. Ngakho indlela ukuze uthole ukuhlolwa sama-hormone egilo? Ukulungiselela kuhlanganisa nalezi zidingo ezilandelayo:

• Ngaphambi igazi amasampuli is hhayi Kunconywa ukuthatha imithi ukuthi kungathinta ukusebenza kwe-wendlala. La mathuluzi zihlanganisa tireostatiki nezidakamizwa hormone. Kahle kahle, igazi kufanele kuthathwe hhayi amasonto ngaphambi kwe-amane ngemuva kokuphela imithi. Ngeshwa, akunakwenzeka njalo yokukhansela kwemithi. Uma kubalulekile ukuhlola yokwelapha, qiniseka ukuthi utshele udokotela wakho ngakho ukuthi wayekwazi ukwenza isichibiyelo afanele imiphumela yokuhlolwa etholwe.
• Enye imfuyo ezingathinta ukusebenza kwe-wendlala yabesilisa, kuyinto iodine. Ngakho-ke, uma imithi oyiphuzayo equkethe lesi sici (isibonelo, "Jodomarin"), okungenani izinsuku ezimbalwa ngaphambi igazi amasampuli kuyadingeka ukuze ayeke ukusebenzisa kwabo. By the way, i-iodine kuqukethwe izindlela eziningi multivitamin. Phela umsebenzi kanye nenani lama-hormone yegilo kwemiqondo kuncike ngokuqondile ku ezingeni iodine, siyagwinyeka izicubu zawo.
• 1-2 izinsuku ngaphambi igazi izibonelo zalokho okufanele ulungise ukudla, ngokususwa ukudla okunamafutha. Futhi, kufanele ugweme utshwala, njengoba lokhu kungase kubangele ukuba sisibheke imiphumela yokuhlolwa.
• Ukuvivinya umzimba sithinta umsebenzi indlala yegilo, ngakho 1-2 izinsuku ngaphambi inqubo kufanele ugweme ukuzivocavoca noma ukusebenzisa okukhulu.
• Kuyinto imfihlo ukuthi isimo esingokomzwelo sithinta ngemuva kwama-hormone, ngakho lo mkhuhlane ngokwengqondo is contraindicated.
• Ngosuku igazi ukusampula non-ukubhema.

Indlela ukuthatha isivivinyo-hormone we indlala yegilo?

Thatha amasampula kungaba esiswini esingenalutho, ngoba ngisho inkomishi yetiye kungathinta imiphumela cwaningo. Yingakho izibhedlela ajwayele igazi amasampuli ekuseni kuze nanye nqo. Okungenani isigamu sehora ngaphambi inqubo, isiguli kufanele kwenzeke isimo ngokomzimba nangokomzwelo ngandlela-thile.

Kanjani ukuthi zihlolelwe ama-hormone egilo? Lokhu kudinga igazi emthanjeni. Isampula eyenziwa isikimu ezivamile. somNyango wezeMpilo Okokuqala ibeka tourniquet ehlombe lakhe, bese aphathe isikhumba nge isinqandakuvunda, ushayela inalithi vein saphenous bese uthatha lemali edingekayo wegazi. Amasampula athunyelwa laboratory ukuqhuba izifundo. Imiphumela ngokuvamile ukulungele ngosuku olulandelayo.

On okuyinto izinkomba ukubheka?

Wonke umuntu uyazi ukuthi phakathi nesifundo laboratory kunqunywa hormone. Hlobo luni izinto ezibalulekile ukuze kuhlonzwe? What do zonke nema asetshenziswa ukuthi ifomu ngemiphumela? Ngakho, lapho ukuhlola unaka le ndaba elandelayo:

• Omunye izinto eziyisisekelo kuhlelwe umqondo ngu indlala yegilo, iyi-triiodothyronine, okuyinto esifushanisiwe T3. Kuyinto into eziphila abakhuthele ikhishwe ngu amaseli ezithile indlala yegilo, futhi yenza imisebenzi eminingi ebalulekile. Ikakhulukazi, ilawula cishe zonke izinqubo redox, futhi babehileleke umzimba nokukhula izinqubo zomzimba.
• Enye i-hormone ekhiqizwa yi-ndlala yegilo - kuyinto thyroxine noma i-T4. Le nto yenza kakhulu umsebenzi efanayo triiodothyronine. Kodwa cishe izikhathi eziyishumi asebenzayo. Noma kunjalo, kubalulekile ukuba ningabi nje kuphela inani ngalinye amahomoni, kodwa futhi nobuhlobo babo.
• Phakathi nezifundo bangazithola yegilo lemali inkanuko i-hormone (TSH isifinyezo), okuyinto ezikhishwe ubuchopho pituitary futhi ulawula umsebenzi zokwenziwa le ndlala yegilo. Ngempela, ngezinye izikhathi inkinga ayihlobene abanale nkinga futhi uketshezi kahle we indlala pituitary.
• Enye inkomba ebaluleke - yegilo amasosha omzimba peroxidase. I evamile yegilo ndlala ikhiqize ama-enzyme - peroxidase yegilo, okuyinto uhlanganyela T3 ne-T4 zamagama. Nokho, izifo ezithile (isb, izinqubo sokuhlasela kwamasosha omzimba), umzimba uqala akhiqiza amasosha omzimba ayo kuya izakhiwo efanayo akuzona okuhle kakhulu.
• Ukuze kuhlonzwe izifo sokuhlasela kwamasosha omzimba futhi lemali ezibalulekile lwamasosha omzimba oluvame ukuba thyroglobulin (lokhu kuyisandulela izidakamizwa hormone ezinkulu yegilo).

Yiziphi Imiphumela evamile test?

Uma zanikela igazi sama-hormone egilo, ngokuqinisekile uyazibuza ukuthi imiphumela yakho evamile, okungukuthi, lokho amagugu ezibhekwa kuyinsakavukela. Izinga T3 khulula avame zokhahlamba kusuka 2.6 kuya 5.7 mmol / l. T4 Mahhala kumele ilingane 9,0-22,0 mmol / l. Ukulawulwa kwendlala yegilo i-hormone kumele zibe khona uma izamba ezilandelayo: 0.4-4.0 mu / l. Ngokuqondene omzimba ukuba thyroglobulin, inombolo yabo kumele singeqi 18 U / ml. Izinga amasosha yegilo peroxidase kufanele kube ngezansi 5.6 U / ml.

Kodwa ungalilahli ithemba uma imiphumela yakho ingahambisani izilinganiso ngenhla, njengoba kulokhu, konke kuxhomeke embonweni womuntu. Kuphela udokotela angaba kahle ukuqopha nemingcele wathola futhi ukucacisa khona yokuphazamiseka. Phela, kukhona ebalulekile namanye izici, kuhlanganise ubulili, ubudala, khona izifo ezithile, izici azalwa naso we umzimba, imithi kuthathwe, nokunye. D.

Lisho ukuthini lizinga lelitfutfukile hormone?

Manje njengoba uke esiphethweni kanjani ukuthi zihlolelwe ama-hormone egilo, kuyafaneleka sizibuza lokho kusho ukuphambuka kusuka kuyinsakavukela. Ngokwesibonelo, kwezinye abantu ezingeni T3 ne-T4 anda. Okweqile yegilo i-hormone kubonisa ukuthuthukiswa i-hyperthyroidism.

ukuhlukumeza okunjalo kuhambisana ezinzima umzimba ngendlela efanele - umzimba yanda, okuyinto kuhambisana kwesisindo ezinkulu, palpitations inhliziyo, ukujuluka, umzimba ethuthumela, njll Yiqiniso, ukuze kutholakale imbangela esiqondile-hyperthyroidism, udokotela kuyodingeka olunye ucwaningo ...

Uma kuziwa ekuthuthukiseni izinga omzimba kuya enzyme i-hormone kokumethemba, kungase kukhombise khona izifo ezithize sokuhlasela kwamasosha omzimba.

i-hormone ezingeni kuyehla - kuyingozi?

Ukuwa kwe amazinga ama-hormone ngokuvamile baphawula phezu zangokwasemuva zezinhlelo ezingamahlalakhona iodine ukuntula, nakuba kungase kube nezinye izizathu. Kunoma yikuphi, i-hypothyroidism kuyingozi kwempilo yabantu.

Lesi sifo kuhambisana okwehlisa ka izinqubo umzimba. Abantu ngokuvamile esekhala ukucobeka, ukozela, ukushaya kwenhliziyo kancane, isisindo somzimba, ukwehla kwezinga lokushisa komzimba. Kunoma ikuphi kubalulekile ukuqonda ukuthi kudingeka ukuhlolwa eyengeziwe, kuhlanganise ultrasound webele i ukusazi ngokunembile isifo esikuphethe udokotela, nokunye. D.

Kungani banikele ngegazi phakathi nenkathi yokukhulelwa?

Kaningi, odokotela linqume test sama-hormone egilo ngesikhathi sokukhulelwa. Futhi kunezizathu ezinhle. Ngempela, kusukela ezinsukwini zokuqala umsebenzi sokukhulelwa yegilo siyashintsha. Bookmark izitho fetus, ukukhula nokuthuthuka kwazo - konke lokhu e ngandlela-thile kuqinisekiswa sibonga umsebenzi thyroxine futhi triiodothyronine. Ukukhiqizwa evamile yama-hormone Ezinyangeni zokuqala ezimbalwa sokukhulelwa lenyuka cishe ngo-30-50%.

Kodwa, ngeshwa, kuba abanale nkinga ingenye yezinkinga eyayivame kakhulu ngalesi sikhathi. Qala ukwenyusa zonke iziyaluyalu okungamahlalakhona, kanye ukubonisa izifo mayelana nokuthi iziphi izinhlelo owesifazane ngeke zazi ngisho (eziningi abanale nkinga emabangeni kokuqala kwenzeke ngaphandle izimpawu sobala). Ngokwezibalo, cishe angu 45% abesifazane abakhulelwe ibhekene izifo ezithile kohlelo endocrine. Yingakho kudingeka izifundo kanje.

Ngingalutholaphi bahlolelwe?

Uma ufuna ukunikeza igazi sama-hormone egilo, ngokuqinisekile unesithakazelo umbuzo bangaya kuphi ukuze bathole isifundo esinjalo. Emitholampilo kakhulu cwaningo ezinjalo kanti akunjalo. Kungcono ukubuza kule ndaba udokotela wakho - uyazi kahle lapho kungenzeka ukuba balungise inqubo endaweni yangakini. Ngokuvamile, assays zazenziwa izibhedlela, imitholampilo kanye nezikhungo zezokwelapha yangasese kanye laboratories yangasese.

Kungakanani isifundo laboratory?

Ziyini izindleko ngegazi sama-hormone egilo? Lona omunye umbuzo ezithakazelisayo. Izindleko kuxhomeke ezicini eziningi. Okokuqala kuyafaneleka ukuthi ukuhlaziywa intengo sama-hormone egilo kungaba iyashiyana kangakanani izinto ukuhlola. Futhi-ke, kuthinta izindleko futhi intengo Inqubomgomo lesikhungo. A kwegazi oluphelele kungadla ruble mayelana 1500 kuya ku-5000.