Subclinical Hyperthyroidism

Anotusi

• O a faʻailoga?
• Mafuaaga masani
• Faʻafefea ona iloa
• Aʻafiaga i le tino pe a le togafitia
• Faʻafefea ma afea e togafitia ai
• Togafitiga faʻavae i luga o le mafuaʻaga
• Togafitiga totonu mafuaʻaga o subclinical hyperthyroidism
• Togafitiga fafo mafuaaga o subclinical hyperthyroidism
• Togafitiga faʻavae i luga o faigata
• Togafitiga ma le i ai o faigata
• Mea e mafai ona e faia i le fale
• O le a le silasila mamao?

Vaaiga aoao

Subclinical hyperthyroidism o se tuutuuga e te maualalo ai le maualuga o le thyroid stimulate hormone (TSH) ae o tulaga masani o le T3 ma le T4.

T4 (thyroxine) o se tele homone faalilolilo e lou thyroid gland. T3 (triiodothyronine) o se fesuiaʻiga faʻamatalaga o le T4. Ole aofaʻi ole T4 na gaosia e lou thyroid gland e faʻatonutonuina e le maualuga ole TSH na faia e lau pituitary gland ma le isi itu.

O le mea lea, afai o lau pituitary gland vaʻaia laititi T4, o le a gaosia atili TSH e taʻu atu ai i lou thyroid gland ia maua atili T4. A maeʻa loa le aofaʻi o le T4 i tulaga talafeagai, e iloa foi e lou pituitary gland lena mea ma taofi le toe faia o le TSH.

I tagata ei ai subclinical hyperthyroidism, o le thyroid e maua ai tulaga masani o le T4 ma le T3. Ae, latou maua maualalo-nai lo-masani tulaga TSH. O lenei le paleni o homone e taitai atu ai i le tulaga.

O le salalau o le subclinical hyperthyroidism i le lautele o le faitau aofai o tagata ua fuafuaina e amata mai le 0.6 i le 16 pasene. E faʻamoemoe ile faʻataʻitaʻiga faʻapitoa faʻaogaina.

O a faʻailoga?

Tele o tagata e maua subclinical hyperthyroidism leai ni faʻailoga o le soona galue i lou tino. Afai o faʻailoga o le subclinical hyperthyroidism o loʻo i ai, latou e agamalu ma le aoga. O nei faʻailoga e mafai ona aofia ai:

• televave le tata o le fatu poʻo le tata o le fatu
• gatete, masani i ou lima poʻo ou tamailima
• afu pe faʻapalepale ile vevela
• popole, popolevale, pe lagona le itaita
• paʻu pauna
• faigata mafaufau

Mafuaaga masani

Subclinical hyperthyroidism mafai ona mafua mai i totonu (endogenous) ma fafo (exogenous) itu.

Mafuaaga i totonu o le subclinical hyperthyroidism mafai ona aofia ai:

• Faʻamaʻi o tuugamau. Graves 'faamaʻi o se autoimmune faʻaletonu e mafua ai le soona gaosia o thyroid homone.
• Multitodular goiter. O le faʻateleina o le tui thyroid e taʻua o le goiter. O le multinodular goiter o se faʻateleina o le thyroid lea e mafai ai ona maitauina le tele o puʻupuʻu, poʻo nodules.
• Thyroiditis O le thyroiditis o le pupuga o le totoa toto, lea e aofia ai ma faʻalavelave.
• Adooma thyroid. O le thyroid adenoma o le tuma aoga o le kelei toto.

Mafuaʻaga fafo o subclinical hyperthyroidism aofia ai:

• tele TSH-suppressive togafitiga
• TSH le faʻamoemoeina taofiofia i le taimi o togafitiga o le homone mo hypothyroidism

Subclinical hyperthyroidism mafai ona tupu i fafine maʻitaga, aemaise lava i le muamua trimester. Ae ui i lea, e iai faʻaletonu tulaga maʻitaga iʻuga ma masani ai e le manaʻomia togafitiga.

Faʻafefea ona iloa

Afai e masalosalo lau fomaʻi o loʻo ia oe le subthlinical hyperthyroidism, latou te muamua iloiloina ou tulaga o le TSH.

Afai o lau TSH tulaga e toe foʻi maualalo, o le a iloiloina e lau fomaʻi au tulaga o le T4 ma le T3 e vaʻai ai pe o latou i totonu o masani masani.

Ina ia mafai ona faia nei suʻega, e manaʻomia e lau fomaʻi ona ave se faʻataʻitaʻiga o le toto mai lou lima.

O le laina faʻasino masani mo le TSH i tagata matutua e masani ona faʻauigaina o le 0.4 i le 4.0 milli-international iunite i le lita (mIU / L). Ae ui i lea, e taua le vaʻai pea i vaega o faʻamatalaga saunia mo oe i luga o le fale suesue lipoti.

Subclinical hyperthyroidism e masani ona faʻavasegaina i lua vaega:

• Vasega I: Maualalo, ae mafai ona iloa TSH. Tagata i lenei vaega o TSH tulaga i le va 0.1 ma 0.4 mlU / L.
• Vasega II: TSH le mafai ona iloa Tagata i lenei vaega o TSH tulaga maualalo ifo nai lo 0.1 mlU / L.

Aʻafiaga i le tino pe a le togafitia

A o le subclinical hyperthyroidism e le togafitia, e mafai ona tele ni aafiaga le lelei i le tino:

• Faateleina le lamatiaga o le hyperthyroidism. Tagata o loʻo le mafai ona matauina tulaga TSH o loʻo i ai se faʻateleina lamatiaga mo le atiaʻe hyperthyroidism.
• Aʻafiaga leaga fatu Tagata e le togafitia e mafai ona atiaʻe:
  • ua faateleina le tata o le fatu
  • faʻaititia le faʻapalepale e faʻamalositino
  • arrhythmia
  • atrial fibrillation
  • Faʻaitiitia le mamafa o ponaivi. Ole togafitia ole subthlinical hyperthyroidism e mafai ona tupu ai le faʻaititia ole ponaivi o fafine pe a maeʻa le vaʻaiga.
  • Faanoanoaga Nisi lipoti fautua mai o untreated subclinical hyperthyroidism mafai o le atiaʻe dementia.

Faʻafefea ma afea e togafitia ai

O se toe iloiloga o tusitusiga faasaienisi na maua ai o le maualalo o le TSH tulaga na toe foi mai i se tulaga masani i tagata e iai le subthlinical hyperthyroidism.

Pe o le tulaga manaʻomia togafitiga faalagolago i:

• o le mafuaaga
• o le a lona matuia
• le i ai o ni faʻafitauli fesoʻotaʻi

Togafitiga faʻavae i luga o le mafuaʻaga

O le a galue lau fomaʻi e suʻesuʻe le mea e ono mafua ai lou subclinical hyperthyroidism. Fuafuaina le mafuaʻaga mafai ona fesoasoani fuafua le talafeagai togafitiga.

Togafitiga totonu mafuaʻaga o subclinical hyperthyroidism

Afai e te maua subclinical hyperthyroidism ona o le faʻamaʻi o Graves, e manaʻomia togafitiga faʻafomaʻi. E ono faatonuina e lau fomaʻi le radioactive iodine therapy poʻo vailaʻau puipuia mai le tirouro, pei ole methimazole.

Radioactive iodine togafitiga faʻafomaʻi ma anti-thyroid vailaʻau mafai foi ona faʻaaogaina e togafitia subclinical hyperthyroidism ona o multinodular goiter poʻo thyroid adenoma.

Subclinical hyperthyroidism ona o le thyroiditis e masani ona fofo faʻafuaseʻi e aunoa ma se faʻaopoopoga togafitiga manaʻomia. A faʻapea e matuia tele le thyroiditis, e ono faʻatonu e lau fomaʻi vailaʻau e tete ai le mafaufau. E mafai ona aofia ai fualaʻau faʻafomaʻi e teteʻe ai le mafaufau (NSAIDs) poʻo le corticosteroids.

Togafitiga fafo mafuaaga o subclinical hyperthyroidism

Afai o le mafuaʻaga e mafua mai i le TSH-suppressive therapy poʻo le togafitiga o le homone, e mafai e lau fomaʻi ona fetuʻunaʻi le metotia o nei vailaʻau pe a talafeagai.

Togafitiga faʻavae i luga o faigata

Afai o lau TSH tulaga e maualalo ae mafai lava ona maitauina ma e leai ni faʻafitauli, oe ono le maua vave togafitiga. Nai lo lena, e mafai e lau fomaʻi ona filifili e toe faʻataʻitaʻia ou tulaga TSH i ni nai masina seʻia oʻo ina latou toe foʻi i tulaga masani pe ua faʻamalieina foʻi lau fomaʻi ua mautu lou tulaga.

Togafitiga ono manaʻomia pe a fai o lau TSH tulaga paʻu atu i le Vasega I po o le Vasega II ma o oe o loʻo i lalo o tulaga lamatia:

• ua sili atu ma le 65 ou tausaga
• ua e maua i le maʻi fatu
• e maua oe i le papala
• oe i ai faʻailoga fautua mai o le hyperthyroidism

Lou togafitiga o le a faʻamoemoe i luga o le a le ituaiga o tulaga ua mafua ai lou subclinical hyperthyroidism.

Togafitiga ma le i ai o faigata

Afai o loʻo e feagai ma faʻailoga o le fatu poʻo le ponaivi e mafua mai i lou subclinical hyperthyroidism, oe ono aoga mai beta-blockers ma bisphosphonates.

Mea e mafai ona e faia i le fale

O ni suʻesuʻega ua faʻaalia ai o le leaga o aʻafiaga o ponaivi e mafai ona faʻamamaina e ala i le mautinoa o loʻo e maua se faʻatotonuga o kalisiu i aso uma.

Oe ono i ai sina pauna pa'ū pe a fai oe maua subclinical hyperthyroidism. E mafua ona o tagata e tele na te faʻaaogaina le thyroid e maualuga le maualuga o le metabolic rate (BMR). O le kalori manaoga mo le tausiga o lou mamafa o le a sili atu maualuga.

O le a le silasila mamao?

Ole subthlinical hyperthyroidism o le taimi e maualalo ai lou maualuga TSH ae e iai ou masani masani o le T3 ma le T4. Afai o loʻo e feagai ma faʻailoga o le subclinical hyperthyroidism, e mafai e lau fomaʻi ona faʻaaogaina se faasologa o suʻega toto e oʻo mai i se faʻamaoniga.

Talu ai o lenei tulaga e mafai ona mafua mai i ni tuʻutuʻuga eseʻese, o togafitiga e te mauaina o le a faʻamoemoeina ile mafuaʻaga ma le ogaoga. O le taimi lava e te toe foʻi ai i tulaga masani a le o le masani ai pe ala i le faʻaaogaina o vailaʻau, o lau vaaiga e tatau ona sili ona lelei.