Yuav ua li cas cov underactive thyroid cuam tshuam rau kev muaj me nyuam


Yuav ua li cas cov underactive thyroid cuam tshuam rau kev muaj me nyuam

Koj lub qog ua ntshav

Cov thyroid caj pas ua ob cov tshuaj hormones: thyroxine (qee zaum hu ua T4) thiab triiodothyronine (T3). Ntawm lwm yam, cov thyroid hormones tswj kev metabolism.

Feem ntau cov thyroid cuam tshuam yog ib cov thyroid caj pas tsis txaus ntseeg, hu ua hypothyroidism, qhov twg lub qog tsis tsim cov thyroxine txaus. Nws feem ntau kuaj pom tom qab nyeem ntawv siab tsis zoo ntawm cov thyroid-stimulating hormone (TSH) ntshav kuaj.

Feem ntau, hypothyroidism tshwm sim hauv cov tsos mob uas tsis tshua meej, zoo li nkees, kev nyuaj siab, qhov hnyav nce thiab rhiab rau qhov txias; feem ntau, tib neeg hnov ​​me ntsis khiav qis dua, zoo li qee yam tau qeeb qeeb, thiab qhov no tuaj yeem muaj kev cuam tshuam tsis ncaj rau kev luam tawm.

“Kev ua haujlwm tsis txaus ua rau cov thyroid caj pas ua rau txhua yam hauv lub cev me ntsis qeeb dua, thiab qhov ntawd suav nrog kev ua haujlwm ntawm zes qe menyuam ua haujlwm, thiab tej zaum kev noj qab haus huv ntawm kev xeeb tub thaum tseem ntxov,” piav qhia Dr Karen Morton, tus kws pab tswv yim kws kho mob pojniam thiab kws kho mob rau Dr Morton – kev kho mob pabcuam.

Tab sis qhov sib txuas ntawm kev ua tub rog thiab lub qog ua hauj lwm yog, qhov tseeb, ncaj qha dua li ntau tus neeg xav.

Patient.info Saib tag nrho

Cov kws tshawb fawb tsim kho cov kab sib cais phev rau kev xaiv poj niam txiv neej

Cov kws tshawb nrhiav tau tsim kev kho mob thim rov qab los mus cais X thiab Y cov phev kom …

3ming

  • Cov kws tshawb fawb tsim kho cov kab sib cais phev rau kev xaiv poj niam txiv neej

    Cov kws tshawb fawb tsim kho cov kab sib cais phev rau kev xaiv poj niam txiv neej

    3ming

  • Dab tsis hais rau ib tus neeg uas muaj tus mob ntxiv lawm

    Dab tsis hais rau ib tus neeg uas muaj tus mob ntxiv lawm

    6min

  • Tiv thaiv koj lub hlwb thaum lub sijhawm tshuaj kho mob

    Tiv thaiv koj lub hlwb thaum lub sijhawm tshuaj kho mob

    5min

  • Qhov tseeb txog qe khov

    Qhov tseeb txog qe khov

    5min

Lub qog noj qab haus huv thiab fertility

Hypothyroidism tuaj yeem sib cuam tshuam nrog lwm cov txheej txheem tseem ceeb uas ua lub luag haujlwm ua thiab tso tawm ob qho tseem ceeb ntawm kev ua me nyuam cov keeb: deev cov qe (follicle-stimulating hormone (FSH)) thiab luteinising hormone (LH).


Hauv cov poj niam, FSH – raws li lub npe qhia – txhawb lub hauv paus ntawm lub zes qe menyuam kom loj hlob hauv kev npaj tso tawm lub qe, thaum LH pab tswj kev coj khaub ncaws thiab ov. Qhov tsis txaus ntseeg ntawm cov tshuaj hormones cuam tshuam ovulation thiab yog qhov ua rau poj niam cov teeb meem xeeb tub.

Hypothyroidism tuaj yeem ua rau muaj cov tshuaj hormones no ncaj qha: ua rau cov thyroxine tsis txaus ua rau muaj ntau yam FSH thiab LH hauv cov ntshav.

Qee qhov kev tshawb fawb tau pom tias subfertile cov poj niam – cov neeg uas tsis tau xeeb tub tom qab ib xyoos ntawm kev tsis tu ncua, tsis muaj kev tiv thaiv kev sib deev – nyiam cov qib TSH thiab ntau dua cov poj niam hypothyroidism ntau dua li cov poj niam uas xeeb tub yam tsis muaj teeb meem. Ib qho ntxiv, cov pojniam cev xeeb tub muaj feem tsawg dua hauv cov pojniam uas tau nce qib TSH.

Thaum ib tus poj niam cev xeeb tub, cov thyroid txoj haujlwm tseem txuas ntxiv los ntawm kev txhawb nqa txoj kev loj hlob ntawm tus menyuam hauv ntau txoj kev, suav nrog kev hloov pauv ntawm tseem ceeb thyroxine los ntawm leej niam mus rau tus menyuam mus txog tus me nyuam.

“Cov thyroid cov tshuaj hormones cuam tshuam rau kev loj hlob ntawm koj tus menyuam lub hlwb thaum ntxov thaum cev xeeb tub,” ntxiv Simon Pearce, tus xibfwb ntawm endocrinology ntawm University of Newcastle. “Txawv txav ncig cov ntshav qog ntshav hauv qog ntshav hauv niam thaum cev xeeb tub muaj feem cuam tshuam nrog cov txiaj ntsig tsis zoo ntawm cev xeeb tub xws li nchuav menyuam.”

Thaum twg thiaj li yuav tsum tau muaj kev kho mob?

Ua tsaug, hypothyroidism tuaj yeem kho tau yooj yim, los ntawm kev noj tshuaj txhua hnub hu ua levothyroxine uas hloov cov thyroxine (T4) yam tshuaj uas koj lub cev tsis ua kom txaus. Qhov teeb meem yog feem ntau, cov poj niam subfertile tsis paub lawv yuav muaj cov thyroid tsis txaus ua haujlwm, thiab ntau tus kws kho mob tsis saib nws.

Dr Jane Stewart, tus tuav ntaub ntawv ntawm British Fertility Society, piav qhia tias thaum hypothyroidism muaj txiaj ntsig ntawm kev txo qis hauv lub cev, cov tsos mob ntawm lub cev yuav tshwm sim feem ntau – thiab nws yog cov tsos mob uas ua rau cov kws kho mob tshawb nrhiav cov thyroid muaj nuj nqi.

Nws hais tias “Hypothyroidism yuav ua rau lub cev ntas tsis xwm yeem thiab txo qis kev muaj menyuam vim tias txo ovulation [tab sis] nws feem ntau yuav pom muaj pov thawj, thiab yog tias hloov rau cov teebmeem ntawd yuav thim rov qab,” nws hais. “Yog li, kev soj ntsuam rau cov teeb meem thyroid rau lub hom phiaj kev xeeb tub tsis pom zoo.”

Txawm li cas los xij, raws li xibfwb Pearce cov ntsiab lus, cov tsos mob ntawm hypothyroidism yog qhov tsis tseem ceeb, feem ntau muaj kev txhim kho hauv ntau xyoo thiab tuaj yeem qhia qee yam ntawm lwm cov teeb meem kev kho mob. “Ib txoj kev tshawb nrhiav tau qhia tias 20% ntawm cov neeg muaj ntshav lub qog ua ntshav tau muaj plaub lossis ntau dua cov tsos mob ntawm cov thyroid tsis ua haujlwm,” nws hais.

Raws li xws li, nws qhia tias cov kws kho mob tau lees paub lub tswv yim ntawm “kev tshawb nrhiav cov ntaub ntawv” thaum tus poj niam tab tom muaj teeb meem txog kev muaj menyuam tsis taus.

Qhov no txhais tau tias yog tias koj tau muaj qhov mob qog ntawm cov thyroid ua ntej, yog tias muaj leej twg hauv koj tsev neeg muaj teeb meem ua ntej, lossis yog tias koj muaj kab mob uas ua rau koj muaj teeb meem cov thyroid – piv txwv li hom 1 mob ntshav qab zib lossis mob celiac. – tom qab ntawv koj yuav tsum kuaj ntshav cov thyroid ua ntej muaj menyuam. “

Nws tau hais tias cov poj niam uas muaj keeb kwm hais txog kev nchuav menyuam los yog lwm yam teeb meem kev xeeb menyuam kuj yuav tsum raug tshawb xyuas.

Ua kom zoo dua lub qog noj qab haus huv rau kev xeeb tub thiab dhau mus

Cov poj niam muaj tus kab mob hypothyroidism uas tau npaj tias yuav xeeb tub yuav tsum tau kuaj lawv cov thyroid hormone thiab qib TSH thiab yog tias yuav tsum tau ua, lawv cov kev kho mob hloov kho.

Dr Morton hais tias “Peb nyiam cov qib thyroxine nce siab dua lub sijhawm cev xeeb tub dua li qhov tsis muaj menyuam hauv plab, thiab zoo ib yam nrog kev sim ua kom cev xeeb tub,” Dr Morton hais.

Nws kuj tseem pom zoo kom txhua tus poj niam muaj cov ntsuas thyroid ua haujlwm yog tias lawv tau sim cev xeeb tub rau ntau dua rau lub hlis, txawm hais tias NHS tsis lees paub txog kev sim tshuaj muaj roj muaj ntsig txog cov thyroid.

Kev tshawb fawb 2015 ua rau qhov xwm txheej los ntawm kev soj ntsuam cov thyroid thoob ntiaj teb rau cov poj niam uas raug subfertile los yog kev paub txog kev xeeb tub thaum ntxov cev xeeb tub, suav tias qhov txaus ntshai ntawm “kev cuam tshuam tseem ceeb ntawm kev yug me nyuam los ntawm kev xeeb tub txog thaum yug … tuaj yeem txo tau yog tias tsis ameliorated”.

Qhov ntawd yuav yog txoj hauv kev, tab sis cov poj niam uas tawm tsam cev xeeb tub yuav tsum tau noj cov zaub mov zoo thiab kev ua neej – txawm lawv muaj los yog xav tias muaj teeb meem ua cov thyroid. Thiab yog tias lawv ua, qhov pib zoo yog tham nrog lawv tus kws kho mob.

Leave a Reply

Your email address will not be published. Required fields are marked *