TTG yakaderera - inorevei? TTG inoderedzwa pamuviri

Uye magynecologists, uye endocrinologist vanoziva kuti zvakakosha sei kutarisa mazinga ehomoni mune mukadzi, kunyanya munguva yepamuviri. Panguva ino, inenge nhengo dzose nemitemo yemuviri inoshandura nzira yebasa ravo, kugadzirisa nenzira itsva. Pashure pemwedzi mipfumbamwe, basa ravo guru richava kuve nekugutsikana kwekuvandudzwa kwemucheche uye kuchengetedza hupenyu hwakanaka hweamai vanouya. Zvechokwadi, kuchinja uku uye kushandiswa kwetachiona chetachiona zvinobatwa. Kurwisana kwehuwandu hwemhomoni inogadzirwa nahwo, inonyanya kukanganisa kukura uye nguva yekuzvitakura.

Nhamba yehomoni TTG inokubvumira kuti uone kana kutakura kuripo kana kuti kune chero kukanganisa. Ichi chiratidzo chinotsanangurwa nekuongororwa kweropa kunotorwa kubva mumutsipa. Kana TSH inoderedzwa kana, zvakare, yakakwirira, chiremba achapa zvidzidzo zvakare. Vachabatsira kuziva kuti chii chakakonzera kuparadzaniswa kwemahomoni kubva kune zvakasikwa.

Chii chinonzi TTG?

Kuti uzive kuti chii chiri kukonzera, unofunga kuongorora mahomoni anogadzirwa nehutachiona hwevanhu. Thyotropic hormone inokonzera kushandiswa kwechimiro chekare kune chikamu chepituitary gland. Iyo inotungamirira kukura nekushanda kwehutano hwetroroid, pamwe nekugadzirwa kwe triiodothyronine (T3) uye thyroxine (T4). Aya mahomoni anokosha zvikuru pakuita kwebasa rezvepabonde uye yehutano maitiro, anobatanidzwa mumagadzirirwo emagetsi uye anokanganisa mafungiro epfungwa yemunhu.

Sei uchifanira kudzidza chiyero cheTSH?

Chero kushanduka kupi kwehuwandu hwemhomoni muropa kunogona kukonzera mhando dzakasiyana dzehutano hwehutano. Zvinonyanya kukosha kuchengeta pasi pesimba zviratidzo zvose zvinokosha panguva yekubereka mwana. Kakawanda pane mamiriro ezvinhu apo mahomoni anoshanduka munguva ino. Zvinoitika, kuti TTG inoderedzwa pahutano. Zvinonyanya kukosha kubhadhara kucherechedza kwakadaro, kana mukadzi akambotarisana nezvirwere zvehutano kana kuti ane ruzivo rwakasuruvara runobatanidza nekuparara kwepamuviri kana kupera kwemucheche.

Ichokwadi ndechokuti iyi hormone inonzwa inonzwisa tsitsi kuchinja kwechirwere mune zve endocrine. Izvi zvinokonzerwa nemumwe wemitemo inokosha yemishonga - iyo nheyo yemashoko asina kunaka. Kana TTG inoderedzwa, zvinorevei? Izvi zvinoratidza kuwedzera mumwero we free thyroxin. Kusiyana naizvozvo, nekuwedzera kweTSH, T4 inoderedza. Nokudaro, kuziva ruzivo rwemasimoni emahomoni anokonzerwa nehutachiona, iwe unogona kutarisa hutano hwemukadzi, kunyanya mune chinzvimbo "chinonakidza".

Nzira dzeTTG mukudzivirira

Nhamba ye thyroid-stimulating hormone, yakagadzirirwa ne ELISA (enzyme immunoassay) muropa remukadzi, inofanira kubva kubva pa4 kusvika 4 mU / litre. Panguva yekudzivirira, zviratidzo izvi zvingangopfurikidza kubva pane zvisizvo. Munguva iyi, urongwa hweTSH huri kuchinja nguva dzose. Nokudaro, zvakaoma chaizvo kuwana chero zviyero zvepakati mairi zvinofanira kuenderana. Zvinotendwa kuti TSH yakaoma zvikuru inoderedzwa kwemavhiki 10-12. Asi pane zviitiko apo inoramba iri pasi mumwedzi mipfumbamwe. Kazhinji TTG inoderedzwa pakubata pamuviri. Zvisinei, kupotsa kwechidiki kubva kune chimiro zvose mune rimwe uye kune rumwe rutivi hazvioneki sechirwere.

Maitiro ehomoni anokonzerwa nehutano hwetachiona pakuberekwa

Iyo ye endocrine inoita basa rinokosha. Utachiona hutano hunobudisa triiodothyronine uye thyroxine, uye izvi zvinotungamirirwa nehutu hwepituitary. Mulobe yayo yekare, TSH inobudiswa, iyo inotungamirira T3 neT4 mazinga. Pamwe pamwe neropa rekuyerera, vanowira munenge masero ose emuviri womunhu uye vanotora chikamu chinoshanda muupenyu hwavo.

Basa guru re triiodothyronine uye thyroxine ndiwo mutemo uye kuchengetedza kwemashoko ekutanga emasabolism. Aya mahomoni anobatsira pakugadzirisa kushandiswa kwemasero. Munguva yepamuviri, vane simba rinokurudzira pamuviri wechizha, kudzivirira kukanganisa kwekusununguka kwepabonde achiri muduku. Kungofanana neT3 uye T4 inobata muviri wemadzimai, ivo vanobatanidzwa mukukudziridzwa kwemucheche, kunyanya pakuumbwa kweuropi.

Iye zvino zvatinoziva kukosha kwehutachiona hwemahomoni anokonzerwa nehutachiona hwehutachiona, nokuda kweamai nemwana asati aberekwa, tinogona kunzwisisa kuti nei zvichikosha kutarisa zvinongororwa zve thyroxine uye triiodothyronine. Chiremba anofanira kuchenjerera mamiriro apo T4 inoderedzwa (uye TTG yakakwirira). Muchiitiko ichi, chidzidzo chakazara chinopiwa.

TTG mukuronga pamuviri

Zvingava kukanganisa kutenda kuti kuongorora kwemashure ehomoni kunokosha chete kana mukadzi atotakura mwana pasi pemwoyo. Sezvambotaurwa, thyroxine, triiodothyronine uye TTG inobata basa rinokosha mumamiriro ehutano hwevanhu. Zvinokanganisawo kubereka. Saka, kana hormone TSH ichideredza, haisi iyo inotyisa. Asi kana nhamba yake yakamutswa panguva imwechete nekuderera kweT3 neT4, chiremba angatora kusakosha kwemashizha. Uye izvi, zvakare, zvinotungamirira pakuderera mukana wekutora uye kubereka mwana.

Iyo nzira yekugadzirwa kwe follicles, kuumbwa kwe ovum uye yomuviri muviri inodedera. Saka, kana mukadzi achitsvaga chiremba neman'un'una pamusoro pokusakwanisa kuva nepamuviri, mupotopinologist anofanirwa kurongedza kuongorora mahomoni ehutori. Nzira yakanakisisa iri mukuronga kwekubata ndeyero yeTSH, yakaenzana ne 1.5 μIU / ml. Iyi ivhaji yepamusoro yevakuru.

TTG inoderedzwa: zvinorevei?

Zvinosuruvarisa, zvinowanzoitika kuti zvose zvese zvinoedzwa. Kazhinji kazhinji kacho pane imwe yeiyo, asi yakanganisa. Somuenzaniso, TTG inoderedzwa. Izvi zvinorevei? Sezvo mutemo, chikonzero chakadaro chekuedza hachifaniri kutarisa chiremba. Kupera zvishomanana pakugadzirwa kwehomoni iyi panguva yekuzvitakura kunowanzoitika. Asi mune dzimwe nguva izvi zvinogona kunge zvichiguma nemamiriro ezvinhu epamusoro:

1. Kana TSH inoderedzwa panguva yekudzivirira, zvakakosha kutarisa basa rehutu hwepituitary.
2. Kune chinyorwa chiduku chePlummer's syndrome.
3. Bhenin tumors ye thyroid gland.
4. Necrosis yechirwere chepituitary mushure mekubereka mwana.
5. Kuwedzera kwemahomoni anobudiswa nehutachiona gland.
6. Kutya kunetseka uye kunyanya kudarika.

Nokudaro, kana iwe uri kunetseka "TTG inoderedzwa, zvinorevei", usatsvake ruzivo mumabhuku, zviri nani kuti utaure kamwechete neiyo endocrinologist. Achawana chikonzero chekuchinja uye anopa kurapa kwakakwana.

Kana TSH inoderedzwa, mukadzi angaona zviratidzo, somuenzaniso, musoro wepfungwa, moyo wepfungwa, fivha uye kushungurudzika mudumbu. Asi kakawanda kupfuura kwete, kuchinja kwakadaro kunoitika zvisingatauriki.

TTG yakakwirira

Kana zviongorori zvakaratidza kuti uwandu hwehomoni iyi panguva yekuzvitakura inowedzera, saka vanachiremba vanokwanisa kupa mimwe mimwe mimwe mitsva yekudzidza, sezvo izvi zvingava chiratidzo chemamiriro anotevera:

1. Iyo adrenal gland yakaputsika.
2. Pane zvirwere zvepfungwa.
3. Matambudziko nehutu hwepituitary.
4. Kuwedzera kwetachiona hormone mazinga.
5. Pituitary tumor.
6. Renal insufficiency.
7. Gestosis munharaunda yakaoma.

Zviratidzo zvekuwedzera TSH dzakaderera kushambidzika, kushaya simba, kurwara kukuru, kusuruvara, pallor uye kusava nenzara. Kutarisa mitsipa inotaridzika yakaoma.

Hormone T4: mahara uye zvisakanaka

Iro thyroxine yakabatana zvikuru neTTG, saka kazhinji inogadza kana kusarudza kuongorora pakutsvakurudza kwemazinga avo muhutano. T4 nderimwe remakosha anonyanya kukosha ekuparadzanisa masero uye kuvandudzwa mumuviri. Kuremera kwomunhu kunyanya kunoenderana nehuwandu hwayo, sezvo thyroxine inokwanisa kukanganisa kushandiswa kwemagetsi uye mapuroteni synthesis. Ndiyo hormone inotarisa kudiwa kwemuviri mavitamini, uye inovandudza kugadzika kwecarotene nechiropa. Mukuwedzera, iyo inoderedza huwandu hwehushutera muropa uye inodzivisa kuonekwa kwemavara mumidziyo yeuropi. Izvo zvakakosha zvikuru kune basa rekuberekwa kwevakadzi. Mumamiriro ezvinhu apo T4 yepamusoro inoderedzwa kana yakasimudzirwa, pane dzimwe nguva zvinetso nekugadzirisa uye nguva yekuzvitakura.

Iyo thyroxine inowanzo 9-22 picomoles per litita. Izvi zviratidzo zvinoshanda chete kuvakadzi, sezvo vari vakakwirira mumarume. Hasi nguva dzose kupotsa kubva kune chimiro chiratidzo chekurwara kwakakomba, zvichida, muviri wakava nekushaya simba kwechinguva. Kana iwe uchinge waenda mune imwe nzira yekurapa, zvino mukana wokubereka uye kubereka mwana ane utano hwakanyanya.

Ukama huri pakati peTTG naT4

Zviratidzo zvehutachiona hwemhomoni dzinobudiswa nehutachiona, zvakanyatsobatana. Kune mamiriro ezvinhu apo TTG iri pasi, T4 yakasimudzwa. Nenguva dzose yekushanda kwepituitary uye chirwere chetachiona izvi hazvifaniri kuva. Kazhinji, kana TSH inoderedzwa, T4 yakakosha. Izvi zvinoreva kuti thyroxin inoderedza uwandu hwetrotropin.