So woate nka pɛn sɛ biribi resakra wɔ wo nipadua mu tɔnn, na ɛma wote nka sɛ wo ho nyɛ wo dɛ? So wote nka sɛ wo nhyehyɛe no retu mmirika ntɛmntɛm dodo, na ɛma wo ho yeraw wo, wo ho ntɔ wo, anaasɛ wuntumi mfa w’adwene nsi biribi so? Sɛ saa a, ebia wo thyroid ntini no reyɛ adwumaden dodo kakra. Momma yɛnka tebea bi a wɔfrɛ no hyperthyroidism ho asɛm.
Dɛn Ne Hyperthyroidism? Momma Yɛmma Ɛnyɛ Mmerewa!
Sɛ yɛbɛka no tiawa a, hyperthyroidism ba bere a thyroid ntini a ɛwɔ wo kɔn mu no yɛ adwuma dodo na ɛma thyroid hormone pii ba no. Wo thyroid yɛ ntini ketewaa bi a ɛte sɛ ntontom a ɛwɔ wo kɔn anim. Ɛwom sɛ ɛyɛ ketewaa de, nanso edi dwuma kɛse wɔ wo nipadua mu. Thyroid hormone ahorow ho hia kɛse na ama woatumi adi wo nipadua no dwumadi pii so, titiriw wo nipadua mu nneɛma a ɛsakra—ahoɔden a wo nipadua de ahoɔden di dwuma no.
Thyroid hormone atitiriw abien na ɛwɔ hɔ: triiodothyronine (T3) ne thyroxine (T4). Hormone a ɛkanyan thyroid (TSH) nso wɔ hɔ, a wo pituitary gland no yi fi mu de kyerɛ sɛ wo thyroid no nyɛ saa hormone ahorow yi. Wɔ hyperthyroidism mu no, T3 ne T4 dodow a ɛboro so kɔ wo mogya mu. Eyi ma wo nipadua no yɛ adwuma ntɛmntɛm, na ɛma wote nka te sɛ nea wɔde wo nhyehyɛe no nyinaa abɔ kar a ɛboro so, te sɛ keteke a ɛde mmirika tu mmirika. Ebia wobɛte nka sɛ wonyɛ wo ho ankasa. Saa nsɛnkyerɛnne yi a wubehu na wo ne oduruyɛfo akasa no yɛ ade a edi kan a ɛho hia.
Tebea Yi Abu So Dɛn?
Hyperthyroidism ntaa mma wɔ ɔkwan a ɛyɛ nwonwa so. Sɛ yɛhwɛ nsɛm a ɛfa ho a, ɛka nnipa dodoɔ bɛyɛ 1.3% wɔ aman te sɛ United States. Nanso, esiane sɛ ebetumi aka wo da biara da asetra kɛse nti, ne sɛnkyerɛnne ne ne sɛnkyerɛnne ahorow a wobɛte ase no ho hia ma obiara.
Dɛn Ne Hyperthyroidism Ho Nsɛnkyerɛnne? Hwɛ sɛ Wowɔ Eyinom Mu Biara anaa!
Esiane sɛ hyperthyroidism ka wo nipadua mu nneɛma a ɛsakra no nyinaa nti, ne sɛnkyerɛnne ahorow betumi atrɛw. Nnipa binom hu sɛnkyerɛnne kakraa bi a emu nyɛ den, bere a afoforo hyia sɛnkyerɛnne ahorow pii bere koro mu. Gye bere kakra hwɛ sɛ wuhu eyinom mu bi anaa:
- Koma a ɛbɔ ntɛmntɛm (tachycardia) ne/anaasɛ wo koko a ɛbɔ denneennen (a ɛyɛ wo yaw)—ɛkame ayɛ sɛ ɛte sɛ sanku a ɛrebɔ wɔ wo koko mu.
- Mogya mmoroso a ɛkɔ soro .
- Nsa a ɛwosow , baabi a ebia wubehu sɛ wo nsa rewosow bere a woreyɛ nnwuma a ɛnyɛ den te sɛ tii kuruwa a wokura mu mpo no.
- Sɛ wote nka sɛ wo ho yeraw wo bere nyinaa, wo ho ntɔ wo, na/anaasɛ wo bo fuw ntɛm .
- Unexplained weight loss , sɛ mpo w’akɔnnɔ akɔ soro na woredi aduan pii sen sɛnea wotaa di a.
- Nsu a ɛtaa kɔ nipadua no mu anaasɛ nsu a ɛho ayɛ hare ( diarrhea ).
- Fifiri a ɛkɔ soro ne ɔhyew a ɛda nsow anaasɛ ontumi nnyina ano.
- Hair loss , anaa ti nhwi a ɛyɛ tratraa na ɛyɛ mmerɛw.
- Ɛyɛ den sɛ wobɛda ( nna a wontumi nna ), na ɛma wobɔ wo ho ban na wodannan wo ho anadwo.
- Nsakrae a ɛba mmea brayɛ mu , te sɛ nsu a ɛsen ntɛmntɛm anaasɛ brayɛ ( brayɛ ) a egyae koraa.
- Wo kɔn anim a ɛho ahonhon, a ebetumi ayɛ thyroid nodule anaasɛ nea ɛsõ sen saa ( goiter ).
- Aniwa a ɛho ahonhon, ayɛ kurukuruwa, anaasɛ ɛpuepue (thyroid aniwa yare).
Saa sɛnkyerɛnne ahorow yi betumi aba mpofirim anaasɛ bere kɔ so no, ɛbɛda adi nkakrankakra.Nea ɛho hia sen biara no, sɛ wuhu kɔkɔbɔ nsɛnkyerɛnne yi biako anaa nea ɛboro saa a, ɛho hia sɛ wokɔ akwahosan ho ɔbenfo nkyɛn kɔhwehwɛ akwankyerɛ.
Dɛn na Ɛde Hyperthyroidism Ba?
Nneɛma pii wɔ hɔ a ebetumi ama obi anya hyperthyroidism. Momma yɛnhwɛ nneɛma a ɛtaa ba sɛ eyi ba:
- Graves yare: Eyi ne ade a ɛtaa ma obi nya hyperthyroidism. Graves yare no yɛ tebea a nipadua no tumi ko tia nyarewa. Sɛ yɛbɛka no tiawa a, wo nipadua mu tumi a ɛko tia nyarewa no di mfomso tow hyɛ wo thyroid ntini no so na ɛkanyan no dodo, na ɛhyɛ no ma ɛyɛ nkwaadɔm a ɛboro so. Sɛ wowɔ abusua abakɔsɛm a ɛkyerɛ sɛ wowɔ thyroid yare anaa tebea afoforo a nipadua no tumi ko tia nyarewa a, ebia wobɛkɔ asiane kɛse mu.
- Thyroid nodules: Eyinom yɛ akisikuru anaa nkwammoaa a enyin wɔ ɔkwan a ɛnteɛ so wɔ wo thyroid ntini mu. Ɛtɔ mmere bi a, saa ntini ahorow yi yɛ adwuma wɔ ne ho na ɛma thyroid hormone foforo. Nnuruyɛfo frɛ eyi awuduru multinodular goiter (TMNG). Nea eye ne sɛ, saa thyroid ntini ahorow yi ntaa nyɛ kokoram koraa.
- Thyroiditis: Eyi kyerɛ thyroid ntini a ɛyɛ hyew. Ebetumi ama thyroid hormone a wɔakora so no akɔ, na ama obi anya hyperthyroidism bere tiaa bi. Wɔ hormone a ɛboro so fã yi akyi no, ebia wubenya hypothyroidism (thyroid a ɛnyɛ adwuma) bere tiaa bi ansa na wo thyroid no asan ayɛ yiye koraa na hormone dodow asan ayɛ sɛnea na ɛte kan no.
- Iodine a Ɛboro So: Wo thyroid ntini no de iodine a efi w’aduan mu di dwuma de yɛ hormone ahorow. Sɛ wodi iodine pii (ɛnam aduan anaa nnuru so) a, ebetumi ama wo thyroid no ayɛ hormone a ɛboro so. Eyi betumi aba bere a wɔanya IV iodinated contrast (aduru a wɔde yɛ mfoninitwa mfonini ahorow bi) anaasɛ bere a wɔnom nnuru te sɛ amiodarone (a wɔde sa koma a ɛyɛ mmerɛw) akyi.
- TSH-secreting pituitary adenoma (thyrotropinoma): Eyi yɛ ade a ɛntaa nsi koraa. Akisikuru a ɛnyɛ hu a ɛwɔ pituitary gland (a ɛwɔ w’amemene ase) no betumi ama TSH pii afi mu, na aka akyerɛ wo thyroid bere nyinaa sɛ ɛnyɛ hormone dodo.
Hena na Wɔwɔ Asiane Kɛse mu sɛ Obenya Hyperthyroidism?
Bere a obiara betumi anya hyperthyroidism no, asiane ahorow bi betumi ama wo ho atɔ wo kɛse. Eyinom bi ne:
- Sɛ́ wowɔ abusua abakɔsɛm a ɛkyerɛ sɛ obi anya thyroid yare anaasɛ ɔyare afoforo a nipadua no tumi ko tia nyarewa.
- Sigaretnom.
- Nyinsɛn (titiriw ɛfa awo akyi thyroiditis a ebetumi aba wɔ awo akyi).
Ɔkwan Bɛn so na Wohu Hyperthyroidism?
Sɛnea ɛbɛyɛ na woahu sɛ wowɔ hyperthyroidism no, wo duruyɛfo bɛyɛ nhwehwɛmu a edi mũ, a mpɛn pii no anammɔn pii ka ho:
1. Nipadua mu Nhwehwɛmu: Wo duruyɛfo bɛhwɛ nipadua mu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ thyroid a ɛyɛ adwuma boro so te sɛ thyroid gland a ayɛ kɛse, koma a ɛbɔ ntɛmntɛm, wo nsa a ɛwosow, anaa honam ani a ɛyɛ hyew na ɛyɛ nwini anaa.
2. Thyroid Mogya mu Nhwehwɛmu: Eyinom susuw thyroid hormone dodow a ɛwɔ wo mogya mu. Wɔ hyperthyroidism mu no, T3 ne T4 dodow taa kɔ soro sen sɛnea ɛte daa, bere a wo thyroid-stimulating hormone (TSH) dodow no taa (ɛwom sɛ ɛnyɛ bere nyinaa) siw ano anaasɛ ɛba fam koraa.
3. Thyroid Antibody Test: Saa mogya mu nhwehwɛmu yi boa ma wohu sɛ ebia Graves yare no na ɛde wo tebea no ba anaa.
4. Mfoninitwa Sɔhwɛ: Mfoninitwa akwan horow boa ma wohu nea ɛde hyperthyroidism ba ankasa. Ebia eyinom bi ne radioactive iodine uptake (RAIU) nhwehwɛmu ne scan, anaasɛ thyroid ultrasound. Wo duruyɛfo bɛkyerɛkyerɛ nhwehwɛmu ahorow yi mu na waka ɔkwan a eye sen biara a wobɛfa so ama wo tebea no akyerɛ wo.
Dɛn Ne Ayaresa a Wɔde Ma Hyperthyroidism?
Asɛmpa no ne sɛ hyperthyroidism yɛ nea wotumi sa kɛse. Ɔkwan a eye sen biara a wobɛfa so no gyina nea ɛde ba, mfe a woadi, ne w’akwahosan nyinaa so. Wo duruyɛfo ne wo besusuw akwan horow yi ho de ayɛ ayaresa nhyehyɛe a ɛfata wo.
- Nnuru a Ɛko Tia thyroid: Nnuru te sɛ methimazole (Tapazole®) ne propylthiouracil (PTU) siw wo thyroid no kwan sɛ ɛbɛyɛ hormone foforo. Mpɛn pii no, eyi ne ɔkwan a edi kan a wɔfa so bɔ wɔn ho ban. Wobetumi ama wo thyroid hormone dodow akɔ baabi a ahobammɔ wɔ wɔ adapɛn kakraa bi kosi asram pii mu, na aboa ma wo sɛnkyerɛnne ahorow no ayera.
- Radioactive Iodine (RAI) Ayaresa: Eyi hwehwɛ sɛ wɔnom radioactive iodine a wɔnom sɛ aduru a wɔde hyɛ nipadua mu anaa nsu. Thyroid nkwammoaa a ɛyɛ adwuma no fa iodine no, na ɛde nkakrankakra sɛe wɔn. Bere a eyi yɛ aduru a etu mpɔn, a ɛtra hɔ daa a wɔde sa hyperthyroidism no, ɛtaa ma obi nya thyroid a ɛnyɛ adwuma yiye. Ne saa nti, ɛda adi sɛ ebehia sɛ wonom nnuru a wɔde si thyroid hormone ananmu (levothyroxine) da biara da wɔ wo nkwa nna nyinaa mu na ama wo hormone no ayɛ pɛ.
- Oprehyɛn (Thyroidectomy): Wɔ tebea horow bi mu no, oduruyɛfo a ɔyɛ oprehyɛn betumi ayi wo thyroid ntini no nyinaa anaa ne fã bi afi hɔ. Bere a eyi siesie hyperthyroidism no, mpɛn pii no ɛde hypothyroidism ba, a ɛkyerɛ sɛ wubehia wo nkwa nna nyinaa da biara da ayaresa a wɔde besi thyroid hormone ananmu.
- Beta-Blockers: Bere a nnuru yi nsakra wo thyroid hormone dodow no, ɛyɛ adwuma ntɛmntɛm de yi sɛnkyerɛnne ahorow a ɛnyɛ dɛ te sɛ koma a ɛbɔ ntɛmntɛm, wosow, ne dadwen fi hɔ bere a w’ayaresa afoforo no di dwuma no.
Saa ayaresa ahorow yi mu biara de n’ankasa mfaso horow, nea efi mu ba, ne asiane ahorow ba. Wo duruyɛfo bɛboa ma woakyerɛ wo kwan wɔ saa nneɛma a wobɛpaw yi mu. Mma ntwentwɛn wo nan ase da sɛ wubebisa nsɛm.
Dɛn Ne Bere Tenten Nhwɛso Ma Obi a ɔwɔ Hyperthyroidism? (Nkɔmhyɛ) .
Hyperthyroidism yɛ tebea a wotumi di ho dwuma yiye. Sɛ wonya ayaresa a ɛfata a, nnipa dodow no ara kɔ so tra ase a ahoɔden wom na wɔyɛ nnam. Sɛ w’ayaresa no hwehwɛ sɛ wonom nnuru da biara da bere tenten mpo a, ɛma wutumi kɔ so kura hormone dodow a ɛfata na ɛyɛ pintinn.
Nanso, sɛ wɔansa Graves yare (ade titiriw a ɛde hyperthyroidism ba) betumi de nsɛnnennen te sɛ Graves aniwa mu yare (thyroid aniwa mu yare) aba. Sɛ wohu sɛ wowɔ Graves yare no a, wo ne w’akwahosan ho ɔyaresafo nyɛ adwuma yiye na woadi ho dwuma yiye.
Sɛ Wɔansa Hyperthyroidism a, Dɛn na Ɛba? So Ɛyɛ Asiane?
Yiw, sɛ wobu ani gu hyperthyroidism so anaasɛ wɔsa no yiye a, ebetumi de akwahosan ho nsɛnnennen a emu yɛ den aba bere tenten mu, a nea ɛka ho ne:
- Atrial fibrillation (Afib), koma a ɛbɔ ntɛmntɛm na ɛtaa bɔ ntɛmntɛm
- Koma a ɛyɛ den a ɛyɛ mmerɛw
- Awo a wontumi nwo anaasɛ brayɛ a ɛnkɔ so daa
- Ischemic stroke a ɛma obi hwe ase
- Osteoporosis (nnompe a ɛyɛ mmerɛw na ɛyɛ mmerɛw) .
Ɔhaw a ɛntaa nsi nanso ɛde nkwa to asiane mu a efi hyperthyroidism a wɔansa mu ba ne thyroid ahum (a wɔsan frɛ no thyroid haw anaa thyrotoxic crisis). Wɔ thyroid ahum mu no, wo thyroid no yi thyroid hormone pii kɔ wo mogya mu mpofirim wɔ bere tiaa bi mu. Eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ. Mpɛn pii no, nipadua mu nhyɛso kɛse—te sɛ ɔyare mmoawa a emu yɛ den, opira, anaa oprehyɛn—na na ɛba obi a ɔwɔ hyperthyroidism a wɔansa no yare anaasɛ wontumi nni ho dwuma yiye mu.
Bere Bɛn na Ɛsɛ sɛ Wokɔ Oduruyɛfo?
Sɛ worehu sɛnkyerɛnne biara a ɛkyerɛ sɛ wowɔ hyperthyroidism a, ɛho hia kɛse sɛ wo ne w’akwahosan ho ɔyaresafo bɛkɔ akɔhwɛ wo na wahu yare no yiye na wasa wo yare.
Sɛ wɔahu sɛ wowɔ yare no dedaw a, ɛho behia sɛ wɔyɛ wo nhwehwɛmu daa na wɔyɛ wo mogya mu nhwehwɛmu de hwɛ sɛnea wo hormone dodow te na wɔahwɛ ahu sɛ w’ayaresa no reyɛ adwuma yiye.
Sɛ wuhu thyroid ahum ho sɛnkyerɛnne—te sɛ atiridiinini a ano yɛ den kɛse, koma bɔ ntɛmntɛm, adwene a ɛyɛ basaa, anaa basabasayɛ a emu yɛ den a—frɛ 911 (anaasɛ wo mpɔtam hɔ adwumayɛbea a ɛhwɛ ntɛmpɛ so) anaa hwehwɛ ayaresa ntɛm ara wɔ ayaresabea dan a wɔhwɛ ntɛmpɛ a ɛbɛn wo no mu.
So Saa Tebea Yi Ma Nnipa Mu Mu duru Kɔ soro?
Mpɛn pii no, hyperthyroidism mma obi mu duru nkɔ soro. Nokwarem no, nnipa dodow no ara mu duru so tew ɛmfa ho sɛ wɔn akɔnnɔ a ɛkɔ soro no. Eyi ba efisɛ thyroid hormone a ɛboro so no ma wo nipadua mu nneɛma a ɛsakra no yɛ kɛse, na ɛma wo nipadua hyew calories ntɛmntɛm sen sɛnea ɛte daa.
Ɔkwan foforo so no, thyroid a ɛnyɛ adwuma yiye (hypothyroidism) ma wo nipadua mu nneɛma a ɛsakra no brɛ ase, na ɛno ne nea ɛtaa ma wo mu duru yɛ kɛse.
So Wubetumi Anya Hyperthyroidism Bere a Wonyinsɛn no?
Yiw, hyperthyroidism betumi aba bere a wɔyem no. Wɔ wo ɔsram abiɛsa a edi kan mu no, wo nipadua no fi awosu mu yɛ thyroid hormone ahorow a ɛkɔ soro de boa wo ba no nyin. Bere a nkɔanim kakra yɛ ade a ɛfata no, thyroid hormone dodow a ɛkɔ soro kɛse no hwehwɛ sɛ w’akwahosan ho ɔyaresafo hwɛ so yiye na odi ho dwuma . Thyroid dodow a wontumi nni so no betumi de akwahosan ho asiane aba wo ne wo ba a ɔrenyin no nyinaa so.
Ɛtɔ mmere bi a, sɛ wobehu sɛ obi anya hyperthyroidism bere a wɔyem a, ebetumi ayɛ anifere efisɛ nyinsɛn mu sɛnkyerɛnne a ɛfata te sɛ ɔbrɛ, ɔhyew a wontumi nnyina ano, ne koma a ɛbɔ ntɛmntɛm no betumi asuasua thyroid a ɛyɛ adwuma boro so no.
Sɛ Wowɔ Hyperthyroidism a, Nnuan Bɛn na Ɛsɛ sɛ Wokwati?
Wɔ tebea horow bi mu no, nnuan a iodine pii wom anaasɛ wɔde iodine ka ho a wobedi no betumi akanyan hyperthyroidism anaasɛ ama ayɛ kɛse.
Sɛ wowɔ hyperthyroidism a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ yɛ nsakrae wɔ w’aduan mu. Bere nyinaa kɔ wo duruyɛfo anaa aduan ho ɔbenfo a wɔakyerɛw ne din nkyɛn ansa na woayɛ nsakrae kɛse wɔ w’aduan mu. Ma ɛntra w’adwenem sɛ aduan nkutoo ntumi nsa hyperthyroidism; mpɛn pii no, ayaresa ho hia.
Sɛ wo duruyɛfo kamfo kyerɛ sɛ wunni aduan a iodine nnim a, ebia ebehia sɛ woto nnuan a edidi so yi ano hye anaasɛ wokwati:
- Nsunam
- Po mu nnua ne kelp
- Krak ne ɔkɔre
- Sushi a wɔde yɛ adwuma
- Mɔnkɔ
- Algae ne alginates a ɛyɛ atɛkyɛ
- Nneɛma a wɔde nufusu yɛ, te sɛ nufusu ne kyiisi
- Nkwaa a wɔayam
- Nkyene a wɔde iod ayɛ
Nkrasɛm a Wɔde Kɔ Fie
Sɛ obi nya yare biara a, ebetumi ate nka sɛ ɛyɛ den mfiase no. Nanso kae sɛ hyperthyroidism yɛ nea wotumi di ho dwuma yiye na wotumi sa. Sɛ wote nka sɛ wo nipadua retu mmirika wɔ kar a ɛboro so so, anaasɛ worehyia dadwen, wo ho popo, anaa mmirikatu ho adwene a, yɛsrɛ wo kɔ oduruyɛfo nkyɛn. Sɛ woyɛ nhwehwɛmu kakraa bi a ɛnyɛ den a, w’akwahosan ho ɔyaresafo betumi aboa ma wo nipadua no asan ayɛ nea ɛkari pɛ. Gye ahome —sɛ wohwɛ yiye a, wubetumi asan anya w’akwahosan na woate nka sɛ wo ho bio!
