So wote nka nso sɛ woabrɛ na woayɛ ɔkwasea wɔ ɔkwan soronko so a ntease biara nnim nna bi? So wote nka sɛ wo mu yɛ duru kakra? So wotaa te awɔw nka? Ɛwom sɛ yɛtaa susuw sɛ eyinom yɛ nneɛma a ɛfata de, nanso ɛtɔ mmere bi a nea ɛde saa sɛnkyerɛnne ahorow yi ba no betumi ayɛ tebea bi a wɔfrɛ no Hashimoto Yare. Mma ɛnhaw wo, eyi nyɛ nea asiane wom sɛnea edin no kyerɛ no. Momma yɛnka eyi ho asɛm tiawa na emu nna hɔ.
Dɛn ne Hashimoto Yare no?
Sɛ yɛbɛka no tiawa a, Hashimoto yare no yɛ tebea a ɔhaw bi a ɛwɔ yɛn nipadua mu ahoɔden a ɛko tia nyarewa no mu no nya thyroid ntini no so nkɛntɛnso. Wɔfrɛ eyi tebea a nipadua no tumi ko tia nyarewa . Eyi kyerɛ sɛ yɛn nipadua no ahobammɔ nhyehyɛe no di mfomso tow hyɛ yɛn ankasa nkwammoaa a ɛte apɔw so, wɔ eyi mu no, thyroid ntini no. Mpɛn pii no, eyi yɛ tebea a ɛkɔ so wɔ nkwa nna nyinaa mu (a enni sabea).
Susuw ho hwɛ, thyroid gland yɛ ntini ketewaa bi a ɛte sɛ ntontom a ɛwɔ honam ani wɔ yɛn kɔn anim. Ɛyɛ yɛn endocrine nhyehyɛe no fã. Ɛma thyroid hormone ahorow ba na ɛhwɛ nneɛma pii so wɔ yɛn nipadua mu.
Adwuma titiriw a thyroid ntini no yɛ ne sɛ ɛbɛhwɛ sɛnea yɛn nipadua no mu nneɛma kɔ so ntɛmntɛm no so. Ɛne sɛ, sɛnea aduan a yedi no dan ahoɔden. Sɛ yɛte asɛmfua metabolism a, yɛtaa dwen mu duru a ɛkɔ soro ne nea ɛso tew nkutoo ho. Nanso nokwarem no, adeyɛ yi ka nipadua no akwaa biara, a yɛn koma ne yɛn amemene ka ho.
Wɔ Hashimoto yare no mu no, yɛn nipadua mu tumi a ɛko tia nyarewa no tow hyɛ thyroid gland no so, na ɛma entumi nyɛ thyroid hormone a ɛdɔɔso. Wɔfrɛ saa tebea yi hypothyroidism . Eyi ma yɛn nipadua mu nneɛma a ɛsakra no brɛ ase na ɛde sɛnkyerɛnne ahorow ba.
Saa yare yi abu so dɛn? Hena na ɛda adi kɛse sɛ obenya bi?
Hashimoto yare no yɛ yare a abu so yiye ankasa. Wɔ aman te sɛ Amerika mu no, nnipa 100 biara mu 5 na wɔwɔ saa yare yi. Mprempren tebea yi reyɛ kɛse wɔ Sri Lanka. Wɔ aman a nkyene ne aduan a wɔde iod ayɛ dɔɔso wom mu no, Hashimoto yare no ne ade titiriw a ɛde hypothyroidism ba.
Ɛwom sɛ saa yare yi tumi nya wɔ mfe biara mu de, nanso ɛda adi sɛ mmea benya bi sen mmarima bɛyɛ mpɛn 10. Wɔtaa hu no kɛse wɔ mmea a wɔadi fi mfe 30 kosi 50 mu.
Dɛn ne Hashimoto yare no ho sɛnkyerɛnne?
Nnipa binom a wɔwɔ Hashimoto yare no nni sɛnkyerɛnne biara wɔ ne mfiase. Bere a yare no kɔ so no, ɛtɔ mmere bi a thyroid ntini no betumi ahonhon. Wɔfrɛ eyi sɛ goiter.Mpɛn pii no, eyi ne Hashimoto yare no ho sɛnkyerɛnne a edi kan. Ɛwom sɛ ɛnyɛ yaw de, nanso ebia wobɛte nka sɛ wo kɔn anim ayɛ ma. Ebia ɛbɛyɛ te sɛ nea ahonhon nso.
Bere kɔ so no, sɛ hypothyroidism ba esiane Hashimoto yare no nti a, sɛnkyerɛnne ahorow a edidi so yi betumi ada adi mmiako mmiako.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Ɔbrɛ ne ɔbrɛ | Ɔbrɛ a ɛkɔ so daa, ɔbrɛ, ne nna a ɛboro so a ntease biara nnim. |
| Mu duru a ɛkɔ soro | Nipadua mu duru kɔ soro nkakrankakra ɛmfa ho sɛ wodi aduan so na wɔteɛteɛ wɔn apɔw mu no. |
| Nkɛntɛnso a enya wɔ honam ani | Wora a ɛyɛ kusuu, ti nhwi a ɛtɔ, ti nhwi a ɛyɛ mmerɛw na ɛyɛ mmerɛw. |
| Awɔw a wɔte nka | Awɔw a ɛtra so a wobɛte nka, wɔ tebea a ɛyɛ nea ɛfata ma afoforo mpo mu. |
| Adwene mu nsunsuanso | Awerɛhow, adwenemhaw, nkae a ɛyɛ den, ɛyɛ den sɛ wode w’adwene besi biribi so. |
| Nsakrae a ɛba nipadua mu | Akisikuru, koma a ɛbɔ brɛoo (bradycardia), ntini ne nkwaa mu yaw, anim ne aniwa a ɛho ahonhon. |
| Awo mu akwahosan ho haw ahorow | Mmea betumi anya brayɛ a ɛnkɔ so daa anaasɛ mogya bɛtu wɔn kɛse, nna ho akɔnnɔ so atew, na ayɛ den sɛ wobenyinsɛn. |
Sɛ wowɔ Hashimoto yare a, wo nipadua te nka dɛn?
Sɛ wowɔ Hashimoto yare nanso ɛnyɛ hypothyroidism a, ebia worenhu nsakrae biara.
Nanso sɛ wowɔ hypothyroidism a, ebia wobɛte nka sɛ biribiara a ɛwɔ wo nipadua mu reyɛ adwuma wɔ "slow motion."
Fa no sɛ wo nipadua engine no reyɛ brɛoo. Wunni ahoɔden a wode betu mmirika, ahuruhuruw, anaa wobɛteɛteɛ w’apɔw mu sɛnea na woyɛ kan no. Wo koma bɔ nso brɛoo. W’amemene te sɛ sum, wo werɛ fi nneɛma, na wuntumi mfa w’adwene nsi biribi so. Wote awerɛhow ne abasamtu nso nka. Wo aduan mu nneɛma nso reyɛ adwuma nkakrankakra, na ebetumi ama woayɛ akisikuru.
Sɛ wo nso wote nka sɛ wo nipadua ne w’adwene akɔ so ayɛ adwuma brɛoo a, akyinnye biara nni ho sɛ wo ne wo duruyɛfo nkasa.
Dɛn nti na Hashimoto yare no ba? Dɛn ne nneɛma a ɛde asiane ba?
Sɛnea yɛadi kan aka no, Hashimoto yare no yɛ yare a nipadua no tumi ko tia nyarewa. Eyi kyerɛ sɛ yɛn nipadua no ankasa ahobammɔ nhyehyɛe reyɛ adwuma atia yɛn. Mpɛn pii no, yɛn nipadua mu tumi a ɛko tia nyarewa no bɔ yɛn ho ban fi amannɔne ntua te sɛ mmoawa ne mmoawa ho. Nanso wɔ Hashimoto de no mu no, eyi ne nea ɛba:
1. Esiane biribi a wonnim nti, wo nipadua mu tumi a ɛko tia nyarewa no fi ase yɛ nnuru a ɛko tia nyarewa a ɛtow hyɛ thyroid ntini no so.
2. Mogya mu nkwammoaa fitaa pii, titiriw nea wɔfrɛ no lymphocytes , boaboa ano wɔ thyroid ntini no mu.
3. Eyi ma thyroid ntini no ho yɛ hyew. Wɔfrɛ eyi thyroiditis . Saa ɔfe ne antibody ntua yi sɛe ntini no.
4. Bere kɔ so no, saa ɔsɛe yi ma thyroid ntini no ntumi nyɛ hormone a ɛdɔɔso mma nipadua no, na ɛde hypothyroidism ba .
Nneɛma pii wɔ hɔ a ebetumi ama obi anya Hashimoto yare no:
- Abusua abakɔsɛm: Sɛ obi wɔ w’abusua mu wɔ Hashimoto yare anaa thyroid yare afoforo a, ɛda adi sɛ wubenya bi. Nhwehwɛmu kyerɛ sɛ nsɛm a ɛba no mu 80% fi awosu mu.
- Ɔbarima ne Ɔbea Nna: Sɛnea yɛadi kan aka no, mmea betumi anya saa yare yi mmɔho 10.
- Mfe a obi adi: Asiane a ɛwɔ hɔ sɛ obenya saa yare yi no yɛ kɛse bere a obi nyin no.
Afei nso, sɛ wowɔ tebea foforo a nipadua no tumi ko tia nyarewa a, ɛda adi sɛ wubenya Hashimoto yare no. Nhwɛsoɔ:
- Asikreyare a ɛto so 1
- Ntini mu yare a ɛma ntini mu yare
- Lupus a ɛyɛ hu
- Celiac yare a ɛma obi nya yare
Ɔkwan bɛn so na wohu Hashimoto yare no?
Sɛ wo bisa wo yare no ho sɛnkyerɛnne wie a, wo duruyɛfo no bedi kan ahwɛ wo. Ɔbɛbɔ wo kɔn mu titiriw de ahwɛ sɛ ebia thyroid gland (goiter) a ahonhon anaa. Afei ɔbɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu mpɛn pii na ama wɔahu sɛ obi anya yare no.
- TSH (Thyroid-Stimulating Hormone) Sɔhwɛ: TSH dodow a ɛkɔ soro kyerɛ sɛ wo thyroid ntini no ntumi nyɛ T4 hormone a ɛdɔɔso. Eyi yɛ sɛnkyerɛnne titiriw a ɛkyerɛ sɛ obi anya hypothyroidism.
- Free T4 (Thyroxine) test: Sɛ T4 dodow no sua a, ɛsan si tebea a ɛne hypothyroidism no so dua.
- Antithyroid Antibody Test: Sɛ wowɔ saa antibody pɔtee yi wɔ wo mogya mu a, wobetumi ahu pefee sɛ nea ɛde wo hypothyroidism ba ne Hashimoto yare.
Wɔ tebea horow bi mu no, ebia wo duruyɛfo nso bɛkamfo akyerɛ sɛ wɔnyɛ thyroid ultrasound mfa nhwɛ sɛnea wo thyroid gland no kɛse te ne sɛ ebia ntini bi wɔ hɔ anaa.
Ɔkwan bɛn so na wɔsa?
Ɛnyɛ obiara a ɔwɔ Hashimoto yare no na obenya hypothyroidism. Sɛ wo mogya mu nkwammoaa a ɛko tia nyarewa no dɔɔso nanso wo TSH ne T4 dodow yɛ nea ɛfata a, ebia wo duruyɛfo no mfi ayaresa ase, nanso ɔbɛhwɛ wo denam mogya mu nhwehwɛmu a wɔbɛyɛ no daa so.
Nanso sɛ Hashimoto na ɛde hypothyroidism ba a, ayaresa titiriw ne nea eye sen biara ne aduru bi a wɔfrɛ no levothyroxine . Eyi yɛ T4 hormone a wɔayɛ. Wɔnom saa aduru yi sɛ aduru a wɔde di dwuma da biara da.
Sɛ wode saa aduru yi di dwuma a, wubetumi ama thyroid hormone dodow a ɛho hia a ɛwɔ nipadua no mu no asan aba bio. Ade a ɛho hia sen biara ne sɛ ɛsɛ sɛ wonom saa aduru yi da biara da wo nkwa nna nyinaa .
Ebia nnuru dodow a wuhia no bɛsakra bere a bere kɔ so no. Enti, ɛho hia yiye sɛ wobɛyɛ mogya mu nhwehwɛmu daa sɛnea wo duruyɛfo akyerɛ wo no na woayɛ nsakrae wɔ dodow a wode ma no mu sɛnea ɛho hia.
So aduru no ho nsunsuanso bɔne bi wɔ hɔ?
Nsunsuanso bɔne a efi levothyroxine mu ba no ntaa mma. Sɛ ɛba a, nea enti titiriw ne sɛ worenom pii asen nea wuhia. Eyi betumi ama obi anya tebea bi a wɔfrɛ no thyrotoxicosis , a nipadua no yɛ thyroid hormone pii dodo. Nsɛnkyerɛnne no ne:
- Koma a ɛbɔ (tachycardia) - mpɛn pii no ɛboro 100 a ɛbɔ simma biara.
- Koma a ɛbɔ daa (arrhythmia).
- Mu duru a wɔtew so a ntease biara nnim.
- Te a wɔte nka sɛ wowosow.
- Ahomegye a wonni, abufuw.
- Ɔhyew a wontumi nnyina ano ne fifiri a ɛboro so.
Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, ka kyerɛ wo duruyɛfo ntɛm ara.
So aduan titiriw bi wɔ hɔ ma Hashimoto ayarefo?
Aduan pɔtee biara nni hɔ a wɔde ma Hashimoto yare no. Nanso, nnuan, nnuru, ne vitamin ahorow bi betumi asiw levothyroxine a wɔtwe no kwan. Nhwɛso ahorow bi ne:
- Iron ne calcium a wɔde ma.
- Nnuru ahorow bi a ekum asikre.
Sɛ wonom biribi te sɛ eyi a, wubetumi akwati ɔhaw yi denam wo thyroid pill a wobɛnom nnɔnhwerew 4 ansa na woanom anaasɛ ɛno akyi no so.
Adidi pa, apɔw-mu-teɛteɛ, nna a ɛdɔɔso, ne adwennwen a wubedi ho dwuma nyinaa betumi aboa wo nipadua mu ahoɔden a ɛko tia nyarewa no. Nanso ɛmfa ho nea wobɛyɛ no, sɛ wowɔ hypothyroidism a, ɛho hia sɛ wonom w’aduru no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ.
So Hashimoto yare no yɛ asiane wɔ nyinsɛn mu?
Sɛ wɔannya hypothyroidism bere a wɔyem a, ebetumi ayɛ asiane ama ɛna ne akokoaa nyinaa.
- Nyinsɛn a wotu gu
- Awo a ɛba ntɛm
- Mogya mmoroso bere a wɔyem (preeclampsia) .
Afei nso, sɛ wɔansa a, ebetumi aka akokoaa no nyin ne n’amemene nkɔso. Enti sɛ wowɔ Hashimoto yare na woreyɛ nhyehyɛe sɛ wubenyinsɛn anaasɛ woanyinsɛn dedaw a, ka kyerɛ wo duruyɛfo ntɛm ara. Sɛ wɔsa no yare na wɔhwɛ no yiye a, ɔhaw biara nni akokoaa a ɔwɔ apɔwmuden a wɔbɛwo no mu.
Nsɛm a ɛhia sɛ wɔsa yareɛ ntɛm (nsɛm a ɛhia sɛ wɔkɔ ETU) .
Wɔ hypothyroidism a emu yɛ den yiye a wɔansa mu no, tebea a egye ntɛmpɛ a ɛntaa nsi nanso ɛde nkwa to asiane mu a wɔfrɛ no myxedema coma betumi aba. Sɛ sɛnkyerɛnne ahorow a edidi so yi wɔ hɔ a, fa ɔyarefo no kɔ ayaresabea a ɛbɛn hɔ no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara .
- Nipadua mu hyew a ɛba fam koraa (hypothermia).
- Nipadua a ɛho ahonhon, titiriw anim, tɛkrɛma, ne nan.
- Koma a ɛbɔ brɛoo yiye ne koma a ɛbɔ brɛoo.
- Ɔhome yɛ brɛoo anaasɛ ɛyɛ den yiye.
- Adwene a ɛyɛ basaa anaasɛ adwenem naayɛ a ɛyera.
Ɛyɛ ade a ɛfata sɛ wobɛte ehu ne dadwen nka bere a wɔahu sɛ wowɔ tebea bi foforo no. Nanso nea eye sen biara ne sɛ Hashimoto de no yɛ tebea a wotumi sa na wotumi di ho dwuma. Sɛ wowɔ saa nsɛnkyerɛnne yi, anaa sɛ obi a ɔwɔ w’abusua mu wɔ thyroid yare a, ntwentwɛn wo nan ase sɛ wobɛkɔ wo duruyɛfo nkyɛn. Mogya mu nhwehwɛmu a ɛnyɛ den betumi ahu sɛ wo thyroid reyɛ adwuma yiye anaa.
Nkrasɛm a Wɔde Kɔ Fie
- Hashimoto yɛ yare a nipadua no tumi ko tia nyarewa a yɛn ankasa nipadua mu ahoɔden a ɛko tia nyarewa no tow hyɛ yɛn thyroid ntini no so.
- Saa yare yi ne ade titiriw a ɛma thyroid dwumadi so tew (hypothyroidism).
- Nsɛnkyerɛnne te sɛ ɔbrɛ bere nyinaa, mu duru a ɛkɔ soro, awɔw a wɔte nka, honam ani a ɛyɛ kusuu, ne akisikuru abu so.
- Ayaresa no yɛ levothyroxine aduru a wɔde di dwuma da biara da, a ɛsɛ sɛ wɔnom nkwa nna nyinaa.
- Sɛ wosa wo yare yiye na wohwɛ wo wɔ aduruyɛ mu a, wubetumi atra ase wɔ apɔwmuden koraa a ɛfata mu.
- Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, mmu w’ani ngu so. Hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn akɔhwehwɛ afotu.
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