So woabrɛ kɛkɛ? So wo kɔn ahonhon? Ebia eyi ne Hashimoto Yare no!

So ɛtɔ mmere bi a wote nka sɛ woabrɛ, wo ho ayɛ wo hyew, anaasɛ wo werɛ ahow kakra kɛkɛ? So wo mu duru reyɛ kɛse? Anaasɛ wote nka sɛ wo kɔn anim ahonhon kakra? Eyinom betumi ayɛ tebea bi a wɔfrɛ no Hashimoto yare no ho sɛnkyerɛnne. Ebia edin yi a wobɛte no bɛma woabɔ hu kakra. Nanso mma nsuro. Ɛnnɛ, yɛbɛka Hashimoto Yareɛ no ho asɛm kɔ akyiri na ɛnyɛ den koraa.

Dɛn ne Hashimoto Yare no?

Sɛ yɛbɛka no tiawa a, Hashimoto yare no yɛ tebea a ɔhaw ketewaa bi a ɛwɔ yɛn ankasa nipadua mu tumi a ɛko tia nyarewa, nhyehyɛe a ɛbɔ yɛn ho ban fi nyarewa ho no mu ba. Nea ɛba wɔ asɛm yi mu ne sɛ yɛn ankasa nkwammoaa a ɛbɔ yɛn ho ban no tow hyɛ yɛn thyroid ntini no so. Sɛ eyi ba bere kɔ so a, thyroid gland no ntumi nyɛ adwuma yiye, na hormone dodow a ɛyɛ no so tew. Yɛfrɛ tebea yi hypothyroidism . Hashimoto yare no yɛ nkwa nna nyinaa mu tebea a enni sabea.

Dɛn ne thyroid ntini no? Ɔkwan bɛn so na ɛho hia ma yɛn nipadua?

Thyroid gland yɛ ntini ketewaa bi a ɛte sɛ ntontom a ɛwɔ wo kɔn anim, wɔ honam ani pɛɛ. Ɛyɛ yɛn endocrine nhyehyɛe no fã . Ɛma thyroid hormone ahorow ba na ɛma ɛkɔ mogya no mu.

Dwumadi titiriw a thyroid ntini no yɛ ne sɛ ɛbɛhwɛ sɛnea yɛn nipadua no mu nneɛma a ɛsakra no ntɛmntɛm so . Metabolism yɛ ɔkwan a wɔfa so dan aduan a yedi no ma ɛbɛyɛ ahoɔden. Yɛtaa susuw eyi ho wɔ yɛn mu duru a ɛkɔ soro anaasɛ ɛso tew nkutoo mu, nanso nokwarem no, saa adeyɛ yi ka yɛn nipadua mu akwaa biara, a yɛn koma ne yɛn amemene ka ho.

Dɛn na ɛkɔ so ankasa wɔ Hashimoto yare no mu?

Wɔ nnipa pii a wɔwɔ Hashimoto yare no mu no, thyroid ntini no ntumi nyɛ thyroid hormone a ɛdɔɔso mma nipadua no. Ne saa nti, nipadua mu nneɛma a ɛsakra a yɛadi kan aka ho asɛm no fi ase brɛ ase. Ɛno na sɛnkyerɛnne ahorow no fi ase da adi.

Japanni oduruyɛfo bi a wɔfrɛ no Oduruyɛfo Hakaru Hashimoto na odii kan huu saa yare yi wɔ 1912 mu. Ɛno nti na wɔfrɛ no Hashimoto yareɛ no. Wɔsan frɛ no sɛ:

• Hashimoto a ɛyɛ thyroid yare
• Thyroiditis a enni sabea a nipadua no tumi ko tia nyarewa
• Ntini a ɛma mogya tu a ɛma mogya tu

Hashimoto yare no abu so dɛn? Hena na ɛda adi kɛse sɛ obenya bi?

Hashimoto yare no yɛ yare a abu so yiye . Sɛnea akontaabu kyerɛ wɔ aman bi so no, ebetumi aka nnipa 100 biara mu 5.

Wɔ aman a nkyene a wɔde iodine ahyɛ mu ne nnuan afoforo a iodine wom abu so mu no, Hashimoto yare no ne ade titiriw a ɛde hypothyroidism ba. Wɔ aman foforo so no, iodine a enni nipadua mu no ne ade titiriw a ɛde ba.

Hena na onya? Obiara, mfe biara a wadi no, betumi anya Hashimoto yare no. Mmom,Mmea taa nya yare no sen mmarima bɛyɛ mpɛn 10, na mmea a wɔadi fi mfe 30 kosi 50 na wɔtaa hu.

Dɛn ne Hashimoto yare no ho sɛnkyerɛnne? Wote nka dɛn?

Ebia nnipa binom wɔ Hashimoto yare no nanso wɔnkyerɛ 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. Ɛnyɛ yaw, nanso ebetumi ayɛ te sɛ nea biribi ayɛ ma wɔ kɔn no ase. Ebia ɛbɛyɛ te sɛ nea kɔn no anim nso ahonhon.

Sɛ thyroid hormone so tew esiane Hashimoto yare (Hypothyroidism) nti, bere kɔ so no, sɛnkyerɛnne ahorow a edidi so yi betumi ada adi:

• Dae, ɔbrɛ a ɛtra so, ne hia a ehia sɛ ɔda bere nyinaa.
• Mu duru a ɛkɔ soro kakra.
• Ayamtim.
• Wora a ɛyɛ nwunu.
• Awɔw a wontumi nnyina ano.
• Koma a ɛbɔ brɛoo sen sɛnea ɛte daa (Bradycardia).
• Nkwaa mu yaw ne ntini mu yaw.
• Nwi a ayow, ti nhwi a abubu, ti nhwi a ɛso tew anaasɛ ti nhwi a ɛtɔ.
• Anigye a ɛso tew, adwenemhaw.
• Aniwa ne anim a ɛho ahonhon.
• Nkae a ɛso tew, ɛyɛ den sɛ wode w’adwene besi biribi so.
• Brayɛ a ɛnkɔ so daa anaasɛ mogya a ɛtɔ kɛse wɔ mmea mu.
• Ɔbarima ne ɔbea nna ho akɔnnɔ a ɛso tew.
• Awo a wontumi nwo wɔ ɔbarima anaa ɔbea mu.

Obi a ɔwɔ Hashimoto yare no taa te nka dɛn?

Sɛ wowɔ Hashimoto yare mpo a, sɛ wo thyroid hormone no sua (hypothyroidism) a, ebia worenhu nsonsonoe kɛse.

Nanso, sɛ wowɔ hypothyroidism a, ebia wobɛte nka sɛ "biribi anyɛ yiye." "Hypo-" kyerɛ sɛ "ɛsua" anaa "ase." Enti wubetumi asusuw hypothyroidism ho sɛnkyerɛnne no ho sɛ "nneɛma ahorow a ɛkɔ so brɛoo" wɔ nipadua no mu.

Ebia wobɛte nka sɛ ahoɔden nnim sɛnea na woyɛ kan no, na ebia wuntumi teɛteɛ w’apɔw mu sɛnea na woyɛ kan no. Sɛ wode afiri a wɔde hwɛ sɛnea wo ho yɛ den di dwuma a, ebia ɛbɛyɛ te sɛ nea wo koma bɔ sua sen sɛnea na ɛte kan no. Ebia wubenya amemene mu sum, na ebia ɛbɛyɛ den sɛ wobɛkae nneɛma. Hypothyroidism nso betumi "abrɛ" wo adwene ase - ebia wobɛte awerɛhow ne adwenemhaw nka. Ebetumi nso atew wo nna ho akɔnnɔ so na ama wo aduan mu nhyehyɛe ayɛ brɛoo - a ɛkyerɛ sɛ ebia worennya dwensɔtwaa mpɛn pii sɛnea na woyɛ kan no.

Sɛ wo nipadua ne w’adwene te sɛ nea akɔhyɛ sini a wɔde brɛoo yɛ mu 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?

Nea ɛde ba: Yɛn ankasa ahobammɔ nhyehyɛe a entumi nyɛ adwuma yiye (Autoimmune Disease) .

Hashimoto yɛ yare a nipadua no tumi ko tia nyarewa . Ɛno kyerɛ sɛ wo nipadua no ankasa nipadua mu ahoɔden a ɛko tia nyarewa no tow hyɛ w’ankasa wo nkwammoaa ne akwaa ahorow so. Fa no sɛ, te sɛ asraafo a wɔkyerɛ sɛ wɔbɔ yɛn man ho ban no reto ahyɛ yɛn man so.

Mpɛn pii no, yɛn nipadua mu tumi a ɛko tia nyarewa no bɔ yɛn ho ban fi nneɛma a epira te sɛ mmoawa ne mmoawa ho. Nanso wɔ Hashimoto yare no mu no, eyi ne nea ɛba:

• Wo nipadua mu tumi a ɛko tia nyarewa no, esiane biribi a wonnim nti, yɛ nnuru a ɛko tia nyarewa a ɛtow hyɛ wo thyroid ntini so.
• Mogya mu nkwammoaa fitaa pii, titiriw lymphocytes , boaboa ano wɔ thyroid ntini no mu.
• Saa nneɛma a ɛboaboa ano yi ma thyroid gland no ho hyehye, anaasɛ thyroiditis , na ɛsɛe ntini no.
• Bere kɔ so no, saa ɔsɛe yi ma thyroid gland no ntumi nyɛ thyroid hormone a ɛdɔɔso mma nipadua no. Eyi ne nea ɛde `Hypothyroidism` ba.
• Nanso, ɛnyɛ obiara a ɔwɔ Hashimoto yare no na onya hypothyroidism.

Nneɛma a ɛma asiane kɔ soro

Nneɛma pii wɔ hɔ a ɛma asiane a ɛwɔ hɔ sɛ obi benya Hashimoto yare no yɛ kɛse:

• Abusua abakɔsɛm: Nhwehwɛmu ada no adi sɛ asiane a ɛwɔ hɔ sɛ wubenya Hashimoto yare no bɛyɛ 80% fi awosu mu nneɛma. Sɛ wo mogya abusuafo wɔ Hashimoto yare anaa thyroid nyarewa afoforo a, ɛda adi sɛ wo nso wubenya bi.
• Bɔbeasu: Mmea taa nya saa tebea yi bɛyɛ mpɛn 10 sen mmarima. Nkɛntɛnso a nna mu nkwaadɔm nya nso betumi ayɛ ade a ɛde ba.
• Mfe a obi adi: Asiane a ɛwɔ hɔ sɛ obenya saa yare yi (ne thyroid nyarewa afoforo) no yɛ kɛse bere a obi nyin no.

Afei nso, sɛ wowɔ nyarewa afoforo a nipadua no tumi ko tia nyarewa te sɛ:

• Addison yare no
• Celiac yare a ɛma obi nya yare
• Lupus a ɛyɛ hu
• Mogya a ɛtɔ mogya a ɛsɛe ade
• Ntini mu yare a ɛma ntini mu yare
• Sjögren yare a ɛma obi nya ɔyare no
• Asikreyare a ɛto so 1

Ɔkwan bɛn so na wohu Hashimoto yare no?

Wo duruyɛfo bedi kan ayɛ saa nneɛma yi:

• Merebisa wo sɛnkyerɛnne ahorow no ho asɛm.
• Bisa w’ayaresa ho abakɔsɛm (te sɛ ebia obi wɔ w’abusua mu a ɔwɔ thyroid ho haw anaa).
• Wɔbɛyɛ nipadua mu nhwehwɛmu, na wɔde nsa ayɛ wo thyroid ntini no mu nhwehwɛmu.

Sɛ wɔyɛ nhwehwɛmu yi wie a, wɔbɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu pii de si so dua sɛ wɔahu yare no:

• Thyroid Stimulating Hormone Test (TSH test): TSH dodow a ɛkɔ soro taa kyerɛ sɛ wo thyroid ntini no ntumi nyɛ thyroxine (T4) hormone a ɛdɔɔso. Nea afi mu aba yi kyerɛ sɛ wowɔ hypothyroidism anaasɛ subclinical hypothyroidism (tebea a sɛnkyerɛnne biara nni hɔ, nanso nsakrae ba hormone dodow mu).
• Free Thyroxine (Free T4) sɔhwɛ: T4 dodow a ɛba fam yɛ ade foforo a ɛkyerɛ sɛ wowɔ hypothyroidism.
• Antithyroid antibody test: Sɛ wowɔ autoantibodies bi wɔ wo mogya mu a, ɛkyerɛ sɛ nea ɛde wo hypothyroidism no nyɛ biribi foforo te sɛ iodine a wunni, na mmom Hashimoto yare.

Wɔ tebea horow bi mu no, ebia wo duruyɛfo nso bɛkamfo akyerɛ sɛ wɔnyɛ thyroid ultrasound mfa nhwɛ sɛnea thyroid ntini no kɛse te na hwɛ sɛ thyroid nodules (akuru nketenkete a ɛba ntini no so) anaa.

Dɛn ne nnuru a wɔde sa Hashimoto yare no?

So obiara hia nnuru?

Ɛnyɛ obiara a ɔwɔ Hashimoto yare no na onya hypothyroidism. Sɛ wo mogya mu nkwammoaa a ɛko tia nyarewa no dɔɔso nanso wunni ayaresabea sɛnkyerɛnne ahorow a ɛkyerɛ sɛ thyroid no sua a, wo duruyɛfo bɛhwɛ wo thyroid dodow so daa sen sɛ obefi ase ayɛ ayaresa.

Ayaresa titiriw: Levothyroxine

Sɛ wowɔ hypothyroidism esiane Hashimoto yare no nti a, ayaresa titiriw ne aduru bi a wɔfrɛ no levothyroxine . Eyi yɛ T4 hormone a wo thyroid ntini no yɛ no a wɔayɛ.

Levothyroxine wɔ hɔ a wɔde din ahorow ato so. Wo duruyɛfo bɛkyerɛw nea ɛfata ama wo.

Saa aduru yi boa ma thyroid hormone dodow a ɛwɔ wo nipadua mu no san ba. Ɛho behia sɛ wonom da biara da wo nkwa nna nyinaa . Bere kɔ so no, nnuru dodow a ɛsɛ sɛ wonom no betumi asesa. Wo duruyɛfo behu sɛnea ɔbɛyɛ nsakrae wɔ dodow a wɔde ma no mu na ama watumi adi wo hypothyroidism no ho dwuma yiye.

So Levothyroxine wɔ nkɛntɛnso bɔne?

Sɛ worehyia nsunsuanso bɔne a efi levothyroxine mu ba a, ɛda adi sɛ worenom dodo. Eyi betumi de tebea bi a wɔfrɛ no thyrotoxicosis – thyroid hormone a ɛkɔ soro aba.

Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya thyrotoxicosis ne:

• Koma a ɛbɔ ntɛmntɛm (Tachycardia) – mpɛn pii no ɛbɔ bɛboro 100 simma biara.
• Koma a ɛbɔ daa (Arrhythmia).
• Mu duru a ɛso tew a wontumi nkyerɛkyerɛ mu.
• Sɛ wote nka sɛ wo nipadua rewosow.
• Ahomegye a wonni, dadwen, abufuw.
• Ɔhyew ne fifiri ho nkate a ɛkɔ soro sen sɛnea ɛtaa ba.
• Nsakrae a ɛba brayɛ mu.

Sɛ wuhu sɛnkyerɛnne ahorow te sɛ eyinom a, ɛsɛ sɛ woka kyerɛ wo duruyɛfo ntɛm ara.

So nnipa a wɔwɔ Hashimoto yare no hia aduan titiriw bi?

Aduan pɔtee biara nni hɔ a wɔde ma Hashimoto yare no. Nanso, nnuan, nnuru, anaa nnuru a wɔde ka aduan ho binom betumi aka sɛnea levothyroxine a wonom no twetwe no. Nhwɛsoɔ:

• Iron ne calcium a wɔde ma.
• Sucralfate (aduru a wɔde sa yafunu mu akisikuru).
• Cholestyramine ne aluminium hydroxide (a wohu wɔ nnuru bi a ekum asikre mu).

Sɛ wofa eyinom nnɔnhwerew anan ansa na woanom levothyroxine anaasɛ woanom awie a, wubetumi akwati ɔhaw yi.

Sɛ wowɔ nsɛmmisa bi fa aduan ho a, wo ne wo duruyɛfo anaa Registered Dietitian nkasa.

Adidi pa ne asetra a ahoɔden wom (apɔw-mu-teɛteɛ, nna a ɛfata, adwennwen a wubedi ho dwuma) bɛboa wo nipadua mu ahoɔden a ɛko tia nyarewa no. Nanso, sɛ wowɔ hypothyroidism a, ɛho hia sɛ wonom w’aduru no yiye ɛmfa ho nea ɛbɛba biara.

So wobetumi asa Hashimoto yare no koraa? So wobetumi asiw ano?

Nea ɛyɛ awerɛhow no, aduru anaa ɔkwan biara nni hɔ a wɔbɛfa so asan Hashimoto yare no. Nanso, nnuru a wɔde di dwuma nkwa nna nyinaa betumi aboa ma wɔadi hypothyroidism ne thyroid hormone dodow so.

Nea ɛyɛ awerɛhow no, biribiara nni hɔ a yebetumi ayɛ de asiw Hashimoto yare no ano efisɛ yentumi nsakra asiane ahorow a ɛka no - nneɛma te sɛ awosu mu nkwaadɔm ne mfe a obi adi.

Dɛn ne nsɛnnennen a ebetumi afi Hashimoto yare no asetra mu aba?

Sɛ wɔhwɛ nnipa a wɔwɔ Hashimoto yare no so yiye na wɔsa wɔn yare wɔ wɔn nkwa nna nyinaa mu a, wobetumi anya akwahosan pa paa .

Nanso, sɛ wɔansa hypothyroidism a Hashimoto yare no de ba no yare a, akwahosan ho haw ahorow a edidi so yi betumi aba:

• Cholesterol a ɛdɔɔso.
• Koma mu yare ne komayare.
• Mogya mmoroso.
• Hahaahayɔ.
• Myxedema koma a wɔde ma . Eyi yɛ ɔhaw a ɛntaa nsi a ɛde nkwa to asiane mu a efi hypothyroidism a emu yɛ den mu ba. Nipadua no dwumadi brɛ ase araa ma ebetumi ama obi awu mpo.

Hashimoto yare bere a wɔyem

Sɛ wɔannya hypothyroidism bere a wɔyem a, asiane ahorow a edidi so yi betumi ayɛ kɛse:

• Nyinsɛn a wotu gu.
• Awo a ɛba ntɛm.
• Awo a wɔawuwu.

Anaasɛ, ebia wubenya tebea bi a wɔfrɛ no preeclampsia, a ɛyɛ mogya mmoroso a asiane wom wɔ nyinsɛn no awiei. Hypothyroidism a wɔansa no betumi aka wo ba a ɔhyɛ yafunu mu no nyin ne n’amemene mu nkɔso. Enti, wo nnuruyɛfo bɛboa wo ma woadi wo hypothyroidism no ho dwuma yiye bere a wonyinsɛn no.

Hypothyroidism nyɛ nea ɛntaa nsi wɔ nyinsɛn mu. Nanso, ne sɛnkyerɛnne ahorow (te sɛ ɔbrɛ ne mu duru a ɛkɔ soro) te sɛ nea wohu wɔ nyinsɛn a ɛfata mu no, enti ɛtɔ mmere bi a wobetumi ayera. Sɛ wote nka sɛ wowɔ hypothyroidism ho sɛnkyerɛnne ahorow, anaasɛ wususuw sɛ ebia worenya goiter a, ka kyerɛ wo duruyɛfo ntɛm ara.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn? Dɛn ne ntɛmpɛ?

Aduruyɛfo a wɔbɛkɔ akɔhwɛ no daa

Sɛ wowɔ Hashimoto yare no a, ɛho behia sɛ wokɔ wo duruyɛfo nkyɛn daa . Ɔbɛyɛ mogya mu nhwehwɛmu de ahwɛ sɛ wo thyroid hormone dodow te sɛ nea ɛfata na nnuru dodow a worenom no fata wo.

Bio nso, sɛ wunya yare no ho sɛnkyerɛnne foforo, sɛ wo sɛnkyerɛnne a ɛwɔ hɔ dedaw no mu yɛ den, anaasɛ wuhu nsakrae biara wɔ wo thyroid ntini mu (sɛ nhwɛso no, ɛho wosow) a, kɔ wo duruyɛfo nkyɛn.

Nsɛm a ɛhwehwɛ sɛ wɔde obi kɔ ayaresabea ntɛm ara (Myxedema Coma) .

Sɛ wuhu myxedema coma ho sɛnkyerɛnne a, frɛ 911 anaa kɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara sɛnea wubetumi. Saa ɔhaw a emu yɛ den a ɛne hypothyroidism yi de nkwa to asiane mu!

Saa su ahorow no ne:

• Hypothermia yɛ nipadua mu hyew a ɛkɔ fam sen digrii Celsius 35 (digrii Fahrenheit 95).
• Nipadua mu a ɛho ahonhon (edema), titiriw wɔ anim, tɛkrɛma, ne nan ase.
• Koma a ɛbɔ brɛoo yiye na ne koma bɔ brɛoo.
• Ɔhome a ɛyɛ brɛoo (Bradypnea) ne ahome a ɛyɛ den (Dyspnea).
• Adwene a ɛyɛ basaa anaasɛ adwenem naayɛ a ɛyera.

Nea etwa to no, nneɛma kakraa bi a ɛsɛ sɛ wode sie w’adwenem (Take-Home Message) .

Ɛyɛ ade a ɛfata sɛ wobɛte adwennwen ne ehu nka kakra bere a woahu sɛ woanya yare foforo no. Nanso asɛmpa no ne sɛ Hashimoto yare no yɛ yare a wɔhwɛ so yiye na wotumi sa .

Sɛ wususuw sɛ ebia wowɔ Hashimoto yare no ho sɛnkyerɛnne, anaasɛ wowɔ asiane ahorow te sɛ abusua abakɔsɛm a wowɔ thyroid yare a, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn. Wobetumi ayɛ nhwehwɛmu ahorow bi a ɛnyɛ den de ahwɛ sɛ ebia wo thyroid no reyɛ hormone ahorow a ɛdɔɔso anaa. Kae sɛ dodow a wohu no ntɛm no, dodow no ara na wobetumi afi ayaresa ase ntɛm. Afei wubetumi abɔ bra a apɔwmuden na ahotɔ wom.

` Hashimoto yareɛ, thyroid, hypothyroidism, nyarewa a nipadua no tumi ko tia nyarewa, thyroid hormone, levothyroxine, goiter