So wo thyroid ntini no ahonhon wɔ wo kɔn mu? Momma yɛnka thyroiditis ho asɛm!

So woate nka pɛn sɛ wo kɔn anim ayɛ kurukuruwa ketewaa bi, wo nsa mu ayɛ wo yaw, anaasɛ woabrɛ na woayɛ basaa kɛkɛ? Ade biako nti a eyi ba ne tebea bi a wɔfrɛ no thyroiditis . Ebia edin no bɛyɛ te sɛ asɛm kɛse, nanso momma yɛnka ho asɛm tiawa na yɛmfa ɔkwan a wubetumi ate ase so.

Dɛn ne Thyroiditis? Momma yɛnte ase kɛkɛ!

Sɛ yɛbɛka no tiawa a, thyroiditis yɛ wo thyroid gland a ɛyɛ hyew , a ɛkyerɛ sɛ ɛho ahonhon. Seesei ebia woresusuw nea thyroid ntini no yɛ ne baabi a ɛwɔ ho. Susuw ho saa kwan yi so, thyroid gland yɛ akwaa ketewaa bi a ɛte sɛ ntontom wɔ wo kɔn anim, wɔ honam ani pɛɛ. Ɛyɛ yɛn nipadua no endocrine nhyehyɛe no fã . Ɛma hormone ahorow pii a ɛhwɛ dwumadi ahorow a ɛho hia pii so wɔ yɛn nipadua mu na ɛyi fi mu. Afei, tebea a wɔfrɛ no thyroiditis yi nyɛ ade biako pɛ. Nokwarem no, ɛyɛ din a wɔde frɛ tebea horow kuw bi a ɛma thyroid ntini no ho hyehye, a ɛsono nea ɛde ba ne ne sɛnkyerɛnne ahorow. Ade titiriw a ebetumi de saa thyroiditis yi aba ne sɛ thyroid hormone ahorow no yɛ pii dodo anaasɛ ɛyɛ kakraa bi dodo.

Dɛn ne thyroiditis no fã ahorow?

Mpɛn pii no, nneɛma atitiriw abiɛsa na ɛwɔ thyroiditis ahorow dodow no ara mu. Momma yɛnhwɛ nea wɔyɛ: 1. Thyrotoxic phase: Wɔ saa fã yi mu no, wo thyroid gland no hohoro na mpofirim ara ɛma hormone pii fi adi. Eyi de bere tiaa mu tebea bi a wɔfrɛ no thyrotoxicosis ba . Ɛte sɛ hormone ahorow a ɛreba mpofirim. 2. Hypothyroid phase: Afei wɔ saa hormone ahorow a ɛkɔ soro mpofirim no akyi no, adapɛn anaa asram kakraa bi akyi no, thyroid gland no nni hormone a ɛdɔɔso a ɛbɛka. Afei, thyroid hormone a enni nipadua no mu ba. Wɔfrɛ eyi hypothyroidism . Wɔ thyroiditis ahorow bi te sɛ Hashimoto thyroiditis ne thyroiditis a mframa bɔne de ba mu no, saa hypothyroid fã yi tra hɔ daa. 3. Euthyroid fã: Wɔ saa fã yi mu no, wo thyroid hormone dodow san kɔ sɛnea na ɛte kan no. Eyi betumi aba bere tiaa bi wɔ thyrotoxic fã no akyi, ansa na wɔahyɛ hypothyroid fã no mu. Anaasɛ, ebetumi ayɛ ɔfã a etwa to, bere a thyroid ntini no asan anya ahoɔden afi ɔfe no mu na ɛreyɛ hormone ahorow sɛnea ɛsɛ bio no.

Dɛn ne thyroiditis ahorow atitiriw?

Sɛnea yɛadi kan aka ho asɛm no, thyroiditis nyɛ yare biako pɛ. Ɛsono sɛnea ɛte. Momma yɛnhwɛ nea wɔyɛ:

• Hashimoto thyroiditis: Eyi ne thyroiditis a ɛtaa ba.. Wɔsan frɛ eyi sɛ lymphocytic thyroiditis a enni sabea . Eyi yɛ tebea a nipadua no tumi ko tia nyarewa . Ɛne sɛ, yɛn ankasa nipadua mu tumi a ɛko tia nyarewa no tow hyɛ thyroid ntini no so denam nnuru a ɛko tia thyroid a ɛyɛ so . Eyi ne ade titiriw a ɛde hypothyroidism ba .
• Thyroiditis a ɛyɛ komm anaasɛ ɛnyɛ yaw: Eyi nso yɛ tebea a nipadua no tumi ko tia nyarewa. Nkwammoaa a ɛko tia thyroid nso na ɛde ba. Sɛnea edin no kyerɛ no, ɛnyɛ yaw kɛse.
• Awo akyi thyroiditis: Eyi nso yɛ tebea a nipadua no tumi ko tia nyarewa. Nanso, ɛba wɔ awo akyi afe biako mu. Eyi ho yɛ na koraa.
• Thyroiditis a mframa bɔne de ba: Saa tebea yi betumi afi mframa a wɔde sa kokoram ahorow bi mu anaasɛ iodine a ɛma mframa bɔne a wɔde sa hyperthyroidism .
• Subacute thyroiditis anaa de Quervain thyroiditis: Eyi yɛ tebea a ɛyɛ yaw a mpɛn pii no mmoawa bi na ɛde ba. Ɛtaa ba bere a ɔhome akwaa a ɛwɔ soro , te sɛ atiridii anaa atiridiinini atwam akyi.
• Thyroiditis a ɛde ɔyare mmoawa ba a emu yɛ den: Eyi yɛ tebea a ɛntaa nsi koraa. Ɔyare mmoawa bi te sɛ ɔyare mmoawa na ɛde ba .
• Nnuru a ɛma obi nya thyroiditis: Saa tebea yi betumi aba bere a wɔde nnuru bi te sɛ amiodarone , interferons , lithium, ne cytokines di dwuma no. Nanso, ɛnyɛ obiara a ɔnom nnuru yi na onya saa tebea yi, nnipa kakraa bi pɛ.
• Riedel thyroiditis: Eyi nso yɛ yare a ɛntaa nsi koraa. Nea ɛda nsow ne sɛ thyroid ntini no mu yɛ hyew bere tenten na ɛyɛ fibrosis.Wɔfrɛ tebea no fibrosis. Fibrosis yɛ ntini a ɛyɛ den anaasɛ ɛyɛ akuru.

Henanom na thyroiditis ka no kɛse?

Ɛwom sɛ thyroiditis tumi ka obiara de, nanso ɛtaa ka mmea . Sɛ nhwɛso no, thyroiditis bi a wɔfrɛ no Hashimoto thyroiditis abu so wɔ mmea mu sen mmarima mmɔho anan kosi du. Ɛtaa ba nnipa a wɔadi fi mfe 30 kosi 50 nso so kɛse.Thyroiditis a ɛyɛ komm anaasɛ ɛyaw nnim nso abu so kɛse wɔ mmea mu. Ɛyɛ thyroiditis a ɛto so abien a abu so sen biara wɔ Hashimoto thyroiditis akyi.

Saa tebea yi abu so dɛn?

Sɛnea yɛadi kan aka no, nea abu so sen biara ne Hashimoto thyroiditis. Wobu akontaa sɛ ɛka nnipa a wɔwɔ United States no mu 1% kosi 2%. Thyroiditis ahorow afoforo ho yɛ na koraa.

So Thyroiditis de nkwa to asiane mu?

Mpɛn pii no, thyroiditis nyɛ nea ɛde nkwa to asiane mu.

Nanso, sɛ wunya thyroidism a ɛboro so esiane thyroiditis nti na wɔansa bere tenten a, asiane wɔ hɔ sɛ wubenya tebea bi a ɛyɛ hu a ɛde wo nkwa to asiane mu a wɔfrɛ no thyroid storm .

Dɛn ne thyroid ahum ho sɛnkyerɛnne ahorow?

• Atiridiinini kɛse – Atiridiinini tumi fi digrii Fahrenheit digrii 104 kosi 106 (digrii Celsius 40-41).
• Koma a ɛbɔ ntɛmntɛm (tachycardia) – ebetumi aboro 140 a ɛbɔ wɔ simma biara mu.
• Sɛ wote nka sɛ wo ho yeraw wo bere nyinaa, wo bo fuw, na/anaasɛ wo ho ntɔ wo.
• Delirium – Eyi yɛ tebea a ɛma obi ntumi nhu ade yiye na n’adwene tu fra.

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, kɔ ayaresabea a ɛbɛn wo ntɛm ara. Eyi yɛ asɛm a egye ntɛmpɛ! Sɛ wususuw sɛ wowɔ thyroiditis ho sɛnkyerɛnne ahorow a, ɛho hia yiye sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara. Afei wobetumi ayɛ nhwehwɛmu a ɛho hia, ahu tebea no, na wɔafi ase sa yare.

Dɛn ne Thyroiditis ho sɛnkyerɛnne ahorow?

Thyroiditis ho sɛnkyerɛnne gyina yare no ko ne ne gyinabea so. Wɔ thyroiditis ahorow dodow no ara mu no, thyrotoxicosis ho sɛnkyerɛnne di kan da adi, na ɛno akyi no, hypothyroidism ho sɛnkyerɛnne ahorow ba. Wɔ subacute thyroiditis ne acute infectious thyroiditis mu no, ɛyaw taa ba baabi a thyroid ntini no wɔ no. Ebia nnipa binom benya thyroid ntini a ayɛ kɛse, a wɔfrɛ no goiter .

Thyrotoxicosis ho sɛnkyerɛnne (bere a hormone ahorow kɔ soro) .

Mpɛn pii no, thyroiditis no fã a ɛyɛ awuduru a ɛma mogya tu no nkyɛ, na ɛtra hɔ bɛyɛ asram biako kosi abiɛsa. Sɛ wo thyroid nkwammoaa sɛe ntɛmntɛm na thyroid hormone pii fi adi a, wubetumi ahu hyperthyroidism ( overactive thyroid gland) ho sɛnkyerɛnne. Eyinom bi ne:

• Koma a ɛbɔ denneennen.
• Aduan ho akɔnnɔ a ɛkɔ soro.
• Sɛ́ wobɛyɛ teateaa a ntease biara nnim.
• Bere nyinaa a ɔte nka sɛ ne ho yeraw no na ne ho nyɛ no dɛ.
• Ntɛm ara na obi bo fuw.
• Asoroben.
• Fifiri a ɛkɔ soro ne ɔhyew ho nkate a ɛkɔ soro.
• Wosow a ɛwosow.

Hypothyroidism (hormone a ɛba fam) ho sɛnkyerɛnne .

Hypothyroid fã a ɛwɔ thyroiditis mu no betumi atra hɔ akyɛ, na ebetumi mpo atra hɔ daa. Sɛ wo thyroid nkwammoaa no sɛe na wo thyroid hormone dodow so tew a, ebia wubehu sɛnkyerɛnne ahorow a ɛkyerɛ sɛ thyroid no ayɛ kɛse. Eyinom bi ne:

• Ɔbrɛ a wɔte nka bere nyinaa.
• Ɔyɛ kɛse a ntease biara nnim.
• Ayamtim.
• Adwene mu tebea horow te sɛ adwenemhaw.
• Wora a ɛyɛ nwunu.
• Awɔw ho nkate a ɛkɔ soro.
• Ntini mu mmerɛwyɛ.
• Tumi a obi tumi de n’adwene si biribi so a ɛso tew.

Dɛn ne nneɛma a ɛde Thyroiditis ba?

Thyroiditis ba bere a biribi "tow hyɛ" wo thyroid ntini no so, na ɛma ɛhohoro (eyi ne sɛnea nipadua no yɛ n'ade wɔ opira ho) na ɛsɛe thyroid nkwammoaa no. Ɛsono nea ɛde ba no gyina ɔkwan a wɔfa so yɛ no so. Nea ɛtaa de ba ne yare a nipadua no tumi ko tia nyarewa . Eyi kyerɛ sɛ nipadua no mu tumi a ɛko tia nyarewa a wɔkyerɛ sɛ ɛbɔ yɛn nipadua ho ban no di mfomso tow hyɛ yɛn ankasa nipadua so. Wonnya nhuu nea enti a eyi ba ankasa. Nnuru a ɛko tia nyarewa a ɛtow hyɛ wo thyroid ntini so na ɛde thyroiditis ahorow dodow no ara ba.

Ɔkwan bɛn so na wohu sɛ obi anya thyroiditis?

Sɛ wokɔ oduruyɛfo nkyɛn a, wɔbɛhwɛ wo na wɔahwɛ wo thyroid gland no mu. Afei wobebisa wo yare no ho sɛnkyerɛnne ne nyarewa biara a woadi kan anya ho asɛm. Sɛ wosusuw sɛ wowɔ thyroiditis a, ebia wɔbɛyɛ nhwehwɛmu ahorow yi bi anaa ne nyinaa de akyerɛ sɛ wɔahu sɛ wowɔ wo yare no:

• Thyroid dwumadi ho nhwehwɛmu: Eyinom yɛ mogya mu nhwehwɛmu a ɛhwɛ wo thyroid hormone ne thyroid hormone dodow. Sɛ nhwɛso no, wo hormone a ɛkanyan thyroid (TSH) , triiodothyronine (T3) , ne thyroxine (T4) . TSH fi wo pituitary gland no mu . Ɛkanyan wo thyroid ntini no ma ɛyɛ hormone T4 ne T3. Sɛ wɔka saa abien yi bom a, wɔfrɛ no thyroid hormone.
• Thyroid ultrasound a wɔde yɛ adwuma:Nnuruyɛfo taa de ultrasound di dwuma de hwɛ sɛnea thyroid gland no te. Eyi tumi hu nneɛma te sɛ thyroid nodule , nsakrae a ɛba mogya mu, ne sɛnea ntini no mu yɛ den.
• Thyroid antibody nhwehwɛmu: Eyinom nso yɛ mogya mu nhwehwɛmu. Wɔhwehwɛ nnuru a ɛko tia thyroid, nnuru a ɛko tia thyroid (microsomal) (TPO) anaa thyroid receptor stimulating antibodies (TRAb) . Sɛ saa nnuru a ɛko tia nyarewa yi wɔ hɔ a, ɛkyerɛ sɛ ebia wowɔ thyroiditis bi a yare bi a nipadua no tumi ko tia nyarewa na ɛde ba.
• Erythrocyte sedimentation rate (ESR anaa sed rate): Eyi nso yɛ mogya mu nhwehwɛmu. Ɛboa ma wuhu sɛ ebia ɔfe bi wɔ wo nipadua mu anaa. ESR kɔ soro wɔ subacute thyroiditis mu.
• C-reactive protein (CRP): Eyi kyerɛ CRP dodow a ɛwɔ wo mogya mu. CRP dodow kɔ soro bere a ɔfe wɔ nipadua no mu no. Ebetumi ayɛ kɛse yiye wɔ thyroiditis a ɛde ɔyare mmoawa a emu yɛ den mu.
• Radioactive iodine uptake (RAIU) sɔhwɛ: Saa sɔhwɛ yi susuw radioactive iodine (a wɔde ano ma) dodow a wo thyroid ntini no twetwe. Saa dodow yi sua bere nyinaa wɔ thyroiditis fã a ɛyɛ awuduru a ɛma mogya tu no mu.

Ɔkwan bɛn so na wɔsa thyroiditis?

Thyroiditis ayaresa gyina ne su ne ne sɛnkyerɛnne so.

Thyrotoxicosis a Wɔsa

Sɛ wowɔ thyroditis fã a ɛyɛ awuduru a ɛma mogya tu mu a, ebia wo duruyɛfo bɛma wo aduru bi a wɔfrɛ no beta-blockers . Eyinom betumi aboa ma wo koma bɔ ( palpitations ) ne wo wosow so atew. Bere a wo yare no ho sɛnkyerɛnne no tu mpɔn no, wo duruyɛfo no bɛtew nnuru no so nkakrankakra na wagyae. Eyi te saa efisɛ thyrotoxic fã no yɛ bere tiaa mu de.

Ayaresa a Wɔde Ma Hypothyroidism

Sɛ wowɔ Hashimoto thyroiditis a, wo duruyɛfo bɛma wo nnuru a wɔde besi thyroid hormone ananmu, te sɛ levothyroxine . Ɛho behia sɛ wonom saa aduru yi wo nkwa nna nyinaa. Mpɛn pii no, hypothyroidism a Hashimoto thyroiditis de ba no yɛ nea ɛtra hɔ daa. Sɛ wowɔ subacute, silent, anaa postpartum thyroiditis, na wowɔ hypothyroidism ho sɛnkyerɛnne ahorow a, wo duruyɛfo nso bɛma wo nnuru a wɔde besi thyroid hormone ananmu. Ɛho behia sɛ wonom saa aduru yi bɛyɛ asram 6 kosi 12. Afei wo duruyɛfo no bɛtew dodow no so nkakrankakra ahwɛ sɛ ebia wowɔ hypothyroidism a ɛtra hɔ daa anaa. Sɛ wo hypothyroidism no mu nyɛ den, a ɛkyerɛ sɛ wunni sɛnkyerɛnne kakraa bi a, ebia wunhia nnuru koraa.

Ayaresa afoforo a wɔde sa thyroiditis

Sɛ wowɔ acute infectious thyroiditis , a, ebehia sɛ wosa ɔyare no. Ɛda adi kɛse sɛ eyi bɛfa nnuru a ekum ɔyare mmoawa ho . Sɛ wowɔ akisikuru , anaasɛ woabue, wɔ wo thyroid mu a, ebia ɛho behia sɛ wo duruyɛfo no yɛ fine-needle aspiration (a ɔde syringe suw akisikuru) na ama akisikuru no akɔ. Mpɛn pii no, bere tenten a wonom nnuru a ɛde bae no nkutoo. Ebia wo duruyɛfo betumi adan wo akɔ aduru foforo a ɛte sɛ nea worenom no so. Anaasɛ, wobetumi ama wo levothyroxine ama thyroiditis no bere a wokɔ so nom nnuru no. Mpɛn pii no, wobetumi de nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) , te sɛ aspirin anaa ibuprofen , asiw ɛyaw a efi thyroiditis a emu yɛ den a ɛde ɔyare ba ne subacute thyroiditis mu ba no ano. Ɛtɔ mmere bi a, wobetumi de steroid ayaresa adi dwuma sɛ ɛyaw no mu yɛ den a. Ebia ɛho behia sɛ wɔyɛ Riedel thyroiditis oprehyɛn.

So wobetumi asiw thyroiditis ano?

Nea ɛyɛ awerɛhow no, wontumi nsiw thyroiditis ahorow pii ano. Sɛ wowɔ tebea bi a ɛhwehwɛ sɛ wode radioactive iodine anaa radiation therapy di dwuma a, wo ne wo duruyɛfo nka asiane a ɛwɔ hɔ sɛ wubenya thyroiditis ho asɛm. Ebia wubetumi afi ase ayɛ ayaresa afoforo de asiw thyroiditis ano. Sɛ worenom nnuru a ebetumi ama woanya thyroiditis a, wo ne wo duruyɛfo nka asiane a ɛwɔ mu ne sɛ ebia wubetumi agyae saa nnuru no nom ho asɛm. Nanso, ebia saa a wɔbɛyɛ mpo rensiw thyroiditis ano.

Dɛn ne nkɔmhyɛ a ɛfa thyroiditis ho?

Mpɛn pii no, anidaso a ɛwɔ hɔ sɛ wobenya thyroiditis no ye . Wɔ Hashimoto thyroiditis mu no, hypothyroidism a efi mu ba no taa yɛ nea ɛtra hɔ daa. Nanso, wobetumi de nkwa nna nyinaa aduru a wɔde si thyroid hormone ananmu adi ho dwuma. Nnipa a wɔwɔ subacute thyroiditis taa nya sɛnkyerɛnne ahorow bɛyɛ asram biako kosi abiɛsa. Nanso, ebetumi adi asram 12 kosi 18 ansa na thyroid dwumadi asan ayɛ sɛnea na ɛte kan no koraa. Saa nnipa yi wɔ asiane 5% sɛ wobenya hypothyroidism a ɛtra hɔ daa. Awo akyi ne komm (a ɛyaw nnim) thyroiditis nso gye asram 12 kosi 18 ansa na ne ho atɔ no koraa. Nnipa a wɔwɔ saa tebea horow yi wɔ asiane 20% sɛ wobenya hypothyroidism a ɛtra hɔ daa.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn wɔ thyroiditis ho?

Sɛ wɔahu sɛ wowɔ thyroiditis a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn daa kɔhwɛ wo sɛnkyerɛnne ahorow na ɔhwɛ sɛ w’ayaresa no reyɛ adwuma yiye. Wo sɛnkyerɛnne ahorowSɛ ɛyɛ kɛse, anaasɛ wunya sɛnkyerɛnne ahorow a ɛhaw adwene kɛse a , wo ne wo duruyɛfo nkasa ntɛm ara sɛnea wubetumi.

Ɛyɛ ade a ɛfata sɛ wobɛte adwennwen nka bere a wuhu sɛ wowɔ tebea bi no. Nanso asɛmpa no ne sɛ thyroiditis yɛ tebea a wobetumi asa, na mpɛn pii no ebetumi ayɛ bere tiaa mu de. Sɛ wowɔ nsɛmmisa bi fa wo thyroiditis anaa wo ayaresa nhyehyɛe ho a, wo ne wo duruyɛfo nkasa. Wɔwɔ ha sɛ wɔrebɛboa.

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Okay, enti efi nea yɛaka ho asɛm no mu no, mewɔ anidaso sɛ woanya adwene pa wɔ thyroiditis ho. Kae:

• Thyroiditis yɛ thyroid ntini a ɛwɔ wo kɔn mu a ɛyɛ hyew .
• Eyi betumi ama thyroid no ayɛ thyroid hormone pii anaasɛ kakraa bi .
• Eyi ahorow ne ne fã ahorow wɔ hɔ. Hashimoto de no ne nea abu so sen biara.
• Ɛsono sɛnkyerɛnne ahorow a egyina ɔkwan a wɔfa so yɛ no so. Ebia wubehu nneɛma te sɛ ɔbrɛ, wo mu duru a ɛsakra, koma a ɛbɔ mu nsakrae, ne adwene a ɛsakra .
• Mpɛn pii no, eyi fi tebea bi a nipadua no tumi ko tia nyarewa .
• Wobetumi afa mogya mu nhwehwɛmu ne ultrasound so ahu yare no .
• Ayaresa no gyina ɔkwan a wɔfa so sa yare no ne ne sɛnkyerɛnne ahorow so. Wobetumi asa ebinom yare daa , bere a ebia ɛho behia sɛ wɔsa ebinom bere tenten .
• Hu tebea a asiane wom a wɔfrɛ no thyroid ahum no yiye . Sɛ wuhu saa sɛnkyerɛnne ahorow yi a kɔ ayaresabea ntɛm ara .
• Sɛ w’adwene mu yɛ wo naa a, ntwentwɛn wo nan ase sɛ wobɛhwehwɛ aduruyɛ mu afotu .

Nea ɛho hia sen biara ne sɛ wobɛkɔ so anya apɔwmuden!