Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be nane gblẽ le yeƒe ŋutilã ŋu eye be yeƒe lãme mekɔ oa? Ðe nèsena le ɖokuiwò me be yeƒe ŋutilã le dɔ wɔm kabakaba vie, ètsia dzimaɖi, eye wòsesẽna na wò be wò susu nanɔ nu ŋua? Ne nenemae la, ke ɖewohĩ wò lãkusia le dɔ wɔm sesĩe akpa vie. Egbea, mina míaƒo nu tso nɔnɔme sia si woyɔna be hyperthyroidism ŋu.

Nukae nye ʋumenugbagbeviɣidɔ si gbɔ eme? Mina míase egɔme bɔbɔe!

Kpuie ko la, ʋumenugbagbeviɣidɔ nye ne lãkusi si le wò kɔ me la wɔa dɔ akpa eye wòwɔa lãkusi me lãmetsi si sɔ gbɔ akpa. Thyroid gland nye lãkusi sue aɖe si le abe kpakpaluʋui ene si le wò kɔ ƒe ŋgɔgbe. Gake togbɔ be ele sue hã la, ewɔa dɔ geɖe. Thyroid hormones le vevie na nu geɖe dzi ɖuɖu le míaƒe ŋutilã me, vevietɔ alesi míaƒe ŋutilã zãa ŋusẽ, alo lãmenugbagbeviwo ƒe dɔwɔwɔ kabakabae.

Lãmetsiŋusẽ ƒomevi vevi eve li, `triiodothyronine (T3)` kple `thyroxine (T4)`. `Thyroid-stimulating hormone (TSH)` hã ​​li, si tsoa pituitary gland me eye wògblɔna na thyroid be wòawɔ lãmetsiwo. Fifia, le ʋumenugbagbeviɣidɔ me la, nusi dzɔna enye be `(T3)` kple `(T4)` lãmetsi siawo ƒoa ƒu ɖe ʋua me wu alesi wòle be woaƒo ƒu ɖe ʋua me. Emegbe, nu geɖe siwo le ŋutilãa me la ƒua du, abe keteke si le du dzi ene. Àte ŋu ase le ɖokuiwò me be yeƒe ŋutilã bliboa le “overdrive” me. Ðewohĩ àse le ɖokuiwò me gɔ̃ hã be menye ye ŋutɔe o. Eyata ele vevie ŋutɔ be nànya esia eye nàkpɔ ɖɔkta ne dzesiwo le ŋuwò.

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, ʋumenugbagbeviɣidɔ menye dɔléle si bɔ ŋutɔ o. Le kpɔɖeŋu me, le dukɔ abe Amerika ene me la, wogblɔna be amewo ƒe 1.3% koe dɔléle sia le. Gake, ekpɔa ŋusẽ ɖe amesiame dzi, eyata enyo be nànɔ ŋudzɔ.

Nukawoe nye ʋumenugbagbeviɣidɔ ƒe dzesiwo? Kpɔe ɖa be esiawo hã le asiwò hã!

Esi wònye be ʋumenugbagbeviɣidɔ ate ŋu agblẽ nu le míaƒe ŋutilã bliboa ŋu ta la, dzesi siwo wu ɖeka ate ŋu anɔ eŋu. Dzesi siawo dometɔ ʋɛ aɖewo koe ate ŋu anɔ ame aɖewo ŋu, evɔ woate ŋu akpɔ wo dometɔ geɖe zi ɖeka. Kpɔe ɖa be èto nusiawo dometɔ aɖe me hã:

• Dzi ƒe tsotso kabakaba (Tachycardia) kple/alo dzi ƒe tsotso. Ewɔna nam abe kpẽ aɖe si le ƒoƒom le akɔta me ene.
• Ʋu ƒe sisi ƒe dzidziɖedzi .
• Sese le ɖokuiwò me abe wò asiwo le ʋuʋum ene (`(Asi ʋuʋu)`). Ewɔna nam abe ɖe nèle ʋuʋum ne èlé tii kplu ɖe asi gɔ̃ hã.
• Dzimaɖitsitsi ɣesiaɣi , dzimaɖitsitsi, kple/alo dzikudodo bɔbɔe .
• Weight loss despite a good appetite , ɖewohĩ togbɔ be èɖua nu geɖe hã.
• Fuɖename enuenu aloNɔnɔme aɖe abe aɖuɖɔtoe ene .
• Fifia si gbɔ eme kple dzoxɔxɔ si gbɔ eme ƒe dɔmawɔmawɔ nyuie.
• Taɖa ƒe ka si meli ke o, abe ɖa ƒe vuvu alo eƒe nugbɔ siwo me mã ene.
• Alɔ̃madɔmadɔ (alɔ̃madɔmadɔ le zã me).
• Tɔtrɔ siwo vaa nyɔnu ƒe dzinukpɔkpɔ me, le kpɔɖeŋu me, ʋu ƒe agbɔsɔsɔ si sina le ɣletia me dzi ɖeɖe kpɔtɔ alo dzinukpɔkpɔ nu tsotso keŋkeŋ .
• Kɔ ƒe ŋgɔgbe ƒe vuvu, si woyɔna be goiter .
• Ŋku siwo vuvu alo do ɖe gota (`(Thyroid eye disease)`).

Dzesi siawo ate ŋu adze egɔme kpata, alo woate ŋu adze egɔme vivivi le ɣeyiɣi aɖe megbe. Nu vevitɔe nye be nàyi ɖɔkta gbɔ ne èse le ɖokuiwò me be dzesi siawo dometɔ ɖeka alo esi wu nenema le ye ŋu.

Nukatae ʋumenugbagbeviɣidɔ si gbɔ eme dzɔna? Nukawoe gbɔ wòtsona?

Nu vovovowo ate ŋu ahe ʋumenugbagbeviɣidɔ si gbɔ eme vɛ. Mina míalé ŋku ɖe wo dometɔ vevitɔwo ŋu:

• Graves ƒe dɔléle: Esiae nye nusi gbɔ ʋumenugbagbeviɣidɔ tsona wu. Graves ƒe dɔléle nye dɔléle si dɔlélenutsiŋutete ƒe dɔlélenutsiŋutete wɔna. Kpuie ko la, míaƒe ŋutilã ƒe dɔlélenutsiŋutete dzea mía ŋutɔwo ƒe thyroid gland dzi, si wɔnɛ be wòwɔa lãmetsiŋusẽ fũ akpa. Ne thyroid dɔléle alo dɔléle bubu siwo dɔlékuiwo ƒe dɔlélenutsiŋutete hena vɛ le wò ƒomea me la, anɔ eme be àxɔe.

• Thyroid nodules: Esiawo nye lãmenugbagbeviwo ƒe ƒuƒoƒo alo ƒuƒoƒo siwo dzɔna le thyroid gland me. Ɣeaɖewoɣi la, ƒunukpeƒetetedɔ siawo ate ŋu awɔ thyroid lãmetsi si sɔ gbɔ akpa. Ðɔktawo yɔa esia hã be aɖi si nye multinodular goiter (TMNG). Gake mègatsi dzi o, ƒã ŋutɔ be kansa nana thyroid nodules siawo.

• Thyroiditis: Esia nye thyroid gland ƒe dɔdzẽ, alo vuvu. Esia ate ŋu ana ʋumenugbagbeviɣidɔ nagbɔdzɔ hena ɣeyiɣi aɖe. Le ɣeyiɣi sia si me wodzia vi fũu akpa megbe la, hypothyroidism (thyroid lãmetsiwo ƒe dzidziɖedzi fũu akpa) ate ŋu adzɔ. Ne dɔdzẽa nya nu fa ko la, lãmetsiŋusẽ ƒe agbɔsɔsɔ ate ŋu atrɔ ava nɔ abe alesi wònɔ tsã ene.

• Iodine ƒe gege ɖe ŋutilãa me fũ akpa:Ne míeno iodine fũu akpa, eɖanye tso nuɖuɖu siwo míeɖuna me alo tso atike aɖewo me o, ate ŋu aʋã thyroid gland be wòawɔ lãmetsiŋusẽ si sɔ gbɔ akpa. Esia le alea elabena iodine nye mineral si hiã vevie na thyroid lãmetsiwo wɔwɔ. Esia ate ŋu adzɔ ɣeaɖewoɣi ne wodo IV iodinated contrast (amadede si wozãna na x-ray aɖewo) alo ne èno atikewo abe Amiodarone (dzidɔtike) ene.

• TSH-releasing pituitary adenoma / Thyrotropinoma: Esia nye nɔnɔme si mebɔ kura o. Dɔdzẽ sue aɖe si le míaƒe ahɔhɔ̃ me lãkusi si me ʋu sina tona me la naa lãmetsi si doa ŋusẽ lãkusi (TSH) sɔ gbɔ akpa. Emegbe esia zia lãkusia dzi be wòawɔ lãmetsiŋusẽ geɖe wu.

Amekawoe le afɔku gã me be woaxɔ ʋumenugbagbeviɣidɔ si gbɔ eme?

Ame aɖewo ate ŋu axɔ nɔnɔme sia wu ame bubuwo. Afɔku vevi siwo gblẽa nu le eŋu dometɔ aɖewoe nye:

• Lãmetsiŋusẽdɔ kple/alo dɔlélenutsiŋutete ƒe dɔlélewo le wò ƒomea me tɔ aɖe ŋu .
• Sigaretnono.
• Fufɔfɔ (vevietɔ na nɔnɔme aɖe si woyɔna be vidzidzi megbe ʋumenugbagbeviɣidɔ si dzɔna le vidzidzi megbe).

Aleke ɖɔkta awɔ anya esia?

Ðɔkta awɔ ɖe afɔɖeɖe geɖe dzi akpɔe ɖa be ʋumenugbagbeviɣidɔ le ŋuwò hã:

1. Ŋutilãmedodokpɔ: Gbã la, ɖɔktaa ado wò kpɔ be ʋumenugbagbeviɣidɔ ƒe dzesi aɖewo le ŋuwò hã. Le kpɔɖeŋu me, ɖe wò lãkusi vuvua, ɖe wò dzi ƒe tsotso dzina ɖe edzia, eye ɖe wò ŋutigbalẽ le dzo dam hele ƒoƒoma?

2. Thyroid ʋudodokpɔ: Esiawo léa ŋku ɖe thyroid hormone ƒe agbɔsɔsɔ si le wò ʋu me ŋu. Ame si ŋu ʋumenugbagbeviɣidɔ le la ƒe lãmetsiŋusẽ `(T3)` kple `(T4)` sɔ gbɔ wu alesi wòle be wòanɔ. ``Thyroid Stimulating Hormone (TSH)`` ƒe agbɔsɔsɔme nɔa anyi zi geɖe (gake menye ɣesiaɣi o) wu alesi wòle dzɔdzɔmee.

3. Thyroid antibody blood test: Esia kpena ɖe ame ŋu be woanya ne Graves ƒe dɔlélea gbɔe wòtso.

4. Nɔnɔmetatawo dodokpɔ: Woate ŋu awɔ wò lãkusi ƒe nɔnɔmetata dodokpɔ vovovowo atsɔ anya nusi gbɔ ʋumenugbagbeviɣidɔ si gbɔ eme tso. Esiawo dometɔ aɖewoe nye radioactive iodine uptake (RAIU) dodokpɔ kple eƒe scan, kple thyroid ultrasound. Wò ɖɔkta aɖe dodokpɔ siawo me na wò eye wòakafu esi sɔ na wò wu.

Nukawoe nye atike siwo wozãna na ʋumenugbagbeviɣidɔ si gbɔ eme?

Nya nyuiae nye be ʋumenugbagbeviɣidɔ nye dɔléle si woate ŋu ada. Le nusi gbɔ wò nɔnɔmea tso nu la, atikewɔmɔnu aɖewo ate ŋu asɔ na wò wu bubuwo. Wò ɖɔkta adzro atikewɔwɔmɔnu siawo dometɔ ɖesiaɖe me kpli wò eye wòakpe ɖe ŋuwò nàtia atikewɔwɔ ƒe ɖoɖo nyuitɔ kekeake na wò.

• Atike siwo wua ʋumenugbagbeviɣidɔ: Methimazole (Tapazole®) kple Propylthiouracil (PTU) ɖea ŋutete si le wò lãkusi ŋu be wòawɔ lãmetsiŋusẽwo dzi kpɔtɔna. Atike siawoe nye atike si wozãna wu na ʋumenugbagbeviɣidɔ. Zi geɖe la, woate ŋu akpɔ thyroid ƒe dɔwɔwɔ dzi le ɣleti eve va ɖo etɔ̃ me. Wò dzesiwo ate ŋu adze egɔme anyo ɖe edzi le ŋkeke alo kwasiɖa ʋɛ aɖewo megbe.

• Radioactive iodine (RAI) dɔdamɔnu: Esia bia be woano atikekui alo tsi si me radioactive iodine le to nu me. Iodine si me keklẽŋusẽ le la yia wò lãkusi me lãmenugbagbeviwo me tẽ eye wògblẽa wo dome. Zi geɖe la, RAI zazã gblẽa lãkusia tegbee, si wɔnɛ be wodaa ʋumenugbagbeviɣidɔ si gbɔ eme. Gake ahiã be ame geɖe siwo xɔa atike sia nano ʋumenugbagbeviɣitike (Levothyroxine) le woƒe agbemeŋkekewo katã me be lãmetsiŋusẽ ƒe agbɔsɔsɔ si sɔ nanɔ wo si.

• Amekoko (`(Thyroidectomy)`): Amekola ate ŋu aɖe wò lãkusi katã alo eƒe akpa aɖe ɖa. Esia ateŋu aɖɔ hyperthyroidism ɖo, gake zi geɖe la, ehea ``Hypothyroidism`` (thyroid hormone ƒe agbɔsɔsɔ si bɔbɔ) vɛ. Emegbe ahiã be nàno thyroid lãmetsiŋusẽtikewo le wò agbemeŋkekewo katã me.

• Beta-blockers: Atike siawo ate ŋu akpe ɖe ame ŋu wòaɖu ʋumenugbagbeviɣidɔ ƒe dzesiwo, abe dzi ƒe tsotso kabakaba, dzimaɖitsitsi, kple ʋuʋudedi ene dzi. Gake wometrɔa lãmetsi siwo le ʋua me ƒe agbɔsɔsɔ o. Wò ɖɔkta ate ŋu ana beta-blocker siawo wò kpe ɖe atikewɔwɔ bubuwo ŋu.

Atikewɔwɔ siawo dometɔ ɖesiaɖe kple eƒe nugbegblẽ le ame ŋu kple afɔku siwo le eme. Wò ɖɔkta aɖe nusiawo me na wò. Mègavɔ̃ be yeabia nya o.

Nukae nye ŋgɔdonya na amesi ŋu ʋumenugbagbeviɣidɔ si gbɔ eme le? (Nyagblɔɖi) .

Tagbɔdɔléle si gbɔ eme nye dɔléle si woate ŋu ada. Ame akpa gãtɔ wɔa dɔ nyuie le atikewɔwɔ me. Atikewɔwɔ aɖewo bia be nàzã atike le wò agbemeŋkekewo katã me, gake ate ŋu akpe ɖe ŋuwò nàna wò lãkusi me lãmetsiŋusẽ nanɔ lãmesẽ me.

Gake ne womeda ʋumenugbagbeviɣidɔ si Graves ƒe dɔlélea hena vɛ o la, ate ŋu agblẽ ɖe edzi le ɣeyiɣi aɖe megbe eye wòahe kuxiwo abe Graves ƒe ŋkudɔ ene vɛ. Ne Graves ƒe dɔlélea le ŋuwò la, bia wò ɖɔkta alesi nàwɔ akpɔ egbɔ nyuie wu.

Nukae dzɔna ne womewɔ atike nɛ o? Ðe wònye afɔkua?

Ne womewɔ atike nɛ o alo womedae nyuie o la, ʋumenugbagbeviɣidɔ si gbɔ eme ate ŋu ahe kuxi vovovowo vɛ. Wo dometɔ aɖewoe nye:

• Atrial fibrillation (Afib) (dzi ƒe tsotso si mesɔ o) .
• Dzi ƒe dɔmawɔmawɔ nyuie (dzidɔ) .
• Vidzidzimakpɔmakpɔ
• `Ischemic stroke` (lãmedzodzro) .
• Ƒumeŋuɖui (ƒuwo ƒe ƒuƒu) .

Kuxi si mebɔ o gake ate ŋu ade ame ƒe agbe afɔku me le ʋumenugbagbeviɣidɔ me enye thyroid ahom (si woyɔna hã be thyroid crisis alo thyrotoxic crisis). Esiae nye esime wò lãkusi wɔa lãkusi me lãmetsi gbogbo aɖe ɖe wò ʋukawo me le ɣeyiɣi kpui aɖe ŋutɔ me. Esia nye atikewɔwɔ kpata. Lãmetsiŋusẽ si gbɔ eme si womeda dɔ na o alo esi womedae nyuie o ate ŋu ana ʋumenugbagbeviɣidɔ naxɔ. Ate ŋu ana wòagasẽ ɖe edzi to nɔnɔme siwo tea ɖeɖi ame ŋu abe dɔlékuiwo xɔxɔ, abixɔxɔ, kple amekoko ene me.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èse le ɖokuiwò me be ʋumenugbagbeviɣidɔ ƒe dzesiwo le ye ŋu la, ele vevie be nàyi ɖɔkta gbɔ be woada wò nɔnɔmea kpɔ eye woana atike si hiã.

Ne ènya xoxo be dɔléle sia le ye ŋu la, ahiã be nàyi ɖɔkta gbɔ edziedzi be nàkpɔ egbɔ be yeƒe atikewɔwɔ le dɔ wɔm nyuie.

Ne èkpɔ ``thyroid storm'' ƒe dzesiwo, abe dzoxɔxɔ sesẽ kple dzi ƒe tsotso kabakaba ŋutɔ ene la, yi kɔdzi si te ɖe ŋuwò kaba ale si nàte ŋui.

Ðe nɔnɔme sia ana ame naloloa?

Zi geɖe la, ʋumenugbagbeviɣidɔ si gbɔ eme menaa ame ƒe lolo dzina ɖe edzi o. Le nyateƒe me la, ame aɖewo ƒe lolo dzi ɖena kpɔtɔna togbɔ be nuɖuɖu dzroa wo nyuie hã. Esia le alea elabena ʋumenugbagbeviɣidɔ nana wò ŋutilã ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ dzina ɖe edzi, si wɔnɛ be wòzãa nuɖuɖumeŋusẽ geɖe wu alesi wòle dzɔdzɔmee hena ŋusẽdodo.

Hypothyroidism (thyroid hormones ƒe dzidziɖedzi si mebɔ o) ate ŋu ana lãmenugbagbeviwo ƒe dɔwɔwɔ dzi naɖe akpɔtɔ eye wòana ame ƒe lolo nadzi ɖe edzi.

Ðe ʋumenugbagbeviɣidɔ ate ŋu adzɔ le fufɔɣia?

Ẽ, nɔnɔme sia ate ŋu adzɔ le fufɔɣi. Le fufɔfɔ ƒe gɔmedzedze la, ele be wò ŋutilã nawɔ thyroid lãmetsi geɖe wu alesi wònɔna ɖaa be wòakpe ɖe viwòa ŋu wòatsi. Thyroid hormone ƒe agbɔsɔsɔ si sɔ gbɔ vie wu alesi wòle dzɔdzɔmee menye kuxi o, gake ne agbɔsɔsɔa sɔ gbɔ ŋutɔ la, ahiã be wò ɖɔkta nawɔ atikewɔwɔ ƒe ɖoɖo aɖe. Elabena menye wò ɖeɖekoe thyroid hormone ƒe agbɔsɔsɔ si sɔ gbɔ ate ŋu akpɔ ŋusẽ ɖe edzi o, ke ate ŋu agblẽ nu le viwòa hã ŋu.

Ate ŋu asesẽ be woakpɔ dɔléle si nye hyperthyroidism le fufɔɣi, elabena thyroid hormone ƒe agbɔsɔsɔ si dzina ɖe edzi le dzɔdzɔme nu kple fufɔfɔ ƒe dzesi bubuwo ate ŋu atsyɔ nɔnɔmea dzi.

Nuɖuɖu kawoe wòle be nàƒo asa na ne ʋumenugbagbeviɣidɔ le ŋuwò?

Le go aɖewo me la, nuɖuɖu siwo me iodine sɔ gbɔ ɖo fũ alo esiwo me iodine sɔ gbɔ ɖo ɖuɖu ate ŋu ana ʋumenugbagbeviɣidɔ nagbɔ eme alo ana nɔnɔme aɖe si li xoxo la nagagblẽ ɖe edzi.

Ne ʋumenugbagbeviɣidɔ le ŋuwò la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ tɔtrɔ aɖewo le wò nuɖuɖu ŋu. Kpɔ ɖɔkta alo nuɖuɖuŋutinunyala si woŋlɔ ŋkɔ na ɣesiaɣi hafi nàwɔ tɔtrɔ gã aɖeke le wò nuɖuɖu ŋu. Ðo ŋku edzi be womate ŋu atsɔ nuɖuɖu ɖeɖeko ada ʋumenugbagbeviɣidɔ o. Anɔ eme be ahiã be woawɔ atike na wò.

Ne wò ɖɔkta kafui be nàɖu nuɖuɖu si me iodine sɔ gbɔ ɖo la, dze agbagba nàƒo asa na nuɖuɖu siawo:

• Tɔmelã
• Ƒumegbe (`(Ƒumegbe)` kple `(Kelp)`) .
• Kpakpaluʋuiwo kple lãgbalẽgolowo
• Sushi si woyɔna be Sushi
• Bɔlu
• Ƒumegbewo kple ƒumegbewo
• Notsi me nuɖuɖuwo abe notsi kple cheese ene
• Azi tutu
• Dze si me iod le

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enye nusi sɔ be nàse le ɖokuiwò me be yegbɔdzɔ vie ne wokpɔ dɔléle yeye aɖe le ŋuwò. Gake nya nyuiae nye be ʋumenugbagbeviɣidɔ nye dɔléle si woate ŋu ada. Ne èle dzesiwo kpɔm abe wò ŋutilã le dɔ wɔm akpa, èle dzi tsim, alo èle kuxi me tom be yeƒe susu nanɔ nu ŋu la, ele vevie be nàyi ɖɔkta gbɔ. Wò ɖɔkta ate ŋu awɔ dodokpɔ bɔbɔe ʋɛ aɖewo eye wòakafu atike nyuitɔ si akpe ɖe wò ŋutilã ŋu wòagada asɔ. Mègatsi dzi o, àte ŋu anɔ lãmesẽ me!