Ɣeaɖewoɣi la, àte ŋu asusu be, "Nukatae metsi dzimaɖi nenema gbegbe ɖo, ɖeko mesena le ɖokuinye me abe ɖe nye tagbɔ le gbegblẽm ene, eye nye lolo dzi ɖem kpɔtɔ ne mele nu ɖum gɔ̃ hã." Ðewohĩ nusi gbɔ nusiawo katã tsoe nye lãkusi sue aɖe si le abe kpakpaluʋui ene le wò kɔ me. Míeyɔnae be lãkusi si woyɔna be thyroid gland . Ewɔa lãmetsi aɖe si le vevie na míaƒe ŋutilã. Gake ne wowɔ lãmetsi sia wògbɔ eme la, ate ŋu agblẽ míaƒe ŋutilã bliboa ƒe dɔwɔwɔ me. Emae nye nusi míeyɔna be Hyperthyroidism .
Nukae nye ʋumenugbagbeviɣidɔ si gbɔ eme?
Kpuie ko la, ʋumenugbagbeviɣidɔ si gbɔ eme nye ne lãkusi si le abe kpakpaluʋui ene, si le wò kɔ ƒe ŋgɔgbe, si le wò kɔmeƒu tame tututu la, na lãkusi me lãmetsi si sɔ gbɔ akpa . Bu eŋu abe ʋu ƒe mɔ̃ si le du dzi sesĩe akpa ene. Nuwɔna ɖesiaɖe si le míaƒe ŋutilã me hiã lãmetsi sia ƒe agbɔsɔsɔ aɖe hafi wòate ŋu awɔ dɔ nyuie. Eyata ne edzi ɖe edzi la, nuɖoanyi bliboa zɔna le mɔ gbegblẽ nu. Esia ate ŋu ana tɔtrɔwo nava nu geɖe me, siwo dometɔ aɖewoe nye wò ɖa, ŋkumekpɔkpɔ , dzi ƒe tsotso , seselelãme, kple wò kpekpeme.
Zi geɖe la, nɔnɔme sia mehayana le eɖokui si o, eyata atikewɔwɔ didi le vevie ŋutɔ.
Vovototo kae le Hyperthyroidism kple Hypothyroidism dome?
Togbɔ be nya eve siawo ɖi wo nɔewo hã la, nɔnɔme eve siwo tsi tre ɖe wo nɔewo ŋu kurae wonye. Ele vevie ŋutɔ be míase vovototo sia gɔme.
| Atikewɔwɔ ƒe nɔnɔme | Kpuie ko la,... |
|---|---|
| Hyperthyroidism (lãmetsiŋusẽ ƒe dzidziɖedzi) . | Thyroid gland la wɔa dɔ akpa eye wòwɔa lãmetsiŋusẽ geɖe akpa . |
| Hypothyroidism (lãmenugbagbevi siwo le ʋumenugbagbevi dzĩ me ƒe agbɔsɔsɔ si medea ame dzi o) . | Lãmetsiŋusẽ si woyɔna be thyroid gland mewɔa dɔ nyuie o eye mewɔa lãmetsiŋusẽ si sɔ na ŋutilãa o. |
Dzesiwo kple atikewɔwɔ na nɔnɔme eveawo to vovo, eyata ele vevie be woakpɔ dɔlélea nyuie.
Nukawoe nye ʋumenugbagbeviɣidɔ ƒe dzesiwo?
Ne thyroid lãmetsiwo dzi ɖe edzi la, míaƒe ŋutilã ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ , si nye alesi nuɖuɖu trɔna zua ŋusẽ, va nɔa kabakaba ŋutɔ. Esia ate ŋu ahe dzesi geɖe siwo me dzidzeme mele o vɛ.
- Dzimaɖitsitsi ɣesiaɣi , dzimaɖitsitsi, alo dziku dzro ko.
- Lolo dzi ɖeɖe kpɔtɔ kpata (lolo dzi ɖeɖe kpɔtɔ togbɔ be nuɖuɖu dzroa ame nyuie eye wòɖua nu hã).
- Sese le ɖokuiwò me be yeƒe dzi le ƒoƒom kabakaba alo yeƒe akɔta le ʋuʋum (pulpitations).
- Fifia si gbɔ eme kple dzoxɔxɔ ƒe ŋutete si dzi ɖena kpɔtɔna.
- Ʋuʋudedi si menya kpɔna dzea sii bɔbɔe o le asiwo me .
- Alɔ̃madɔmadɔ alo alɔ̃madɔmadɔ.
- Kɔ ƒe ŋgɔgbe ƒe vuvu (goiter). Le ame aɖewo gome la, esia ate ŋu adze.
- Lãmetsiwo ƒe gbɔdzɔgbɔdzɔ , vevietɔ le abɔta kple ata.
- Taɖa ƒe vuvu kple ŋutigbalẽ ƒe ƒuƒu.
- Tsileƒe yiyi edziedzi ƒe dzidziɖedzi.
- Tɔtrɔ siwo vaa nyɔnuwo ƒe ɣleti sia ɣleti ƒe dzinukpɔkpɔ me (e.g., ŋkekewo ƒe xexlẽme dzi ɖe kpɔtɔ, ʋu ƒe dodo dzi ɖe kpɔtɔ).
- Ame aɖewo ate ŋu ase veve le ŋkume alo atrɔ.
Le gɔmedzedzea me la, àte ŋu ase le ɖokuiwò me be ŋusẽ le ye ŋu wu alesi nèwɔna ɖaa le esi wò lãmenugbagbeviwo ƒe dɔwɔwɔ sɔ gbɔ ta. Gake le ɣeyiɣi aɖe megbe la, dɔwɔna sia si dzi ɖe edzi ate ŋu ana wò ŋutilã nagbɔdzɔ eye wòana nàse le ɖokuiwò me be ɖeɖi te ŋuwò vevie.
Ðewohĩ ame tsitsiwo makpɔ dzesi siawo vevie nenema gbegbe o. Ðewohĩ dzi ƒe tsotso alo dzoxɔxɔ ƒe seselelãme dzi ɖe edzi vie ko. Azɔ hã, ne èle atikewo abe beta-blockers ene zãm na nɔnɔmewo abe ʋusɔgbɔdɔ ene la, woate ŋu atsyɔ dzesi siawo dometɔ aɖewo dzi. Eyata ele vevie ŋutɔ be nàgblɔ atike siwo katã zãm nèle la na wò ɖɔkta .
Nukatae thyroid lãmetsiwo dzina ɖe edzi alea?
Nu vevi geɖewo li siwo gbɔ ʋumenugbagbeviɣidɔ tsona.
Graves ƒe dɔléle
Esiae nye nusi gbɔ wòtsona wu. Enye kuxi si le dɔlélenutsiŋutete ŋu. Kpuie ko la, míaƒe ŋutilã ƒe ametakpɔnu dzea mía ŋutɔwo ƒe lãkusi dzi vodadatɔe, le esi teƒe be wòadze dɔlékui alo dɔlékui aɖe dzi. Esia wɔnɛ be lãkusia ʋãna akpa eye wòwɔa lãmetsiŋusẽ geɖe akpa. Esia bɔ ɖe nyɔnuwo me wu, vevietɔ amesiwo mexɔ ƒe 40 haɖe o. Eye ne esia le ƒomea me tɔ aɖe ŋu la, afɔkua lolo wu.
Thyroid nodules/Plummer ƒe dɔléle
Nu suesuesue aɖewo siwo dzɔna le lãkusi me la dzea woawo ŋutɔ ƒe lãmetsiŋusẽwo wɔwɔ gɔme, si wɔnɛ be lãmetsiŋusẽwo sɔa gbɔ ɖe ŋutilãa me. Nɔnɔme sia bɔ ɖe ame tsitsiwo me wu.
Thyroiditis ƒe dɔléle
Dɔlékui ƒe dɔléle, dɔlélenutsiŋutete ƒe kuxi bubuwo, alo fu ate ŋu ana lãkusia navuvu eye wòaxɔ abi. Ne edzɔ alea la, lãmetsi siwo wodzra ɖo ɖe lãkusia me la dona ɖe ʋukawo me zi ɖeka, si wɔnɛ be lãmetsiŋusẽ ƒe agbɔsɔsɔ dzina ɖe edzi hena ɣeyiɣi aɖe.
Iodine si dzi ɖe edzi
Ne iodine sɔ gbɔ ɖe nuɖuɖu alo vitamin siwo míeɖuna me la, ate ŋu ana lãmetsi si le lãkusi me hã nadzi ɖe edzi.
Ðe esia kpɔa ŋusẽ ɖe ŋkuwo hã dzia? (Ŋkudɔléle si nye Thyroid) .
Ame siwo ŋu Graves ƒe dɔlélea le dometɔ siwo ade 30% ate ŋu axɔ nɔnɔme aɖe si woyɔna be Thyroid Eye Disease (TED), si gblẽa nu le lãkusiwo kple lãmeka siwo ƒo xlã ŋkuwo ŋu.
Nu vevi siwo le eme:
- Ŋku siwo le ʋuʋum
- Sese le eɖokui me abe ke ene le ŋkuwo me
- Ŋku ƒe vevesese kple nyaƒoɖeamenu
- Ŋkuwo ƒe biã kple vuvu
- Ŋku ƒe ʋuʋu alo ʋuʋu
- Seselelãme le gota gome
- Nukpɔkpɔ eve
Ne womekpɔ Graves ƒe dɔlélea le ŋuwò o hã la, ne ède dzesi tɔtrɔ siawo le wò ŋkuwo ŋu la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
Nukawoe nye atike siwo wozãna na esia?
Taɖodzinu vevitɔ si le ʋumenugbagbeviɣidɔ dada ŋue nye be woakpɔ ʋumenugbagbeviɣidɔlékui siwo le ŋutilãa me ƒe agbɔsɔsɔ dzi. Wò ɖɔkta atia atike si sɔ wu le wò ƒexɔxɔ, lãmesẽ, nusi gbɔ wòtso, kple dzesiwo nu.
| Atikewɔwɔ ƒe mɔnu | Nuɖᴐɖᴐ |
|---|---|
| Iodine si me keklẽŋusẽ le | Esia nye mɔnu si wozãna zi geɖe. Womia iodine si me keklẽŋusẽ le ƒe agbɔsɔsɔ sue aɖe si le dedie abe atikekui ene. Lãmenugbagbevi siwo wɔa dɔ fũu akpa la xɔa esia eye wogblẽna. Esia wɔnɛ be lãkusia dzi ɖena kpɔtɔna eye lãmetsiŋusẽ ƒe agbɔsɔsɔ dzi ɖena kpɔtɔna. Ʋumenugbagbeviɣidɔ ate ŋu adzɔ ɣeaɖewoɣi le atikewɔwɔ sia megbe. Gake woate ŋu atsɔ atikekui sue aɖe si woano gbesiagbe ada esia bɔbɔe. |
| Atike siwo tsia ʋumenugbagbeviɣidɔ nu | Atike siawo xea mɔ na lãmetsiŋusẽ ƒe dɔwɔwɔ to lãkusi me. Togbɔ be dzesiawo ate ŋu anyo ɖe edzi le ɣleti ʋɛ aɖewo megbe hã la, ahiã be nàno atike siawo ƒe ɖeka ya teti. Esia nye tiatia si le dedie na funɔwo kple vidada siwo le no nam wo viwo. |
| Amekoko (Thyroidectomy) . | Ne lãkusia mewɔa nu ɖe atike ŋu o alo le susu bubuwo ta la, wowɔa dɔ nɛ be woaɖe lãkusia katã alo eƒe akpa aɖe ɖa. Le esia megbe la, ahiã be nàno thyroid hormone ƒe atikekui gbesiagbe le wò agbemeŋkekewo katã me. |
| Beta-mɔxenuwo | Esiawo meɖea lãmetsiŋusẽ ƒe agbɔsɔsɔ dzi kpɔtɔna o, gake woate ŋu akpe ɖe ame ŋu wòaɖu dzesiwo abe dzi ƒe tsotso kabakaba, ʋuʋudedi, kple dzimaɖitsitsi ene dzi. |
Nɔnɔme siwo me afɔku le siwo ate ŋu ado mo ɖa ne womewɔ atike na wo o
Ne womeda dɔ na ʋumenugbagbeviɣidɔ o la, ate ŋu ahe kuxi sesẽwo vɛ.
- Dzidɔ (e.g., dzidɔ) .
- Ʋu ƒe sisi kple ʋusɔgbɔdɔ
- Ƒuwo ƒe ƒuƒu kple woƒe gbagbã bɔbɔe (Osteoporosis) .
- Fufɔfɔ ƒe kuxiwo
### Nɔnɔme kpata si ŋu wòle be woakpɔ nyuie le: Thyrotoxic Crisis / Thyroid Storm
Ɣeaɖewoɣi la, kasia thyroid gland la te ŋu ɖea lãmetsiŋusẽ si sɔ gbɔ akpa ɖe ʋukawo me. Esia nye nɔnɔme si me afɔku le ŋutɔ si ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã. Ne dzesi siawo dometɔ aɖe le ŋuwò la, yi kɔdzi ƒe xɔ si me wokpɔa dɔnɔwo gbɔ kpata le (ETU) enumake.
* Asrã si nu sẽ ŋutɔ (si wu 104 F) .
* Dzi ƒe tsotso kabakaba ŋutɔ (eƒona wu 140 le aɖabaƒoƒo ɖeka me) .
* Delirium, ŋutete manɔamesi be woase nusiwo ƒo xlãe gɔme o
Aleke nàwɔ akpɔ wò nuɖuɖu dzi esime nèle agbe kple ʋumenugbagbeviɣidɔ si gbɔ eme?
Ne èle atike wɔm la, ele vevie be nàlé ŋku ɖe wò nuɖuɖu ŋu. Vevietɔ ne èɖu wò nuɖuɖu si me iodine sɔ gbɔ ɖo dzi la, ate ŋu akpe ɖe ŋuwò be dzesiawo nagagblẽ ɖe edzi o.
Nusiwo dzi woaɖe akpɔtɔ alo aƒo asa na:
- Dze si me iod le
- Notsi kple nyinotsibabla (cheese, yogurt) .
- Azi tutu
- Ƒumelãwo (shrimp, crab, lobster, ƒumegbe, sushi) .
Nu nyui siwo woatsɔ akpe ɖe nuɖuɖu ŋu:
- Atikutsetse kple amagbe yeyewo
- Nuku blibowo
- Akɔɖu kple mɔli amagbewo (abe lãmi, chickpeas ene) .
- Ami siwo naa lãmesẽ (abe amititsetse ƒe ami ene) .
Anyo wu be nàbia nuɖuɖuŋutinunyala aɖe hena nyatakaka bubuwo tso esia ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- Tagbɔdɔléle si gbɔ eme nye dɔléle si woate ŋu ada, gake ate ŋu anye afɔku gã aɖe ne womedae o.
- Ne dzesiwo abe lolo dzi ɖeɖe kpɔtɔ si womenya o, dzimaɖitsitsi, alo dzi ƒe tsotso kabakaba ene le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.
- No atike siwo wò ɖɔkta ŋlɔ na wò, abe alesi nèŋlɔe ene, hena ɣeyiɣi si nèŋlɔ na wò. Mègadzudzɔ wò atikewo nono le ɖokuiwò si gbeɖe o.
- Ðo dze kple wò ɖɔkta gaglãa tso wò nuɖuɖu, atikewo ƒe nugbegblẽ le ame ŋu, alo nu bubu ɖesiaɖe si ŋu nètsi dzi ɖo ŋu.
- Ne dzesi sesẽwo abe dzoxɔxɔ sesẽ kple tɔtɔ ene do mo ɖa la, bu eŋu be enye nusi dzɔ kpata eye nàyi kɔdzi ƒe Atikewɔwɔ Kpata (ETU) enumake.

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