Loaʻa iā ʻoe kēia mau hōʻailona pū kekahi? E kamaʻilio kākou e pili ana i ka hypothyroidism!

Ke luhi wale nei ʻoe i kekahi manawa? Ke manaʻo nei ʻoe ua piʻi iki kou kaumaha? A i ʻole ke maʻi wale nei ʻoe? Hiki ke hana ʻia kēia mau mea no nā kumu like ʻole. Akā i kekahi manawa ʻo ke kumu o kēia he pilikia liʻiliʻi me kou kelepa thyroid. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā.

He aha ka hypothyroidism? E ʻike maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo ka hypothyroidism kahi kūlana kahi i hana ʻole ai ka ʻōpū thyroid i loko o kou ʻāʻī i nā hormones thyroid lawa a hoʻokuʻu iā lākou i loko o ke koko. Hoʻomalu kēia mau hormones i nā hana koʻikoʻi he nui i loko o ko mākou kino, ʻoiai ko mākou metabolism , ʻo ia hoʻi ka hana ʻana i ka ikehu a me ka ʻeli ʻana i ka meaʻai. No laila, ke haʻahaʻa kēia mau hormones, holo mālie kēia mau hana āpau i loko o ko mākou kino. ʻO ia ke kumu i kekahi manawa luhi mākou me ke kumu ʻole a loaʻa ke kaumaha. Akā, mai hopohopo! Aia kahi hoʻāʻo koko maʻalahi e ʻike ai i kēia kūlana. Eia kekahi, he kūlana kēia e hiki ke mālama ʻia a kāohi ʻia i ka hapa nui o nā hihia. Hoʻokele maikaʻi ka poʻe he nui me ka lāʻau lapaʻau a me ka launa mau ʻana me kā lākou kauka. Eia naʻe, inā ʻaʻole mālama ʻia no ka manawa lōʻihi, hiki ke lilo i mea weliweli iki. No laila, inā loaʻa iā ʻoe nā hōʻailona hou, he mea nui loa ke ʻimi i ka ʻōlelo aʻoaʻo lapaʻau.

He aha nā ʻano nui o ka hypothyroidism?

ʻEhā ʻano nui o kēia maʻi hypothyroidism. E nānā kākou i ko lākou ʻano:

1. ʻO ka hypothyroidism mua

ʻO kēia ke ʻano maʻamau. ʻO kēia ka wā e hoʻopilikia pololei ʻia ai kou kelepa thyroid a ʻaʻole hiki ke hana i ka nui o ka hormone thyroid. Hiki ke hana ʻia kēia e kahi maʻi autoimmune e like me ka maʻi Hashimoto - kahi e hoʻouka ai ka ʻōnaehana pale o kou kino i kou kelepa thyroid - a i ʻole ma ke ʻoki ʻana a i ʻole ka radiation therapy ma kou kelepa thyroid. I loko o kēia manawa, hana ka kelepa pituitary i loko o kou lolo i ka hormone hoʻoulu thyroid (TSH) hou aʻe e hoʻoulu i kou thyroid.

2. Hypothyroidism lua

He mea kākaʻikahi kēia. ʻAʻole ka pilikia ma ʻaneʻi me ka thyroid gland, akā me ka pituitary gland, kahi iwi liʻiliʻi ma ke kumu o kou lolo. Inā ʻaʻole hana pono kēia gland, ʻaʻole ia e hoʻouna i ka hormone TSH i ka thyroid gland. A laila, ʻaʻole e loaʻa i ka thyroid gland ka leka e hana i nā hormones.

3. Hypothyroidism Tertiary

Hana ʻia kēia ma muli o kahi pilikia ma kahi ʻāpana ʻē aʻe o ka lolo, ʻo ia ka hypothalamus . ʻO ka hypothalamus kahi ʻāpana o ko mākou kino e kōkua ana i ka mālama ʻana i ka homeostasis. Inā ʻaʻole ia e hana i ka hormone hoʻokuʻu thyrotropin (TRH) lawa, ʻaʻole hiki i ka pituitary gland ke hana i ka TSH lawa. ʻO ka hopena, he emi ʻana o nā hormones thyroid.

4. ʻO ka hypothyroidism subclinical

Ua kapa ʻia hoʻi kēia he hāʻule ʻana o ka thyroid . ʻO ka mea e hana ʻia ma ʻaneʻi, ua kiʻekiʻe iki wale nō kou pae TSH, akā aia kāu mau pae hormone thyroid ʻē aʻe (T3, T4) i loko o ka pae maʻamau. I ka hapanui o nā hihia, hoʻopau ʻia kēia kūlana ma kāna iho i loko o ʻekolu mahina.

Pehea ka maʻamau o kēia ʻano i kapa ʻia ʻo hypothyroidism?

Hiki i ka Hypothyroidism ke hoʻopilikia i kekahi, akā ʻoi aku ka maʻamau i nā wahine ma luna o 60 mau makahiki , ʻoi aku hoʻi ma hope o ka menopause .

He aha nā hōʻailona o ka hypothyroidism? E nānā inā loaʻa iā ʻoe kēia mau mea pū kekahi!

ʻAʻole ʻike pinepine ʻia nā hōʻailona o ka hypothyroidism i ka manawa hoʻokahi. Hoʻomohala mālie lākou, i kekahi manawa i nā makahiki. E nānā inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• Noe lolo - ʻO ke ʻano kēia o ka poina ʻana i nā mea a me ka paʻakikī o ka noʻonoʻo ʻana.
• Kaumaha a me ka Hopohopo - Nā manaʻo kaumaha a me ka makaʻu.
• ʻIli maloʻo, ʻāʻā a me ka lauoho.
• Hoʻonui ʻia nā pae cholesterol koko.
• Luhi mau ka manaʻo ( fatigue ).
• No nā wahine, ʻo ka menstruation pinepine a kaumaha paha.
• Ka leo haʻalulu .
• ʻAʻole hiki ke hoʻomanawanui i ke anu.
• Ka maneʻo a i ʻole ke ʻano ʻūlū ma nā lima.
• Nā loli o ka helehelena - e like me ke kuʻe ʻana o nā lihilihi a me ka pehu ʻana a puni nā maka.
• ʻEha a nāwaliwali paha nā ʻiʻo.
• Piʻi ke kaumaha me ke kumu ʻole.

Mea nui: Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​e ʻoluʻolu e hoʻomaopopo i kāu kauka. Hiki iā lākou ke hana i nā hoʻokolohua e pono ai e hōʻoia inā he hypothyroidism kēia a i ʻole.

No ke aha e kū mai ai ka hypothyroidism? He aha nā kumu nui?

ʻO ke kumu nui o ka hypothyroidism ʻo ia ka maʻi Hashimoto . E like me kā mākou i ʻōlelo ai ma mua, he maʻi autoimmune kēia.ʻO ia hoʻi, ua hoʻouka hewa ka ʻōnaehana pale o kou kino ponoʻī i kou kelepa thyroid. Akā, ʻaʻole kēia wale nō ke kumu. Hiki ke loaʻa nā kumu ʻē aʻe:

• ʻO kekahi mau lāʻau lapaʻau - no ka laʻana, nā lāʻau lapaʻau e like me ka lithium, thalidomide, a me ka amiodarone .
• Nā kūlana i loaʻa i ka wā hānau - Hānau ʻia kekahi poʻe me ka ʻole o ka ʻōpū thyroid , a i ʻole me kahi ʻōpū thyroid i hana pono ʻole.
• Ka nele o ka iodine - ʻAʻole lawa ka iodine i loko o ke kino.
• Nā maʻi ʻōpū pituitary - nā mea e like me nā ʻōpū ʻaʻole maʻi kanesa.
• ʻO Thyroiditis - He mumū kēia o ke kelepa thyroid. Hiki ke hana kēia ma hope o ke kuni viral a i ʻole i ka wā hāpai .

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka hypothyroidism?

ʻOiai hiki i kekahi ke loaʻa i kēia maʻi, ʻoi aku ka kiʻekiʻe o ka pilikia inā he wahine ʻoe , a inā pili kekahi o kēia mau mea iā ʻoe:

• Loaʻa i kahi maʻi autoimmune ʻē aʻe.
• Loaʻa i kekahi o ka ʻohana (nā mākua, nā kaikaina) kēia maʻi (predisposition genetic).
• Ma hope o ka hana ʻana i ke ʻoki kino thyroid ma mua (e.g., thyroidectomy).
• Ke hāpai nei.
• Ma hope o ka loaʻa mua ʻana o ka radiation therapy ma ka ʻāʻī a me ke poʻo.
• Hoʻomaka a hoʻōki paha i kekahi mau lāʻau lapaʻau.

He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?

Me ka mālama pono ʻana, he mea kākaʻikahi nā pilikia mai ka hypothyroidism. Eia nō naʻe, inā waiho ʻole ʻia no ka manawa lōʻihi , hiki ke ulu mai nā pilikia olakino ʻē aʻe. Eia kekahi mau laʻana:

• Goiter - ka hoʻonui ʻia ʻana o ka thyroid gland.
• Maʻi puʻuwai.
• Ka hānau ʻole ʻana.
• Nā hāʻule ʻana o ka hāpai keiki a i ʻole nā ​​kīnā hānau.
• ʻO ka neuropathy peripheral - ka hōʻino ʻana i nā aʻalolo i nā lālā.
• ʻO ka Myxedema coma - He mea laha ʻole kēia, akā he mea hoʻoweliweli paha i ke ola, hiki ke hoʻopilikia i nā ʻano kino he nui o ke kino.

Pehea e ʻike pololei ʻia ai kēia maʻi? (Diagnosis)

Ke nānā ke kauka iā ʻoe, e hoʻopā mua lākou i kou ʻāʻī e ʻike inā ua pehu kou kelepa thyroid. A laila e nīnau lākou e pili ana i kāu mau hōʻailona a me nā kūlana olakino i loaʻa iā ʻoe ma mua. Eia nō naʻe, no ka hōʻoia ʻana i ka hypothyroidism, pono lākou e hana i nā hoʻokolohua koko thyroid.ʻO kēia no ka mea hiki ke like nā hōʻailona me nā maʻi ʻē aʻe. Ke ana kēia mau hoʻāʻo koko i ka pae o ka hormone hoʻoulu thyroid (TSH) a me nā hormones thyroid ʻē aʻe (T3 a me T4) i loko o kou koko. I kekahi manawa, pono paha ʻoe i nā hoʻokolohua kiʻi o kou kelepa thyroid. ʻO kēia mau mea:

• Hoʻokolokolo ʻana o ka ultrasound.
• ʻO kahi scan CT (CT - scan tomography i helu ʻia).
• ʻO ka nānā ʻana i ka lawe ʻana o ka thyroid - He scan kūikawā kēia e pili ana i ka lāʻau lapaʻau nukelea.

He aha nā lāʻau lapaʻau no ka hypothyroidism?

ʻO ka lāʻau lapaʻau nui a maʻamau no ka hypothyroidism ʻo ia ka lāʻau hoʻololi hormone . He lāʻau lapaʻau kēia i kapa ʻia ʻo levothyroxine (ʻo nā inoa inoa inoa ʻo Synthroid®, Levo-T®). Hana kēia lāʻau lapaʻau ma ka hoʻololi ʻana i nā hormones hiki ʻole i kāu kelepa thyroid ke hana. Lawe ka hapa nui o ka poʻe i kēia lāʻau lapaʻau i ke kakahiaka ma ka ʻōpū ʻole. Ke lawe mau ʻoe i kēia lāʻau lapaʻau , e kaulike kāu mau pae hormone a e nalowale kāu mau hōʻailona. Eia nō naʻe, hiki ke lōʻihi ka manawa e ʻike ai i ka nui kūpono nou. E hana kāu kauka i nā hoʻokolohua koko maʻamau e hōʻoia i kāu mau pae TSH i loko o nā palena maʻamau.

ʻO ka mea nui, pono ʻoe e lawe i kēia lāʻau hypothyroidism no ke koena o kou ola . Inā mālama pono ʻoe iā ia a noho mau i ka launa pū ʻana me kāu kauka, hiki iā ʻoe ke ola i kahi ola maʻamau a olakino.

ʻEhia ka manawa e ʻoi aku ai koʻu maikaʻi ma hope o ka hoʻomaka ʻana i ka lāʻau lapaʻau?

E hoʻomaka ana kāu mau pae hormone e kaulike ke hoʻomaka ʻoe e lawe i ka lāʻau lapaʻau e like me levothyroxine. Eia nō naʻe, hiki ke hala kekahi mau pule e ʻike i ka emi ʻana o nā hōʻailona. E hoʻomanaʻo, inā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, e hoʻi hou mai paha kāu mau hōʻailona.

Aia kekahi ala e pale aku ai i ka hypothyroidism?

ʻO ka mea pōʻino, ʻaʻohe ala e pale aku ai i ka hypothyroidism. Eia nō naʻe, inā ʻike ʻoe i kekahi o nā hōʻailona a mākou i kūkākūkā ai ma mua, ʻoi aku ka maikaʻi o ka ʻike koke ʻana i ke kauka. Hiki i ka ʻike mua a me ka mālama ʻana ke kōkua i ka hōʻemi ʻana i ka pilikia o nā pilikia a kōkua iā ʻoe e noho olakino.

He maʻi hiki ke ho'ōla loa ʻia kēia?

ʻAʻohe lāʻau lapaʻau no ka hypothyroidism i kēia manawa. Eia nō naʻe, hiki ke mālama pono ʻia ke kūlana me ka lāʻau hoʻololi hormone .

Pehea ka lōʻihi o ka lōʻihi o ka hypothyroidism?

He maʻi ia no ke ola holoʻokoʻa o ka hypothyroidism. Inā ua ʻike ʻia ʻoe me kēia maʻi, pono ʻoe e lawe i ka lāʻau lapaʻau i kēlā me kēia lā e kaohi i kāu pae hormone thyroid.

He aha ka nānā ʻana inā hāʻawi ʻia ka lāʻau lapaʻau? (Outlook)

Inā mālama pono ʻia kekahi me ka hypothyroidism, maikaʻi loa ka nānā ʻana . Inā waiho ʻole ʻia, hiki ke loaʻa nā pilikia e hoʻoweliweli i ke ola e like me ka myxedema .

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka hypothyroidism (e.g., piʻi ke kaumaha, maloʻo ka ʻili, luhi pinepine), e haʻi i kāu kauka. E hana lākou i nā hoʻokolohua e kāpae i nā kūlana ʻē aʻe. Inā ʻoe e lawe nei i ka lāʻau lapaʻau no ka hypothyroidism, e haʻi i kāu kauka inā hoʻi mai kāu mau hōʻailona a hoʻomau paha. Pono paha lākou e hoʻoponopono i ka nui o kāu lāʻau lapaʻau.

I ka manawa hea ʻoe e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā ʻike ʻoe i nā hōʻailona ma lalo nei, e kāhea koke i ka 911 a i ʻole e hele i ka lumi pilikia kokoke loa :

• Paʻakikī ka hanu ʻana.
• Ka palaualelo loa.
• Ka emi ʻana o ka mahana o ke kino (Hypothermia).
• Ke koko haʻahaʻa (Hypotension).
• Ka lohi o ka puʻuwai (Bradycardia).

Hiki i kēia mau hōʻailona ke hōʻike i kahi maʻi hoʻoweliweli ola i kapa ʻia ʻo myxedema . Inā loaʻa iā ʻoe kekahi mea e like me kēia, e ʻimi koke i ka lāʻau lapaʻau!

Hiki ke hoʻomohala ʻia ka hypothyroidism i ka wā hāpai?

ʻO ka poʻe me ka thyroid hana ʻole, ʻoiai ka poʻe me ka hypothyroidism mua, aia i ka nui o ka pilikia o ka hānau ʻole ʻana a me nā pilikia hāpai (e.g., gestational hypertension , postpartum hemorrhage) . Eia nō naʻe, me nā hoʻāʻo hana thyroid maʻamau a me nā lāʻau lapaʻau kūpono, hiki iā ʻoe ke loaʻa kahi hāpai olakino. Inā loaʻa iā ʻoe ka hypothyroidism a manaʻo ʻoe ua hāpai paha ʻoe, e nīnau i kāu kauka e pili ana i ka pehea e mālama ai i kēia kūlana.

Ke hoʻomohala nei hoʻi nā keiki ʻōpio i ka hypothyroidism?

Ua hānau ʻia kekahi poʻe me kahi kelepa thyroid hana ʻole, a i ʻole ʻaʻohe kelepa thyroid. Kāhea nā kauka i kēia he hypothyroidism congenital . Hoʻāʻo nā kauka i nā pēpē hānau hou a pau no ka hypothyroidism no ka mea he mea nui nā hormones thyroid no ka ulu ʻana o ka pēpē a me ka ulu ʻana o ka lolo. Inā loaʻa i kāu pēpē ka hypothyroidism congenital, e hoʻomaka paha kāu kauka i ka lāʻau lapaʻau i nā pule mua o ke ola e pale aku i nā kīnā noʻonoʻo a me nā lohi o ka ulu ʻana .

He mea kēia i loaʻa mai nā hanauna mai?

I kekahi manawa, akā ʻaʻole mau. Hiki ke hoʻoili ʻia ka hypothyroidism mai nā mākua a i nā keiki. Akā i ka hapanui o nā hihia, ua hoʻokumu ʻia hoʻi e nā kumu o ke kaiapuni, e like me ka thyroiditis, ka nele o ka iodine, a me ka lawe ʻana i kekahi mau lāʻau lapaʻau .

Ke hoʻolilo maoli nei ka hypothyroidism iā ʻoe i momona?

ʻAe, hiki i ka hypothyroidism ke hoʻonui i kou kaumaha inā ʻaʻole mālama ʻia. He nui ka poʻe e emi ana ke kaumaha ma hope o ka hoʻomaka ʻana i ka lāʻau hoʻololi hormone. Eia nō naʻe, he papaʻai a me ka hoʻolālā hoʻoikaika kino e pono ai nāuʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e pili ana i ia mea.

He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?

Inā ʻaʻole i mālama ʻia, he maʻi koʻikoʻi ka hypothyroidism a he mea hoʻoweliweli paha i ke ola .

Ke hoʻopilikia nei anei ka hypothyroidism i ka hopohopo?

ʻAe, hiki iā ʻoe. ʻO ka ʻoiaʻiʻo, hiki i kekahi maʻi thyroid ke hoʻoulu i ka hopohopo a me ke kaumaha . Eia nō naʻe, ʻo ka hypothyroidism ke kumu nui o kēia. E nīnau i kāu kauka e pili ana i nā ala e hōʻemi ai i ke kaumaha a hoʻomaʻamaʻa i ka noʻonoʻo pono.

ʻO ka mea hope loa, nā mea nui e hoʻomanaʻo! (Leka Lawe-Home)

ʻO ka luhi, ka noe o ka lolo, ke kaumaha, a me ka piʻi ʻana o ke kaumaha i wehewehe ʻole ʻia kekahi o nā hōʻailona o ka hypothyroidism. Inā hoʻomaka kēia mau hōʻailona hōʻailona e komo i loko o kou ola o kēlā me kēia lā, hiki ke hopohopo iki. Inā ʻaʻole mālama ʻia, hiki i ka hypothyroidism ke hoʻoweliweli i ke ola. Eia nō naʻe, ʻo ka nūhou maikaʻi me ka lāʻau lapaʻau, hiki iā ʻoe ke ola i kahi ola me ka ʻole o nā hōʻailona. Inā manaʻo ʻoe ua hewa kekahi mea, e ʻike i ke kauka no ka ʻōlelo aʻo. Hiki iā lākou ke holo i nā hoʻokolohua, ʻike i ke kūlana, a ʻōlelo i ka lāʻau kūpono e hoʻihoʻi iā ʻoe i ke ala. ʻO ka mea nui loa, ʻo ia ke noho mālie, e noho ʻike, a hahai i ka ʻōlelo aʻo a kāu kauka! Thyroid, Hypothyroidism, Hormones, Metabolism, Symptoms, Treatment, Thyroid