Ke hana ikaika nei anei kou kelepa thyroid? E kamaʻilio kākou e pili ana i ka hyperthyroidism!

Ke manaʻo nei ʻoe i kekahi manawa ua hewa kekahi mea me kou kino a ʻaʻole ʻoe e maikaʻi? Ke manaʻo nei ʻoe e hana wikiwiki ana kou kino, hopohopo ʻoe, a pilikia ʻoe i ka mālama ʻana i kou manaʻo? Inā pēlā, ke hana nui nei paha kou kelepa thyroid. I kēia lā, e kamaʻilio kākou e pili ana i kēia maʻi i kapa ʻia ʻo hyperthyroidism.

He aha ka hyperthyroidism? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo ka hyperthyroidism ka wā e hana nui ai ke kelepa thyroid ma kou ʻāʻī a hana nui i ka hormone thyroid. He kelepa liʻiliʻi ke kelepa thyroid, e like me ke ʻano o ka pepeke e kū ana ma ke alo o kou ʻāʻī. Akā ʻoiai he liʻiliʻi ia, hana nui ia. He mea nui nā hormones thyroid no ka kaohi ʻana i nā mea he nui i loko o ko mākou kino, ʻoiai ka wikiwiki o ka hoʻohana ʻana o ko mākou kino i ka ikehu, a i ʻole ka metabolism.

ʻElua ʻano nui o nā hormones thyroid, ʻo `triiodothyronine (T3)` a me `thyroxine (T4)`. Aia pū kekahi `thyroid-stimulating hormone (TSH)`, ka mea i loaʻa mai ka pituitary gland a haʻi i ka thyroid e hana i nā hormones. I kēia manawa, i ka hyperthyroidism, ʻo ka mea e hana ʻia, ʻo ia ka hōʻiliʻili ʻana o kēia mau hormones `(T3)` a me `(T4)` i loko o ke koko ma mua o ka mea e pono ai. A laila, nui nā mea i loko o ke kino e wikiwiki, e like me ke kaʻaahi e holo wikiwiki ana. Manaʻo paha ʻoe ua "overdrive" kou kino holoʻokoʻa. Manaʻo paha ʻoe ʻaʻole ʻoe ʻo ʻoe iho. No laila, he mea nui loa ka makaʻala i kēia a ʻike i ke kauka inā loaʻa iā ʻoe nā hōʻailona.

Pehea ka maʻamau o kēia ʻano?

ʻOiaʻiʻo, ʻaʻole maʻamau ka hyperthyroidism. No ka laʻana, ma kahi ʻāina e like me ʻAmelika, ua ʻōlelo ʻia he 1.3% wale nō o ka heluna kanaka i loaʻa i kēia maʻi. Akā, hoʻopilikia ia i nā kānaka a pau, no laila he mea maikaʻi ke makaʻala i ia mea.

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

Ma muli o ka hiki i ka hyperthyroidism ke hoʻopilikia i ko mākou kino holoʻokoʻa, aia paha he ʻoi aku ma mua o hoʻokahi hōʻailona. Loaʻa paha i kekahi poʻe kekahi mau hōʻailona wale nō, aʻo kekahi poʻe he nui i ka manawa hoʻokahi. E nānā inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Ka wikiwiki o ka puʻuwai (Tachycardia) a me/a i ʻole nā ​​palpitations. Ua like ia me kahi pahu e kuʻi ana i loko o ka umauma.
• Hoʻonui ʻia ke koko .
• Ke manaʻo nei e haʻalulu ana kou mau lima (`(Hands tremors)`). Me he mea lā e haʻalulu ana ʻoe ʻoiai ʻoe e paʻa ana i kahi kīʻaha tī.
• Ke hopohopo mau nei, ka hoʻomaha ʻole, a/a i ʻole ka huhū maʻalahi .
• ʻO ka pohō kaumaha me ka ʻole o ka makemake maikaʻi, malia paha ʻoiai ʻoe e ʻai nui aku.
• ʻŌpū pinepine a i ʻoleʻO ke ʻano e like me ka maʻi pākī .
• Ka hou nui ʻana a me ke kū ʻole i ka wela nui.
• He laina lauoho paʻa ʻole, e like me ka hāʻule ʻana o ka lauoho a i ʻole nā ​​wēlau māhele.
• ʻO ka insomnia (hiki ʻole ke hiamoe i ka pō).
• ʻO nā loli i ke kaʻina hana menstrual o ka wahine, no ka laʻana, ka emi ʻana o ka nui o ke koko e kahe ana i loko o ka mahina a i ʻole ka pau ʻana o ka menstruation .
• Ka pehu ʻana o ke alo o ka ʻāʻī, i kapa ʻia he goiter .
• Nā maka pehu a puka mai paha (`(Maʻi maka thyroid)`).

Hiki i kēia mau hōʻailona ke hoʻomaka koke, a i ʻole hiki iā lākou ke ulu mālie i ka hala ʻana o ka manawa. ʻO ka mea nui loa, ʻo ia ke ʻike i ke kauka inā manaʻo ʻoe he hoʻokahi a ʻoi aku paha o kēia mau hōʻailona.

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

Hiki ke loaʻa nā kumu like ʻole o ka hyperthyroidism. E nānā kākou i nā mea nui:

• ʻO ka maʻi Graves: ʻO kēia ke kumu maʻamau o ka hyperthyroidism. He maʻi autoimmune ka maʻi Graves. I ka ʻōlelo maʻalahi, hoʻouka ka ʻōnaehana pale o ko mākou kino i ko mākou kelepa thyroid ponoʻī, e hana ana i ka nui o ka hormone. Inā loaʻa i kekahi o kou ʻohana ka maʻi thyroid a i ʻole nā ​​​​maʻi autoimmune ʻē aʻe, ʻoi aku ka nui o kou loaʻa ʻana.

• Nā puʻupuʻu thyroid: He mau puʻupuʻu a he mau hui paha o nā cell e hana ʻia ana i loko o ka thyroid gland. I kekahi manawa hiki i kēia mau puʻupuʻu ke hana i ka nui o ka hormone thyroid. Ua kapa pū nā kauka i kēia he goiter multinodular toxic (TMNG). Akā, mai hopohopo, ʻaʻole loa kēia mau puʻupuʻu thyroid i maʻi kanesa.

• Thyroiditis: He mumū kēia, a i ʻole ka pehu ʻana, o ke kelepa thyroid. Hiki i kēia ke kumu i ka hyperthyroidism no ka manawa pōkole. Ma hope o kēia wā o ka hana nui ʻana, hiki ke loaʻa ka hypothyroidism (hana ʻole ʻia o nā hormones thyroid). Ke pau ka mumū, hiki ke hoʻi nā pae hormone i ka maʻamau.

• Ke komo nui nei ka iodine i loko o ke kino:Inā lawe nui mākou i ka iodine, inā paha mai nā meaʻai a mākou e ʻai ai a i ʻole mai kekahi mau lāʻau lapaʻau, hiki iā ia ke hoʻoulu i ka thyroid gland e hana i ka nui o ka hormone. ʻO kēia no ka mea he mineral ka iodine e pono ai no ka hana ʻana o nā hormones thyroid. Hiki ke hana ʻia kēia i kekahi manawa ke loaʻa iā ʻoe ka IV iodinated contrast (kahi dye i hoʻohana ʻia no kekahi mau x-ray) a i ʻole ke lawe ʻoe i nā lāʻau lapaʻau e like me Amiodarone (kahi lāʻau lapaʻau puʻuwai).

• ʻO ka adenoma pituitary hoʻokuʻu TSH / Thyrotropinoma: He kūlana kakaikahi loa kēia. ʻO kahi puʻupuʻu liʻiliʻi i loko o ka pituitary gland i loko o ko mākou lolo e hana i ka nui o ka hormone hoʻoulu thyroid (TSH). A laila koi kēia i ka thyroid gland e hana i nā hormones hou aku.

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

ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i kekahi poʻe ma mua o kekahi. ʻO kekahi o nā kumu pilikia nui e hoʻopilikia ai:

• Loaʻa i kekahi o kou ʻohana ka maʻi thyroid a me/a i ʻole nā ​​​​maʻi autoimmune.
• Puhi paka.
• ʻO ka hāpai ʻana (ʻoi aku hoʻi no kahi maʻi i kapa ʻia ʻo postpartum thyroiditis e hana ʻia ma hope o ka hānau ʻana).

Pehea e ʻike ai ke kauka i kēia?

E hahai ke kauka i kekahi mau ʻanuʻu e hoʻoholo ai inā he hyperthyroidism kou:

1. Hoʻokolokolo kino: ʻO ka mea mua, e nānā ke kauka iā ʻoe e ʻike inā he mau hōʻailona kou o ka hyperthyroidism. Eia kekahi laʻana, ua pehu kou kelepa thyroid, ua piʻi aʻe kou puʻuwai, a ua mahana a palupalu kou ʻili?

2. Nā hoʻāʻo koko thyroid: Nānā kēia i nā pae o nā hormones thyroid i loko o kou koko. ʻOi aku ka kiʻekiʻe o nā pae o nā hormones `(T3)` a me `(T4)` ma mua o ka maʻamau o ke kanaka me ka hyperthyroidism. ʻOi aku ka haʻahaʻa o ka pae o ka ``Thyroid Stimulating Hormone (TSH)`` ma mua o ka maʻamau (akā ʻaʻole mau).

3. Hoʻāʻo koko antibody thyroid: Kōkua kēia i ka hoʻoholo ʻana inā ʻo ka maʻi Graves ke kumu.

4. Nā hoʻāʻo kiʻi: Hiki ke hana ʻia nā hoʻāʻo kiʻi like ʻole o kou kelepa thyroid e hoʻoholo ai i ke kumu o ka hyperthyroidism. ʻO kēia mau mea ka hoʻāʻo radioactive iodine uptake (RAIU) a me ka scan, a me ka ultrasound thyroid. E wehewehe kāu kauka i kēia mau hoʻāʻo iā ʻoe a paipai i ka mea kūpono loa iā ʻoe.

He aha nā lāʻau lapaʻau no ka hyperthyroidism?

ʻO ka nūhou maikaʻi, he maʻi hiki ke mālama ʻia ka hyperthyroidism. Ma muli o ke kumu o kou maʻi, ʻoi aku ka kūpono o kekahi mau lāʻau lapaʻau iā ʻoe ma mua o nā mea ʻē aʻe. E kūkākūkā kāu kauka i kēlā me kēia o kēia mau koho lapaʻau me ʻoe a kōkua iā ʻoe e koho i ka hoʻolālā lapaʻau maikaʻi loa nāu.

• Nā lāʻau lapaʻau antithyroid: Hoʻemi ka Methimazole (Tapazole®) a me Propylthiouracil (PTU) i ka hiki o kāu kelepa thyroid ke hana i nā hormones. ʻO kēia mau lāʻau lapaʻau ka lāʻau lapaʻau maʻamau no ka hyperthyroidism. Hiki ke hoʻomalu ʻia ka hana thyroid i loko o ʻelua a ʻekolu mahina. Hiki ke hoʻomaka kāu mau hōʻailona e hoʻomaikaʻi i loko o kekahi mau lā a i ʻole mau pule.

• ʻO ka lāʻau lapaʻau iodine radioactive (RAI): ʻO kēia ka lawe ʻana i kahi capsule a wai paha i loaʻa ka iodine radioactive ma ka waha. Hele pololei ka iodine radioactive i kāu mau hunaola thyroid a luku iā lākou. ʻO ka lāʻau lapaʻau RAI e luku mau loa i ka ʻōpū thyroid, a laila e ho'ōla i ka hyperthyroidism. Eia nō naʻe, pono ka poʻe he nui e loaʻa ana i kēia lāʻau lapaʻau e lawe i ka lāʻau hormone thyroid (Levothyroxine) no ke koena o ko lākou ola e mālama i nā pae hormone maʻamau.

• ʻO ke ʻoki kino (`(Thyroidectomy)`): Hiki i ke kauka lapaʻau ke wehe i kou ʻāpana a pau paha o kou kelepa thyroid. Hiki i kēia ke hoʻoponopono i ka hyperthyroidism, akā pinepine ka hopena i ka ``Hypothyroidism`` (nā pae hormone thyroid haʻahaʻa). A laila pono ʻoe e lawe i ka lāʻau hormone thyroid no ke koena o kou ola.

• Nā Beta-blockers: Hiki i kēia mau lāʻau lapaʻau ke kōkua i ka kaohi ʻana i nā hōʻailona o ka hyperthyroidism, e like me ka puʻuwai wikiwiki, ka hoʻomaha ʻole, a me nā haʻalulu. Akā, ʻaʻole lākou e hoʻololi i nā pae o nā hormones i loko o ke koko. Hiki i kāu kauka ke hāʻawi iā ʻoe i kēia mau beta-blockers me nā lāʻau lapaʻau ʻē aʻe.

Loaʻa i kēlā me kēia o kēia mau lāʻau lapaʻau kona mau hopena ʻaoʻao a me nā pilikia. E wehewehe kāu kauka i kēia mau mea iā ʻoe. Mai makaʻu e nīnau.

He aha ka wānana no kekahi me ka hyperthyroidism? (Prognosis)

He maʻi hiki ke mālama ʻia ka Hyperthyroidism. Hana maikaʻi ka hapa nui o ka poʻe me ka lāʻau lapaʻau. Pono kekahi mau lāʻau lapaʻau i ka lāʻau lapaʻau no ke ola holoʻokoʻa, akā hiki iā ia ke kōkua i ka mālama ʻana i kāu mau pae hormone thyroid i kahi pae olakino.

Eia nō naʻe, inā ʻaʻole mālama ʻia ka hyperthyroidism i hoʻokumu ʻia e ka maʻi Graves, hiki ke lilo i mea ʻino aʻe i ka hala ʻana o ka manawa a alakaʻi i nā pilikia e like me ka ophthalmopathy o Graves. Inā loaʻa iā ʻoe ka maʻi Graves, e nīnau i kāu kauka pehea e mālama pono ai.

He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia? He mea weliweli anei ia?

Inā ʻaʻole mālama pono ʻia a i ʻole ʻaʻole mālama pono ʻia, hiki i ka hyperthyroidism ke alakaʻi i nā pilikia like ʻole. ʻO kekahi o lākou:

• ʻO ka fibrillation atrial (Afib) (puʻuwai puʻuwai kūpono ʻole)
• ʻO ka hāʻule ʻana o ka puʻuwai congestive (maʻi puʻuwai)
• Ka hānau ʻole ʻana
• ʻO ka hahau ʻana ischemic (paralysis)
• ʻO ka Osteoporosis (ka lahilahi o nā iwi)

ʻO kahi pilikia kakaikahi akā hiki ke hoʻoweliweli i ke ola o ka hyperthyroidism ʻo ia ka ʻino thyroid (i kapa ʻia hoʻi he pilikia thyroid a i ʻole ka pilikia thyrotoxic). ʻO kēia ka wā e hana ai kāu gland thyroid i ka nui o ka hormone thyroid i loko o kou koko i loko o kahi manawa pōkole loa. He pilikia olakino kēia. ʻO ka hyperthyroidism i mālama ʻole ʻia a mālama ʻole ʻia paha hiki ke hana i ka ʻino thyroid. Hiki ke hoʻonui ʻia e nā kūlana hopohopo e like me nā maʻi, nā ʻeha, a me nā ʻoki kino.

Āhea wau e ʻike ai i ke kauka?

Inā manaʻo ʻoe he mau hōʻailona kou o ka hyperthyroidism, he mea nui e ʻike i ke kauka e loiloi i kou kūlana a loaʻa i ka lāʻau lapaʻau e pono ai.

Inā ʻike mua ʻoe he maʻi kou, pono ʻoe e ʻike pinepine i kāu kauka e hōʻoia i ka hana pono ʻana o kāu lāʻau lapaʻau.

Inā ʻike ʻoe i nā hōʻailona o ka "ʻino thyroid", e like me ke kuni nui a me ka puʻuwai wikiwiki loa, e hele i ka haukapila kokoke loa i ka hikiwawe loa.

E hoʻonui anei kēia kūlana i ke kaumaha?

ʻAʻole maʻamau ka hyperthyroidism ke kumu o ka piʻi ʻana o ke kaumaha. ʻO ka ʻoiaʻiʻo, emi ke kaumaha o kekahi poʻe ʻoiai he makemake nui ko lākou. ʻO kēia no ka mea hoʻonui ka hyperthyroidism i ka metabolism o kou kino, e hoʻohana ana i nā calorie ma mua o ka maʻamau no ka ikehu.

Hiki i ka Hypothyroidism (ka hana haʻahaʻa o nā hormones thyroid) ke hana i ka emi ʻana o ka metabolic rate a me ka piʻi ʻana o ke kaumaha.

Hiki ke hoʻomohala ʻia ka hyperthyroidism i ka wā hāpai?

ʻAe, hiki ke loaʻa kēia ʻano i ka wā hāpai. I nā wā mua o ka hāpai ʻana, pono kou kino e hana i nā hormones thyroid hou aʻe ma mua o ka maʻamau e kōkua i kāu pēpē e ulu. ʻAʻole pilikia ka pae hormone thyroid kiʻekiʻe iki ma mua o ka maʻamau, akā inā kiʻekiʻe loa ka pae, pono kāu kauka e hoʻomohala i kahi hoʻolālā lapaʻau. No ka mea, hiki i nā pae hormone thyroid kiʻekiʻe ke hoʻopilikia ʻaʻole wale iā ʻoe, akā i kāu pēpē pū kekahi.

Hiki ke paʻakikī ke ʻike i ka hyperthyroidism i ka wā hāpai, no ka mea hiki ke uhi ʻia ke ʻano e ka piʻi maoli ʻana o ka nui o ka hormone thyroid a me nā hōʻailona ʻē aʻe o ka hāpai ʻana.

He aha nā meaʻai e pono ai ʻoe e pale inā loaʻa iā ʻoe ka hyperthyroidism?

I kekahi mau hihia, ʻo ka ʻai ʻana i nā meaʻai he nui i ka iodine a i ʻole me ka iodine i hoʻohui ʻia hiki ke hana i ka hyperthyroidism a hoʻonui paha i kahi maʻi e kū nei.

Inā loaʻa iā ʻoe ka hyperthyroidism, hiki i kāu kauka ke ʻōlelo aku e hana i kekahi mau hoʻololi i kāu meaʻai. E kūkākūkā mau me ke kauka a i ʻole kekahi meaʻai meaʻai i kākau inoa ʻia ma mua o ka hana ʻana i kekahi mau hoʻololi nui i kāu meaʻai. E hoʻomanaʻo, ʻaʻole hiki ke ho'ōla ʻia ka hyperthyroidism me ka ʻai wale nō. Pono paha ʻoe i ka lāʻau lapaʻau.

Inā ʻōlelo kāu kauka i kahi papaʻai haʻahaʻa-iodine, e ho'āʻo e pale i kēia mau meaʻai:

• Iʻa
• Limu (`(Limu)` a me `(Kelp)`)
• Nā pāpaʻi a me nā ʻōpae
• Sushi
• ʻŌpae
• ʻO ka limu a me ka alginate
• Nā huahana waiū e like me ka waiū a me ka tīhi
• Hua moa
• Paʻakai i hoʻohuihui ʻia

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

He mea maʻamau ka manaʻo kaumaha iki ke loaʻa iā ʻoe kahi hōʻailona hou. Akā ʻo ka nūhou maikaʻi, he maʻi hiki ke mālama ʻia ka hyperthyroidism. Inā ʻike ʻoe i nā hōʻailona e like me ka hana nui o kou kino, ke manaʻo nei ʻoe i ka haʻalulu, a i ʻole ke pilikia nei ʻoe i ka noʻonoʻo ʻana, he mea nui e ʻike i ke kauka. Hiki i kāu kauka ke holo i kekahi mau hoʻokolohua maʻalahi a ʻōlelo i ka lāʻau kūpono e kōkua i kou kino e hoʻi i ke kaulike. Mai hopohopo, hiki iā ʻoe ke noho olakino!