E aʻo kākou e pili ana i ka maʻi ʻo Hashimoto ma nā ʻōlelo maʻalahi.

Ke manaʻo nei hoʻi ʻoe i ka luhi a me ka palaualelo me ke kumu ʻole i kekahi mau lā? Ke manaʻo nei ʻoe i kahi kaumaha iki? Ke manaʻo nei ʻoe i ke anu pinepine? ʻOiai ke manaʻo pinepine nei mākou he mau mea maʻamau kēia, i kekahi manawa ʻo ke kumu o kēia mau hōʻailona he maʻi i kapa ʻia ʻo ka maʻi Hashimoto. Mai hopohopo, ʻaʻole kēia he mea weliweli e like me ka inoa e hōʻike nei. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ka maopopo.

He aha ka maʻi o Hashimoto?

I ka ʻōlelo maʻalahi, ʻo Hashimoto kahi maʻi i hoʻopilikia ʻia ai ka ʻōpū thyroid e kahi pilikia me kā mākou ʻōnaehana pale. Ua kapa ʻia kēia he maʻi autoimmune . ʻO ke ʻano kēia, ua kuhihewa ka ʻōnaehana pale o ko mākou kino i kā mākou mau hunaola olakino ponoʻī, i kēia hihia ʻo ka ʻōpū thyroid. He maʻi maʻamau kēia no ke ola holoʻokoʻa (mau).

E noʻonoʻo e pili ana i ia mea, ʻo ke kelepa thyroid he kelepa liʻiliʻi e like me ke ʻano o ka pepeke aia ma lalo o ka ʻili ma ke alo o ko kākou ʻāʻī. He ʻāpana ia o kā kākou ʻōnaehana endocrine. Hoʻopuka ia i nā hormones thyroid a kāohi i nā mea he nui i loko o ko kākou kino.

ʻO ka hana nui o ka ʻōpū thyroid ka hoʻomalu ʻana i ka wikiwiki o ka metabolism o ko kākou kino. ʻO ia hoʻi, ka wikiwiki o ka hoʻololi ʻia ʻana o ka meaʻai a kākou e ʻai ai i ikehu. Ke lohe kākou i ka huaʻōlelo metabolism, manaʻo pinepine kākou i ka piʻi ʻana a me ka pohō kaumaha. Akā ʻo ka ʻoiaʻiʻo, pili kēia kaʻina hana i kēlā me kēia ʻōkana o ke kino, me ko kākou puʻuwai a me ka lolo.

Me ka maʻi Hashimoto, hoʻouka kā mākou ʻōnaehana pale i ka ʻōpū thyroid, e hoʻoulu ai i ka hana ʻole ʻana i nā hormones thyroid lawa. Ua kapa ʻia kēia maʻi he hypothyroidism . Hoʻolohi kēia i kā mākou metabolism a hoʻoulu i nā hōʻailona like ʻole.

Pehea ka maʻamau o kēia maʻi? ʻO wai ka mea e loaʻa pinepine ai?

He maʻi maʻamau loa ka maʻi ʻo Hashimoto. Ma nā ʻāina e like me ʻAmelika, 5 o 100 mau kānaka i loaʻa i kēia maʻi. Ke lilo nei kēia ʻano i mea maʻamau i Sri Lanka. Ma nā ʻāina kahi i nui ai ka paʻakai iodized a me ka meaʻai, ʻo ka maʻi ʻo Hashimoto ke kumu nui o ka hypothyroidism.

ʻOiai hiki ke ulu kēia maʻi i kēlā me kēia makahiki, ʻoi aku ka nui o ka loaʻa ʻana o nā wāhine ma mua o nā kāne ma kahi o 10 mau manawa. ʻO ka mea maʻamau, ʻike ʻia ia i nā wāhine ma waena o 30 a me 50 mau makahiki.

He aha nā hōʻailona o ka maʻi ʻo Hashimoto?

ʻAʻohe hōʻailona o kekahi poʻe me ka maʻi Hashimoto i nā pae mua. I ka holomua ʻana o ka maʻi, hiki i ka ʻōpū thyroid ke pehu i kekahi manawa. Ua kapa ʻia kēia he goiter.ʻO kēia ka hōʻailona mua o ka maʻi Hashimoto. ʻOiai ʻaʻole ia he ʻeha, hiki iā ʻoe ke manaʻo i kahi piha ma mua o kou ʻāʻī. Hiki nō hoʻi ke ʻike ʻia he pehu.

I ka hala ʻana o ka manawa, inā ulu ka hypothyroidism ma muli o ka maʻi ʻo Hashimoto, hiki ke ʻike ʻia nā hōʻailona ma hope o kekahi.

Pehea ka manaʻo o kou kino ke loaʻa iā ʻoe ka maʻi Hashimoto?

Inā loaʻa iā ʻoe ʻo Hashimoto akā ʻaʻole hypothyroidism, ʻaʻole paha ʻoe e ʻike i kekahi loli.

Akā inā loaʻa iā ʻoe ka hypothyroidism, hiki iā ʻoe ke manaʻo e hana ana nā mea āpau i loko o kou kino i ka "neʻe lohi."

Inā manaʻo ʻoe ua paʻa a hana lohi kou kino a me kou noʻonoʻo, e kamaʻilio pono me kāu kauka.

No ke aha e kū mai ai ka maʻi ʻo Hashimoto? He aha nā kumu pilikia?

E like me kā mākou i ʻōlelo ai ma mua, he maʻi autoimmune ka Hashimoto's. ʻO ke ʻano kēia e hana kūʻē ana ka ʻōnaehana pale ponoʻī o ko mākou kino iā mākou. ʻO ka maʻamau, pale aku kā mākou ʻōnaehana pale iā mākou mai nā mea komo hewa mai nā ʻāina ʻē e like me nā bacteria a me nā virus. Akā i loko o ka maʻi Hashimoto, eia ka mea e hana ʻia:

1. No ke kumu i ʻike ʻole ʻia, hoʻomaka kāu ʻōnaehana pale e hana i nā antibodies e hoʻouka i ka thyroid gland.

2. He nui nā hunaola koko keʻokeʻo, ʻoiai ke ʻano i kapa ʻia ʻo lymphocytes , e hōʻiliʻili ana i loko o ke kelepa thyroid.

3. ʻO kēia ke kumu e pehu ai ke kelepa thyroid. Ua kapa ʻia kēia he thyroiditis . ʻO kēia pehu a me nā hoʻouka ʻana o ka antibody e hōʻino i ke kelepa.

4. I ka hala ʻana o ka manawa, hiki ʻole i ka ʻōnaehana thyroid ke hana i nā hormones kūpono no ke kino, e hopena ai i ka hypothyroidism .

Aia kekahi mau kumu pilikia no ka hoʻomohala ʻana i ka maʻi Hashimoto:

• Moʻolelo ʻohana: Inā loaʻa i kekahi o kou ʻohana ka maʻi Hashimoto a i ʻole nā ​​maʻi thyroid ʻē aʻe, ʻoi aku ka nui o ka loaʻa ʻana iā ʻoe. Hōʻike ka noiʻi he 80% o nā hihia he genetic.
• Moe: E like me kā mākou i ʻōlelo ai ma mua, he 10 mau manawa ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā wahine.
• Makahiki: Piʻi ka pilikia o ka hoʻomohala ʻana i kēia maʻi me ka makahiki.

Eia kekahi, ʻoi aku ka nui o kou loaʻa ʻana o ka maʻi Hashimoto inā loaʻa iā ʻoe kekahi maʻi autoimmune ʻē aʻe. Eia kekahi laʻana:

• ʻAno 1 diabetes
• ʻO ka ʻāʻī rheumatoid
• Lupus
• Maʻi Celiac

Pehea e ʻike ʻia ai ka maʻi o Hashimoto?

Ma hope o ka nīnau ʻana e pili ana i kāu mau hōʻailona, ​​e nānā mua kāu kauka iā ʻoe. E pā pono ʻo ia i kou ʻāʻī e nānā no ka pehu ʻana o ka thyroid gland (goiter). A laila e kauoha ʻo ia i kekahi mau hoʻāʻo koko e hōʻoia i ka hōʻailona.

• Hoʻāʻo TSH (Hōmona Hoʻoulu Thyroid): ʻO ke kiʻekiʻe o ka pae TSH ʻo ia hoʻi ʻaʻole hana kou kelepa thyroid i ka nui o ka hormone T4. He hōʻailona nui kēia o ka hypothyroidism.
• Hoʻāʻo manuahi T4 (Thyroxine): Inā haʻahaʻa ka pae T4, hōʻoia hou ia i ke kūlana o ka hypothyroidism.
• Hoʻāʻo Antibody Antithyroid: Inā loaʻa iā ʻoe kēia mau antibodies kikoʻī i loko o kou koko, hiki ke hoʻoholo paʻa ʻia ʻo ke kumu o kou hypothyroidism ʻo ka maʻi ʻo Hashimoto.

I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku i kahi ultrasound thyroid e nānā i ka nui o kou kelepa thyroid a inā he mau nodules.

Pehea e mālama ʻia ai?

ʻAʻole nā ​​kānaka a pau me ka maʻi Hashimoto e loaʻa i ka hypothyroidism. Inā kiʻekiʻe kou pae koko o nā antibodies akā maʻamau kāu mau pae TSH a me T4, ʻaʻole paha e hoʻomaka kāu kauka i ka lāʻau lapaʻau, akā e nānā ʻo ia iā ʻoe me nā hoʻāʻo koko maʻamau.

Akā inā ʻo Hashimoto ka maʻi hypothyroidism, ʻo ka lāʻau lapaʻau nui a maikaʻi loa he lāʻau i kapa ʻia ʻo levothyroxine . He hormone T4 synthetic kēia. Lawe ʻia kēia lāʻau lapaʻau ma ke ʻano he pila i kēlā me kēia lā.

Hiki ke loli ka nui o ka lāʻau lapaʻau āu e pono ai i ka hala ʻana o ka manawa. No laila, he mea nui loa ka loaʻa ʻana o nā hoʻāʻo koko maʻamau e like me ke kauoha a kāu kauka a hoʻoponopono i ka nui e like me ka mea e pono ai.

Aia kekahi mau hopena ʻaoʻao i ka lāʻau lapaʻau?

He mea kākaʻikahi nā hopena ʻaoʻao mai ka levothyroxine. Inā loaʻa lākou, ʻo ke kumu nui, ʻo ia kou lawe ʻana ma mua o kou pono. Hiki i kēia ke alakaʻi i kahi maʻi i kapa ʻia ʻo thyrotoxicosis , kahi e hana ai ke kino i ka nui o ka hormone thyroid. ʻO nā hōʻailona:

• Ka helu o ka puʻuwai (tachycardia) - ʻoi aku ka nui ma mua o 100 mau kuʻi i kēlā me kēia minuke.
• Puʻuwai kūpono ʻole (arrhythmia).
• Ka pohō kaumaha me ke kumu ʻole.
• Manaʻo haʻalulu.
• Hoʻomaha ʻole, huhū.
• Ke kū ʻole i ka wela a me ka hou nui.

Inā ʻike ʻoe i kēia mau hōʻailona, ​​e hoʻomaopopo koke i kāu kauka.

Aia kekahi papaʻai kūikawā no nā maʻi o Hashimoto?

ʻAʻohe papaʻai kikoʻī no ka maʻi Hashimoto. Eia nō naʻe, hiki i kekahi mau meaʻai, nā lāʻau lapaʻau, a me nā huaora ke hoʻopilikia i ka omo ʻana o ka levothyroxine. ʻO nā hiʻohiʻona:

• Nā mea hoʻohui hao a me ka calcium.
• ʻO kekahi mau ʻano antacids.

Inā ʻoe e lawe i kahi mea e like me kēia, hiki iā ʻoe ke pale i kēia pilikia ma ka lawe ʻana i kāu pila thyroid 4 mau hola ma mua a ma hope paha.

ʻO ka ʻai pono ʻana, ka hoʻoikaika kino ʻana, ka hiamoe lawa, a me ka mālama ʻana i ke kaumaha e hiki ke kōkua i kāu ʻōnaehana pale. Akā, ʻoiai nā mea āu e hana ai, inā loaʻa iā ʻoe ka hypothyroidism, he mea nui e lawe i kāu lāʻau lapaʻau e like me ke kauoha a kāu kauka.

He mea weliweli anei ka maʻi ʻo Hashimoto i ka wā hāpai?

Inā haʻalele ʻia ka hypothyroidism i ka wā hāpai, hiki ke pilikia no ka makuahine a me ke keiki.

• Ka hāʻule ʻana o ka hāpai keiki
• Ka hānau mua ʻana
• Ke koko kiʻekiʻe i ka wā hāpai (preeclampsia)

Eia kekahi, inā ʻaʻole mālama ʻia, hiki iā ia ke hoʻopilikia i ka ulu ʻana o ka pēpē a me ka ulu ʻana o ka lolo. No laila, inā loaʻa iā ʻoe ka maʻi Hashimoto a ke hoʻolālā nei e hāpai a hāpai paha, e hoʻomaopopo koke i kāu kauka. Me ka mālama pono ʻana a me ka nānā ʻana, ʻaʻohe pilikia i ka hānau ʻana i kahi pēpē olakino.

Nā hihia e pono ai ka mālama ʻana i ka pilikia (nā hihia e pono ai ke hele i ka ETU)

I nā hihia o ka hypothyroidism koʻikoʻi loa a mālama ʻole ʻia, hiki ke loaʻa kahi pilikia kakaikahi akā hoʻoweliweli i ke ola i kapa ʻia ʻo myxedema coma . Inā loaʻa nā hōʻailona ma lalo nei, e lawe koke i ka mea maʻi i ka Emergency Department (ETU) o ka haukapila kokoke loa.

• Haʻahaʻa loa ka mahana o ke kino (hypothermia).
• Ka pehu ʻana o ke kino, ʻoiai hoʻi ka maka, ke alelo, a me nā wāwae.
• Lohi loa ka puʻuwai a me ka nawaliwali o ka puʻuwai.
• Lohi loa a paʻakikī paha ka hanu ʻana.
• Ka huikau a i ʻole ka nalowale o ka ʻike.

He mea maʻamau ka makaʻu a me ka hopohopo ke ʻike hou ʻia ʻoe me kahi maʻi. Akā ʻo ka mea maikaʻi loa, he maʻi hiki ke mālama ʻia a mālama ʻia ʻo Hashimoto. Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​a inā he maʻi thyroid kekahi o kou ʻohana, mai kānalua e ʻike i kāu kauka. Hiki i kahi hoʻāʻo koko maʻalahi ke haʻi iā ʻoe inā hana pono kāu thyroid.