Ke luhi nei ʻoe i kekahi manawa, palaualelo, a i ʻole ke kaumaha iki? Ke piʻi nei kou kaumaha? A i ʻole ke manaʻo nei ʻoe ua pehu iki ke alo o kou ʻāʻī? He mau hōʻailona paha kēia o kahi maʻi i kapa ʻia ʻo ka maʻi ʻo Hashimoto. ʻO ka lohe ʻana i kēia inoa e hopohopo iki paha ʻoe. Akā, mai makaʻu. I kēia lā, e kamaʻilio mākou e pili ana i ka maʻi ʻo Hashimoto me nā kikoʻī a me ka maʻalahi loa.
He aha ka maʻi o Hashimoto?
I ka ʻōlelo maʻalahi, ʻo ka maʻi Hashimoto kahi maʻi i hoʻokumu ʻia e kahi pilikia liʻiliʻi i loko o kā mākou ʻōnaehana pale ponoʻī, ka ʻōnaehana e pale ai iā mākou mai nā maʻi. ʻO ka mea e hana ʻia ma kēia hihia, ʻo ia ka hoʻouka ʻana o kā mākou mau hunaola pale ponoʻī i ko mākou kelepa thyroid. Ke hana ʻia kēia i ka hala ʻana o ka manawa, ʻaʻole hiki i ka kelepa thyroid ke hana pono, a emi iho ka nui o nā hormones āna e hana ai. Kāhea mākou i kēia maʻi he hypothyroidism . He maʻi mau loa ka maʻi Hashimoto no ke ola holoʻokoʻa.
He aha ke kelepa thyroid? Pehea kona koʻikoʻi no ko kākou kino?
He ʻāpana liʻiliʻi ke kelepa thyroid , e like me ke ʻano o ka pepeke, aia ma ke alo o kou ʻāʻī, ma lalo pono o ka ʻili. He ʻāpana ia o kā mākou ʻōnaehana endocrine . Hoʻopuka ia i nā hormones thyroid a hoʻokuke iā lākou i loko o ke koko.
ʻO ka hana nui o ka ʻōpū thyroid ka hoʻomalu ʻana i ka wikiwiki o ka metabolism o ko mākou kino . ʻO ka metabolism ke kaʻina hana e hoʻololi ʻia ai ka meaʻai a mākou e ʻai ai i ikehu. Manaʻo pinepine mākou i kēia ma ke ʻano o ka piʻi ʻana a i ʻole ka pohō ʻana o ke kaumaha, akā ʻo ka ʻoiaʻiʻo, hoʻopilikia kēia kaʻina hana i kēlā me kēia ʻōkana i loko o ko mākou kino, me ko mākou puʻuwai a me ka lolo.
He aha ka mea e hana maoli ai i ka maʻi o Hashimoto?
I loko o nā poʻe he nui me ka maʻi Hashimoto, ʻaʻole hiki i ka ʻōpū thyroid ke hana i nā hormones thyroid lawa no ke kino. ʻO ka hopena, hoʻomaka ka lohi o ke kaʻina hana metabolic i ʻōlelo ʻia ma luna. ʻO ia ka manawa e hoʻomaka ai nā hōʻailona e ʻike ʻia.
Ua ʻike mua ʻia kēia maʻi i ka makahiki 1912 e kekahi kauka Kepanī i kapa ʻia ʻo Kauka Hakaru Hashimoto. ʻO ia ke kumu i kapa ʻia ai ʻo ka maʻi ʻo Hashimoto. Ua kapa ʻia hoʻi:
- ʻO ka maʻi thyroid Hashimoto
- ʻO ka thyroiditis autoimmune mau loa
- ʻO ka thyroiditis lymphocytic
Pehea ka maʻamau o ka maʻi ʻo Hashimoto? ʻO wai ka mea e loaʻa pinepine ai?
He maʻi maʻamau loa ka maʻi Hashimoto. Wahi a nā helu helu ma kekahi mau ʻāina, hiki iā ia ke hoʻopilikia a hiki i 5 o 100 mau kānaka.
Ma nā ʻāina kahi i maʻamau ai ka paʻakai i hoʻohui ʻia me ka iodine a me nā meaʻai ʻē aʻe i waiwai i ka iodine, ʻo ka maʻi Hashimoto ke kumu nui o ka hypothyroidism. Ma nā ʻāina ʻē aʻe, ʻo ka hemahema o ka iodine ke kumu nui.
ʻO wai ka mea e loaʻa ai? Hiki i kekahi kanaka, i kēlā me kēia makahiki, ke loaʻa i ka maʻi ʻo Hashimoto. Eia naʻe,ʻOi aku ka nui o ka loaʻa ʻana o ka maʻi i nā wahine he 10 mau manawa ma mua o nā kāne, a ʻoi aku ka nui o ka loaʻa ʻana o ia maʻi i nā wahine ma waena o 30 a me 50 mau makahiki.
He aha nā hōʻailona o ka maʻi Hashimoto? Pehea kou manaʻo?
Loaʻa paha i kekahi poʻe ka maʻi ʻo Hashimoto akā ʻaʻole hōʻike i kekahi mau hōʻailona i nā pae mua.
I ka holomua ʻana o ka maʻi, hiki i ka ʻāʻī thyroid ke pehu i kekahi manawa. Ua kapa ʻia kēia he goiter . ʻO kēia ka hōʻailona mua o ka maʻi Hashimoto. ʻAʻole ia he ʻeha, akā hiki ke manaʻo ʻia he mea piha ma ka ʻaoʻao haʻahaʻa o ka ʻāʻī. Hiki ke ʻike ʻia ke alo o ka ʻāʻī ua pehu.
Inā ua emi nā hormones thyroid ma muli o ka maʻi Hashimoto (Hypothyroidism), i ka hala ʻana o ka manawa, e ʻike ʻia nā hōʻailona penei:
- Ka hiamoe, ka luhi nui, a me ka pono mau e hiamoe.
- Piʻi iki ke kaumaha.
- Ka paʻa ʻana o ka ʻōpū.
- ʻIli maloʻo.
- ʻAʻole hiki ke hoʻomanawanui i ke anu.
- ʻO ka wikiwiki o ka puʻuwai ma mua o ka maʻamau (Bradycardia).
- ʻEha hui a me ka ʻeha ʻiʻo.
- Lauoho maloʻo, haki ka lauoho, emi ʻana o ka ulu ʻana o ka lauoho a i ʻole ka nalowale o ka lauoho.
- Ka hauʻoli i emi iho, ke ʻano kaumaha.
- Ka pehu ʻana o nā maka a me ka maka.
- Hoʻemi ʻia ka hoʻomanaʻo, paʻakikī ke kālele.
- ʻO nā pōʻaiapuni menstrual kūpono ʻole a i ʻole ke kahe koko nui i nā wahine.
- Hoʻemi ʻia ka libido.
- Ka hānau ʻole ʻana o ke kāne a wahine paha.
Pehea ka manaʻo o kekahi me ka maʻi Hashimoto?
ʻOiai inā loaʻa iā ʻoe ka maʻi Hashimoto, inā haʻahaʻa kāu mau hormones thyroid (hypothyroidism), ʻaʻole paha ʻoe e ʻike i ka ʻokoʻa nui.
Eia nō naʻe, inā loaʻa iā ʻoe ka hypothyroidism, hiki iā ʻoe ke manaʻo he "ua hewa kekahi mea." ʻO "Hypo-" ʻo ia hoʻi "emi" a "ma lalo." No laila hiki iā ʻoe ke noʻonoʻo i nā hōʻailona o ka hypothyroidism ma ke ʻano he "lohi" o nā kaʻina hana like ʻole i loko o ke kino.
Manaʻo paha ʻoe ua emi kou ikaika ma mua o ka wā ma mua, a ʻaʻole paha ʻoe e hiki ke hoʻoikaika kino e like me ka wā ma mua. Inā ʻoe e hoʻohana i kahi mea hahai kino, ʻike ʻia paha kou puʻuwai he haʻahaʻa ma mua o ka wā ma mua. Loaʻa paha iā ʻoe ka noe o ka lolo, a paʻakikī paha ke hoʻomanaʻo i nā mea. Hiki i ka hypothyroidism ke "hoʻolohi" i kou ʻano - hiki iā ʻoe ke kaumaha a kaumaha. Hiki iā ia ke hōʻemi i kou makemake moe kolohe a hoʻolohi i kāu ʻōnaehana hoʻoheheʻe - ʻo ia hoʻi, ʻaʻole paha ʻoe e neʻe pinepine i ka ʻōpū e like me ka wā ma mua.
Inā manaʻo kou kino a me kou noʻonoʻo e like me lākou e paʻa ana i loko o kahi kiʻiʻoniʻoni neʻe lohi, e kamaʻilio pono me kāu kauka.
No ke aha e kū mai ai ka maʻi ʻo Hashimoto? He aha nā kumu pilikia?
Kumu: He hana hewa i loko o kā mākou ʻōnaehana pale ponoʻī (Maʻi Autoimmune)
He maʻi autoimmune ka Hashimoto. ʻO ia hoʻi, hoʻouka ka ʻōnaehana pale ponoʻī o kou kino i kāu mau hunaola a me nā ʻōpū ponoʻī. E noʻonoʻo, e like me ka pūʻali koa i manaʻo ʻia e pale i ko mākou ʻāina e hoʻouka mai ana i ko mākou ʻāina.
ʻO ka maʻamau, pale mai ko kākou ʻōnaehana pale iā kākou mai nā mea ʻino e like me nā bacteria a me nā virus. Akā i ka maʻi o Hashimoto, penei ka mea e hana ʻia:
- No kekahi kumu i ʻike ʻole ʻia, hana kāu ʻōnaehana pale i nā antibodies e hoʻouka i kāu ʻiʻo thyroid.
- He nui nā hunaola koko keʻokeʻo, ʻoiai nā lymphocytes , e hōʻiliʻili ana i loko o ka ʻōpū thyroid.
- ʻO kēia hōʻiliʻili ʻana ke kumu o ka mumū o ka ʻōpū thyroid, a i ʻole thyroiditis , a hōʻino i ka ʻōpū.
- I ka hala ʻana o ka manawa, ʻo kēia pōʻino ke kumu o ka hiki ʻole i ka ʻōpū thyroid ke hana i nā hormones thyroid lawa no ke kino. ʻO kēia ke kumu o ka 'Hypothyroidism'.
- Eia naʻe, ʻaʻole nā kānaka a pau me ka maʻi Hashimoto e loaʻa i ka hypothyroidism.
Nā mea e hoʻonui ai i ka pilikia
Aia kekahi mau kumu e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i ka maʻi ʻo Hashimoto:
- Moʻolelo ʻohana: Ua hōʻike ʻia e ka noiʻi ma kahi o 80% o kou pilikia o ka loaʻa ʻana o ka maʻi Hashimoto ma muli o ka genetics. Inā loaʻa i kou mau hoahānau koko ka maʻi Hashimoto a i ʻole nā maʻi thyroid ʻē aʻe, ʻoi aku ka nui o kou loaʻa ʻana iā ia.
- Kāne: ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi ma mua o nā kāne ma kahi o 10 mau manawa o nā wahine. Hiki i ka mana o nā hormones wahine ke lilo i kumu.
- Makahiki: Piʻi ka pilikia o ka loaʻa ʻana o kēia maʻi (a me nā maʻi thyroid ʻē aʻe) me ka makahiki.
Eia kekahi, ʻoi aku ka nui o kou pilikia o ka hoʻomohala ʻana iā Hashimoto inā loaʻa iā ʻoe nā maʻi autoimmune ʻē aʻe, e like me:
- ʻO ka maʻi o Addison
- Maʻi Celiac
- Lupus
- ʻO ka anemia ʻino
- ʻO ka ʻāʻī rheumatoid
- ʻO ka maʻi Sjögren
- ʻAno 1 diabetes
Pehea e ʻike ʻia ai ka maʻi o Hashimoto?
E hana mua kāu kauka i kēia mau mea:
- Ke nīnau aku nei au e pili ana i kou mau hōʻailona.
- E nīnau e pili ana i kou mōʻaukala olakino (e like me inā he pilikia thyroid ko kekahi o kou ʻohana).
- E hana ʻia kahi hoʻokolokolo kino, kahi e nānā lima ʻia ai kou kelepa thyroid.
Ma hope o kēia loiloi, e kauoha lākou i kekahi mau hoʻāʻo koko e hōʻoia i ka hōʻailona:
- Hoʻāʻo Hormone Hoʻoulu Thyroid (hoʻāʻo TSH): ʻO ke kiʻekiʻe o ka pae TSH ʻo ia hoʻi ʻaʻole lawa ka hana ʻana o kāu kelepa thyroid i ka hormone thyroxine (T4). Hōʻike kēia hopena he hypothyroidism a subclinical hypothyroidism paha kāu (kahi kūlana kahi ʻaʻohe hōʻailona, akā aia nā loli i nā pae hormone).
- Hoʻāʻo Thyroxine manuahi (Free T4): ʻO nā pae T4 haʻahaʻa kekahi hōʻailona e loaʻa iā ʻoe ka hypothyroidism.
- Hoʻāʻo antibody antithyroid: Inā loaʻa iā ʻoe kekahi mau autoantibodies i loko o kou koko, hōʻike ia ʻaʻole ke kumu o kāu hypothyroidism he mea ʻē aʻe e like me ka hemahema iodine, akā 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 ka ʻōpū thyroid a e nānā i nā nodules thyroid (nā puʻupuʻu liʻiliʻi e hana ana ma ka ʻōpū).
He aha nā lāʻau lapaʻau no ka maʻi ʻo Hashimoto?
Pono anei nā kānaka a pau i ka lāʻau lapaʻau?
ʻAʻole nā kānaka a pau me ka maʻi Hashimoto e loaʻa i ka hypothyroidism. Inā kiʻekiʻe kou pae antibody koko akā ʻaʻohe ou hōʻailona lapaʻau o ka hypothyroidism, e nānā mau kāu kauka i kou pae thyroid ma kahi o ka hoʻomaka ʻana i ka lāʻau.
ʻO ka lāʻau lapaʻau nui: Levothyroxine
Inā loaʻa iā ʻoe ka hypothyroidism ma muli o ka maʻi Hashimoto, ʻo ka lāʻau lapaʻau nui he lāʻau i kapa ʻia ʻo levothyroxine . He ʻano synthetic kēia o ka hormone T4 i hana ʻia e kou kelepa thyroid.
Loaʻa ka Levothyroxine ma lalo o nā inoa inoa like ʻole. Na kāu kauka e kuhikuhi i ka mea kūpono iā ʻoe.
Kōkua kēia lāʻau lapaʻau i ka hoʻihoʻi ʻana i nā pae hormone thyroid i loko o kou kino. Pono ʻoe e lawe iā ia i kēlā me kēia lā no ke koena o kou ola . I ka hala ʻana o ka manawa, hiki ke loli ka nui o ka lāʻau lapaʻau āu e pono ai e lawe. E ʻike kāu kauka pehea e hoʻoponopono ai i ka nui e mālama pono ai i kāu hypothyroidism.
He mau hopena ʻaoʻao anei ka Levothyroxine?
Inā ʻike ʻoe i nā hopena ʻaoʻao mai ka levothyroxine, he mea paha ua nui loa kāu lawe ʻana. Hiki i kēia ke alakaʻi i kahi maʻi i kapa ʻia ʻo thyrotoxicosis - ka hoʻonui ʻia ʻana o nā hormones thyroid.
ʻO nā hōʻailona o ka thyrotoxicosis:
- Puʻuwai wikiwiki (Tachycardia) - ʻoi aku ma mua o 100 mau kuʻi i kēlā me kēia minuke.
- Puʻuwai kūpono ʻole (Arrhythmia).
- Ka pohō kaumaha i wehewehe ʻole ʻia.
- Manaʻo e haʻalulu ana kou kino.
- Hoʻomaha ʻole, hopohopo, huhū.
- Hoʻonui ʻia ka ʻike i ka wela a me ka hou ʻana ma mua o ka maʻamau.
- Nā loli i ke kaʻina hana menstrual.
Inā ʻike ʻoe i nā hōʻailona e like me kēia, pono ʻoe e haʻi koke aku i kāu kauka .
Pono anei ka poʻe me ka maʻi Hashimoto i kahi papaʻai kūikawā?
ʻAʻohe papaʻai kikoʻī no ka maʻi Hashimoto. Eia nō naʻe, hiki i kekahi mau meaʻai, nā lāʻau lapaʻau, a i ʻole nā mea hoʻohui ke hoʻopilikia i ka omo ʻana o ka levothyroxine āu e lawe ai. Eia kekahi laʻana:
- Nā mea hoʻohui hao a me ka calcium.
- ʻO Sucralfate (he lāʻau lapaʻau no nā ʻōpū ʻōpū).
- ʻO Cholestyramine a me ka alumini hydroxide (loaʻa i kekahi mau antacids).
Hiki ke pale ʻia kēia pilikia inā ʻoe e lawe i kēia mau mea ʻehā hola ma mua a ma hope paha o ka lawe ʻana i ka levothyroxine.
Inā he mau nīnau kāu e pili ana i ka meaʻai, e kamaʻilio me kāu kauka a i ʻole kekahi Kauka Dietitian i kākau inoa ʻia.
ʻO ka ʻai pono ʻana a me ke ola ʻana i kahi nohona olakino (hoʻoikaika kino, loaʻa ka hiamoe lawa, ka mālama ʻana i ke kaumaha) e kōkua i kāu ʻōnaehana pale. Eia nō naʻe, inā loaʻa iā ʻoe ka hypothyroidism, he mea nui e lawe pono i kāu lāʻau lapaʻau me ka nānā ʻole i ke ʻano.
Hiki ke ho'ōla loa ʻia ka maʻi ʻo Hashimoto? Hiki ke pale ʻia?
ʻO ka mea pōʻino, ʻaʻohe lāʻau lapaʻau a ala paha e hoʻohuli ai i ka maʻi ʻo Hashimoto. Eia nō naʻe, hiki i ka lāʻau lapaʻau no ke ola holoʻokoʻa ke kōkua i ka mālama ʻana i ka hypothyroidism a me nā pae hormone thyroid.
ʻO ka mea pōʻino, ʻaʻohe mea hiki iā mākou ke hana e pale aku i ka maʻi ʻo Hashimoto no ka mea ʻaʻole hiki iā mākou ke hoʻololi i nā mea pilikia e hoʻopilikia ai iā ia - nā mea e like me nā genes a me ka makahiki.
He aha nā pilikia e hiki mai ana o ka noho ʻana me ka maʻi ʻo Hashimoto?
Me ka nānā pono ʻana a me ka mālama ʻana i ke ola holoʻokoʻa, hiki i ka poʻe me ka maʻi Hashimoto ke mālama i ke olakino maikaʻi loa .
Eia nō naʻe, inā ʻaʻole mālama ʻia ka hypothyroidism i hoʻokumu ʻia e ka maʻi Hashimoto, hiki ke loaʻa nā pilikia olakino penei:
- Kolesterol kiʻekiʻe.
- Maʻi puʻuwai a me ka hāʻule ʻana o ka puʻuwai.
- Ke koko kiʻekiʻe.
- Kaumaha.
- ʻO ka myxedema coma . He pilikia kakaikahi kēia o ka hypothyroidism koʻikoʻi, a he mea hoʻoweliweli i ke ola. Hoʻolohi nui nā hana o ke kino a hiki ke alakaʻi i ka make.
ʻO ka maʻi o Hashimoto i ka wā hāpai
Inā ʻaʻole mālama ʻia ka hypothyroidism i ka wā hāpai, hiki ke hoʻonui ʻia nā pilikia aʻe:
- Ka hāʻule ʻana o ka hāpai keiki.
- Ka hānau mua ʻana.
- Hānau make.
A i ʻole, hiki iā ʻoe ke loaʻa i kahi maʻi i kapa ʻia ʻo preeclampsia, ʻo ia hoʻi ke koko kiʻekiʻe loa i ka hopena o ka hāpai ʻana. Hiki i ka hypothyroidism i mālama ʻole ʻia ke hoʻopilikia i ka ulu ʻana a me ka ulu ʻana o ka lolo o kāu pēpē i hānau ʻole ʻia. No laila, e kōkua kāu mau kauka iā ʻoe e hoʻokele maikaʻi i kāu hypothyroidism i ka wā hāpai.
ʻAʻole maʻamau ka hypothyroidism i ka wā hāpai. Eia nō naʻe, ua like kona mau hōʻailona (e like me ka luhi a me ka piʻi ʻana o ke kaumaha) me nā mea i ʻike ʻia i ka wā hāpai maʻamau, no laila hiki ke nalo i kekahi manawa. Inā manaʻo ʻoe he mau hōʻailona o ka hypothyroidism, a inā manaʻo ʻoe e ulu ana paha ʻoe i kahi goiter, e haʻi koke i kāu kauka.
Āhea wau e ʻike ai i ke kauka? He aha ka pilikia?
Nā manawa lapaʻau maʻamau
Inā loaʻa iā ʻoe ka maʻi Hashimoto, pono ʻoe e ʻike pinepine i kāu kauka . E hana ʻo ia i nā hoʻokolohua koko e nānā i ka maʻamau o kāu mau pae hormone thyroid a kūpono ka nui o ka lāʻau lapaʻau āu e lawe nei.
Eia kekahi, e ʻike i kāu kauka inā loaʻa iā ʻoe nā hōʻailona hou, inā e ʻoi aku ka ʻino o kāu mau hōʻailona, a inā ʻike ʻoe i kekahi mau loli i loko o kou kelepa thyroid (e.g., pehu).
Nā hihia e pono ai ka hoʻokipa koke ʻia ʻana (Myxedema Coma)
Inā ʻike ʻoe i nā hōʻailona o ka myxedema coma , e kāhea i ka 911 a i ʻole e hele i kahi lumi pilikia i ka hikiwawe loa. He mea hoʻoweliweli kēia pilikia koʻikoʻi o ka hypothyroidism!
ʻO kēlā mau ʻano:
- ʻO ka hypothermia ka emi ʻana o ka mahana o ke kino ma lalo o 35 kekelē Celsius (95 kekelē Fahrenheit).
- Ka pehu ʻana (edema) i loko o ke kino, ʻoiai ma ka maka, ke alelo, a me nā wāwae haʻahaʻa.
- Lohi loa ka puʻuwai a me ka nawaliwali o ka puʻuwai.
- Ka hanu lohi (Bradypnea) a me ka paʻakikī o ka hanu ʻana (Dyspnea).
- Ka huikau a i ʻole ka nalowale o ka ʻike.
ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai (Leka Lawe-Home)
He mea maʻamau ke manaʻo iki i ke kaumaha a me ka makaʻu ke loaʻa iā ʻoe kahi hōʻailona hou. Akā ʻo ka nūhou maikaʻi, he maʻi mālama maikaʻi ʻia a hiki ke mālama ʻia ʻo Hashimoto.
Inā manaʻo ʻoe he mau hōʻailona paha kāu o ka maʻi Hashimoto, a inā he mau kumu pilikia kou, e like me ka mōʻaukala ʻohana o ka maʻi thyroid, e ʻike pono i kāu kauka. Hiki iā lākou ke hana i kekahi mau hoʻokolohua maʻalahi e ʻike ai inā lawa ka hana ʻana o kāu thyroid i nā hormones. E hoʻomanaʻo, ʻo ka wikiwiki o ka ʻike ʻia ʻana, ʻo ka wikiwiki o ka hoʻomaka ʻana o ka lāʻau. A laila hiki iā ʻoe ke ola i kahi ola olakino a ʻoluʻolu hoʻi.
ʻO ka maʻi Hashimoto, ka thyroid, ka hypothyroidism, nā maʻi autoimmune, nā hormones thyroid, levothyroxine, goiter
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