Ke manaʻo nei hoʻi ʻoe e emi wale ana kou kaumaha i kēia mau lā? ʻAʻohe mea nui ka nui o kāu ʻai ʻana, ʻaʻole hiki iā ʻoe ke piʻi i ke kaumaha? Loaʻa iā ʻoe nā hōʻailona e like me ka holo wikiwiki ʻana o kou puʻuwai, huhū ʻoe i nā mea liʻiliʻi, a hou mau ʻoe i ka hou? Manaʻo paha ʻoe no ke kaumaha āu e noho nei i kēia mau lā. Akā, he mau hōʻailona paha kēia o kahi maʻi i kapa ʻia ʻo 'Hyperthyroidism'. E kamaʻilio maʻalahi kākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha kēia ʻano hyperthyroidism?
I ka ʻōlelo maʻalahi, ʻo ka hyperthyroidism ka wā e hana nui ai ke kelepa thyroid ʻano pepeke i loko o ko kākou ʻāʻī a hana i ka nui o ka hormone thyroid. Ua kapa ʻia hoʻi kēia he 'overactive thyroid'.
E noʻonoʻo i ko kākou kino e like me ke kaʻa. ʻO ka mea hoʻolalelale e hoʻomalu i ka wikiwiki o ka ʻenekini (metabolism) o kēia kaʻa, ʻo ia ka hormone thyroid. ʻO ka maʻamau, hana kēia mea hoʻolalelale ma ke ʻano i kāohi ʻia. Akā i ka hyperthyroidism, ua like ia me he mea lā ua hehi kekahi ma luna o kēia mea hoʻolalelale. A laila, hoʻomaka kēlā me kēia kaʻina hana i loko o ke kino, mai ka puʻuwai a hiki i ka ʻai ʻana i ka meaʻai, me ka wikiwiki kiʻekiʻe. ʻO ia ke kumu e luhi ai ʻoe a hoʻomaha ʻole.
ʻO nā hormones nui e kaohi ana i 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, ʻo ia ka thyroxine (T4) a me ka triiodothyronine (T3) . Ua kauoha ʻia ka thyroid gland e hana i kēia mau hormones e kahi hormone i kapa ʻia ʻo TSH (Thyroid Stimulating Hormone), i puka mai mai ka pituitary gland i loko o ka lolo. I ka hyperthyroidism, ua hoʻokuʻu nui ʻia kēia mau hormones T3 a me T4.
He aha nā hōʻailona maʻamau o ka hyperthyroidism?
Ma muli o ka hoʻopilikia ʻana o ka hyperthyroidism i ko mākou kino holoʻokoʻa, hiki ke loaʻa nā hōʻailona he nui. Loaʻa paha iā ʻoe kekahi mau mea, a i ʻole he nui paha i ka manawa hoʻokahi. Hiki ke hoʻomaka koke kēia mau hōʻailona a ulu mālie paha i ka hala ʻana o ka manawa.
I mea e maʻalahi ai ka hoʻomaopopo ʻana, e nānā kākou i kēia mau ʻano ma kahi papa.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Ka wikiwiki o ka puʻuwai (tachycardia) | Me he mea lā e kuʻi ana kou puʻuwai ʻoiai ʻoe e kū mālie ana. I kekahi manawa hiki iā ʻoe ke manaʻo i ke kuʻi ʻana o kou umauma mai waho mai. |
| Ka emi ʻana o ke kaumaha | ʻOiai ke mau nei ka makemake e ʻai, a ʻoi aku paha, ua emi wale ke kaumaha o ke kino. |
| Ka hoʻomaha ʻole a me ka huhū | Hopohopo wau, ʻaʻole hoʻi he hoʻomaha iki. Huhū koke wau i nā mea liʻiliʻi loa. |
| Nā haʻalulu | Aia kahi haʻalulu iki, ʻoi aku hoʻi ma nā lima. |
| Ka hou nui ʻana | Ua wela ʻoe a ua hou mau, ʻoiai inā he maʻamau ka mahana o kekahi. |
| ʻAʻole hiki ke hiamoe | Ua emi ka hiamoe i ka pō ma muli o ke kūlana hoʻomaha ʻole o ka noʻonoʻo. |
| Nā loli i ka ʻōnaehana hoʻoheheʻe | Ka maʻi kahe a i ʻole ka pono pinepine e hele i ka lua. |
| Pohō lauoho | Ke lahilahi nei ka lauoho, ka nāwaliwali, a me ka hāʻule ʻana ma mua o ka maʻamau. |
| Nā loli i nā pōʻaiapuni menstrual o nā wahine | Ua hoʻēmi a hoʻōki paha i ke kahe ʻana o ke koko menstrual. |
| Ka pehu ʻana o ka ʻāʻī (goiter) | ʻIke ʻia kahi pehu ma ke alo o ka ʻāʻī ma muli o ka hoʻonui ʻia ʻana o ka nui o ka thyroid gland. |
| Nā maka e ʻō aku ana | Nā maka pehu a puka mai paha. He mea maʻamau kēia me ka maʻi Graves. |
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, he mea nui loa ia e ʻike i ke kauka no ka ʻōlelo aʻo me ka hoʻowahāwahā ʻole ʻana iā ia.
No ke aha e kū mai ai ka hyperthyroidism? He aha nā kumu?
Aia kekahi mau kumu nui o ka hyperthyroidism.
- ʻO ka maʻi Graves: ʻO kēia ke kumu maʻamau. I ka ʻōlelo maʻalahi, hele hewa ka ʻōnaehana pale ponoʻī o ko mākou kino a hoʻouna i ka hōʻailona hewa i ka ʻōpū thyroid e 'hana i nā hormones hou aku'. He maʻi autoimmune kēia. Inā loaʻa i kekahi o kou ʻohana ka maʻi thyroid a i ʻole nā maʻi autoimmune ʻē aʻe, ʻoi aku kou pilikia o ka loaʻa ʻana o kēia maʻi.
- Nā puʻupuʻu thyroid: Nā puʻupuʻu liʻiliʻi e hana ʻia ma ka ʻōpū thyroid. Hoʻomaka kekahi o kēia mau puʻupuʻu e hana i nā hormones ma o lākou iho. ʻAʻole paha he maʻi kanesa kēia mau puʻupuʻu.
- Thyroiditis: Ka mumū a i ʻole ka pehu ʻana o ke kelepa thyroid. Hiki i kēia ke hoʻoulu i nā hormones i mālama ʻia i loko o ke kelepa e kahe koke i loko o ke koko, e hana ana i ka hyperthyroidism no ka manawa pōkole. Ma hope o ka hoʻopau ʻana o ke kūlana, hiki i ka kelepa ke lilo i mea hana ʻole, e hana ai i ka hypothyroidism.
- Ka nui o ka ʻai ʻana i ka iodine: He mea nui ka iodine no ka hana ʻana o nā hormones thyroid. Eia nō naʻe, ʻo ka lawe nui ʻana i kekahi mau lāʻau lapaʻau a meaʻai paha (e like me nā meaʻai kai) i loaʻa ka iodine hiki ke hoʻoulu i ka gland e hana i ka nui o ka hormone.
- ʻO ka adenoma pituitary: He kumu kakaikahi loa kēia. ʻO kahi puʻupuʻu liʻiliʻi e ulu ana i loko o ka pituitary gland i loko o ka lolo e hana i ka TSH nui loa, ka mea e koi ai i ka thyroid gland e hoʻomau i ka hana ʻana i nā hormones.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke hele ʻoe e ʻike i ke kauka, e hahai lākou i kekahi mau ʻanuʻu e hana ai i kahi hōʻailona.
1. Hoʻokolokolo kino: ʻO ka mea mua, e nānā ke kauka iā ʻoe. E nānā lākou i nā mea e like me ka pehu ʻana o ka thyroid i kou ʻāʻī, ka wikiwiki o ka puʻuwai, nā lima haʻalulu, a me ka ʻili palupalu.
2. Nā hoʻāʻo koko thyroid: ʻO kēia ka hoʻāʻo koʻikoʻi a pololei loa. Nānā ia i nā pae o nā hormones T3, T4, a me TSH i loko o kou koko. ʻO ka mea maʻamau me ka hyperthyroidism he kiʻekiʻe nā pae T3 a me T4, ʻoiai he haʻahaʻa pinepine nā pae TSH .
3.Hoʻāʻo koko antibody thyroid: Kōkua kēia hoʻāʻo e hoʻoholo inā ʻo ka maʻi ʻo Graves ke kumu o kēia kūlana.
4. Nā hoʻokolohua ʻē aʻe: Inā pono, e noi paha kāu kauka iā ʻoe e hana i kahi mea e like me ka ultrasound thyroid a i ʻole kahi hoʻokolohua radioactive iodine uptake (RAIU). Mai hopohopo no ia mea, e wehewehe kāu kauka i nā mea āpau iā ʻoe.
He aha nā lāʻau lapaʻau no ka hyperthyroidism?
ʻO ka mea maikaʻi loa, he maʻi hiki ke mālama ʻia a hoʻokele ʻia ka hyperthyroidism. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu ma muli o ke kumu a me ke kūlana o kou maʻi.
| ʻAno lapaʻau | Pehea e hana ai a me nā mea e pono ai ke ʻike |
|---|---|
| Nā lāʻau lapaʻau antithyroid (nā lāʻau lapaʻau e hoʻōki ai i ka hana ʻana o nā hormones thyroid) | Hana kēia mau lāʻau lapaʻau (e like me Methimazole, Propylthiouracil) ma ka hoʻēmi ʻana i ka hana ʻana o nā hormones thyroid. Hiki ke hoʻomalu pinepine ʻia ke kūlana i loko o ʻelua a ʻekolu mahina. ʻO kēia ka lāʻau lapaʻau i hoʻohana pinepine ʻia. |
| Ka lāʻau lapaʻau iodine radioactive (RAI) | ʻO kēia ka hāʻawi ʻana i kahi capsule a wai paha i loaʻa ka iodine radioactive e inu. Hele pololei kēia iodine i ka thyroid gland a luku i nā cell ma laila. Hoʻōla loa kēia i ka hyperthyroidism. Eia nō naʻe, i ka hapanui o nā hihia, lilo ka gland i mea hana ʻole mau loa, no laila pono ʻoe e lawe i nā pila hormone thyroid (levothyroxine) no ke koena o kou ola. |
| ʻoki kino | ʻO ke ʻoki ʻana e wehe i kahi āpau a i ʻole kekahi hapa o ka thyroid gland (thyroidectomy) hiki ke ho'ōla i ka hyperthyroidism, akā pono ʻoe e lawe i nā pila hormone thyroid no ke koena o kou ola. |
| Nā mea pale beta | ʻAʻole hoʻohaʻahaʻa kēia mau lāʻau lapaʻau i nā pae hormone. Kōkua lākou i ka kaohi ʻana i nā hōʻailona e like me ka puʻuwai wikiwiki, ka haʻalulu, a me ka hoʻomaha ʻole. Hāʻawi ʻia lākou me nā lāʻau lapaʻau ʻē aʻe. |
He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?
He mea nui loa kēia. Inā ʻaʻole mālama ʻia ka hyperthyroidism, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi.
- Maʻi puʻuwai: Nā kūlana e like me ka atrial fibrillation (Afib) a me ka hāʻule ʻana o ka puʻuwai congestive.
- Ka hānau ʻole ʻana
- Hahau (hahau Ischemic)
- Osteoporosis: Lilo nā iwi i nāwaliwali a haki maʻalahi, ʻoiai me ka hāʻule iki ʻana.
ʻO ka pilikia weliweli loa a hiki ke hoʻoweliweli i ke ola o kēia ʻo ia ka 'Thyroid Storm' . ʻO kēia ka wā e hoʻokuʻu koke ʻia ai nā hormones thyroid i loko o ke kino. ʻO nā hōʻailona e komo pū me ke kuni nui a me ka puʻuwai wikiwiki. He pilikia olakino kēia. Inā ʻike ʻoe i kēia mau hōʻailona, pono ʻoe e hele koke i ka Emergency Department (ETU) o ka haukapila.
Pono anei ʻoe e makaʻala i ka meaʻai a me ka mea inu?
I kekahi manawa, ʻo ka ʻai ʻana i nā meaʻai he nui i ka iodine (meaʻai kai, limu, pāpaʻi, ʻōpae, paʻakai iodized) hiki ke hoʻonui i kēia maʻi. No laila, e ʻōlelo paha kāu kauka i kahi papaʻai haʻahaʻa-iodine.
Akā e hoʻomanaʻo, ʻaʻole hiki ke ho'ōla ʻia kēia maʻi ma ka kaohi wale ʻana i kāu meaʻai. Pono maoli ka lāʻau lapaʻau. E hōʻoia e kūkākūkā me kāu kauka ma mua o ka hana ʻana i kekahi mau hoʻololi nui i kāu meaʻai.
Hiki ke hoʻoluhi ka loaʻa ʻana o kahi hōʻailona hou. Akā ʻo ka nūhou maikaʻi, ʻo ka hyperthyroidism kahi maʻi hiki ke mālama ʻia a mālama ʻia. Inā manaʻo ʻoe e holo wikiwiki ana kou kino, e ʻike pono i ke kauka. Hiki iā ia ke holo i nā hoʻokolohua e pono ai a hāʻawi iā ʻoe i ka lāʻau lapaʻau āu e pono ai e hoʻihoʻi i kou kino i ke kaulike.
Leka Lawe-Home
- He hana nui ka thyroid ka hyperthyroidism. Hiki i kēia ke hana i nā hōʻailona e like me ka pohō kaumaha, ka puʻuwai wikiwiki, a me ka hou nui.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hoʻowahāwahā iā lākou a e ʻike koke i ke kauka. Hiki ke ʻike ʻia kēia me kahi hoʻāʻo koko maʻalahi.
- He kūlana kēia e hiki ke mālama ʻia a kāohi maikaʻi ʻia. No laila, mai makaʻu. E hahai pono i nā ʻōlelo a ke kauka.
- Inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi e like me ka maʻi puʻuwai. No laila, he mea nui loa ka loaʻa ʻana o ka lāʻau kūpono i ka manawa kūpono.
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