Ke luhi mau nei hoʻi ʻoe? E aʻo kākou e pili ana i kēia hypothyroidism.

Ke luhi nui nei hoʻi ʻoe i kēia mau lā? Ke luhi nei ʻoe i kou ala ʻana i ke kakahiaka, hiamoe i ka lā a pau, a ʻaʻohe ikaika e hana i kekahi mea? I ka manawa like, ke manaʻo nei ʻoe e piʻi ana kou kaumaha me ka ʻole o ka hoʻololi nui ʻana i kāu meaʻai a me kāu mea inu? Manaʻo paha ʻoe he mea maʻamau kēia, no ka nui o ka hana. Akā ma hope o kēia mau mea, aia paha i kekahi manawa nā loli liʻiliʻi e hana ʻia i loko o ko kākou kino ponoʻī. ʻO ia ka mea a kākou e kamaʻilio ai i kēia lā.

I ka ʻōlelo maʻalahi, he aha ka Hypothyroidism?

ʻAe, e ʻōlelo kākou penei. Loaʻa iā kākou kahi ʻōpū liʻiliʻi e like me ke ʻano o ka pulelehua ma ko kākou ʻāʻī. ʻO kēia ka mea a kākou e kapa nei he ʻōpū thyroid . E like me ka ʻenekini o ke kaʻa, hoʻomalu ia i nā mea he nui i loko o ko kākou kino, ʻo ia hoʻi, hoʻoholo ia i ka wikiwiki o ko kākou kino (metabolism). Hoʻopilikia kāna mau hormones i nā mea he nui, e like me ka helu o kou puʻuwai, ka mahana o ke kino, a me ka wikiwiki o ka ʻai ʻana.

ʻO ka Hypothyroidism kahi maʻi kahi e hana pono ʻole ai ke kelepa thyroid a ʻaʻole hana i ka nui o nā hormones e pono ai. A laila, e like me ka wā e lohi ai ka mīkini kaʻa, hoʻomaka nā kaʻina hana āpau i loko o ko mākou kino e lohi. ʻO ia ke kumu e luhi ai ʻoe a kaumaha kou kino.

He maʻi kēia e hiki ke mālama pinepine ʻia a kāohi ʻia, no laila ʻaʻohe kumu e makaʻu ai. Eia nō naʻe, hiki ke lilo i mea weliweli inā waiho ʻole ʻia.

He aha nā ʻano nui o ka hypothyroidism?

Aia kekahi mau ʻano nui ma muli o ke ʻano o ka hanana ʻana o kēia maʻi. ʻOiai he ʻano lapaʻau iki kēia, pono e ʻike ma nā ʻōlelo maʻalahi. E noʻonoʻo, aia kahi luna nui i loko o ko kākou lolo (Hypothalamus), ka mea e haʻi aku i kekahi (Pituitary Gland) e hana i kekahi mea, ʻo ia hoʻi ka mea e haʻi aku i ka Thyroid Gland e hana. Inā he pilikia ma kekahi wahi ma kēia ala, hiki ke loaʻa ka Hypothyroidism.

He aha nā hōʻailona o kēia maʻi?

ʻAʻole pinepine e hiki koke mai nā hōʻailona o ka hypothyroidism. Hoʻomohala mālie lākou, lohi. I kekahi manawa hiki ke hala nā makahiki. E nānā inā loaʻa iā ʻoe kēia mau hōʻailona.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke nīnau aku i kāu kauka no ka ʻōlelo aʻo.

No ke aha e kū mai ai ka hypothyroidism?

Aia paha kekahi mau kumu no kēia.

• ʻO ka maʻi Hashimoto: ʻO kēia ke kumu nui a maʻamau. I ka ʻōlelo maʻalahi, he maʻi autoimmune ia. ʻO ke ʻano kēia, ʻo ka ʻōnaehana pale, ka mea i manaʻo ʻia e pale i ko mākou kino, e hoʻomaka hewa ana e hoʻouka i kāna kelepa thyroid ponoʻī. I ka hala ʻana o ka manawa, ua hōʻino ʻia ka kelepa a emi iho ka hana ʻana o ka hormone.
• Ka wehe ʻana i ka ʻōpū thyroid:Ke wehe ʻia ke kelepa thyroid a pau a i ʻole kekahi hapa ma muli o kekahi mau maʻi kanesa a i ʻole nā ​​​​kūlana e like me ka goiter.
• Lapaʻau Radiation: Ke hoʻohana ʻia ka radiation therapy no nā maʻi ʻaʻai poʻo a ʻāʻī paha, hiki iā ia ke hōʻino i ka ʻōpū thyroid.
• ʻO kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no nā maʻi puʻuwai a me nā maʻi noʻonoʻo (e.g., Lithium, Amiodarone) hiki ke hoʻemi i ka hana thyroid.
• Ka nele o ka Iodine: He mineral koʻikoʻi ka Iodine no ka hana ʻana o nā hormones thyroid. Hiki ke loaʻa kēia ʻano inā ʻaʻole lawa ka iodine mai kā mākou meaʻai. Eia nō naʻe, ma Sri Lanka, ʻaʻole ʻike pinepine ʻia kēia no ka mea ua hoʻohui ʻia ka iodine i ka paʻakai a mākou e hoʻohana ai.
• Nā kūlana hānau ʻole: Hānau ʻia kekahi mau pēpē me ka ʻole o ka kelepa thyroid, a i ʻole me kahi kelepa hana ʻole.

Pehea e hana ʻia ai ka hōʻailona?

Ke hele ʻoe e ʻike i ke kauka, ʻo ka mea mua āna e hana ai, ʻo ia ke nīnau iā ʻoe e pili ana i kāu mau hōʻailona. A laila, e nānā lākou i kou ʻāʻī e ʻike inā ua pehu kou kelepa thyroid.

Akā no ka hōʻoia pono ʻana i kēia maʻi, pono kahi hoʻāʻo koko.

Nānā nui kēia hoʻāʻo koko i:

• TSH (Hōmona Hoʻoulu Thyroid): He hormone kēia i hoʻokuʻu ʻia e ka pituitary gland i loko o ka lolo. Inā ʻaʻole hana ka thyroid gland, hoʻāʻo ka lolo e hoʻoulu iā ia ma ka hoʻouna ʻana i nā TSH hou aku. No laila, hoʻokiʻekiʻe pinepine ʻia nā pae TSH i ka hypothyroidism.
• T4 (Thyroxine): ʻO kēia ka hormone nui i hana ʻia e ka thyroid gland. I ka hypothyroidism, ua hoʻemi ʻia nā pae o kēia hormone.

I kekahi manawa, inā pono, hiki i ke kauka ke kauoha i nā hoʻokolohua e like me ka ultrasound scan a i ʻole ka CT scan .

He aha nā lāʻau lapaʻau? He mea anei ia e makaʻu ai?

ʻAʻole, ʻaʻohe mea e hopohopo ai. He maʻalahi loa a he pono ka lāʻau no ka hypothyroidism.

ʻO ka lāʻau lapaʻau nui, ʻo ia ka Hormone Replacement Therapy . I ka pōkole, ʻo ia ka lawelawe ʻana i kahi pila i kapa ʻia ʻo Levothyroxine , kahi e pani ai i ka hormone thyroid i hiki ʻole i kou kino ke hana.

I ka wā mua, e hana kāu kauka i nā hoʻokolohua koko i kēlā me kēia manawa e ʻike i ka nui kūpono nou. Ke loaʻa iā ʻoe ka nui kūpono, e nalowale ka hapa nui o kāu mau hōʻailona a hiki iā ʻoe ke ola i kahi ola maʻamau.

ʻEhia ka lōʻihi e pono ai e hoʻomaikaʻi ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau?

E hoʻi hou ana nā pae hormone i ka maʻamau ke hoʻomaka ʻoe e lawe i ka lāʻau. Eia nō naʻe, hiki ke hala kekahi mau pule no kou mau hōʻailona, ​​e like me ka luhi a me ka piʻi ʻana o ke kaumaha, e emi ai. No laila he mea nui e hoʻomanawanui.

He aha ka mea e hana ʻia inā ʻaʻole ʻoe e loaʻa i ka lāʻau lapaʻau?

ʻO kēia ka mea nui loa. ʻOiai e hoʻoponopono ka lāʻau lapaʻau i nā pilikia, inā ʻaʻole mālama ʻia, hiki ke loaʻa nā pilikia koʻikoʻi.

• Goiter: Hiki ke hoʻonui ʻia ke kalani thyroid ma muli o ka hoʻoulu mau ʻana.
• Maʻi puʻuwai: Hoʻonui ka nui o ka cholesterol maikaʻi ʻole (LDL) i ka pilikia o ka loaʻa ʻana o ka maʻi puʻuwai.
• Nā pilikia noʻonoʻo: Hiki i nā kūlana e like me ke kaumaha a me ka hopohopo ke lilo i mea koʻikoʻi.
• ʻO ka Neuropathy Peripheral: ʻO ka hōʻino ʻana i nā aʻalolo e hiki ke hoʻoulu i ka ʻeha a me ka numbness i nā lālā.
• ʻAʻole hānau keiki: Hiki i nā wāhine ke pilikia i ka hāpai ʻana. Inā ʻaʻole mālama ʻia i ka wā hāpai, hiki iā ia ke alakaʻi i ka hāʻule ʻana o ka hānau keiki a i ʻole e hoʻopilikia i ka pēpē.
• ʻO Myxedema Coma: He kūlana kakaikahi loa kēia, akā he mea hoʻoweliweli i ke ola . Ua pilikia nui nā hana o ke kino a hiki ke ʻike ʻole ʻia.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia ma luna (e like me ka luhi mau, ka piʻi ʻana o ke kaumaha, ka ʻili maloʻo), e ʻike pono i ke kauka. E nānā ʻo ia iā ʻoe a, inā pono, e kauoha i nā hoʻāʻo koko.

Inā ʻoe e lawe nei i ka lāʻau lapaʻau no ka hypothyroidism a ke manaʻo nei ʻoe e hoʻi hou ana kāu mau hōʻailona, ​​e hoʻomaopopo i kāu kauka. Pono paha e hoʻoponopono ʻia ka nui o kāu lāʻau lapaʻau.

I ka manawa hea e hele koke ai i ka ETU (Emergency Treatment Unit)

Inā ʻike ʻoe i kekahi o nā hōʻailona koʻikoʻi ma lalo nei, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila . He mau hōʻailona paha kēia o ke kūlana Myxedema Coma i ʻōlelo ʻia ma mua.

• Paʻakikī ka hanu ʻana
• Hiamoe hiki ʻole ke hoʻomanawanui, huikau
• Hypothermia (haʻahaʻa o ke kino)
• Hypotension (haʻahaʻa loa ke koko)
• Lohi loa ka puʻuwai (Bradycardia)