I kekahi manawa e noʻonoʻo paha ʻoe, "No ke aha lā wau e hopohopo nei, manaʻo wale wau e like me ka pupule, a ke emi nei koʻu kaumaha ʻoiai ke ʻai nei au." Malia paha ke kumu ma hope o kēia mau mea a pau he ʻōpū liʻiliʻi e like me ka pepeke ma kou ʻāʻī. Kāhea mākou iā ia ʻo ke kelepa thyroid . Hoʻopuka ia i kahi hormone e pono ai no ko mākou kino. Akā inā hana nui ʻia kēia hormone, hiki iā ia ke hoʻopilikia i ka hana o ko mākou kino holoʻokoʻa. ʻO ia ka mea a mākou e kapa nei he Hyperthyroidism .
He aha ka hyperthyroidism?
I ka ʻōlelo maʻalahi, ʻo ka hyperthyroidism ka wā e hana nui ai ka thyroid gland i ke ʻano pepeke, aia ma ke alo o kou ʻāʻī, ma luna pono o kou iwi ʻāʻī, i ka hormone thyroid . E noʻonoʻo e like me ka mīkini kaʻa e holo wikiwiki ana. Pono kēlā me kēia hana i loko o ko mākou kino i kahi nui o kēia hormone e hana pono ai. No laila, ke piʻi aʻe, hele hewa ka ʻōnaehana holoʻokoʻa. Hiki i kēia ke hoʻololi i nā mea he nui, me kou lauoho, ka ʻike maka , ka helu o ka puʻuwai , ke ʻano, a me ke kaumaha.
ʻAʻole e hoʻōla pinepine kēia maʻi iā ia iho, no laila he mea nui ka ʻimi ʻana i ke kōkua lapaʻau.
He aha ka ʻokoʻa ma waena o ka Hyperthyroidism a me ka Hypothyroidism?
ʻOiai ke kani like nei kēia mau huaʻōlelo ʻelua, he ʻelua mau kūlana kūʻē loa lāua. He mea nui loa e hoʻomaopopo i kēia ʻokoʻa.
| Kūlana olakino | I ka ʻōlelo maʻalahi... |
|---|---|
| Hyperthyroidism (hoʻonui ʻia ka hormone thyroid) | Lilo ka thyroid i mea hana nui a hana i nā hormones he nui . |
| Hypothyroidism (haʻahaʻa nā pae hormone thyroid) | Hana ʻole ka ʻōpū thyroid a ʻaʻole lawa ka hana ʻana o nā hormones no ke kino. |
He ʻokoʻa nā hōʻailona a me nā lāʻau lapaʻau no nā kūlana ʻelua, no laila he mea nui e loaʻa kahi hōʻoia pololei.
He aha nā hōʻailona o ka hyperthyroidism?
Ke piʻi aʻe nā hormones thyroid , e wikiwiki loa ka metabolism o ko mākou kino, ʻo ia hoʻi ka wikiwiki o ka hoʻololi ʻana o ka meaʻai i ikehu. Hiki i kēia ke hana i nā hōʻailona ʻoluʻolu ʻole he nui.
- Ke hopohopo mau nei , ka hoʻomaha ʻole, a i ʻole ka huhū wale nō.
- Ka emi koke ʻana o ke kaumaha (ka emi ʻana o ke kaumaha ʻoiai he makemake maikaʻi ka ʻai ʻana).
- Ke manaʻo nei e kuʻi wikiwiki ana kou puʻuwai a i ʻole he manaʻo lele i loko o kou umauma (palpitations).
- ʻO ka hou nui a me ka emi ʻana o ka hiki ke hoʻomanawanui i ka wela.
- He haʻalulu mālie ma nā lima .
- ʻO ka hiamoe ʻole a i ʻole ka hoʻomaha ʻole i ka hiamoe.
- He pehu ma ke alo o ka ʻāʻī (goiter). I kekahi poʻe, hiki ke ʻike ʻia kēia.
- Ka nāwaliwali o nā ʻiʻo , ʻoiai ma nā poʻohiwi a me nā ʻūhā.
- Ka hāʻule ʻana o ka lauoho a me ka lahilahi o ka ʻili.
- Hoʻonui pinepine ʻia o ka hele ʻana i ka lua.
- Nā loli i ke kaʻina hana menstrual o kēlā me kēia mahina o nā wahine (e.g., ka emi ʻana o ka helu o nā lā, ka emi ʻana o ke kahe ʻana o ke koko).
- Hiki i kekahi poʻe ke loaʻa i ka ʻeha o ka maka a i ʻole nā loli.
I ka wā mua, ʻoi aku paha kou ikaika ma mua o ka maʻamau no ka mea kiʻekiʻe kou metabolism. Akā i ka hala ʻana o ka manawa, hiki i kēia hana hoʻonui ke hoʻoluhi i kou kino a hoʻoluhi loa iā ʻoe.
ʻAʻole paha e ʻike nui ʻia kēia mau hōʻailona e ka poʻe ʻelemakule. Hiki iā lākou ke ʻike i kahi piʻi iki o ka puʻuwai a i ʻole ka ʻike i ka wela. Eia kekahi, inā ʻoe e lawe ana i nā lāʻau lapaʻau e like me nā beta-blockers no nā kūlana e like me ke koko kiʻekiʻe, hiki ke uhi ʻia kekahi o kēia mau hōʻailona. No laila, he mea nui loa ia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
No ke aha e hoʻonui ai kēia i nā hormones thyroid?
Aia kekahi mau kumu nui o ka hyperthyroidism.
Maʻi Graves
ʻO kēia ke kumu maʻamau. He pilikia ia me ka ʻōnaehana pale. I ka ʻōlelo maʻalahi, hoʻouka hewa ka ʻōnaehana pale o ko mākou kino i ko mākou kelepa thyroid ponoʻī, ma kahi o kahi maʻi a bacteria paha. ʻO kēia ke kumu o ka hoʻoulu nui ʻia ʻana o ka kelepa a hana i nā hormones he nui. ʻOi aku ka maʻamau o kēia i nā wahine, ʻoi aku hoʻi ka poʻe ma lalo o 40 makahiki. A inā loaʻa i kekahi o ka ʻohana, ʻoi aku ka kiʻekiʻe o ka pilikia.
Nā puʻupuʻu thyroid/maʻi Plummer
Hoʻomaka kekahi mau nodules liʻiliʻi e hana ana i loko o ke kelepa thyroid e hana i kā lākou mau hormones ponoʻī, e hoʻoulu ai i nā pae kiʻekiʻe o nā hormones i loko o ke kino. ʻOi aku ka maʻamau o kēia ʻano i ka poʻe ʻelemakule.
ʻO ka maʻi thyroid
ʻO kahi maʻi viral, nā pilikia ʻē aʻe o ka ʻōnaehana pale, a i ʻole ka hāpai ʻana e hiki ai ke hoʻoulu i ka ʻōpū thyroid e pehu a lilo i mumū. Ke hana ʻia kēia, kahe koke nā hormones i mālama ʻia i loko o ka gland i loko o ke koko, e hoʻonui ana i nā pae hormone no ka manawa pōkole.
Hoʻonui ʻia ka Iodine
Inā loaʻa i nā meaʻai a i ʻole nā wikamina a mākou e ʻai ai ka nui o ka iodine, hiki iā ia ke hoʻonui i ka hana ʻana o ka hormone thyroid.
Ke hoʻopilikia nei kēia i nā maka? (Maʻi maka Thyroid)
Ma kahi o 30% o ka poʻe me ka maʻi Graves e loaʻa paha i kahi maʻi i kapa ʻia ʻo Thyroid Eye Disease (TED), kahi e hoʻopilikia ai i nā ʻiʻo a me nā ʻiʻo a puni nā maka.
Nā hiʻohiʻona nui:
- Nā maka ʻōhū
- Manaʻo e like me ke one i nā maka
- ʻEha a me ke kaomi o ka maka
- ʻUlaʻula a me ka pehu ʻana o nā maka
- Pehu a ʻūlū paha ka lihilihi o ka maka
- Ka ʻike i waho
- ʻIke pālua
ʻOiai inā ʻaʻole ʻoe i ʻike ʻia me ka maʻi ʻo Graves, inā ʻike ʻoe i kēia mau loli i kou mau maka, e ʻimi koke i ke kōkua lapaʻau.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka pahuhopu nui o ka mālama ʻana i ka hyperthyroidism ʻo ia ke kāohi i ka pae o nā hormones thyroid i loko o ke kino. E koho kāu kauka i ka lāʻau kūpono loa e pili ana i kou makahiki, olakino, kumu, a me nā hōʻailona.
| ʻAno lapaʻau | Wehewehena |
|---|---|
| ʻO ka Iodine Radioactive | He ʻano hana maʻamau kēia. Ua moni ʻia kahi liʻiliʻi a palekana o ka iodine radioactive e like me ka pila. Hoʻopili nā hunaola thyroid ikaika loa i kēia a ua luku ʻia. Hoʻemi kēia i ka ʻōpū a emi iho nā pae hormone. Hiki ke loaʻa ka hypothyroidism i kekahi manawa ma hope o kēia lāʻau. Eia nō naʻe, hiki ke mālama maʻalahi ʻia kēia me kahi pila liʻiliʻi i lawe ʻia i kēlā me kēia lā. |
| Nā lāʻau anti-thyroid | Hoʻopale kēia mau lāʻau lapaʻau i ka hana ʻana o nā hormones e ka thyroid gland. ʻOiai e hoʻomaikaʻi paha nā hōʻailona i loko o kekahi mau mahina, pono paha ʻoe e lawe i kēia mau lāʻau lapaʻau no hoʻokahi makahiki. He koho palekana kēia no nā makuahine hāpai a me nā makuahine hānai. |
| ʻO ke ʻoki kino (Tyroidectomy) | Ke pane ʻole ka ʻōpū thyroid i ka lāʻau lapaʻau a i ʻole no nā kumu ʻē aʻe, hana ʻia ke ʻoki kino e wehe i ka ʻōpū thyroid āpau a i ʻole kekahi hapa. Ma hope o kēia, pono ʻoe e lawe i kahi pila hormone thyroid i kēlā me kēia lā no ke koena o kou ola. |
| Nā mea pale beta | ʻAʻole kēia e hoʻohaʻahaʻa i nā pae hormone, akā hiki iā lākou ke kōkua i ka kaohi ʻana i nā hōʻailona e like me ka puʻuwai wikiwiki, ka haʻalulu, a me ka hopohopo. |
Nā kūlana weliweli e hiki ke kū mai inā ʻaʻole mālama ʻia
Inā ʻaʻole mālama ʻia, hiki i ka hyperthyroidism ke alakaʻi i nā pilikia nui.
- Maʻi puʻuwai (e.g., ka hāʻule ʻana o ka puʻuwai)
- Nā ʻūpā koko a me ka hahau ʻana
- Ka lahilahi o nā iwi a me ka haki maʻalahi (Osteoporosis)
- Nā pilikia hāpai
### Kūlana pilikia e makaʻala ai: Ka pilikia Thyrotoxic / Thyroid Storm
I kekahi manawa, hiki i ka ʻōpū thyroid ke hoʻokuʻu koke i ka nui o ka hormone i loko o ke koko. He kūlana weliweli loa kēia e hiki ai ke hoʻoweliweli i ke ola. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e hele koke i ka lumi pilikia o ka haukapila (ETU).
* Kuni kiʻekiʻe loa (ma luna o 104 F)
* Ka puʻuwai wikiwiki loa (ʻoi aku ma mua o 140 mau kuʻi i kēlā me kēia minuke)
* Delirium, hiki ʻole ke hoʻomaopopo i ke kaiapuni
Pehea e mālama ai i kāu meaʻai i ka wā e noho ana me ka hyperthyroidism?
ʻOiai e mālama ʻia ana, he mea nui e makaʻala i kāu meaʻai. ʻO ka mea nui, ʻo ka kaohi ʻana i kāu meaʻai kiʻekiʻe i ka iodine hiki ke kōkua i ka pale ʻana i ka ʻoi aku ka ʻino o nā hōʻailona.
Nā mea e hōʻemi ai a pale aku paha:
- Paʻakai i hoʻohuihui ʻia
- Waiū a me nā huahana waiū (kīhi, yogurt)
- Hua moa
- Nā meaʻai kai (ʻōpae, pāpaʻi, ʻōpae, limu, sushi)
Nā mea maikaʻi e hoʻohui i ka meaʻai:
- Nā huaʻai a me nā mea kanu hou
- Nā hua palaoa piha
- Nā nati a me nā mea kanu legume (e like me nā lentil, chickpeas)
- Nā aila olakino (e like me ka ʻaila ʻoliva)
He mea maikaʻi ke kūkākūkā me kekahi meaʻai no ka ʻike hou aku e pili ana i kēia.
Leka Lawe-Home
- He maʻi hiki ke mālama ʻia ka Hyperthyroidism, akā hiki ke lilo i mea weliweli loa inā waiho ʻole ʻia.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka pohō kaumaha i wehewehe ʻole ʻia, ka hopohopo, a i ʻole ka wikiwiki o ka puʻuwai, e ʻike pono i kāu kauka.
- E lawe i nā lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka, e like me ke kauoha, no ka manawa i kuhikuhi ʻia. Mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau ma kāu iho.
- E kamaʻilio ākea me kāu kauka e pili ana i kāu meaʻai, nā hopena ʻaoʻao o ka lāʻau lapaʻau, a i ʻole nā hopohopo ʻē aʻe.
- Inā loaʻa nā hōʻailona koʻikoʻi e like me ke kuni nui a me ka huikau, e manaʻo he pilikia ia a e kuhikuhi koke i ka Emergency Treatment Unit (ETU) o ka haukapila.

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