Ke manaʻo nei ʻoe i kekahi manawa ua luhi a make ke ola? ʻAʻohe mea pehea ka nui o kou hiamoe ʻana, ʻaʻole anei e nalo aku kēlā luhi? A i ʻole, ke emi koke nei a piʻi aʻe paha kou kaumaha me ka ʻole o ka hoʻololi nui ʻana i kāu meaʻai? Malia paha ua huhū a hopohopo wale ʻoe. Ua ʻike anei ʻoe ʻo ke kumu maoli o kēia mau mea he ʻōpū liʻiliʻi e like me ka pepeke ma kou ʻāʻī? I kēia lā, e kamaʻilio mākou e pili ana i ka ʻōpū thyroid a me nā hoʻokolohua e nānā i kāna hana.
I ka ʻōlelo maʻalahi, he aha kēia kelepa thyroid?
E noʻonoʻo i ke kelepa thyroid ma ke ʻano he kikowaena kauoha o kou kino. Ua like ia me ka ʻōnaehana e hoʻomalu ana i ka mīkini o ke kaʻa. Aia ia ma ke alo o kou ʻāʻī, ma lalo pono o kou iwi ʻāʻī. Ua like kona ʻano me kahi pulelehua e hohola ana i kona mau ʻēheu.
ʻO ka mea nui loa a kēia gland liʻiliʻi e hana ai, ʻo ia ka hana ʻana i nā hormones e kāohi ana i ke ʻano o ka hoʻohana ʻana o kou kino i ka ikehu, ʻo ia hoʻi, kāu metabolism. Hoʻopilikia kēia mau hormones i nā mea he nui, me ka helu o kou puʻuwai, ka mahana o ke kino, ka ʻai ʻana, a me ka hana o ka lolo. No laila, ʻoiai kahi loli liʻiliʻi i loko o kēia gland hiki ke hoʻopilikia i kou kino holoʻokoʻa.
No ke aha mākou e pono ai e hana i kahi hoʻāʻo thyroid?
Aia kekahi mau kumu nui e kauoha ai kāu kauka i kahi hoʻāʻo thyroid. Hiki i kēia mau hoʻāʻo ke kōkua i ka hoʻoholo ʻana inā he loli i ka hana thyroid ke kumu, ʻoiai inā loaʻa iā ʻoe nā hōʻailona penei:
- Luhi mau a me ka hiamoe.
- Ka piʻi ʻana a i ʻole ka emi ʻana o ke kaumaha me ke kumu ʻole.
- Manaʻo hoʻomaha ʻole, huhū, a hopohopo paha.
- ʻIli maloʻo, hāʻule ka lauoho.
- Ka hou nui ʻana a i ʻole ka hiki ʻole ke ʻae i ke anu.
- ʻEha a me ka nāwaliwali o nā ʻiʻo.
- Nā hana ʻino ʻole i loko o ke kaʻina hana menstrual i nā wahine.
Hiki i kēia mau hoʻokolohua ke ʻike i kekahi mau kūlana, ʻo ia hoʻi ka pili ʻana i ka thyroid gland.
| Kūlana olakino | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻO ka hypothyroidism | ʻAʻole lawa ka hana ʻana o ka ʻōpū thyroid i nā hormones. Ua kapa ʻia hoʻi kēia ʻo "underactive thyroid." |
| Hyperthyroidism | Hoʻopuka ka ʻōpū thyroid i nā hormones ma mua o ka mea e pono ai. Ua kapa ʻia hoʻi kēia ʻo "overactive thyroid." |
| ʻO ka maʻi thyroid | Ka pehu ʻana a i ʻole ka mumū o ka ʻōpū thyroid. |
| Maʻi Graves | ʻO ka Hyperthyroidism kahi maʻi i hoʻokumu ʻia e ka ʻōnaehana pale o ke kino e hoʻouka a hoʻoulu i ka thyroid gland. |
| ʻO ka maʻi o Hashimoto | ʻO ke kūlana kahi e hoʻouka ai ka ʻōnaehana pale a hōʻino i ka ʻōpū thyroid, a i ka hopena e hana ai i ka hypothyroidism. |
ʻElua mau ʻano nui o nā hoʻāʻo thyroid:
Hiki ke hoʻokaʻawale ʻia nā hoʻokolohua i hana ʻia e nānā i ka ʻōpū thyroid i ʻelua ʻāpana.
1. Nā hoʻāʻo koko thyroid: Ke ana kēia i nā pae o nā hormones thyroid i loko o kou koko, a me nā antibodies.
2. Nā hoʻāʻo kiʻi thyroid: Hoʻohana ʻia kēia mau mea e nānā i ke ʻano, ka nui, a me ke alo o nā nodules i loko o ke kelepa thyroid.
I kēia manawa, e kamaʻilio kākou e pili ana i kēlā me kēia ʻano me nā kikoʻī hou aku.
Pehea e hana ai nā hoʻāʻo koko?
He hana maʻalahi loa kēia. Lawe ʻia kahi koko liʻiliʻi mai kou lima e like me ka mea maʻamau a hoʻouna ʻia i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. ʻAʻole ʻoe e ʻeha i ka wā o kēia kaʻina hana. ʻAʻole pono ʻoe e ʻai a inu paha i kekahi mea kūikawā ma mua o ka hoʻāʻo ʻana. Eia nō naʻe, inā hāʻawi kāu kauka iā ʻoe i kekahi mau ʻōlelo kūikawā, pono ʻoe e hahai iā lākou.
| Inoa o ka hoʻāʻo | He aha kāu e ʻike ai ma kēia? |
|---|---|
| Hoʻāʻo TSH | ʻO TSH ke kū nei no ka Thyroid-Stimulating Hormone. Hana ʻia ia e ka pituitary gland i loko o kou lolo. ʻO kēia hormone TSH ka mea e haʻi aku i ka thyroid gland e "hana i nā hormones." ʻO ka maʻamau, e nānā mua ke kauka i kēia pae TSH. |
| Hoʻāʻo T4 | ʻO T4, a i ʻole thyroxine, kekahi o nā hormones nui i hana ʻia e ka thyroid gland. Ana kēia i ka nui o kēia hormone i loko o ke koko. |
| Hoʻāʻo T3 | ʻO T3, a i ʻole triiodothyronine, kekahi hormone nui i hana ʻia e ka thyroid gland. Ana kēia hoʻāʻo i kona pae i loko o ke koko. |
| Nā hoʻāʻo antibody thyroid | I kekahi manawa hoʻomaka ka ʻōnaehana pale ponoʻī o ko mākou kino e hoʻouka i ko mākou kelepa thyroid. A laila hiki ke ʻike ʻia kēia mau antibodies i loko o ke koko. Kōkua kēia hoʻāʻo i ka ʻike ʻana i nā maʻi e like me ka maʻi Graves a me ka maʻi Hashimoto. |
Pehea e hana ai nā hoʻokolohua kiʻi?
Ma hope o nā hoʻāʻo koko, inā makemake kāu kauka i ka ʻike hou aku e pili ana i ke kūlana kino o ka ʻōpū thyroid, e like me kona nui, ke ʻano, a inā he mau nodules, hiki iā ia ke kuhikuhi iā ʻoe no kahi hoʻāʻo kiʻi.
- ʻO ke kani ʻana o ka thyroid ultrasound: Ua like kēia me ke scan i hana ʻia ma kahi makuahine hāpai. ʻAʻohe ʻeha. Hoʻohana ia i nā nalu kani e hana i kahi kiʻi maopopo o ke kelepa thyroid. He mea nui loa kēia e ʻike inā he mau nodules ma ka ʻāʻī a me ko lākou ʻano.
- Nānā ʻana i ka Thyroid:Pili kēia i ka nānā ʻana i ka nui a me ke kūlana o ka ʻōpū thyroid. I kekahi manawa pono paha ʻoe e loaʻa kahi mea hoʻohālikelike, kahi mea e hoʻomālamalama ai i nā kiʻi, i hoʻokomo ʻia i loko o kou kino. Hana ʻia kēia ma ka hāʻawi ʻana i kahi pila liʻiliʻi e loaʻa ana ka iodine radioactive a i ʻole ma ka hāʻawi ʻana iā ia ma ke ʻano he injection. Mai makaʻu i ka huaʻōlelo 'radioactive', no ka mea, he liʻiliʻi wale nō ka nui palekana i hoʻohana ʻia. Ke hoʻohui ʻia kēia iodine i ka ʻōpū thyroid, e ʻike maopopo ʻia ka ʻōpū ma ke scan.
- Hoʻāʻo Hoʻohana ʻana i ka Thyroid: Ke ana kēia hoʻāʻo i ka maikaʻi o ka hana ʻana o kāu kelepa thyroid. E hāʻawi ʻia ʻoe i kahi wai a i ʻole capsule paha e loaʻa ana ka iodine radioactive e inu. A laila, i kekahi mau hola ma hope, ma hope o 24 mau hola, ua kau ʻia kahi mea liʻiliʻi i kapa ʻia he gamma probe ma ke alo o kou ʻāʻī e ana i ka nui o ka iodine i lawe ʻia e kāu kelepa thyroid.
- Inā ua omo ka ʻōpū i ka nui o ka iodine , he hōʻailona paha ia o ka hyperthyroidism.
- Inā ʻaʻole nui ka iodine e omo ana i loko o ke kelepa, he hōʻailona paha ia o ka hypothyroidism.
Ma mua o kēia mau hoʻokolohua kiʻi, e noi ʻia paha ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana no kekahi mau hola. Hiki ke noi ʻia paha ʻoe e pale i nā meaʻai kiʻekiʻe i ka iodine, e like me ke kelp, no kekahi mau lā. E aʻo aku kāu kauka iā ʻoe e pili ana i kēia ma mua.
Nā hopena hoʻāʻo a he aha ka mea e hiki mai ana?
E loaʻa pinepine iā ʻoe kāu mau hōʻike hoʻāʻo i loko o kekahi mau lā. A laila e nānā kāu kauka i nā hōʻike a kamaʻilio me ʻoe e wehewehe iā lākou.
No ka laʻana, nā pae TSH:
- Inā ʻoi aku ke kiʻekiʻe o kou pae TSH ma mua o ka maʻamau, ʻo ia hoʻi, ʻaʻole lawa ka hana ʻana o kāu kelepa thyroid i nā hormones. He kūlana paha kēia i kapa ʻia ʻo hypothyroidism. No ka mea, ʻaʻole hana pono ka kelepa thyroid, hoʻomau ka lolo i ka hoʻouna ʻana i nā leka TSH e haʻi ana iā ia e "hana, hana."
- Inā haʻahaʻa kou pae TSH ma mua o ka maʻamau, ʻo ia hoʻi ke hana nui nei kou kelepa thyroid i ka hormone. He ʻano maʻi paha kēia i kapa ʻia ʻo hyperthyroidism. Ma muli o ka hana nui ʻana o ka kelepa, ua pau ka hoʻouna ʻana o ka lolo i nā leka TSH.
ʻO ka mea nui loa: Mai hoʻohewa i kahi maʻi ma ka nānā ʻana i nā helu ma kāu hōʻike hoʻāʻo a hoʻohālikelike iā lākou me nā mea āu e ʻike ai ma ka pūnaewele. ʻO kāu kauka wale nō ke hiki ke kālailai pololei i kēia mau hopena a hoʻopili iā lākou me kāu mau hōʻailona e hiki ai i kahi hopena pololei.
I kekahi manawa, ʻaʻole paha e hāʻawi kahi hoʻāʻo hoʻokahi i kahi kiʻi piha. I kēlā hihia, hiki i kāu kauka ke kauoha i nā hoʻāʻo hou aʻe. Inā loaʻa i kahi scan kahi mea e like me ka puʻupuʻu, hiki ke hana ʻia kahi biopsy (FNA - fine needle aspiration) e hoʻoholo ai inā he maʻi kanesa.
Leka Lawe-Home
- He ʻāpana koʻikoʻi ka thyroid i loko o kou ʻāʻī e kaohi ana i ka ikehu o ke kino.
- ʻO ka luhi mau, nā loli kaumaha, a me ka hoʻomaha ʻole hiki ke lilo i mau hōʻailona o ka maʻi thyroid.
- ʻAʻohe mea e makaʻu ai i nā hoʻokolohua thyroid. He mau hoʻokolohua maʻalahi lākou e pili ana i kahi hāpana koko a i ʻole kahi scan ʻeha ʻole.
- Ke loaʻa iā ʻoe nā hopena o kāu hoʻāʻo, mai hoʻoholo i kāu iho. E kamaʻilio mau me kāu kauka e pili ana i ia mea a e hahai i kāna ʻōlelo aʻo.
- Hiki ke mālama pono ʻia a hoʻokele ʻia ka hapa nui o nā maʻi thyroid, no laila inā loaʻa iā ʻoe nā hōʻailona, mai hoʻokaʻulua e ʻimi i ke aʻo lapaʻau.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment