Ua olakino kou thyroid? E kamaʻilio kākou e pili ana i ka maʻi thyroid ma nā ʻōlelo maʻalahi!

Ke luhi nei ʻoe i kekahi manawa a piʻi paha ke kaumaha me ke kumu ʻole? Manaʻo paha ʻoe no kāu papa hana paʻahana i kēia mau lā. Akā, ua ʻike anei ʻoe he hiki i kahi ʻōpū liʻiliʻi e like me ke ʻano o ka pepeke ma ke alo o kou ʻāʻī ke pili i kēia mau mea? I kēia lā, e kamaʻilio kākou e pili ana i ka ʻōpū thyroid a me nā maʻi e pili pū ana me ia, ʻo ia hoʻi ka maʻi thyroid .

He aha ke kelepa thyroid? He aha kāna hana?

I ka ʻōlelo maʻalahi, ʻo ke kelepa thyroid he kelepa liʻiliʻi e like me ke ʻano o ka pepeke aia ma ke alo o kou ʻāʻī. He ʻāpana ia o ka ʻōnaehana endocrine o ko mākou kino. Ua like ia me kahi hale hana liʻiliʻi i loko o ko mākou kino. Hana ia a hoʻokuʻu i nā hormones thyroid i loko o ke koko, ka mea e kāohi ana i nā hana koʻikoʻi he nui i loko o ko mākou kino. ʻO nā hormones nui i hana ʻia e ia ʻo thyroxine (T4) a me triiodothyronine (T3) .

I kēia manawa, e nīnau paha ʻoe, "He aha ka hana a kēia mau hormones?" ʻO ka hana nui o ka thyroid gland ka hoʻomalu ʻana i kā mākou metabolism a i ʻole ka metabolic rate . ʻO ia hoʻi, ʻo ka wikiwiki o ka hoʻololi ʻia ʻana o ka meaʻai a mākou e ʻai ai i ikehu. Pono kēlā me kēia cell i loko o ko mākou kino i ka ikehu e hana ai. No laila, inā ʻaʻole hana pono kēia thyroid gland, hiki iā ia ke hoʻopilikia i ke kino holoʻokoʻa. E noʻonoʻo e like me ka accelerator o ke kaʻa. Inā ʻaʻole ia e hana pono ana, lohi loa a wikiwiki paha ka wikiwiki o ke kaʻa. Pēlā ia.

No laila, he aha ka maʻi thyroid?

He huaʻōlelo laulā loa ka maʻi thyroid. Pili ia i kekahi kūlana olakino kahi i hana ʻole ai kou kelepa thyroid i nā hormones lawa. Hiki iā ia ke hoʻopilikia i nā kānaka o kēlā me kēia makahiki. I kekahi manawa hana nui ka kelepa thyroid i ka hormone, a i kekahi manawa hana liʻiliʻi. He mau pilikia nā mea ʻelua.

He aha nā ʻano nui o nā maʻi thyroid?

ʻElua ʻano nui o ka maʻi thyroid: hypothyroidism (hana ʻole ʻia o nā hormones thyroid) a me hyperthyroidism (hana nui ʻia o nā hormones thyroid). Eia nō naʻe, hiki i kēlā me kēia o kēia ke loaʻa nā kumu like ʻole.

1. Ka hana ʻole ʻia ʻana o nā hormones thyroid: Hypothyroidism

Hana ʻia kēia ke hana ʻole ka thyroid gland i nā hormones thyroid lawa, kahi e hoʻolohi ai i ka metabolism o ke kino.

He aha nā kumu o ka hypothyroidism?

• ʻO ka maʻi Hashimoto: He maʻi autoimmune mau loa kēia, no ke ola holoʻokoʻa. I ka ʻōlelo maʻalahi, hoʻouka ka ʻōnaehana pale ponoʻī o ko mākou kino i ka ʻōpū thyroid. ʻO kēia ke kumu nui o ka hypothyroidism ma nā ʻāina kahi i ʻai nui ʻia ai ka paʻakai a me nā meaʻai waiwai i ka iodine.
• Ka nele o ka iodine: He mea nui ka mineral iodine no ka hana ʻana o nā hormones thyroid. No laila, inā ʻaʻole lawa ka iodine i kāu meaʻai, hiki iā ʻoe ke hoʻomohala i ka hypothyroidism. ʻO kēia ke kumu nui ma nā ʻāina kahi i loaʻa ʻole ai ka paʻakai iodized. Hiki i kēia ke alakaʻi i ka goiter , ʻo ia hoʻi ka pehu ʻana o ka thyroid gland.
• ʻO ka hypothyroidism hānau ʻole: Hānau ʻia kekahi mau pēpē me ka ʻole o ka thyroid gland a i ʻole me kahi thyroid gland i hana pono ʻole. ʻO "Congenital" ʻo ia hoʻi "aia i ka wā hānau." Ma kahi o 1 i loko o 2,000 a 4,000 mau pēpē e loaʻa paha kēia maʻi.

2. Ka hana nui ʻana o nā hormones thyroid: Hyperthyroidism

ʻO kēia ka manawa e hana nui ai ke kelepa thyroid i ka hormone, kahi e wikiwiki ai ka metabolism o ke kino.

He aha nā kumu o ka hyperthyroidism?

• ʻO ka maʻi Graves: He maʻi maʻi mau nō hoʻi kēia o ka ʻōnaehana pale. Eia nō naʻe, i kēia hihia, hoʻonui nui ʻia ka thyroid gland a hana i ka nui o ka hormone. ʻO kēia ke kumu maʻamau o ka hyperthyroidism.
• Nā puʻupuʻu thyroid: He mau puʻupuʻu ʻano ʻē kēia e hana ʻia ma ka ʻōpū thyroid. Inā hoʻomaka kekahi o kēia mau puʻupuʻu e hana i ka nui o ka hormone, hiki ke loaʻa ka hyperthyroidism.
• Ka nui o ka ʻai ʻana i ka iodine: Ke loaʻa i ke kino ka nui o ka iodine, hana ka thyroid gland i ka nui o ka hormone. Hiki ke hana ʻia kēia maʻi e kekahi mau lāʻau lapaʻau, no ka laʻana , amiodarone, kahi lāʻau lapaʻau i hoʻohana ʻia e mālama i nā maʻi puʻuwai.

3. I kekahi manawa haʻahaʻa nā hormones, i kekahi manawa kiʻekiʻe

Aia kekahi mau kūlana e hiki ai ke hoʻoulu mua i ka hyperthyroidism (hoʻonui ʻia ka hana ʻana o ka hormone) a laila hypothyroidism (hoʻemi ʻia ka hana ʻana o ka hormone).

• ʻO Thyroiditis: He mumū kēia o ke kelepa thyroid. Hoʻomaka pinepine kēia me ka piʻi ʻana o nā hormones no kekahi manawa (hyperthyroidism), a ukali ʻia e ka emi ʻana o nā hormones no kekahi manawa a mau loa paha (hypothyroidism).
• ʻO ka thyroiditis ma hope o ka hānau ʻana: He ʻano maʻi kakaikahi kēia e kū mai ana i kekahi mau makuahine ma hope o ka hānau ʻana. Hoʻopilikia ia ma kahi o 5% o nā wahine i loko o hoʻokahi makahiki o ka hānau ʻana. Eia hou, ʻo ka hyperthyroidism ka mea maʻamau e kū mua, a ukali ʻia e ka hypothyroidism. Eia naʻe, he manawa pōkole kēia.

Pehea ka maʻamau o ka maʻi thyroid?

He mea maʻamau ka maʻi thyroid. No ka laʻana, ua ʻōlelo ʻia he 20 miliona mau kānaka ma ʻAmelika Hui Pū ʻIa i loaʻa i kekahi ʻano maʻi thyroid. No laila, hiki ke ʻike pinepine ʻia kēia maʻi ma Sri Lanka.

He aha nā hōʻailona o ka maʻi thyroid?

Inā loaʻa iā ʻoe kahi maʻi thyroid, hiki iā ʻoe ke ʻike i nā ʻano hōʻailona like ʻole. ʻO ka pilikia, hoʻohālike pinepine kēia mau hōʻailona i nā kūlana ʻē aʻe a i ʻole nā ​​​​loli e kū mai ana i nā manawa like ʻole o kou ola. No laila, he mea paʻakikī ke ʻike maopopo inā paha kāu mau hōʻailona ma muli o kahi pilikia thyroid a i ʻole kekahi mea ʻē aʻe.

Eia nō naʻe, ma ke ʻano laulā, hiki ke hoʻokaʻawale ʻia nā hōʻailona thyroid i ʻelua mau māhele - nā mea i hoʻokumu ʻia e ka nui o ka hormone thyroid (hyperthyroidism) a me nā mea i hoʻokumu ʻia e ka liʻiliʻi o ka hormone thyroid (hypothyroidism). ʻO nā hōʻailona o kēia mau kūlana ʻelua he "kūʻē" kekahi i kekahi. ʻO kēia no ka mea e wikiwiki ana ka hyperthyroidism i kāu metabolism, ʻoiai ʻo ka hypothyroidism e lohi ana.

Nā hōʻailona o ka hypothyroidism (haʻahaʻa nā hormones):

• ʻOi aku ka lohi o ka puʻuwai ma mua o ka maʻamau.
• Luhi mau. Makemake wale au e noho ma kahi moe i ka lā a pau, me ka luhi loa e hana i kekahi mea pono.
• Piʻi ke kaumaha me ke kumu ʻole. Piʻi ke kaumaha ʻoiai inā e mau ana nā ʻano ʻai.
• Paʻakikī ke hoʻomanawanui i ke anu . ʻO ka mea he anu maʻamau paha no kekahi poʻe, he mea paʻakikī paha iā ʻoe ke hoʻomanawanui.
• ʻIli maloʻo a me ka lauoho maloʻo a ʻālohilohi .
• Kaumaha .
• ʻO ke kahe koko nui o ka menstruation i nā wahine (menorrhagia) .

Nā hōʻailona o ka hyperthyroidism (inā nui loa ka hormone):

• ʻO ka wikiwiki o ka puʻuwai ma mua o ka maʻamau (tachycardia) . Manaʻo ia e kuʻi ana kou puʻuwai.
• Ka paʻakikī o ka hiamoe ʻana .
• ʻO ka emi ʻana o ke kaumaha me ke kumu ʻole. ʻO ka emi ʻana o ke kaumaha ʻoiai ke ʻai maikaʻi nei.
• Paʻakikī ke kū ʻana i ka wela . ʻOiai he mea maʻamau paha i nā poʻe ʻē aʻe ke wela, hiki paha iā ʻoe ke hou a wela loa.
• ʻIli paʻa a hou paha .
• Manaʻo hoʻonāukiuki, hoʻomaha ʻole, a huhū maʻalahi .
• Loaʻa i nā wāhine nā wā menstruation kūpono ʻole a i ʻole ka pau ʻana o ka menstruation (amenorrhea) .

Hiki i nā kūlana ʻelua ke hoʻoulu i ka pehu ʻana o ka ʻōpū thyroid, i kapa ʻia he goiter . Eia nō naʻe, ʻoi aku ka maʻamau i ka hyperthyroidism.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka maʻi thyroid?

Hiki paha iā ʻoe ke loaʻa i ka maʻi thyroid inā ʻoe:

• Inā he wahine ʻoe, ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi thyroid i nā wahine he ʻelima a ʻewalu manawa ma mua o nā kāne.
• Inā loaʻa i kekahi o kou ʻohana ka maʻi thyroid (hiki ke hoʻoilina).
• Inā loaʻa iā ʻoe kahi maʻi genetic e like me Turner syndrome .
• Inā ʻoe e lawe ana i ka lāʻau lapaʻau i loaʻa ka nui o ka iodine .
• Inā ʻoe e noho ana ma kahi ʻāina a wahi paha kahi i loaʻa ʻole ai ka paʻakai iodized (hiki i kēia ke alakaʻi i ka hemahema o ka iodine).
• Inā ʻoe ma luna o 60 mau makahiki , ʻoiai inā he wahine ʻoe.
• Inā ua loaʻa mua iā ʻoe ka radiation therapy ma ke poʻo a me/a i ʻole ka ʻāʻī.

Eia kekahi, inā loaʻa iā ʻoe kekahi maʻi autoimmune ʻē aʻe, ʻoi aku ka kiʻekiʻe o kou pilikia o ka loaʻa ʻana o ka maʻi thyroid. ʻOi loa aku inā loaʻa iā ʻoe kekahi o kēia mau kūlana:

• ʻO ka anemia ʻino
• ʻAno 1 diabetes
• Maʻi Celiac
• ʻO ka maʻi o Addison (ka maʻi o Addison - ka lawa ʻole o ka adrenal mua)
• Lupus
• ʻO ka ʻāʻī rheumatoid
• ʻO ka maʻi Sjögren

Pehea e ʻike ai i ka maʻi thyroid? (Diagnosis)

Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi thyroid, e nīnau mua kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​kou mōʻaukala ʻohana, a hana i kahi hoʻokolokolo kino. I loko o kēia hoʻokolokolo, e hoʻopā kāu kauka i kou ʻāʻī thyroid i kou ʻāʻī e nānā i ka pehu a i ʻole nā ​​​​pūʻulu (nodules).

Ma hope o kēlā, pono ke kauka e hana i kekahi mau hoʻokolohua thyroid hou aʻe e hōʻoia i ka hōʻailona. Eia kēia mau mea:

• Nā hoʻāʻo koko: Hiki i kēia mau hoʻāʻo ke haʻi inā he hypothyroidism a hyperthyroidism paha kou. Aia nā ʻano hoʻāʻo koko thyroid like ʻole. No ka laʻana, nānā lākou i ka hormone hoʻoulu thyroid (TSH) , nā pae hormone T3 a me T4 , a me nā antibodies thyroid .
• Nā hoʻāʻo kiʻi: Hiki i nā hoʻāʻo e like me ka ultrasound thyroid ke kōkua i kāu kauka e ʻike inā he mau nodules a i ʻole nodules i loko o kou kelepa thyroid. Hiki i nā hoʻāʻo kiʻi lāʻau lapaʻau nukelea e like me ka thyroid uptake a me ka scan ke kōkua i ka hoʻoholo ʻana inā he overactive nā nodules.

Pehea e mālama ʻia ai nā maʻi thyroid?

ʻO ke ʻano o ka mālama ʻana i ka maʻi thyroid e pili ana i ke ʻano o ka maʻi āu a me kona kumu. ʻO ka pahuhopu nui ka hoʻihoʻi ʻana i kāu mau pae hormone thyroid i kahi pae olakino.

Lapaʻau no ka Hyperthyroidism:

Inā loaʻa iā ʻoe ka hyperthyroidism (kahi kūlana kahi i nui ai ka hormone), aia nā lāʻau lapaʻau e like me:

• Nā lāʻau antithyroid: No ka laʻana , methimazole a me propylthiouracil . Hoʻōki kēia mau lāʻau i ka hana ʻana o ka thyroid gland i nā hormones.
• Radioiodine - radioactive iodine therapy: Hoʻopōʻino kēia lāʻau i nā pūnaewele o ka thyroid gland a hoʻōki iā lākou mai ka hana ʻana i nā hormones keu.
• Nā Beta-blockers: ʻAʻole pili pololei kēia mau lāʻau i ka ʻōpū thyroid, akā hiki iā lākou ke kōkua i ka kaohi ʻana i kekahi mau hōʻailona, ​​​​e like me ka puʻuwai wikiwiki.
• ʻOki: Ma ke ʻano he lāʻau lapaʻau mau loa, hiki i kāu kauka ke ʻōlelo aku i kahi thyroidectomy, ʻo ia hoʻi ka wehe ʻana i kou kelepa thyroid. E hoʻōki loa kēia i ka hana ʻana o ka hormone. Eia nō naʻe, a laila pono ʻoe e lawe i nā hormones pani thyroid synthetic no ke koena o kou ola.

Lapaʻau no ka Hypothyroidism:

Inā loaʻa iā ʻoe ka hypothyroidism (kahi kūlana kahi i hana ʻole ai kou thyroid), ʻo ka lāʻau lapaʻau nui ka lāʻau lapaʻau hoʻololi hormone thyroid . Pili kēia i ka hoʻohui ʻana i nā hormones thyroid i loko o kou kino. ʻO kekahi o nā lāʻau lapaʻau maʻamau a nā kauka e kuhikuhi ai ʻo ia ka levothyroxine .

He maʻi koʻikoʻi anei ka maʻi thyroid?

Hiki i ka maʻi thyroid ke hoʻopilikia i nā ʻāpana he nui o kou kino a me kou olakino. Eia nō naʻe, inā ʻoe e hahai i ka hoʻolālā lapaʻau kūpono a mālama i ke kūlana, ʻaʻole ia he kūlana koʻikoʻi.

Eia nō naʻe, inā ʻaʻole i ʻike pono ʻia a mālama ʻia paha ka maʻi thyroid, hiki iā ia ke alakaʻi i nā pilikia like ʻole.

Nā pilikia e hiki mai ana ma muli o ka hyperthyroidism i mālama ʻole ʻia:

• ʻO ka fibrillation atrial ( ka puʻuwai puʻuwai kūpono ʻole)
• Hahau
• ʻO ka maʻi puʻuwai congestive ( maʻi puʻuwai)
• ʻOsteoporosis ( ka lahilahi o nā iwi)

Nā pilikia e hiki mai ana ma muli o ka hypothyroidism i mālama ʻole ʻia:

• Nā maʻi naʻau , e like me ke kaumaha.
• ʻO ka neuropathy peripheral (hōʻino ʻia nā aʻalolo i nā lālā)
• Hoʻonui ʻia ka pilikia o ka maʻi puʻuwai a me nā hōʻeha puʻuwai .
• Ka hānau ʻole ʻana .
• ʻO ka Myxedema coma : He hopena koke kēia, hoʻoweliweli i ke ola o ka hypothyroidism koʻikoʻi.

Hiki ke ola i kahi ola maʻamau me ka maʻi thyroid?

He maʻi olakino pinepine ka maʻi thyroid no ke ola holoʻokoʻa . ʻO ke ʻano kēia, pono ʻoe e mālama iā ia ma ke ʻano mau. Pono pinepine kēia i ka lāʻau lapaʻau i kēlā me kēia lā. E nānā kāu kauka i kāu lāʻau lapaʻau a hana i nā hoʻoponopono e pono ai i ka hala ʻana o ka manawa.

Hiki ke lōʻihi ka manawa e loaʻa ai ka hoʻolālā lapaʻau kūpono e kaohi i kāu mau pae hormone. Eia nō naʻe, hiki ke ola i kahi ola maʻamau a ʻoluʻolu me ka maʻi thyroid.ʻO ka mea wale nō e pono ai, ʻo ia ke hahai pono i nā ʻōlelo aʻoaʻo a ke kauka.

Hiki ke pale ʻia ka maʻi thyroid?

He mea paʻakikī ke pale aku i ka maʻi thyroid. ʻO kēia no ka mea ua pili ka nui o nā maʻi thyroid i nā kumu hoʻoilina a/a i ʻole i hoʻokumu ʻia e nā maʻi ʻōnaehana pale. ʻAʻole hiki iā mākou ke pale aku i kēia mau mea.

Eia nō naʻe, hiki ke pale ʻia nā pilikia thyroid i hoʻokumu ʻia e ka nui a i ʻole ka liʻiliʻi o ka iodine i kekahi manawa. Inā he mau nīnau kāu e pili ana i ka loaʻa ʻana o ka nui o ka iodine olakino, e kamaʻilio me kāu kauka.

I ka manawa hea e pono ai ʻoe e ʻike i ke kauka e pili ana i kahi maʻi thyroid?

Inā loaʻa iā ʻoe nā hōʻailona o ka hypothyroidism a i ʻole hyperthyroidism, a inā ʻike ʻoe i kekahi mau loli i ke ʻano o kou kelepa thyroid i kou ʻāʻī (e like me ka pehu ʻana), he mea nui e ʻike i ke kauka . He mea nui e loaʻa kahi hōʻailona a hoʻomaka i ka lāʻau lapaʻau.

Eia kekahi, inā ʻike ʻoe he maʻi thyroid ko kekahi lālā o ka ʻohana, e haʻi pū i kāu kauka e pili ana i ia mea. Hiki i ka maʻi thyroid ke holo i loko o nā ʻohana. Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi thyroid, he mea nui paha ka ʻike ʻana i kēia mōʻaukala ʻohana.

Leka Lawe-Home

ʻOiai he maʻi maʻamau ka maʻi thyroid, ʻaʻohe mea e makaʻu ai. ʻO ka nūhou maikaʻi, hiki ke hoʻomalu maikaʻi ʻia me nā lāʻau lapaʻau a me nā lāʻau ʻē aʻe.

• He ʻano ʻōpū pepeke ka thyroid i loko o kou ʻāʻī. ʻO nā hormones āna e hana ai ke kāohi i nā mea he nui i loko o kou kino.
• Inā emi ka hormone, ua kapa ʻia ʻo ia he hypothyroidism , a inā piʻi aʻe, ua kapa ʻia ʻo ia he hyperthyroidism .
• Inā loaʻa iā ʻoe nā hōʻailona e like me ka luhi, ka loli o ke kaumaha, a me ka hoʻomaha ʻole, he pilikia paha ia no ka thyroid.
• Hiki ke ʻike ʻia kēia ma o nā hoʻāʻo koko.
• Inā loaʻa iā ʻoe ka lāʻau kūpono, hiki iā ʻoe ke ola i kahi ola maʻamau.
• Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi thyroid, a inā he mau kumu pilikia kou, e kamaʻilio me ke kauka . Aia lākou ma laila e kōkua iā ʻoe. Mai makaʻu, e nīnau inā he mau nīnau kāu. He waiwai kou olakino!

ʻO ka thyroid, nā maʻi thyroid, hypothyroidism, hyperthyroidism, goiter, hormones, thyroxine