Ke manaʻo nei ʻoe i kekahi manawa i ka luhi ʻole me ke kumu ʻole? A i ʻole ke manaʻo nei ʻoe he hoʻomaha loa, me he mea lā e emi ana kou kaumaha? Malia paha he pehu liʻiliʻi ma ke alo o kou ʻāʻī, a i ʻole kekahi mea like, e like me ka ʻeha ke hoʻopā ʻoe iā ia? I kekahi manawa ma hope o kēia mau mea aia paha he pilikia me kou kelepa thyroid. I kēia lā, e kamaʻilio mākou e pili ana i kēia maʻi maʻamau, akā ʻaʻole i ʻike nui ʻia i kapa ʻia ʻo 'thyroiditis'.
ʻO ka mea mua, e nānā kākou, he aha kēia kelepa thyroid?
I ka ʻōlelo maʻalahi, ʻo ke kelepa thyroid he ʻano pepeke liʻiliʻi e like me ke ʻano o ka pepeke ma lalo o ka ʻili ma ke alo o ko kākou ʻāʻī. He ʻāpana koʻikoʻi loa ia o ka ʻōnaehana endocrine o ko kākou kino. Nui nā hana koʻikoʻi i loko o ke kino, e like me ka helu o ka puʻuwai, ka mahana o ke kino, a me ka wikiwiki o ka hoʻololi ʻana i ka meaʻai a kākou e ʻai ai i ka ikehu (metabolism), e kāohi ʻia e nā hormones i hana ʻia e kēia kelepa liʻiliʻi.
I kēia manawa, he aha ka Thyroiditis ? He mumū a pehu paha ia o ke kelepa thyroid. E like me ka wā e loaʻa ai kahi ʻeha ma kekahi wahi o ko mākou kino, e pehu a ʻulaʻula ka wahi, ke hōʻino ʻia ke kelepa thyroid no kekahi kumu, e pehu pū ia. Hiki i kēia pehu ke hoʻopilikia i ka hana maʻamau o ke kelepa thyroid. ʻO ia hoʻi, hoʻomaka ia e hana i nā hormones he nui, a i ʻole hiki iā ia ke hana liʻiliʻi.
ʻEkolu mau pae nui o ka thyroiditis:
I ka hapanui o nā hihia o ka thyroiditis, hiki i kou kino ke hele ma o ʻekolu mau pae nui. Ua like ia me ka hana ʻana ma kahi hale hana.
1. Ka pae Thyrotoxic: Ua like kēia me kahi hale hana e hele ana i waho o ke kaohi a hoʻokuʻu koke i ka nui o ka huahana i ka mākeke. Ke pehu ka ʻōpū thyroid, hoʻokuʻu koke ʻia nā hormones i mālama ʻia i loko o ke koko. ʻO kēia ke kumu e piʻi nui ai kāu mau pae hormone thyroid no kekahi mau pule a i ʻole hoʻokahi mahina a ʻelua paha.
2. Ka pae Hypothyroid: I kēia manawa ua hoʻokuʻu ka hale hana i nā waiwai āpau i ka manawa hoʻokahi, ʻaʻohe o lākou mea maka e hana hou ai iā lākou. Eia kekahi, ma hope o ka hoʻokuʻu ʻia ʻana o nā hormones āpau mai ke gland i loko o ke koko, kū mai kahi kūlana kahi hiki ʻole ke hana ʻia nā hormones hou. ʻO ka hopena, emi nui ka pae o nā hormones thyroid i loko o kou kino. I kekahi mau ʻano Thyroiditis, no ka laʻana, ʻo Hashimoto's thyroiditis, hiki i kēia pae hormone haʻahaʻa ke lilo i mau loa.
3. Pae Euthyroid: ʻO kēia ka pae hoʻōla. E like me ka hoʻomaka hou ʻana o kahi hale hana e hana a hana i nā waiwai e like me ka maʻamau, ho'ōla ka ʻōpū thyroid a hoʻomaka hou e hana i nā hormones ma ke ʻano maʻamau. Hiki i kekahi poʻe ke komo i kēia pae ma hope koke iho o ka pae hormone kiʻekiʻe, a i ʻole e komo paha lākou i kēia pae ma hope o ka pae hormone haʻahaʻa.
He aha nā ʻano nui o ka thyroiditis?
ʻAʻole he maʻi hoʻokahi ka thyroiditis. He hui ia o nā maʻi i hiki ke hana ʻia e nā kumu like ʻole. E nānā kākou i nā ʻano nui.
| ʻAno o ka thyroiditis | I ka ʻōlelo maʻalahi, ʻo kēia ka mea e hana ʻia. |
|---|---|
| ʻO ka maʻi thyroiditis o Hashimoto | ʻO kēia ke ʻano maʻamau. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hoʻouka ʻana o ka ʻōnaehana pale ponoʻī o ko mākou kino i kona kelepa thyroid ponoʻī. He maʻi autoimmune kēia. I ka hala ʻana o ka manawa, hiki ke hōʻino ʻia ka kelepa a hiki ke hoʻemi mau ʻia ka hana ʻana o ka hormone (Hypothyroidism). |
| ʻO ka thyroiditis mālie a ʻeha ʻole paha | He maʻi autoimmune nō hoʻi kēia. E like me ka inoa e hōʻike nei, ʻaʻohe ʻeha ʻāʻī, akā hiki iā ʻoe ke ʻike i nā pae o nā piʻi ʻana a me nā emi ʻana o ka hormonal. |
| ʻO ka thyroiditis ma hope o ka hānau ʻana | He kūlana kēia e hiki ke loaʻa i nā makuahine i loko o ka makahiki mua o ka loaʻa ʻana o kahi keiki. ʻO ke kumu ka autoimmune. ʻO ka hapa nui o ka manawa, he manawa pōkole wale nō. |
| ʻO ka thyroiditis i hoʻoulu ʻia e ka radiation | Hiki ke hana ʻia e ka radiation therapy no ke kanesa a i ʻole ka radioactive iodine treatment e hoʻonui i nā hormones thyroid. |
| ʻO ka thyroiditis subacute | Ua manaʻo ʻia ua hoʻokumu ʻia e kahi maʻi viral. Hiki ke hana ma hope o ka hala ʻana o ka ʻeha puʻu a i ʻole ke anu. Hiki ke loaʻa ka ʻeha nui ma ka ʻāʻī. |
| ʻO ka thyroiditis maʻi koʻikoʻi | He mea kākaʻikahi loa kēia. Hana ʻia ia ke komo kahi germ, e like me ka bacteria, i loko o ka thyroid gland a hoʻopilikia iā ia. Maanei pū kekahi, hiki ke loaʻa ka ʻeha nui a me ke kuni. |
| ʻO ka thyroiditis i hoʻoulu ʻia e ka lāʻau lapaʻau | Hiki ke hana ʻia ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau (e like me Amiodarone, Lithium, Interferons). Eia naʻe, ʻaʻole nā mea a pau e lawe ana i kēia mau lāʻau lapaʻau e loaʻa iā ia. |
He aha nā hōʻailona o ka maʻi thyroid?
Aia nā hōʻailona i ke ʻano o ka thyroiditis āu e loaʻa ai a me ke kahua (nā hormones kiʻekiʻe a haʻahaʻa paha) āu e noho nei. E nānā kākou i nā hōʻailona e hiki ke kū mai i kēia mau pae ʻelua.
| Nā hōʻailona o ka hoʻonui ʻia o nā hormones (Thyrotoxicosis) | Nā hōʻailona o ka haʻahaʻa o nā hormones (Hypothyroidism) |
|---|---|
| Manaʻo e kuʻi wikiwiki ana kou puʻuwai | Manaʻo luhi i nā manawa a pau (Fatigue) |
| ʻO ka pohō kaumaha me ke kumu ʻole | Piʻi ke kaumaha me ke kumu ʻole |
| Ke pōloli mau nei | Ka paʻa ʻana o ka ʻōpū |
| Hoʻomaha ʻole, huhū | Kaumaha a i ʻole ka manaʻo kaumaha |
| ʻAʻole hiki ke hiamoe | ʻIli maloʻo |
| Ka hou nui ʻana, ka wela o ke kino | Ke hoʻomanawanui ʻole i ke anu |
| Nā haʻalulu | Nāwaliwali o nā ʻiʻo |
| - | Paʻakikī i ka noʻonoʻo ʻana |
He mea nui loa: I nā hihia kakaikahi, hiki i ka hyperthyroidism i mālama ʻole ʻia ke alakaʻi i kahi maʻi hoʻoweliweli ola i kapa ʻia ʻo 'thyroid storm'. Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni kiʻekiʻe (ma luna o 104 F), ka wikiwiki o ka puʻuwai (ma luna o 140 mau kuʻi i kēlā me kēia minuke), a i ʻole ka huikau, e hele koke i ka lumi pilikia (ETU) o ka haukapila kokoke loa iā ʻoe. He pilikia olakino kēia.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Inā loaʻa iā ʻoe kēia mau hōʻailona, e nīnau mua kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a nānā i kou ʻāʻī. A laila, inā kānalua ʻia ka thyroiditis, e kauoha lākou i kekahi mau hoʻokolohua, e like me:
- Nā hoʻāʻo hana thyroid: He hoʻāʻo koko kēia. Ana ia i nā pae o nā hormones TSH, T3, a me T4 i loko o kou koko. Hiki i kēia ke haʻi pololei iā ʻoe inā ʻoe i kahi pae hormone kiʻekiʻe a haʻahaʻa paha.
- ʻO ke ultrasound thyroid: Hiki i kēia ke nānā i ke ʻano a me ka nui o ka ʻōpū thyroid, inā he mau puʻupuʻu i loko, a pehea ke kahe o ke koko.
- Nā hoʻāʻo antibody thyroid: Kōkua kēia hoʻāʻo koko e hoʻoholo inā loaʻa kāu thyroiditis i kahi maʻi autoimmune.
- Nā hoʻāʻo ESR a me CRP: He mau hoʻāʻo koko nō hoʻi kēia. He mea nui lākou e hoʻoholo inā he mumū i loko o ke kino. He kiʻekiʻe loa kēia i ka thyroiditis subacute a me ka acute.
- Ka lawe ʻana o ka iodine radioactive (hoʻāʻo RAIU):ʻO kēia ka hāʻawi ʻana iā ʻoe i kahi liʻiliʻi o ka iodine radioactive e inu ai a laila e ana i ka nui o ka iodine i omo ʻia e kou kelepa thyroid i kekahi mau hola ma hope. He haʻahaʻa loa kēia omo ʻana i ka wā hormonally hyperactive o ka thyroiditis.
He aha nā lāʻau lapaʻau no kēia?
Hoʻoholo ʻia ke ʻano o ka lāʻau lapaʻau ma muli o ke ʻano o kou maʻi thyroid a me kou mau hōʻailona.
Ka lāʻau no ke kaulike ʻole o ka hormonal
ʻOiai he manawa pōkole kēia pae, hiki i kāu kauka ke kuhikuhi i kahi lāʻau lapaʻau, e like me nā beta-blockers, e kāohi i nā hōʻailona e like me nā palpitations a me nā haʻalulu. Hoʻopau pinepine ʻia ka lāʻau lapaʻau ke emi nā hōʻailona.
Ka mālama ʻana no ka nele o ka hormone
Inā loaʻa iā ʻoe kahi maʻi e hoʻoulu ai i ka hemahema mau o ka hormone, e like me ka thyroiditis o Hashimoto, e kuhikuhi kāu kauka i nā pila hormone thyroid waho (e like me ka levothyroxine). Pono paha kēia e lawe ʻia no ke koena o kou ola.
I nā ʻano ʻē aʻe, inā he manawa pōkole ka hemahema o ka hormone, hāʻawi ʻia kēia mau pila hormone no kahi o 6 a 12 mau mahina, a laila hoʻōki ʻia a ʻike ʻia ka hana hou ʻana o ke gland.
Nā lāʻau lapaʻau kūikawā ʻē aʻe
- No ka ʻeha: Hāʻawi ʻia nā lāʻau hoʻopau ʻeha (NSAID) no nā maʻi ʻeha e like me ka subacute thyroiditis. Inā koʻikoʻi ka ʻeha, pono paha ka lāʻau steroid.
- No nā maʻi: Hāʻawi ʻia nā lāʻau antibiotic no nā maʻi bacteria e like me ka thyroiditis infectious acute. Inā ua hana ʻia kahi abscess, pono paha e hoʻokahe ʻia me kahi nila.
- ʻO ke ʻoki kino: I nā hihia kakaikahi loa, e like me Riedel thyroiditis, pono paha ke ʻoki kino.
ʻAʻole anei hiki ke pale ʻia kēia?
ʻO ka mea pōʻino, ʻaʻohe ala e pale aku ai i ka hapa nui o nā ʻano thyroiditis, ʻoiai ʻo ka hapa nui o lākou i hana ʻia e kā mākou ʻōnaehana pale ponoʻī. Eia nō naʻe, inā ʻoe e hana nei i ka lāʻau lapaʻau radiation no kahi maʻi a i ʻole e lawe ana i kahi lāʻau lapaʻau e hiki ai ke hoʻoulu i ka thyroiditis, hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ia mea a e makaʻala i nā pilikia.
Inā ua ʻike ʻia ʻoe me ka thyroiditis, mai hopohopo. He kūlana kēia e hiki ke mālama maikaʻi ʻia, kaohi ʻia, a ho'ōla ʻia paha. ʻO ka mea nui loa, ʻo ia ka hahai pololei i nā ʻōlelo a kāu kauka a e hoʻi hou no nā nānā maʻamau.
Leka Lawe-Home
- He mumū ka thyroiditis o ke kelepa thyroid. ʻAʻole ia he maʻi ʻaʻai.
- I kēia hihia, hiki i ka wā mua ke hoʻonui ʻia nā hormones (hyperthyroidism), a laila e emi iho (hypothyroidism).
- E makaʻala inā loaʻa iā ʻoe nā hōʻailona e like me ka loli kaumaha i wehewehe ʻole ʻia, ka luhi nui, ka hoʻomaha ʻole, ka ʻeha o ka ʻāʻī, a i ʻole ka pehu ʻana.
- Hiki ke ʻike maʻalahi ʻia kēia kūlana ma o nā hoʻokolohua koko maʻalahi a me nā scan.
- Aia nā lāʻau lapaʻau kūpono loa no nā ʻano thyroiditis he nui. He manawa pōkole kekahi, aʻo kekahi e pono paha ka lāʻau lapaʻau lōʻihi.
- Inā he mau nīnau a kānalua paha kāu e pili ana i kēia, e kamaʻilio ākea me kāu kauka e pili ana i ia mea.
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