Ua ʻike anei ʻoe i kahi pehu iki a piha paha i mua o kou ʻāʻī, a i ʻole ka luhi i wehewehe ʻole ʻia a me nā manaʻo hopohopo? ʻO kekahi kumu paha o kēia mau hōʻailona he maʻi i kapa ʻia ʻo Thyroiditis . He mea hoʻoweliweli paha ka inoa, akā e wehewehe maʻalahi kākou i hiki iā ʻoe ke hoʻomaopopo i ka mea e hana nei i loko o kou kino.
He aha ka Thyroiditis? E mālama kākou i ka maʻalahi!
I ka pōkole, ʻo Thyroiditis e pili ana i ka mumū o kou kelepa thyroid . Ke noʻonoʻo nei paha ʻoe i ke ʻano o ka kelepa thyroid a i ʻole ma hea ia. E noʻonoʻo i kahi ʻōkana liʻiliʻi, ʻano pepeke e noho ana ma ke kumu o kou ʻāʻī, ma lalo pono o ka ʻili. He ʻāpana koʻikoʻi kēia kelepa o kāu ʻōnaehana endocrine . Hoʻopuka a hoʻokuʻu ia i nā hormones koʻikoʻi e hoʻoponopono i nā hana koʻikoʻi o kou kino.
ʻAʻole hoʻokahi wale nō maʻi ka thyroiditis; he huaʻōlelo laulā ia no kahi hui o nā maʻi e hoʻoulu ai i ka mumū o ka ʻōpū thyroid no nā kumu like ʻole. ʻO ka pilikia nui i hoʻokumu ʻia e ka thyroiditis, ʻo ia ka hoʻokuʻu ʻana o ka ʻōpū i ka nui a i ʻole ka liʻiliʻi o kēia mau hormones thyroid koʻikoʻi.
He aha nā pae maʻamau o Thyroiditis?
I nā ʻano thyroiditis he nui, hiki iā ʻoe ke ʻike i ʻekolu mau pae like ʻole. E nānā kākou iā lākou:
1. Ka Wā Thyrotoxic: I kēia wā, hoʻokuʻu koke kou ʻōpū thyroid i ka nui o nā hormones. Hoʻokumu kēia i kahi kūlana manawa pōkole i ʻike ʻia ʻo thyrotoxicosis . Hiki iā ʻoe ke noʻonoʻo iā ia e like me ke "kahe" koke o nā hormones e komo ana i loko o kou ʻōnaehana.
2. Ka Pae Hypothyroid: Ma hope o kēlā piʻi mua ʻana o nā hormones, e pau pinepine ana kou kelepa thyroid a ʻaʻole hiki ke hana i ka hormone lawa no kekahi mau pule a i ʻole mau mahina. ʻO ka hopena kēia i kahi hemahema i kapa ʻia ʻo hypothyroidism . No kekahi mau kūlana, e like me ka thyroiditis Hashimoto a me ka thyroiditis i hoʻokomo ʻia e ka radiation , hiki i kēia pae hypothyroid ke lilo i mau loa.
3. Ka Pae Euthyroid: I loko o kēia pae, hoʻi kāu mau pae hormone i kahi pae maʻamau a olakino. Hiki ke hana kēia no kekahi manawa ma waena o nā pae thyrotoxic a me hypothyroid, a i ʻole paha ʻo ia ke kahua hope loa i ka wā e hoʻōla ai kou kelepa thyroid mai ka mumū a hoʻi hou i ka hana maʻamau.
He aha nā ʻano nui o ka Thyroiditis?
E like me kā mākou i ʻōlelo ai, ʻaʻole he maʻi hoʻokahi ka thyroiditis, a he nui nā ʻano like ʻole. E nānā kākou iā lākou:
- ʻO ka thyroiditis Hashimoto: ʻO kēia ke ʻano maʻamau o ka thyroiditis, i ʻike ʻia hoʻi ʻo ka thyroiditis lymphocytic mau . He maʻi autoimmune ia. ʻO ke ʻano kēia e hoʻomaka ana kāu ʻōnaehana pale ponoʻī e hoʻouka i ka ʻōpū thyroid ma ka hana ʻana i nā antibodies antithyroid . ʻO ia ke kumu nui o ka hypothyroidism .
- ʻO ka thyroiditis mālie a ʻeha ʻole paha: He maʻi autoimmune nō hoʻi kēia i hoʻokumu ʻia e nā antibodies antithyroid. E like me ka inoa e hōʻike nei, ʻaʻole ia e hoʻoulu i ka ʻeha nui.
- ʻO ka thyroiditis postpartum: ʻO kekahi maʻi autoimmune e kū mai ana i loko o ka makahiki mua ma hope o ka hānau ʻana. He mea maʻamau ʻole ia.
- ʻO ka thyroiditis i hoʻokomo ʻia e ka radiation: Hiki ke hana kēia ma hope o ka radiation therapy no kekahi mau maʻi kanesa a i ʻole ma o ka hoʻohana ʻana i nā lāʻau iodine radioactive no ka hyperthyroidism.
- ʻO ka thyroiditis subacute (a i ʻole ka thyroiditis o de Quervain):He mea ʻeha pinepine kēia a ua manaʻo ʻia ua hoʻoulu ʻia e kahi maʻi. Hoʻopili pinepine ia ma hope o kahi maʻi hanu luna , e like me ka maʻi palū a i ʻole ke anu maʻamau .
- ʻO ka thyroiditis maʻi nui: He maʻi kakaikahi loa i hana ʻia e kahi bacteria a i ʻole kekahi mea maʻi ʻē aʻe.
- ʻO ka thyroiditis i hoʻoulu ʻia e ka lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau, e like me ka amiodarone , interferons , lithium , a me nā cytokines , ke hoʻoulu i kēia. Eia nō naʻe, hiki wale kēia i kahi pakeneka liʻiliʻi o ka poʻe e lawe ana i kēia mau lāʻau lapaʻau.
- ʻO Riedel thyroiditis: He maʻi laha loa i hōʻike ʻia e ka mumū lōʻihi o ka thyroid e alakaʻi ai i ka fibrosis , kahi e paʻakikī ai a ʻeha paha ka ʻiʻo thyroid.
ʻO wai ka mea i hoʻopilikia nui ʻia e ka Thyroiditis?
ʻOiai hiki i ka thyroiditis ke hoʻopilikia i kekahi, ʻoi aku ka nui o ia mea i nā wahine .
Eia kekahi laʻana, ʻo ka thyroiditis o Hashimoto he ʻehā a ʻumi manawa ka nui o ka maʻi i nā wahine ma mua o nā kāne, a ʻike pinepine ʻia ia i nā poʻe ma waena o 30 a me 50 mau makahiki. ʻOi aku ka maʻamau o ka thyroiditis leo ʻole i waena o nā wahine a ʻo ia ka lua o ke ʻano maʻamau o ka thyroiditis ma hope o Hashimoto.
Pehea ka maʻamau?
E like me ka mea i ʻōlelo ʻia, ʻo ka thyroiditis o Hashimoto ke ʻano maʻamau loa, e hoʻopilikia ana i kahi 1% a 2% o ka heluna kanaka ma ʻAmelika Hui Pū ʻIa. ʻOi aku ka liʻiliʻi o nā ʻano ʻē aʻe o ka thyroiditis.
He mea hoʻoweliweli anei ke ola ma muli o ka Thyroiditis?
ʻO ka mea maʻamau, ʻaʻole ka maʻi thyroiditis he maʻi hoʻoweliweli i ke ola.
Eia nō naʻe, inā alakaʻi ka thyroiditis i ka hyperthyroidism koʻikoʻi e waiho mau ʻole ʻia no ka manawa lōʻihi, hiki iā ia ke holomua i kahi pilikia weliweli i ʻike ʻia he ʻino thyroid .
He aha nā hōʻailona o kahi ʻino Thyroid?
- Kuni nui - Hiki ke piʻi aʻe ka mahana i 104°F a i 106°F (40°C–41°C).
- ʻO ka wikiwiki loa o ka puʻuwai (tachycardia) - Hiki i kēia ke ʻoi aku ma mua o 140 mau kuʻi i kēlā me kēia minuke.
- Ka hoʻoluhi nui, ka huhū, a me ka hoʻomaha nui.
- Delirium - He kūlana o ka huikau nui, ka pio ʻana, a i ʻole ka ʻike i hoʻololi ʻia.
Inā kānalua ʻoe e ʻike ana ʻoe i nā hōʻailona o kahi ʻino thyroid, e ʻimi koke i ke kōkua lapaʻau ma ke kelepona ʻana i 911 a i ʻole ke kipa ʻana i ka ʻoihana pilikia kokoke loa.
Inā ʻike ʻoe i nā hōʻailona ma lalo nei, e ʻoluʻolu e kipa koke i ka haukapila kokoke loa. He pilikia kēia!
Inā kānalua ʻoe he mau hōʻailona kou o ka thyroiditis, he mea nui e nīnau koke aku i ke kauka. Hiki iā lākou ke hana i nā hoʻokolohua e pono ai, hāʻawi i kahi hōʻailona pololei, a hoʻomaka i ka hoʻolālā lapaʻau kūpono nāu.
He aha nā hōʻailona o ka maʻi thyroid?
Aia nā hōʻailona o ka thyroiditis i ke ʻano a me ke kahua o ke kūlana. I nā hihia he nui, ʻike mua nā mea maʻi i nā hōʻailona o ka thyrotoxicosis, a ukali ʻia e nā hōʻailona o ka hypothyroidism.
Me ka subacute thyroiditis a me ka acute infectious thyroiditis, hiki iā ʻoe ke ʻeha ma kahi o kou thyroid gland. Hiki i kekahi poʻe ke loaʻa i kahi thyroid i hoʻonui ʻia, i ʻike ʻia he goiter .
Nā hōʻailona o ka thyrotoxicosis (ke kiʻekiʻe nā pae hormone)
ʻO ka manawa thyrotoxic o ka thyroiditis he pōkole wale nō ia, e mau ana ma kahi o hoʻokahi a ʻekolu mahina. Inā hōʻino koke ʻia kāu mau hunaola thyroid a hoʻokuʻu i ka nui o ka hormone thyroid, hiki iā ʻoe ke ʻike i nā hōʻailona o ka hyperthyroidism (kahi thyroid overactive). ʻO kēia mau mea:
- Puʻuwai wikiwiki (palpitations).
- Hoʻonui ʻia ka makemake.
- Ka pohō kaumaha i wehewehe ʻole ʻia.
- Ke hopohopo a me ka hoʻomaha ʻole.
- Hoʻonui ʻia ka huhū.
- Ka paʻakikī o ka hiamoe ʻana (insomnia).
- Hoʻonui ʻia ka hou ʻana a me ka ʻike i ka wela.
- Nā haʻalulu lima.
Nā hōʻailona o ka Hypothyroidism (ke haʻahaʻa nā pae hormone)
Hiki i ke kahua hypothyroid o ka thyroiditis ke lōʻihi a hiki i kekahi manawa ke lilo i mau loa. Inā ua hōʻino ʻia kāu mau hunaola thyroid a hāʻule nā pae hormone, hiki iā ʻoe ke ʻike i nā hōʻailona o ka hypothyroidism. ʻO kēia mau mea:
- Luhi mau loa.
- Ka piʻi ʻana o ke kaumaha i wehewehe ʻole ʻia.
- Ka paʻa ʻana o ka ʻōpū.
- Nā pilikia olakino noʻonoʻo e like me ke kaumaha.
- ʻIli maloʻo.
- Hoʻonui ʻia ka ʻike i ke anu.
- Ka nāwaliwali o nā ʻiʻo.
- Paʻakikī i ka noʻonoʻo ʻana.
He aha ke kumu o ka maʻi thyroid?
Hana ʻia ka thyroiditis ke "hoʻouka ʻia" kou kelepa thyroid, e alakaʻi ana i ka mumū (ka pane a ke kino i ka ʻeha) a me ka hōʻino ʻana i nā hunaola thyroid. ʻOkoʻa nā kumu kikoʻī ma muli o ke ʻano.
ʻO ke kumu maʻamau ka maʻi autoimmune . Hana ʻia kēia i ka wā e hoʻouka hewa ai kāu ʻōnaehana pale kino—i hoʻolālā ʻia e pale iā ʻoe—i kou kino ponoʻī. ʻOiai ʻaʻole maopopo loa ke kumu pololei, nui nā ʻano thyroiditis e kū mai ana ma muli o nā antibodies e kuhikuhi ana i kāu kelepa thyroid.
Pehea e ʻike ʻia ai ka maʻi thyroiditis?
Ke ʻike ʻoe i ke kauka, e nānā lākou iā ʻoe a loiloi i kou kelepa thyroid. E nīnau pū lākou e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino.
Inā kānalua kāu kauka i ka thyroiditis, hiki iā lākou ke hana i kekahi a i ʻole nā hoʻokolohua āpau e hōʻoia i ka hōʻailona:
- Nā hoʻāʻo hana thyroid: Ke ana kēia mau hoʻāʻo koko i kāu mau hormones e pili ana i ka thyroid. Hoʻokomo pū lākou i ka hormone hoʻoulu thyroid (TSH) , T3 (triiodothyronine) , a me T4 (thyroxine) . Hana ʻia ʻo TSH e kāu gland pituitary e hoʻoulu i ka thyroid e hana i nā hormones T4 a me T3.
- ʻO ke ultrasound thyroid: Hoʻohana pinepine nā kauka i kahi ultrasound e nānā i ke ʻano o kou kelepa thyroid. Kōkua kēia i ka ʻike ʻana i nā nodules , nā loli i ke kahe koko, a i ʻole ka nui o ka gland.
- Nā hoʻāʻo antibody thyroid: Ke nānā nei kēia mau hoʻāʻo koko i nā antibodies kikoʻī, e like me TPO (antithyroid/microsomal antibodies) a i ʻole TRAb (thyroid receptor stimulating antibodies) . Hōʻike ko lākou alo he ʻano autoimmune paha kou thyroiditis.
- Ka helu sedimentation Erythrocyte (ESR): Kōkua kēia hoʻāʻo koko i ka ʻike ʻana i ka mumū i loko o kou kino. I nā hihia o ka subacute thyroiditis, piʻi pinepine ka pae ESR.
- ʻO ka protein C-reactive (CRP): Ke ana kēia i nā pae CRP i loko o kou koko. ʻO nā pae CRP kiʻekiʻe e hōʻike ana i ka mumū a he kiʻekiʻe loa ia i nā hihia o ka thyroiditis infectious acute.
- Hoʻāʻo ʻia ka radioactive iodine uptake (RAIU): Ke ana kēia hoʻāʻo i ka nui o ka radioactive iodine (i lawe ʻia ma ka waha) e omo ai kou thyroid gland. I ka wā thyrotoxic o ka thyroiditis, ua haʻahaʻa mau kēia uptake.
Pehea e mālama ʻia ai ka maʻi thyroid?
ʻO ka mālama ʻana no ka thyroiditis e pili ana i ke ʻano a me kāu mau hōʻailona kikoʻī.
Ke mālama nei i ka Thyrotoxicosis
Inā ʻoe i loko o ka pae thyrotoxic o ka thyroiditis, hiki i kāu kauka ke kuhikuhi i nā beta-blockers . Kōkua kēia i ka hōʻemi ʻana i nā hōʻailona e like me ka puʻuwai wikiwiki ( palpitations ) a me nā haʻalulu.
Ke hoʻomaikaʻi nei kāu mau hōʻailona, e hōʻemi mālie kāu kauka i ka lāʻau lapaʻau a hoʻōki hope, no ka mea, he manawa pōkole kēia.
Ka mālama ʻana i ka Hypothyroidism
Inā loaʻa iā ʻoe ka thyroiditis Hashimoto, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau hoʻololi hormone thyroid, e like me ka levothyroxine . Pono paha ʻoe e lawe i kēia lāʻau lapaʻau no ka wā lōʻihi, no ka mea, ʻo ka hypothyroidism i hoʻokumu ʻia e Hashimoto he mau loa ia.
Inā loaʻa iā ʻoe ka subacute, silent, a postpartum thyroiditis a ke ʻike nei ʻoe i nā hōʻailona hypothyroid, hiki i kāu kauka ke kuhikuhi i ka hormone replacement therapy no 6 a 12 mau mahina. Ma hope iho, e nānā lākou iā ʻoe e ʻike inā hoʻomau ka hypothyroidism.
Inā akahai kou hypothyroidism, ʻaʻole pono ka lāʻau.
Nā lāʻau ʻē aʻe no ka Thyroiditis
Inā loaʻa iā ʻoe ka thyroiditis infectious acute , pono e mālama ʻia ka maʻi, ʻo ia hoʻi me nā antibiotics . Inā ua loaʻa iā ʻoe kahi abscess (kahi hōʻiliʻili o ka pus), pono paha kāu kauka e hana i kahi ʻomi nila maikaʻi e hoʻokahe iā ia.
ʻO ka maʻamau, hoʻopau ʻia ka thyroiditis i hoʻokomo ʻia e ka lāʻau lapaʻau ke hoʻōki ʻia ka lāʻau hoʻonāukiuki. Hiki i kāu kauka ke hoʻololi iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe a hoʻomau paha iā ʻoe i ka lāʻau lapaʻau like me ka mālama ʻana i ka thyroiditis me ka levothyroxine inā pono. E hoʻomanaʻo, no kekahi mau hopohopo wikiwiki, e kelepona i nā lawelawe ulia pōpilikia (911) a i ʻole e kipa koke i ka haukapila kokoke loa e like me ke kuhikuhi a Nirogi Lanka.
Hiki ke mālama ʻia ka ʻeha mai ka thyroiditis infectious acute a me ka thyroiditis subacute me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) , e like me ka aspirin a i ʻole ibuprofen . I kekahi mau hihia, inā koʻikoʻi ka ʻeha, hiki i kāu kauka ke kuhikuhi i ka lāʻau steroid .
No ka thyroiditis o Riedel, pono pinepine ke hana ʻoki kino.
Hiki ke pale ʻia ka maʻi thyroid?
ʻO ka mea pōʻino, ʻaʻole hiki ke pale ʻia nā ʻano he nui o ka thyroiditis.
Inā ua hoʻonohonoho ʻia ʻoe no nā kaʻina hana e like me ka radioactive iodine therapy a i ʻole ka radiation therapy, e kūkākūkā i ka pilikia o ka hoʻomohala ʻana i ka thyroiditis me kāu kauka. I kekahi manawa, hiki ke noʻonoʻo ʻia nā lāʻau ʻē aʻe e hōʻemi i kēia pilikia.
Inā ʻoe e lawe nei i nā lāʻau lapaʻau e hoʻoulu ai i ka thyroiditis, e kamaʻilio me kāu kauka e pili ana i ka hiki ke hoʻoponopono a hoʻōki paha i kēia mau lāʻau. Eia nō naʻe, e ʻoluʻolu e hoʻomaopopo ʻoiai me kēia mau hana palekana, ʻaʻole hiki ke pale ʻia ka thyroiditis āpau.
He aha ka wānana no ka thyroiditis?
Ma keʻano laulā, maikaʻi ka prognosis no ka thyroiditis.
I ke ʻano o ka thyroiditis Hashimoto, ʻo ka hopena o ka hypothyroidism he mau loa ia, akā hiki ke mālama pono ʻia no ke ola me ka lāʻau hoʻololi hormone thyroid.
No ka poʻe me ka subacute thyroiditis, mau nā hōʻailona no hoʻokahi a ʻekolu mahina. Eia nō naʻe, hiki ke hala i 12 a 18 mau mahina no ka hoʻi ʻana o ka hana thyroid piha i ka maʻamau. Aia kahi liʻiliʻi, ma kahi o 5% ka pilikia o ka loaʻa ʻana o ka hypothyroidism mau loa no kēia mau maʻi.
ʻO ka ho'ōla ʻana mai ka thyroiditis postpartum a me ka leo ʻole (ʻeha ʻole) e lawe pū ana ma kahi o 12 a 18 mau mahina. Loaʻa i kēia mau kūlana kahi pilikia o 20% o ka hypothyroidism mau loa.
Āhea ʻoe e ʻike ai i ke kauka?
Inā ua ʻike ʻia ʻoe me ka thyroiditis, pono ʻoe e nānā mau i kāu mau hōʻailona a hōʻoia i ka hana pono ʻana o kāu hoʻolālā lapaʻau.
Inā ʻoi aʻe ka ʻino o kou mau ʻōuli a inā ʻike ʻoe i kekahi mau ʻōuli hou e hopohopo nei , e ʻoluʻolu e kelepona i kāu mea mālama ola i ka hikiwawe loa.
He mea maʻamau loa ke kaumaha i ka wā e kū nei i kahi hōʻailona lapaʻau. ʻO ka nūhou maikaʻi, hiki ke hoʻokele pinepine ʻia ka thyroiditis, a i kekahi mau hihia, he maʻi manawa pōkole paha. Inā he mau nīnau kāu e pili ana i ka thyroiditis a i ʻole kāu hoʻolālā lapaʻau, e kamaʻilio me kāu kauka. Aia lākou ma laila e kākoʻo iā ʻoe ma o kēlā me kēia ʻanuʻu o kāu mālama.
Leka lawe i ka home
Ke lana nei ko mākou manaʻo ua hāʻawi kēia ʻike iā ʻoe i kahi ʻike maopopo o ka thyroiditis. E hoʻomanaʻo:
- ʻO ka thyroiditis kahi mumū o kou kelepa thyroid i loko o kou ʻāʻī.
- Hiki iā ia ke hana i kou kino e hana nui a liʻiliʻi paha i ka hormone thyroid .
- Aia nā ʻano a me nā pae like ʻole ; ʻO Hashimoto ka mea maʻamau.
- ʻOkoʻa nā hōʻailona ma muli o ke ʻano a hiki ke komo pū me ka luhi, nā loli o ke kaumaha, nā ʻano ʻē o ka puʻuwai, a me nā loli o ke ʻano .
- ʻO ka hapa nui o nā manawa i hana ʻia ai kēia maʻi e kahi hopena autoimmune .
- ʻO ka maʻamau, hana ʻia ka ʻike ma o nā hoʻokolohua koko a me nā ultrasounds .
- Aia ka lāʻau lapaʻau i ke ʻano kikoʻī a me kāu mau hōʻailona. Hoʻopau loa kekahi mau hihia, aʻo kekahi e koi paha i ka mālama lōʻihi .
- E makaʻala i kahi maʻi laha ʻole e hoʻoweliweli ana i ke ola i kapa ʻia ʻo ka ʻino thyroid . Inā ʻike ʻoe i kēia mau hōʻailona, e ʻimi koke i ka mālama olakino ulia pōpilikia .
- Inā he mau hopohopo kāu e pili ana i kou olakino, e nīnau mau i kāu kauka me ka hoʻokaʻulua ʻole.
Ma Nirogi Lanka, ke manaʻoʻiʻo nei mākou ʻo kou pono ke kumu nui!
