Ua pehu kou ʻāʻī thyroid i loko o kou ʻāʻī? E kamaʻilio kākou e pili ana i ka thyroiditis!

Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi ma ke alo o kou ʻāʻī, kahi ʻano ʻūlū ma kou lima, a i ʻole luhi wale a hopohopo? ʻO kekahi o nā kumu o kēia he maʻi i kapa ʻia ʻo thyroiditis . He mea nui paha ka inoa, akā e kamaʻilio kākou e pili ana i ia mea me ka maʻalahi a ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo.

He aha ka Thyroiditis? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo ka thyroiditis kahi mumū o kou kelepa thyroid , ʻo ia hoʻi ka pehu ʻana. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o ka kelepa thyroid a me kona wahi. E noʻonoʻo i kēia ʻano, ʻo ka kelepa thyroid kahi ʻano pepeke liʻiliʻi ma ke alo o kou ʻāʻī, ma lalo pono o ka ʻili. He ʻāpana ia o ka ʻōnaehana endocrine o ko mākou kino. Hoʻopuka a hūnā ia i kekahi mau ʻano hormones e kāohi ana i nā hana koʻikoʻi he nui i loko o ko mākou kino. I kēia manawa, ʻo kēia ʻano i kapa ʻia ʻo thyroiditis ʻaʻole ia he ʻano mea hoʻokahi. He inoa maʻamau ia no kahi hui o nā kūlana e hoʻoulu ai i ka mumū o ka kelepa thyroid, me nā kumu a me nā hōʻailona like ʻole. ʻO ka mea nui e hiki ai ke hoʻoulu i kēia thyroiditis, ʻo ia ka hana ʻia ʻana o nā hormones thyroid he nui a liʻiliʻi paha.

He aha nā pae o ka maʻi thyroid?

ʻO ka hapa nui, ʻekolu mau pae nui i ka hapa nui o nā ʻano thyroiditis. E nānā kākou i ko lākou ʻano: 1. Pae Thyrotoxic: I kēia pae, pehu kou kelepa thyroid a hoʻokuʻu koke i ka nui o ka hormone. Hoʻokumu kēia i kahi kūlana manawa pōkole i kapa ʻia ʻo thyrotoxicosis . Ua like ia me ke kahe koke o nā hormones. 2. Pae Hypothyroid: I kēia manawa ma hope o kēlā piʻi koke ʻana o nā hormones, ma hope o kekahi mau pule a i ʻole mau mahina, ʻaʻole lawa nā hormones i koe o ka thyroid gland e hoʻokuʻu. A laila, loaʻa kahi hemahema o ka hormone thyroid. Ua kapa ʻia kēia he hypothyroidism . I kekahi mau ʻano thyroiditis, e like me ka thyroiditis Hashimoto a me ka thyroiditis i hoʻokomo ʻia e ka radiation, he mau loa kēia pae hypothyroid. 3. Pae Euthyroid: I loko o kēia pae, hoʻi hou kāu mau pae hormone thyroid i ka maʻamau. Hiki ke hana kēia no kekahi manawa ma hope o ka pae thyrotoxic, ma mua o ke komo ʻana i ka pae hypothyroid. A i ʻole, ʻo ia paha ka pae hope loa, i ka wā i hoʻōla ai ka thyroid gland mai ka mumū a ke hana hou nei i nā hormones ma ke ʻano maʻamau.

He aha nā ʻano nui o ka thyroiditis?

E like me kā mākou i kūkākūkā ai ma mua, ʻaʻole hoʻokahi wale nō maʻi ka thyroiditis. Aia nā ʻano like ʻole. E nānā kākou i ko lākou ʻano:

• ʻO ka thyroiditis Hashimoto: ʻO kēia ke ʻano maʻamau o ka thyroiditis.Ua kapa ʻia hoʻi kēia he thyroiditis lymphocytic mau loa . He kūlana autoimmune kēia. ʻO ia hoʻi, hoʻouka ka ʻōnaehana pale o ko mākou kino ponoʻī i ka ʻōpū thyroid ma ka hana ʻana i nā antibodies antithyroid . ʻO kēia ke kumu nui o ka hypothyroidism .
• ʻO ka thyroiditis mālie a ʻeha ʻole paha: He maʻi autoimmune nō hoʻi kēia. Hoʻokumu ʻia hoʻi e nā antibodies anti-thyroid. E like me ka inoa e hōʻike nei, ʻaʻole ia he mea ʻeha loa.
• ʻO ka thyroiditis postpartum: He maʻi autoimmune nō hoʻi kēia. Eia nō naʻe, hiki mai ia i loko o hoʻokahi makahiki ma hope o ka hānau ʻana. He mea kākaʻikahi kēia.
• ʻO ka thyroiditis i hoʻokomo ʻia e ka radiation: Hiki ke hana ʻia kēia ʻano maʻi e ka radiation therapy no kekahi ʻano maʻi kanesa a i ʻole ka iodine radioactive i hāʻawi ʻia e mālama i ka hyperthyroidism .
• ʻO ka thyroiditis subacute a i ʻole ka thyroiditis de Quervain: He ʻano ʻeha kēia i hoʻoulu pinepine ʻia e kahi maʻi. Hoʻomaka pinepine ia ma hope o ka hala ʻana o kahi maʻi hanu luna , e like me ke anu a i ʻole ka maʻi palū .
• ʻO ka thyroiditis maʻi ʻoi loa: He maʻi laha ʻole kēia. Hoʻokumu ʻia ia e kahi meaola maʻi, e like me ka bacteria .
• ʻO ka thyroiditis i hoʻoulu ʻia e ka lāʻau lapaʻau: Hiki ke loaʻa kēia ʻano ke hoʻohana ʻia kekahi mau lāʻau lapaʻau, e like me ka amiodarone , interferons , lithium, a me nā cytokines . Eia naʻe, ʻaʻole nā ​​​​mea āpau e lawe nei i kēia mau lāʻau lapaʻau e loaʻa i kēia ʻano, he poʻe liʻiliʻi wale nō.
• ʻO Riedel thyroiditis: He maʻi laha ʻole kēia. Hōʻike ʻia ia e ka mumū lōʻihi a me ka fibrosis o ka ʻōpū thyroid.Ua kapa ʻia ke ʻano o ka fibrosis. ʻO ka fibrosis kahi mānoanoa a i ʻole ka ʻōpala o nā ʻiʻo.

ʻO wai ka mea i hoʻopilikia nui ʻia e ka thyroiditis?

ʻOiai hiki i ka thyroiditis ke hoʻopilikia i kekahi, hoʻopilikia pinepine ia i nā wahine . No ka laʻana, ʻo kahi ʻano thyroiditis i kapa ʻia ʻo Hashimoto's thyroiditis he ʻehā a ʻumi manawa ka nui o ka maʻi i nā wahine ma mua o nā kāne. ʻOi aku ka maʻamau i nā poʻe ma waena o 30 a me 50 mau makahiki. ʻOi aku ka maʻamau o ka thyroiditis mālie a ʻeha ʻole paha i nā wahine. ʻO ia ka lua o ke ʻano maʻamau o ka thyroiditis ma hope o ka Hashimoto's thyroiditis.

Pehea ka maʻamau o kēia ʻano?

E like me kā mākou i ʻōlelo ai ma mua, ʻo ke ʻano maʻamau ka maʻi thyroiditis ʻo Hashimoto. Ua manaʻo ʻia e hoʻopilikia ia ma waena o 1% a me 2% o ka heluna kanaka ma ʻAmelika Hui Pū ʻIa. ʻOi aku ka kakaikahi o nā ʻano thyroiditis ʻē aʻe.

He mea hoʻoweliweli anei ke ola o ka thyroiditis?

ʻAʻole hoʻoweliweli pinepine ka thyroiditis i ke ola.

Eia nō naʻe, inā loaʻa iā ʻoe ka hyperthyroidism ma muli o ka thyroiditis a waiho ʻole ʻia no ka manawa lōʻihi, aia kahi pilikia o ka hoʻomohala ʻana i kahi maʻi weliweli a hoʻoweliweli i ke ola i kapa ʻia ʻo ka thyroid storm .

He aha nā hōʻailona o ka ʻino thyroid?

• Ke kuni nui - Hiki ke piʻi ke kuni mai 104 a 106 degere Fahrenheit (40-41 degere Celsius).
• ka puʻuwai wikiwiki (tachycardia) - hiki ke piʻi i mua o 140 mau beats i kēlā me kēia minuke.
• Ke hopohopo mau nei, ka huhū, a/a i ʻole ka hoʻomaha ʻole.
• Delirium - ʻO kēia ke ʻano o ka huikau a me ka ʻike ʻole.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e hele koke i ka haukapila kokoke loa. He pilikia kēia! Inā manaʻo ʻoe he mau hōʻailona kou o ka thyroiditis, he mea nui loa ia e ʻike koke i ke kauka. A laila hiki iā lākou ke hana i nā hoʻokolohua e pono ai, e nānā i ke kūlana, a hoʻomaka i ka mālama ʻana.

He aha nā hōʻailona o ka maʻi thyroid?

Pili nā hōʻailona o ka thyroiditis i ke ʻano a me ke kahua o ka maʻi. I ka hapa nui o nā ʻano thyroiditis, ʻike mua ʻia nā hōʻailona o ka thyrotoxicosis, a ukali ʻia e nā hōʻailona o ka hypothyroidism. I ka subacute thyroiditis a me ka acute infectious thyroiditis, aia ka ʻeha ma kahi o ka thyroid gland. Hiki i kekahi poʻe ke hoʻonui i ka thyroid gland, i kapa ʻia he goiter .

Nā hōʻailona o Thyrotoxicosis (ke hoʻonui ʻia nā hormones)

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 ʻia ka nui o ka hormone thyroid, hiki iā ʻoe ke ʻike i nā hōʻailona o ka hyperthyroidism ( overactive thyroid gland). ʻO kēia mau mea:

• Nā palpitations o ka puʻuwai.
• Hoʻonui ʻia ka makemake.
• Ka wiwi ʻana me ke kumu ʻole.
• Ke hopohopo mau nei a me ka hoʻomaha ʻole.
• Wikiwiki i ka huhū.
• ʻAʻole hiki ke hiamoe.
• Hoʻonui ʻia ka hou ʻana a me ka ʻike i ka wela.
• Nā haʻalulu.

Nā hōʻailona o ka Hypothyroidism (haʻahaʻa nā hormones)

Hiki i ka wā hypothyroid o ka thyroiditis ke lōʻihi, a hiki ke mau loa. Inā ua hōʻino ʻia kāu mau hunaola thyroid a hāʻule kāu pae hormone thyroid, hiki iā ʻoe ke ʻike i nā hōʻailona o ka hypothyroidism. ʻO kēia mau mea:

• Luhi mau ka manaʻo.
• Ke ulu nui nei me ke kumu ʻole.
• Ka paʻa ʻana o ka ʻōpū.
• Nā kūlana noʻonoʻo e like me ke kaumaha.
• ʻIli maloʻo.
• Hoʻonui ʻia ka ʻike i ke anu.
• Ka nāwaliwali o nā ʻiʻo.
• Ka emi ʻana o ka hiki ke noʻonoʻo.

He aha nā kumu o ka maʻi thyroid?

Hana ʻia ka thyroiditis ke "hoʻouka ʻia" kou kelepa thyroid e kekahi mea, e pehu ai (ʻo kēia ka pane a ke kino i ka ʻeha) a hōʻino i nā hunaola thyroid. ʻOkoʻa nā kumu ma muli o ke ʻano. ʻO ke kumu maʻamau ka maʻi autoimmune . ʻO ke ʻano kēia, ʻo ka ʻōnaehana pale, ka mea i manaʻo ʻia e pale i ko mākou kino, e hoʻouka hewa i ko mākou kino ponoʻī. ʻAʻole maopopo loa ke kumu o kēia. ʻO ka hapa nui o nā ʻano thyroiditis i hana ʻia e nā antibodies e hoʻouka i kāu kelepa thyroid.

Pehea e ʻike ʻia ai ka maʻi thyroiditis?

Ke ʻike ʻoe i ke kauka, e nānā lākou iā ʻoe a nānā i kou ʻōpū thyroid. A laila e nīnau lākou e pili ana i kāu mau hōʻailona a me nā maʻi āu i loaʻa ai ma mua. Inā manaʻo lākou he thyroiditis kou, hiki iā lākou ke hana i kekahi a i ʻole kēia mau hoʻokolohua āpau e hōʻoia i ka hōʻailona:

• Nā hoʻāʻo hana thyroid: ʻO kēia nā hoʻāʻo koko e nānā i kāu mau hormones pili i ka thyroid a me nā pae hormone thyroid. No ka laʻana, kāu hormone hoʻoulu thyroid (TSH) , triiodothyronine (T3) , a me thyroxine (T4) . Loaʻa ka TSH mai kāu pituitary gland . Hoʻoulu ia i kāu thyroid gland e hana i nā hormones T4 a me T3. I ka hui pū ʻana, ua kapa ʻia kēia mau mea ʻelua he mau hormones thyroid.
• ʻO ke kani ultrasound o ka thyroid:Hoʻohana pinepine nā kauka i ka ultrasound e nānā i ke ʻano o ka ʻōpū thyroid. Hiki i kēia ke ʻike i nā mea e like me ka nodule thyroid, nā loli i ke kahe koko, a me ka nui o ka ʻōpū.
• Nā hoʻāʻo antibody thyroid: He mau hoʻāʻo koko hoʻi kēia. Ke nānā nei lākou i nā antibodies thyroid, ʻo ia hoʻi nā antibodies antithyroid (microsomal) (TPO) a i ʻole nā ​​​​antibodies stimulating receptor thyroid (TRAb) . Inā loaʻa kēia mau antibodies, ʻo ia hoʻi he ʻano thyroiditis paha kāu i hoʻokumu ʻia e kahi maʻi autoimmune.
• ʻO ka helu sedimentation Erythrocyte (ESR a i ʻole ka helu sed): He hoʻāʻo koko nō hoʻi kēia. Kōkua ia i ka ʻike ʻana inā he mumū i loko o kou kino. Hoʻokiʻekiʻe ʻia ka ESR i ka subacute thyroiditis.
• ʻO ka protein C-reactive (CRP): Ke ana kēia i ka pae o ka CRP i loko o kou koko. Piʻi aʻe nā pae CRP ke loaʻa ka mumū i loko o ke kino. Hiki ke kiʻekiʻe loa i ka thyroiditis maʻi ʻoi.
• Hoʻāʻo ʻia ka radioactive iodine uptake (RAIU): Ke ana kēia hoʻāʻo i ka nui o ka radioactive iodine (i hāʻawi ʻia ma ka waha) e omo ai kou thyroid gland. He haʻahaʻa mau kēia nui i ka wā thyrotoxic o ka thyroiditis.

Pehea e mālama ʻia ai ka maʻi thyroid?

ʻO ke ʻano o ka mālama ʻana i ka thyroiditis e pili ana i ke ʻano a me nā hōʻailona.

Ka mālama ʻana i ka Thyrotoxicosis

Inā ʻoe i loko o ka pae thyrotoxic o ka thyroiditis, hiki i kāu kauka ke hāʻawi iā ʻoe i kahi ʻano lāʻau i kapa ʻia ʻo beta-blockers . Hiki i kēia mau mea ke kōkua i ka hōʻemi ʻana i kou puʻuwai ( palpitations ) a me nā haʻalulu. Ke hoʻomaikaʻi ʻia kāu mau hōʻailona, ​​e hōʻemi mālie kāu kauka a hoʻōki i ka lāʻau. ʻO kēia no ka mea he manawa pōkole ka pae thyrotoxic.

Ka mālama ʻana i ka Hypothyroidism

Inā loaʻa iā ʻoe ka thyroiditis Hashimoto, e hāʻawi kāu kauka iā ʻoe i ka lāʻau lapaʻau pani hormone thyroid, e like me ka levothyroxine . Pono ʻoe e lawe i kēia lāʻau lapaʻau no ke koena o kou ola. ʻO ka Hypothyroidism i hoʻokumu ʻia e ka thyroiditis Hashimoto he mau loa ia. Inā loaʻa iā ʻoe ka subacute, silent, a postpartum thyroiditis, a loaʻa iā ʻoe nā hōʻailona o ka hypothyroidism, e hāʻawi pū kāu kauka iā ʻoe i ka lāʻau lapaʻau pani hormone thyroid. Pono ʻoe e lawe i kēia lāʻau lapaʻau no kahi o 6 a 12 mau mahina. A laila e hoʻemi mālie kāu kauka i ka nui e ʻike inā loaʻa iā ʻoe ka hypothyroidism mau loa. Inā ʻaʻole koʻikoʻi kou hypothyroidism, ʻo ia hoʻi he kakaikahi kāu mau hōʻailona, ​​ʻaʻole paha ʻoe e pono i ka lāʻau lapaʻau.

Nā lāʻau ʻē aʻe no ka thyroiditis

Inā loaʻa iā ʻoe ka thyroiditis infectious acute , pono ʻoe e mālama i ka maʻi. ʻO ka mea nui paha, e pili ana kēia i nā antibiotics . Inā loaʻa iā ʻoe kahi abscess , a i ʻole kahi puka, i loko o kou thyroid, pono paha kāu kauka e hana i kahi aspiration nila maikaʻi (e omo ana i ka pus me kahi syringe) e hoʻokahe i ka pus. ʻO ka thyroiditis i hoʻoulu ʻia e ka lāʻau lapaʻau e mau wale nō ia i ka wā e lawe ai ʻoe i ka lāʻau i hoʻokumu ai. Hiki paha i kāu kauka ke hoʻololi iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe e like me ka mea āu e lawe nei. A i ʻole, hiki ke hāʻawi ʻia iā ʻoe ka levothyroxine no ka thyroiditis ʻoiai ʻoe e hoʻomau nei i ka lawe ʻana i ka lāʻau. ʻO ka ʻeha mai ka thyroiditis infectious acute a me ka thyroiditis subacute hiki ke hoʻomalu ʻia me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) , e like me ka aspirin a i ʻole ibuprofen . I kekahi manawa, hiki ke hoʻohana ʻia ka lāʻau lapaʻau steroid inā koʻikoʻi ka ʻeha. Pono paha ʻo Riedel thyroiditis i ke ʻoki ʻana.

Hiki ke pale ʻia ka maʻi thyroid?

ʻO ka mea pōʻino, ʻaʻole hiki ke pale ʻia nā ʻano thyroiditis he nui. Inā loaʻa iā ʻoe kahi maʻi e pono ai ka iodine radioactive a i ʻole ka radiation therapy, e kamaʻilio me kāu kauka e pili ana i kou pilikia o ka loaʻa ʻana o ka thyroiditis. Hiki paha iā ʻoe ke hoʻomaka i nā lāʻau ʻē aʻe e pale aku i ka ulu ʻana o ka thyroiditis. Inā ʻoe e lawe ana i nā lāʻau lapaʻau e hiki ai ke hoʻoulu i ka thyroiditis, e kamaʻilio me kāu kauka e pili ana i ka pilikia a inā hiki iā ʻoe ke hoʻōki i ka lawe ʻana i kēlā mau lāʻau. Eia naʻe, ʻoiai ke hana ʻana pēlā ʻaʻole paha e pale aku i ka thyroiditis.

He aha ka prognosis no ka thyroiditis?

Ma ke ʻano laulā, maikaʻi ka nānā ʻana no ka thyroiditis. I ka thyroiditis o Hashimoto, ʻo ka hopena o ka hypothyroidism he mau loa ia. Eia nō naʻe, hiki ke mālama ʻia me ka lāʻau hoʻololi hormone thyroid no ke ola holoʻokoʻa. Loaʻa i ka poʻe me ka subacute thyroiditis nā hōʻailona no hoʻokahi a ʻekolu mahina. Eia nō naʻe, hiki ke hala i 12 a 18 mau mahina no ka hoʻi piha ʻana o ka hana thyroid i ka maʻamau. Loaʻa i kēia poʻe he 5% ka pilikia o ka loaʻa ʻana o ka hypothyroidism mau loa. ʻO ka thyroiditis postpartum a me ka leo ʻole (ʻeha ʻole) he 12 a 18 mau mahina e hoʻōla piha ai. Loaʻa i ka poʻe me kēia mau kūlana he 20% ka pilikia o ka loaʻa ʻana o ka hypothyroidism mau loa.

I ka manawa hea e pono ai ʻoe e ʻike i ke kauka e pili ana i ka thyroiditis?

Inā ua ʻike ʻia ʻoe me ka thyroiditis, pono ʻoe e ʻike pinepine i ke kauka e nānā i kāu mau hōʻailona a e hōʻoia i ka hana pono ʻana o kāu lāʻau lapaʻau.Inā e ʻoi aku ka ʻino, a inā paha e loaʻa iā ʻoe nā hōʻailona hopohopo , e kamaʻilio me kāu kauka i ka hikiwawe loa.

He mea maʻamau ke kaumaha ke ʻike ʻoe he maʻi kou. Akā ʻo ka nūhou maikaʻi, he maʻi hiki ke mālama ʻia ka thyroiditis, a hiki ke lilo pinepine ia i mea manawa pōkole. Inā he mau nīnau kāu e pili ana i kou thyroiditis a i ʻole kāu hoʻolālā lapaʻau, e kamaʻilio me kāu kauka. Eia lākou e kōkua.

Leka Hoʻihoʻi Hope Loa

ʻAe, no laila mai kā mākou i kūkākūkā ai, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi manaʻo maikaʻi e pili ana i ka thyroiditis. E hoʻomanaʻo:

• ʻO ka thyroiditis kahi mumū o ka ʻōpū thyroid i kou ʻāʻī .
• Hiki i kēia ke hana i ka thyroid e hana nui a liʻiliʻi paha i ka hormone thyroid .
• Aia nā ʻano a me nā pae like ʻole o kēia. ʻO Hashimoto ke ʻano maʻamau.
• ʻOkoʻa nā hōʻailona ma muli o ke ʻano. E ʻike paha ʻoe i nā mea e like me ka luhi, nā loli o ke kaumaha, nā loli o ka helu o ka puʻuwai, a me nā loli o ke ʻano .
• ʻO ka hapa pinepine, ʻo kēia ma muli o kahi maʻi autoimmune .
• Hiki ke ʻike ʻia ka maʻi ma o nā hoʻāʻo koko a me ka ultrasound .
• Aia ka lāʻau lapaʻau i ke ʻano a me nā hōʻailona. Hiki ke ho'ōla mau ʻia kekahi, aʻo kekahi e pono paha ka lāʻau lapaʻau lōʻihi .
• E makaʻala i ke kūlana weliweli i kapa ʻia ʻo ka ʻino thyroid . Inā ʻike ʻoe i kēia mau hōʻailona , ​​e hele koke i ka haukapila .
• Inā he kānalua kou, mai hoʻokaʻulua i ka ʻimi ʻana i ke aʻo lapaʻau .

ʻO ka mea nui loa, ʻo ia ke noho olakino!