Ke manaʻo nei ʻoe i kekahi manawa e like me ʻoe e holo ana i kahi marathon i loko? Ke hopohopo nei ʻoe, ke hou nui nei ʻoe, ke holo nei kou puʻuwai ... a ke emi nei kou kaumaha me ka nānā ʻole i ka nui o kāu ʻai ʻana? Inā he mea maʻamau kēia mau mea iā ʻoe, he mea nui iā ʻoe e makaʻala i ke kūlana a mākou e kamaʻilio nei i kēia lā. Ua kapa ʻia kēia ʻo Thyrotoxicosis. ʻOiai paha he mea ʻē iki ka inoa, ʻaʻohe mea e makaʻu ai. E kamaʻilio maʻalahi kākou e pili ana.
I ka ʻōlelo maʻalahi, he aha ka thyrotoxicosis?
I ka ʻōlelo maʻalahi, ʻo ka thyrotoxicosis ka wā e nui ai ka hormone thyroid i loko o ke kino.
I kēia manawa, ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia hormone thyroid. Hana ʻia ia e kahi ʻōpū liʻiliʻi e like me ke ʻano o ka pulelehua ma ke alo o ko kākou ʻāʻī, ʻo ia hoʻi ka thyroid gland. ʻO ka hana nui o kēia hormone ka hoʻomalu ʻana i ka metabolism o ko kākou kino. ʻO ia hoʻi, hoʻomalu ia i ka wikiwiki o ka hoʻololi ʻia ʻana o ka meaʻai a kākou e ʻai ai i ikehu.
E noʻonoʻo i ko kākou kino e like me ka ʻenekini i loko o ke kaʻa. Ua like ka hormone thyroid me ka mea hoʻolalelale o kēlā kaʻa. Inā kūpono ka nui, e holo mālie ka ʻenekini a ma ka wikiwiki kūpono. Akā i ka Thyrotoxicosis, ua like ia me ke kaomi mau ʻia ʻana o ka mea hoʻolalelale. He aha ka mea e hana ai? Holo wikiwiki loa ka ʻenekini, wela, a puhi i ka nui o ka wahie. Pēlā nō, ke piʻi aʻe ka nui o ka hormone thyroid, hoʻomaka nā kaʻina hana āpau i loko o ko kākou kino e holo wikiwiki loa. Kuʻi wikiwiki kou puʻuwai, wīwī kou kino, a hopohopo ʻoe. Manaʻo paha ʻoe ua nalowale kou mana.
He mea hoʻoweliweli anei kēia i ke ola?
ʻOiai aia ka huaʻōlelo "ʻawahia" ma ka inoa, ʻaʻole ia he maʻi hoʻoweliweli ola mau ka thyrotoxicosis. Eia nō naʻe, inā lilo ia i mea koʻikoʻi loa , hiki ke hoʻoweliweli i ke ola. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia he ʻino thyroid . Eia naʻe, he maʻi laha ʻole kēia.
ʻO ke kumu nui o ka ʻino thyroid he hanana koʻikoʻi nui koke. Eia kekahi laʻana, kahi ʻoki kino nui, kahi maʻi koʻikoʻi, a pēlā aku. Eia kekahi, inā ʻoe e lawe nei i ka lāʻau thyroid, hiki ke hana ʻia kēia maʻi koʻikoʻi inā ʻoe e hoʻōki koke i ka lawe ʻana.
No laila, e hoʻomanaʻo, he mea nui loa ka loaʻa ʻana o ka lāʻau no ka Thyrotoxicosis maʻamau i ka wā hikiwawe loa. Inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i nā pilikia olakino ʻē aʻe.
He aha nā hōʻailona o ka thyrotoxicosis?
ʻOkoʻa nā hōʻailona o kēia maʻi ma muli o ke kiʻekiʻe o ka nui o ka hormone thyroid. Inā kiʻekiʻe loa nā pae hormone, koʻikoʻi loa hoʻi nā hōʻailona. E nānā kākou i ke ʻano o kēia mau hōʻailona.
| Hōʻailona | Wehewehena |
|---|---|
| ʻO ka pohō kaumaha me ke kumu ʻole | ʻOiai inā ʻoe e ʻai maʻamau a ʻoi aku paha ka maikaʻi, e emi ana kou kaumaha. Ma muli o ke kiʻekiʻe o kou metabolism, ua hoʻololi koke ʻia ka meaʻai āu e ʻai ai i ikehu a hoʻopau ʻia. |
| Nā palpitations o ka puʻuwai | Hiki i ka puʻuwai ke kuʻi wikiwiki ma mua o 100 mau manawa i kēlā me kēia minuke. Kāhea mākou i kēia (Tachycardia) . I kekahi manawa hiki ke paʻi ka puʻuwai i nā ʻano kūpono ʻole (Arrhythmia) . |
| Nā haʻalulu lima | Hiki ke loaʻa kahi haʻalulu palupalu, ʻoiai ma nā lima. |
| Ka hoʻomaha ʻole o ka noʻonoʻo | Ua hopohopo loa wau, ʻaʻole hiki iaʻu ke hoʻomanawanui hou. Huhū a makaʻu wau i nā mea liʻiliʻi loa. |
| ʻAʻole hiki ke hoʻomanawanui i ka wela | Ke manaʻo kekahi poʻe i ka wela maʻamau, manaʻo ʻoe he wela loa. Hoʻomau ʻoe i ka hou. |
| Nā loli i ka menstruation o kēlā me kēia mahina | Hiki i nā wāhine ke loaʻa i nā wā kūpono ʻole, nā lā emi iho, a i ʻole e oki loa. |
| Ke kūlana koʻikoʻi: ʻOno Thyroid - E hele koke i ka haukapila! | |
| Nā hōʻailona koʻikoʻi loa | Piʻi ka helu o ka puʻuwai i ʻoi aku ma mua o 140 mau kuʻi i kēlā me kēia minuke. Hiki ke loaʻa ke kuni nui, ka hoʻomaha nui, ka huikau, a me ka nalowale o ka ʻike. He pilikia olakino kēia. Pono ʻoe e hele koke i ka ʻOihana Pilikia o ka haukapila (ETU). |
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. E ʻike pono i kāu kauka.
No ke aha e kū mai ai ka thyrotoxicosis?
Aia paha he nui nā kumu no kēia. E nānā kākou i nā mea nui.
- ʻO ka Hyperthyroidism: ʻO kēia ke kumu maʻamau o ka thyrotoxicosis. ʻO ka Hyperthyroidism ka wā e hana nui ai kou kelepa thyroid a hana i nā hormones he nui. Nui nā kumu no kēia.
- ʻO ka maʻi Graves: He maʻi autoimmune kēia. ʻO ke ʻano kēia, hoʻouka ka ʻōnaehana pale ponoʻī o ko mākou kino i ko mākou kelepa thyroid ponoʻī, e hoʻoulu ana iā ia e hana i nā hormones hou aʻe.
- Nā nodules thyroid: I kekahi manawa, hoʻomaka kekahi mau nodules e hana i loko o ka thyroid gland e hana i nā hormones ma o lākou iho.
- ʻO Thyroiditis: ʻO kēia ka wā e pehu ai ke kelepa thyroid . Hiki ke hana ʻia e nā maʻi like ʻole, kekahi mau lāʻau lapaʻau (e.g., lithium, interferons), a i ʻole nā pilikia o ka ʻōnaehana pale. Ke pehu ke kelepa, e kahe ana nā hormones i mālama ʻia i loko o ke koko. Hoʻonui kēia i nā pae hormone no kekahi manawa. Hiki ke loaʻa kēia ʻano maʻi i nā makuahine ma hope o ka hānau ʻana (postpartum thyroiditis).
- ʻO ka lawe ʻana i ka nui o ka lāʻau thyroid: Inā ʻoe e mālama ʻia nei no ka hypothyroidism (ka nele o ka hormone thyroid), ʻo ka lawe ʻana i nā pila levothyroxine ma mua o ka mea i kauoha ʻia e kāu kauka hiki ke alakaʻi i ka thyrotoxicosis. Hiki ke hana ʻia kēia me ka ʻike ʻole a i ʻole me ka ʻike.
- ʻAi ʻia ka hormone mai ka meaʻai: He maʻi laha ʻole kēia. Hiki ke loaʻa kēia maʻi inā ʻoe e ʻai i ka pipi, nona ka ʻiʻo thyroid mai ka ʻāʻī o ka pipi. Ua kapa ʻia hoʻi kēia ʻo "hamburger thyrotoxicosis."
ʻO wai ka mea i pilikia nui no kēia maʻi?
Aia kekahi mau kumu pilikia maʻamau no ka hoʻomohala ʻana o ka thyrotoxicosis:
- Loaʻa kahi moʻolelo ʻohana o ka maʻi thyroid: Hiki i nā kūlana, ʻoiai ka maʻi ʻo Graves, ke holo i loko o nā ʻohana.
- ʻOiai he wahine: ʻOi aku ka nui o nā wahine e loaʻa i ka maʻi thyroid ma mua o nā kāne.
- ʻOiai ma luna o 60 mau makahiki.
- Loaʻa nā maʻi autoimmune ʻē aʻe:Eia kekahi laʻana, nā maʻi e like me ka maʻi diabetes Type 1 a i ʻole ka maʻi ʻo Addison.
- Ua lōʻihi ka manawa mai koʻu hānau ʻana i keiki.
- ʻO ka loaʻa ʻana o ka lāʻau thyroid (levothyroxine) ma ka home: Hiki i kekahi o ka hale ke lawe hewa i kēia lāʻau. No laila, he mea nui e mālama mau i ka lāʻau.
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka, e hana ʻo ia i kekahi mau hana e hōʻoia i kēia kūlana.
1. Hoʻokolokolo kino: ʻO ka mea mua, e nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona a nānā iā ʻoe. E nānā lākou i nā mea e like me ka puʻuwai wikiwiki a me nā lima haʻalulu.
2. Nā hoʻāʻo koko thyroid: ʻO kēia ka hoʻāʻo koʻikoʻi loa. E hoʻāʻo ʻia kou koko no nā pae hormone thyroid (T3 a me T4) a me nā pae TSH (Thyroid-Stimulating Hormone). I ka thyrotoxicosis, ʻoi aku ke kiʻekiʻe o nā pae T3 a me T4 ma mua o ka maʻamau, a haʻahaʻa loa nā pae TSH a ʻike ʻole ʻia paha.
I ka ʻōlelo maʻalahi, ʻo TSH ka hōʻailona mai ka lolo i ke kelepa thyroid e 'hana'. No ka mea, ua nui loa nā hormones o ke kino, ua pau ka hāʻawi ʻana o ka lolo i kēia hōʻailona. ʻO ia ke kumu e emi ai ka pae TSH.
3. Nā hoʻāʻo kiʻi: I kekahi manawa, hiki ke hana ʻia nā hoʻāʻo kiʻi e kōkua i ka hoʻoholo ʻana i ke kumu pololei. Hiki i kēia ke komo pū me kahi scan ultrasound thyroid a i ʻole kahi hoʻāʻo radioactive iodine uptake (RAIU). E wehewehe kāu kauka i kēia mau mea iā ʻoe.
Pehea e mālama ʻia ai?
ʻO ke kumu o ka mālama ʻana no ka thyrotoxicosis e pili ana i ke kumu. Na kāu kauka e hoʻoholo i ke kumu a e paipai i ka lāʻau kūpono loa nāu.
| ʻAno Lapaʻau | He aha ka mea e hana ʻia ai? |
|---|---|
| Nā lāʻau lapaʻau anti-thyroid | Hoʻōki nā lāʻau lapaʻau e like me ka methimazole a me ka propylthiouracil (PTU) i ka hana ʻana o ka thyroid gland i nā hormones. Hiki ke mālama ʻia nā hihia he nui o ka hyperthyroidism me kēia mau lāʻau lapaʻau. |
| Ka lāʻau lapaʻau iodine radioactive (RAI) | Hana kēia ma ka luku ʻana i nā hunaola thyroid hana nui. Eia nō naʻe, ma hope o kēia lāʻau lapaʻau, lilo pinepine ka ʻōpū thyroid i mea hana ʻole mau loa. A laila pono ʻoe e lawe i nā pila hormone thyroid (levothyroxine) no ke koena o kou ola. |
| ʻOki kino (ʻoki kino - Thyroidectomy) | I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino e wehe i ke kelepa thyroid. Hiki i kēia ke hana i ka hypothyroidism mau loa, e koi ana iā ʻoe e lawe i nā pila hormone no ke koena o kou ola. |
| Nā mea pale beta | Hoʻomalu wale kēia mau lāʻau lapaʻau i nā hōʻailona. Kōkua lākou i ka hoʻomalu ʻana i nā mea e like me ka puʻuwai wikiwiki, ka hoʻomaha ʻole, a me nā haʻalulu i ka wā pōkole. Akā, ʻaʻole lākou e hoʻololi i nā pae o nā hormones i loko o ke koko. |
| Nā Glucocorticoids | Inā loaʻa iā ʻoe ka thyroiditis, hiki i kēia mau lāʻau lapaʻau ke kōkua i ka hoʻēmi ʻana i ka pehu a me ka ʻeha. |
He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?
Inā ʻaʻole mālama ʻia, hiki i ka thyrotoxicosis, ʻoiai ka hyperthyroidism, ke alakaʻi i nā pilikia koʻikoʻi.
- Atrial fibrillation (Afib): He puʻuwai wikiwiki a kūpono ʻole.
- Ka hāʻule ʻana o ka puʻuwai (Congestive heart failure).
- Hahau (hahau ischemic).
- Osteoporosis: ʻO ke ʻano e lahilahi ai nā iwi a haki maʻalahi.
- Ka nāwaliwali o nā ʻiʻo.
Inā ʻaʻole mālama koke ʻia ka ʻino thyroid, hiki iā ia ke alakaʻi i nā hopu ʻana, ka hāʻule ʻana o ka puʻuwai, a me ka make. No laila, mai hoʻowahāwahā i nā hōʻailona.
Leka Lawe-Home
- ʻO ka Thyrotoxicosis kahi hoʻonui nui ʻana o nā hormone thyroid i loko o ke kino, kahi e wikiwiki ai nā kaʻina hana āpau i loko o ke kino.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka pohō kaumaha i wehewehe ʻole ʻia, ka puʻuwai wikiwiki, ka hoʻomaha ʻole, a me ka hoʻomanawanui ʻole i ka wela, e ʻike pono i ke kauka.
- Hiki ke mālama pono ʻia a kāohi ʻia kēia maʻi. ʻAʻohe pono e hopohopo.
- Inā ʻaʻole mālama ʻia, hiki ke loaʻa nā pilikia koʻikoʻi e like me ka maʻi puʻuwai a me ka hahau.
- He pilikia olakino koʻikoʻi loa ka ʻino thyroid. Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni nui a me ka huikau, e hele koke i ka ʻoihana pilikia o ka haukapila (ETU).
- Inā ʻoe e lawe ana i ka lāʻau thyroid, e lawe wale i ka nui i kuhikuhi ʻia e kāu kauka. E mālama pono i ka lāʻau, mai ka hiki ʻana aku o nā keiki.
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