Ua haʻi ʻia anei ʻoe e kekahi ua kiʻekiʻe loa kou thyroid? A i ʻole he maʻi kēia i loaʻa i kekahi āu i ʻike ai? ʻO ka maʻamau, ʻo ka hoʻonui ʻia ʻana o nā hormones thyroid , i ʻike ʻia ma ke ʻano lapaʻau he hyperthyroidism , hiki ke hoʻomalu maikaʻi ʻia me ka lāʻau lapaʻau. Akā e noʻonoʻo inā piʻi koke kēia maʻi i kahi e hiki ai ke hoʻoweliweli i ke ola? ʻO kēlā kūlana koʻikoʻi loa, pilikia ka mea a mākou e kapa nei he 'ʻino thyroid' a i ʻole ka pilikia thyroid. ʻAʻole kēia he mea e lawe māmā ʻia.
ʻO ka mea mua, e nānā kākou, he aha kēia kelepa thyroid?
I ka ʻōlelo maʻalahi, ua like ke kelepa thyroid me ke alakaʻi nui o ko kākou kino. ʻO kēia kelepa liʻiliʻi, ʻano pepeke ma ke kumu o kou ʻāʻī, hana ia i nā hormones e kāohi ana i ka metabolism o ko kākou kino. ʻO ia hoʻi, ʻo ka wikiwiki o ka hoʻololi ʻia ʻana o ka meaʻai āu e ʻai ai i ikehu, ka wikiwiki o ka paʻi ʻana o kou puʻuwai , ka mahana o kou kino, a me ke ʻano o ka hana ʻana o nā ʻōpū ʻē aʻe, ua kāohi ʻia e kēia mau hormones thyroid . Hana ia e like me ka mea hoʻolalelale i loko o ke kaʻa e kāohi ana i ka wikiwiki o ka ʻenekini.
No laila he aha kēia ʻino thyroid?
ʻO ka maʻamau, he kiʻekiʻe nā pae o nā hormones thyroid i loko o ke kino o ke kanaka me ka hyperthyroidism. Eia nō naʻe, inā no kekahi kumu, piʻi koke kēia mau pae hormone i kahi pae weliweli i loko o kekahi mau hola, hiki iā ia ke hoʻopilikia i nā ʻōnaehana āpau o ke kino. Ua kapa ʻia kēia pilikia weliweli i ke ola he ʻino thyroid .
Ua manaʻo ʻia kēia he pilikia olakino a pono e mālama koke ʻia i ka haukapila.
He aha nā hōʻailona o kēia? Pehea mākou e ʻike ai ua loaʻa i kekahi kēia maʻi?
ʻIke koke ʻia kēia mau hōʻailona. Inā loaʻa i kekahi kekahi a ʻoi aku paha o kēia mau hōʻailona i ka manawa hoʻokahi, he mea ia e hopohopo ai.
| Hōʻailona | He wehewehe e pili ana i ia mea |
|---|---|
| kuni kiʻekiʻe koke | Hiki ke ʻoi aku ke kiʻekiʻe ma mua o 100.5 Fahrenheit (38 Celsius). I kekahi manawa hiki ke ʻoi aku ke kiʻekiʻe. |
| Nā palpitations o ka puʻuwai | Ke kuʻi wikiwiki nei ka umauma a lilo i mea paʻakikī ke hanu. Hiki i ka helu o ka puʻuwai ke ʻoi aku ma mua o 140 mau kuʻi i kēlā me kēia minuke. |
| Ka luaʻi a me ka maʻi pākī | Hiki ke hele pū kēia mau hōʻailona me ka ʻeha o ka ʻōpū a me ka nausea. |
| Ka huikau noʻonoʻo a me ka hoʻomaha ʻole | Ke manaʻo nei au i ka makaʻu a me ka hopohopo i hiki ʻole ke noʻonoʻo ʻia. Ke ʻōlelo nei au me he mea lā ua pioloke wau, ke haʻalulu nei au. |
| Melemele o ka ʻili (Jaundice) | Hiki ke melemele ke keʻokeʻo o nā maka a me ka ʻili, ma muli o nā hopena i ke akepaʻa. |
| Ka mae ʻana | Inā ʻaʻole i kaohi ʻia kēia kūlana, hiki i ka mea maʻi ke nalowale i ka ʻike a hāʻule i loko o kahi coma. |
Inā loaʻa koke i kekahi āu i ʻike ai kēia mau hōʻailona, he pilikia ia. E ʻoluʻolu, mai hoʻonele i ka manawa a lawe koke iā lākou i ka Emergency Treatment Unit (ETU) o ka haukapila.
He aha nā kumu ʻē aʻe o ka maʻi thyroid?
Pono ke kanaka me ka hyperthyroidism i kahi mea hoʻoulu e hoʻoulu ai i kēia 'ʻino'. ʻO ia hoʻi, hiki mai kēia ʻano ma muli o kekahi kaumaha ma ke kino.
| Hoʻoulu/Kumu | Pehea kona hopena? |
|---|---|
| Maʻi Graves | ʻO ka hyperthyroidism kekahi kumu nui. He maʻi autoimmune kēia. Inā ʻaʻole i kāohi pono ʻia, hiki iā ia ke hana i kahi ʻino. |
| ʻAʻole lawe pono i ka lāʻau lapaʻau i kuhikuhi ʻia | Inā hoʻōki koke kekahi kanaka me ka hyperthyroidism i ka lawe ʻana i ka lāʻau lapaʻau i kauoha ʻia e kā lākou kauka a hōʻemi paha i ka nui. |
| Nā maʻi koʻikoʻi | Nā maʻi hanu e like me ka maʻi pneumonia a me ka maʻi flu nui. |
| Hāpai keiki | Nā loli hormonal i ka wā hāpai, ʻoiai ke kaumaha o ka hānau ʻana. |
| ʻoki kino | Ma muli o ke kaumaha ma ke kino ma hope o ke ʻoki ʻana no kekahi maʻi ʻē aʻe. |
| Ka hōʻino ʻana i ka ʻōpū thyroid | ʻO kekahi mea e like me ka hahau nui ʻana i ka ʻāʻī i kahi ulia. |
| Nā puʻupuʻu thyroid | Nā nodules keu e hana ana i nā hormones thyroid (Thyroid adenoma) a i ʻole ka hoʻonui ʻia ʻana o ke gland (Toxic multinodular goiter). |
Pehea e mālama ʻia ai kēia?
ʻAʻole hiki ke mālama ʻia kēia mea ma ka home.He pilikia kēia a he mea nui ka hoʻokipa koke ʻana i ka haukapila. Hoʻōla pinepine ʻia ka mea maʻi ma ke komo ʻana i loko o kahi keʻena mālama koʻikoʻi (ICU).
Ma ka haukapila, hoʻohana nā kauka i kekahi mau lāʻau lapaʻau kūikawā e kāohi ai i kēia maʻi.
- Nā lāʻau lapaʻau antithyroid: Hāʻawi ʻia kēia mau mea e hōʻemi koke i ka hana ʻana o nā hormones hou.
- Nā mea pale Beta : Kōkua kēia i ka kaohi ʻana i nā hōʻailona e like me ka puʻuwai wikiwiki a me nā haʻalulu.
- Nā Steroids: Hoʻemi i ke kaumaha a me ka haunaele i loko o ke kino a kōkua i ka kaohi ʻana i ka hana hormonal.
- Nā hopena iodine: Hoʻohana ʻia kēia mau mea e hoʻōki i ka hoʻokuʻu ʻia ʻana o nā hormones mai ka thyroid gland no kekahi manawa.
Me kēia lāʻau lapaʻau, hoʻomaka ka maikaʻi o ke kūlana i loko o 1-3 mau lā.
Akā e hoʻomanaʻo, ʻaʻole i pau ka hana ma hope o ka hala ʻana o kēia pilikia. Pono ʻoe e ʻike i ke kauka loea i nā hormones, ʻo ia hoʻi, he endocrinologist , e ʻike i ke kumu o kēia maʻi a hoʻomau i ka mālama ʻana.
Akā, mai hopohopo. ʻAʻole hiki ke loaʻa ka ʻino thyroid i kēlā me kēia lā. Inā lawe pono ʻoe i kāu lāʻau lapaʻau a hahai i nā kuhikuhi a kāu kauka, hiki iā ʻoe ke pale aku iā ia mai ka hoʻi hou ʻana. ʻO ka hapa nui o ka poʻe me ka hyperthyroidism e ola olakino a lōʻihi me ka mālama pono ʻana. ʻO ka mea nui loa, ʻo ia ka makaʻala i kou kūlana a e wehe i nā mea āpau me kāu kauka.
Leka Lawe-Home
- He pilikia koʻikoʻi loa ka ʻino thyroid a he mea hoʻoweliweli hoʻi i ke ola o ka hyperthyroidism.
- Inā ʻike koke ʻia nā hōʻailona e like me ke kuni nui, ka puʻuwai wikiwiki, ka huikau, a me ka luaʻi ʻana, he pilikia ia. E hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.
- Inā loaʻa iā ʻoe ka hyperthyroidism, mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo a kāu kauka.
- Me ka mālama pono ʻana a me ka hoʻokele ʻana, hiki iā ʻoe ke kaohi i kēia kūlana a ola i kahi ola olakino. E hoʻomau i ka launa pū me kāu kauka i nā manawa a pau.
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