Ke manaʻo pinepine nei ʻoe i ka luhi, ka nāwaliwali, a i ʻole ka hoʻomaha ʻole? Ke manaʻo nei ʻoe i kekahi manawa me he mea lā e holo wikiwiki ana kou puʻuwai me ke kumu ʻole? Ua ʻike anei ʻoe i kahi pehu iki ma ke kumu o kou ʻāʻī? Inā ʻoe e ʻike nei i kekahi a ʻoi aku paha o kēia mau hōʻailona, ʻo kahi maʻi i ʻike ʻia ʻo thyroiditis paha ke kumu. Nui ka poʻe i kamaʻāina ʻole i kēia maʻi, no laila i kēia lā, e wehewehe mākou ma Nirogi Lanka iā ia me ka maʻalahi a me ka maopopo no ʻoe.
ʻO ka mea mua, he aha ka maʻi thyroid ?
I ka ʻōlelo maʻalahi, he ʻōkana liʻiliʻi akā koʻikoʻi kou thyroid i loko o kou kino. He ʻano pepeke kona a aia ma ke alo o kou ʻāʻī, ma lalo pono o kou ʻāpala ʻAdamu.
E noʻonoʻo i kou kino e like me ke kaʻa. Ma kēia hoʻohālikelike, hana ka ʻōpū thyroid ma ke ʻano he mea hoʻolalelale e kāohi ana i ka wikiwiki o ka mīkini. ʻO nā hormones i hana ʻia e kēia ʻōpū e hoʻoholo i ka wikiwiki a lohi paha o ka hana ʻana o kou puʻuwai, lolo, a me nā ʻāpana ʻē aʻe o kou kino. ʻO ke kumu, lawelawe kēia ʻōpū liʻiliʻi ma ke ʻano he kikowaena hoʻomalu no ka metabolism holoʻokoʻa o kou kino.
No laila, he aha ka maʻi thyroiditis?
ʻO ka thyroiditis e pili ana i ka pehu ʻana o kou kelepa thyroid. ʻOiai hiki ke hoʻopilikia i kekahi, ʻike pinepine ʻia ia i nā wahine ʻōpio a me nā wahine waena.
Ke pehu ka ʻōpū, ua hoʻopilikia ʻia kāna hana maʻamau. ʻO ka maʻamau, ʻo ia kekahi o nā hopena ʻelua:
1. Hoʻopuka ia i nā hormones keu loa .
2. Hoʻopuka ia i nā hormones lawa ʻole .
Ma keʻano laulā, holomua kēia kūlana ma o ʻekolu mau pae like ʻole:
| Pae | He aha ka mea e hana ʻia |
|---|---|
| Ka pae thyrotoxic | I loko o kēia kahua, hoʻokuʻu koke ke kelepa mumū i ka nui o nā hormones i loko o kou kahe koko, e wikiwiki ai ka hana o kou kino. |
| Ka pae Hypothyroid | Ma muli o ka emi ʻana o ka hapa nui o nā hormones i ke kahua ma mua, hāʻule nui nā pae hormone ma ʻaneʻi, e hoʻolohi ana i nā hana o kou kino. |
| Pae Euthyroid | I kēia pae, hoʻi hou kāu mau pae hormone thyroid i ka maʻamau. Hiki ke hana kēia ma waena o nā pae ʻelua ʻē aʻe a i ʻole ma ka hopena o ke kaʻina hana. |
He aha nā hōʻailona o ka maʻi thyroid?
ʻO nā hōʻailona maʻamau e komo pū me ka luhi koke , ka pehu ʻana ma ke alo o ka ʻāʻī , a i kekahi manawa ka ʻeha o ka ʻāʻī . Eia nō naʻe, ʻokoʻa nā hōʻailona ma muli o ke kiʻekiʻe loa o kāu mau pae hormone (Hyperthyroidism) a i ʻole haʻahaʻa loa (Hypothyroidism).
| Ke ʻike ʻana i nā hōʻailona e nā pae hormone | |
|---|---|
| Hypothyroidism (Hormones Haʻahaʻa) | Hyperthyroidism (Nā Hormones Kiʻekiʻe) |
| Luhi nui a me ka hiamoe ʻoiai ua lawa ka hoʻomaha. | Ka hoʻomaha ʻole, ka huhū, a me ka huhū koke. |
| Kaumaha a me ke ʻano o ke kaumaha. | Ka pohō kaumaha i wehewehe ʻole ʻia ʻoiai ua makemake mau ka ʻai. |
| Ka piʻi ʻana o ke kaumaha i wehewehe ʻole ʻia. | ʻAʻohe hiamoe a me ka puʻuwai holo wikiwiki. |
| ʻIli maloʻo a me ka paʻa ʻana o ka ʻōpū. | Ka nāwaliwali o nā ʻiʻo a me nā lima haʻalulu. |
| Hoʻonui ʻia ka ʻike i ke anu. | Ke kū ʻole i ka wela a me ka hou nui. |
He aha ke kumu o ka maʻi thyroid?
Hiki ke hoʻoulu ʻia ka mumū o ka thyroid e kekahi mau kumu. Hiki i kēia ke komo pū me nā maʻi viral a bacteria paha, kekahi mau lāʻau lapaʻau (e like me Lithium a i ʻole Interferon), a i ʻole nā pilikia i loko o kāu ʻōnaehana pale ponoʻī. Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ke kuni nui, ka paʻakikī o ka hanu ʻana, a i ʻole ka ulu wikiwiki ʻana o ka puʻupuʻu ʻāʻī, e ʻoluʻolu e ʻimi koke i ke kōkua lapaʻau ma kāu keʻena pilikia kokoke loa a i ʻole e kelepona i ka 911.
ʻO ka mea nui e lawe ʻia penei: i ka wā e ʻike ai ʻoe i kēia mau hōʻailona, mai hoʻāʻo e nānā ponoʻī. He mea nui e kūkākūkā ʻoe me kahi loea mālama ola no ka loiloi kūpono a me ke alakaʻi.
Aia kekahi mau ʻano nui o ka thyroiditis e pono ai ʻoe e makaʻala:
- ʻO ka maʻi Hashimoto: ʻO kēia ke ʻano maʻamau. Hana ʻia ia i ka wā e kuhi hewa ai kāu ʻōnaehana pale ponoʻī i kou kelepa thyroid ma ke ʻano he mea hoʻoweliweli a hoʻouka iā ia—e like me nā pale kūloko o kou kino e kūʻē ana i kona ʻāina ponoʻī. I ka hala ʻana o ka manawa, hoʻonāwaliwali kēia pōʻino i ka kelepa, e waiho ana iā ia ʻaʻole hiki ke hana i nā hormones lawa (Hypothyroidism).
- ʻO ka thyroiditis subacute: Ma hope pinepine kēia o kahi maʻi viral, e like me ke kuni a i ʻole ke anu maʻamau . Hiki iā ʻoe ke ʻike mua i ka ʻeha ʻāʻī me ka piʻi ʻana o nā pae hormone (Hyperthyroidism), a ukali ʻia e ka emi ʻana o ka hana hormone (Hypothyroidism). I ka hapanui o nā hihia, hoʻihoʻi ka gland i kāna hana maʻamau i loko o 12 a 18 mau mahina.
- ʻO ka thyroiditis postpartum: Hiki ke loaʻa kēia ʻano i loko o ka makahiki mua ma hope o ka hānau ʻana, ʻoiai hoʻi i ka poʻe me ka mōʻaukala o nā pilikia thyroid. Eia nō naʻe, e ʻoluʻolu e hōʻoiaʻiʻo: me ka mālama pono ʻana, aneane hiki ke hoʻihoʻi piha ʻia kēia i loko o kahi o 18 mau mahina.
- ʻO ka thyroiditis leo ʻole: E like me ka inoa e hōʻike nei, ʻaʻole hōʻike kēia ʻano me nā hōʻailona koʻikoʻi, ʻoi aku ka ʻeha. Ua like ia me ke ʻano postpartum, e hoʻomaka ana me nā pae hormone kiʻekiʻe, ukali ʻia e kahi pae haʻahaʻa, a ma hope e hoʻoponopono ponoʻī i ka hala ʻana o ka manawa.
Pehea e ʻike ai kāu kauka i kēia maʻi?
Ke kipa aku ʻoe i kāu kauka, e kūkākūkā lākou i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. No ka hōʻoia ʻana i ka maʻi, hiki iā lākou ke paipai i hoʻokahi a ʻoi aku paha o nā hoʻokolohua aʻe:
- Nā hoʻāʻo koko: ʻO kēia ka mea hana diagnostic mua. Ma ke ana ʻana i kāu mau hormones thyroid (TSH, T3, a me T4), hiki i kāu kauka ke loaʻa i kahi kiʻi maopopo o kou kūlana kikoʻī.
- Hoʻāʻo lawe ʻana i ka iodine radioactive (RAIU): I loko o kēia hoʻāʻo, e hāʻawi ʻia ʻoe i kahi liʻiliʻi o ka iodine i loko o ke ʻano wai a i ʻole ka pila. E hōʻoiaʻiʻo, palekana kēia no kou kino. I loko o nā hola 24 e hiki mai ana, e ana kahi mīkini kūikawā i ka nui o ka iodine e omo ai kāu kelepa thyroid.
- Ke nānā ʻana i ka thyroid: Pili kēia i ka hoʻohana ʻana i kahi liʻiliʻi a palekana o ka tracer radioactive e hopu i nā kiʻi maopopo o kou kelepa thyroid.
- Hoʻāʻo ESR : Ana kēia hoʻāʻo koko i nā pae mumū i loko o kou kino. Hiki i nā pae kiʻekiʻe ke hōʻailona o ka subacute thyroiditis.
- ʻO ke scan Ultrasound: He kaʻina hana kiʻi maʻalahi a ʻeha ʻole e hiki ai i kāu kauka ke nānā i nā nodules, loiloi i ke kahe koko, a loiloi i ke ʻano holoʻokoʻa o kāu kelepa thyroid.
He aha nā lāʻau lapaʻau no ka Thyroiditis?
Hoʻoholo wale ʻia ke ʻano o ka lāʻau lapaʻau ma ke ʻano kikoʻī o kou thyroiditis a me ke ʻano o kou mau hōʻailona.
- Inā haʻahaʻa nā hormones (Hypothyroidism): Inā ʻaʻole lawa kou mau pae, e kuhikuhi kāu kauka i ka lāʻau lapaʻau hormone thyroid synthetic. E hoʻoponopono pono ʻia kāu dosage i ka hoʻi ʻana o kāu metabolism i ka maʻamau.
- Inā kiʻekiʻe nā hormones (Hyperthyroidism): Inā kiʻekiʻe kou mau pae, hiki i kāu kauka ke kuhikuhi i nā lāʻau anti-thyroid e hoʻomalu iā lākou. Hiki iā lākou ke kuhikuhi i nā beta-blockers e hoʻokele i nā hōʻailona e like me ka puʻuwai wikiwiki a i ʻole nā haʻalulu.
- No ka ʻeha: Inā ʻoe e ʻeha nei i ka ʻāʻī, e ʻōlelo paha kāu kauka i nā lāʻau hōʻoluʻolu ʻeha e like me Aspirin a i ʻole Ibuprofen. No ka ʻeha nui, pono paha nā lāʻau ʻē aʻe.
I nā hihia kakaikahi loa, inā ʻaʻole i holomua nā lāʻau ʻē aʻe, hiki ke noʻonoʻo ʻia ke ʻoki ʻana.
ʻO ka mea nui loa: E hōʻoia i kēlā me kēia ʻanuʻu o kāu lāʻau lapaʻau e kūkākūkā ʻia a nānā ʻia e kāu kauka. ʻO ka lawe ʻana i ka lāʻau lapaʻau me ka ʻole o ka ʻōlelo aʻoaʻo lapaʻau loea hiki ke hoʻonui i kou kūlana.
Leka Lawe-Home
- He maʻi maʻamau ka thyroiditis i hiki ke mālama pono ʻia. ʻAʻohe pono no ka hopohopo nui.
- Mai hoʻowahāwahā i nā hōʻailona e like me ka luhi i wehewehe ʻole ʻia, nā loli kaumaha koke, nā loli o ke ʻano, a i ʻole ka pehu ʻana o ka ʻāʻī.
- Inā ʻike ʻoe i kēia mau hōʻailona, e ʻoluʻolu e ʻike koke i kahi loea mālama ola kino kūpono.
- Mai hoʻōla ponoʻī a kauoha paha i nā hoʻokolohua diagnostics ma kāu iho. E hilinaʻi mau i kāu kauka no ka hōʻoia pololei a me ka mālama ʻana ma muli o nā hōʻike.
ʻO ka Thyroiditis, Thyroid, nā hōʻailona o ka thyroid, ka pehu ʻana o ka ʻāʻī, ka maʻi Hashimoto, nā pilikia hormonal
