Koj lub qog thyroid puas ua haujlwm hnyav dhau lawm? Cia peb tham txog hyperthyroidism!

Puas muaj tej lub sij hawm koj xav tias koj lub cev muaj teeb meem thiab koj tsis xis nyob? Koj puas xav tias koj lub cev ua hauj lwm sai dhau me ntsis, koj ntxhov siab, thiab koj muaj teeb meem ua kom koj lub siab tsom ntsoov? Yog tias muaj, koj lub qog thyroid tej zaum yuav ua hauj lwm hnyav dhau me ntsis. Hnub no, cia peb tham txog qhov mob no hu ua hyperthyroidism.

Mob hyperthyroidism yog dab tsi? Cia peb nkag siab yooj yim!

Hais yooj yim xwb, hyperthyroidism yog thaum lub qog thyroid hauv koj lub caj dab ua haujlwm ntau dhau thiab tsim cov tshuaj thyroid ntau dhau. Lub qog thyroid yog ib lub qog me me, zoo li npauj npaim nyob rau ntawm pem hauv ntej ntawm koj lub caj dab. Tab sis txawm tias nws me me, nws ua haujlwm ntau heev. Cov tshuaj hormones thyroid yog qhov tseem ceeb rau kev tswj hwm ntau yam hauv peb lub cev, tshwj xeeb tshaj yog qhov ceev uas peb lub cev siv zog, lossis kev ua haujlwm metabolism.

Muaj ob hom tshuaj hormones thyroid tseem ceeb, `triiodothyronine (T3)` thiab `thyroxine (T4)`. Kuj tseem muaj `thyroid-stimulating hormone (TSH)`, uas los ntawm lub qog pituitary thiab qhia rau lub thyroid kom tsim cov tshuaj hormones. Tam sim no, hauv hyperthyroidism, qhov tshwm sim yog tias cov tshuaj hormones `(T3)` thiab `(T4)` no sib sau ua ke hauv cov ntshav ntau dua li lawv yuav tsum tau ua. Tom qab ntawd, ntau yam hauv lub cev ua kom nrawm dua, zoo li lub tsheb ciav hlau ceev. Tej zaum koj yuav xav tias koj lub cev tag nrho nyob hauv "overdrive". Tej zaum koj yuav xav tias koj tsis yog koj tus kheej. Yog li nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no thiab mus ntsib kws kho mob yog tias koj muaj cov tsos mob.

Tus mob no feem ntau tshwm sim li cas?

Qhov tseeb, hyperthyroidism tsis yog ib yam mob uas pom ntau heev. Piv txwv li, hauv lub tebchaws zoo li Asmeskas, lawv hais tias tsuas muaj 1.3% ntawm cov pej xeem muaj tus mob no. Tab sis, nws cuam tshuam rau txhua tus, yog li nws yog qhov zoo kom paub txog nws.

Cov tsos mob ntawm hyperthyroidism yog dab tsi? Saib seb koj puas muaj cov no thiab!

Vim tias hyperthyroidism tuaj yeem cuam tshuam rau peb lub cev tag nrho, tej zaum yuav muaj ntau tshaj ib qho tsos mob. Ib txhia neeg yuav muaj ob peb yam tsos mob no xwb, thaum lwm tus yuav muaj ntau yam ib zaug. Saib seb koj puas muaj ib qho ntawm cov no:

• Lub plawv dhia ceev ceev (Tachycardia) thiab/lossis lub plawv dhia tsis xwm yeem. Nws zoo li lub nruas ntaus hauv lub hauv siab.
• Ntshav siab ntxiv.
• Zoo li koj txhais tes tshee hnyo (`(Tes tshee hnyo)`). Zoo li koj tshee hnyo txawm tias koj tuav ib khob tshuaj yej los xij.
• Xav tias ntxhov siab tas li, tsis so, thiab/lossis yooj yim chim siab .
• Txawm tias koj noj ntau dua los xij, koj yuav poob phaus txawm tias koj noj ntau dua los xij.
• Mob plab ntau zaus los yogIb yam mob zoo li raws plab .
• Kev tawm hws ntau dhau thiab tsis kam rau huab cua sov heev.
• Cov plaub hau tsis ruaj khov, zoo li cov plaub hau poob lossis tawg kawg.
• Tsis tsaug zog (tsis muaj peev xwm tsaug zog thaum hmo ntuj).
• Kev hloov pauv ntawm tus poj niam lub voj voog ncig lub hli, piv txwv li, txo qis cov ntshav uas ntws thaum lub hli lossis tsis muaj hli tas li.
• O ntawm sab xub ntiag ntawm lub caj dab, uas hu ua goiter .
• Qhov muag o los yog tawm los (`(Thyroid eye disease)`).

Cov tsos mob no tuaj yeem pib sai sai, lossis lawv tuaj yeem loj hlob maj mam zuj zus. Qhov tseem ceeb tshaj plaws yog mus ntsib kws kho mob yog tias koj xav tias koj muaj ib lossis ntau yam ntawm cov tsos mob no.

Vim li cas thiaj muaj hyperthyroidism? Dab tsi yog cov ua rau?

Muaj ntau yam ua rau mob hyperthyroidism. Cia peb saib cov ua rau mob no:

• Kab mob Graves: Qhov no yog qhov ua rau muaj kab mob hyperthyroidism feem ntau. Kab mob Graves yog ib yam kab mob autoimmune. Hais yooj yim xwb, peb lub cev tiv thaiv kab mob tawm tsam peb lub qog thyroid, ua rau nws tsim cov tshuaj hormones ntau dhau. Yog tias ib tug neeg hauv koj tsev neeg muaj kab mob thyroid lossis lwm yam kab mob autoimmune, koj yuav muaj feem ntau dua los mob nws.

• Cov qog hauv lub qog thyroid: Cov no yog cov qog lossis cov pawg ntawm cov hlwb uas tsim nyob rau hauv lub qog thyroid. Qee zaum cov qog no tuaj yeem tsim cov tshuaj hormones thyroid ntau dhau. Cov kws kho mob kuj hu qhov no ua cov qog toxic multinodular goiter (TMNG). Tab sis tsis txhob txhawj, cov qog thyroid nodules no tsis tshua muaj mob qog noj ntshav.

• Mob Thyroiditis: Qhov no yog kev o, lossis o, ntawm cov qog thyroid. Qhov no tuaj yeem ua rau muaj hyperthyroidism ib ntus. Tom qab lub sijhawm no ntawm kev tsim ntau dhau, hypothyroidism (kev tsim cov tshuaj hormones thyroid tsawg) yuav tshwm sim. Thaum qhov kev o ploj mus, cov tshuaj hormones yuav rov qab mus rau qhov qub.

• Kev noj ntau dhau ntawm iodine rau hauv lub cev:Yog tias peb noj iodine ntau dhau, txawm tias los ntawm cov khoom noj uas peb noj lossis los ntawm qee yam tshuaj, nws tuaj yeem ua rau lub qog thyroid tsim cov tshuaj hormones ntau dhau. Qhov no yog vim iodine yog ib qho mineral uas tseem ceeb rau kev tsim cov tshuaj hormones thyroid. Qhov no qee zaum tuaj yeem tshwm sim thaum koj tau txais IV iodinated contrast (ib qho zas xim siv rau qee yam x-rays) lossis thaum koj noj cov tshuaj xws li Amiodarone (ib yam tshuaj kho mob plawv).

• TSH-tso pituitary adenoma / Thyrotropinoma: Qhov no yog ib qho mob tsis tshua muaj. Ib qho qog me me hauv lub qog pituitary hauv peb lub hlwb tsim cov tshuaj hormones thyroid-stimulating hormone (TSH) ntau dhau. Qhov no ces yuam kom lub qog thyroid tsim cov tshuaj hormones ntau dua.

Leej twg muaj feem yuav mob hyperthyroidism ntau dua?

Muaj ib txhia neeg yuav muaj tus mob no ntau dua li lwm tus. Qee yam tseem ceeb uas ua rau muaj tus mob no yog:

• Ib tug neeg hauv koj tsev neeg muaj tus kab mob thyroid thiab/lossis cov mob autoimmune.
• Haus luam yeeb.
• Cev xeeb tub (tshwj xeeb yog rau tus mob hu ua postpartum thyroiditis uas tshwm sim tom qab yug menyuam).

Tus kws kho mob kuaj mob li cas?

Tus kws kho mob yuav ua raws li ob peb kauj ruam los txiav txim siab seb koj puas muaj hyperthyroidism:

1. Kev kuaj lub cev: Ua ntej, tus kws kho mob yuav kuaj koj seb koj puas muaj cov tsos mob ntawm hyperthyroidism. Piv txwv li, koj lub qog thyroid puas o, koj lub plawv dhia puas nce ntxiv, thiab koj daim tawv nqaij puas sov thiab ntub?

2. Kev kuaj ntshav thyroid: Cov no kuaj xyuas cov tshuaj hormones thyroid hauv koj cov ntshav. Ib tug neeg uas muaj hyperthyroidism muaj cov tshuaj hormones "(T3)" thiab "(T4)" siab dua li qub. Cov tshuaj "Thyroid Stimulating Hormone (TSH)" feem ntau qis dua li qub (tab sis tsis yog txhua lub sijhawm).

3. Kev kuaj ntshav rau cov tshuaj thyroid antibody: Qhov no pab txiav txim seb tus kab mob Graves puas yog tus ua rau muaj tus kab mob no.

4. Kev kuaj duab: Muaj ntau yam kev kuaj duab ntawm koj lub qog thyroid uas ua tau los txiav txim seb ua rau muaj hyperthyroidism. Cov no suav nrog kev kuaj thiab scan radioactive iodine uptake (RAIU), thiab thyroid ultrasound. Koj tus kws kho mob yuav piav qhia cov kev kuaj no rau koj thiab pom zoo qhov uas haum rau koj tshaj plaws.

Cov kev kho mob rau hyperthyroidism yog dab tsi?

Qhov xov xwm zoo yog tias hyperthyroidism yog ib yam mob uas kho tau. Nyob ntawm seb ua rau koj mob li cas, qee yam kev kho mob yuav haum rau koj dua li lwm yam. Koj tus kws kho mob yuav tham txog txhua txoj kev kho mob no nrog koj thiab pab koj xaiv txoj kev kho mob zoo tshaj plaws rau koj.

• Cov tshuaj tiv thaiv thyroid: Methimazole (Tapazole®) thiab Propylthiouracil (PTU) txo qhov peev xwm ntawm koj lub qog thyroid los tsim cov tshuaj hormones. Cov tshuaj no yog cov kev kho mob feem ntau rau hyperthyroidism. Kev ua haujlwm ntawm thyroid feem ntau tuaj yeem tswj tau hauv ob mus rau peb lub hlis. Koj cov tsos mob yuav pib zoo dua hauv ob peb hnub lossis ob peb lub lis piam.

• Kev kho mob radioactive iodine (RAI): Qhov no suav nrog kev noj ib lub tshuaj ntsiav lossis kua uas muaj radioactive iodine los ntawm qhov ncauj. Cov radioactive iodine mus ncaj qha rau koj cov thyroid cells thiab rhuav tshem lawv. Kev kho mob RAI feem ntau rhuav tshem cov thyroid caj pas mus tas li, yog li kho tau hyperthyroidism. Txawm li cas los xij, ntau tus neeg uas tau txais kev kho mob no yuav tsum tau noj tshuaj thyroid hormone (Levothyroxine) rau tas lawv lub neej kom tswj tau cov tshuaj hormones ib txwm muaj.

• Kev Phais Mob ('(Thyroidectomy)'): Tus kws phais mob tuaj yeem tshem tawm tag nrho lossis ib feem ntawm koj cov qog thyroid. Qhov no tuaj yeem kho qhov hyperthyroidism, tab sis feem ntau nws ua rau "Hypothyroidism" (cov tshuaj thyroid hormone qis). Tom qab ntawd koj yuav tsum tau noj tshuaj thyroid hormone rau tas koj lub neej.

• Cov tshuaj beta-blockers: Cov tshuaj no tuaj yeem pab tswj cov tsos mob ntawm hyperthyroidism, xws li lub plawv dhia ceev, tsis so, thiab tshee hnyo. Tab sis lawv tsis hloov cov tshuaj hormones hauv cov ntshav. Koj tus kws kho mob yuav muab cov beta-blockers no rau koj nrog rau lwm yam kev kho mob.

Txhua yam kev kho mob no muaj nws cov kev mob tshwm sim thiab kev pheej hmoo. Koj tus kws kho mob yuav piav qhia rau koj. Tsis txhob ntshai nug cov lus nug.

Yuav ua li cas thiaj paub tias tus neeg uas muaj mob hyperthyroidism yuav muaj mob dab tsi? (Kev kwv yees)

Mob thyroid ntau dhau yog ib yam mob uas kho tau. Feem ntau cov neeg ua tau zoo nrog kev kho mob. Qee qhov kev kho mob yuav tsum tau noj tshuaj mus tas li, tab sis nws tuaj yeem pab kom koj cov tshuaj hormones thyroid nyob rau theem noj qab nyob zoo.

Txawm li cas los xij, yog tias hyperthyroidism uas tshwm sim los ntawm Graves' kab mob tsis kho, nws tuaj yeem ua rau mob hnyav dua thiab ua rau muaj teeb meem xws li Graves' ophthalmopathy. Yog tias koj muaj Graves' kab mob, nug koj tus kws kho mob seb yuav tswj nws li cas.

Yog tsis kho ces yuav ua li cas? Puas txaus ntshai?

Yog tias tsis kho lossis tsis kho kom zoo, hyperthyroidism tuaj yeem ua rau muaj ntau yam teeb meem. Ib txhia ntawm lawv yog:

• Atrial fibrillation (Afib) (lub plawv dhia tsis xwm yeem)
• Kab mob plawv tsis ua haujlwm (mob plawv)
• Kev tsis muaj menyuam
• 'Ischemic stroke' (tuag tes tuag taw)
• Osteoporosis (kev ua kom cov pob txha nyias)

Ib qho teeb meem tsis tshua muaj tab sis muaj peev xwm ua rau tuag taus ntawm hyperthyroidism yog thyroid storm (tseem hu ua thyroid crisis lossis thyrotoxic crisis). Qhov no yog thaum koj lub qog thyroid tsim cov tshuaj thyroid hormone ntau heev rau hauv koj cov ntshav hauv lub sijhawm luv luv. Qhov no yog xwm txheej ceev hauv kev kho mob. Kev kho mob hyperthyroidism tsis kho lossis kho tsis zoo tuaj yeem ua rau muaj thyroid storm. Nws tuaj yeem ua rau hnyav dua los ntawm cov xwm txheej ntxhov siab xws li kev kis kab mob, kev raug mob, thiab kev phais.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj xav tias koj muaj cov tsos mob ntawm hyperthyroidism, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob kom koj tus mob raug soj ntsuam thiab tau txais kev kho mob tsim nyog.

Yog koj twb paub lawm tias koj muaj tus mob no, koj yuav tsum mus ntsib koj tus kws kho mob tsis tu ncua kom paub tseeb tias koj txoj kev kho mob ua haujlwm zoo.

Yog tias koj muaj cov tsos mob ntawm "thyroid storm", xws li kub taub hau thiab lub plawv dhia ceev heev, mus rau tsev kho mob ze tshaj plaws sai li sai tau.

Qhov mob no puas yuav ua rau koj hnyav dua?

Feem ntau cov neeg uas muaj mob hyperthyroidism tsis ua rau lawv rog dhau. Qhov tseeb, qee tus neeg poob phaus txawm tias lawv noj zaub mov zoo los xij. Qhov no yog vim tias mob hyperthyroidism ua rau koj lub cev zom zaub mov sai dua, ua rau nws siv cov calories ntau dua li qub rau lub zog.

Hypothyroidism (tsawg cov thyroid hormones) tuaj yeem ua rau txo qis hauv kev zom zaub mov thiab qhov hnyav nce.

Puas muaj peev xwm tsim hyperthyroidism thaum cev xeeb tub?

Yog, qhov mob no tuaj yeem tshwm sim thaum cev xeeb tub. Thaum ntxov ntawm cev xeeb tub, koj lub cev yuav tsum tsim cov tshuaj hormones thyroid ntau dua li niaj zaus los pab koj tus menyuam loj hlob. Qib thyroid hormone siab dua li qub me ntsis tsis yog teeb meem, tab sis yog tias qib siab heev, koj tus kws kho mob yuav tsum tsim ib txoj kev npaj kho mob. Vim tias cov qib thyroid hormone siab tuaj yeem cuam tshuam tsis yog koj xwb, tab sis kuj cuam tshuam rau koj tus menyuam thiab.

Hyperthyroidism tuaj yeem nyuaj rau kuaj mob thaum cev xeeb tub, vim tias qhov mob tuaj yeem raug zais los ntawm cov tshuaj hormones thyroid uas nce ntxiv thiab lwm yam tsos mob ntawm cev xeeb tub.

Yog tias koj muaj hyperthyroidism, koj yuav tsum tsis txhob noj cov khoom noj dab tsi?

Qee zaum, kev noj ntau dhau cov khoom noj uas muaj iodine ntau lossis ntxiv iodine tuaj yeem ua rau hyperthyroidism lossis ua rau mob hnyav dua.

Yog koj muaj mob hyperthyroidism, koj tus kws kho mob yuav pom zoo kom hloov qee yam rau koj cov zaub mov noj. Nco ntsoov sab laj nrog kws kho mob lossis tus kws noj zaub mov ua ntej koj hloov pauv koj cov zaub mov noj. Nco ntsoov tias, mob hyperthyroidism kho tsis tau los ntawm kev noj zaub mov xwb. Tej zaum koj yuav xav tau kev kho mob.

Yog koj tus kws kho mob pom zoo kom noj zaub mov uas muaj iodine tsawg, sim zam cov zaub mov no:

• Ntses
• Cov Hiav Txwv (`(Seaweed)` thiab `(Kelp)`)
• Cov ntses crabs thiab cov ntses lobsters
• Sushi
• Cws
• Algae thiab alginate
• Cov khoom noj mis nyuj xws li mis nyuj thiab cheese
• Qe daj
• Cov ntsev iodized

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Nws yog ib qho ib txwm muaj uas koj yuav xav tias ntxhov siab me ntsis thaum koj tau txais kev kuaj mob tshiab. Tab sis qhov xov xwm zoo yog tias hyperthyroidism yog ib qho mob uas kho tau. Yog tias koj muaj cov tsos mob zoo li koj lub cev ua haujlwm ntau dhau, koj xav tias ntxhov siab, lossis koj muaj teeb meem tsom ntsoov, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob. Koj tus kws kho mob tuaj yeem khiav ob peb qhov kev kuaj yooj yim thiab pom zoo rau kev kho mob kom zoo los pab koj lub cev rov qab sib npaug. Tsis txhob txhawj, koj tuaj yeem noj qab nyob zoo!