Koj puas xav tias koj nkees heev hnub no? Koj puas xav tias koj nkees txawm tias koj sawv thaum sawv ntxov, tsaug zog tas hnub, thiab tsis muaj zog ua dab tsi li? Tib lub sijhawm, koj puas xav tias koj rog zuj zus txawm tias koj tsis tau hloov pauv dab tsi loj hauv koj cov zaub mov thiab dej haus? Tej zaum koj yuav xav tias qhov no yog ib txwm muaj, tias nws yog vim ua haujlwm ntau dhau. Tab sis tom qab tej yam no, tej zaum yuav muaj kev hloov pauv me me uas tshwm sim hauv peb lub cev. Qhov ntawd yog qhov peb yuav tham txog hnub no.
Hauv lwm lo lus, Hypothyroidism yog dab tsi?
Zoo, cia peb hais li no. Peb muaj ib lub qog me me zoo li npauj npaim hauv peb lub caj dab. Qhov no yog qhov peb hu ua lub qog thyroid . Ib yam li lub cav ntawm lub tsheb, nws tswj ntau yam hauv peb lub cev, uas yog, nws txiav txim siab qhov ceev ntawm peb lub cev (metabolism). Nws cov tshuaj hormones cuam tshuam rau ntau yam, xws li koj lub plawv dhia, qhov kub ntawm lub cev, thiab qhov ceev ntawm kev zom zaub mov.
Hypothyroidism yog ib qho mob uas cov qog thyroid tsis ua haujlwm zoo thiab tsis tsim cov tshuaj hormones raws li qhov xav tau. Tom qab ntawd, ib yam li thaum lub cav tsheb qeeb qeeb, txhua yam txheej txheem hauv peb lub cev pib qeeb. Yog vim li cas koj thiaj li nkees thiab koj lub cev hnyav.
Muaj coob tus neeg xav tias qaug zog thiab hnyav nce yog ib qho xwm txheej ib txwm muaj. Tab sis qee zaum cov no tuaj yeem yog cov tsos mob ntawm hypothyroidism. Qhov zoo tshaj plaws yog, nws tuaj yeem kuaj pom los ntawm kev kuaj ntshav yooj yim .
Qhov no yog ib yam kab mob uas feem ntau kho tau thiab tswj tau, yog li ntawd tsis muaj laj thawj yuav tsum ntshai. Txawm li cas los xij, nws tuaj yeem ua rau muaj kev phom sij yog tias tsis kho.
Cov hom mob hypothyroidism tseem ceeb yog dab tsi?
Muaj ntau hom tseem ceeb nyob ntawm seb qhov mob no tshwm sim li cas. Txawm hais tias qhov no yog kev kho mob me ntsis, nws tsim nyog paub hauv cov lus yooj yim. Xav txog, muaj ib tug thawj coj loj hauv peb lub hlwb (Hypothalamus), uas hais rau lwm tus (Pituitary Gland) ua ib yam dab tsi, uas ua rau Thyroid Gland ua haujlwm. Yog tias muaj teeb meem nyob qhov twg ntawm txoj kev no, Hypothyroidism tuaj yeem tshwm sim.
| Hom mob hypothyroidism | Hais yooj yim xwb... |
|---|---|
| Kev mob Hypothyroidism thawj zaug | Qhov no yog hom mob uas feem ntau tshwm sim. Hauv qhov no, qhov teeb meem yog nyob ntawm lub qog thyroid nws tus kheej . Nws muaj kab mob thiab tsis tsim cov tshuaj hormones kom zoo. Qhov no tuaj yeem tshwm sim los ntawm cov mob xws li Hashimoto tus kab mob . |
| Kev mob Hypothyroidism theem ob | Lub qog thyroid zoo nyob ntawm no. Tab sis lub qog pituitary hauv lub hlwb, uas txib kom nws ua haujlwm, tsis ua haujlwm zoo. Yog li ntawd, lub thyroid tsis tau txais lub teeb liab hu ua TSH. |
| Kev mob qog nqaij hlav theem peb | Qhov no tsis tshua muaj. Ntawm no qhov teeb meem nyob nrog tus thawj coj loj tshaj plaws hauv lub hlwb. Ntawd yog, hypothalamus . Vim tias nws tsis xa cov cim mus rau lub qog pituitary, tag nrho lub cev ua rau tsis meej pem. |
| Kev mob Hypothyroidism tsis pom tseeb | Qhov no yog ib qho mob me me xwb. Cov TSH hormone hauv cov ntshav tsuas yog nce me ntsis xwb, tab sis lwm cov thyroid hormones kuj zoo li qub. Feem ntau, qhov no yuav ploj mus li ob peb lub hlis. |
Cov tsos mob ntawm tus mob no yog dab tsi?
Cov tsos mob ntawm tus mob hypothyroidism feem ntau tsis tshwm sim sai sai. Lawv maj mam tshwm sim, qeeb qeeb. Qee zaum nws yuav siv sijhawm ntau xyoo. Saib seb koj puas muaj cov tsos mob no thiab.
| Cov tsos mob | Muaj dab tsi tshwm sim rau qhov no? |
|---|---|
| Qhov hnyav nce tsis muaj laj thawj | Thaum lub cev metabolism qeeb zuj zus, qhov kev hlawv zaub mov txo qis thiab cov rog sib sau ua ke ntau ntxiv. |
| qaug zog tas li | Vim tias lub cev tsim hluav taws xob txo qis, koj yuav tsis nkees txawm tias koj pw tsaug zog npaum li cas los xij. |
| Kev tsis kam rau qhov txias | Rau lwm tus, mob khaub thuas ib txwm zoo li mob khaub thuas uas tsis tuaj yeem tiv taus. |
| Cov tawv nqaij qhuav, ntxhib thiab cov plaub hau | Daim tawv nqaij yuav qhuav thiab tawv. Cov plaub hau kuj tseem yuav poob ntau ntxiv. |
| Kab mob cem quav | Kab mob cem quav tshwm sim vim tias cov txheej txheem zom zaub mov qeeb. |
| Kev hloov pauv ntawm lub hlwb | Lub hlwb tsis meej, tsis nco qab, nyuaj siab, thiab ntxhov siab yuav tshwm sim tau. |
| Mob nqaij, tsis muaj zog | Lub cev mob, thiab koj yuav hnov mob loog hauv koj txhais tes. |
| Cov teebmeem rau cov poj niam | Tej yam xws li kev coj khaub ncaws tsis tu ncua thiab los ntshav ntau dhau yuav tshwm sim. |
Yog koj muaj ib lossis ntau yam ntawm cov tsos mob no, qhov zoo tshaj plaws uas yuav tsum ua yog mus ntsib koj tus kws kho mob kom tau lus qhia.
Vim li cas Hypothyroidism tshwm sim?
Tej zaum yuav muaj ntau yam ua rau qhov no.
- Kab mob Hashimoto: Qhov no yog qhov ua rau mob hnyav tshaj plaws. Hais yooj yim xwb, nws yog ib yam kab mob autoimmune . Qhov no txhais tau tias lub cev tiv thaiv kab mob, uas yuav tsum tiv thaiv peb lub cev, pib tawm tsam nws lub qog thyroid tsis raug. Raws li lub sijhawm dhau mus, lub qog raug puas tsuaj thiab cov tshuaj hormones txo qis.
- Kev tshem tawm ntawm cov thyroid caj pas:Thaum tag nrho lossis ib feem ntawm cov thyroid caj pas raug phais tshem tawm vim yog qee yam mob qog noj ntshav lossis mob xws li goiter.
- Kev Kho Mob Hluav Taws Xob: Thaum siv kev kho mob hluav taws xob rau mob qog noj ntshav taub hau lossis caj dab, nws kuj tseem tuaj yeem ua rau lub qog thyroid puas tsuaj.
- Qee cov tshuaj: Qee cov tshuaj siv rau kab mob plawv thiab kev mob hlwb (piv txwv li, Lithium, Amiodarone) kuj tseem tuaj yeem ua rau lub thyroid ua haujlwm tsis zoo.
- Kev Tsis Txaus Iodine: Iodine yog ib qho mineral tseem ceeb rau kev tsim cov tshuaj hormones thyroid. Qhov mob no tuaj yeem tshwm sim yog tias peb tsis tau txais iodine txaus los ntawm peb cov zaub mov noj. Txawm li cas los xij, hauv Sri Lanka, qhov no tsis tshua pom vim tias iodine tau ntxiv rau hauv ntsev uas peb siv.
- Cov mob uas muaj txij thaum yug los: Qee tus menyuam yug los tsis muaj qog thyroid, lossis muaj qog uas tsis ua haujlwm zoo.
Yuav kuaj mob li cas?
Thaum koj mus ntsib kws kho mob, thawj qhov uas nws yuav ua yog nug koj txog koj cov tsos mob. Tom qab ntawd, lawv yuav kuaj koj lub caj dab kom pom tias koj lub qog thyroid puas o.
Tab sis yuav kom paub tseeb tias muaj tus kab mob no, yuav tsum tau kuaj ntshav.
Qhov kev kuaj ntshav no feem ntau saib xyuas:
- TSH (Thyroid-Stimulating Hormone): Qhov no yog ib yam tshuaj hormones uas lub qog pituitary tso tawm hauv lub hlwb. Yog tias lub qog thyroid tsis ua haujlwm, lub hlwb yuav sim ua kom nws muaj zog los ntawm kev xa TSH ntau dua. Yog li ntawd, TSH feem ntau nce siab hauv hypothyroidism.
- T4 (Thyroxine): Qhov no yog lub tshuaj hormone tseem ceeb uas lub qog thyroid tsim tawm. Hauv hypothyroidism, cov tshuaj hormone no raug txo qis .
Qee zaum, yog tias tsim nyog, tus kws kho mob kuj tseem yuav xaj kom kuaj xws li ultrasound scan lossis CT scan .
Cov kev kho mob yog dab tsi? Puas yog ib yam dab tsi uas yuav tsum ntshai?
Tsis yog, tsis muaj dab tsi yuav txhawj txog li. Kev kho mob rau hypothyroidism yog yooj yim heev thiab zoo.
Txoj kev kho mob tseem ceeb yog Kev Kho Mob Hloov Tshuaj Hormone . Hais yooj yim xwb, nws yog kev noj tshuaj hu ua Levothyroxine , uas hloov cov tshuaj thyroid hormone uas koj lub cev tsim tsis tau.
Nov yog ib yam tshuaj uas yuav tsum tau noj txhua hnub, feem ntau yog thaum sawv ntxov, li ib nrab teev ua ntej noj tshais, thaum lub plab khoob. Yuav tsum tau noj nws mus tas koj lub neej.
Thaum xub thawj, koj tus kws kho mob yuav kuaj ntshav tsis tu ncua kom paub seb koj noj tshuaj ntau npaum li cas. Thaum koj noj tshuaj ntau npaum li cas lawm, feem ntau ntawm koj cov tsos mob yuav ploj mus thiab koj tuaj yeem ua neej nyob li qub.
Tom qab pib kho mob lawm ces yuav siv sijhawm ntev npaum li cas mam li zoo dua?
Cov tshuaj hormones yuav pib rov qab mus rau qhov qub thaum koj pib noj tshuaj. Txawm li cas los xij, nws yuav siv sijhawm ob peb lub lis piam rau koj cov tsos mob, xws li qaug zog thiab hnyav nce, kom ploj mus. Yog li nws yog ib qho tseem ceeb uas yuav tsum ua siab ntev.
Yog koj tsis kho mob ces yuav muaj li cas?
Qhov no yog qhov tseem ceeb tshaj plaws. Txawm hais tias kev kho mob yuav daws tau txhua yam teeb meem, yog tias tsis kho, tej zaum yuav muaj teeb meem loj tshwm sim.
- Goiter: Cov thyroid caj pas tuaj yeem loj hlob vim yog kev txhawb nqa txuas ntxiv.
- Kab mob plawv: Cov roj cholesterol phem (LDL) ntau ntxiv ua rau muaj kev pheej hmoo ntawm kev mob plawv.
- Teeb meem ntawm lub hlwb: Cov mob xws li kev nyuaj siab thiab kev ntxhov siab tuaj yeem ua rau hnyav zuj zus.
- Peripheral Neuropathy: Kev puas tsuaj rau cov hlab ntsha tuaj yeem ua rau mob thiab loog hauv ob txhais ceg.
- Kev Tsis Muaj Me Nyuam: Cov poj niam yuav muaj teeb meem xeeb tub. Yog tias tsis kho thaum cev xeeb tub, nws tuaj yeem ua rau poob lossis cuam tshuam rau tus menyuam.
- Myxedema Coma: Qhov no yog ib qho mob tsis tshua muaj, tab sis muaj kev phom sij rau lub neej . Kev ua haujlwm ntawm lub cev tsis zoo thiab tuaj yeem tsis nco qab.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog koj muaj ib qho tsos mob uas tau hais los saum toj no (xws li qaug zog tas li, hnyav nce, tawv nqaij qhuav), nco ntsoov mus ntsib kws kho mob. Nws yuav kuaj koj thiab, yog tias tsim nyog, xaj kom kuaj ntshav.
Yog tias koj twb noj tshuaj rau hypothyroidism lawm thiab xav tias koj cov tsos mob rov qab los, qhia rau koj tus kws kho mob paub. Tej zaum yuav tau hloov koj cov tshuaj noj.
Thaum twg yuav tsum mus rau ETU (Emergency Treatment Unit) sai sai
Yog tias koj muaj ib qho ntawm cov tsos mob hnyav hauv qab no, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd . Cov no yuav yog cov cim qhia ntawm tus mob Myxedema Coma uas tau hais ua ntej.
- Ua pa nyuaj
- Kev tsaug zog tsis taus, kev tsis meej pem
- Hypothermia (kub cev qis)
- Hypotension (ntshav siab qis heev)
- Lub plawv dhia qeeb heev (Bradycardia)
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Hypothyroidism yog ib qho mob uas cov thyroid caj pas tsis ua haujlwm zoo. Qhov no yog ib qho mob uas pom ntau heev.
- Yog tias koj nkees tsis muaj laj thawj, yog tias koj nkees tas li, yog tias koj daim tawv nqaij qhuav, lossis yog tias koj tsis tuaj yeem tiv taus qhov txias, ces koj yuav tsum ua tib zoo xav.
- Tsis txhob txhawj! Qhov no tuaj yeem kuaj pom los ntawm kev kuaj ntshav yooj yim thiab tswj tau zoo los ntawm kev noj ib lub tshuaj txhua hnub.
- Feem ntau kev kho mob yuav kav mus ib txhis. Tsis txhob tsum noj tshuaj yam tsis tau koj tus kws kho mob qhia.
- Yog koj kho tau zoo, koj yuav ua neej noj qab nyob zoo li qub yam tsis muaj teeb meem dab tsi.
- Yog koj muaj cov tsos mob, tsis txhob yig mus ntsib kws kho mob thiab tau txais kev qhia. Qhov ntawd yog kauj ruam zoo tshaj plaws rau kev ua neej noj qab haus huv.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus