Puas muaj tej lub sij hawm koj xav tias koj nkees heev yam tsis muaj laj thawj? Los yog koj puas xav tias koj tsis so, zoo li koj tab tom poob phaus? Tej zaum muaj qhov o me me nyob rau pem hauv ntej ntawm koj lub caj dab, lossis ib yam dab tsi zoo li ntawd, zoo li mob thaum koj kov nws? Tej zaum tom qab cov no tej zaum yuav muaj teeb meem nrog koj lub qog thyroid. Hnub no, peb yuav tham txog qhov mob uas tshwm sim ntau, tab sis tsis paub zoo hu ua 'thyroiditis'.
Ua ntej, cia peb saib, lub qog thyroid no yog dab tsi?
Hais yooj yim xwb, lub qog thyroid yog ib lub cev me me zoo li npauj npaim nyob hauv qab daim tawv nqaij ntawm pem hauv ntej ntawm peb lub caj dab. Nws yog ib feem tseem ceeb heev ntawm peb lub cev endocrine system. Ntau yam haujlwm tseem ceeb hauv lub cev, xws li lub plawv dhia, qhov kub ntawm lub cev, thiab qhov nrawm uas peb hloov cov khoom noj uas peb noj mus ua zog (metabolism), yog tswj los ntawm cov tshuaj hormones uas lub qog me me no tsim tawm.
Tam sim no, Thyroiditis yog dab tsi? Nws yog kev o lossis o ntawm lub qog thyroid. Ib yam li thaum peb raug mob qhov twg ntawm peb lub cev, thaj chaw ntawd yuav o thiab liab, thaum lub qog thyroid puas tsuaj rau qee qhov laj thawj, nws kuj o. Qhov o no tuaj yeem cuam tshuam kev ua haujlwm ib txwm ntawm lub qog thyroid. Ntawd yog, nws pib tsim cov tshuaj hormones ntau dhau, lossis nws tuaj yeem tsim tsawg dhau.
Peb theem tseem ceeb ntawm thyroiditis yog:
Feem ntau ntawm cov mob thyroiditis, koj lub cev tuaj yeem dhau peb theem tseem ceeb. Nws zoo li ua haujlwm hauv lub Hoobkas.
1. Theem Thyrotoxic: Qhov no zoo li lub Hoobkas uas tsis tswj tau thiab cia li tso tawm ntau yam khoom rau hauv kev ua lag luam. Thaum lub qog thyroid o, cov tshuaj hormones uas khaws cia hauv nws yuav raug tso tawm mus rau hauv cov ntshav. Qhov no ua rau koj cov tshuaj hormones thyroid nce siab heev rau ob peb lub lis piam lossis ib hlis lossis ob hlis.
2. Theem Hypothyroid: Tam sim no lub Hoobkas tau tso tawm tag nrho cov khoom ib zaug, lawv tsis muaj cov khoom siv raw los ua lawv dua. Tsis tas li ntawd, tom qab tag nrho cov tshuaj hormones tau tso tawm los ntawm lub qog mus rau hauv cov ntshav, qhov xwm txheej tshwm sim uas cov tshuaj hormones tshiab tsis tuaj yeem ua tau. Yog li ntawd, qib ntawm cov tshuaj hormones thyroid hauv koj lub cev txo qis heev. Hauv qee hom Thyroiditis, piv txwv li, Hashimoto's thyroiditis, qib hormone qis no tuaj yeem dhau mus tas li.
3. Theem Euthyroid: Qhov no yog theem rov zoo. Ib yam li lub Hoobkas pib ua haujlwm dua thiab tsim cov khoom lag luam li qub, cov qog thyroid kho thiab pib tsim cov tshuaj hormones li qub dua. Ib txhia neeg yuav nkag mus rau theem no tom qab theem hormone siab, lossis lawv yuav nkag mus rau theem no tom qab theem hormone qis.
Cov hom mob thyroiditis tseem ceeb yog dab tsi?
Kab mob thyroiditis tsis yog ib yam kab mob xwb. Nws yog ib pawg kab mob uas muaj ntau yam ua rau mob. Cia peb saib cov hom kab mob tseem ceeb.
| Hom mob thyroiditis | Hauv lus yooj yim, qhov no yog qhov tshwm sim. |
|---|---|
| Hashimoto tus mob thyroiditis | Qhov no yog hom mob uas feem ntau tshwm sim. Qhov uas tshwm sim ntawm no yog tias peb lub cev lub cev tiv thaiv kab mob tawm tsam nws tus kheej lub qog thyroid. Qhov no yog ib qho kab mob autoimmune. Raws li lub sijhawm dhau mus, lub qog tuaj yeem puas tsuaj thiab kev tsim cov tshuaj hormones tuaj yeem txo qis mus tas li (Hypothyroidism). |
| Mob thyroiditis uas ntsiag to los yog tsis mob | Qhov no kuj yog ib yam mob autoimmune. Raws li lub npe qhia, tsis muaj mob caj dab, tab sis koj tuaj yeem pom cov theem ntawm kev nce siab thiab kev poob qis. |
| Mob thyroiditis tom qab yug me nyuam | Qhov no yog ib qho mob uas tuaj yeem tshwm sim rau cov niam hauv thawj xyoo ntawm kev muaj menyuam. Qhov ua rau yog autoimmune. Feem ntau, nws yog ib ntus xwb. |
| Mob thyroiditis uas tshwm sim los ntawm kev siv hluav taws xob | Nws tuaj yeem tshwm sim los ntawm kev kho mob qog noj ntshav los yog kev kho mob radioactive iodine kom ua rau cov tshuaj hormones thyroid ntau ntxiv. |
| Mob thyroiditis subacute | Nws ntseeg tau tias yog los ntawm kev kis kab mob viral. Nws tuaj yeem tshwm sim tom qab mob caj pas lossis mob khaub thuas dhau mus. Tej zaum yuav mob caj dab heev. |
| Mob thyroiditis mob hnyav | Qhov no tsis tshua muaj. Nws tshwm sim thaum ib tug kab mob, xws li cov kab mob bacteria, nkag mus rau hauv lub qog thyroid thiab kis rau nws. Ntawm no thiab, mob hnyav thiab kub taub hau tuaj yeem tshwm sim. |
| Cov tshuaj ua rau mob thyroiditis | Nws tuaj yeem tshwm sim los ntawm kev phiv tshuaj ntawm qee cov tshuaj (piv txwv li Amiodarone, Lithium, Interferons). Txawm li cas los xij, tsis yog txhua tus neeg uas noj cov tshuaj no yuav muaj tus kab mob no. |
Cov tsos mob ntawm cov thyroiditis yog dab tsi?
Cov tsos mob nyob ntawm seb koj muaj hom mob thyroiditis li cas thiab koj nyob rau theem twg (cov tshuaj hormones siab lossis qis). Cia peb saib seb cov tsos mob twg tuaj yeem tshwm sim hauv ob theem no.
| Cov tsos mob ntawm cov tshuaj hormones ntau ntxiv (Thyrotoxicosis) | Cov tsos mob ntawm cov tshuaj hormones qis (Hypothyroidism) |
|---|---|
| Xav tias koj lub plawv dhia ceev heev | Xav tias nkees txhua lub sijhawm (Fatigue) |
| Kev poob phaus tsis muaj laj thawj | Qhov hnyav nce tsis muaj laj thawj |
| Xav tias tshaib plab txhua lub sijhawm | Kab mob cem quav |
| Kev tsis so, kev chim siab | Kev nyuaj siab los yog kev tu siab |
| Tsis tsaug zog | Daim tawv nqaij qhuav |
| Tawm hws ntau dhau, xav tias kub | Kev tsis kam rau mob khaub thuas |
| Kev tshee hnyo | Cov leeg tsis muaj zog |
| - | Nyuaj siab rau kev tsom ntsoov |
Tseem Ceeb Heev: Hauv qee kis tsis tshua muaj, kev kho mob hyperthyroidism tuaj yeem ua rau muaj mob hnyav hu ua 'thyroid storm'. Yog tias koj muaj cov tsos mob xws li kub taub hau siab (tshaj 104 F), lub plawv dhia ceev heev (tshaj 140 lub suab ib feeb), lossis tsis meej pem, mus rau chav kho mob ceev (ETU) ntawm koj lub tsev kho mob ze tshaj plaws tam sim ntawd. Qhov no yog xwm txheej ceev kho mob.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Yog koj muaj cov tsos mob no, koj tus kws kho mob yuav xub nug koj txog koj cov tsos mob thiab kuaj koj lub caj dab. Tom qab ntawd, yog tias xav tias muaj mob thyroiditis, lawv yuav xaj ntau yam kev kuaj mob, xws li:
- Kev kuaj mob thyroid ua haujlwm: Qhov no yog kev kuaj ntshav. Nws ntsuas cov tshuaj hormones TSH, T3, thiab T4 hauv koj cov ntshav. Qhov no tuaj yeem qhia koj meej tias koj nyob rau theem siab lossis qis hormone.
- Kev kuaj mob thyroid ultrasound: Qhov no tuaj yeem kuaj xyuas cov duab thiab qhov loj ntawm lub qog thyroid, seb puas muaj cov qog hauv nws, thiab seb cov ntshav ncig zoo li cas.
- Kev kuaj mob thyroid antibody: Qhov kev kuaj ntshav no pab txiav txim siab seb koj qhov thyroiditis puas yog los ntawm tus mob autoimmune.
- Kev kuaj ESR thiab CRP: Cov no kuj yog kev kuaj ntshav. Lawv yog qhov tseem ceeb los txiav txim siab seb puas muaj kev o hauv lub cev. Cov no tshwj xeeb tshaj yog siab hauv subacute thiab acute thyroiditis.
- Kev nqus cov tshuaj iodine uas muaj radioactive (kev kuaj RAIU):Qhov no suav nrog kev muab me me ntawm cov tshuaj radioactive iodine rau koj haus thiab tom qab ntawd ntsuas seb koj cov qog thyroid tau nqus tau ntau npaum li cas ob peb teev tom qab. Qhov kev nqus no qis heev thaum lub sijhawm hormonally hyperactive ntawm thyroiditis.
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob nyob ntawm seb koj muaj hom mob thyroiditis thiab koj cov tsos mob li cas.
Kev kho mob rau kev tsis sib npaug ntawm cov tshuaj hormones
Vim tias theem no feem ntau yog ib ntus xwb, koj tus kws kho mob yuav sau ntawv kom noj tshuaj, xws li beta-blockers, los tswj cov tsos mob xws li lub plawv dhia ceev thiab lub cev tshee hnyo. Feem ntau cov tshuaj yuav tsum tsis txhob noj thaum cov tsos mob ploj mus.
Kev kho mob rau qhov tsis muaj tshuaj hormones
Yog tias koj muaj ib yam mob uas ua rau koj tsis muaj cov tshuaj hormones txaus, xws li Hashimoto's thyroiditis, koj tus kws kho mob yuav sau ntawv kom koj noj cov tshuaj thyroid hormone sab nraud (xws li levothyroxine). Qhov no yuav tsum tau noj mus tas koj lub neej.
Hauv lwm hom, yog tias qhov tsis txaus cov tshuaj hormones yog ib ntus xwb, cov tshuaj hormones no raug muab rau li 6 txog 12 lub hlis, tom qab ntawd tsum thiab pom tias cov qog rov ua haujlwm dua.
Lwm yam kev kho mob tshwj xeeb
- Rau qhov mob: Cov tshuaj loog mob (NSAIDs) yog muab rau cov mob uas mob xws li subacute thyroiditis. Yog tias qhov mob hnyav heev, tej zaum yuav tsum tau siv tshuaj steroid.
- Rau kev kis kab mob: Cov tshuaj tua kab mob raug muab rau cov kab mob bacterial xws li mob thyroiditis mob hnyav. Yog tias muaj o, nws yuav tsum tau siv koob los rho nws tawm.
- Kev Phais Mob: Hauv cov xwm txheej tsis tshua muaj, xws li Riedel thyroiditis, kev phais mob yuav tsum tau ua.
Qhov no puas tiv thaiv tsis tau?
Tu siab kawg li, tsis muaj ib txoj kev twg los tiv thaiv tau feem ntau hom mob thyroiditis, vim feem ntau ntawm lawv yog los ntawm peb lub cev tiv thaiv kab mob. Txawm li cas los xij, yog tias koj tab tom kho mob los ntawm kev siv hluav taws xob los kho ib yam kab mob lossis noj tshuaj uas ua rau mob thyroiditis, koj tuaj yeem tham nrog koj tus kws kho mob txog nws thiab paub txog cov kev pheej hmoo.
Yog tias koj raug kuaj pom tias muaj mob thyroiditis, tsis txhob ntshai. Qhov no yog ib qho mob uas feem ntau kho tau zoo, tswj tau, thiab kho tau zoo. Qhov tseem ceeb tshaj plaws yog ua raws li koj tus kws kho mob cov lus qhia thiab rov qab mus kuaj mob tsis tu ncua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob thyroiditis yog ib qho mob o ntawm cov qog thyroid. Nws tsis yog mob qog noj ntshav.
- Hauv qhov no, cov tshuaj hormones yuav pib nce (hyperthyroidism), thiab tom qab ntawd txo qis (hypothyroidism).
- Ua tib zoo saib xyuas yog tias koj muaj cov tsos mob xws li qhov hnyav hloov pauv yam tsis paub meej, qaug zog heev, tsis so, mob caj dab, lossis o.
- Tus mob no tuaj yeem kuaj tau yooj yim los ntawm kev kuaj ntshav thiab kev ntsuas yooj yim.
- Muaj cov kev kho mob zoo heev rau ntau hom mob thyroiditis. Qee yam tsuas yog ib ntus xwb, thaum lwm yam yuav xav tau kev kho mob ntev.
- Yog koj muaj lus nug lossis kev tsis ntseeg txog qhov no, nrog koj tus kws kho mob tham qhib siab txog qhov no.
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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