Koj lub qog thyroid puas o hauv koj lub caj dab? Cia peb tham txog thyroiditis!

Koj puas tau muaj ib lub pob me me nyob rau ntawm koj lub caj dab pem hauv ntej, qhov mob tingling hauv koj txhais tes, lossis tsuas yog nkees thiab ntxhov siab xwb? Ib qho ntawm cov laj thawj rau qhov no yog ib qho mob hu ua thyroiditis . Lub npe yuav zoo li yog ib qho teeb meem loj, tab sis cia peb tham txog nws yooj yim thiab hauv txoj kev uas koj tuaj yeem nkag siab.

Kab mob Thyroiditis yog dab tsi? Cia peb nkag siab yooj yim!

Hais yooj yim xwb, thyroiditis yog ib qho mob o ntawm koj lub qog thyroid , uas txhais tau tias o. Tam sim no koj yuav xav paub tias lub qog thyroid yog dab tsi thiab nws nyob qhov twg. Xav txog nws li no, lub qog thyroid yog ib lub cev me me zoo li npauj npaim nyob rau pem hauv ntej ntawm koj lub caj dab, nyob hauv qab daim tawv nqaij. Nws yog ib feem ntawm peb lub cev endocrine system . Nws tsim thiab tso tawm ntau hom tshuaj hormones uas tswj ntau yam haujlwm tseem ceeb hauv peb lub cev. Tam sim no, qhov mob no hu ua thyroiditis tsis yog ib hom khoom xwb. Nws yog lub npe dav dav rau ib pawg ntawm cov mob uas ua rau mob ntawm lub qog thyroid, nrog rau ntau yam ua rau thiab cov tsos mob. Qhov tseem ceeb uas tuaj yeem ua rau mob thyroiditis no yog tias cov tshuaj hormones thyroid raug tsim ntau dhau lossis tsawg dhau.

Cov theem ntawm cov thyroiditis yog dab tsi?

Feem ntau, muaj peb theem tseem ceeb hauv feem ntau hom mob thyroiditis. Cia peb saib seb lawv yog dab tsi: 1. Theem Thyrotoxic: Hauv theem no, koj lub qog thyroid o thiab cia li tso tawm ntau dhau cov tshuaj hormones. Qhov no ua rau muaj mob ib ntus hu ua thyrotoxicosis . Nws zoo li dej nyab sai sai ntawm cov tshuaj hormones. 2. Theem Hypothyroid: Tam sim no tom qab qhov kev nce ntxiv ntawm cov tshuaj hormones, tom qab ob peb lub lis piam lossis lub hlis, lub qog thyroid tsis muaj cov tshuaj hormones txaus kom tso tawm. Tom qab ntawd, qhov tsis txaus ntawm cov tshuaj hormones tshwm sim. Qhov no hu ua hypothyroidism . Hauv qee hom mob thyroiditis, xws li Hashimoto's thyroiditis thiab kev siv hluav taws xob ua rau mob thyroiditis, theem hypothyroid no yog mus tas li. 3. Theem Euthyroid: Thaum lub sijhawm no, koj cov tshuaj hormones thyroid rov qab mus rau qhov qub. Qhov no yuav tshwm sim ib ntus tom qab theem thyrotoxic, ua ntej nkag mus rau theem hypothyroid. Lossis, nws yuav yog theem kawg, thaum lub qog thyroid tau rov zoo los ntawm kev o thiab tsim cov tshuaj hormones ib txwm dua.

Cov hom mob thyroiditis tseem ceeb yog dab tsi?

Zoo li peb tau tham ua ntej lawm, mob thyroiditis tsis yog ib yam kab mob xwb. Muaj ntau hom kab mob sib txawv. Cia peb saib seb lawv yog dab tsi:

• Hashimoto's thyroiditis: Qhov no yog hom thyroiditis feem ntau.Qhov no kuj hu ua mob lymphocytic thyroiditis ntev . Qhov no yog ib yam mob autoimmune . Uas yog, peb lub cev tiv thaiv kab mob tawm tsam cov thyroid caj pas los ntawm kev tsim cov tshuaj antithyroid . Qhov no yog qhov ua rau mob hypothyroidism .
• Mob thyroiditis uas ntsiag to lossis tsis mob: Qhov no kuj yog ib qho mob autoimmune. Nws kuj yog tshwm sim los ntawm cov tshuaj tiv thaiv thyroid. Raws li lub npe qhia, nws tsis mob heev.
• Kab mob thyroiditis tom qab yug me nyuam: Qhov no kuj yog ib yam mob uas tus kab mob autoimmune ua rau nws tus kheej tsis ua haujlwm. Txawm li cas los xij, nws tshwm sim hauv ib xyoos tom qab yug me nyuam. Qhov no tsis tshua muaj.
• Kev mob thyroiditis uas tshwm sim los ntawm kev siv hluav taws xob los kho qee hom mob qog noj ntshav lossis los ntawm kev siv radioactive iodine los kho hyperthyroidism .
• Kab mob thyroiditis subacute lossis de Quervain's thyroiditis: Qhov no yog ib qho mob uas feem ntau yog los ntawm tus kab mob. Nws feem ntau tshwm sim tom qab muaj kab mob ua pa sab saud , xws li mob khaub thuas lossis mob ntsws, tau dhau mus lawm.
• Kab mob thyroiditis uas kis tau kab mob sai sai: Qhov no yog ib qho mob tsis tshua muaj. Nws yog tshwm sim los ntawm ib yam kab mob sib kis, xws li ib tug kab mob bacteria .
• Mob thyroiditis uas los ntawm tshuaj: Qhov mob no tuaj yeem tshwm sim thaum siv qee yam tshuaj, xws li amiodarone , interferons , lithium, thiab cytokines . Txawm li cas los xij, tsis yog txhua tus neeg uas noj cov tshuaj no muaj tus mob no, tsuas yog ob peb tug neeg xwb.
• Riedel thyroiditis: Qhov no kuj yog ib yam kab mob tsis tshua muaj. Nws yog tus yam ntxwv los ntawm kev o thiab fibrosis ntawm lub qog thyroid mus sij hawm ntev.Tus mob no hu ua fibrosis. Fibrosis yog qhov ua rau cov nqaij tuab lossis caws pliav.

Leej twg raug kev txom nyem tshaj plaws los ntawm thyroiditis?

Txawm hais tias mob thyroiditis tuaj yeem cuam tshuam rau leej twg los xij, nws cuam tshuam rau cov poj niam ntau dua. Piv txwv li, ib hom mob thyroiditis hu ua Hashimoto's thyroiditis yog plaub txog kaum npaug ntau dua rau cov poj niam dua li cov txiv neej. Nws kuj tseem yog feem ntau rau cov neeg hnub nyoog ntawm 30 thiab 50. Mob thyroiditis ntsiag to lossis tsis mob kuj tseem yog feem ntau rau cov poj niam. Nws yog hom mob thyroiditis thib ob uas feem ntau tshwm sim tom qab Hashimoto's thyroiditis.

Tus mob no feem ntau tshwm sim li cas?

Raws li peb tau hais ua ntej lawm, hom mob thyroiditis uas feem ntau tshwm sim yog Hashimoto's thyroiditis. Kwv yees li ntawm 1% thiab 2% ntawm cov pej xeem hauv Tebchaws Meskas muaj mob no. Lwm hom mob thyroiditis tsis tshua muaj.

Puas yog mob thyroiditis ua rau neeg tuag taus?

Feem ntau cov mob thyroiditis tsis ua rau tuag taus.

Txawm li cas los xij, yog tias koj muaj hyperthyroidism vim yog thyroiditis thiab nws tsis kho rau lub sijhawm ntev, muaj kev pheej hmoo ntawm kev tsim cov mob txaus ntshai, uas hu ua thyroid storm .

Cov tsos mob ntawm cua daj cua dub thyroid yog dab tsi?

• Kub taub hau heev - Kub taub hau tuaj yeem nce ntawm 104 txog 106 degrees Fahrenheit (40-41 degrees Celsius).
• Lub plawv dhia ceev (tachycardia) - tuaj yeem tshaj 140 lub suab ib feeb.
• Xav tias ntxhov siab tas li, chim siab, thiab/lossis tsis so.
• Delirium - Qhov no yog ib qho mob uas ua rau muaj kev tsis nco qab thiab tsis meej pem.

Yog koj muaj ib qho ntawm cov tsos mob no, mus rau tsev kho mob ze tshaj plaws tam sim ntawd. Qhov no yog xwm txheej ceev! Yog tias koj xav tias koj muaj cov tsos mob ntawm thyroiditis, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob tam sim ntawd. Tom qab ntawd lawv tuaj yeem khiav cov kev kuaj mob tsim nyog, kuaj mob, thiab pib kho mob.

Cov tsos mob ntawm cov thyroiditis yog dab tsi?

Cov tsos mob ntawm thyroiditis nyob ntawm hom thiab theem ntawm tus kab mob. Hauv feem ntau hom thyroiditis, cov tsos mob ntawm thyrotoxicosis tshwm sim ua ntej, tom qab ntawd cov tsos mob ntawm hypothyroidism. Hauv subacute thyroiditis thiab mob thyroiditis kis kab mob, feem ntau muaj mob hauv thaj chaw uas lub qog thyroid nyob. Ib txhia neeg yuav muaj lub qog thyroid loj hlob, hu ua goiter .

Cov tsos mob ntawm Thyrotoxicosis (thaum cov tshuaj hormones nce ntxiv)

Lub sijhawm thyrotoxic ntawm thyroiditis feem ntau yog luv luv, kav ntev li ib mus rau peb lub hlis. Yog tias koj cov thyroid hlwb raug puas tsuaj sai sai thiab cov thyroid hormone ntau dhau raug tso tawm, koj yuav muaj cov tsos mob ntawm hyperthyroidism ( overactive thyroid gland). Cov no suav nrog:

• Lub plawv dhia tsis xwm yeem.
• Kev ntshaw zaub mov ntau ntxiv.
• Ua nyias nyias tsis muaj laj thawj.
• Txhua lub sijhawm muaj kev ntxhov siab thiab tsis xis nyob.
• Ceev nrooj chim siab.
• Tsis tsaug zog.
• Ua rau tawm hws ntau ntxiv thiab rhiab heev rau cua sov.
• Kev tshee hnyo.

Cov tsos mob ntawm Hypothyroidism (tsawg cov tshuaj hormones)

Theem hypothyroidism ntawm thyroiditis tuaj yeem kav ntev, thiab tej zaum yuav kav mus ib txhis. Yog tias koj cov thyroid hlwb raug puas tsuaj thiab koj cov tshuaj hormones thyroid poob qis, koj yuav muaj cov tsos mob ntawm hypothyroidism. Cov no suav nrog:

• Xav tias nkees txhua lub sijhawm.
• Loj zuj zus tsis muaj laj thawj.
• Cem quav.
• Cov mob hlwb xws li kev nyuaj siab.
• Daim tawv nqaij qhuav.
• Ua rau muaj kev rhiab heev rau qhov txias.
• Cov leeg tsis muaj zog.
• Txo qis peev xwm tsom ntsoov.

Cov ua rau muaj mob thyroiditis yog dab tsi?

Mob thyroiditis tshwm sim thaum koj lub qog thyroid raug "tawm tsam" los ntawm ib yam dab tsi, ua rau nws o (qhov no yog lub cev teb rau kev raug mob) thiab ua puas rau cov hlwb thyroid. Cov ua rau sib txawv nyob ntawm hom. Qhov ua rau feem ntau yog tus kab mob autoimmune . Qhov no txhais tau tias lub cev tiv thaiv kab mob, uas yuav tsum tiv thaiv peb lub cev, ua yuam kev tawm tsam peb lub cev. Tseem tsis tau paub meej tias vim li cas qhov no tshwm sim. Feem ntau hom mob thyroiditis yog tshwm sim los ntawm cov tshuaj tua kab mob uas tawm tsam koj lub qog thyroid.

Yuav kuaj mob thyroiditis li cas?

Thaum koj mus ntsib kws kho mob, lawv yuav kuaj koj thiab kuaj koj lub qog thyroid. Tom qab ntawd lawv yuav nug txog koj cov tsos mob thiab tej yam mob uas koj tau muaj yav dhau los. Yog tias lawv xav tias koj muaj mob thyroiditis, lawv yuav ua qee qhov lossis tag nrho cov kev kuaj no kom paub meej tias koj muaj mob:

• Kev kuaj xyuas kev ua haujlwm ntawm cov thyroid: Cov no yog cov kev kuaj ntshav uas kuaj xyuas koj cov tshuaj hormones uas cuam tshuam nrog thyroid thiab cov theem ntawm cov tshuaj hormones thyroid. Piv txwv li, koj cov tshuaj hormones thyroid-stimulating (TSH) , triiodothyronine (T3) , thiab thyroxine (T4) . TSH los ntawm koj lub qog pituitary . Nws ua rau koj lub qog thyroid tsim cov tshuaj hormones T4 thiab T3. Ua ke, ob qho no hu ua cov tshuaj hormones thyroid.
• Kev kuaj mob ultrasound ntawm cov thyroid:Cov kws kho mob feem ntau siv lub tshuab ultrasound los saib cov qauv ntawm lub qog thyroid. Qhov no tuaj yeem ntes tau tej yam xws li lub qog thyroid, kev hloov pauv ntawm cov ntshav ntws, thiab qhov ceev ntawm lub qog.
• Kev kuaj mob thyroid antibody: Cov no kuj yog kev kuaj ntshav. Lawv nrhiav cov tshuaj thyroid antibodies, xws li antithyroid (microsomal) antibodies (TPO) lossis thyroid receptor stimulating antibodies (TRAb) . Yog tias cov tshuaj no muaj, nws txhais tau tias koj yuav muaj ib hom thyroiditis uas tshwm sim los ntawm tus kab mob autoimmune.
• Tus nqi ntawm cov ntshav hauv cov ntshav (ESR lossis sed rate): Qhov no kuj yog kev kuaj ntshav. Nws pab nrhiav seb puas muaj kev o ntawm koj lub cev. ESR siab dua hauv subacute thyroiditis.
• C-reactive protein (CRP): Qhov no ntsuas qib CRP hauv koj cov ntshav. Cov qib CRP nce ntxiv thaum muaj kev o hauv lub cev. Nws tuaj yeem siab heev hauv cov kab mob thyroiditis mob hnyav.
• Kev kuaj radioactive iodine uptake (RAIU): Qhov kev kuaj no ntsuas seb koj cov qog thyroid nqus tau radioactive iodine ntau npaum li cas (muab los ntawm qhov ncauj). Qhov nyiaj no yeej ib txwm qis hauv theem thyrotoxic ntawm thyroiditis.

Yuav kho tus mob thyroiditis li cas?

Kev kho mob rau thyroiditis nyob ntawm hom thiab cov tsos mob.

Kev Kho Mob Thyrotoxicosis

Yog tias koj nyob rau theem thyrotoxic ntawm thyroiditis, koj tus kws kho mob yuav muab ib hom tshuaj rau koj hu ua beta-blockers . Cov no tuaj yeem pab txo koj lub plawv dhia ( palpitations ) thiab tremors. Thaum koj cov tsos mob zoo dua, koj tus kws kho mob yuav maj mam txo thiab tso tseg cov tshuaj. Qhov no yog vim tias theem thyrotoxic yog ib ntus xwb.

Kev Kho Mob Hypothyroidism

Yog tias koj muaj Hashimoto's thyroiditis, koj tus kws kho mob yuav muab tshuaj thyroid hormone hloov rau koj, xws li levothyroxine . Koj yuav tsum tau noj cov tshuaj no rau tas koj lub neej. Hypothyroidism los ntawm Hashimoto's thyroiditis feem ntau yog mus tas li. Yog tias koj muaj subacute, ntsiag to, lossis postpartum thyroiditis, thiab koj muaj cov tsos mob ntawm hypothyroidism, koj tus kws kho mob kuj tseem yuav muab tshuaj thyroid hormone hloov rau koj. Koj yuav tsum tau noj cov tshuaj no li 6 txog 12 lub hlis. Tom qab ntawd koj tus kws kho mob yuav maj mam txo cov tshuaj kom pom tias koj puas muaj hypothyroidism mus tas li. Yog tias koj hypothyroidism tsis hnyav, txhais tau tias koj muaj ob peb yam tsos mob, koj yuav tsis xav tau tshuaj li.

Lwm yam kev kho mob rau thyroiditis

Yog tias koj muaj mob thyroiditis uas kis tau kab mob sai sai , koj yuav tsum tau kho qhov mob. Qhov no yuav muaj feem ntau yuav siv tshuaj tua kab mob . Yog tias koj muaj qhov o , lossis qhov qhib, hauv koj lub thyroid, koj tus kws kho mob yuav tsum tau siv koob txhaj me me (nqus cov kua qaub tawm nrog lub koob txhaj tshuaj) kom ntws cov kua qaub. Mob thyroiditis uas ua rau muaj tshuaj feem ntau tsuas kav ntev li koj noj cov tshuaj uas ua rau muaj. Koj tus kws kho mob yuav hloov tau koj mus rau lwm cov tshuaj uas zoo ib yam li cov uas koj noj. Lossis, koj yuav tau txais levothyroxine rau mob thyroiditis thaum koj txuas ntxiv noj cov tshuaj. Qhov mob los ntawm mob thyroiditis uas kis tau kab mob sai sai thiab mob thyroiditis subacute feem ntau tuaj yeem tswj tau nrog cov tshuaj tsis yog steroidal anti-inflammatory (NSAIDs) , xws li aspirin lossis ibuprofen . Qee zaum, kev kho mob steroid yuav siv tau yog tias qhov mob hnyav heev. Riedel thyroiditis yuav xav tau kev phais.

Puas tiv thaiv tau tus kab mob thyroiditis?

Tu siab kawg li, muaj ntau hom mob thyroiditis uas peb tiv thaiv tsis tau . Yog koj muaj mob uas xav tau kev siv tshuaj iodine los yog kev siv tshuaj tua kab mob, nrog koj tus kws kho mob tham txog qhov uas koj yuav muaj mob thyroiditis. Tej zaum koj yuav pib tau lwm yam kev kho mob los tiv thaiv kom tsis txhob muaj mob thyroiditis. Yog koj noj tshuaj uas ua rau mob thyroiditis, nrog koj tus kws kho mob tham txog qhov uas koj yuav muaj mob thyroiditis. Txawm li cas los xij, txawm tias ua li ntawd los kuj yuav tsis tiv thaiv tau mob thyroiditis.

Yuav ua li cas thiaj paub tias tus kab mob thyroiditis yog dab tsi?

Feem ntau, qhov kev cia siab rau tus mob thyroiditis zoo . Hauv Hashimoto's thyroiditis, qhov tshwm sim ntawm hypothyroidism feem ntau yog mus tas li. Txawm li cas los xij, nws tuaj yeem tswj hwm nrog kev kho mob hloov pauv thyroid hormone tas mus li. Cov neeg uas muaj subacute thyroiditis feem ntau muaj cov tsos mob li ib mus rau peb lub hlis. Txawm li cas los xij, nws tuaj yeem siv sijhawm 12 txog 18 lub hlis rau kev ua haujlwm ntawm thyroid kom rov qab mus rau qhov qub. Cov neeg no muaj 5% kev pheej hmoo ntawm kev mob hypothyroidism mus tas li. Postpartum thiab ntsiag to (tsis mob) thyroiditis kuj siv sijhawm 12 txog 18 lub hlis kom rov zoo tag nrho. Cov neeg uas muaj cov mob no muaj 20% kev pheej hmoo ntawm kev mob hypothyroidism mus tas li.

Thaum twg koj yuav tsum mus ntsib kws kho mob txog thyroiditis?

Yog tias koj tau kuaj pom tias muaj mob thyroiditis, koj yuav tsum mus ntsib kws kho mob tsis tu ncua kom kuaj xyuas koj cov tsos mob thiab xyuas kom tseeb tias koj txoj kev kho mob ua haujlwm zoo.Yog tias nws hnyav zuj zus, lossis yog tias koj muaj cov tsos mob txhawj xeeb ntxiv , nrog koj tus kws kho mob tham sai li sai tau.

Nws yog ib qho ib txwm muaj uas koj yuav ntxhov siab thaum koj pom tias koj muaj ib yam mob. Tab sis qhov xov xwm zoo yog tias mob thyroiditis yog ib yam mob uas kho tau, thiab feem ntau nws tuaj yeem yog ib ntus xwb. Yog tias koj muaj lus nug txog koj tus mob thyroiditis lossis koj txoj kev npaj kho mob, nrog koj tus kws kho mob tham. Lawv nyob ntawm no los pab.

Cov Lus Xaus Kawg coj mus tsev

Zoo, yog li ntawm qhov peb tau tham txog, kuv vam tias koj muaj lub tswv yim zoo txog thyroiditis. Nco ntsoov:

• Mob thyroiditis yog ib qho mob o ntawm cov qog thyroid hauv koj lub caj dab .
• Qhov no tuaj yeem ua rau lub thyroid tsim cov tshuaj hormones thyroid ntau dhau lossis tsawg dhau .
• Muaj ntau hom thiab theem ntawm qhov no. Hashimoto's yog hom uas pom ntau tshaj plaws.
• Cov tsos mob yuav txawv nyob ntawm hom mob. Tej zaum koj yuav pom tej yam xws li qaug zog, qhov hnyav hloov, lub plawv dhia hloov, thiab kev hloov siab .
• Feem ntau, qhov no yog vim muaj tus kab mob autoimmune .
• Tus kab mob no tuaj yeem kuaj pom los ntawm kev kuaj ntshav thiab ultrasound .
• Kev kho mob nyob ntawm hom thiab cov tsos mob. Qee yam tuaj yeem kho tau mus tas li , thaum lwm yam yuav xav tau kev kho mob ntev .
• Yuav tsum paub txog qhov teeb meem txaus ntshai hu ua thyroid storm . Yog tias koj muaj cov tsos mob no , mus rau tsev kho mob tam sim ntawd .
• Yog koj muaj lus nug dab tsi, tsis txhob ncua sijhawm nrhiav kev pab kho mob .

Qhov tseem ceeb tshaj plaws yog koj yuav tsum noj qab nyob zoo!