Ensigo yo eya thyroid ezimba mu bulago? Ka twogere ku bulwadde bwa thyroiditis!

Wali owuliddeko akazimba akatono mu maaso g’ensingo, ng’owunyiriza mu ngalo, oba ng’okooye era nga weeraliikirira? Emu ku nsonga lwaki kino kibaawo y'embeera eyitibwa thyroiditis . Erinnya lino liyinza okuwulikika ng’ekintu ekinene, naye ka tukyogereko mu ngeri ennyangu era mu ngeri gy’osobola okutegeera.

Obulwadde bwa Thyroiditis kye ki? Ka tukitegeere mu ngeri ennyangu!

Mu ngeri ennyangu, obulwadde bwa thyroiditis buzimba ku nnywanto yo eya thyroid , ekitegeeza okuzimba. Kati oyinza okuba nga weebuuza nti endwadde ya thyroid kye ki era gy’eri. Lowooza bw’ati, thyroid gland kitundu kitono ekiringa ekiwujjo mu maaso g’ensingo yo, wansi w’olususu lwokka. Kitundu ku nkola y’omubiri gwaffe ey’endocrine . Kikola n’okufulumya ebika by’obusimu ebiwerako ebifuga emirimu mingi emikulu mu mubiri gwaffe. Kati, embeera eno eyitibwa thyroiditis si kika kya kintu kimu. Mu butuufu linnya lya bulijjo erikwata ku kibinja ky’embeera ezireeta okuzimba enseke z’ekibumba, nga zirina ebivaako n’obubonero obw’enjawulo. Ekikulu ekiyinza okuvaako obulwadde buno obw’ekibumba kwe kuba nti obusimu bwa thyroid bukolebwa nnyo oba butono.

Mitendera ki egy’obulwadde bw’ekibumba?

Ebiseera ebisinga, waliwo emitendera esatu emikulu mu bika ebisinga obungi eby’obulwadde bwa thyroiditis. Ka tulabe kiki kye biri: 1. Omutendera gw’obutwa mu kibumba: Mu mutendera guno, endwadde yo eya thyroid ezimba era amangu ago n’efulumya obusimu obuyitiridde. Kino kireeta embeera ey'ekiseera eyitibwa thyrotoxicosis . Kiba ng’amataba g’obusimu mu bwangu. 2. Hypothyroid phase: Kati oluvannyuma lw’okulinnya okwo okw’amangu okw’obusimu, oluvannyuma lwa wiiki oba emyezi mitono, endwadde ya thyroid tesigazza busimu bumala kufulumya. Olwo, obutaba na busimu bwa thyroid bubaawo. Kino kiyitibwa obulwadde bwa hypothyroidism . Mu bika ebimu eby’obulwadde bwa thyroiditis, gamba nga Hashimoto’s thyroiditis ne radiation-induced thyroiditis, ekitundu kino eky’okukendeeza ku thyroid kiba kya lubeerera. 3. Omutendera gwa Euthyroid: Mu mutendera guno, obusimu bwo obwa thyroid budda mu mbeera eya bulijjo. Kino kiyinza okubaawo okumala akaseera oluvannyuma lw’omutendera gw’obutwa mu kibumba, nga tonnayingira mu mutendera gwa hypothyroid. Oba, kiyinza okuba omutendera ogusembayo, ng’endwadde ya thyroid eteredde okuva mu kuzimba era ng’ezzeemu okukola obusimu mu ngeri eya bulijjo.

Bika ki ebikulu eby’obulwadde bwa thyroiditis?

Nga bwe twayogeddeko emabegako, obulwadde bwa thyroiditis si bulwadde bumu bwokka. Waliwo ebika byayo eby’enjawulo. Ka tulabe kiki kye bali:

• Hashimoto’s thyroiditis: Kino kye kika ky’obulwadde bw’ekibumba ekisinga okubeerawo.. Kino era kiyitibwa obulwadde bwa chronic lymphocytic thyroiditis . Eno mbeera ya autoimmune . Kwe kugamba, abaserikale b’omubiri gwaffe bennyini balumba endwadde ya thyroid nga bakola obutoffaali obuziyiza thyroid . Kino kye kisinga okuvaako obulwadde bwa hypothyroidism .
• Obulwadde bwa thyroiditis obusirise oba obutalumwa: Eno nayo mbeera ya autoimmune. Era kiva ku buwuka obuziyiza thyroid. Nga erinnya bwe liraga, tekiruma.
• Obulwadde bwa thyroiditis oluvannyuma lw’okuzaala: Eno nayo mbeera ya busimu obuziyiza endwadde. Kyokka kibaawo mu mwaka gumu oluvannyuma lw’okuzaala. Kino tekitera kubaawo.
• Obulwadde bwa thyroiditis obuva ku masanyalaze: Embeera eno eyinza okuva ku bujjanjabi bw’obusannyalazo ku bika bya kookolo ebimu oba ayodini akola amasannyalaze agaweebwa okujjanjaba obulwadde bwa hyperthyroidism .
• Subacute thyroiditis oba de Quervain’s thyroiditis: Eno mbeera eruma era etera okuva ku kawuka. Kitera okubaawo oluvannyuma lw’obulwadde bw’okussa okw’okungulu , gamba ng’omusujja oba ssennyiga, okuyitawo.
• Acute infectious thyroiditis: Eno embeera etali ya bulijjo nnyo. Kiva ku kiramu ekisiigibwa, gamba nga obuwuka .
• Obulwadde bw’ekibumba obuva ku ddagala: Embeera eno eyinza okubaawo ng’eddagala erimu, gamba nga amiodarone , interferons , lithium, ne cytokines, likozesebwa. Kyokka si buli muntu amira eddagala lino nti afuna embeera eno, abantu batono ddala.
• Riedel thyroiditis: Buno nabwo bulwadde obutatera kulabika nnyo. Kimanyiddwa olw’okuzimba okumala ebbanga eddene n’okuzimba enseke z’omubiri (fibrosis).Embeera eno eyitibwa fibrosis. Fibrosis kwe kugonza oba okukola enkovu mu bitundu by’omubiri.

Ani asinga okukosebwa obulwadde bwa thyroiditis?

Wadde obulwadde bw’ekibumba busobola okukwata omuntu yenna, naye businga kukwata abakyala . Okugeza, ekika ky’obulwadde bwa thyroiditis obuyitibwa Hashimoto’s thyroiditis businga emirundi ena oba kkumi mu bakyala okusinga mu basajja. Era businga kubeera mu bantu abali wakati w’emyaka 30 ne 50. Obulwadde bw’ekibumba obusirise oba obutalumwa nabwo businga kubeera mu bakyala. Ye kika kya thyroiditis ekyokubiri mu bungi oluvannyuma lw’obulwadde bwa Hashimoto’s thyroiditis.

Embeera eno ya bulijjo etya?

Nga bwe twagambye emabegako, ekika ekisinga okumanyibwa ye Hashimoto’s thyroiditis. Kiteeberezebwa nti kikwata wakati wa 1% ne 2% ku bantu mu Amerika. Ebika ebirala eby’obulwadde bwa thyroiditis tebitera nnyo.

Obulwadde bwa thyroiditis butiisa obulamu?

Obulwadde bwa thyroiditis butera obutaba bwa bulabe eri omuntu.

Wabula singa ofuna obulwadde bwa hyperthyroidism olw’obulwadde bwa thyroiditis ne busigala nga tebujjanjabiddwa okumala ebbanga eddene, waliwo akabi k’okufuna embeera ey’akabi, eyinza okutta omuntu eyitibwa thyroid storm .

Bubonero ki obulaga nti omuntu alina omuyaga gwa thyroid?

• Omusujja ogw’amaanyi – Omusujja guyinza okuva ku 104 okutuuka ku 106 degrees Fahrenheit (40-41 degrees Celsius).
• Omutima okukuba amangu (tachycardia) – kuyinza okusukka okukuba 140 buli ddakiika.
• Okuwulira nga weeraliikirira buli kiseera, okunyiiga, ne/oba nga towummudde.
• Delirium – Eno mbeera ya buzibu mu kutegeera n’okutabulwa.

Bw’oba ​​olina obubonero buno, genda mu ddwaaliro erikuli okumpi mu bwangu. Kino kya mangu! Bw’oba ​​olowooza nti olina obubonero bw’obulwadde bw’ekibumba, kikulu nnyo okulaba omusawo amangu ago. Olwo basobola okukola okukebera okwetaagisa, okuzuula embeera eyo, ne batandika okujjanjabibwa.

Bubonero ki obulaga obulwadde bwa Thyroiditis?

Obubonero bw’obulwadde bwa thyroiditis businziira ku kika n’omutendera gw’obulwadde. Mu bika by’obulwadde bwa thyroiditis ebisinga obungi, obubonero bw’obutwa mu kibumba busooka kulabika, ne buddako obubonero bw’obulwadde bwa thyroidism. Mu subacute thyroiditis ne acute infectious thyroiditis, ebiseera ebisinga wabaawo obulumi mu kitundu awali endwadde ya thyroid. Abantu abamu bayinza okufuna endwadde y’ekibumba egaziye, eyitibwa goiter .

Obubonero bw’obulwadde bwa Thyrotoxicosis (nga obusimu bweyongera) .

Omutendera gw’obutwa mu kibumba (thyrotoxic phase) gutera kuba gwa kiseera kitono, nga gumala omwezi nga gumu oba esatu. Singa obutoffaali bwo obwa thyroid bwonooneka mangu ate nga n’obusimu bwa thyroid buyitiridde, oyinza okufuna obubonero bw’obulwadde bwa hyperthyroidism ( overactive thyroid gland). Mu bino mulimu:

• Omutima okukuba.
• Okwongera okwagala okulya.
• Okubeera omugonvu awatali nsonga.
• Bulijjo okuwulira nga weeraliikirira era nga towummudde.
• Yanguwa okunyiiga.
• Ebbula ly'otulo.
• Okwongera okutuuyana n’okuwulira ebbugumu.
• Okukankana.

Obubonero bw’obulwadde bwa Hypothyroidism (obusimu obutono) .

Ekitundu kya hypothyroid eky’obulwadde bwa thyroiditis kisobola okumala ebbanga eddene, era kiyinza n’okubeera eky’olubeerera. Singa obutoffaali bwa thyroid bwonoonese ate nga n’obusimu bwo mu thyroid bukendeera, oyinza okufuna obubonero bw’obutaba na thyroid. Mu bino mulimu:

• Okuwulira ng’okooye buli kiseera.
• Okukula awatali nsonga.
• Obuteeyabya.
• Embeera z‟obwongo ng‟okwennyamira.
• Olususu olukalu.
• Okwongera okuwulira ennyogovu.
• Obunafu bw’ebinywa.
• Okukendeera kw’obusobozi bw’okussa essira.

Biki ebivaako obulwadde bwa Thyroiditis?

Obulwadde bwa thyroid bubaawo ng'endwadde yo eya thyroid "erumbiddwa" ekintu, ekigireetera okuzimba (kino kye kiddamu omubiri bwe kifuna obuvune) n'okwonoona obutoffaali bwa thyroid. Ebivaako byawukana okusinziira ku kika. Ekisinga okuvaako bulwadde obuva ku busimu obuziyiza endwadde . Kino kitegeeza nti abaserikale b’omubiri abalina okukuuma emibiri gyaffe, mu nsobi balumba emibiri gyaffe. Tekinnamanyika ddala lwaki kino kibaawo. Ebika by’obulwadde bw’ekibumba ebisinga biva ku busimu obuziyiza endwadde obulumba endwadde yo ey’ekibumba.

Obulwadde bwa thyroiditis buzuulibwa butya?

Bw’olaba omusawo, ajja kukukebera n’okukebera endwadde yo eya thyroid. Olwo bajja kukubuuza ku bubonero bwo n’endwadde zonna z’olina emabegako. Singa bateebereza nti olina obulwadde bwa thyroiditis, bayinza okukola ebimu oba byonna ku bino okukakasa nti ozudde:

• Okukebera enkola ya thyroid: Bino bye musaayi ebikebera obusimu bwo obukwata ku thyroid n’obusimu bwo mu thyroid. Ng’ekyokulabirako, obusimu bwo obusitula thyroid (TSH) , triiodothyronine (T3) , ne thyroxine (T4) . TSH eva mu nseke yo eya pituitary . Kisitula endwadde yo eya thyroid okukola obusimu bwa T4 ne T3. Ebibiri bino byonna awamu biyitibwa obusimu bwa thyroid.
• Okukebera amaloboozi ga thyroid:Abasawo batera okukozesa ekyuma ekiyitibwa ultrasound okutunuulira ensengekera y’endwadde z’ekibumba. Kino kisobola okuzuula ebintu nga thyroid nodule , enkyukakyuka mu ntambula y’omusaayi, n’obunene bw’endwadde.
• Okukebera obutoffaali obuziyiza endwadde mu thyroid: Bino nabyo bikebera musaayi. Banoonya obutoffaali obuziyiza thyroid, oba obuziyiza thyroid (microsomal) antibodies (TPO) oba thyroid receptor stimulating antibodies (TRAb) . Singa obuziyiza buno bubaawo, kitegeeza nti oyinza okuba n’ekika ky’obulwadde bwa thyroiditis obuva ku bulwadde obuva ku busimu obuziyiza endwadde.
• Erythrocyte sedimentation rate (ESR oba sed rate): Kino nakyo kikebera musaayi. Kiyamba okuzuula oba waliwo okuzimba mu mubiri gwo. ESR eri waggulu mu bulwadde bwa thyroiditis obuyitibwa subacute thyroiditis.
• C-reactive protein (CRP): Kino kipima omutindo gwa CRP mu musaayi gwo. Emiwendo gya CRP gyeyongera nga waliwo okuzimba mu mubiri. Kiyinza okuba ekinene ennyo mu bulwadde bwa acute infectious thyroiditis.
• Okukebera okukwata ayodini (RAIU): Okukebera kuno kupima obungi bwa ayodini (aweebwa mu kamwa) endwadde yo eya thyroid gy’enyiga. Omuwendo guno bulijjo guba mutono mu mutendera gw’obutwa mu kibumba (thyrotoxic phase of thyroiditis).

Obulwadde bw’ekibumba bujjanjabwa butya?

Obujjanjabi bw’obulwadde bwa thyroiditis businziira ku kika n’obubonero.

Obujjanjabi bw’obulwadde bwa Thyrotoxicosis

Bw’oba ​​oli mu mutendera gw’obutwa mu kibumba, omusawo wo ayinza okukuwa ekika ky’eddagala eriyitibwa beta-blockers . Bino bisobola okuyamba okukendeeza ku kukuba kw’omutima gwo ( palpitations ) n’okukankana. Obubonero bwo bwe bugenda bweyongera, omusawo ajja kukendeeza mpolampola n’okuyimiriza eddagala. Kino kiri bwe kityo kubanga ekitundu ky’obutwa mu kibumba kya kaseera buseera.

Obujjanjabi bw’obulwadde bwa Hypothyroidism

Bw’oba ​​olina obulwadde bwa Hashimoto’s thyroiditis, omusawo wo ajja kukuwa eddagala erikyusa obusimu bwa thyroid, gamba nga levothyroxine . Ojja kwetaaga okumira eddagala lino obulamu bwo bwonna. Obulwadde bwa Hypothyroidism obuva ku bulwadde bwa Hashimoto obuyitibwa thyroiditis butera okuba obw’olubeerera. Bw’oba ​​olina obulwadde bwa thyroiditis obuyitibwa subacute, silent oba postpartum thyroiditis, era ng’olina obubonero bw’obulwadde bwa hypothyroidism, omusawo wo era ajja kukuwa eddagala erikyusa obusimu bwa thyroid. Ojja kwetaaga okumira eddagala lino okumala emyezi nga 6 ku 12. Olwo omusawo wo ajja kukendeeza ku ddoozi mpolampola alabe oba olina obulwadde bwa hypothyroidism obw’olubeerera. Singa obulwadde bwo obw’ekibumba (hypothyroidism) tebuba bwa maanyi, ekitegeeza nti olina obubonero butono, oyinza obuteetaaga ddagala n’akatono.

Obujjanjabi obulala ku bulwadde bwa thyroiditis

Bw’oba ​​olina obulwadde bwa acute infectious thyroiditis , ojja kwetaaga okujjanjaba obulwadde buno. Kino kijja kusinga kuzingiramu eddagala eritta obuwuka . Bw’oba ​​olina ekizimba , oba ekiggule, mu thyroid yo, omusawo wo ayinza okwetaaga okukola fine-needle aspiration (okusonseka amasira n’empiso) okufulumya amasira. Obulwadde bw’ekibumba obuva ku ddagala butera okumala ebbanga lyokka ng’omira eddagala eryabuleeta. Omusawo ayinza okukukyusa n’afuna eddagala ery’enjawulo erifaananako n’eryo ly’omira. Oba, oyinza okuweebwa eddagala lya levothyroxine ku bulwadde bwa thyroiditis ng’ogenda mu maaso n’okumira eddagala. Obulumi obuva mu bulwadde bwa acute infectious thyroiditis ne subacute thyroiditis butera okufugibwa n’eddagala eriziyiza okuzimba eritali lya steroid (NSAIDs) , nga aspirin oba ibuprofen . Oluusi, eddagala lya steroid liyinza okukozesebwa singa obulumi buba bwa maanyi. Obulwadde bwa Riedel thyroiditis buyinza okwetaagisa okulongoosebwa.

Obulwadde bwa thyroiditis busobola okuziyizibwa?

Ebyembi, ebika bingi eby’obulwadde bwa thyroiditis tebisobola kuziyizibwa. Bw’oba ​​olina embeera eyeetaaga eddagala lya ayodini oba eddagala eriyitibwa radiation therapy, yogerako n’omusawo wo ku bulabe bw’okufuna obulwadde bwa thyroiditis. Oyinza okutandika obujjanjabi obulala okuziyiza obulwadde bwa thyroiditis okukula. Bw’oba ​​omira eddagala eriyinza okuvaako obulwadde bwa thyroiditis, yogerako n’omusawo wo ku kabi akaliwo n’okumanya oba osobola okulekera awo okumira eddagala eryo. Kyokka, n’okukola ekyo kiyinza obutaziyiza bulwadde bwa thyroid.

Kiki ekitegeeza nti omuntu alina obulwadde bwa thyroiditis?

Okutwalira awamu entunula y'obulwadde bwa thyroiditis nnungi . Mu bulwadde bwa Hashimoto obw’ekibumba, obulwadde bw’ekibumba obuvaamu butera okuba obw’olubeerera. Wabula kisobola okuddukanyizibwa n’obujjanjabi obukyusa obusimu bwa thyroid obulamu bwonna. Abantu abalina obulwadde bwa subacute thyroiditis batera okuba n’obubonero okumala omwezi nga gumu oba esatu. Wabula kiyinza okutwala emyezi 12 ku 18 okukola emirimu gya thyroid okudda mu bujjuvu mu mbeera eya bulijjo. Abantu bano balina emikisa gya bitundu 5% egy’okulwala obulwadde bwa hypothyroidism obw’olubeerera. Obulwadde bwa thyroiditis oluvannyuma lw’okuzaala n’obusirise (obutaliimu bulumi) nabwo butwala emyezi 12 ku 18 okuwona mu bujjuvu. Abantu abalina embeera zino balina emikisa 20% egy’okulwala obulwadde bwa hypothyroidism obw’olubeerera.

Ddi lw’osaanidde okulaba omusawo ku bulwadde bwa thyroiditis?

Bw’oba ​​ozuuliddwa ng’olina obulwadde bwa thyroiditis, olina okugenda ew’omusawo buli kiseera okukebera obubonero bwo n’okukakasa nti obujjanjabi bwo bukola bulungi. Obubonero bwoSinga yeeyongera okusajjuka, oba bw’ofuna obubonero obulala obukweraliikiriza , yogerako n’omusawo wo amangu ddala nga bwe kisoboka.

Kya bulijjo okuwulira nga oli ku situleesi ng’okizudde nti olina embeera. Naye amawulire amalungi gali nti obulwadde bwa thyroiditis mbeera esobola okujjanjabibwa, era emirundi mingi buyinza okuba obw’akaseera obuseera. Bw’oba ​​olina ekibuuzo kyonna ku bulwadde bw’ekibumba oba enteekateeka yo ey’obujjanjabi, yogerako n’omusawo wo. Bali wano okuyamba.

Obubaka Obusembayo Okutwala Awaka

Okay, kale okusinziira ku bye twogeddeko, nsuubira nti ofunye ekirowoozo ekirungi ku bulwadde bwa thyroiditis. Okujjukira:

• Obulwadde bwa thyroid buzimba ku nnywanto ya thyroid mu bulago bwo .
• Kino kiyinza okuvaako thyroid okukola obusimu bwa thyroid bungi oba obutono .
• Kino kirina ebika n’emitendera egy’enjawulo . Obulwadde bwa Hashimoto bwe businga okubeera obw’ekika.
• Obubonero bwawukana okusinziira ku kika. Oyinza okulaba ebintu ng’obukoowu , enkyukakyuka mu buzito, enkyukakyuka mu kukuba kw’omutima, n’enkyukakyuka mu mbeera y’omuntu .
• Ebiseera ebisinga, kino kiva ku mbeera y’abaserikale b’omubiri (autoimmune condition).
• Obulwadde buno busobola okuzuulibwa ng'oyita mu kukeberebwa omusaayi n'okukebera amaloboozi agayitibwa ultrasound .
• Obujjanjabi businziira ku kika n’obubonero. Ebimu bisobola okuwona enkalakkalira , ate ebirala biyinza okwetaaga okujjanjabibwa okumala ebbanga eddene .
• Beera mwegendereza embeera ey'akabi eyitibwa thyroid storm . Bw'ofuna obubonero buno genda mu ddwaaliro mu bwangu .
• Bw’oba ​​olina okubuusabuusa kwonna, tolwawo kunoonya magezi ga musawo .

Ekisinga obukulu kwe kusigala ng’oli mulamu bulungi!