I thyroid gland hian hna a thawk nasa lutuk em? Hyperthyroidism chungchang hi han sawi ila!

A chang chuan i taksaah thil dik lo a awm a, i rilru a hahdam lo niin i inhria em? I taksa chu tlem a thawk chak lutuk angin i inhria em, i lungkham a, i rilru fimkhur turin harsatna i nei em? Chutiang a nih chuan i thyroid gland hian hna a thawk nasa lutuk deuh mai thei. Vawiin hian he natna hi hyperthyroidism an tih hi han sawi ila.

Hyperthyroidism hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin, hyperthyroidism chu i kawr chhunga thyroid gland a thawk nasa lutuk a, thyroid hormone a siam tam lutuk hi a ni. Thyroid gland hi i kawr hmalam a awm, hnim hring ang maia te tak te a ni. Mahse, a te hle nachungin hna tam tak a thawk a ni. Thyroid hormone hi kan taksaa thil tam tak control nan a pawimawh hle a, a bik takin kan taksain chakna, a nih loh leh metabolism a hman dan rate hi a thunun thei a ni.

Thyroid hormone hi chi hnih a awm a, chungte chu `triiodothyronine (T3)` leh `thyroxine (T4)` te an ni. Tin, `thyroid-stimulating hormone (TSH)` a awm bawk a, chu chu pituitary gland atanga lo chhuak a ni a, thyroid chu hormone siam turin a hrilh a ni. Tunah chuan hyperthyroidism-ah hian thil thleng chu heng `(T3)` leh `(T4)` hormone te hi thisenah an pungkhawm tur aia tam a ni. Tichuan, taksaa thil tam tak chu a tlan chak a, rel tlan chak ang maiin. I taksa pum pui chu “overdrive”-ah a awm niin i hria mai thei. Nangmah ni lo ang maiin i inhriat phah hial mai thei. Chuvangin hei hi hriat chian a pawimawh hle a, symptom i neih chuan doctor pan a pawimawh hle.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan hyperthyroidism hi a awm fo lo. Entirnan, America ang ramah chuan mihring zinga 1.3% chauhvin he natna hi an nei niin an sawi. Mahse, mi zawng zawng a nghawng a, chuvangin fimkhur a tha.

Hyperthyroidism natna lan chhuahna chu engte nge ni? Hengte pawh hi i nei em tih en rawh!

Hyperthyroidism hian kan taksa pum a nghawng theih avangin symptom pakhat aia tam a awm thei. Mi thenkhat chuan heng symptoms tlemte chauh hi an nei thei a, thenkhat erawh chuan vawi khatah tam tak an nei thei thung. Heng zinga pakhat tal i tawng em tih en rawh:

• Lung natna (Tachycardia) leh/ emaw, thinlung natna (pulpitations) chak tak . A rilru chhunga drum ri ang maiin a lang.
• Thisen sang a sang .
• I kut a nghing ang maia inhriatna (`(Hand tremors)`). Tea no khat i vawn lai pawhin i khur ang maiin a lang.
• Lungkham reng, rilru hahdam lo, leh/ emaw, thinrim awlsam taka inhriatna .
• Weight loss despite a good appetite , i ei tam zawk pawhin a ni mai thei.
• Flatulence awm fo emawDiarrhea ang chi dinhmun .
• Thaw tam lutuk leh lumna nasa lutuk tuar thei lo.
• Hairline nghet lo, sam tlakchham emaw, a tawp inthen emaw ang chi.
• Insomnia (zanah mut theih lohna).
• Hmeichhe thlasik hun inthlak danglamna, entîr nân, thla khat chhûnga thisen luang chhuak tlem emaw, thlasik chawlhsan vek emaw
• Kawng hma lam a hring a, chu chu goiter an ti a ni .
• Mit hring emaw, a lo chhuak emaw (`(Thyroid mit natna)`).

Heng symptoms te hi a intan thut thei a, a nih loh leh hun kal zelah zawi zawiin a lo awm thei bawk. A pawimawh ber chu heng symptoms pakhat emaw a aia tam emaw i neih nia i hriat chuan doctor pan hi a ni.

Engvangin nge hyperthyroidism hi a lo awm? A chhante chu engte nge ni?

Hyperthyroidism hi chhan hrang hrang a awm thei. A bulpui berte han thlir ila:

• Graves natna: Hei hi hyperthyroidism thlentu ber a ni. Graves natna hi autoimmune condition a ni. A awlsam zawngin sawi ila, kan taksa immune system hian keimahni thyroid gland chu a bei a, chu chuan hormone a siam tam lutuk a ni. I chhungkuaa mi tu emaw chuan thyroid natna emaw, autoimmune natna dang emaw a neih chuan i vei theihna a sang zawk.

• Thyroid nodules: Hei hi thyroid gland-a cell lumps emaw cluster emaw lo awm a ni. A chang chuan heng lumps te hian thyroid hormone a siam tam lutuk thei. Hei hi Doctor-te chuan toxic multinodular goiter (TMNG) an ti bawk. Mahse lungngai suh, heng thyroid nodules te hi cancer hi a tlem hle.

• Thyroiditis: Hei hi thyroid gland inflammation, a nih loh leh swelling a ni. Hei hian hun eng emaw chen atan hyperthyroidism a thlen thei a ni. Hetiang hun chhunga overproduction hnuah hian hypothyroidism (thyroid hormone underproduction) a awm thei a ni. Inflammation a reh chuan hormone level chu a normal leh thei a ni.

• Taksa chhunga iodine tam lutuk luh:Kan ei leh in atang emaw, damdawi thenkhat atanga iodine kan ei tam lutuk chuan thyroid gland chu hormone tam lutuk siam turin a tichak thei a ni. Hei hi a chhan chu iodine hi thyroid hormone siam chhuahna atana pawimawh tak mineral a nih vang a ni. A chang chuan IV iodinated contrast (special x-ray atana hman thin dye) i dawn hian emaw, Amiodarone (thinlung damdawi) ang chi damdawi i ei hian a awm thei bawk.

• TSH-releasing pituitary adenoma / Thyrotropinoma: Hei hi thil awm lo tak a ni. Kan thluaka pituitary gland-a tumor te tak te hian thyroid-stimulating hormone (TSH) a siam tam lutuk a. Chu chuan thyroid gland chu hormone tam zawk siam turin a nawr a ni.

Tute nge hyperthyroidism vei theihna chance sang zawk?

Mi thenkhat chuan midang aiin he natna hi an nei tam zawk. A nghawngtu risk factor lian thenkhat chu:

• I chhungkuaa mi tu emaw chuan thyroid natna leh/ emaw autoimmune condition a nei a .
• Meizial zuk.
• Naupai (a bik takin nau neih hnua thyroiditis, nau neih hnua awm thin).

Engtin nge doctor hian hei hi a hriat chian?

Doctor chuan hyperthyroidism i neih leh neih loh hriat nan step engemaw zat a zawm ang:

1. Taksa endik: A hmasa berin doctor-in hyperthyroidism symptoms i neih leh neih loh a enfiah ang che. Entirnan, i thyroid gland a lo hring em, i heart rate a sang em, i vun chu a lum a, a clammy em?

2. Thyroid thisen test: Hengte hian i thisena thyroid hormone awm zat a enfiah thin. Hyperthyroidism vei chuan hormone `(T3)` leh `(T4)` te hi a tlangpui aia tam a nei a. ``Thyroid Stimulating Hormone (TSH)`` level hi a tlangpui aia hniam a ni fo (mahse a ni lo).

3. Thyroid antibody thisen test: Hei hian Graves natna hi a chhan a ni em tih hriat nan a pui a ni.

4. Imaging test: I thyroid gland imaging test hrang hrang hmangin hyperthyroidism awm chhan hriat theih a ni. Chung zingah chuan radioactive iodine uptake (RAIU) test leh scan te, thyroid ultrasound te pawh a tel. I doctor chuan heng test te hi a hrilhfiah ang che a, i tana tha ber tur chu a rawn rawt ang che.

Hyperthyroidism hi eng enkawlna nge ni?

Thu lawmawm tak chu hyperthyroidism hi enkawl theih a ni. I natna chhan a zirin enkawlna thenkhat chu a dang aiin i tan a tha zawk mai thei. I doctor chuan heng enkawlna kawng hrang hrangte hi a sawipui ang che a, i tana enkawlna tur ruahmanna tha ber thlang turin a pui ang che.

• Antithyroid damdawi: Methimazole (Tapazole®) leh Propylthiouracil (PTU) te hian i thyroid gland-in hormone a siam theihna a ti tlem a. Heng damdawi te hi hyperthyroidism enkawlna atana hman tlanglawn ber a ni. Thyroid hnathawh hi thla hnih atanga thla thum chhungin a control theih tlangpui. Ni engemaw zat emaw, kar tlemte emaw chhungin i natna lan chhuah dan chu a lo tha chho tan thei a ni.

• Radioactive iodine (RAI) hmanga enkawlna: Hei hian capsule emaw, tui radioactive iodine awmna tui emaw chu ka hmanga ei a ni. Radioactive iodine hian i thyroid cells ah direct in a kal a, a tichhia a ni. RAI hmanga enkawlna hian a tlangpuiin thyroid gland chu a tichhe vek a, chu chuan hyperthyroidism a tidam thei a ni. Mahse, he enkawlna dawngtu tam tak chuan hormone level pangngai an neih theih nan an dam chhung zawng thyroid hormone damdawi (Levothyroxine) an ei a ngai dawn a ni.

• Surgery (`(Thyroidectomy)`): Surgeon chuan i thyroid gland zawng zawng emaw, a then emaw a la chhuak thei. Hei hian hyperthyroidism a siam tha thei a, mahse ``Hypothyroidism`` (thyroid hormone level hniam) a thlen fo thin. Chumi hnuah chuan i dam chhung zawng thyroid hormone damdawi i ei a ngai dawn a ni.

• Beta-blockers: Heng damdawi te hian hyperthyroidism symptoms, thinlung thawk chak, rilru hahdam lohna leh khur te chu a thunun thei a ni. Mahse thisena hormone awm zat an thlak danglam lo. I doctor chuan heng beta-blockers te hi enkawlna dang nen a pe thei che a ni.

Heng enkawlna hrang hrangte hian side effect leh risk hrang hrang an nei vek a. I doctor chuan hengte hi a hrilhfiah ang che. Zawhna zawh hreh suh.

Hyperthyroidism vei tan chuan eng prognosis nge a awm? (Prognosis) tih a ni.

Hyperthyroidism hi enkawl theih a ni. Mi tam zawk chuan enkawlna hmangin an ti tha hle. Enkawlna thenkhatah chuan dam chhung damdawi ei a ngai a, mahse i thyroid hormone level chu hrisel level-ah a awm theih nan a pui thei a ni.

Mahse, Graves natna avanga hyperthyroidism awm chu enkawl loh a nih chuan hun kal zelah a zual zel thei a, Graves’s ophthalmopathy ang chi harsatna a thlen thei bawk. Graves natna i neih chuan i doctor hnenah engtin nge a enkawl dan tha ber zawt rawh.

Enkawl loh chuan eng nge thleng ang? A hlauhawm em?

Enkawl loh emaw, enkawl that loh emaw chuan hyperthyroidism hian harsatna hrang hrang a thlen thei a ni. Chung zinga ṭhenkhat chu:

• Atrial fibrillation (Afib) (thinlung thawk mumal lo) .
• Congestive heart failure (thinlung natna) .
• Nau pai theih lohna
• `Ischemic stroke` (paralysis) tih a ni.
• Osteoporosis (ruh hring hring) .

Hyperthyroidism natna hlauhawm tak, mahse nunna atana hlauhawm thei chu thyroid storm (thyroid crisis emaw thyrotoxic crisis emaw an ti bawk) hi a ni . Hei hi i thyroid gland hian hun rei lote chhunga i thisenah thyroid hormone tam tak a siam chhuah hun a ni. Hei hi medical emergency a ni. Hyperthyroidism enkawl loh emaw, enkawl that loh emaw chuan thyroid thlipui a thlen thei a ni. Infection, hliam, leh surgery ang chi dinhmun lungkhamthlak tak takte chuan a tizual thei a ni.

Engtikah nge Doctor ka hmuh ang?

Hyperthyroidism symptoms i neih nia i hriat chuan doctor pan a, i dinhmun endik a, a tul anga enkawl a pawimawh.

Hetiang natna hi i nei tih i hriat tawh chuan i damdawi in a thawk tha em tih hriat nan i doctor i pan fo a ngai dawn a ni.

``Thyroid storm'' symptoms, khawsik sang leh thinlung na tak tak i neih chuan a rang thei ang bera damdawi in hnai ber pan rawh.

Hetiang dinhmun hian taksa rihna a tipung dawn em ni?

Hyperthyroidism hian taksa rihna a tipung lo tlangpui. Dik tak chuan mi thenkhat chuan ei duhna tha tak nei mahse an taksa rihna an tlahniam thin. Hei hi a chhan chu hyperthyroidism hian i taksa metabolic rate a tisang a, chu chuan chakna atan a pangngai aia calorie a hmang tam zawk a ni.

Hypothyroidism (Thyroid hormone siam chhuah tlem) hian metabolic rate a tihhniam bakah taksa rihna a ti tlahniam thei a ni.

Naupai lai hian hyperthyroidism hi a lo awm thei em?

Ni e, he natna hi naupai lai hian a awm thei. Naupai tirh lamah chuan i taksain i naute a thanlen theih nan a hma aia tam thyroid hormone a siam chhuah a ngai a ni. Thyroid hormone level pangngai aia sang tlem chuan harsatna a awm lo a, mahse a level a sang hle a nih chuan i doctor chuan enkawlna tur ruahmanna a siam a ngai dawn a ni. A chhan chu thyroid hormone level sang hian nangmah chauh ni lovin, i naute pawh a nghawng thei a ni.

Naupai laiin hyperthyroidism hi hriat a harsa thei a, a chhan chu a pianphung atanga thyroid hormone level sang leh naupai chhinchhiahna dangte hian a khuh thei a ni.

Hyperthyroidism i neih chuan eng ei tur nge i ei loh tur?

A then phei chuan iodine tamna emaw, iodine dah belh emaw ei tam lutuk hian hyperthyroidism a thlen thei a, a nih loh leh dinhmun awmsa a tichhe thei bawk.

Hyperthyroidism i neih chuan i doctor chuan i ei leh inah inthlak danglamna engemaw zat siam turin a rawt thei ang. I ei leh in lama inthlak danglamna lian tham i neih hmain doctor emaw registered dietitian emaw rawn hmasa phawt ang che. Hyperthyroidism hi ei leh in ringawt pawha tihdam theih a ni lo tih hre reng ang che. Damdawi lam enkawlna i mamawh ngei ang.

I doctor-in iodine tlem ei tur a rawt chuan heng ei tur te hi ei loh tum ang che:

• Sangha
• Tuipui chi (`(Seaweed)` leh `(Kelp)`) te hi a ni.
• Crab leh lobster te pawh an awm
• Sushi a ni
• Kaikuang
• Algae leh alginate te a awm
• Dairy products, bawnghnute leh cheese ang chi te
• Egg yolk a ni
• Iodized chi a ni

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Diagnosis thar i hmuh hian tlem a buaithlak deuh tih hi thil pangngai a ni. Mahse thu lawmawm tak chu hyperthyroidism hi enkawl theih a ni. I taksa a thawk nasa lutuk emaw, i rilru a buai emaw, i ngaihtuahna i tihbuai emaw ang chi symptom i neih chuan doctor pan a pawimawh. I doctor chuan test awlsam tlemte a kalpui thei a, i taksa a balance leh theih nan enkawlna dik tak a rawt thei bawk. Lungngai suh, hrisel takin i awm thei!