Ni engemaw zat chu chhan awm lovin i chau leh rilru hah lutuk tih pawh i inhria em? Tlem a rit deuhin i inhria em? I khawsik i hre fo em? Hengte hi thil pangngaiah ngai fo mah ila, a chang chuan heng natna lan chhuah chhan hi Hashimoto’s Disease an tih natna a ni thei. Lungngai suh, hei hi a hming angin a hlauhawm lo. Hemi chungchang hi awlsam tak leh chiang takin sawi ila.
Hashimoto natna hi eng nge ni?
A awlsam zawngin sawi ila, Hashimoto’s hi kan taksa hriselna lama harsatna avanga thyroid gland a nghawng dan a ni. Hei hi autoimmune condition an ti a . Chumi awmzia chu kan taksa defence system hian kan cell hrisel tak tak, he thu-ah hian thyroid gland hi a bei sual tihna a ni. Hei hi dam chhung (chronic) natna a ni tlangpui.
Ngaihtuah teh, thyroid gland hi butterfly ang chi gland te tak te, kan kawr hmalam vun hnuaia awm a ni. Kan endocrine system-a tel a ni. Thyroid hormone a siam chhuak a, kan taksaa thil tam tak a thunun bawk.
Thyroid gland hnathawh ber chu kan taksa metabolism rate control hi a ni. Chu chu kan ei tur chu chakna-ah a inthlak chakna rate tihna a ni. Metabolism tih thumal kan hriat hian taksa rihna tihpun leh tlahniam chauh kan ngaihtuah fo thin. Mahse a nihna takah chuan he thil kalphung hian taksa peng zawng zawng a nghawng a, kan thinlung leh thluak pawh a nghawng a ni.
Hashimoto natna nen hian kan immune system hian thyroid gland chu a bei a, chu chuan thyroid hormone a siam tlem phah a ni. Hetiang dinhmun hi hypothyroidism an ti a . Hei hian kan metabolism a ti slow a, symptom hrang hrang a thlen bawk.
He natna hi engtiang chiahin nge a hluar? Tuin nge dawng thei ber?
Hashimoto’s hi a takah chuan natna tlanglawn tak a ni. America ang ramah chuan mi 100 zinga 5 chuan he natna hi an vei a ni. Tunah chuan Sri Lanka-ah hian he natna hi a hluar chho ta hle a ni. Iodized salt leh ei tur tamna ramah chuan Hashimoto natna hi hypothyroidism thlentu ber a ni.
He natna hi kum eng pawhah a vei thei a, mahse hmeichhiate hian mipa aiin a let 10 velin an vei tam zawk a ni. Hmeichhia kum 30 leh 50 inkar zingah a awm tam ber.
Hashimoto natna lan chhuah dan chu engte nge ni?
Hashimoto natna vei thenkhat chuan a tir lamah symptom an nei lo. Natna a zual zel chuan thyroid gland hi a chang chuan a lo hring thei bawk. Hei hi goiter an ti a.Hei hi Hashimoto natna chhinchhiahna hmasa ber a ni fo thin. Nat lo mah se, i kawr hmalam chu a khat tih i hre thei. A hring angin a lang thei bawk.
Hun a kal zel a, Hashimoto natna avanga hypothyroidism a lo awm chuan a hnuaia symptoms te hi a hnungzuiin a lang thei a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Chauhna leh rilru hahna | Chauhna, rilru hahna, leh chhan hriat loha mut tam lutuk. |
| Rihna a sang chho zel | Diet control leh exercise nei mahse taksa rihna a pung zauh zauh. |
| Vun a nghawng dan | Vun vawt, sam tlakchham, sam vawt leh brittle. |
| Khua a vawt tih hriatna | Midang tan pawha thil awm dan pangngaiah pawh khaw lum lutuk tih hriat. |
| Rilru lama nghawng a neih dan | Lungngaihna, lungngaihna, hriatrengna hloh, ngaihtuahna seng harsa. |
| Taksa lam inthlak danglamna | Constipation, heart rate slow (bradycardia), taksa ruh leh ruh na, hmai leh mit a hring. |
| Reproductive health lama harsatna awm thei | Hmeichhia hian thlasik hun mumal lo emaw, thisen chhuak nasa tak emaw, mipat hmeichhiatna lama duhna a tlahniam a, nau pai harsat emaw an nei thei bawk. |
Hashimoto’s i neih hian i taksa chu engtin nge a awm?
Hashimoto’s nei mahse hypothyroidism i nei lo a nih chuan danglamna i hmu lo mai thei.
Mahse hypothyroidism i neih chuan i taksa chhunga thil awm zawng zawng hi "slow motion"-a thawk ang maiin i hria mai thei.
I taksa engine chu a tlan chak lo hle ang tih han ngaihtuah teh. Tûn hma anga tlan, zuang, exercise tih theihna chakna i nei tawh lo. I heart rate pawh a tlahniam tawh bawk. I thluak chu foggy niin i hria a, thil i theihnghilh a, i concentrate thei lo. I lungngai a, i lungngai bawk. I digestive system pawh a thawk zawi a, chu chuan constipation a thlen thei a ni.
Nang pawhin i taksa leh rilru chu a tlakbuak a, hna a thawk zawi hle tih i hriat chuan i doctor nen inbia ngei ang che.
Engvangin nge Hashimoto natna hi a lo awm? Risk factors te chu engte nge ni?
Kan sawi tawh ang khan Hashimoto’s hi autoimmune disease a ni. Chumi awmzia chu kan taksa ngeiin kan invenna (defence system) hian min laka hna a thawk tihna a ni. A tlangpuiin kan immune system hian ram dang atanga lo lut, bacteria leh virus te lakah min venghim thin. Mahse Hashimoto-a-ah chuan hetiang hi a thleng a ni:
1. A chhan hriat loh avangin i immune system chuan antibody a siam tan a, chu chuan thyroid gland a bei ta a ni.
2. Thisen var tam tak, a bik takin lymphocytes an tih chi khat chu thyroid gland-ah a pung khawm a.
3. Hei hian thyroid gland a ti na thin. Hei hi thyroiditis an ti a . He inflammation leh antibody attack hian gland a tichhia a ni.
4. Hun a kal zel a, he chhiatna hian thyroid gland hian taksa tana hormone a siam tling thei lo va, chu chuan hypothyroidism a thlen thin .
Hashimoto natna vei theihna tur risk factor engemaw zat a awm a:
- Chhungkaw chanchin: I chhungkuaa mi pakhatin Hashimoto natna emaw, thyroid natna dang emaw a neih chuan i vei a rinawm zawk. Research atanga a lan dan chuan case 80% hi genetic a ni.
- Sex: Kan sawi tawh ang khan hmeichhiain he natna hi a let 10 in an vei tam zawk a ni.
- Kum: Kum upat deuh deuh hian he natna vei theihna hi a sang chho zel a.
Tin, autoimmune condition dang i neih chuan Hashimoto’s i vei theihna a sang zawk bawk. Entir nan:
- Type 1 zunthlum vei a ni
- Rheumatoid arthritis natna a ni
- Lupus a ni
- Celiac natna a ni
Hashimoto natna hi engtin nge an hriat theih?
I natna lan chhuah dan a zawh hnuah i doctor chuan a enfiah hmasa ang che. A bik takin i kawr chu a palpate ang a, thyroid gland a hring (goiter) a awm leh awm loh a enfiah ang. Hemi hnu hian thisen test eng emaw zat a ti ang a, a natna hi a finfiah ang.
- TSH (Thyroid-Stimulating Hormone) Test: TSH level sang chuan i thyroid gland hian T4 hormone a siam chhuak tlem tihna a ni. Hei hi hypothyroidism chhinchhiahna lian tak a ni.
- Free T4 (Thyroxine) test: T4 level a hniam chuan hypothyroidism dinhmun a nemnghet lehzual a ni.
- Antithyroid Antibody Test: I thisenah heng antibodies bikte hi i neih chuan i hypothyroidism chhan chu Hashimoto natna a ni tih chiang takin hriat theih a ni.
A then phei chuan i doctor pawhin i thyroid gland lian tham leh nodules a awm leh awm loh enfiah nan thyroid ultrasound neih a rawt thei bawk.
Engtin nge enkawl a nih?
Hashimoto natna vei zawng zawng hian hypothyroidism an nei vek dawn lo. I thisena antibodies level sang mahse i TSH leh T4 level a normal a nih chuan i doctor chuan enkawlna a tan lo mai thei a, mahse thisen test mumal tak hmangin a enkawl ang che.
Mahse hypothyroidism hi Hashimoto natna avanga lo awm a nih chuan a enkawlna ber leh tha ber chu levothyroxine tih damdawi hi a ni. Hei hi T4 hormone siam chhuah a ni. He damdawi hi nitin pill angin ei thin a ni.
He damdawi hmang hian taksaa thyroid hormone level mamawh chu i siam tha leh thei a ni. A pawimawh ber chu i dam chhung zawng nitin he damdawi hi i ei a ngai a ni .
Damdawi i mamawh zat chu hun kal zelah a danglam thei. Chuvangin doctor-in a tih angin thisen test mumal tak neih a pawimawh hle a, a tul angin a dose pawh siamrem a pawimawh hle.
Damdawi hian side effect a nei em?
Levothyroxine hian side effect a nei tlem hle. An lo awm tak tak a nih chuan a chhan ber chu i mamawh aia tam i ei vang a ni. Hei hian thyrotoxicosis , taksain thyroid hormone a siam tam lutukna natna a thlen thei a ni. A lan chhuah dan chu:
- Heart rate (tachycardia) - a tlangpuiin minute khatah beat 100 aia tam a ni.
- Thinlung thawk mumal lo (arrhythmia).
- Chhan awm lovin taksa rihna tihtlem.
- A nghing tih hriatna.
- Restlessness, thinrimna.
- Heat intolerance leh thawk hah lutuk.
Heng symptoms te hi i neih chuan doctor hnenah hriattir nghal tur a ni.
Hashimoto damlote tan ei leh in bik a awm em?
Hashimoto natna hi ei leh in bik a awm lo. Mahse, ei leh in, damdawi leh vitamin thenkhat hian levothyroxine hi a lakluhna a tibuai thei a ni. Entirnan:
- Iron leh calcium tihpunna tur a ni.
- Anticid chi hrang hrang.
Hetiang thil i ei chuan he harsatna hi i pumpelh thei ang, i thyroid pill hi darkar 4 hma emaw, a hnu emawa ei la.
Ei leh in tha, exercise lak te, mut that te, leh stress control te hian i immune system a pui thei vek a ni. Mahse eng thil pawh ti ila, hypothyroidism i neih chuan i damdawi ei tur chu i doctor-in a tih ang chiah chiah i ei a pawimawh.
Naupai lai hian Hashimoto natna hi a hlauhawm em?
Naupai laiin hypothyroidism hi enkawl loh a nih chuan nu leh naute tan pawh a hlauhawm thei hle.
- Nau pai chhuah
- Hun hmaa nau neih
- Naupai laiin thisen sang (preeclampsia) .
Tin, enkawl loh chuan naute thanlenna leh thluak than dan a nghawng thei bawk. Chuvangin Hashimoto’s i vei a, naupai i tum emaw, naupai tawh emaw i nih chuan doctor hnenah hriattir nghal rawh. Enkawlna mumal leh vil reng a nih chuan nausen hrisel tak hrinah harsatna a awm lo.
Emergency treatment ngai case (ETU pan ngai case) 1.1.
Hypothyroidism enkawl loh, na tak tak a nih chuan emergency hmuh tur awm lo mahse nunna atana hlauhawm tak, myxedema coma an tih chu a thleng thei a ni. A hnuaia symptoms te hi a awm chuan damlo chu damdawi in hnai ber Emergency Department (ETU) ah hruai nghal rawh .
- Taksa lumna a hniam hle (hypothermia).
- Taksa, a bik takin hmai, lei leh ke ruh a hring.
- Heartbeat a slow hle a, pulse pawh a chak lo hle.
- Thâwk hi a muang hle emaw, a harsa hle emaw a ni.
- Buaina emaw, hriatna hloh emaw.
Condition i vei tih hmuhchhuah thar hian hlauhna leh lungkhamna i neih hi thil pangngai a ni. Mahse a tha ber chu Hashimoto natna hi enkawl theih leh enkawl theih a ni. Heng symptoms te hi i neih chuan, emaw, i chhungkuaa mi tu emaw chuan thyroid natna an nei a nih chuan, i doctor pan hreh suh. Thisen test awlsam tak chuan i thyroid a thawk tha em tih a hriat theih.
Take-Home Thuchah a ni
- Hashimoto’s hi autoimmune disease a ni a, keimahni immune system hian kan thyroid gland a bei a ni.
- He natna hi hypothyroidism thlentu ber a ni.
- Hriselna lama hah reng, taksa rihna sang, khawsik hriat, vun ro, leh chaw ei kham te hi a awm fo thin.
- Enkawlna chu nitin levothyroxine pill a ni a, dam chhung atan ei tur a ni.
- Enkawlna dik leh damdawi lam enkawlna hnuaiah chuan nun hrisel tak, nun pangngai tak i hmang thei ang.
- Heng symptoms te hi i neih chuan ngaihthah suh. Doctor hnenah thurawn dil ngei ngei tur a ni.
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