Tunlai hian i taksa rihna tihtlem mai mai angin i inhria bawk em? Eng ang pawhin ei mah la, i thau thei lo em ni? I thinlung a na a, thil tenawm tak takah i thinrim a, i thawkrim reng ang chi symptom i nei em? Tunlai i stress vang a ni tih i ngaihtuah mai thei. Mahse hengte hi ‘Hyperthyroidism’ an tih natna chhinchhiahna a ni thei. Hemi chungchang hi awlsam takin, i hriatthiam theih dan tur angin sawi ila.
He hyperthyroidism hi eng nge ni?
A awlsam zawngin, hyperthyroidism chu kan kawr chhunga butterfly ang maia thyroid gland chu a thawk nasa lutuk a, thyroid hormone a siam tam lutuk hi a ni. Hei hi ‘overactive thyroid’ an ti bawk.
Kan taksa hi motor angin han ngaihtuah teh. He car engine speed (metabolism) control tu accelerator hi thyroid hormone a ni. A tlangpuiin he accelerator hi controlled takin a thawk thin. Mahse hyperthyroidism-ah chuan he accelerator hi mi pakhatin a ke a pen ang mai a ni. Tichuan taksa chhunga thil thleng zawng zawng, thinlung thawk atanga ei tur siam chhuah thlengin chak takin a thleng tan ta a ni. Hei vang hian i chau a, i rilru a hahdam lo.
Kan taksa metabolism control tu hormone lian ber ber, chu chu kan ei tur chu chaknaah a chantir chakna rate a ni a, chu chu thyroxine (T4) leh triiodothyronine (T3) te an ni. Thyroid gland hi heng hormone te hi siam chhuak turin a hriattir a, chu chu TSH (Thyroid Stimulating Hormone) tih hormone a ni a, chu chu thluaka pituitary gland atanga lo chhuak a ni. Hyperthyroidism-ah chuan heng T3 leh T4 hormone te hi a tam lutuk a ni.
Hyperthyroidism natna lan chhuah dan tlangpui chu engte nge ni?
Hyperthyroidism hian kan taksa pum a nghawng avangin symptom tam tak a awm thei. Chûng zînga tlemte chauh i nei thei a, a rualin tam tak i nei thei bawk. Heng symptoms te hi a intan nghal thei a, hun kal zelah pawh a lo awm zauh zauh thei bawk.
Hriatthiam awlsam zawk nan heng mizia te hi table pakhatah han thlir ila.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Thinlung thawk chak tak (tachycardia) . | I ding reng lai pawhin i thinlung chu a na hle niin a lang. A chang chuan pawn lam atang chuan i rilru chhunga vuakna chu i hre thei. |
| Rihna tihtlem | Chaw ei duhna chu a pangngai reng chung pawhin, a aia nasa zawk pawh ni se, taksa rihna chu a tlahniam mai mai a ni. |
| Restlessness leh thinrimna | Ka lungkham hle a, ka rilru a hahdam lo mai mai. Thil tenau ber pawh ka thinrim nghal vat thin. |
| Tremors a awm | A bik takin kut ah chuan khur fiah lo tak a awm. |
| Thawmhnaw hak lutuk | Midangte temperature pangngai an neih lai pawhin i lum a, i thawkrim reng bawk. |
| Mu thei lo | Rilru hahdam loh vangin zanah mut a tlem phah thin. |
| Chaw ei leh in lama inthlak danglamna | Diarrhea emaw, bathroom-a kal fo ngai emaw. |
| Sam tlakchhamna | Sam a hring, a chak lo a, a tlangpui aia tam a chhuah bawk. |
| Hmeichhe thlasik hun inthlak danglamna | Menstrual bleeding tihtlem emaw tihtawp emaw. |
| Kawr a hring (goiter) . | Thyroid gland lian zawk avangin kawr hma lamah a hring (swelling) hmuh tur a awm. |
| Mit chhuak chhuak | Mit hring emaw, a rawn lang chhuak emaw. Hei hi Graves natnaah chuan a tam hle. |
Heng symptoms pakhat emaw a aia tam emaw i neih chuan ngaihthah lovin doctor pan a, thurawn lak a pawimawh hle.
Engvangin nge hyperthyroidism hi a lo awm? A chhante chu engte nge ni?
Hyperthyroidism hi a chhan lian ber ber engemaw zat a awm.
- Graves natna: Hei hi a chhan tam ber a ni. A awlsam zawngin kan taksa ngeia immune system chu a kal a, thyroid gland-ah ‘hormone tam zawk siam’ turin signal dik lo a thawn a ni. Hei hi autoimmune condition a ni. I chhungkuaa mi pakhatin thyroid natna emaw, autoimmune natna dang emaw a neih chuan he natna hi i vei theihna a sang zawk a ni.
- Thyroid nodules: Thyroid gland-a lump te tak te lo awm thin. Heng lumps thenkhat hian anmahni chauhin hormone an siam tan thin. Heng lumps te hi cancer a nih a rinawm loh hle.
- Thyroiditis: Thyroid gland a hring emaw, a hring emaw a awm. Hei hian gland chhunga hormone dahkhawmte chu thisenah a luang lut nghal thei a, chu chuan hun eng emaw chen atan hyperthyroidism a thlen thei a ni. A dinhmun a reh hnuah chuan gland chu a thawk tha lo thei a, chu chuan hypothyroidism a thlen thei a ni.
- Iodine ei tam lutuk: Thyroid hormone siam chhuahna atan iodine hi a pawimawh hle. Mahse, damdawi emaw ei tur thenkhat (tuipui thil ang chi) iodine awmna ei tam lutuk hian gland chu hormone tam lutuk siam turin a tichak thei a ni.
- Pituitary adenoma: Hei hi a awm lo hle. Thluak pituitary gland-a tumor te tak te lo awm chuan TSH a siam tam lutuk a, chu chuan thyroid gland chu hormone siam chhunzawm zel turin a nawr a ni.
Engtin nge hei hi i hmuh theih, Doctor?
Doctor i pan hunah chuan diagnosis siam nan step engemaw zat an zawm ang.
1. Taksa enfiahna: A hmasa berin Doctor in a enfiah ang che. I kawr chhunga thyroid gland hring, thinlung thawk chak, kut khur, leh vun hring (clammy skin) ang chi thil an zawng ang.
2. Thyroid thisen test: Hei hi test pawimawh leh dik ber a ni. I thisena T3, T4, leh TSH hormone awm zat a enfiah thin. Hyperthyroidism vei chuan T3 leh T4 level a sang tlangpui a, TSH level erawh a hniam fo thung .
3. A rilru a hah lutuk chuan a rilru a buai em em a.Thyroid antibody blood test: He test hian Graves natna hian he natna hi a thlen em tih hriat theih nan a pui a ni.
4. Test dang: A tul chuan i doctor chuan thyroid ultrasound emaw radioactive iodine uptake (RAIU) test ang chi thil engemaw ti turin a ti thei che a ni. Ngaihtuah buai suh, i doctor in engkim a hrilhfiah vek ang che.
Hyperthyroidism hi eng enkawlna nge ni?
A tha ber chu hyperthyroidism hi enkawl theih leh enkawl theih a ni. I doctor chuan i natna chhan leh i dinhmun a zirin i tana enkawlna tha ber tur a ruat ang.
| Enkawl dan tur | Engtin nge a thawh tih leh eng nge hriat tur tih |
|---|---|
| Antithyroid damdawi (Thyroid hormone siam chhuah titawptu damdawi) . | Heng damdawi (e.g. Methimazole, Propylthiouracil) te hian thyroid hormone siam chhuah tihtlem nan hna an thawk a ni. Thla hnih atanga thla thum chhungin he natna hi control theih a ni fo. Hei hi damdawi hman tlanglawn ber a ni. |
| Radioactive iodine hmanga enkawlna (RAI) hmanga enkawl a ni. | Hei hian radioactive iodine awmna capsule emaw liquid emaw in tur pek a huam a ni. He iodine hi thyroid gland-ah direct-in a kal a, chuta cell awmte chu a tichhia a ni. Hei hian hyperthyroidism chu a tidam vek a ni. Mahse, a tam zawkah chuan gland hi a thawk thei lo vek a, chuvang chuan i dam chhung zawng thyroid hormone pill (levothyroxine) i ei a ngai a ni. |
| Inzai | Thyroid gland zawng zawng emaw, a then emaw lak chhuah tura operation (thyroidectomy) hian hyperthyroidism a tidam thei bawk a, mahse a tlangpuiin i dam chhung zawng thyroid hormone pill i ei a ngai dawn a ni. |
| Beta-blockers te pawh a awm | Heng damdawi te hian hormone level a ti hniam lo. Lung na lutuk, khur leh hahdam lohna ang chi symptoms control-naah an pui ve tho. Enkawlna dang nen pek an ni. |
Enkawl loh chuan eng nge thleng ang?
Hei hi a pawimawh hle. Hyperthyroidism hi enkawl loh a nih chuan harsatna lian tham a thlen thei a ni.
- Lung natna: Atrial fibrillation (Afib) leh congestive heart failure ang chi natna.
- Nau pai theih lohna
- Stroke (Ischemic stroke) a awm thei lo.
- Osteoporosis: Ruh chu a chak lo va, awlsam takin a chhe thei a, a tlak tlem pawhin a chhe thei bawk.
Hei hi a hlauhawm ber leh nunna atana hlauhawm ber chu ‘Thyroid Storm’ . Hei hi thyroid hormone surge nghal tak tak taksaa a chhuah hun a ni. A lan chhuah dan chu khawsik sang leh thinlung thawk chak tak a ni. Hei hi medical emergency a ni. Heng symptoms te hi i neih chuan damdawi in pakhat Emergency Department (ETU) ah i kal nghal tur a ni.
Ei leh in lamah fimkhur a ngai em?
A châng chuan iodine tamna ei tam lutuk (seafood, seaweed, crab, shrimp, iodized salt) ei hian he natna hi a tizual thei a ni. Chuvangin i doctor chuan iodine tlem ei tur a rawt mai thei.
Mahse, he natna hi i ei leh in thunun ringawt chuan a tidam thei lo tih hre reng ang che. Damdawi lam enkawlna a ngai tak zet a ni. I ei leh in lama inthlak danglamna lian tham i siam hmain doctor rawn hmasa phawt ang che.
Diagnosis thar dawn hi a buaithlak thei hle. Mahse thu lawmawm tak chu hyperthyroidism hi enkawl leh enkawl theih a ni. I taksa a tlan chak lutuk nia i hriat chuan Doctor pan ngei ngei tur a ni. Test tul tak tak a run thei a, i taksa a balance leh theih nan i mamawh enkawlna a pe thei bawk.
Take-Home Thuchah a ni
- Hyperthyroidism hi thyroid gland a thawk nasa lutuk a ni. Hei hian natna lan chhuahna a thlen thei a, chu chu taksa rihna tlahniam, thinlung thawk chak, leh thawk hah lutuk te a ni.
- Heng symptoms te hi i neih chuan ngaihthah suh la, doctor pan nghal rawh. Hei hi thisen test awlsam tak hmangin hriat theih a ni.
- Hei hi enkawl leh control tha tak a ni. Chuvangin hlau suh. Doctor thupek dik takin zawm rawh.
- Enkawl loh chuan harsatna lian tak tak, lung natna ang chi a thlen thei a ni. Chuvangin, a hun taka enkawl dan tur dik tak dawn a pawimawh hle.
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