A châng chuan chhan awm lovin a danglam bîk takin i chau tih i inhria em? A nih loh leh i rilru hah lutuk, i thau tihtlem ang maiin i inhria em? I kawr hma lamah hian hliam te tak te a awm mai thei, a nih loh leh chutiang thil, i khawih huna natna ang chi? A châng chuan heng thil hnung lamah hian i thyroid gland-ah harsatna a awm thei bawk. Vawiin hian he natna tlanglawn tak, mahse hriat hlawh lo tak ‘thyroiditis’ tih hi kan sawi dawn a ni.
A hmasain, he thyroid gland hi eng nge ni?
A awlsam zawngin sawi ila, thyroid gland hi butterfly ang maia taksa peng te tak te, kan kawr hmalam vun hnuaia awm a ni. Kan taksa endocrine system-a thil pawimawh tak a ni. Taksa chhunga hna pawimawh tam tak, heart rate, taksa lum leh vawt leh kan ei tur chu chakna (metabolism)-a kan chantir dan te hi he gland te tak te atanga hormone siam chhuah hian a thunun a ni.
Tunah chuan Thyroiditis hi eng nge ni ? Thyroid gland inflammation emaw swelling emaw a ni. Kan taksa hmun dangah hliam kan neih chuan a hmun chu a lo hring a, a sen ang bawkin, thyroid gland hi eng emaw chhan vanga a chhiat chuan a hring bawk. Hetianga a hring hian thyroid gland hnathawh dan pangngai a tibuai thei a ni. Chu chu hormone tam lutuk a siam tan emaw, a siam tlem lutuk emaw tihna a ni.
Thyroiditis stage lian pathumte chu:
Thyroiditis vei tam zawkah chuan i taksa hian stage lian pathum a paltlang thei a ni. Factory-a hnathawh ang mai a ni.
1. Thyrotoxic phase: Hei hi factory pakhatin control atanga a chhuah a, rang taka product tam lutuk market-a a chhuah ang mai a ni. Thyroid gland a lo hring chuan a chhunga hormone dahkhawmte chu thisenah a chhuak nghal a. Hei hian i thyroid hormone level chu kar tlemte emaw thla khat emaw thla hnih emaw chhung chu nasa takin a tisang a ni.
2. Hypothyroid phase: Tunah chuan factory-in bungrua zawng zawng vawi khatah an chhuah vek tawh avangin siam thar lehna tur raw material an nei tawh lo. Tin, hormone zawng zawng chu gland atanga thisenah an chhuah vek hnuah hormone thar siam theih lohna dinhmun a lo awm thin. Chuvang chuan i taksaa thyroid hormone level chu nasa takin a tlahniam a ni. Thyroiditis chi thenkhat, entirnan, Hashimoto’s thyroiditis-ah chuan he hormone level hniam hi a awm reng thei a ni.
3. Euthyroid phase: Hei hi recovery phase a ni. Factory pakhatin hna a thawh leh a, a hma ang bawkin bungrua a siam chhuah ang bawkin, thyroid gland pawh a dam a, hormone chu a pangngaiin a siam chhuak leh ta a ni. Mi thenkhat chuan hormone sang phase hnuah direct-in he phase hi an lut thei a, hormone hniam phase hnuah pawh he phase hi an lut thei bawk.
Thyroiditis chi hrang hrangte chu engte nge ni?
Thyroiditis hi natna pakhat chauh a ni lo. Natna chi hrang hrang avanga lo awm chi hrang hrang pawl a ni. A chi hrang hrang hi han thlir ila.
| Thyroiditis chi hrang hrang | A awlsam zawngin hetiang hi a thleng thin. |
|---|---|
| Hashimoto hian thyroiditis a nei a | Hei hi a tam ber chi a ni. Heta thil thleng hi kan taksa ngeia immune system hian a mah ngeiin a thyroid gland a bei a ni. Hei hi autoimmune natna a ni. Hun kal zelah gland a chhe thei a, hormone siamchhuah pawh a tlahniam reng thei bawk (Hypothyroidism). |
| Thyroiditis ngawi reng emaw, natna nei lo emaw | Hei hi autoimmune condition a ni bawk. A hming ang bawkin kawng na a awm lo a, mahse hormone surge leh decline phase hrang hrang i hmu thei. |
| Nau neih hnua thyroiditis a awm | Hei hi nute zingah fa an neih kum khatna chhunga lo awm thei a ni. A chhan chu autoimmune a ni. A tam zawkah chuan hun eng emaw chen atan a ni. |
| Radiation avanga thyroiditis a awm thin | Cancer tan radiation therapy emaw, thyroid hormone tihpun nan radioactive iodine hmanga enkawl emaw avanga lo awm thei a ni. |
| Subacute thyroiditis natna a ni | Viral infection avanga lo awm nia rin a ni. Kawng na emaw, khawsik emaw a liam hnuah a awm thei. Kawngah na tak a awm thei. |
| Thyroiditis natna hrik kai chak tak | Hei hi a tlem hle. He natna hrik, bacteria ang chi, thyroid gland-a lut a, a kai hian a lo awm thin. Hetah pawh hian natna nasa tak leh khawsik a awm thei. |
| Damdawi avanga thyroiditis a awm | Damdawi thenkhat (e.g. Amiodarone, Lithium, Interferons) avanga side effect angin a awm thei. Mahse, heng damdawi ei zawng zawng hian an nei vek dawn lo. |
Thyroiditis natna lan chhuah dan engte nge ni?
Symptoms hi thyroiditis i neih chi leh stage (high or low hormones) i neih danah a innghat a, heng stage pahnih ah hian eng symptoms nge awm thei tih hi han thlir ila.
| Hormone pung (Thyrotoxicosis) chhinchhiahna . | Hormone tlahniam (Hypothyroidism) natna lan chhuah dan . |
|---|---|
| I thinlung chu a na hle ang tih hriatna | Chauhna awm reng (Fatigue) . |
| Chhan awm lovin taksa rihna tihtlem | Chhan awm lovin taksa rihna a pung |
| riltam tih hriat reng reng | Ek khal |
| Restlessness, thinrimna | Depression emaw, lungngaihna emaw |
| Mu thei lo | Vun a vawt |
| Thawmhnaw hah lutuk, lum lutuk | Khaw lum tuar thei lo |
| Tremors a awm | Muscle chak lohna |
| - . | Thil ngaihtuah harsa tak a ni |
Pawimawh tak: A tlem berah chuan enkawl loh hyperthyroidism hian nunna atana hlauhawm tak ‘thyroid storm’ an tih chu a thlen thei a ni. Khawsik sang (104 F aia sang), thinlung chak lutuk (minute khatah 140 aia tam), emaw, buaina ang chi symptom i neih chuan i hnai ber damdawi in emergency room (ETU)-ah kal nghal rawh. Hei hi medical emergency a ni.
Engtin nge hei hi i hmuh theih, Doctor?
Heng symptoms te hi i neih chuan i doctor chuan i symptoms te a zawt hmasa ang che a, i kawr a enfiah hmasa ang. Tichuan, thyroiditis nia rinhlelh a nih chuan test eng emaw zat an order ang a, chungte chu:
- Thyroid function test: Hei hi thisen test a ni. I thisena hormone TSH, T3, leh T4 awm zat a teh thin. Hei hian hormone phase sang leh hniam phase-ah i awm tih chiang takin a hrilh thei che a ni.
- Thyroid ultrasound: Hei hian thyroid gland pianzia leh a lian leh te, a chhungah lump a awm em tih te, thisen kal dan te a enfiah thei a ni.
- Thyroid antibody test: He thisen test hian i thyroiditis hi autoimmune condition avanga lo awm a nih leh nih loh a hriat theih nan a pui a ni.
- ESR leh CRP test: Hengte pawh hi thisen test a ni. Taksaah inflammation a awm leh awm loh hriat nan an pawimawh hle. Hengte hi subacute leh acute thyroiditis-ah chuan a tam hle.
- Radioactive iodine lakluh dan (RAIU test): 1.1.Hei hian radioactive iodine tlemte in tur che a, chu chu darkar engemaw zat hnuah i thyroid gland-in iodine a lakluh zat tehna a ni. He absorption hi thyroiditis hormonally hyperactive phase-ah hian a hniam hle.
Hei hi eng enkawlna nge ni?
Enkawlna chu thyroiditis i neih chi leh i natna lan chhuah danah a innghat a ni.
Hormone inthlauhna enkawlna
He phase hi hun eng emaw chen atan a nih tlangpui avangin i doctor chuan damdawi, beta-blockers ang chi chu a pe thei a, chu chu natna lan chhuahna, rilru natna leh khur ang chi te control nan a ni. Damdawi hi a natna lan chhuah dan a reh chuan tihtawp a ni tlangpui.
Hormone tlakchhamna enkawlna
Hormone tlakchhamna awm reng thei dinhmun, Hashimoto’s thyroiditis ang chi i neih chuan i doctor chuan pawn lam thyroid hormone pill (levothyroxine ang chi) a pe ang che. Hei hi i dam chhung zawngin i lak a ngai mai thei.
A chi dangah chuan hormone tlakchhamna hi hun eng emaw chen a nih chuan heng hormone pill hi thla 6 atanga thla 12 vel pek a ni a, chutah chuan tihtawp a ni a, gland chu a thawk leh tih hmuh a ni.
Enkawlna bik dang
- Natna atan: Painkillers (NSAIDs) hi subacute thyroiditis ang chi natna nei tan chuan pek thin a ni. Natna a nasat chuan steroid hmanga enkawl a ngai mai thei.
- Infection tan: Antibiotics hi bacteria infection, acute infectious thyroiditis te tan pek thin a ni. Abscess a lo awm tawh chuan needle hmanga tui chhuah a ngai mai thei.
- Surgery: A tlem hle, Riedel thyroiditis ang chiah hian operation neih a ngai mai thei.
Hei hi a veng thei lo em ni?
Vanduaithlak takin thyroiditis chi tam zawk hi ven theih a ni lo a, a tam zawk hi kan taksa hriselna (immune system) avanga lo awm a nih avangin. Mahse, natna avanga radiation treatment i neih emaw, thyroiditis thlen thei damdawi i ei emaw a nih chuan i doctor nen inbiain a hlauhawmna i hre thei ang.
Thyroiditis i vei tih hmuhchhuah a nih chuan hlauthawng suh. Hei hi a tam zawkah chuan enkawl that theih, control theih, tihdam theih pawh a ni. A pawimawh ber chu i doctor thupek dik taka zawm a, regular checkup nei tura lo kir leh hi a ni.
Take-Home Thuchah a ni
- Thyroiditis hi thyroid gland a inflammation a ni. Cancer a ni lo.
- Chutiang a nih chuan hormone hi a tir lamah a pung thei (hyperthyroidism), a tlahniam leh thei bawk (hypothyroidism).
- I taksa rihna chhan hriat loha inthlak danglam, hah lutuk, rilru hah lutuk, kawng na, emaw, hliam emaw ang chi symptom i neih chuan ngaihven rawh.
- He natna hi thisen test leh scan awlsam tak hmangin awlsam takin hriat theih a ni.
- Thyroiditis chi hrang hrang enkawlna tha tak tak a awm a. Ṭhenkhat chu hun rei lote chhûnga awm a ni a, ṭhenkhat erawh chuan hun rei tak enkawl a ngai mai thei.
- Hemi chungchangah hian zawhna emaw rinhlelhna emaw i neih chuan i doctor nen inhawng takin sawi rawh.
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