Kia ako tātou mō te mate a Hashimoto i roto i ngā kupu māmā noa iho.

Kei te tino ngenge koe, kei te puhoi hoki, kāore he take i ētahi rā? Kei te ahua taumaha ake koe? Kei te ahua makariri ake koe i ētahi wā? Ahakoa he maha ā tātou whakaaro he mea noa ēnei, i ētahi wā ko te take o ēnei tohu he mate e kiia nei ko te Mate a Hashimoto. Kaua e manukanuka, ehara tēnei i te mea morearea pērā i te ingoa e kīia ana. Me kōrero tātou mō tēnei mea mā te ngāwari me te mārama.

He aha te mate a Hashimoto?

Ki te kī ngāwari, ko te mate Hashimoto he mate e pāngia ai te repe tairoiti e te raruraru o tō tātou pūnaha ārai mate. Ka kiia tēnei he mate ārai mate . Ko te tikanga o tēnei ka whakaekea hētia e te pūnaha ārai mate o tō tātou tinana ō tātou ake pūtau hauora, arā, ko te repe tairoiti. He mate tēnei mō te wā roa (pūmau).

Whakaarohia, he repe iti te repe tairoiti , he āhua pūrerehua kei raro i te kiri i mua o tō tātou kaki. He wāhanga ia o tō tātou pūnaha endocrine. Ka whakaputa i ngā homoni tairoiti, ā, ka whakahaere i ngā mea maha i roto i tō tātou tinana.

Ko te mahi matua a te repe tairoiti he whakahaere i te tere o te pākia o te tinana. Arā, ko te tere o te hurihanga o te kai e kainga ana e tātou hei pūngao. Ina rongo tātou i te kupu pākia, he maha ngā wā ka whakaaro noa tātou ki te piki me te heke o te taumaha. Engari i roto i te ao tūturu, ka pā tēnei tukanga ki ngā okana katoa o te tinana, tae atu ki tō tātou ngākau me te roro.

I te mate a Hashimoto, ka whakaekea e tō tātou pūnaha ārai mate te repe tairoi, ka kore ai e nui ngā homoni tairoi e puta. Ka kiia tēnei mate ko te hypothyroidism . Ka whakaroa tēnei i te pākia o te tinana, ā, ka puta ngā tohu maha.

He pēhea te noa o tēnei mate? Ko wai te hunga tino tūpono ka pāngia e tēnei mate?

He mate tino noa te mate a Hashimoto. I ngā whenua pēnei i Amerika, e 5 i roto i te 100 tāngata e pāngia ana e tēnei mate. Kei te piki haere te maha o tēnei mate i Sri Lanka. I ngā whenua he nui te tote me te kai iodized, ko te mate a Hashimoto te tino take o te hypothyroidism.

Ahakoa ka taea te pā mai tēnei mate i ngā tau katoa, e 10 ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pā mai i tēnei mate i ngā tāne. Ko te nuinga o te wā ka kitea tēnei mate i waenga i ngā wāhine i waenga i te 30 me te 50 tau te pakeke.

He aha ngā tohu o te mate a Hashimoto?

Kāore he tohu o ētahi tāngata e pāngia ana e te mate a Hashimoto i ngā wāhanga tōmua. I te whanaketanga haere o te mate, ka pupuhi pea te repe tairoiti i ētahi wā. Ka kiia tēnei he goiter.Koinei te tohu tuatahi o te mate a Hashimoto. Ahakoa kāore e mamae, tera pea ka rongo koe i te kī o mua o tō kaki. Tērā pea ka pupuhi anō hoki.

I roto i te wā, ki te puta te hypothyroidism nā te mate a Hashimoto, ka puta pea ēnei tohu tetahi i muri i tetahi.

He aha te āhua o tō tinana ina pāngia koe e te mate a Hashimoto?

Mena kei a koe te mate Hashimoto engari ehara i te hypothyroidism, tera pea kāore koe e kite i tētahi huringa.

Engari ki te mea he hypothyroidism tōu, tera pea ka rite koe ki te mea kei te mahi ngā mea katoa o tō tinana i roto i te "nekehanga puhoi".

Ki te mea kei te pōturi te mahi a tō tinana me tō hinengaro, me kōrero koe ki tō tākuta.

He aha te take e puta ai te mate a Hashimoto? He aha ngā āhuatanga mōrearea?

E ai ki tā mātou i kōrero ai i mua ake nei, he mate pūnaha ārai mate a Hashimoto. Ko te tikanga tēnei kei te mahi te pūnaha ārai mate o tō tātou tinana ki a tātou. I te nuinga o te wā, ka tiaki tō tātou pūnaha ārai mate i a tātou mai i ngā whakaekenga ke pēnei i te huakita me te huaketo. Engari i roto i te mate a Hashimoto, koinei te mea ka tupu:

1. Mō tētahi take kāore i te mōhiotia, ka tīmata tō pūnaha ārai mate ki te hanga paturopi hei whakaeke i te repe tairoi.

2. He nui ngā pūtau toto mā, inā koa te momo e kiia nei ko ngā lymphocytes , ka kohia ki te repe tairoiti.

3. Ka mumura te repe tairoiti i tēnei. Ka kiia tēnei ko te tairoiti . Ka kino te repe i tēnei mumura me ngā whakaekenga paturopi.

4. I roto i te wā, ka kore e taea e te repe tairoi te whakaputa i ngā homoni e tika ana mō te tinana, ka hua ake te hypothyroidism .

He maha ngā āhuatanga mōrearea e pā ana ki te whakawhanaketanga o te mate a Hashimoto:

• Hītori whānau: Mena kei te pāngia tetahi o tō whānau e te mate a Hashimoto, e ētahi atu mate tairoi rānei, he nui ake te tūponotanga ka pāngia koe e te mate. E ai ki ngā rangahau he 80% o ngā mate he ira.
• Ira Tangata: E ai ki tā mātou i kōrero ai i mua ake nei, e 10 ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e tēnei mate.
• Tau: Ka piki ake te mōrearea o te whakawhanake i tēnei mate i te pakeketanga.

Waihoki, he nui ake te tūponotanga ka pāngia koe e te mate Hashimoto mēnā he mate pūnaha ārai mate tōu. Hei tauira:

• Mate huka momo 1
• te rumatiki
• Lupus
• Mate celiac

Me pēhea te tautuhi i te mate a Hashimoto?

Whai muri i te pātai mō ō tohumate, ka tirohia tuatahitia koe e tō tākuta. Ka pākia tō kaki e ia kia kitea ai mēnā he repe tairoi kua pupuhi (goiter). Kātahi ka whakahau ia i ētahi whakamātautau toto hei whakaū i te mate.

• Whakamātautau TSH (Homoni Whakaoho Tairoiro): Ko te taumata TSH teitei e tohu ana kāore tō repe tairoiro e whakaputa ana i te homoni T4 i te nui. He tohu nui tēnei o te hypothyroidism.
• Whakamātautau T4 (Thyroxine) kore utu: Mena he iti te taumata T4, ka whakaū anō i te āhua o te hypothyroidism.
• Whakamātautau Paturopi Antithyroid: Mena kei roto i tō toto ēnei paturopi motuhake, ka taea te whakatau tino ko te mate a Hashimoto te take o tō hypothyroidism.

I ētahi wā, ka tūtohu pea tō tākuta i tētahi tirotiro ultrasound o te tairoi hei tirotiro i te rahi o tō repe tairoi, me te tirotiro mēnā he pona kei roto.

Me pēhea te rongoā?

Ehara i te mea ka pāngia te katoa e te mate a Hashimoto e te hypothyroidism. Mena he teitei ngā taumata o ngā paturopi i roto i tō toto engari he noa ō taumata TSH me T4, kāore pea tō tākuta e tīmata i te maimoatanga, engari ka aroturukihia koe e ia mā te whakamātautau toto auau.

Engari, ki te mea ko te mate a Hashimoto te take o te hypothyroidism, ko te rongoā matua me te rongoā pai rawa atu ko te levothyroxine . He homoni T4 hangai tēnei. Ka tangohia tēnei rongoā hei pire i ia rā.

Tērā pea ka rerekē te horopeta o te rongoā e hiahiatia ana e koe i roto i te wā. Nō reira, he mea tino nui kia whakamātauria te toto i ia wā e ai ki te tohutohu a tō tākuta, me te whakarerekē i te horopeta ina hiahiatia.

He pānga taha kei te rongoā?

He onge ngā pānga taha o te levothyroxine. Mēnā ka puta, ko te take matua he nui rawa atu tāu e tango ana i te rongoā. Ka taea e tēnei te arahi ki tētahi āhuatanga e kiia nei ko te thyrotoxicosis , arā, te nui rawa o te homoni tairoi e whakaputaina ana e te tinana. Ko ngā tohu ko:

• Te tere o te manawa (tachycardia) - he nui ake i te 100 ngā patu i te meneti.
• Te pāorooro o te ngakau (arrhythmia).
• Te ngaronga taumaha me te kore he take.
• Te wiri o te ngākau.
• Te kore okiokinga, te pukuriri.
• Te kore e manawanui ki te wera me te wera nui.

Ki te pāngia koe e ēnei tohu, whakamōhio atu ki tō tākuta tonu atu.

He kai motuhake kei reira mō ngā tūroro o Hashimoto?

Kāore he kai motuhake mō te mate a Hashimoto. Heoi anō, ka taea e ētahi kai, rongoā, me ngā huaora te whakararuraru i te mimiti o te levothyroxine. Hei tauira:

• Ngā tāpiringa rino me te konupūmā.
• Ko ētahi momo rongoā antacid.

Ki te tango koe i tētahi mea pēnei, ka taea e koe te karo i tēnei raruraru mā te tango i tō pire tairoi e 4 hāora i mua atu, i muri mai rānei.

Mā te kai pai, te whakakorikori tinana, te moe nui, me te whakahaere i te ahotea ka āwhina i tō pūnaha ārai mate. Ahakoa te aha e mahia ana e koe, ki te mea he hypothyroidism tōu, he mea nui kia tangohia e koe tō rongoā kia rite ki te whakahaunga a tō tākuta.

He kino te mate a Hashimoto i te wā e hapu ana?

Ki te kore e rongoatia te hypothyroidism i te wā e hapu ana, ka raru pea mō te whaea me te pēpi.

• Te whakatahe
• Whānautanga wawe
• Te toto toto tiketike i te wā e hapu ana (preeclampsia)

Waihoki, ki te kore e rongoatia, ka pā ki te tipu me te whanaketanga o te roro o te pēpi. Nō reira, ki te mea kei a koe te mate Hashimoto, ā, kei te whakaaro koe kia hapu, kua hapu kē rānei, me whakamōhio tonu atu ki tō tākuta. Mēnā ka tika te maimoatanga me te aroturukitanga, kāore he raruraru ki te whānau i tētahi pēpi hauora.

Ngā take e hiahia ana kia rongoatia āwhati (ngā take e hiahia ana kia haere ki te ETU)

Mēnā he hypothyroidism tino kino, kāore i te rongoātia, ka puta pea he āhuatanga ohorere onge engari he morearea ki te ora e kiia nei ko te myxedema coma . Mēnā kei te kitea ēnei tohu, haria tonutia te tūroro ki te Tari Ohorere (ETU) o te hōhipera tata.

• Te tino iti o te pāmahana tinana (hypothermia).
• Te pupuhi o te tinana, inā koa te mata, te arero, me ngā waewae.
• He puhoi rawa te manawa o te ngakau, me te ngoikore o te pā o te manawa.
• He tino puhoi, he tino uaua rānei te manawa.
• Te pōhēhē, te ngaro rānei o te māramatanga.

He mea noa te mataku me te manukanuka ina kitea he mate hou tōu. Engari ko te mea pai rawa atu ko te mate a Hashimoto he mate ka taea te rongoā me te whakahaere. Mena kei a koe ēnei tohu, ki te mea rānei he mate tairoi tō tētahi o tō whānau, kaua e mangere ki te toro atu ki tō tākuta. Mā te whakamātautau toto noa ka taea e koe te mōhio mena kei te mahi tika tō tairoi.