Kei te ngenge koe i ētahi wā, kei te ngoikore, kei te pōuri rānei? Kei te taumaha haere koe? Kei te pupuhi rānei te taha mua o tō kaki? He tohu pea ēnei o te mate e kiia nei ko te mate a Hashimoto. Tērā pea ka mataku koe i te rongonga i tēnei ingoa. Engari kaua e mataku. I tēnei rā, ka kōrerohia e tātou te Mate a Hashimoto me te taipitopito, me te tino māmā hoki.
He aha te mate a Hashimoto?
Ki te kī ngāwari, ko te mate a Hashimoto he mate e puta mai ana i tētahi raruraru iti i roto i tō tātou ake pūnaha ārai mate, te pūnaha e tiaki ana i a tātou i te mate. Ko te mea ka tupu i tēnei take ko te whakaeke a ō tātou ake pūtau ārai i tō tātou repe tairoi. Ina tupu tēnei i roto i te wā, kāore e taea e te repe tairoi te mahi tika, ā, ka heke te nui o ngā homoni e whakaputaina ana e ia. Ka kiia tēnei mate ko te hypothyroidism . He mate mau tonu te mate a Hashimoto mō te wā katoa.
He aha te repe tairoiti? He aha tōna hiranga mō tō tātou tinana?
He repe iti te repe tairoiti , he āhua pūrerehua kei mua o tō kaki, i raro noa i te kiri. He wāhanga ia o tō tātou pūnaha endocrine . Ka whakaputa i ngā homoni tairoiti, ka huna ki roto i te toto.
Ko te mahi matua a te repe tairoiti he whakahaere i te tere o te pākia o te tinana . Ko te pākia te tukanga e hurihia ai te kai e kainga ana e tātou hei pūngao. He maha ngā wā ka whakaarohia tēnei e tātou ko te pikinga, te hekenga rānei o te taumaha, engari ko te pono ka pā tēnei tukanga ki ngā okana katoa o tō tātou tinana, tae atu ki tō tātou ngākau me te roro.
He aha te mea e tupu ana i te mate a Hashimoto?
Mō te tini o te hunga e pāngia ana e te mate a Hashimoto, kāore e taea e te repe tairoi te whakaputa i ngā homoni tairoi e tika ana mō te tinana. Nā reira, ka tīmata te puhoi o te tukanga pākia o te tinana. Koinā te wā ka tīmata te puta mai o ngā tohu.
I kitea tuatahitia tēnei mate i te tau 1912 e tētahi tākuta Hapanihi ko Tākuta Hakaru Hashimoto tōna ingoa. Koia i tapaina ai ko te mate a Hashimoto. E mōhiotia ana hoki ēnei ingoa e ētahi atu:
- Te mate tairoidō Hashimoto
- Te mate pūkahukahu ā-tinana mau tonu
- Te mate tairoidi lymphocytic
He pēhea te noa o te mate a Hashimoto? Ko wai te hunga tino tūpono ka pāngia e tēnei mate?
He mate tino noa te mate a Hashimoto. E ai ki ngā tatauranga i ētahi whenua, ka pā ki te 5 i roto i te 100 tāngata.
I ngā whenua e kitea whānuitia ana te tote me ētahi atu kai whai iodine, ko te mate a Hashimoto te tino take o te hypothyroidism. I ētahi atu whenua, ko te kore o te iodine te tino take.
Ko wai ka pāngia? Ka taea e te tangata katoa, ahakoa te pakeke, te pāngia e te mate a Hashimoto. Heoi anō,E 10 ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e te mate i ngā tāne, ā, 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? He aha ōu kare ā-roto?
Tērā pea kei ētahi tāngata te mate a Hashimoto engari kāore e kitea he tohu i ngā wāhanga tōmua.
I te whanaketanga 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. Kāore e mamae, engari ka rite ki te mea kua kī tetahi mea i te pito o raro o te kaki. Tērā pea ka pupuhi te pito o mua o te kaki.
Mena ka heke te nui o ngā homoni tairoi nā te mate a Hashimoto (Hypothyroidism), ka puta pea ngā tohu e whai ake nei i roto i te wā:
- Te hiamoe, te ngenge nui, me te hiahia tonu ki te moe.
- He iti te pikinga o te taumaha.
- Te mate kōroke.
- Kiri maroke.
- Te kore e taea te tu atu i te makariri.
- He tere o te manawa e pōturi ake ana i te noa (Bradycardia).
- Te mamae o ngā hononga me ngā uaua.
- Makawe maroke, whatiwhati te makawe, kua heke te tupu o te makawe, kua ngaro rānei te makawe.
- Te hekenga o te harikoa, te pouri o te ngākau.
- Te pupuhi o ngā kanohi me te mata.
- Te iti o te mahara, te uaua ki te arotahi.
- Ngā huringa paheketanga koretake, ngā toto toto nui rānei i roto i ngā wāhine.
- Te hekenga o te hiahia taikaha.
- Te kore tamariki i roto i te tāne, i te wahine rānei.
He aha ngā kare ā-roto o te tangata whai mate a Hashimoto?
Ahakoa kei a koe te mate a Hashimoto, ki te iti ō homoni tairoi (hypothyroidism), kāore pea koe e kite i te nui o te rerekētanga.
Heoi, ki te pāngia koe e te hypothyroidism, tera pea ka whakaaro koe "kei te hē tetahi mea." Ko te tikanga o "Hypo-" he "iti iho" he "iti iho rānei." Nō reira, ka taea e koe te whakaaro ko ngā tohu o te hypothyroidism he "whakaroa" i ngā tukanga rerekē i roto i te tinana.
Tērā pea ka iti ake tō kaha i tō mua, ā, kāore pea e taea e koe te whakakorikori tinana pērā i tō mua. Ki te whakamahi koe i tētahi taputapu aroturuki hauora, tērā pea ka iti iho tō tere o te ngakau i tō mua. Tērā pea ka pāngia koe e te kohu roro, ā, tērā pea ka uaua ki te maumahara ki ngā mea. Ka taea hoki e te mate huka te "whakaroa" i tō wairua - tērā pea ka pōuri koe, ka pouri hoki. Ka taea hoki e ia te whakaiti i tō hiahia moepuku me te whakaroa i tō pūnaha nakunaku - arā, kāore pea koe e nekeneke puku i te nuinga o te wā pērā i mua.
Ki te mea kei roto tō tinana me tō hinengaro i tētahi kiriata nekehanga puhoi, me kōrero koe ki tō tākuta.
He aha te take e puta ai te mate a Hashimoto? He aha ngā āhuatanga mōrearea?
Take: He hapa i roto i tō tātou ake pūnaha ārai mate (Te Mate Pūnaha Ārai Mate)
He mate pūnaha ārai mate a Hashimoto. Arā, ka whakaekea e te pūnaha ārai mate o tō tinana ō ake pūtau me ō whekau. Whakaarohia, me te mea ko te ope taua e tika ana kia tiaki i tō tātou whenua kei te whakaeke i tō tātou whenua.
I te nuinga o te wā, ka tiakina tātou e tō tātou pūnaha ārai mate mai i ngā mea kino pēnei i te huakita me ngā huaketo. Engari i roto i te mate a Hashimoto, koinei te mea ka tupu:
- Mō te kore e mōhiotia te take, ka whakaputahia e tō pūnaha ārai mate ngā paturopi hei whakaeke i te kiko o tō tairoi.
- He nui ngā pūtau toto ma, inā koa ko ngā lymphocytes , ka kohia ki roto i te repe tairoi.
- Ka puta te mumura o te repe tairoiti i tēnei kohikohinga, arā, te tairoiti pāwera , ā, ka kino hoki te repe.
- I roto i te wā, ka kore e taea e te repe tairoi te whakaputa i ngā homoni tairoi e ranea ana mō te tinana nā tēnei kino. Koinei te take o te 'Hypothyroidism'.
- Heoi, ehara i te mea ko te hunga katoa e pāngia ana e te mate a Hashimoto ka pāngia e te hypothyroidism.
Ngā mea e whakanui ana i te mōrearea
He maha ngā āhuatanga e whakanui ake ai i te mōrearea o te mate a Hashimoto:
- Hītori whānau: Kua whakaatuhia e ngā rangahau e 80% o tō tuponotanga ki te pāngia e te mate a Hashimoto nā te ira. Mena kei ō whanaunga toto te mate a Hashimoto, ētahi atu mate tairoi rānei, he nui ake te tūponotanga ka pāngia koe e taua mate anō hoki.
- Ira Tangata: E 10 ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e tēnei mate i ngā tāne. Tērā pea ko te awe o ngā homoni ira tangata tētahi take anō hoki.
- Tau: Ka piki ake te mōrearea o te whakawhanake i tēnei mate (me ētahi atu mate tairoi) i te pakeketanga.
Waihoki, he nui ake tō tūponotanga ki te whakawhanake i te mate Hashimoto mēnā kei a koe ētahi atu mate pūnaha ārai mate, pēnei i:
- Te mate a Addison
- Mate celiac
- Lupus
- Te mate toto kino
- te rumatiki
- Te mate a Sjögren
- Mate huka momo 1
Me pēhea te tautuhi i te mate a Hashimoto?
Mā tō tākuta ēnei mahi tuatahi e mahi:
- Kei te pātai atu ahau mō ō tohumate.
- Pātai atu mō tō hītori hauora (pēnei i te mea he mate tairoi tō tētahi o tō whānau).
- Ka whakahaerehia he whakamātautau tinana, ā, i taua wā ka tirotirohia ā-ringa tō repe tairoi.
I muri i tēnei aromatawai, ka tonoa e rātou ētahi whakamātautau toto hei whakaū i te mate:
- Whakamātautau Homoni Whakaoho Tairoiro (whakamātautau TSH): Ko te taumata TSH teitei te tikanga kāore e nui te homoni thyroxine (T4) e hangaia ana e tō repe tairoiro. Ko tēnei hua e tohu ana kei a koe te hypothyroidism, te hypothyroidism iti rānei (he āhuatanga kāore he tohu, engari he huringa kei roto i ngā taumata homoni).
- Whakamātautau Thyroxine Koreutu (T4 Koreutu): Ko ngā taumata T4 iti tētahi atu tohu kei a koe te hypothyroidism.
- Whakamātautau paturopi antithyroid: Mena kei roto i ō toto ētahi autoantibodies, e tohu ana tēnei ehara te take o tō hypothyroidism i te mea pērā i te korenga o te iodine, engari ko te mate a Hashimoto.
I ētahi wā, ka tūtohu pea tō tākuta i tētahi tirotiro ultrasound thyroid hei tirotiro i te rahi o te repe thyroid, hei tirotiro hoki mēnā he pona thyroid (he puku iti e puta ana i runga i te repe).
He aha ngā maimoatanga mō te mate a Hashimoto?
E hiahia ana te katoa ki te rongoā?
Ehara i te mea ka pāngia te katoa e te mate a Hashimoto e te hypothyroidism. Mena he teitei ō taumata paturopi toto engari kāore he tohu haumanu mō te hypothyroidism, ka aroturukihia e tō tākuta ō taumata tairoi i ia wā, kaua e tīmata i te maimoatanga.
Maimoatanga matua: Levothyroxine
Mena kei a koe te hypothyroidism nā te mate a Hashimoto, ko te rongoā matua ko te levothyroxine . He momo hangai tēnei o te homoni T4 i hangaia e tō repe tairoi.
Kei te wātea te Levothyroxine i raro i ngā ingoa waitohu rerekē. Mā tō tākuta e tohu te mea tika māu.
Ka āwhina tēnei rongoā ki te whakahoki mai i ngā taumata o te homoni tairoi i roto i tō tinana. Me tango e koe i ia rā mō te toenga o tō oranga . I roto i te wā, ka rerekē pea te horopeta o te rongoā me tango e koe. Ka mōhio tō tākuta me pēhea te whakarerekē i te horopeta hei whakahaere pai i tō hypothyroidism.
He pānga taha tō te Levothyroxine?
Mena kei te pāngia koe e ngā pānga taha o te levothyroxine, tera pea kei te nui rawa tāu tango. Ka arahi pea tēnei ki tētahi āhuatanga e kiia nei ko te thyrotoxicosis – he pikinga o ngā homoni tairoi.
Ko ngā tohu o te mate thyrotoxicosis ko:
- Te tere o te manawa o te tangata (Tachycardia) – he nui ake i te 100 ngā pao i te meneti.
- Te pāorooro o te ngakau (Arrhythmia).
- Te whakahekenga taumaha kāore i te mārama.
- Te āhua e wiri ana tō tinana.
- Te kore okiokinga, te manukanuka, te pukuriri.
- Ka nui ake te aro ki te wera me te werawera nui atu i te tikanga.
- Ngā huringa o te huringa paheketanga.
Mena ka pāngia koe e ēnei tohu, me kōrero tonu atu koe ki tō tākuta .
Me whai kai motuhake te hunga whai mate a Hashimoto?
Kāore he kai motuhake mō te mate a Hashimoto. Heoi anō, tera pea ētahi kai, rongoā, tāpiringa rānei e pā ki te mimiti o te levothyroxine e tangohia ana e koe. Hei tauira:
- Ngā tāpiringa rino me te konupūmā.
- Sucralfate (he rongoā mō ngā mate puku).
- Ko te Cholestyramine me te konumohe hauwai (kei roto i ētahi antacids).
Ka taea te karo i tēnei raruraru mēnā ka tangohia ēnei e koe i ngā hāora e whā i mua atu, i muri rānei i te tangohanga o te levothyroxine.
Mena he pātai āu mō te kai, kōrero ki tō tākuta, ki tētahi Kaimātai Kai Rēhita rānei.
Mā te kai pai me te noho i tētahi momo noho hauora (te whakakorikori tinana, te moe nui, te whakahaere i te ahotea) ka āwhina i tō pūnaha ārai mate. Heoi, ki te mea he hypothyroidism tōu, he mea nui kia tangohia tika tō rongoā ahakoa pēhea.
Ka taea te whakaora katoa i te mate a Hashimoto? Ka taea te ārai?
Engari, kāore he rongoā, he huarahi rānei hei whakakore i te mate a Hashimoto. Heoi, ka taea e te rongoā mō te wā roa te āwhina i te whakahaere i te hypothyroidism me ngā taumata homoni tairoi.
Engari, kāore he mea e taea e tātou te mahi hei ārai i te mate a Hashimoto nā te mea kāore e taea e tātou te whakarerekē i ngā āhuatanga mōrearea e pā ana ki tēnei mate - ngā mea pēnei i ngā ira me te koroheketanga.
He aha ngā raruraru pea ka pā mai i te noho tahi me te mate a Hashimoto?
Mā te aroturukitanga tika me te maimoatanga puta noa i te oranga, ka taea e te hunga whai mate a Hashimoto te pupuri i te hauora tino pai .
Heoi, ki te kore e rongoatia te hypothyroidism i puta mai i te mate a Hashimoto, ka puta pea ngā raruraru hauora e whai ake nei:
- Te nui o te cholesterol.
- Te mate ngakau me te ngoikore o te ngakau.
- Te toto toto tiketike.
- Te pouri.
- Koma Myxedema . He raruraru onge tēnei, he raruraru morearea ki te ora o te hypothyroidism nui. Ka tino puhoi haere ngā mahi a te tinana, ā, ka mate pea.
Te mate a Hashimoto i te wā e hapu ana
Mena ka kore e rongoatia te hypothyroidism i te wā e hapu ana, ka piki ake pea ngā mōrearea e whai ake nei:
- Te whakatahe.
- Whānautanga wawe.
- Whānautanga mate.
Tērā pea ka pāngia koe e te mate e kiia nei ko te preeclampsia, he toto toto tiketike rawa atu i te mutunga o te hapūtanga. Ka pāngia pea te tipu me te whanaketanga roro o tō pēpi kāore anō kia whānau mēnā kāore anō kia pangia e te hypothyroidism mēnā kāore anō kia rongoātia. Nō reira, ka āwhina ō tākuta i a koe ki te whakahaere pai i tō hypothyroidism i te wā e hapū ana.
Ehara i te mea onge te mate hypothyroidism i te wā e hapu ana. Heoi, he rite tonu ōna tohu (pēnei i te ngenge me te taumaha) ki ērā e kitea ana i te wā e hapu ana, nō reira ka ngaro pea i ētahi wā. Ki te mea kei te whakaaro koe kei te pāngia koe e ngā tohu o te hypothyroidism, ki te whakaaro rānei koe kei te pāngia koe e te goiter, me kōrero tonu atu ki tō tākuta.
Āhea ahau me toro atu ki te tākuta? He aha te āhuatanga ohorere?
Ngā wā whakarite hauora auau
Mena kei a koe te mate a Hashimoto, me toro atu koe ki tō tākuta i ia wā, i ia wā . Ka whakamātauria e ia te toto hei tirotiro mēnā he noa te taumata o ō homoni tairoi, ā, he tika hoki te horopeta o te rongoā e tangohia ana e koe.
Hei tāpiritanga, tirohia tō tākuta mēnā ka puta he tohu hou ki a koe, mēnā ka kino haere ō tohu o nāianei, mēnā rānei ka kite koe i ētahi huringa i roto i tō repe tairoi (hei tauira, te pupuhi).
Ngā take e hiahia ana kia haria wawetia ki te hōhipera (Myxedema Coma)
Ki te pāngia koe e ngā tohu o te myxedema coma , waea atu ki te 911, haere rānei ki te rūma whawhati tata tonu. He tino mōrearea tēnei raruraru nui o te hypothyroidism!
Ko aua āhuatanga ko:
- Ko te hypothermia he hekenga o te pāmahana tinana i raro i te 35 nekehanga Celsius (95 nekehanga Fahrenheit).
- Te pupuhi (edema) i te tinana, inā koa i te mata, te arero, me ngā waewae o raro.
- He tino puhoi te tere o te manawa me te ngoikore o te pā o te manawa.
- Te puhoi o te manawa (Bradypnea) me te uaua o te manawa (Dyspnea).
- Te pōhēhē, te ngaro rānei o te māramatanga.
Hei whakamutunga, ētahi mea hei maumahara (Karere hei tango ki te kāinga)
He mea noa te māharahara me te mataku ina whiwhi koe i tētahi tātaritanga hou. Engari ko te rongo pai ko te mate a Hashimoto he mate e taea ana te whakahaere me te rongoā .
Ki te whakaaro koe kei a koe ngā tohu o te mate Hashimoto, kei a koe rānei ngā āhuatanga mōrearea, pērā i te hītori whānau o te mate tairoi, kia kite koe i tō tākuta. Ka taea e rātou te whakahaere i ētahi whakamātautau māmā hei tirotiro mēnā kei te whakaputa tō tairoi i ngā homoni e tika ana. Kia maumahara, ko te tere o te kitea, ko te tere o te tīmatanga o te maimoatanga. Kātahi ka taea e koe te noho hauora, whakamarie hoki.
Te mate a Hashimoto, te tairoi, te hypothyroidism, ngā mate pūnaha ārai mate, ngā homoni tairoi, te levothyroxine, te goiter
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