Kei te ngenge tonu koe? Me ako tātou mō tēnei mate hypothyroidism.

Kei te tino ngenge koe i ēnei rā? Kei te ngenge koe ahakoa te oho ake i te ata, kei te hiamoe koe i te rā katoa, ā, kāore he kaha ki te mahi i tetahi mea? I taua wā anō, kei te ahua kei te piki haere tō taumaha ahakoa kāore koe e hanga i tētahi huringa nui ki tāu kai me tāu inu? Tērā pea koe e whakaaro he mea noa tēnei, nā te nui rawa o te mahi. Engari i muri i ēnei mea, tera pea ētahi huringa iti e puta ana i roto i ō tātou tinana. Koinei tā tātou e kōrero ai i tēnei rā.

He aha te Hypothyroidism?

Āe, me kī pēnei. He repe iti te āhua o te pūrerehua kei roto i tō tātou kaki. Koinei te mea e kiia nei e tātou ko te repe tairoiti . Pērā i te miihini o te motuka, he maha ngā mea e whakahaere ana i roto i tō tātou tinana, arā, e whakatau ana i te tere o tō tātou tinana (metabolism). He maha ngā mea e pā ana ki ōna homoni, pērā i te tere o tō manawa, te pāmahana o te tinana, me te tere o te nakunaku.

Ko te Hypothyroidism he āhuatanga e kore ai e mahi tika te repe tairoiti, ā, kāore hoki e whakaputa i te nui o ngā homoni e hiahiatia ana. Kātahi, pērā i te wā e pōturi ana te miihini o te motuka, ka tīmata te pōturi o ngā tukanga katoa o roto i tō tātou tinana. Koia te take e ngenge ai koe, e taumaha ai hoki tō tinana.

He mate tēnei ka taea te rongoā me te whakahaere, nō reira kāore he take e mataku ai. Heoi, ka taea te mōrearea mēnā kāore e rongoātia.

He aha ngā momo matua o te hypothyroidism?

He maha ngā momo matua, kei runga i te āhua o te putanga mai o tēnei mate. Ahakoa he āhua hauora tēnei, he mea tika kia mōhiotia i roto i ngā kupu māmā noa iho. Whakaarohia, he rangatira nui kei roto i tō tātou roro (Hypothalamus), e whakahau ana i tētahi atu (Pituitary Gland) kia mahi i tētahi mea, ā, mā tēnā ka whakahau i te Thyroid Gland kia mahi. Mena he raruraru kei tēnei ara, ka puta pea te Hypothyroidism.

He aha ngā tohu o tēnei mate?

Kāore ngā tohu o te hypothyroidism e puta ohorere mai. Ka puta mārire, ka āta haere. I ētahi wā ka roa pea ngā tau. Tirohia mēnā kei a koe ēnei tohu.

Mena kei a koe tētahi, ētahi rānei o ēnei tohu, ko te mea pai ko te toro atu ki tō tākuta mō ētahi tohutohu.

He aha te take ka puta ai te Hypothyroidism?

Tērā pea he maha ngā take mō tēnei.

• Te mate a Hashimoto: Koinei te tino take, te take tino noa hoki. He mate pūnaha ārai mate tēnei. Ko te tikanga, ka tīmata te pūnaha ārai mate, e tika ana kia tiaki i tō tātou tinana, ki te whakaeke hē i tōna ake repe tairoi. I roto i te wā, ka pakaru te repe, ā, ka heke te hanga homoni.
• Te tango i te repe tairoiti:Ina tangohia te repe tairoiti katoa, tetahi wāhanga rānei mā te pokanga nā ētahi mate pukupuku, nā ētahi āhuatanga rānei pērā i te mate puku.
• Whakaora Irahiko: Ina whakamahia te rongoā irahiko mō ngā mate pukupuku o te upoko, o te kaki rānei, ka taea hoki e ia te kino i te repe tairoi.
• Ētahi rongoā: Ko ētahi rongoā e whakamahia ana mō ngā mate ngakau me ngā mate hinengaro (hei tauira, Lithium, Amiodarone) ka taea hoki te whakaiti i te mahi tairoi.
• Te Kore o te Iodine: He kohuke nui te iodine mō te hanga i ngā homoni tairoi. Ka puta pea tēnei āhuatanga mēnā kāore e nui te iodine e whiwhihia ana e tātou mai i ā tātou kai. Heoi, i Sri Lanka, kāore i te kitea pinepine tēnei nā te mea kua tāpirihia te iodine ki te tote e whakamahia ana e tātou.
• Ngā āhuatanga whānau: Ka whānau mai ētahi pēpi kāore he repe tairoi, kāore rānei he repe e mahi tika ana.

Me pēhea te tautuhi i te mate?

Ina haere koe ki te tākuta, ko te mea tuatahi ka mahia e ia ko te pātai atu ki a koe mō ō tohumate. Kātahi ka tirotirohia tō kaki kia kite ai mēnā kei te pupuhi tō repe tairoi.

Engari hei whakaū i tēnei mate, me whai whakamātautau toto.

Ko te nuinga o tēnei whakamātautau toto e titiro ana ki:

• TSH (Homoni Whakaoho Tairoiti): He homoni tēnei e tukuna ana e te repe pituitary i roto i te roro. Mēnā kāore te repe tairoiti e mahi ana, ka ngana te roro ki te whakaoho mā te tuku atu i te TSH. Nō reira, he maha ngā wā ka piki ake ngā taumata TSH i roto i te hypothyroidism.
• T4 (Thyroxine): Koinei te homoni matua e whakaputaina ana e te repe tairoiti. I roto i te hypothyroidism, ka heke ngā taumata o tēnei homoni.

I ētahi wā, ki te tika, ka tonoa pea e te tākuta he whakamātautau pēnei i te matawai ultrasound , i te matawai CT rānei.

He aha ngā maimoatanga? He mea hei wehi māu?

Kāo, kāore he mea hei manukanuka. He tino māmā, he tino whai hua hoki te rongoā mō te hypothyroidism.

Ko te maimoatanga matua ko te Whakaora Whakakapinga Homoni . He māmā noa iho, ko te hoatutanga o tētahi pire e kiia nei ko te Levothyroxine , hei whakakapi i te homoni tairoi kāore e taea e tō tinana te hanga.

I te tīmatanga, ka whakamātauhia e tō tākuta te toto i ia wā, i ia wā, kia kitea ai te horopeta tika māu. Kia whiwhi koe i te horopeta tika, ka ngaro te nuinga o ō tohumate, ā, ka taea e koe te noho noa.

Kia pēhea te roa ka ora ake ai i muri i te tīmatanga o te maimoatanga?

Ka tīmata te hoki o ngā taumata homoni ki te āhua noa ina tīmata koe ki te tango i te rongoā. Heoi, tera pea ka roa ētahi wiki ka memeha haere ō tohumate, pērā i te ngenge me te taumaha. Nō reira, he mea nui kia manawanui.

Ka aha mēnā kāore koe e whiwhi maimoatanga?

Koinei te mea tino nui. Ahakoa ka whakatauhia e te maimoatanga ngā raruraru katoa, ki te kore e rongoatia, ka puta pea ngā raruraru nui.

• Te mate puku: Ka taea e te repe tairoi te whakanui ake nā te whakaoho tonu.
• Mate ngakau: Ka piki ake te mōrearea o te mate ngakau mēnā ka nui haere te cholesterol kino (LDL).
• Ngā raruraru hinengaro: Ka kino rawa atu pea ngā āhuatanga pēnei i te pouri me te manukanuka.
• Neuropathy Peripheral: Ka mamae, ka ngoikore hoki ngā peka i te kino o ngā io.
• Te kore tamariki: Tērā pea ka uaua te whānautanga o ngā wāhine. Ki te kore e rongoatia i te wā e hapu ana, ka pā pea ki te pēpi.
• Myxedema Coma: He tino onge tēnei mate, engari he mate morearea . Ka tino ngoikore ngā mahi a te tinana, ā, ka ngaro pea te mōhio.

Āhea ahau me kite i te tākuta?

Mena kei a koe ētahi o ngā tohu kua whakahuatia ake nei (pērā i te ngenge tonu, te taumaha nui, te kiri maroke), me toro atu ki te tākuta. Māna koe e tirotiro, ā, ki te tika, ka tonoa he whakamātautau toto.

Mena kei te tango rongoā koe mō te hypothyroidism, ā, kei te hoki mai anō ō tohu, me whakamōhio atu ki tō tākuta. Me whakarerekē pea te horopeta o tō rongoā.

Āhea te wā e tika ai kia haere wawe ki te ETU (Emergency Treatment Unit)

Ki te pāngia koe e tētahi o ngā tohu kino e whai ake nei, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera . Tērā pea he tohu ēnei o te mate Myxedema Coma kua whakahuatia ake nei.

• Te uaua ki te manawa
• Te hiamoe kore e taea te manawanui, te pōhēhē
• Te pāmahana tinana iti (hypothermia)
• Te toto toto iti rawa (te toto toto iti rawa)
• Te puhoi rawa o te manawa (Bradycardia)