I ētahi wā ka tino ngenge koe, kāore he take? Kāore rānei, ka tino marino koe, me te mea kei te heke tō taumaha? Tērā pea he pupuhi iti kei mua o tō kaki, he mea pērā rānei, pērā i te mamae ina pā atu koe? I ētahi wā kei muri i ēnei mea, tera pea he raruraru kei tō repe tairoi. I tēnei rā, ka kōrero tātou mō tēnei mate noa, engari kāore i te tino mōhiotia, e kiia nei ko te 'thyroiditis'.
Tuatahi, kia kite tātou, he aha tēnei repe tairoi?
He whakarāpopototanga noa iho, he okana iti te repe tairoiti, he āhua pūrerehua kei raro i te kiri i te taha mua o tō tātou kaki. He wāhanga tino nui o te pūnaha endocrine o tō tātou tinana. He maha ngā mahi nui o te tinana, pērā i te tere o te manawa, te pāmahana o te tinana, me te tere o te hurihanga o te kai e kainga ana e tātou hei pūngao (metabolism), e whakahaerehia ana e ngā homoni e hangaia ana e tēnei repe iti.
He aha te mate tairoidi ? He mumura, he pupuhi rānei o te repe tairoidi. Pērā i te wā e whara ai tētahi wāhi o te tinana, ka pupuhi, ka whero te wāhi, ina pakaru te repe tairoidi mō tētahi take, ka pupuhi anō hoki. Ka taea e tēnei pupuhi te whakararuraru i te mahi noa o te repe tairoidi. Arā, ka tīmata te whakaputa i te nui rawa o ngā homoni, ka iti rawa rānei.
E toru ngā wāhanga matua o te mate thyroiditis:
I te nuinga o ngā wā o te mate tairoi, e toru ngā wāhanga matua o tō tinana. He rite ki te mahi i roto i te wheketere.
1. Wāhanga paitini tairoiti: He rite tēnei ki tētahi wheketere e kore e taea te whakahaere, ā, ka tukuna ohoreretia he nui rawa ngā hua ki te mākete. Ina pupuhi te repe tairoiti, ka tukuna ohoreretia ngā homoni kei roto i a ia ki roto i te toto. Ka piki ake ngā taumata o ō homoni tairoiti mō ētahi wiki, mō tētahi marama, mō ngā marama e rua rānei.
2. Wāhanga Hypothyroid: Nā te mea kua tukuna ngā taonga katoa e te wheketere i te wā kotahi, kāore ā rātou rauemi mata hei hanga anō i aua taonga. Waihoki, i muri i te tukunga o ngā homoni katoa mai i te repe ki roto i te toto, ka puta he āhuatanga kāore e taea te hanga i ngā homoni hou. Nō reira, ka tino heke te taumata o ngā homoni tairoi i roto i tō tinana. I roto i ētahi momo Thyroiditis, hei tauira, te Hashimoto's thyroiditis, ka taea e tēnei taumata homoni iti te noho pumau.
3. Wāhanga Euthyroid: Koinei te wā whakaora. Pērā i te tīmatanga o te mahi anō a te wheketere me te whakaputa hua pērā i te tikanga, ka ora te repe tairoi ka tīmata anō te whakaputa homoni i te āhua noa. Tērā pea ka uru atu ētahi tāngata ki tēnei wāhanga i muri tonu i te wā nui o te homoni, ka uru atu rānei rātou ki tēnei wāhanga i muri i te wā iti o te homoni.
He aha ngā momo matua o te mate thyroiditis?
Ehara te mate tairoidi i te mate kotahi. He rōpū mate tēnei ka puta mai i ngā āhuatanga maha. Me titiro tātou ki ngā momo matua.
| Momo mate tairoi | Hei whakarāpopototanga, koinei te mea ka tupu. |
|---|---|
| Te mate tairoiti o Hashimoto | Koinei te momo tino noa. Ko te mea e tupu ana i konei ko te whakaekenga a te pūnaha ārai mate o tō tātou tinana i tōna ake repe tairoi. He mate ārai mate tēnei. I roto i te wā, ka pakaru te repe, ā, ka taea te whakaiti i te hanga homoni mō ake tonu atu (Hypothyroidism). |
| Te mate tairoidi puku, kore mamae rānei | He mate pūnaha ārai mate anō hoki tēnei. E ai ki te ingoa, kāore he mamae kaki, engari ka kitea ngā wāhanga o te piki me te heke o ngā homoni. |
| Te mate tairoi i muri i te whānautanga | He āhuatanga tēnei ka pā ki ngā whaea i roto i te tau tuatahi o te whānautanga o te tamaiti. Ko te mate pūnaha ārai mate te take. I te nuinga o te wā, he rangitahi noa iho. |
| Te mate tairoi i puta mai i te hihi | Ka puta pea tēnei i te rongoā irahiko mō te mate pukupuku, i te rongoā iodine irahiko rānei hei whakanui ake i ngā homoni tairoi. |
| Te mate tairoiti iti-whakapeka | E whakaponohia ana nā te mate huaketo i puta ai. Ka puta pea i muri i te mutunga o te korokoro mamae, te makariri rānei. Tērā pea ka mamae nui te kaki. |
| Te mate pukupuku o te tairoi | He tino onge tēnei. Ka puta ina uru mai he iroriki, pērā i te huakita, ki te repe tairoi ka pangia. I konei anō hoki, ka pāngia e te mamae nui me te kirika. |
| Te mate tairoi i puta mai i te rongoā | Ka puta pea tēnei hei pānga taha o ētahi rongoā (hei tauira, Amiodarone, Lithium, Interferons). Heoi, kāore e pāngia te hunga katoa e tango ana i ēnei rongoā e tēnei mate. |
He aha ngā tohu o te mate tairoidi?
Ko ngā tohumate ka whakawhirinaki ki te momo o te mate tairoiti kei a koe me te wāhanga (teitei, iti rānei o ngā homoni) kei roto koe. Me titiro tātou ki ngā tohumate ka puta i ēnei wāhanga e rua.
| Ngā tohu o te pikinga o ngā homoni (thyrotoxicosis) | Ngā tohu o te iti o ngā homoni (Hypothyroidism) |
|---|---|
| Te ahua nei kei te tere te patu o tō ngākau | Te ngenge tonu (Fatigue) |
| Te ngaronga taumaha mō te kore take | Te pikinga o te taumaha me te kore take |
| Te hiakai i ngā wā katoa | Te kōroke |
| Te kore okiokinga, te riri | Te pouri, te pouri rānei |
| Te kore moe | Kiri maroke |
| Te werawera nui, te werawera | Te ātete ki te makariri |
| Ngā wiri | ngoikore o te uaua |
| - | Te uaua ki te arotahi |
He mea tino nui: I ētahi wā onge, ka taea e te hyperthyroidism kāore i rongoatia te arahi ki tētahi mate morearea e kiia nei ko te 'thyroid storm'. Mena kei a koe ngā tohu pēnei i te kirika nui (neke atu i te 104 F), te tere o te manawa (neke atu i te 140 ngā pao ia meneti), te pōhēhē rānei, haere tonu ki te rūma ohorere (ETU) o te hōhipera tata ki a koe. He āhuatanga ohorere hauora tēnei.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Mena kei a koe ēnei tohu, ka pātai tuatahi tō tākuta ki a koe mō ō tohu, ā, ka tirotirohia tō kaki. Kātahi, ki te whakapaetia he mate tairoi, ka tonoa e ia ētahi whakamātautau, pēnei i:
- Ngā whakamātautau mahi tairoi: He whakamātautau toto tēnei. Ka ine i ngā taumata o ngā homoni TSH, T3, me te T4 i roto i ō toto. Mā tēnei ka taea e koe te mōhio mēnā kei roto koe i te wāhanga homoni teitei, iti rānei.
- Whakamātautau ira o te tairoi: Mā tēnei ka taea te tirotiro i te āhua me te rahi o te tairoi, mēnā he puku kei roto, me te pehea hoki o te rere o te toto.
- Ngā whakamātautau paturopi tairoi: Mā tēnei whakamātautau toto ka taea te whakatau mēnā he mate pūnaha ārai mate tōu tairoi.
- Ngā whakamātautau ESR me te CRP: He whakamātautau toto anō hoki ēnei. He mea nui ēnei hei whakatau mēnā he mumura kei roto i te tinana. He tino teitei ēnei i roto i te mate tairoiti iti me te mate tairoiti whakapeka.
- Te tangohanga iodine irahiko (whakamātautau RAIU):Ko te tikanga o tēnei ko te hoatu i tētahi iti o te iodine radioactive hei inu māu, kātahi ka ine i te nui o te iodine kua mimitihia e tō repe tairoi i muri i ētahi haora. He tino iti tēnei mimiti i te wā e tino kaha ana te homoni o te tairoi.
He aha ngā maimoatanga mō tēnei?
Ko te maimoatanga e whakawhirinaki ana ki te momo mate tairoi kei a koe me ō tohumate.
Te maimoatanga mō te kore taurite o te homoni
I te mea he wā poto noa iho tēnei wāhanga, ka tohua pea e tō tākuta he rongoā, pērā i ngā beta-blockers, hei whakahaere i ngā tohu pēnei i te tere o te manawa me te wiri. Ka mutu te rongoā ina memeha haere ngā tohu.
Te maimoatanga mō te korenga o te homoni
Mena kei a koe tētahi āhuatanga e puta ai te korenga o ngā homoni tuturu, pērā i te mate tairoiti o Hashimoto, ka tohua e tō tākuta he pire homoni tairoiti o waho (pērā i te levothyroxine). Me tango pea tēnei mō te toenga o tō oranga.
I ētahi atu momo, mēnā he rangitahi te korenga o te homoni, ka hoatu ēnei pire homoni mō te 6 ki te 12 marama, kātahi ka mutu, ā, ka kitea te mahi anō a te repe.
Ētahi atu maimoatanga motuhake
- Mō te mamae: Ka hoatu ngā rongoā mamae (NSAID) mō ngā āhuatanga mamae pēnei i te mate tairoiti iti. Mena he nui te mamae, me rongoā pea ki te steroids.
- Mō ngā mate pāwera: Ka hoatu ngā paturopi mō ngā mate kitakita pērā i te mate tairoi taioro kino. Mēnā kua puta he whēwhe, me tango pea te wai mā te ngira.
- Pokanga: I ētahi wā tino onge, pērā i te mate tairoi Riedel, ka hiahiatia pea te pokanga.
Kāore e taea te ārai i tēnei?
Engari, kāore he huarahi hei ārai i te nuinga o ngā momo mate tairoidi, nā te mea ko te nuinga o ēnei e puta mai ana i tō tātou ake pūnaha ārai mate. Heoi, ki te mea kei te whiwhi koe i te maimoatanga irahiko mō tētahi mate, kei te tango rānei i tētahi rongoā ka pā mai ai te mate tairoidi, ka taea e koe te kōrero ki tō tākuta mō taua mea, kia mōhio hoki ki ngā mōrearea.
Ki te kitea he mate tairoiti tōu, kaua e mataku. He mate tēnei ka taea te rongoā pai, te whakahaere, me te whakaora anō hoki. Ko te mea nui ko te whai i ngā tohutohu a tō tākuta me te hoki mai ki te tirotiro i ia wā.
Karere Tangohia ki te Kāinga
- He mumura te repe tairoiti i te repe tairoiti. Ehara i te mate pukupuku.
- I tēnei āhuatanga, ka piki ake pea ngā homoni i te tīmatanga (hyperthyroidism), kātahi ka heke iho (hypothyroidism).
- Kia tūpato mēnā kei a koe ngā tohu pēnei i te huringa taumaha kāore i te whakamāramatia, te ngenge nui, te kore okiokinga, te mamae o te kaki, te pupuhi rānei.
- Ka taea te tautuhi ngāwari i tēnei mate mā roto i ngā whakamātautau toto me ngā karapa māmā.
- He tino whai hua ngā maimoatanga mō ngā momo mate tairoiti maha. Ko ētahi he rangitahi, ko ētahi ia me roa te maimoatanga.
- Mena he pātai, he ruarua rānei āu mō tēnei mea, kōrero mārire ki tō tākuta.
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