Kua pāngia koe e te pupuhi iti, te kī rānei i mua o tō kaki, te ngenge me te manukanuka kāore i te whakamāramatia? Ko tētahi take pea mō ēnei tohu ko te mate e kiia nei ko te Thyroiditis . Tērā pea he ingoa whakamataku, engari me wehewehe noa kia mārama ai koe ki ngā mea e tupu ana i roto i tō tinana.
He aha te mate tairoidi? Kia Māmā noa iho!
I roto i te poto, ko te mate tairoidi e pā ana ki te mumura o tō repe tairoidi . Tērā pea kei te whakaaro koe he aha te repe tairoidi, kei hea rānei. Whakaarohia he okana iti, he āhua pūrerehua kei te pūtake o tō kaki, i raro noa i te kiri. He wāhanga nui tēnei repe o tō pūnaha endocrine . Ka whakaputa, ka tuku hoki i ngā homoni nui e whakahaere ana i ngā mahi tino nui o tō tinana.
Ehara te mate tairoidi i te mate kotahi anake; he kupu whānui mō tētahi rōpū mate e puta ai te mumura o te repe tairoidi mō ngā take maha. Ko te raruraru matua e puta mai ana i te mate tairoidi ko te tukunga pea e te repe i te nui rawa, i te iti rawa rānei o ēnei homoni tairoidi nui.
He aha ngā wāhanga noa o te mate tairoidi?
I roto i ngā momo mate tairoiti maha, e toru pea ngā wāhanga motuhake ka pā ki a koe. Me titiro tātou ki ēnei:
1. Wāhanga Paitini Tairo: I tēnei wāhanga, ka tukuna ohoreretia e tō repe tairoiti mumura te nui rawa o ngā homoni. Ka puta he āhua rangitahi e mōhiotia ana ko te thyrotoxicosis . Ka taea e koe te whakaaro he rite ki te "waipuke" ohorere o ngā homoni e uru ana ki roto i tō pūnaha.
2. Wāhanga Hypothyroid: Whai muri i taua pikinga tuatahi o ngā homoni, ka ngoikore haere tō repe thyroid, ā, kāore e taea te whakaputa i te nui o te homoni mō ētahi wiki, marama rānei. Ko te mutunga iho he ngoikore e kiia nei ko te hypothyroidism . Mō ētahi āhuatanga, pērā i te Hashimoto's thyroiditis me te radiation-induced thyroiditis , ka taea e tēnei wāhanga hypothyroid te noho pumau.
3. Wāhanga Euthyroid: I tēnei wā, ka hoki ō taumata homoni ki te awhe noa, hauora. Ka puta pea tēnei i waenga i ngā wā thyrotoxic me te hypothyroid, koinei rānei te wā whakamutunga i te wa e ora ake ai tō repe thyroid i te mumura ka hoki anō ki te mahi noa.
He aha ngā momo matua o te mate tairoidi?
E ai ki tā mātou i kōrero ai, ehara te mate tairoiti i te mate kotahi, ā, he maha ngā momo. Me titiro tātou ki ēnei:
- Te mate tairoiti a Hashimoto: Koinei te momo mate tairoiti tino noa , e mōhiotia ana ko te mate tairoiti lymphocytic mau tonu . He mate pūnaha ārai mate tēnei. Ko te tikanga ka tīmata tō ake pūnaha ārai mate ki te whakaeke i te repe tairoiti mā te whakaputa i ngā paturopi antithyroid . Koinei te tino take o te hypothyroidism .
- Te mate tairoiti puku, kore mamae rānei: He mate pūnaha ārai mate tēnei e hua mai ana i ngā paturopi antithyroid. E ai ki te ingoa, kāore e tino mamae.
- Te mate tairoiti i muri i te whānautanga: Ko tētahi atu mate pūnaha ārai mate e puta ana i roto i te tau tuatahi i muri i te whānautanga. He mea onge noa iho.
- Te mate tairoiti i puta mai i te hihi-ā-rangi: Ka puta pea tēnei i muri i te rongoā hihi-ā-rangi mō ētahi mate pukupuku , mā te whakamahi rānei i ngā maimoatanga iodine hihi-ā-rangi mō te hyperthyroidism.
- Te mate tairoiti iti-whakapeka (te mate tairoiti a de Quervain rānei):He tino mamae tēnei i te nuinga o te wā, ā, e whakaarohia ana he huaketo te take. He maha ngā wā ka puta mai i te mate manawa o runga , pērā i te rewharewha, i te makariri noa rānei.
- Te mate tairoiti pangia whakapeka: He mate tino onge e puta mai ana i te huakita , i tētahi atu mate pangia rānei.
- Te mate tairoidi i puta mai i te rongoā: Ka taea e ētahi rongoā, pērā i te amiodarone , te interferons , te lithium , me ngā cytokines , te whakaoho i tēnei. Heoi, he iti noa te ōrau o te hunga e tango ana i ēnei rongoā ka pā tēnei ki tētahi wāhanga iti noa iho.
- Te Riedel thyroiditis: He mate tino onge e tohuhia ana e te mumura roa o te tairoi ka arahi ki te fibrosis , ka mārō, ka whara rānei te kiko tairoi.
Ko wai te hunga e tino pāngia ana e te mate tairoidi?
Ahakoa ka pāngia te tangata e te mate tairoi, he nui ake te kitea i roto i ngā wāhine .
Hei tauira, ko te mate tairoiti a Hashimoto e whā ki te tekau ngā wā ka nui ake te kitea i roto i ngā wāhine i ngā tāne, ā, ko te nuinga o te wā ka kitea i roto i ngā tāngata i waenga i te 30 me te 50 tau te pakeke. He nui ake hoki te kitea o te mate tairoiti puku i roto i ngā wāhine, ā, koinei te tuarua o ngā momo mate tairoiti tino kitea i muri i a Hashimoto.
He Pēhea te Noa o te Mea?
E ai ki te kōrero, ko te mate tairoiti a Hashimoto te momo tino kitea, e pā ana ki te 1% ki te 2% o te taupori i te Hononga o Amerika. He iti ake te kitea o ētahi atu momo mate tairoiti.
He mōrearea te ora i te mate tairoidi?
Ko te tikanga, ehara te mate tairoi i te mate morearea.
Heoi, ki te arahi te mate tairoi ki te hyperthyroidism kino e kore e rongoatia mō te wā roa, tera pea ka huri hei āhuatanga ohorere e morearea ana ki te ora e mōhiotia ana ko te tupuhi tairoi .
He aha ngā tohu o te awha tairoi?
- Te kirika nui – Ka piki ake te pāmahana ki te 40°C–41°C (104°F ki te 106°F).
- Te tere rawa o te manawa (tachycardia) – Ka taea e tēnei te neke atu i te 140 ngā pao i te meneti.
- Te ohooho nui, te riri nui, me te kore okiokinga nui.
- Pōrangi – He āhua pōhēhē nui, he koretake, he whakarerekētanga rānei o te hinengaro.
Ki te whakapae koe kei te pāngia koe e ngā tohu o te tupuhi tairoi, rapua tonutia he awhina hauora mā te waea atu ki te 911, mā te toro atu rānei ki te tari urupare tata.
Mena kei te pāngia koe e ēnei tohu e whai ake nei, tēnā haere ki te hōhipera tata tonu atu. He āhuatanga ohorere tēnei!
Ki te whakapae koe kei a koe ngā tohu o te mate tairoi, he mea nui kia toro atu koe ki te tākuta i taua wā tonu. Ka taea e rātou te whakahaere i ngā whakamātautau e tika ana, te whakarato i te tautuhi tika, me te tīmata i te mahere maimoatanga tika māu.
He aha ngā tohu o te mate tairoidi?
Ko ngā tohu o te mate tairoiti ka whakawhirinaki ki te momo me te wāhanga o te mate. I te nuinga o te wā, ka pāngia tuatahitia ngā tūroro e ngā tohu o te thyrotoxicosis, ā, muri iho ka pāngia e ngā tohu o te hypothyroidism.
Mō te mate tairoiti iti-whakapeka me te mate tairoiti pangia whakapeka, tera pea ka mamae koe i te rohe kei reira tō repe tairoiti. Tērā pea ka nui haere te tairoiti o ētahi tāngata, e mōhiotia ana ko te goiter .
Ngā tohu o te Thyrotoxicosis (ina nui haere ngā taumata homoni)
He poto noa te wā o te wā tairoto o te mate tairoidi, e pā ana ki te kotahi ki te toru marama te roa. Mēnā ka tere te pakaru o ō pūtau tairoidi, ā, ka nui rawa te homoni tairoidi e tukuna ana, ka pāngia pea koe e ngā tohu o te hyperthyroidism (he tairoidi tino kaha). Kei roto i ēnei ko:
- Te tere o te manawa o te ngakau (palpitations).
- Te pikinga o te hiahia kai.
- Te whakahekenga taumaha kāore i te mārama.
- Te āwangawanga, te noho pōuri rānei.
- Te pikinga o te riri.
- Te uaua ki te moe (te kore moe).
- Te nui haere o te werawera me te aro nui ki te wera.
- Te wiri o ngā ringa.
Ngā tohu o te Hypothyroidism (ina iti te taumata o ngā homoni)
Ka roa ake te wā o te mate thyroid, ā, ka noho pūmau pea i ētahi wā. Mēnā kua pakaru ō pūtau thyroid, ā, ka heke ngā taumata homoni, ka pāngia pea koe e ngā tohu o te hypothyroidism. Kei roto i ēnei ko:
- Te ngenge mau tonu.
- Te pikinga taumaha kāore i te mārama.
- Te mate kōroke.
- Ngā āwangawanga hauora hinengaro pērā i te pouri.
- Kiri maroke.
- Te pikinga ake o te aro ki te makariri.
- Te ngoikore o te uaua.
- Te uaua ki te arotahi.
He aha te take o te mate tairoidi?
Ka puta te mate tairoidi ina "whakaekea" tō repe tairoidi, ka puta te mumura (te urupare a te tinana ki te whara) me te kino o ngā pūtau tairoidi. He rerekē ngā take motuhake i runga i te momo.
Ko te tino take ko te mate pūnaha ārai mate . Ka puta tēnei ina whakaekea hētia tō tinana e tō pūnaha ārai mate—he mea hanga hei tiaki i a koe. Ahakoa kāore i te tino mārama te take, he maha ngā momo mate tairoi ka puta mai i ngā paturopi e aro ana ki tō repe tairoi.
Me pēhea te tātaritanga o te mate tairoidi?
Ina kite koe i tētahi tākuta, ka tirotirohia koe e rātou, ka arotakehia hoki tō repe tairoi. Ka pātai atu hoki rātou mō ō tohu me tō hītori hauora.
Mena kei te whakapae tō tākuta he mate thyroiditis koe, ka whakahaerehia pea e rātou ētahi, ētahi rānei o ngā whakamātautau e whai ake nei hei whakaū i te mate:
- Ngā whakamātautau mahi tairoiti: Ka ine ēnei whakamātautau toto i ngā homoni e pā ana ki te tairoiti. Kei roto i ēnei ko te homoni whakaoho-tairoiti (TSH) , te T3 (triiodothyronine) , me te T4 (thyroxine) . Ka hangaia te TSH e tō repe pituitary hei whakaoho i te tairoiti kia whakaputa i ngā homoni T4 me te T3.
- Te ine i te repe tairoiro: He maha ngā wā ka whakamahia e ngā tākuta te ine i te repe tairoiro hei tirotiro i te hanganga o tō repe tairoiro. Mā tēnei ka āwhina ki te kite i ngā pona , i ngā huringa o te rere o te toto, i te kiato rānei o te repe.
- Ngā whakamātautau paturopi tairoiti: Ka rapua e ēnei whakamātautau toto ngā paturopi motuhake, pērā i te TPO (antibodies antithyroid/microsomal) me te TRAb (antibodies thyroid receptor stimulating antibodies) . Ko tō rātou aroaro e tohu ana he mate pūmau tō tairoiti.
- Te tere o te whakatōnga toto whero (ESR): Mā tēnei whakamātautau toto ka taea te tautuhi i te mumura i roto i tō tinana. Mēnā he mate thyroiditis iti te āhua, ka piki ake te taumata ESR.
- Pūmua C-reactive (CRP): Ka ine tēnei i ngā taumata CRP i roto i tō toto. Ko ngā taumata CRP teitei e tohu ana i te mumura, ā, he tino teitei i roto i ngā take o te mate tairoi pangia whakapeka.
- Whakamātautau tango iodine radioactive (RAIU): Ka ine tēnei whakamātautau i te nui o te iodine radioactive (ka tangohia mā te waha) ka mimitihia e tō repe tairoiti. I te wāhanga thyrotoxic o te thyroiditis, he iti noa iho te mimititanga o tēnei matū.
Me pēhea te rongoā mō te mate tairoidi?
Ko te maimoatanga mō te mate thyroid ka whakawhirinaki ki te momo me ō tohu motuhake.
Te rongoā i te Thyrotoxicosis
Mena kei roto koe i te wāhanga thyrotoxic o te thyroiditis, ka tohua pea e tō tākuta he beta-blockers . Ka āwhina ēnei ki te whakaiti i ngā tohu pēnei i te tere o te ngakau ( palpitations ) me te wiri.
I te pai haere o ō tohu, ka āta whakaitihia e tō tākuta te rongoā, ā, ka mutu i te mutunga, nā te mea he wā poto noa iho tēnei wāhanga.
Te rongoā i te Hypothyroidism
Mena kei a koe te mate tairoiti Hashimoto, ka tohua pea e tō tākuta he rongoā whakakapinga homoni tairoiti, pērā i te levothyroxine . Me tango pea e koe tēnei rongoā mō te wā roa, nā te mea he maha ngā wā ka pumau te hypothyroidism i puta mai i te mate a Hashimoto.
Mena he mate tairoidi subacute, silent, postpartum thyroiditis rānei tōu, ā, kei te pāngia koe e ngā tohumate hypothyroid, ka tohua pea e tō tākuta he rongoā whakakapinga homoni mō ngā marama 6 ki te 12. Muri iho, ka tirotirohia koe e rātou kia kite ai mēnā ka mau tonu te hypothyroidism.
Mena he ngawari noa iho tō hypothyroidism, kāore pea e hiahiatia he maimoatanga.
Ētahi atu maimoatanga mō te mate thyroid
Mena he mate pukupuku tairoidi tōu , me rongoā te mate, me ngā paturopi te nuinga. Mena kua puta he whēwhe (he kohinga pūkahukahu), me tango pea e tō tākuta he ngira pai hei tango i te wai.
Ko te mate tairoiti i puta mai i te rongoā ka memeha haere ina mutu te rongoā whakaoho. Tērā pea ka whakawhitia koe e tō tākuta ki tētahi atu rongoā, ka pupuri rānei i a koe ki te rongoā kotahi i a koe e whakahaere ana i te mate tairoiti me te levothyroxine mēnā e tika ana. Kia mahara, mō ngā āwangawanga ohorere, whakapā atu ki ngā ratonga ohorere (911) me toro atu rānei ki tō hōhipera tata tonu atu i runga i ngā tohutohu a Nirogi Lanka.
Ko te mamae o te mate tairoiti pangia me te mate tairoiti iti-whakapeka ka taea te whakahaere mā te whakamahi i ngā rongoā anti-inflammatory kore-steroidal (NSAID) , pērā i te aspirin , i te ibuprofen rānei. I ētahi wā, ki te tino kino te mamae, ka tohua pea e tō tākuta he rongoā steroid .
Mō te mate tairoi a Riedel, he maha ngā wā e hiahiatia ana te pokanga.
Ka taea te ārai i te mate thyroiditis?
Engari, he maha ngā momo mate tairoi kāore e taea te ārai .
Mena kua whakaritea koe mō ngā tikanga pēnei i te rongoā iodine radioactive, te rongoā irahiko rānei, kōrerohia te mōrearea o te whanaketanga o te tairoi ki tō tākuta. I ētahi wā, ka taea te whakaaro ki ngā maimoatanga rerekē hei whakaiti i tēnei mōrearea.
Mena kei te tango koe i ngā rongoā ka pā mai pea te mate tairoi, kōrero ki tō tākuta mō te whakarerekētanga, te whakamutu rānei i ēnei rongoā. Heoi, kia mōhio koe ahakoa ēnei tūpato, kāore pea e taea te ārai katoa i te mate tairoi.
He aha te matapae mō te mate thyroiditis?
Ko te tikanga, he pai te matapae mō te mate tairoi.
Mēnā ko te mate tairoiti a Hashimoto, ko te hua o te mate hipotiroidi he mea pumau tonu, engari ka taea te whakahaere pai mō te wa katoa mā te whakamahi i te rongoā whakakapinga homoni tairoiti.
Mō te hunga e pāngia ana e te mate tairoiti iti-whakapeka, ka roa pea ngā tohu mō te kotahi ki te toru marama. Heoi, ka roa pea te 12 ki te 18 marama ka hoki anō te mahi katoa o te tairoiti ki te āhua noa. He iti noa te mōrearea o te whakawhanake i te mate tairoiti pumau, tata ki te 5% mō ēnei tūroro.
E 12 ki te 18 marama te roa o te whakaoranga mai i te mate tairoi i muri i te whānautanga me te mate tairoi puku (kore mamae). E 20% pea te mōrearea o te mate hypothyroidism tuturu mō ēnei mate.
Āhea koe me toro atu ki te tākuta?
Mena kua tāpaetia koe he mate tairoi tōu, me tirotirohia koe i ia wā hei aroturuki i ō tohu, hei whakarite hoki kei te whai hua tō mahere maimoatanga.
Mena ka kino haere ō tohumate, ka kite rānei koe i ētahi tohumate hou e whakararuraru ana i a koe , whakapā atu ki tō kaiwhakarato hauora i te wā e taea ai.
He mea noa te pāngia e te ahotea ina tirohia he mate hauora. Ko te mea pai, he maha ngā wā ka taea te whakahaere i te mate tairoi, ā, i ētahi wā, he mate rangitahi noa iho. Mena he pātai āu mō te mate tairoi, mō tō mahere maimoatanga rānei, kōrero ki tō tākuta. Kei reira rātou hei tautoko i a koe i roto i ia taahiraa o tō tiaki.
Karere kawe ki te kāinga
Ko te tumanako kua mārama ake koe i tēnei tirohanga whānui mō te mate tairoi. Kia maumahara:
- Ko te mate thyroiditis he mumura o te repe thyroid kei roto i tō kaki.
- Ka taea e te tinana te whakaputa i te nui rawa, i te iti rawa rānei o te homoni tairoi .
- He rerekē ngā momo me ngā wāhanga ; ko Hashimoto te mea tino noa.
- He rerekē ngā tohu i ia momo, ā, ka uru atu pea te ngenge, te huringa o te taumaha, te koretake o te tere o te ngakau, me ngā panonitanga o te wairua .
- Ko te nuinga o te wā ka puta te mate nei i te tauhohenga pūnaha ārai mate .
- Ko te tikanga ka kitea te mate mā roto i ngā whakamātautau toto me ngā ultrasound .
- Ko te maimoatanga ka whakawhirinaki ki te momo me ō tohumate. Ko ētahi ka ora katoa , ko ētahi ka hiahia pea ki te rongoā roa .
- Kia tūpato ki tētahi mate onge, e morearea ana ki te ora e kiia nei ko te awha tairoi . Mēnā ka pāngia koe e ēnei tohu, rapua tonutia he awhina hauora ohorere .
- Mena he āwangawanga āu mō tō hauora, me toro atu ki tō tākuta i ngā wā katoa.
I Nirogi Lanka, e whakapono ana mātou ko tō oranga te mea nui rawa atu!
