Kei te pupuhi tō repe tairoiti i roto i tō kaki? Me kōrero tātou mō te mate tairoiti!

Kua rongo koe i tētahi puku iti i mua o tō kaki, i tētahi ngau kino i tō ringa, i tētahi ngenge noa iho rānei, i tētahi manukanuka noa iho rānei? Ko tētahi o ngā take mō tēnei ko tētahi mate e kiia nei ko te mate tairoidi . Tērā pea he nui te ingoa, engari me kōrero noa tātou mō tēnei mea, kia mārama ai koe.

He aha te mate tairoidi? Kia mārama tātou!

I te whakarapopototanga, ko te mate tairoidi he mumura o tō repe tairoidi , arā, ko te pupuhi. Tērā pea kei te whakaaro koe he aha te repe tairoidi, ā, kei hea hoki. Whakaarohia pēnei, ko te repe tairoidi he okana iti āhua pūrerehua kei mua o tō kaki, i raro noa i te kiri. He wāhanga ia o te pūnaha endocrine o tō tātou tinana. Ka whakaputa, ka huna hoki i ētahi momo homoni e whakahaere ana i ngā mahi nui o roto i tō tātou tinana. Ināianei, ehara tēnei mate e kiia nei ko te mate tairoidi i te momo kotahi. He ingoa whānui tēnei mō tētahi rōpū mate e puta ai te mumura o te repe tairoidi, me ngā take me ngā tohu rerekē. Ko te mea matua ka puta ai tēnei mate tairoidi ko te nui rawa, te iti rawa rānei o ngā homoni tairoidi.

He aha ngā wāhanga o te mate thyroiditis?

I te nuinga o te wā, e toru ngā wāhanga matua o te nuinga o ngā momo mate tairoidi. Me titiro tātou ki ēnei: ​​1. Wāhanga Tairopaitini: I tēnei wāhanga, ka pupuhi tō repe tairoidi, ā, ka tukuna ohoreretia he nui rawa o te homoni. Ka puta he āhuatanga rangitahi e kiia nei ko te tairopaitini . He rite ki te waipuke ohorere o ngā homoni. 2. Wāhanga Hypothyroid: I muri i taua pikinga ohorere o ngā homoni, i muri i ētahi wiki, marama rānei, kāore he nui o ngā homoni e toe ana i te repe tairoidi hei tuku. Kātahi ka puta he ngoikore o te homoni tairoidi. Ka kiia tēnei ko te hypothyroidism . I roto i ētahi momo mate tairoidi, pērā i te mate tairoidi a Hashimoto me te mate tairoidi i puta mai i te hihi, ka pumau tonu tēnei wāhanga hypothyroid. 3. Wāhanga Euthyroid: I tēnei wāhanga, ka hoki anō ngā taumata o ō homoni tairoidi ki te noho noa. Ka puta pea tēnei i muri i te wāhanga tairoidi mō tētahi wā poto, i mua i te urunga ki te wāhanga hypothyroid. Tērā pea ko te wāhanga whakamutunga, ina ora te repe tairoidi i te mumura, ā, kei te hanga anō i ngā homoni i te āhua noa.

He aha ngā momo matua o te mate thyroiditis?

E ai ki tā tātou i kōrero ai i mua, ehara te mate tairoiti i te mate kotahi anake. He rerekē ngā momo. Me titiro tātou ki ēnei:

• Te mate tairoiti a Hashimoto: Koinei te momo mate tairoiti tino noa.E kiia ana hoki tēnei ko te mate tairoidi lymphocytic mau tonu . He mate pūnaha ārai mate tēnei. Arā, ka whakaekea e te pūnaha ārai mate o tō tātou tinana te repe tairoidi mā te whakaputa i ngā paturopi antithyroid . Koinei te tino take o te hypothyroidism .
• Te mate tairoidi puku, kore mamae rānei: He mate pūnaha ārai mate anō hoki tēnei. Ka puta mai anō hoki i ngā paturopi anti-thyroid. E ai ki te ingoa, kāore i te tino mamae.
• Te mate tairoiti i muri i te whānautanga: He mate pūnaha ārai mate anō hoki tēnei. Heoi, ka puta i roto i te tau kotahi i muri i te whānautanga. He mea onge tēnei.
• Te mate tairoiti i puta mai i te hihi-ā-rangi: Ka puta pea tēnei āhuatanga i te rongoā hihi-ā-rangi mō ētahi momo mate pukupuku , i te iodine hihi-ā-rangi rānei e hoatu ana hei rongoā mō te hyperthyroidism .
• Te mate tairoidi iti-whakapeka, te mate tairoidi a de Quervain rānei: He mate mamae tēnei e puta pinepine ana i te huaketo. Ka puta pinepine i muri i te pahemotanga o te mate manawa o runga , pērā i te makariri, te rewharewha rānei.
• Te mate tairoidi pāwera whakapeka: He tino onge tēnei mate. Ka puta mai i tētahi rauropi pāwera, pērā i te huakita .
• Te mate tairoidi i puta mai i te rongoā: Ka puta pea tēnei āhuatanga ina whakamahia ētahi rongoā, pērā i te amiodarone , te interferons , te lithium, me ngā cytokines . Heoi, ehara i te mea ko te hunga katoa e tango ana i ēnei rongoā ka pāngia e tēnei āhuatanga, he tokoiti noa iho ngā tāngata.
• Te mate tairoidi Riedel: He mate tino onge hoki tēnei. Ko tōna āhua he mumura roa me te fibrosis o te repe tairoidi.Ko te ingoa o te mate ko te fibrosis. Ko te fibrosis he matotoru, he kiriuhi rānei o te kiko.

Ko wai te hunga e tino pāngia ana e te mate tairoi?

Ahakoa ka pāngia te tangata e te mate tairoiti, he nui ake te pānga ki ngā wāhine . Hei tauira, ko te momo mate tairoiti e kiia nei 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. He mea noa hoki i roto i ngā tāngata i waenga i te 30 me te 50 tau te pakeke. He mea noa ake hoki te mate tairoiti puku, kore mamae rānei i roto i ngā wāhine. Ko te tuarua tēnei o ngā momo mate tairoiti tino kitea i muri i te mate tairoiti a Hashimoto.

He pēhea te noa o tēnei āhuatanga?

E ai ki tā mātou i kōrero ai i mua ake nei, ko te momo tino noa ko te mate tairoiti a Hashimoto. E kiia ana ka pā ki waenganui i te 1% me te 2% o te taupori i te Hononga o Amerika. He tino onge ake ētahi atu momo mate tairoiti.

He mōrearea te ora i te mate thyroiditis?

I te nuinga o te wā, kāore te mate thyroiditis e mōrearea ki te ora.

Heoi, ki te pāngia koe e te hyperthyroidism nā te mate thyroiditis, ā, kāore e rongoatia mō te wā roa, kei reira te tūponotanga ka pāngia koe e te mate morearea, e kiia nei ko te thyroid storm .

He aha ngā tohu o te tupuhi tairoi?

• Te kirika nui – Ka taea e te kirika te piki ake i waenga i te 104 ki te 106 nekehanga Fahrenheit (40-41 nekehanga Celsius).
• Te tere o te manawa o te ngakau (tachycardia) - ka neke atu i te 140 ngā pao i te meneti.
• Te āwangawanga tonu, te riri, me/ranei te kore okiokinga.
• Pōrangi – He āhua tēnei e pā ana ki te koretake o te māramatanga me te pōhēhē.

Ki te pā mai ētahi o ēnei tohu ki a koe, haere tonu ki te hōhipera tata. He āhuatanga ohorere tēnei! Ki te whakaaro koe kei a koe ngā tohu o te mate tairoi, he mea nui kia toro atu koe ki te tākuta tonu. Kātahi ka taea e rātou te whakahaere i ngā whakamātautau e tika ana, te tātaritanga i te mate, me te tīmata maimoatanga.

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 ngā momo mate tairoiti, ka puta tuatahi ngā tohu o te mate tairoiti, ā, muri iho ka puta ngā tohu o te mate hipotiroidi. I roto i te mate tairoiti iti-whakapeka me te mate tairoiti pangia whakapeka, he mamae te nuinga o te wā i te wāhi kei reira te repe tairoiti. Tērā pea ka whanake he repe tairoiti kua nui haere, e kiia nei ko te goiter .

Ngā tohu o te Thyrotoxicosis (ina piki ake te nui o ngā 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 ( te repe tairoidi tino kaha). Kei roto i ēnei ko:

• Ngā tere o te ngakau.
• Te pikinga o te hiahia kai.
• Te hiroki noa iho, kāore he take.
• Te āwangawanga tonu, te kore okiokinga.
• Tere ki te riri.
• Te kore moe.
• Te nui haere o te werawera me te aro nui ki te wera.
• Ngā wiri.

Ngā tohu o te Hypothyroidism (te iti o ngā homoni)

Ka roa pea te wā e pāngia ai koe e te mate tairoi, ā, ka roa pea te wā e mau tonu ai. Mēnā kua pakaru ō pūtau tairoi, ā, ka heke ngā taumata o ō homoni tairoi, ka pāngia pea koe e ngā tohu o te mate tairoi. Kei roto i ēnei ko:

• Te ngenge tonu.
• Ka nui haere te rahi, kāore he take.
• Te mate kōroke.
• Ngā āhuatanga hinengaro pērā i te pouri.
• Kiri maroke.
• Te pikinga ake o te aro ki te makariri.
• Te ngoikore o te uaua.
• Te hekenga o te kaha ki te arotahi.

He aha ngā take o te mate tairoidi?

Ka puta te mate tairoidi ina "whakaekea" tō repe tairoidi e tētahi mea, ka pupuhi (koinei te urupare a te tinana ki te whara) ka pakaru hoki ngā pūtau tairoidi. Ka rerekē ngā take i runga i te momo. Ko te tino take he mate pūnaha ārai mate . Ko te tikanga o tēnei, ka whakaeke hē te pūnaha ārai mate, e tika ana kia tiaki i ō tātou tinana, i ō tātou ake tinana. Kāore anō kia mōhiotia he aha i puta ai tēnei. Ko te nuinga o ngā momo mate tairoidi ka puta mai i ngā paturopi e whakaeke ana i tō repe tairoidi.

Me pēhea te tautuhi i te mate thyroiditis?

Ina kite koe i tētahi tākuta, ka tirotirohia koe e rātou, ka tirohia hoki tō repe tairoiti. Kātahi ka pātai atu rātou mō ō tohu me ō mate o mua. Ki te whakapae rātou he mate tairoiti tōu, ka mahia pea e rātou ētahi, ngā whakamātautau katoa rānei hei whakaū i te mate:

• Ngā whakamātautau mahi tairoiti: He whakamātautau toto ēnei e tirotiro ana i ō homoni e pā ana ki te tairoiti me ngā taumata o te homoni tairoiti. Hei tauira, ko tō homoni whakaoho tairoiti (TSH) , triiodothyronine (T3) , me te thyroxine (T4) . Nō tō repe pituitary te TSH. Ka whakaoho i tō repe tairoiti kia whakaputa i ngā homoni T4 me te T3. Ka kiia ēnei e rua he homoni tairoiti.
• Te tirotiro i te tairoi:He maha ngā wā ka whakamahia e ngā tākuta he ultrasound hei tirotiro i te hanganga o te repe tairoi. Ka taea e tēnei te kite i ngā mea pēnei i te pona tairoi, ngā huringa o te rere o te toto, me te mātotoru o te repe.
• Ngā whakamātautau paturopi tairoiti: He whakamātautau toto anō hoki ēnei. Ka rapua e rātou ngā paturopi tairoiti, arā, ngā paturopi antithyroid (microsomal) (TPO) me ngā paturopi whakaohooho i te kaihopu tairoiti (TRAb) . Mena kei reira ēnei paturopi, ko te tikanga he momo tairoiti tāu i puta mai i tētahi mate pūnaha ārai mate.
• Te tere o te whakatōtōtanga o ngā toto whero (ESR, te tere rānei o te sed): He whakamātautau toto anō hoki tēnei. He āwhina ki te kimi mēnā he mumura kei roto i tō tinana. Ka piki ake te ESR i roto i te mate tairoiti iti-whakapeka.
• Pūmua C-reactive (CRP): Mā tēnei ka ine i te taumata o te CRP i roto i tō toto. Ka piki ake ngā taumata CRP ina he mumura kei roto i te tinana. Ka tino teitei pea i roto i te mate tairoi pangia ohorere.
• Whakamātautau tango iodine radioactive (RAIU): Ka ine tēnei whakamātautau i te nui o te iodine radioactive (e hoatu ana mā te waha) ka mimitihia e tō repe tairoiti. He iti tonu tēnei nui i te wāhanga thyrotoxic o te thyroiditis.

Me pēhea te rongoā i te mate thyroiditis?

Ko te maimoatanga mō te mate thyroid ka whakawhirinaki ki te momo me ngā tohu.

Te rongoā mō te Thyrotoxicosis

Mena kei roto koe i te wāhanga thyrotoxic o te thyroiditis, ka hoatu pea e tō tākuta he momo rongoā e kiia nei ko ngā beta-blockers . Ka taea e ēnei te āwhina ki te whakaiti i tō tere o te ngakau ( palpitations ) me te wiri. I te whakapai ake o ō tohu, ka āta whakaitihia e tō tākuta te rongoā, ā, ka mutu. Nā te mea he rangitahi te wāhanga thyrotoxic.

Te maimoatanga mō te Hypothyroidism

Mena kei a koe te mate tairoiti Hashimoto, ka hoatu e tō tākuta he rongoā whakakapinga homoni tairoiti ki a koe, pērā i te levothyroxine . Me tango e koe tēnei rongoā mō te toenga o tō oranga. Ko te mate tairoiti i puta mai i te mate tairoiti Hashimoto he mea pumau tonu. Mena he mate tairoiti subacute, silent, postpartum rānei tōu, ā, kei a koe ngā tohu o te hypothyroidism, ka hoatu hoki e tō tākuta he rongoā whakakapinga homoni tairoiti ki a koe. Me tango e koe tēnei rongoā mō te 6 ki te 12 marama pea. Kātahi ka whakaitihia mārire e tō tākuta te horopeta kia kite ai mena he mate tairoiti pumau tōu. Mena kāore tō hypothyroidism i te kino rawa, arā, he iti noa ō tohu, kāore pea koe e hiahia ki te rongoā.

Ētahi atu maimoatanga mō te mate thyroid

Mena he mate pāwera tōu , me rongoā e koe te mate. Tērā pea ka whakamahia he paturopi . Mena he whēwhe tōu , he pūaha rānei, i roto i tō tairoi, me tango pea e tō tākuta he ngira iti (te mimiti i te pūkahukahu ki te ngira werowero) hei tango i te pūkahukahu. Ko te mate tāiroi i puta mai i te rongoā ka roa noa iho i te wā e tangohia ana e koe te rongoā i puta ai. Tērā pea ka taea e tō tākuta te whakawhiti i a koe ki tētahi atu rongoā e rite ana ki tāu e tango ana. Mēnā rānei, ka hoatu pea he levothyroxine ki a koe mō te mate tāiroi i a koe e tango tonu ana i te rongoā. Ko te mamae o te mate tāiroi i pangia me te mate tāiroi iti iho i te wā 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, ka whakamahia pea te rongoā steroid mena he nui te mamae. Tērā pea me pokanga te mate tāiroi Riedel.

Ka taea te ārai i te mate thyroiditis?

Engari, he maha ngā momo mate tairoiti kāore e taea te ārai. Mena he mate tōu e hiahia ana ki te iodine radioactive, ki te rongoā radiation rānei, kōrero ki tō tākuta mō tō tūponotanga ki te whakawhanake i te mate tairoiti. Tērā pea ka taea e koe te tīmata i ētahi atu maimoatanga hei ārai i te whanaketanga o te mate tairoiti. Mena kei te tango koe i ngā rongoā ka pā mai te mate tairoiti, kōrero ki tō tākuta mō te tūponotanga me te mea ka taea e koe te whakamutu i te tango i aua rongoā. Heoi, ahakoa pērā, kāore pea e ārai i te mate tairoiti.

He aha te āhua o te mate thyroiditis?

He pai te tirohanga whānui mō te mate tairoiti. Mō te mate tairoiti a Hashimoto, ko te mate tairoiti e puta mai ana he pumau tonu. Heoi, ka taea te whakahaere mā te rongoā whakakapinga homoni tairoiti mō te wā katoa. Ko te hunga e pāngia ana e te mate tairoiti iti-whakapeka ka pāngia e ngā tohu mō te kotahi ki te toru marama. Heoi, ka roa pea te 12 ki te 18 marama kia hoki katoa te mahi tairoiti ki te āhua noa. E 5% te mōrearea o ēnei tāngata ki te whakawhanake i te mate tairoiti pumau. Ko te mate tairoiti muri i te whānautanga me te mate tairoiti puku (kore mamae) ka roa hoki te 12 ki te 18 marama kia tino ora. Ko te hunga e pāngia ana e ēnei āhuatanga he 20% te mōrearea ki te whakawhanake i te mate tairoiti pumau.

Āhea koe me toro atu ki te tākuta mō te mate thyroiditis?

Mena kua tāpaetia koe he mate thyroiditis, me toro atu koe ki te tākuta i ia wā, i ia wā, kia tirohia ai ō tohumate, kia mōhio ai hoki kei te pai te mahi a tō maimoatanga. Ō tohumateKi te kino haere, ki te puta rānei he tohu whakararuraru , me kōrero wawe tonu ki tō tākuta.

He mea noa te māharahara ina kitea he mate tōu. Engari ko te rongo pai ko te mate tairoiti he mate ka taea te rongoā, ā, he maha ngā wā ka noho rangitahi noa iho. Mena he pātai āu mō tō mate tairoiti, mō tō mahere maimoatanga rānei, kōrero ki tō tākuta. Kei konei rātou hei āwhina.

Karere Whakamutunga mō te Tango ki te Kāinga

Āe, mai i tā tātou i kōrero ai, ko te tumanako kei a koe te māramatanga pai mō te mate thyroiditis. Kia maumahara:

• Ko te mate tairoidi he mumura o te repe tairoidi i roto i tō kaki .
• Ka taea e tēnei te meinga kia nui rawa, kia iti rawa rānei te homoni tairoi e whakaputaina ana e te tairoi.
• He rerekē ngā momo me ngā wāhanga o tēnei. Ko te mate a Hashimoto te momo tino noa.
• He rerekē ngā tohu i runga i te momo. Tērā pea ka kitea e koe ngā āhuatanga pēnei i te ngenge, te huringa o te taumaha, te huringa o te tere o te manawa, me ngā huringa o te wairua .
• I te nuinga o te wā, ka puta mai tēnei i te mate autoimmune .
• Ka taea te tautuhi i te mate mā te whakamahi i ngā whakamātautau toto me te ultrasound .
• Ka whakawhirinaki te maimoatanga ki te momo me ngā tohu. Ka taea te whakaora mō ake tonu atu i ētahi, ko ētahi ia me roa te maimoatanga .
• Kia tūpato ki te āhua kino e kiia nei ko te awha tairoi . Mēnā ka pāngia koe e ēnei tohu , haere tonu ki te hōhipera .
• Mena he feaa āu, kaua e whakaroa ki te rapu tohutohu hauora .

Ko te mea nui kia noho hauora tonu koe!