Kodi chithokomiro chanu chikugwira ntchito molimbika kwambiri? Tiyeni tikambirane za hyperthyroidism!

Kodi nthawi zina mumamva ngati pali vuto m'thupi lanu ndipo simukumva bwino? Kodi mumamva ngati thupi lanu likugwira ntchito mofulumira kwambiri, mumakhala ndi nkhawa, ndipo mukuvutika kuganizira bwino? Ngati ndi choncho, chithokomiro chanu chingakhale chikugwira ntchito molimbika pang'ono. Lero, tiyeni tikambirane za vuto ili lotchedwa hyperthyroidism.

Kodi hyperthyroidism ndi chiyani? Tiyeni timvetse mosavuta!

Mwachidule, hyperthyroidism imachitika pamene chithokomiro cha khosi lanu chimagwira ntchito mopitirira muyeso ndipo chimapanga mahomoni ambiri a chithokomiro. Chithokomiro cha khosi ndi chithokomiro chaching'ono, chooneka ngati gulugufe chomwe chili kutsogolo kwa khosi lanu. Koma ngakhale kuti ndi chaching'ono, chimagwira ntchito zambiri. Mahomoni a chithokomiro ndi ofunikira polamulira zinthu zambiri m'thupi lathu, makamaka liwiro lomwe thupi lathu limagwiritsa ntchito mphamvu, kapena kagayidwe kachakudya.

Pali mitundu iwiri ikuluikulu ya mahomoni a chithokomiro, `triiodothyronine (T3)` ndi `thyroxine (T4)`. Palinso `thyroid-stimulating hormone (TSH)`, yomwe imachokera ku pituitary gland ndipo imauza chithokomiro kuti chipange mahomoni. Tsopano, mu hyperthyroidism, chomwe chimachitika ndichakuti mahomoni awa a `(T3)` ndi `(T4)` amasonkhana m'magazi kuposa momwe ayenera kukhalira. Kenako, zinthu zambiri m'thupi zimathamanga, ngati sitima yothamanga. Mungamve ngati thupi lanu lonse "likuyendetsa mopitirira muyeso". Mungamve ngati simuli nokha. Chifukwa chake ndikofunikira kudziwa izi ndikuwona dokotala ngati muli ndi zizindikiro.

Kodi vutoli ndi lofala bwanji?

Ndipotu, hyperthyroidism si matenda ofala kwambiri. Mwachitsanzo, m'dziko ngati America, akuti ndi 1.3% yokha ya anthu omwe ali ndi vutoli. Koma, limakhudza aliyense, choncho ndi bwino kudziwa za vutoli.

Kodi zizindikiro za hyperthyroidism ndi ziti? Onani ngati muli nazonso!

Popeza hyperthyroidism ingakhudze thupi lathu lonse, pakhoza kukhala zizindikiro zingapo. Anthu ena akhoza kukhala ndi zizindikiro zochepa chabe, pomwe ena akhoza kukhala ndi zizindikiro zambiri nthawi imodzi. Onani ngati mwakumana ndi chimodzi mwa izi:

• Kugunda kwa mtima mwachangu (Tachycardia) ndi/kapena kugunda kwa mtima. Kumamveka ngati ng'oma ikugunda mkati mwa chifuwa.
• Kuthamanga kwa magazi kokwera.
• Kumva ngati manja anu akugwedezeka (`(Kugwedezeka kwa dzanja)`). Kumva ngati mukugwedezeka ngakhale mutatenga kapu ya tiyi.
• Kumva kuda nkhawa nthawi zonse, kusakhazikika, komanso/kapena kukwiya msanga .
• Kuchepetsa thupi ngakhale mutakhala ndi njala yabwino, mwina ngakhale mutadya kwambiri.
• Kudzimbidwa pafupipafupi kapenaMatenda monga kutsegula m'mimba .
• Kutuluka thukuta kwambiri komanso kusalolera kutentha kwambiri.
• Tsitsi losakhazikika, monga kutayika tsitsi kapena kugawanika kwa malekezero.
• Kulephera kugona usiku (kusowa tulo).
• Kusintha kwa msambo wa mkazi, mwachitsanzo, kuchepa kwa kuchuluka kwa magazi omwe amatuluka mkati mwa mwezi kapena kutha kwathunthu kwa msambo .
• Kutupa kwa kutsogolo kwa khosi, komwe kumatchedwa goiter .
• Maso otupa kapena otuluka (`(Matenda a maso a chithokomiro)`).

Zizindikirozi zingayambe mwadzidzidzi, kapena zingayambe pang'onopang'ono pakapita nthawi. Chofunika kwambiri ndikuonana ndi dokotala ngati mukumva ngati muli ndi chimodzi mwa zizindikirozi.

Kodi n’chifukwa chiyani chithokomiro chimayamba kukwera kwambiri? Kodi zimayambitsa chiyani?

Pakhoza kukhala zifukwa zosiyanasiyana zomwe zimayambitsa hyperthyroidism. Tiyeni tiwone zazikuluzikulu:

• Matenda a Graves: Ichi ndiye chifukwa chofala kwambiri cha hyperthyroidism. Matenda a Graves ndi matenda omwe amayambitsa chitetezo chamthupi. Mwachidule, chitetezo chamthupi lathu chimaukira chithokomiro chathu, zomwe zimapangitsa kuti chipange mahomoni ambiri. Ngati wina m'banja mwanu ali ndi matenda a chithokomiro kapena matenda ena a chitetezo chamthupi, muli ndi mwayi waukulu woti mudwale matendawa.

• Ma nodule a chithokomiro: Awa ndi ma thrombo kapena magulu a maselo omwe amapanga mu chithokomiro. Nthawi zina ma thrombo amenewa amatha kupanga mahomoni ambiri a chithokomiro. Madokotala amatchanso kuti thrombosis multinodular goiter (TMNG). Koma musadandaule, ma nodule a chithokomiro awa nthawi zambiri samakhala ndi khansa.

• Chithokomiro: Uku ndi kutupa, kapena kutupa, kwa chithokomiro. Izi zingayambitse hyperthyroidism kwakanthawi. Pambuyo pa nthawi yochulukayi, hypothyroidism (kusapangidwa bwino kwa mahomoni a chithokomiro) ingachitike. Kutupako kukachepa, kuchuluka kwa mahomoni kumatha kubwerera mwakale.

• Kulowa kwa ayodini wambiri m'thupi:Ngati titenga ayodini wochuluka kuchokera muzakudya zomwe timadya kapena kuchokera ku mankhwala enaake, zingayambitse chithokomiro kupanga mahomoni ambiri. Izi zili choncho chifukwa ayodini ndi mchere wofunikira popanga mahomoni a chithokomiro. Nthawi zina vutoli limatha kuchitika mukalandira IV iodine contrast (utoto womwe umagwiritsidwa ntchito pojambula ma x-ray apadera) kapena mukatenga mankhwala monga Amiodarone (mankhwala a mtima).

• Matenda a pituitary adenoma / Thyrotropinoma omwe amamasula TSH: Izi sizichitika kawirikawiri. Chotupa chaching'ono mu pituitary gland muubongo wathu chimapanga mahomoni ambiri olimbikitsa chithokomiro (TSH). Izi zimapangitsa kuti chithokomiro chipange mahomoni ambiri.

Ndani ali pachiwopsezo chachikulu chotenga hyperthyroidism?

Anthu ena ali ndi mwayi waukulu wopeza vutoli kuposa ena. Zina mwa zinthu zazikulu zomwe zimakhudza vutoli ndi izi:

• Wina m'banja mwanu ali ndi matenda a chithokomiro ndi/kapena matenda a autoimmune.
• Kusuta fodya.
• Mimba (makamaka postpartum thyroiditis, vuto lomwe limachitika pambuyo pobereka).

Kodi dokotala amazindikira bwanji izi?

Dokotala adzatsatira njira zingapo kuti adziwe ngati muli ndi hyperthyroidism:

1. Kuyezetsa thupi: Choyamba, dokotala adzakuyezetsani kuti aone ngati muli ndi zizindikiro za hyperthyroidism. Mwachitsanzo, kodi chithokomiro chanu chatupa, kodi kugunda kwa mtima wanu kumawonjezeka, ndipo kodi khungu lanu limamva kutentha komanso kuzizira?

2. Kuyezetsa magazi a chithokomiro: Izi zimayesa kuchuluka kwa mahomoni a chithokomiro m'magazi mwanu. Munthu amene ali ndi hyperthyroidism amakhala ndi kuchuluka kwa mahomoni `(T3)` ndi `(T4)` kuposa kwachibadwa. Kuchuluka kwa ``Chithokomiro Cholimbikitsa Hormone (TSH)`` nthawi zambiri kumakhala kotsika (koma osati nthawi zonse).

3. Kuyezetsa magazi a antibody ya chithokomiro: Izi zimathandiza kudziwa ngati matenda a Graves ndi omwe amayambitsa matendawa.

4. Mayeso ojambulira: Mayeso osiyanasiyana ojambulira a chithokomiro chanu amatha kuchitidwa kuti adziwe chomwe chimayambitsa hyperthyroidism. Izi zikuphatikizapo mayeso ndi scan ya radioactive iodine (RAIU), ndi ultrasound ya chithokomiro. Dokotala wanu adzakufotokozerani mayesowa ndikupangira omwe ali oyenera kwambiri kwa inu.

Kodi mankhwala a hyperthyroidism ndi ati?

Nkhani yabwino ndi yakuti hyperthyroidism ndi matenda ochiritsika. Kutengera ndi chomwe chayambitsa vuto lanu, mankhwala ena angakhale abwino kwa inu kuposa ena. Dokotala wanu adzakambirana nanu njira iliyonse yothandizira ndi kukuthandizani kusankha njira yabwino kwambiri yothandizira.

• Mankhwala oletsa chithokomiro: Methimazole (Tapazole®) ndi Propylthiouracil (PTU) amachepetsa mphamvu ya chithokomiro chanu kupanga mahomoni. Mankhwalawa ndi omwe amagwiritsidwa ntchito kwambiri pochiza hyperthyroidism. Ntchito ya chithokomiro nthawi zambiri imatha kulamulidwa mkati mwa miyezi iwiri kapena itatu. Zizindikiro zanu zitha kuyamba kusintha mkati mwa masiku kapena milungu ingapo.

• Chithandizo cha ayodini wogwiritsa ntchito radioactive (RAI): Izi zimaphatikizapo kumwa kapisozi kapena madzi okhala ndi ayodini wogwiritsa ntchito radioactive. Ayodini wogwiritsa ntchito radioactive amapita mwachindunji ku maselo anu a chithokomiro ndikuwononga. Chithandizo cha RAI nthawi zambiri chimawononga chithokomiro kwamuyaya, motero chimachiritsa hyperthyroidism. Komabe, anthu ambiri omwe amalandira chithandizochi amafunika kumwa mankhwala a mahomoni a chithokomiro (Levothyroxine) kwa moyo wawo wonse kuti akhalebe ndi mahomoni abwinobwino.

• Opaleshoni (`(Chithokomiro)`): Dokotala wochita opaleshoni amatha kuchotsa chithokomiro chanu chonse kapena gawo lake. Izi zitha kukonza hyperthyroidism, koma nthawi zambiri zimapangitsa kuti pakhale `Hypothyroidism` (kuchepa kwa mahomoni a chithokomiro). Kenako muyenera kumwa mankhwala a chithokomiro kwa moyo wanu wonse.

• Beta-blockers: Mankhwalawa angathandize kuchepetsa zizindikiro za hyperthyroidism, monga kugunda kwa mtima mofulumira, kusakhazikika, komanso kunjenjemera. Koma sasintha kuchuluka kwa mahomoni m'magazi. Dokotala wanu angakupatseni beta-blockers izi pamodzi ndi mankhwala ena.

Chithandizo chilichonse chili ndi zotsatira zake zoyipa komanso zoopsa zake. Dokotala wanu adzakufotokozerani izi. Musaope kufunsa mafunso.

Kodi chiyembekezo cha munthu amene ali ndi hyperthyroidism ndi chiyani? (Zomwe zidzachitike kwa munthu amene ali ndi hyperthyroidism)

Matenda a hyperthyroidism ndi matenda ochiritsika. Anthu ambiri amachita bwino ndi chithandizo. Mankhwala ena amafunika mankhwala kwa moyo wonse, koma angathandize kuti mahomoni a chithokomiro chanu akhale abwino.

Komabe, ngati hyperthyroidism yomwe imayamba chifukwa cha matenda a Graves sichitha kuchiritsidwa, imatha kuipiraipira pakapita nthawi ndipo ingayambitse mavuto monga matenda a maso a Graves. Ngati muli ndi matenda a Graves, funsani dokotala wanu momwe mungathanirane nawo bwino.

Kodi chimachitika ndi chiyani ngati sichilandira chithandizo? Kodi ndi choopsa?

Ngati sichilandira chithandizo choyenera kapena sichinalandire chithandizo choyenera, hyperthyroidism ingayambitse mavuto osiyanasiyana. Ena mwa mavutowa ndi awa:

• Kugunda kwa mtima kosakhazikika (Afib) (kugunda kwa mtima kosasinthasintha)
• Kulephera kwa mtima (matenda a mtima)
• Kusabereka
• `Ischemic stroke` (kupuwala)
• Kuchepa kwa mafupa (osteoporosis)

Vuto losowa koma lomwe lingathe kupha munthu chifukwa cha hyperthyroidism ndi thyroid storm (yomwe imatchedwanso thyroid crisis kapena thyrotoxic crisis). Apa ndi pamene thyroid gland yanu imapanga mahomoni ambiri a thyroid m'magazi mwanu nthawi yochepa kwambiri. Izi ndi zadzidzidzi zachipatala. Hyperthyroidism yosathandizidwa kapena yosathandizidwa bwino ingayambitse thyroid storm. Ikhoza kukulitsidwa ndi zinthu zovutitsa monga matenda, kuvulala, ndi opaleshoni.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukuona kuti muli ndi zizindikiro za hyperthyroidism, ndikofunikira kuonana ndi dokotala kuti akafufuze vuto lanu ndikulandira chithandizo chofunikira.

Ngati mukudziwa kale kuti muli ndi vutoli, muyenera kupita kwa dokotala nthawi zonse kuti muwonetsetse kuti chithandizo chanu chikugwira ntchito bwino.

Ngati mukuona zizindikiro za "chithokomiro cha chithokomiro", monga kutentha thupi kwambiri komanso kugunda kwa mtima mwachangu, pitani kuchipatala chapafupi mwachangu momwe mungathere.

Kodi vutoli lingayambitse kunenepa?

Matenda a hyperthyroidism nthawi zambiri samayambitsa kunenepa. Ndipotu, anthu ena amataya thupi ngakhale ali ndi njala yabwino. Izi zili choncho chifukwa matenda a hyperthyroidism amawonjezera kagayidwe ka thupi m'thupi lanu, zomwe zimapangitsa kuti ligwiritse ntchito ma calories ambiri kuposa masiku onse kuti likhale ndi mphamvu.

Hypothyroidism (kupanga kochepa kwa mahomoni a chithokomiro) kungayambitse kuchepa kwa kagayidwe kachakudya m'thupi komanso kunenepa kwambiri.

Kodi hyperthyroidism imayamba panthawi ya mimba?

Inde, vutoli limatha kuchitika panthawi ya mimba. Poyamba mimba, thupi lanu limafunika kupanga mahomoni ambiri a chithokomiro kuposa masiku onse kuti lithandize mwana wanu kukula. Kuchuluka kwa mahomoni a chithokomiro kuposa masiku onse si vuto, koma ngati kuchuluka kwake kuli kwakukulu kwambiri, dokotala wanu adzafunika kupanga dongosolo la chithandizo. Chifukwa kuchuluka kwa mahomoni a chithokomiro kungakhudze inu nokha, komanso mwana wanu.

Hyperthyroidism ingakhale yovuta kuzindikira panthawi ya mimba, chifukwa vutoli limatha kubisika ndi kuchuluka kwa mahomoni a chithokomiro komanso zizindikiro zina za mimba.

Ndi zakudya ziti zomwe muyenera kupewa ngati muli ndi hyperthyroidism?

Nthawi zina, kudya zakudya zambiri zokhala ndi ayodini wambiri kapena kuwonjezera ayodini kungayambitse hyperthyroidism kapena kuipitsa vuto lomwe lilipo kale.

Ngati muli ndi hyperthyroidism, dokotala wanu angakulangizeni kusintha zakudya zanu. Nthawi zonse funsani dokotala kapena katswiri wovomerezeka wa zakudya musanasinthe zakudya zanu. Kumbukirani kuti hyperthyroidism singathe kuchiritsidwa ndi zakudya zokha. Mwina mungafunike chithandizo chamankhwala.

Ngati dokotala wanu akulangizani kuti mudye zakudya zokhala ndi ayodini wochepa, yesani kupewa zakudya izi:

• Nsomba
• Udzu wa m'nyanja (`(Udzu wa m'nyanja)` ndi `(Kelp)`)
• Nkhanu ndi nkhanu
• Sushi
• Shirimpi
• Algae ndi alginate
• Zakudya za mkaka monga mkaka ndi tchizi
• Dzira la yolk
• Mchere wokhala ndi ayodini

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Ndizachilendo kumva kutopa pang'ono mukalandira matenda atsopano. Koma nkhani yabwino ndi yakuti hyperthyroidism ndi matenda ochiritsika. Ngati mukukumana ndi zizindikiro monga thupi lanu likuchita zinthu mopitirira muyeso, mukunjenjemera, kapena mukuvutika kuganizira bwino, ndikofunikira kukaonana ndi dokotala. Dokotala wanu akhoza kuchita mayeso ochepa osavuta ndikulangiza chithandizo choyenera kuti thupi lanu libwererenso bwino. Musadandaule, mutha kukhala ndi thanzi labwino!