Tiyeni tiphunzire za matenda a Hashimoto m'mawu osavuta.

Kodi mumamvanso kutopa kwambiri komanso kutopa popanda chifukwa masiku ena? Kodi mumamva kulemera pang'ono? Kodi mumamva kuzizira nthawi zambiri? Ngakhale nthawi zambiri timaganiza kuti izi ndi zinthu zachilendo, nthawi zina chifukwa cha zizindikirozi chingakhale matenda otchedwa Hashimoto's Disease. Musadandaule, izi sizowopsa monga momwe dzinalo likusonyezera. Tiyeni tikambirane izi momveka bwino komanso momveka bwino.

Kodi matenda a Hashimoto ndi chiyani?

Mwachidule, matenda a Hashimoto ndi matenda omwe chithokomiro chimakhudzidwa ndi vuto la chitetezo chamthupi chathu. Izi zimatchedwa vuto la autoimmune . Izi zikutanthauza kuti chitetezo chamthupi lathu chimaukira maselo athu athanzi molakwika, makamaka chithokomiro. Izi nthawi zambiri zimakhala matenda a moyo wonse (osatha).

Taganizirani izi, chithokomiro ndi kachithokomiro kakang'ono kooneka ngati gulugufe komwe kali pansi pa khungu kutsogolo kwa khosi lathu. Ndi gawo la dongosolo lathu la endocrine. Kamapanga mahomoni a chithokomiro ndipo kamalamulira zinthu zambiri m'thupi lathu.

Ntchito yaikulu ya chithokomiro ndikuwongolera kuchuluka kwa kagayidwe ka thupi m'thupi lathu. Izi zikutanthauza kuti, kuchuluka kwa chakudya chomwe timadya chimasanduka mphamvu. Tikamva mawu oti kagayidwe ka thupi, nthawi zambiri timangoganiza za kunenepa ndi kuchepa thupi. Koma kwenikweni, njirayi imakhudza chiwalo chilichonse m'thupi, kuphatikizapo mtima ndi ubongo wathu.

Ndi matenda a Hashimoto, chitetezo chathu chamthupi chimaukira chithokomiro, zomwe zimapangitsa kuti chisapange mahomoni okwanira a chithokomiro. Matendawa amatchedwa hypothyroidism . Izi zimachepetsa kagayidwe kathu ka chakudya ndipo zimayambitsa zizindikiro zosiyanasiyana.

Kodi matendawa ndi ofala bwanji? Ndani amene ali ndi mwayi waukulu wowatenga?

Matenda a Hashimoto ndi matenda ofala kwambiri. M'mayiko ngati America, anthu 5 pa 100 ali ndi matendawa. Matendawa akuchulukirachulukira ku Sri Lanka. M'mayiko omwe mchere ndi chakudya chokhala ndi ayodini zili zambiri, matenda a Hashimoto ndiye omwe amayambitsa hypothyroidism.

Ngakhale kuti matendawa amatha kufalikira pa msinkhu uliwonse, akazi ali ndi mwayi wochuluka wopeza matendawa kuposa amuna. Kawirikawiri amapezeka mwa akazi azaka zapakati pa 30 ndi 50.

Kodi zizindikiro za matenda a Hashimoto ndi ziti?

Anthu ena omwe ali ndi matenda a Hashimoto sasonyeza zizindikiro zilizonse kumayambiriro kwa matendawa. Pamene matendawa akupitirira, nthawi zina chithokomiro chimatha kutupa. Izi zimatchedwa goiter.Ichi nthawi zambiri chimakhala chizindikiro choyamba cha matenda a Hashimoto. Ngakhale kuti si opweteka, mungamve kudzaza thupi kutsogolo kwa khosi lanu. Kungawonekenso kutupa.

Pakapita nthawi, ngati hypothyroidism imayamba chifukwa cha matenda a Hashimoto, zizindikiro zotsatirazi zingawonekere chimodzi ndi chimodzi.

Kodi thupi lanu limamva bwanji mukakhala ndi Hashimoto's?

Ngati muli ndi matenda a Hashimoto koma mulibe hypothyroidism, simungazindikire kusintha kulikonse.

Koma ngati muli ndi hypothyroidism, mungamve ngati chilichonse m'thupi lanu chikugwira ntchito "pang'onopang'ono."

Ngati inunso mukumva kuti thupi lanu ndi malingaliro anu zalephera kugwira ntchito bwino, lankhulani ndi dokotala wanu.

N’chifukwa chiyani matenda a Hashimoto amapezeka? Kodi zinthu zoopsa ndi ziti?

Monga tanenera kale, matenda a Hashimoto ndi matenda omwe amayambitsa chitetezo chamthupi. Izi zikutanthauza kuti chitetezo chamthupi lathu chimagwira ntchito motsutsana nafe. Nthawi zambiri, chitetezo chathu chamthupi chimatiteteza ku zinthu zakunja monga mabakiteriya ndi mavairasi. Koma mu matenda a Hashimoto, izi ndi zomwe zimachitika:

1. Pachifukwa chosadziwika, chitetezo cha mthupi lanu chimayamba kupanga ma antibodies omwe amaukira chithokomiro.

2. Maselo ambiri oyera a m'magazi, makamaka mtundu wotchedwa lymphocytes , amasonkhana mu chithokomiro.

3. Izi zimapangitsa kuti chithokomiro chizitupa. Izi zimatchedwa thyroiditis . Kutupa ndi kuukira kwa ma antibodies kumeneku kumawononga chithokomiro.

4. Pakapita nthawi, kuwonongeka kumeneku kumapangitsa kuti chithokomiro chisathe kupanga mahomoni okwanira thupi, zomwe zimapangitsa kuti chithokomiro chizigwira ntchito mopitirira muyeso (hypothyroidism ).

Pali zinthu zingapo zomwe zingayambitse matenda a Hashimoto:

• Mbiri ya banja: Ngati wina m'banja mwanu ali ndi matenda a Hashimoto kapena matenda ena a chithokomiro, muli ndi mwayi waukulu woti mudwale matendawa. Kafukufuku akusonyeza kuti 80% ya milanduyi ndi majini.
• Kugonana: Monga tanenera kale, akazi ali ndi mwayi wochuluka wopeza matendawa.
• Zaka: Chiwopsezo chotenga matendawa chimawonjezeka ndi ukalamba.

Komanso, muli ndi mwayi waukulu wopeza matenda a Hashimoto ngati muli ndi vuto lina lodziteteza ku matenda a autoimmune. Mwachitsanzo:

• Matenda a shuga amtundu woyamba
• Matenda a nyamakazi
• Lupus
• Matenda a Celiac

Kodi matenda a Hashimoto amawapeza bwanji?

Dokotala wanu akakufunsani za zizindikiro zanu, choyamba adzakuyesani. Adzakhudza khosi lanu makamaka kuti aone ngati pali kutupa kwa chithokomiro (goiter). Kenako adzalamula kuti muyesedwe magazi kangapo kuti atsimikizire kuti mwapezeka ndi matendawa.

• Kuyesa kwa TSH (Chithokomiro Cholimbikitsa Hormone): Kuchuluka kwa TSH kumatanthauza kuti chithokomiro chanu sichikupanga mahomoni okwanira a T4. Ichi ndi chizindikiro chachikulu cha hypothyroidism.
• Kuyesa kwaulere kwa T4 (Thyroxine): Ngati mulingo wa T4 uli wotsika, kumatsimikiziranso vuto la hypothyroidism.
• Kuyesa kwa Antithyroid Antibody: Ngati muli ndi ma antibodies awa m'magazi anu, zitha kudziwika bwino kuti chifukwa cha hypothyroidism yanu ndi matenda a Hashimoto.

Nthawi zina, dokotala wanu angakulangizeninso kuti muone ngati pali tinthu tating'onoting'ono ta chithokomiro (thyroid ultrasound) kuti muwone kukula kwa chithokomiro chanu komanso ngati pali tinthu tating'onoting'ono.

Kodi imachiritsidwa bwanji?

Si aliyense amene ali ndi matenda a Hashimoto amene adzadwala hypothyroidism. Ngati muli ndi ma antibodies ambiri m'magazi mwanu koma mulingo wa TSH ndi T4 uli bwino, dokotala wanu sangayambe kulandira chithandizo, koma adzakuyang'anirani ndi mayeso a magazi nthawi zonse.

Koma ngati vuto la hypothyroidism limayamba chifukwa cha Hashimoto's, chithandizo chachikulu komanso chabwino kwambiri ndi mankhwala otchedwa levothyroxine . Ichi ndi hormone yopangidwa ndi T4. Mankhwalawa amatengedwa ngati piritsi tsiku lililonse.

Mlingo wa mankhwala omwe mukufuna ungasinthe pakapita nthawi. Chifukwa chake, ndikofunikira kwambiri kuyezetsa magazi nthawi zonse monga momwe dokotala wanu wanenera ndikusintha mlingo wake ngati pakufunika.

Kodi pali zotsatirapo zilizonse pa mankhwalawa?

Zotsatira zoyipa za levothyroxine sizimachitika kawirikawiri. Ngati zitachitika, chifukwa chachikulu ndichakuti mukumwa mankhwala ochulukirapo kuposa momwe mukufunira. Izi zingayambitse matenda otchedwa thyrotoxicosis , pomwe thupi limapanga mahomoni ambiri a chithokomiro. Zizindikiro zake ndi izi:

• Kugunda kwa mtima (tachycardia) - nthawi zambiri kumagunda 100 pa mphindi imodzi.
• Kusakhazikika kwa mtima (arrhythmia).
• Kuchepetsa thupi popanda chifukwa chilichonse.
• Kumva kugwedezeka.
• Kusakhazikika, kukwiya.
• Kusalekerera kutentha komanso thukuta kwambiri.

Ngati mukukumana ndi zizindikiro izi, dziwitsani dokotala wanu nthawi yomweyo.

Kodi pali zakudya zapadera kwa odwala a Hashimoto?

Palibe zakudya zenizeni za matenda a Hashimoto. Komabe, zakudya zina, mankhwala, ndi mavitamini zimatha kusokoneza kuyamwa kwa levothyroxine. Zitsanzo zake ndi izi:

• Zowonjezera za chitsulo ndi calcium.
• Mitundu ina ya mankhwala oletsa asidi.

Ngati mutenga chinthu chonga ichi, mutha kupewa vutoli mwa kumwa mapiritsi anu a chithokomiro maola 4 musanayambe kapena mutatenga.

Kudya bwino, kuchita masewera olimbitsa thupi, kugona mokwanira, komanso kuthana ndi kupsinjika maganizo kungathandize chitetezo chanu cha mthupi. Koma zivute zitani, ngati muli ndi vuto la hypothyroidism, ndikofunikira kumwa mankhwala anu monga momwe dokotala wanu wanenera.

Kodi matenda a Hashimoto ndi oopsa panthawi ya mimba?

Ngati hypothyroidism sichitha kuchiritsidwa panthawi ya mimba, ikhoza kukhala yoopsa kwa mayi ndi mwana.

• Kutaya Pathupi
• Kubadwa msanga
• Kuthamanga kwa magazi nthawi ya mimba (preeclampsia)

Komanso, ngati sichinachiritsidwe, chingakhudze kukula kwa mwana ndi kukula kwa ubongo wake. Choncho ngati muli ndi matenda a Hashimoto ndipo mukukonzekera kutenga pakati kapena muli kale ndi pakati, dziwitsani dokotala wanu nthawi yomweyo. Ndi chithandizo choyenera komanso kuyang'aniridwa, palibe vuto pobereka mwana wathanzi.

Milandu yofunikira chithandizo chadzidzidzi (milandu yofunikira kupita ku ETU)

Ngati munthu sanalandire chithandizo cha hypothyroidism, matenda a myxedema coma omwe ndi oopsa kwambiri angachitike. Ngati pali zizindikiro zotsatirazi, pitani naye kuchipatala chapafupi nthawi yomweyo.

• Kutentha thupi kochepa kwambiri (hypothermia).
• Kutupa kwa thupi, makamaka nkhope, lilime, ndi miyendo.
• Kugunda kwa mtima pang'onopang'ono komanso kugunda kwa mtima kofooka.
• Kupuma pang'onopang'ono kwambiri kapena kovuta.
• Kusokonezeka kapena kutaya chidziwitso.

Ndizachibadwa kukhala ndi mantha komanso nkhawa mukangopezeka ndi vuto linalake. Koma chabwino kwambiri n'chakuti matenda a Hashimoto ndi ochiritsika komanso otheka kuwathetsa. Ngati muli ndi zizindikirozi, kapena ngati wina m'banja mwanu ali ndi matenda a chithokomiro, musazengereze kupita kwa dokotala. Kuyezetsa magazi kungakuthandizeni kudziwa ngati chithokomiro chanu chikugwira ntchito bwino.