Kodi mwatopa chabe? Kodi khosi lanu latupa? Mwina iyi ndi matenda a Hashimoto!

Kodi nthawi zina mumamva kutopa, kutopa, kapena kungokhala wachisoni pang'ono? Kodi mukulemera? Kapena mumamva ngati kutsogolo kwa khosi lanu kwatupa pang'ono? Izi zitha kukhala zizindikiro za matenda otchedwa matenda a Hashimoto. Kumva dzinali kungakuopseni pang'ono. Koma musachite mantha. Lero, tikambirana za Matenda a Hashimoto mwatsatanetsatane komanso mosavuta.

Kodi matenda a Hashimoto ndi chiyani?

Mwachidule, matenda a Hashimoto ndi matenda omwe amayamba chifukwa cha vuto laling'ono m'thupi lathu, lomwe limatiteteza ku matenda. Chomwe chimachitika pankhaniyi ndichakuti maselo athu oteteza thupi amaukira chithokomiro chathu. Izi zikachitika pakapita nthawi, chithokomiro sichigwira ntchito bwino, ndipo kuchuluka kwa mahomoni omwe chimapanga kumachepa. Tikutcha vutoli hypothyroidism . Matenda a Hashimoto ndi matenda osatha, omwe amakhalapo kwa moyo wonse.

Kodi chithokomiro ndi chiyani? Kodi n'chofunika bwanji m'thupi lathu?

Chithokomiro ndi kachithokomiro kakang'ono kooneka ngati gulugufe komwe kali kutsogolo kwa khosi lanu, pansi pa khungu. Ndi gawo la dongosolo lathu la endocrine . Kamapanga mahomoni a chithokomiro ndikuwatulutsa m'magazi.

Ntchito yaikulu ya chithokomiro ndikuwongolera kuchuluka kwa kagayidwe ka thupi m'thupi lathu . Kagayidwe ka thupi ndi njira yomwe chakudya chomwe timadya chimasandutsidwira mphamvu. Nthawi zambiri timaganiza izi pongoganizira za kunenepa kapena kuchepa thupi, koma kwenikweni njirayi imakhudza chiwalo chilichonse m'thupi lathu, kuphatikizapo mtima ndi ubongo wathu.

Kodi n’chiyani kwenikweni chimachitika ndi matenda a Hashimoto?

Kwa anthu ambiri omwe ali ndi matenda a Hashimoto, chithokomiro cha chithokomiro sichingathe kupanga mahomoni okwanira a chithokomiro m'thupi. Zotsatira zake, kagayidwe kachakudya komwe katchulidwa kamayamba kuchepa. Pamenepo ndi pomwe zizindikiro zimayamba kuonekera.

Matendawa adapezeka koyamba mu 1912 ndi dokotala waku Japan dzina lake Dr. Hakaru Hashimoto. Ichi ndichifukwa chake amatchedwa matenda a Hashimoto. Amadziwikanso ndi mayina ena:

• Hashimoto thyroiditis
• Matenda a autoimmune thyroiditis osatha
• Lymphocytic thyroiditis

Kodi matenda a Hashimoto ndi ofala bwanji? Ndani amene ali ndi mwayi waukulu wowatenga?

Matenda a Hashimoto ndi matenda ofala kwambiri . Malinga ndi ziwerengero m'maiko ena, amatha kugwira anthu 5 pa 100 aliwonse.

M'mayiko omwe mchere wowonjezera ayodini ndi zakudya zina zokhala ndi ayodini ndizofala, matenda a Hashimoto ndiye omwe amachititsa kwambiri hypothyroidism. M'mayiko ena, kusowa ayodini ndiye komwe kumayambitsa kwambiri.

Ndani amadwala matendawa? Aliyense, wa msinkhu uliwonse, akhoza kutenga matenda a Hashimoto. Komabe,Azimayi ali ndi mwayi wochuluka wopeza matendawa kuposa amuna, ndipo nthawi zambiri amapezeka mwa akazi azaka zapakati pa 30 ndi 50.

Kodi zizindikiro za matenda a Hashimoto ndi ziti? Mukumva bwanji?

Anthu ena akhoza kukhala ndi matenda a Hashimoto koma sasonyeza zizindikiro zilizonse kumayambiriro.

Pamene matendawa akupitirira, chithokomiro nthawi zina chimatupa. Izi zimatchedwa goiter . Ichi nthawi zambiri chimakhala chizindikiro choyamba cha matenda a Hashimoto. Sichimapweteka, koma chimamveka ngati china chake chadzaza m'munsi mwa khosi. Kutsogolo kwa khosi kungawonekenso kutupa.

Ngati mahomoni a chithokomiro achepa chifukwa cha matenda a Hashimoto (Hypothyroidism), pakapita nthawi, zizindikiro zotsatirazi zingawonekere:

• Kugona tulo, kutopa kwambiri, komanso kufunikira kugona nthawi zonse.
• Kulemera pang'ono.
• Kudzimbidwa.
• Khungu louma.
• Kulephera kupirira chimfine.
• Kugunda kwa mtima komwe kumakhala kocheperako kuposa kwachibadwa (Bradycardia).
• Kupweteka kwa mafupa ndi kupweteka kwa minofu.
• Tsitsi louma, kusweka kwa tsitsi, kuchepa kwa kukula kwa tsitsi kapena kutayika kwa tsitsi.
• Kuchepa kwa chisangalalo, kupsinjika maganizo.
• Kutupa kwa maso ndi nkhope.
• Kulephera kukumbukira, kuvutika kuganizira zinthu.
• Kusamba kosakhazikika kapena kutuluka magazi ambiri mwa akazi.
• Kuchepa kwa chilakolako chogonana.
• Kusabereka kwa amuna kapena akazi.

Kodi munthu amene ali ndi matenda a Hashimoto nthawi zambiri amamva bwanji?

Ngakhale mutakhala ndi matenda a Hashimoto, ngati mahomoni anu a chithokomiro ndi ochepa (hypothyroidism), simungazindikire kusiyana kwakukulu.

Komabe, ngati muli ndi hypothyroidism, mungamve ngati "china chake chalakwika." "Hypo-" amatanthauza "zochepa" kapena "zosakwanira." Chifukwa chake mutha kuganiza za zizindikiro za hypothyroidism ngati "kuchepetsa" kwa njira zosiyanasiyana m'thupi.

Mungamve kuti mulibe mphamvu zambiri kuposa kale, ndipo simungathe kuchita masewera olimbitsa thupi monga kale. Ngati mugwiritsa ntchito chida chofufuzira zolimbitsa thupi, kugunda kwa mtima wanu kungawoneke kotsika kuposa kale. Mungamve chifunga cha ubongo, ndipo zingakhale zovuta kukumbukira zinthu. Hypothyroidism ingathenso "kuchepetsa" malingaliro anu - mungamve chisoni komanso kukhumudwa. Ingachepetsenso chilakolako chanu chogonana ndikuchepetsa kugaya chakudya - zomwe zikutanthauza kuti simungakhale ndi matumbo pafupipafupi monga kale.

Ngati thupi lanu ndi malingaliro anu akumva ngati atsekeredwa mufilimu yoyenda pang'onopang'ono, lankhulani ndi dokotala wanu.

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

Chifukwa: Kulephera kugwira ntchito bwino kwa chitetezo chathu chamthupi (Matenda a Autoimmune)

Matenda a Hashimoto ndi matenda omwe amayambitsa chitetezo chamthupi . Izi zikutanthauza kuti chitetezo chamthupi lanu chimaukira maselo ndi ziwalo zanu. Tangoganizirani, monga momwe gulu lankhondo lomwe likuyenera kuteteza dziko lathu likuukira dziko lathu.

Kawirikawiri, chitetezo chathu chamthupi chimatiteteza ku zinthu zoopsa monga mabakiteriya ndi mavairasi. Koma pa matenda a Hashimoto, izi ndi zomwe zimachitika:

• Chitetezo chanu cha mthupi, pazifukwa zina zosadziwika, chimapanga ma antibodies omwe amaukira minofu yanu ya chithokomiro.
• Maselo oyera ambiri, makamaka ma lymphocytes , amasonkhana mkati mwa chithokomiro.
• Kuchulukana kumeneku kumayambitsa kutupa kwa chithokomiro, kapena thyroiditis , ndipo kumawononga chithokomirocho.
• Pakapita nthawi, kuwonongeka kumeneku kumapangitsa kuti chithokomiro chisathe kupanga mahomoni okwanira a chithokomiro m'thupi. Izi ndi zomwe zimayambitsa `Hypothyroidism`.
• Komabe, si aliyense amene ali ndi matenda a Hashimoto amene amakhala ndi vuto la hypothyroidism.

Zinthu zomwe zimawonjezera chiopsezo

Pali zinthu zingapo zomwe zimawonjezera chiopsezo chotenga matenda a Hashimoto:

• Mbiri ya Banja: Kafukufuku wasonyeza kuti pafupifupi 80% ya chiopsezo chanu chotenga matenda a Hashimoto chimachokera ku majini. Ngati achibale anu a m'magazi ali ndi matenda a Hashimoto kapena matenda ena a chithokomiro, inunso muli ndi mwayi waukulu woti mudwale matendawa.
• Jenda: Akazi ali ndi mwayi wochuluka wopeza vutoli kuposa amuna nthawi 10. Mphamvu ya mahomoni ogonana ingakhalenso chifukwa chake.
• Zaka: Chiwopsezo chotenga matendawa (ndi matenda ena a chithokomiro) chimawonjezeka ndi ukalamba.

Komanso, muli pachiwopsezo chachikulu chotenga matenda a Hashimoto ngati muli ndi matenda ena odziteteza okha, monga:

• Matenda a Addison
• Matenda a Celiac
• Lupus
• Kuchepa kwa magazi m'thupi koopsa
• Matenda a nyamakazi
• Matenda a Sjögren
• Matenda a shuga amtundu woyamba

Kodi matenda a Hashimoto amawapeza bwanji?

Choyamba dokotala wanu adzachita zinthu izi:

• Ndikufunsa za zizindikiro zanu.
• Funsani za mbiri yanu yachipatala (monga ngati pali aliyense m'banja mwanu amene ali ndi vuto la chithokomiro).
• Kuyezetsa thupi kudzachitika, pomwe chithokomiro chanu chidzayezedwe ndi manja.

Pambuyo pa kuwunikaku, adzayitanitsa mayeso angapo a magazi kuti atsimikizire matendawa:

• Kuyesa kwa Hormone Yolimbikitsa Chithokomiro (TSH test): Kuchuluka kwa TSH nthawi zambiri kumatanthauza kuti chithokomiro chanu sichikupanga mahomoni okwanira a thyroxine (T4). Zotsatirazi zikusonyeza kuti muli ndi hypothyroidism kapena subclinical hypothyroidism (vuto lomwe palibe zizindikiro, koma pali kusintha kwa kuchuluka kwa mahomoni).
• Kuyesa kwaulere kwa Thyroxine (Free T4): Kutsika kwa T4 ndi chizindikiro china choti muli ndi hypothyroidism.
• Kuyesa kwa antithyroid: Ngati muli ndi ma autoantibodies enaake m'magazi mwanu, zimasonyeza kuti chifukwa cha hypothyroidism yanu si china chake monga kusowa kwa ayodini, koma matenda a Hashimoto.

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

Kodi mankhwala a matenda a Hashimoto ndi otani?

Kodi aliyense amafunikira mankhwala?

Si aliyense amene ali ndi matenda a Hashimoto amene amakhala ndi vuto la hypothyroidism. Ngati muli ndi ma antibodies ambiri m'magazi koma mulibe zizindikiro za hypothyroidism, dokotala wanu aziyang'anira kuchuluka kwa chithokomiro chanu nthawi zonse m'malo moyamba kulandira chithandizo.

Chithandizo chachikulu: Levothyroxine

Ngati muli ndi vuto la hypothyroidism chifukwa cha matenda a Hashimoto, chithandizo chachikulu ndi mankhwala otchedwa levothyroxine . Uwu ndi mtundu wopangidwa wa mahomoni a T4 opangidwa ndi chithokomiro chanu.

Levothyroxine imapezeka m'mafakitale osiyanasiyana. Dokotala wanu adzakulemberani yoyenera.

Mankhwalawa amathandiza kubwezeretsa kuchuluka kwa mahomoni a chithokomiro m'thupi lanu. Muyenera kumwa tsiku lililonse kwa moyo wanu wonse . Pakapita nthawi, mlingo wa mankhwala omwe muyenera kumwa ukhoza kusintha. Dokotala wanu adzadziwa momwe angasinthire mlingo kuti athetse bwino vuto lanu la chithokomiro.

Kodi Levothyroxine ili ndi zotsatirapo zoyipa?

Ngati mukukumana ndi mavuto ena chifukwa cha levothyroxine, mwina mukumwa mopitirira muyeso. Izi zingayambitse matenda otchedwa thyrotoxicosis - kuwonjezeka kwa mahomoni a chithokomiro.

Zizindikiro za thyrotoxicosis ndi izi:

• Kugunda kwa mtima mwachangu (Tachycardia) - nthawi zambiri kugunda kwa mtima kopitilira 100 pamphindi.
• Kusakhazikika kwa mtima (Arrhythmia).
• Kuchepetsa thupi kosamveka bwino.
• Kumva ngati thupi lanu likugwedezeka.
• Kusakhazikika, nkhawa, kukwiya.
• Kuwonjezeka kwa mphamvu ya kutentha ndi thukuta kuposa masiku onse.
• Kusintha kwa nthawi ya msambo.

Ngati mukukumana ndi zizindikiro ngati izi, muyenera kuuza dokotala wanu nthawi yomweyo.

Kodi anthu omwe ali ndi matenda a Hashimoto amafunika kudya zakudya zapadera?

Palibe zakudya zenizeni za matenda a Hashimoto. Komabe, zakudya zina, mankhwala, kapena zowonjezera zingakhudze kuyamwa kwa levothyroxine komwe mumamwa. Mwachitsanzo:

• Zowonjezera za chitsulo ndi calcium.
• Sucralfate (mankhwala a zilonda zam'mimba).
• Cholestyramine ndi aluminium hydroxide (zomwe zimapezeka mu mankhwala ena oletsa asidi).

Vutoli lingapewedwe ngati mutamwa mankhwalawa maola anayi musanayambe kapena mutatenga levothyroxine.

Ngati muli ndi mafunso okhudza chakudya, lankhulani ndi dokotala wanu kapena katswiri wodziwa bwino zakudya.

Kudya bwino ndikukhala ndi moyo wathanzi (kuchita masewera olimbitsa thupi, kugona mokwanira, kuchepetsa kupsinjika maganizo) kungathandize chitetezo chanu cha mthupi. Komabe, ngati muli ndi vuto la hypothyroidism, ndikofunikira kumwa mankhwala anu moyenera zivute zitani.

Kodi matenda a Hashimoto angachiritsidwe kwathunthu? Kodi angapewedwe?

Mwatsoka, palibe mankhwala kapena njira yothetsera matenda a Hashimoto. Komabe, mankhwala a moyo wonse angathandize kuchepetsa hypothyroidism ndi kuchuluka kwa mahomoni a chithokomiro.

Mwatsoka, palibe chomwe tingachite kuti tipewe matenda a Hashimoto chifukwa sitingathe kusintha zinthu zomwe zimayambitsa matendawa - zinthu monga majini ndi ukalamba.

Kodi ndi mavuto otani omwe angakhalepo chifukwa chokhala ndi matenda a Hashimoto?

Ndi kuyang'aniridwa bwino ndi kulandira chithandizo pa moyo wawo wonse, anthu omwe ali ndi matenda a Hashimoto amatha kukhala ndi thanzi labwino kwambiri .

Komabe, ngati vuto la hypothyroidism lomwe limayambitsidwa ndi matenda a Hashimoto silichiritsidwa, mavuto otsatirawa angachitike:

• Cholesterol yambiri.
• Matenda a mtima ndi kulephera kwa mtima.
• Kuthamanga kwa magazi kwambiri.
• Kuvutika maganizo.
• Myxedema coma . Ichi ndi vuto losowa kwambiri komanso loika moyo pachiswe chifukwa cha hypothyroidism yoopsa. Ntchito za thupi zimachepa kwambiri kotero kuti zimatha kubweretsa imfa.

Matenda a Hashimoto pa nthawi ya mimba

Ngati hypothyroidism sichitha kuchiritsidwa panthawi ya mimba, zoopsa zotsatirazi zingawonjezereke:

• Kutaya mimba.
• Kubadwa msanga.
• Kubereka mwana wosafa.

Kapena, mungadwale matenda otchedwa preeclampsia, omwe ndi kuthamanga kwa magazi koopsa kumapeto kwa mimba. Hypothyroidism yosachiritsidwa ingakhudze kukula ndi kukula kwa ubongo wa mwana wanu wosabadwayo. Chifukwa chake, madokotala anu adzakuthandizani kuthana ndi hypothyroidism yanu bwino panthawi ya mimba.

Hypothyroidism si yachilendo panthawi ya mimba. Komabe, zizindikiro zake (monga kutopa ndi kunenepa kwambiri) zimafanana ndi zomwe zimawonedwa panthawi ya mimba yachibadwa, kotero nthawi zina zimatha kuphonya. Ngati mukumva ngati muli ndi zizindikiro za hypothyroidism, kapena ngati mukuganiza kuti mwina mukuyamba goiter, uzani dokotala wanu nthawi yomweyo.

Kodi ndiyenera kupita kwa dokotala liti? Kodi vuto ladzidzidzi n'chiyani?

Kukumana ndi dokotala nthawi zonse

Ngati muli ndi matenda a Hashimoto, muyenera kupita kwa dokotala nthawi zonse . Iye adzakuyesani magazi kuti aone ngati kuchuluka kwa mahomoni a chithokomiro chanu kuli bwino komanso kuti mlingo wa mankhwala omwe mukumwa ndi woyenera kwa inu.

Kuphatikiza apo, onani dokotala wanu ngati mukuyamba zizindikiro zatsopano, ngati zizindikiro zomwe muli nazo zikuipiraipira, kapena ngati muwona kusintha kulikonse mu chithokomiro chanu (monga kutupa).

Milandu yomwe imafuna kugonekedwa m'chipatala nthawi yomweyo (Myxedema Coma)

Ngati mukumva zizindikiro za myxedema coma , imbani 911 kapena pitani kuchipatala mwamsanga. Vuto lalikulu la hypothyroidism ndi loopsa kwambiri!

Makhalidwe amenewo ndi awa:

• Hypothermia ndi kuchepa kwa kutentha kwa thupi pansi pa madigiri 35 Celsius (madigiri 95 Fahrenheit).
• Kutupa (edema) m'thupi, makamaka pankhope, lilime, ndi m'miyendo ya m'munsi.
• Kugunda kwa mtima pang'onopang'ono kwambiri komanso kugunda kwa mtima kofooka.
• Kupuma pang'onopang'ono (Bradypnea) ndi kupuma movutikira (Dyspnea).
• Kusokonezeka kapena kutaya chidziwitso.

Pomaliza, zinthu zingapo zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Ndizachilendo kumva kupsinjika pang'ono komanso mantha mukalandira matenda atsopano. Koma nkhani yabwino ndi yakuti matenda a Hashimoto ndi matenda omwe amachiritsidwa bwino .

Ngati mukuganiza kuti mwina muli ndi zizindikiro za matenda a Hashimoto, kapena ngati muli ndi zinthu zomwe zingakuike pachiwopsezo, monga mbiri ya banja lanu ya matenda a chithokomiro, onetsetsani kuti mwaonana ndi dokotala wanu. Akhoza kuchita mayeso osavuta kuti aone ngati chithokomiro chanu chikupanga mahomoni okwanira. Kumbukirani, chikazindikirika msanga, chithandizo chimayamba msanga. Kenako mutha kukhala ndi moyo wathanzi komanso womasuka.

Matenda a Hashimoto , chithokomiro, hypothyroidism, matenda a autoimmune, mahomoni a chithokomiro, levothyroxine, goiter