Kodi inunso mukumva kutopa nthawi zonse? Tiyeni tiphunzire za vuto la hypothyroidism.

Kodi masiku ano mukumvanso kutopa kwambiri? Kodi mumamva kutopa ngakhale mutadzuka m'mawa, mukugona tsiku lonse, ndipo mulibe mphamvu zochitira chilichonse? Nthawi yomweyo, kodi mumamva ngati mukukula ngakhale osasintha kwambiri zomwe mumadya ndi kumwa? Mungaganize kuti izi ndi zachilendo, kuti zimachitika chifukwa cha ntchito yambiri. Koma kumbuyo kwa zinthuzi, nthawi zina pamakhala kusintha pang'ono komwe kumachitika m'thupi lathu. Ndicho chimene tikambirana lero.

Mwachidule, kodi Hypothyroidism ndi chiyani?

Chabwino, tiyeni tinene motere. Tili ndi kachidutswa kakang'ono kooneka ngati gulugufe pakhosi pathu. Ichi ndi chomwe timachitcha kuti chithokomiro . Monga injini ya galimoto, imalamulira zinthu zambiri m'thupi lathu, ndiko kuti, imatsimikiza liwiro la thupi lathu (kagayidwe kachakudya). Mahomoni ake amakhudza zinthu zambiri, monga kugunda kwa mtima wanu, kutentha kwa thupi, ndi liwiro la kugaya chakudya.

Hypothyroidism ndi vuto lomwe chithokomiro cha chithokomiro sichigwira ntchito bwino ndipo sichipanga mahomoni okwanira. Kenako, monga momwe injini ya galimoto imachedwera, machitidwe onse m'thupi lathu amayamba kuchepa. Ndicho chifukwa chake mumamva kutopa ndipo thupi lanu limalemera.

Uwu ndi matenda omwe nthawi zambiri amatha kuchiritsidwa ndi kulamuliridwa, kotero palibe chifukwa choopera. Komabe, akhoza kukhala oopsa ngati sanalandire chithandizo.

Kodi mitundu ikuluikulu ya hypothyroidism ndi iti?

Pali mitundu ingapo yayikulu kutengera momwe vutoli limachitikira. Ngakhale kuti izi ndi zachipatala pang'ono, ndikofunikira kudziwa mwachidule. Tangoganizirani, pali bwana wamkulu muubongo mwathu (Hypothalamus), yemwe amauza wina (Pituitary Gland) kuti achite zinazake, yemwenso amauza Thyroid Gland kuti igwire ntchito. Ngati pali vuto kulikonse panjira iyi, Hypothyroidism ikhoza kuchitika.

Kodi zizindikiro za vutoli ndi ziti?

Zizindikiro za hypothyroidism nthawi zambiri sizibwera mwadzidzidzi. Zimakula pang'onopang'ono, pang'onopang'ono. Nthawi zina zingatenge zaka zambiri. Onaninso ngati muli ndi zizindikirozi.

Ngati muli ndi chimodzi mwa zizindikiro izi kapena zingapo, chinthu chabwino kwambiri choti muchite ndikuwonana ndi dokotala wanu kuti akupatseni upangiri.

Chifukwa chiyani hypothyroidism imachitika?

Pakhoza kukhala zifukwa zingapo za izi.

• Matenda a Hashimoto: Ichi ndiye chifukwa chachikulu komanso chofala kwambiri. Mwachidule, ndi vuto la chitetezo chamthupi . Izi zikutanthauza kuti chitetezo chamthupi, chomwe chimayenera kuteteza thupi lathu, chimayamba molakwika kuukira chithokomiro chake. Pakapita nthawi, chithokomirocho chimawonongeka ndipo kupanga mahomoni kumachepa.
• Kuchotsa chithokomiro:Pamene chithokomiro chonse kapena gawo lake lachotsedwa opaleshoni chifukwa cha khansa kapena matenda ena monga goiter.
• Chithandizo cha Radiation: Ngati chithandizo cha radiation chikugwiritsidwa ntchito pa khansa ya mutu kapena khosi, chingawonongenso chithokomiro.
• Mankhwala ena: Mankhwala ena omwe amagwiritsidwa ntchito pa matenda a mtima ndi matenda amisala (monga Lithium, Amiodarone) angayambitsenso kuchepa kwa ntchito ya chithokomiro.
• Kusowa kwa Ayodini: Ayodini ndi mchere wofunikira popanga mahomoni a chithokomiro. Vutoli lingachitike ngati sitipeza ayodini wokwanira kuchokera muzakudya zathu. Komabe, ku Sri Lanka, izi sizimawoneka kawirikawiri chifukwa ayodini yawonjezeredwa ku mchere womwe timagwiritsa ntchito.
• Matenda obadwa nawo: Ana ena amabadwa opanda chithokomiro, kapena ali ndi chithokomiro chomwe sichigwira ntchito bwino.

Kodi matenda amachitika bwanji?

Mukapita kwa dokotala, chinthu choyamba chimene angachite ndikukufunsani za zizindikiro zanu. Kenako, adzakuyang'anani khosi lanu kuti aone ngati chithokomiro chanu chatupa.

Koma kuti matendawa atsimikizidwe bwino, pakufunika kuyezetsa magazi.

Kuyezetsa magazi kumeneku kumayang'ana kwambiri:

• TSH (Hormone Yolimbikitsa Chithokomiro): Iyi ndi homoni yomwe imatulutsidwa ndi pituitary gland muubongo. Ngati chithokomiro sichikugwira ntchito, ubongo umayesetsa kuilimbikitsa potumiza TSH yambiri. Chifukwa chake, milingo ya TSH nthawi zambiri imakwera mu hypothyroidism.
• T4 (Thyroxine): Iyi ndi homoni yaikulu yopangidwa ndi chithokomiro. Mu hypothyroidism, kuchuluka kwa homoni iyi kumachepa .

Nthawi zina, ngati kuli kofunikira, dokotala angakupatseni mayeso monga ultrasound kapena CT scan .

Kodi mankhwala ake ndi otani? Kodi ndi chinthu choopera?

Ayi, palibe chodetsa nkhawa konse. Chithandizo cha hypothyroidism ndi chosavuta komanso chogwira ntchito.

Chithandizo chachikulu ndi Hormone Replacement Therapy . Mwachidule, ndi kupereka piritsi lotchedwa Levothyroxine , lomwe limalowa m'malo mwa mahomoni a chithokomiro omwe thupi lanu silingathe kupanga.

Poyamba, dokotala wanu adzayesa magazi nthawi ndi nthawi kuti apeze mlingo woyenera kwa inu. Mukalandira mlingo woyenera, zizindikiro zambiri zanu zidzatha ndipo mudzakhala ndi moyo wabwinobwino.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire mutatha kuyamba kulandira chithandizo?

Ma mahomoni amayamba kubwerera mwakale mukangoyamba kumwa mankhwalawo. Komabe, zingatenge milungu ingapo kuti zizindikiro zanu, monga kutopa ndi kunenepa, zithe. Choncho ndikofunikira kukhala oleza mtima.

Kodi chimachitika ndi chiyani ngati simulandira chithandizo?

Ichi ndiye chinthu chofunikira kwambiri. Ngakhale kuti chithandizo chimathetsa mavuto aliwonse, ngati sichinachiritsidwe, mavuto aakulu amatha kuchitika.

• Goiter: Chithokomiro cha chithokomiro chimatha kukula chifukwa cha kulimbikira kosalekeza.
• Matenda a Mtima: Kuchuluka kwa cholesterol yoipa (LDL) kumawonjezera chiopsezo chotenga matenda a mtima.
• Mavuto a m'maganizo: Matenda monga kupsinjika maganizo ndi nkhawa zimatha kukhala zovuta kwambiri.
• Matenda a Peripheral Neuropathy: Kuwonongeka kwa mitsempha kungayambitse kupweteka ndi dzanzi m'miyendo.
• Kusabereka: Azimayi angakhale ndi vuto lotenga pakati. Ngati sanalandire chithandizo panthawi ya mimba, zingayambitse kutaya mimba kapena kukhudza mwana.
• Myxedema Coma: Ichi ndi vuto losowa kwambiri, koma lomwe limayambitsa imfa . Ntchito za thupi zimasokonekera kwambiri ndipo munthu amatha kusazindikira.

Ndiyenera kupita kwa dokotala liti?

Ngati muli ndi zizindikiro zilizonse zomwe zatchulidwa pamwambapa (monga kutopa kosalekeza, kunenepa kwambiri, khungu louma), onetsetsani kuti mwaonana ndi dokotala. Iye adzakuyesani ndipo ngati pakufunika kutero, adzalamula kuti muyesedwe magazi.

Ngati mukumwa kale mankhwala a hypothyroidism ndipo mukumva kuti zizindikiro zanu zikubweranso, dziwitsani dokotala wanu. Mlingo wa mankhwala anu ungafunike kusinthidwa.

Nthawi yoti mupite ku ETU (Emergency Treatment Unit) mwachangu

Ngati mukukumana ndi zizindikiro zoopsa zotsatirazi, pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala nthawi yomweyo . Izi zitha kukhala zizindikiro za matenda a Myxedema Coma omwe atchulidwa kale.

• Kuvuta kupuma
• Kugona kosalekeza, chisokonezo
• Kutentha pang'ono kwa thupi (hypothermia)
• Kuthamanga kwa magazi pang'onopang'ono (kutsika kwambiri kwa kuthamanga kwa magazi)
• Kugunda mtima pang'onopang'ono kwambiri (Bradycardia)