Kodi chithokomiro chanu chili bwino? Tiyeni tikambirane za Matenda a Chithokomiro mwachidule!

Kodi nthawi zina mumamva kutopa kapena kunenepa popanda chifukwa? Mwina mukuganiza kuti ndi chifukwa cha zochita zanu zambiri masiku ano. Koma, kodi mumadziwa kuti kachidutswa kakang'ono kooneka ngati gulugufe komwe kali kutsogolo kwa khosi lanu kangakhudzidwe ndi zinthuzi? Lero, tiyeni tikambirane za chithokomiro ndi matenda omwe angagwirizane nawo, omwe ndi matenda a chithokomiro .

Kodi chithokomiro ndi chiyani? Chimagwira ntchito bwanji?

Mwachidule, chithokomiro ndi kachithokomiro kakang'ono kooneka ngati gulugufe komwe kali kutsogolo kwa khosi lanu. Ndi gawo la dongosolo la endocrine la thupi lathu. Lili ngati fakitale yaying'ono m'thupi lathu. Limapanga ndikutulutsa mahomoni a chithokomiro m'magazi, omwe amawongolera ntchito zambiri zofunika m'thupi lathu. Mahomoni akuluakulu omwe amapangidwa ndi chithokomiro ndi thyroxine (T4) ndi triiodothyronine (T3) .

Tsopano mwina mukudzifunsa kuti, "Kodi mahomoni awa amagwira ntchito yanji?" Ntchito yayikulu ya chithokomiro ndikuwongolera kagayidwe kathu ka chakudya kapena kagayidwe kachakudya . Izi zikutanthauza kuti, liwiro lomwe chakudya chomwe timadya chimasanduka mphamvu. Selo lililonse m'thupi lathu limafuna mphamvu kuti ligwire ntchito. Chifukwa chake, ngati chithokomiro ichi sichikugwira ntchito bwino, chingakhudze thupi lonse. Taganizirani ngati chothamangitsa galimoto. Ngati sichikugwira ntchito bwino, liwiro la galimoto limakhala pang'onopang'ono kwambiri kapena mwachangu kwambiri. Umu ndi momwe zilili.

Ndiye, kodi matenda a chithokomiro ndi chiyani?

Matenda a chithokomiro ndi mawu ofala kwambiri. Amatanthauza matenda aliwonse omwe chithokomiro chanu sichimapanga mahomoni okwanira. Amatha kukhudza anthu azaka zilizonse. Nthawi zina chithokomiro chimapanga mahomoni ambiri, ndipo nthawi zina chimapanga ochepa kwambiri. Zonsezi ndi mavuto.

Kodi mitundu ikuluikulu ya matenda a chithokomiro ndi iti?

Pali mitundu iwiri ikuluikulu ya matenda a chithokomiro: hypothyroidism (kuchepa kwa mahomoni a chithokomiro) ndi hyperthyroidism (kuchuluka kwa mahomoni a chithokomiro). Komabe, chilichonse mwa izi chingakhale ndi zifukwa zosiyanasiyana.

1. Kusapanga bwino mahomoni a chithokomiro: Hypothyroidism

Izi zimachitika pamene chithokomiro sichipanga mahomoni okwanira a chithokomiro, zomwe zimapangitsa kuti kagayidwe ka thupi kachedwe.

Kodi zifukwa za hypothyroidism ndi ziti?

• Matenda a Hashimoto: Uwu ndi matenda osatha komanso odziteteza kwa moyo wonse. Mwachidule, chitetezo cha mthupi lathu chimaukira chithokomiro. Ichi ndiye chifukwa chachikulu cha hypothyroidism m'maiko omwe mchere ndi zakudya zokhala ndi ayodini zimadyedwa kwambiri.
• Kusowa kwa ayodini: Ayodini wa mchere ndi wofunikira popanga mahomoni a chithokomiro. Chifukwa chake, ngati simupeza ayodini wokwanira muzakudya zanu, mutha kukhala ndi hypothyroidism. Ichi ndiye chifukwa chachikulu m'maiko omwe mchere wokhala ndi ayodini supezeka kwambiri. Izi zingayambitse goiter , yomwe ndi kutupa kwa chithokomiro.
• Matenda a Congenital Hypothyroidism: Ana ena amabadwa opanda chithokomiro kapena ndi chithokomiro chomwe sichigwira ntchito bwino. Mawu oti "Congenital" amatanthauza "kukhalapo pakubadwa." Pafupifupi mwana m'modzi mwa ana 2,000 mpaka 4,000 akhoza kukhala ndi vutoli.

2. Kupanga mahomoni a chithokomiro mopitirira muyeso: Hyperthyroidism

Apa ndi pamene chithokomiro chimatulutsa mahomoni ambiri, omwe amafulumizitsa kagayidwe ka thupi m'thupi.

Kodi ndi zifukwa ziti zomwe zimayambitsa hyperthyroidism?

• Matenda a Graves: Uwu ndi matenda omwe amakhudza chitetezo chamthupi nthawi yayitali. Komabe, pankhaniyi, chithokomiro chimalimbikitsidwa kwambiri ndipo chimapanga mahomoni ambiri. Ichi ndiye chifukwa chofala kwambiri cha hyperthyroidism.
• Ma nodule a chithokomiro: Awa ndi ma nodule osazolowereka omwe amapangika pa chithokomiro. Ngati zina mwa zotupazi ziyamba kutulutsa mahomoni ambiri, hyperthyroidism imatha kuchitika.
• Kudya kwambiri ayodini: Thupi likalandira ayodini wochuluka, chithokomiro chimatulutsa mahomoni ambiri. Matendawa angayambitsidwe ndi mankhwala ena, mwachitsanzo , amiodarone, mankhwala omwe amagwiritsidwa ntchito pochiza matenda a mtima.

3. Nthawi zina mahomoni amakhala otsika, nthawi zina amakhala okwera

Pali matenda ena omwe poyamba angayambitse hyperthyroidism (kuchuluka kwa kupanga mahomoni) kenako hypothyroidism (kuchepa kwa kupanga mahomoni).

• Matenda a chithokomiro: Uku ndi kutupa kwa chithokomiro. Izi nthawi zambiri zimayamba ndi kuwonjezeka kwakanthawi kwa mahomoni (hyperthyroidism), kutsatiridwa ndi kuchepa kwakanthawi kapena kosatha kwa mahomoni (hypothyroidism).
• Matenda a thyroiditis pambuyo pa kubereka: Matendawa ndi osowa kwambiri omwe amapezeka mwa amayi ena akabereka. Amakhudza pafupifupi 5% ya akazi mkati mwa chaka chimodzi kuchokera pamene abereka. Apanso, hyperthyroidism nthawi zambiri imayamba, kenako hypothyroidism. Komabe, nthawi zambiri izi zimakhala zakanthawi kochepa.

Kodi matenda a chithokomiro ndi ofala bwanji?

Matenda a chithokomiro ndi ofala kwambiri . Mwachitsanzo, akuti anthu pafupifupi 20 miliyoni ku United States ali ndi vuto linalake la chithokomiro. Chifukwa chake, vutoli limapezekanso ku Sri Lanka.

Kodi zizindikiro za matenda a chithokomiro ndi ziti?

Ngati muli ndi vuto la chithokomiro, mungakumane ndi zizindikiro zosiyanasiyana. Vuto ndilakuti zizindikirozi nthawi zambiri zimafanana ndi za matenda ena kapena kusintha komwe kumachitika nthawi zosiyanasiyana m'moyo wanu. Chifukwa chake zimakhala zovuta kudziwa ngati zizindikiro zanu zimachokera ku vuto la chithokomiro kapena china chake.

Komabe, kawirikawiri, zizindikiro za chithokomiro zimatha kugawidwa m'magulu awiri - zomwe zimayambitsa mahomoni a chithokomiro (hyperthyroidism) ndi zomwe zimayambitsa mahomoni a chithokomiro ochepa (hypothyroidism). Zizindikiro za matenda awiriwa nthawi zambiri zimakhala "zosiyana". Izi zili choncho chifukwa hyperthyroidism imafulumizitsa kagayidwe ka thupi lanu, pomwe hypothyroidism imachedwetsa kagayidwe kake.

Zizindikiro za hypothyroidism (mahomoni otsika):

• Kugunda kwa mtima kumachepa pang'onopang'ono kuposa masiku onse.
• Kumva kutopa nthawi zonse. Ndikungofuna kukhala pabedi tsiku lonse, ndikumva kutopa kwambiri kuti ndisachite chilichonse chothandiza.
• Kunenepa popanda chifukwa. Kunenepa ngakhale zakudya zomwe munthu amadya zitakhalabe chimodzimodzi.
• Kuvuta kupirira chimfine . Chimfine chomwe chingakhale chachibadwa kwa ena chingakhale chosapiririka kwa inu.
• Khungu louma ndi tsitsi louma komanso lolimba .
• Kuvutika maganizo .
• Kutaya magazi ambiri m'mimba mwa akazi (menorrhagia) .

Zizindikiro za hyperthyroidism (ngati pali mahomoni ambiri):

• Kugunda kwa mtima mwachangu kuposa kwachibadwa (tachycardia) . Mukumva ngati mtima wanu ukugunda.
• Kuvuta kugona .
• Kuchepetsa thupi popanda chifukwa. Kuchepetsa thupi ngakhale mutadya bwino.
• Kuvuta kuthana ndi kutentha . Ngakhale kuti zingakhale zachilendo kuti ena azimva kutentha, inunso mungamve thukuta komanso kutentha kwambiri.
• Khungu lotupa kapena lotupa .
• Kumva kukwiya, kusakhazikika, komanso kukwiya msanga .
• Azimayi amakhala ndi msambo wosakhazikika kapena kusamba kosatha (amenorrhea) .

Matenda onsewa angayambitse kutupa kwa chithokomiro, chotchedwa goiter . Komabe, izi zimachitika kwambiri ndi hyperthyroidism.

Ndani ali pachiwopsezo chachikulu chotenga matenda a chithokomiro?

Mungakhale ndi mwayi waukulu wopeza matenda a chithokomiro ngati:

• Ngati ndinu mkazi , akazi ali ndi mwayi wopeza matenda a chithokomiro kasanu kapena kasanu ndi kawiri kuposa amuna.
• Ngati wina m'banja mwanu ali ndi matenda a chithokomiro (akhoza kukhala obadwa nawo).
• Ngati muli ndi vuto la majini monga Turner syndrome .
• Ngati mukumwa mankhwala omwe ali ndi ayodini wambiri .
• Ngati mukukhala m'dziko kapena dera lomwe mchere wokhala ndi ayodini supezeka kwambiri (izi zingayambitse kusowa kwa ayodini).
• Ngati muli ndi zaka zoposa 60 , makamaka ngati ndinu mkazi.
• Ngati mudalandirapo kale chithandizo cha radiation kumutu ndi/kapena pakhosi.

Komanso, ngati muli ndi matenda ena a autoimmune , chiopsezo chanu chotenga matenda a chithokomiro chimakhala chachikulu kwambiri. Makamaka ngati muli ndi vuto lililonse mwa izi:

• Kuchepa kwa magazi m'thupi koopsa
• Matenda a shuga amtundu woyamba
• Matenda a Celiac
• Matenda a Addison (matenda a Addison - kulephera kwa adrenal)
• Lupus
• Matenda a nyamakazi
• Matenda a Sjögren

Kodi mungazindikire bwanji matenda a chithokomiro? (Kuzindikira)

Ngati muli ndi zizindikiro za matenda a chithokomiro, dokotala wanu adzakufunsani kaye za zizindikiro zanu, mbiri ya banja lanu, ndikukuyesani thupi. Pa nthawi yoyezetsayi, dokotala wanu adzakhudza chithokomiro chanu m'khosi mwanu kuti aone ngati muli ndi kutupa kapena ziphuphu.

Pambuyo pake, dokotalayo adzafunika kuchita mayeso ena angapo a chithokomiro kuti atsimikizire matendawa. Izi ndi izi:

• Mayeso a magazi: Mayesowa amatha kudziwa ngati muli ndi hypothyroidism kapena hyperthyroidism. Pali mitundu yosiyanasiyana ya mayeso a magazi a chithokomiro. Mwachitsanzo, amafufuza mahomoni olimbikitsa chithokomiro (TSH) , kuchuluka kwa mahomoni a T3 ndi T4 , ndi ma antibodies a chithokomiro .
• Mayeso ojambulira: Mayeso monga ultrasound ya chithokomiro angathandize dokotala wanu kuona ngati pali timibulu kapena timibulu mu chithokomiro chanu. Mayeso ojambulira a mankhwala a nyukiliya monga kuyamwa ndi kusanthula chithokomiro angathandize kudziwa ngati timibulu tikugwira ntchito mopitirira muyeso.

Kodi matenda a chithokomiro amachiritsidwa bwanji?

Chithandizo cha matenda a chithokomiro chimadalira mtundu wa matenda omwe muli nawo komanso chifukwa chake. Cholinga chachikulu ndikubwezeretsa kuchuluka kwa mahomoni a chithokomiro chanu pamlingo wabwino.

Chithandizo cha Hyperthyroidism:

Ngati muli ndi hyperthyroidism (vuto lomwe mahomoni ambiri amatuluka), pali mankhwala monga:

• Mankhwala oletsa chithokomiro: Mwachitsanzo , methimazole ndi propylthiouracil . Mankhwalawa amaletsa chithokomiro kupanga mahomoni.
• Mankhwala a radioiodine - mankhwala a ayodini owononga: Mankhwalawa amawononga maselo a chithokomiro ndipo amawaletsa kupanga mahomoni ochulukirapo.
• Beta-blockers: Mankhwalawa sakhudza mwachindunji chithokomiro, koma angathandize kuchepetsa zizindikiro zina, monga kugunda kwa mtima mofulumira.
• Opaleshoni: Monga chithandizo chokhazikika, dokotala wanu angakulangizeni kuti muchotse chithokomiro chanu, chomwe chimaphatikizapo kuchotsedwa kwa chithokomiro chanu. Izi zidzaletsa kupanga mahomoni. Komabe, muyenera kumwa mahomoni olowa m'malo mwa chithokomiro chopangidwa kwa moyo wanu wonse.

Chithandizo cha Hypothyroidism:

Ngati muli ndi vuto la hypothyroidism (vuto lomwe chithokomiro chanu sichigwira ntchito mokwanira), chithandizo chachikulu ndi mankhwala olowa m'malo mwa mahomoni a chithokomiro . Izi zimaphatikizapo kuwonjezera mahomoni a chithokomiro m'thupi lanu. Limodzi mwa mankhwala odziwika bwino omwe madokotala amapereka ndi levothyroxine .

Kodi matenda a chithokomiro ndi vuto lalikulu?

Matenda a chithokomiro angakhudze ziwalo zambiri za thupi lanu komanso thanzi lanu. Komabe, ngati mutsatira dongosolo loyenera la chithandizo ndikusamalira vutoli, nthawi zambiri si vuto lalikulu.

Komabe, ngati matenda a chithokomiro sanapezeke kapena kuchiritsidwa bwino , angayambitse mavuto osiyanasiyana.

Mavuto omwe angachitike chifukwa cha hyperthyroidism yosachiritsidwa:

• Kugunda kwa mtima kosasinthasintha ( kugunda kwa mtima kosasinthasintha)
• Stroke
• Kulephera kwa mtima ( matenda a mtima)
• Kuchepa kwa mafupa (osteoporosis )

Mavuto omwe angabwere chifukwa cha hypothyroidism yosachiritsidwa:

• Matenda a maganizo , monga kuvutika maganizo.
• Matenda a mitsempha ya m'mitsempha (kuwonongeka kwa mitsempha m'miyendo)
• Kuwonjezeka kwa chiopsezo cha matenda a mtima ndi matenda a mtima .
• Kusabereka .
• Myxedema coma : Ichi ndi vuto ladzidzidzi, lomwe limayambitsa chiopsezo cha hypothyroidism.

Kodi n'zotheka kukhala ndi moyo wabwinobwino ndi matenda a chithokomiro?

Matenda a chithokomiro nthawi zambiri amakhala matenda omwe munthu amakhala nawo kwa moyo wake wonse . Izi zikutanthauza kuti muyenera kuwathetsa nthawi zonse. Izi nthawi zambiri zimafuna mankhwala tsiku lililonse. Dokotala wanu adzayang'anira chithandizo chanu ndikusintha chilichonse chofunikira pakapita nthawi.

Zingatenge nthawi kuti mupeze njira yoyenera yochizira matenda a chithokomiro. Komabe, nthawi zambiri zimakhala zotheka kukhala ndi moyo wabwinobwino komanso wabwino ndi matenda a chithokomiro.Chomwe chikufunika ndikutsatira malangizo a dokotala mosamala.

Kodi matenda a chithokomiro angapewedwe?

Matenda a chithokomiro nthawi zambiri amakhala ovuta kuwapewa . Izi zili choncho chifukwa matenda ambiri a chithokomiro amagwirizanitsidwa ndi majini kapena amayamba chifukwa cha matenda a chitetezo chamthupi. Sitingathe kupewa zinthu zimenezi.

Komabe, mavuto a chithokomiro omwe amayamba chifukwa cha ayodini wochuluka kapena wochepa nthawi zina amatha kupewedwa. Ngati muli ndi mafunso okhudza kupeza ayodini wokwanira, lankhulani ndi dokotala wanu.

Kodi muyenera kupita kwa dokotala liti chifukwa cha vuto la chithokomiro?

Ngati muli ndi zizindikiro za hypothyroidism kapena hyperthyroidism, kapena ngati muwona kusintha kulikonse pa mawonekedwe a chithokomiro chanu m'khosi mwanu (monga kutupa), ndikofunikira kukaonana ndi dokotala . Ndikofunikira kuti mudziwe matenda ndikuyamba kulandira chithandizo.

Komanso, ngati mukudziwa kuti wachibale wanu weniweni ali ndi matenda a chithokomiro, uzani dokotala wanu za matendawa. Matenda a chithokomiro amatha kuchitika m'mabanja. Ngati mutakhala ndi zizindikiro za matenda a chithokomiro, kungakhale kofunikira kudziwa mbiri ya banja lanu.

Uthenga Wopita Nawo Kunyumba

Ngakhale matenda a chithokomiro ndi matenda ofala, palibe chifukwa choopera. Nkhani yabwino ndi yakuti amatha kuthetsedwa bwino ndi mankhwala ndi mankhwala ena.

• Chithokomiro ndi chithokomiro chooneka ngati gulugufe chomwe chili m'khosi mwanu. Mahomoni omwe chimatulutsa amalamulira zinthu zambiri m'thupi lanu.
• Ngati mahomoni achepa, amatchedwa hypothyroidism , ndipo ngati awonjezeka, amatchedwa hyperthyroidism .
• Ngati muli ndi zizindikiro monga kutopa, kusintha kwa thupi, komanso kusakhazikika, mwina ndi vuto la chithokomiro.
• Izi zitha kuzindikirika kudzera mu mayeso a magazi.
• Ngati mutalandira chithandizo choyenera, mutha kukhala ndi moyo wabwinobwino.
• Ngati muli ndi zizindikiro za matenda a chithokomiro, kapena ngati muli ndi zinthu zomwe zingakuike pachiwopsezo, lankhulani ndi dokotala . Alipo kuti akuthandizeni. Musachite mantha, funsani ngati muli ndi mafunso. Thanzi lanu ndi lofunika!

Chithokomiro , matenda a chithokomiro, hypothyroidism, hyperthyroidism, goiter, mahomoni, thyroxine