Kodi chithokomiro chanu chatupa pakhosi panu? Tiyeni tikambirane za chithokomiro cha thyroiditis!

Kodi munayamba mwamvapo chotupa chaching'ono kutsogolo kwa khosi lanu, kumva kuwawa m'dzanja lanu, kapena kungotopa komanso kuda nkhawa? Chimodzi mwa zifukwa za izi ndi matenda otchedwa thyroiditis . Dzinali lingamveke ngati nkhani yaikulu, koma tiyeni tikambirane mwachidule komanso m'njira yomwe mungamvetse.

Kodi matenda a chithokomiro (thyroiditis) ndi chiyani? Tiyeni timvetse mosavuta!

Mwachidule, thyroiditis ndi kutupa kwa chithokomiro chanu, zomwe zikutanthauza kutupa. Tsopano mwina mukudabwa kuti chithokomiro ndi chiyani komanso komwe chili. Taganizirani motere, chithokomiro ndi chiwalo chaching'ono chooneka ngati gulugufe chomwe chili kutsogolo kwa khosi lanu, pansi pa khungu. Ndi gawo la dongosolo la endocrine la thupi lathu. Chimapanga ndikutulutsa mitundu ingapo ya mahomoni omwe amalamulira ntchito zambiri zofunika m'thupi lathu. Tsopano, vuto ili lotchedwa thyroiditis si mtundu umodzi wa chinthu. Ndi dzina lofala la gulu la matenda omwe amayambitsa kutupa kwa chithokomiro, omwe ali ndi zifukwa zosiyanasiyana komanso zizindikiro. Chinthu chachikulu chomwe chingayambitse chithokomiro ichi ndichakuti mahomoni a chithokomiro amapangidwa mochuluka kapena pang'ono kwambiri.

Kodi magawo a thyroiditis ndi ati?

Kawirikawiri, pali magawo atatu akuluakulu mu mitundu yambiri ya thyroiditis. Tiyeni tiwone zomwe zili: 1. Gawo la poizoni wa thyrotoxicity: Mu gawoli, chithokomiro chanu chimatupa ndipo mwadzidzidzi chimatulutsa mahomoni ambiri. Izi zimayambitsa vuto la kanthawi kochepa lotchedwa thyrotoxicosis . Zili ngati kuchuluka kwa mahomoni mwadzidzidzi. 2. Gawo la hypothyroidism: Tsopano pambuyo pa kuchuluka kwa mahomoni mwadzidzidzi, patatha milungu kapena miyezi ingapo, chithokomiro sichikhala ndi mahomoni okwanira otsala kuti chitulutse. Kenako, kusowa kwa mahomoni a chithokomiro kumachitika. Izi zimatchedwa hypothyroidism . Mu mitundu ina ya thyroiditis, monga Hashimoto's thyroiditis ndi radiation-induced thyroiditis, gawo la hypothyroidism ili ndi losatha. 3. Gawo la Euthyroid: Mu gawoli, kuchuluka kwa mahomoni a chithokomiro chanu kumabwerera mwakale. Izi zitha kuchitika kwakanthawi pambuyo pa gawo la thyrotoxicity, musanalowe mu gawo la hypothyroidism. Kapena, ikhoza kukhala gawo lomaliza, pamene chithokomiro cha chithokomiro chachira ku kutupa ndipo chikupanga mahomoni mwachizolowezi kachiwiri.

Kodi mitundu ikuluikulu ya thyroiditis ndi iti?

Monga tafotokozera kale, matenda a thyroiditis si matenda amodzi okha. Pali mitundu yosiyanasiyana ya matendawa. Tiyeni tiwone zomwe zimayambitsa matendawa:

• Matenda a Hashimoto's thyroiditis: Uwu ndi mtundu wofala kwambiri wa matenda a thyroiditis.Izi zimatchedwanso matenda a thyroiditis osatha . Izi ndi matenda a autoimmune . Izi zikutanthauza kuti, chitetezo cha mthupi lathu chimaukira chithokomiro popanga ma antibodies a antithyroid . Ichi ndiye chifukwa chachikulu cha hypothyroidism .
• Matenda a thyroiditis osapweteka kapena osapweteka: Ichi ndi vuto lomwe limayambitsa chitetezo chamthupi. Limayambanso chifukwa cha ma antibodies oletsa matenda a thyroid. Monga momwe dzinalo likusonyezera, si lopweteka kwambiri.
• Postpartum thyroiditis: Ichinso ndi vuto la autoimmune. Komabe, limachitika mkati mwa chaka chimodzi mutabereka. Izi sizichitika kawirikawiri.
• Matenda a thyroiditis omwe amayambitsidwa ndi radiation: Matendawa angayambitsidwe ndi radiation therapy ya mitundu ina ya khansa kapena ndi radioactive ayodini yomwe imaperekedwa pochiza hyperthyroidism .
• Subacute thyroiditis kapena de Quervain's thyroiditis: Iyi ndi matenda opweteka omwe nthawi zambiri amayamba chifukwa cha kachilombo. Nthawi zambiri amapezeka matenda opatsirana m'mapapo monga chimfine kapena fuluwenza atapita.
• Matenda opatsirana a thyroiditis: Matendawa ndi osowa kwambiri. Amayambitsidwa ndi chamoyo chopatsirana, monga bakiteriya .
• Matenda a chithokomiro omwe amayambitsidwa ndi mankhwala: Matendawa amatha kuchitika ngati mankhwala ena monga amiodarone , interferons , lithium, ndi cytokines agwiritsidwa ntchito. Komabe, si aliyense amene amamwa mankhwalawa amene amakhala ndi vutoli, koma anthu ochepa okha ndi omwe amadwala matendawa.
• Riedel thyroiditis: Iyi ndi matenda osowa kwambiri. Imadziwika ndi kutupa kwa nthawi yayitali komanso fibrosis ya chithokomiro.Matendawa amatchedwa fibrosis. Fibrosis ndi kukhuthala kapena kuphulika kwa minofu.

Ndani amene amakhudzidwa kwambiri ndi thyroiditis?

Ngakhale kuti thyroiditis ingakhudze aliyense, imakhudza akazi nthawi zambiri. Mwachitsanzo, mtundu wa thyroiditis wotchedwa Hashimoto's thyroiditis ndi wofala kwambiri mwa akazi kuwirikiza kanayi mpaka khumi kuposa amuna. Umapezekanso kwambiri mwa anthu azaka zapakati pa 30 ndi 50. Thyroiditis yosapweteka kapena yosapweteka imapezekanso kwambiri mwa akazi. Ndi mtundu wachiwiri wofala kwambiri wa thyroiditis pambuyo pa Hashimoto's thyroiditis.

Kodi vutoli ndi lofala bwanji?

Monga tanenera kale, mtundu wofala kwambiri ndi Hashimoto's thyroiditis. Akuti umakhudza pakati pa 1% ndi 2% ya anthu ku United States. Mitundu ina ya thyroiditis ndi yosowa kwambiri.

Kodi matenda a thyroiditis ndi oopsa kwa moyo?

Matenda a chithokomiro nthawi zambiri saika moyo pachiswe.

Komabe, ngati mutakhala ndi hyperthyroidism chifukwa cha thyroiditis ndipo simunalandire chithandizo kwa nthawi yayitali, pali chiopsezo chotenga matenda oopsa komanso oopsa otchedwa thyroid storm .

Kodi zizindikiro za chithokomiro cha chithokomiro ndi ziti?

• Malungo aakulu - Malungo amatha kutentha madigiri 40-41 Celsius (104 mpaka 106 Fahrenheit).
• Kugunda kwa mtima mwachangu (tachycardia) - kumatha kupitirira kugunda 140 pamphindi.
• Kumva nkhawa nthawi zonse, kukwiya, komanso/kapena kusakhazikika.
• Kusokonezeka maganizo - Ichi ndi vuto la kusazindikira bwino komanso kusokonezeka maganizo.

Ngati muli ndi zizindikiro izi, pitani kuchipatala chapafupi nthawi yomweyo. Izi ndi zadzidzidzi! Ngati mukuganiza kuti muli ndi zizindikiro za thyroiditis, ndikofunikira kwambiri kuonana ndi dokotala nthawi yomweyo. Kenako amatha kuchita mayeso ofunikira, kuzindikira vutoli, ndikuyamba kulandira chithandizo.

Kodi zizindikiro za matenda a chithokomiro ndi ziti?

Zizindikiro za thyroiditis zimadalira mtundu ndi gawo la matendawa. Mu mitundu yambiri ya thyroiditis, zizindikiro za thyrotoxicosis zimayamba kuonekera, kenako zizindikiro za hypothyroidism. Mu subacute thyroiditis ndi acute infectious thyroiditis, nthawi zambiri pamakhala kupweteka m'dera lomwe thyroid gland ili. Anthu ena amatha kukhala ndi thyroid gland yokulirapo, yotchedwa goiter .

Zizindikiro za Thyrotoxicosis (pamene mahomoni akuwonjezeka)

Gawo la poizoni wa thyroiditis nthawi zambiri limakhala la kanthawi kochepa, limatenga pafupifupi mwezi umodzi kapena itatu. Ngati maselo a thyroid anu awonongeka mwachangu ndipo mahomoni ambiri a thyroid atulutsidwa, mutha kuwona zizindikiro za hyperthyroidism ( chithokomiro chogwira ntchito mopitirira muyeso). Izi zikuphatikizapo:

• Kugunda kwa mtima.
• Kuwonjezeka kwa njala.
• Kukhala woonda popanda chifukwa.
• Kumva nkhawa komanso kusakhazikika nthawi zonse.
• Kukwiya msanga.
• Kusowa tulo.
• Kuchuluka kwa thukuta komanso kukhudzidwa ndi kutentha.
• Kugwedezeka.

Zizindikiro za Hypothyroidism (mahomoni otsika)

Gawo la hypothyroidism la thyroiditis lingatenge nthawi yayitali, ndipo lingakhale losatha. Ngati maselo a thyroid yanu awonongeka ndipo kuchuluka kwa mahomoni a thyroid yanu kwatsika, mutha kuwona zizindikiro za hypothyroidism. Izi zikuphatikizapo:

• Kumva kutopa nthawi zonse.
• Kukula popanda chifukwa.
• Kudzimbidwa.
• Matenda amisala monga kuvutika maganizo.
• Khungu louma.
• Kuwonjezeka kwa chidwi ndi chimfine.
• Kufooka kwa minofu.
• Kuchepa kwa mphamvu yoganizira zinthu.

Kodi matenda a Thyroiditis ndi ati?

Matenda a chithokomiro (thyroiditis) amachitika pamene chithokomiro chanu cha thyroid "chagwidwa" ndi chinthu china, zomwe zimapangitsa kuti chizitupa (izi ndi zomwe thupi limachita likavulala) ndikuwononga maselo a chithokomiro. Zomwe zimayambitsa zimasiyana malinga ndi mtundu wake. Choyambitsa chachikulu ndi matenda a autoimmune . Izi zikutanthauza kuti chitetezo cha mthupi, chomwe chimayenera kuteteza matupi athu, chimaukira matupi athu molakwika. Sizikudziwikabe chifukwa chake izi zimachitika. Mitundu yambiri ya chithokomiro imayamba chifukwa cha ma antibodies omwe amaukira chithokomiro chanu.

Kodi matenda a thyroiditis amawapeza bwanji?

Mukapita kwa dokotala, adzakuyesani ndikuyang'anani chithokomiro chanu. Kenako adzakufunsani za zizindikiro zanu ndi matenda ena aliwonse omwe mudadwalapo kale. Ngati akukayikira kuti muli ndi chithokomiro, angachite mayeso ena kapena onsewa kuti atsimikizire matendawa:

• Mayeso a ntchito ya chithokomiro: Awa ndi mayeso a magazi omwe amayesa mahomoni okhudzana ndi chithokomiro chanu komanso kuchuluka kwa mahomoni a chithokomiro. Mwachitsanzo, mahomoni anu olimbikitsa chithokomiro (TSH) , triiodothyronine (T3) , ndi thyroxine (T4) . TSH imachokera ku pituitary gland yanu. Imathandizira chithokomiro chanu kupanga mahomoni a T4 ndi T3. Pamodzi, awiriwa amatchedwa mahomoni a chithokomiro.
• Ultrasound ya chithokomiro:Madokotala nthawi zambiri amagwiritsa ntchito ultrasound kuti aone kapangidwe ka chithokomiro. Izi zimatha kuzindikira zinthu monga chithokomiro , kusintha kwa kayendedwe ka magazi, komanso kuchuluka kwa chithokomiro.
• Mayeso a ma antibodies a chithokomiro: Awa ndi mayeso a magazi. Amafufuza ma antibodies a chithokomiro, kaya ma antibodies a antithyroid (microsomal) (TPO) kapena ma antibodies oyambitsa ma antibodies a thyroid receptor (TRAb) . Ngati ma antibodies awa alipo, zikutanthauza kuti mutha kukhala ndi mtundu wa thyroiditis womwe umayambitsidwa ndi matenda a autoimmune.
• Kuchuluka kwa Erythrocyte sedimentation rate (ESR kapena sed rate): Uku ndi kuyesanso magazi. Kumathandiza kudziwa ngati pali kutupa m'thupi lanu. ESR imakwera mu subacute thyroiditis.
• Puloteni ya C-reactive (CRP): Izi zimayesa kuchuluka kwa CRP m'magazi mwanu. Kuchuluka kwa CRP kumawonjezeka pamene pali kutupa m'thupi. Kungakhale kwakukulu kwambiri mu thyroiditis yopatsirana yoopsa.
• Mayeso otengera ayodini wokhudzana ndi radioactive iodine (RAIU): Mayesowa amayesa kuchuluka kwa ayodini wokhudzana ndi radioactive (woperekedwa ndi pakamwa) womwe chithokomiro chanu chimayamwa. Kuchuluka kumeneku nthawi zonse kumakhala kochepa mu gawo la thyroiditis lomwe lili ndi poizoni wa thyrotoxic.

Kodi matenda a thyroiditis amachiritsidwa bwanji?

Chithandizo cha thyroiditis chimadalira mtundu ndi zizindikiro zake.

Chithandizo cha Thyrotoxicosis

Ngati muli mu gawo la thyrotoxicity, dokotala wanu angakupatseni mtundu wa mankhwala otchedwa beta-blockers . Mankhwalawa angathandize kuchepetsa kugunda kwa mtima wanu ( kugunda kwa mtima ) ndi kunjenjemera. Pamene zizindikiro zanu zikukulirakulira, dokotala wanu adzachepetsa pang'onopang'ono ndikusiya kumwa mankhwalawo. Izi zili choncho chifukwa gawo la thyrotoxicity ndi la kanthawi kochepa.

Chithandizo cha Hypothyroidism

Ngati muli ndi matenda a Hashimoto's thyroiditis, dokotala wanu adzakupatsani mankhwala olowa m'malo mwa mahomoni a chithokomiro, monga levothyroxine . Muyenera kumwa mankhwalawa moyo wanu wonse. Hypothyroidism yomwe imayamba chifukwa cha matenda a chithokomiro a Hashimoto nthawi zambiri imakhala yokhalitsa. Ngati muli ndi matenda a chithokomiro a subacute, osalankhula, kapena pambuyo pake, ndipo muli ndi zizindikiro za hypothyroidism, dokotala wanu adzakupatsaninso mankhwala olowa m'malo mwa mahomoni a chithokomiro. Muyenera kumwa mankhwalawa kwa miyezi pafupifupi 6 mpaka 12. Kenako dokotala wanu adzachepetsa pang'onopang'ono mlingo kuti aone ngati muli ndi hypothyroidism yokhazikika. Ngati hypothyroidism yanu si yoopsa kwambiri, zomwe zikutanthauza kuti muli ndi zizindikiro zochepa, simungafunike mankhwala konse.

Mankhwala ena a thyroiditis

Ngati muli ndi vuto la thyroiditis yopatsirana mwadzidzidzi , muyenera kuchiza matendawa. Izi mwina zikuphatikizapo maantibayotiki . Ngati muli ndi thumba , kapena malo otseguka, mu thyroid yanu, dokotala wanu angafunike kupopera singano pang'ono (kutulutsa mafinya ndi sirinji) kuti atulutse mafinya. Matenda a thyroiditis oyambitsidwa ndi mankhwala nthawi zambiri amakhalapo malinga ngati mutamwa mankhwala omwe adayambitsa matendawa. Dokotala wanu akhoza kukusinthani ku mankhwala ena ofanana ndi omwe mukumwa. Kapena, mungapatsidwe levothyroxine ya thyroiditis pamene mukupitiriza kumwa mankhwalawo. Ululu wochokera ku thyroiditis yopatsirana mwadzidzidzi komanso subacute thyroiditis nthawi zambiri umatha kuthetsedwa ndi mankhwala oletsa kutupa (NSAIDs) , monga aspirin kapena ibuprofen . Nthawi zina, mankhwala a steroid angagwiritsidwe ntchito ngati ululuwo ndi woopsa. Riedel thyroiditis ingafunike opaleshoni.

Kodi thyroiditis ingapewedwe?

Mwatsoka, mitundu yambiri ya thyroiditis singathe kupewedwa. Ngati muli ndi vuto lomwe limafuna ayodini ya radioactive kapena radiation therapy, lankhulani ndi dokotala wanu za chiopsezo chanu chokhala ndi thyroiditis. Mutha kuyamba mankhwala ena oletsa thyroiditis kuti isakule. Ngati mukumwa mankhwala omwe angayambitse thyroiditis, lankhulani ndi dokotala wanu za chiopsezocho komanso ngati mungasiye kumwa mankhwala amenewo. Komabe, ngakhale kuchita zimenezo sikungalepheretse thyroiditis.

Kodi matenda a thyroiditis ndi otani?

Chiyembekezo cha matenda a thyroiditis nthawi zambiri chimakhala chabwino . Mu matenda a Hashimoto's thyroiditis, hypothyroidism yomwe imayamba nthawi zambiri imakhala yokhazikika. Komabe, imatha kuthandizidwa ndi chithandizo cha mahomoni a thyroid kwa moyo wonse. Anthu omwe ali ndi matenda a thyroiditis omwe amakhala ndi subacute nthawi zambiri amakhala ndi zizindikiro kwa mwezi umodzi kapena itatu. Komabe, zingatenge miyezi 12 mpaka 18 kuti ntchito ya thyroid ibwerere mwakale. Anthuwa ali ndi chiopsezo cha 5% chokhala ndi hypothyroidism yokhazikika. Thyroiditis ya postpartum ndi silent (yopanda ululu) imatenganso miyezi 12 mpaka 18 kuti achire bwino. Anthu omwe ali ndi matendawa ali ndi chiopsezo cha 20% chokhala ndi hypothyroidism yokhazikika.

Kodi muyenera kupita kwa dokotala liti pankhani ya matenda a thyroiditis?

Ngati mwapezeka ndi matenda a thyroiditis, muyenera kupita kwa dokotala nthawi zonse kuti akaone zizindikiro zanu ndikuonetsetsa kuti chithandizo chanu chikugwira ntchito bwino.Ngati zikuipiraipira, kapena ngati mukupeza zizindikiro zina zodetsa nkhawa , lankhulani ndi dokotala wanu mwamsanga.

Ndizachibadwa kumva kupsinjika maganizo mukazindikira kuti muli ndi vuto. Koma nkhani yabwino ndi yakuti thyroiditis ndi matenda ochiritsika, ndipo nthawi zambiri amatha kukhala kwakanthawi. Ngati muli ndi mafunso okhudza thyroiditis yanu kapena dongosolo lanu la chithandizo, lankhulani ndi dokotala wanu. Alipo kuti akuthandizeni.

Uthenga Womaliza Wopita Nawo Kunyumba

Chabwino, kuchokera pa zomwe takambiranazi, ndikukhulupirira kuti mwapeza lingaliro labwino pankhani ya thyroiditis. Kumbukirani:

• Matenda a chithokomiro ndi kutupa kwa chithokomiro m'khosi mwanu .
• Izi zingapangitse kuti chithokomiro chipange mahomoni ambiri kapena ochepa kwambiri a chithokomiro .
• Pali mitundu ndi magawo osiyanasiyana a izi. Mtundu wa Hashimoto ndi wofala kwambiri.
• Zizindikiro zimasiyana malinga ndi mtundu wake. Mutha kuwona zinthu monga kutopa, kusintha kwa kulemera, kusintha kwa kugunda kwa mtima, komanso kusintha kwa malingaliro .
• Nthawi zambiri, izi zimachitika chifukwa cha matenda a autoimmune .
• Matendawa amatha kupezeka kudzera mu mayeso a magazi ndi ultrasound .
• Chithandizo chimadalira mtundu ndi zizindikiro. Zina zimatha kuchiritsidwa kwamuyaya , pomwe zina zingafunike chithandizo cha nthawi yayitali .
• Dziwani za vuto loopsa lotchedwa thyroid storm . Ngati mukumva zizindikiro izi , pitani kuchipatala nthawi yomweyo .
• Ngati muli ndi kukayikira kulikonse, musazengereze kufunafuna upangiri wa dokotala .

Chofunika kwambiri ndichakuti mukhale ndi thanzi labwino!