Kodi mumamvanso kutopa komanso kusakhala ndi moyo? Kapena nthawi zina mumamva kusakhazikika,
mtima wanu ukugunda mofulumira? Mwina muli ndi kutupa pang'ono kutsogolo kwa khosi lanu? Ngati muli ndi chimodzi mwa zizindikirozi, chimodzi mwa zifukwa zomwe zingayambitse izi ndi matenda otchedwa thyroiditis. Anthu ambiri sadziwa izi. Chifukwa chake lero tikambirana izi mosavuta, m'njira yomwe mungamvetse.
Choyamba, tiyeni tiwone, kodi chithokomiro ichi ndi chiyani?
Mwachidule, chithokomiro ndi chiwalo chaching'ono chofunikira kwambiri m'thupi lathu. Chimaoneka ngati gulugufe ndipo chili kutsogolo kwa khosi lathu, pansi pa khosi. Taganizirani thupi lathu ngati galimoto. Chithokomiro chili ngati chothamanga chomwe chimayang'anira liwiro la injini ya galimoto iyi.
Mahomoni omwe amatulutsidwa ndi chithokomirochi ndi omwe amatsimikiza momwe mtima wathu, ubongo, ndi ziwalo zina zonse za thupi lathu ziyenera kugwirira ntchito mwachangu. Mwa kuyankhula kwina, kagayidwe ka thupi lathu kamayendetsedwa pafupifupi kwathunthu ndi chithokomirochi.
Ndiye kodi thyroiditis ndi chiyani?
Matenda a chithokomiro ndi
kutupa kapena kutupa kwa chithokomiro chanu. Zitha kuchitika kwa aliyense, koma zimachitika makamaka kwa akazi achichepere komanso azaka zapakati. Chithokomiro chikatupa, chimasokoneza ntchito yake yachibadwa. Pali zotsatira ziwiri zomwe zingatheke: 1. Kaya chimapanga
mahomoni ambiri kuposa momwe chiyenera kukhalira. 2. Kapena chimapanga
mahomoni ochepa kuposa momwe chiyenera kukhalira. Matendawa nthawi zambiri amadutsa m'magawo atatu:
| Gawo | Chikuchitika ndi chiyani? |
|---|
| Gawo la poizoni wa thyrotoxic | Pachifukwa ichi, chiwalo chotupacho chimatulutsa mahomoni ambiri m'magazi mwadzidzidzi. Izi zimapangitsa kuti thupi lizigwira ntchito mopitirira muyeso. |
| Gawo la hypothyroidism | Popeza pafupifupi mahomoni onse anagwiritsidwa ntchito kale, kuchuluka kwa mahomoni m'thupi kumachepa kwambiri panthawiyi. Ntchito za thupi zimachepa. |
| Gawo la Euthyroid | Apa ndi pamene kuchuluka kwa mahomoni a chithokomiro kumabwerera mwakale. Izi zitha kuchitika mkati kapena kumapeto kwa magawo ena awiri. |
Kodi zizindikiro za thyroiditis ndi ziti?
Zizindikiro zodziwika bwino ndi monga
kutopa mwadzidzidzi ,
kutupa kutsogolo kwa khosi , komanso nthawi zina
kupweteka kwa khosi . Komabe, zizindikiro zimasiyananso kutengera ngati kuchuluka kwa mahomoni anu kuli kokwera (hyperthyroidism) kapena kotsika (hypothyroidism).
Zizindikiro za mahomoni otsika a chithokomiro (Hypothyroidism) Zizindikiro za mahomoni ambiri a chithokomiro (Hyperthyroidism)
| Tiyeni tisiyanitse zizindikiro |
|---|
| Kutopa ndi kugona | Kumva ngati kuti ngakhale utagona bwanji, sikokwanira. |
| Kuvutika maganizo | Kumva chisoni komanso kusungulumwa popanda chifukwa. |
| Kulemera | Kunenepa ngakhale popanda kusintha kadyedwe kanu. |
| Khungu louma ndi kudzimbidwa | Khungu limakhala louma komanso lokhala ndi mamba. Kugwira ntchito kwa matumbo kumachepa. |
| Kusalekerera chimfine | Umamva kuzizira nthawi zonse, ngakhale kuti ndi zachilendo kwa ena. |
| Kusakhazikika ndi kukwiya | Kumva nkhawa komanso kukwiya ndi zinthu zazing'ono. |
| Kuchepetsa thupi | Kukhala woonda ngakhale mutadya bwino. |
| Kusowa tulo komanso kugunda kwa mtima kwambiri | Kulephera kugona usiku komanso kugunda kwa mtima mofulumira. |
| Kufooka kwa minofu | Kumva ngati munthu alibe moyo komanso kunjenjemera m'miyendo. |
| Kulephera kupirira kutentha | Kumva kutentha komanso thukuta kwambiri kuposa ena. |
Kodi zimayambitsa ndi mitundu ikuluikulu ya thyroiditis ndi chiyani?
Pali zifukwa zingapo zomwe chithokomiro chanu chingatukukire. Zitha kukhala chifukwa cha matenda a kachilombo kapena bakiteriya, mankhwala ena omwe mukumwa (Lithium, Interferon), kapena vuto la chitetezo chamthupi chanu.
Chofunika kwambiri ndikuonana ndi dokotala ndikupempha upangiri mukangozindikira zizindikirozi, osayesa kudzizindikiritsa nokha matendawa.
Pali mitundu ikuluikulu ya thyroiditis:
- Matenda a Hashimoto: Uwu ndi mtundu wofala kwambiri. Chomwe chimachitika ndichakuti chitetezo cha mthupi lathu chimasokoneza chithokomiro ngati mdani ndipo chimachiukira. Zili ngati gulu lathu lankhondo likuukira msasa wathu. Pakapita nthawi, chithokomirocho chimafooka ndipo sichingathe kupanga mahomoni okwanira (Hypothyroidism).
- Subacute thyroiditis: Izi zimachitika nthawi zambiri munthu akadwala matenda monga chimfine kapena chimfine . Poyamba, mahomoni amawonjezeka chifukwa cha kupweteka kwa khosi (hyperthyroidism), kenako mahomoni amachepa (hypothyroidism), ndipo pamapeto pake, mkati mwa miyezi 12-18, gland imabwerera mwakale.
- Matenda a thyroiditis pambuyo pa kubereka: Matendawa amatha kuchitika mkati mwa chaka choyamba mutabereka . Azimayi omwe adakhalapo ndi mavuto a thyroid kale amakhala pachiwopsezo chachikulu. Koma musadandaule, ndi chithandizo choyenera, nthawi zambiri amatha kwathunthu mkati mwa miyezi 18.
- Matenda a thyroiditis osalankhula: Monga momwe dzinalo likusonyezera, mtundu uwu suyambitsa zizindikiro zazikulu, makamaka ululu. Izi zikufanana ndi mtundu womwe umachitika mwana akabereka. Mahomoni amayamba kukula poyamba, kenako amachepa, kenako amatha pakapita nthawi.
Kodi dokotala amazindikira bwanji vutoli molondola?
Mukapita kukaonana ndi dokotala, adzakufunsani za zizindikiro zanu, adzafufuza thupi lanu, kenako adzakulangizani mayeso amodzi kapena angapo kuti atsimikizire matendawa.
- Kuyezetsa magazi: Iyi ndi njira yophweka kwambiri. Imayesa kuchuluka kwa mahomoni a chithokomiro (TSH, T3, T4) m'magazi anu kuti mudziwe mtundu wa matenda omwe muli nawo.
- Mayeso otengera ayodini pogwiritsa ntchito radioactive iodine (RAIU): Mu mayesowa, mumapatsidwa ayodini pang'ono kuti mumwe ngati piritsi kapena madzi. Musadandaule, izi sizovulaza thupi lanu. Kenako, pakatha maola 24, makina adzayesa kuchuluka kwa ayodini yomwe chithokomiro chanu chimayamwa.
- Kujambula chithokomiro: Izi zimaphatikizaponso kubaya pang'ono zinthu zotulutsa ma radiation m'khosi mwanu ndikujambula chithunzi cha chithokomirocho.
- Kuyeza kwa ESR : Izi zimayesa kuchuluka kwa kutupa m'thupi. Ngati mtengo uwu ndi wokwera, ukhoza kukhala chizindikiro cha subacute thyroiditis.
- Kujambula kwa Ultrasound: Uku ndi kujambula kosavuta komanso kosapweteka. Kumatha kuona bwino ngati pali zotupa mu gland yanu ya chithokomiro, momwe magazi amayendera, komanso mtundu wa gland.
Kodi mankhwala a thyroiditis ndi otani?
Njira zochiritsira zimadalira mtundu wa thyroiditis yomwe muli nayo komanso mtundu wa zizindikiro zanu.
- Hypothyroidism: Ngati thupi lanu lili ndi mahomoni ochepa, dokotala wanu adzakupatsani mapiritsi a mahomoni a chithokomiro. Iye adzasintha mlingo malinga ndi momwe mukufunira pamene kagayidwe kanu ka thupi kabwerera mwakale.
- Ngati pali mahomoni ambiri (Hyperthyroidism):Ngati mahomoni ali okwera, mankhwala apadera (mankhwala a Antithyroid) amaperekedwa kuti awachepetse. Komanso, mankhwala monga Beta-blockers angaperekedwe kuti achepetse zizindikiro monga kugunda kwa mtima komanso kunjenjemera.
- Pa ululu: Ngati muli ndi ululu pakhosi, mungauzidwe kuti mumwe mankhwala ochepetsa ululu monga aspirin kapena ibuprofen. Ngati ululuwo ndi waukulu, pangafunike mankhwala ena.
Kawirikawiri, ngati njira zina sizipereka mpumulo, opaleshoni ingafunike.
Chofunika kwambiri ndikulankhula ndi dokotala wanu ndikuyamba chithandizo chonsechi pokhapokha ngati akukupatsani upangiri . Kumwa mankhwala ku pharmacy mwachangu kumangowonjezera vutoli.
Uthenga Wopita Nawo Kunyumba
- Matenda a chithokomiro ndi matenda ofala komanso ochiritsika, choncho musachite mantha mopanda chifukwa.
- Musanyalanyaze zizindikiro monga kutopa kosaneneka, kusintha kwa thupi mwadzidzidzi, kusintha kwa maganizo, ndi khosi lotupa.
- Ngati muli ndi zizindikiro ngati izi, onetsetsani kuti mwaonana ndi dokotala woyenerera ndikuyesedwa.
- Musamadzipatse mankhwala kapena kuyesedwa popanda upangiri wa dokotala. Nthawi zonse khulupirirani dokotala wanu kuti akupatseni chithandizo choyenera.
Matenda a chithokomiro, chithokomiro, zizindikiro za chithokomiro, kutupa kwa khosi, matenda a Hashimoto, mavuto a mahomoni
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