Ese indwara ya Tiroyide ikora amasaha y'ikirenga? Dusobanukirwe n'indwara ya Hyperthyroidism

Ese wigeze wumva hari ikintu kirimo kugenda mu mubiri wawe, kikagusiga udafite amahoro? Ese wumva umubiri wawe uri gukora cyane, bigatuma uhangayika, udatuza, cyangwa ntushobore kwibanda ku kintu runaka? Niba ari uko bimeze, tiroyide yawe ishobora kuba ikora cyane. Reka tuvuge ku ndwara yitwa hyperthyroidism.

Hyperthyroidism ni iki? Reka dukomeze koroshya!

Muri make, hyperthyroidism ibaho iyo thyroid gland iri mu ijosi ikora cyane kandi igakora imisemburo myinshi ya tiroyide. Thyroid yawe ni icyuma gito, gifite ishusho nk'iy'ikinyugunyugu giherereye imbere mu ijosi ryawe. Nubwo ari gito, gikora uruhare runini mu mubiri wawe. Imisemburo ya tiroyide ni ingenzi cyane mu kugenzura imikorere myinshi y'umubiri wawe, cyane cyane imikorere y'umubiri wawe—umuvuduko umubiri wawe ukoreshamo ingufu.

Hari imisemburo ibiri y’ingenzi ya tiroyide: triiodothyronine (T3) na thyroxine (T4). Hariho kandi imisemburo itera tiroyide (TSH), irekurwa n’agace ka pituitary kugira ngo imenyeshe tiroyide yawe ko ikora iyi misemburo. Mu ndwara ya hyperthyroidism, T3 na T4 nyinshi cyane zinjira mu maraso yawe. Ibi byihutisha ibikorwa by’umubiri wawe, bigatuma wumva nk’aho umubiri wawe wose washyizwe mu muvuduko ukabije, nk’aho ugenda wihuta cyane. Ushobora kumva utari wowe ubwawe. Kumenya ibi bimenyetso no kuvugana na muganga ni intambwe ya mbere y’ingenzi.

Iyi ndwara ikunze kugaragara gute?

Hyperthyroidism ntabwo ikunze kugaragara cyane. Ku bijyanye n'ibyo, igira ingaruka ku baturage bagera kuri 1.3% mu bihugu nka Leta Zunze Ubumwe za Amerika. Ariko, kubera ko ishobora kugira ingaruka zikomeye ku buzima bwawe bwa buri munsi, gusobanukirwa ibimenyetso byayo ni ingenzi kuri buri wese.

Ni ibihe bimenyetso bya hyperthyroidism? Reba niba ufite kimwe muri ibi!

Kubera ko hyperthyroidism igira ingaruka ku buryo bwose bwo gukora imikorere y'umubiri, ibimenyetso byayo bishobora gukwirakwira hose. Hari abantu babona ibimenyetso bike byoroheje, abandi bahura n'ibimenyetso byinshi icyarimwe. Fata umwanya urebe niba hari kimwe muri ibi ubona:

• Umutima utera cyane (tachycardia) cyangwa kumva utera cyane mu gituza (gutera cyane)—nk'uko ingoma ikubita mu gituza.
• Ubwiyongere bw'umuvuduko w'amaraso .
• Gutigita kw'amaboko , aho ushobora kubona amaboko yawe aratigita nubwo waba ukora imirimo yoroshye nko gufata igikombe cy'icyayi.
• Kumva uhora uhangayitse, udatuje, cyangwa urakaye vuba .
• Kugabanya ibiro mu buryo budasanzwe , nubwo waba ufite ubushake bwo kurya byinshi kandi ukaba urya byinshi kuruta uko bisanzwe.
• Guhora wimuka cyangwa kwituma mu myanya ndangagitsina ( impiswi ).
• Kubira ibyuya byiyongera ndetse no kutabasha kwihanganira ubushyuhe cyangwa se kutabyihanganira.
• Gutakaza umusatsi , cyangwa umusatsi woroshye, woroshye.
• Kugorwa no gusinzira ( kubura ibitotsi ), bigatuma uhora wihindukiza nijoro.
• Impinduka mu mihango y'abagore, nko guhagarara burundu mu gihe cy'imihango cyangwa imihango .
• Kubyimba imbere mu ijosi ryawe, bishobora kuba urugingo rwa tiroyide cyangwa ikibyimba kinini ( goiter ).
• Amaso abyimbye, abyimbye, cyangwa asohoka (indwara y'amaso ya tiroyide).

Ibi bimenyetso bishobora kuvuka mu buryo butunguranye cyangwa bikagaragara buhoro buhoro uko igihe kigenda.Icy'ingenzi kurushaho, niba ubonye kimwe cyangwa byinshi muri ibi bimenyetso by'umuburo, ni ngombwa kugisha inama abaganga kugira ngo bagufashe.

Ni iki gitera Hyperthyroidism?

Hari impamvu nyinshi zishobora gutera hyperthyroidism. Reka turebe impamvu zikunze gutuma ibi bibaho:

• Indwara ya Graves: Iyi ni yo mpamvu ikunze gutera hyperthyroidism. Indwara ya Graves ni indwara iterwa n’ubwiyongere bw’umubiri. Muri make, ubudahangarwa bw’umubiri bwawe bwibasira ingirabuzimafatizo yawe ya tiroyide mu buryo butari bwo, bigatuma ikora imisemburo myinshi. Niba ufite amateka yo kurwara indwara ya tiroyide mu muryango wawe cyangwa izindi ndwara ziterwa n’ubwiyongere bw’umubiri, ushobora kuba uri mu kaga gakomeye.

• Utudomo twa tiroyide: Utu dudomo cyangwa utundi turemangingo tudasanzwe mu ngirabuzimafatizo yawe ya tiroyide. Hari igihe utu dudomo dukora ku giti cyatwo kandi tugatanga imisemburo ya tiroyide. Abaganga batwita iyi ndwara ya "toxic multinodular goiter" (TMNG). Ku bw'amahirwe, utu dudomo twa tiroyide ntabwo dukunze kurwara kanseri.

• Tiroidite: Ibi bivuga kubyimba kwa tiroyide. Bishobora gutuma imisemburo ya tiroyide yabikwa isohoka, bigatera hyperthyroidism y'igihe gito. Nyuma y'iki cyiciro cy'imisemburo myinshi, ushobora kugira igihe gito cya hypothyroidism (tiroyide idakora neza) mbere yuko tiroyide yawe ikira neza kandi urugero rw'imisemburo rugasubira ku rugero rusanzwe.

• Iyode nyinshi: Ingufu yawe ya tiroyide ikoresha iyode iva mu mirire yawe kugira ngo ikore imisemburo. Kunywa iyode nyinshi (binyuze mu biryo cyangwa imiti) bishobora gutuma tiroyide yawe ikora imisemburo myinshi. Ibi bishobora kubaho nyuma yo guhabwa irangi rya IV iyode (irangi rikoreshwa muri bimwe mu bipimo by'ishusho) cyangwa mugihe ufata imiti nka amiodarone (ikoreshwa mu kuvura indwara z'umutima).

• Adenoma ya pituitary ikora TSH (thyrotropinoma): Iyi ni impamvu idakunze kubaho cyane. Ikibyimba kitari kibi mu gasabo ka pituitary (kari mu gice cyo hasi cy'ubwonko bwawe) gishobora gusohora TSH nyinshi, bigatuma tiroyide yawe ikomeza gukora imisemburo myinshi.

Ni nde uri mu kaga gakomeye ko kurwara hyperthyroidism?

Nubwo umuntu wese ashobora kugira hyperthyroidism, hari ibintu bimwe na bimwe bishobora gutuma ushobora kuyirwara. Muri byo harimo:

• Kugira amateka y'umuryango ku ndwara ya tiroyide cyangwa izindi ndwara ziterwa n'ubwiyongere bw'umubiri.
• Kunywa itabi.
• Gutwita (cyane cyane ibijyanye na thyroiditis nyuma yo kubyara, ishobora kubaho nyuma yo kubyara).

Hyperthyroidism ipimwa ite?

Kugira ngo wemeze niba ufite hyperthyroidism, muganga wawe azakora isuzuma ryimbitse, ubusanzwe rikubiyemo intambwe nyinshi:

1. Isuzuma ry'umubiri: Muganga wawe azasuzuma ibimenyetso by'umubiri byerekana ko tiroyide ikora cyane, urugero nk'ingirabuzimafatizo ya tiroyide yagutse, umutima utera cyane, gutigita mu biganza byawe, cyangwa uruhu rushyushye kandi rutose.

2. Ibipimo by'amaraso ya tiroyide: Ibi bipima urugero rw'imisemburo ya tiroyide mu maraso yawe. Mu ndwara ya hyperthyroidism, urugero rwa T3 na T4 rukunze kuba ruri hejuru y'ibisanzwe, mu gihe urugero rw'imisemburo itera tiroyide gutera (TSH) mu maraso yawe rusanzwe (nubwo atari buri gihe) ruba ruto cyangwa ruto cyane.

3. Isuzuma ry’uturemangingo twa tiroyide: Iki gipimo cy’amaraso gifasha kumenya niba indwara ya Graves ari yo mpamvu nyamukuru y’uburwayi bwawe.

4. Ibizamini byo Gupima: Uburyo butandukanye bwo gufata amashusho bufasha kumenya impamvu nyayo itera hyperthyroidism. Ibi bishobora kuba birimo ikizamini cya radiyone ifata (RAIU) no gupima, cyangwa ultrasound ya tiroyide. Muganga wawe azagusobanurira ibi bizamini kandi aguhe inama y'uburyo bwiza bwo guhangana n'ikibazo cyawe.

Ni ubuhe buryo bwo kuvura indwara ya hyperthyroidism?

Inkuru nziza ni uko hyperthyroidism ivurwa neza cyane. Uburyo bwiza kuri wewe buterwa n'impamvu nyamukuru, imyaka yawe, n'ubuzima bwawe muri rusange. Muganga wawe azaganira nawe kuri ubu buryo kugira ngo agufashe gutegura gahunda y'ubuvuzi yihariye.

• Imiti irwanya tiroyide: Imiti nka methimazole (Tapazole®) na propylthiouracil (PTU) ibuza tiroyide gukora imisemburo mishya. Iyi ni yo nzira ya mbere yo kuyirinda. Ishobora gutuma urugero rw'imisemburo ya tiroyide yawe rugera ku rwego rwiza mu byumweru bike cyangwa amezi make, bigafasha ibimenyetso byawe kugabanuka.

• Ubuvuzi bwa Iyode ikoresha imirasire (RAI): Ibi bikubiyemo gufata iyode ikoresha imirasire mu kanwa nk'agapfukamunwa cyangwa amazi. Iyode inyurwa n'uturemangingo twa tiroyide dukora, ikadusenya buhoro buhoro. Nubwo iyi ari umuti mwiza kandi uhoraho wo kuvura hyperthyroidism, akenshi ituma tiroyide idakora neza. Kubera iyo mpamvu, ushobora kuzakenera gufata imiti ya buri munsi isimbura imisemburo ya tiroyide (levothyroxine) ubuzima bwawe bwose kugira ngo ukomeze kugira imisemburo isanzwe.

• Kubagwa (Gyroidectomy): Hari igihe umuganga ubaga ashobora gukuraho gland yawe yose cyangwa igice cyayo. Nubwo ibi bikemura hyperthyroidism, akenshi bitera hypothyroidism, bivuze ko uzakenera ubuvuzi bwo gusimbuza imisemburo ya tiroyide ubuzima bwawe bwose.

• Beta-Blockers: Nubwo iyi miti idahindura urugero rw'imisemburo ya tiroyide, ikora vuba kugira ngo igabanye ibimenyetso bibabaza nko gutera k'umutima cyane, gutigita, no guhangayika mu gihe ubundi buryo bwo kuvura bukora.

Buri buryo bwo kuvura burimo ibyiza byabwo, ingaruka mbi, n'ingaruka zabwo. Muganga wawe azagufasha muri aya mahitamo. Ntugatinye kubaza ibibazo.

Ni iki umuntu urwaye hyperthyroidism agomba kubona mu gihe kirekire? (Ibisobanuro ku kibazo afite)

Hyperthyroidism ni indwara ikunze kugaragara. Iyo umuntu avuwe neza, abantu benshi bakomeza kubaho ubuzima bwiza kandi bukora. Nubwo ubuvuzi bwawe bwaba bugusaba gufata imiti ya buri munsi igihe kirekire, bugufasha kugumana urugero rusanzwe rw'imisemburo ruhamye.

Ariko, iyo itavuwe, indwara ya Graves (intandaro nyamukuru ya hyperthyroidism) ishobora gutera ingorane nka Graves' ophthalmopathy (indwara y'amaso ya tiroyide). Niba usanzwe urwaye indwara ya Graves, korana bya hafi n'umuganga wawe kugira ngo uyicunge neza.

Bigenda bite iyo hyperthyroidism itavuwe? Ese ni akaga?

Yego, kwirengagiza cyangwa kuvura nabi hyperthyroidism bishobora gutera ingorane zikomeye ku buzima uko igihe kigenda gihita, harimo:

• Gutera kw'umutima mu buryo budasanzwe kandi bukunze kwihuta cyane (Afib)
• Kunanirwa k'umutima mu gihe cy'ihungabana
• Kutabyara cyangwa guhindagurika mu mihango
• Indwara yo mu bwonko iterwa n'imitsi
• Osteoporosis (amagufwa adakomeye kandi avunika)

Ingorane idasanzwe ariko ishyira ubuzima mu kaga iterwa na hyperthyroidism itavuwe ni storm ya tiroyide (izwi kandi nka crisis ya tiroyide cyangwa crisis ya thyrotoxic). Mu gihe cy'istorm ya tiroyide, tiroyide yawe ihita isohora imisemburo myinshi ya tiroyide mu maraso yawe mu gihe gito. Iki ni ikibazo cyihutirwa cy'ubuvuzi. Akenshi giterwa n'umuvuduko ukomeye w'umubiri - nko kwandura indwara ikomeye, imvune, cyangwa kubagwa - ku muntu ufite hyperthyroidism itavuwe cyangwa idacunzwe neza.

Ni ryari wagombye kubonana na muganga?

Niba ufite ibimenyetso bya hyperthyroidism, ni ngombwa cyane gutegura gahunda yo kubonana n'umuganga wawe kugira ngo agusuzume neza kandi agufashe kuvurwa neza.

Niba waramaze kuvurwa, uzakenera kwisuzumisha buri gihe no gupimwa amaraso kugira ngo urebe urugero rw'imisemburo yawe kandi urebe neza ko ubuvuzi bwawe bukora neza.

Niba ubonye ibimenyetso by'indwara ya tiroyide—nk'umuriro mwinshi cyane, umutima utera cyane, urujijo, cyangwa guhungabana gukomeye—hamagara 911 (cyangwa serivisi zihutirwa zo mu gace utuyemo) cyangwa ushake ubufasha bwihutirwa bw'abaganga mu cyumba cy'ubutabazi cy'ibitaro biri hafi yawe.

Ese iyi ndwara itera kwiyongera k'ibiro?

Ubusanzwe, hyperthyroidism ntitera kwiyongera ibiro. Mu by'ukuri, abantu benshi bagabanya ibiro nubwo baba bafite ubushake bwo kurya bwinshi. Ibi bibaho kubera ko imisemburo myinshi ya tiroyide yongera umuvuduko w'imikorere y'umubiri, bigatuma umubiri wawe utwika karori vuba cyane kurusha uko bisanzwe.

Ku rundi ruhande, tiroyide idakora neza (hypothyroidism) igabanya umuvuduko w'imikorere y'umubiri wawe, ari na byo bikunze gutuma ubyibuha.

Ese ushobora kugira hyperthyroidism mu gihe utwite?

Yego, hyperthyroidism ishobora kubaho mu gihe utwite. Mu gihembwe cya mbere cy'umubyibuho wawe, umubiri wawe usanzwe ukora imisemburo myinshi ya tiroyide kugira ngo ifashe umwana wawe gukura. Nubwo kwiyongera gato ari ibisanzwe, imisemburo ya tiroyide iri hejuru cyane isaba gukurikiranwa neza no gucungwa n'umuganga wawe. Imisemburo ya tiroyide idagenzuwe ishobora guteza ibyago ku buzima bwawe ndetse no ku mwana wawe uri mu nda.

Gusuzuma indwara ya hyperthyroidism mu gihe utwite rimwe na rimwe bishobora kugorana kuko ibimenyetso bisanzwe byo gutwita, nko kunanirwa, kwihanganira ubushyuhe, no gutera k'umutima vuba, bishobora kwigana ibya tiroyide ikora cyane.

Ni ibihe biribwa ugomba kwirinda niba ufite hyperthyroidism?

Mu bihe bimwe na bimwe, kurya ibiryo birimo iyode nyinshi cyangwa byuzuyemo iyode bishobora gutera cyangwa bikarushaho kwiyongera kwa hyperthyroidism.

Niba ufite hyperthyroidism, muganga wawe ashobora kukugira inama yo guhindura indyo yawe. Buri gihe banza uganire na muganga wawe cyangwa inzobere mu mirire mbere yo guhindura imirire cyane. Wibuke ko indyo yonyine idashobora gukiza hyperthyroidism; ubusanzwe ubuvuzi ni ngombwa.

Niba muganga wawe agusabye kurya indyo irimo iyode nkeya, ushobora kugabanya cyangwa kwirinda kurya ibi bikurikira:

• Ifi
• Ibimera byo mu nyanja na kelp
• Inkara n'inka
• Sushi
• Isambaza
• Algae na alginate
• Ibikomoka ku mata, nk'amata na foromaje
• Umuhondo w'igi
• Umunyu urimo iyode

Ubutumwa bwo kujyana mu rugo

Guhabwa isuzuma iryo ari ryo ryose bishobora gutuma wumva uremerewe cyane mu ntangiriro. Ariko ibuka ko hyperthyroidism irashoboka kuyivura kandi iravurwa. Niba wumva umubiri wawe urimo ukoresha imbaraga nyinshi, cyangwa niba ufite imihangayiko, guhinda umushyitsi, cyangwa ibitekerezo bidasanzwe, nyamuneka hamagara muganga. Hamwe n'ibizamini bike byoroshye, umuganga wawe ashobora kugufasha kugarura umubiri wawe mu buryo buringaniye. Fata umwuka mwinshi—ubifashijwemo neza, ushobora kongera kugira ubuzima bwiza no kongera kumva umeze nkawe!