Ese tiroyide yawe ikora cyane? Reka tuvuge kuri hyperthyroidism!

Ese hari igihe wumva hari ikibazo mu mubiri wawe kandi ko utameze neza? Ese wumva umubiri wawe ukora vuba cyane, wumva uhangayitse, kandi ukagira ikibazo cyo gukomeza gutekereza neza? Niba ari uko bimeze, tiroyide yawe ishobora kuba ikora cyane. Uyu munsi, reka tuvuge kuri iyi ndwara yitwa hyperthyroidism.

Hyperthyroidism ni iki? Reka tubisobanukirwe mu buryo bworoshye!

Muri make, hyperthyroidism ni igihe ingirabuzimafatizo ya tiroyide mu ijosi ryawe ikora cyane kandi igatanga imisemburo myinshi ya tiroyide. Ingirabuzimafatizo ya tiroyide ni ingirabuzimafatizo nto, ifite ishusho nk'iy'ikinyugunyugu iherereye imbere mu ijosi ryawe. Ariko nubwo ari nto, ikora akazi kenshi. Imisemburo ya tiroyide ni ingenzi mu kugenzura ibintu byinshi mu mibiri yacu, cyane cyane umuvuduko umubiri wacu ukoreshamo ingufu, cyangwa imikorere y'umubiri.

Hari ubwoko bubiri bw'ingenzi bw'imisemburo ya tiroyide, `triiodothyronine (T3)` na `thyroxine (T4)`. Hariho kandi `hormone itera tiroyide (TSH)`, ikomoka mu gahu k'ubwonko kandi ikabwira tiroyide gukora imisemburo. Noneho, muri hyperthyroidism, ikibaho ni uko iyi misemburo ya `(T3)` na `(T4)` yirundanya mu maraso kurusha uko bikwiye. Hanyuma, ibintu byinshi mu mubiri byihuta, nk'imodoka yihuta cyane. Ushobora kumva umubiri wawe wose uri mu "birenze urugero". Ushobora no kumva utari wowe ubwawe. Rero ni ngombwa kubimenya no kubonana na muganga niba ufite ibimenyetso.

Iyi ndwara ikunze kugaragara gute?

Mu by’ukuri, hyperthyroidism si indwara ikunze kugaragara cyane. Urugero, mu gihugu nka Amerika, bivugwa ko 1.3% by’abaturage gusa ari bo bafite iyi ndwara. Ariko, igira ingaruka kuri buri wese, bityo ni byiza kubimenya.

Ni ibihe bimenyetso bya hyperthyroidism? Reba niba nawe ufite ibi!

Kubera ko hyperthyroidism ishobora kugira ingaruka ku mubiri wacu wose, hashobora kubaho ibimenyetso birenze kimwe. Hari abantu bashobora kugira bike muri ibi bimenyetso, abandi bakabibona icyarimwe. Reba niba hari kimwe muri ibi bimenyetso uhuye nabyo:

• Umutima utera cyane (Tachycardia) cyangwa gutera cyane. Bimeze nk'ingoma ikubita mu gituza.
• Ubwiyongere bw'umuvuduko w'amaraso .
• Kumva amaboko yawe anyeganyega (`(Guhinda kw'intoki)`). Bisa nkaho unyeganyega nubwo waba ufite igikombe cy'icyayi.
• Kumva uhora uhangayitse, udatuje, cyangwa urakaye vuba .
• Kugabanya ibiro nubwo waba ufite ubushake bwo kurya , wenda nubwo waba urya byinshi.
• Kubyimba kenshi cyangwaIndwara nk'impiswi.
• Kubira ibyuya byinshi no kwihanganira ubushyuhe bukabije.
• Umusatsi udakomeye, nko gupfuka umusatsi cyangwa gucikamo ibice.
• Kunanirwa gusinzira nijoro (kunanirwa gusinzira).
• Impinduka mu mihango y'umugore, urugero, kugabanuka k'amaraso atemba mu kwezi cyangwa guhagarika burundu imihango .
• Kubyimba kw'imbere mu ijosi, ari byo byitwa goiter .
• Amaso yabyimbye cyangwa agaragara (`(Indwara y'amaso ya Tiroyide)`).

Ibi bimenyetso bishobora gutangira mu buryo butunguranye, cyangwa bikagenda buhoro buhoro uko igihe kigenda gihita. Icy'ingenzi ni ukubonana na muganga niba wumva ufite kimwe cyangwa byinshi muri ibi bimenyetso.

Kuki habaho hyperthyroidism? Ni izihe mpamvu?

Hari impamvu zitandukanye zitera hyperthyroidism. Reka turebe izikuru:

• 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 wacu bwibasira ingirabuzimafatizo zacu za tiroyide, bigatuma zikora imisemburo myinshi cyane. Niba hari umuntu wo mu muryango wawe ufite indwara ya tiroyide cyangwa izindi ndwara ziterwa n’ubwiyongere bw’umubiri, ushobora kuyirwara.

• Utudomo twa tiroyide: Utu dudomo cyangwa udutsiko tw’uturemangingo tuba mu gasabo ka tiroyide. Hari igihe utwo dutsimo dushobora gukora imisemburo myinshi ya tiroyide. Abaganga banabyita goiter ifite uburozi bwinshi (TMNG). Ariko ntugahangayike, utwo dutsimo twa tiroyide ntabwo dukunze kurwara kanseri.

• Tiroidite: Iyi ni indwara yo kubyimba, cyangwa kubyimba, kwa tiroyide. Ibi bishobora gutera hyperthyroidism y'igihe gito. Nyuma y'iki gihe cyo kubyimba cyane, hypothyroidism (imisemburo ya tiroyide idakora neza). Iyo ubwo bubyimbe bugabanutse, urugero rw'imisemburo rushobora gusubira ku rugero rusanzwe.

• Kwinjiza iyode nyinshi mu mubiri:Iyo dufashe iyode nyinshi cyane, haba mu biribwa turya cyangwa mu miti imwe n'imwe, bishobora gutuma tiroyide ikora imisemburo myinshi cyane. Ibi biterwa nuko iyode ari imyunyungugu ikenewe cyane mu gukora imisemburo ya tiroyide. Ibi rimwe na rimwe bishobora kubaho iyo uhawe irangi rya IV iyode (irangi rikoreshwa kuri X-rays zimwe na zimwe) cyangwa iyo ufata imiti nka Amiodarone (umuti w'umutima).

• Adenoma ya pituitary irekura TSH / Thyrotropinoma: Iyi ni indwara idasanzwe. Ikibyimba gito mu gasabo ka pituitary mu bwonko bwacu gitanga imisemburo myinshi itera thyroid-stimulating hormone (TSH). Ibi bituma tiroyide ikora imisemburo myinshi.

Ni nde uri mu kaga gakomeye ko kurwara hyperthyroidism?

Hari abantu bafite amahirwe menshi yo kurwara iyi ndwara kurusha abandi. Zimwe mu mpamvu zikomeye zibitera ni izi zikurikira:

• Hari umuntu wo mu muryango wawe ufite indwara ya tiroyide cyangwa indwara ziterwa n’ubwiyongere bw’umubiri.
• Kunywa itabi.
• Gutwita (cyane cyane indwara ya thyroiditis nyuma yo kubyara, indwara ibaho nyuma yo kubyara).

Ni gute umuganga asuzuma ibi?

Umuganga azakurikiza intambwe zitandukanye kugira ngo amenye niba ufite hyperthyroidism:

1. Isuzuma ry'umubiri: Ubwa mbere, muganga azagusuzuma kugira ngo arebe niba ufite ibimenyetso bya hyperthyroidism. Urugero, ese tiroyide yawe yabyimbye, umutima wawe utera cyane, kandi se uruhu rwawe rwumva rushyushye kandi rumeze neza?

2. Ibipimo by'amaraso ya tiroyide: Ibi bigenzura urugero rw'imisemburo ya tiroyide mu maraso yawe. Umuntu urwaye hyperthyroidism aba afite urugero ruri hejuru y'urusanzwe rw'imisemburo `(T3)` na `(T4)`. Urugero rwa ``Hormone itera imbaraga za tiroyide (TSH)`` akenshi (ariko si buri gihe) ruri hasi ugereranije n'urusanzwe.

3. Gupima amaraso y’abarwayi ba thyroid: Ibi bifasha kumenya niba indwara ya Graves ari yo itera.

4. Ibizamini byo gupima: Ibizamini bitandukanye byo gupima thyroid gland yawe bishobora gukorwa kugira ngo hamenyekane icyateye hyperthyroidism. Ibi birimo gupima no gupima iodine ikoresheje imirasire (RAIU) hamwe no gupima, hamwe na ultrasound ya thyroid. Muganga wawe azagusobanurira ibi bizamini kandi aguhe inama ikwiriye.

Ni ubuhe buryo bwo kuvura hyperthyroidism?

Inkuru nziza ni uko hyperthyroidism ari indwara ivurwa. Bitewe n'impamvu y'uburwayi bwawe, bumwe mu buryo bwo kuvura bushobora kukubera bwiza kurusha ubundi. Muganga wawe azaganira nawe kuri buri buryo bwo kuvura kandi agufashe guhitamo gahunda nziza yo kuvura.

• Imiti irwanya tiroyide: Methimazole (Tapazole®) na Propylthiouracil (PTU) bigabanya ubushobozi bw'ingirabuzimafatizo yawe bwo gukora imisemburo. Iyi miti ni yo miti ikunze kuvura hyperthyroidism. Imikorere ya tiroyide ubusanzwe ishobora kugenzurwa mu mezi abiri cyangwa atatu. Ibimenyetso byawe bishobora gutangira kumera neza mu minsi mike cyangwa ibyumweru bike.

• Uburyo bwo kuvura iyode ikoresheje imirasire (RAI): Ibi bikubiyemo gufata kapsule cyangwa amazi arimo iyode ikoresheje imirasire. Iyode ikoresheje imirasire ijya mu tunyangingo twa tiroyide ikatwica. Ubusanzwe uburyo bwo kuvura RAI bwangiza burundu imiterere ya tiroyide, bityo bugakiza hyperthyroidism. Ariko, abantu benshi bahabwa ubu buryo bazakenera gufata imiti ikoreshwa mu mirasire ya tiroyide (Levothyroxine) ubuzima bwabo bwose kugira ngo bakomeze kugira imisemburo isanzwe.

• Kubagwa (`(Gyroidectomy)`): Umuganga ubaga ashobora gukuraho gland yawe yose cyangwa igice cyayo. Ibi bishobora gukosora hyperthyroidism, ariko akenshi bitera ``Hypothyroidism`` (urugero ruto rw'imisemburo ya tiroyide). Hanyuma uzakenera gufata imiti ya tiroyide ubuzima bwawe bwose.

• Beta-blockers: Iyi miti ishobora gufasha mu kugenzura ibimenyetso bya hyperthyroidism, nko gutera umutima cyane, kubura amahoro no guhinda umushyitsi. Ariko ntabwo ihindura urugero rw'imisemburo mu maraso. Muganga wawe ashobora kuguha iyi beta-blockers hamwe n'ubundi buryo bwo kuvura.

Buri buryo bwo kuvura bufite ingaruka n'ingaruka zabwo. Muganga wawe azagusobanurira. Ntutinye kubaza ibibazo.

Ni iki giteganyijwe ku muntu urwaye hyperthyroidism? (Icyitegererezo)

Hyperthyroidism ni indwara ivurwa. Abantu benshi bakira neza iyo bavuwe. Hari uburyo bwo kuvura busaba imiti ubuzima bwabo bwose, ariko bushobora gufasha gutuma urugero rw'imisemburo ya tiroyide yawe ruguma ku rwego rwiza.

Ariko, iyo indwara ya hyperthyroidism iterwa n'indwara ya Graves itavuwe, ishobora kwiyongera uko igihe kigenda gihita ikakuzanira ingorane nka Graves' ophthalmopathy. Niba ufite indwara ya Graves, baza muganga wawe uburyo bwiza bwo kuyivura.

Bigenda bite iyo idavuwe? Ese ni akaga?

Iyo itavuwe cyangwa itavuwe neza, hyperthyroidism ishobora gutera ingorane zitandukanye. Zimwe muri zo ni:

• Umutima utera nabi mu gice cy'umutima (Afib) (umutima utera ku buryo budasanzwe)
• Kunanirwa k'umutima (indwara y'umutima)
• Ubugumba
• `Ischemic stroke` (ubumuga)
• Osteoporosis (kugabanuka kw'amagufwa)

Ingorane idasanzwe ariko ishobora gushyira ubuzima mu kaga iterwa na hyperthyroidism ni thyroid storm (izwi kandi nk'ikibazo cya tiroyide cyangwa thyrotoxic crisis). Iki ni igihe tiroyide yawe ikora imisemburo myinshi ya tiroyide mu maraso yawe mu gihe gito cyane. Ibi ni ikibazo cyihutirwa cy'ubuvuzi. Hyperthyroidism itavuwe cyangwa itavuwe neza ishobora gutera thyroid storm. Ishobora kwiyongera bitewe n'ibintu bihangayikishije nko kwandura indwara, gukomereka, no kubagwa.

Ni ryari ngomba kujya kwa muganga?

Niba wumva ufite ibimenyetso bya hyperthyroidism, ni ngombwa kujya kwa muganga kugira ngo asuzume ikibazo cyawe kandi ahabwe ubuvuzi bukenewe.

Niba usanzwe uzi ko ufite iyi ndwara, uzakenera kujya kwa muganga wawe buri gihe kugira ngo umenye neza ko ubuvuzi bwawe bukora neza.

Niba ubonye ibimenyetso bya "thyroid storm", nk'umuriro mwinshi n'umutima wihuta cyane, jya kwa muganga uri hafi vuba bishoboka.

Ese iyi ndwara izatuma ibiro byiyongera?

Ubusanzwe indwara ya hyperthyroidism ntitera kwiyongera ibiro. Mu by’ukuri, hari abantu bagabanya ibiro nubwo baba bafite ubushake bwo kurya. Ibi biterwa nuko hyperthyroidism yongera umuvuduko w’imikorere y’umubiri wawe, bigatuma ukoresha karori nyinshi kuruta izisanzwe mu gutanga ingufu.

Hypothyroidism (umusaruro muke w'imisemburo ya tiroyide) ishobora gutuma umuvuduko w'imikorere y'umubiri ugabanuka ndetse no kwiyongera ibiro.

Ese hyperthyroidism ishobora kuvuka mu gihe cyo gutwita?

Yego, iyi ndwara ishobora kubaho mu gihe utwite. Mu ntangiriro z'inda, umubiri wawe ugomba gukora imisemburo myinshi ya tiroyide kuruta uko bisanzwe kugira ngo ufashe umwana wawe gukura. Urugero rw'imisemburo ya tiroyide ruri hejuru gato kuruta uko bisanzwe si ikibazo, ariko niba urugero ruri hejuru cyane, muganga wawe azakenera gutegura gahunda yo kuvura. Kubera ko urugero rw'imisemburo ya tiroyide ruri hejuru rushobora kugira ingaruka kuri wowe gusa, ndetse no ku mwana wawe.

Hyperthyroidism ishobora kugorana kuyimenya mu gihe utwite, kuko iyo ndwara ishobora guhishwa n’ubwiyongere bw’imisemburo ya tiroyide n’ibindi bimenyetso byo gutwita.

Ni ibihe biribwa ugomba kwirinda niba ufite hyperthyroidism?

Hari ubwo kurya ibiryo byinshi birimo iyode nyinshi cyangwa iyongewemo iyode bishobora gutera hyperthyroidism cyangwa bikarushaho kuba bibi mu buzima busanzwe.

Niba ufite hyperthyroidism, muganga wawe ashobora kukugira inama yo guhindura imirire yawe. Buri gihe banza uganire na muganga cyangwa inzobere mu mirire mbere yo guhindura imirire yawe. Wibuke ko hyperthyroidism idashobora gukira hakoreshejwe indyo yonyine. Ushobora gukenera ubuvuzi.

Niba muganga wawe agusaba kurya indyo irimo iyode nkeya, gerageza kwirinda ibi biribwa:

• Ifi
• Ibyatsi byo mu nyanja (`(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

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Ni ibisanzwe kumva uremerewe gato iyo ubonye indwara nshya. Ariko inkuru nziza ni uko hyperthyroidism ari indwara ivurwa. Niba ufite ibimenyetso nk'umubiri wawe ukora cyane, wumva ufite ubwoba bwinshi, cyangwa ufite ikibazo cyo kwibanda ku bintu, ni ngombwa kubonana na muganga. Muganga wawe ashobora gukora ibizamini bike byoroshye no kukugira inama yo kuvura neza kugira ngo umubiri wawe wongere ugire ubuzima bwiza. Ntugahangayike, ushobora gukomeza kugira ubuzima bwiza!