Ese tiroyide yawe iracitse intege gato? Reka tuvuge kuri Subclinical Hypothyroidism!

Ese rimwe na rimwe wumva unaniwe gusa? Cyangwa wumva urimo kwiyongera ibiro nta mpinduka zikomeye wakoze ku mirire yawe? Ahari impamvu y'ibi ni ikibazo gito mu mikorere ya tiroyide yawe. Uyu munsi tugiye kuvuga kuri kimwe muri ibyo bibazo, cyitwa 'Subclinical Hypothyroidism'.

Noneho, ubu uribaza icyo indwara ya hypothyroidism iterwa n’indwara ya hypothyroidism igaragara. Muri make, ni igihe urugero rw’imisemburo itera tiroyide mu maraso yawe, cyangwa TSH (Hormone itera tiroyide), ruri hejuru gato. Ariko, urugero rw’indi misemburo y’ingenzi ya tiroyide, thyroxine (T4), ni ibisanzwe.

Ijambo 'subclinical' risobanura ko iyi ari indwara idafite ibimenyetso na gato, cyangwa ibimenyetso ntabwo bikomeye cyane . Ibi bivuze ko mu by'ukuri udafite hypothyroidism, ari yo gland ya tiroyide idakora neza. Ariko, bivuze ko hari amahirwe ko ishobora kumera nk'iyo.

Iyi ndwara rimwe na rimwe ishobora kuba iy'igihe gito, bivuze ko ishobora gukira ubwayo mu minsi mike. Ariko kuri bamwe ishobora kumara igihe kirekire. Ishobora gukenera kuvurwa cyangwa kudakenera kuvurwa.

None se ni ibihe bimenyetso bishobora kuba ari ibi?

Akenshi, iyi ndwara ya hypothyroidism idakunze kugaragara ntabwo igaragaza ibimenyetso byihariye. Niyo mpamvu ituma iba yihariye. Ariko, hari abantu bashobora kugira ibimenyetso bito. Reba niba ibi bisa n'ibisanzwe kuri wewe:

• Kumva unaniwe kandi unaniwe buri gihe. Nk'aho nta buzima buri mu mubiri.
• Kongera ibiro nta mpamvu, nubwo nta gihinduka mu byo urya cyangwa unywa.
• Kwihagarika impatwe.
• Indwara zo mu mutwe nko kwiheba. Kumva ufite agahinda.
• Kutagira icyo umuntu yitayeho, kudashobora kwibanda ku kazi neza.
• Kudashobora kwihanganira ubukonje. Kumva ukonje kurusha abandi.
• Uruhu n'umusatsi birakomera kandi birakomera.
• Umuvuduko ukabije w'amaraso mu maraso, bivuze ko umubare wo hasi w'umuvuduko w'amaraso ari wo wonyine uba wiyongereye.
• Ku bagore, kuva amaraso menshi kandi kenshi mu mihango.

Kuki ibi bibaho? Impamvu ni iyihe?

Ubusanzwe indwara ya hypothyroidism iterwa n'ikibazo kiri mu ngirabuzimafatizo yawe ya tiroyide. Urugero, indwara iterwa n'ubwiyongere bw'umubiri nka Hashimoto's thyroiditis ishobora gutera kubyimba kwa tiroyide.

Noneho reka turebe uko iyi misemburo ikora mu mibiri yacu. Sisitemu yacu y'imisemburo igizwe n'imisemburo n'uturemangingo dutandukanye dukorana kugira ngo tugenzure urugero rwa TSH (Hormone itera Thyroid-Stimulating) mu maraso yacu. Iyi hormone ya TSH ikangura uturemangingo twa tiroyide kugira ngo dusohore imisemburo ya thyroxine (Thyroxine cyangwa T4) na triiodothyronine (Triiodothyronine cyangwa T3) mu maraso. Iyo urugero rw'iyi misemburo ya T4 na T3 rwiyongereye mu maraso, byohereza ikimenyetso kuri pituitary gland mu bwonko bwacu kugira ngo 'ihagarike gukora TSH nyinshi'. Ibi bimeze nk'uburyo bwo kugenzura bwikora.

Ariko, muri hypothyroidism isanzwe, nubwo urugero rwa TSH ruri hejuru, ingano y'imisemburo irekurwa na tiroyide ntiyongera cyane nk'uko bisanzwe. Niyo mpamvu urugero rwa TSH ruri hejuru naho urugero rwa T4 rukaba rusanzwe.

Ni nde ufite amahirwe menshi yo kurwara iyi ndwara? (Ibintu bishobora gutera ibyago)

Hari abantu bashobora kurwara iyi ndwara yitwa subclinical hypothyroidism. Reka turebe abo ari bo:

• Abagore barengeje imyaka 60.
• Niba wowe cyangwa umuntu wo mu muryango wawe afite indwara ya tiroyide.
• Utunyangingo twa tiroyide ni ingirakamaro. Ibi bivuze ko hari ibintu mu maraso bikora ku mikorere ya tiroyide.
• Niba warigeze gukoresha cyangwa ukoresha imiti nka Amiodarone cyangwa Lithium.
• Kubura iyode (Ibi ntibikunze kugaragara cyane mu gihugu cyacu ubu, kuko dukoresha umunyu urimo iyode).
• Niba warigeze guhura n'imirasire ku mutwe cyangwa mu ijosi.
• Umubyibuho ukabije.
• Ku bantu barwaye diyabete yo mu bwoko bwa 1.
• Niba wigeze kuvurwa indwara nka Graves, nk'imiti igabanya ububabare bwa tiroyide cyangwa imiti yo kwisiga.

Ni izihe ngorane ibi bishobora gutera?

Ikintu nyamukuru gikunze kugaragara ni uko iyi ndwara ya hypothyroidism idashobora kwangirika ishobora guhinduka hypothyroidism yuzuye. Ni ukuvuga ko imikorere ya tiroyide igabanuka cyane kandi ibimenyetso bigatangira kugaragara.

Byongeye kandi, ubushakashatsi bumwe na bumwe bwagaragaje ko iyi ndwara yongera gato ibyago byo kurwara indwara z'umutima n'imitsi. Urugero, ibintu nk'umuvuduko ukabije w'amaraso na cholesterol nyinshi. Ariko iyi sano ntiraremezwa neza. Rero nta kintu na kimwe cyo guhangayikishwa nacyo, ariko ni byiza kubimenya.

Ese ibi bigira ingaruka ku gutwita?

Muri Leta Zunze Ubumwe za Amerika, munsi ya 1 muri 5 abagore batwite barwaye iyi ndwara, ikaba ari indwara ya hypothyroidism iterwa n’ingirabuzimafatizo.

Ibimenyetso biravuguruzanya ku bijyanye no kumenya niba iyi ndwara itera ibibazo mu gihe cyo gutwita. Ubushakashatsi bumwe na bumwe bwa kera bwagaragaje ko iyo iyi ndwara ibayeho mu gihe cyo gutwita, ibintu bikurikira bishobora kubaho:

• Umuvuduko ukabije w'amaraso mu gihe cyo gutwita na diyabete yo mu gihe cyo gutwita.
• Imirimo yo kubyara mbere y'igihe.
• Gukuramo inda.

Ariko, ibi ni ingenzi: ibi byavumbuwe ntabwo byemejwe n'ubushakashatsi buherutse gukorwa.

Kubwibyo, abaganga basanzwe bapima iyi ndwara mu gihe utwite gusa iyo ufite ibintu bishobora gutuma uyirwara.

Abaganga bapima iki kibazo gute? (Isuzuma)

Abaganga bashobora gusuzuma iyi ndwara ya hypothyroidism isanzwe binyuze mu gupima amaraso ya tiroyide.

Niba ibisubizo by'ibipimo by'amaraso yawe bigaragaza ko urwego rwa TSH (Hormone itera Thyroid-Stimulating) ruri hejuru (ubusanzwe hagati ya milimetero 5 na 10 ku isi kuri litiro (5 kugeza 10 mIU/L) ) kandi urugero rwa thyroxine (T4) rwawe ruri mu rugero rusanzwe, bivuze ko ufite hypothyroidism idasanzwe.

Hari igihe abaganga bashyira ibi mu byiciro birambuye. Iyo urwego rwa TSH ruri hagati ya 4.5 na 9.9 mIU / L, rwitwa Icyiciro cya 1 , naho niba urwego rwa TSH ruri 10 mIU / L cyangwa hejuru, rwitwa Icyiciro cya 2 .

Ese ibi bigomba kuvurwa?

Biterwa n'ibintu bike cyane. Muganga wawe azagufata icyemezo akurikije urugero rwa TSH yawe, ibimenyetso byawe, ndetse n'ubuzima bwawe muri rusange.

Ku ruhande rumwe, kuvurwa bishobora kubuza abantu bamwe na bamwe gukura mu ndwara ya hypothyroidism nyayo. Ku rundi ruhande, kuvurwa bishobora gushyira bamwe mu bantu, cyane cyane abarengeje imyaka 65, mu kaga ko kurwara indwara yitwa thyrotoxicosis , ari na yo ubwiyongere bw'imisemburo ya tiroyide mu mubiri. Byongeye kandi, abantu benshi bafite hypothyroidism idasanzwe nta bimenyetso bafite kandi ntibakeneye kuvurwa.

Kubwibyo, abaganga basaba abantu benshi 'gutegereza urebe uburyo bwo kuvura'. Ntibatinya ngo batange imiti.

Ariko, abaganga bashobora gutanga inama yo kuvura mu bihe bikurikira:

• Abafite urugero rwa TSH rwa 10 mIU/L cyangwa rurenga.
• Niba abantu bakiri bato n'abari mu kigero cyo hagati bafite ibimenyetso.
• Niba abantu bakiri bato n'abari mu kigero cyo hagati bafite ibindi bintu bishobora gutera ibyago.

None se, ni ubuhe buryo bwo kuvura ibi?

Niba muganga wawe afashe icyemezo cy'uko ukeneye kuvura hypothyroidism isanzwe, azakwandikira ikinini cy'imisemburo ya tiroyide cyitwa levothyroxine . Uyu ni umuti unywa unyobwa.

Ariko, mbere yo gutangira ubu buryo bwo kuvura levothyroxine, muganga wawe ashobora gushaka kongera gupima amaraso kugira ngo arebe urugero rwa TSH yawe mu mezi atatu uhereye igihe ikizamini cya mbere cya TSH cyabaye kidasanzwe. Ibi biterwa nuko urugero rwa TSH rw'abantu benshi rusubira ku rugero rwarwo mu mezi atatu nta buvuzi.

Mu gihe ufata imiti, muganga wawe azagusaba ko upimwa amaraso buri gihe kugira ngo urebe urugero rwa tiroyide yawe, kuko kunywa levothyroxine birenze urugero bishobora gutera hyperthyroidism, indwara aho tiroyide ikora imisemburo myinshi ya tiroyide.

Ukora iki kuri ibi iyo uri mu miti yo kubyara?

Niba abagore bafite hypothyroidism idasanzwe barimo kuvurwa ubuvuzi bw’uburumbuke nka IVF (In Vitro Fertilization) cyangwa ICSI (Intracytoplasmic Sperm Injection) , Ishyirahamwe ry’Abanyamerika rya Thyroid risaba gufata levothyroxine kugira ngo bagenzure urugero rwa TSH kugeza kuri 2.5 mIU/L.

Ni ryari ngomba kongera kubonana na muganga?

Akenshi, abaganga bakurikiza uburyo bwo 'gutegereza ukareba'.

Ariko niba utangiye kugira ibimenyetso bya hypothyroidism, nko kunanirwa no kwiyongera ibiro mu buryo butari bwo, hita ubonana na muganga wawe. Azakora ikindi gipimo cy'amaraso ya tiroyide kugira ngo arebe niba ufite hypothyroidism igaragara.

Ese hari uburyo bwo gukumira ibi?

Mu by'ukuri, akenshi nta kintu na kimwe wakora kugira ngo wirinde ko iki kibazo kibaho.

Ariko, niba udafite iyode ihagije mu mirire yawe, ushobora kugira iyi ndwara. Ibi biterwa nuko iyode ari ingenzi kugira ngo tiroyide ikore imisemburo ya tiroyide. Nubwo ibi byagabanutse gato mu gihugu cyacu kuko ubu dukoresha umunyu wa iyode, kubura iyode ni yo mpamvu nyamukuru itera hypothyroidism mu bindi bihugu byo ku isi.

Ni iki nkwiye kwitega muri iki kibazo?

Hypothyroidism ifata umuntu mu buryo butandukanye, kandi akenshi ikemuka ubwayo mu mezi atatu nta muti.

Ingaruka z'iyi ndwara zigaragara ko ari hypothyroidism ziri hagati ya 2% na 6% buri mwaka .

Kubwibyo, ni byiza kuganira na muganga wawe ku cyo wakora by’umwihariko ku kibazo cyawe n’inshuro ugomba gupimwa amaraso.

Haracyari impaka ku bijyanye no kuvura iyi ndwara ya hypothyroidism idasanzwe cyangwa kutayivura, kuko ubushakashatsi butandukanye bufite ibitekerezo bivuguruzanya.Kubera ko imimerere ya buri wese itandukanye, ni byiza kuganira na muganga wawe ku bibazo byawe n'amahitamo yawe. Bashimishijwe cyane no kugufasha.

None se, ni ibihe bintu tugomba kwibuka muri ibi byose?

Reka mvuge muri make zimwe mu ngingo z'ingenzi cyane mu byo twaganiriyeho:

• Hypothyroidism yo mu bwoko bwa subclinical ni indwara aho urugero rw'imisemburo ya TSH yawe ruzamuka gato, ariko urugero rw'imisemburo ya T4 yawe rukaba rusanzwe.
• Akenshi, nta bimenyetso bikomeye bibaho, ariko hari abantu bashobora kugira umunaniro no kwiyongera ibiro.
• Ibi si hypothyroidism nyakuri, ariko hari amahirwe make ko bishobora kubaho gutyo.
• Akenshi, abaganga bakurikiza uburyo bwo 'gutegereza urebe'. Ntabwo baha abantu bose imiti icyarimwe.
• Ubuvuzi bufatwa gusa iyo urugero rwa TSH ruri hejuru cyane, iyo hari ibimenyetso, cyangwa niba hari ibindi bintu bishobora gutera ibyago.
• Levothyroxine ni wo muti w'ingenzi, ariko ugomba no gufatwa neza neza nk'uko muganga yabigutegetse.
• Niba ufite gushidikanya cyangwa ikibazo kuri ibi, ikintu cyiza wakora ni ukubonana na muganga w'umuryango wawe ukavugana na we. Ntugahangayike, iyi ni indwara ishoboka.

Wibuke ko ari wowe ugomba kumenya ubuzima bwawe cyane. Ntugatinye rero kubaza ibibazo no kuvugana na muganga wawe!

hypothyroidism isanzwe, tiroyide, TSH, thyroxine, hypothyroidism, imisemburo , ibimenyetso