Gland rako rethyroid riri kushanda nesimba here? Ngatitaurei nezve hyperthyroidism!

Dzimwe nguva unonzwa sekuti pane chakaipa nemuviri wako uye kuti hausi kunzwa zvakanaka here? Unonzwa sekuti muviri wako uri kushanda nekukurumidza, unonzwa kunetseka, uye une dambudziko rekuchengetedza pfungwa dzako dzakatarisa? Kana zvakadaro, gland rako re thyroid rinogona kunge richishanda zvakanyanya. Nhasi, ngatitaurei nezvechirwere ichi chinonzi hyperthyroidism.

Chii chinonzi hyperthyroidism? Ngatinzwisise zviri nyore!

Zvichitaurwa zviri nyore, hyperthyroidism inoitika kana gland re thyroid riri mumutsipa wako rikatanga kushanda zvakanyanya uye richiburitsa hormone ye thyroid yakawandisa. Gland re thyroid igland diki, rakaita seshavishavi riri pamberi pemutsipa wako. Asi kunyangwe riri diki, rinoita basa rakawanda. Mahormone e thyroid akakosha pakudzora zvinhu zvakawanda mumiviri yedu, kunyanya kumhanya kwemuviri wedu kushandisa simba, kana metabolism.

Kune mhando mbiri huru dzemahormone ethyroid, `triiodothyronine (T3)` uye `thyroxine (T4)`. Kunewo `thyroid-stimulating hormone (TSH)`, inobva mugland repituitary uye inoudza thyroid kuti igadzire mahormone. Zvino, mu hyperthyroidism, chinoitika ndechekuti mahormone aya `(T3)` uye `(T4)` anoungana muropa kupfuura zvaanofanira kuita. Zvadaro, zvinhu zvakawanda mumuviri zvinokurumidza, sechitima chinomhanya. Unganzwa sekunge muviri wako wese uri mu "overdrive". Ungatonzwa sekunge hausi iwe pachako. Saka zvakakosha kuziva izvi uye kuona chiremba kana uine zviratidzo.

Dambudziko iri rakajairika zvakadii?

Kutaura zvazviri, hyperthyroidism haisi chirwere chinowanzoitika. Semuenzaniso, munyika yakaita seAmerica, zvinonzi 1.3% chete yevanhu vane chirwere ichi. Asi, chinokanganisa munhu wese, saka zvakanaka kuziva nezvazvo.

Ndezvipi zviratidzo zve hyperthyroidism? Tarisa kana uine izvi zvakare!

Nekuti hyperthyroidism inogona kukanganisa muviri wedu wese, panogona kunge paine zviratidzo zvinopfuura chimwe chete. Vamwe vanhu vanogona kunge vaine zviratidzo izvi zvishoma, nepo vamwe vanogona kunge vaine zvakawanda panguva imwe chete. Ona kana ukasangana nechimwe chezviratidzo izvi:

• Kurova kwemoyo nekukurumidza (Tachycardia) uye/kana kurova kwemoyo zvakanyanya. Zvinonzwa sekunge ngoma iri kurova mukati mechipfuva.
• Kuwedzera kweBP .
• Kunzwa sekunge maoko ako ari kudedera (`(Kudedera kweruoko)`). Zvinoita sekunge uri kudedera kunyangwe wakabata kapu yetii.
• Kunzwa uchigara uchinetseka, usingazorori, uye/kana kutsamwiswa nyore nyore .
• Kuderedza huremu kunyangwe uchida kudya zvakanaka, pamwe kunyangwe uchidya zvakawanda.
• Kuzvimba kwechiropa kakawanda kanaDambudziko rakaita semanyoka .
• Kudikitira zvakanyanya uye kusashivirira kupisa kwakanyanya.
• Mutsetse webvudzi usina kugadzikana, sekunge bvudzi rabva kana kuti rakatsemuka.
• Kushaya hope (kusagona kurara husiku).
• Kuchinja kwekuenda kumwedzi kwemukadzi, semuenzaniso, kudzikira kwehuwandu hweropa rinoyerera mukati memwedzi kana kumira zvachose kuenda kumwedzi .
• Kuzvimba kwepamberi pemutsipa, uko kunonzi goiter .
• Maziso akazvimba kana kuti akabudikira (`(Chirwere chemaziso chethyroid)`).

Zviratidzo izvi zvinogona kutanga kamwe kamwe, kana kuti zvinogona kukura zvishoma nezvishoma nekufamba kwenguva. Chinhu chakakosha ndechekuona chiremba kana uchinzwa sekuti une chimwe chezviratidzo izvi kana kupfuura.

Sei paine hyperthyroidism? Ndezvipi zvikonzero?

Panogona kuva nezvikonzero zvakasiyana-siyana zvinokonzera hyperthyroidism. Ngatitarisei zvikuru:

• Chirwere cheGraves: Ichi ndicho chinonyanya kukonzera hyperthyroidism. Chirwere cheGraves chirwere chinokonzerwa ne autoimmune. Zvichitaurwa zviri nyore, masoja emuviri wedu anorwisa thyroid gland yedu, zvichiita kuti igadzire mahormone akawandisa. Kana mumwe munhu mumhuri yako aine chirwere chethyroid kana zvimwe zvirwere zve autoimmune, une mukana mukuru wekuva nacho.

• Mapundu ethyroid: Aya mapundu kana kuti mapoka emasero anoumbwa mugland re thyroid. Dzimwe nguva mapundu aya anogona kuburitsa hormone ye thyroid yakawandisa. Vanachiremba vanotiwo izvi zvinonzi toxic multinodular goiter (TMNG). Asi musazvidya mwoyo, mapundu aya e thyroid haawanzo kukonzera kenza.

• Thyroiditis: Uku kuzvimba, kana kuti kuzvimba, kwegland regland. Izvi zvinogona kukonzera hyperthyroidism yenguva pfupi. Mushure menguva iyi yekubereka zvakanyanya, hypothyroidism (kusagadzirwa zvakanaka kwemahormone egland) inogona kuitika. Kana kuzvimba kwapera, huwandu hwemahormone hunogona kudzokera pahunhu hwakajairika.

• Kuwana iodine yakawandisa mumuviri:Kana tikatora iodine yakawandisa kubva muzvikafu zvatinodya kana kubva mumimwe mishonga, zvinogona kukurudzira thyroid gland kugadzira mahormone akawandisa. Izvi zvinodaro nekuti iodine imineral inokosha pakugadzirwa kwemahormone ethyroid. Dzimwe nguva chirwere ichi chinogona kuitika kana ukawana IV iodineated contrast (dhayi inoshandiswa pa x-rays chaiyo) kana paunotora mishonga yakaita seAmiodarone (mushonga wemwoyo).

• TSH-releasing pituitary adenoma / Thyrotropinoma: Ichi chirwere chisingawanzoitiki. Bundu diki riri mu pituitary gland muuropi hwedu rinoburitsa hormone yakawandisa ye thyroid-stimulating hormone (TSH). Izvi zvinozoita kuti thyroid gland igadzire mahormone akawanda.

Ndiani ari panjodzi huru yekubatwa nehyperthyroidism?

Vamwe vanhu vane mukana mukuru wekuwana chirwere ichi kupfuura vamwe. Zvimwe zvezvinhu zvikuru zvinokonzera njodzi iyi ndeizvi:

• Mumwe munhu mumhuri yako ane chirwere chethyroid uye/kana zvirwere zve autoimmune.
• Kusvuta.
• Kubata pamuviri (kunyanya postpartum thyroiditis, chirwere chinoitika mushure mekusununguka).

Chiremba anoongorora sei izvi?

Chiremba achatevera matanho akati wandei kuti aone kana uine hyperthyroidism:

1. Kuongororwa kwemuviri: Kutanga, chiremba achakuongorora kuti aone kana uine zviratidzo zvehyperthyroidism. Semuenzaniso, gland rako re thyroid rakazvimba here, kurova kwemoyo wako kunowedzera here, uye ganda rako rinonzwa kudziya uye kunyorova here?

2. Kuongororwa kweropa rethyroid: Izvi zvinoongorora huwandu hwemahormone ethyroid muropa rako. Munhu ane hyperthyroidism ane huwandu hwakakwira kupfuura hwemahormone `(T3)` uye `(T4)`. Huwandu hwe``Thyroid Stimulating Hormone (TSH)`` hunowanzo (asi kwete nguva dzose) hwakaderera pane hwakajairwa.

3. Kuongororwa kweropa rema antibodies e thyroid: Izvi zvinobatsira kuona kana chirwere cheGraves chiri icho chinokonzera.

4. Kuongororwa kwemifananidzo: Kuongororwa kwakasiyana-siyana kwe thyroid gland yako kunogona kuitwa kuti uone chikonzero che hyperthyroidism. Izvi zvinosanganisira kuongororwa ne radioactive iodine uptake (RAIU) test and scan, uye thyroid ultrasound. Chiremba wako achakutsanangurira bvunzo idzi uye achakukurudzira imwe yakakodzera iwe.

Ndeipi mishonga yekurapa hyperthyroidism?

Mashoko akanaka ndeekuti hyperthyroidism chirwere chinorapika. Zvichienderana nechikonzero chechirwere chako, mamwe marapirwo anogona kunge akakukodzera kupfuura mamwe. Chiremba wako achakurukura newe imwe neimwe yesarudzo idzi dzekurapa uye achakubatsira kusarudza chirongwa chakanakira iwe.

• Mishonga yekudzivirira chirwere chethyroid: Methimazole (Tapazole®) nePropylthiouracil (PTU) zvinoderedza kugona kwegland rako rethyroid kugadzira mahormone. Mishonga iyi ndiyo inonyanya kushandiswa pakurapa hyperthyroidism. Kushanda kwegland rethyroid kunogona kudzorwa mukati memwedzi miviri kusvika mitatu. Zviratidzo zvako zvinogona kutanga kuvandudzika mukati memazuva mashoma kana mavhiki.

• Kurapa neradioactive iodine (RAI): Izvi zvinosanganisira kutora kapisi kana mvura ine radioactive iodine nemuromo. Iyo radioactive iodine inoenda zvakananga kumasero ako ethyroid yoaparadza. Kurapa neRAI kunowanzo paradza zvachose thyroid gland, nokudaro kuchirapa hyperthyroidism. Zvisinei, vanhu vazhinji vanowana kurapwa uku vachafanira kutora mushonga we thyroid hormone (Levothyroxine) kwehupenyu hwavo hwese kuti varambe vaine mazinga akajairwa emahormone.

• Kuvhiyiwa (`(Kuvhiyiwa kweThyroidectomy)`): Chiremba anogona kubvisa gland rako rese kana chikamu charo. Izvi zvinogona kugadzirisa hyperthyroidism, asi kazhinji zvinoguma ne``Hypothyroidism`` (mazinga akaderera ehormone yethyroid). Uchazofanira kutora mushonga wehormone yethyroid kweupenyu hwako hwese.

• Beta-blockers: Mishonga iyi inogona kubatsira kudzora zviratidzo zvehyperthyroidism, zvakaita sekurova kwemoyo nekukurumidza, kusagadzikana, uye kudedera. Asi haichinje huwandu hwemahormone muropa. Chiremba wako anogona kukupa aya beta-blockers pamwe chete nedzimwe nzira dzekurapa.

Kurapa kwega kwega uku kune migumisiro yakwo nenjodzi dzakwo. Chiremba wako achakutsanangurira izvi. Usatya kubvunza mibvunzo.

Chii chingave chiri fungidziro yemunhu ane hyperthyroidism? (Fanoziva)

Hyperthyroidism chirwere chinorapika. Vanhu vazhinji vanowana kurapwa kwakanaka. Mamwe marapirwo anoda mushonga wehupenyu hwese, asi anogona kubatsira kuchengetedza huwandu hwemahormone ethyroid ari padanho rakanaka.

Zvisinei, kana hyperthyroidism inokonzerwa nechirwere cheGraves ikasarapwa, inogona kuwedzera nekufamba kwenguva uye inogona kukonzera matambudziko akadai seGraves' ophthalmopathy. Kana uine chirwere cheGraves, bvunza chiremba wako kuti ungachibata sei zvakanaka.

Chii chinoitika kana chikasarapwa? Zvine njodzi here?

Kana ikasarapwa kana kuti ikasarapwa nemazvo, hyperthyroidism inogona kukonzera matambudziko akasiyana-siyana. Mamwe acho ndeaya:

• Kurova kwemwoyo kusingawanzoitiki (Atrial fibrillation) (kurova kwemoyo kusingawanzoitiki)
• Kukundikana kwemoyo (chirwere chemwoyo)
• Kusabereka
• `Ischemic stroke` (kuoma mitezo)
• Osteoporosis (kutetepa kwemapfupa)

Dambudziko risingawanzoitika asi rinogona kutyisidzira hupenyu hwe hyperthyroidism i thyroid storm (inonziwo thyroid crisis kana thyrotoxic crisis). Apa ndipo apo thyroid gland yako inoburitsa huwandu hwakawanda hwe thyroid hormone muropa rako munguva pfupi. Iyi idambudziko rehutano. Hyperthyroidism isingarapwe kana kuti isingarapwe zvakanaka inogona kukonzera thyroid storm. Inogona kuwedzerwa nemamiriro ezvinhu anoshungurudza akadai sehutachiona, kukuvara, uye kuvhiyiwa.

Ndinofanira kuona chiremba rini?

Kana uchinzwa kuti une zviratidzo zvehyperthyroidism, zvakakosha kuti uone chiremba kuti aongororwe mamiriro ako uye kuti uwane kurapwa kwakakodzera.

Kana uchitoziva kuti une chirwere ichi, unofanira kuona chiremba wako nguva nenguva kuti uve nechokwadi chekuti kurapwa kwako kuri kushanda nemazvo.

Kana ukaona zviratidzo zve "thyroid storm" (dutu remudumbu), zvakaita sefivha yakanyanya uye kurova kwemoyo nekukurumidza, enda kuchipatara chiri pedyo nekukurumidza.

Dambudziko iri richakonzera kuwedzera uremu here?

Hyperthyroidism kazhinji haikonzeri kuwedzera uremu. Kutaura zvazviri, vamwe vanhu vanodzikira huremu kunyangwe vaine chido chekudya chakanaka. Izvi zvinokonzerwa nekuti hyperthyroidism inowedzera mwero wekugaya kwemuviri, zvichiita kuti ushandise macalorie akawanda kupfuura akajairwa esimba.

Hypothyroidism (kusagadzirwa kwakaderera kwemahormone ethyroid) kunogona kukonzera kudzikira kwesimba remuviri uye kuwedzera uremu.

Ko hyperthyroidism inogona kukura panguva yekuzvitakura here?

Ehe, chirwere ichi chinogona kuitika panguva yekuzvitakura. Pakutanga kwekuzvitakura, muviri wako unofanirwa kugadzira mahormone ethyroid akawanda kupfuura zvakajairika kuti ubatsire mwana wako kukura. Huwandu hwemahormone ethyroid hwakakwira zvishoma pane hwakajairika hausi dambudziko, asi kana huwandu hwacho hwakakwira zvakanyanya, chiremba wako achafanirwa kugadzira hurongwa hwekurapa. Nekuti huwandu hwakawanda hwemahormone ethyroid hunogona kukanganisa kwete iwe chete, asiwo mwana wako.

Hyperthyroidism inogona kuoma kuona panguva yekuzvitakura, sezvo chirwere ichi chinogona kuvharwa nekuwedzera kwemahormone ethyroid nezvimwe zviratidzo zvepamuviri.

Ndezvipi zvekudya zvaunofanira kudzivisa kana uine hyperthyroidism?

Mune zvimwe zviitiko, kudya chikafu chakawandisa chine iodine yakawanda kana chine iodine yakawedzerwa kunogona kukonzera hyperthyroidism kana kuita kuti chirwere chiwedzere kuipa.

Kana uine hyperthyroidism, chiremba wako anogona kukurudzira kuti uchinje kudya kwako. Gara uchibvunza chiremba kana nyanzvi yezvekudya usati waita chero shanduko huru pakudya kwako. Yeuka kuti hyperthyroidism haigone kurapwa nekudya chete. Ungangoda kurapwa.

Kana chiremba wako achikurudzira kudya zvine iodine shoma, edza kusadya zvinhu izvi:

• Hove
• Sora regungwa (`(Sora regungwa)` uye `(Kelp)`)
• Makakanje nemarobster
• Sushi
• Shrimp
• Algae ne alginate
• Zvigadzirwa zvemukaka zvakaita semukaka nechizi
• Yolk yezai
• Munyu une iodized

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakajairika kunzwa wakaremerwa zvishoma kana wawana chirwere chitsva. Asi mashoko akanaka ndeekuti hyperthyroidism chirwere chinorapika. Kana uine zviratidzo zvakaita sekuti muviri wako unoshandisa zvakanyanya, uri kunzwa kutya, kana kuti uri kunetseka kuisa pfungwa dzako pane chimwe chinhu, zvakakosha kuona chiremba. Chiremba wako anogona kuita bvunzo shoma uye kukurudzira kurapwa kwakakodzera kuti muviri wako udzokere pakugadzikana. Usanetseke, unogona kuramba uine hutano hwakanaka!