Wakambonzwa here sekuti chimwe chinhu chiri kufamba mukati memuviri wako, zvichikusiya usina kugadzikana? Unonzwa sekuti muviri wako uri kumhanya zvakanyanya, zvichiita kuti uzvidye mwoyo, usazorore, kana kuti usakwanise kutarisa? Kana zvakadaro, gland rako re thyroid rinogona kunge riri kushanda zvakanyanya. Ngatitaurei nezvechirwere chinonzi hyperthyroidism.
Chii Chinonzi Hyperthyroidism? Ngatirambei Zviri Nyore!
Zvichitaurwa zviri nyore, hyperthyroidism inoitika kana gland re thyroid riri mumutsipa wako rikatanga kushanda zvakanyanya uye richiburitsa hormone ye thyroid yakawandisa. Gland rako diki, rakaita seshavishavi riri pamberi pemutsipa wako. Kunyangwe riri diki, rinoita basa guru mumuviri wako. Mahormone e thyroid akakosha pakudzora mabasa mazhinji emuviri wako, kunyanya metabolism yako—kumhanya uko muviri wako unoshandisa simba.
Kune mahormone maviri makuru e thyroid: triiodothyronine (T3) uye thyroxine (T4). Kunewo hormone inokurudzira thyroid (TSH), inoburitswa ne pituitary gland yako kuti iratidze thyroid yako kuti igadzire mahormone aya. Mu hyperthyroidism, huwandu hwakawanda hweT3 neT4 hunopinda muropa rako. Izvi zvinokurumidzisa mashandiro emuviri wako, zvichiita kuti unzwe sekunge muviri wako wese wanyura zvakanyanya, sechitima chinomhanya. Unganzwa sekunge hausi iwe pachako. Kuziva zviratidzo izvi uye kutaura nachiremba idanho rekutanga rakakosha.
Dambudziko iri rakajairika zvakadii?
Hyperthyroidism haisi chinhu chinowanzoitika. Kana tichitarisa mamiriro acho ezvinhu, inobata vanhu vanosvika 1.3% munyika dzakadai seUnited States. Zvisinei, nekuti inogona kukanganisa hupenyu hwako hwezuva nezuva, kunzwisisa zviratidzo zvayo kwakakosha kune wese munhu.
Ndezvipi Zviratidzo zveHyperthyroidism? Tarisa kana Une Chero Chete Cheizvi!
Nekuti hyperthyroidism inokanganisa mashandiro ese emuviri wako, zviratidzo zvayo zvinogona kupararira. Vamwe vanhu vanongoona zviratidzo zvishoma zvishoma, nepo vamwe vachiona zviratidzo zvakawanda panguva imwe chete. Tora nguva kuti uone kana uchizviziva:
- Kurova kwemoyo nekukurumidza (tachycardia) uye/kana kunzwa kurova kwemoyo muchipfuva chako (palpitations)—kunenge ngoma ichirira mukati mechipfuva chako.
- Kuwedzera kweBP .
- Kudedera kwemaoko , uko ungangoona maoko ako achidedera kunyangwe uchiita mabasa akareruka sekubata kapu yetii.
- Kunzwa uchigara uchinetseka, usingazorori, uye/kana kutsamwiswa nyore nyore .
- Kuderedza uremu kusingatsananguriki , kunyangwe kana chishuwo chako chekudya chakawedzera uye uri kudya zvakanyanya kupfuura zvawagara uchiita.
- Kufamba-famba uchibuda mudumbu kana tsvina isina kugadzikana ( manyoka ).
- Kudikitira kwakanyanya uye kunzwa kupisa kwakanyanya kana kusada.
- Kudonha kwebvudzi , kana kuti bvudzi rakatetepa, rinotyoka.
- Kuomerwa nekurara ( kushaya hope ), zvichikusiya uchidzungaira-dzungaira husiku.
- Kuchinja kwekufamba kwemwedzi kuvakadzi, zvakaita sekubuda kweropa zvishoma kana kuenda kumwedzi ( kuenda kumwedzi ) kunopera zvachose.
- Kuzvimba pamberi pemutsipa wako, kungave thyroid nodule kana goiter hombe.
- Maziso akazvimba, akatumbuka, kana kuti akabudikira (chirwere chemaziso ethyroid).
Zviratidzo izvi zvinogona kuitika kamwe kamwe kana kuoneka zvishoma nezvishoma nekufamba kwenguva.Chinonyanya kukosha ndechekuti, kana ukaona chimwe chezviratidzo izvi, zvakakosha kubvunza nyanzvi yehutano kuti ikubatsire.
Chii Chinokonzera Hyperthyroidism?
Pane zvikonzero zvakawanda zvinogona kukonzera hyperthyroidism. Ngatitarisei zvikonzero zvinonyanya kukonzera izvi:
- Chirwere cheGraves: Ichi ndicho chinonyanya kukonzera hyperthyroidism. Chirwere cheGraves chirwere chinokonzerwa ne autoimmune. Muchidimbu, masoja emuviri wako anorwisa gland rako re thyroid nekukanganisa uye anorikurudzira zvakanyanya, zvichiita kuti rigadzire mahormone akawandisa. Kana uine nhoroondo yemhuri yezvirwere zve thyroid kana zvimwe zvirwere zve autoimmune, unogona kunge uri panjodzi huru.
- Mapundu ethyroid: Aya mapundu kana kukura kusingawanzoitiki kwemasero mukati megland rako re thyroid. Dzimwe nguva, mapundu aya anoshanda ega uye anogadzira hormone ye thyroid yakawedzerwa. Vanachiremba vanodana izvi kuti toxic multinodular goiter (TMNG). Nerombo rakanaka, mapundu aya e thyroid haawanzo kuva kenza.
- Thyroiditis: Izvi zvinoreva kuzvimba kwegland regland. Zvinogona kukonzera kuti thyroid hormone yakachengetwa ibude, zvichikonzera hyperthyroidism yenguva pfupi. Mushure mechikamu ichi chehormone yakawandisa, unogona kusangana nenguva pfupi yehypothyroidism (thyroid isingashande zvakanaka) gland rako risati rapora zvizere uye huwandu hwehormone husati hwadzokera pahwakajairika.
- Iodine Yakawandisa: Gland rako rethyroid rinoshandisa iodine kubva mukudya kwako kugadzira mahormone. Kudya iodine yakawandisa (kuburikidza nechikafu kana mishonga) kunogona kukonzera kuti thyroid yako igadzire mahormone akawandisa. Izvi zvinogona kuitika mushure mekupihwa IV iodine ine contrast (dhayi inoshandiswa mune mamwe ma imaging scans) kana paunenge uchitora mishonga yakaita seamiodarone (inoshandiswa kurapa matambudziko emwoyo).
- Kuburitsa TSH-secreting pituitary adenoma (thyrotropinoma): Ichi chikonzero chisingawanzoitiki. Bundu risina njodzi mugland repituitary (riri pasi pehuropi hwako) rinogona kuburitsa TSH yakawandisa, richigara richiudza thyroid yako kuti igadzire mahormone akawandisa.
Ndiani Ari Panjodzi Yakanyanya Yekuva neHyperthyroidism?
Kunyange hazvo munhu wese achigona kuva ne hyperthyroidism, zvimwe zvinhu zvinogona kuwedzera mukana wako wekubatwa nayo. Izvi zvinosanganisira:
- Kuva nenhoroondo yemhuri yechirwere chethyroid kana zvimwe zvirwere zve autoimmune.
- Kusvuta.
- Kubata pamuviri (kunyanya nezve postpartum thyroiditis, iyo inogona kuitika mushure mekusununguka).
Hyperthyroidism Inowanikwa Sei?
Kuti aone kana une hyperthyroidism, chiremba wako achaita ongororo yakakwana, iyo inowanzo sanganisira matanho akati wandei:
1. Kuongororwa Kwemuviri: Chiremba wako achaongorora zviratidzo zvemuviri zvethyroid iri kushanda zvakanyanya, zvakaita se thyroid gland yakakura, kurova kwemoyo nekukurumidza, kudedera mumaoko ako, kana ganda rinodziya uye rakanyorova.
2. Kuongororwa kweropa rethyroid: Izvi zvinoyera huwandu hwemahormone ethyroid muropa rako. Mu hyperthyroidism, huwandu hweT3 neT4 hunowanzo kuve hwakakwira kupfuura hwakajairwa, nepo huwandu hwehormone yako inokurudzira thyroid (TSH) hunowanzo (kunyange zvisiri nguva dzose) hwakadzikira kana kuti hwakaderera zvakanyanya.
3. Kuongororwa kweAntibody yeGyroid: Kuongororwa kweropa uku kunobatsira kuona kana chirwere cheGraves chiri icho chinokonzera chirwere chako.
4. Kuongororwa Kwemifananidzo: Nzira dzakasiyana-siyana dzekuongorora mifananidzo dzinobatsira kuona chikonzero chaicho chehyperthyroidism. Izvi zvinogona kusanganisira bvunzo yeradioactive iodine uptake (RAIU) uye scan, kana thyroid ultrasound. Chiremba wako achatsanangura bvunzo idzi uye achakurudzira sarudzo yakanakisa yemamiriro ako ezvinhu.
Ndeipi Mishonga Inoshandiswa Yekurapa Hyperthyroidism?
Mashoko akanaka ndeekuti hyperthyroidism inorapika zvikuru. Nzira yakanakira iwe inoenderana nechikonzero chayo, zera rako, uye hutano hwako hwese. Chiremba wako achakurukura newe sarudzo idzi kuti agadzire hurongwa hwekurapa hwakagadzirirwa iwe pachako.
- Mishonga yeAntithyroid: Mishonga yakaita semethimazole (Tapazole®) uye propylthiouracil (PTU) inovhara kugona kwethyroid kugadzira mahormone matsva. Iyi ndiyo nzira yekutanga yekudzivirira. Inogona kuunza huwandu hwemahormone ako ethyroid munzvimbo yakachengeteka mukati memavhiki mashoma kusvika kumwedzi, zvichibatsira kuti zviratidzo zvako zvipere.
- Kurapa neRadioactive Iodine (RAI): Izvi zvinosanganisira kutora radioactive iodine nemuromo sekapusule kana mvura. Iyo iodine inotorwa nemasero ethyroid anoshanda, ichiaparadza zvishoma nezvishoma. Kunyange zvazvo iyi iri mushonga unoshanda uye unogara kwenguva refu we hyperthyroidism, inowanzoita kuti thyroid isashande zvakanaka. Nekuda kweizvozvo, ungangoda kutora mushonga wekutsiva thyroid hormone (levothyroxine) zuva nezuva kwehupenyu hwako hwese kuti urambe uine mahormone akaenzana.
- Kuvhiyiwa (Kubviswa kweThyroid): Muzvimwe zviitiko, chiremba anogona kubvisa gland rako rese kana chikamu charo. Kunyange zvazvo izvi zvichigadzirisa hyperthyroidism, zvinowanzo kukonzera hypothyroidism, zvichireva kuti uchada kurapwa kwezuva nezuva kwehomoni yethyroid.
- Beta-Blockers: Kunyange zvazvo mishonga iyi isingachinje huwandu hwemahormone ethyroid, inoshanda nekukurumidza kuderedza zviratidzo zvisingafadzi zvakaita sekurova kwemoyo nekukurumidza, kudedera, uye kuzvidya mwoyo ukuwo mamwe marapirwo ako achitanga kushanda.
Imwe neimwe yesarudzo idzi dzekurapa ine zvayakanakira, migumisiro, uye njodzi dzayo. Chiremba wako achakubatsira kukutungamira musarudzo idzi. Usambozeza kubvunza mibvunzo.
Ndeipi tarisiro yenguva refu kune munhu ane hyperthyroidism? (Kufungidzira)
Hyperthyroidism chirwere chinorapika zvikuru. Kana munhu achirapwa zvakakodzera, vanhu vazhinji vanorarama hupenyu hune hutano uye hune simba. Kunyangwe kana kurapwa kwako kuchida kuti utore mishonga zuva nezuva kwenguva refu, kunoita kuti urambe uine mahormone akagadzikana.
Zvisinei, kana chikasarapwa, chirwere cheGraves (chinonyanya kukonzera hyperthyroidism) chinogona kukonzera matambudziko akadai seGraves' ophthalmopathy (chirwere chemaziso chethyroid). Kana ukaonekwa uine chirwere cheGraves, shanda pamwe chete nemupi wehutano hwako kuti uchirape zvinobudirira.
Chii Chinoitika Kana Hyperthyroidism Ikasarapwa? Ine Ngozi Here?
Ehe, kuregeredza kana kurapa zvisina kunaka hyperthyroidism kunogona kukonzera matambudziko makuru ehutano nekufamba kwenguva, kusanganisira:
- Atrial fibrillation (Afib), kurova kwemoyo kusingawanzoitiki uye kunowanzo kurumidza
- Kukundikana kwemoyo kwakakombama
- Kusabereka kana kusaenda kumwedzi
- Kurohwa kweIschemic
- Osteoporosis (mapfupa asina simba, akatyoka)
Dambudziko risingawanzoitika asi rinotyisidzira hupenyu rinokonzerwa nehyperthyroidism isingarapwe idutu rethyroid (rinozivikanwawo sedambudziko rethyroid kana kuti thyrotoxic crisis). Munguva yedutu rethyroid, thyroid yako inongoerekana yaburitsa huwandu hwakawanda hwemahormone ethyroid muropa rako kwenguva pfupi. Izvi zvinokonzereswa nekurapwa. Zvinowanzo kukonzerwa nekushushikana kukuru kwemuviri - senge hutachiona hwakakomba, kukuvara, kana kuvhiyiwa - mumunhu asina hyperthyroidism isina kurapwa kana isina kutarisirwa zvakanaka.
Unofanira Kuona Chiremba Rini?
Kana uine zviratidzo zve hyperthyroidism, zvakakosha kuronga musangano nechiremba wako kuti uwane chirwere ichi uye kuti uwane kurapwa kwakakodzera.
Kana wakatoonekwa kuti une chirwere ichi, uchada kuongororwa nguva nenguva uye kuongororwa ropa kuti uone huwandu hwemahormone ako uye kuona kuti kurapwa kwako kuri kushanda zvakanaka.
Kana ukaona zviratidzo zvechirwere chethyroid—zvakadai sefivha yakanyanya, kurova kwemoyo nekukurumidza, kuvhiringidzika, kana kusagadzikana kwakanyanya—fonera 911 (kana masevhisi ekukurumidzira emunharaunda yako) kana kutsvaga rubatsiro rwekukurumidzira kuchipatara chiri pedyo.
Dambudziko Iri Rinokonzera Kuwedzera Huremu Here?
Kazhinji, hyperthyroidism haikonzeri kuwedzera uremu. Kutaura zvazviri, vanhu vazhinji vanodzikira uremu kunyangwe vaine chido chekudya chakawedzerwa. Izvi zvinoitika nekuti mahormone ethyroid akawandisa anowedzera simba remuviri wako, zvichiita kuti muviri wako upise macalorie nekukurumidza kupfuura zvakajairika.
Kune rumwe rutivi, thyroid isina kushanda zvakanaka (hypothyroidism) inononotsa metabolism yako, izvo zvinowanzoita kuti uwedzere uremu.
Unogona Kuwana Hyperthyroidism Munguva Yekuzvitakura Here?
Ehe, hyperthyroidism inogona kuitika panguva yekuzvitakura. Munguva yekutanga yemwedzi mitatu yekuzvitakura, muviri wako unoburitsa huwandu hwakawanda hwemahormone ethyroid kutsigira kukura kwemwana wako. Kunyange hazvo kuwedzera kudiki kuri kwakajairika, huwandu hwakanyanya hwemahormone ethyroid hunoda kutariswa zvakanyanya uye kutarisirwa kubva kuna chiremba wako. Huremu hwethyroid husingadzoreki hunogona kukonzera njodzi kuhutano hwako nemwana wako ari kukura.
Kuziva chirwere chehyperthyroidism panguva yekuzvitakura dzimwe nguva kunogona kuoma nekuti zviratidzo zvepamuviri, zvakaita sekuneta, kusashivirira kupisa, uye kurova kwemoyo nekukurumidza, zvinogona kutevedzera zviratidzo zvethyroid inoshanda zvakanyanya.
Ndezvipi Zvikafu Zvaunofanira Kudzivisa Kana Une Hyperthyroidism?
Mune zvimwe zviitiko, kudya chikafu chine iodine yakawanda kana chakawedzerwa iodine kunogona kukonzera kana kuwedzera hyperthyroidism.
Kana uine hyperthyroidism, chiremba wako anogona kukurudzira kuti uchinje kudya kwako. Gara uchibvunza chiremba wako kana nyanzvi yezvekudya usati waita shanduko huru mukudya. Yeuka kuti kudya chete hakugone kurapa hyperthyroidism; kurapwa kunowanzo dikanwa.
Kana chiremba wako achikurudzira kudya zvine iodine shoma, ungangoda kuderedza kana kurega kudya zvinotevera:
- Hove
- Sora regungwa nekelp
- Makakanje nemarobster
- Sushi
- Shrimp
- Algae ne alginates
- Zvigadzirwa zvemukaka, zvakaita semukaka nechizi
- Mazai ega
- Munyu une iodized
Mharidzo Yekuenda Nayo Kumba
Kuongororwa kwese kunogona kuita sekunge kwakaoma pakutanga. Asi yeuka kuti hyperthyroidism inokwanisa kurapwa uye inorapika. Kana uchinzwa sekunge muviri wako uri kumhanya zvakanyanya, kana kuti uri kunetseka, kudedera, kana kufunga zvinhu zvakawanda, ndapota taura nachiremba. Nekuongororwa kuri nyore, mupi wehutano wako anogona kukubatsira kudzosa muviri wako padanho rakanaka. Fema zvakadzama—nekutarisirwa kwakakodzera, unogona kudzorera hutano hwako uye kunzwa seuri iwe pachako zvakare!
