Unonzwawo kuneta zvisina kujairika uye kunonoka pasina chikonzero mamwe mazuva here? Unonzwa kurema zvishoma here? Unonzwa kutonhora kakawanda here? Kunyangwe tichiwanzofunga kuti izvi zvinhu zvakajairika, dzimwe nguva chikonzero chezviratidzo izvi chingave chirwere chinonzi Hashimoto's Disease. Usazvidya moyo, izvi hazvina njodzi sezvinoreva zita racho. Ngatitaurei nezvazvo zviri nyore uye zvakajeka.
Chii chinonzi chirwere chaHashimoto?
Zvichitaurwa zviri nyore, chirwere cheHashimoto chirwere umo thyroid gland inokanganiswa nedambudziko remasoja edu emuviri. Izvi zvinonzi chirwere che autoimmune . Izvi zvinoreva kuti masoja emuviri wedu anorwisa masero edu ane hutano nemazvo, muchiitiko ichi thyroid gland. Ichi chirwere chinowanzo gara kwenguva refu (chisingaperi).
Funga nezvazvo, thyroid gland igland diki rakaita seshavishavi riri pasi peganda riri pamberi pemutsipa wedu. Inhengo ye endocrine system yedu. Inogadzira mahormone ethyroid uye inodzora zvinhu zvakawanda mumuviri wedu.
Basa guru regland re thyroid nderekudzora mwero wemetabolism yemuviri wedu. Kureva kuti, mwero wemetabolism inoshandurwa kuita simba. Patinonzwa izwi rekuti metabolism, tinowanzo funga nezvekuwedzerwa uremu nekudzikira. Asi muchokwadi, maitiro aya anokanganisa nhengo dzese dzemuviri, kusanganisira moyo nepfungwa dzedu.
Nechirwere chaHashimoto, masoja edu ekudzivirira muviri anorwisa gland re thyroid, zvichiita kuti risagadzire mahormone e thyroid akakwana. Chirwere ichi chinonzi hypothyroidism . Izvi zvinononotsa mashandiro emuviri wedu uye zvinokonzera zviratidzo zvakasiyana-siyana.
Chirwere ichi chakajairika zvakadii? Ndiani anonyanya kuchibata?
Chirwere cheHashimoto chirwere chinowanzoitika. Munyika dzakadai seAmerica, vanhu vashanu pavanhu zana vane chirwere ichi. Chirwere ichi chave kuwedzera kuwanda muSri Lanka. Munyika dzine munyu une iodine uye chikafu chakawanda, chirwere cheHashimoto ndicho chinokonzera hypothyroidism.
Kunyangwe chirwere ichi chichigona kuitika chero pazera ripi zvaro, vakadzi vane mukana wekuchibata kanenge kagumi kupfuura varume. Chinowanzoonekwa muvakadzi vari pakati pemakore makumi matatu nemakumi mashanu.
Ndezvipi zviratidzo zvechirwere chaHashimoto?
Vamwe vanhu vane chirwere chaHashimoto havana zviratidzo pakutanga. Sezvo chirwere ichi chichienderera mberi, dzimwe nguva gland re thyroid rinogona kuzvimba. Izvi zvinonzi goiter.Ichi ndicho chiratidzo chekutanga chechirwere cheHashimoto. Kunyangwe chisingarwadzi, unogona kunzwa kuzara kwemutsipa wako. Chingaitawo sechakazvimba.
Nekufamba kwenguva, kana hypothyroidism ikakura nekuda kwechirwere chaHashimoto, zviratidzo zvinotevera zvinogona kuoneka chimwe mushure mechimwe.
| Chiratidzo | Tsananguro |
|---|---|
| Kuneta uye usimbe | Kugara kuneta, kuneta, uye kurara zvakanyanya pasina chikonzero chakajeka. |
| Kuwedzera huremu | Huremu hwemuviri hunowedzera zvishoma nezvishoma pasinei nekudzora kudya uye kurovedza muviri. |
| Mhedzisiro paganda | Ganda rakaoma, bvudzi rinopera, bvudzi rinooma uye rinopera simba. |
| Kunzwa kutonhora | Kunzwa kutonhora zvakanyanya, kunyangwe munzvimbo yakajairika kune vamwe. |
| Migumisiro yepfungwa | Kusuruvara, kuora mwoyo, kurasikirwa nendangariro, kunetseka kuisa pfungwa pachinhu chimwe nechimwe. |
| Kuchinja kwemuviri | Kuzvimba, kurova kwemoyo zvishoma nezvishoma (bradycardia), kurwadziwa kwetsandanyama nemajoini, kuzvimba kwechiso nemaziso. |
| Matambudziko ehutano hwekubereka | Vakadzi vanogona kusangana nenguva dzisina kurongeka dzekuenda kumwedzi kana kubuda ropa rakawanda, kudzikira kwechido chebonde, uye kuoma kubata pamuviri. |
Muviri wako unonzwa sei kana uine Hashimoto's?
Kana uine chirwere cheHashimoto asi usina hypothyroidism, ungasaona shanduko dziripo.
Asi kana uine hypothyroidism, unganzwa sekunge zvese zviri mumuviri wako zviri kushanda "zvishoma nezvishoma."
Fungidzira kuti injini yemuviri wako iri kufamba zvishoma nezvishoma. Hauna simba rekumhanya, kusvetuka, kana kurovedza muviri sezvawaiita kare. Kurova kwemoyo wako kwadzikirawo. Uropi hwako hunonzwa mhute, unokanganwa zvinhu, uye haugone kunyatsoisa pfungwa dzako pachinhu chimwe chete. Unonzwawo kusuruvara uye kusuruvara. Sisitimu yako yekugaya chikafu iri kushandawo zvishoma nezvishoma, izvo zvinogona kukonzera kuvimbiwa.
Kana iwewo uchinzwa sekunge muviri wako nepfungwa dzako zviri kuvharika uye zviri kushanda zvishoma nezvishoma, taura nachiremba wako.
Sei chirwere chaHashimoto chichiitika? Ndezvipi zvinhu zvinokonzera njodzi?
Sezvatakambotaura, chirwere cheHashimoto chirwere chinokonzerwa ne autoimmune. Izvi zvinoreva kuti dziviriro yemuviri wedu iri kushanda nesimba kutirwisa. Kazhinji, dziviriro yemuviri wedu inotidzivirira kubva kune dzimwe nyika dzakadai semabhakitiriya nemavhairasi. Asi muchirwere cheHashimoto, izvi ndizvo zvinoitika:
1. Nechikonzero chisingazivikanwe, masoja emuviri wako anotanga kugadzira masoja ekudzivirira chirwere anorwisa gland re thyroid.
2. Huwandu hwakawanda hwemasero machena eropa, kunyanya rudzi runonzi lymphocytes , hunoungana mugland re thyroid.
3. Izvi zvinokonzera kuti thyroid gland izvimbe. Izvi zvinonzi thyroiditis . Kuzvimba uku uye kurwisa kwemasoja emuviri zvinokuvadza thyroid gland.
4. Nekufamba kwenguva, kukuvara uku kunoita kuti thyroid gland isakwanise kugadzira mahormone akakwana mumuviri, zvichikonzera hypothyroidism .
Kune zvinhu zvakawanda zvinokonzera chirwere chaHashimoto:
- Nhoroondo yemhuri: Kana mumwe munhu mumhuri yako aine chirwere cheHashimoto kana zvimwe zvirwere zvethyroid, une mukana mukuru wekuwana chirwere ichi. Tsvagiridzo inoratidza kuti 80% yevanhu vane chirwere ichi vane majini.
- Bonde: Sezvatakambotaura, vakadzi vane mukana wakapetwa kagumi wekubata chirwere ichi.
- Zera: Njodzi yekubatwa nechirwere ichi inowedzera nekukura.
Uyewo, une mukana mukuru wekuwana chirwere cheHashimoto kana uine chimwe chirwere che autoimmune. Semuenzaniso:
- Chirwere cheshuga cherudzi rwekutanga
- Arthritis ine rheumatoid
- Lupus
- Chirwere cheCeliac
Chirwere chaHashimoto chinoonekwa sei?
Mushure mekubvunza nezvezviratidzo zvako, chiremba wako achatanga akuongorora. Achanyanya kukubata-bata mutsipa wako kuti aone kana thyroid gland (goiter) yakazvimba. Achabva araira kuti ropa rako riongororwe kakawanda kuti asimbise chirwere chacho.
- Kuongororwa kweTSH (Thyroid-Stimulating Hormone): TSH yakawanda zvinoreva kuti gland rako harisi kugadzira T4 hormone yakakwana. Ichi chiratidzo chikuru che hypothyroidism.
- Kuongororwa kweT4 (Thyroxine) yemahara: Kana huwandu hweT4 hwakaderera, zvinosimbisa mamiriro ehypothyroidism.
- Kuongororwa kweAntithyroid Antibody: Kana uine ma antibodies aya muropa rako, zvinogona kujekeswa kuti chikonzero che hypothyroidism yako chirwere chaHashimoto.
Mune zvimwe zviitiko, chiremba wako anogonawo kukurudzira kuti utarise thyroid ultrasound kuti uone saizi ye thyroid gland yako uye kana paine ma nodules.
Inorapwa sei?
Havasi vese vane chirwere cheHashimoto vachava ne hypothyroidism. Kana huwandu hwemasoja emuviri muropa rako hwakakwira asi huwandu hweTSH neT4 hwako hwakajairwa, chiremba wako angasatange kurapwa, asi achakutarisa nekuongororwa ropa nguva dzose.
Asi kana hypothyroidism ichikonzerwa neHashimoto's, mushonga mukuru uye wakanakisa wekurapa unonzi levothyroxine . Uyu mushonga weT4 hormone yakagadzirwa. Mushonga uyu unotorwa sepiritsi zuva nezuva.
Nekushandisa mushonga uyu, unogona kudzorera huwandu hwemahormone ethyroid anodiwa mumuviri. Chinhu chakakosha ndechekuti unofanira kutora mushonga uyu zuva nezuva kwehupenyu hwako hwese .
Mushonga waunoda unogona kuchinja nekufamba kwenguva. Saka, zvakakosha kuti ugare uchiongororwa ropa sezvakarairwa nachiremba wako uye uchinje muyero wako sezvinodiwa.
Pane mimwe migumisiro yakaipa pamushonga uyu here?
Migumisiro ye levothyroxine haiwanzoitiki. Kana zvikaitika, chikonzero chikuru ndechekuti uri kutora zvinopfuura zvaunoda. Izvi zvinogona kutungamira kuchirwere chinonzi thyrotoxicosis , apo muviri unoburitsa thyroid hormone yakawandisa. Zviratidzo ndeizvi:
- Kurova kwemoyo (tachycardia) - kazhinji kunodarika kurova kwemoyo zana paminiti.
- Kusarongeka kwemoyo (arrhythmia).
- Kuderedza uremu pasina chikonzero.
- Kunzwa kuzununguka.
- Kusagadzikana, kushatirwa.
- Kusashivirira kupisa uye kudikitira zvakanyanya.
Kana ukaona zviratidzo izvi, zivisa chiremba wako nekukasika.
Pane kudya kwakakosha here kuvarwere vaHashimoto?
Hapana kudya kwakanangana nechirwere cheHashimoto. Zvisinei, zvimwe zvekudya, mishonga, nemavhitamini zvinogona kukanganisa kupinza kwe levothyroxine mumuviri. Mienzaniso inosanganisira:
- Mishonga yesimbi necalcium.
- Mamwe marudzi emishonga inorwisa asidhi.
Kana ukatora chimwe chinhu chakadai, unogona kudzivirira dambudziko iri nekunwa piritsi rako re thyroid maawa mana usati watora kana kuti wapedza.
Kudya zvakanaka, kurovedza muviri, kurara zvakakwana, uye kudzora kushushikana zvese zvinogona kubatsira masoja emuviri wako. Asi zvisinei nezvaunoita, kana uine hypothyroidism, zvakakosha kutora mushonga wako sezvawakarairwa nachiremba wako.
Chirwere chaHashimoto chine njodzi here panguva yekuzvitakura?
Kana hypothyroidism ikasarapwa panguva yekuzvitakura, inogona kuva nengozi kuna amai nemwana.
- Kubvisa pamuviri
- Kuzvara nguva isati yakwana
- Kukwira kweropa panguva yekuzvitakura (preeclampsia)
Uyewo, kana zvikasarapwa, zvinogona kukanganisa kukura kwemwana nekukura kwehuropi hwake. Saka kana uine chirwere cheHashimoto's uye uchironga kubata pamuviri kana kuti watova nepamuviri, zivisa chiremba wako nekukasika. Kana ukarapwa zvakanaka uye uchitariswa, hapana dambudziko pakuzvara mwana ane hutano.
Nyaya dzinoda kurapwa nekukurumidza (nyaya dzinoda kuenda kuETU)
Kana paine hypothyroidism yakanyanya uye isina kurapwa, panogona kuitika emergency isingawanzoitiki asi inotyisidzira hupenyu inonzi myxedema coma . Kana paine zviratidzo zvinotevera, kurumidza kuenda nemurwere kuEmergency Department (ETU) yechipatara chiri pedyo.
- Tembiricha yemuviri yakaderera zvikuru (hypothermia).
- Kuzvimba kwemuviri, kunyanya kumeso, rurimi, nemakumbo.
- Kurova kwemoyo kunononoka uye kurova kwemoyo kusina simba.
- Kufema kunononoka kana kuti kunonetsa.
- Kuvhiringidzika kana kurasikirwa nepfungwa.
Zvakajairika kuti unzwe kutya uye kuzvidya mwoyo kana uchangobva kuongororwa kuti une chirwere. Asi chinhu chakanakisa ndechekuti chirwere cheHashimoto chinorapika uye chinorapika. Kana uine zviratidzo izvi, kana kuti mumwe munhu mumhuri mako ane chirwere chethyroid, usazeza kuona chiremba wako. Kuongororwa ropa kunogona kukuudza kana thyroid yako iri kushanda nemazvo.
Mharidzo Yekuenda Nayo Kumba
- Hashimoto's chirwere chinokonzerwa ne autoimmune umo masoja edu emuviri anorwisa thyroid gland yedu.
- Chirwere ichi ndicho chinokonzera hypothyroidism.
- Zviratidzo zvakaita sekuneta nguva dzose, kuwedzera uremu, kunzwa kutonhorwa, ganda rakaoma, uye kuvimbiwa zvinowanzoitika.
- Kurapa kwacho ndekwekuti piritsi re levothyroxine rinonwiwa zuva nezuva, iro rinofanira kutorwa kweupenyu hwese.
- Kana ukarapwa zvakanaka uye uchitarisirwa nachiremba, unogona kurarama hupenyu hwakanaka uye hwakajairika.
- Kana uine zviratidzo izvi, usazviregeredza. Iva nechokwadi chekuona chiremba wako kuti akupe mazano.
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