Waneta here? Mutsipa wako wakazvimba here? Pamwe ichi chirwere chaHashimoto!

Dzimwe nguva unonzwa kuneta, kuneta, kana kusuruvara zvishoma here? Uri kuwedzera uremu here? Kana kuti unonzwa sekunge kumberi kwemutsipa wako kwazvimba zvishoma here? Izvi zvinogona kunge zviri zviratidzo zvechirwere chinonzi chirwere cheHashimoto. Kunzwa zita iri kunogona kukutyisa zvishoma. Asi usatya. Nhasi, tichataura nezvechirwere cheHashimoto zvakadzama uye zviri nyore.

Chii chinonzi chirwere chaHashimoto?

Zvichitaurwa zviri nyore, chirwere chaHashimoto chirwere chinokonzerwa nedambudziko diki riri muimmune system yedu, iyo inotidzivirira kubva kuzvirwere. Chinoitika munyaya iyi ndechekuti masero edu ekudzivirira anorwisa thyroid gland yedu. Kana izvi zvikaitika nekufamba kwenguva, thyroid gland haigone kushanda zvakanaka, uye huwandu hwemahormone ainoburitsa hunoderera. Tinoti chirwere ichi hypothyroidism . Chirwere chaHashimoto chirwere chisingaperi, chehupenyu hwese.

Chii chinonzi thyroid gland? Chinokosha sei kumuviri wedu?

Gland rethyroid igland diki, rakaita seshavishavi riri pamberi pemutsipa wako, pasi peganda. Iro chikamu chehurongwa hwedu hwe endocrine . Rinoburitsa mahormone ethyroid uye rinoaburitsa muropa.

Basa guru regland re thyroid nderekudzora mwero wemetabolism yemuviri wedu . Metabolism inzira iyo chikafu chatinodya chinoshandurwa kuita simba. Tinowanzo funga nezveizvi chete kana tichifunga nezvekuwedzerwa kana kudzikira kwehuremu, asi kutaura chokwadi maitiro aya anokanganisa nhengo dzese dzemuviri wedu, kusanganisira moyo wedu nepfungwa.

Chii chinoitika chaizvo muchirwere chaHashimoto?

Muvanhu vazhinji vane chirwere cheHashimoto, thyroid gland haikwanise kugadzira mahormone ethyroid akakwana mumuviri. Nekuda kweizvozvo, maitiro ekugadzirisa muviri ataurwa pamusoro apa anotanga kudzikira. Ndipo panotanga kuoneka zviratidzo.

Chirwere ichi chakatanga kuwanikwa muna 1912 nachiremba wekuJapan anonzi Dr. Hakaru Hashimoto. Ndosaka chichinzi chirwere chaHashimoto. Chinozivikanwawo nemamwe mazita:

• Hashimoto thyroiditis
• Chirwere che autoimmune thyroiditis chisingaperi
• Lymphocytic thyroiditis

Chirwere cheHashimoto chakajairika zvakadii? Ndiani anonyanya kuchibata?

Chirwere cheHashimoto chirwere chakajairika . Zvichienderana nehuwandu hwenyika, chinogona kubata vanhu vanosvika vashanu pavanhu zana.

Munyika dzine munyu wakawedzerwa iodine nezvimwe zvekudya zvine iodine zvakajairika, chirwere chaHashimoto ndicho chinokonzera hypothyroidism. Mune dzimwe nyika, kushomeka kwe iodine ndiko kunonyanya kukonzera chirwere ichi.

Ndiani anoiwana? Munhu wese, chero pazera ripi zvaro, anogona kubatwa nechirwere chaHashimoto. Zvisinei,Vakadzi vane mukana wekuwana chirwere ichi kanenge kagumi kupfuura varume, uye chinowanzoonekwa muvakadzi vane makore ari pakati pe30 ne50.

Ndezvipi zviratidzo zvechirwere chaHashimoto? Unonzwa sei?

Vamwe vanhu vanogona kunge vaine chirwere cheHashimoto asi vasingaratidzi zviratidzo pakutanga.

Sezvo chirwere ichi chichienderera mberi, dzimwe nguva gland re thyroid rinogona kuzvimba. Izvi zvinonzi goiter . Ichi chinowanzova chiratidzo chekutanga chechirwere chaHashimoto. Hazvirwadzi, asi zvinogona kunzwa sekunge pane chimwe chinhu chakazara muchikamu chezasi chemutsipa. Kumberi kwemutsipa kunogonawo kuita sekunge kwakazvimba.

Kana mahormone ethyroid akaderedzwa nekuda kwechirwere cheHashimoto (Hypothyroidism), nekufamba kwenguva, zviratidzo zvinotevera zvinogona kuoneka:

• Kurara, kuneta zvakanyanya, uye kuda kurara nguva dzose.
• Kuwedzera uremu zvishoma.
• Kuzvimba.
• Ganda rakaoma.
• Kusakwanisa kutsungirira dzihwa.
• Kurova kwemoyo kunononoka kupfuura zvakajairwa (Bradycardia).
• Kurwadziwa kwemajoini nekurwadziwa kwetsandanyama.
• Bvudzi rakaoma, vhudzi rinotyoka, bvudzi rinokura zvishoma kana kuti rinodonha.
• Kuderera kwemufaro, kuora mwoyo.
• Kuzvimba kwemaziso nechiso.
• Kusakwanisa kurangarira zvinhu zvakanyanya, kuoma kuisa pfungwa pachinhu chimwe chete.
• Kuenda kumwedzi kusingaenderane nenguva kana kubuda ropa rakawanda kuvakadzi.
• Kuderera kwelibido.
• Kusabereka kungave kumurume kana mukadzi.

Munhu ane chirwere cheHashimoto anowanzonzwa sei?

Kunyangwe uine chirwere cheHashimoto, kana mahormone ako ethyroid ari mashoma (hypothyroidism), ungasaona mutsauko mukuru.

Zvisinei, kana uine hypothyroidism, unganzwa sekuti "pane chakaipa." "Hypo-" zvinoreva "zvishoma" kana "pasi." Saka unogona kufunga nezvezviratidzo zve hypothyroidism se "kunonoka" kwemaitiro akasiyana-siyana mumuviri.

Unganzwa usisina simba rakawanda sezvawaiita kare, uye ungasakwanisa kuita maekisesaizi sezvawaiita kare. Kana ukashandisa muchina wekutevera hutano, kurova kwemoyo wako kunogona kuita sekunge kwakaderera pane kwawaiita kare. Unganzwa mhute muuropi, uye zvingava zvakaoma kurangarira zvinhu. Hypothyroidism inogonawo "kunonoka" manzwiro ako - unganzwa kusuruvara uye kuora mwoyo. Inogonawo kuderedza chido chako chebonde uye kudzikisa kugaya kwako - zvichireva kuti ungasaita zvematumbu kakawanda sezvawaiita kare.

Kana muviri wako nepfungwa dzako zvichinzwa sekunge zvakanamirwa mufirimu rinoita zvinhu zvishoma nezvishoma, taura nachiremba wako.

Sei chirwere chaHashimoto chichiitika? Ndezvipi zvinhu zvinokonzera njodzi?

Chikonzero: Kusashanda zvakanaka kwemuviri wedu wekudzivirira (Autoimmune Disease)

Chirwere cheHashimoto chirwere chinokonzerwa ne autoimmune system . Izvi zvinoreva kuti masoja emuviri wako anorwisa masero ako nenhengo dzemuviri. Fungidzira, semauto anofanirwa kuchengetedza nyika yedu ari kurwisa nyika yedu.

Kazhinji, masoja edu ekudzivirira muviri anotidzivirira kubva kuzvinhu zvinokuvadza zvakaita semabhakitiriya nemavhairasi. Asi muchirwere chaHashimoto, izvi ndizvo zvinoitika:

• Masisitimu emuviri wako, nekuda kwechikonzero chisingazivikanwe, anogadzira masoja ekudzivirira chirwere anorwisa tishu yethyroid yako.
• Mazhinji emasero machena eropa, kunyanya malymphocytes , anoungana mukati megland re thyroid.
• Kuunganidzwa uku kunokonzera kuzvimba kwegland re thyroid, kana kuti thyroiditis , uye kunokuvadza gland racho.
• Nekufamba kwenguva, kukuvara uku kunoita kuti thyroid gland isakwanise kugadzira mahormone ethyroid akakwana mumuviri. Izvi ndizvo zvinokonzera 'Hypothyroidism'.
• Zvisinei, havasi vese vane chirwere chaHashimoto vanowana hypothyroidism.

Zvinhu zvinowedzera njodzi

Kune zvinhu zvakawanda zvinowedzera njodzi yekuva nechirwere chaHashimoto:

• Nhoroondo yemhuri: Ongororo yakaratidza kuti inenge 80% yengozi yako yekubatwa nechirwere cheHashimoto inokonzerwa nemajini. Kana hama dzako dzeropa dzine chirwere cheHashimoto kana zvimwe zvirwere zvethyroid, iwe une mukana mukuru wekuwanawo chirwere ichi.
• Murume kana Mukadzi: Vakadzi vane mukana wekuwana chirwere ichi kanopfuura kagumi kupfuura varume. Kukanganiswa kwemahormone epabonde kunogonawo kuva chikonzero.
• Zera: Njodzi yekubatwa nechirwere ichi (nezvimwe zvirwere zvethyroid) inowedzera nekukura.

Uyewo, uri panjodzi huru yekuva nechirwere cheHashimoto kana uine zvimwe zvirwere zve autoimmune, zvakaita se:

• Chirwere cheAddison
• Chirwere cheCeliac
• Lupus
• Kupererwa neropa kwakaipisisa
• Arthritis ine rheumatoid
• Chirwere cheSjögren
• Chirwere cheshuga cherudzi rwekutanga

Chirwere chaHashimoto chinoonekwa sei?

Chiremba wako ndiye achaita zvinhu izvi pakutanga:

• Ndiri kubvunza nezvezviratidzo zvako.
• Bvunza nezvenhoroondo yako yezvekurapa (sekuti pane mumwe munhu mumhuri mako ane matambudziko ethyroid here).
• Kuongororwa kwemuviri kuchaitwa, panguva iyo gland rako re thyroid richaongororwa nemaoko.

Mushure mekuongororwa uku, vacharaira kuongororwa kweropa kakawanda kuti vasimbise chirwere ichi:

• Kuongororwa kweHormone Inokurudzira Thyroid (TSH test): Kuongororwa kweTSH kwakakwira kunowanzoreva kuti thyroid gland yako haisi kugadzira hormone yakakwana yethyroxine (T4). Izvi zvinoratidza kuti une hypothyroidism kana subclinical hypothyroidism (chirwere chisina zviratidzo, asi pane shanduko mumazinga emahormone).
• Kuongororwa kweThyroxine Yemahara (T4 Yemahara): Mazinga eT4 akaderera chimwe chiratidzo chekuti une hypothyroidism.
• Kuongororwa kweAntithyroid Antibody: Kana uine mamwe maAutoantibodies muropa rako, zvinoratidza kuti chikonzero che hypothyroidism yako hachisi chimwe chinhu chakadai sekushomeka kwe iodine, asi chirwere chaHashimoto.

Mune zvimwe zviitiko, chiremba wako anogonawo kukurudzira kuti uongorore saizi yegland regland uye kuti uone kana paine mapundu madiki anoumbwa pagland .

Ndeipi mishonga yekurapa chirwere chaHashimoto?

Munhu wese anoda mushonga here?

Havasi vese vane chirwere cheHashimoto vanowana hypothyroidism. Kana ma antibodies emuropa rako akakwira asi usina zviratidzo zve hypothyroidism, chiremba wako acharamba achitarisa huwandu hwe thyroid yako pane kutanga kurapwa.

Kurapa kukuru: Levothyroxine

Kana uine hypothyroidism nekuda kwechirwere chaHashimoto, mushonga mukuru unonzi levothyroxine . Uyu mushonga weT4 hormone yakagadzirwa negland rako re thyroid.

Levothyroxine inowanikwa pasi pemazita akasiyana emhando. Chiremba wako ndiye achakupa mushonga wakakodzera iwe.

Mushonga uyu unobatsira kudzoreredza huwandu hwemahormone ethyroid mumuviri wako. Uchafanira kuutora zuva nezuva kwehupenyu hwako hwese . Nekufamba kwenguva, huwandu hwemushonga waunofanira kutora hunogona kuchinja. Chiremba wako achaziva maitiro ekugadzirisa huwandu hwemushonga kuti agone kudzora hypothyroidism yako.

Ko Levothyroxine ine migumisiro yakaipa here?

Kana uri kusangana nematambudziko anobva ku levothyroxine, zvingangoita kuti uri kutora mushonga wakawandisa. Izvi zvinogona kukonzera chirwere chinonzi thyrotoxicosis - kuwedzera kwemahormone e thyroid.

Zviratidzo zve thyrotoxicosis ndezvi:

• Kurova kwemoyo nekukurumidza (Tachycardia) - kazhinji kunorova kupfuura 100 paminiti.
• Kurova kwemoyo kusina kurongeka (Arrhythmia).
• Kudzikira uremu kusingatsananguriki.
• Kunzwa muviri wako uchidedera.
• Kusagadzikana, kuzvidya mwoyo, kushatirwa.
• Kunzwa kupisa zvakanyanya uye kudikitira zvakanyanya kupfuura zvakajairika.
• Kuchinja kwekufamba kwemwedzi.

Kana ukaona zviratidzo zvakaita seizvi, unofanira kuudza chiremba wako nekukasika.

Vanhu vane chirwere cheHashimoto vanoda kudya zvakasiyana here?

Hapana kudya kwakanangana nechirwere cheHashimoto. Zvisinei, zvimwe zvekudya, mishonga, kana zvimwe zvinovaka muviri zvinogona kukanganisa kupinza kwe levothyroxine yaunotora. Semuenzaniso:

• Mishonga yesimbi necalcium.
• Sucralfate (mushonga wemaronda emudumbu).
• Cholestyramine nealuminium hydroxide (inowanikwa mune mamwe mishonga inorwisa asidhi).

Dambudziko iri rinogona kudzivirirwa kana ukatora mishonga iyi maawa mana usati watora levothyroxine kana kuti wapedza.

Kana muine mibvunzo nezvekudya, taurai nachiremba wenyu kana Registered Dietitian Doctor.

Kudya zvakanaka uye kurarama hupenyu hune hutano (kurovedza muviri, kurara zvakakwana, kudzora kushushikana) zvichabatsira masoja emuviri wako. Zvisinei, kana uine hypothyroidism, zvakakosha kuti utore mishonga yako nemazvo zvisinei nemamiriro ezvinhu.

Chirwere chaHashimoto chinogona kurapwa zvachose here? Chinogona kudzivirirwa here?

Zvinosuwisa kuti hapana mushonga kana nzira yekurapa chirwere chaHashimoto. Zvisinei, mishonga yehupenyu hwese inogona kubatsira kudzora hypothyroidism uye huwandu hwemahormone ethyroid.

Zvinosuwisa kuti hapana chatingaita kudzivirira chirwere chaHashimoto nekuti hatigone kuchinja zvinhu zvinokonzera njodzi yacho - zvinhu zvakaita semajini nezera.

Ndezvipi zvinetso zvinogona kuitika kana munhu aine chirwere chaHashimoto?

Kana vanhu vane chirwere chaHashimoto vakaongororwa zvakanaka uye vakarapwa muhupenyu hwavo hwese, vanogona kuramba vaine hutano hwakanaka .

Zvisinei, kana hypothyroidism inokonzerwa nechirwere chaHashimoto ikasarapwa, matambudziko anotevera ehutano anogona kuitika:

• Kolesteroli yakakwira.
• Chirwere chemwoyo uye kutadza kwemoyo.
• Kukwira kweropa.
• Kuora mwoyo.
• Myxedema coma . Ichi chirwere chisingawanzoitiki uye chinoisa upenyu panjodzi chinokonzerwa ne hypothyroidism yakanyanya. Mabasa emuviri anononoka zvekuti anogona kutokonzera rufu.

Chirwere chaHashimoto panguva yekuzvitakura

Kana hypothyroidism ikasarapwa panguva yekuzvitakura, njodzi dzinotevera dzinogona kuwedzera:

• Kubvisa pamuviri.
• Kuzvara nguva isati yakwana.
• Kuzvara mwana akafa.

Kana kuti, unogona kutanga chirwere chinonzi preeclampsia, chinova chirwere cheBP chakakwira zvine njodzi panguva yekupedzisira yekuzvitakura. Hypothyroidism isina kurapwa inogona kukanganisa kukura kweuropi hwemwana wako asati aberekwa. Saka, vanachiremba vako vachakubatsira kudzora hypothyroidism yako zvakanaka panguva yekuzvitakura.

Hypothyroidism haisi chinhu chinowanzoitika panguva yekuzvitakura. Zvisinei, zviratidzo zvayo (zvakadai sekuneta uye kuwedzera uremu) zvakafanana nezvinowanikwa panguva yekuzvitakura kwakajairika, saka dzimwe nguva zvinogona kushaikwa. Kana uchinzwa sekuti une zviratidzo zvehypothyroidism, kana kuti uchifunga kuti ungangove uri kutanga goiter, taurira chiremba wako nekukasika.

Ndinofanira kuona chiremba riini? Chii chinonzi emergency?

Kusangana nachiremba nguva dzose

Kana uine chirwere cheHashimoto, unofanira kuona chiremba wako nguva nenguva . Iye achakuongororwa ropa kuti aone kana huwandu hwemahormone ethyroid ari mumuviri wako hwakakwana uye kuti mushonga wauri kutora wakakunakira.

Uyezve, ona chiremba wako kana ukaona zviratidzo zvitsva, kana zviratidzo zvako zviripo zvikawedzera, kana ukaona shanduko mugland rako re thyroid (semuenzaniso, kuzvimba).

Nyaya dzinoda kuendeswa kuchipatara nekukasika (Myxedema Coma)

Kana ukaona zviratidzo zve myxedema coma , fonera 911 kana kuenda kuchipatara nekukurumidza. Dambudziko iri guru re hypothyroidism rinogona kutyisidzira hupenyu hwako!

Hunhu ihwohwo ndehwekuti:

• Hypothermia kudzikira kwetembiricha yemuviri pasi pe35 degrees Celsius (95 degrees Fahrenheit).
• Kuzvimba (edema) mumuviri, kunyanya kumeso, rurimi, nemakumbo epasi.
• Kurova kwemoyo kunononoka uye kurova kwemoyo kusina simba.
• Kufema zvishoma nezvishoma (Bradypnea) uye kufema zvakaoma (Dyspnea).
• Kuvhiringidzika kana kurasikirwa nepfungwa.

Pakupedzisira, zvinhu zvishoma zvekufunga nezvazvo (Mharidzo Yekuenda Kumba)

Zvakajairika kunzwa kushushikana uye kutya kana wawana chirwere chitsva. Asi mashoko akanaka ndeekuti chirwere cheHashimoto chirwere chinorapwa zvakanaka .

Kana uchifunga kuti ungave uine zviratidzo zveHashimoto's, kana kuti une zvinhu zvinokuvadza, zvakaita senhoroondo yemhuri yechirwere chethyroid, iva nechokwadi chekuona chiremba wako. Vanogona kuita bvunzo dziri nyore kuti vaone kana thyroid yako iri kugadzira mahormone akakwana. Yeuka, kana ikaonekwa nekukurumidza, kurapwa kunogona kutanga nekukurumidza. Ipapo unogona kurarama hupenyu hwakanaka uye hwakagadzikana.

" Chirwere chaHashimoto, thyroid, hypothyroidism, zvirwere zve autoimmune, mahormone e thyroid, levothyroxine, goiter."