Unonzwawo here sekuti uri kungodzikira uremu mazuva ano? Kunyangwe uchidya zvakadii, haugone kuwedzera uremu? Une zviratidzo zvakaita sekuti moyo wako uri kurova, unotsamwira zvinhu zvidiki, uye unogara uchidikitira? Ungafunga kuti imhaka yekushushikana kwauri kuita mazuva ano. Asi izvi zvinogona kunge zviri zviratidzo zvechirwere chinonzi 'Hyperthyroidism'. Ngatitaurei nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.
Chii chinonzi hyperthyroidism iyi?
Zvichitaurwa zviri nyore, hyperthyroidism inoitika kana gland re thyroid rakaita seshavishavi riri mumutsipa medu rikatanga kushanda zvakanyanya uye richiburitsa mahormone e thyroid akawandisa. Izvi zvinonziwo 'overactive thyroid'.
Funga nezvemuviri wedu semota. Chinomhanyisa injini chinodzora kumhanya kweinjini (metabolism) yemota iyi ihormone yethyroid. Kazhinji, chinowedzera kushanda chinoshanda nenzira yakarongeka. Asi mu hyperthyroidism, zvinoita sekunge mumwe munhu atsika chinowedzera kushanda. Zvadaro maitiro ese mumuviri, kubva pakurova kwemoyo kusvika pakugaya chikafu, anotanga kuitika nekukurumidza. Ndokusaka uchinzwa kuneta uye kusagadzikana.
Mahormone makuru anodzora mashandiro emuviri wedu, ndiko kuti, mwero wekushandurwa kwechikafu chatinodya kuita simba, ndiwo thyroxine (T4) uye triiodothyronine (T3) . Gland rethyroid rinorayirwa kugadzira mahormone aya nehormone inonzi TSH (Thyroid Stimulating Hormone), inobva mugland repituitary riri muuropi. Mu hyperthyroidism, mahormone aya eT3 neT4 anoburitswa zvakanyanya.
Ndezvipi zviratidzo zvinowanzoonekwa zve hyperthyroidism?
Nekuti hyperthyroidism inokanganisa muviri wedu wese, panogona kuva nezviratidzo zvakawanda. Ungangove uine zvishoma zvacho, kana kuti ungangove nezvakawanda panguva imwe chete. Zviratidzo izvi zvinogona kutanga kamwe kamwe kana kukura zvishoma nezvishoma nekufamba kwenguva.
Kuti zvive nyore kunzwisisa, ngatitarisei hunhu uhwu mutafura.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kurova kwemoyo nekukurumidza (tachycardia) | Zvinoita sekunge moyo wako uri kurova kunyangwe wakamira wakamira. Dzimwe nguva unogona kunzwa kurova kwechipfuva chako kubva kunze. |
| Kuderedza huremu | Kunyangwe hazvo chido chekudya chichiramba chakajairika, kana kuti zvichida chakatokura, huremu hwemuviri hunongoderera. |
| Kusagadzikana uye kushatirwa | Ndinonzwa kuzvidya mwoyo, ndinongogara ndisina zororo. Ndinokurumidza kutsamwa kunyange nezvinhu zvidiki diki. |
| Kudengenyeka | Kune kudedera kudiki, kunyanya mumaoko. |
| Kudikitira zvakanyanya | Unonzwa kupisa uye kudikitira nguva dzose, kunyangwe vamwe vaine tembiricha yakajairika. |
| Kushaya hope | Kurara kunodzikira husiku nekuda kwekusagadzikana kwepfungwa. |
| Kuchinja mugadziriro yekugaya chikafu | Manyoka kana kuda kuenda kuchimbuzi kakawanda. |
| Kudonha kwebvudzi | Kutetepa kwebvudzi, kupera simba, uye kubuda kwebvudzi kupfuura zvakajairika. |
| Kuchinja kwekufamba kwemwedzi kwevakadzi | Kubuda ropa panguva yekuenda kumwedzi kwakadzikira kana kumira. |
| Kuzvimba kwemutsipa (goiter) | Kuzvimba kunoonekwa pamberi pemutsipa nekuda kwekukura kwegland re thyroid. |
| Maziso akabudikira | Maziso akazvimba kana kuti akabudikira. Izvi zvinonyanya kuitika kuchirwere cheGraves. |
Kana uine chimwe chezviratidzo izvi kana kupfuura, zvakakosha kuti uone chiremba kuti akupe mazano usingazviregeredzi.
Sei paine hyperthyroidism? Ndezvipi zvikonzero?
Kune zvikonzero zvakawanda zvinokonzera hyperthyroidism.
- Chirwere cheGraves: Ichi ndicho chikonzero chinowanzoitika. Zvichitaurwa zviri nyore, masoja emuviri wedu anotadza kushanda zvakanaka uye anotumira chiratidzo chisina kunaka kugland regland kuti 'rigadzire mahormone akawanda'. Ichi chirwere chinokonzerwa ne autoimmune. Kana mumwe munhu mumhuri yako aine chirwere che thyroid kana zvimwe zvirwere zvinorwisa autoimmune, uri panjodzi huru yekubatwa nechirwere ichi.
- Mapundu ethyroid: Mapundu madiki anoumbwa pagland re thyroid. Mamwe emapundu aya anotanga kugadzira mahormone ega. Mapundu aya haawanzoitiki kuti ave kenza.
- Thyroiditis: Kuzvimba kana kuzvimba kwegland re thyroid. Izvi zvinogona kukonzera kuti mahormone akachengetwa mugland apinde muropa kamwe kamwe, zvichikonzera hyperthyroidism yenguva pfupi. Kana chirwere chacho chapera, gland rinogona kushaya simba, zvichikonzera hypothyroidism.
- Kudya iodine yakawandisa: Iodine inokosha pakugadzirwa kwemahormone ethyroid. Zvisinei, kutora mimwe mishonga kana chikafu chakawandisa (senge hove) chine iodine kunogona kukurudzira gland kugadzira mahormone akawandisa.
- Pituitary adenoma: Ichi chikonzero chisingawanzoitiki. Bundu diki rinokura mu pituitary gland muuropi rinoburitsa TSH yakawandisa, izvo zvinomanikidza thyroid gland kuti irambe ichigadzira mahormone.
Unoona sei izvi, Chiremba?
Paunoenda kunoona chiremba, vanotevera matanho akati wandei kuti vaone kana chirwere chacho chiripo.
1. Kuongororwa kwemuviri: Chekutanga, chiremba achakuongorora. Vachatsvaga zvinhu zvakaita segland re thyroid rakazvimba mumutsipa mako, kurova kwemoyo nekukurumidza, maoko anodedera, uye ganda rinotonhora.
2. Kuongororwa kweropa rethyroid: Uku ndiko kuongorora kwakakosha uye kwakarurama. Kunoongorora huwandu hwemahormone eT3, T4, uye TSH muropa rako. Munhu ane hyperthyroidism anowanzova nehuwandu hwakawanda hweT3 neT4, nepo huwandu hweTSH hunowanzova hwakaderera .
3.Kuongororwa kweropa rema antibodies e thyroid: Kuongororwa uku kunobatsira kuona kana chirwere cheGraves chiri kukonzera chirwere ichi.
4. Mimwe miedzo: Kana zvichidikanwa, chiremba wako anogona kukukumbira kuti uite chimwe chinhu chakadai se thyroid ultrasound kana bvunzo ye radioactive iodine uptake (RAIU). Usazvidya moyo nazvo, chiremba wako achakutsanangurira zvese.
Ndeipi mishonga yekurapa hyperthyroidism?
Chinhu chakanaka ndechekuti hyperthyroidism chirwere chinorapika uye chinorapika. Chiremba wako ndiye achasarudza mushonga wakanakira iwe zvichienderana nechikonzero uye mamiriro echirwere chako.
| Nzira yekurapa | Mashandiro azvo uye zvekuziva |
|---|---|
| Mishonga inorwisa thyroid (mishonga inomisa kugadzirwa kwemahormone ethyroid) | Mishonga iyi (semuenzaniso Methimazole, Propylthiouracil) inoshanda nekuderedza kugadzirwa kwemahormone ethyroid. Dambudziko iri rinogona kudzorwa mukati memwedzi miviri kusvika mitatu. Uku ndiko kurapwa kunonyanya kushandiswa. |
| Kurapa ne radioactive iodine (RAI) | Izvi zvinosanganisira kupa kapisi kana mvura ine radioactive iodine kuti inwe. Iodine iyi inoenda zvakananga kugland re thyroid uye inoparadza masero aripo. Izvi zvinorapa zvachose hyperthyroidism. Zvisinei, kazhinji, gland haichashandi zvachose, saka unofanirwa kunwa mapiritsi e thyroid hormone (levothyroxine) kweupenyu hwako hwese. |
| Kuvhiya | Kuvhiyiwa kubvisa gland rese kana chikamu charo (thyroidectomy) kunogonawo kurapa hyperthyroidism, asi kazhinji uchafanira kunwa mapiritsi emahormone ethyroid kweupenyu hwako hwese. |
| Beta-blockers | Mishonga iyi haideredzi huwandu hwemahormone. Inobatsira kudzora zviratidzo zvakaita sekurova kwemoyo nekukurumidza, kudedera, uye kusagadzikana. Inopiwa pamwe chete nemimwe mishonga. |
Chii chinoitika kana chikasarapwa?
Izvi zvakakosha zvikuru. Kana hyperthyroidism ikasarapwa, inogona kukonzera matambudziko akakomba.
- Chirwere chemwoyo: Zvirwere zvakaita seatrial fibrillation (Afib) uye congestive heart failure.
- Kusabereka
- Kurohwa (Ischemic stroke)
- Osteoporosis: Mapfupa anoshaya simba uye anotyoka nyore nyore, kunyangwe kana akadonha zvishoma.
Dambudziko guru uye rinogona kutyisidzira hupenyu hwechirwere ichi i'Thyroid Storm' . Apa ndipo panobuda mahormone ethyroid mumuviri kamwe kamwe. Zviratidzo zvinosanganisira fivha yakanyanya uye kurova kwemoyo nekukurumidza. Uku kurwara kwakanyanya. Kana ukaona zviratidzo izvi, unofanira kuenda kuchipatara cheEmergency Department (ETU) nekukasika.
Unofanira kungwarira nezvekudya nezvinwiwa here?
Dzimwe nguva, kudya zvekudya zvakawanda zvine iodine yakawanda (zvemugungwa, gungwa, gakanje, shrimp, munyu une iodine) kunogona kuita kuti dambudziko iri riwedzere kuipa. Saka chiremba wako anogona kukurudzira kudya zvekudya zvine iodine shoma.
Asi yeuka, chirwere ichi hachigone kurapwa nekudzora kudya kwako wega. Kurapwa kunodiwa zvechokwadi. Iva nechokwadi chekubvunza chiremba wako usati waita chero shanduko huru pakudya kwako.
Kuwana chirwere chitsva kunogona kunetsa. Asi mashoko akanaka ndeekuti hyperthyroidism chirwere chinogona kurapwa uye kugadziriswa. Kana uchinzwa sekunge muviri wako uri kumhanya zvakanyanya, iva nechokwadi chekuona chiremba. Iye anogona kukupa bvunzo dzinodiwa uye kukupa kurapwa kwaunoda kuti muviri wako ugare wakadzikama.
Mharidzo Yekuenda Nayo Kumba
- Hyperthyroidism igland regland rinoita basa rakawandisa. Izvi zvinogona kukonzera zviratidzo zvakaita sekurasikirwa nehuremu, kurova kwemoyo nekukurumidza, uye kudikitira zvakanyanya.
- Kana uine zviratidzo izvi, usazviregeredza wobva waona chiremba nekukasika. Izvi zvinogona kuonekwa nekuongororwa ropa.
- Ichi chirwere chinogona kurapwa uye kudzorwa zvakanaka. Saka usatya. Tevedzera mirairo yachiremba nemazvo.
- Kana zvikasarapwa, zvinogona kukonzera matambudziko akakomba akadai sechirwere chemwoyo. Saka, zvakakosha zvikuru kuwana kurapwa kwakakodzera nenguva.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga