Mazuva ano uri kunzwawo kuneta zvakanyanya here? Unonzwa kuneta here kunyangwe paunomuka mangwanani, uchirara zuva rese, uye usina simba rekuita chero chinhu? Panguva imwe chete, unonzwa sekunge uri kuwedzera uremu kunyangwe usina kuita shanduko huru pane zvaunodya nekunwa? Ungafunga kuti izvi zvakajairika, kuti zvinokonzerwa nebasa rakawandisa. Asi shure kwezvinhu izvi, dzimwe nguva panogona kunge paine shanduko diki dzinoitika mumiviri yedu. Ndizvo zvatichataura nezvazvo nhasi.
Zvichitaurwa zviri nyore, chii chinonzi Hypothyroidism?
Zvakanaka, ngatizvitaure seizvi. Tine gland diki rakaita seshavishavi mumutsipa medu. Iri ndiro ratinodaidza kuti gland re thyroid . Kungofanana neinjini yemotokari, rinodzora zvinhu zvakawanda mumuviri wedu, ndiko kuti, rinoona kumhanya kwemuviri wedu (metabolism). Mahormone aro anokanganisa zvinhu zvakawanda, zvakaita sekurova kwemoyo wako, tembiricha yemuviri, uye kumhanya kwekugaya.
Hypothyroidism chirwere apo thyroid gland isingashande zvakanaka uye isingagadzire huwandu hunodiwa hwemahormone. Zvadaro, sekunge injini yemotokari painononoka kumhanya, maitiro ese mumuviri wedu anotanga kudzikira. Ndosaka uchinzwa kuneta uye muviri wako ukaremerwa.
Vanhu vazhinji vanofunga kuti kuneta uye kuwedzera uremu zvakajairika. Asi dzimwe nguva izvi zvinogona kuva zviratidzo zve hypothyroidism. Chinhu chakanakisa ndechekuti, inogona kuonekwa nekuongororwa kweropa .
Ichi chirwere chinogona kurapwa nekudzorwa, saka hapana chikonzero chekutya. Zvisinei, chinogona kuva nengozi kana chikasarapwa.
Ndeapi marudzi makuru ehypothyroidism?
Kune mhando dzakawanda huru zvichienderana nekuti chirwere ichi chinoitika sei. Kunyangwe ichi chiri chekurapa, zvakakosha kuziva nemashoko ari nyore. Fungidzira, kune mukuru muuropi hwedu (Hypothalamus), anoudza mumwe (Pituitary Gland) kuti aite chimwe chinhu, uyo anoudzawo Thyroid Gland kuti ishande. Kana paine dambudziko chero kupi zvako munzira iyi, Hypothyroidism inogona kuitika.
| Rudzi rwe hypothyroidism | Zvichitaurwa zviri nyore... |
|---|---|
| Hypothyroidism Yekutanga | Urwu ndirwo rudzi rwakajairika. Pano, dambudziko riri pagland re thyroid pacharo . Rine chirwere uye harigadzi mahormone nemazvo. Izvi zvinogona kukonzerwa nemamiriro ezvinhu akadai sechirwere chaHashimoto . |
| Hypothyroidism yechipiri | Gland re thyroid harina dambudziko pano. Asi gland re pituitary riri muuropi, iro rinorirayira kuti rishande, harisi kushanda nemazvo. Saka, gland re thyroid harigamuchire chiratidzo chinonzi TSH. |
| Hypothyroidism yepamusoro | Izvi hazviwanzoitiki. Pano dambudziko riri pabhosi guru muuropi. Ndiko kuti, hypothalamus . Nekuti haitumiri masaini kugland repituitary, system yese inovhiringidzika. |
| Subclinical Hypothyroidism | Ichi chirwere chisina kunyanya kuipa. Homoni yeTSH muropa inongowedzera zvishoma, asi mamwe mahormone ethyroid akajairika. Kazhinji, izvi zvinopera zvega mukati memwedzi mishoma. |
Ndezvipi zviratidzo zvechirwere ichi?
Zviratidzo zve hypothyroidism hazviwanzoonekwa kamwe kamwe. Zvinokura zvishoma nezvishoma. Dzimwe nguva zvinogona kutora makore. Tarisa kana uine zviratidzo izvi zvakare.
| Chiratidzo | Chii chinoitika neizvi? |
|---|---|
| Kuwedzera uremu pasina chikonzero | Sezvo kugaya chikafu mumuviri kuchiderera, kupiswa kwechikafu kunoderera uye kuunganidzwa kwemafuta kunowedzera. |
| Kuneta nguva dzose | Nekuti simba remuviri rinoderera, hauzonzwi kuneta zvisinei nekuti unorara zvakadii. |
| Kusashivirira kutonhora | Kune vamwe, dzihwa rakajairika rinonzwika sedzihwa risingatsungiririki kwauri. |
| Ganda rakaoma, rakaomarara uye rakakasharara | Ganda rinooma uye rinoita makwapa. Kudonha kwebvudzi kunogonawo kuwedzera. |
| Kuzvimba | Kuzvimba kunoitika nekuti kugaya chikafu kunonoka. |
| Kuchinja kwepfungwa | Kukanganikwa kwepfungwa, kukanganwa, kuora mwoyo, uye kuzvidya mwoyo zvinogona kuitika. |
| Kurwadziwa kwetsandanyama, kushaya simba | Muviri unorwadza, uye unganzwa kusanzwa simba mumaoko ako. |
| Mhedzisiro pavakadzi | Zvinhu zvakaita sekuenda kumwedzi zvisina kurongeka uye kubuda ropa rakawanda zvinogona kuitika. |
Kana uine chimwe chezviratidzo izvi kana kupfuura, chinhu chakanakisa chekuita ndechekuona chiremba wako kuti akupe mazano.
Sei Hypothyroidism ichiitika?
Panogona kunge paine zvikonzero zvakati wandei zveizvi.
- Chirwere chaHashimoto: Ichi ndicho chikonzero chikuru uye chinowanzoonekwa. Zvichitaurwa zviri nyore, chirwere chinokonzerwa ne autoimmune . Izvi zvinoreva kuti masoja emuviri, ayo anofanirwa kuchengetedza muviri wedu, anotanga kurwisa gland rayo re thyroid. Nekufamba kwenguva, gland rinokuvadzwa uye kugadzirwa kwemahormone kunoderera.
- Kubviswa kwegland re thyroid:Kana gland rese kana chikamu charo chikavhiyiwa nekuda kwemamwe magomarara kana zvirwere zvakaita segoiter.
- Kurapa Nemwaranzi: Kana kurapwa nemwaranzi kuchishandiswa pakurapa kenza yemusoro kana yemutsipa, kunogonawo kukuvadza thyroid gland.
- Mimwe mishonga: Mimwe mishonga inoshandiswa pakurapa chirwere chemwoyo nepfungwa (semuenzaniso, Lithium, Amiodarone) inogonawo kukonzera kudzikira kwekushanda kwethyroid.
- Kushaikwa kweIodine: Iodine imineral inokosha pakugadzirwa kwemahormone ethyroid. Dambudziko iri rinogona kuitika kana tikasawana iodine yakakwana kubva mukudya kwedu. Zvisinei, muSri Lanka, izvi hazviwanzoonekwa nekuti iodine yakawedzerwa mumunyu watinoshandisa.
- Matambudziko ekuzvarwa nawo: Vamwe vana vanoberekwa vasina thyroid gland, kana kuti vane gland risingashande zvakanaka.
Kuongororwa kwechirwere kunoitwa sei?
Paunoenda kunoona chiremba, chinhu chekutanga chaachaita ndechekukubvunza nezvezviratidzo zvako. Zvadaro, vachaongorora mutsipa wako kuti vaone kana thyroid gland yako yakazvimba.
Asi kuti chirwere ichi chisimbiswe zvechokwadi, bvunzo yeropa inodiwa.
Kuongororwa kweropa uku kunonyanya kutarisa:
- TSH (Hormone Inokurudzira Thyroid): Iyi ihormone inoburitswa negland repituitary riri muuropi. Kana gland rethyroid risingashande, uropi hunoedza kurikurudzira nekutumira TSH yakawanda. Nokudaro, mazinga eTSH anowanzo kukwira mu hypothyroidism.
- T4 (Thyroxine): Iri ndiro hormone guru rinogadzirwa negland re thyroid. Mu hypothyroidism, huwandu hwehomoni iyi hunodzikira .
Dzimwe nguva, kana zvichidikanwa, chiremba anogonawo kuraira bvunzo dzakadai se ultrasound scan kana CT scan .
Mishonga yacho ndeipi? Chinhu chekutya here?
Kwete, hapana chekunetseka nacho zvachose. Kurapa kwehypothyroidism kuri nyore uye kunoshanda.
Kurapa kukuru iHormone Replacement Therapy . Zvichitaurwa zviri nyore, ipiritsi rinonzi Levothyroxine , rinotsiva hormone yethyroid iyo muviri wako usingakwanise kugadzira.
Uyu mushonga unofanirwa kutorwa zuva nezuva, kazhinji mangwanani, hafu yeawa usati wadya kudya kwemangwanani, usina chinhu. Unofanira kutorwa kweupenyu hwako hwese.
Pakutanga, chiremba wako achaita bvunzo dzeropa nguva nenguva kuti awane mushonga wakakodzera iwe. Kana wangowana mushonga wakakodzera, zviratidzo zvako zvakawanda zvinobva zvapera uye uchakwanisa kurarama hupenyu hwakajairika.
Zvinotora nguva yakareba sei kuti munhu apore mushure mekutanga kurapwa?
Mahormone anotanga kudzokera pakare paunongotanga kutora mushonga. Zvisinei, zvinogona kutora mavhiki mashoma kuti zviratidzo zvako, zvakaita sekuneta uye kuwedzera uremu, zviderere. Saka zvakakosha kuva nemoyo murefu.
Chii chinoitika kana ukasawana mushonga?
Ichi ndicho chinhu chakakosha. Kunyangwe kurapwa kuchizogadzirisa matambudziko ese, kana kukasarapwa, matambudziko akakomba anogona kuitika.
- Goiter: Gland re thyroid rinogona kukura nekuda kwekuramba richikurudzirwa.
- Chirwere chemwoyo: Kuwanda kwemafuta akaipa (LDL) kunowedzera njodzi yekubatwa nechirwere chemwoyo.
- Matambudziko epfungwa: Matambudziko akadai sekuora mwoyo nekuzvidya mwoyo anogona kutowedzera kuipa.
- Kukuvadzwa kwetsinga dzemusana: Kukuvadzwa kwetsinga dzemusana kunogona kukonzera kurwadziwa uye kusanzwa simba mumakumbo.
- Kusabereka: Vakadzi vanogona kunetseka kubata pamuviri. Kana zvikasarapwa panguva yekuzvitakura, zvinogona kukonzera kupfupfudzika kwepamuviri kana kukanganisa mwana.
- Myxedema Coma: Ichi chirwere chisingawanzoitiki, asi chinoisa hupenyu panjodzi . Mabasa emuviri anokanganiswa zvakanyanya uye kushaya ruzivo kunogona kuitika.
Ndinofanira kuona chiremba rini?
Kana uine chimwe chezviratidzo zvataurwa pamusoro apa (zvakadai sekuneta nguva dzose, kuwedzera uremu, ganda rakaoma), iva nechokwadi chekuona chiremba. Iye achakuongorora uye, kana zvichidikanwa, arayire kuongororwa kweropa.
Kana wava kutotora mushonga we hypothyroidism uye uchinzwa zviratidzo zvako zvichidzoka, udza chiremba wako. Muyero wemushonga wako ungangoda kugadziriswa.
Nguva yekuenda kuETU (Emergency Treatment Unit) nekukurumidza
Kana ukaona chimwe chezviratidzo zvinotevera zvakakomba, enda kuchipatara kuEmergency Department (ETU) nekukasika . Izvi zvinogona kunge zviri zviratidzo zveMyxedema Coma condition yambotaurwa.
- Kuoma kufema
- Hope dzisingaperi, kuvhiringidzika
- Kupisa muviri zvakanyanya (hypothermia)
- Kuderera kweropa (BP yakaderera zvikuru)
- Kurova kwemoyo kunononoka (Bradycardia)
Mharidzo Yekuenda Nayo Kumba
- Hypothyroidism chirwere chinokonzerwa ne thyroid gland isingashande zvakanaka. Ichi chirwere chinowanzoitika.
- Kana uchinzwa kuneta pasina chikonzero, kana uchigara wakaneta, kana ganda rako rakaoma, kana kana usingakwanise kutsungirira kutonhora, saka unofanira kufungira.
- Usazvidya moyo! Izvi zvinogona kuonekwa nekuongororwa ropa zviri nyore uye zvinorapwa zvakanaka nekutora piritsi rimwe chete pazuva.
- Kurapwa kunowanzoitwa kweupenyu hwese. Usarega kutora mishonga usina kurairwa nachiremba wako.
- Kana ukarapwa zvakanaka, unogona kurarama hupenyu hwakanaka uye hwakajairika pasina matambudziko.
- Kana uine zviratidzo, usazeza kuona chiremba wowana mazano. Ndiyo nhanho yakanakisisa yekuwana hupenyu hwakanaka.
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