Dzimwe nguva unonzwa kuneta zvisina kujairika pasina chikonzero here? Kana kuti unonzwa kusagadzikana zvakanyanya, sekunge uri kudzikira uremu? Pamwe pane kuzvimba kudiki kumberi kwemutsipa wako, kana chimwe chinhu chakadaro, senge kurwadziwa paunochibata? Dzimwe nguva kuseri kwezvinhu izvi kunogona kunge kune dambudziko negland rako re thyroid. Nhasi, tichataura nezvechirwere ichi chinowanzoitika, asi chisingazivikanwe chinonzi 'thyroiditis'.
Kutanga, ngationei, chii chinonzi thyroid gland iyi?
Zvichitaurwa zviri nyore, thyroid gland inhengo diki yakaita seshavishavi iri pasi peganda pamberi pemutsipa wedu. Inhengo inokosha kwazvo ye endocrine system yemuviri wedu. Mabasa mazhinji akakosha mumuviri, akadai sekurova kwemoyo, tembiricha yemuviri, uye kumhanya kwatinoita kushandura chikafu chatinodya kuita simba (metabolism), zvinodzorwa nemahormone anogadzirwa ne thyroid diki iyi.
Zvino, chii chinonzi Thyroiditis ? Kuzvimba kana kuzvimba kwegland re thyroid. Sekunge patinokuvara pane imwe nzvimbo mumuviri wedu, nzvimbo yacho inozvimba uye inotsvuka, kana gland re thyroid rikakuvara nekuda kwechimwe chikonzero, rinozvimbawo. Kuzvimba uku kunogona kukanganisa mashandiro egland re thyroid. Kureva kuti, rinotanga kugadzira mahormone akawandisa, kana kuti rinogona kuburitsa mashoma.
Matanho matatu makuru e thyroiditis ndeaya:
Muzviitiko zvakawanda zve thyroiditis, muviri wako unogona kupfuura nematanho matatu makuru. Zvakafanana nekushanda mufekitori.
1. Chikamu chehutachiona hwe thyroid: Izvi zvakafanana nefekitori iri kubuda muropa rayo yobva yangoerekana yaburitsa zvinhu zvakawanda mumusika. Kana thyroid gland yazvimba, mahormone ari mukati mayo anongoerekana aburitswa muropa. Izvi zvinoita kuti huwandu hwe thyroid hormone yako hukwire zvakanyanya kwemavhiki mashoma kana mwedzi mumwe kana miviri.
2. Hypothyroid phase: Zvino sezvo fekitari yaburitsa zvinhu zvese panguva imwe chete, havachina zvekugadzira zvakare. Zvakare, mushure mekunge mahormone ese aburitswa kubva mugland apinda muropa, mamiriro ezvinhu anomuka apo mahormone matsva haagone kugadzirwa. Nekuda kweizvozvo, huwandu hwemahormone egland mumuviri wako hunoderera zvakanyanya. Mune mamwe marudzi eThyroiditis, semuenzaniso, Hashimoto's thyroiditis, huwandu hwakaderera hwemahormone aya hunogona kuva hwechigarire.
3. Chikamu cheEuthyroid: Ichi chikamu chekupora. Sezvo fekitari ichitanga kushanda zvakare uye ichigadzira zvinhu sezvaiwanzoitwa, thyroid gland inopora uye inotanga kugadzira mahormone zvakajairika zvakare. Vamwe vanhu vanogona kupinda muchikamu ichi zvakananga mushure mechikamu chemahormone akakwira, kana kuti vanogona kupinda muchikamu ichi mushure mechikamu chemahormone akaderera.
Ndeapi marudzi makuru e thyroiditis?
Chirwere chethyroiditis hachisi chirwere chimwe chete. Iboka rezvirwere zvinogona kukonzerwa nezvinhu zvakasiyana-siyana. Ngatitarisei mhando huru dzacho.
| Rudzi rwe thyroiditis | Zvichitaurwa zviri nyore, izvi ndizvo zvinoitika. |
|---|---|
| Hashimoto's thyroiditis | Rudzi urwu ndirwo rwakajairika. Chinoitika pano ndechekuti masoja emuviri wedu anorwisa gland rayo re thyroid. Ichi chirwere chinokonzerwa ne autoimmune. Nekufamba kwenguva, gland rinogona kukuvara uye kugadzirwa kwemahormone kunogona kudzikira zvachose (Hypothyroidism). |
| Thyroiditis yakanyarara kana isingarwadzi | Ichi chirwere chinokonzerwawo ne autoimmune. Sezvinoratidzwa nezita racho, hapana kurwadziwa kwemutsipa, asi unogona kuona kuwedzera nekuderera kwemahormone. |
| Thyroiditis mushure mekusununguka | Ichi chirwere chinogona kuitika kuna vanaamai mukati megore rekutanga rekuva nemwana. Chikonzero chacho i autoimmune. Kazhinji, chinoitika kwenguva pfupi. |
| Thyroiditis inokonzerwa nemwaranzi | Izvi zvinogona kukonzerwa nekurapa kenza nemwaranzi kana kurapwa nemwaranzi neayodini kuti mahormone ethyroid awedzere. |
| Subacute thyroiditis | Zvinofungidzirwa kuti zvinokonzerwa nehutachiona. Zvinogona kuitika mushure mekunge pari kurwadziwa kana dzihwa zvapera. Panogona kunge paine kurwadziwa kwakanyanya mumutsipa. |
| Chirwere chethyroiditis chinotapukira | Izvi hazviwanzoitiki. Zvinoitika kana utachiona, hwakaita sebhakitiriya, huchipinda mugland re thyroid hukapararira. Pano zvakare, kurwadziwa kwakanyanya nefivha zvinogona kuitika. |
| Thyroiditis inokonzerwa nemishonga | Zvinogona kuitika semhedzisiro yemimwe mishonga (semuenzaniso Amiodarone, Lithium, Interferons). Zvisinei, havasi vese vanotora mishonga iyi vanozoiwana. |
Ndezvipi zviratidzo zveThyroiditis?
Zviratidzo zvinoenderana nerudzi rwe thyroiditis yaunayo uye danho (mahormone akakwira kana akaderera) rauri. Ngatitarisei zviratidzo zvinogona kuitika muzvikamu zviviri izvi.
| Zviratidzo zvekuwedzera kwemahormone (thyrotoxicosis) | Zviratidzo zvemahormone akaderera (Hypothyroidism) |
|---|---|
| Kunzwa sekuti moyo wako uri kurova nekukurumidza | Kunzwa kuneta nguva dzese (Kuneta) |
| Kuderedza uremu pasina chikonzero | Kuwedzera uremu pasina chikonzero |
| Kunzwa nzara nguva dzese | Kuzvimba |
| Kusagadzikana, kushatirwa | Kuora mwoyo kana kunzwa kusuruvara |
| Kushaya hope | Ganda rakaoma |
| Kudikitira zvakanyanya, kunzwa kupisa | Kusashivirira kutonhora |
| Kudengenyeka | Kushaya simba kwetsandanyama |
| - | Kuomerwa nekuisa pfungwa pachinhu chimwe chete |
Zvakakosha: Muzviitiko zvisingawanzoitiki, hyperthyroidism isingarapwe inogona kutungamira kuchirwere chinotyisidzira hupenyu chinonzi 'thyroid storm'. Kana uine zviratidzo zvakaita sefivha yakakwira (inopfuura 104 F), kurova kwemoyo nekukurumidza (kupfuura 140 beats paminiti), kana kuvhiringidzika, enda kuchipatara che emergency (ETU) chechipatara chiri pedyo newe nekukasika. Iyi idambudziko rehutano.
Unoona sei izvi, Chiremba?
Kana uine zviratidzo izvi, chiremba wako achatanga akubvunza nezvezviratidzo zvako uye oongorora mutsipa wako. Kana paine chinofungidzirwa kuti thyroiditis, vacharaira bvunzo dzakawanda, dzakadai se:
- Kuongororwa kwebasa re thyroid: Uku kuongororwa kweropa. Kunoyera huwandu hwemahormone eTSH, T3, uye T4 muropa rako. Izvi zvinogona kukuudza chaizvo kana uri muchikamu che hormone chakakwira kana kuti chakaderera.
- Kuongororwa kwe thyroid ultrasound: Izvi zvinogona kuona chimiro nehukuru hwe thyroid gland, kana paine mapundu mairi, uye kuti kufamba kweropa kuri sei.
- Kuongororwa kweantibody yethyroid: Kuongororwa kweropa uku kunobatsira kuona kana thyroiditis yako inokonzerwa nechirwere che autoimmune.
- Kuongororwa kweESR neCRP: Uku kuongororwa kweropa zvakare. Kwakakosha kuona kana paine kuzvimba mumuviri. Izvi zvinonyanya kukwira mu subacute uye acute thyroiditis.
- Kutorwa kweiyodhini ine radioactive (RAIU test):Izvi zvinosanganisira kukupa huwandu hushoma hweiyodhini inonyungudika yemwaranzi uye wozoyera kuti ingani yeiyodhini yakatorwa negland rako rethyroid maawa mashoma gare gare. Kutorwa uku kushoma kwazvo panguva yechirwere chethyroiditis chinokonzerwa nehomoni.
Ndezvipi zvinorapwa izvi?
Kurapwa kunoenderana nerudzi rwe thyroiditis yaunayo uye zviratidzo zvako.
Kurapa kwekusagadzikana kwemahormone
Sezvo chikamu ichi chichiwanzova chenguva pfupi, chiremba wako anogona kukupa mushonga, wakadai se beta-blockers, kudzora zviratidzo zvakaita sekurwadziwa kwemoyo nekudedera. Mushonga wacho unowanzo miswa kana zviratidzo zvadzikira.
Kurapa kwekushomeka kwemahormone
Kana uine chirwere chinokonzera kushomeka kwemahormone zvachose, senge Hashimoto's thyroiditis, chiremba wako achakupa mapiritsi emahormone ekunze (akadai selevothyroxine). Izvi zvingada kutorwa kweupenyu hwako hwese.
Mune mamwe marudzi, kana kushomeka kwemahormone kuri kwenguva pfupi, mapiritsi aya emahormone anopiwa kwemwedzi inenge mitanhatu kusvika gumi nemiviri, obva amiswa uye gland rinoonekwa richitanga kushanda zvakare.
Mamwe marapirwo chaiwo
- Kumarwadzo: Mishonga inouraya marwadzo (NSAIDs) inopihwa kune zvirwere zvinorwadza zvakaita se subacute thyroiditis. Kana kurwadziwa kwakanyanya, kurapwa nema steroid kungadiwa.
- Kuzvirwere: Mishonga inorwisa mabhakitiriya inopiwa pazvirwere zvebhakitiriya zvakaita se thyroiditis inopararira zvakanyanya. Kana bundu rabuda, rinogona kudirwa mvura netsono.
- Kuvhiyiwa: Muzviitiko zvisingawanzoitiki, zvakaita seRiedel thyroiditis, kuvhiyiwa kunogona kudiwa.
Izvi hazvigone kudzivirirwa here?
Zvinosuwisa kuti hapana nzira yekudzivirira mhando zhinji dze thyroiditis, sezvo zhinji dzacho dzichikonzerwa nemasoja edu ekudzivirira muviri. Zvisinei, kana uri kurapwa nemwaranzi yechirwere kana kutora mushonga unogona kukonzera thyroiditis, unogona kutaura nachiremba wako nezvazvo uye kuziva njodzi dzacho.
Kana ukaonekwa uine thyroiditis, usavhunduka. Ichi chirwere chinogona kurapwa zvakanaka, kudzorwa, uye kutopera. Chinhu chakakosha kutevedzera mirairo yachiremba wako nemazvo uye kudzoka kuzoongororwa nguva dzose.
Mharidzo Yekuenda Nayo Kumba
- Chirwere chethyroiditis kuzvimba kwegland re thyroid. Hachisi kenza.
- Muchiitiko ichi, mahormone anogona kutanga kuwedzera (hyperthyroidism), uye ozodzikira (hypothyroidism).
- Nyatsoteerera kana uine zviratidzo zvakaita sekuchinja kwehuremu kusingatsananguriki, kuneta zvakanyanya, kusagadzikana, kurwadziwa kwemutsipa, kana kuzvimba.
- Dambudziko iri rinogona kuonekwa zviri nyore kuburikidza nekuongororwa kweropa uye kuskena.
- Kune mishonga inoshanda zvikuru yekurapa mhando dzakawanda dze thyroiditis. Mimwe ndeyenguva pfupi, nepo mimwe ingangoda kurapwa kwenguva refu.
- Kana muine mibvunzo kana kusava nechokwadi nezvenyaya iyi, taurai nachiremba wenyu pachena nezvazvo.
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