Gland rako rethyroid rakazvimba here mumutsipa wako? Ngatikurukurei nezve thyroiditis!

Wakambonzwa bundu diki pamberi pemutsipa wako here, kunzwa kukwenya muruoko rwako, kana kungonzwa kuneta uye kunetseka? Chimwe chezvikonzero zveizvi chirwere chinonzi thyroiditis . Zita racho ringanzwika sedambudziko guru, asi ngatitaurei nezvazvo zviri nyore uye nenzira yaunogona kunzwisisa.

Chii chinonzi Thyroiditis? Ngatinzwisise zviri nyore!

Zvichitaurwa zviri nyore, thyroiditis kuzvimba kwegland rako re thyroid , zvinoreva kuzvimba. Iye zvino ungave uchishamisika kuti gland re thyroid chii uye riri kupi. Funga nezvazvo nenzira iyi, gland re thyroid inhengo diki yakaita seshavishavi iri pamberi pemutsipa wako, pasi peganda. Inhengo ye endocrine system yemuviri wedu. Inogadzira uye inoburitsa marudzi akati wandei emahormone anodzora mabasa mazhinji akakosha mumuviri wedu. Zvino, chirwere ichi chinonzi thyroiditis hachisi chimwe chinhu. Iri zita reboka rezvirwere zvinokonzera kuzvimba kwegland re thyroid, zvine zvikonzero nezviratidzo zvakasiyana. Chinhu chikuru chinogona kukonzera thyroiditis iyi ndechekuti mahormone e thyroid anogadzirwa zvakanyanya kana kuti zvishoma.

Matanho e thyroiditis ndeapi?

Kazhinji, pane zvikamu zvitatu zvikuru mumhando zhinji dze thyroiditis. Ngatitarisei kuti ndezvipi: 1. Chikamu che thyrotoxicity: Muchikamu chino, thyroid gland yako inozvimba uye inongoerekana yaburitsa mahormone akawandisa. Izvi zvinokonzera chirwere chenguva pfupi chinonzi thyrotoxicosis . Zvakafanana nekuwanda kwemahormone kamwe kamwe. 2. Chikamu cheHypothyroid: Zvino mushure mekukwira kwemahormone kamwe kamwe, mushure memavhiki mashoma kana mwedzi, thyroid gland haina mahormone akakwana ekuburitsa. Zvadaro, kushomeka kwe thyroid hormone kunoitika. Izvi zvinonzi hypothyroidism . Mune mamwe marudzi e thyroiditis, akadai seHashimoto 's thyroiditis uye radiation-induced thyroiditis, chikamu ichi che hypothyroid chinogara chiripo. 3. Chikamu cheEuthyroid: Munguva ino, mazinga e thyroid hormone yako anodzokera kune zvakajairika. Izvi zvinogona kuitika kwenguva pfupi mushure mechikamu che thyrotoxic, usati wapinda muchikamu che hypothyroid. Kana, chingave chikamu chekupedzisira, apo thyroid gland yapora kubva mukuzvimba uye iri kugadzira mahormone zvakajairika zvakare.

Ndeapi marudzi makuru e thyroiditis?

Sezvatakambotaura, thyroiditis haisi chirwere chimwe chete. Kune mhando dzakasiyana dzacho. Ngationei kuti chii:

• Hashimoto's thyroiditis: Iyi ndiyo mhando ye thyroiditis inonyanya kuwanikwa.Izvi zvinonziwo chronic lymphocytic thyroiditis . Ichi chirwere chinokonzerwa ne autoimmune . Kureva kuti, masoja emuviri wedu anorwisa thyroid gland nekugadzira ma antithyroid antibodies . Ichi ndicho chikonzero chikuru che hypothyroidism .
• Chirwere chethyroiditis chinyararire kana chisingarwadzi: Ichi chirwere chinokonzerwawo ne autoimmune. Chinokonzerwawo nema anti-thyroid antibodies. Sezvinoratidzwa nezita racho, hachirwadzi zvakanyanya.
• Postpartum thyroiditis: Ichi chirwere chinokonzerwawo ne autoimmune. Zvisinei, chinoitika mukati megore mushure mekusununguka. Izvi hazviwanzoitiki.
• Chirwere chethyroiditis chinokonzerwa nemwaranzi: Chirwere ichi chinogona kukonzerwa nemwaranzi yekurapa mamwe marudzi ekenza kana nemwaranzi iodine inopiwa kurapa hyperthyroidism .
• Subacute thyroiditis kana kuti de Quervain's thyroiditis: Ichi chirwere chinorwadza chinowanzo kukonzerwa nehutachiona. Chinowanzoitika mushure mekunge chirwere chekufema chepamusoro , senge dzihwa kana furuu, chapera.
• Chirwere chethyroiditis chinotapukira: Ichi chirwere chisingawanzoitiki. Chinokonzerwa nechinhu chinotapukira, chakadai sebhakitiriya .
• Chirwere chethyroiditis chinokonzerwa nemishonga: Chirwere ichi chinogona kuitika kana mimwe mishonga, yakaita seamiodarone , interferons , lithium, uye cytokines, ikashandiswa. Zvisinei, havasi vese vanotora mishonga iyi vanowana chirwere ichi, asi vanhu vashoma chete ndivo vanowana chirwere ichi.
• Riedel thyroiditis: Ichi chirwere chisingawanzoitiki. Chinoratidzwa nekuzvimba kwenguva refu uye fibrosis yegland regland.Dambudziko iri rinonzi fibrosis. Fibrosis kukora kana kuti mavanga enyama.

Ndiani anonyanya kubatwa ne thyroiditis?

Kunyange hazvo chirwere chethyroiditis chichigona kubata chero ani zvake, chinobata vakadzi kakawanda. Semuenzaniso, rudzi rwechirwere chethyroiditis chinonzi Hashimoto's thyroiditis chinowanikwa kakawanda muvakadzi kupfuura varume kane kana kagumi. Chinowanikwawo zvakanyanya muvanhu vane makore ari pakati pe30 ne50. Chirwere chethyroiditis chisingaperi kana chisingarwadzi chinowanikwawo zvakanyanya muvakadzi. Ndiyo mhando yechipiri inonyanya kuwanikwa yechirwere chethyroiditis mushure meHashimoto's thyroiditis.

Dambudziko iri rakajairika zvakadii?

Sezvatakambotaura, chirwere chethyroiditis chinonyanya kuwanda iHashimoto's thyroiditis. Chinofungidzirwa kuti chinobata vanhu vari pakati pe1% ne2% muUnited States. Mamwe marudzi e thyroiditis haawanzoitiki.

Ko thyroiditis inotyisidzira hupenyu here?

Thyroiditis kazhinji haisi chinhu chinoisa upenyu panjodzi.

Zvisinei, kana ukava nechirwere chehyperthyroidism nekuda kwe thyroiditis uye chikasarapwa kwenguva yakareba, pane njodzi yekuve nechirwere chine njodzi, chinouraya chinonzi thyroid storm .

Ndezvipi zviratidzo zvechirwere chethyroid?

• Fivha yakanyanya - Fivha inogona kubva pa104 kusvika 106 degrees Fahrenheit (40-41 degrees Celsius).
• Kurova kwemoyo nekukurumidza (tachycardia) - kunogona kudarika kurova kwemoyo 140 paminiti.
• Kunzwa uchinetseka nguva dzose, uchigumbuka, uye/kana kusagadzikana.
• Kuvhiringidzika mupfungwa - Iyi inyaya yekusaziva zvakanaka uye kuvhiringidzika.

Kana uine chimwe chezviratidzo izvi, enda kuchipatara chiri pedyo nekukasika. Izvi zvinokunetsa! Kana uchifunga kuti une zviratidzo zve thyroiditis, zvakakosha kuti uone chiremba nekukasika. Vanogona kuita bvunzo dzinodiwa, kuongorora chirwere chacho, uye kutanga kurapwa.

Ndezvipi zviratidzo zveThyroiditis?

Zviratidzo zve thyroiditis zvinoenderana nerudzi uye nhanho yechirwere. Mumhando zhinji dze thyroiditis, zviratidzo zve thyrotoxicosis zvinotanga kuonekwa, zvichiteverwa nezviratidzo zve hypothyroidism. Mu subacute thyroiditis uye acute infectious thyroiditis, kazhinji panowanzova nekurwadziwa munzvimbo ine thyroid gland. Vamwe vanhu vanogona kukura thyroid gland, inonzi goiter .

Zviratidzo zve thyrotoxicosis (kana mahormone achiwedzera)

Chikamu che thyroiditis chinokuvadza thyrotoxic chinowanzova chenguva pfupi, chinotora mwedzi mumwe kusvika mitatu. Kana masero ako e thyroid akakuvara nekukurumidza uye thyroid hormone yakawandisa ikaburitswa, unogona kuona zviratidzo zve hyperthyroidism ( thyroid gland inoshanda zvakanyanya). Izvi zvinosanganisira:

• Kurova kwemoyo.
• Kudya kwakawedzera.
• Kuonda pasina chikonzero.
• Kugara uchinetseka uye usingazorori.
• Kukurumidza kutsamwa.
• Kushaya hope.
• Kudikitira kwakanyanya uye kunzwa kupisa.
• Kudengenyeka.

Zviratidzo zveHypothyroidism (mahormone akaderera)

Chikamu chehypothyroiditis chinogona kugara kwenguva yakareba, uye chinogona kutogara kwenguva refu. Kana masero ako ethyroid akakuvara uye huwandu hwemahormone ako ethyroid hukadzikira, unogona kuona zviratidzo zvehypothyroidism. Izvi zvinosanganisira:

• Kunzwa kuneta nguva dzese.
• Kukura pasina chikonzero.
• Kuzvimba.
• Matambudziko epfungwa akadai sekuora mwoyo.
• Ganda rakaoma.
• Kuwedzera kwekunzwa kutonhora.
• Kushaya simba kwetsandanyama.
• Kudzikira kwekugona kuisa pfungwa pachinhu chimwe nechimwe.

Ndezvipi zvikonzero zveThyroiditis?

Thyroiditis inoitika kana gland rako re thyroid "rikarwiswa" nechimwe chinhu, zvichiita kuti rizvimbe (iyi ndiyo mhinduro yemuviri kana wakuvara) uye richikuvadza masero e thyroid. Zvinokonzera zvinosiyana zvichienderana nerudzi rwacho. Chikonzero chinowanzo shandiswa chirwere che autoimmune . Izvi zvinoreva kuti masoja emuviri, ayo anofanirwa kuchengetedza miviri yedu, anorwisa miviri yedu zvisirizvo. Hazvisati zvazivikanwa kuti nei izvi zvichiitika. Mhando zhinji dze thyroiditis dzinokonzerwa nema antibodies anorwisa gland rako re thyroid.

Chirwere chethyroiditis chinoonekwa sei?

Kana ukaona chiremba, vanokuongorora uye vanoongorora thyroid gland yako. Vachakubvunza nezvezviratidzo zvako uye chero zvirwere zvawaimbova nazvo kare. Kana vachifungidzira kuti une thyroiditis, vanogona kuita mimwe kana mimwe miedzo iyi yese kuti vasimbise chirwere ichi:

• Kuongororwa kwebasa rethyroid: Uku kuongororwa kweropa kunoongorora mahormone ako ane chekuita nethyroid uye huwandu hwemahormone ethyroid. Semuenzaniso, hormone yako inokurudzira thyroid (TSH) , triiodothyronine (T3) , uye thyroxine (T4) . TSH inobva kugland yako yepituitary . Inosimudzira gland yako yethyroid kuti igadzire mahormone eT4 neT3. Pamwe chete, maviri aya anonzi mahormone ethyroid.
• Ultrasound ye thyroid:Vanachiremba vanowanzo shandisa ultrasound kuti vaone maumbirwo egland re thyroid. Izvi zvinogona kuona zvinhu zvakaita se thyroid nodule , shanduko mukuyerera kweropa, uye huremu hwegland.
• Kuongororwa kwemasero emudumbu ethyroid: Izvi zvinoongororwawo ropa. Zvinotsvaga ma antibodies emudumbu, angave ma antibodies emudumbu (microsomal) (TPO) kana ma antibodies emudumbu e thyroid receptor (TRAb) . Kana ma antibodies aya aripo, zvinoreva kuti ungave uine rudzi rwe thyroiditis inokonzerwa nechirwere che autoimmune.
• Mwero weErythrocyte sedimentation (ESR kana sed rate): Uku kuongororwa kweropa zvakare. Kunobatsira kuona kana paine kuzvimba mumuviri wako. ESR yakakwira mu subacute thyroiditis.
• C-reactive protein (CRP): Iyi inoyera huwandu hweCRP muropa rako. Huwandu hweCRP hunowedzera kana paine kuzvimba mumuviri. Inogona kunge yakanyanya mu thyroiditis inotapukira.
• Kuongororwa kweradioactive iodine uptake (RAIU): Kuongororwa uku kunoyera kuti iodine inonyudzwa neradioactive (inopihwa nemuromo) yakawanda sei nethyroid gland yako. Huwandu uhu hunogara hwakaderera muchikamu che thyrotoxic che thyroiditis.

Chirwere chethyroiditis chinorapwa sei?

Kurapwa kwe thyroiditis kunoenderana nerudzi uye zviratidzo.

Kurapa kweThyrotoxicosis

Kana uri muchikamu che thyroiditis ine thyrotoxic pain, chiremba wako anogona kukupa mhando yemushonga unonzi beta-blockers . Izvi zvinogona kubatsira kuderedza kurova kwemoyo wako ( palpitations ) uye kudedera. Sezvo zviratidzo zvako zvichivandudzika, chiremba wako achaderedza zvishoma nezvishoma uye achamisa mushonga wacho. Izvi zvinodaro nekuti chikamu che thyrotoxic pain ndechenguva pfupi.

Kurapa kweHypothyroidism

Kana uine Hashimoto's thyroiditis, chiremba wako achakupa mushonga wekutsiva mahormone ethyroid, senge levothyroxine . Uchafanira kutora mushonga uyu kweupenyu hwako hwese. Hypothyroidism inokonzerwa neHashimoto's thyroiditis inowanzogara iripo. Kana uine subacute, silent, kana postpartum thyroiditis, uye uine zviratidzo zvehypothyroidism, chiremba wako achakupawo mushonga wekutsiva mahormone ethyroid. Uchafanira kutora mushonga uyu kwemwedzi inenge 6 kusvika ku12. Zvadaro chiremba wako achaderedza zvishoma nezvishoma dose kuti aone kana une hypothyroidism yenguva dzose. Kana hypothyroidism yako isiri yakanyanya, zvichireva kuti hauna zviratidzo zvakawanda, ungasada mushonga zvachose.

Mamwe marapirwo e thyroiditis

Kana uine chirwere chethyroiditis chinotapukira , unofanira kurapa hutachiona. Izvi zvingangosanganisira mishonga inorwisa mabhakitiriya . Kana uine dumbu , kana buri, mu thyroid yako, chiremba wako angangoda kusvuta netsono shoma (kusveta urwa nesirinji) kuti abudise urwa. Chirwere chethyroiditis chinokonzerwa nemishonga chinowanzogara chero bedzi uchitora mushonga wakakonzera. Chiremba wako anogona kukwanisa kukuchinja kune mumwe mushonga wakafanana newauri kutora. Kana, unogona kupihwa levothyroxine yechirwere chethyroiditis iwe uchiramba uchitora mushonga. Marwadzo anobva kuchirwere chethyroiditis chinotapukira uye subacute thyroiditis anogona kudzorwa nemishonga isingarwisi kuzvimba (NSAIDs) , yakaita seaspirin kana ibuprofen . Dzimwe nguva, kurapwa nesteroid kunogona kushandiswa kana kurwadziwa kwakanyanya. Riedel thyroiditis ingada kuvhiyiwa.

Ko thyroiditis inogona kudzivirirwa here?

Zvinosuwisa kuti mhando dzakawanda dze thyroiditis hadzigone kudzivirirwa. Kana uine chirwere chinoda radioactive iodine kana radiation therapy, taura nachiremba wako nezvengozi yako yekubatwa ne thyroiditis. Unogona kutanga mamwe marapirwo ekudzivirira thyroiditis kuti isatange. Kana uri kutora mishonga inogona kukonzera thyroiditis, taura nachiremba wako nezvengozi yacho uye kana uchigona kurega kutora mishonga iyoyo. Zvisinei, kunyangwe kuita izvozvo kungasadzivirira thyroiditis.

Chii chinonzi thyroiditis?

Maonero e thyroiditis anowanzova akanaka . MuHashimoto's thyroiditis, hypothyroidism inokonzereswa inowanzova yekusingaperi. Zvisinei, inogona kurapwa nekurapwa kwe thyroid hormone yehupenyu hwese. Vanhu vane subacute thyroiditis vanowanzova nezviratidzo kwemwedzi mumwe kusvika mitatu. Zvisinei, zvinogona kutora mwedzi gumi nemiviri kusvika gumi nemisere kuti thyroid ishande zvakanaka. Vanhu ava vane mukana we5% wekuva ne hypothyroidism yekusingaperi. Postpartum uye silent (isina kurwadziwa) thyroiditis zvinotorawo mwedzi gumi nemiviri kusvika gumi nemisere kuti vapore zvizere. Vanhu vane zvirwere izvi vane mukana we20% wekuva ne hypothyroidism yekusingaperi.

Unofanira kuona chiremba rini nezve thyroiditis?

Kana wakamboonekwa uine thyroiditis, unofanira kuona chiremba nguva nenguva kuti utarise zviratidzo zvako uye uve nechokwadi chekuti kurapwa kwako kuri kushanda nemazvo.Kana zvikawedzera kuipa, kana kuti ukaona zviratidzo zvinonetsa , taura nachiremba wako nekukurumidza.

Zvakajairika kunzwa kushushikana paunoona kuti une chirwere. Asi mashoko akanaka ndeekuti thyroiditis chirwere chinorapika, uye chinogona kuva chenguva pfupi. Kana uine mibvunzo nezve thyroiditis yako kana chirongwa chako chekurapa, taura nachiremba wako. Varipo kuti vakubatsire.

Mharidzo Yekupedzisira Yekuenda Kumba

Zvakanaka, kubva pane zvatakurukura, ndinovimba une pfungwa yakanaka nezve thyroiditis. Yeuka:

• Thyroiditis kuzvimba kwegland re thyroid riri mumutsipa wako .
• Izvi zvinogona kukonzera kuti thyroid igadzire mahormone ethyroid akawandisa kana mashoma .
• Kune mhando dzakasiyana dzeizvi . Rudzi rweHashimoto ndirwo rwakajairika.
• Zviratidzo zvinosiyana zvichienderana nerudzi rwechirwere. Unogona kuona zvinhu zvakaita sekuneta, kuchinja kwehuremu, kuchinja kwekurova kwemoyo, uye kuchinja kwemafungiro .
• Kazhinji, izvi zvinokonzerwa nechirwere che autoimmune .
• Chirwere ichi chinogona kuonekwa kuburikidza nekuongororwa kweropa uye ultrasound .
• Kurapwa kunoenderana nerudzi uye zviratidzo. Zvimwe zvinogona kurapwa zvachose , nepo zvimwe zvingada kurapwa kwenguva refu .
• Ziva nezvedambudziko rine njodzi rinonzi thyroid storm . Kana ukaona zviratidzo izvi , enda kuchipatara nekukasika .
• Kana muine kusava nechokwadi, musanonoka kutsvaga mazano echiremba .

Chinhu chinonyanya kukosha ndechekuti ugare uine hutano hwakanaka!