Ngaba nawe uziva udiniwe ngendlela engaqhelekanga kwaye ucotha ngaphandle kwesizathu ngamanye amaxesha? Ngaba uziva unzima kancinci? Ngaba uziva ubanda rhoqo? Nangona sihlala sicinga ukuba ezi zizinto eziqhelekileyo, ngamanye amaxesha unobangela wezi mpawu usenokuba yimeko ebizwa ngokuba yiHashimoto's Disease. Ungakhathazeki, oku akuyongozi njengoko igama lisitsho. Masithethe ngale nto ngokulula nangokucacileyo.
Yintoni isifo sikaHashimoto?
Ngamafutshane, isifo sikaHashimoto sisifo apho i-thyroid gland ichatshazelwa yingxaki kwinkqubo yethu yokuzikhusela yomzimba. Oku kubizwa ngokuba yimeko yokuzikhusela komzimba . Oku kuthetha ukuba inkqubo yokuzikhusela yomzimba wethu ihlasela ngempazamo iiseli zethu eziphilileyo, kule meko i-thyroid gland. Esi sisifo esihlala sisenzeka ubomi bonke (esingapheliyo).
Cinga nje, i-thyroid gland yi-gland encinci efana nebhabhathane efumaneka phantsi kolusu ngaphambili entanyeni yethu. Iyinxalenye yenkqubo yethu ye-endocrine. Ivelisa iihomoni ze-thyroid kwaye ilawula izinto ezininzi emzimbeni wethu.
Umsebenzi oyintloko we-thyroid gland kukulawula isantya se-metabolism yomzimba wethu. Oko kukuthi, isantya apho ukutya esikutyayo kuguqulwa khona kube ngamandla. Xa sisiva igama elithi metabolism, sihlala sicinga kuphela ngokutyeba nokuncipha. Kodwa eneneni, le nkqubo ichaphazela onke amalungu omzimba, kuquka intliziyo nengqondo yethu.
Ngesifo sikaHashimoto, amajoni ethu omzimba ahlasela i-thyroid gland, nto leyo ebangela ukuba ingakwazi ukuvelisa iihomoni ze-thyroid ezaneleyo. Le meko ibizwa ngokuba yi-hypothyroidism . Oku kuyayicothisa imetabolism yethu kwaye kubangele iimpawu ezahlukeneyo.
Sixhaphake kangakanani esi sifo? Ngubani onokuba naso?
Isifo sikaHashimoto sisifo esixhaphakileyo. Kumazwe afana neMelika, abantu aba-5 kwabayi-100 banaso esi sifo. Esi sifo ngoku sixhaphake kakhulu eSri Lanka. Kumazwe apho ityuwa ene-iodine nokutya okuninzi, isifo sikaHashimoto sesona sibangela i-hypothyroidism.
Nangona esi sifo sinokuvela nakweyiphi na iminyaka, abafazi banamathuba aphindwe kalishumi okuba naso kunamadoda. Sixhaphake kakhulu kubafazi abaphakathi kweminyaka engama-30 ukuya kwengama-50.
Zithini iimpawu zesifo sikaHashimoto?
Abanye abantu abanesifo sikaHashimoto abanazo iimpawu kwasekuqaleni. Njengoko esi sifo siqhubeka, i-thyroid gland ngamanye amaxesha inokudumba. Oku kubizwa ngokuba yi-goiter.Olu luphawu lokuqala lwesifo sikaHashimoto. Nangona lungenabuhlungu, ungaziva ugcwele ngaphambili entanyeni yakho. Lusenokubonakala ludumbile.
Ekuhambeni kwexesha, ukuba i-hypothyroidism ikhula ngenxa yesifo sikaHashimoto, ezi mpawu zilandelayo zinokuvela emva kwenye.
| Uphawu | Inkcazo |
|---|---|
| Ukudinwa kunye nobuvila | Ukudinwa rhoqo, ukudinwa, kunye nokulala kakhulu ngaphandle kwesizathu esicacileyo. |
| Ukutyeba kwakho | Ubunzima bomzimba buyanda kancinci kancinci nangona umntu elawula indlela yokutya aze enze umthambo. |
| Iziphumo eluswini | Ulusu olomileyo, ukulahleka kweenwele, iinwele ziyoma kwaye ziqhekeke. |
| Ndiziva ndibanda | Ukuziva ubanda kakhulu, nokuba ukwindawo eqhelekileyo kwabanye. |
| Iziphumo zengqondo | Usizi, ukudakumba, ukulahlekelwa yinkumbulo, ubunzima bokugxila. |
| Utshintsho lomzimba | Ukuqhinwa, ukubetha kwentliziyo okucothayo (bradycardia), iintlungu zemisipha kunye namalungu, ukudumba kobuso namehlo. |
| Iingxaki zempilo yokuzala | Abafazi banokuba nemijikelo yokuya exesheni engacwangciswanga okanye ukopha kakhulu, ukuncipha komnqweno wesondo, kunye nobunzima bokukhulelwa. |
Umzimba wakho uziva njani xa uneHashimoto's?
Ukuba uneHashimoto's kodwa ungenayo i-hypothyroidism, usenokungaluboni naluphi na utshintsho.
Kodwa ukuba une-hypothyroidism, unokuziva ngathi yonke into emzimbeni wakho isebenza "ngesantya esicothayo."
Khawuthelekelele ukuba injini yomzimba wakho isebenza kancinci. Awunawo amandla okubaleka, ukutsiba, okanye ukuzilolonga njengoko ubusenza ngaphambili. Isantya sentliziyo yakho siye sehla. Ingqondo yakho ivakalelwa kukuba nenkungu, uyalibala izinto, kwaye awukwazi ukugxila. Uziva ulusizi kwaye uphoxekile. Inkqubo yakho yokugaya ukutya nayo isebenza kancinci, nto leyo enokukhokelela ekuqhineni.
Ukuba nawe uziva ngathi umzimba nengqondo yakho zibambekile kwaye zisebenza kancinci, ngokuqinisekileyo thetha nogqirha wakho.
Kutheni isifo sikaHashimoto sisenzeka? Zithini izinto ezibangela umngcipheko?
Njengoko besitshilo ngaphambili, isifo sikaHashimoto sisifo esihlasela amajoni omzimba. Oku kuthetha ukuba inkqubo yokuzikhusela yomzimba wethu isebenza ngokuchasene nathi. Ngokwesiqhelo, inkqubo yethu yokuzikhusela yomzimba iyasikhusela kubahlaseli bamanye amazwe njengeebhaktheriya kunye neentsholongwane. Kodwa kwisifo sikaHashimoto, nantsi into eyenzekayo:
1. Ngesizathu esingaziwayo, inkqubo yakho yomzimba yokuzikhusela iqala ukwenza ii-antibodies ezihlasela i-thyroid gland.
2. Inani elikhulu leeseli ezimhlophe zegazi, ingakumbi uhlobo olubizwa ngokuba zii-lymphocytes , ziyaqokelelana kwi-thyroid gland.
3. Oku kubangela ukuba i-thyroid gland ivuvuke. Oku kubizwa ngokuba yi-thyroiditis . Oku kuvutha kunye nokuhlaselwa kwee-antibody konakalisa i-gland.
4. Ekuhambeni kwexesha, lo monakalo ubangela ukuba i-thyroid gland ingakwazi ukuvelisa iihomoni ezaneleyo zomzimba, nto leyo ebangela i-hypothyroidism .
Kukho izinto ezininzi ezibangela umngcipheko wesifo sikaHashimoto:
- Imbali yosapho: Ukuba umntu kusapho lwakho unesifo sikaHashimoto okanye ezinye iingxaki ze-thyroid, kusenokwenzeka ukuba ube naso. Uphando lubonisa ukuba ama-80% amatyala abangelwa yimfuza.
- Isondo: Njengoko besitshilo ngaphambili, abafazi banamathuba aphindwe kalishumi okufumana esi sifo.
- Ubudala: Umngcipheko wokufumana esi sifo uyanda njengoko iminyaka ikhula.
Kwakhona, unamathuba amaninzi okuba neHashimoto's ukuba unesinye isifo sokuzikhusela komzimba. Umzekelo:
- Uhlobo loku-1 lweswekile
- Irheumatoid arthritis
- I-Lupus
- Isifo seCeliac
Isifo sikaHashimoto sifunyanwa njani?
Emva kokubuza ngeempawu zakho, ugqirha wakho uza kuqala akuhlole. Uza kukuchukumisa intamo yakho ngokukodwa ukuze ajonge ukuba i-thyroid gland (goiter) idumbile na. Emva koko uza kuyalela uvavanyo lwegazi oluninzi ukuqinisekisa ukuba unesifo.
- Uvavanyo lwe-TSH (iHormone evuselela iThyroid): Inqanaba eliphezulu le-TSH lithetha ukuba i-thyroid gland yakho ayivelisi i-hormone ye-T4 eyaneleyo. Olu luphawu olukhulu lwe-hypothyroidism.
- Uvavanyo lwe-T4 (Thyroxine) lwasimahla: Ukuba inqanaba le-T4 liphantsi, liqinisekisa ngakumbi imeko ye-hypothyroidism.
- Uvavanyo lwe-Antithyroid Antibody: Ukuba unala ma-antibodies athile egazini lakho, kunokuqinisekiswa ngokuqinisekileyo ukuba imbangela ye-hypothyroidism yakho sisifo sikaHashimoto.
Kwezinye iimeko, ugqirha wakho unokucebisa ukuba kwenziwe i-ultrasound ye-thyroid ukujonga ubungakanani be-thyroid gland yakho kunye nokuba kukho na amaqhuqhuva.
Iphathwa njani?
Ayingabo bonke abantu abanesifo sikaHashimoto abaya kuba ne-hypothyroidism. Ukuba amanqanaba akho ee-antibodies egazini aphezulu kodwa amanqanaba akho e-TSH kunye ne-T4 aqhelekile, ugqirha wakho usenokungaqali unyango, kodwa uya kukujonga ngovavanyo lwegazi rhoqo.
Kodwa ukuba i-hypothyroidism ibangelwa yiHashimoto's, unyango oluphambili nolungcono kakhulu liyeza elibizwa ngokuba yi -levothyroxine . Eli liyeza le-T4 elenziweyo. Eli yeza lithathwa njengepilisi yonke imihla.
Ngokusebenzisa eli yeza, unokubuyisela amanqanaba ehomoni ye-thyroid emzimbeni. Eyona nto ibalulekileyo kukuba kufuneka ulithathe eli yeza yonke imihla ubomi bakho bonke .
Umthamo wamayeza owadingayo unokutshintsha ngokuhamba kwexesha. Kungoko ke, kubaluleke kakhulu ukuba uhlolwe igazi rhoqo njengoko ugqirha wakho ekumisele kwaye ulungise umthamo njengoko kufuneka.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga kwiyeza?
Iziphumo ebezingalindelekanga ezivela kwi-levothyroxine azixhaphakanga. Ukuba ziyenzeka, esona sizathu kukuba uthatha ngaphezu koko ukufunayo. Oku kunokukhokelela kwimeko ebizwa ngokuba yi-thyrotoxicosis , apho umzimba uvelisa i-thyroid hormone eninzi kakhulu. Iimpawu zezi:
- Isantya sentliziyo (i-tachycardia) - ngesiqhelo ibetha ngaphezulu kwe-100 ngomzuzu.
- Ukubetha kwentliziyo okungaqhelekanga (arrhythmia).
- Ukunciphisa umzimba ngaphandle kwesizathu.
- Ndiziva ndingcangcazela.
- Ukungazoli, ukucaphuka.
- Ukunganyamezelani nobushushu kunye nokubila kakhulu.
Ukuba ufumana ezi mpawu, yazisa ugqirha wakho ngoko nangoko.
Ngaba kukho ukutya okukhethekileyo kwabaguli bakaHashimoto?
Akukho ndlela ithile yokutya yesifo sikaHashimoto. Nangona kunjalo, ezinye ukutya, amayeza kunye neevithamini zinokuphazamisa ukufunxwa kwe-levothyroxine. Imizekelo ibandakanya:
- Izongezo zesinyithi kunye nekhalsiyam.
- Ezinye iintlobo ze-antacids.
Ukuba uthatha into efana nale, ungayiphepha le ngxaki ngokuthatha ipilisi yakho ye-thyroid iiyure ezi-4 ngaphambi okanye emva kwayo.
Ukutya kakuhle, ukuzilolonga, ukulala ngokwaneleyo, kunye nokulawula uxinzelelo konke oku kunokunceda inkqubo yakho yomzimba yokuzikhusela. Kodwa nokuba wenza ntoni na, ukuba une-hypothyroidism, kubalulekile ukuthatha amayeza akho njengoko ugqirha wakho ekuyalele.
Ngaba isifo sikaHashimoto siyingozi ngexesha lokukhulelwa?
Ukuba i-hypothyroidism ayinyangwa ngexesha lokukhulelwa, inokuba yingozi kumama nakumntwana.
- Ukuphuma kwesisu
- Ukuzalwa ngaphambi kwexesha
- Uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa (i-preeclampsia)
Kwakhona, ukuba ayinyangwa, inokuchaphazela ukukhula komntwana kunye nophuhliso lwengqondo yakhe. Ngoko ke ukuba uneHashimoto's kwaye uceba ukukhulelwa okanye sele ukhulelwe, yazisa ugqirha wakho ngokukhawuleza. Ngonyango olufanelekileyo kunye nokubekwa esweni, akukho ngxaki ekuzaleni umntwana ophilileyo.
Amatyala afuna unyango olungxamisekileyo (amatyala afuna ukuya kwi-ETU)
Kwiimeko ze-hypothyroidism enganyangwanga, enzima kakhulu, i- myxedema coma inokwenzeka. Ukuba kukho ezi mpawu zilandelayo, thatha isigulana ngoko nangoko usise kwiSebe lezeMpilo elikufutshane (ETU) .
- Ubushushu bomzimba obuphantsi kakhulu (i-hypothermia).
- Ukudumba komzimba, ingakumbi ubuso, ulwimi, kunye nemilenze.
- Intliziyo icotha kakhulu kwaye ukubetha kwentliziyo kubuthathaka.
- Ukuphefumla kucotha kakhulu okanye kunzima.
- Ukudideka okanye ukulahlekelwa zingqondo.
Kuqhelekile ukuba uzive usoyika kwaye uxhalabile xa usandula ukufunyanwa unemeko ethile. Kodwa eyona nto ilungileyo kukuba isifo sikaHashimoto sisifo esinokunyangeka kwaye esinokulawuleka. Ukuba unale mpawu, okanye ukuba umntu kusapho lwakho unesifo se-thyroid, ungathandabuzi ukubona ugqirha wakho. Uvavanyo olulula lwegazi lunokukuxelela ukuba i-thyroid yakho isebenza kakuhle na.
Umyalezo Wokuya Ekhaya
- Isifo sikaHashimoto sisifo esihlasela amajoni omzimba apho amajoni ethu omzimba ahlasela i-thyroid gland.
- Esi sifo sesona sibangela i-hypothyroidism.
- Iimpawu ezinje ngokudinwa rhoqo, ukunyuka kobunzima, ukuziva ubanda, ulusu olomileyo, kunye nokuqhina ziqhelekile.
- Unyango luyipilisi ye-levothyroxine yemihla ngemihla, ekufuneka ithathwe ubomi bonke.
- Ngonyango olufanelekileyo kunye nolawulo lwezonyango, ungaphila ubomi obusempilweni nobuqhelekileyo.
- Ukuba unale mpawu, musa ukuzityeshela. Qiniseka ukuba ubona ugqirha wakho ukuze akunike icebiso.
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