Udiniwe nje? Ingaba intamo yakho idumbile? Mhlawumbi le yiHashimoto's Disease!

Ngaba ngamanye amaxesha uziva udiniwe, udiniwe, okanye ukhathazekile kancinci? Ngaba uyatyeba? Okanye uziva ngathi umphambili wentamo yakho udumbile kancinci? Ezi zinokuba ziimpawu zesifo esibizwa ngokuba sisifo sikaHashimoto. Ukuva eli gama kunokukwenza woyike kancinci. Kodwa ungoyiki. Namhlanje, siza kuthetha ngeSifo sikaHashimoto ngokweenkcukacha nangokulula.

Yintoni isifo sikaHashimoto?

Ngamafutshane, isifo sikaHashimoto sisifo esibangelwa yingxaki encinci kwinkqubo yethu yokuzikhusela, inkqubo esikhusela kwizifo. Okwenzekayo kweli tyala kukuba iiseli zethu zokuzikhusela zihlasela i-thyroid gland yethu. Xa oku kusenzeka ngokuhamba kwexesha, i-thyroid gland ayikwazi ukusebenza kakuhle, kwaye inani leehomoni eziveliswayo liyancipha. Le meko siyibiza ngokuba yi-hypothyroidism . Isifo sikaHashimoto sisifo esingapheliyo, esihlala ubomi bonke.

Yintoni i-thyroid gland? Ibaluleke kangakanani emzimbeni wethu?

I-thyroid gland yi-gland encinci, efana nebhabhathane ekwicala elingaphambili entanyeni yakho, phantsi nje kolusu. Iyinxalenye yenkqubo yethu ye-endocrine . Ivelisa iihomoni ze-thyroid kwaye izikhuphele egazini.

Umsebenzi oyintloko we-thyroid gland kukulawula isantya se-metabolism yomzimba wethu . I-Metabolism yinkqubo apho ukutya esikutyayo kuguqulwa kube ngamandla. Sihlala sicinga ngale nto kuphela ngokwexabiso lokunyuka okanye ukwehla kobunzima, kodwa eneneni le nkqubo ichaphazela onke amalungu omzimba wethu, kuquka intliziyo nengqondo yethu.

Kwenzeka ntoni ngokwenene kwisifo sikaHashimoto?

Kubantu abaninzi abanesifo sikaHashimoto, i-thyroid gland ayikwazi ukuvelisa iihomoni ze-thyroid ezaneleyo emzimbeni. Ngenxa yoko, inkqubo ye-metabolic ekhankanyiweyo apha ngasentla iqala ukucotha. Kulapho ke iimpawu ziqala ukubonakala khona.

Esi sifo safunyanwa okokuqala ngo-1912 ngugqirha waseJapan ogama linguGqr. Hakaru Hashimoto. Yiyo loo nto sibizwa ngokuba sisifo sikaHashimoto. Sikwaziwa nangamanye amagama:

• I-Hashimoto thyroiditis
• I-thyroiditis engapheliyo ye-autoimmune
• I-Lymphocytic thyroiditis

Ixhaphake kangakanani isifo sikaHashimoto? Ngubani onokuba naso?

Isifo sikaHashimoto sisifo esixhaphakileyo . Ngokwezibalo kwamanye amazwe, sinokuchaphazela abantu abafikelela kwaba-5 kwabayi-100.

Kumazwe apho ityuwa eyongeziweyo kwi-iodine kunye nokunye ukutya okutyebileyo kwi-iodine kuxhaphake khona, isifo sikaHashimoto sesona sibangela i-hypothyroidism. Kwamanye amazwe, ukunqongophala kwe-iodine yeyona nto iphambili.

Ngubani oyifumanayo? Nabani na, nokuba uneminyaka emingaphi, angayifumana isifo sikaHashimoto. Nangona kunjalo,Abafazi banamathuba aphindwe kalishumi okufumana esi sifo kunamadoda, kwaye sixhaphake kakhulu kubafazi abaphakathi kweminyaka engama-30 ukuya kwengama-50 ubudala.

Zithini iimpawu zesifo sikaHashimoto? Uziva njani?

Abanye abantu basenokuba nesifo sikaHashimoto kodwa bangabonakalisi zimpawu kwasekuqaleni.

Njengoko esi sifo siqhubeka, i-thyroid gland ngamanye amaxesha inokudumba. Oku kubizwa ngokuba yi-goiter . Olu luphawu lokuqala lwesifo sikaHashimoto. Asibuhlungu, kodwa sinokuvakala ngathi kukho into egcweleyo kwinxalenye esezantsi yentamo. Umphambili wentamo nawo unokubonakala uvuvukile.

Ukuba iihomoni ze-thyroid ziyancipha ngenxa yesifo sikaHashimoto (i-Hypothyroidism), ngokuhamba kwexesha, ezi mpawu zilandelayo zinokuvela:

• Ukozela, ukudinwa kakhulu, kunye nesidingo sokuhlala ulele.
• Ukunyuka kancinci kobunzima.
• Ukuqhinwa.
• Ulusu olomileyo.
• Ukungakwazi ukunyamezela ingqele.
• Isantya sentliziyo esicothayo kunesiqhelo (iBradycardia).
• Intlungu yamalungu kunye nentlungu yemisipha.
• Iinwele ezomileyo, ukuphuka kweenwele, ukuncipha kokukhula kweenwele okanye ukulahleka kweenwele.
• Ukuncipha kolonwabo, imeko yokudakumba.
• Ukudumba kwamehlo nobuso.
• Ukuncipha kwenkumbulo, ubunzima bokugxila.
• Ukuya exesheni okungaqhelekanga okanye ukopha kakhulu kwabasetyhini.
• Ukuncipha komnqweno wobulili.
• Ukungazali kwindoda okanye kwibhinqa.

Umntu oneHashimoto's uziva njani rhoqo?

Nokuba unesifo sikaHashimoto, ukuba iihomoni zakho ze-thyroid ziphantsi (i-hypothyroidism), usenokungawuboni umahluko omkhulu.

Nangona kunjalo, ukuba une-hypothyroidism, ungaziva ngathi "kukho into engalunganga." Igama elithi "Hypo-" lithetha "ukungabi nanto" okanye "ukungabikho kwengxaki." Ngoko ke ungacinga ngeempawu ze-hypothyroidism "njengokucotha" kweenkqubo ezahlukeneyo emzimbeni.

Usenokuziva ungenamandla njengangaphambili, kwaye usenokungakwazi ukuzilolonga njengangaphambili. Ukuba usebenzisa isixhobo sokulandelela ukomelela komzimba, isantya sentliziyo yakho sinokubonakala siphantsi kunangaphambili. Usenokuva inkungu yobuchopho, kwaye kunokuba nzima ukukhumbula izinto. I-Hypothyroidism inokuthi "inciphise" imo yakho - unokuziva ulusizi kwaye udandathekile. Inganciphisa nomdla wakho wesondo kwaye inciphise inkqubo yakho yokugaya ukutya - oko kuthetha ukuba usenokungabi namathumbu rhoqo njengoko ubusenza ngaphambili.

Ukuba umzimba nengqondo yakho zivakalelwa ngathi zibambeke kwifilimu ecothayo, qiniseka ukuba unxibelelana nogqirha wakho.

Kutheni isifo sikaHashimoto sisenzeka? Zithini izinto ezibangela umngcipheko?

Isizathu: Ukungasebenzi kakuhle kwenkqubo yethu yokuzikhusela (Isifo Sokuzikhusela Ngokwasemzimbeni)

Isifo sikaHashimoto sisifo esihlasela amajoni omzimba . Oko kuthetha ukuba amajoni omzimba wakho ahlasela iiseli zakho kunye namalungu omzimba. Khawuthelekelele, njengokuba umkhosi omele ukhusele ilizwe lethu uhlasela ilizwe lethu.

Ngokwesiqhelo, amajoni ethu omzimba asikhusela kwizinto eziyingozi ezifana neebhaktheriya kunye neentsholongwane. Kodwa kwisifo sikaHashimoto, nantsi into eyenzekayo:

• Inkqubo yakho yomzimba yokuzikhusela, ngesizathu esingaziwayo, ivelisa ii-antibodies ezihlasela izicubu zakho ze-thyroid.
• Inani elikhulu leeseli ezimhlophe zegazi, ingakumbi ii-lymphocytes , ziqokelelana ngaphakathi kwi-thyroid gland.
• Oku kuqokelelana kubangela ukudumba kwe-thyroid gland, okanye i-thyroiditis , kwaye konakalisa i-gland.
• Ekuhambeni kwexesha, lo monakalo ubangela ukuba i-thyroid gland ingakwazi ukuvelisa iihomoni ze-thyroid ezaneleyo emzimbeni. Yiyo le nto ibangela 'i-Hypothyroidism'.
• Nangona kunjalo, ayinguye wonke umntu onesifo sikaHashimoto ofumana i-hypothyroidism.

Izinto ezonyusa umngcipheko

Kukho izinto ezininzi ezibangela umngcipheko wokufumana isifo sikaHashimoto:

• Imbali yosapho: Uphando lubonise ukuba malunga ne-80% yomngcipheko wakho wokuba nesifo sikaHashimoto ubangelwa yimfuza. Ukuba izalamane zakho zegazi zinesifo sikaHashimoto okanye ezinye izifo ze-thyroid, nawe unokuba naso.
• Isini: Abafazi banamathuba aphindwe kalishumi okuba nale meko kunamadoda. Impembelelo yeehomoni zesini nayo inokuba yimbangela.
• Ubudala: Umngcipheko wokufumana esi sifo (nezinye izifo ze-thyroid) uyanda ngokuhamba kweminyaka.

Kwakhona, usemngciphekweni omkhulu wokufumana isifo sikaHashimoto ukuba unezinye izifo ezizikhuselayo emzimbeni, ezifana nezi:

• Isifo sika-Addison
• Isifo seCeliac
• I-Lupus
• I-anemia eyingozi
• Irheumatoid arthritis
• Isifo sikaSjögren
• Uhlobo loku-1 lweswekile

Isifo sikaHashimoto sifunyanwa njani?

Ugqirha wakho uza kuqala enze ezi zinto:

• Ndibuza ngeempawu zakho.
• Buza ngembali yakho yezonyango (njengokuba kukho umntu kusapho lwakho onengxaki ye-thyroid).
• Kuya kwenziwa uvavanyo lomzimba, apho i-thyroid gland yakho iya kuhlolwa ngesandla.

Emva kolu vavanyo, baya kuyalela iimvavanyo ezininzi zegazi ukuqinisekisa ukuxilongwa:

• Uvavanyo lweHormone evuselela iThyroid (uvavanyo lweTSH): Inqanaba eliphezulu le-TSH lidla ngokuthetha ukuba i-thyroid gland yakho ayivelisi i-hormone ye-thyroxine (T4) eyaneleyo. Esi siphumo sibonisa ukuba une-hypothyroidism okanye i-hypothyroidism engaphantsi kweklinikhi (imeko apho kungekho zimpawu, kodwa kukho utshintsho kumanqanaba ehomoni).
• Uvavanyo lwe-Thyroxine yasimahla (i-T4 yasimahla): Amanqanaba aphantsi e-T4 lolunye uphawu lokuba une-hypothyroidism.
• Uvavanyo lwe-antithyroid antibody: Ukuba une-autoantibodies ezithile egazini lakho, oko kubonisa ukuba unobangela we-hypothyroidism yakho ayisiyonto efana nokungabikho kwe-iodine, kodwa sisifo sikaHashimoto.

Kwezinye iimeko, ugqirha wakho unokucebisa ukuba kwenziwe i-ultrasound ye-thyroid ukujonga ubungakanani be-thyroid gland kunye nokujonga amaqhuqhuva e-thyroid (amaqhuqhuva amancinci ayenzeka kwi-gland).

Ziziphi iindlela zonyango zesifo sikaHashimoto?

Ngaba wonke umntu uyayidinga iyeza?

Ayingabo bonke abantu abanesifo sikaHashimoto abanesifo se-hypothyroidism. Ukuba amanqanaba akho e-antibody egazini aphezulu kodwa awunazo iimpawu ze-hypothyroidism, ugqirha wakho uza kujonga amanqanaba akho e-thyroid rhoqo endaweni yokuqala unyango.

Unyango oluphambili: iLevothyroxine

Ukuba une-hypothyroidism ngenxa yesifo sikaHashimoto, unyango oluphambili liyeza elibizwa ngokuba yi -levothyroxine . Olu luhlobo lokwenziwa lwe-hormone ye-T4 eveliswa yi-thyroid gland yakho.

I-Levothyroxine ifumaneka phantsi kwamagama eempawu ezahlukeneyo. Ugqirha wakho uza kukunika eyona ifanelekileyo kuwe.

Eli yeza linceda ukubuyisela amanqanaba ehomoni ye-thyroid emzimbeni wakho. Kuya kufuneka ulithathe yonke imihla ubomi bakho bonke . Ekuhambeni kwexesha, umthamo wamayeza ekufuneka uwathathe unokutshintsha. Ugqirha wakho uya kwazi indlela yokulungisa umthamo ukuze alawule kakuhle i-hypothyroidism yakho.

Ngaba iLevothyroxine ineziphumo ebezingalindelekanga?

Ukuba ufumana iziphumo ebezingalindelekanga ezivela kwi-levothyroxine, kusenokwenzeka ukuba usela kakhulu. Oku kunokukhokelela kwimeko ebizwa ngokuba yi -thyrotoxicosis - ukwanda kweehomoni ze-thyroid.

Iimpawu ze-thyrotoxicosis ziquka:

• Intliziyo ebetha ngokukhawuleza (iTachycardia) – idla ngokuba ngaphezulu kwe-100 beats ngomzuzu.
• Ukubetha kwentliziyo okungaqhelekanga (i-Arrhythmia).
• Ukunciphisa umzimba ngendlela engachazekiyo.
• Ukuziva ngathi umzimba wakho uyangcangcazela.
• Ukungazoli, ixhala, ukucaphuka.
• Ukwanda kovakalelo kubushushu nokubila ngaphezu kwesiqhelo.
• Utshintsho kumjikelo wokuya exesheni.

Ukuba ufumana iimpawu ezinje, kufuneka uxelele ugqirha wakho ngoko nangoko.

Ngaba abantu abanesifo sikaHashimoto bafuna ukutya okukhethekileyo?

Akukho ndlela ithile yokutya yesifo sikaHashimoto. Nangona kunjalo, ezinye ukutya, amayeza, okanye izongezo zinokuchaphazela ukufunxwa kwe-levothyroxine oyithathayo. Umzekelo:

• Izongezo zesinyithi kunye nekhalsiyam.
• I-Sucralfate (iyeza lezilonda zesisu).
• I-Cholestyramine kunye ne-aluminium hydroxide (efumaneka kwezinye ii-antacids).

Le ngxaki ingathintelwa ukuba uthatha ezi yure zine ngaphambi okanye emva kokuthatha i-levothyroxine.

Ukuba unemibuzo malunga nokutya, thetha nogqirha wakho okanye ingcali yesondlo ebhalisiweyo.

Ukutya kakuhle nokuphila ubomi obusempilweni (ukuzilolonga, ukulala ngokwaneleyo, ukulawula uxinzelelo) kuya kunceda amasosha omzimba wakho. Nangona kunjalo, ukuba une-hypothyroidism, kubalulekile ukuthatha amayeza akho ngokufanelekileyo nokuba kwenzeka ntoni na.

Ngaba isifo sikaHashimoto sinokunyangeka ngokupheleleyo? Ngaba sinokuthintelwa?

Ngelishwa, akukho ndlela yokulungisa isifo sikaHashimoto. Nangona kunjalo, amayeza obomi bonke anokunceda ukulawula i-hypothyroidism kunye namanqanaba e-thyroid hormones.

Ngelishwa, akukho nto sinokuyenza ukuthintela isifo sikaHashimoto kuba asinakutshintsha izinto ezisichaphazelayo - izinto ezifana ne-genes kunye nobudala.

Ziziphi iingxaki ezinokubakho zokuphila nesifo sikaHashimoto?

Ngokubekwa esweni ngokufanelekileyo kunye nonyango ubomi bonke, abantu abanesifo sikaHashimoto banokuhlala besempilweni entle kakhulu .

Nangona kunjalo, ukuba i-hypothyroidism ebangelwa sisifo sikaHashimoto ayinyangwa, ezi ngxaki zempilo zilandelayo zinokwenzeka:

• I-cholesterol ephezulu.
• Isifo sentliziyo kunye nokusilela kwentliziyo.
• Igazi elonyukayo.
• Uxinzelelo.
• I-Myxedema coma . Le yingxaki engaqhelekanga nesongela ubomi ye-hypothyroidism enzima. Imisebenzi yomzimba iyehla kakhulu kangangokuba inokukhokelela ekufeni.

Isifo sikaHashimoto ngexesha lokukhulelwa

Ukuba i-hypothyroidism ayinyangwa ngexesha lokukhulelwa, ezi ngozi zilandelayo zinokwanda:

• Ukuphuma kwesisu.
• Ukuzalwa ngaphambi kwexesha.
• Ukuzalwa efile.

Okanye, usenokuba nesifo esibizwa ngokuba yi-preeclampsia, esisifo soxinzelelo lwegazi oluphezulu kakhulu ekupheleni kokukhulelwa. I-hypothyroidism enganyangwanga inokuchaphazela ukukhula kunye nophuhliso lwengqondo lomntwana wakho ongekazalwa. Ke ngoko, oogqirha bakho baya kukunceda ulawule i-hypothyroidism yakho kakuhle ngexesha lokukhulelwa.

I-Hypothyroidism ayiqhelekanga ngexesha lokukhulelwa. Nangona kunjalo, iimpawu zayo (ezifana nokudinwa kunye nokunyuka kwesisindo) ziyafana nezo zibonakala ngexesha lokukhulelwa okuqhelekileyo, ngoko ke ngamanye amaxesha unokungaziboni. Ukuba uziva ngathi uneempawu ze-hypothyroidism, okanye ukuba ucinga ukuba unokuba ne-goiter, xelela ugqirha wakho ngoko nangoko.

Ndifanele ndimbone nini ugqirha? Yintoni imeko engxamisekileyo?

Iintlanganiso zonyango rhoqo

Ukuba unesifo sikaHashimoto, kuya kufuneka ubonane nogqirha wakho rhoqo . Uza kwenza uvavanyo lwegazi ukujonga ukuba amanqanaba akho ehomoni ye-thyroid aqhelekile na kwaye ukuba umthamo wamayeza owaselayo ufanelekile kuwe.

Ukongeza, bona ugqirha wakho ukuba ubonakalisa iimpawu ezintsha, ukuba iimpawu zakho ezikhoyo ziya zisiba mandundu, okanye ukuba ubona naluphi na utshintsho kwi-thyroid gland yakho (umz., ukudumba).

Amatyala afuna ukulaliswa esibhedlele ngoko nangoko (iMyxedema Coma)

Ukuba ufumana iimpawu ze- myxedema coma , fowunela ku-911 okanye uye kwigumbi longxamiseko ngokukhawuleza. Le ngxaki inzima ye-hypothyroidism isongela ubomi!

Ezo mpawu zezi:

• I-Hypothermia kukwehla kobushushu bomzimba ngaphantsi kwama-35 degrees Celsius (95 degrees Fahrenheit).
• Ukudumba (i-edema) emzimbeni, ingakumbi ebusweni, elulwimini, nasemilenzeni esezantsi.
• Intliziyo ibetha kancinci kakhulu kwaye ukubetha kwentliziyo kubuthathaka.
• Ukuphefumla kancinci (Bradypnea) kunye nobunzima bokuphefumla (Dyspnea).
• Ukudideka okanye ukulahlekelwa zingqondo.

Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kuqhelekile ukuba uzive uxinezelekile kwaye usoyika xa ufumana isifo esitsha. Kodwa iindaba ezimnandi zezokuba isifo sikaHashimoto sisifo esilawulwa kakuhle nesinganyangekiyo .

Ukuba ucinga ukuba unokuba neempawu zeHashimoto's, okanye ukuba unezinto ezinokubangela umngcipheko, njengembali yentsapho yesifo se-thyroid, qiniseka ukuba ubona ugqirha wakho. Banokwenza uvavanyo olulula ukuze babone ukuba i-thyroid yakho ivelisa iihomoni ezaneleyo na. Khumbula, okukhona ifunyanwa ngokukhawuleza, kokukhona unyango lunokuqala ngokukhawuleza. Emva koko ungaphila ubomi obusempilweni nobukhululekileyo.

Isifo sikaHashimoto , i-thyroid, i-hypothyroidism, izifo zokuzikhusela komzimba, iihomoni ze-thyroid, i-levothyroxine, i-goiter