Ngaba nawe uvakalelwa kukuba ulahlekelwa bubunzima kule mihla? Nokuba utya kangakanani na, awukwazi ukutyeba? Ngaba uneempawu ezifana nokuba intliziyo yakho iyabetha ngamandla, ucaphuka zizinto ezincinci, kwaye ubila rhoqo? Unokucinga ukuba kungenxa yoxinzelelo oluphantsi kwalo kule mihla. Kodwa ezi zinokuba ziimpawu zesifo esibizwa ngokuba yi-'Hyperthyroidism'. Makhe sithethe ngale nto ngokulula, ngendlela onokuyiqonda.
Yintoni le hyperthyroidism?
Ngamafutshane, i-hyperthyroidism iyenzeka xa i-thyroid gland entanyeni yethu iqalisa ukusebenza kakhulu ize ivelise i-thyroid hormone eninzi kakhulu. Oku kukwabizwa ngokuba yi-'overactive thyroid'.
Cinga ngemizimba yethu njengemoto. I-accelerator elawula isantya senjini (i-metabolism) yale moto yi-thyroid hormone. Ngokwesiqhelo, le accelerator isebenza ngendlela elawulwayo. Kodwa kwi-hyperthyroidism, kuba ngathi umntu unyathele le accelerator. Emva koko yonke inkqubo emzimbeni, ukusuka kwintliziyo ukuya ekugayweni kokutya, iqala ukwenzeka ngesantya esiphezulu. Yiyo loo nto uziva udiniwe kwaye ungaphumli.
Iihomoni eziphambili ezilawula imetabolism yomzimba wethu, oko kukuthi, isantya apho ukutya esikutyayo kuguqulwa khona kube ngamandla, yi -thyroxine (T4) kunye ne -triiodothyronine (T3) . I-thyroid gland iyalelwe ukuba ivelise ezi homoni yihomoni ebizwa ngokuba yi-TSH (Thyroid Stimulating Hormone), evela kwi-pituitary gland esebuchotsheni. Kwi-hyperthyroidism, ezi homoni ze-T3 kunye ne-T4 zikhutshwa ngokugqithisileyo.
Ziziphi iimpawu eziqhelekileyo ze-hyperthyroidism?
Ngenxa yokuba i-hyperthyroidism ichaphazela umzimba wethu wonke, kunokubakho iimpawu ezininzi. Usenokuba nezimbalwa kwezi, okanye usenokuba nazo ezininzi ngexesha elinye. Ezi mpawu zisenokuqala ngequbuliso okanye zikhule kancinci kancinci ngokuhamba kwexesha.
Ukuze kube lula ukuqonda, makhe sijonge ezi mpawu kwitheyibhile.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukubetha kwentliziyo ngokukhawuleza (i-tachycardia) | Kuvakala ngathi intliziyo yakho iyabetha nangona umile nje. Ngamanye amaxesha unokuva ukubetha esifubeni sakho ngaphandle. |
| Ukuhla ukusinda | Nangona inkanuko ihlala iqhelekile, okanye mhlawumbi ingaphezulu nangakumbi, ubunzima bomzimba buyancipha nje. |
| Ukungazoli nokucaphuka | Ndiziva ndixhalabile, ndingazinzi. Ndikhawuleza ndicaphuke nangezinto ezincinci. |
| Iingxolo | Kukho ukungcangcazela okuncinci, ingakumbi ezandleni. |
| Ukubila okugqithisileyo | Uziva ushushu kwaye ubila rhoqo, nokuba abanye banobushushu obuqhelekileyo. |
| Ukungalali | Ubuthongo buyancitshiswa ebusuku ngenxa yokungaphumli engqondweni. |
| Utshintsho kwinkqubo yokugaya ukutya | Urhudo okanye ukusoloko ufuna ukuya kwigumbi lokuhlambela. |
| Ukulahleka kweenwele | Ukuncitshiswa kweenwele, ukuba buthathaka, nokuphuma kweenwele ngaphezu kwesiqhelo. |
| Utshintsho kwimijikelo yokuya esikhathini kwabasetyhini | Ukopha okunciphileyo okanye okuyekileyo kokuya exesheni. |
| Ukudumba kwentamo (i-goiter) | Ukudumba kubonakala ngaphambili entanyeni ngenxa yokwanda kwendlala yegilo. |
| Amehlo avele ngaphandle | Amehlo avuvukileyo okanye avele ngaphandle. Oku kuqheleke kakhulu kwisifo sikaGraves. |
Ukuba unenye okanye ngaphezulu kwezi mpawu, kubaluleke kakhulu ukubona ugqirha ukuze akunike iingcebiso ngaphandle kokuzityeshela.
Kutheni kukho i-hyperthyroidism? Zithini izizathu?
Kukho izizathu ezininzi eziphambili ze-hyperthyroidism.
- Isifo sikaGraves: Esi sesona sizathu sixhaphakileyo. Ngamafutshane, inkqubo yomzimba wethu yokuzikhusela iyaphazamiseka ize ithumele umyalezo ongalunganga kwi-thyroid gland ukuze 'yenze iihomoni ezingaphezulu'. Le yimeko yokuzikhusela komzimba. Ukuba umntu kusapho lwakho unesifo se-thyroid okanye ezinye izifo zokuzikhusela komzimba, usemngciphekweni omkhulu wokufumana le meko.
- Amaqhuqhuva e-thyroid: Amaqhuqhuva amancinci aqala ukwenzeka kwi-thyroid gland. Amanye ala maqhuqhuva aqala ukuvelisa iihomoni ngokwawo. La maqhuqhuva akunakwenzeka ukuba abe ngumhlaza.
- I-thyroiditis: Ukudumba okanye ukudumba kwe-thyroid gland. Oku kunokubangela ukuba iihomoni ezigcinwe kwi-gland zingene egazini ngequbuliso, nto leyo ebangela i-hyperthyroidism yexeshana. Emva kokuba imeko iphelile, i-gland isenokungasebenzi kakuhle, nto leyo ebangela i-hypothyroidism.
- Ukutya i-iodine egqithisileyo: I-iodine ibalulekile ekuvelisweni kweehomoni ze-thyroid. Nangona kunjalo, ukuthatha amayeza okanye ukutya okuninzi (okufana nokutya kwaselwandle) okune-iodine kunokukhuthaza i-gland ukuba ivelise iihomoni ezininzi kakhulu.
- I-pituitary adenoma: Le yimbangela engaqhelekanga. Ithumba elincinci elikhula kwi-pituitary gland engqondweni livelisa i-TSH eninzi, nto leyo enyanzela i-thyroid gland ukuba iqhubeke ivelisa iihomoni.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha, baya kulandela amanyathelo aliqela ukuze bafumane isifo.
1. Uvavanyo lomzimba: Okokuqala, ugqirha uza kukuhlola. Baza kukhangela izinto ezifana ne-thyroid gland evuvukileyo entanyeni yakho, ukubetha kwentliziyo ngokukhawuleza, izandla ezingcangcazelayo, kunye nolusu oluthambileyo.
2. Uvavanyo lwegazi le-thyroid: Olu lolona vavanyo lubalulekileyo noluchanekileyo. Lujonga amanqanaba e-T3, T4, kunye ne-TSH hormones egazini lakho. Umntu one-hyperthyroidism udla ngokuba namanqanaba aphezulu e-T3 kunye ne-T4, ngelixa amanqanaba e-TSH edla ngokuba phantsi .
3.Uvavanyo lwegazi lwe-thyroid antibody: Olu vavanyo lunceda ekuqinisekiseni ukuba isifo sikaGraves singunobangela wale meko.
4. Ezinye iimvavanyo: Ukuba kuyimfuneko, ugqirha wakho angakucela ukuba wenze into efana ne-thyroid ultrasound okanye uvavanyo lwe-radioactive iodine uptake (RAIU). Ungakhathazeki ngayo, ugqirha wakho uza kukuchazela yonke into.
Ziziphi iindlela zonyango lwe-hyperthyroidism?
Eyona nto ingcono kukuba i-hyperthyroidism yimeko enokunyangwa kwaye ilawuleka. Ugqirha wakho uza kukumisela unyango olungcono ngokusekelwe kwisizathu kunye nemeko yemeko yakho.
| Indlela yonyango | Indlela esebenza ngayo nento omele uyazi |
|---|---|
| Amayeza e-antithyroid (amayeza athintela ukuveliswa kweehomoni ze-thyroid) | La mayeza (umz. iMethimazole, iPropylthiouracil) asebenza ngokunciphisa ukuveliswa kweehomoni ze-thyroid. Le meko inokulawulwa rhoqo kwiinyanga ezimbini ukuya kwezintathu. Olu lolona nyango lusetyenziswa kakhulu. |
| Unyango lwe-iodine ye-radioactive (RAI) | Oku kuquka ukunika i-capsule okanye ulwelo olune-radioactive iodine ukuba lusele. Le iodine iya ngqo kwi-thyroid gland ize itshabalalise iiseli apho. Oku kuyayiphilisa ngokupheleleyo i-hyperthyroidism. Nangona kunjalo, kwiimeko ezininzi, i-gland ayisebenzi ngokusisigxina, ngoko ke kufuneka uthathe iipilisi ze-thyroid hormone (levothyroxine) ubomi bakho bonke. |
| Utyando | Utyando lokususa yonke okanye inxalenye ye-thyroid gland (i-thyroidectomy) lunokunyanga i-hyperthyroidism, kodwa kuya kufuneka usele iipilisi ze-thyroid hormone ubomi bakho bonke. |
| Ii-Beta-blockers | La mayeza awanciphisi amanqanaba eehomoni. Anceda ekulawuleni iimpawu ezifana nokubetha kwentliziyo ngokukhawuleza, ukungcangcazela, kunye nokungaphumli. Anikwa kunye nezinye iindlela zonyango. |
Kuza kwenzeka ntoni ukuba ayinyangwa?
Oku kubaluleke kakhulu. Ukuba i-hyperthyroidism ayinyangwa, inokukhokelela kwiingxaki ezinkulu.
- Isifo sentliziyo: Iimeko ezifana ne-atrial fibrillation (Afib) kunye nokusilela kwentliziyo okuxineneyo.
- Ukungazali
- Istroke (i-Ischemic stroke)
- I-Osteoporosis: Amathambo aba buthathaka kwaye aphuke lula, nokuba awile kancinci.
Eyona ngxaki iyingozi nenokuba yingozi ebomini yile 'Thyroid Storm' . Oku kwenzeka xa kukhutshwa iihomoni ze-thyroid ngequbuliso emzimbeni. Iimpawu ziquka umkhuhlane ophezulu kunye nokubetha kwentliziyo ngokukhawuleza. Le yingxamiseko yezonyango. Ukuba ufumana ezi mpawu, kufuneka uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko.
Ngaba kufuneka ulumke ngokutya nokusela?
Ngamanye amaxesha, ukutya ukutya okuninzi okune-iodine eninzi (ukutya kwaselwandle, ulwandle, unonkala, i-shrimp, ityuwa ene-iodine) kunokuyenza ibe mandundu le meko. Ngoko ke ugqirha wakho unokucebisa ukutya okune-iodine encinci.
Kodwa khumbula, esi sifo asinakunyangwa ngokulawula ukutya kwakho kuphela. Unyango lwezonyango luyafuneka ngokuqinisekileyo. Qiniseka ukuba uqhagamshelana nogqirha wakho ngaphambi kokuba wenze naluphi na utshintsho olukhulu kwindlela otya ngayo.
Ukufumana uxilongo olutsha kunokuba yingxaki. Kodwa iindaba ezimnandi zezokuba i-hyperthyroidism yimeko enokunyangeka kwaye ilawulwe. Ukuba uziva ngathi umzimba wakho usebenza ngokukhawuleza kakhulu, qiniseka ukuba ubona ugqirha. Unokwenza uvavanyo olufunekayo aze akunike unyango oludingayo ukuze umzimba wakho ubuyele esimeni esifanelekileyo.
Umyalezo Wokuya Ekhaya
- I-Hyperthyroidism yindlala ye-thyroid esebenza kakhulu. Oku kunokubangela iimpawu ezifana nokwehla kobunzima, ukubetha kwentliziyo ngokukhawuleza, kunye nokubila kakhulu.
- Ukuba unale mpawu, ungazityesheli uze ubone ugqirha ngoko nangoko. Oku kunokubonwa ngovavanyo lwegazi olulula.
- Le yimeko enokunyangeka kwaye ilawulwe kakuhle. Ngoko ke ungoyiki. Landela imiyalelo kagqirha ngokuchanekileyo.
- Ukuba ayinyangwa, inokukhokelela kwiingxaki ezinkulu ezifana nesifo sentliziyo. Kungoko ke, kubaluleke kakhulu ukufumana unyango olufanelekileyo ngexesha elifanelekileyo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho