Ngaba uhlala uziva udiniwe, ubuthathaka, okanye ungaphumli ngendlela engaqhelekanga? Ngaba ngamanye amaxesha uziva ngathi intliziyo yakho ibetha ngamandla ngaphandle kwesizathu esicacileyo? Ngaba ukhe waphawula ukudumba okuncinci entanyeni yakho? Ukuba ufumana enye okanye ngaphezulu kwezi mpawu, imeko eyaziwa ngokuba yi-thyroiditis inokuba yimbangela eyintloko. Abantu abaninzi abaqhelananga nale meko, ngoko ke namhlanje, thina eNirogi Lanka siza kuyichaza ngokulula nangokucacileyo kuwe.
Okokuqala, yintoni i -thyroid gland ?
Ngamafutshane, i-thyroid yakho sisitho esincinci kodwa esibalulekileyo emzimbeni wakho. Simile okwebhabhathane kwaye sibekwe ngaphambili entanyeni yakho, ngaphantsi nje kwe-apile lika-Adam.
Cinga ngomzimba wakho njengemoto. Kulo mzekelo, i-thyroid gland isebenza njenge-accelerator elawula isantya senjini. Iihomoni eziveliswa yile gland zimisela ukuba intliziyo yakho, ubuchopho, kunye nayo yonke inxalenye yomzimba wakho isebenza ngokukhawuleza okanye kancinci kangakanani. Ngokwenyani, le gland incinci isebenza njengeziko lolawulo lwe-metabolism yomzimba wakho wonke.
Ngoko ke, yintoni kanye kanye i-thyroiditis?
I-thyroiditis ibhekisa ekudumbeni okanye ekuvuvukeni kwe-thyroid gland yakho. Nangona inokuchaphazela nabani na, ixhaphake kakhulu kubasetyhini abancinci nabakwiminyaka ephakathi.
Xa indlala ivuvukala, ukusebenza kwayo okuqhelekileyo kuyaphazamiseka. Oku kuphumela kwesinye seziphumo ezimbini:
1. Ivelisa iihomoni ezininzi .
2. Ayivelisi iihomoni ezaneleyo .
Le meko idla ngokuqhubeka ngamanqanaba amathathu ahlukeneyo:
| Isigaba | Kwenzekani |
|---|---|
| Isigaba se-Thyrotoxic | Ngeli nqanaba, i-gland evuvukileyo ngequbuliso ikhupha iihomoni ezininzi egazini lakho, nto leyo ebangela ukuba imisebenzi yomzimba wakho ikhawuleze. |
| Isigaba se-Hypothyroid | Ngenxa yokuba uninzi lweehomoni lwalunciphile kwinqanaba elidlulileyo, amanqanaba eehomoni ehla kakhulu apha, nto leyo ebangela ukuba imisebenzi yomzimba wakho yehle. |
| Isigaba se-Euthyroid | Kule nqanaba, amanqanaba ehomoni yakho ye-thyroid abuyela kwisiqhelo. Oku kunokwenzeka phakathi kwamanqanaba amabini okanye ekupheleni kwenkqubo. |
Ziziphi iimpawu ze-thyroiditis?
Iimpawu eziqhelekileyo ziquka ukudinwa ngesiquphe , ukudumba ngaphambili entanyeni , kunye nentlungu yentamo ngamanye amaxesha. Nangona kunjalo, iimpawu ziyahluka ngokuxhomekeke ekubeni amanqanaba akho ehomoni aphezulu kakhulu (iHyperthyroidism) okanye aphantsi kakhulu (iHypothyroidism).
| Ukuchonga Iimpawu NgokweeNqanaba zeHormone | |
|---|---|
| I-Hypothyroidism (iiHormone eziphantsi) | I-Hyperthyroidism (iiHormone eziphezulu) |
| Ukudinwa kakhulu kunye nokulala nangona uphumle ngokwaneleyo. | Ukungazoli, ukucaphuka, nomsindo okhawulezayo. |
| Ukudandatheka kunye nomvandedwa. | Ukwehla kobunzima obungachazekiyo nangona umntu enqwenela ukutya ukutya okuqhelekileyo. |
| Ukutyeba okungachazwanga. | Ukungalali kunye nentliziyo ebalekayo. |
| Ulusu olomileyo kunye nokuqhinwa. | Ubuthathaka bemisipha kunye nezandla eziqhaqhazelayo. |
| Ukwanda kovakalelo lokubanda. | Ukunganyamezelani nobushushu kunye nokubila kakhulu. |
Yintoni ebangela i-thyroiditis?
Ukudumba kwe-thyroid kunokubangelwa zizinto ezahlukeneyo. Ezi zinokubandakanya usulelo lwentsholongwane okanye iintsholongwane, amayeza athile (afana neLithium okanye i-Interferon), okanye iingxaki kwinkqubo yakho yokuzikhusela. Ukuba ufumana iimpawu ezinzima ezifana nomkhuhlane ophezulu, ubunzima bokuphefumla, okanye ubunzima bentamo obukhula ngokukhawuleza, nceda ufune unyango ngokukhawuleza kwicandelo elikufutshane nawe okanye utsalele umnxeba ku-911.
Eyona nto ibalulekileyo yile: ngokukhawuleza nje ukuba uqaphela ezi mpawu, musa ukuzama ukuzixilonga. Kubalulekile ukuba udibane nengcali yezempilo ukuze ufumane uvavanyo kunye nesikhokelo esifanelekileyo.
Kukho iintlobo eziphambili ze-thyroiditis ekufuneka uzazi:
- Isifo sikaHashimoto: Le yeyona ndlela ixhaphakileyo. Senzeka xa inkqubo yakho yokuzikhusela komzimba ibona ngempazamo i -thyroid gland njengengozi ize iyihlasele—njengokuba ukhuselo lwangaphakathi lomzimba wakho lujika lujikele kummandla walo. Ekuhambeni kwexesha, lo monakalo uyawenza buthathaka i-gland, iwushiye ungakwazi ukuvelisa iihomoni ezaneleyo (Hypothyroidism).
- I-Subacute thyroiditis: Oku kudla ngokulandela usulelo lwentsholongwane, njengomkhuhlane okanye umkhuhlane oqhelekileyo . Ekuqaleni usenokuba neentlungu zentamo kunye namanqanaba aphezulu e-hormone (Hyperthyroidism), kulandele ukwehla kwemveliso ye-hormone (Hypothyroidism). Kwiimeko ezininzi, i-gland ibuyela ekusebenzeni kwayo okuqhelekileyo kwiinyanga ezili-12 ukuya kwezili-18.
- I-Postpartum thyroiditis: Le meko inokwenzeka kunyaka wokuqala emva kokubeleka, ingakumbi kwabo banembali yeengxaki ze-thyroid. Nangona kunjalo, qiniseka: ngononophelo olufanelekileyo, oku phantse kuhlala kulungelelaniswa ngokupheleleyo kwiinyanga ezili-18.
- I-thyroiditis ethule: Njengoko igama lisitsho, olu hlobo alubonakalisi zimpawu zibalulekileyo, ingakumbi iintlungu. Lufana nohlobo lwasemva kokubeleka, luqala ngamanqanaba aphezulu eehomoni, lulandelwe yinqanaba eliphantsi, kwaye ekugqibeleni luzilungisa ngokuhamba kwexesha.
Ugqirha wakho uyifumanisa njani le meko?
Xa undwendwela ugqirha wakho, baza kuxoxa ngeempawu zakho baze benze uvavanyo lomzimba. Ukuqinisekisa ukuba uxilongiwe, banokucebisa olunye okanye ngaphezulu kwezi vavanyo zilandelayo:
- Uvavanyo lwegazi: Esi sisixhobo esiphambili sokuxilonga. Ngokulinganisa iihomoni zakho ze-thyroid (TSH, T3, kunye ne-T4), ugqirha wakho unokufumana umfanekiso ocacileyo wemeko yakho ethile.
- Uvavanyo lokufunxwa kwe -iodine ngemisebe (RAIU): Ngexesha lovavanyo, uza kunikwa idosi encinci ye-iodine ngendlela yolwelo okanye yepilisi. Qiniseka ukuba oku kukhuselekile emzimbeni wakho. Kwiiyure ezingama-24 ezizayo, umatshini okhethekileyo uza kulinganisa ukuba ingakanani i-iodine efunxwa yi-thyroid gland yakho.
- Iskeni ye-thyroid: Oku kubandakanya ukusebenzisa isixa esincinci nesikhuselekileyo se-radioactive tracer ukuthwebula imifanekiso ecacileyo ye-thyroid gland yakho.
- Uvavanyo lwe-ESR : Olu vavanyo lwegazi lulinganisa amanqanaba okudumba emzimbeni wakho. Amanqanaba aphezulu anokuba luphawu lwe-subacute thyroiditis.
- I-ultrasound scan: Inkqubo elula, engenabuhlungu yokufota evumela ugqirha wakho ukuba ajonge amaqhuqhuva, ahlole ukuhamba kwegazi, aze ahlole ulwakhiwo lulonke lwe-thyroid gland yakho.
Ziziphi iindlela zonyango lwe-Thyroiditis?
Unyango luxhomekeke ngokupheleleyo kuhlobo oluthile lwe-thyroiditis onayo kunye nohlobo lweempawu zakho.
- Ukuba iihomoni ziphantsi (iHypothyroidism): Ukuba amanqanaba akho awanelanga, ugqirha wakho uya kukunika amayeza ehomoni ye-thyroid eyenziweyo. Umthamo wakho uya kulungiswa ngononophelo njengoko imetabolism yakho ibuyela kwisiqhelo.
- Ukuba iihomoni ziphezulu (i-Hyperthyroidism): Ukuba amanqanaba akho aphezulu, ugqirha wakho unokukunika amayeza okulwa ne-thyroid ukuze awalawule. Banokucebisa nee-beta-blockers ukulawula iimpawu ezifana nokubetha kwentliziyo ngokukhawuleza okanye ukungcangcazela.
- Kwiintlungu: Ukuba uziva ubuhlungu entanyeni, ugqirha wakho unokucebisa amayeza okuphelisa iintlungu athengiswa ngaphandle kwemvume kagqirha afana ne-Aspirin okanye i-Ibuprofen. Kwiintlungu eziqatha, kunokufuneka olunye unyango.
Kwiimeko ezingaqhelekanga kakhulu, ukuba ezinye iindlela zonyango aziphumeleli, utyando lunokuthathwa njengelifanelekileyo.
Eyona nto ibalulekileyo: Qinisekisa ukuba lonke inyathelo lonyango lwakho liyaxoxwa kwaye lijongwa ngugqirha wakho. Ukusela amayeza ngaphandle kwengcebiso yogqirha kunokwenza imeko yakho ibe mandundu.
Umyalezo Wokuya Ekhaya
- I-thyroiditis yimeko eqhelekileyo enokunyangwa kakhulu. Akukho mfuneko yokuba nexhala kakhulu.
- Musa ukungazinaki iimpawu ezinje ngokudinwa okungachazekiyo, utshintsho lobunzima ngesiquphe, utshintsho lweemvakalelo, okanye ukudumba kwentamo.
- Ukuba ufumana ezi mpawu, nceda ubone ingcali yezempilo efanelekileyo ngokukhawuleza.
- Ungaze uyeke okanye ucele uvavanyo lokuxilonga ngokwakho. Soloko uthemba ugqirha wakho ukuze akunike uxilongo oluchanekileyo kunye nonyango olusekelwe kubungqina.
I-Thyroiditis, i-Thyroid, iimpawu ze-Thyroid, ukudumba kwentamo, isifo sikaHashimoto, imiba yehomoni
