Ingabe nawe unalezi zimpawu? Ake sixoxe nge-hypothyroidism!

Ingabe ngezinye izikhathi uzizwa ukhathele? Ingabe uzizwa sengathi usukhuluphele kancane? Noma uzizwa ungaphilile? Lezi zinto zingenzeka ngezizathu ezahlukene. Kodwa ngezinye izikhathi imbangela yalokhu ingaba yinkinga encane ngendlala yakho yegilo. Yilokho esizokhuluma ngakho namuhla.

Kuyini i-hypothyroidism? Ake sithole kalula!

Kalula nje, i-hypothyroidism yisimo lapho i-thyroid gland emise okwebhabhathane entanyeni yakho ingakhiqizi ama-hormone e-thyroid anele futhi iwakhiphe egazini. La ma-hormone alawula imisebenzi eminingi ebalulekile emzimbeni wethu, ikakhulukazi i-metabolism yethu, okusho ukukhiqiza amandla nokugaya ukudla. Ngakho-ke uma la ma-hormone ephansi, yonke le misebenzi emzimbeni wethu isebenza kancane. Yingakho ngezinye izikhathi sizizwa sikhathele ngaphandle kwesizathu futhi sikhuluphala. Kodwa ungakhathazeki! Kukhona ukuhlolwa kwegazi okulula ukuhlonza lesi simo. Futhi, lesi yisimo esingelashwa futhi silawulwe ezimweni eziningi. Abantu abaningi basiphatha kahle ngemithi kanye nokuxhumana njalo nodokotela wabo. Kodwa-ke, uma singalashwa isikhathi eside, singaba yingozi kancane. Ngakho-ke, uma uba nezimpawu ezintsha, kubaluleke kakhulu ukufuna iseluleko sezokwelapha.

Yiziphi izinhlobo eziyinhloko ze-hypothyroidism?

Kunezinhlobo ezine eziyinhloko zalesi simo se-hypothyroidism. Ake sibheke ukuthi ziyini:

1. I-hypothyroidism eyinhloko

Lolu uhlobo oluvame kakhulu. Lokhu kwenzeka lapho indlala yakho yegilo ithinteka ngqo futhi ingakwazi ukukhiqiza i-hormone yegilo eyanele. Lokhu kungabangelwa yisimo sokuzivikela komzimba njengesifo sikaHashimoto - lapho amasosha omzimba wakho ehlasela indlala yakho yegilo - noma ngokuhlinzwa noma ukwelashwa ngemisebe egilo yakho yegilo. Phakathi nalesi sikhathi, indlala yegilo ebuchosheni bakho ikhiqiza i-hormone evuselela i-thyroid (TSH) eyengeziwe ukuze ivuselele i-thyroid yakho.

2. I-hypothyroidism yesibili

Lokhu kuyinto engavamile kancane. Inkinga lapha ayikho ngendlala yegilo, kodwa ngendlala yegilo, ithambo elincane phansi kobuchopho bakho. Uma le ndlala ingasebenzi kahle, ayithumeli i-hormone ye-TSH egilo yegilo. Khona-ke indlala yegilo ayitholi umyalezo wokwenza ama-hormone.

3. I-hypothyroidism ephakeme

Lokhu kwenzeka futhi ngenxa yenkinga kwenye ingxenye yobuchopho, i-hypothalamus . I-hypothalamus iyingxenye yomzimba wethu esiza ekugcineni i-homeostasis. Uma ingakhiqizi i-hormone ekhulula i-thyrotropin (TRH) eyanele, i-pituitary gland ayikwazi ukwenza i-TSH eyanele. Umphumela uba ukwehla kwama-hormone e-thyroid.

4. I-hypothyroidism engaphansi kwe-subclinical

Lokhu kubizwa nangokuthi ukwehluleka kwe-thyroid okuncane . Okwenzekayo lapha ukuthi izinga lakho le-TSH liphakeme kancane, kodwa amanye amazinga akho e-hormone ye-thyroid (T3, T4) angaphakathi kwesilinganiso esijwayelekile. Ezimweni eziningi, lesi simo sixazululeka ngokwaso zingakapheli izinyanga ezintathu.

Sivame kangakanani lesi simo esibizwa ngokuthi i-hypothyroidism?

I-Hypothyroidism empeleni ingathinta noma ubani, kodwa ivame kakhulu kwabesifazane abangaphezu kweminyaka engu-60 , ikakhulukazi ngemva kokunqamuka kokuya esikhathini .

Ziyini izimpawu ze-hypothyroidism? Bheka ukuthi unazo yini lezi!

Izimpawu ze-hypothyroidism ngokuvamile aziveli zonke ngesikhathi esisodwa. Zikhula kancane, ngezinye izikhathi eminyakeni edlule. Bheka ukuthi unazo yini lezi zimpawu:

• Inkungu yobuchopho - Lokhu kusho ukukhohlwa izinto nokuba nobunzima bokugxilisa ingqondo.
• Ukucindezeleka Nokukhathazeka - Imizwa yokudabuka nokwesaba.
• Isikhumba esomile, esiqinile kanye nezinwele.
• Amazinga e-cholesterol egazini akhuphukile.
• Ukuzizwa ukhathele ngaso sonke isikhathi ( Ukukhathala ).
• Kwabesifazane, ukuya esikhathini njalo noma okukhulu.
• Ukuhosha kwezwi .
• Ukungakwazi ukuthwala umkhuhlane.
• Ukungazweli noma ukuzwa ukuthuthumela ezandleni.
• Izinguquko zobuso - njengezinkophe ezigobile kanye nokuvuvukala okuzungeze amehlo.
• Ubuhlungu noma ubuthakathaka bemisipha.
• Ukwanda kwesisindo ngaphandle kwesizathu.

Okubalulekile: Uma unesinye noma ngaphezulu salezi zimpawu, sicela wazise udokotela wakho. Bangenza izivivinyo ezidingekayo ukuqinisekisa ukuthi lokhu kuyi-hypothyroidism noma cha.

Kungani i-hypothyroidism yenzeka? Yiziphi izimbangela eziyinhloko?

Imbangela eyinhloko ye-hypothyroidism yisifo sikaHashimoto . Njengoba sishilo ngaphambili, lesi yisifo esibangelwa ukuzivikela komzimba.Okusho ukuthi, amasosha omzimba wakho ahlasela ngephutha indlala yakho yegilo. Kodwa, lesi akusona sodwa isizathu. Kungaba nezinye izizathu:

• Eminye imithi - isibonelo, imithi efana ne -lithium, i-thalidomide, ne-amiodarone .
• Izimo ezikhona lapho kuzalwa - Abanye abantu bazalwa bengenayo i-thyroid gland, noma bene-thyroid gland engasebenzi kahle.
• Ukuntuleka kwe-iodine - Ukungatholi i-iodine eyanele emzimbeni.
• Izinkinga ze-pituitary gland - izinto ezifana nezimila ezingezona umdlavuza.
• I-thyroiditis - Lokhu ukuvuvukala kwendlala yegilo. Lokhu kungenzeka ngemuva komkhuhlane wegciwane noma ngesikhathi sokukhulelwa .

Ubani osengozini enkulu yokuthola i-hypothyroidism?

Nakuba noma ubani engaba nalesi simo, ingozi iphakeme kancane uma ungowesifazane , noma uma kukhona okulandelayo okukusebenzelayo:

• Ukuba nesinye isifo sokuzivikela komzimba.
• Othile emndenini (abazali, izingane zakubo) unalesi simo (ukuthambekela kofuzo).
• Njengoba ngike ngahlinzwa i-thyroid ngaphambilini (isb., ukususwa kwe-thyroid).
• Ukukhulelwa.
• Njengoba ngithole ukwelashwa ngemisebe endaweni yentamo nekhanda ngaphambilini.
• Ukuqala noma ukuyeka imithi ethile.

Yiziphi izinkinga ezingaba khona uma zingelashwa?

Ngokwelashwa okufanele, izinkinga ezibangelwa yi-hypothyroidism azivamile. Kodwa-ke, uma zingelashwa isikhathi eside , ezinye izinkinga zempilo zingavela. Ezinye izibonelo yilezi:

• I-Goiter - ukwandiswa kwendlala yegilo.
• Isifo senhliziyo.
• Ukungazali.
• Ukuphuphuma kwesisu noma ukukhubazeka kokuzalwa.
• I-peripheral neuropathy - ukulimala kwemizwa emalungeni.
• I-Myxedema coma - Lokhu kuyinkinga engavamile kakhulu, kodwa engase isongela impilo, futhi engathi sína engathinta izitho eziningi zomzimba.

Lesi sifo sihlolwa kanjani ngokunembile? (Ukuxilongwa)

Uma udokotela ekuxilonga, uzoqala ngokuzwa intamo yakho ukuze abone ukuthi indlala yakho yegilo ivuvukele yini. Bazobe sebebuza ngezimpawu zakho kanye nanoma yiziphi izimo zempilo oye waba nazo ngaphambilini. Kodwa-ke, ukuze baqinisekise i-hypothyroidism, kuzodingeka benze ukuhlolwa kwegazi legilo.Lokhu kungenxa yokuthi izimpawu zingafana nezezinye izifo. Lokhu kuhlolwa kwegazi kulinganisa izinga le -hormone evuselela i-thyroid (TSH) kanye namanye ama-hormone e-thyroid (T3 kanye ne-T4) egazini lakho. Ngezinye izikhathi, ungase udinge nokuhlolwa kwesithombe se-thyroid gland yakho. Lokhu kufaka phakathi:

• Ukuhlolwa kwe-Ultrasound.
• I-CT scan (CT - computed tomography scan).
• Ukuskena kokuthathwa kwe-thyroid - Lokhu ukuskena okukhethekile okuhlobene nomuthi wenuzi.

Yiziphi izindlela zokwelapha i-hypothyroidism?

Ukwelashwa okuyinhloko nokuvame kakhulu kwe-hypothyroidism ukwelashwa kokushintsha ama-hormone . Lona umuthi obizwa ngokuthi i-levothyroxine (amagama omkhiqizo afaka phakathi i-Synthroid®, i-Levo-T®). Lo muthi usebenza ngokuthatha indawo yama-hormone i-thyroid gland yakho engakwazi ukuwakhiqiza. Iningi labantu lithatha lo muthi ekuseni esiswini esingenalutho. Uma uthatha lo muthi njalo , amazinga akho ama-hormone azolingana futhi izimpawu zakho zizophela. Kodwa-ke, kungathatha isikhathi ukuthola umthamo ofanele wena. Udokotela wakho uzokwenza ukuhlolwa kwegazi njalo ukuqinisekisa ukuthi amazinga akho e-TSH angaphakathi kwemingcele evamile.

Into ebalulekile ukuthi kuzodingeka uthathe lo muthi we-hypothyroidism impilo yakho yonke . Uma uwuphatha kahle futhi uhlala uxhumana nodokotela wakho njalo, ungaphila impilo evamile nenempilo.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokuqala umuthi?

Amazinga akho ama-hormone azoqala ukulinganisela ngokushesha nje lapho uqala ukuthatha imithi efana ne-levothyroxine. Kodwa-ke, kungathatha amasonto ambalwa ukubona ukwehla kwezimpawu. Khumbula, uma uyeka ukuthatha imithi, izimpawu zakho zingase zibuye.

Ingabe ikhona indlela yokuvimbela i-hypothyroidism?

Ngeshwa, ayikho indlela yokuvimbela i-hypothyroidism. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu esixoxe ngazo ekuqaleni, kungcono ukubona udokotela ngokushesha. Ukuxilongwa kusenesikhathi kanye nokwelashwa kungasiza ekunciphiseni ingozi yezinkinga futhi kukusize uhlale uphilile.

Ingabe lesi yisifo esingelapheka ngokuphelele?

Okwamanje akukho ukwelashwa kwe-hypothyroidism. Kodwa-ke, lesi simo singaphathwa ngempumelelo ngokwelashwa kokushintsha ama-hormone .

I-hypothyroidism ihlala isikhathi esingakanani?

I-Hypothyroidism iyisimo esihlala isikhathi eside . Uma utholakala unalesi simo, kuzodingeka uthathe imithi nsuku zonke ukuze ulawule amazinga akho e-hormone ye-thyroid.

Uyini umbono uma kunikezwa ukwelashwa? (I-Outlook)

Uma umuntu one-hypothyroidism elashwa kahle, isimo siba sibi kakhulu . Uma engelashwa, izinkinga ezisongela ukuphila njenge- myxedema zingavela.

Kufanele ngimbone nini udokotela?

Uma uba nezimpawu ze-hypothyroidism (isib. ukukhuluphala, isikhumba esomile, ukukhathala njalo), tshela udokotela wakho. Bazokwenza izivivinyo ukuze banqume ezinye izimo. Uma usuvele uthatha imithi ye-hypothyroidism, tshela udokotela wakho uma izimpawu zakho zibuya noma ziqhubeka. Kungase kudingeke balungise umthamo wemithi yakho.

Kufanele uye nini e-Emergency Treatment Unit (ETU) ?

Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela u-911 ngokushesha noma uye ekamelweni lezimo eziphuthumayo eliseduze :

• Ubunzima bokuphefumula.
• Ukudinwa okukhulu.
• Ukwehla kwezinga lokushisa lomzimba (i-Hypothermia).
• Umfutho wegazi ophansi (i-Hypotension).
• Ukushaya kwenhliziyo okuhamba kancane (i-Bradycardia).

Lezi zimpawu zingase zibonise isimo esisongela ukuphila esibizwa ngokuthi i-myxedema . Uma uhlangabezana nanoma yini efana nale, funa ukwelashwa ngokushesha!

Ingabe i-hypothyroidism ingakhula ngesikhathi sokukhulelwa?

Abantu abane-thyroid engasebenzi kahle, ikakhulukazi labo abane-hypothyroidism eyinhloko, basengozini enkulu yokungazali kanye nezinkinga zokukhulelwa (isb., umfutho wegazi ophakeme wokukhulelwa , ukuphuma kwegazi ngemva kokubeletha) . Kodwa-ke, ngokuhlolwa okuvamile kokusebenza kwe-thyroid kanye nemithi efanele, ungaba nokukhulelwa okunempilo. Uma une-hypothyroidism futhi ucabanga ukuthi kungenzeka ukuthi ukhulelwe, buza udokotela wakho ukuthi ungasiphatha kanjani lesi simo.

Ingabe izingane ezincane nazo ziyaba ne-hypothyroidism?

Abanye abantu bazalwa bene-thyroid gland engasebenzi kahle, noma bengenayo nhlobo i-thyroid gland. Odokotela bakubiza lokhu ngokuthi i-congenital hypothyroidism . Odokotela bahlola zonke izingane ezisanda kuzalwa ukuthi azinayo i-hypothyroidism ngoba ama-hormone e-thyroid abalulekile ekukhuleni kwengane nasekukhuleni kobuchopho. Uma ingane yakho ine-hypothyroidism yokuzalwa, udokotela wakho cishe uzoqala ukwelashwa emasontweni ambalwa okuqala okuphila ukuze avimbele ukukhubazeka kwengqondo kanye nokubambezeleka kokukhula .

Ingabe lokhu kuyinto evela ezizukulwaneni ngezizukulwane?

Ngezinye izikhathi, kodwa hhayi njalo. I-Hypothyroidism ingazuzwa kubazali iye ezinganeni. Kodwa ezimweni eziningi, ibangelwa yizici zemvelo, njenge-thyroiditis, ukuntuleka kwe-iodine, kanye nokuphuza imithi ethile .

Ingabe i-hypothyroidism ikwenza ukhuluphale ngempela?

Yebo, i-hypothyroidism ingabangela ukuthi ukhuluphale uma ingelashwa. Abantu abaningi bancipha isisindo ngemva kokuqala ukwelashwa kokushintsha ama-hormone. Kodwa-ke, uhlelo lokudla nokuzivocavoca olusebenzayo kuweKungcono ukukhuluma nodokotela wakho ngakho.

Kwenzekani uma ingelashwa?

Uma ingelashwa, i-hypothyroidism iyisimo sezokwelapha esingathi sína futhi esingasongela impilo .

Ingabe i-hypothyroidism ibangela ukukhathazeka?

Yebo, ungakwenza. Eqinisweni, noma yikuphi ukuphazamiseka kwe-thyroid kungabangela kokubili ukukhathazeka nokucindezeleka . Kodwa-ke, i-hypothyroidism iyimbangela eyinhloko yalokhu. Buza udokotela wakho ngezindlela zokunciphisa ukucindezeleka futhi uzijwayeze ukuqaphela.

Okokugcina, izinto ezibaluleke kakhulu okufanele uzikhumbule! (Umyalezo Wokuya Ekhaya)

Ukukhathala, inkungu yobuchopho, ukucindezeleka, kanye nokukhuluphala okungachazeki ngezinye zezimpawu ze-hypothyroidism. Uma lezi zimpawu eziyisixwayiso ziqala ukungena empilweni yakho yansuku zonke, kungaba yinto eyesabekayo. Uma ingelashwa, i-hypothyroidism ingaba yingozi empilweni. Kodwa-ke, izindaba ezinhle ukuthi ngemithi, ungaphila impilo engenazo izimpawu. Uma uzizwa sengathi kukhona okungahambi kahle, bona udokotela ukuze akunike iseluleko. Bangenza izivivinyo, baxilonge isimo, futhi batuse ukwelashwa okufanele ukuze bakubuyisele endleleni efanele. Into ebaluleke kakhulu ukuhlala uzolile, uhlale unolwazi, futhi ulandele iseluleko sikadokotela wakho! I-thyroid, i-Hypothyroidism, ama-hormone, i-Metabolism, izimpawu, ukwelashwa, i-thyroid