Ukhathele nje? Ingabe intamo yakho ivuvukele? Mhlawumbe lesi yisifo sikaHashimoto!

Ingabe ngezinye izikhathi uzizwa ukhathele, ukhathele, noma udabukile kancane? Ingabe uyakhuluphala? Noma uzizwa sengathi ingxenye engaphambili yentamo yakho ivuvukele kancane? Lokhu kungaba izimpawu zesimo esibizwa ngokuthi isifo sikaHashimoto. Ukuzwa leli gama kungase kukwethuse kancane. Kodwa ungesabi. Namuhla, sizokhuluma ngeSifo sikaHashimoto ngokuningiliziwe nangokulula kakhulu.

Iyini Isifo SikaHashimoto?

Kalula nje, isifo sikaHashimoto siyisimo esibangelwa inkinga encane ohlelweni lwethu lokuzivikela, uhlelo olusivikela ezifweni. Okwenzekayo kulokhu ukuthi amangqamuzana ethu okuzivikela ahlasela indlala yethu yegilo. Uma lokhu kwenzeka ngokuhamba kwesikhathi, indlala yegilo ayikwazi ukusebenza kahle, futhi inani lamahomoni eliwakhiqizayo liyancipha. Lesi simo sibizwa ngokuthi i-hypothyroidism . Isifo sikaHashimoto siyisimo sokuphila konke, esingamahlalakhona.

Iyini i-thyroid gland? Ibaluleke kangakanani emzimbeni wethu?

Indlala yegilo iyindlala encane, emise okwebhabhathane etholakala ngaphambili entanyeni yakho, ngaphansi nje kwesikhumba. Iyingxenye yesistimu yethu ye-endocrine . Ikhiqiza ama-hormone egilo bese iwakhipha egazini.

Umsebenzi oyinhloko wendlala yegilo ukulawula izinga lokusetshenziswa komzimba emzimbeni wethu . I-Metabolism inqubo lapho ukudla esikudlayo kuguqulwa khona kube amandla. Ngokuvamile sicabanga ngalokhu kuphela ngokwenyuka noma ukwehla kwesisindo, kodwa empeleni le nqubo ithinta zonke izitho zomzimba wethu, okuhlanganisa nenhliziyo yethu kanye nobuchopho.

Kwenzekani ngempela ngesifo sikaHashimoto?

Kubantu abaningi abanesifo sikaHashimoto, indlala yegilo ayikwazi ukukhiqiza ama-hormone egilo anele umzimba. Ngenxa yalokho, inqubo yokugaya ukudla eshiwo ngenhla iqala ukwehla. Yilapho izimpawu ziqala khona ukuvela.

Lesi sifo saqala ukutholwa ngo-1912 ngudokotela waseJapan ogama lakhe linguDkt. Hakaru Hashimoto. Yingakho sibizwa ngokuthi isifo sikaHashimoto. Saziwa nangamanye amagama:

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

Sivame kangakanani isifo sikaHashimoto? Ubani onamathuba amaningi okusithola?

Isifo sikaHashimoto siyisifo esivame kakhulu . Ngokwezibalo kwamanye amazwe, singathinta abantu abafinyelela kwabayi-5 kwabayi-100.

Emazweni lapho usawoti owenezelwe nge-iodine kanye nokunye ukudla okucebile nge-iodine kuvamile khona, isifo sikaHashimoto siyimbangela ehamba phambili ye-hypothyroidism. Kwamanye amazwe, ukuntuleka kwe-iodine kuyimbangela ehamba phambili.

Ubani oyitholayo? Noma ubani, kungakhathaliseki ubudala, angathola isifo sikaHashimoto. Kodwa-ke,Abesifazane banamathuba aphindwe kayishumi okuthola lesi sifo kunabesilisa, futhi sivame ukutholakala kwabesifazane abaneminyaka ephakathi kuka-30 no-50.

Ziyini izimpawu zesifo sikaHashimoto? Uzizwa kanjani?

Abanye abantu bangase babe nesifo sikaHashimoto kodwa bangakhombisi zimpawu ezigabeni zokuqala.

Njengoba lesi sifo siqhubeka, indlala yegilo ngezinye izikhathi ingavuvukala. Lokhu kubizwa ngokuthi i-goiter . Lokhu kuvame ukuba uphawu lokuqala lwesifo sikaHashimoto. Akubuhlungu, kodwa kungazwakala sengathi kukhona okugcwele engxenyeni engezansi yentamo. Ingaphambili lentamo lingabonakala livuvukile.

Uma ama-hormone e-thyroid encipha ngenxa yesifo sikaHashimoto (i-Hypothyroidism), ngokuhamba kwesikhathi, kungase kuvele izimpawu ezilandelayo:

• Ukozela, ukukhathala ngokweqile, kanye nesidingo sokulala njalo.
• Ukwanda kwesisindo kancane.
• Ukuqunjelwa.
• Isikhumba esomile.
• Ukungakwazi ukuthwala umkhuhlane.
• Ukushaya kwenhliziyo okuhamba kancane kunokujwayelekile (i-Bradycardia).
• Ubuhlungu bamalunga kanye nobuhlungu bemisipha.
• Izinwele ezomile, ukuphuka kwezinwele, ukukhula kwezinwele okunciphile noma ukulahleka kwezinwele.
• Ukwehla kwenjabulo, isimo sengqondo sokucindezeleka.
• Ukuvuvukala kwamehlo nobuso.
• Ukuncipha kwenkumbulo, ubunzima bokugxilisa ingqondo.
• Ukuya esikhathini okungajwayelekile noma ukopha okukhulu kwabesifazane.
• Ukuncipha kwesifiso sobulili.
• Ukungazali kwabesilisa noma kwabesifazane.

Umuntu one-Hashimoto's uvame ukuzizwa kanjani?

Ngisho noma unesifo sikaHashimoto, uma ama-hormone akho e-thyroid ephansi (i-hypothyroidism), ungase ungawuboni umehluko omkhulu.

Kodwa-ke, uma une-hypothyroidism, ungase uzizwe sengathi "kukhona okungahambi kahle." Igama elithi "hypo-" lisho "okuncane" noma "ngaphansi." Ngakho-ke ungacabanga ngezimpawu ze-hypothyroidism "njengokunciphisa ijubane" kwezinqubo ezahlukahlukene emzimbeni.

Ungase uzizwe ungenamandla njengakuqala, futhi ungase ungakwazi ukuzivocavoca kakhulu njengakuqala. Uma usebenzisa i-fitness tracker, izinga lokushaya kwenhliziyo yakho lingabonakala liphansi kunakuqala. Ungase ube nenkungu yobuchopho, futhi kungaba nzima ukukhumbula izinto. I-Hypothyroidism ingaphinde "yehlise ijubane" lemizwa yakho - ungase uzizwe udangele futhi ucindezelekile. Ingaphinde inciphise isifiso sakho socansi futhi yehlise ijubane lesistimu yakho yokugaya ukudla - okusho ukuthi ungase ungabi nokunyakaza kwamathumbu kaningi njengoba wawuvame ukwenza.

Uma umzimba wakho nengqondo yakho kuzwakala sengathi kubhajwe ebhayisikobho ehamba kancane, qiniseka ukuthi ukhuluma nodokotela wakho.

Kungani isifo sikaHashimoto senzeka? Yiziphi izici eziyingozi?

Imbangela: Ukungasebenzi kahle ohlelweni lwethu lokuzivikela (Isifo Sokuzivikela Esizimele)

Isifo sikaHashimoto siyisifo esihlasela amasosha omzimba . Lokho kusho ukuthi amasosha omzimba wakho ahlasela amangqamuzana nezitho zakho zomzimba. Cabanga nje, njengoba ibutho okufanele livikele izwe lethu lihlasela izwe lethu.

Ngokuvamile, amasosha ethu omzimba asivikela ezintweni eziyingozi njengebhaktheriya namagciwane. Kodwa kulesi sifo sikaHashimoto, nakhu okwenzekayo:

• Amasosha omzimba wakho, ngesizathu esingaziwa, akhiqiza ama-antibodies ahlasela izicubu zakho ze-thyroid.
• Inani elikhulu lamaseli amhlophe egazi, ikakhulukazi ama-lymphocyte , aqoqana ngaphakathi kwendlala yegilo.
• Lokhu kuqongelela kubangela ukuvuvukala kwendlala yegilo, noma i-thyroiditis , futhi kulimaze indlala.
• Ngokuhamba kwesikhathi, lo monakalo ubangela ukuthi indlala yegilo ingakwazi ukukhiqiza ama-hormone egilo anele umzimba. Yilokhu okubangela 'i-Hypothyroidism'.
• Nokho, akubona bonke abantu abanesifo sikaHashimoto abathola i-hypothyroidism.

Izinto ezandisa ingozi

Kunezici eziningana ezandisa ingozi yokuthola isifo sikaHashimoto:

• Umlando womndeni: Ucwaningo lukhombisile ukuthi cishe u-80% wengozi yakho yokuthola isifo sikaHashimoto ibangelwa izakhi zofuzo. Uma izihlobo zakho zegazi zinesifo sikaHashimoto noma ezinye izifo ze-thyroid, nawe unamathuba amaningi okuba naso.
• Ubulili: Abesifazane banamathuba aphindwe kayishumi okuthola lesi simo kunabesilisa. Ithonya lama-hormone ocansi nalo lingaba yimbangela.
• Ubudala: Ingozi yokuthola lesi sifo (nezinye izifo ze-thyroid) iyanda njengoba iminyaka ikhula.

Futhi, usengozini enkulu yokuthola isifo sikaHashimoto uma unezinye izifo ezizimele, njenge:

• Isifo sika-Addison
• Isifo se-Celiac
• I-Lupus
• I-anemia eyingozi
• Isifo samathambo esibizwa ngokuthi i-rheumatoid arthritis
• Isifo sikaSjögren
• Isifo sikashukela sohlobo 1

Isifo sikaHashimoto sitholakala kanjani?

Udokotela wakho uzokwenza lezi zinto kuqala:

• Ngibuza ngezimpawu zakho.
• Buza ngomlando wakho wezokwelapha (njengokuthi ngabe kukhona yini emndenini wakho onezinkinga ze-thyroid).
• Kuzohlolwa umzimba, lapho i-thyroid gland yakho izohlolwa khona ngesandla.

Ngemva kwalokhu kuhlolwa, bazoyala ukuhlolwa kwegazi okuningana ukuqinisekisa ukuxilongwa:

• Ukuhlolwa Kwe-Thyroid Stimulating Hormone (ukuhlolwa kwe-TSH): Izinga le-TSH eliphezulu livame ukusho ukuthi i-thyroid gland yakho ayikhiqizi i-thyroxine (T4) hormone eyanele. Lo mphumela ubonisa ukuthi une-hypothyroidism noma i-subclinical hypothyroidism (isimo lapho kungekho zimpawu, kodwa kukhona izinguquko emazingeni e-hormone).
• Ukuhlolwa kwe-Thyroxine yamahhala (i-T4 yamahhala): Amazinga aphansi e-T4 ayisibonakaliso sokuthi une-hypothyroidism.
• Ukuhlolwa kwe-antibody ye-Antithyroid: Uma une-autoantibodies ethile egazini lakho, kubonisa ukuthi imbangela ye-hypothyroidism yakho akuyona into efana nokuntuleka kwe-iodine, kodwa yisifo sikaHashimoto.

Kwezinye izimo, udokotela wakho angase futhi akuncome ukuthi kwenziwe i-ultrasound ye-thyroid ukuze kuhlolwe usayizi we-thyroid gland kanye nokuhlola amaqhubu e-thyroid (amaqhubu amancane akheka e-gland).

Yiziphi izindlela zokwelapha isifo sikaHashimoto?

Ingabe wonke umuntu uyayidinga imithi?

Akuwona wonke umuntu onesifo sikaHashimoto othola i-hypothyroidism. Uma amazinga akho omzimba ephezulu kodwa ungenazo izimpawu ze-hypothyroidism, udokotela wakho uzoqapha amazinga akho e-thyroid njalo esikhundleni sokuqala ukwelashwa.

Ukwelashwa Okuyinhloko: I-Levothyroxine

Uma une-hypothyroidism ngenxa yesifo sikaHashimoto, ukwelashwa okuyinhloko umuthi obizwa ngokuthi i-levothyroxine . Lolu uhlobo lokwenziwa lwe-hormone ye-T4 ekhiqizwa yi-thyroid gland yakho.

I-Levothyroxine itholakala ngaphansi kwamagama emikhiqizo ehlukene. Udokotela wakho uzokunikeza ekufanele.

Lo muthi usiza ekubuyiseleni amazinga e-hormone ye-thyroid emzimbeni wakho. Kuzodingeka uwuthathe nsuku zonke impilo yakho yonke . Ngokuhamba kwesikhathi, umthamo wemithi okudingeka uyithathe ungashintsha. Udokotela wakho uzokwazi ukuthi angawulungisa kanjani umthamo ukuze alawule kangcono i-hypothyroidism yakho.

Ingabe i-Levothyroxine inemiphumela emibi?

Uma ubhekene nemiphumela emibi evela ku-levothyroxine, kungenzeka ukuthi uphuza kakhulu. Lokhu kungaholela esimweni esibizwa ngokuthi i-thyrotoxicosis - ukwanda kwama-hormone e-thyroid.

Izimpawu ze-thyrotoxicosis yilezi:

• Inhliziyo esheshayo (i-Tachycardia) – ngokuvamile ishaya ngaphezu kwe-100 ngomzuzu.
• Ukushaya kwenhliziyo okungajwayelekile (i-Arrhythmia).
• Ukwehlisa isisindo okungachazeki.
• Ukuzizwa sengathi umzimba wakho uyathuthumela.
• Ukungahlaliseki, ukukhathazeka, ukucasuka.
• Ukuzwela okukhulu ekushiseni nasekujulukeni kunokujwayelekile.
• Izinguquko emjikelezweni wokuya esikhathini.

Uma uhlangabezana nezimpawu ezinjengalezi, kufanele utshele udokotela wakho ngokushesha.

Ingabe abantu abanesifo sikaHashimoto badinga ukudla okukhethekile?

Akukho ukudla okuqondile kwesifo sikaHashimoto. Kodwa-ke, okunye ukudla, imithi, noma izithasiselo kungathinta ukumuncwa kwe-levothyroxine oyithathayo. Isibonelo:

• Izithasiselo zensimbi ne-calcium.
• I-Sucralfate (umuthi wezilonda zesisu).
• I-Cholestyramine kanye ne-aluminium hydroxide (etholakala kwamanye ama-antacid).

Le nkinga ingagwenywa uma uthatha lawa mahora amane ngaphambi noma ngemva kokuthatha i-levothyroxine.

Uma unemibuzo mayelana nokudla, khuluma nodokotela wakho noma nodokotela wezokudla obhalisiwe.

Ukudla kahle nokuphila impilo enempilo (ukuzivocavoca umzimba, ukulala ngokwanele, ukulawula ukucindezeleka) kuzosiza amasosha omzimba wakho. Kodwa-ke, uma une-hypothyroidism, kubalulekile ukuphuza imithi yakho ngendlela efanele kungakhathaliseki ukuthi kwenzekani.

Ingabe isifo sikaHashimoto singalapheka ngokuphelele? Ingabe singavinjelwa?

Ngeshwa, ayikho ikhambi noma indlela yokwelapha isifo sikaHashimoto. Kodwa-ke, imithi yokuphila konke ingasiza ekulawuleni i-hypothyroidism kanye namazinga ama-hormone e-thyroid.

Ngeshwa, akukho esingakwenza ukuvimbela isifo sikaHashimoto ngoba asikwazi ukushintsha izinto eziyingozi ezisithintayo - izinto ezifana nezakhi zofuzo kanye nobudala.

Yiziphi izinkinga ezingaba khona zokuphila nesifo sikaHashimoto?

Ngokuqapha nokwelashwa okufanele kukho konke ukuphila, abantu abanesifo sikaHashimoto bangagcina impilo enhle kakhulu .

Kodwa-ke, uma i-hypothyroidism ebangelwa yisifo sikaHashimoto ingelashwa, izinkinga zempilo ezilandelayo zingavela:

• I-cholesterol ephezulu.
• Isifo senhliziyo kanye nokwehluleka kwenhliziyo.
• Umfutho wegazi ophezulu.
• Ukucindezeleka.
• I-Myxedema coma . Lokhu kuyinkinga engavamile, esongela ukuphila ye-hypothyroidism enzima. Imisebenzi yomzimba yehla kakhulu kangangokuthi ingaholela ngisho nasekufeni.

Isifo sikaHashimoto ngesikhathi sokukhulelwa

Uma i-hypothyroidism ingelashwa ngesikhathi sokukhulelwa, izingozi ezilandelayo zinganda:

• Ukuphuphuma kwesisu.
• Ukuzalwa ngaphambi kwesikhathi.
• Ukuzalwa kwengane ifile.

Noma, ungase ube nesimo esibizwa ngokuthi i-preeclampsia, okuyisifo somfutho wegazi ophakeme kakhulu ekupheleni kokukhulelwa. I-hypothyroidism engelashwa ingathinta ukukhula nokukhula kobuchopho bengane yakho engakazalwa. Ngakho-ke, odokotela bakho bazokusiza ukuphatha i-hypothyroidism yakho kahle ngesikhathi sokukhulelwa.

I-Hypothyroidism ayivamile ngesikhathi sokukhulelwa. Kodwa-ke, izimpawu zayo (njengokukhathala nokukhula kwesisindo) zifana nalezo ezibonakala ngesikhathi sokukhulelwa okuvamile, ngakho ngezinye izikhathi zingaphuthelwa. Uma uzizwa sengathi unezimpawu ze-hypothyroidism, noma uma ucabanga ukuthi unesifo sokuqaqamba kwemisipha, tshela udokotela wakho ngokushesha.

Kufanele ngimbone nini udokotela? Kuyini isimo esiphuthumayo?

Ama-aphoyintimenti avamile ezokwelapha

Uma unesifo sikaHashimoto, kuzodingeka ubonane nodokotela wakho njalo . Uzokwenza ukuhlolwa kwegazi ukuze ahlole ukuthi amazinga akho e-thyroid hormone ajwayelekile nokuthi umthamo wemithi oyiphuzayo ulungele wena.

Ngaphezu kwalokho, bona udokotela wakho uma uthola izimpawu ezintsha, uma izimpawu zakho ezikhona ziba zimbi kakhulu, noma uma ubona noma yiziphi izinguquko endlaleni yakho ye-thyroid (isib. ukuvuvukala).

Amacala adinga ukulaliswa esibhedlela ngokushesha (i-Myxedema Coma)

Uma ubona izimpawu ze -myxedema coma , shayela u-911 noma uye ekamelweni eliphuthumayo ngokushesha okukhulu. Le nkinga enzima ye-hypothyroidism isongela impilo!

Lezo zici yilezi:

• Ukushisa komzimba okuphansi (i-Hypothermia) ukwehla kwezinga lokushisa lomzimba ngaphansi kwama-degree Celsius angu-35 (95 degrees Fahrenheit).
• Ukuvuvukala (i-edema) emzimbeni, ikakhulukazi ebusweni, olimini, nasemilenzeni engezansi.
• Ukushaya kwenhliziyo okuhamba kancane kakhulu kanye nokushaya kwenhliziyo okubuthakathaka.
• Ukuphefumula kancane (i-Bradypnea) kanye nobunzima bokuphefumula (i-Dyspnea).
• Ukudideka noma ukulahlekelwa ukwazi.

Okokugcina, izinto ezimbalwa okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kuvamile ukuzizwa ucindezelekile futhi wesaba kancane uma uthola ukuxilongwa okusha. Kodwa izindaba ezinhle ukuthi isifo sikaHashimoto siyisifo esilawulwa kahle futhi esingelapheka .

Uma ucabanga ukuthi ungase ube nezimpawu zesifo sikaHashimoto, noma uma unezici eziyingozi, njengomlando womndeni wesifo se-thyroid, qiniseka ukuthi ubona udokotela wakho. Bangenza izivivinyo ezilula ukuze babone ukuthi i-thyroid yakho ikhiqiza ama-hormone anele yini. Khumbula, uma isheshe yatholakala, ukwelashwa kungashesha ukuqala. Khona-ke ungaphila impilo enempilo nekhululekile.

Isifo sikaHashimoto , i-thyroid, i-hypothyroidism, izifo zokuzivikela komzimba, ama-hormone e-thyroid, i-levothyroxine, i-goiter