Ingabe nawe uzizwa ukhathele kakhulu kulezi zinsuku? Ingabe uzizwa ukhathele ngisho nalapho uvuka ekuseni, ulele usuku lonke, futhi ungenawo amandla okwenza noma yini? Ngesikhathi esifanayo, ingabe uzizwa sengathi uthola isisindo ngisho noma ungenzanga izinguquko ezinkulu kulokho okudlayo nokuphuzayo? Ungase ucabange ukuthi lokhu kuyinto evamile, ukuthi kungenxa yomsebenzi omningi kakhulu. Kodwa ngemuva kwalezi zinto, ngezinye izikhathi kungase kube nezinguquko ezincane ezenzeka emizimbeni yethu. Yilokho esizokhuluma ngakho namuhla.
Kalula nje, kuyini i-Hypothyroidism?
Kulungile, ake sikubeke ngale ndlela. Sine-gland encane emise okwebhabhathane entanyeni yethu. Lokhu yilokho esikubiza ngokuthi i-thyroid gland . Njengenjini yemoto, ilawula izinto eziningi emzimbeni wethu, okungukuthi, inquma ijubane lomzimba wethu (i-metabolism). Ama-hormone ayo athinta izinto eziningi, njengokushaya kwenhliziyo yakho, izinga lokushisa lomzimba, kanye nesivinini sokugaya ukudla.
I-Hypothyroidism yisimo lapho i-thyroid gland ingasebenzi kahle futhi ingakhiqizi inani elidingekayo lama-hormone. Bese kuthi, njengalapho injini yemoto yehlisa ijubane, zonke izinqubo emzimbeni wethu ziqale ukwehla. Yingakho uzizwa ukhathele futhi umzimba wakho usinda.
Abantu abaningi bacabanga ukuthi ukukhathala nokwanda kwesisindo kuyinto evamile. Kodwa ngezinye izikhathi lokhu kungaba izimpawu ze-hypothyroidism. Ingxenye engcono kakhulu ukuthi, ingatholakala ngokuhlolwa kwegazi okulula .
Lesi yisifo esivame ukwelashwa nokulawulwa, ngakho-ke asikho isizathu sokwesaba. Kodwa-ke, singaba yingozi uma singelashwa.
Yiziphi izinhlobo eziyinhloko ze-hypothyroidism?
Kunezinhlobo eziningana eziyinhloko kuye ngokuthi lesi simo senzeka kanjani. Nakuba lokhu kungokwezokwelapha kancane, kufanelekile ukukwazi ngamagama alula. Cabanga nje, kukhona umphathi omkhulu ebuchosheni bethu (i-Hypothalamus), etshela omunye (i-Pituitary Gland) ukuthi enze okuthile, okutshela i-Thyroid Gland ukuthi isebenze. Uma kunenkinga noma kuphi kule ndlela, i-Hypothyroidism ingenzeka.
| Uhlobo lwe-hypothyroidism | Kalula nje... |
|---|---|
| I-Hypothyroidism Eyinhloko | Lolu uhlobo oluvame kakhulu. Lapha, inkinga itholakala ngqo endlaleni ye-thyroid uqobo . Inesifo futhi ayikhiqizi ama-hormone ngendlela efanele. Lokhu kungabangelwa yizimo ezifana nesifo sikaHashimoto . |
| I-Hypothyroidism yesibili | Indlala yegilo ilungile lapha. Kodwa indlala yegilo ebuchosheni, eyiyalela ukuba isebenze, ayisebenzi kahle. Ngakho-ke, indlala yegilo ayitholi isignali ebizwa ngokuthi i-TSH. |
| I-Hypothyroidism Ephakeme | Lokhu kuyinto engavamile kakhulu. Lapha inkinga ibhekene nomphathi omkhulu ebuchosheni. Okungukuthi, i-hypothalamus . Ngenxa yokuthi ayithumeli izimpawu endlaleni ye-pituitary, lonke uhlelo luyadideka. |
| I-Hypothyroidism engaphansi kwe-subclinical | Lesi yisimo esingesihle neze. I-hormone ye-TSH embikweni wegazi iphakeme kancane, kodwa amanye amazinga e-hormone ye-thyroid ajwayelekile. Ezimweni eziningi, lokhu kuyazixazulula ngokwako zingakapheli izinyanga ezimbalwa. |
Ziyini izimpawu zalesi simo?
Izimpawu ze-hypothyroidism zivame ukungaveli ngokuzumayo. Zikhula kancane kancane. Ngezinye izikhathi kungathatha iminyaka. Bheka ukuthi unazo yini lezi zimpawu.
| Isibonakaliso | Kwenzekani ngalokhu? |
|---|---|
| Ukwanda kwesisindo ngaphandle kwesizathu | Njengoba i-metabolism yomzimba yehla, ukushiswa kokudla kuyancipha futhi ukuqongelela kwamafutha kuyanda. |
| Ukukhathala okuqhubekayo | Ngenxa yokuthi ukukhiqizwa kwamandla emzimbeni kwehla, ngeke uzizwe ukhathele kungakhathaliseki ukuthi ulala kangakanani. |
| Ukungabekezeleli umkhuhlane | Kwabanye, umkhuhlane ovamile uzwakala njengomkhuhlane ongabekezeleleki kuwe. |
| Isikhumba esomile, esiqinile nezinwele | Isikhumba siba some futhi sibe nezikhwebu. Ukulahlekelwa izinwele nakho kunganda. |
| Ukuqunjelwa | Ukuqunjelwa kwenzeka ngoba inqubo yokugaya ukudla ihamba kancane. |
| Izinguquko zengqondo | Inkungu yobuchopho, ukukhohlwa, ukucindezeleka, kanye nokukhathazeka kungenzeka. |
| Ubuhlungu bemisipha, ubuthakathaka | Umzimba uyabuhlungu, futhi ungase uzizwe ungenamizwa ezandleni zakho. |
| Imiphumela kwabesifazane | Izinto ezifana nokujikeleza kokuya esikhathini okungajwayelekile kanye nokopha ngokweqile kungenzeka. |
Uma unesinye noma ngaphezulu salezi zimpawu, into engcono kakhulu ongayenza ukubona udokotela wakho ukuze akunike iseluleko.
Kungani i-Hypothyroidism yenzeka?
Kungase kube nezizathu eziningana zalokhu.
- Isifo sikaHashimoto: Lesi yimbangela eyinhloko nevame kakhulu. Kalula nje, yisimo sokuzivikela komzimba . Lokhu kusho ukuthi isimiso somzimba sokuzivikela, okufanele sivikele umzimba wethu, siqala ngephutha ukuhlasela indlala yaso yegilo. Ngokuhamba kwesikhathi, indlala yonakala futhi ukukhiqizwa kwamahomoni kuyancipha.
- Ukususwa kwe-thyroid gland:Uma yonke noma ingxenye yendlala yegilo isuswa ngokuhlinzwa ngenxa yomdlavuza noma izimo ezithile ezifana ne-goiter.
- Ukwelashwa Ngemisebe: Uma ukwelashwa ngemisebe kusetshenziswa umdlavuza wekhanda noma wentamo, kungalimaza nendlala yegilo.
- Imithi ethile: Eminye imithi esetshenziselwa isifo senhliziyo kanye nesifo sengqondo (isib. i-Lithium, i-Amiodarone) ingabangela nokungasebenzi kahle kwe-thyroid.
- Ukuntuleka kwe-iodine: I-iodine iyiminerali ebalulekile ekukhiqizweni kwama-hormone e-thyroid. Lesi simo singase senzeke uma singatholi i-iodine eyanele ekudleni kwethu. Kodwa-ke, eSri Lanka, lokhu akubonakali njalo ngoba i-iodine iye yanezelwa kusawoti esiwusebenzisayo.
- Izimo zokuzalwa: Ezinye izingane zizalwa zingenayo i-thyroid gland, noma zine-gland engasebenzi kahle.
Kwenziwa kanjani ukuxilongwa?
Uma uya kudokotela, into yokuqala azokwenza ukukubuza ngezimpawu zakho. Ngemuva kwalokho, bazohlola intamo yakho ukuze babone ukuthi indlala yakho yegilo ivuvukele yini.
Kodwa ukuqinisekisa lesi sifo ngokuqinisekile, kudingeka ukuhlolwa kwegazi.
Lokhu kuhlolwa kwegazi kubheka kakhulu:
- I-TSH (I-Hormone Evuselela I-Thyroid): Lena yi-hormone ekhishwa yi-pituitary gland ebuchosheni. Uma i-thyroid gland ingasebenzi, ubuchopho buzama ukuyivuselela ngokuthumela i-TSH eyengeziwe. Ngakho-ke, amazinga e-TSH avame ukuphakama ku-hypothyroidism.
- I-T4 (i-Thyroxine): Lena yi-hormone eyinhloko ekhiqizwa yi-thyroid gland. Ku-hypothyroidism, amazinga ale hormone ayancishiswa .
Ngezinye izikhathi, uma kudingeka, udokotela angase acele ukuhlolwa okufana nokuskena kwe-ultrasound noma i- CT scan .
Yiziphi izindlela zokwelapha? Ingabe kuyinto okufanele uyesabe?
Cha, akukho okufanele ukhathazeke ngakho nhlobo. Ukwelashwa kwe-hypothyroidism kulula kakhulu futhi kuyasebenza.
Ukwelashwa okuyinhloko yi -Hormone Replacement Therapy . Kalula nje, ukunikeza iphilisi elibizwa ngokuthi i-Levothyroxine , elithatha indawo ye-hormone ye-thyroid umzimba wakho ongakwazi ukuyikhiqiza.
Lona umuthi odinga ukuthathwa nsuku zonke, ngokuvamile ekuseni, cishe isigamu sehora ngaphambi kokudla kwasekuseni, esiswini esingenalutho. Udinga ukuthathwa impilo yakho yonke.
Ekuqaleni, udokotela wakho uzokwenza ukuhlolwa kwegazi njalo ukuze athole umthamo ofanele wena. Uma usuthathe umthamo ofanele, izimpawu zakho eziningi zizophela futhi ungaphila impilo evamile.
Kuzothatha isikhathi esingakanani ukuba ngcono ngemva kokuqala ukwelashwa?
Amazinga ama-hormone azoqala ukubuyela esimweni esijwayelekile ngokushesha nje lapho uqala ukuthatha imithi. Kodwa-ke, kungathatha amasonto ambalwa ukuthi izimpawu zakho, njengokukhathala nokukhula kwesisindo, ziphele. Ngakho-ke kubalulekile ukuba nesineke.
Kwenzekani uma ungatholi ukwelashwa?
Lena yinto ebaluleke kakhulu. Nakuba ukwelashwa kuzoxazulula noma yiziphi izinkinga, uma kungelashwa, kungaba nezinkinga ezinkulu.
- I-Goiter: Indlala yegilo ingakhula ngenxa yokuvuselelwa okuqhubekayo.
- Isifo senhliziyo: Amazinga aphezulu e-cholesterol embi (LDL) andisa ingozi yokuthola isifo senhliziyo.
- Izinkinga zengqondo: Izimo ezinjengokucindezeleka nokukhathazeka zingaba zimbi kakhulu.
- I-Peripheral Neuropathy: Ukulimala kwemizwa kungabangela ubuhlungu kanye nokungazweli ezithweni.
- Ukungazali: Abesifazane bangase babe nobunzima bokukhulelwa. Uma kungelashwa ngesikhathi sokukhulelwa, kungaholela ekuphuphumeni kwesisu noma kuthinte ingane.
- I-Myxedema Coma: Lesi yisimo esingavamile kakhulu, kodwa esisongela ukuphila . Imisebenzi yomzimba iphazamiseka kakhulu futhi kungenzeka ukungazi lutho.
Kufanele ngimbone nini udokotela?
Uma unezinye zezimpawu ezishiwo ngenhla (njengokukhathala okuqhubekayo, ukukhuluphala, isikhumba esomile), qiniseka ukuthi ubona udokotela. Uzokuhlola futhi, uma kudingeka, acele ukuhlolwa kwegazi.
Uma usuvele uthatha imithi ye-hypothyroidism futhi uzizwa izimpawu zakho zibuya, yazisa udokotela wakho. Umthamo wemithi yakho ungadinga ukulungiswa.
Isikhathi sokuya e-ETU (Emergency Treatment Unit) ngokushesha
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ezinzima, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha . Lezi zingase zibe izimpawu zesimo se -Myxedema Coma esishiwo ngaphambilini.
- Ubunzima bokuphefumula
- Ukozela okungabekezeleleki, ukudideka
- I-Hypothermia (izinga lokushisa eliphansi lomzimba)
- Umfutho wegazi ophansi kakhulu (i-Hypotension)
- Ukushaya kwenhliziyo okuhamba kancane kakhulu (i-Bradycardia)
Umlayezo Wokuya Nawe Ekhaya
- I-Hypothyroidism iyindlala ye-thyroid engasebenzi kahle. Lesi yisimo esivame kakhulu.
- Uma uzizwa ukhathele ngaphandle kwesizathu, uma uhlala ukhathele, uma isikhumba sakho somile, noma uma ungakwazi ukubekezelela umkhuhlane, khona-ke kufanele ube nokungabaza.
- Ungakhathazeki! Lokhu kungatholakala ngokuhlolwa kwegazi okulula futhi kuphathwe kahle ngephilisi elilodwa elithathwa nsuku zonke.
- Ukwelashwa kuvame ukuba yinto yokuphila konke. Ungayeki ukuthatha imithi ngaphandle kweseluleko sikadokotela wakho.
- Ngokwelashwa okufanele, ungaphila impilo enempilo nejwayelekile ngaphandle kwezinkinga.
- Uma unezimpawu, ungangabazi ukubona udokotela bese uthola iseluleko. Leso yisinyathelo esingcono kakhulu sokuphila impilo enempilo.
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