Momwe Nerve Paine Angakhudzire ndi Ntchito Yochepa ya Chithokomiro
Malinga ndi Washington, DC-based Endocrine Society, hypothyroidism (otsika chithokomiro ntchito) amakhudza pafupifupi asanu pa 100 a amayi ndi pafupifupi 1 peresenti ya amuna. Ndilo vuto limene lingayambitse kutopa, kudzimbidwa, kusasamalana kozizira, phindu lolemera, tsitsi lochepa, khungu louma, ndi mantha.
Chimodzi mwa zizindikiro zochepa zozindikiritsa za matendawa ndizo za mitsempha ya mitsempha, makamaka mchitidwe wamanjenje wamkati.
Ili ndilo gawo lomwe limaposa ubongo komanso msana ndipo limapangitsa kuti thupi ndi miyendo ziziyenda bwino.
Chimodzi mwa mavuto omwe samatchulidwa mosavuta ngati chizindikiro cha hypothyroidism ndi matenda a carpal tunnel (CTS ). Ngakhale kuti timakonda kugwirizanitsa ndi kuvulaza kwa dzanja, ambiri ayamba kuzindikira CTS monga chizindikiro chotheka cha hypothyroidism ndi chizindikiro chochenjeza cha matenda a chithokomiro osadziwika.
Mmene Hypothyroidism Zimayambira CTS
Hypothyroidism imadziwika kuti imayambitsa matenda omwe amadziwika kuti pulogalamu ya m'mimba mwa anthu ena. Mphulupulu wa m'mimba ndilo mawu omwe amagwiritsidwa ntchito pofotokozera kuwonongeka kwa mitsempha yapachiŵeni, kuchititsa zowawa zachilendo ndi zowawa monga:
- Numbness
- Kupsa, kuyimba, kapena "pini-ndi-singano" kumverera
- Kufooka kwa minofu
- Hypersensitivity kugwira kapena kutentha
Ngakhale kuti chiyanjano pakati pa chithokomiro chimagwira ntchito ndi phokoso la m'mimba sichimvetsetsedwa bwino, zimakhulupirira kuti hypothyroidism ikhoza kuyambitsa kusungunuka kwa madzi kumabweretsa zipolopolo zotupa.
Ndi kutukuka kumeneku komwe kungapangitse kupanikizika kosalekeza pa mitsempha ya pakhosi.
Mmodzi wa madera omwe amagwira ntchito kwambiri ndi dzanja limene mitsempha imadutsa mumsewu wa minofu yofewa yotchedwa carpal tunnel. Ngati kukakamizidwa kumachitika m'dera lino, zikhoza kuchititsa zizindikiro za CTS. Chimodzi mwa zizindikiro zotheka za hypothyroidism ndi pamene palibe zifukwa zina za matenda, kuphatikizapo kuvulazidwa kapena kuvulaza kwambiri .
Ngakhale kuti matenda a CTS ambiri sali okhudzana ndi hypothyroidism, CTS ndi imodzi mwa machitidwe ambiri omwe amachititsa kuti munthu azidwala matenda enaake. Zina zimayambitsa matenda a shuga ndi matenda olowa nawo .
Chithandizo
Ngakhale kupweteka kwa mitsempha ya mitsempha kumakhala kovuta ndipo ngakhale kukhumudwitsa kwa ena, chithandizo cha hypothyroid chingathe kuchepetsa zizindikiro. Pakati pa izi ndigwiritsiridwa ntchito kwa mavitamini a hormone levothyroxine omwe amagwiritsidwa ntchito poyendetsera magulu a mahomoni kwa anthu otsika chithokomiro.
Chofunika kwambiri ndikofunika kuyang'anira miyeso ya mahomoni panthawi ya mankhwala. Palinso umboni wina wakuti, ngakhale pakati pa anthu omwe amawongolera ma ARV , makina a TSH okwezeka angapangitse CTS yoopsa chifukwa chakuti matendawa akugwedezeka.
Kuwonjezera pa levothyroxine, madokotala angalangize mankhwala otsatirawa kwa anthu omwe ali ndi CTS:
- Chida chovala, chovala usiku komanso nthawi zina masana
- Mankhwala otsutsana ndi kutupa (osaperoidal anti-inflammatory drugs (NSAIDs)
- Thandizo la ntchito ndi zochita zolimbitsa thupi kuti uwonjezere mphamvu ya wrist
- Kusintha kwa ergonomic yanu yaofesi
- Mankhwala a Cortisone
- Opaleshoni yamanja
Mawu Ochokera
Ngakhale hypothyroidism ndizochepa chifukwa cha CTS, iwe (kapena dokotala) musaganize kuti kuvulaza mopitirira muyeso ndi chifukwa chokha.
Madokotala ambiri lerolino akuyang'ana anthu omwe ali ndi CTS matenda a shuga kapena hypothyroidism.
Pochita zimenezi, munthu amene amapezeka ndi hypothyroidism akhoza kupewa opaleshoni ndipo amatha kuchizidwa ndi mankhwala okha.
> Zotsatira:
> Azhary, H ;; Farooq, M .; Bhanasi, M. et al. "Mmene Mliri Amagwirira Ntchito: Kusiyana Kwambiri ndi Utsogoleri." Amer Fam Phys. 2010; 81 (7): 887-92.
> Endocrine Society. "3. Hypothyroidism." (2015) Zolemba za Endocrine ndi Zizindikiro: Chithokomiro (Buku Loyamba). Washington, DC: Society of Endocrine.