Fibrous Thyroiditis / Chithokomiro cha Thyroiditis
Mawu akuti chithokomiro amatanthauza kudwala kulikonse komwe kumafuna kutentha kwa chithokomiro . Chithokomiro chimagawidwa m'magulu awiri akuluakulu - osapweteka komanso opweteka - omwe amaphatikizapo kukula kwa ululu umene amachititsa odwala.
Pakati pa gulu la thyroiditis lopweteka ndi mawonekedwe otchedwa Riedel's thyroiditis. Amadziwikanso kuti chingwe cha Riedel, fibrous thyroiditis, ndi chithokomiro choopsa.
Mu tizilombo toyambitsa matenda a Riedel, minofu yowonongeka imaloĊµedwa m'malo ndi zomwe zimadziwika kuti fibrosis - zochuluka zamtundu wothandizira. Izi fibrosis zingathenso kupitirira chithokomiro kumalo ena a khosi, ndipo zimachititsa kuti chithokomiro chikhale chophweka kwambiri m'khosi.
Chifukwa cha Riedel's thyroiditis sichikudziwika, koma akatswiri amanena kuti matendawa ndi othandizira, chifukwa chakuti m'maphunziro angapo, ambiri mwa odwala omwe ali ndi vutoli amayesedwa bwino kwa anti-antibodies.
Kuzindikira ndi Kuchitira Riedel's Thyroiditis
Kuti mudziwe momwe Riedel's thyroiditis amapezera ndi kuchiritsidwa, ndinayang'ana mwachidule chithokomiro pa UpToDate - buku la magetsi limene amagwiritsidwa ntchito ndi madokotala ambiri ndi odwala omwe amapereka zambiri zachipatala.
"Odwala odwala ali ndi vuto la kupweteka kwa mutu kapena nthawi zina, nthawi zina amatha kupwetekedwa, komanso amatha kukhala ovuta kwambiri, ngakhale kuti nthawi zina sakhala osiyana kwambiri ndi matenda omwe ali pafupi. Odwala ambiri ali euthyroid, koma ochepa ndi hypothyroid , ndipo ma serum antithyroid anti-concentrations nthawi zambiri amakhala aakulu. Matendawa amatengedwa ndi chithunzithunzi cha chithokomiro."Prednisone mankhwala angachepetse zizindikiro za m'deralo. M'nkhani zing'onozing'ono, tamoxifen inkaoneka ngati yothandiza kuchepetsa, kapena ngakhale kuthandizira kuthetsa, matenda opitirira. Kuchita opaleshoni kumachitika pokhapokha atalingalira zoopsa ndi zopindulitsa. Awonetsetsedwe kuti athetse vuto lopweteka kapena kuchepa kwa matenda ndipo nthawi zina amachotsa carcinoma.
Zizindikiro zomwe mungakhale nazo za Riedel's thyroiditis, kuphatikizapo:
- Kulimba kapena kusokonezeka m'khosi
- Zovuta kumeza
- Kusokonezeka
- Kutsekula kwa chithokomiro (wotchedwa goiter), makamaka yomwe imakhala yovuta kukhudza.
Dokotala wanu angayambe kuyesa magazi kuti ayese kusayenerera kwa mahomoni a chithokomiro ndi ma antibodies apamwamba.
Koma kuti atsimikizidwe kuti ali ndi vutoli, chitsimikizo chabwino cha singano chimafunika.
NthaĊµi zina, dokotala wanu amapereka mankhwala a corticosteroid prednisone kuti athetsere zizindikiro. Mankhwala otchedwa estrogen omwe amaletsa tamoxifen amakhalanso mankhwala atsopano omwe asonyeza kuti akuwathandiza kuchepetsa kapena kuthetsa kusintha kwa matenda a Riedel's thyroiditis.
Kawirikawiri, chithokomiro chodwala chimatha kusokoneza kuti mumatha kumeza kapena kupuma, ndipo opaleshoni ikhoza kukhala yofunikira.
Chitsime:
Burman, Kenneth. Ross, Douglas. Martin, Kathryn. "Mwachidule cha thyroiditis." Kupititsa patsogolo . Zapezeka: August 22, 2008.