Hashimoto's thyroiditis ndi matenda a chithokomiro omwe amachititsa kuti anthu ambiri azidwala matenda a chithokomiro ku United States.
Chinthu chosavomerezeka chokhudzana ndi chithokomiro cha Hashimoto ndi matenda a Hashimoto (omasuliridwa monga HE). Kulumala kwa Hashimoto ndi matenda a neuroendocrine omwe madokotala ndi ochita kafukufuku samvetsa bwinobwino njira zawo.
Zikuganiziridwa kuti monga matenda a Hashimoto, vuto la Hashimoto ndilokhalokha, ndipo limayambitsidwa ndi machitidwe a chitetezo cha mthupi komanso cholakwika chokhudza thupi, ziwalo ndi ziwalo za thupi. Pankhani ya ululu wa Hashimoto cholinga chake ndi ubongo.
Zindikirani: Chifukwa chakuti odwala onse alibe umboni wa matenda a Hashimoto, akatswiri ena amanena kuti vutoli liyenera kutchulidwa kuti lichotse chiyanjano cha Hashimoto, ndipo m'malo mwake amatchedwa " steroid-responsive encephalopathy yokhudzana ndi autoimmune thyroiditis ."
Tikudziŵa kuti kuvutika kwa Hashimoto, ma antibodies ambiri (antroyroid peroxidase antibodies, kapena TPO) amawoneka kuti akugwirizana ndi kutupa mu ubongo komwe kungawonetsere mu zizindikiro zosiyanasiyana zofooketsa.
Kodi Hashimoto Amakhala ndi Matenda Otani Omwe Amakhala Ovuta Kwambiri?
Matenda a Hashimoto amaonedwa kuti ndi osowa (pali odwala ambiri omwe amapezeka ku United States) koma zikutheka kuti pali odwala ambiri omwe sadziwa kapena osadziwa.
Chifukwa chakuti sichidziwika bwino ndipo zizindikiro zake zimakhala zovuta kwambiri, zimakhala zosavuta kugwiritsira ntchito matenda osokoneza bongo kapena kusamvetsetsa komanso zizindikiro za Hashimoto zomwe zimachititsa kuti matendawa asapitirire kudwala matendawa.
Ambiri a zaka zakubadwa za matenda a Hashimoto ali pafupi zaka 47. Ambiri a Odwala ndi amayi.
MALANGIZO angawonetserenso paunyamata pamene nthawi zambiri akhoza kunyalanyazidwa. Zizindikiro za achinyamata zimaphatikizapo kugwedezeka, kusokonezeka, ndi kukhumudwa. Kuchokera kuntchito kuntchito ndi chizindikiro chofala, kuphatikizapo kuchepa kwa chidziwitso. Tizilombo toyambitsa matenda a chithokomiro tiyenera kuyang'anitsitsa achinyamata omwe ali ndi zizindikirozi, ngakhale pamene mayesero ena a chithokomiro amayendera.
Zina mwa zizindikiro zomwe anthu ambiri omwe ali ndi vutoli la Hashimoto ndizo zotsatirazi:
- kusokonezeka
- psychosis ndi khalidwe losokoneza
- kunjenjemera
- kuvutika maganizo ndi kukumbukira
- zimakhala ndi mitsempha ya myoclonus
- Kusagwirizana kwa thupi
- mutu
- kupunduka pang'ono
- mavuto a kulankhula
- kusintha kwa umunthu.
- nkhanza.
- khalidwe lachinyengo.
- kuvutika maganizo ndi kukumbukira.
- kugwidwa
- kugona tulo
Iye nthawi zambiri amapita kumbali ziwiri: mwina ngati kupweteka, kupwetekedwa ngati kupweteka kapena kugwidwa; kapena kupyolera mukuyenda mofulumira mu chifuwa chaumtima, kapena ngakhale coma. Nthawi zina, odwala amapezeka kuti akudwala matenda a stroke, matenda a Creutzfeldt-Jakob, matenda a maganizo, kapena matenda a Alzheimer's.
Pakalipano, palibe chiyeso chotsimikizika cha matenda a Hashimoto. Ngakhale mankhwala otsekemera amatha kukhala apamwamba, sangakhalensopo.
Mofananamo, magulu a TSH angakhale odetsa nkhaŵa kapena akhoza kukhala abwino. Chithandizo ndi mankhwala a chithokomiro chotsitsiramo mankhwala sagonjetsa HE.
Iye amapezeka mwa kulamulira zifukwa zina za zizindikiro.
Kuchiza kwa Hashimoto's Encephalopathy
Chithandizo choyamba cha matenda a Hashimoto ndi odwala corticosteroid mankhwala, monga prednisone. Odwala ambiri amavomereza kwambiri mankhwala osokoneza bongo, omwe amawagwiritsa ntchito mwachangu masabata anayi kapena asanu ndi limodzi. Mofanana ndi matenda ambiri omwe amachititsa kuti munthu asatengedwe, HE sali ochiritsidwa, koma amachiritsidwa. Pambuyo pa chithandizo choyamba, matendawa nthawi zambiri amatha kukhululukidwa.
Odwala ena amatha kusiya mankhwala osokoneza bongo kwa zaka zingapo, ngakhale kuti pangakhale chiopsezo chobwezeretsa m'tsogolo.
Kuwonjezera pa mankhwala a steroid, mankhwala ena monga intravenous immunoglobulin ndi kusinthanitsa kwa plasma amaonedwa ngati mungasankhe.
Ngakhale kuti n'zosatheka, vutoli la Hashimoto lingakhale lopangitsa munthu kuvutika maganizo, kugwidwa msanga, kapenanso nkhawa. Sitikudziwa kuti matendawa amadziwika okha, kapena kuti sagwirizana ndi matenda a neuropsychiatric, kuti madokotala ambiri amayang'ana nkhani zokhudzana ndi chithokomiro, mitsempha, kapena mbiri ya banja yopewera chitetezo cha mthupi.
Odwala omwe amavutika ndi matenda a Hashimoto amakumana ndi vuto la matenda komanso matenda omwe angayambitse matendawa. Mwamwayi, anthu ambiri amamvera mankhwala opezeka mosavuta. Ngati muli ndi zizindikiro zoopsa za ubongo wanu dokotala sangathe kufotokoza, onetsetsani kuti munatchula mbiri yanu kapena banja lanu la Hashimoto's thyroiditis kapena matenda ena a chithokomiro.
> Zotsatira:
> Carbone A, et. al. "Hashimoto's encephalopathy (HE): yemwe ali ndi matenda omwe amachititsa kuti munthu azivutika kwambiri." Endocrine. 2016 Nov; 54 (2): 572-573.
> Kaczmarczyk A, et al. "Kuvutika maganizo kwa Hashimoto - kutaya mtima kosawerengeka kosamveka bwino." Wiad Lek. 2016; 69 (6): 768-772.
> Laurent C et al. "Kachilombo ka steroid kamene kamayang'anizana ndi autoimmune thyroiditis (SREAT): Makhalidwe, chithandizo ndi zotsatira mu 251 milandu kuchokera m'mabuku." Odzidzimutsa Rev. 2016 Dec; 15 (12): 1129-1133. lembani: 10.1016 / j.autrev.2016.09.008. Epub 2016 Sep 15.
> Litmeier S, et al. "Poyamba serum ya peroxidase antibodies ndi zotsatira za nthawi yaitali mu SREAT." Acta Neurol Scand. Dec 2016; 134 (6): 452-457. lembani: 10.1111 / ane.12556.
PMID: 26757046