Hypothyroidism

Zachidule za Hypothyroidism

Tizilombo toyambitsa matenda tizilombo toyambitsa matenda timatulutsa timadzi ta tizilombo toyambitsa matenda. Nthaŵi zina amatchedwa chitsikomiro "chosachiritsika". Hypothyroidism imachepetsa kuchepa kwa thupi, kumabweretsa zizindikiro monga kulemerera, ulesi, kumva chimfine, ndi zina zambiri. Kuyeza magazi kumatchedwa hormone yachithokomiro (TSH) yomwe imatha kudziwa matenda a hypothyroidism, ndipo mankhwala omwe amachititsa mavitamini a mankhwala a chithokomiro amatha kusintha.

Mwa kupeza chidziwitso chokhudza hypothyroidism, kuphatikizapo zomwe zimawoneka kukhala ndi vuto la chithokomiro, ndi momwe zimapezedwera ndi kuyang'aniridwa, mudzakhala okonzekera komanso odzidalira pamene mukuyamba ulendo wanu wa chithokomiro.

> Yang'anani momwe chithokomiro chimaonekera, chapamwamba pamwamba pa collarbone.

Zizindikiro

Thanzi lanu la chithokomiro limagwiritsa ntchito ayodini zakudya kuti likhale ndi hormone ya chithokomiro. Ngati muli ndi homoni yowonongeka, thupi lanu limakhala ndi vuto pogwiritsa ntchito mphamvu ndi kutentha.

• Kuchiza Magulu Omwe Amagwiritsa Ntchito Hypothyroidism mu Mimba

• Hypothyroidism ndi Migraines: Kumvetsa Link

Minofu, ubongo, ndi ziwalo zina zingakhalenso zovuta kugwira ntchito.

Zizindikiro za hypothyroidism ndizosiyana ndipo zingakhale zovuta, ngakhale zolakwika chifukwa cha nkhawa kapena matenda ena.

Pano pali kuyang'anitsitsa kwa zizindikiro zina munthu amene ali ndi chithokomiro chosachitidwa akhoza kuwona:

• Kumva kutopa ndi kutopa, ngakhale atagona nthawi yayitali
• Kumverera kupsinjika maganizo kapena buluu
• Kupeza kulemera, ngakhale kusasintha ku zakudya zanu zabwino ndi zolimbitsa thupi
• Kuwona "ubongo wa ubongo" ndi kuvutika kuika patsogolo
• Kukumva kumva kuzizira pamene ena amawotcha
• Tsitsi lodziwika lomwe lili lotupa ndi louma, loswa, lopweteka, kapena kugwa

• Kuzindikira khungu lomwe ndi lakuda, louma, lala, ndi lakuda, makamaka mapazi a mapazi anu
• Kuthamanga kwapadera kosaneneka kapena kuthamanga kwa magazi
• Maganizo ochepa kapena otupa
• Kukhutura pamaso, makamaka kuzungulira maso
• Mafuta a cholesterol omwe sagwirizana ndi mankhwala otsika kwa kolesterolini
• Zosasinthasintha za kusamba
• Kukumana ndi mitsempha ya minofu

Zimayambitsa

Pali zifukwa zambiri za thanzi zomwe zimayambitsa hypothyroidism .

Matenda omwe amachititsa kuti matendawa asapangidwe Hashimoto's thyroiditis ndi omwe amachititsa anthu ambiri kuganiza kuti ndi hypothyroidism ku United States. Mu matendawa, ma antibodies amachititsa kuti chithokomiro chisamayende bwino.

Mankhwala otchedwa post-operaroidism amatanthauza kuti sitingakwanitse kutulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timayambitsa matendawa. Chithandizo cha chithokomiro chimatchedwa kuti thyroidectomy.

Mankhwala otchedwa hypothyroidism angapangidwe ndi mankhwala a radiac iodine (RAI), omwe amagwiritsidwa ntchito pochizira hyperthyroidism ndi khansa ya chithokomiro. Kuphatikizidwa ndi mankhwala opatsirana ndi mpweya kumutu ndi khosi, kapena kugwa kwa radioactive ku ngozi za nyukiliya monga Chernobyl kapena Fukushima, kungayambitsenso hypothyroidism.

Ndi congenital hypothyroidism, ana amakhanda amabwera padziko lapansi popanda chithokomiro kapena mankhwala enaake a chithokomiro.

Hypothyroidism ingathenso chifukwa cha kumwa mankhwala ena (otchedwa mankhwala-drivenduced hypothyroidism ). Ngakhale izi siziri mndandandanda wambiri, mankhwala ena odziwika bwino ndi awa:

• Lithium
• Amiodarone
• Interferon alpha
• Interleukin-2

Hysyothyroidism ikhoza kuchitika ndi mankhwala ochepa kwambiri a ayodini (otchedwa iodine-deficiency hypothyroidism ) kapena ngati ayodini wochuluka amatha kudya (wotchedwa iodine-induced hypothyroidism ).

Pakati penipeni kapena pakatikati ya hypothyroidism , nthenda ya ubongo (yomwe ili mu ubongo wanu) yawonongeka (kuchokera ku chotupa, poizoni kapena kuchitidwa opaleshoni) ndipo silingathe kutulutsa khungu lanu la chithokomiro kuti lichititse hormone ya chithokomiro.

Kawirikawiri, hypothyroidism kuchokera ku matenda opatsirana (mwachitsanzo, sarcoidosis kapena hemochromatosis) akhoza kuika zinthu (monga granulomas kapena chitsulo, motsatira) kutentha kwa chithokomiro, kuchepetsa mphamvu yake yogwira ntchito.

Kudziwa

Kupezeka kwa hypothyroidism kumafuna kuyezetsa magazi ndi kuyezetsa magazi.

Kufufuza kwachipatala
Kuwonjezera pa mayeso a chithokomiro , omwe amaphatikizapo kufufuza ndi kuyang'anitsitsa maonekedwe a chithokomiro, dokotala nayenso adzafufuza kuti apeze zizindikiro za hypothyroidism. Zina mwa zizindikirozi zimaphatikizapo khungu louma, lotupa, pang'onopang'ono pamtima, pang'onopang'ono reflexes, ndi kutupa.

Mayesero a Magazi

Kuyeza kwa magazi kwakukulu komwe kumagwiritsidwa ntchito kuti apeze tizilombo toyambitsa matenda ndi tizilombo toyambitsa matenda (TSH) . Mayesowa amachititsa TSH, hormone ya pituitary. TSH imatuluka pamene imazindikira kuti maselo a chithokomiro otsika amakhala otsika, ndipo amadonthoka pamene atulukira mahomoni ambiri a chithokomiro. Ma laboratori ayambitsa zolemba, ndipo maulendo pamwamba pa zolembera zamakono amalingaliridwa kuti akhoza kusonyeza hypothyroidism.

Kuphatikiza apo, magulu osadziwika ndi omwe alipo alipo otulutsa mahomoni a chithokomiro -wopanda thyroxine (opanda T4) komanso ufulu wa triiodothyronine (wopanda T3) . Pali zigawo za mayesero awiri a mahomoni, ndi mazenera pansi pa zolembera zam'ndandanda (kusonyeza kuti palibe okwanira T4 ndi / kapena T3 omasuka) amawonedwa ngati akusonyeza hypothyroidism.

• Kodi TSH Yanu Ndi Yachibadwa, Koma Mukukhalabe ndi Zizindikiro?

• Kodi Hyphothyroidism Yanu Imasokonezedwa?

Chithandizo

Hypyothyroidism imachiritsidwa ndi mankhwala enaake otchedwa hormone, omwe ndi mankhwala omwe amachititsa kuti mahomoni a chithokomiro asasowe m'thupi.

Levothyroxine
Mankhwala omwe amachititsa kuti mankhwala a chithokomiro asamalowe m'malo ena amadziwika kuti levothyroxine, omwe amachititsa kuti utomoni wa thyroid wotchedwa Thyroxine (T4) ukhale wotani.

Liothyronine
Palinso mawonekedwe a ma hormone a T3, otchedwa liothyronine. Nthawi zina amawonjezeka ku levothyroxine monga gawo la mankhwala omwe amadziwika kuti T4 / T3 mankhwala ochiritsira, ngakhale kuti chizoloŵezichi chimawerengedwa ngati chimatsutsana ndi akatswiri ambiri odziwa zachipatala komanso ochita bwino.

Chithokomiro Chodziwika Ndichilengedwe
Pamapeto pake, pali mankhwala osokoneza bongo otchedwa hormone omwe amatchulidwa kuti amatulutsa chithokomiro, nthawi zina amamasuliridwa kuti NDT kapena amatchedwa "chithokomiro cha chithokomiro." NDT ili ndi mitundu yosiyanasiyana ya T4 ndi T3. Ngakhale kuti zakhala zikupezeka kwa zaka zoposa zana, ndipo zikugwiritsidwabe ntchito masiku ano, zimangokhalira kutsutsana ndi madokotala ambiri ndipo zimaperekedwa mobwerezabwereza ndi madokotala ophatikizana, ogwira ntchito, komanso opambana, poyerekeza ndi akatswiri a zachipatala ndi madokotala ochiritsira.

Zotsatira za boma za mabungwe osiyanasiyana otchedwa endocrinology position levothyroxine monga chithandizo chovomerezeka, ndi kufooketsa mankhwala onse a T4 / T3 ndi kugwiritsa ntchito NDT.

Mawu Ochokera

Kaya inu (kapena wokondedwa) mwangoyamba kupezedwa ndi hypothyroidism, kapena mukukambidwa panopa, koma osakhala bwino, chonde dziwani kuti simuli nokha. Pitirizani kufunafuna chidziwitso cha matenda anu a chithokomiro ndikukhalabe olimba pamene mukuyenda ulendo umenewu.

Komanso, kumbukirani kuti kukhala bwino ndi hypothyroidism sikungokhudza mankhwala. Ndikofunika kwambiri kudya bwino, kupeza mpumulo wokwanira, kupanga nthawi yochita masewera olimbitsa thupi ndi kusewera, ndikusamalira nkhawa. Ndipo ngakhale mutamva ngati mukulimbana ndi madokotala, mankhwala, ndi zizindikiro zofooketsa, musataye mtima. Mudzapeza mayankho omwe angakuthandizeni kukhala ndi moyo wabwino ndikukhala bwino.

> Zotsatira:

> American Thyroid Association. (nd). Hypothyroidism (Zovuta).

> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.

> Garber J et. al. Malangizo Othandizira Amagulu a Hypothyroidism Aakuluakulu: Olembedwa ndi a American Association of Clinical Endocrinologists ndi American Thyroid Association. Chitchainizi (Chosavuta Kumva) 2012 Nov-Dec; 18 (6): 988-1028.