Matenda a mitsempha, otchedwa myopathy, amapezeka chifukwa cha chithokomiro chosawonongeka (chotchedwa hypothyroidism) kapena chithokomiro chopitirira muyeso (chotchedwa hyperthyroidism).
Nkhani yabwino ndi yakuti zizindikiro za myopathies zokhudzana ndi chithokomiro, monga ululu wa minofu, kufooka, kapena kuuma, nthawi zambiri zimakhala zofewa ndi zochepetsedwa ndi chithandizo mwamsanga cha matenda a chithokomiro. Izi zikuti, nthawi zochepa, myopathy ya munthu yokhudzana ndi matenda a chithokomiro akhoza kukhala ovuta komanso olepheretsa.
Pozindikira kumvetsetsa kwa zizindikiro za matenda a chithokomiro (ndi momwe angapezere ndi kuchiritsidwa ndi dokotala wanu), mukhoza kuyembekezera kuti mukukumana ndi vuto lanu kapena / kapena kufooka kwanu.
Hyperothyroid Myopathy
Zizindikiro
Kufooka kwa minofu, aches, ndi kupunduka ndizofala kwa anthu omwe ali ndi hypothyroidism. Ngakhale kuti zofooka zikhoza kukhala zowonongeka, anthu amatha kuziwona minofu yomwe ili pafupi kwambiri ndi matupi awo, monga ntchafu kapena mapewa . Izi zingachititse mavuto kukwera masitepe kapena kutsuka tsitsi lanu.
Kuwonjezera pa zizindikiro za minofu, munthu akhoza kukhala ndi creatinine kinase (CK) yapamwamba pamayeso a magazi. Creatinine kinase ndi mitsempha ya minofu yomwe imakula ndi kuvulala kwa minofu. Chochititsa chidwi, kuti msinkhu wa CK sichikugwirizana ndi kupsinjika kwa ululu wa minofu ya munthu.
Kawirikawiri, mawonetseredwe amphamvu kwambiri ochokera ku hypothyroidism akhoza kuyamba. Chitsanzo chimodzi ndi matenda a Hoffman omwe munthu amakhala ndi mitsempha yambiri ya minofu (minofu yowonjezera) yomwe imabweretsa kuuma, kufooka, ndi ululu waukulu.
Rhabdomyolysis (pamene minofu imatha mofulumira) ndi maonekedwe ena omwe amapezeka mosavuta a hypothyroidism. Nthawi zambiri zimayamba chifukwa chokhala ndi hypothyroid ndi kuchita masewera olimbitsa thupi kapena kutenga thupi (mankhwala otsika kwa kolesterolini).
Chifukwa
Ngakhale kuti chifukwa chenicheni cha hypothyroidism-chomwe chimapangitsa kuti myopathy chidziwikirebe, akatswiri ena amanena kuti vuto la thyroxine (T4) loperewera mu hypothyroidism limapangitsa kuti thupi lisawonongeke kwambiri, zomwe zimayambitsa minofu yowonongeka ndi kufooka kwa minofu.
Kudziwa
Matenda a hypothyroidism-omwe amachititsa kuti myopathy akhale ndi chithandizo chamankhwala, kutanthauza kuti dokotala wanu adzachipeza chifukwa cha zizindikiro zanu komanso kuunika kwanu. Kuyesera magazi kuti muyese creatinine kinase idzachitanso.
Dokotala wanu angakulangize mayesero ena, monga electromyography kapena muscle biopsy, kuti athetse mavuto ena, makamaka ngati zizindikiro zanu ziri zovuta.
Chithandizo
Tsimikizirani kuti kutentha kwa hormoni ndi Synthroid (levothyroxine) kumatha kusintha zizindikiro za minofu, monga zipsinjo ndi kuuma, ngakhale kuti kusinthaku kungatenge masabata. Minofu yofooka ya minofu nthawi zambiri amatenga nthawi yaitali kuti athetse, monga miyezi yambiri.
Hyperthyroid Myopathy
Zizindikiro
Anthu omwe ali ndi hyperthyroidism amatha kufooketsa minofu. Chifukwa cha kufooka, munthu akhoza kukhala ndi zovuta kukwera masitepe, akukwera kuchokera pa mpando, atagwira kapena akukongoletsa, ndikukweza manja awo pamwamba pa mutu wawo. Kawirikawiri, mu myopathy kuchokera ku hyperthyroidism , minofu yakhudzidwa ingaphatikizepo zomwe zimakuthandizani kumeza ndi kupuma.
Chochititsa chidwi n'chakuti, ngakhale kuti minofu ndi mitsempha imatha kuchitika, sizili wamba monga momwe ziliri ndi myopathy yokhudzana ndi hypothyroidism.
Mlingo wa creatinine kinase m'magazi ndiwowoneka bwino, ngakhale zili choncho, pali kupasuka kwa minofu.
Mofanana ndi matenda a hypothyroidism omwe amachititsa kuti munthu asamavutike, chiwerengerocho sichingagwirizane ndi kuopsa kwa zizindikiro za minofu ya munthu.
Chifukwa
Mofanana ndi matenda a mitsempha mu hypothyroidism, "chifukwa" cha myopathy mu hyperthyroidism sichidziwikanso. N'kutheka kuti msinkhu wa mahomoni a chithokomiro m'thupi ndiwopereka mwachindunji. Makamaka, mahomoni otentha a chithokomiro amatha kuwonetsa kuwonjezeka kwa mapuloteni a minofu ndi kugwiritsa ntchito mphamvu zamagetsi.
Kudziwa
Mofanana ndi myopathy mu hypothyroidism, dokotala wanu adzafufuza ndikukufunsani mafunso okhudzana ndi zizindikiro zanu za minofu. Angayambitsenso kuyesedwa kwa magazi, makamaka chithokomiro cha ntchito ya chithokomiro, ndikupatsanso kachipangizo ka electromygraphy .
Chithandizo
Chithandizo cha hyperthyroidism yanu chidzachiza kawirikawiri myopathy; Komabe, zingatenge nthawi, mpaka miyezi ingapo, ngakhale ngakhale chithokomiro chimabwerera ku chikhalidwe chake.
Mawu Ochokera
Uthenga wobwerera kunyumba ndikuti madandaulo a minofu ndi amodzi pa matenda a chithokomiro ndipo angathe kuchepetsedwa ndi normalization ya chithokomiro ntchito.
Komabe, ndikofunika kuti muwone dokotala wanu mukamawona zowawa kapena zofooka zatsopano. Ngakhale kuti chithokomiro chanu chingakhale chowopsya, palinso zina zomwe zimayambitsa matenda, ndipo izi zimasowa njira yothandizira.
> Zotsatira:
> Kim TJ et al. Mlandu wa thyrotoxic myopathy ndi mitundu yambiri ya fiber. Exp Neurobiol . 2013 Sep; 22 (3): 232-34.
> Miller ML, Rubin DI. (2017). Matenda a mtheradi. Aminoff MJ, Shefner JM, Ross DS, eds. Zaposachedwa. Waltham, MA: UpToDate Inc.
> Sindoni A, Rodolico C, Pappalardo MA, Portaro S, Benadha S. Mankhwala otchuka a chithokomiro: Zochitika zodziwika bwino za vuto la chithokomiro: Kuwonanso zofalitsa. Rev Endok Metab Disord . Dec 21, 201; 17 (4): 499-519.
> Villar J, Finol HJ, Torres SH, Roschman-Gonzalez A. Myopathy kwa odwala omwe ali ndi matenda a Hashimoto. Sungani Chithandizo . 2015 Mar; 56 (1): 33-46.