Zinthu Zowopsa, Zizindikiro, ndi Zizindikiro za Matenda a Chithokomiro
Chithokomiro, chonyezimira chooneka ngati gulugufe chomwe chili m'khosi mwako, ndi mbuye wako wamatenda. Pamene chithokomiro chanu sichigwira ntchito chingakhudze mbali iliyonse ya thanzi lanu, makamaka kulemera kwanu, ubongo wa ubongo (kupereka kapena kutsitsa kuvutika maganizo ndi nkhawa), mphamvu zamagetsi, ndi thanzi la mtima.
Zikuyesa kuti anthu ambiri a ku America okwana 59 miliyoni ali ndi vuto la chithokomiro, koma ambiri sakudziwa panobe.
Kwa inu omwe mwapezekapo, nthawi zina zimawoneka ngati zizindikiro zanu za chithokomiro-kuphatikizapo za chithokomiro chosagwira ntchito (hypothyroidism) kapena chithokomiro chopitirira muyeso (hyperthyroidism) -chimodzimodzinso kuchepetsa ngati matenda a chithokomiro . Kwa inu omwe panopa simudziwa, ndizofunika kudziwa kuti vuto la chithokomiro losatulutsidwa likhoza kuonjezera chiopsezo cha kunenepa kwambiri, matenda a mtima, kusabereka, ndi zizindikiro zina zambiri ndi mavuto a umoyo.
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Kusintha kwa nyengo ndi kutentha kumakhudza ntchito ya chithokomiro
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Kawirikawiri Mankhwala Amadzimadzi Amakhudza Chithokomiro ku Atsikana Atsikana
Kaya mwapezeka kapena simunazindikire, mwina simungakhale ndi zifukwa zonsezi, zizindikiro, kapena zizindikiro. Koma kuzizindikira izo n'kofunika, ndipo kutengapo kanthu kuti mudziwe bwino ndi kuchiritsidwa koyenera n'kofunika.
Zowopsa za Matenda a Chithokomiro ndi Matenda a Chithokomiro
Zina mwazimene zimayambitsa matenda a chithokomiro ndi awa:
- Gender: Akazi amakhala ndi chiopsezo chachikulu cha matenda a chithokomiro kusiyana ndi amuna
- Zaka: Matenda a chithokomiro amakula kwambiri pamene tikulamba, makamaka pambuyo pa 50 (koma akhoza kukhudza anthu a msinkhu uliwonse)
- Kukhala ndi mbiri yaumwini kapena banja la matenda a chithokomiro
- Opaleshoni kuchotsa zonse kapena mbali ya chithokomiro
- Chithandizo cha mankhwala a iodine ablation (RAI)
- Pa nthawi yomwe ali ndi pakati kapena chaka choyamba atabadwa
- Kukhala wosuta kapena wamakono kale
- Kutulukira kwa ayodini posachedwapa
- Kutenga ayodini kuchokera ku zitsamba kapena zowonjezeretsa
- Kukhala kumalo omwe alibe ayodini
- Njira zosiyanasiyana zamankhwala ndi mankhwala
- Kudyetsa zakudya zopsa mu banja la goitrogen, monga ziphuphu za Brussels, sipinachi, ndi soya
- Zowawa kapena opaleshoni ku khosi
- Kuwombera mwapadera, mwachipatala kapena ngozi za nyukiliya
Ndikofunika kuti mudziwe kuti kukhala ndi mbiri yaumwini kapena banja la matenda alionse omwe amadzipangitsa kuti musamadzipire matendawa kumabweretsa chiopsezo cha matenda a chithokomiro. Ngati inu kapena a m'banja mwanu muli ndi matenda omwe amachititsa kuti mukhale ndi matenda, kuphatikizapo Hashimoto's thyroiditis ndi Graves ', muyenera kukhala maso poyang'ana zizindikiro za chithokomiro.
Zina mwazidzidzidzi zomwe zimadziwika ndi matendawa zimaphatikizapo matenda a nyamakazi, lupus, kutupa matumbo, multiple sclerosis, psoriasis, vitiligo, mtundu wa shuga, matenda a Addison, matenda a Cushing, matenda a Raynaud, Sjogren's syndrome, ndi alopecia.
Pali zinthu zoposa 80 zomwe zimasankhidwa ngati zosungira.
Monga momwe muonera m'munsimu, pali chithokomiro chosiyana ndi zizindikiro zonse zozizwitsa komanso zosiyana.
Matenda a Chithokomiro ndi Mitsempha Zambiri Zomwe Zimakhala Zambiri pa Chithokomiro
Matenda a chithokomiro kawirikawiri amachititsa zizindikiro kumtundu wa khosi kumene chithokomiro chanu chili. Zina mwa zizindikiro zokhudzana ndi khosi zomwe zingathe kuwonetsa hypothyroidism, matenda a Hashimoto, hyperthyroidism, Matenda a Graves, matenda a thyroiditis, ndi khansara ya chithokomiro ndi awa:
- Khosi lokulitsidwa
- Kutsegulidwa kosasinthika mu chithokomiro chokha (goiter)
- Mphuno kapena phokoso looneka kapena lopanda pakhosi pako
- Kumva za mtanda m'khosi mwako pakumeza
- Pakhosi
- Ululu kapena chifundo mu khosi
- Khosi lanu kapena mmero zimamva bwino, ndipo zomangira, zofiira, kapena ziphuphu sizikumasuka
- Umboni wa kuchuluka kwa magazi kumatulutsa chithokomiro, chodziwika ndi stethoscope
Matenda a Hyperothyroid / Matenda a Hashimoto / Zizindikiro Zosakaniza Zachizindikiro ndi Zizindikiro
Zizindikiro zachipatala za Hypothyroidism
Kuphatikiza pa zizindikiro za khosi zomwe zatchulidwa pamwambapa, pali zizindikiro zina zodziwika za matenda a Hashimoto ndi hypothyroidism zomwe zingathe kuwerengedwa, kuzidziwika, kapena kuzidziwitsira kuchipatala kapena kuyesedwa ndi dokotala wanu.
Zizindikiro zimenezi za chithokomiro chosawonongeka zikuphatikizapo:
- Kutentha kwakukulu modabwitsa
- Kuthamanga kwa magazi pang'ono
- Kutentha kwa thupi kosachepera
- Maganizo ochepa kapena otupa
- Kukhazika mtima pansi pamaso panu, makamaka kuzungulira maso anu
- Kupuma kapena kutupa kwa manja ndi mapazi anu (wotchedwa edema)
- Kutayika tsitsi, makamaka, kutayika kwa tsitsi kuchokera kumbali ya kunja kwa nsidze zanu, zomwe ndizopadera za hypothyroidism
- Mafuta a cholesterol omwe sagwirizana ndi mankhwala otsika kwa kolesterolini kapena zakudya zimasintha
- Kudandaula kwachilendo kapena koopsa komwe sikungamvere mankhwala
Zizindikiro Zomwe Zimagwiritsidwa Ntchito
Zizindikiro zina zomwe zimapezeka ndi hypothyroidism zimaphatikizapo:
- Kutopa / Kutsika Mphamvu: Mukumva wothamanga, wolefuka, ndi wotopa, ngakhale atagona nthawi yayitali.
- Kusintha kwa Mkhalidwe: Mukumva kupsinjika kapena buluu; muli ndichisoni kapena chopanda pake; mumamva kuti mukuda nkhaŵa malingaliro anu amasintha mosavuta.
- Kunenepa ndi Metabolism: Mwadzidzidzi mumapeza kulemera, ngakhale mutasintha zakudya zanu zowonongeka komanso kuchita masewera olimbitsa thupi. Simungathe kuchepetsa thupi, kapena mumakhala ndi kulemera pa zakudya zowonjezera, zomwe zimachepetsanso zakudya zolimbitsa thupi.
- Kusamalitsa ndi kukumbukira: Iwe uli ndi "ubongo wa ubongo," kuvutika kuikapo, ndi kukumbukira kukumbukira.
- Kutentha kwa Thupi: Mumamva kuzizira pamene ena amawotcha.
- Kusintha kwa Mutu: Tsitsi lanu ndi lolimba komanso louma, likuphwanyika, liphulika, kapena likugwa.
- Zosintha za Khungu: Khungu lanu ndi lolimba, louma, lakuda, ndi lakuda, makamaka phazi lanu.
- Kusintha kwa Liwu: Inu muli ndi mawu ojambulidwa kapena oyera.
- Ululu: Muli ndi ululu ndi zopweteka m'magulu anu, mapewa, manja, mapazi, kapena zowawa ngati mapewa ozizira, matenda a carpal , matenda a tarsal syndrome, ndi plantar fasciitis.
- Kugonana kwagonana: Simukuyenda kugonana kapena kugonana kochepa.
- Kusungirako / Apnea: Mukusangalala kwambiri posachedwa, kapena mwakhala mukuyamba kugona mofulumira.
- Kusintha kwa Diso: Maso anu amamva bwino, owuma, komanso omvera kuwala.
Zizindikiro ndi Zizindikiro mu Akazi
Pali zizindikiro zina za hypothyroidism zomwe zimakhala zosiyana ndi akazi:
- Kutha msinkhu: Hyperothyroidism ingayambitse msinkhu msinkhu komanso msinkhu msinkhu wa kusamba, komanso kuchedwa msinkhu.
- Kusintha kwa msambo: Muli ndi zipsinjo zazikulu za kusamba, nthawi yambiri ya msambo, kapena nthawi yosasamba.
- Kuchulukitsa / Kutenga: Wakhala ndi vuto lolera mwana, mbiri ya kulephera inathandiza chithandizo cha kubereka, mbiri ya kuperewera kwa amayi, kubwerera m'mbuyo, ndi / kapena mavuto akuyamwitsa.
- Kuchuluka kwa nthawi / Kusamba kwa mimba: Kusamba kwanu kumayambira kale kuposa zachizolowezi, mumatha kusamba, kapena muli ndi zizindikiro zovuta kwambiri zapimenopausal kapena menopausal.
Hyspothyroidism Zizindikiro ndi Zizindikiro M'manda Obadwa
Zizindikiro zina zapadera za hypothyroidism mwa ana omwe amabadwa ndi monga:
- Mawu otsika kwambiri
- Kudyetsa kosauka, kulephera kulemera
- Kulira kofuula
Zizindikiro ndi Zizindikiro mu Ana / Achinyamata
Zizindikiro zina zodziwika za hypothyroidism kwa ana ndi achinyamata zikuphatikizapo:
- Kuchepetsa kuchepa kwa chiwerengero, kapena kuchepetsa kuchepa
- Kutaya kusakaniza kwa mafupa
- Kumayambiriro kapena kuchedwa msinkhu
- Kutaya mphamvu
- Zikuwoneka kutupa kapena kudzikuza
- Phindu lolemera popanda kuwonjezeka kwa njala
- Kutsekedwa kapena zovuta
- Kuwonongeka kwa kulembedwa kwa manja
- Mavuto a sukulu
Matenda a Hyperthyroidism / Graves / Zizindikiro Zambiri za Chithokomiro ndi Zizindikiro
Zizindikiro zachipatala za Hyperthyroidism
Pali zizindikiro zina zooneka za matenda a Graves ndi hyperthyroidism zomwe zingakhoze kuwerengedwa, kuziwona, kapena kupezedwa mu kafukufuku wamakono ndi dokotala wanu. Zizindikiro izi zokhudzana ndi chithokomiro zikuphatikizapo:
- Goiter (chithokomiro chofutukuka)
- Kutentha kwakukulu modabwitsa
- Kuthamanga kwa magazi kosalekeza
- Fever
- Maganizo ofulumira kapena osasamala
- Umboni wa mtima wophiphiritsira, kusalongosoka kwa nyimbo, kapena kugwiritsira ntchito mankhwala oopsa
- Mafuta a cholesterol ochepa kwambiri
- Matenda otsekula kapena otsekula omwe samvera mankhwala
Kusintha kwa Maso
Kusintha kwa maso anu kuli kofala mu hyperthyroidism ndi matenda a Graves, koma kungakhalenso chifukwa cha mkhalidwe wofanana, wotchedwa Graves 'ophthalmopathy kapena matenda a chithokomiro. Zizindikiro zikuphatikizapo:
- Maso anu amamverera mwachifundo ndi owuma.
- Maso anu ali ofiira, owuma, otupa, otukumula, kapena madzi.
- Maso anu ali okhudzidwa ndi kuwala.
- Masomphenya anu ndi ophwanyika.
- Mukukhala ndi masomphenya awiri.
- Maso anu a diso amaoneka ngati akuwombera (proptosis); Maso anu saphimbidwa pamene maso anu atsekedwa.
- Momwemo "chivindikiro," pamene chikopa chanu chapamwamba sichikutsatirani kuyenda kwa maso pamene mukuyang'ana pansi.
Zizindikiro za Hyperthyroidism Kawirikawiri
Zizindikiro zina zomwe zimapezeka ndi hyperthyroidism zomwe mungathe kuziphatikizapo:
- Kugona: Mwina mukhoza kugona tulo, kapena zimakuvutani kugona kapena kugona.
- Kutopa / Mphamvu: Nthawi zina, hyperthyroidism ikhoza kukupangitsani kukhala wong'onongeka ndi mphamvu yodabwitsa, komabe zimakhalanso zofala kuti mukhale wotopa, wothamanga, wolefuka, ndi wotopa
- Kusintha kwa Mkhalidwe: Mumakhala ndi nkhawa, mumanjenje, mukukwiyitsidwa, kukwiya, kapena kupanikizika kwambiri. Mutha kukhumudwa mosavuta. Mwinanso mungamve kupsinjika maganizo kapena buluu, kukhala ndi chisoni kapena zopanda pake, ndipo maganizo anu amasintha mosavuta.
- Kunenepa ndi Metabolism: Mwadzidzidzi mumataya thupi, ngakhale mutasintha zakudya zanu zowonongeka komanso kuchita masewera olimbitsa thupi. Kapena, chilakolako chanu chawonjezeka ndipo mukudya zambiri, koma simukulemera.
- Kusamalitsa ndi kukumbukira: Iwe uli ndi "ubongo wa ubongo," kuvutika kuikapo, ndi kukumbukira kukumbukira.
- Kutentha kwa Thupi / Kutupa: Mumakhala otentha pamene ena akuwotcha; iwe uli thukuta ndipo umamva ludzu kwambiri.
- Kusintha kwa Mutu: Tsitsi lanu likugwa. Tsitsi lanu likupatulira kapena lakhala bwino.
- Kusintha kwa Khungu: Mwapanga khungu losaoneka bwino komanso laling'ono. Mwasintha ming'oma. Muli ndi ziphuphu zachilendo kapena zam'mimba pamphumi panu ndi nkhope zanu. Muli ndi zikopa zamabulu nkhope yanu ndi khosi lanu.
- Kusintha kwa Liwu: Inu muli ndi mawu ojambulidwa kapena oyera.
- Ululu / Zofooka: Muli ndi mabala ndi ululu m'magulu anu, mapewa, manja, mapazi, kapena kufooketsa kwambiri kwa minofu, makamaka mmanja ndi miyendo yanu.
- Kugonana kwa Magonana: Mutha kukhala ndi magalimoto osakanizika modabwitsa, kapena mungakhale ndi dontho labwino la kugonana.
- Kutentha / Kuthamanga: Mumatenthedwa kapena mumagwedezeka mmanja mwanu, kapena makina a hyperkinetic (ie, kusewera kwa tebulo, kugwedeza mapazi, kuyenda mozungulira); izi ndizovuta kwambiri kwa ana.
- Zilonda / misomali: Muli ndi kutupa kwala (acropachy) kapena kupatukana kwa zikhomo kuchokera pamsana wanu wa msomali (onycholysis kapena misomali ya Plummer).
- Zopsa: Muli ndi zilonda pamapiko anu otupa, omwe amadziwika kuti pretibial myxedema kapena dermopathy.
Hyperthyroidism Zizindikiro ndi Zizindikiro kwa Akazi
Pali zizindikiro zina za hyperthyroidism zomwe zimakhala zosiyana ndi akazi:
- Iwe uli ndi pakati koma ukulemetsa.
- Mutha kuchepa mwamsanga mukatha kukhala ndi mwana.
- Iwe uli ndi pakati ndipo uli ndi kupweteka kwambiri kapena kusanza.
- Muli ndi mbiri ya nthawi yosasamba ya kusamba, makamaka nthawi yodumphira, nthawi yayifupi ndi yowala, ndi nthawi yayitali pakati pa nthawi.
- Inu muli ndi mbiriyakale ya kusabereka kapena kuperewera kwabwino kobwerezabwereza.
Hyperthyroidism Zizindikiro ndi Zizindikiro M'mabuku / Ana / Achinyamata
Kwa ana, ana, ndi achinyamata, zizindikiro zofala zimaphatikizapo:
- Kusangalatsa kosavuta, kulumpha
- Matenda osokoneza bongo (ADHD) -zizindikiro zapadera
- Kusasamala kapena kupsa mtima
- Kutambasula manja
- Mawonekedwe a hyperkinetic monga kusewera pa tebulo, kugwedeza mwendo, kugunda mapazi
- Kutha msinkhu
- Kuvuta kupeza kulemera
- Chilakolako chachikulu chopanda kulemera, kapena kulemera
- Vuto limakhala lovuta komanso losauka ku sukulu
- Kukwapula
- Matenda ogona ndi kusowa tulo
- Kuyang'anitsitsa maso
Zizindikiro ndi Zizindikiro
Chithokomiro chimaphatikizapo zizindikiro zosiyanasiyana za chithokomiro. Matenda ena a thyroiditis alibe zizindikiro konse. Palinso zinthu zomwe chithokomiro chimachepetsa kapena kuthamanga chithokomiro, kotero zizindikiro za zizindikiro zimagwirizana ndi za hypothyroidism kapena hyperthyroidism monga tafotokozera pamwambapa.
Zizindikiro zina zapadera zomwe zimapezeka mu mitundu ina ya thyroiditis ndi izi:
- Kutsekula kwa chithokomiro (goiter)
- Ululu, chifundo, kapena kupweteka m'khosi kapena mmero
- Zovuta kumeza
- Fever
- Zilonda zam'kati zowonjezera pafupi ndi chithokomiro.
- Kuwopsya mu mawu anu
Mtundu wa thyroiditis wotchedwa acute infectious thyroiditis uli ndi zizindikiro zowonjezereka, kuphatikizapo:
- Kupweteka kwa m'khosi mofulumira komanso mwachifundo, nthawi zambiri kumbali imodzi ya khosi
- Kuyamba kwa ululu kumaphatikizapo kutentha thupi, kuzizira ndi zizindikiro zina za matenda
- Kukulitsa kapena kulemera m'dera lanu la khosi; zingakhale "zosuntha" kukhudza kwanu
Zizindikilo ndi Zizindikiro Zowonongeka Kwambiri
Goiter yamitundu yonse imaphatikizapo mitsempha yambiri, komanso kutsekula kwa chithokomiro. Zizindikiro zingakhale monga:
- kutupa, kosavuta, kolimba, kapena kumverera kwathunthu m'khosi kapena mmero
- ululu kapena kupanikizika m'khosi
- kusasaka kapena kukokera
- vuto lomeza kapena kupuma
- zovuta za mtima
- kusowa tulo
- kutopa
Khansa ya Chithokomiro Zizindikiro ndi Zizindikiro
Khansara ya chithokomiro , makamaka kumayambiriro kwa chitukuko chake, sangayambitse zizindikiro zilizonse. Koma ngati khansa ya chithokomiro imakula ndikukula, zimakhala zovuta kwambiri kuti ziwonongeke m'khosi ndi m'khosi. Zina mwa zizindikiro zomwe zingawononge kanseri ya chithokomiro ndi izi:
- Chotupa kapena phokoso pamutu, makamaka kutsogolo kwa khosi kumbali ya apulo ya Adam (Dziwani: Nthawi zina mtanda kapena udzu ukhoza kukula msanga.)
- Kukula kwa khosi
- Zilonda zotupa kapena zotupa m'khosi
- Kusintha kwa mau anu, kuphatikizapo mantha, kuwoneka, ndi kuyankhula kovuta
- Kuvuta kuvomereza kapena kumverera choking
- Kuvuta kupuma
- Ululu m'khosi mwako kapena mmero, kuphatikizapo kupweteka kwa khosi kupita kumakutu
- Kukhalitsa m'khosi; osagwirizana ndi neckties, turtlenecks, scarves, makola
- Chifuwa chokhazikika kapena chosachiritsika osati chifukwa cha chifuwa kapena matenda
- Asymmetry m'khosi mwanu; mbali imodzi ikhoza kukhala yayikulu kuposa imzake
Mawu Ochokera
Imodzi mwa zovuta pa matenda a chithokomiro ndikuti zizindikiro zanu za chithokomiro zimakhala nazo ndipo zimakhala zofala kuzinthu zina zambiri. Izi zingachititse kuti musadziŵe bwino ndi vuto lina-mwinamwake zizindikiro zanu zimati ndizo "zachizoloŵezi zokhala ndi mwana," mwachitsanzo, popanda kufufuzidwa, kufufuza, ndi chithandizo cha chithokomiro chanu. kuunika kwa chithokomiro chanu, mukhoza kupezeka ndi matenda a maganizo monga kupsinjika maganizo kapena kusokonezeka maganizo.
Chinthu chapadera chingakhalenso chovuta. Zizindikiro za matenda a Hashimoto nthawi zambiri zimagwirizana ndi hypothyroidism yomwe ndi chifukwa cha matendawa. Komabe, nthawi zina, pamene chithokomiro chikulephera, chingakhale ndi nthawi yomwe zimadumphira moyo ndipo zimakhala zochepa kwambiri. Izi zimatchedwa Hashitoxicosis. Zizindikiro zingasokoneze, kuyendetsa njinga pamasiku kapena masabata pakati pa hypothyroidism ndi zizindikiro za hyperthyroidism.
Mfundo imodzi yofunika: Onetsetsani kuti mukubweretsa mndandanda wa zoopsa zanu ndi dokotala. Ngati muli ndi dokotala yemwe-ngakhale kuti mukudwala matenda a chithokomiro-amakana ngakhale kuchita kafukufuku wamankhwala ndi kuyezetsa magazi, kapena kuvomereza kuti zizindikirozi zingapangitse chithandizo chamankhwala, mungafunike kupeza dokotala watsopano.
Komanso dziwani kuti matenda ena angayambitse, amayamba chifukwa, kapena amapezeka odwala chithokomiro. Ngati muli ndi zifukwa izi, muyeneranso kukhala odikira kuti zizindikiro za chithokomiro zingatheke ndipo khalani ndi chithokomiro nthawi zonse. Izi zimaphatikizapo matenda a leliac; chithandizo ; matenda aakulu; Matenda a Lyme; matenda a carpal ; matenda osokoneza bongo ; tchalitchi ; chomera plant fasciitis ; hypercholesterolemia (mkulu wa cholesterol) makamaka pamene samvera mankhwala; kusowa; kuperewera kwadzidzidzi; mapewa osungunuka ; ndi hemochromatosis .
> Zotsatira:
> Bahn, R., Burch, H, Cooper, D, et al. Hyperthyroidism ndi Zina Zimayambitsa Thyrotoxicosis: Malangizo Otsogolera a American Thyroid Association ndi American Association of Clinical Endocrinologists. Chitetezo cha Endocrine. Vol 17 No. 3 May / June 2011.
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.
> Garber, J, Cobin, R, Gharib, H, et. al. Malangizo Okhudza Zipatala za Hypothyroidism M'zochitika Zakale: Ambiri amathandizidwa ndi American Association of Clinical Endocrinologists ndi American Thyroid Association. " Chitetezo cha Endocrine. Mph. 18 No. 6 Novemba / December 2012.