Mawu akuti chithokomiro amatanthauza kudwala kulikonse komwe kumaphatikizapo kutentha kwa chithokomiro chanu. Chithokomiro chimagawidwa m'magulu awiri akuluakulu-osapweteka komanso opweteka-omwe amawaphatikizapo ululu umene amachititsa odwala.
Zina mwa mitundu yosautsa ya thyroiditis ndizosazoloŵeka kawirikawiri yotchedwa thyroiditis yoopsa.
Matenda a tizilombo toyambitsa matenda amatchulidwa ngati othandizira (kutanthauza kuti amapanga pus), osasamala, kapena opusa.
Amaphatikizapo mitundu yonse ya matenda, kupatulapo tizilombo toyambitsa matenda, ndipo amayamba chifukwa cha chithokomiro ndi mabakiteriya, mycobacteria, bowa, protozoa, kapena flatworms.
Tizilombo toyambitsa matenda sizodziwika, koma kawirikawiri timapezeka odwala omwe ali ndi mphamvu yoteteza thupi lawo. Ndizofala kwambiri kwa ana. Pafupifupi 8 peresenti ya milandu imakhala ikuchitika mwa akuluakulu. Zimakhalanso zofala mu kugwa ndi nyengo yozizira, makamaka pambuyo pa matenda opatsirana m'mwamba.
. Nthawi zambiri zimayambitsidwa ndi:
- matenda a bakiteriya monga streptococcus, staphylococcus, pneumococcus, salmonella, klebsiella, ndi chifuwa chachikulu, pakati pa ena
- matenda a fungal, kuphatikizapo aspergillus, candida albicans ndi ena
Matendawa amachititsa kuti munthu asatenge kachilombo ka chithokomiro.
Kupititsa patsogolo, kugwiritsira ntchito kwa magetsi komwe amagwiritsidwa ntchito ndi madokotala ndi odwala ali ndi chithunzi chofunika kwambiri cha thyroiditis . Malinga ndi UptoDate:
"Kutsekemera kwapachipatala koopsa kumachitika chifukwa cha kupweteka kwa misozi modzidzimutsa komwe kumagwirizanitsa komanso kumaphatikizapo kutentha thupi, kutentha ndi zizindikiro zina ndi zizindikiro za matenda. Odwala ambiri amatha kupweteka kwambiri pamutu, zomwe zimakhala zosasinthasintha. ndi kukoma mtima komanso mazira a chithokomiro angayambitsenso chifukwa cha kutaya magazi m'thupi la chithokomiro. Chithokomiro chimagwira ntchito kwa odwala omwe ali ndi tizilombo toyambitsa matenda ambiri.
Wodwala yemwe ali ndi vuto la chithokomiro chowawa kwambiri ayenera kuyesedwa nthawi yomweyo ndi kukayezetsa kachipatala ndi singano ya aspirin ya misa, kutsatiridwa ndi madzi ndi ma antibiotic mankhwala malinga ndi zotsatira za kafukufuku wa madzi omwe amapezeka pamtambo kapena magazi kapena zikhalidwe zina. Ultrasonography kapena maphunziro ena ojambula zithunzi ayenera kuchitidwa kuti atsimikizire kukhalapo kwa chipwirikiti chimodzi. Nthaŵi zambiri, kuyerekezera mwamsanga ndi chithandizo n'kofunika. Nthawi zambiri, odwala omwe sagonjera mankhwala osokoneza bongo komanso othandizira ma antibiotic. Ndikofunika kusiyanitsa chithokomiro chachikulu chotenga tizilombo toyambitsa matenda kuchokera ku subacute thyroiditis.
Zizindikiro za matenda opatsirana pogonana
Ngati mukudwala tizilombo toyambitsa matenda, zizindikiro zanu zingaphatikizepo:
- Kuyamba kofulumira kwa ululu ndi kukoma mtima kumbali imodzi ya khosi lako
- Kutsekemera kwa chithokomiro
- Kutentha ndi kuzizira, kumverera kofanana ndi chimfine
- Kukulitsa m'kati mwa khosi lanu , kapena chotupa chosunthira pamutu chimene mungathe kumva
- Malo otentha, otetezeka pafupi ndi chithokomiro
- Kumeza kowawa
- Kutupa mapulitsi a mitsempha
Si zachilendo, koma anthu ena omwe ali ndi tizilombo toyambitsa matenda ambiri amawoneka ndi zizindikiro za hypothyroid kapena hyperthyroidism.
Ngati muli ndi zizindikirozi, mudzafuna kuona chithandizo chanu chaumoyo mwamsanga kuti muwone ndikusamalira.
Kuzindikira ndi Kuchiza Matenda Okhudza Matenda Opatsirana Oopsa
Ngati dokotala akudandaula kuti muli ndi matenda opatsirana kwambiri a thyroiditis, mungatenge njira zingapo, kuphatikizapo:
- Ultrasound, MRI, ndi / kapena chithunzi cha CT chithunzi cha thyroid yanu kuti mudziwe ngati muli ndi vuto limodzi kapena ambiri omwe amafunikira chithandizo
- Zabwino zokhala ndi singano (FNA) ya misala yanu ya chithokomiro. Njirayi imaphatikizapo kutulutsa madzi kapena zakuthupi kuchokera ku chithokomiro chanu kuti muwone bwinobwino. Chitsanzocho chidzakonzedwa kuti chiyang'ane matenda. Zotsatira za chikhalidwe zingathandize dokotala wanu kusankha mankhwala oyenera a antibiotic ndi / kapena anti-fungal mankhwala kuchipatala.
- Nthaŵi zina, chidziwitso, chotsogoleredwa ndi ultrasound, chimagwiritsidwa ntchito kudziwa malo ndi malo a kusowa kwa madzi okwanira molondola.
- Kuchuluka kwa madzi odwala chithokomiro chanu kapena mtanda
- Mayeso a magazi kuti awonetsetse chithokomiro, ndipo yang'anani zizindikiro za matenda mu chithokomiro chanu
- Kulembera kwa mankhwala omwe amamwa mankhwala opatsirana omwe amachititsa mtundu womwewo wa matenda omwe muli nawo
Ngakhale kuti odwala ambiri amayesetsa kumwa mankhwala osokoneza bongo ndi ma antibiotic, kawirikawiri, madzi opangira opaleshoni kapena kuchotsa opaleshoni ya misa amafunika. Nthawi zina, kuchotsa pakati pa theka la chithokomiro, lotchedwa lobectomy, kungapereke mankhwala othandiza kwambiri.
Mawu Ochokera
Nthawi zina, katemera wa chithokomiro akadwala kwambiri, matendawa amatha kuwonongeka mpaka kufika pomaliza mankhwala a hypothyroid.
Zotsatira:
Burman, Kenneth. Ross, Douglas. Martin, Kathryn. "Mwachidule cha thyroiditis." Kupititsa patsogolo . Zapezeka: August 22, 2008.
> Shrestha, R. et. al. "Acute ndi Subacute, ndi Riedel's Thyroiditis." Gulu la Chithokomiro. December 8, 2015
Online.