Kutopa, Kusalana Mtima, Kupsinjika Mtima, ndi Zambiri
Matenda a Hashimoto, kapena Hashimoto's Thyroiditis, ndi malo omwe thupi lanu limatetezera chitetezo chanu cha chithokomiro. Chithokomiro ndi chonyezimira chooneka ngati gulugufe panja ndi pamutu pako. Ntchito yaikulu ya chithokomiro ndiyo kupanga mahomoni, omwe amalamulira momwe thupi lanu limagwiritsira ntchito mphamvu-chithokomiro chimakhudza kwambiri pafupifupi maselo onse m'thupi lanu.
Mukakhala ndi matenda a Hashimoto, chithokomiro chanu chingayambe kuwonongeka ndi kuwonongeka, kutengera hypothyroidism, kapena chithokomiro chopanda mphamvu. Potsirizira pake, ntchito za thupi lanu zimachepetsanso chifukwa chithokomiro chanu sichitha kupanga mahomoni oyenera.
Ku United States, matenda a Hashimoto ndi omwe amachititsa kuti munthu azidwala hypothyroidism, malinga ndi National Institute of Diabetes, Digestive and Kidney Diseases (NIDDK), ndipo imakhudza pafupifupi asanu mwa anthu 100 alionse. Ndi pafupifupi maulendo eyiti ophatikizana kwambiri kuposa akazi. Nthawi zina, chithokomiro chikhoza kukulitsidwa ndikupanga goiter .
Zizindikiro
Poyamba, munthu amene ali ndi matenda a Hashimoto angakhalebe osadziwika kwa zaka mpaka chidziwitso chimawululidwa pa kafukufuku wa zamankhwala kapena ntchito yowopa, nthawi zonse bungwe la American Association of Clinical Endocrinologists (AACE) linati. Zotsatirazi ndi zina mwa zizindikiro za matenda a Hashimoto:
Kutsika pansi pa khosi, lomwe nthawi zambiri limakhala lopweteka
Kukumana ndi kupweteka m'munsi mwa khosi
Kutopa ndi kulephera
Kusagwirizana kozizira kapena kumva kutentha pamene anthu ena samatero
Kutaya tsitsi
Kulemera kwalemera
Misomali imakhala yopweteka kapena yosweka mosavuta
Kutsekedwa
Chisoni chophatikizana
Kuwonjezeka kwa kulimbika pamodzi
Minofu yachisoni ndi zopweteka
Kufooka kwa minofu
Kutukuka kwa nkhope
Kugona
Zovuta ndi kukumbukira
Kuiŵala
Kutayika tsitsi kapena ubweya wouma, wonyezimira, kapena wonyopa
Manorrhagia kapena kumwa magazi kwambiri
Kusokonezeka maganizo
Kuchuluka kwa mtima
Khungu lenileni
Lilime lokulitsidwa
Zimayambitsa
Mpaka lero, chifukwa chimodzi sichinazindikiridwe, koma ofufuza amakhulupirira kuti ndizophatikizapo zinthu monga genetics kapena bakiteriya kapena matenda a tizilombo omwe angayambitse matenda. Chikhalidwechi chimawoneka kuti chimawonekera pakati pa akazi achikulire, komabe amuna amatha kuchipeza. Komanso, mwinamwake muli ndi matenda a Hashimoto ngati wachibale wanu ali nacho kapena ngati muli ndi chikhalidwe chokha.
Mayesero
Kuti mudziwe matenda a Hashimoto, dokotala wanu adzawerenganso mbiri yaumoyo wanu, mndandanda wa zizindikiro, ndikuyesera. Nthawi zambiri amithenga amamveketsa panthawi ya mayeso.
Kenaka, dokotala wanu amapanga ntchito ya lab kuti ayang'anire hypothyroidism. Kuyeza kwachiyero kumatchedwa kanseri yotulutsa hormone kapena TSH. TSH imapangidwa ndi ubongo wa ubongo mu ubongo wanu, ndipo umasonyeza kuti chithokomiro chimabala mahomoni. Pamene chithokomiro chanu sichigwira ntchito, TSH yanu nthawi zambiri imakwezeka chifukwa chigoba cha pituitary chikuyesa kutulutsa chithokomiro chanu kutulutsa mahomoni ambiri.
Kuwonjezera pamenepo, dokotala wanu angayambe kuyesa magazi monga thyroxine, kapena T4 yaulere, kuti muyese mlingo wa maselo a chithokomiro m'magazi anu. Koma AACE imasonyeza kuti zotsatira za T4 zaulere sizingakhale zodziwika nthawi zonse ngati muli ndi matenda a Hashimoto. "Kuthamanga kwakukulu kwa TSH kungapangitse ufulu wanu wa thyroxine 'm'miyendo yachilendo' kwa zaka zambiri," akutero.
Dokotala wina ayesa dokotala wanu kuti ayang'ane amayang'ana mabakiteriya otchedwa thyroperoxidase antibodies kapena TPO. Ma antibodies ameneŵa alipo ambiri mwa anthu omwe ali ndi matenda a Hashimoto, komabe mayesero okhawo sali chizindikiro choti muli ndi vutoli.
Nthaŵi zina, dokotala wanu akhoza kulamula chithokomiro cha ultrasound. An ultrasound amapereka chithunzithunzi cha chithokomiro, choncho dokotala amatha kuona ngati chikhochi chikukulitsidwa chifukwa cha matenda a Hashimoto kapena kutulutsa zifukwa zina monga mitsempha ya chithokomiro.
Pambuyo Podziwa
Kumayambiriro kwa matenda a Hashimoto, mwina simungakhale ndi zizindikiro. Pachifukwa ichi, thandizo lachipatala siliyenera, ndipo dokotala wanu angasankhe kudikira ndikuwona ngati matenda anu akuipiraipira ndi nthawi.
Ngati matenda anu akupita kumene thyroid imalephera kuchuluka kwa mahomoni, dokotala wanu amapereka mankhwala a chithokomiro m'malo mofanana ndi levothyroxine-timadzi timene timayambitsa timadzi timene timatulutsa thupi lanu mwachibadwa. Dokotala wanu adzachita mayeso a magazi nthawi zonse ndikukonzekera chithandizo ngati mukufunikira mpaka mutayandikira mlingo woyenera.
Nthaŵi zina, anthu ena sangamve bwino levothyroxine okha, kotero iwo angapindule ndi kuwonjezeredwa kwa mavitamini a T3 otchedwa liothyronine. Kuphatikizidwa kwa T4 ndi T3 kwa miyezi itatu kapena sikisi ndi nthawi yokwanira yoyezesa kuti muwone ngati mukupeza mpumulo ku zizindikiro zanu, akutero Mayo Clinic.
Kuonjezerapo, pamene chikhalidwe cha chisamaliro cha Hashimoto ndizochiza matendawa pogwiritsa ntchito levothyroxine, mankhwala omwe amatchedwa chithokomiro (NDT), monga Zachilengedwe kapena Zida, akhoza kulangizidwa kwa anthu ena. NDT imachokera ku nkhumba ndipo ili ndi T4 ndi T3.
Pali zovuta zokhudzana ndi NDT m'dera lachipatala ngati zimagwira ntchito kapena ayi. Chifukwa chiyani? Chifukwa chiwerengero cha T4 ndi T3 mu NDT n'chosiyana pakati pa nkhumba ndi anthu, ndipo kuchuluka kwa mahomoni kwadziwikiratu kuti zimasiyana pakati pa mankhwalawa.
Koma chithandizo chamankhwala chiyenera kukhala payekha payekha kwa wodwala aliyense, motero n'kofunika kunena kuti odwala ena amafotokoza kusintha kwakukulu pa NDT. Kuti mupeze zotsatira zabwino, nkofunika kuti muzindikire zonse zomwe mungasankhe ndikugwira ntchito ndi dokotala kuti mutenge chithandizo chomwe chili choyenera kwa inu.
Mawu Ochokera
Chifukwa chakuti matenda a Hashimoto amayamba kupita patsogolo pa moyo wa munthu, dokotala wanu akufuna kukuyesani nthawi ndi nthawi kuti muwone kuti muli pa mlingo woyenera wa mankhwala. Nthaŵi zina, mankhwala anu ayenera kusintha. Uthenga wabwino? Nthawi zambiri, odwala a chithokomiro omwe ali ndi matenda a Hashimoto amatha kusamalidwa bwino mwa mankhwala, kotero inu mukufuna kumwa mankhwala anu monga momwe mwafunira ngakhale mutayamba kumva bwino.
> Zotsatira:
> American Association of Clinical Endocrinologists webusaitiyi. Hashimoto's Thyroiditis .
> Chitukuko cha National Diabetes ndi digestive ndi Impso Matenda a webusaiti. Matenda a Hashimoto.
> Office of Women's Health, webusaiti ya US Health and Human Services website. Matenda a Hashimoto.