Matenda awiri a endocrine osiyanasiyana amagawana zizindikiro zofanana
Pofufuza chifukwa cha nthawi zosawonongeka kapena zosakhalapo zomwe zimaphatikizidwa ndi kulemera kwa thupi ndi / kapena tsitsi losazolowereka kukula kapena kutayika, madokotala nthawi zambiri amaganizira za matenda awiri okhudzana ndi mahomoni oopsa: polycystic ovary syndrome (PCOS) ndi matenda a chithokomiro.
Zonsezi zimakhala ndi zizindikiro zambiri zomwezo. PCOS imachitika pamene mazira a mkazi kapena adrenal glands amapereka mahomoni ambirimbiri a amuna.
Matenda a chithokomiro, amasiyanitsa ndi mahomoni a chithokomiro ( hyperthyroidism ) kapena kutayika kosadziwika kwa mahomoni a chithokomiro ( hypothyroidism ).
Polycystic Ovary Syndrome (PCOS)
PCOS ndi matenda a mahomoni omwe amapezeka pakati pa akazi a msinkhu wobereka. Azimayi omwe ali ndi PCOS nthawi zambiri amakhala ndi zizindikiro zosadziwika kapena zizindikiro zokhudzana ndi mahomoni akuluakulu (androgens). Mazirawa amatha kukhala ndi makoswe ambirimbiri, ndipo amalephera kumasula mazira nthawi zonse.
Chifukwa chenicheni cha PCOS sichikudziwika. Zizindikiro ndi zosiyana ndipo zingaphatikizepo:
- Nthawi ya kusamba kapena yosakhalitsa
- Maso ambiri kapena tsitsi ( hirsutism )
- Zikodzo
- Kupweteka kwa majeremusi
- Kusadziletsa
- Kulemera kwalemera
- Insulin kukana
- Kugonana ndi mpweya
- Mapazi a khungu lakuda, lakuda, ndi loyera
Palibe mayesero amodzi omwe amagwiritsidwa ntchito kutsimikizira PCOS. Kusanthula kumapangidwa pogwiritsa ntchito ndondomeko ya zizindikiro ndi mayesero owona.
PCOS imachiritsidwa mwachidwi ndi cholinga chochepetsa kuchepa kwa insulini, kubwezeretsa chonde, kuthana ndi tsitsi kapena khungu, ndi kuyendetsa nthawi ya kusamba.
Hyperthyroidism
Chithokomirochi chimapanga mahomoni omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda (TSH), zomwe zimayambitsa kutsekemera kwa mahomoni kuchokera ku chithokomiro.
Mahomoni a chithokomiro, omwe amadziwika kuti T3 ndi T4, amachititsa kuti thupi lathu lizikhala ndi thupi, kutentha thupi, ndi mtima. Kupanga mahomoni ambiriwa kumatchedwa hyperthyroidism, momwe zimakhalira, pakati pa zinthu zina, khansara ya chithokomiro ndi matenda omwe amadziwika kuti Graves matenda .
Zizindikiro zingakhalepo:
- Matenda a chithokomiro owonjezera
- Amasowa kapena amapezeka kusamba
- Kulemera kwa msinkhu ngakhale kuwonjezeka kwa njala
- Kutuluka thukuta kwambiri
- Sungani kusamvana
- Kutayika tsitsi kumakhala kosaoneka bwino
- Kutulutsidwa kwa maso a maso ( proptosis )
- Kuwonjezeka kwa mtima ndi kuthamanga kwa magazi
- Kusagona
Kuzindikira kumapangidwa poyesera ma TSH ndi T3 / T4 magulu. Kuchiza kungaphatikizepo kugwiritsa ntchito mankhwala omwe amachititsa kutentha kwa hormonal (propylthiouracil, methimazole), mapiritsi a iodine owononga mankhwala kuti asatengere chithunzithunzi cha chithokomiro kapena kuchotsa opaleshoni ya chithokomiro motsatizana ndi mankhwala otchedwa hormone replacement therapy.
Hypothyroidism
Hyperothyroidism imachitika pamene pali kupanga kochepa kwa T3 ndi T4. Poyambirira hypothyroidism, kuchepa kwa mahomoni kumayambitsidwa ndi mavuto a chithokomiro. Tizilombo toyambitsa matenda timene timayambitsa matendawa timakhala ndi mavuto m'matope.
Tizilombo toyambitsa matenda tingayambe khansa ya chithokomiro, opaleshoni ya khansa, kapena matenda enaake omwe amadziwika kuti Hashimoto .
Zizindikiro zingakhalepo:
- Kusagwirizana kolimba
- Kutopa ndi kulephera
- Kusamba kapena kusasintha kwa msinkhu
- Kuchedwa kwa nthawi yaitali kapena kwa nthawi yaitali
- Kuchepetsa libido
- Kulemera kwalemera kupatulabe kuchepa kwa chilakolako
- Kutsekedwa
- Khungu louma, louma
Hypothyroidism imapezeka kuti ili ndi mayesero omwewo monga hyperthyroidism. Mankhwala opatsirana amadzimadzi ndi omwe amayamba kutsogolo, nthawi zambiri amagwiritsa ntchito mankhwala a levothyroxine (Synthroid, Levothroid).
> Chitsime:
> Gaberscek, S .; Zaletel, K.; Shwetz, V. et al. "Njira za Endocrinology: Matenda a chithokomiro ndi polycystic ovary syndrome." Eur J Endocrin. 2015; 172: R9-R21.
> McCance, K. ndi Huether, S. (2016) Kumvetsetsa Pathophysiology ( Kachisanu ndi chimodzi) . St. Louis, Missouri: Mosby.