Zimene Mukuyenera Kudziwa Zokhudza Paulendo Wosakaniza Silky Thyroiditis
Mawu akuti chithokomiro amatanthauza kudwala kulikonse komwe kumaphatikizapo kutentha kwa chithokomiro chanu. Chithokomiro chimagawidwa m'magulu awiri akuluakulu - zopweteka komanso zopweteka - zomwe zimaimira kukula kwa ululu umene amachititsa odwala.
Kachilombo ka thyroiditis kamatchulidwa kawirikawiri ndi maina angapo, kuphatikizapo silence thyroiditis, subacute lymphocytic thyroiditis, atypical subacute thyroiditis, thyrotoxicosis yapansi ndi RAIU, hyperthyroiditis, ndi lymphocytic thyroiditis pothetsa hyperthyroidism pokhapokha.
Ngakhale kuti mitundu ina ya thyroiditis imaphatikizapo kutambasula kwa chithokomiro - wotchedwa goiter - mu thyroiditis yopweteka, chithokomiro nthawi zambiri sichikulitsidwa.
Kodi Chimachititsa Bwanji Tizilombo Tomwe Tili ndi Matenda Oopsa?
Ngati muli ndi thyroiditis yopweteka, mumaonedwa kuti muli ndi matenda a chithokomiro, monga Hashimoto's thyroiditis, kupatula kuti nthawi zambiri, izi zidzathera pakapita nthawi ndipo chithokomiro chanu chidzabwerera kuntchito yoyenera. Zomwe zimayambitsa matenda ambiri omwe sizimadziwika bwino sizimadziwika kapena zimamveka bwino.
Mankhwala ena amadziwikanso kuti amachititsa kuti tizilombo toyambitsa matenda tisapweteke. Ngati mukugwiritsa ntchito mankhwala awa, nkofunika kudziwa kuti akhoza kuyambitsa chithokomiro chopweteka kwa odwala ena:
- Interferon-alfa - mankhwala ochizira matenda ena a khansa
- Interleukin-2 - mankhwala omwe amagwiritsidwa ntchito monga chithandizo cha khansa
- Amiodarone - mankhwala omwe amagwiritsidwa ntchito pochiza mtima wamba
- Lithium - kutonthozedwa kwa mankhwala osokoneza bipolar
Zizindikiro
Nthawi zina, thyroiditis yopanda kupweteka siidzakhala ndi zizindikiro. Koma vutoli likhoza kukhala limodzi ndi zizindikiro, makamaka zizindikiro za hyperthyroidism kumayambiriro. Zizindikirozi zingakhalepo kwa miyezi itatu, ndipo zingaphatikizepo izi:
- Kutopa
- Kufooka mu minofu
- Kusuntha pamatumbo nthawi zambiri, matumbo otayirira, kutsegula m'mimba
- Kulekerera kutentha, kuwonjezeka thukuta
- Kuwonjezeka kwa njala
- Kuwonjezeka kwa zakudya zopanda phindu, kapena kutayika kosayembekezereka
- Nthawi yosasamba
- Kuchita mantha, nkhawa, kupuma, kapena kupsa mtima
- Mitengo ya mtima
- Kusagona
Pambuyo pake, zizindikiro zanu zimatha kukhala ndi chithokomiro chosagwira ntchito, ndipo mwina mungaphatikizepo kutopa, kupweteka, kupweteka tsitsi, kuvutika maganizo, ndi kusalana.
Anthu ena amangozindikira zizindikiro za hypothyroid ndipo alibe zizindikiro za hyperthyroidism.
Njira ya Chithokomiro Chosawonongeka
Zikuoneka kuti chithokomiro chopanda ululu chikhoza kukhala chifukwa cha 10 mpaka 20 peresenti ya matenda a hyperthyroidism - chithokomiro chopitirira muyeso - ndi 10 peresenti ya hypothyroidism.
Chithokomiro chopanda matenda nthawi zambiri chimadzipangitsa okhakha miyezi iwiri kapena inayi, koma nthawi zina, ikhoza kukhalapo kwa chaka chimodzi. Zikuoneka kuti patapita nthawi, odwala 95 peresenti adzabwerera kuntchito yowonongeka.
Ndikofunika kuti dokotala wanu adziŵe bwino, chifukwa nthawi zambiri, mankhwala enaake monga mankhwala osokoneza bongo kapena mankhwala otchedwa thyroid m'malo mwake sali oyenera.
Kudziwa
Kuzindikira kwa chithokomiro chopweteka kumaphatikizapo kufufuza bwinobwino , kuphatikizapo kufufuza mwatsatanetsatane wa chithokomiro chanu, TSH, Free T4 ndi Free T3 mayesero, ndi zina zothamanga kwa iodine (RAI-U) nthawi zina. RAI-U ikuwonetsa kuchepetsa kuchepa kwa chithokomiro chopweteka. Kawirikawiri, chithokomiro cha chithokomiro - chomwe chimadziwika ngati chabwino cha singano (FNA) biopsy - chikhoza kupangidwira kuti chitsimikizidwe chotsimikizika.
Chithandizo
Chithokomiro chopanda ululu kawirikawiri chimakhala chachidule, chokhazikika, ndipo sichimayambitsa matenda a chithokomiro. Ngati mankhwala akufunika, nthawi zambiri zimakhala zizindikiro.
Kotero, mwachitsanzo, ngati muli ndi vuto la mtima wamtima kapena katemera wa mankhwala mu chithokomiro cha hyperthyroid chopanda kupweteka kwa chithokomiro, mukhoza kuitanitsa mankhwala osokoneza bongo. Kapena ngati muli ndi nthawi yaitali ya hypothyroid, mukhoza kuitanitsa mankhwala omwe amachititsa kuti thupi lanu lizikhala ndi kachilombo mpaka katemerawo utabwerera kuntchito.
Pafupifupi oposa 20 peresenti ya odwala amayamba kukhala ndi chithokomiro chachikulu chotchedwa thyroiditis kapena kachilomboka, choncho, ndikofunikira kuti mukhale ndi nthawi yotsatira ndi dokotala wanu.
Zotsatira:
Burman, Kenneth. Ross, Douglas. Martin, Kathryn. "Mwachidule cha thyroiditis." Kupititsa patsogolo . Zapezeka: August 22, 2008.
> Schwartz F, Bergmann N, Zerahn B, Faber J. Chiŵerengero cha matenda a chithokomiro osapweteka omwe amachititsa thyrotoxicosis ku Denmark monga momwe awonetseredwa ndi chithokomiro chotsatira cha chithokomiro. Scand J Clin Lab Invest 2013; 73: 240.