Pamene mankhwala anu a chithokomiro amatha kusokonezeka (amatchedwa hypothyroidism) ndipo amachititsa timadzi timene timene timatulutsa timadzi timene timatulutsa timadzi timene timakhala timachepetsanso, ndipo mphamvu za thupi lanu zimakhala zochepa. Izi zingapangitse zizindikiro zosiyanasiyana, kuphatikizapo kulemera, kutopa, kupsinjika, khungu louma, ubongo wa ubongo, kusalana kwa chimfine, kupweteka kwa minofu, ndi kudzimbidwa. Popanda mankhwala ndi kanseri ya chithokomiro, goiter (yowonjezera chithokomiro) ingakhalepo, komanso mavuto ena monga cholesterol, mitsempha ya mitsempha, kuchepa kwa magazi, ndi kusabereka.
Ndiyenso kuzindikira kuti zizindikiro za hypothyroidism nthawi zambiri sizinali zosavuta, choncho zimangophonya mosavuta kapena zimakhala zovuta chifukwa cha nkhawa, ukalamba, kapena chifukwa china. Ndiko kuyang'ana pa zizindikiro zomwe zimachitika kuti anthu (ndi dokotala wawo) ayambe kukayikira kuti akhoza kukhala ndi vuto la chithokomiro losawonongeka.
Zizindikiro Zowonjezereka
Zizindikiro za hypothyroidism zimakhala zofewa (nthawizina ngakhale zosaoneka) pamene matendawa amayamba pang'onopang'ono ndipo zimakhala zovuta kwambiri pamene matendawa akukula mofulumira. Komanso, zizindikiro zimasiyana kwambiri ndi munthu; palibe chizindikiro chimodzi chomwe chimatsimikizira kuti matendawa ndi hypothyroidism. Mwachitsanzo, ngakhale kuti phindu lolemera ndi lofala kwa anthu omwe ali ndi hypothyroidism, anthu ambiri omwe ali ndi chithokomiro chosawonongeka amakhala olemera kapena ochepa thupi .
Kutsika kwa Njira Zamagetsi
Zina mwa zizindikiro zazikulu ndi zizindikiro zomwe zingasonyeze mu hypothyroidism (chifukwa cha kuchepa kwa maselo) zimaphatikizapo:
- Kutopa ndi kugona
- Kusunthika ndi kayendedwe kochepa
- Kusiyana kwa kuzizira
- Kulemera kwalemera
- Kuthamanga kwa mtima pang'ono
- Maganizo ovuta
- Kutsekedwa
- Kupuma pang'ono pamene mukuchita masewera olimbitsa thupi
- Zisokonezo zamisala ndi kuuma, kuphatikiza kufooka
Khungu / Tsitsi / Kusintha kwa Nail
Chifukwa cha kuchepa kwa magazi, kusungidwa kwa madzi, komanso kuchepetsa njira (mwachitsanzo, ubweya wa tsitsi), khungu, tsitsi, ndi misomali yotsatira imapezeka mu hypothyroidism:
- Chozizira, chozizira, ndi chakuda kapena "doughy" khungu
- Zouma, tsitsi lophwanyika, ndi kutaya tsitsi, makamaka pafupi ndi m'mphepete mwa nsidze
- Misomali yokongola, yosalala, ndi yoonda
- Kuchepetsa thukuta
- Kutupa kwa manja, nkhope, ndi maso (otchedwa edema)
"Utsi wa Ubongo"
Chizindikiro china chimene kawirikawiri chimatchulidwa ponena za hypothyroidism ndi "ubongo wa ubongo." Ngakhale kuti "ubongo wa ubongo" sizowona zachipatala, ponena kuti, zakhala zofotokozedwa bwino za gulu la zizindikiritso zamaganizo zomwe zingaphatikizepo:
- Kuvuta kuika maganizo
- Mavuto a kukumbukira nthawi yayitali komanso a nthawi yayitali
- Kuiŵala
- Kusasamala
- Kukumverera "kutayidwa"
- Kusokonezeka
- Zovuta ndi kulingalira bwino
Chifukwa chake ubongo wa ubongo ukhoza kuchitika mu hypothyroidism ndi chifukwa ubongo wanu umafuna mahomoni a chithokomiro okwanira kuti mugwire bwino.
Mavuto a Psychiatric
Hypyothyroidism ingakhale yofanana ndi zizindikiro za kuvutika maganizo. Kutopa, kugona, kulankhula mofulumira, kuwonjezera pa kusakhudzidwa ndi ubale waumwini ndi kusasamala kwenikweni, ndizisonyezo za kuvutika maganizo, komanso hypothyroidism. Kuwonjezera pa kukhumudwa, anthu ena omwe ali ndi hypothyroidism amadzimva mopepuka kapena osasamala.
Mavuto okhudzana ndi kugonana ndi kubereka
Kwa amayi ena omwe ali ndi hypothyroidism, chidziwitso chawo choyamba ndi mwinamwake chachikulu ndi mbiri ya mavuto a kusamba ndi kubereka, kuphatikizapo mbiri ya nthawi yosowa kapena yowonongeka, kutaya magazi kwambiri, kuperewera kwadzidzidzi, kubwereza mobwerezabwereza, kapena kulephera kuthandizira mankhwala opatsirana.
Oposa theka la amuna omwe ali ndi hypothyroidism anakumana ndi kuchepa kwa libido, erectile kutayika, ndipo anachedwa kuthamangitsidwa.
Zizindikiro Zambiri
Mu munthu yemwe ali ndi hypothyroidism, "myxedema" ikhoza kuchitika. Chikopachi chimatanthawuza kuikidwa kwa ziwalo zofunikira (makamaka, hyaluronic acid) m'munsi mwa khungu, kuchititsa zizindikiro ndi zizindikiro monga:
- Tsitsirani tsitsi ndi khungu
- Kutukuka kwa nkhope kapena zonse
- Kukulitsa Lilime
- Kusokonezeka
Kawirikawiri, chiopsezo chotenga moyo, chomwe chimatchedwa myxedema coma, chingayambitsedwe ndi kupwetekedwa, matenda, kutentha, kapena mankhwala enaake. Mtundu wa Myxedema umayambitsa kutentha kwa thupi ndi kuthamanga kwa magazi, kuphatikizapo kutaya chidziwitso.
Zizindikiro za Hyphyothyism mu Ana
Chifukwa cha hypothyroidism ana akhoza kukhala obadwa (kutanthauza kuti anabadwa kuchokera kwa makolo anu) kapena anapeza (chifukwa cha zovuta zina monga matenda a Hashimoto, kusowa kwa ayodini, kapena kuchiza kwa mankhwala).
Congenital Hypothyroidism
Chomwe chimayambitsa matenda obadwa ndi hypothyroidism ndi chithokomiro cha dysgenisitis chomwe chithokomiro cha chithokomiro chimakhala chosowa, chopunduka, kapena chopanda mphamvu kwambiri. Ambiri omwe amangobadwa kumene ali ndi ubongo wambirimbiri sangakhale ndi zizindikiro za matendawa. Omwe amatha kuchita amatha kusonyeza ubongo, kudyetsa bwino, kudzimbidwa, komanso kulira. Chizindikiro china chimakhala ndi jaundice yaitali. Apa ndi pamene mtundu wachikasu wa khungu la mwana wakhanda, womwe umapezeka pafupifupi 50 peresenti ya ana a nthawi zonse, umapitirira kwa milungu iwiri.
Kupeza Hypothyroidism
Matenda a Hashimoto (omwe amadziwikanso kuti Hashimoto's thyroiditis) ndiwo, omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda. Ndi matenda omwe amachititsa kuti chitetezo cha mthupi chiteteze chitetezo cha mthupi komanso kuyambitsa zida za chithokomiro.
Kupeza hypothyroidism kumawoneka pa nthawi zinayi pa atsikana kuposa anyamata. Chimodzi mwa zizindikiro za khalidwe ndi kutupa kwa khosi chifukwa cha kukulitsa kwa chithokomiro (goiter). Zizindikiro zina za hypothyroidism ndizo:
- Nthawi yayitali kapena kuchepa kwa kukula
- Khungu louma, louma
- Kutsekedwa
- Kusagwirizana kolimba
- Mutu
- Kutopa
- Kugona mokwanira
- Mavuto a masomphenya
- Kulira kosavuta
- Mphuno ya mazira (yotchedwa galactorrhea )
- Kusamba kwa msinkhu
- Kutha msinkhu (nthawi zambiri chizindikiro chowonekera choyamba mu zaka zachinyamata)
- Kutha msinkhu (makamaka kuwonedwa kwa ana omwe ali ndi matenda aakulu,
Mavuto
Matenda angapo amachiritsika amatha chifukwa cha hypothyroidism, makamaka ngati osasamalidwa kapena osatetezedwa.
Goiter
Anthu ena omwe ali ndi hypothyroidism amatha kukulitsa chithokomiro chotchedwa goiter. Chotupa chanu chimatha kuchokera kukulitsa pang'ono, komwe sikungakhale ndi zizindikiritso zina, kuwonjezeka kwakukulu kwa kukula komwe kuli chizindikiro.
Ngati muli ndi goiter yaikulu, mukhoza kumamva bwino m'khosi. Mbalame kapena neckties zingamve bwino. Khosi lanu lingamve kutupa kapena kukulirakulira, ngakhale kupweteka. Nthawi zina khosi lanu ndi / kapena mmero ndi zowawa kapena zosavuta. Zosavuta, kumeza kapena kupuma kungakhale kovuta ngati goiter ikuletsa mphepo yanu kapena mpopu.
Matenda a Mitsempha Yopanda Mitsempha / Carpal Tunnel Syndrome
Hypothyroidism imadziwika kuti imayambitsa matenda omwe amachititsa kuti thupi likhale lopweteka , lomwe limayambitsa zowawa zapadera komanso zowawa monga:
- Numbness
- Kupsa, kuyimba, kapena "pini-ndi-singano" kumverera
- Kufooka kwa minofu
- Hypersensitivity kugwira kapena kutentha
Ngakhale kuti chiyanjano pakati pa chithokomiro chimagwira ntchito ndi phokoso la m'mimba sizimvetsetsedwa bwino, zimakhulupirira kuti hypothyroidism imayambitsa kusungunuka kwa madzi, zomwe zimayambitsa zipolowe zotupa.
Mmodzi wa madera omwe amakhudzidwa ndi kusungunuka kwa madziwa ndi dzanja, pamene mitsempha imadutsa mumsewu wa zofewa zofewa zomwe zimatchedwa ngalande ya carpal. Ngati kupanikizika kumachitika m'derali, kumatha kuchititsa matenda a carpal tunnel.
Zizindikiro za matenda a carpal amayamba ndi kuwotcha ndi kugwedeza pa dzanja lala ndi zala, makamaka chala chachikulu, chala chachindunji, ndi chala chapakati. Izi zimakhala zovuta kwambiri usiku, zomwe zimachititsa munthu kudzuka m'mawa kumverera ngati akufunikira "wring" dzanja lawo. Ngati ngalande ya carpal ikupita, minofu ya manja ikhoza kuwonongeka kuti ikhale yofooka, makamaka kuchepa kwa mphamvu.
Anemia
Mahomoni a chithokomiro amachititsa kuti kuwonjezereka kwa maselo ofiira a maselo ofiira magazi. Choncho kutaya kwa majeremusi a chithokomiro kumalepheretsa kupanga maselo ofiira m'magazi anu (minofu ya spongy yomwe ili pakati pa mafupa ena). Ndi kuperewera kwa maselo ofiira ofiira, kuperewera kwa magazi kumayambitsa, kuchititsa zizindikiro monga:
- Kutopa ndi kufooka
- Kupindika
- Mwamsanga kapena zosavomerezeka mtima
- Kumverera kutayika
- Kupuma pang'ono mosavuta
High Cholesterol
Pamene chithokomiro chimatulutsa mahomoni ochepa, thupi lanu limatha kupanga cholesterol kukhala lovuta. Izi zingachititse kuti thupi lonse likhale ndi mafuta ambiri m'thupi komanso LDL (ma "level cholesterol"). Cholesterol cha LDL ndi mtundu womwe ungamange m'mitsempha yanu, ndipo pamapeto pake umathandiza kuti asatseke, kuchititsa kudwala mtima kapena kukwapulidwa.
Kuwonjezera pa cholesterol chokwanira, mavuto ena okhudzana ndi mtima wokhudzana ndi hypothyroidism amaphatikizapo kuthamanga kwa magazi ndi madzi pamtima (wotchedwa pericardial effusion).
Myopathy
Myopathy (kapena matenda a mitsempha) angayambe chifukwa cha chithokomiro chosagwira ntchito. Anthu omwe ali ndi matenda a hypothyroidism amayamba kudandaula chifukwa cha kupwetekedwa kwa minofu ndi kuuma, kuphatikizapo kufooka kwa minofu kuti zikhale zovuta kuwuka pa mpando, kukwera masitepe, kapena kutsuka tsitsi lawo.
Matenda osadziletsa komanso oyembekezera
Kuwonjezera pa kuti hypothyroidism yosasamalidwa ikhoza kuchititsa kusayera kwa msambo, zomwe zingayambitse kusabereka, kafukufuku amasonyeza kuti hypothyroidism imapereka amayi omwe ali ndi chiopsezo chachikulu poyambitsa mimba, kuperewera kwa placenta, kubereka kusanafike, komanso kufa kwa mwana.
Pamene Kuti Muwone Dokotala
Ngati mukuda nkhaŵa kuti inu kapena wokondedwa wanu muli ndi zizindikiro za hypothyroidism, chonde pitani kuchipatala kuti mupite nthawi. Kuwonjezera pa mbiri yachipatala ndi kuunika kwa thupi, dokotala wanu akhoza kuchita mayeso a magazi omwe amachititsa kuti ayambe kuyesa matenda a chithokomiro (TSH), omwe angathe kulamulira kapena kutulutsa vuto la chithokomiro.
Inde, funsani kuchipatala mwamsanga ngati mukukumana ndi zizindikiro za myxedema coma ngati kutopa kwakukulu komanso / kapena kusalana koopsa.
Pomalizira, ngati mukuganizira za mimba kapena muli ndi mimba ndipo mutenga mankhwala a mahomoni othandizira, chonde funani chisamaliro kwa dokotala wanu. Mwanjira imeneyi mukhoza kuonetsetsa kuti msinkhu wanu wa hormoni uli bwino, chifukwa cha thanzi lanu komanso mwana wanu.
> Zotsatira:
> Hanley, P .; Ambuye, K .; ndi Bauer, A. Matenda a Chithokomiro kwa Ana ndi Achinyamata A Review. JAMA Matenda. 2016; 170 (10): 1008-1019.
> Maraka S et al. Mankhwala opatsirana pogonana omwe ali ndi mimba: Kuwunika moyenerera ndi kusanthula meta. Chithokomiro . 2016; 26 (4): 580.
> Ono Y, Ono S, Yasunaga H, Matsui H, Fushimi K, Tanaka Y. Makhalidwe abwino ndi zotsatira za myxedema coma: Kufufuza kwa chiwerengero cha anthu odwala matenda osokoneza bongo ku Japan. J Epidemiol . 2017 Mar; 27 (3): 117-22.
> Samuels MH. Maganizo ndi maganizo a hypothyroidism. Curr Opin Endocrinol Zakudya Zamagazi. 2014 Oct; 21 (5): 377-83.
> JD yotetezeka. Katemera wa chithokomiro pa khungu. Dermatoendocrino l. 2011 Jul-Sep; 3 (3): 211-15.
> Surks MI. (2017). Kuwonetserako kwachipatala cha hypothyroidism. Ross DS, ed. Zaposachedwa. Waltham, MA: UpToDate Inc.
> Tagami T et al. Kufufuza kwapakati pafupipafupi pakufala kwa hypothyroidism kwa odwala omwe ali ndi hypercholesterolemia. Endocr J. 2011; 58 (6): 449-57.
> Vanderpump M. Mliri wa matenda a chithokomiro. Brit Med Bul. 2011; 99 (1): 39-51.