Kuphunzira zambiri za Quervain's Thyroiditis
Mawu akuti chithokomiro amatanthauza kudwala kulikonse komwe kumaphatikizapo kutentha kwa chithokomiro chanu. Chithokomiro chanu ndi chong'onong'ono kakang'ono kwambiri, kamene kali m'kati mwa khosi, kamene kamapanga mahomoni omwe amapereka mpweya ndi mphamvu m'maselo anu, ziwalo, ziwalo, ndi zilonda m'thupi lonse.
Chithokomiro chimagawidwa m'magulu awiri akuluakulu: thyroiditis yopweteka ndi thyroiditis yopweteka.
Magulu awiriwa awonetsetse kuti mumakhala ndi ululu womwe mumakumana nawo ndi mitundu yosiyanasiyana ya thyroiditis.
Mwagulu la mitundu yowawa ya thyroiditis ndi mawonekedwe otchedwa subacute granulomatous thyroiditis. Amadziwikanso kuti chithokomiro chosagwiritsidwa ntchito, chotchedwa Quervain's thyroiditis, kapena chithokomiro choopsa cha thyroiditis .
Tsatirani Zizindikiro Zosakanikirana
Ngakhale kuti matendawa ndi achilendo, sizingakhale zachilendo, kawirikawiri zimakhala chifukwa cha ululu pa chithokomiro, kapena chikondi pamene chithokomiro kapena khosi likugwiritsidwa ntchito. Kupweteka kumabwera chifukwa cha kutupa kwa chithokomiro chanu.
Kuphatikiza pa ululu wa m'khosi ndi chifundo, zizindikiro za subacute granulomatous thyroiditis zimaphatikizansopo:
- vuto lomeza kapena malungo
- Zizindikiro za matenda, monga ma lymph node opangidwa pafupi ndi chithokomiro
Zosavuta, zizindikiro zingaphatikizepo:
- zosasangalatsa
- kufooka
- kutopa
- mantha
- nkhawa
- kusasalana
- kulemera
- thukuta
- kutsegula m'mimba ndi zotayirira
- kunjenjemera
- zovuta za mtima
Chifukwa cha subacute granulomatous thyroiditis akuganiza kuti ndi matenda a tizilombo kapena tizilombo toyambitsa matenda.
Subacute granulomatous thyroiditis amakhalanso akupezeka m'kugwa ndi m'nyengo yozizira, pambuyo pa matenda opatsirana opuma.
Njira Yopambana ya Subacute Granulomatous Thyroiditis
Kodi mungayang'ane chiyani ngati mukudwala matenda a thyroiditis?
Malinga ndi UpToDate:
"Mawonetseredwe a kachipatala amagawanika kukhala gawo lopweteka la thyrotoxic pambuyo pake pomwe mahomoni a chithokomiro amabwerera kumtundu wambiri . chitani mahomoni a chithokomiro cha seramu. Nthawi iliyonse amatha masabata anayi kapena asanu ndi limodzi.
Potsatira phunziro la odwala 160 omwe ali ndi kachilombo koyambitsa matendawa omwe amapezeka ku Mayo Clinic, ochepa chabe mwa odwalawo anali ndi zaka 6 mpaka 21 pambuyo pake. Pakati pa odwala 15 peresenti, m'kupita kwanthaŵi anapeza chithokomiro chokhazikika chomwe chimafuna mankhwala a levothyroxine. "
Kawirikawiri, nthawi yowopsa ya thyroiditis imayambira ndi nthawi ya hyperthyroidism imene imatha kuyambira masabata anayi mpaka asanu ndi limodzi. Hyperthyroidism ikhoza kuyenda ndi ululu wa khosi kapena kuvutika kukumeza, ndi malungo. Matenda a chithokomiro amayamba kugwa, kukhala amodzi kwa milungu inayi. Pambuyo poyerekeza, mazira a chithokomiro amapitirizabe kuchepa, ndipo mumakhala hypothyroid, kawirikawiri kwa nthawi yopitirira masabata anayi kapena asanu ndi limodzi.
Kudziwa
Kudziwa matendawa kumaphatikizapo kafukufuku wam'chipatala, ndipo zotsatira zowunikira zomwe zingakuthandizeni kudziwa matendawa zingakhale ndi msinkhu waukulu wa thyroglobulin, kutsika kwa iodine, kutsika kwa tizilombo (TSH), kutsika kwa T4 mlingo, ndi mlingo waukulu wa erythrocyte (ESR) ).
Mayesero ojambula angasonyeze kutupa kwa gland kapena maselo am'mimba pafupi ndi gland.
Chithandizo
Kuchiza, ngati kudandaula kwakukulu ndiko kupweteka kapena kutupa, mankhwala osagwiritsidwa ntchito poletsa kutupa (monga aspirin kapena ibuprofen) akhoza kulangizidwa. Ngati kachilombo kabakiteriya kamadziwika, mungathe kuitaniranso maantibayotiki. Ngati mukukumana ndi zizindikiro zoopsa za hyperthyroid , chitetezo cha beta chotchedwa propranolol chikhoza kuperekedwa mu gawo lanu la hyperthyroid. Nthaŵi zina, mankhwala opangidwa ndi chithokomiro amatha kuperekedwa panthawi yopuma, kuti athetse zizindikiro.
M'kupita kwa nthaŵi, ambiri odwala, chithokomiro cha mtundu wa chithokomiro, komanso kupanga mahomoni kumabwereranso.
Uthenga wabwino: Muli ndi chiwopsezo chochepa cha kubwereranso kwa subacute granulomatous thyroiditis.
Nkhani zoipa: Kafukufuku wina wa nthawi yaitali anapeza kuti mwa odwala 15 peresenti, vuto lawo loti subacute granulomatous thyroiditis ndilo chizindikiro chakuti adzatha kukhala hypothyroid, ndipo amafuna chithandizo.
Mawu ochokera
Ngati mutapezeka kuti muli ndi subacute granulomatous thyroiditis, onetsetsani kuti nthawi zonse mumayesetseratu kafukufuku wothandizira. Ngati mwauzidwa mankhwala a chithokomiro m'malo mwa mankhwala, muyenera kupitiriza kumwa mankhwala mpaka dokotala wanu atapeza kuti matenda anu a chithokomiro amakhala oyenera. Ngati mwachotsedwa mankhwala koma muli ndi hypothyroidism zizindikiro monga kutopa, kulemera, kupsinjika maganizo, kapena kutayika tsitsi, mwachitsanzo, onetsetsani kuti muli ndi kachilombo koyambitsa kachilomboka, monga momwe mungakhalire pakati pa anthu omwe akukhalabe osatha hypothyroidism pambuyo pa subacute granulomatous thyroiditis.
> Chitsime:
Burman, Kenneth. Ross, Douglas. Martin, Kathryn. "" Mwachidule cha Thyroiditis " UpToDate .