Ukunyusa i-thyroiditis

I-Subacute thyroiditis kukungaphenduli komzimba kwi-thyroid gland edla ngokulandela usulelo oluphezulu lokuphefumla.

Idlala lengqula lisentanyeni, ngasentla nje apho iithambo zekhola zakho zidibana embindini.

I-Subacute thyroiditis yimeko engaqhelekanga. Kucingelwa ukuba sisiphumo sosulelo lwentsholongwane. Imeko ihlala ivela kwiiveki ezimbalwa emva kokosuleleka yintsholongwane, indlebe, okanye umqala, njengemumpa, umkhuhlane, okanye umkhuhlane oqhelekileyo.

I-Subacute thyroiditis yenzeka kakhulu kubafazi abaneminyaka ephakathi benempawu zosulelo oluphezulu lwentsholongwane kwinyanga ephelileyo.

Olona phawu lubonakalayo lwe-subacute thyroiditis yintlungu entanyeni ebangelwa kukudumba kunye nokudumba kwedlala lengqula. Ngamanye amaxesha, iintlungu zingasasazeka (zikhanyise) emhlathini okanye ezindlebeni. Idlala lengqula linokuba buhlungu kwaye lidumbe iiveki okanye, kwiimeko ezinqabileyo, iinyanga.

Ezinye iimpawu zibandakanya:

• Ukuthantamisa xa uxinzelelo olunobulali lusetyenziswa kwidlala lengqula
• Kunzima okanye ukuginya okubuhlungu, ukudakumba
• Ukudinwa, ukuziva ubuthathaka
• Ifiva

I-thyroid gland evuthayo inokukhupha i-hormone ye-thyroid, ebangela iimpawu ze-hyperthyroidism, kuquka:

• Ukuhamba rhoqo kwamathumbu
• Ukulahleka kweenwele
• Ukunganyamezelani kobushushu
• Ixesha elingaqhelekanga (okanye elikhanyayo kakhulu) lokuya esikhathini kwabasetyhini
• Imood iyatshintsha
• Uvalo, ukungcangcazela (ukungcangcazela kwezandla)
• Iipalpitations
• Ukubila
• Ukwehla kobunzima, kodwa ngokutya kakhulu

Njengoko i-thyroid gland iphilisa, inokukhupha i-hormone encinci kakhulu, ebangela iimpawu ze-hypothyroidism, kuquka:

• Ukunyamezelana okubandayo
• Ukuqunjelwa
• Ukudinwa
• Ixesha elingaqhelekanga (okanye elinzima) lokuya esikhathini kwabasetyhini
  
• Ukutyeba kwakho
• Ulusu olomileyo
• Imood iyatshintsha

Umsebenzi wedlala lengqula uhlala ubuyela kwinto yesiqhelo kwiinyanga ezimbalwa. Ngeli xesha unokufuna unyango kwi-thyroid yakho engasebenzi. Kwiimeko ezinqabileyo, i-hypothyroidism inokuhlala isigxina.

Iimvavanyo zaselebhu ezinokuthi zenziwe zibandakanya:

• Inqanaba le-thyroid ekhuthaza i-hormone (TSH)
• I-T4 (idlala lengqula, i-thyroxine) kunye nenqanaba le-T3
• Ukuthabatha iodine
• Inqanaba le-Thyroglobulin
• Izinga le-sedimentation ye-Erythrocyte (ESR)
• C protein esebenzayo (CRP)
• I-thyroid ultrasound

Kwezinye iimeko, i-biopsy ye-thyroid ingenziwa.

Injongo yonyango kukunciphisa iintlungu nokunyanga i-hyperthyroidism, ukuba iyenzeka. Iziyobisi ezinje nge-aspirin okanye ibuprofen zisetyenziselwa ukulawula iintlungu kwiimeko ezinobulali.

Amatyala amandundu ngakumbi anokufuna unyango lwexeshana elincinci ngamachiza anciphisa ukudumba kunye nokudumba, njenge-prednisone. Iimpawu ze-thyroid engasebenzi ziphathwa ngeklasi yeziyobisi ezibizwa ngokuba yi-beta-blockers.

Ukuba idlala lengqula alisebenzi ngexesha lesigaba sokubuyisela, kunokufuneka ukuba kutshintshwe idlala lengqula.

Imeko kufuneka iphucule yodwa. Kodwa isigulo sinokuhlala iinyanga. Ixesha elide okanye iingxaki ezinzima azifane zenzeke.

Le meko ayosuleli. Abantu abanakuyifumana kuwe. Ayizuzwa njengelifa phakathi kweentsapho ezinjengeemeko ezithile ze-thyroid.

Fowunela umboneleli wakho wezempilo ukuba:

• Unempawu zesi sifo.
• Unayo i-thyroiditis kwaye iimpawu aziphuculanga kunyango.

Izitofu zokuthintela usulelo lwentsholongwane ezinjengomkhuhlane zinokukunceda ukuthintela ukubola kwe-thyroiditis. Abanye oonobangela abanokuthinteleka.

De Quervain's thyroiditis; Ukungenisa i-thyroiditis engasebenziyo; Iseli elikhulu le-thyroiditis; Subacute granulomatous thyroiditis; Hyperthyroidism - subacute thyroiditis

• Amadlala endocrine
• Idlala lengqula

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IHollenberg A, iWiersinga WM. Ukuphazamiseka kwehyperthyroid. Ku: UMelmed S, uAuchus RJ, uGoldfine AB, uKoenig RJ, uRosen CJ, ii-eds. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-14. IPhiladelphia, PA: Elsevier; 2020: isahl 12.

I-Lakis ME, i-Wiseman D, i-Kebebew E.Ulawulo lwe-thyroiditis. Ku: ICameron AM, uCameron JL, ii-eds. Unyango lwangoku lonyango. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2020: 764-767.

UTallini G, uGiordano TJ. Idlala lengqula. Ku: Goldblum JR, Izibane LW, McKenney JK, Myers JL, eds. Rosai kunye neAckerman's Pathology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2018: isahluko 8.