Subacute Thyroiditis

Umxholo

• Oonobangela kunye nemingcipheko
• Ziintoni iimpawu ze-subacute thyroiditis?
• Iimpawu zehyperthyroidism
• Iimpawu zeHypothyroidism
• Iindidi ze-subacute thyroiditis
• Ifunyaniswa njani i-subacute thyroiditis?
• Unyangwa njani i-subacute thyroiditis?
• Uthintelo kunye nokuxela kwangaphambili
• Iyintoni imbonakalo yabantu abane-subacute thyroiditis?

Yintoni i-subacute thyroiditis?

I-Thyroiditis ibhekisa kukudumba kwengqula. Idlala lengqula lelidlala eliphambi kwentamo elikhutshwa ziihomoni ezahlukeneyo. Ezi hormone zinceda ukulawula imetabolism, inkqubo eguqula ukutya kube ngamandla. Bakwadlala indima ebalulekileyo kwiimpendulo zakho zomzimba kunye neemvakalelo, ezinjengoloyiko, imincili kunye nolonwabo.

I-Thyroiditis ibandakanya iqela leengxaki ezibangela ukuba i-thyroid idume. Uninzi lweentlobo ze-thyroiditis zihlala zikhokelela kwi-hyperthyroidism okanye kwi-hypothyroidism. I-Hyperthyroidism sisifo apho idlala lengqula lisebenza kakhulu kwaye livelisa iihomoni ezininzi. I-Hypothyroidism yimeko apho i-thyroid ingasebenzi kwaye ayenzi i-hormone eyaneleyo. Zombini ezi meko zinokubangela utshintsho kubunzima, uxinzelelo kunye nokudinwa.

I-Subacute thyroiditis luhlobo olunqabileyo lwe-thyroiditis ebangela iintlungu kunye nokuphazamiseka kwi-thyroid. Abantu abanale meko baya kuba neempawu ze-hyperthyroidism kwaye kamva bahlakulele iimpawu ze-hypothyroidism. Ngelixa ihlala okwethutyana, i-subacute thyroiditis inokubangela iingxaki ezisisigxina ukuba ayishiywanga inganyangwa.

Oonobangela kunye nemingcipheko

Ngokungafaniyo nezinye iindlela ze-thyroiditis, i-subacute thyroiditis kucingelwa ukuba inxulunyaniswa nosulelo lwentsholongwane. Ukuphendula intsholongwane, idlala lengqula kwaye linokuphazamisa ukuveliswa kwehomoni. Oku kubangela ukudumba kunye neempawu ezahlukeneyo.

I-Subacute thyroiditis ixhaphake kancinci kwabasetyhini abaneminyaka engama-40 ukuya kwengama-50 kunakwiminyaka yobudala efanayo. Oku kwenzeka rhoqo emva kosulelo oluphezulu lokuphefumla, njengomkhuhlane okanye uqwilikana.

Ziintoni iimpawu ze-subacute thyroiditis?

Ngokungafaniyo nezinye iindlela ze-thyroiditis, i-subacute thyroiditis ibangela iintlungu kwincindi yedlala lengqula. Ngamanye amaxesha, le ntlungu inokusasazeka nakwezinye iindawo zentamo, iindlebe, okanye umhlathi. Idlala lengqula lakho linokudumba lize lithambe xa ufika ngaphandle kwebala. Umbutho waseMelika we-Thyroid uqikelela ukuba iintlungu zihlala zihlala phakathi kweenyanga ezi-1 ukuya kwezi-3.

Ezinye iimpawu ze-subacute thyroiditis zibandakanya:

• ifiva
• ukudinwa
• ubuthathaka
• ukudinwa
• kunzima ukugwinya

Iimpawu zehyperthyroidism

Uninzi lwabantu luphuhlisa i-hyperthyroidism kumanqanaba okuqala e-subacute thyroiditis. Iimpawu ngeli xesha lesifo zinokubandakanya:

• ukucaphuka
• ixhala
• ukungazinzi
• ingxaki yokujonga
• urhudo
• ukunciphisa umzimba ngesiquphe
• ukukhawuleza kwentliziyo okanye okungaqhelekanga
• ukwanda kobushushu bomzimba okuhlala kukhokelela ekubileni kakhulu
• ukungcangcazela

Iimpawu zeHypothyroidism

Njengoko isifo siqhubeka, i-hypothyroidism ngokubanzi ithatha indawo ye-hyperthyroidism kwinqanaba lesibini. Iimpawu ngexesha lesibini zinokubandakanya:

• ukudinwa
• ukulahleka kweenwele
• ukunyamezelana okubandayo
• ukuqhina
• ukukhawuleza ukutyeba
• amaxesha anzima okuya exesheni
• ukudakumba

Inqanaba lokuqala le-subacute thyroiditis lihlala ixesha elingaphantsi kweenyanga ezintathu. Isigaba sesibini sinokuhlala ngaphezulu kweenyanga ezisithoba ukuya kwezili-15.

Iindidi ze-subacute thyroiditis

Kukho iintlobo ezine ezahlukeneyo ze-subacute thyroiditis:

I-Subacute granulomatous thyroiditis: Olu lolona hlobo luqhelekileyo lwe-subacute thyroiditis. Ininzi ibangelwa zizifo zentsholongwane.

I-Postpartum thyroiditis: Oku kwenzeka kwabasetyhini kungaphelanga nonyaka omnye emva kokubeleka, kwaye kuhlala kude kuphele iinyanga ezili-18. Abasetyhini abaphuhlisa olu hlobo lwe-thyroiditis bacingelwa ukuba banesifo esingaphantsi komzimba esibangela ukudumba. Iimpawu zenzeka ngezigaba ezibini, ukuqala ngeempawu zehyperthyroid kunye nokufudukela kwiimpawu zehypothyroid.

I-Subacute lymphocytic thyroiditis: Oku kwenzeka nangexesha lokubeleka. Iimpawu zehyperthyroid zikhula kwangoko (zihlala zingaphelanga iinyanga ezintathu emva kokubeleka), kwaye iimpawu zehypothyroid zinokuhlala iinyanga ezimbalwa emva koko.

Ngokucofa i-thyroiditis: Oku kukhula xa iifollic ze-thyroid zonakaliswe ngokusetyenziswa kwemishini efana nokuhlolwa ngokuphindaphindiweyo kwe-thyroid gland okanye ukuhlinzwa.

Zonke ii-subtypes ze-subacute thyroiditis zilandela ikhosi efanayo yeempawu, kunye ne-hyperthyroid ekhula kuqala. Umahluko ophambili ngoonobangela.

Ifunyaniswa njani i-subacute thyroiditis?

Ugqirha wakho uya kuziva kwaye ahlole intamo yakho ukuze abone ukuba i-thyroid gland iyandisiwe okanye iyavutha. Baza kuphinda bakubuze malunga neempawu zakho kunye nembali yakho yonyango yakutshanje. Ugqirha wakho uya kuba nakho ukukhangela i-subacute thyroiditis ukuba usandula ukuba nosulelo lwentsholongwane kwindawo yokuphefumla ephezulu.

Ugqirha wakho uya kuyalela uvavanyo lwegazi ukuze aqinisekise ukuxilongwa kwesifo se-thyroid. Olu vavanyo luya kujonga amanqanaba ehomoni ezithile egazini lakho. Ngokukodwa, uvavanyo lwegazi luza kulinganisa ihomoni yakho ye-thyroid, okanye i-T4 yasimahla, kunye nenqanaba le-thyroid yokukhuthaza i-hormone (TSH). Amanqanaba asimahla e-T4 kunye ne-TSH ayinxalenye yento ebizwa ngokuba yi "loop yangaphakathi yokuphendula." Xa inqanaba elinye liphezulu, elinye inqanaba liphantsi, kwaye ngokuchaseneyo.

Iziphumo zovavanyo lwegazi ziya kwahluka ngokuxhomekeka kwinqanaba lesifo. Kumanqanaba okuqala, amanqanaba akho e-T4 asimahla aya kuba phezulu ngelixa amanqanaba akho e-TSH ezantsi. Kumanqanaba okugqibela, amanqanaba akho e-TSH aya kuba phezulu ngelixa amanqanaba akho e-T4 eya kuba sezantsi. Inqanaba elingaqhelekanga lehomoni libonisa i-subacute thyroiditis.

Unyangwa njani i-subacute thyroiditis?

Ukuba ufunyaniswe une-subacute thyroiditis, ugqirha wakho uya kukunika amayeza okunceda ukunciphisa iintlungu kunye nokulawula ukudumba. Ngamanye amaxesha, le kuphela konyango olufunekayo kwi-subacute thyroiditis. Amayeza anokubakho aquka:

• I-anti-steroidal anti-inflammatory drugs (i-NSAIDs). Amayeza afana neasprini kunye ne-ibuprofen asebenza ngokunciphisa ukudumba. Ngenxa yoko, uya kuva iintlungu ezincinci. I-Acetaminophen (iTylenol) ayisebenzi kuba ayinciphisi ukudumba kwe-thyroiditis.
• ICorticosteroids. Iicorticosteroids zisetyenziswa xa ii-NSAID azonelanga ukunciphisa ukudumba. I-Prednisone yi-corticosteroid eqhelekileyo esetyenziselwa ukunyanga i-subacute thyroiditis. Ugqirha wakho unokumisela i-15 ukuya kwi-30 milligrams ngosuku ukuqala, kwaye emva koko unciphise kancinci idosi ngaphezulu kweeveki ezintathu ukuya kwezine.
• Beta-iibhlokhi. Ugqirha wakho unokumisela i-beta-blockers ukuba i-hyperthyroidism ikhona kwinqanaba lokuqala. La mayeza athoba uxinzelelo lwegazi kunye nenqanaba lokubetha ukunciphisa iimpawu ezithile, kubandakanya uxinzelelo kunye nokubetha kwentliziyo okungaqhelekanga.

Unyango lwe-hyperthyroidism lubalulekile ekuqaleni kwesi sifo. Nangona kunjalo, ayizukunceda xa imeko yakho iqhubela phambili kwisigaba sesibini. Ngexesha lamanqanaba okugqibela esi sifo, uya kuphuhlisa i-hypothyroidism. Kuya kufuneka uthathe iihomoni ezinje nge-levothyroxine ukuze ubeke endaweni yazo engaveli emzimbeni wakho.

Unyango lwe-subacute thyroiditis luhlala lolwexeshana. Ugqirha wakho uya kukulumula kuwo nawaphi na amayeza amiselweyo ukunyanga le meko.

Uthintelo kunye nokuxela kwangaphambili

Akukho manyathelo acacileyo othintelo lwe-subacute thyroiditis kuba oyena nobangela awaziwa. Ukuphindaphinda akuqhelekanga.

Kwiimeko ezininzi, i-subacute thyroiditis isombulula yodwa ngaphandle kwesilumkiso. Ukuxela kwangaphambili kuxhomekeke kubungakanani bomonakalo kwidlala lengqula. Ukuba kukho umonakalo omkhulu owenziweyo, unokufumana imiba engapheliyo ye-thyroid kwaye ufuna unyango oluqhubekayo.

Iyintoni imbonakalo yabantu abane-subacute thyroiditis?

Iimpawu ze-subacute thyroiditis zihlala zihamba kwiinyanga ezili-12 ukuya kwezi-18. Kwezinye iimeko, nangona kunjalo, i-hypothyroidism inokuphela isigxina. Umbutho waseMelika we-Thyroid uqikelela ukuba malunga neepesenti ezintlanu zabantu abane-subacute thyroiditis bakhula ngokusisigxina i-hypothyroidism. Iingxaki zempilo ezisisigxina zinqabile kakhulu.

Tsalela ugqirha wakho ukuba ukrokrela ukuba une-subacute thyroiditis. Ukuchongwa kwangoko kunye nonyango kunokunceda ukuthintela ukukhula kwe-hypothyroidism esisigxina.