Yintoni iHashimoto's thyroiditis, iimpawu eziphambili kunye nendlela yokunyanga

Umxholo

• Iimpawu eziphambili
• Yintoni ebangela iHashimoto's thyroiditis
• Indlela yokuqinisekisa ukuxilongwa
• Unyango lwenziwa njani
• Ukutya kufanele ukuba njani
• Iingxaki ezinokwenzeka ze-thyroiditis

IHashimoto's thyroiditis sisifo esizenzekelayo apho amajoni omzimba ahlasela iiseli ze-thyroid, ebangela ukuvuvukala kweso sifo, esihlala sikhokelela kwi-hyperthyroidism edlulileyo elandelwa yi-hypothyroidism.

Ngapha koko, olu hlobo lwe-thyroiditis sesinye sezona zinto zixhaphakileyo ze-hypothyroidism, ngakumbi kubantu basetyhini abadala, zibangela iimpawu ezinje ngokudinwa kakhulu, ukulahleka kweenwele, izikhonkwane ezinobunzima kunye nokusilela kwememori.

Uninzi lwexesha, esi sifo siqala ngokwandiswa okungenantlungu kwe-thyroid kwaye, ke, kunokuchongwa kuphela kuvavanyo oluqhelekileyo ngugqirha, kodwa kwezinye iimeko, i-thyroiditis inokubangela uvakalelo entanyeni entanyeni, eyenza ayibangeli zintlungu ngokucofa. Kuzo zombini iimeko, unyango lwe-endocrinologist kufuneka luqaliswe ngokukhawuleza ukulawula ukusebenza kwe-gland kunye nokuthintela ukuvela kweengxaki.

Iimpawu eziphambili

Iimpawu eziqhelekileyo zeHashimoto's thyroiditis zifana ne-hypothyroidism, ngoko kuyaqhelekileyo ukuba:

• Ukufumana ubunzima obulula;
• Ukudinwa kakhulu;
• Ulusu olubandayo noluphaphathekileyo;
• Ukuqunjelwa;
• Ukunyamezelana okubandayo okuphantsi;
• Intlungu yezihlunu okanye edibeneyo;
• Kancinci ukudumba ngaphambili kwentamo kwindawo ye-thyroid;
• Iinwele kunye neenzipho ezibuthathaka.

Le ngxaki ixhaphake kakhulu kwabasetyhini kwaye ihlala ifunyanwa phakathi kweminyaka engama-30 ukuya kwengama-50 ubudala. Ekuqaleni, ugqirha unokuchonga kuphela i-hypothyroidism kwaye, emva kokwenza ezinye iimvavanyo, chonga ukudumba kwe-thyroid ukufika xa kufunyaniswa isifo sikaHashimoto's thyroiditis.

Yintoni ebangela iHashimoto's thyroiditis

Isizathu esithile sokubonakala kweHashimoto's thyroiditis asikaziwa, nangona kunjalo kunokwenzeka ukuba sibangelwa lutshintsho lwemfuzo, kuba kunokwenzeka ukuba esi sifo sivele kubantu abaliqela kusapho olunye. Olunye uphononongo lubonisa ukuba olu hlobo lwe-thyroiditis lunokuqaliswa emva kokosulelwa yintsholongwane okanye ibhaktiriya, ethi iphele ibangela ukudumba okungapheliyo kwe-thyroid.

Nangona kungekho sizathu saziwayo, iHashimoto's thyroiditis ibonakala ixhaphake kakhulu kubantu abanezinye izifo ezifana ne-1 yeswekile, ukungasebenzi kakuhle kwe-adrenal gland okanye ezinye izifo ezizimele njenge-anemia, i-rheumatoid arthritis, i-Sjögren's syndrome, i-Addison okanye i-lupus, kunye nezinye Njengokusilela kwe-ACTH, umhlaza wamabele, i-hepatitis kunye nobukho be H. pylori.

Indlela yokuqinisekisa ukuxilongwa

Indlela efanelekileyo yokufumanisa i-Hashimoto's thyroiditis kukubonisana ne-endocrinologist kwaye wenze uvavanyo lwegazi oluvavanya isixa se-T3, T4 kunye ne-TSH, ukongeza kuphando lwe-antithyroid antibodies (anti-TPO). Kwimeko ye-thyroiditis, i-TSH ihlala iqhelekile okanye inyukile.

Abanye abantu banokuba ne-antithyroid antibodies kodwa abanazimpawu, kwaye bathathelwa ingqalelo ukuba bane-subclinical autoimmune thyroiditis kwaye ngenxa yoko abayifuni unyango.

Funda ngakumbi malunga neemvavanyo ezivavanya idlala lengqula.

Unyango lwenziwa njani

Unyango luhlala luboniswa kuphela xa kukho utshintsho kwixabiso le-TSH okanye xa kuvela iimpawu, kwaye ihlala iqalwa ngokufakwa kwehomoni ngokusetyenziswa kweLevothyroxine kangangeenyanga ezi-6. Emva kwelo xesha, kuhlala kufanelekile ukubuyela kugqirha ukuphinda uvavanye ubungakanani bendlala kwaye wenze uvavanyo olutsha ukubona ukuba kunyanzelekile na ukuba ulungelelanise idosi yeyeza.

Kwiimeko apho kunzima ukuphefumla okanye ukutya, umzekelo, ngenxa yokwanda kwevolumu ye-thyroid, utyando lokususa idlala, olubizwa ngokuba yi-thyroidectomy, lunokuboniswa.

Ukutya kufanele ukuba njani

Ukutya kunokuchaphazela kakhulu impilo ye-thyroid kwaye, ke ngoko, kucetyiswa ukuba utye ukutya okunempilo kunye nokutya okunotyebileyo kwizondlo ezifanelekileyo ekusebenzeni kwe-thyroid njenge-iodine, i-zinc okanye i-selenium, umzekelo. Jonga uluhlu lwezinto ezilungileyo zokutya kwe-thyroid.

Jonga le vidiyo ilandelayo ukuze ufumane ezinye iingcebiso malunga nendlela yokulungisa indlela otya ngayo enokukunceda ngayo ukusebenza kwe-thyroid ngokufanelekileyo:

Iingxaki ezinokwenzeka ze-thyroiditis

Xa i-thyroiditis ibangela utshintsho kwimveliso yehomoni kwaye ayinyangwa ngokufanelekileyo, ezinye iingxaki zempilo zinokuvela. Ezona zixhaphakileyo zibandakanya:

• Iingxaki zentliziyo: abantu abane-hypothyroidism engalawulekiyo banamathuba aphezulu okuba negazi le-LDL, elonyusa umngcipheko weengxaki zentliziyo;
• Iingxaki zempilo yengqondo: ngokunciphisa ukuveliswa kwehomoni yedlala lengqula, umzimba uphelelwa ngamandla kwaye ke umntu uziva ediniwe ngakumbi, enegalelo kutshintsho lweemvakalelo kwanasekuqalekeni koxinzelelo;
• Imyxedema: Le yimeko enqabileyo ehlala ivela kwiimeko eziphambili kakhulu ze-hypothyroidism, ekhokelela kukudumba kobuso kunye neempawu ezinzulu ngakumbi njengokungabikho kwamandla kunye nokulahleka kwengqondo.

Ke, into efanelekileyo kukuba xa ukrokrela i-thyroiditis, funa ugqirha we-endocrinologist enze iimvavanyo ezifanelekileyo kwaye uqale unyango ngokukhawuleza.