Matenda a thyroiditis (matenda a Hashimoto)

Matenda a thyroiditis amayamba chifukwa cha chitetezo cha mthupi motsutsana ndi chithokomiro. Nthawi zambiri zimabweretsa kuchepa kwa chithokomiro (hypothyroidism).

Matendawa amatchedwanso matenda a Hashimoto.

Chithokomiro chimakhala pakhosi, pamwambapa pomwe makola anu amakumana pakati.

Matenda a Hashimoto ndimatenda amtundu wa chithokomiro wamba. Zitha kuchitika nthawi iliyonse, koma nthawi zambiri zimawoneka mwa azimayi azaka zapakati. Zimayambitsidwa ndi chitetezo cha mthupi motsutsana ndi chithokomiro.

Matendawa amayamba pang'onopang'ono. Zitha kutenga miyezi kapena zaka kuti vutoli lizindikiridwe komanso kuti mahomoni a chithokomiro akhale otsika kuposa momwe zimakhalira. Matenda a Hashimoto amapezeka kwambiri kwa anthu omwe ali ndi banja lomwe lili ndi matenda a chithokomiro.

Nthawi zina, matendawa amatha kukhala okhudzana ndi mavuto ena am'madzi omwe amadza chifukwa cha chitetezo chamthupi. Zitha kuchitika ngati vuto la adrenal limagwira komanso mtundu wa 1 shuga. Zikatero, vutoli limatchedwa mtundu 2 polyglandular autoimmune syndrome (PGA II).

Kawirikawiri (kawirikawiri mwa ana), matenda a Hashimoto amapezeka ngati gawo la mtundu wotchedwa 1 polyglandular autoimmune syndrome (PGA I), komanso:

• Ntchito yoyipa yama adrenal glands
• Matenda a fungal mkamwa ndi misomali
• Matenda osokoneza bongo

Zizindikiro za matenda a Hashimoto zitha kukhala izi:

• Kudzimbidwa
• Zovuta kulingalira kapena kuganiza
• Khungu louma
• Kukulitsa khosi kapena kupezeka kwa khosi lotupa, lomwe lingakhale chizindikiro chokhacho choyambirira
• Kutopa
• Kutaya tsitsi
• Nthawi zolemera kapena zosasinthasintha
• Kulekerera kuzizira
• Kufatsa kunenepa
• Matenda a chithokomiro aang'ono kapena ochepa (kumapeto kwa matenda)

Kuyesa kwa Laborator kuti mudziwe ntchito ya chithokomiro ndi:

• Kuyesa kwaulere T4
• Seramu TSH
• Chiwerengero cha T3
• Ma autoantibodies a chithokomiro

Kujambula kafukufuku ndi singano yabwino ya singano sikofunikira kwenikweni kuti mupeze Hashimoto thyroiditis.

Matendawa amathanso kusintha zotsatira za mayeso otsatirawa:

• Kuwerengera kwathunthu kwa magazi
• Seramu prolactin
• Seramu sodium
• Cholesterol chonse

Hypothyroidism yosachiritsidwa ingasinthe momwe thupi lanu limagwiritsira ntchito mankhwala omwe mungamwe pazinthu zina, monga khunyu. Muyenera kuti muyesedwe magazi nthawi zonse kuti muwone kuchuluka kwa mankhwala m'thupi lanu.

Ngati mwapeza za chithokomiro chosagwira ntchito, mutha kulandira mankhwala osinthira chithokomiro.

Sikuti aliyense amene ali ndi chithokomiro kapena chotupa amakhala ndi mahomoni ochepa a chithokomiro. Mutha kungofunika kutsatiridwa pafupipafupi ndi othandizira azaumoyo.

Matendawa amakhazikika kwa zaka zambiri. Ngati ikukula pang'onopang'ono mpaka kuchepa kwa mahomoni a chithokomiro (hypothyroidism), imatha kuchiritsidwa ndi mankhwala obwezeretsa mahomoni.

Vutoli limatha kuchitika ndimatenda ena amthupi okha. Nthawi zambiri, khansa ya chithokomiro kapena chithokomiro cha lymphoma zimatha kuyamba.

Hypothyroidism yosachiritsidwa imatha kubweretsa kusintha kwa chikumbumtima, kukomoka, ndi imfa. Izi zimachitika kwambiri ngati anthu atenga matenda, kuvulala, kapena kumwa mankhwala, monga ma opioid.

Itanani omwe akukuthandizani ngati mukudwala matenda a thyroiditis kapena hypothyroidism.

Palibe njira yodziwika yothetsera vutoli. Kudziwa zoopsa kumatha kuloleza kupeza chithandizo chamankhwala choyambirira.

Hashimoto thyroiditis; Matenda lymphocytic thyroiditis; Chotsani autoitis; Matenda autoimmune thyroiditis; Lymphadenoid goiter - Hashimoto; Hypothyroidism - Hashimoto; Mtundu wa 2 polyglandular autoimmune syndrome - Hashimoto; PGA II - Hashimoto

• Matenda a Endocrine
• Kukulitsa kwa chithokomiro - scintiscan
• Matenda a Hashimoto (chronic thyroiditis)
• Chithokomiro

Amino N, Lazaro JH, De Groot LJ. Matenda (Hashimoto's) thyroiditis. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 86.

Brent GA, Weetman AP. Hypothyroidism ndi chithokomiro. Mu: Melmed S, Auchus RJ, Golfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: mutu 13.

Jonklaas J, Bianco AC, Bauer AJ, ndi al. Maupangiri othandizira chithandizo cha hypothyroidism: yokonzedwa ndi gulu laku America la Chithokomiro chosinthira mahomoni a chithokomiro. Chithokomiro. 2014; 24 (12): 1670-1751. PMID: 25266247 pubed.ncbi.nlm.nih.gov/25266247/.

Lakis ME, Wiseman D, Kebebew E. Kuwongolera kwa chithokomiro. Mu: Cameron AM, Cameron JL, olemba., Eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 764-767.

[Adasankhidwa] Marcdante KJ, Kliegman RM. Matenda a chithokomiro. Mu: Marcdante KJ, Kliegman RM, olemba. Nelson Zofunikira pa Matenda a Ana. 8th ed. Zowonjezera; 2019: chap 175.