Subacute thyroiditis

Subacute thyroiditis ndi chitetezo cha mthupi cha chithokomiro chomwe nthawi zambiri chimatsatira matenda opuma opuma.

Chithokomiro chimakhala pakhosi, pamwambapa pomwe makola anu amakumana pakati.

Subacute thyroiditis ndizofala. Amaganiziridwa kuti ndi chifukwa cha matenda a tizilombo. Matendawa amapezeka nthawi yayitali patadutsa milungu ingapo kuchokera pakumera khutu, sinus, kapena pakhosi, monga ntchofu, chimfine, kapena chimfine.

Subacute thyroiditis imachitika makamaka mwa azimayi azaka zapakati omwe ali ndi zizindikiritso zamatenda opumira m'mwezi watha.

Chizindikiro chodziwikiratu cha subacute thyroiditis ndikumva kupweteka kwa khosi komwe kumayambitsidwa ndi kutupa kwa chithokomiro. Nthawi zina, kupweteka kumatha kufalikira (kutulutsa) nsagwada kapena makutu. Matenda a chithokomiro amatha kupweteka komanso kutupa kwa milungu ingapo kapena, nthawi zina, miyezi.

Zizindikiro zina ndizo:

• Chikondi pamene kupanikizika pang'ono kumagwiritsidwa ntchito pachithokomiro
• Kuvuta kapena kumeza kowawa, kuuma
• Kutopa, kufooka
• Malungo

Chithokomiro chotupa chitha kutulutsa mahomoni ambiri a chithokomiro, zomwe zimayambitsa matenda a hyperthyroidism, kuphatikiza:

• Kusuntha kwamatumbo pafupipafupi
• Kutaya tsitsi
• Tsankho kutentha
• Kusamba (kapena kosavuta) kusamba kwa amayi
• Khalidwe limasintha
• Mantha, kunjenjemera (kugwedezeka kwa manja)
• Kupindika
• Kutuluka thukuta
• Kuchepetsa thupi, koma ndi kuchuluka kwa njala

Pamene chithokomiro chimachira, chimatha kutulutsa timadzi tating'onoting'ono, tomwe timayambitsa matenda a hypothyroidism, kuphatikiza:

• Tsankho Cold
• Kudzimbidwa
• Kutopa
• Msambo (kapena wolemera) msambo mwa amayi
  
• Kulemera
• Khungu louma
• Khalidwe limasintha

Ntchito ya chithokomiro imabwereranso mwakale kwa miyezi ingapo. Munthawi imeneyi mungafunike chithandizo chithokomiro chanu chosagwira ntchito. Nthawi zambiri, hypothyroidism imatha kukhala yokhazikika.

Mayeso a Laborator omwe atha kuchitidwa ndi awa:

• Mulingo wokhudzana ndi chithokomiro (TSH)
• T4 (mahomoni a chithokomiro, thyroxine) ndi mulingo wa T3
• Kutenga kwa ayodini
• Mulingo wa Thyroglobulin
• Mlingo wa sedimentation wa erythrocyte (ESR)
• C mapuloteni othandizira (CRP)
• Chithokomiro ultrasound

Nthawi zina, chithokomiro chimatha kuchitidwa.

Cholinga cha chithandizo ndikuchepetsa kupweteka ndikuchiza hyperthyroidism, zikachitika. Mankhwala monga aspirin kapena ibuprofen amagwiritsidwa ntchito poletsa kupweteka pazochitika zochepa.

Milandu yayikulu ingafune chithandizo chanthawi yayitali ndi mankhwala omwe amachepetsa kutupa ndi kutupa, monga prednisone. Zizindikiro za chithokomiro chambiri zimachiritsidwa ndi gulu la mankhwala otchedwa beta-blockers.

Ngati chithokomiro chimayamba kuchepa panthawi yobwezeretsa, kutha kwa mahomoni a chithokomiro kungafunike.

Vutoli liyenera kusintha lokha. Koma matendawo amatha miyezi. Zovuta zazitali kapena zovuta sizimachitika kawirikawiri.

Matendawa siopatsirana. Anthu sangathe kukulandani. Sichinatengere m'mabanja monga matenda ena a chithokomiro.

Imbani wothandizira zaumoyo wanu ngati:

• Muli ndi zizindikiro za matendawa.
• Muli ndi matenda a chithokomiro ndipo sizisintha ndi chithandizo chamankhwala.

Katemera amene amateteza matenda monga chimfine angathandize kupewa subacute thyroiditis. Zoyambitsa zina sizingalephereke.

De Quervain's thyroiditis; Subacute nonsuppurative thyroiditis; Chimphona cell thyroiditisitis; Subacute granulomatous thyroiditis; Hyperthyroidism - subacute thyroiditis

• Matenda a Endocrine
• Chithokomiro

Ma Guimaraes VC. Subacute ndi Riedel'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 87.

Hollenberg A, Wersinga WM. Matenda a Hyperthyroid. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: mutu 12.

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.

Tallini G, Giordano TJ. Chithokomiro. Mu: Goldblum JR, Nyali LW, McKenney JK, Myers JL, olemba. Rosai ndi Ackerman's Surgical Pathology. 11th ed. Philadelphia, PA: Elsevier; 2018: mutu 8.