Chete thyroiditis

Chete thyroiditis ndimomwe chitetezo cha mthupi chimathandizira. Vutoli limatha kuyambitsa hyperthyroidism, kenako hypothyroidism.

Chithokomiro chimakhala pakhosi, pamwambapa pomwe makola anu amakumana pakati.

Zomwe zimayambitsa matendawa sizikudziwika. Koma zimakhudzana ndi kuukira kwa chithokomiro ndi chitetezo chamthupi. Matendawa amakhudza amayi nthawi zambiri kuposa amuna.

Matendawa amatha amayi omwe angobala kumene. Zikhozanso kuyambitsidwa ndi mankhwala monga interferon ndi amiodarone, ndi mitundu ina ya chemotherapy, yomwe imakhudza chitetezo chamthupi.

Zizindikiro zoyambirira zimachokera ku chithokomiro chambiri (hyperthyroidism). Zizindikirozi zimatha mpaka miyezi itatu.

Zizindikiro nthawi zambiri zimakhala zofatsa, ndipo zimatha kuphatikiza:

• Kutopa, kufooka
• Kuyenda pafupipafupi
• Tsankho kutentha
• Kuchuluka chilakolako
• Kuchuluka thukuta
• Msambo wosasamba
• Kusintha kwa zinthu, monga kukwiya
• Kupweteka kwa minofu
• Mantha, kusakhazikika
• Kupindika
• Kuchepetsa thupi

Zizindikiro zamtsogolo zitha kukhala za chithokomiro chosagwira ntchito (hypothyroidism), kuphatikiza:

• Kutopa
• Kudzimbidwa
• Khungu louma
• Kulemera
• Tsankho Cold

Zizindikirozi zimatha kupitilira mpaka chithokomiro chitayambiranso kugwira ntchito. Kuchira kwa chithokomiro kumatha kutenga miyezi yambiri kwa anthu ena. Anthu ena amangodziwa zizindikiro za hypothyroid ndipo alibe zisonyezo za hyperthyroidism pomwepo.

Wothandizira zaumoyo adzakufunsani ndikufunsani za zomwe mukudziwa komanso mbiri yazachipatala.

Kuyezetsa thupi kumatha kuwonetsa:

• Kukula kwa chithokomiro komwe sikumapweteka pakukhudza
• Kuthamanga kwa mtima mwachangu
• Kugwirana chanza (kunjenjemera)
• Kusintha kwakanthawi
• Thukuta lotentha, lofunda

Mayeso omwe angachitike ndi awa:

• Kutenga kwa ayodini
• Mahomoni a chithokomiro T3 ndi T4
• TSH
• Mlingo wa sedimentation wa erythrocyte
• Mapuloteni othandizira C

Ambiri opereka chithandizo tsopano amawunika matenda a chithokomiro asanayambe komanso pambuyo poyambitsa mankhwala omwe amachititsa vutoli.

Chithandizo chimachokera kuzizindikiro. Mankhwala otchedwa beta-blockers atha kugwiritsidwa ntchito pochepetsa kugunda kwamtima komanso thukuta kwambiri.

Chete thyroiditis nthawi zambiri imatha yokha chisanathe chaka chimodzi. Gawo loyipa limatha mkati mwa miyezi itatu.

Anthu ena amakhala ndi hypothyroidism pakapita nthawi. Ayenera kuthandizidwa kwakanthawi ndi mankhwala omwe amalowa m'malo mwa mahomoni a chithokomiro. Kutsata pafupipafupi ndi omwe amakupatsani ndikulimbikitsidwa.

Matendawa siopatsirana. Anthu sangakutengereni matendawa. Komanso sichinatengere m'mabanja monga matenda ena a chithokomiro.

Itanani omwe akukuthandizani ngati muli ndi zizindikilo za vutoli.

Lymphocytic thyroiditis; Subacute lymphocytic thyroiditis; Chopanda chithokomiro; Postpartum thyroiditis; Chithokomiro - chete; Hyperthyroidism - chete thyroiditis

• Chithokomiro

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

Jonklaas J, Cooper DS. Chithokomiro. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 213.

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.