Kodi hyperthyroidism, zimayambitsa ndi momwe matenda amapangidwira

Zamkati

• Zimayambitsa hyperthyroidism
• Momwe matendawa amapangidwira
• Subclinical hyperthyroidism
• Zizindikiro zazikulu
• Hyperthyroidism ali ndi pakati
• Chithandizo cha hyperthyroidism

Hyperthyroidism ndimkhalidwe womwe umadziwika ndikutulutsa mahomoni ochulukirapo ndi chithokomiro, zomwe zimabweretsa kukula kwa zizindikilo, monga nkhawa, kunjenjemera kwa manja, thukuta kwambiri, kutupa kwa miyendo ndi mapazi ndikusintha kwa msambo akazi.

Izi ndizofala kwambiri kwa azimayi azaka zapakati pa 20 mpaka 40, ngakhale zimatha kuchitika mwa amuna, ndipo nthawi zambiri zimalumikizidwa ndi matenda a Graves, omwe ndi matenda omwe amangodziyimira pawokha pomwe thupi limatulutsa ma antibodies olimbana ndi chithokomiro. Kuphatikiza pa matenda a Graves, hyperthyroidism itha kukhalanso chifukwa chodya ayodini wambiri, kuchuluka kwa mahomoni a chithokomiro kapena chifukwa chakupezeka kwa nthenda ya chithokomiro.

Ndikofunikira kuti hyperthyroidism izindikiridwe ndikuchiritsidwa malinga ndi malingaliro a endocrinologist kuti athe kuthana ndi zizindikilo zokhudzana ndi matendawa.

Zimayambitsa hyperthyroidism

Hyperthyroidism imachitika chifukwa cha kuchuluka kwa mahomoni ndi chithokomiro, chomwe chimachitika makamaka chifukwa cha matenda a Graves, omwe ndi matenda omwe amangodziyimira pawokha momwe ma cell amthupi amadzichitira okha chithokomiro, chomwe chimakulitsa kuchuluka kwa mahomoni ambiri. Dziwani zambiri za matenda amanda.

Kuphatikiza pa matenda a Graves, zina zomwe zingayambitse hyperthyroidism ndi izi:

• Kukhalapo kwa tinthu tozungulira kapena zotupa mu chithokomiro;
• Chithokomiro, chomwe chimafanana ndi kutupa kwa chithokomiro, chomwe chingachitike pambuyo pobereka kapena chifukwa cha matenda a virus;
• Bongo a chithokomiro mahomoni;
• Kumwa kwambiri ayodini, komwe ndikofunikira pakupanga mahomoni a chithokomiro.

Ndikofunika kuti chifukwa cha hyperthyroidism chizindikiridwe, chifukwa chake katswiri wazamaphunziro amatha kuwonetsa chithandizo choyenera kwambiri.

Momwe matendawa amapangidwira

Kuzindikira kwa hyperthyroidism kumatheka kudzera muyeso wa mahomoni okhudzana ndi chithokomiro m'magazi, ndikuwunika kwa milingo ya T3, T4 ndi TSH kukuwonetsedwa. Mayesowa akuyenera kuchitika, zaka zisanu zilizonse kuyambira azaka 35, makamaka azimayi, koma anthu omwe ali pachiwopsezo chachikulu chotenga matendawa amayenera kuyesa izi zaka ziwiri zilizonse.

Nthawi zina, adokotala amalimbikitsanso kuchita mayeso ena omwe amawunika momwe chithokomiro chimagwirira ntchito, monga kuyesa kwa antibody, chithokomiro cha ultrasound, kudziyesa, komanso nthawi zina, chithokomiro. Dziwani mayeso omwe amafufuza chithokomiro.

Subclinical hyperthyroidism

Subclinical hyperthyroidism imadziwika ndi kusowa kwa zizindikilo zosonyeza kusintha kwa chithokomiro, komabe pakuyesedwa kwa magazi kumatha kuzindikirika kuti TSH ndi T3 ndi T4 ndizotsika bwino.

Poterepa, munthuyo amayenera kuyesa zatsopano mkati mwa miyezi iwiri kapena isanu ndi umodzi kuti awone kufunikira koti amwe mankhwala, chifukwa sikofunikira kuchita chithandizo chilichonse, chomwe chimangosungidwa pokhapokha ngati pali zizindikiro.

Zizindikiro zazikulu

Chifukwa cha kuchuluka kwa mahomoni a chithokomiro omwe amayenda m'magazi, ndizotheka kuti zizindikilo ndi zina monga:

• Kuchuluka kwa kugunda kwa mtima;
• Kuchuluka kwa magazi;
• Kusintha kwa msambo;
• Kusowa tulo;
• Kuwonda;
• Kutentha kwa manja;
• Thukuta lopambanitsa;
• Kutupa miyendo ndi mapazi.

Kuphatikiza apo, pali chiopsezo chowonjezeka cha kufooka kwa mafupa chifukwa chakuchepa kashiamu ndimafupa. Onani zizindikiro zina za hyperthyroidism.

Hyperthyroidism ali ndi pakati

Kuwonjezeka kwa mahomoni a chithokomiro ali ndi pakati kumatha kuyambitsa zovuta monga eclampsia, kupita padera, kubadwa msanga, kubereka pang'ono kuphatikiza kulephera kwa mtima mwa amayi.

Amayi omwe anali ndi chikhalidwe choyenera asanakhale ndi pakati komanso omwe amapezeka kuti ali ndi hyperthyroidism kuyambira koyambirira mpaka kumapeto kwa trimester yoyamba ya mimba, nthawi zambiri safunika kulandira chithandizo chilichonse chifukwa kuwonjezeka pang'ono kwa T3 ndi T4 panthawi yapakati si zachilendo. Komabe, adotolo amalangiza mankhwala kuti aimitse T4 m'magazi, osamuvulaza mwanayo.

Mlingo wa mankhwalawo umasiyanasiyana kuchokera kwa munthu wina ndi wina ndipo mlingo woyamba wowonetsedwa siwomwe umatsalira panthawi yachipatala, chifukwa kungakhale kofunikira kusintha mlingo pambuyo pa masabata 6 mpaka 8 mutayamba mankhwalawa. Phunzirani zambiri za hyperthyroidism mukakhala ndi pakati.

Chithandizo cha hyperthyroidism

Chithandizo cha hyperthyroidism chikuyenera kuchitidwa molingana ndi malangizo a endocrinologist, yemwe amaganizira zizindikilo ndi zomwe munthuyo amayambitsa, zomwe zimayambitsa hyperthyroidism komanso kuchuluka kwa mahomoni m'magazi. Mwanjira imeneyi, adotolo amatha kuwonetsa kugwiritsa ntchito mankhwala monga Propiltiouracil ndi Metimazole, kugwiritsa ntchito ayodini kapena kuchotsa chithokomiro kudzera mu opaleshoni.

Kuchotsa chithokomiro kumangowonetsedwa ngati njira yomaliza, pomwe zizindikiritso sizimatha ndipo sizingatheke kuwongolera chithokomiro posintha kuchuluka kwa mankhwala. Mvetsetsani momwe mankhwala a hyperthyroidism amachitikira.

Onani malingaliro muvidiyo yotsatirayi yomwe ingathandize kuthana ndi hyperthyroidism: