Zizindikiro za Hypothyroidism, zoyambitsa zazikulu komanso momwe mankhwalawa aliri

Zamkati

• Zizindikiro ndi zizindikilo
• Zoyambitsa zazikulu
• Momwe mungadziwire ngati ndi hypothyroidism
• Ndani akuyenera kukhala ndi mayeso a chithokomiro
• Hypothyroidism panthawi yapakati
• Momwe Mungachiritse Hypothyroidism
• Zizindikiro zakusintha ndikuipiraipira

Hypothyroidism ndi amodzi mwamatenda ofala kwambiri a endocrine ndipo amadziwika ndi zochitika zochepa za chithokomiro, zomwe zimapangitsa kuti ipange mahomoni ochepa kuposa momwe amafunikira kuti magwiridwe antchito onse azigwira bwino ntchito, zomwe zimapangitsa kuti zizindikilo zina zizioneka ndi kutopa kwambiri, kuchepa kwa mtima , kunenepa, kutaya tsitsi komanso khungu louma.

Kusinthaku ndikofala kwambiri kwa azimayi azaka zopitilira 40, omwe ali ndi abale apabanja omwe ali ndi hypothyroidism, omwe achotsa kale gawo limodzi kapena chithokomiro chonse kapena omwe alandila cheza china kumutu kapena m'khosi. Chithandizo cha hypothyroidism cholinga chake ndikuchepetsa kuchuluka kwa mahomoni a chithokomiro motero kumachepetsa zizindikilo, komanso kugwiritsa ntchito mahomoni opanga, monga Levothyroxine, mwachitsanzo, nthawi zambiri amawonetsedwa ndi endocrinologist.

Zizindikiro ndi zizindikilo

Zizindikiro zomwe zimatha kuwonetsa kuti chithokomiro chimagwira pang'ono zitha kuwoneka pang'onopang'ono pazaka zambiri malinga ndi kuchepa kwa mahomoni a chithokomiro, T3 ndi T4. Zizindikiro zazikulu za hypothyroidism ndi izi:

• Mutu, mu minofu ndi mafupa;
• Kusamba kosalekeza, komwe kumapangitsa kukhala kovuta kutenga pakati;
• Zosakhazikika, zopindika misomali ndi khungu lowuma, louma;
• Maso, m'chigawo cha zikope, kutupa;
• Kutayika tsitsi popanda chifukwa chomveka komanso kuwonda, kouma komanso kuzimiririka;
• Kugunda kwa mtima kumachedwa pang'onopang'ono;
• Kutopa kwambiri;
• Zovuta kukhazikika, kukumbukira kosavuta;
• Kuchepetsa libido;
• Kunenepa mopanda chifukwa chomveka.

Kuphatikiza apo, nthawi zina munthuyo amatha kusintha umunthu wake, kukhumudwa ndi matenda amisala, komabe zizindikirazi zimachitika mwa anthu omwe ali ndi ma T3 ochepa komanso T4 ochepa.

Pankhani ya ana, hypothyroidism amathanso kusokoneza kukula, kotero kuti muunyamata, kutha msinkhu kumatha kuchedwa komanso kuchepa msinkhu, mwachitsanzo. Kuphatikiza apo, pankhani ya kubadwa kwa hypothyroidism, ngati mwanayo sapezeka msanga sabata yoyamba atabadwa, mwanayo amatha kusintha kwamitsempha, ndikuwopsa kwakanthawi. Onani zambiri zakubadwa kwa hypothyroidism.

Zoyambitsa zazikulu

Chifukwa chofala kwambiri cha hypothyroidism ndi Hashimoto's Thyroiditis, yomwe imayambitsa matendawa, momwe ma antibodies amayamba kulimbana ndi chithokomiro, ngati kuti chikuwononga thupi. Kuphatikiza apo, hypothyroidism imatha kuchitika chifukwa cha kusowa kwa ayodini, komwe kumatchedwa goiter, komwe kumakulitsa kukula kwa chithokomiro, koma kuchuluka kwa T3 ndi T4 chifukwa chakuchepa kwa ayodini.

Chithandizo chotsutsana ndi hyperthyroidism kapena kugwiritsa ntchito mankhwala osokoneza bongo monga lithiamu carbonate, amiodarone, propylthiouracil ndi methimazole amathanso kuyambitsa matenda a hypothyroidism, ndipo ndikofunikira kukaonana ndi a endocrinologist ngati zizindikiritso zina zadziwika kuti kuyimitsidwa kwa mankhwalawo kapena m'malo.

Anthu omwe amamwa mankhwala a chithokomiro kuti achepetse thupi amathanso kudwala matenda a hypothyroidism chifukwa mahomoniwa akakhala kale m'magazi, chithokomiro chimatha kusiya kapena kuchepetsa kupanga kwake.

Kuphatikiza pazomwe zimayambitsa, hypothyroidism imatha kuwonekeranso panthawi yapakati kapena pambuyo pobereka yomwe imabwereranso mwakale posachedwa. Kuphatikiza apo, ndikofunikira kukumbukira kuti matendawa amachepetsa kubereka kwa mayi, ndikupangitsa mavuto kutenga pakati. Onani zambiri za hypothyroidism ndi mimba.

Momwe mungadziwire ngati ndi hypothyroidism

Kuti adziwe ngati ndi hypothyroidism, endocrinologist amawunika zizindikilo zomwe munthuyo akuwonetsa ndikuwonetsa magwiridwe antchito amwazi wamagazi kuti awone kuchuluka kwa mahomoni okhudzana ndi chithokomiro.

Chifukwa chake, kuchuluka kwa T3 ndi T4 kumawonetsedwa, komwe kumachepetsa hypothyroidism, komanso kuchuluka kwa TSH, komwe kumakulitsidwa. Pankhani ya subclinical hypothyroidism, kuchuluka kwa T4 ndi kuchuluka kwa TSH kumatha kuwonedwa. Onani zambiri zamayeso omwe amafufuza chithokomiro.

Kuphatikiza apo, adotolo amalimbikitsa kuti apange kafukufuku wama antibody, mapu a chithokomiro ndi ultrasound ya chithokomiro pomwe ma nodule amadziwika mukamayamwa. N'zothekanso kuti munthuyo adziyese yekha chithokomiro kuti adziwe zosintha zilizonse, makamaka mitsempha. Phunzirani momwe mungadziyese nokha.

Ndani akuyenera kukhala ndi mayeso a chithokomiro

Kuphatikiza pa anthu omwe amawonetsa zizindikilo zomwe zitha kuwonetsa hypothyroidism, mayeserowa ayeneranso kuchitidwa ndi:

Hypothyroidism panthawi yapakati

Hypothyroidism, ngati singayang'anire bwino, itha kulepheretsa kukhala ndi pakati ndikukhala ndi zovuta kwa mayi ndi mwana. Zitha kuchitika pambuyo pobereka, miyezi ingapo mwanayo atabadwa, munthawi yochepa ndipo amafunikiranso chithandizo chamankhwala.

Chifukwa chake, sizachilendo kuti panthawi yobereka, adokotala amalamula mayeso a T3, T4 ndi TSH kuti awunike momwe chithokomiro chimagwirira ntchito ndikupitiliza kuwunika pambuyo pobereka momwe timadzi ta chithokomiro zilili komanso ngati pakufunika kugwiritsa ntchito mankhwala. kubwerera mwakale. Dziwani zoopsa za hypothyroidism panthawi yapakati.

Momwe Mungachiritse Hypothyroidism

Chithandizo cha hypothyroidism ndichosavuta ndipo chiyenera kuchitidwa kudzera m'malo mwa mahomoni ndikumwa mahomoni othandizira, Levothyroxine, omwe amakhala ndi mahomoni T4, omwe amayenera kumwa osadya kanthu, osachepera mphindi 30 asanadye chakudya cham'mawa. kuti chimbudzi cha chakudya sichichepetsa mphamvu yake. Mlingo wa mankhwalawo uyenera kulamulidwa ndi endocrinologist ndipo umatha kusiyanasiyana panthawi yamankhwalawa malinga ndi milingo ya T3 ndi T4 yomwe ikuzungulira m'magazi.

Patatha milungu 6 mankhwala atayamba, adokotala amatha kuwona zomwe munthuyo ali nazo ndikuwunika mayeso a TSH kuti awone ngati kuli kofunikira kusintha kwa mankhwalawo mpaka kuchuluka kwa T4 yaulere kukonzedwa. Pambuyo pake, kuyesa kuyesa chithokomiro kuyenera kuchitidwa kamodzi kapena kawiri pachaka, kuti muwone ngati kuli kofunikira kusintha kuchuluka kwa mankhwala.

Kuphatikiza pa kugwiritsa ntchito mankhwala, ndikofunikira kuti munthu azilamulira magazi m'magazi, kupewa mafuta, kudya zakudya zomwe zimathandiza kuti chiwindi chizigwira bwino ntchito komanso kupewa kupsinjika, chifukwa kumawononga kutulutsa kwa mahomoni chithokomiro. Nthawi zina, kufunsira kwa katswiri wazakudya kumathandizanso kuti chithandizo chamankhwala chowonjezera cha ayodini chithandizire kuchepetsa zizindikilo za hypothyroidism.

Pankhani ya subclinical hypothyroidism, pomwe palibe zisonyezo, adotolo angavomereze kugwiritsa ntchito mankhwala chifukwa angathandize kuchepetsa mavuto amtima, omwe atha kukhala ofunika kwa anthu onenepa kwambiri kapena omwe ali ndi cholesterol kapena shuga .

Onani momwe kudya kungathandizire chithokomiro muvidiyo yotsatirayi.

Zizindikiro zakusintha ndikuipiraipira

Zizindikiro zakusintha kwa hypothyroidism zimawoneka patadutsa milungu iwiri kuchokera pomwe chithandizo chayamba, ndikuchepetsa kutopa ndikusintha kwamalingaliro. Kuphatikiza apo, chithandizo chanthawi yayitali cha hypothyroidism chimathandizanso kuchepetsa kunenepa komanso kuchepetsa kuchuluka kwama cholesterol m'magazi.

Zizindikiro zakukula zimawonekera ngati mankhwalawa sakuchitidwa moyenera kapena ngati mlingo wa Levothyroxine sukwanira, monga kusowa tulo, kuchuluka kwa njala, kugunda ndi kunjenjemera, mwachitsanzo.