Subacute Chithokomiro

Zamkati

• Zomwe zimayambitsa komanso zoopsa
• Kodi zizindikiro za subacute thyroiditis ndi ziti?
• Zizindikiro za Hyperthyroidism
• Zizindikiro za Hypothyroidism
• Mitundu ya subacute thyroiditis
• Kodi subacute thyroiditis imapezeka bwanji?
• Kodi subacute thyroiditis imathandizidwa bwanji?
• Kupewa ndi kudandaula
• Kodi anthu omwe ali ndi subacute thyroiditis amawaona bwanji?

Kodi subacute thyroiditis ndi chiyani?

Chithokomiro chimatanthauza kutupa kwa chithokomiro. Chithokomiro ndi chimbudzi chomwe chili kutsogolo kwa khosi chomwe chimatulutsa mahomoni osiyanasiyana. Mahomoniwa amathandizira kuwongolera kagayidwe kake, njira yomwe imasintha chakudya kukhala mphamvu. Amatenganso gawo lofunikira pakuyankha kwanu kwakuthupi ndi kwamaganizidwe, monga mantha, chisangalalo, komanso chisangalalo.

Chithokomiro chimaphatikizapo gulu la zovuta zomwe zimayambitsa chithokomiro. Mitundu yambiri ya thyroiditis imayambitsa hyperthyroidism kapena hypothyroidism. Hyperthyroidism ndimatenda omwe chithokomiro chimagwira ntchito kwambiri ndipo chimapanga mahomoni ambiri. Hypothyroidism ndimkhalidwe womwe chithokomiro chimagwira ndipo sichipanga mahomoni okwanira. Zonsezi zingayambitse kulemera, nkhawa, ndi kutopa.

Subacute thyroiditis ndi mtundu wosowa wa thyroiditis womwe umayambitsa kupweteka komanso kusapeza bwino chithokomiro. Anthu omwe ali ndi vutoli amakhalanso ndi zisonyezo za hyperthyroidism ndipo pambuyo pake amakhala ndi zizindikilo za hypothyroidism. Subacute thyroiditis ngakhale kuti nthawi zambiri imakhala yakanthawi, imatha kubweretsa zovuta mpaka kalekale ngati singachiritsidwe.

Zomwe zimayambitsa komanso zoopsa

Mosiyana ndi mitundu ina ya chithokomiro, subacute thyroiditis imaganiziridwa kuti imalumikizidwa ndi kachilombo koyambitsa matenda. Poyankha kachilomboka, chithokomiro chimafufuma ndipo chimatha kusokoneza kapangidwe ka mahomoni. Izi zimayambitsa kutupa komanso zizindikilo zosiyanasiyana.

Subacute thyroiditis ndiofala kwambiri mwa azimayi azaka 40 mpaka 50 kuposa amuna azaka zomwezo. Nthawi zambiri zimachitika pambuyo pa matenda opatsirana apamwamba, monga chimfine kapena ntchofu.

Kodi zizindikiro za subacute thyroiditis ndi ziti?

Mosiyana ndi mitundu ina ya chithokomiro, subacute thyroiditis imayambitsa kupweteka kwa chithokomiro. Nthawi zina, ululu uwu ukhozanso kufalikira mbali zina za khosi, makutu, kapena nsagwada. Chithokomiro chanu chimatha kukhala chotupa komanso chosavuta kukhudza. American Thyroid Association akuti ululu umakhala pakati pa miyezi 1 ndi 3.

Zizindikiro zina za subacute thyroiditis ndi monga:

• malungo
• kutopa
• kufooka
• ukali
• zovuta kumeza

Zizindikiro za Hyperthyroidism

Anthu ambiri amakhala ndi hyperthyroidism koyambirira kwa subacute thyroiditis. Zizindikiro panthawiyi ya matendawa zingaphatikizepo:

• kupsa mtima
• nkhawa
• kusakhazikika
• zovuta kulingalira
• kutsegula m'mimba
• kuwonda mwadzidzidzi
• kuthamanga kapena kusakhazikika kwamtima
• kutentha thupi komwe kumawonjezera thukuta
• kunjenjemera

Zizindikiro za Hypothyroidism

Matendawa akamakula, hypothyroidism nthawi zambiri imalowa m'malo mwa hyperthyroidism gawo lachiwiri. Zizindikiro mgawo lachiwiri zitha kuphatikiza:

• kutopa
• kutayika tsitsi
• tsankho lozizira
• kudzimbidwa
• kunenepa mwadzidzidzi
• msambo waukulu
• kukhumudwa

Gawo loyamba la subacute thyroiditis nthawi zambiri limatha miyezi yosachepera itatu. Gawo lachiwiri limatha kutenga miyezi isanu ndi inayi mpaka 15.

Mitundu ya subacute thyroiditis

Pali magawo anayi osiyanasiyana a subacute thyroiditis:

Subacute granulomatous thyroiditis: Uwu ndiye mtundu wofala kwambiri wa subacute thyroiditis. Zimayambitsidwa ndi matenda opatsirana ndi mavairasi.

Postpartum thyroiditis: Izi zimachitika mwa azimayi chaka chimodzi chokha atabereka, ndipo nthawi zambiri chimatha pakatha miyezi 18. Amayi omwe amayamba ndi matendawa amalingaliridwa kuti ali ndi matenda am'magazi omwe amayamba kutupa. Zizindikiro zimachitika magawo awiri, kuyambira ndi zizindikilo za hyperthyroid ndikusunthira kuzizindikiro za hypothyroid.

Subacute lymphocytic thyroiditis: Izi zimachitikanso nthawi yobereka. Zizindikiro za Hyperthyroid zimayamba kale (nthawi zambiri pakatha miyezi itatu kuchokera pobereka), ndipo matenda a hypothyroid amatha miyezi ingapo pambuyo pake.

Matenda a chithokomiro: Izi zimayamba ngati ma follicles a chithokomiro awonongeka chifukwa chogwiritsa ntchito makina monga kuwunika mobwerezabwereza chithokomiro kapena opaleshoni.

Mitundu yonse ya subacute thyroiditis imatsatiranso zomwezo, ndipo hyperthyroid imayamba koyamba. Kusiyana kwakukulu ndizomwe zimayambitsa.

Kodi subacute thyroiditis imapezeka bwanji?

Dokotala wanu amamva ndikuyesa khosi lanu kuti awone ngati chithokomiro chakula kapena chotupa. Afunsanso za zisonyezo zanu komanso mbiri yanu yaposachedwa yazachipatala. Dokotala wanu akhoza kuyang'anitsitsa subacute thyroiditis ngati mwangokhala ndi kachilombo koyambitsa matenda m'mapapo apamwamba.

Dokotala wanu amalamula kuti mukayezetse magazi kuti mutsimikizire kuti mukudwala matendawa. Kuyezetsa kumeneku kumayang'ana kuchuluka kwa mahomoni ena m'magazi anu. Makamaka, kuyezetsa magazi kumayeza kuchuluka kwa mahomoni a chithokomiro, kapena T4 yaulere, komanso kuchuluka kwa timadzi ta chithokomiro (TSH). Mulingo waulere wa T4 ndi TSH ndi gawo la zomwe zimatchedwa "malingaliro olowera mkati." Mulingo wina ukakhala wapamwamba, gawo lina ndilotsika, komanso mosemphanitsa.

Zotsatira za kuyezetsa magazi zidzasiyana malinga ndi matenda. Pazigawo zoyambirira, milingo yanu yaulere ya T4 izikhala yokwera pomwe ma TSH anu azikhala otsika. M'magawo amtsogolo, magawo anu a TSH azikhala okwera pomwe magawo anu a T4 azikhala otsika. Mulingo wosazolowereka wa mahomoni aliwonse amawonetsa subacute thyroiditis.

Kodi subacute thyroiditis imathandizidwa bwanji?

Ngati mwapezeka kuti muli ndi subacute thyroiditis, dokotala wanu amakupatsani mankhwala othandizira kuchepetsa kupweteka komanso kuchepetsa kutupa. Nthawi zina, iyi ndiye njira yokhayo yothandizira kuti pakhale vuto la matenda am'magazi. Mankhwala omwe angakhalepo ndi awa:

• Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs). Mankhwala monga aspirin ndi ibuprofen amagwira ntchito pochepetsa kutupa. Zotsatira zake, simudzamva kupweteka pang'ono. Acetaminophen (Tylenol) siyothandiza chifukwa siyimachepetsa kutupa kwa matenda am'magazi.
• Corticosteroids. Corticosteroids imagwiritsidwa ntchito pomwe ma NSAID sakukwanira kuti achepetse kutupa. Prednisone ndi corticosteroid wamba yogwiritsira ntchito subacute thyroiditis. Dokotala wanu angakupatseni mamiligalamu 15 mpaka 30 patsiku kuti muyambe, ndipo pang'onopang'ono muchepetse mlingowo kwa milungu itatu kapena inayi.
• Beta-blockers. Dokotala wanu akhoza kukupatsani beta-blockers ngati hyperthyroidism ilipo koyambirira. Mankhwalawa amachepetsa kuthamanga kwa magazi komanso kugunda kwamphamvu kuti athetse zina, kuphatikizapo nkhawa komanso kugunda kwamtima mosasinthasintha.

Chithandizo cha hyperthyroidism ndikofunikira kumayambiriro kwa matendawa. Komabe, sizingakhale zothandiza mkhalidwe wanu ukapitilira gawo lachiwiri. Munthawi yamatendawa, mudzayamba hypothyroidism. Muyenera kuti mutenge mahomoni monga levothyroxine kuti musinthe omwe thupi lanu silikupanga.

Chithandizo cha subacute thyroiditis nthawi zambiri chimakhala chakanthawi. Dokotala wanu pamapeto pake adzakusiyani mankhwala aliwonse omwe apatsidwa kuti athetse vutoli.

Kupewa ndi kudandaula

Palibe njira zowonekera zodzitetezera ku subacute thyroiditis chifukwa choyambitsa sichikudziwika. Kubwereza sikofala.

Nthawi zambiri, subacute thyroiditis imatha yokha popanda chenjezo. Chizindikiro chonse chimadalira kuchuluka kwa kuwonongeka kwa chithokomiro. Ngati kuwonongeka kwakukulu kwachitika, mutha kukhala ndi vuto losatha la chithokomiro ndipo mungafune kupita kuchipatala nthawi zonse.

Kodi anthu omwe ali ndi subacute thyroiditis amawaona bwanji?

Zizindikiro za subacute thyroiditis nthawi zambiri zimatha pakadutsa miyezi 12 mpaka 18. Nthawi zina, hypothyroidism imatha kukhala yokhazikika. American Thyroid Association ikuyerekeza kuti pafupifupi 5% ya anthu omwe ali ndi subacute thyroiditis amakhala ndi hypothyroidism yokhazikika. Matenda osatha ndi osowa kwambiri.

Itanani dokotala wanu ngati mukuganiza kuti muli ndi subacute thyroiditis. Kuzindikira koyambirira ndi chithandizo kumatha kuthandizira kupewa kukhala ndi hypothyroidism yokhazikika.