Kodi Hashimoto's thyroiditis, zizindikiro zazikulu ndi momwe angachiritsire

Zamkati

• Zizindikiro zazikulu
• Zomwe zimayambitsa Hashimoto's thyroiditis
• Momwe mungatsimikizire matendawa
• Momwe mankhwalawa amachitikira
• Zakudya ziyenera kukhala bwanji
• N`zotheka mavuto a thyroiditis

Hashimoto's thyroiditis ndimatenda omwe chitetezo chamthupi chimagwiritsa ntchito ma cell a chithokomiro, ndikupangitsa kutupa kwa gland, komwe kumabweretsa matenda a hyperthyroidism omwe amatsatiridwa ndi hypothyroidism.

M'malo mwake, mtundu uwu wa chithokomiro ndi chimodzi mwazomwe zimayambitsa matenda a hypothyroidism, makamaka mwa azimayi achikulire, zomwe zimayambitsa zizindikilo monga kutopa kwambiri, kutayika tsitsi, misomali yolimba komanso kulephera kukumbukira.

Nthawi zambiri, matendawa amayamba ndikukula kwa chithokomiro mopanda ululu ndipo, chifukwa chake, amatha kudziwika panthawi yoyesedwa ndi dokotala, koma nthawi zina, chithokomiro chimatha kuyambitsa khosi m'khosi. osayambitsa kupweteka kulikonse. Mulimonsemo, chithandizo ndi endocrinologist chikuyenera kuyambitsidwa mwachangu kuti athetse magwiridwe antchito ndikupewa kuwoneka kwa zovuta.

Zizindikiro zazikulu

Zizindikiro zofala kwambiri za Hashimoto's thyroiditis ndizofanana ndendende ndi hypothyroidism, chifukwa chake sizachilendo kukhala:

• Kulemera kosavuta;
• Kutopa kwambiri;
• Khungu lozizira komanso lotumbululuka;
• Kudzimbidwa;
• Kulolerana ozizira ozizira;
• Kupweteka kwa minofu kapena molumikizana;
• Kutupa pang'ono kutsogolo kwa khosi pamalo a chithokomiro;
• Tsitsi ndi misomali yofooka.

Vutoli limapezeka kwambiri mwa azimayi ndipo nthawi zambiri limapezeka azaka zapakati pa 30 ndi 50. Poyamba, adotolo amatha kudziwa kuti ndi hypothyroidism yokhayokha, ndipo atayesedwa kwina, amatha kuzindikira kutupa kwa chithokomiro komwe kumafikira matenda a Hashimoto's thyroiditis.

Zomwe zimayambitsa Hashimoto's thyroiditis

Zomwe zimayambitsa Hashimoto's thyroiditis sizikudziwika, komabe ndizotheka kuti zimayambitsidwa ndi kusintha kwa majini, chifukwa nkutheka kuti matendawa amapezeka mwa anthu angapo am'banja limodzi. Kafukufuku wina akuwonetsa kuti mtundu uwu wa chithokomiro ungayambike pambuyo poti matenda atenga kachilombo kapena bakiteriya, omwe amatha kuyambitsa kutupa kwa chithokomiro.

Ngakhale palibe chifukwa chodziwikiratu, Hashimoto's thyroiditis imawoneka kuti imakonda kwambiri anthu omwe ali ndi matenda ena a endocrine monga mtundu wa 1 shuga, kusowa kwa adrenal gland kapena matenda ena amthupi okha monga kuperewera kwa magazi m'thupi, nyamakazi, nyamakazi ya Sjögren, Addison kapena lupus, ndi ena monga kuchepa kwa ACTH, khansa ya m'mawere, matenda a chiwindi komanso kupezeka kwa H. pylori.

Momwe mungatsimikizire matendawa

Njira yabwino yodziwira Hashimoto's thyroiditis ndikufunsana ndi katswiri wa zamankhwala am'magazi komanso kuyesa magazi omwe amawunika kuchuluka kwa T3, T4 ndi TSH, kuwonjezera pakufufuza ma anti-anti-TPO. Pankhani ya chithokomiro, TSH nthawi zambiri imakhala yachibadwa kapena imawonjezeka.

Anthu ena atha kukhala ndi maantibayotiki a antithyroid koma alibe zisonyezo, ndipo amawoneka kuti ali ndi subclinical autoimmune thyroiditis chifukwa chake safuna chithandizo.

Phunzirani zambiri za mayeso omwe amayesa chithokomiro.

Momwe mankhwalawa amachitikira

Chithandizochi chimangowonetsedwa pokhapokha kusintha kwamachitidwe a TSH kapena pamene zizindikiritso zikuwonekera, ndipo zimayambitsidwa ndikuyamba kusintha kwa mahomoni pogwiritsa ntchito Levothyroxine kwa miyezi 6. Pambuyo pake, nthawi zambiri kumakhala kofunikira kubwerera kwa dokotala kuti akawonenso kukula kwa gland ndikupanga mayeso atsopano kuti awone ngati kuli kofunikira kusintha mlingo wa mankhwala.

Nthawi zina zimakhala zovuta kupuma kapena kudya, mwachitsanzo, chifukwa cha kuchuluka kwa chithokomiro, opaleshoni yochotsa gland, yotchedwa thyroidectomy, imatha kuwonetsedwa.

Zakudya ziyenera kukhala bwanji

Chakudya chimakhudzanso thanzi la chithokomiro, chifukwa chake, tikulimbikitsidwa kudya chakudya chopatsa thanzi ndi zakudya zokhala ndi michere yabwino kuchitira chithokomiro monga ayodini, zinc kapena selenium, mwachitsanzo. Onani mndandanda wazakudya zabwino kwambiri za chithokomiro.

Onani vidiyo yotsatirayi kuti mudziwe zambiri za momwe kusintha zakudya zanu kungathandizire chithokomiro chanu kugwira bwino ntchito:

N`zotheka mavuto a thyroiditis

Matenda a chithokomiro akamayambitsa kusintha kwa mahomoni ndipo samachiritsidwa moyenera, zovuta zina zimatha kubuka. Chofala kwambiri ndi ichi:

• Mavuto amtima: anthu omwe ali ndi hypothyroidism osalamulirika amakhala ndi milingo yambiri ya LDL, yomwe imawonjezera mavuto amtima;
• Matenda amisala: pochepetsa kupangika kwa mahomoni a chithokomiro, thupi limataya mphamvu motero munthuyo amamva kutopa kwambiri, zomwe zimapangitsa kusintha kwamalingaliro ngakhale kuyamba kwachisoni;
• Myxedema: Izi ndizosowa zomwe nthawi zambiri zimachitika chifukwa cha hypothyroidism, zomwe zimayambitsa kutupa kwa nkhope komanso zizindikilo zowopsa monga kusowa mphamvu ndi kutaya chidziwitso.

Chifukwa chake, chofunikira ndichakuti nthawi iliyonse yomwe mukukayikira kuti matenda a chithokomiro, pitani kuchipatala kuti mukayesedwe koyenera ndikuyamba chithandizo mwachangu.