Ukuthula kwe-thyroiditis

Ukuthula kwe-thyroiditis kuyindlela yokusabela kokuzivikela komzimba kwendlala yegilo. Lesi sifo singadala i-hyperthyroidism, ilandelwe yi-hypothyroidism.

Indlala yegilo ikhona entanyeni, ngenhla nje lapho kuhlangana khona amathambo akho ophakathi nendawo.

Imbangela yalesi sifo ayikaziwa. Kodwa kuhlobene nokuhlaselwa kwe-thyroid amasosha omzimba. Lesi sifo sithinta abesifazane kaningi kunabesilisa.

Lesi sifo singenzeka kwabesifazane abasanda kuba nengane. Kungabangelwa futhi yimithi efana ne-interferon ne-amiodarone, nezinye izinhlobo zamakhemikhali, ezithinta amasosha omzimba.

Izimpawu zokuqala zibangelwa indlala yegilo engasebenzi ngokweqile (hyperthyroidism). Lezi zimpawu zingahlala izinyanga ezifika kwezintathu.

Izimpawu zivame ukuba mnene, futhi zingafaka:

• Ukukhathala, ukuzizwa ubuthakathaka
• Ukuhamba kwamathumbu kaningi
• Ukungabekezelelani kokushisa
• Ukwanda kwesifiso
• Ukujuluka okwengeziwe
• Izikhathi zokuya esikhathini ezingajwayelekile
• Ukushintsha kwesimo, njengokucasuka
• Amajaqamba emisipha
• Ukwesaba, ukungahlaliseki
• Ukushaya kancane
• Ukwehla kwesisindo

Izimpawu zakamuva zingaba nge-thyroid engasebenzi (i-hypothyroidism), kufaka phakathi:

• Ukukhathala
• Ukuqunjelwa
• Isikhumba esomile
• Ukuzuza kwesisindo
• Ukungabekezelelani okubandayo

Lezi zimpawu zingaqhubeka kuze kube yilapho i-thyroid ithola umsebenzi ojwayelekile. Ukubuyiselwa kwe-thyroid kungathatha izinyanga eziningi kwabanye abantu. Abanye abantu babona kuphela izimpawu ze-hypothyroid futhi abanazo izimpawu ze-hyperthyroidism ukuqala.

Umhlinzeki wezokunakekelwa kwempilo uzokuhlola abuze ngezimpawu zakho nomlando wezokwelapha.

Ukuhlolwa komzimba kungakhombisa:

• I-gland yegciwane eyandisiwe engeyona ebuhlungu ekuthinteni
• Ukushaya kwenhliziyo okusheshayo
• Ukuxhawula (ukuthuthumela)
• Izimo eziphuthumayo
• Umjuluko, isikhumba esifudumele

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuthathwa kwe-iodine enemisebe
• Ama-hormone endlala yegilo T3 no-T4
• I-TSH
• Isilinganiso se-erythrocyte sedimentation
• Amaprotheni asebenza ngo-C

Abahlinzeki abaningi manje bahlola izifo ze-thyroid ngaphambi nangemva kokuqala imithi evame ukudala lesi simo.

Ukwelashwa kusekelwe ezimpawu. Imithi ebizwa nge-beta-blockers ingasetshenziselwa ukudambisa ukushaya kwenhliziyo okusheshayo nokujuluka okweqile.

I-thyroiditis ethulile ivame ukuzihambela yodwa kungakapheli unyaka. Isigaba esibucayi siphela ezinyangeni ezintathu.

Abanye abantu baba ne-hypothyroidism ngokuhamba kwesikhathi. Badinga ukwelashwa isikhashana ngomuthi obuyisela i-hormone yegilo. Ukulandelwa okuvamile nomhlinzeki kuyanconywa.

Lesi sifo asithelelani. Abantu abakwazi ukukuthathela lesi sifo. Futhi akuzuzwa njengefa emindenini njengezinye izimo ze-thyroid.

Shayela umhlinzeki wakho uma unezimpawu zalesi simo.

I-lymphocytic thyroiditis; Ukufaka i-lymphocytic thyroiditis; I-thyroiditis engenabuhlungu; I-postpartum thyroiditis; Indlala yegilo - ithule; Hyperthyroidism - i-thyroiditis ethule

• Indlala yegilo

IHollenberg A, iWiersinga WM. Izinkinga ze-Hyperthyroid. Ku: Melmed S, Auchus RJ, Golfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 12.

UJonklaas J, Cooper DS. Indlala yegilo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 213.

ULakis ME, uWiseman D, uKebebew E. Ukuphathwa kwe-thyroiditis. Ku: UCameron AM, uCameron JL, ama-eds. Ukwelashwa Kwamanje. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: 764-767.