Izimpawu ze-Hypothyroidism, izimbangela eziyinhloko nokuthi unjani ukwelashwa

-Delile

• Izimpawu nezimpawu
• Izimbangela eziyinhloko
• Ungazi kanjani ukuthi ngabe yi-hypothyroidism
• Ngubani odinga ukuba nezivivinyo ze-thyroid
• I-Hypothyroidism ekukhulelweni
• Ungayelapha Kanjani i-Hypothyroidism
• Izimpawu zokuthuthuka nokuya ngokuya ziba zimbi

I-Hypothyroidism ingesinye sezifo ezivame kakhulu endocrine futhi ebonakala ngomsebenzi ophansi we-thyroid, obangela ukuthi ikhiqize ama-hormone amancane kunalokho okudingekayo ekusebenzeni kahle kwayo yonke imisebenzi yomzimba, okuholela ekubonakaleni kwezimpawu ezithile ngokukhathala ngokweqile, ukwehla kwenhliziyo , ukukhuluphala, ukuncipha kwezinwele nesikhumba esomile.

Lolu shintsho luvame kakhulu kwabesifazane abaneminyaka engaphezu kwengama-40 ubudala, abanamalungu omndeni asondelene ane-hypothyroidism, asebesusile ingxenye noma lonke igilo noma abathola uhlobo oluthile lwemisebe ekhanda noma entanyeni. Ukwelashwa kwe-hypothyroidism kuhlose ukulawula amazinga wamahomoni wegilo futhi ngaleyo ndlela aqede izimpawu, futhi ukusetshenziswa kwamahomoni okwenziwa, njengeLevothyroxine, ngokwesibonelo, kuvame ukukhonjiswa ngudokotela we-endocrinologist.

Izimpawu nezimpawu

Izimpawu nezimpawu ezingakhombisa ukusebenza okuncane kwe-thyroid kungavela kancane eminyakeni edlule ngokwehla kwamazinga ama-hormone egilo, i-T3 ne-T4. Izimpawu nezimpawu eziyinhloko ze-hypothyroidism yilezi:

• Ikhanda, emisipheni nasemalungeni;
• Ukuya esikhathini okungajwayelekile, okungenza kube nzima ukukhulelwa;
• Izipikili ezibuthakathaka, eziqhekekile nesikhumba esimahhadla, esomile;
• Amehlo, esifundeni samajwabu amehlo, avuvukele;
• Ukulahleka kwezinwele ngaphandle kwesizathu esizwakalayo nezinwele ezondile, ezomile nezingenangqondo;
• Ukushaya kwenhliziyo kuhamba kancane kunokujwayelekile;
• Ukukhathala ngokweqile;
• Kunzima ukugxila, inkumbulo embi;
• Ukwehla kwe-libido;
• Ukuzuza kwesisindo ngaphandle kwesizathu.

Ngaphezu kwalokho, kwezinye izimo umuntu angaba nezinguquko ebuntwini, ukudana kwengqondo kanye nokuwohloka komqondo, kodwa-ke lezi zimpawu zenzeka kubantu abanamazinga aphansi kakhulu we-T3 ne-T4.

Endabeni yezingane, i-hypothyroidism nayo ingaphazamisa ukukhula, ukuze ebusheni, ukuthomba kungabambezeleka futhi kube kufushane, ngokwesibonelo. Ngaphezu kwalokho, esimweni sokuzalwa kwe-hypothyroidism, uma ingane ingatholakali kusasele isonto lokuqala ngemuva kokuzalwa, ingane ingaba nezinguquko zemithambo yegazi, ibe nengozi yokuba nokuwohloka kwengqondo. Bona okuningi mayelana nokuzalwa kwe-hypothyroidism.

Izimbangela eziyinhloko

Isizathu esivame kakhulu se-hypothyroidism yiHashimoto's Thyroiditis, okuyisifo esizimele, lapho amasosha omzimba aqala ukuhlasela indlala yegilo, njengokungathi iyingozi emzimbeni uqobo. Ngaphezu kwalokho, i-hypothyroidism ingenzeka ngenxa yokushoda kwe-iodine, okuyisimo esaziwa njenge-goiter, lapho kukhula khona usayizi wegilo, kepha inani elincane le-T3 ne-T4 ngenxa yokwehla kokuhlungwa kwe-iodine.

Ukwelashwa ngokumelene ne-hyperthyroidism noma ukusetshenziswa kwezidakamizwa ezifana ne-lithium carbonate, i-amiodarone, i-propylthiouracil ne-methimazole nakho kungaholela ku-hypothyroidism, futhi kubalulekile ukubonisana nodokotela we-endocrinologist uma kukhona ezinye zezimpawu ezikhona ukuze kumiswe umuthi noma ukushintshwa.

Abantu abathathe imishanguzo ye-thyroid ukuze banciphise isisindo bangabuye bahlakulele i-hypothyroidism ngoba uma la mahomoni asevele ekhona egazini, i-thyroid ingamisa noma inciphise umkhiqizo wayo wemvelo.

Ngaphezu kwalezi zimbangela, i-hypothyroidism nayo ingavela ngesikhathi sokukhulelwa noma esikhathini sokubeletha esivame ukubuyela kokujwayelekile kungekudala. Ngaphezu kwalokho, kubalulekile ukukhumbula ukuthi lesi sifo sinciphisa ukuzala kowesifazane, sidale izinkinga zokukhulelwa. Bona okuningi nge-hypothyroidism nokukhulelwa.

Ungazi kanjani ukuthi ngabe yi-hypothyroidism

Ukuthola ukuthi yi-hypothyroidism, i-endocrinologist ihlola izimpawu nezimpawu ezethulwe ngumuntu futhi ikhombisa ukusebenza kwezivivinyo zegazi ukuhlola inani lama-hormone ahlobene ne-thyroid.

Ngakho-ke, umthamo we-T3 no-T4 ukhonjisiwe, ovame ukwehla ku-hypothyroidism, kanye nomthamo we-TSH, owandisiwe. Endabeni ye-subclinical hypothyroidism, amazinga ajwayelekile we-T4 nokwanda kwe-TSH kungabonakala. Bona okuningi mayelana nokuhlolwa okuhlola i-thyroid.

Ngaphezu kwalokho, udokotela angancoma ukuthi kwenziwe ucwaningo lwe-antibody, imephu ye-thyroid kanye ne-ultrasound ye-thyroid lapho kutholakala amaqhuqhuva ngesikhathi sokushaya kwegilo. Kungenzeka futhi ukuthi umuntu enze ukuzihlola kwe-thyroid ukuthola noma yiziphi izinguquko, ikakhulukazi amaqhubu. Funda ukuthi ungazihlola kanjani i-thyroid.

Ngubani odinga ukuba nezivivinyo ze-thyroid

Ngaphezu kwabantu abakhombisa izimpawu nezimpawu ezingakhombisa i-hypothyroidism, lezi zivivinyo kufanele zenziwe futhi:

I-Hypothyroidism ekukhulelweni

I-Hypothyroidism, uma ingalawulwa kahle, ingavimbela amathuba okukhulelwa futhi ibe nemiphumela yomama nomntwana. Kungenzeka futhi esikhathini sokubeletha, ezinyangeni ezimbalwa umntwana ezelwe, ngendlela yesikhashana futhi okudinga nokunakekelwa ngokwelashwa.

Ngakho-ke, kuyinto ejwayelekile ukuthi ngesikhathi sokunakekelwa kokubeletha, udokotela uyalela izivivinyo ze-T3, T4 ne-TSH ukuhlola ukusebenza kwe-thyroid futhi aqhubeke nokuqapha ngemuva kokubeletha ukuthi amanani wehomoni yegilo ayini nokuthi kunesidingo sokusebenzisa imithi. buyela kokujwayelekile. Thola ukuthi iziphi izingozi ze-hypothyroidism ekukhulelweni.

Ungayelapha Kanjani i-Hypothyroidism

Ukwelashwa kwe-hypothyroidism kulula futhi kufanele kwenziwe ngokufaka ama-hormone ngokuthatha ama-hormone okwenziwa, i-Levothyroxine, equkethe i-hormone T4, futhi okumele idliwe esiswini esingenalutho, okungenani imizuzu engama-30 ngaphambi kokudla kwasekuseni. Ekuseni, ngakho-ke ukuthi ukugaywa kokudla akwehlisi ukusebenza kwayo. Umthamo womuthi kufanele unikezwe yi-endocrinologist futhi ungahluka kulo lonke ukwelashwa ngokuya ngamazinga we-T3 no-T4 ajikeleza egazini.

Emasontweni ayisithupha ngemuva kokuqala kokusetshenziswa kwemithi, udokotela angabheka izimpawu zomuntu bese eyalela ukuhlolwa kwe-TSH ukubona ukuthi kunesidingo yini sokulungisa umthamo womuthi kuze kube yilapho inani le-T4 yamahhala lijwayelekile. Ngemuva kwalokho, izivivinyo zokuhlola i-thyroid kufanele zenziwe kanye noma kabili ngonyaka, ukubona ukuthi kunesidingo yini sokulungisa umthamo womuthi.

Ngaphezu kokusetshenziswa kwemithi, kubalulekile ukuthi umuntu alawule amazinga e-cholesterol egazini, agweme ukusetshenziswa kwamafutha, adle ukudla okusiza isibindi ukuthi sisebenze kahle futhi agweme ukucindezelwa okweqile, ngoba kuphazamisa uketshezi kwamahomoni yegilo. Kwezinye izimo, ukubonisana nesazi sokudla okunempilo nakho kunganconywa ukuze ukwelashwa kokudla okunomsoco nge-iodine supplementation kungasiza ekwehliseni izimpawu ze-hypothyroidism.

Endabeni ye-subclinical hypothyroidism, lapho kungekho zimpawu ezithintekayo, udokotela angancoma ukusetshenziswa kwemithi ngoba ingasiza ekwehliseni ubungozi bezinkinga zenhliziyo, ezingabaluleka kubantu abakhuluphele ngokweqile noma abane-cholesterol ephezulu noma isifo sikashukela .

Bona ukuthi ukudla kungathuthukisa kanjani ukusebenza kwe-thyroid kuvidiyo elandelayo.

Izimpawu zokuthuthuka nokuya ngokuya ziba zimbi

Izimpawu zokuthuthuka kwe-hypothyroidism zivela ngaphezulu noma ngaphansi kwamasonto ama-2 ngemuva kokuqala kokwelashwa, ngokunciphisa ukukhathala nokuthuthuka kwemizwa. Ngaphezu kwalokho, ukwelashwa kwesikhathi eside kwe-hypothyroidism futhi kuyasiza ukulawula isisindo nokunciphisa amazinga egazi egazini.

Izimpawu zokuwohloka ziyavela lapho ukwelashwa kungenziwanga kahle noma lapho umthamo we-Levothyroxine unganele, ngokuqwasha, ukwanda kwesifiso sokudla, ukushaya kwenhliziyo nokuthuthumela.