Faka i-Thyroiditis

-Delile

• Izimbangela nezici zobungozi
• Ziyini izimpawu ze-subacute thyroiditis?
• Izimpawu ze-Hyperthyroidism
• Izimpawu ze-Hypothyroidism
• Izinhlobo ze-subacute thyroiditis
• Ihlonza kanjani i-subacute thyroiditis?
• Yelashwa kanjani i-subacute thyroiditis?
• Ukuvimbela nokubikezela
• Uyini umbono wabantu abane-subacute thyroiditis?

Kuyini i-subacute thyroiditis?

I-Thyroiditis isho ukuvuvukala kwendlala yegilo. Indlala yegilo ingaphambi kwentamo ekhipha izinhlobo ezahlukahlukene zamahomoni. Lawa mahomoni asiza ukulawula imetabolism, inqubo eguqula ukudla kube ngamandla. Zidlala neqhaza elibalulekile ekuphenduleni kwakho ngokomzimba nangokomzwelo, njengokwesaba, injabulo nentokozo.

I-Thyroiditis ifaka iqembu lezinkinga ezibangela ukuvuvukala kwegilo. Izinhlobo eziningi ze-thyroiditis ngokuvamile ziholela ku-hyperthyroidism noma ku-hypothyroidism. I-Hyperthyroidism yisifo lapho igilo lisebenza ngokweqile futhi likhiqiza amahomoni amaningi kakhulu. I-Hypothyroidism yisimo lapho i-thyroid ingasebenzi khona futhi ingenzi ama-hormone anele. Zombili lezi zimo zingadala ukushintsha kwesisindo, ukukhathazeka nokukhathala.

I-Subacute thyroiditis uhlobo olungavamile lwe-thyroiditis oludala ubuhlungu nokungahambi kahle kwi-thyroid. Abantu abanalesi simo bazoba nezimpawu ze-hyperthyroidism futhi kamuva babe nezimpawu ze-hypothyroidism. Ngenkathi imvamisa yesikhashana, i-subacute thyroiditis ingadala izingqinamba ezihlala njalo uma iyekwa ingalashwa.

Izimbangela nezici zobungozi

Ngokungafani nezinye izinhlobo ze-thyroiditis, i-subacute thyroiditis kucatshangwa ukuthi ixhunyaniswe nokutheleleka ngegciwane. Ukuphendula igciwane, i-thyroid iyavuvukala futhi ingaphazamisa ukukhiqizwa kwamahomoni. Lokhu kubangela ukuvuvukala kanye nezimpawu ezahlukahlukene.

I-Subacute thyroiditis ivame kakhulu kubantu besifazane abaneminyaka engama-40 kuye kwengama-50 kunabesilisa abalinganayo. Imvamisa kwenzeka ngemuva kokutheleleka okuphezulu kokuphefumula, njengomkhuhlane noma imumpa.

Ziyini izimpawu ze-subacute thyroiditis?

Ngokungafani nezinye izinhlobo ze-thyroiditis, i-subacute thyroiditis ibangela ubuhlungu endlaleni yegilo. Kwezinye izimo, lobu buhlungu bungase busabalalele nakwezinye izingxenye zentamo yakho, izindlebe, noma umhlathi. I-thyroid yakho ingahle ivuvuke futhi ithambe lapho uyithinta. I-American Thyroid Association ilinganisela ukuthi ubuhlungu buvame ukuhlala phakathi kwenyanga eyodwa kuya kwezingu-3.

Ezinye izimpawu ze-subacute thyroiditis zifaka:

• imfiva
• ukukhathala
• ubuthakathaka
• ukushaqeka
• ubunzima bokugwinya

Izimpawu ze-Hyperthyroidism

Iningi labantu livame ukuthuthukisa i-hyperthyroidism ezigabeni zokuqala ze-subacute thyroiditis. Izimpawu ngalesi sigaba sesifo zingafaka:

• ukucasuka
• ukukhathazeka
• ukungahlaliseki
• unenkinga yokugxila
• isifo sohudo
• ukuncipha okungazelelwe kwesisindo
• ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• ukushisa komzimba okwandisiwe okuvame ukuholela ekujulukeni ngokweqile
• ukuthuthumela

Izimpawu ze-Hypothyroidism

Njengoba lesi sifo siqhubeka, i-hypothyroidism ngokuvamile ingena esikhundleni se-hyperthyroidism esigabeni sesibili. Izimpawu zesigaba sesibili zingafaka:

• ukukhathala
• ukulahleka kwezinwele
• ukungabekezelelani okubandayo
• ukuqunjelwa
• ukuzuza kwesisindo ngokungazelelwe
• izikhathi ezinzima zokuya esikhathini
• ukudana

Isigaba sokuqala se-subacute thyroiditis ngokuvamile sihlala isikhathi esingaphansi kwezinyanga ezintathu. Isigaba sesibili singahlala izinyanga eziyisishiyagalolunye kuya kweziyi-15.

Izinhlobo ze-subacute thyroiditis

Kunezinhlobo ezine ezihlukene ze-subacute thyroiditis:

I-Subacute granulomatous thyroiditis: Lolu uhlobo oluvame kakhulu lwe-subacute thyroiditis. Kubangelwa kakhulu ukutheleleka ngegciwane.

I-Postpartum thyroiditis: Lokhu kwenzeka kwabesifazane kungakapheli unyaka ngemuva kokubeletha, futhi kuvame ukuphela kungakapheli izinyanga eziyi-18. Abesifazane abathuthukisa lolu hlobo lwe-thyroiditis kucatshangwa ukuthi banesifo esizimele somzimba esidala ukuvuvukala. Izimpawu zenzeka ngezigaba ezimbili, eziqala ngezimpawu ze-hyperthyroid futhi zihambise izimpawu ze-hypothyroid.

I-Subacute lymphocytic thyroiditis: Lokhu kwenzeka nangesikhathi sokubeletha. Izimpawu ze-Hyperthyroid zikhula ngaphambili (imvamisa kungakapheli izinyanga ezintathu ngemuva kokubeletha), futhi izimpawu ze-hypothyroid zingahlala izinyanga ezimbalwa ngemuva kwalokho.

I-palpation thyroiditis: Lokhu kukhula lapho izintambo ze-thyroid zonakaliswa kusukela ekuphathweni kwemishini njengokuhlolwa okuphindaphindiwe kwendlala yegilo noma ukuhlinzwa.

Onke ama-subtypes we-subacute thyroiditis alandela inkambo efanayo yezimpawu, nge-hyperthyroid ekhula kuqala. Umehluko omkhulu yizimbangela.

Ihlonza kanjani i-subacute thyroiditis?

Udokotela wakho uzozwa futhi ahlole intamo yakho ukubona ukuthi indlala yegilo ikhulisiwe noma iyavuvukala. Bazokubuza futhi mayelana nezimpawu zakho nomlando wakho wakamuva wezokwelapha. Udokotela wakho uzoba sethubeni lokuhlola i-subacute thyroiditis uma usanda kuba nokutheleleka ngegciwane emgudwini ophezulu wokuphefumula.

Udokotela wakho uzoku-oda ukuhlolwa kwegazi ukuze aqinisekise ukuxilongwa kwe-subacute thyroiditis. Lokhu kuhlolwa kuzohlola amazinga ama-hormone athile egazini lakho. Ngokuqondile, ukuhlolwa kwegazi kuzolinganisa i-hormone yakho yegilo, noma i-T4 yamahhala, namazinga e-thyroid stimulating hormone (TSH). Izinga lamahhala le-T4 ne-TSH liyingxenye yalokho okubizwa ngokuthi "iluphu yempendulo yangaphakathi." Lapho ileveli eyodwa iphakeme, elinye izinga liphansi, futhi okuphambene nalokho.

Imiphumela yokuhlolwa kwegazi iyohluka kuye ngesigaba sesifo. Ezigabeni zokuqala, amazinga wakho wamahhala we-T4 azobe ephakeme ngenkathi amazinga akho e-TSH ezobe ephansi. Ezigabeni zakamuva, amazinga akho e-TSH azophakama ngenkathi amazinga akho e-T4 ezobe ephansi. Izinga elingajwayelekile le-hormone ethile libonisa i-subacute thyroiditis.

Yelashwa kanjani i-subacute thyroiditis?

Uma kutholakala ukuthi une-subacute thyroiditis, udokotela wakho uzokunika imithi yokusiza ukunciphisa ubuhlungu nokulawula ukuvuvukala. Kwezinye izimo, lokhu ukuphela kokwelapha okudingekayo kwe-subacute thyroiditis. Imithi engenzeka ibandakanya:

• Izidakamizwa zokulwa nokuvuvukala ezingaphezu kwama-counter-the-counter (ama-NSAID). Imithi efana ne-aspirin ne-ibuprofen isebenza ngokunciphisa ukuvuvukala. Ngenxa yalokho, uzobuzwa ubuhlungu obuncane. I-Acetaminophen (iTylenol) ayisebenzi kangako ngoba ayizinciphisi izimbangela zokuvuvukala kwe-thyroiditis.
• Ama-Corticosteroids. Ama-Corticosteroids asetshenziswa lapho ama-NSAID enganele ukunciphisa ukuvuvukala. I-Prednisone iyi-corticosteroid ejwayelekile esetshenziselwa ukwelapha i-subacute thyroiditis. Udokotela wakho angakunika ama-milligram ayi-15 kuye kwangama-30 ngosuku ukuqala, bese wehlisa kancane umthamo ngaphezu kwamasonto amathathu kuya kwamane.
• Ama-beta blockers. Udokotela wakho angahle anikeze ama-beta-blockers uma ngabe i-hyperthyroidism ikhona ekuqaleni. Le mithi yehlisa umfutho wegazi kanye nesilinganiso sokushaya ngamandla sokudambisa izimpawu ezithile, kufaka phakathi ukukhathazeka nokushaya kwenhliziyo okungajwayelekile.

Ukwelashwa kwe-hyperthyroidism kubalulekile ekuqaleni kwesifo. Kodwa-ke, ngeke kusize uma isimo sakho sidlulela esigabeni sesibili. Phakathi nezigaba zakamuva zesifo, uzoba ne-hypothyroidism. Kuzodingeka ukuthi uthathe ama-hormone afana ne-levothyroxine ukuze ungene esikhundleni sawo umzimba wakho ongawakhiqizi.

Ukwelashwa kwe-subacute thyroiditis kuvame ukuba kwesikhashana. Udokotela wakho ekugcineni uzokususa kunoma imiphi imithi enqunyelwe ukuphatha lesi simo.

Ukuvimbela nokubikezela

Azikho izindlela ezicacile zokuvimbela i-subacute thyroiditis ngoba imbangela eqondile ayaziwa. Ukuphindaphinda akuvamile.

Ezimweni eziningi, i-subacute thyroiditis ixazululwa yodwa ngaphandle kwesixwayiso. Isibikezelo jikelele sincike ekutheni umonakalo wenzani yegilo. Uma kwenzeka umonakalo omkhulu, ungahle ubhekane nezinkinga ezihlala njalo ze-thyroid futhi udinga ukwelashwa okuqhubekayo.

Uyini umbono wabantu abane-subacute thyroiditis?

Izimpawu ze-subacute thyroiditis zivame ukuphela zingakapheli izinyanga eziyi-12 kuya kwezingu-18. Kwezinye izimo, noma kunjalo, i-hypothyroidism ingagcina ingunaphakade. I-American Thyroid Association ilinganisela ukuthi cishe amaphesenti ama-5 abantu abane-subacute thyroiditis baba ne-hypothyroidism ehlala njalo. Izinkinga zempilo ezihlala njalo zivame ngokweqile.

Shayela udokotela wakho uma usola ukuthi une-subacute thyroiditis. Ukuxilongwa nokwelashwa kusenesikhathi kungasiza ekuvikeleni i-hypothyroidism engapheli.