I-Thyroiditis: iyini, izinhlobo eziyinhloko nezimpawu

-Delile

• 1. IHashimoto's thyroiditis
• 2. Iquervain's thyroiditis
• 3. I-lymphocytic thyroiditis
• 4. I-Riedel's thyroiditis
• 5. Okunye i-thyroiditis

I-Thyroiditis ukuvuvukala kwendlala yegilo engenzeka ngenxa yezimo eziningana, njengokushintsha kokuzivikela komzimba, ukutheleleka noma ukusetshenziswa kwemithi, ngokwesibonelo, okungenzeka ngendlela ebucayi, lapho ukuvela kwezinto kushesha, noma indlela engapheli, yokuthi ukuvuvukala kwenzeka kancane kancane.

Njengoba ukuvuvukala kwe-thyroid kwenzeka, izimpawu nezimpawu zingavela, njengobuhlungu entanyeni, ubunzima bokugwinya, umkhuhlane kanye nokugodola, futhi kungadala nemiphumela efana ne-hypothyroidism noma i-hyperthyroidism.

Kubalulekile ukuthi i-thyroiditis ikhonjwe futhi yelashwe ngokushesha lapho kuvela izimpawu zokuqala, njengoba kwezinye izimo kunamathuba amakhulu okwelashwa. Ukwelashwa kwe-thyroiditis kukhonjiswa yi-endocrinologist futhi kuyahlukahluka ngokuya ngesizathu futhi, ngenxa yalokho, uhlobo lwe-thyroiditis.

Ngokusho kwesizathu sokuvuvukala kwe-thyroid, i-thyroiditis ingahlukaniswa ngezinhlobo ezithile, okuyiyona eyinhloko:

1. IHashimoto's thyroiditis

IHashimoto's thyroiditis uhlobo oluvame kakhulu lwe-thyroiditis engapheli futhi luvame kakhulu kwabesifazane abaneminyaka engama-30 kuya kwengama-50, yize ingavela kunoma yisiphi isigaba sempilo. IHashimoto's thyroiditis yisifo esizimele lapho umzimba ukhiqiza amasosha omzimba agcina ngokuhlasela amangqamuzana egilo, abangele ukuvuvukala, ushintsho ekusebenzeni kwawo nokwehla kokuhlanganiswa kwamahomoni wegilo.

Izimpawu eziyinhloko: uphawu oluyinhloko i-thyroid ekhulisiwe, eyaziwa nangokuthi i-goiter, futhi akuyona into evamile ukudala ubuhlungu. Kungase kube nezimpawu ze-hypothyroidism, njengokukhathala, ukozela, isikhumba esomile nokuntuleka kokuhlushwa, ngokwesibonelo, kepha kungashintshana nezikhathi ze-hyperthyroidism, ezinezimpawu ezinjengokushaya ngamandla, ukuqwasha nokuncipha.

Ukwelashwa: ukwelashwa kusungulwa ngudokotela we-endocrinologist kanye nokushintshwa kwehomoni yegilo kuvame ukukhonjiswa, ngokusetshenziswa kwe-Levothyroxine, kepha, inkomba yayo incike kumanani wokusebenza kwe-thyroid, angaqinisekiswa nge-TSH nangokuhlolwa kwamahhala kwe-T4 kwegazi.

Funda kabanzi nge-Hashimoto's thyroiditis.

2. Iquervain's thyroiditis

I-Quervain's thyroiditis yenzeka ngenxa yokutheleleka ngamagciwane, njengemumpa, umkhuhlane, i-adenovirus, i-ecovirus noma iCoxsackie, ngokwesibonelo, ukuba yinsakavukela kwabesifazane abaneminyaka engama-30 kuya kwengama-50 ubudala. Lesi sifo sidala ukuvuvukala okukhulu endlaleni yegazi kanye nokucekelwa phansi kwamaseli ayo.

Izimpawu eziyinhloko: ubuhlungu esifundeni se-thyroid, obungaphuma emhlathini noma ezindlebeni. Indlala ingakhuliswa kancane, ibangele umphimbo obuhlungu nobunzima bokugwinya. Kungase kube nezimpawu zokutheleleka ngomgudu wokuphefumula, njengokukhwehlela nokukhiqiza uketshezi.

Ukwelashwa: ukwelashwa kwalolu hlobo lwe-thyroiditis kwenziwa ngezidakamizwa zokuqeda izimpawu, ikakhulukazi ngezidakamizwa ezilwa nokuvuvukala, njengeNaproxen, isibonelo. Ezimweni zezimpawu ezinzima noma eziphikelelayo, ukusetshenziswa kwe-corticosteroids, njengePrednisone, kungakhonjiswa ngudokotela we-endocrinologist.

Ukuqinisekisa lolu hlobo lwe-thyroiditis, udokotela anga-oda izivivinyo ezifana ne-ESR, ekhomba ubukhona bokuvuvukala, ngaphezu kokuhlolwa kokutholwa kwe-iodine radioactive, okuhlola ukusebenza kwe-thyroid. Uma kusekhona ukungabaza, udokotela angenza ukubhoboza kwe-thyroid, okungakhipha ezinye izimbangela, njenge-cyst noma umdlavuza. Funda kabanzi mayelana nezivivinyo ezihlola i-thyroid.

3. I-lymphocytic thyroiditis

I-Lymphocytic thyroiditis, eyaziwa nangokuthi ukuthula noma okungenabuhlungu, nayo ibangelwa yi-autoimmunity, lapho amasosha omzimba akhiqizwa emzimbeni ahlasela i-thyroid, evame kakhulu kwabesifazane abaneminyaka engama-30 kuya kwengama-60 ubudala.

Izimpawu eziyinhloko: I-lymphocytic thyroiditis ngokuvamile ayibangeli ubuhlungu noma isisa ku-thyroid, noma kunjalo ivuselela ukukhishwa kwamahomoni wegilo egazini, okungadala isikhathi esinezimpawu ze-hyperthyroidism, evame ukululama emasontweni ambalwa kuya ezinyangeni. Kwezinye izimo, kungahle kube nesikhathi esifushane se-hypothyroidism.

Ukwelashwa: I-lymphocytic thyroiditis ayinakho ukwelashwa okuqondile, futhi ukulawula izimpawu ze-hyperthyroidism kukhonjisiwe. Kwezinye izimo, udokotela angancoma ukusetshenziswa kwemithi efana nePropranolol ukulawula ukushaya kwenhliziyo ku-hyperthyroidism noma ukufaka esikhundleni samahomoni esigabeni se-hypothyroid, isibonelo.

4. I-Riedel's thyroiditis

I-Riedel's thyroiditis, eyaziwa nangokuthi i-fibrotic thyroiditis, olunye uhlobo lwe-thyroiditis engapheli engapheli ebangela izilonda ze-thyroid ne-fibrosis kancane kancane, okungaholela ku-hypothyroidism.

Izimpawu eziyinhloko: I-Riedel's thyroiditis ibangela ukwandiswa kwe-thyroid ngaphandle kobuhlungu, kepha kungadala umuzwa wokusinda entanyeni, ubunzima bokugwinya, ukushuba, ukuzwa ukuphelelwa umoya nokuphefumula okuncane.

Ukwelashwa: ukwelashwa kwalolu hlobo lwe-thyroiditis kwenziwa ngemithi yokwehlisa umsebenzi wokuvuvukala, njenge-corticosteroids, iTamoxifen noma iMethotrexate, isibonelo. Ukushintshwa kwehomoni ye-thyroid kungakhonjiswa futhi ngudokotela, lapho ukusebenza kwe-thyroid kungasebenzi kahle, nokuhlinzwa, uma izimpawu zokucindezelwa kwe-airway zinzima.

5. Okunye i-thyroiditis

Ezinye izimbangela ezingavamile kakhulu ze-thyroiditis zifaka lezo ezibangelwa ukudakwa ngemithi ethile, njenge-chemotherapy noma i-Amiodarone ngokwesibonelo. I-Actinic thyroiditis ibangelwa ukwelashwa ngemisebe esifundeni sentamo, okungadala ukuvuvukala noma ukuvinjelwa kokusebenza kweseli le-thyroid.

Kukhona futhi i-thyroiditis ebangelwa ukutheleleka nge-staphylococcus noma i-streptococcus type bacteria, noma isikhunta, njenge Aspergillus noma UCandida, ngokwesibonelo, noma ngezinye izinambuzane kanye ne-mycobacteria.