Yini i-Hashimoto's thyroiditis, izimpawu eziyinhloko nokuthi kufanele welashwe kanjani

-Delile

• Izimpawu eziyinhloko
• Yini ebangela iHashimoto's thyroiditis
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani
• Ukudla kufanele kube kanjani
• Izinkinga ezingenzeka ze-thyroiditis

IHashimoto's thyroiditis yisifo esizimele lapho amasosha omzimba ehlasela amangqamuzana e-thyroid, abangele ukuvuvukala kwaleyo ndlala, okuvame ukuholela ku-hyperthyroidism yesikhashana elandelwa yi-hypothyroidism.

Eqinisweni, lolu hlobo lwe-thyroiditis lungenye yezimbangela ezivame kakhulu ze-hypothyroidism, ikakhulukazi kwabesifazane abadala, okwenza izimpawu ezifana nokukhathala ngokweqile, ukulahleka kwezinwele, izipikili ezinamahloni ngisho nokuhluleka kwememori.

Esikhathini esiningi, lesi sifo siqala ngokwanda okungenabuhlungu kwendlala yegilo futhi, ngakho-ke, singabonakala kuphela ngesikhathi sokuhlolwa okujwayelekile ngudokotela, kepha kwezinye izimo, i-thyroiditis ingadala ukuzwa entanyeni entanyeni, okwenza ayibangeli buhlungu ngokushaya ngamandla. Kunoma ikuphi, ukwelashwa nge-endocrinologist kufanele kuqalwe ngokushesha okukhulu ukulawula ukusebenza kwendlala futhi kuvimbele ukuvela kwezinkinga.

Izimpawu eziyinhloko

Izimpawu ezivame kakhulu ze-Hashimoto's thyroiditis ziyefana ncamashi ne-hypothyroidism, ngakho-ke kuvamile ukuba:

• Ukuzuza kalula kwesisindo;
• Ukukhathala ngokweqile;
• Isikhumba esibandayo nesiphaphathekile;
• Ukuqunjelwa;
• Ukubekezelelana okubandayo okuphansi;
• Ubuhlungu bemisipha noma bamalunga;
• Ukuvuvukala okuncane kwangaphambi kwentamo endaweni ye-thyroid;
• Izinwele nezinzipho ezibuthakathaka.

Le nkinga ivame kakhulu kwabesifazane futhi imvamisa itholakala phakathi kweminyaka engama-30 nengama-50 ubudala. Ekuqaleni, udokotela angathola kuphela i-hypothyroidism futhi, ngemuva kokwenza ezinye izivivinyo, akhombe ukuvuvukala kwe-thyroid okufika lapho kutholakala khona i-Hashimoto's thyroiditis.

Yini ebangela iHashimoto's thyroiditis

Isizathu esithile sokuvela kwe-Hashimoto's thyroiditis asikaziwa, kepha kungenzeka ukuthi sibangelwa ukuguqulwa kofuzo, ngoba kungenzeka ukuthi lesi sifo sivele kubantu abaningana bomndeni owodwa. Olunye ucwaningo lukhombisa ukuthi lolu hlobo lwe-thyroiditis lungaqalwa ngemuva kokutheleleka ngegciwane noma ibhaktheriya, eligcina lidale ukuvuvukala okungapheli kwegilo.

Yize singekho isizathu esaziwayo, iHashimoto's thyroiditis ibonakala ivame kakhulu kubantu abanezinye izinkinga ze-endocrine ezinjengohlobo 1 sikashukela, ukungasebenzi kahle kwe-adrenal gland noma ezinye izifo ezizimele njenge-anemia eyingozi, i-rheumatoid arthritis, i-Sjögren's syndrome, i-Addison noma i-lupus, nezinye njengokushoda kwe-ACTH, umdlavuza webele, i-hepatitis kanye nokuba khona kwe- H. pylori.

Ungakuqinisekisa kanjani ukuxilongwa

Indlela engcono yokuxilonga iHashimoto's thyroiditis ukubonana nodokotela we-endocrinologist futhi wenze ukuhlolwa kwegazi okuhlola inani le-T3, T4 ne-TSH, ngaphezu kokuseshwa kwama-antithyroid antibodies (anti-TPO). Endabeni ye-thyroiditis, i-TSH imvamisa ijwayelekile noma iyanda.

Abanye abantu bangaba nama-antithyroid antibodies kodwa bengenazo izimpawu, futhi kubhekwe ukuthi bane-subclinical autoimmune thyroiditis ngakho-ke abadingi ukwelashwa.

Funda kabanzi mayelana nezivivinyo ezihlola i-thyroid.

Yelashwa kanjani

Ukwelashwa kuvame ukukhonjiswa kuphela uma kuba nezinguquko kumanani we-TSH noma lapho kuvela izimpawu, futhi kuvame ukuqala ngokufakwa kwe-hormone okusetshenziswe i-Levothyroxine izinyanga eziyisithupha. Ngemuva kwaleso sikhathi, kuyadingeka ukubuyela kudokotela ukuyohlola kabusha ubukhulu bendlala bese wenza izivivinyo ezintsha ukubona ukuthi kunesidingo yini sokulungisa umthamo womuthi.

Ezimweni lapho kunzima khona ukuphefumula noma ukudla, ngokwesibonelo, ngenxa yokwanda kwevolumu yegilo, kungahlinzekwa ukuhlinzeka ukukhipha indlala, ebizwa nge-thyroidectomy.

Ukudla kufanele kube kanjani

Ukudla nakho kungayithinta kakhulu impilo yegilo futhi, ngakho-ke, kunconywa ukuthi udle ukudla okunempilo nokudla okunothile ngezakhamzimba ezilungele ukusebenza kwe-thyroid njenge-iodine, i-zinc noma i-selenium, isibonelo. Bona uhlu lokudla okuhle kakhulu kwe-thyroid.

Bona ividiyo elandelayo ukuthola amathiphu amaningi wokuthi ukulungisa indlela odla ngayo kungasiza kanjani ukusebenza kwe-thyroid ngendlela efanele:

Izinkinga ezingenzeka ze-thyroiditis

Lapho i-thyroiditis ibangela ushintsho ekukhiqizeni ama-hormone futhi ingalashwa kahle, kungavela ezinye izinkinga zempilo. Okuvame kakhulu kufaka:

• Izinkinga zenhliziyo: abantu abane-hypothyroidism engalawulwa banamathuba amaningi okuba namazinga aphezulu e-LDL egazi, okwandisa ubungozi bezinkinga zenhliziyo;
• Izinkinga zempilo yengqondo: ngokunciphisa ukukhiqizwa kwamahomoni e-thyroid, umzimba uphelelwa amandla ngakho-ke umuntu uzizwa ekhathele ngokwengeziwe, okufaka isandla ekuguqukeni kwemizwelo ngisho nasekuqaleni kokucindezeleka;
• I-Myxedema: Lesi yisimo esingajwayelekile esivame ukuvela ezimweni ezisezingeni eliphakeme kakhulu ze-hypothyroidism, okuholele ekuvuvukeni kobuso kanye nezimpawu ezimbi kakhulu njengokuntula amandla ngokuphelele nokulahlekelwa ukwazi.

Ngakho-ke, inhloso ukuthi noma nini lapho usola i-thyroiditis, funa udokotela we-endocrinologist enze izivivinyo ezidingekayo bese uqala ukwelashwa ngokushesha okukhulu.