Oko Kufuneka Ukwazi Ngobuhlungu Bokuthi Ungathuli
Igama elithi thyroiditis libhekisela ngokubanzi kuyo nayiphi na ingxaki eyenza ukuvuvukala kwegciwane lakho le-thyroid. I-Thyroiditis iyahlula iindidi ezibini ezibanzi - ezingenabuhlungu kwaye zibuhlungu - ezibonisa ubuninzi beentlungu ezibangela izigulane.
I-thyroiditis engenakunzima iphinda ibhekiswe ngamanye amagama, kuquka i-thyroiditis yakho, i-thyroiditis i-lymphocytic, i-thyroiditis i-atypical, i-thyrotoxicosis ephantsi kwe-RAIU, i-hyperthyroiditis kunye ne-lymphocytic thyroiditis ngokusombulula i-hyperthyroidism.
Nangona ezinye iifoto ze thyroiditis zihamba kunye ne-thyroid-expanding - ebizwa ngokuba yi-goiter - kwi-thyroiditis engenakubuhlungu, i-thyroid gland ngokuvamile ayinakwandiswa.
Yintoni ebangela i-Painless Thyroiditis?
Ukuba unayo i-thyroiditis engenabuhlungu, uthathwa njengenomzimba wesifo se-thyroid, njenge-Hashimoto's thyroiditis, ngaphandle kokuba kwiimeko ezininzi, uya kulungisa emva kwexesha lakho kwaye i-thyroid iya kubuya kumsebenzi oqhelekileyo. Izizathu zezifo ezininzi ezizimelayo aziyazi okanye ziqondwa kakuhle.
Amachiza athile ayaziwa nangokubangela i-thyroiditis engenaluhlungu. Ukuba uthabatha amachiza alandelayo, kubalulekile ukuba uqaphele ukuba kunokubangela i-thyroiditis engenabuhlungu kwezinye izigulane:
- I-Interferon-alfa - imyeza esetyenziselwa ukunyanga ezinye iintsholongwane zentsholongwane kunye nosomdlavuza
- I-Interleukin-2 - imyeza esetyenziswa njengonyango lomhlaza
- I-Amiodarone - isilwanyana esisetyenziselwa ukuphatha intliziyo engavumelekanga
- I-lithium - indlela yokuzinzisa izilwanyana ezisetyenziselwa ukuphatha ingxaki ye-bipolar
Iimpawu
Kwezinye iimeko, i-thyroiditis engenabuhlungu ayiyi kuba nempawu. Kodwa imeko ingahamba kunye neempawu, ingakumbi iimpawu ze-hyperthyroidism kumaziko okuqala. Ezi zimpawu zingapheli kwiinyanga ezintathu, kwaye zingabandakanya:
- Ukukhathala
- Ubuthathaka kwimisipha
- Ukufuduka kweembilini, izibilini ezikhululekile, isifo sohudo
- Ukunyamezela ukufudumala, ukwanda kwesithuthuthu
- Ukwanda kwondlo
- Ukwandiswa kokutya okungenasisindo, okanye ukulahleka kwesisindo esingalindelekanga
- Ixesha eliqhelekileyo lokuya esikhathini
- Ukuziva, ukukhathazeka, ukuphumla, okanye ukucaphuka
- Iintliziyo zentlungu
- Ukungabikho
Kamva, iimpawu zakho zitshintshela kwi-thyroid engasebenzi (i-hypothyroidism), kwaye ingaquka ukuquka ukukhathala, ukuzuza ubunzima, ukulahlekelwa yintlungu, ukuxinezeleka nokunyamezela.
Abanye abantu baqaphela kuphela iimpawu ze-hypothyroid kwaye abanalo iimpawu ze-hyperthyroidism.
I-Course of Painless Thyroiditis
Kuqikelelwa ukuba i-thyroiditis engenakubuhlungu ingaba yimbangela ye-10 ukuya kwe-20 ekhulwini yamatyala e-hyperthyroidism-i-thyroid engapheliyo-kunye neepesenti ezili-10 ze-hypothyroidism.
I-thyroiditis engenasiphelo ihlala isombululo kwisithuba seenyanga ezimbini ukuya kwezine, kodwa kwezinye iimeko, inokuhlala ixesha elide nje ngonyaka. Kuqikelelwa ukuba ngokuhamba kwexesha, ubuninzi beepesenti ezingama-95 zezigulane ziya kubuya emsebenzini oqhelekileyo we-thyroid.
Kubalulekile ukuba ugqirha wakho enze i-diagnostic echanekileyo, kuba ngamaxesha amaninzi, unyango oluthile lwezonyango ezifana neyeza-antithyroid okanye i-thyroid ye-hormone ye-substitution yonyango ayimfuneko.
Ukuxilongwa
Ukuxilongwa kwe-thyroiditis engenakubuhlungu kuqukethe uviwo olusisigxina , oluquka ukuhlolwa kweencwadi zakho ze-thyroid gland, i-TSH, i-Free T4 kunye novavanyo lwe-Free T3, kunye ne-RAI-U kwezinye iimeko. I-RAI-U ibonisa ukunciphisa ukungena kwi-thyroiditis engenakubuhlungu. Ngokuqhelekanga, i-biopsy ye-thyroid - eyaziwa njenge- good nucleus aspiration (FNA) ye-biopsy - inokwenziwa ukuze kwenziwe ukuxilongwa ngokucacileyo.
Unyango
I-thyroiditis engenasiphelo isoloko iimeko ezimfutshane, ixesha elide, kwaye ngokuqhelekileyo ayibangeli i-thyroid. Xa unyango lufunekayo, ngokuqhelekileyo kukho iimpawu.
Ngoko, umzekelo, ukuba unesifo senhliziyo esiphezulu okanye iipilpitations ngexesha le-hyperthyroid ye-thyroiditis engenabuhlungu, unokumiselwa ikhosi emfutshane ye-beta ekhubaza iziyobisi. Okanye ukuba unesigaba se-hypothyroid eside ixesha elide, unokumiselwa ikhosi ye-thyroid ye-hormone ukuguqulwa kwamachiza kude kube lula ukuba i-thyroid ibuyele ekusebenzeni ngokuqhelekileyo.
Phantse iipesenti ezingama-20 zezigulane zenza i-hypothyroidism engapheliyo okanye i-thyroiditis ephindaphindiweyo, ngoko ke kubalulekile ukuba ulandele ixesha elide kunye nodokotela wakho.
Imithombo:
Burman, Kenneth. Ross, Douglas. UMartin, uKatherine. "Ubume be-thyroiditis." UpToDate . Kufumaneka: Agasti 22, 2008.
> Schwartz F, Bergmann N, Zerahn B, Faber J. Izinga lomonakalo we-thyroiditis engenabuhlungu ebonisa i-thyrotoxicosis eDenmark njengoko ihlolwe ngokulandelana kwe-thyroid scintigraphies. I-Scand J Clin Lab Invest 2013; 73: 240.