Igama elithi thyroiditis libhekisela ngokubanzi kuyo nayiphi na ingxaki eyenza ukuvuvukala kwegciwane lakho le-thyroid. I-Thyroiditis iyahlula iindidi ezibini ezibanzi-ezingenabuhlungu kunye nobuhlungu-ezibandakanya ubunzima beentlungu ezibangelwa izigulane.
Phakathi kwesigaba seentlobo ezibuhlungu ze-thyroiditis yinto eqhelekileyo eyaziwa ngokuba yi-thyroiditis enokusuleleka.
I-thyroiditis ye-Infectious ihlelwa njenge-suppurative (ithetha ukuba ivelisa i-pus), i-non-pupative, okanye i-septic.
Iquka zonke iintlobo zentsholongwane, ngaphandle kwentsholongwane, kwaye kubangelwa ukuhlasela kwe-thyroid ngamagciwane, i-mycobacteria, i-fungi, i-protozoa, okanye i-flatworms.
I-thyroiditis engathandabuzekiyo ayifumaneki, kodwa ngokuqhelekileyo ivela kwizigulane ezinesistim sokuzivikela. Kuqhelekileyo kubantwana. Phantse iipesenti ezi-8 zamatyala ziqikelelwa ukuba zenzeke kubantu abadala. Kuqheleke kakhulu ekuwa nasebusika, ngakumbi emva kokusuleleka kwiphepha lokuphefumula.
. Ngokuqhelekileyo kubangelwa ngu:
- usulelo lwebhaktheriya olunjenge streptococcus, staphylococcus, pneumococcus, salmonella, klebsiella, kunye nesifo sofuba, phakathi kwabanye
- isifo sofayo, kuquka i-aspergillus, candida albicans kunye nabanye
Usulelo lukhokelela ekugqibeleni kwi-thyroid gland.
I-UpToDate, i-reference reference esebenzisa oogqirha kunye nezigulane zinomxholo obalulekileyo we-thyroiditis . Ngokwe-UptoDate:
I-thyroiditis echaphazelekayo iyabonakalisa intlungu yentlungu kunye neentlungu ezithandanayo kwaye zihamba kunye ne-fever, izihlunu kunye nezinye iimpawu kunye neentsholongwane zentsholongwane. kunye nesisa kunye nesifo se-thyroid singabangela ukubola kwesifo se-thyroid.
Isigulane esinesifo sobuhlungu besithintelo se-thyroid kufuneka sihlolwe ngokukhawuleza ngokuhlolwa kliniki kunye nenaliti yokufuna ukuxilonga, ngokulandelwa yimida kunye neyeza-antibiotic unyango ngokwemiqathango yeziphumo zentsholongwane efunyenwe entanyeni okanye kwigazi okanye kwezinye iindawo. I-ultrasonography okanye ezinye iifundo zophando kufuneka zenziwe ukuze ziqinisekiswe ukuba kukho ukungena kwesinye. Kwiimeko ezininzi, ukuxilongwa ngokukhawuleza kunye nonyango kuyadingeka. Ngexesha elide, ukucinywa kwamanzi okanye ukutshatyalaliswa kuyadingeka kwizigulane ezingaphenduliyo emanzini anqamlekileyo kunye ne-antibiotic therapy. Kubalulekile ukuhlukanisa i-thyroiditis enesifo esithintekayo ekuhambeni ne-thyroiditis.
Iimpawu ze-Infectious Thyroiditis
Ukuba ufumana i-thyroiditis echaphazelekayo, iimpawu zakho zingabandakanya:
- Ukuqala ngokukhawuleza kwentlungu kunye nobubele kwinye icala entanyeni yakho
- I-thyroid gland
- Umkhuhlane kunye neentlanzi, umuzwa onjenge-flu
- Ukwandiswa kwintamo yakho , okanye intambo ehambayo entanyeni onokuziva ngayo
- Ishushu, indawo yethenda ejikeleze i-thyroid
- Ukugwinya okubuhlungu
- I-lymph glands
Akuqhelekanga, kodwa abanye abantu abanesifo esithintekayo kwi-thyroiditis baya kubonakala ngeempawu ezithile ze-hypothyroid okanye hyperthyroidism.
Ukuba unayo le mpawu, uya kufuna ukubona umboneleli wakho wempilo ngokukhawuleza kunokwenzeka ukuvavanya nokonyango.
Ukuxilonga nokuPhatha i-Thyroiditis enoGawulayo
Ukuba ugqirha wakho ugxeka ukuba unayo i-thyroiditis eyingozi, kuya kuthathwa amanyathelo amanani, kuquka:
- I-ultrasound, i-MRI, kunye / okanye umfanekiso we-CT wokuhlola yakho ye-thyroid ukukhetha ukuba unayo i-abscess enye okanye ngaphezulu efuna unyango
- Isilwanyana esifanelekileyo senaliti (FNA) yobunzima kwi-thyroid yakho. Le nkqubo ibandakanya ukuhoxisa ezinye izixhobo zamanzi okanye izinto ezibonakalayo kwi-thyroid mass ukuyihlola ngokupheleleyo. Isampuli iya kuhlonywa ukuze ikhangeleke isifo. Iziphumo zenkcubeko zinokukunceda ugqirha wakho ukhethe i-antibiotitic ne-anti-fungal efanelekileyo kunyango.
- Kwezinye iimeko, i-biopsy, ekhokelwa yi-ultrasound, isetyenziselwa ukuchonga isikhundla kunye nendawo yekhefu yokuhambisa amanzi.
- Umjelo osisigxina we-thyroid mass okanye ihlunu
- Iimvavanyo zegazi ukuhlola umsebenzi we-thyroid, kwaye ujonge iimpawu zentsholongwane kwi-thyroid gland
- Uxwebhu lwe-antibiotics yomlomo oluza kunyanga uhlobo oluthile lokusuleleka kwakho
Ngelixa ezininzi izigulane zisabela kakuhle kwiinkqubo zonyango kunye neyeza-antibiotics, kwiimeko ezinqabileyo, ukucinywa kwamanzi okanye ukukhutshwa okutyunjisiweyo kobunzima kuyadingeka. Kwezinye iimeko, ukususwa kwesiqingatha se-thyroid gland, eyaziwa ngokuba yi-lobectomy, kunokubonelela ngonyango olungakumbi.
ILizwi
Kwezinye iimeko, emva kwe-thyroiditis yokusuleleka kwintsholongwane, i-thyroid gland ingatshatyalaliswa kwimeko ophela ngayo i-hypothyroid ngokusisigxina, kwaye idinga i- thyroid ye-hormone .
Imithombo:
Burman, Kenneth. Ross, Douglas. UMartin, uKatherine. "Ubume be-thyroiditis." UpToDate . Kufumaneka: Agasti 22, 2008.
> Shrestha, R. et. al. "I-Acute and Subacute, kunye neRiedel's Thyroiditis." Umphathi weTroid. Disemba 8, 2015
I-intanethi.