Ukukhathala, ukunyamezela, ukungabikho koxineko, ukuxinezeleka, kunye nokunye
Isifo sikaHashimoto, okanye i-Hashimoto's Thyroiditis, yimeko enokuzimela apho umzimba wakho uqala ukuhlasela isifo sakho se-thyroid. I-thyroid yinto efana nefet butterflies in front and bottom of your neck. Umsebenzi oyintloko we-thyroid gland ukuvelisa i-hormones, elawula indlela umzimba wakho usebenzise ngayo amandla-i-thyroid gland inefuthe elibi phantse yonke into esele emzimbeni wakho.
Xa unesifo sikaHashimoto, i-thyroid yakho inokutsha kwaye ibonakaliswe, iholele kwi-hypothyroidism, okanye i-thyroid engasebenzi. Ekugqibeleni, imisebenzi yomzimba wakho iyancipha ngenxa yokuba i-thyroid ayikwazi ukuvelisa ama-hormone afunekayo.
EUnited States, isifo sikaHashimoto sisona sizathu esiqhelekileyo se-hypothyroidism, ngokweSikhungo seSizwe seSifo sikashukela kunye neSigestive and Kidney Diseases (NIDDK), kwaye sichaphazela malunga namahlanu kwaba bantu abayi-100. Kukho malunga neesibhozo eziqhelekileyo eziqhelekileyo kubasetyhini kunamadoda. Kwezinye iimeko, i-thyroid ingakhula kwaye yenze i- goiter .
Iimpawu
Ekuqaleni, umntu ophethe isifo sikaHashimoto angagcina azinzileyo kwiminyaka ade ifunyenwe imeko ngexesha lovavanyo lwezonyango okanye umsebenzi wegazi oluqhelekileyo, iingxelo ze- American Association of Clinical Endocrinologists (AACE). Ukulandela kukho ezinye iimpawu neempawu zesifo sikaHashimoto:
Ukuvuvukala entanyeni yentamo, edlalwa yintlungu
Uvakalelo lweengcinezelo kwingxenye ephantsi yentamo
Ukukhathala nokunyaniseka
Ukunganyamezeli okanye ukungena kubanda xa abanye abantu bengaboni
Ukulahleka kweenwele
Ukutyeba kwakho
Izipikili ziba zikhuni okanye ziphule kalula
Ukutyunjwa
Intlungu ehlangeneyo
Ukwanda kokuqina okuhlangeneyo
Imisipha yintlungu neentlungu
Ubuthakathaka obuthathaka
Ubuqhophololo buso
Ukulala
Unzima kunye nenkumbulo
Ukulibala
Ukulahleka kweenwele okanye ubomile, obunzima okanye obunqandayo
I-Menorrhagia okanye ukuphuma kwexesha ekugqibeleni
Ukuxinezeleka
Ukuncipha kwenhliziyo
Isikhumba
Ulwimi olwandisiweyo
Izizathu
Ukwangoku, esinye isizathu asizange sichazwe, kodwa abaphandi bakholelwa ukuba kudibanisa izinto ezifana ne-genetics okanye ibhaktheriya okanye intsholongwane yentsholongwane engabangela isifo. Le meko iyakwazi ukubonakalisa kumabhinqa aphakathi kweminyaka, nangona kunjalo, amadoda angayifumana. Kwakhona, unako ukufumana isifo sikaHashimoto ukuba ilungu lentsapho yakho linalo okanye ukuba unesimo sokuzimela.
Uvavanyo
Ukuxilonga isifo sikaHashimoto, ugqirha uya kuhlaziya imbali yakho yempilo, uluhlu lweempawu, kwaye enze uvavanyo lomzimba. Iinjongo zihlala zivakalelwa kule miviwo.
Emva koko, ugqirha wakho uya kuwenza umsebenzi webhu lebhu ukujonga i-hypothyroidism. Uvavanyo oluqhelekileyo lubizwa ngokuba yi-thyroid evuselela i-hormone okanye i-TSH. I-TSH yenziwe yintonga ye-pituitary ebuchosheni bakho, kwaye ibonisa i-thyroid ukuba ivelise ama-hormone. Xa i-thyroid igland iyasebenza ngaphantsi, i-TSH yakho iya kuphakanyiswa ngenxa yokuba i-pituitary gland izama ukukhupha i-thyroid igriti ukuvelisa ama-hormone angaphezulu.
Ukongeza, unonophelo lwezempilo unokuyalela iimvavanyo zegazi njenge-thyroxine yamahhala, okanye i-T4 yamahhala, ukuvavanya izinga le-hormone esebenzayo egazini lakho. Kodwa i-AACE ibonisa ukuba iziphumo ze-T4 zamahhala zingenakuhlala zichanekileyo malunga nokuba unayo isifo sikaHashimoto. I-high level of stimulation TSH ingaqhubeka negalelo le-thyroxine ngesiqhelo "kwiminyaka emininzi," bayabika.
Olunye uvavanyo lwegazi ugqirha uya kwenza umyalelo ujonge ama-antibodies ebizwa ngokuba yi-thyroperoxidase antibodies okanye i-TPO. Ezi zinqwelomoya zikhoyo kwininzi yabantu abanesifo sikaHashimoto, nangona kunjalo, olu vavanyo lodwa alukho uphawu lokuba unemeko.
Kwezinye iimeko, ugqirha wakho unokuyalela i-thyroid ultrasound. I-ultrasound inikezela imifanekiso ye-thyroid, ngoko ugqirha unokubona ukuba ingqungquthela ikhulisa ngenxa yesifo sikaHashimoto okanye ilawula ezinye izizathu ezinjengeengqungquthela ze-thyroid.
Emva kokuxilongwa
Kwizigaba zokuqala zesifo sikaHashimoto, unokungenakho iimpawu. Kule meko, ukungenelela kwezonyango kunokungabi mfuneko, kwaye ugqirha wakho unokugqiba isigqibo sokuba ulinde kwaye ubone ukuba imeko yakho idlulayo ngexesha.
Ukuba imeko yakho iya phambili apho i-thyroid yakho ingakwazi ukwenza ama-hormone efanelekileyo, ugqirha wakho uya kubeka i-hormone ye-thyroid esikhundleni sokuthi i-levothyroxine-i-levothyroxine-i-hormone ye-T4 efana ne-hormone ye-thyroid eyenziwa ngumzimba. Ugqirha wakho uza kwenza uvavanyo lwegazi rhoqo kwaye uhlalutye unyango lwakho njengoko lufunekayo de uze ufikelele kwi dose efanelekileyo.
Ngezinye izihlandlo, abantu abathile abanokuziva bengakhange bazive kakuhle kwi-levothyroxine yedwa, ngoko banokuzuza ngokudibanisa kwe-hormone ye-T3 ebizwa ngokuthi i-liothyronine. Ukuhlanganiswa kwe-T4 kunye ne-T3 kwiinyanga ezintathu ukuya kweyesithandathu kuyilingo elaneleyo lokuva ukuba ufumana uncedo kwiimpawu zakho, kuchaza i-Mayo Clinic.
Ukongezelela, ngelixa umgangatho wokunyamekela kwesifo sikaHashimoto kukunyanga imeko usebenzisa i-levothyroxine, unyango olubizwa ngokuba yi-thyroid-icroid okanye i-Armor, lungahle lucetyiswe kwabanye abantu. I-NDT ivela kwihagu kwaye iqulethe i-T4 kunye ne-T3.
Kukho ukungaqiniseki malunga ne-NDT kuluntu lwezonyango malunga nokuba lisebenza okanye alusebenzelanga kunye namanye amanani. Ngoba? Kungenxa yokuba ukulinganisela kwe-T4 kunye ne-T3 kwi-NDT ihluke phakathi kweehagu kunye nabantu, kwaye ixabiso lamahomoni liye laziwa ngokungafaniyo kwimveliso.
Kodwa ukhathalelo lwempilo lumele lube ngumntu ngamnye kwisigulane ngasinye, ngoko kubalulekile ukukhankanya ukuba ezinye izigulane zibika ukuphucuka okubalulekileyo kwi-NDT. Ukufumana iziphumo ezingcono kakhulu, kubalulekile ukuba uyazi zonke iinketho ezikhoyo kuwe kwaye usebenze nodokotela wakho ukuba ukhethe unyango olufanelekileyo.
ILizwi
Ngenxa yokuba isifo sikaHashimoto senza inkqubela phambili kwixesha lobomi bomntu, ugqirha wakho uya kufuna ukukuvavanya ngezikhathi ezithile ukuqinisekisa ukuba unesifo esifanelekileyo semithi. Ngamanye amaxesha, unyango lwakho lungafuneka luhlengahlengiswe. Iindaba ezilungileyo? Ngokuqhelekileyo, izigulane ze-thyroid ezine- Hashimoto isifo sinokulawulwa kakuhle ngamachiza, ngoko uya kufuna ukuthatha amayeza akho njengoko kuchaziwe nokuba uqala ukuziva kakuhle.
> Imithombo:
> Umbutho waseMelika we-Clinical Endocrinologists website. Hashimoto's Thyroiditis .
> Isizwe seSizwe soSifo seswekile kunye neweSigestive and Kidney Diseases website. Izifo zikaHashimoto.
> I-Ofisi yezeMpilo yabasetyhini, kwiSebe lezeMpilo leSebe lezeMpilo yaseMzantsi Afrika. Izifo zikaHashimoto.