I-Hashimoto's thyroiditis yinto yesifo esisodwa se-thyroid. Kwizifo ezizimele, i-immune system yakho ijika kwizitho zakho, iiseli okanye iifomthi ekufuneka zikhusele. Izizathu zezifo ezininzi ezizimeleyo aziqondi kakuhle. Nangona iipesenti ezingama-75 zezifo ezizimele zenzeke kwabasetyhini, kuhlale kungacacile ukuba kutheni le miqathango - kuquka iHashimoto's thyroiditis - ibaluleke kakhulu kwabasetyhini.
Kwi-Hashimoto, isimiso somzimba sokuzivikela sisilungelekile, kwaye sihlasele i-thyroid gland nge-antibodies ezingenza ukuba igulane ikhulise, i-atrophy, kunye / okanye ingakwazi ukuvelisa i-hormone ye-thyroid ngokuhamba kwesikhathi.
Ziziphi iimpawu zeHashimoto's Thyroiditis?
Ezinye izigulane ezine-Hashimoto's thyroiditis zingenayo impawu, ngokukodwa kwisigaba sokuqala, xa i -antibodies ye-thyroid iphakanyisiwe , kodwa amanye amazinga e-thyroid ahlala ngaphakathi kwinqanaba lokujonga. Ngethuba leli xesha, ezinye izigulane zifumana iimpawu ezibonakalisa ukukhathala, ukuxinezeleka, ukukhathazeka kubanda, ukunyuka kwesisindo, ubuthathaka obunamahlunu, isikhumba esomileyo, ukulahleka kweenwele kunye nokuqhekeka, ukuzithemba, iintlungu zesikhumba, iingxaki zesikhombisa, ukungena , ukukhulelwa kwesisu, imisipha kunye neentlungu kunye neentlungu, kunye ne-thyroid egxile, ebizwa ngokuba yi- goiter .
Uphi umehluko phakathi kweHashimoto's Thyroiditis kunye ne-Hypothyroidism?
I-Hashimoto's thyroiditis yinto yesifo esisodwa se-thyroid.
I-Hypothyroidism ibhekisela kwimeko apho i-thyroid ayikwazi ukuvelisa i-hormone ye-thyroid eyaneleyo. I-Hashimoto's thyroiditis yimbangela eqhelekileyo ye- hypothyroidism eUnited States nakumazwe amaninzi athile.
Ngaba uHashimoto's Thyroiditis Hereditary?
Ngelixa izifo ezizimeleyo zingabalwa njengelifa, kukho ubungqina bokuba ukukhulisa imeko ehamba ngokuzenzekelayo kunomzimba wezofuzo.
Oku kuthetha ukuba uphando lubonisa ukuba izalamane zokuqala-ezifana nabazali, abantwana kunye nabazalwana babo - abo abanezifo ezizimelayo banomngcipheko othe wenyuka ngokwabo ukuhlakulela izifo ezizimele.
Ingaba iHashimoto's Thyroiditis iyazikhusela?
Ngokona nxalenye, akukho zizathu ezaziwayo ezinokuthintela ngokuqinisekileyo iHashimoto's thyroiditis. Kukho imeko, nangona kunjalo, njengokutshaya ugwayi , ukunyamezela okungalawulwayo, ukukhanya kweemitha, kunye nezinye izinto ezinobungozi be-thyroid ukuba unokukwazi ukujongana nokunciphisa ingozi yesifo sikaHashimoto, okanye ukuqhubela phambili kweHashimoto kwi-hypothyroidism.
Ndingazi njani ukuba ndinayo iHashimoto's Thyroiditis?
Ukongeza kwi- klinikhi yovavanyo , ugqirha wakho uya kuqhuba uvavanyo lwegazi malunga neengqungquthela ze-thyroid - ngokukodwa, isifo se-thyroid peroxidase (TPO) - esinokukunceda ukuxilonga isifo sikaHashimoto. Oku kuya kwenziwa ngokubambisana nokuhlolwa kwegazi ukuxelela ukuba umzimba wakho unomlinganiselo ochanekileyo wamahomoni e-thyroid, ngokuqhelekileyo i- TSH yegazi (izinga le-thyroid stimulating hormone) ukufumana ukuba i-hormone yakho ye-thyroid iyindawo eqhelekileyo.
Iyintoni Ingonyango kaHashimoto's Thyroiditis?
Umbono wezobugqirha oqhelekileyo awuniki naluphi na unyango oluthile lweHashimoto's thyroiditis, ngaphandle kokuba luhambelana nokungaqhelekanga kwamanye amanqanaba egazi, njengeTSH.
Ngaphandle kukuba ezinye i-endocrinologists zikholelwa ukuba unyango lwe-thyroid antibodies , nangona ezinye iinqanaba liqhelekile, lunokunceda ukukhusela ukunyuka kwamazinga omntu onqandwa ngumntu okanye ukunyuka kwe-hypothyroidism. Amagqirha amaninzi aqhelekileyo aya kunikezela unyango kuphela xa u-hypothyroidism uqinisekiswa ngeemvavanyo zegazi kwaye kungekhona nje ubungqina beHashimoto's thyroiditis.
Umbono odibeneyo kunye nosebenzayo weHashimoto's thyroiditis ubhekisela kwezinye zezinto ezibangelwa ukukhubazeka kwe-immune, ukungaphumeleli kokutya, kunye nezinye izinto ezinokubangela okanye ukuqhuba isifo sikaHashimoto. Ezi ziquka:
- Ukukhathazeka kweGluten kunye nesifo se-celiac
- Ubunqongophala be-iodine okanye ubuninzi
- Ukuqhaqhazela nokuvutha kwamanzi
Ezinye zezilwanyana zonyango kunye nezosebenzayo zeHashimoto's thyroiditis ziquka ukutya okubangelwa i-gluten, ukuvavanywa kwe-iodine kunye nokuxhaswa, ukutshintsha kwezondlo, i-dose naltrexone (LDN) ephantsi kunye ne- autologous stem cell transplants .
I-hypothyroidism ephuma ku-Hashimoto's thyroiditis iphathwa ngeziyobisi ze-hormone ezithathelisayo , kuquka i-levothyroxine (i-Synthroid, i-Levoxyl, i-Tirosint, i-Unithroid), kunye neziyobisi zendalo (i-NDT) ezidityanisiweyo, ezifana ne-Armor kunye ne-Nature-throid. Ezi zonyango ziya kuthi, kwiimeko ezininzi, kufuneka zithathwe ubomi bakho bonke. Unokufuneka usebenze kunye nodokotela wakho ngokuhamba kwesikhathi ukufumanisa unyango olungcono lwezonyango kuwe, kunye nemilinganiselo efanelekileyo.
ILizwi
Ukuba ishiywe ingaphendulwa, i-Hashimoto's thyroiditis ingabangela iingxaki ezininzi, kuquka ukuguqulwa kwimijikelezo yokuya esikhathini, ukukhusela i-ovulation, ingozi eyongezelelekileyo yokukhulelwa kwesisu , ukunyuka kwe-hypothyroidism, kwaye idibene nomngcipheko othe wenyuka umhlaza we-thyroid.
> Imithombo:
> Braverman, MD, Lewis E., noRobert D. Utiger, MD. UWerner no-Ingbar I-Thyroid: Isicatshulwa esibalulekileyo kunye neZiklinikhi. 9th, Philadelphia: Lippincott Williams & Wilkins (LWW), 2013.
> De Groot, Leslie, MD, iMenenja yeTyroid Disease , incwadi ye-Intanethi. I-intanethi