Ukufunda okungakumbi malunga ne-Quervain's Thyroiditis
Igama elithi thyroiditis libhekisela ngokubanzi kuyo nayiphi na ingxaki eyenza ukuvuvukala kwegciwane lakho le- thyroid . I-thyroid yakho yincwadana encinci, efana ne-butterfly, ekhoyo entanyeni, eyenza i-hormone ehambisa i-oksijini namandla kumaseli akho, izicubu, izitho kunye nezigulane kuwo wonke umzimba.
I-Thyroiditis iyahlula iindidi ezibini ezibanzi: i-thyroiditis engenabuhlungu kunye ne-thyroiditis ebuhlungu.
Ezi zigaba zibini zilinganisa i-intsi yeentlungu ozifumanayo kunye neentlobo ezahlukeneyo ze-thyroiditis.
Phakathi kwesigaba seentlobo ezibuhlungu ze thyroiditis yifomu eyaziwa ngokuba yi-subacute granulomatous thyroiditis. Kwakhona kwaziwa ngokuba yi-thyrappute nonsuppurative thyroiditis, ye-Quervain's thyroiditis, okanye i-thyroiditis ebuhlungu.
Ukutshatyalaliswa kweMpawu eziGranulomatous
Nangona u-subacute uhlobo lwe-thyroiditis aluqhelekanga, ngokuqhelekileyo sizathu sokuba intlungu kwindawo ye-thyroid, okanye ukunyamezela xa uxinzelelo lusetyenziswa kwi-thyroid okanye entanyeni yakho. Intlungu ibangelwa ukuvuvukala kwe-thyroid gland.
Ukongeza kwintlungu yesantya kunye nokunyamekela, iimpawu zokuxhamla i-thyranitis ye-granulomatous zibandakanya:
- ubunzima bokugwinya okanye umkhuhlane
- iimpawu zentsholongwane, ezifana ne-lymph nodes ezandisiweyo kufuphi ne-thyroid
Ngokuqhelekanga, iimpawu zingabandakanya:
- ukuthobeka
- ubuthathaka
- ukukhathala
- ukoyika
- uxhalaba
- ukunganyanzeliseki
- ukuhla ukusinda
- ukuthuka
- uhudo kunye nezihlalo ezivulekileyo
- ukuthuthumela
- ntliziyo
Isizathu sokutshatyalaliswa kwe-granulomatous thyroiditis kucatshangelwa ukuba yintsholongwane ye-virus okanye ibhaktheriya.
I-subacute granulomatous thyroiditis iphinda ihlolwe ngokuphindaphindiweyo ekwindla nasebusika, emva kokusuleleka kwiintsholongwane zokuphefumula.
I-Course Typical of Subacute I-Granulomatous Thyroiditis
Yintoni onokuyilindela ukuba uyilwaphule i-thyranitis granulomatous?
Ngokutsho kwe- UpToDate:
"Izibonakaliso zekliniki ziyahlukana ngokuqhelekileyo kwisigaba se-thyrotoxic esibuhlungu emva kokuba ama-hormone e-thyroid abuyele kwibala eliqhelekileyo ." Njengoko i -hormone ye-thyroid igqityiwe, isigaba se-hypothyroid sichazwa ngokugqithiseleyo. yenza ama-hormone ye-hormone yezinga le-serum. Isigaba ngasinye sihlala malunga neeveki ezine ukuya ezintandathu.
Kuhlolisiso olulandelayo lwezigulana eziyi-160 ezixhatshaza i-thyroiditis granulomatous zibonwe kwi-Clinical Mayo, kuphela iipesenti ezi-4 zezigulane ziphindaphindiwe (iminyaka engama-6 ukuya kwe-21 emva kwesiqephu sokuqala). Iipesenti ezili-15 kuphela zezigulane ekugqibeleni zathuthuka i-hypothyroidism engunaphakade efuna i-levothyroxine unyango. "
Ngokuqhelekileyo, isiqhelo se-subacute granulomatous thyroiditis siqala ngethuba le- hyperthyroidism ehlala kwiiveki ezine ukuya ezintandathu. I-hyperthyroidism inokuhamba kunye nentlungu yentamo okanye ubunzima bokugwinya, kunye nomkhuhlane. Iqondo le-hormone ye-thyroid ke liqala ukuhla, libe yinto eqhelekileyo malunga neveki ezine. Emva kokuqhelekileyo, amanqanaba e-thyroid aqhubeka ehla, kwaye uba yi-hypothyroid, ngokuqhelekileyo ixesha elide lihlala kwiiveki ezine ukuya ezintandathu.
Ukuxilongwa
Ukuchonga imeko leyo kubandakanya uviwo lweklinikhi, kunye neziphumo zokuvavanya ukuxilongwa kwesi sifo zingabandakanya izinga eliphezulu le-thyroglobulin, i-low-activic acid i-iodine, izinga eliphantsi le-hormone (TSH) eliphantsi, izinga eliphezulu le-T4, kunye ne-high-level ye-sedryation sedimentation (ESR ).
Ukuphonononga iimvavanyo kunokubonisa ukuvuvukala kwe-gland okanye i-lymph nodes kufuphi ne-gland.
Unyango
Ukuze unyango, ukuba isikhalazo esiphambili sibuhlungu okanye ukuvuvukala, isilwanyana esingenalo steroidal esichaphazelayo (njenge-aspirin okanye ibuprofen) sinokucetyiswa. Ukuba ukutheleleka kwebhaktheriya kuchongiwe, unokuthi unikwe imishanguzo ye-antibiotics. Ukuba ufumana iimpawu ezibalulekileyo ze-hyperthyroid , i-beta blocker ebizwa ngokuba yipropranolol inokumiselwa ngexesha lesimo sakho se-hyperthyroid. Kwezinye iimeko, iyeza le-hormone yokuguqula i-hormone iyakunikwa ngexesha le-hypothyroid, ukukhupha iimpawu.
Ekugqibeleni, ezininzi izigulane, i-thyroid gland, kunye ne-hormone production return to normal.
Iindaba ezilungileyo: Unomngcipheko ophantsi kakhulu wokuphindaphindwa kwe-granulomatous thyroiditis.
Iindaba ezimbi: Olunye uphando lwexesha elide lufumene ukuba kwi-15 yeepesenti zezigulane, isiqhelo sabo sokutshatyalaliswa kwe-granulomatous thyroiditis sibonakalisa ukuba ekugqibeleni baya kugqiba ukuba babe yi-hypothyroid, kwaye bafuna unyango.
ILizwi
Ukuba ufumanisa ukuba unesifo se-graulomatous thyroiditis, qi ni sekise ukuba uvavanyo lokulandelelwa kwesikhashana ngexesha le-hypothyroid. Ukuba umiselwe iyeza le-hormone ye-hormone, kufuneka uqhubeke uthabatha unyango de ukuba ugqirha wakho ufumene ukuba izinga lakho le-thyroid liqhelekile. Ukuba ususwe unyango kodwa unempawu ze-hypothyroidism ezinjengokukhathala, ukufumana ubunzima, ukuxinezeleka, okanye ukulahleka kweenwele, umzekelo, qiniseka ukuba i-thyroid yakho iphinda ihlolwe kwakhona, njengoko unokuba phakathi kwepesenti yabantu abahlakulela i-hypothyroidism engapheliyo emva kokuxhatshazwa granulomatous thyroiditis.
> Umthombo:
Burman, Kenneth. Ross, Douglas. UMartin, uKatherine. "" Inkcazo ye Thyroiditis " UpToDate .