Hypothyroidism

Chirongwa cheHypothyroidism

Hypothyroidism ndiyo mamiriro ako iyo chirwere chetroroid-chishongo chakaita segurakiti mumutsipa wako-hachikwanisi kubudisa hormone yakakwana yehutano. Iko dzimwe nguva inonzi inonzi "inopera simba" yehutano. Hypothyroidism inononoka kusanganisa kwemunhu, zvichiita kuti zviratidzo zvakadai sekurema, kusviba, kunzwa kutonhora, nezvimwe. Kuongororwa kweropa nyore kunonzi thyroid-stimulating hormone (TSH) inogona kuongorora hypothyroidism, uye utachiona hwemishonga inoshandiswa mushonga unogona kuhubata.

Nokuwana ruzivo pamusoro pehutachiroidism, kusanganisira zvazvinofunga kuva nechinetso chetachiona ichi, uye kuti chinowanikwa sei uye chinotungamirirwa, iwe uchava wakagadzirira uye unozvivimbiswa sezvaunotanga rwendo rwako rwetroji.

> Kutarisa maitiro ehutachiona, ari pamusoro pekoroni.

Zviratidzo

Iro thyroid gland yako inoshandisa iodine yezvokudya kuti iite utachiona hwehomori. Kana paine kushayikwa kwehomoni yeutori, muviri wako unotambudzika kushandisa simba uye uchidziya.

• Kurapa Subclinical Hypothyroidism muKubata

• Hypothyroidism uye Migraines: Kunzwisisa Link

Mishonga yako, uropi, nedzimwe nhengo zvinogonawo kuva nedambudziko kushanda.

Zviratidzo nezviratidzo zve hypothyroidism zvinoshanduka uye zvinogona kuva zvisinganzwisisiki, kunyange kukanganisa kudzvinyirira kana imwe dambudziko rezvehutano.

Heino kuongorora zvakanyanya zvimwe zvezviratidzo munhu ane chirwere chetachiona chisingaiti chinogona kuitika:

• Kunzwa wakaneta uye wakaneta, kunyange pashure pokurara kwenguva refu
• Kunzwa kuora mwoyo kana bhuruu
• Kuwana uremu, pasinei nekushandura kune chikafu chako chakanaka nekurovedza muviri
• Kuona "uropi bhu" uye kuoma kuisa pfungwa
• Kunzwa kunzwa kunotonhora apo vamwe vanonzwa vachitsva
• Kuveura bvudzi rakanyorova uye rakaoma, kuputsa, brittle, kana kuwira kunze

• Kucherechedza ganda iro rakaoma, rakaoma, rakaoma, uye rakasviba, kunyanya pasi pemakumbo ako
• Kusuruvara kwepasi kusinganzwisisiki kana ropa
• Zvinononoka kana zvisingasviki mafungiro
• Kufuridzira mumeso, kunyanya kumeso
• High cholesterol mazinga asingateereri kuikoroterol-kuderedza mishonga
• Kuramba kwepanguva yokuenda kumwedzi
• Kuwana musumbu makumbo

Zvinokonzera

Kune huwandu hwehutano hwehutano uye mamiriro ezvinhu anokonzera hypothyroidism .

Hashimoto's thyroiditis chirwere chinotapudza muviri ndicho chikonzero chinowanzokonzera hypothyroidism muUnited States. Muchirwere ichi, zvirwere zvinorwisa utachiona hwehutachiona, zvichiita kuti zvisingagoni kuita zvakanaka.

Post-chirwere hypothyroidism inoreva kuti hauna kukwana hormone yekemikari nekuda kwokubviswa kushandiswa kwezvose kana chikamu chetachiona chetachiona. Kuvhiya pamurotori kunozivikanwa se-thyroidectomy.

Mishonga inowanikwa-induced hypothyroidism inogona kuitika kubva kuradioacid iodine (RAI), iyo inoshandiswa kurapa hyperthyroidism nekenza yekameti. Kuratidzirwa kumarapiritsi emisipiresi kumusoro nemutsipa, kana kuregererwa kwemhepo kubva mumagetsi enyukireya akafanana neChernobyl kana Fukushima, kunogonawo kukonzera hypothyroidism.

Ne congenital hypothyroidism, vana vanozvarwa vachipinda munyika vasina chirwere chetachiona kana nehutachiona hwehutano hushoma.

Hypothyroidism inogonawo kuguma nokushandisa mamwe mishonga (inonzi drug-induced hypothyroidism ). Kunyange zvazvo iyi isiri yakanyatsorongwa, mamwe emishonga inowanzozivikanwa inosanganisira:

• Lithium
• Amiodarone
• Interferon alpha
• Interleukin-2

Hypothyroidism inogona kuitika neine inodhinha inoshandiswa (inonzi iodine-inoshaya hypothyroidism ) kana kuti iodine yakawanda inopedzwa (inonzi iodine-induced hypothyroidism ).

Muchikamu chechipiri kana pakati pepothyroidism , chirwere chepituitary (chiri muuropi yako) chakakanganiswa (kubva mumaronda, mazairo, kana kuvhiyiwa) uye haikwanise kutora gland yako yeganda kuti utange hormone yekemikari.

Kazhinji, hypothyroidism kubva kune zvirwere zvinopinda (sekuru, sarcoidosis kana hemochromatosis) inogona kuisa zvinhu (zvakadai segranulomas kana simbi, zvichienderana) muhutachiona, zvichidzikisa kukwanisa kwayo kuita.

Kuziva

Kuongororwa kwe hypothyroidism kunoda kliniki yekuongorora uye kuongorora ropa.

Clinical Examination
Mukuwedzera kune kliniki yehutano yehutano, iyo inosanganisira bhuku rekuongorora nekuona kwechirwere chetachiona, chiremba achaitawo chiongorori chemuviri kuti atsvake zviratidzo zve hypothyroidism. Zvimwe zvezviratidzo izvi zvinosanganisira ganda rakaoma, rinoputika, rinononoka pamwoyo, rinononoka reflexes, uye kuzvimba.

Dambudziko reRopa

Kuongororwa kweropa kukuru kunoshandiswa kuongororwa hypothyroidism irosiyo inokurudzira hormone (TSH) muedzo. Uyu muedzo unoyera TSH, hormone yepituitary. TSH inomuka apo inotarisa maitiro ezasi ehomoni yehomoni, uye inodonha painoona huwandu hwetrojoni yakawanda. Laboratories dzakaita shanduro yepamusoro, uye mazinga ari pamusoro pehuwandu hunotarisa anofungidzirwa angangodaro anoratidza kuti hypothyroidism.

Mukuwedzera, mazinga asina kuwanikwa uye anowanika echokwadi chaiwo anotenderera mahomoni e-thyroid- free thyroxine (isina T4) uye free triiodothyronine (isina T3) -inogona kuyerwa. Pano pane zvinyorwa zvitsva zvekuongororwa kwehomoni idzi mbiri, uye mazamu ari pasi pezveruvara rwekutarisa (kuratidza kuti hakuna kukwana pasina T4 uye / kana kuti T3 yakasununguka) inonzi inoratidzira ye hypothyroidism.

• Isu TSH Yenyu Yakasikwa, Asi Unenge Uine Zviratidzo Here?

• Iko Hypothyroidism Yako Inotambudzika Here?

Kurapa

Hypothyroidism inorapwa nekemikari inonzi hormone replacement drug, iyo inoshandiswa mishonga inotsiva hormone inorasikirwa nehutori mumuviri.

Levothyroxine
Nyaya inonyanya kutaurwa ye thyroid hormone replacement mishonga inonyanya kuzivikanwa se levothyroxine, iyo yakagadzirirwa yehutachiona hormone thyroxine (T4).

Liyronronine
Iko kunewo maitiro ekugadzira t3 hormone, inozivikanwa se lionronine. Inowanzowedzerwa ku levothyroxine sechikamu cherapi inozivikanwa seT4 / T3 kushandiswa kwehutano, kunyange zvazvo tsika iyi inonzi inopesana nevakawanda vepedocrinologist uye vashandi vakawanda.

Zvinhu Zvakasikwa Zvinoratidzirwa Utachiona
Pakupedzisira, kune hormone inotsiviwa nemishonga inonzi yakasvibiswa nehutachiona, dzimwe nguva yakafukidzirwa NDT kana kuti inonzi "chizivo chetachiona." NDT ine mhando dzepanyama dzeT4 uye T3. Kunyange zvazvo yave ichiwanikwa kwemazana emakore, uye ichiri kushandiswa nhasi, inonzi inopesana nehurumende yakakura yezvokurapa uye inorayirwa kakawanda kuburikidza nekubatanidza, kushanda, uye vanachiremba vose, zvichienzaniswa nevekugumira kwenguva yakareba uye vanachiremba vanogadzirwa.

Mazano ehurumende yemasangano akasiyana-siyana ekupedzisira endocrinology position levothyroxine seyakasarudzwa kurapwa, uye kuderedza zvose T4 / T3 pamwe chete nekushandiswa kweNATT.

Shoko Rinobva

Zvingave iwe (kana kuti waidiwa) wakangobva kuongororwa ane hypothyroidism, kana iwe uri kuitirwa ikozvino, asi uchiri kutadza kunzwa, tapota ziva kuti hausi wega. Ramba uchitsvaka ruzivo nezvehutano hwako hwetroroid uye urambe wakasimba kana iwe uchifamba rwendo urwu rwunotengesa.

Uyewo, yeuka kuti kurarama zvakanaka ne hypothyroidism hakusi kungofanana nemishonga. Zvakakoshawo kudya zvakanaka, kuwana zororo rakakwana, shandisa nguva yekurovedza muviri uye kutamba, uye kugadzirisa kushushikana kwako. Uye kunyange kana iwe uchinzwa sokuti uri kurwisa hondo yakakwira nevarapi, kurapwa, uye zviratidzo zvinoparadza, usarega. Iwe pakupedzisira uchawana mhinduro dzinobatsira iwe kurarama zvakanaka uye kunzwa zvakanaka.

> Sources:

> American Thyroid Association. (nd). Hypothyroidism (Inogadziriswa).

> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.

> Garber J et. al. Clinical Practice Guidelines for Hypothyroidism muVakuru: Cosponsored neAmerican Association of Clinical Endocrinologists uye American Thyroid Association. Endocr Prac t. 2012 Nov-Dec; 18 (6): 988-1028.