Izwi rokuti thyroiditis rinowanzoreva kune chinetso chipi zvacho chinosanganisira kuvhiringidza kora yako ye thyroid. Thyroiditis inowanzogoverwa kuva mbiri dzakakura-dzakasuruvara-zvinorwadza uye zvinorwadza-zvinosanganisira kuwanda kwemarwadzo anokonzera varwere.
Pakati pezvikamu zvinorwadza marudzi e thyroiditis iyi inowanzozivikanwa seyakanyanya kupararira thyroiditis.
Infectious thyroiditis inorondedzerwa seyokusimudzira (kureva kuti inobereka pus), isingaiti, kana septic.
Inosanganisira marudzi ose ehutachiona, kunze kwehutachiwana, uye inokonzerwa nokupinda kwechirwere chetachiona nemabhakitiriya, mycobacteria, fungi, protozoa, kana flatworms.
Infectious thyroiditis haigoni, asi kazhinji inowanikwa kune varwere vane utachiona husina simba hwekuzvidzivirira. Izvo zvinowanzoonekwa kune vana. Inenge 8 muzana yematambudziko inofungidzirwa kuitika kune vanhu vakuru. Izvo zvinowanzoonekwawo pakuwa uye munguva yechando, kunyanya pashure pezvirwere zvepamusoro chekufema.
. Inowanzokonzerwa ne:
- chirwere chebhakitiriya se streptococcus, staphylococcus, pneumococcus, salmonella, klebsiella, uye tuberculosis, pakati pevamwe
- chirwere chinokonzera fungal, kusanganisira aspergillus, candida albicans nevamwe
Utachiona hunowanzoendesa kune chifukidziro muhutachiona hwetachiona.
UpToDate, ruzivo rwemagetsi rinoshandiswa navanachiremba nevarwere rine zvakakosha zvakakwana zve thyroiditis . Maererano na UptoDate:
"Kutapukisa kwakanyanya kwehutachiona kunoratidzika nekurwadziwa kwepakarepo kwemutsipa uye kunzwira tsitsi kunowanzobatana uye kunofambidzana nefivha, chill uye zvimwe zviratidzo nezviratidzo zvehutachiona.Varwere vazhinji vane unilateral mutsi wehutu, izvo zvingave zvichipfurikidza. uye unyoro uye hutachiona hunogonawo kuve nekukonzerwa nekushaya ropa mukati mehutachiona hwehutachiona.
Murwere ane chirwere chetachiona chinorwadza chinofanira kuongororwa pakarepo nekliniki yekuongororwa uye nenyuchi yekuda kwehuwandu, inoteverwa nemvura uye remishonga inorwisa mabhakitiriya maererano nemigumisiro yezvidzidzo zvemvura inowanikwa kubva mumutsipa kana ropa kana dzimwe tsika. Ultrasonography kana zvimwe zvidzidzo zvekufungidzira zvinofanira kuitwa kuitira kusimbisa kuvapo kwebasa rimwe chete. Muzviitiko zvakawanda, kukurumidza kuongororwa uye kurapwa kunodiwa. Zvisingatauriki, chirwere chokugadzira kana kubvisa chinotarisirwa kune varwere vasingatauri kumvura yakasvibiswa uye systemic antibiotic therapy. Zvakakosha kusiyanisa zvakanyanya kutapukisa thyroiditis kubva ku subacute thyroiditis.
Zviratidzo zveAIDS Inotapukisa Thyroiditis
Kana uri kutarisana nehutachiona hwehutachiona hwehutachiona, zviratidzo zvako zvinogona kusanganisira:
- Kukurumidza kunotanga kurwadziwa uye unyoro mune rumwe rutivi rwehuro mako
- Yakakurisa utachiona gland
- Fever uye chills, manzwiro akafanana nemafungu
- Kuwedzerwa mumutsipa wako , kana bundu rinotenderera mumutsipa waunogona kunzwa
- Yakaipisa, ine nyoro nzvimbo yakapoteredza utachiona
- Kunomedza kunorwadza
- Kudzorera lymph glands
Hazvisi zvakakurumbira, asi vamwe vanhu vane acute infectious thyroiditis vachaonekwa nezvimwe zviratidzo zve hypothyroid kana hyperthyroidism.
Kana iwe uine zviratidzo izvi, iwe unoda kuona mutapi wako wehutano nekukurumidza nekukwanisa kuongororwa uye kurapwa.
Kuongorora uye Kuchengetedza Zvakanyanya Kuvhiringidza Thyroiditis
Kana chiremba wako achifungidzira kuti une acute infectious thyroiditis, nhanho dzinoverengeka dzichatorwa, kusanganisira:
- Ultrasound, MRI, uye / kana CT scan imaging ye thyroid yako kuti uone kana iwe uine imwe kana kupfuura yakawanda inoda kurapwa
- Chimiro chakanaka chinoshuva (FNA) yehutachi muhutori hwako. Iyi nzira inosanganisira kubvisa zvimwe zvechirwere kana zvimwe zvinhu kubva mumuviri wako wehutachiona kuti uzviongorore zvizere. Muenzaniso wacho uchasimudzirwa kutarisa utachiona. Maitiro emigumisiro anogona kubatsira chiremba wako kusarudza mishonga inorwisa mabhakitiriya uye / kana anti-fungal mishonga yekurapwa.
- Mune zvimwe zviitiko, biopsy, inotungamirirwa ne ultrasound, inoshandiswa kutsanangura nzvimbo uye nzvimbo yechipfuva chepamvura yakarurama.
- Kunze-muchengeti wemvura yakakura ye thyroid mass kana bundu
- Ropa kuongorora kuongorora utachiona hwebasa, uye tsvaga zviratidzo zvehutachiwana muhutano hwako hwetroroid
- Chirongwa chemuti mishonga inorwisa mabhakitiriya inobata rudzi rwehutachiona rwaunacho
Kunyange zvazvo varwere vazhinji vanoita zvakanaka pamvura yekuraira uye remishonga inorwisa mabhakitiriya, muzviitiko zvisingawanzoitiki, kushandiswa kwemvura kana kubudiswa kwekupurwa kwemazana kunoda. Mune zvimwe zviitiko, kubviswa kwehafu yenguruve yekirori, inozivikanwa selobectomy, inogona kupa mushonga unoshanda.
Shoko Rinobva
Mune zvimwe zviitiko, mushure mekushaya zvirwere zvehutachiona, chirwere chetachiona chinogona kuparadzwa kusvika pakuguma iwe zvachose hypothyroid, uye zvinoda kuti utachiona huwedzere mishonga .
Sources:
Burman, Kenneth. Ross, Douglas. Martin, Kathryn. "Mazwi eti thyroiditis." UpToDate . Yakasvika: August 22, 2008.
> Shrestha, R. et. al. "Yakanaka uye Subacute, uye Riedel's Thyroiditis." Thyroid Manager. December 8, 2015
Online.