Chirwere chemasumbu, chinonzi myopathy, chinogona kuitika semugumisiro wokuva nehutachiona husingashandisi (inonzi hypothyroidism) kana utachiona husingaitiki (hunonzi hyperthyroidism).
Nhau dzakanaka ndeyokuti zviratidzo zvemyopathie dzakasangana nehutachiona, zvakadai sekurwadziwa kwemasumbu, kushaya simba, kana kuoma, zvinowanzova zvinyoro uye zvishoma nezvishoma nekurapa nokukurumidza kwehutachiona hwehutachiona. Izvozvo zvakati, muzviitiko zvishoma nezvishoma, kusangana kwemunhu kunobatana nehutachiona hwavo kunogona kuva kwakanyanya uye kukanganisa.
Nokuwana kunzwisisa kunonzwisiswa kwezviratidzo zvemuviri zvechirwere chetachiona (uye kuti vangangosvika sei uye kurapwa nachiremba wenyu), unogona kutarisira kusvika kumucheto wekunetseka kwako uye / kana utera.
Hypothyroid Myopathy
Zviratidzo
Utachiona husina simba, aches, uye kuputika zvinowanzoonekwa nevanhu vane hypothyroidism. Kunyange zvazvo utera hukwanisa kuve hune huwandu hwevanhu, vanhu vanowanzozviona mumisungo iri pedo kusvika pakati pemitumbi yavo, yakadai sehudyu kana pepa . Izvi zvinogona kutungamirira kumatambudziko achikwira masitepisi kana kuvhara bvudzi rako.
Mukuwedzera kune zviratidzo zvemasumbu, munhu angave ane creinine kinase (CK) yakakwirira pane kuongorora ropa. Creatinine kinase isummymic muscle inowedzera nekukuvadzwa kwemisimba. Zvinofadza kuti chikwata cheCK hachirevi kuti chinetso chemunhu chinorwadza.
Kazhinji, kuwanda kwemasumbu ekuratidzwa kubva ku hypothyroidism kunogona kuitika. Imwe muenzaniso ndeyeHoffman's syndrome umo munhu anowedzera hutachiona hwehutachiona hwehutachiona (hutundu hwakawedzerwa) hunoita kuti kuve nekuoma kwemisimba, utera, uye kurwadziwa.
Rhabdomyolysis (kana musuru uchingopera nokukurumidza) chimwe chimiro chisingawanzwisisiki chekuonekwa kwe hypothyroidism. Inowanzokonzerwa nekubatana kwekuve hypothyroid nemashandiro ekuita muviri kana kutora statin (cholesterol-kuderedza mishonga).
Cause
Kunyange zvazvo chikonzero chaicho chekudavira kwe hypothyroidism-inokonzerwa nekuita myopathy isingazivikanwi, dzimwe nyanzvi dzinofunga kuti thyroxine (T4) kushayikwa kunoonekwa mu hypothyroidism inotungamirira kune kusagadzikana kwemasimetabolism, iyo inoguma inokonzera kukuvadzwa kwemisungo uye kusakatika kwemutsipa.
Kuziva
Kuongororwa kwe hypothyroidism-induced myopathy isiraini, zvichireva kuti chiremba wako achazviongorora zvichienderana nezviratidzo zvako uye kuongorora mumuviri. Kutarisa kuongororwa kweropa kujekesa creatinine kinase kuchaitwawo.
Chiremba wako anogona kukurudzira mamwe mimwe miedzo, seye electromyography kana mushuputi hwemasumbu, kutonga kunze kwemamwe mamiriro ezvinhu, kunyanya kana zviratidzo zvako zvakanyanya.
Kurapa
Iva nekusimbiswa kuti utachiona huri panzvimbo yeSythroidrovine (levothyroxine) inowanzoita kuti zviratidzo zvemasumbu zviwedzere, sezvinoputika uye kuoma, kunyange izvi zvingatora mavhiki. Uturu husina simba hutsika hunotora nguva yakareba kuti ugadzirise, semwedzi yakawanda.
Hyperthyroid Myopathy
Zviratidzo
Utachiona hwakasimba hungawedzera kune vanhu vane hyperthyroidism. Pamusana pokushaya simba, munhu angave akaoma kukwira makwitefa, achikwira kubva pachigaro, akabata kana zvinhu zvinokonzera, nekusvika maoko avo pamusoro pemisoro yavo. Kazhinji, mu myopathy kubva ku hyperthyroidism , mishonga inobatwa inogona kusanganisira iyo inobatsira iwe kumedza uye kufema.
Zvinonakidza, kunyange zvazvo musumbu dzomumakumbo uye aches zvichiitika, hazvina kufanana sezvavari mune myopathy inobatana ne hypothyroidism.
Nhamba ye creatinine kinase muropa ropa inowanzoenderana, pasinei nokuti ichokwadi, pane musikana kuparara.
Kungofanana ne hypothyroidism-induced myopathy, nhamba haina kuwirirana nekuoma kwemararamiro emunhu.
Cause
Kungofanana nehutachiona chirwere mu hypothyroidism, "nei" mushure mekushaya myopathy mu hyperthyroidism haina kunyatsojeka. Zvichida nzvimbo yakakwirira yehomoni yehutachi mumuviri inopa zvakananga. Kunyanya kunyanya, idzi hutachiona hwehutori hwepamusoro hunogona kutungamirira kuwanda kwemapuroteni ekuderedza uye kushandiswa kwesimba.
Kuziva
Sezvakaita myopathy mu hypothyroidism, chiremba wako achaita chiitiko chekuongorora uye anokubvunza mibvunzo yakabatana nemararamiro ako emushu. Anokwanisawo kuronga kuongorora ropa, kunyanya utachiona hwemajeri, uye kurudzira electromyography .
Kurapa
Kurapa kwe hyperthyroidism yako kunowanzoporesa myopathy; zvisinei, zvinogona kutora nguva, kusvika kumwedzi inoverengeka inogona kuitika, kunyange mushure mokunge utachiona hwadzoka kune huri huri huri hurumende.
Shoko Rinobva
Mharidzo yekutora pamba pano ndeyekuti mheremhere yemisumbu inowanzoonekwa muhutachiona uye inogona kuderedzwa nekugadzirisa kwehutachiona hwako.
Kunyange zvakadaro, zvakakosha kuona chiremba wako kana iwe ukacherechedza mutsva uye / kana hunokosha huturu hwekutambura kana utera. Kunyange zvazvo utachiona hwako huchigona kuva chigumbu, pane zvimwe zvirwere zvinogona kukonzera zviratidzo zvemashure, uye izvi zvinoda chirongwa chakasiyana chekurapa.
> Sources:
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> Miller ML, Rubin DI. (2017). Hypothyroid myopathy. Aminoff MJ, Shefner JM, Ross DS, eds. Kusvika pari zvino. Waltham, MA: UpToDate Inc.
> Sindoni A, Rodolico C, Pappalardo MA, Portaro S, Benvenga S. Hypothyroid myopathy: Chirongwa chepachipiri chekurohwa kwetachiona: Kuongorora kwezvinyorwa. Rev Endocr Metab Disord . 2016 Dec; 17 (4): 499-519.
> Villar J, Finol HJ, Torres SH, Roschman-Gonzalez A. Myopathy kune varwere vane chirwere cheHashimoto. Invest Clinic . 2015 Mar; 56 (1): 33-46.