Kuneta, Kurwisana Kusuruvara, Kuora mwoyo, uye Zvimwe
Chirwere cheHashimoto, kana Hashimoto's Thyroiditis, inongoerekana yakagadzikana apo muviri wako wechirwere chemuviri unotanga kukurudzira gland rako. Utachiona uhu hwakaita segurakiti uri mberi nechepamusoro pemutsipa wako. Basa guru rehutano hwetachiona nderekubudisa mahomoni, ayo anotonga kuti muviri wako unoshandisa sei simba-utachiona hweganda unobatsira zvikuru pamasero ose emuviri wako.
Paunenge uine chirwere cheHashimoto, utachiona hwako hunogona kupisa uye hukuvadzwa, hunotungamirira ku hypothyroidism, kana kuti utachiona husingaiti. Pakupedzisira, mabasa emuviri wako anononoka nokuti utachiona hwako hahugoni kubudisa mahomoni edikanwa.
MuUnited States, chirwere chaHashimoto ndicho chikonzero chinonyanya kukosha che hypothyroidism, maererano neNational Institute of Diabetes uye Digestive uye Kidney Diseases (NIDDK), uye inokanganisa anenge mashanu pane vanhu 100. Inenge inenge kasere yakawanda inowanikwa muvakadzi kupfuura varume. Mune zvimwe zviitiko, utachiona hunogona kuwedzera uye hugadzira goiter .
Mamiriro
Pakutanga, munhu ane chirwere cheHashimoto anogona kuramba asina kukwanisa kwemakore kusvikira mamiriro acho akawanikwa panguva yekuongororwa kwechiremba kana kushandiswa kwebasa reropa, inoshuma American Association of Clinical Endocrinologists (AACE). Kutevera pane zvimwe zviratidzo nezviratidzo zvehutachi Hashimoto:
Kukurira pasi pehuro, izvo zvinowanzosuruvara
Ikunzwa kwekumanikidzwa mumucheto wezasi wemutsipa
Kuneta uye kunetseka
Kusuruvara kusuruvara kana kunzwa kunotonhora apo vamwe vanhu vasingaiti
Kuora bvudzi
Kuwedzera kwehuwandu
Misumari inoputika kana kuvhara nyore nyore
Constipation
Joint pain
Kuwedzera kwekubatana kwekubatana
Misumbu aches uye kurwadziwa
Utsi husina simba
Kunyora kwechiso
Kukurova
Dambudziko nekuyeuka
Kukanganwa
Kusuruvara kwevhudzi kana kuoma, kubvongodza, kana kuponda vhudzi
Menorrhagia kana kunyanya kuenda kumwedzi kunopa ropa
Kuora mwoyo
Kupera kwemaitiro emwoyo
Pale pepa
Rurimi rwakakurumbira
Zvinokonzera
Kusvika iye zvino, chimwe chinokonzera hachina kuonekwa, asi vatsvakurudzi vanofunga kuti kubatana kwezvinhu zvakadai sewe genetics kana bhakitiriya kana utachiona hwehutachiona hunogona kukonzera chirwere. Mamiriro acho anowanzoita kuti ave nevakadzi vepakati-kati, kunyange zvakadaro, varume vanogona kuzviwana zvakare. Uyezve, iwe unowanzove nechirwere cheHashimoto kana nhengo yemhuri yako ichive kana kana iwe unenge uripo unozvimirira.
Miedzo
Kuti uongorore chirwere chaHashimoto, chiremba wako achaongorora nhoroondo yehutano hwako, urongwa hwezviratidzo, uye unozoongorora muviri. Goiters vanogona kunzwika panguva idzi.
Zvadaro, chiremba wako acharaira basa re lab kuti aongorore hypothyroidism. Muedzo wakazara unonzi utachiona hunokurudzira hormone kana TSH. TSH inoumbwa necheputiitary gland muuropi yako, uye inoratidza utachiona kuti ubudise mahomoni. Apo thyroid yako gland isiri kushanda, TSH yako inowanzosimudzwa nokuti plandish gland iri kuedza kukurudzira gland yako kuti ibudise mahomoni akawanda.
Uyezve, mutano wako wehutano anogona kuraira kuedzwa kweropa sekusununguka thyroxine, kana kuti T4 yakasununguka, kuti uedze uwandu hwehutachiona hunoshandiswa muropa rako. Asi AACE inoratidza kuti mhinduro dzeT4 dzakasununguka dzinogona kunge dzisiri nguva dzose dzidziso yakarurama yekuti hauna hashimoto here kana kuti kwete. "Nhamba yepamusoro yeTSH kukurudzira inogona kuchengetedza hurukuro yako ye'roroxine 'mukati memiganhu yakakwana' kwemakore mazhinji," vanodaro.
Rimwe ropa rinoridza chiremba wako anorayira anotarisa ma antibodies anonzi thyroperoxidase antibodies kana TPO. Aya ma antibodies aripo muzhinji rwevanhu vane chirwere cheHashimoto, kunyange zvakadaro, kuedza uku ndoga hakusi chiratidzo chekuti iwe une mamiriro acho.
Mune zvimwe zviitiko, chiremba wako anogona kurayira utachiona hwe ultrasound. An ultrasound inopa mifananidzo yehutachiona, saka chiremba anogona kuona kana gland iri kuwedzerwa nekuda kwechirwere chaHashimoto kana kutonga zvimwe zvinokonzera semakonyeti ehutachiona.
Mushure mekutarisa
Muchikamu chekutanga che chirwere cheHashimoto, iwe unogona kunge usina zviratidzo. Muchiitiko ichi, kupindira kwezvechiremba kunogona kunge kusingakoshi, uye chiremba wako angasarudza kumirira uye kuona kana chirwere chako chinowedzera nenguva.
Kana chirwere chako chichienderera mberi pane iyo thyroid yako isingakwanisi kuita mahomoni anokwana, chiremba wako achapa utachiona hunoita shanduko se-levothyroxine-inogadzirwa, T4 hormone inofanidza utachiona hwehutori muviri wako unowanzoita. Chiremba wako achaita zvirongwa zvepurogiramu yeropa uye agadzirisa kurapa kwako sezvaunoda kusvikira iwe uchisvika kudii yakakodzera iwe.
Dzimwe nguva, vamwe vanhu vangave vasinganzwi zvakanaka pa levothyroxine voga, saka vanogona kubatsirwa nekuwedzera kwechigadzirwa, T3 hormone inonzi liothyronine. Kubatanidzwa kweT4 uye T3 kwemwedzi mitatu kusvika kumatanhatu ndeye nguva yakakwana yekuedza kuona kana iwe uchiwana zororo kubva kune zviratidzo zvako, rinodaro Mayo Clinic.
Kuwedzeresa, asi chiyero chekutarisira chirwere cheHashimoto ndechokurapa chirwere chinoshandisa levothyroxine, mushonga unonzi utachiona hwehutachiona hwemhuka (NDT), hwakafanana neChina-Throid kana Hondo, inogona kurairwa kune vamwe vanhu. NDT yakabva kune nguruve uye ine T4 uye T3.
Pane kumwe kusava nechokwadi pamusoro peNATT munharaunda yezvokurapa pamusoro pekuti kana kwete iyo inoshandiswa pamwe chete neshamwari yakagadzirwa. Sei? Nokuti chikamu cheT4 neT3 muNATT chakasiyana pakati pevuruve nevanhu, uye zviyero zvehomoni zvakange zvichinyatsozivikanwa kuti zvisiyane mukati mechigadzirwa.
Asi utano hwehutano hunofanirwa kuve humwe hwega kune mumwe murwere, saka zvakakosha kutaura kuti vamwe varwere vanorondedzera kuchinja kukuru kweNATT. Nokuda kwemigumisiro yakanakisisa, zvinokosha kuti iwe uzive zvose zvese zvaunogona kuwana uye ushande nachiremba wako kuti asarudze kurapa kwakakunakira iwe.
Shoko Rinobva
Nemhaka yokuti chirwere cheHashimoto chinotanga kufambira mberi kwehupenyu hwomunhu, chiremba wako achada kukuedza nguva nenguva kuti ave nechokwadi chokuti uri mukana wakakodzera wemishonga. Dzimwe nguva, kurapa kwako kunogona kuchinjwa. Mashoko akanaka? Kazhinji kacho, varwere vehutachiona vane chirwere cheHashimoto vanogona kuchengetedzwa zvakanaka kuburikidza nemishonga, saka iwe unoda kutora mushonga wako sezvaunorayirwa kunyange kana iwe uchitanga kunzwa zvakanaka.
> Sources:
> American Association of Clinical Endocrinologists website. Hashimoto's Thyroiditis .
> National Institute of Diabetes uye Digestive uye Kidney Diseases website. Hashimoto's Disease.
> Office of Women's Health, US Department of Health and Human Services website. Hashimoto's Disease.