Zvamunoda Kuziva Nezvekusuruvara Sirient Thyroiditis
Izwi rokuti thyroiditis rinowanzoreva kune chinetso chipi zvacho chinosanganisira kuvhiringidza kora yako ye thyroid. Thyroiditis inowanzogoverwa kuva mbiri yakakura-yakasiyana - isina kurwadza uye inorwadza-iyo inoratidza kuwanda kwekutambudzika kwavanoita kuvarwere.
Painless thyroiditis inowanzoshandiswa nemamwe mazita mazita, kusanganisira silent thyroiditis, subacute lymphocytic thyroiditis, atypical subacute thyroiditis, nguva inotevera thyrotoxicosis nechepasi RAIU, hyperthyroiditis, uye lymphocytic thyroiditis uye kugadzirisa pakarepo chirwere che hyperthyroidism.
Kunyange zvazvo mamwe maitiro e thyroiditis ari pamwe chete nekuwedzera kwetroroid - inozivikanwa se goiter - mune utachiona husina kunaka, chirwere chetachiona kazhinji hachiwedzere.
Chii Chinokonzera Painless Thyroiditis?
Kana iwe usina chirwere chinonzi thyroiditis, iwe unofungidzirwa kuva nechimiro chemotokari yega autommune, kufanana neHashimoto's thyroiditis, kunze kwekuti mumatambudziko akawanda, ichagadzirisa kwenguva uye utachiona hwako huchadzoka kune unowanzoshanda. Zvimwe zvinokonzera zvirwere zvakawanda zvemoto hazvina kuzivikanwa kana zvinonzwisiswa zvakanaka.
Mimwe mishonga inozivikanwawo inokonzera utachiona husina kunaka. Kana uri kutora mishonga inotevera, zvinokosha kuti uzive kuti dzinogona kukonzera utachiona hwehutachiona mune vamwe varwere:
- Interferon-alfa - mushonga unoshandiswa kurapa zvimwe zvirwere zvehutachiwana uye kanzira
- Interleukin-2 - mushonga unoshandiswa sekurapa kenza
- Amiodarone - mishonga inoshandiswa kurapa kusagadzikana kwepfungwa
- Lithium - mafungiro ekusimudzira zvinodhaka zvinoshandiswa kurapa bipolar disorder
Zviratidzo
Mune zvimwe zviitiko, utachiona husina njodzi huchava nezviratidzo. Asi mamiriro acho anogonawo kuendeswa nezviratidzo, kunyanya zviratidzo zve hyperthyroidism mukutanga. Zviratidzo izvi zvinogona kugara kwemwedzi mitatu, uye zvinogona kusanganisira:
- Kuneta
- Kushaya simba mumasumbu
- Kazhinji kufamba kwemvere, kusununguka kwemwoyo, chirwere
- Kuvhiringidzika kupisa, kuwedzera kutuka
- Kuwedzera kwechido
- Kuwedzera kwekudya kudya pasina kuwedzera kwekurema, kana kutadza kusingatarisiri kurasikirwa
- Kunyoresa nguva yokuenda kumwedzi
- Kunzwa kutya, kufunganya, kusagadzikana, kana kutsamwa
- Heart palpitations
- Kunyunyuta
Gare gare, zviratidzo zvako zvinogona kuchinja kune zvejeresi isingashandisi (hypothyroidism), uye inogona kusanganisira kusanganisira kuneta, kuwedzera kuora, kusuruvara kwevhudzi, kuora mwoyo, uye kusagadzikana kwechando.
Vamwe vanhu vanocherechedza zviratidzo zve hypothyroid uye havana zviratidzo zve hyperthyroidism.
Nzira yePauinless Thyroiditis
Zvinofungidzirwa kuti utachiona husina njodzi hunogona kuva chikonzero che10 kusvika ku20 muzana yematambudziko e hyperthyroidism - utachiona husina simba - uye 10 muzana ye hypothyroidism.
Painless thyroiditis inogara ichizvigadzirisa mukati memwedzi miviri kana mina, asi mune dzimwe nguva, inogona kuramba kwenguva yakareba segore. Inofungidzirwa kuti nekufamba kwenguva, vazhinji vanenge 95 muzana yevarwere vachadzokera kuhutano hwemazuva ose.
Zvakakosha kuti chiremba wako aite zvakajeka, nokuti munguva dzakawanda, hutachiona hwehutachiona hwakadai semishonga inoshandiswa neidithyroid kana utachiona huripo huri hunodiwa.
Kuziva
Kuongororwa kwehutachiona hwehutachiona hunowanzobatanidza kuongororwa kwekliniki , kusanganisira kuongorora kwekunyora kwechirwere chako cheTroroid, TSH, Free T4 uye Free T3 kuedza, uye inonzi radioactive iodine (RAI-U) mune dzimwe nguva. RAI-U inoderedza kuderedzwa kunotapira muhutachiona hwetachiroiditis. Zvishoma nezvishoma, utachiona hwehutachiona - hunozivikanwa sechidimbu chengano inoshuva (FNA) biopsy - inogona kuitwa kuitira kugadzirisa kujekesa.
Kurapa
Painless thyroiditis inowanzova nguva pfupi, nguva duku, uye kazhinji haiiti kukonzera utachiona hwakanyanya. Kana kurapa kuchidiwa, kazhinji kune zviratidzo.
Saka, somuenzaniso, kana uri kutaridzika kwepamwoyo yepamusoro kana kupindira munguva ye hyperthyroid yechitachiona chisina kunaka, iwe unogona kutarirwa pfupi pfupi yeka beta inogadzirisa zvinodhaka. Kana uine nguva yakareba hypothyroid, iwe unogona kupiwa maitiro ehutoriyamu inoshandiswa mushonga mishonga kusvikira utachiona zvishoma nezvishoma unodzokera kune unowanzoshanda.
Inenge 20 muzana yevarwere inokura isingaperi hypothyroidism kana kuti thyroiditis yakadzokazve, zvakadaro, zvinokosha kuti uve nenguva inotevera nechiremba wako.
Sources:
Burman, Kenneth. Ross, Douglas. Martin, Kathryn. "Mazwi eti thyroiditis." UpToDate . Yakasvika: August 22, 2008.
> Schwartz F, Bergmann N, Zerahn B, Faber J. Kuwedzerwa kwehutachiona hwehutachiona husina njodzi huripo ne thyrotoxicosis muDenmark sezvinoongororwa nehutano hwetroroid scintigraphies. Scand J Clin Lab Invest 2013; 73: 240.