Chirongwa Chekurapa Kwoutachiona
Mushonga wehutachiona hwako hunoenderana nehutano hwehutachiona uye kuti utachiona hwako hwakanyanyisa, husingaiti, huchiwedzera, kana hunova nekenza. Heino mhedziso yezvipatara zvakasiyana-siyana zvakagadzirirwa mamiriro ehutano.
Hyperthyroidism / Graves 'Zvirwere Zvirwere
Apo utachiona hwako hwakaoma kana kuti husingagoni kupedza simba-chiitiko chinozivikanwa se hyperthyroidism -uri kubudisa hutoni yakawanda kwazvo yehutori.
Hyperthyroidism inowanzokonzerwa nemamiriro ezvinhu anonzi autoimmune anozivikanwa seGraves 'chirwere , kana mune dzimwe nguva nemhaka yehutachiona hwehutachiona hunobereka kutapira kwetachiona hormone kana thyroiditis.
Hyperthyroidism inorapwa nokudzivirira utachiona kubva pakuwedzera kwehomoni, kuderedza utachiona hwekodzero yekubudisa hormone, kana kuti kubvisa chirwere. Kunyanya, zvirapa zvinosanganisira:
- Antithyroid drugs , kusanganisira methimazole (Tapazole), propylthiouracil (PTU), uye carbimazole (Neo-Mercazole). Nemhaka yokuti PTU dzimwe nguva inosanganiswa nemamwe matambudziko makuru, methimazole inonzi inoshandiswa mushonga we antithyroid muUnited States (PTU, zvisinei, inorayirwa kurapwa panguva yekutanga kwekutanga kwekuita pamuviri nekuda kwengozi shoma yekuzvarwa kwepabonde inosangana ne methimazole.)
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Hypothyroidism Kazhinji Isinganzwisisiki naLevothyroxine uye Kazhinji TSH
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Kudzivirira Mhuri Yenyu Mushure mehutachiona hweIodine Treatment
- Majekiseni ekurapa iodine (RAI) , inozivikanwawo sehudhiyodine ablation . Kurapa uku kunosanganisira kutora chirwere cheyodini yakasvibiswa, iyo inowanzobatwa nehutachiona uye inoparadza-kana kubvisa-zvose kana chikamu chegoni yekukwanisa kuita utachiona hwetachiona.
- Kugadziriswa kubviswa kwezvose kana chikamu chetachiona, inozivikanwa se thyroidectomy.
- Mune zvimwe zviitiko, kuora mwoyo kwehutachiona hwehutachiona hwakafanana nekukura kwemoyo wemwoyo, kupindira, kana kukwira kwepamusoro kweropa kunobatwawo nezvinodhaka zvinonzi beta blockers.
Kazhinji, nzira inoshandiswa pakurapa inoenderana nekuoma kwemamiriro ako ezvinhu, zvisinei iwe unogona kutsungirira mishonga yevitithyroid, uye kana uri nepamuviri kana kuronga kutora pamuviri munguva pfupi.
Geography inobatsirawo, sezvo iwe unowanzopiwa RAI muUnited States-neyekuvhiyiwa kana zvinodhaka zvinotyisa. MuUnited States, chirwere hachiwanzoitwa hyperthyroidism, kunze kwekuti iwe uri nepamuviri uye haugoni kutsungirira zvinodhaka zveva antithyroid. Kunze kweU.S., chirwere chinodhaka chetroithyroid chinowanzova chokutanga chekuita kurapa, uye kuvhiyiwa kunowanzoshandiswa zvikuru, kunyanya kuvana nevakadzi vane makore ekurera.
Zvimwe zvinokakavadzana, zvakagadzirisa zvirwere zvekurapa zvinosanganisira kubvisa / kubvisa utachiona (BRT) -kubatanidzwa kwetrojoni remishonga inoshandiswa mishonga uye mishonga yevan antithyroid-uye nzira inozivikanwa sehutachiona hutano hunoita .
Vakawanda vane chirwere chetachiona vanowana kurapwa kweRI kana kuti kuvhiyiwa kunopedzisira kuguma hypothyroid, uye vanobatwa nehutachiona hutsva zvinodhaka zvinodhaka .
Vamwe vashandi vanobatanidza vanokurudzira kuderedza kuderedzwa uye nzira dzekutungamirira sekufungisisa kufungisisa, kudya kwemitambo yevirithyroid uye kushandiswa kwezvokudya, mishonga yemitauro yeChina, uye dzimwe nzira dzakakwana dzekubatsira utachiona hunopedza simba.
Goiter Treatments
Goiter rinoreva utachiona hwakawedzerwa, hunogona kukura mune zvose hypothyroidism uye hyperthyroidism.
Zvichienderana nehukuru uye nzvimbo, kana uine goiter, zvinogona kuita kuti unzwe huzere mumutsipa wako, kurwadziwa, uye zvishoma, zvinogona kuita kuti zvive zvakaoma kumedza kana kufema.
Kana iwe uine goiter shoma iyo isiri chiratidzo uye haisi kuteverwa nemhando ipi zvayo isina kukwana muhutachiona hwako, chiremba wako angasarudza kutarisa-kwete kubata-yako goiter.
Kwechidiki, chirwere chechiratidzo, vanachiremba vanowanzokubata nehutachiona huri mushonga mishonga . Mune zvimwe zviitiko, zvinodhaka zvinogona kuderedza kana kuvhara kukura kwe goiter yako asi haigone kuideredza.
Kana goiter yako yakakura, inoramba ichingokura pasinei nokuti ine utachiona hweHotmone, inokutambudza, kana inopesana nekumedza kana kufema, chiremba wako anogona kukurudzira iodine radioactive (RAI) kupedza utachiona hwako, kana kuvhiya kubvisa zvose kana chikamu chako thyroid gland.
Muchiitiko chegorosi iyo inokonzerwa nokushayikwa kweiodini, chiremba wako angangokurudzira kushandiswa kweyodini yekuwedzera.
Thyroid Nodule Treatments
Ruzhinji rwehutachiona hutachiona hwakanaka. Nezviduku, zvirwere zvinotyisa zvinokonzera kusava nezviratidzo, vashandi vakawanda vanosarudza kuongorora varwere. Chikamu chikuru chevanhu-dzimwe nyanzvi dzinoratidza huzhinji hwevanhu-dzine izvi zvisingatauriki, uye hazvidi kuti iwedzere kurapwa.
Nokuda kwezviratidzo zvebenin nodules, iyo yekutanga yekurapa inowanzotora utachiona hwemishonga inoshandiswa muropa yevavhisi levothyroxine , iyo dzimwe nguva inogona kupera maronda, inogona kudzivirira hutundu hwekukura, nekubatsira kudzivirira mamwe mazuru mutsva kubva pakuumba. Nokuti mushonga wacho unoshanda zvakakwana mune vashomanana vevarwere, levothyroxine therapy inonzi inopesana.
Mune zvimwe zviitiko, kana hutundu huri pamwe chete ne hyperthyroidism, iodine inokonzerwa ne-radioacid (RAI) inoshandiswa, kukanganisa maronda uye chirwere chetachiona. Kana bhinign nodule yakakura uye isingateereri mishonga kana RAI, chirwere chinowanzokurudzirwa.
Imwe nzira inoshandiswa mumakunguti ndiyo inonzi ethanol injection (PEI) , iyo dhizha rinoputika nejojo.
Chimwe chivimbiso chitsva chisina kuvhiyiwa chemasvondo chinonzi high-intensist ultrasound bher technology .
Kana chirwere chinowanikwa uye chinokonzera kuve nekenza, utachiona hwako hunowanzowanzobviswa zvose kana kuti chikamu. Mumamiriro ekurwara , zvirongwa zvekurapa kenza yekenza zvinoteverwa zvichienderana nerudzi rwekenza yakaonekwa.
Munguva yakapfuura, thyroidectomy yakaitwa mushure mokunge chidimbu chinoshushikana (FNA) chichiratidzira chinogadziriswa kana kuti chisingazivikanwi , asi Veracyte Afirma Thyroid Analysis inowanikwa itsva inogadzirisa zvikuru zvigumisiro zvisingagumi uye inodzivirira chirwere chisina kufanira .
Mamwe mazano pamusoro pekurapa mavhiriki anowanikwa muAmerican Association of Clinical Endocrinologists ' Zvirongwa Zvoutano zveMakiriniki ekudzidzira Kuziva uye Kutungamirirwa kweTyroid Nodules.
Thyroiditis Treatment
Thyroiditis inoreva kuvhiringidzika kwetachiona chako. Kunyange zvazvo autoimmune (Hashimoto's) thyroiditis ndiyo yakanyanya kufanana, kune mamwe maitiro e thyroiditis, kusanganisira post-partum thyroiditis, De Quervain's (inonziwo subacute kana granulomatous) thyroiditis, uye viral thyroiditis, pakati pevamwe.
Sezvakataurwa, mune zvimwe zviitiko, Hashimoto's thyroiditis inobatwa nehutachiona hwemishonga yemishonga . Nezviitiko zve thyroiditis zvinorwadza, vanachiremba vanowanzokurudzira marwadzo-reliever ane anti-inflammatory properties, zvakadai sa aspirin, ibuprofen (Advil / Motrin), kana naproxen (Aleve).
Kana iyo thyroiditis inonyanya kuoma, vanachiremba dzimwe nguva vanorayira steroid zvinodhaka kuderedza kuvhiringidza, pamwe nekemikari inonzi hormone replacement drugs, kubvumira utachiona kuti upore kubva mubasa rekubudisa mahomoni.
Pamusoro pezvokudya, kune humwe humwe uchapupu hwokuti kuwedzera nemaminerari selenium kunogona kubatsira thyroiditis.
Heino humwe ruzivo rwemhando dzakasiyana dze thyroiditis :
- Riedel's thyroiditis
- subacute granulomatous thyroiditis
- acute infectious thyroiditis
- painless thyroiditis
- postpartum thyroiditis
Thyroid Cancer Treatment
Kune mavara mana emhando dzakasiyana dzekenza yehutano: papillary, follicular, medullary, uye amaplastic . Mishonga yekenza yekenza yakabva pamhando yekenza, uye mune dzimwe nguva, kugadzira-kushandiswa kwekenza kusvika kune dzimwe nhengo dzemuviri-uyewo kana iri kenza itsva kana kenza yenguva dzose.
Mishonga yekenza yekenza inosanganisira:
- Kuvhiya kubvisa kenza, inozivikanwa seyroidroidectomy . Vamwe varwere vanogamuchira lobectomy, iyo inobvisa imwe rutivi rwetachiona. Iro-thyroidectomy iri pedyo-inobvisa zvinenge zvese zvese. Iyo utachiona hwose hubviswa muhutachiona hwetachiona . Lymph node dissection inowanzoitwa panguva yekuvhiyiwa kwehutano, kuongorora kupararira kwekenza yekameti.
- Mishonga inouraya kurapa masero emukenza. Nokuda kwekenza yehutachiona, miviri yakawanda inowanzopiwa mumvura kana piritsi rine iodine inonzi radioactive (RAI). Utachiona hunotora iodine, uye iyo inonzi radioactive yeododhi inounganidza mumatomu echitendero uye inouraya masero ekenza. Mune zvimwe zviitiko, miviri yacho inonunurwa kubva kunze kwemuviri, inotarirwa zvakananga kurotori, uye inozivikanwa seiri kunze kwechiedza chechiedza.
- Utachiona hweHormone, uchishandisa utachiona huripo mushonga wemishonga . Mushure mekuvhiyiwa kwetachiona kana RAI, iwe unogona kunge uine hypothyroid, uye unoda hutano hwehupenyu hwose hwetrodhi hormone mishonga yemishonga. Mune zvimwe zviitiko, vanachiremba vachakurudzira chiitiko chichachengetedza TSH yako yakaderera kana isingaoneke, kubatsira kudzivirira kenza yekodhi kubva pakudzoka.
- Targeted therapies, kusanganisira mhando dzakasiyana dzemishonga mitsva yemhando dzakasiyana dzekenza yekodhi, kusanganisira iyo isingagadziriswi neradioactic treatment.
- Chemotherapy haina kufanana, asi inogona kushandiswa mune dzimwe nguva, kunyanya kubatsira kubvisa zviratidzo.
Hypothyroidism / Hashimoto's Disease Treatment
Hypothyroidism imamiriro ezvinhu apo utachiona husingagadziriswi, kuparadzwa kwemakemikari, kana kubudiswa chirwere, uye naizvozvo haugoni kubereka zvakakwana masero ehomoni. Takasiyira iyo yekupedzisira nokuti, kusvika pamwero mukuru, mamwe maitiro ehutano-ehutachiona-anosanganisira radioactively ablating kana kuti kubvisa chirwere chetachiona-kazhinji kuguma iwe uchiva hypothyroid.
Hypothyroidism inotorwa nekushandura hormone inoshayikwa, hormone inokosha kumabasa makuru emuviri. Izvi zvinoitwa nekutora utachiona hwemapiritsi echinoshandiswa nemishonga inorayirwa nachiremba wako.
Utachiona hwemakemikari zvinotsiviwa nemishonga inoshandisa hutachiona husina hanya mumuviri wako. Zvinosanganisira zvinotevera:
- Nyaya inonyanya kutaurwa ye thyroid hormone replacement mishonga inonyanya kuzivikanwa se levothyroxine, iyo yakagadzirirwa yehutachiona hormone thyroxine (T4). Mazita anowanzozivikanwa mazita anosanganisira Synthroid, Levoxyl, Unithroid, uye Tirosint.
- Panewo maitiro ekugadzira t3 hormone, inozivikanwa seodonronine, iyo dzimwe nguva inowanikwa ku levothyroxine yeT4 / T3 kusanganiswa kwehutano. Zita iri muUS is Cytomel.
- Uyewo, kune hormone inoshandiswa mushonga inonzi yakasikwa yakasvibiswa nehutachiona, dzimwe nguva yakafukidzirwa NDT kana kuti inonzi "chido chetachiona." Kunyange zvazvo yakave ichiwanikwa kwemazana emakore uye ichiri kushandiswa mazuva ano, NDT inonzi inopesana nehuwandu hwehutano hwevanhu, asi inorayirwa kakawanda nemishonga yakakwana uye yakashanda vanachiremba. Mazita echigarire anowanzobatanidza Nature-hero, Armor Thyroid, uye WP Thyroid.
Kurapwa kwechirwere chaHashimoto, chiitiko chekuzvimirira icho chinowanzokonzera hypothyroidism, chinopesana zvikuru. Vashandi vakawanda vanofunga kuti Hashimoto haafaniri kurapwa, uye vanongorapa nehutachiona hwekushandisa zvinodhaka zvinodhaka apo Hashimoto yakaguma ne hypothyroidism. (Dzidza zvakawanda nezvekusiyanisa: Hashimoto vs vs. Hypothyroidism: Chii chakasiyana?)
Vamwe vashandi vanotenda kuti chirwere cheHashimoto, chinogona kusimbiswa nekuongororwa kwezvirwere zvehutachiona , zvinorayira kurapwa kune vamwe varwere vane zviratidzo, kunyange kana mamwe maitiro ehutachiona ari akajairika. Panewo humwe uchapupu hwokuti hutachiona hweHashimoto huri nehutori hweHotmone huchishandura zvinodhaka asati utachiona huchiwedzera hutoni (TSH) hukwiriro hwehutano hunogona kuderedza dzimwe zviratidzo. Imwe tsvakurudzo inofananidzirawo kuti kubata mumwe munhu ane Hashimoto's uyo asinawo kuongororwa kweropa kwemazuva ose, kusanganisira yekare TSH level, inogona kubatsira kudzivirira kukwidziridzwa kweTSH yepamusoro nekufambira mberi kusvika pakuzara hypothyroidism. Kurapa Hashimoto apo TSH yakajairika inopesana, zvakadaro.
Nzvimbo mbiri itsva dzinovimbisa nzvimbo yekurapa kwaHashimoto: kushandiswa kwemishonga inodhaka yealter naltrexone (LDN) uye autologous stem cell transplants. Zvirwere zvose zvinogona kubatsira kuderedza zvirwere uye kugona kuregererwa mune vamwe varwere.
Pachirongwa chemishonga inoshandiswa mberi, vamwe vashanduri vose vanokurudzira iodine supplementation , zvimwe zvinowedzera kudya kunovaka muviri, kuchinja kwezvokudya, zvimwe zvega yoga zvinosanganisira, mishonga yemuviri yepfungwa, uye mamwe mazano anobatsira ekubatsira utachiona.
Mamwe maitiro ekubatanidza kurapa anosanganisira:
- Supplementation ne selenium kuderedza zvirwere
- Kutaura nezvehutano husina kuenzana huripo hungave huri nyore kunzwisisa utachiona
- Zvokudya zvinoshandiswa kuderedza kupisa
- Kubvisa gluten kubva pakudya nekuda kwekubatana pakati pe gluten uye kuzvimirira
- Kushungurudzika mupfungwa uye kutungamirirwa
Shoko Rinobva
Kana zvasvika pakusarudza utano hwehutano, unoda ruzivo. Chinhu chakanaka chekutanga chiri pano, pamwe nemari yedu yakazara pamusoro pezvinhu zvose zvematambudziko ehutano .
Iwewo unoda kuwana chiremba wakanakisisa wehutano iwe pachako , uye ushamwari naye. Uye yeuka: Usanonoka kuwana mhedziso yechipiri pamusoro pekutarisa kwako kwetrosi kana une mibvunzo pamusoro penzira yako yekurapa.
Sources:
Bahn R, Burch H, Cooper D, et al. Hyperthyroidism uye Zvimwe Zvikonzero Zvako Thytotoxicosis: Mazano Ekutungamirirwa kweAmerican Thyroid Association uye American Association of Clinical Endocrinologists . Endocrine Dzidzira . Vol 17 Nha. 3 Mbudzi / June 2011.
> Garber J, Cobin R, Gharib H, et al. Clinical Practice Guidelines for Hypothyroidism muVakuru: Cosponsored neAmerican Association of Clinical Endocrinologists uye American Thyroid Association . Endocrine Dzidzira . Vol 18 Nha. 6 November / December 2012.
Smallridge R, Ain K, Asa S, et al. American Thyroid Association Mirayiridzo Yekutungamirira Vatano neAnaplastic Thyroid Cancer. Thyroid . Bhuku 22, Nhamba 11, 2012 nei: 10.1089 / yako.2012.0302
Stagnaro-Green A, Abalovich M, Alexander E. et al. Mirayiridzo yeAmerican Thyroid Association yekuziva uye Kutungamirirwa kwezvirwere zveTroroid panguva yekuberekwa uye Postpartum. Thyroid . Bhuku 21, Nhamba 10, 2011 nei: 10.1089 / thy.2011.0087
Wells S, Asa S, Dralle H, et al. Revised American Thyroid Association Nhungamiro yekutungamira kweMedullary Thyroid Carcinoma. Thyroid . Bhuku 25, Nhamba 6, 2015. ini: 10.1089 / thy.2014.0335