Kutsanya, Mishonga, Kuberekwa, uye Kurwara Kwakakomba Zvingava Zvirwere
Utachiona hwehutachiona hwemaperembudzi kazhinji hwakajeka uye hwakarurama, asi dzimwe nguva zvimwe zviitiko zvinogona kuchinja mhinduro yemunhu oga. Nezvo, kuitira kuti uwane mhinduro yakajeka iwe pachako (kana mudiwa wako), iyo pfungwa yakanaka yekuziva zvinhu izvi.
Kutsanya Kunobatsira Sei Kuedzwa Kwetanoji
Kunyange zvazvo kutsanya kusingatariswi kudiwa paunenge uchitarisa chirwere chetachiona , zvidzidzo zvakaratidza kuti mangwanani ekutsanya kudya kunoshandura kumazinga akare eTSH , kana achienzaniswa nevaya vatorwa mushure mekusava nekutsanya.
Izvi zvingave zvakanyanya kuoma kuvanhu vane subclinical hypothyroidism (inotsanangurwa neTSH yakanyatsorudzirwa TSH uye yakasununguka isina T4) sezvo kuongororwa uye kuongororwa kwechiitiko ichi kunongotarisa chete pamusoro pehuwandu hweTSH (sezvo T4 yakasikwa).
Mune mamwe mazwi, kuongororwa kwe subclinical hypothyroidism kunogona kunge kusinganzwisisiki kana TSH ichikosha zvishoma zvishoma nekuda kwekusadya, masikati ropa rinotora.
Kunyange zvazvo izvi zvisingaoneki senyaya huru mumufananidzo mukuru, kana uri kutora utachiona huri panzvimbo iyo, zvichida zvinonzwisisika kuronga ropa rako reTSH rinotenderera panguva imwechete yezuva uye nenzira imwecheteyo (kutsanya / kwete kusadya) .
Mishonga Inoshandiswa Mishonga Inobatsira Sei Kuedzwa Kwetachiona
Mamwe mishonga inogona kukonzera utachiona husingaiti, zvichireva kuti munhu anogona kukura hunyengeri kana hyperthyroidism, semugumisiro wekutora mishonga. Mienzaniso mishomanana yemishonga yakadaro inosanganisira:
- Lithium
- Amiodarone
- Iodini kana kelp zvinowedzera
- Kunyanya kushandiswa kwemishonga seyakanyanyisa seinterferon alpha, interleukin-2, uye Lemtrada (alemtuzumab)
- Tyrosine kinase inhibitors, saNexavar (sorafenib) kana Sutent (sunitinib)
Zvimwe zvinodhaka zvinogona kukanganisa utachiona hunoita kuti uwedzere kunwa mumatumbo, kufanana ne calcium carbonate, iron sulfate, uye proton pump inhibitors Prilosec (omeprazole) uye Prevacid (lansoprazole).
Mimwe mishonga inogona kukanganisa utachiona hwemakirini, asi kwete neicho chaicho chetachiona. Mienzaniso mishomanana yemishonga iyi inosanganisira:
- Zvimwe zvisingaiti anti-inflammatories (NSAIDs)
- Zvimwe zvinopesana nemagetsi
- Heparin (ropa rakaonda)
- Lasix (furosemide)
- Glucocorticoids
Pakupedzisira, tsvakurudzo yakawana kuti kuwedzera biotin (inotorwa mumatare emamirigiramu mashanu kusvika ku10) kunogona kupindira nekuyera kwehutachiona hwetachiona. Nokudaro, zvinokurudzirwa kuti vanhu vanotora biotin vanoitora kwemazuva maviri vasati vava nehutachiona hwehutachiona.
Muchemberero Inobata Sei Utachiona Hwokuedzwa?
Pamusana pekuwedzera kwezvinodiwa zvemagetsi panguva yekuzvitakura, pane kuchinja kunowanikwa mumararamiro ehutachiona hwemukadzi. Ichi ndicho chikonzero American Thyroid Association inorumbidza kuti chiremba anoshandisa trimester-specific reference ranges yeTSH uye mahwindo eT4 mazera panguva yekuzvitakura.
Kurwara Kwakaita Sei Kuedzwa Kwetachiona
Kana munhu ari kurwara zvakanyanya, kunyanya kana vari muchipatara mune imwe nhengo yekuchengetedza zvakanyanya, chirwere chavo chingakanganisa utachiona hwavo hunoita. Muchirwere ichi, TSH inowanzova yakaderera nechepasi nechezasi T4, isina T4, uye T3 level.
Pamusana pechiitiko ichi, chinonzi nonthyroidal chirwere kana "chirwere euthyroid syndrome," nyanzvi dzinowanzokurudzira kuti vanachiremba havaenzanisi kuongororwa kwetachiona muropa mune varwere vanorwara zvakanyanya kunze kwekunge kune kutyisidzira kwakasimba kwechirwere chetachiona.
Shoko Rinobva
Pakupedzisira, kuitira kuti uve nehutano muhutano hwako hwetachiona, iva nechokwadi chekuudza chiremba wako kana chimwe chezvinhu izvi chiripo, zvikuru kana iwe uri nepamuviri.
Ramba uchifunga, kunyange zvakadaro, kana chirwere chetachiona chako chetachiona chichiita se "kure" pasina chikonzero chakanaka, kudzokorora kuongorora ropa kunogara kuri nyore kuita, uye danho rinotevera rinotevera.
> Sources:
> Barbesino G. Misdiagnosis yeMaronda 'Matenda ane Apparent Severe Hyperthyroidism mune Murwere Kutora Biotin Megadoses. Thyroid . 2016 Jun; 26 (6): 860-3.
> Koulouri, O. uye Gurnell, M. Nzira yekududzira maitiro ehutachiona hwehutachiona. Clinical Medicine. June 1, 2013; 13 (3): 282-286.
> Nair R, Mahadevheni S, Muralidharan RS, Madhavan S. Kudya kana kuti postpandial kune hutano hwehutano hwehutano here? Ini ndine J Endocrinol Metab. 2014 Sep-Oct; 18 (5): 705-07.
> Ross DS. (2017). Kuongorora kwehutachiona hwebasa. Mu: UpToDate, Cooper DS (Ed), UpToDate, Waltham, MA.