Kutaura pamusoro pezvinokonzera hyperthyroidism kunoda kukurukurirana kwezvimwe zvirwere zvakawanda-Graves 'chirwere, thyroiditis, goiter, nevamwe-kupfuura yehuwandu hwemamiriro ezvinhu. Nepo kune chimiro chinowirirana pakati pavo pakuti zvose zvinokonzera chirwere chako chetroroid kuti chibudise utachiona hwakawanda hwetachiona, kuti vanoita izvi zvakasiyana sei. Zvimwe zvinokonzera zvinonyatsodzivirirwa, asi zvizhinji hazvisi-uye kusarudza kuti ndeupi ari pamudzi wezvaunoita zvinoda kuongororwa.
Zvinowanzokonzera
Izvi zvitatu zvinowanzokonzera utachiona hwehuwandu hwemagetsi ndeyeGraves 'chirwere , toxic nodular kana multinodular goiter , uye thyroiditis .
Matongo 'Matenda
Chirwere 'chirwere, chirwere chemotokari, ndicho chinowanzokonzera hyperthyroidism muUnited States. Mumarwere, chirwere chomunhu chinogadzira antibodies chinosunga kumasero echitonho, zvichiita kuti vawedzere kuwedzera hormone yekroid.
Dhiyabhorosi Nodular kana Multinodular Goiter
Inonzi toxic nodular kana multinodular goiter inoratidzirwa nechirwere chimwechete kana kupfuura zvehutori kana mavhinga anokonzera utachiona hwakawandisa hwehomori. Dzimwe nguva zvipembenene izvi zvinotumidzwa se "shungu dzinopisa," nokuti dzinotora radioiodine pane inonzi radioactive iodine test test.
Thyroiditis
Thyroiditis inoreva "kuputika kwetachiona yeganda" uye inguva yegumbeti yezvipingamupinyi zvakasiyana-siyana zvinokonzera utachiona.
Chimwe chimiro chakajairika che thyroiditis is postpartum thyroiditis, inoitika mushure mekuberekwa kwomukadzi.
Vamwe vakadzi vane hutachiona hwehupfupi, hunotevedzerwa nekanguva hypothyroidism, asi vamwe vakadzi vanoona hyperthyroidism chete, uye vamwewo, chete hypothyroidism.
Kuwedzera kune nguva yekupedzisira, utachiona hunogona kukonzerwa nehutachiona (somuenzaniso, bhakitiriya rinokuvadza masero echitenderera), mamwe mishonga (somuenzaniso, amiodarone, lithium, kana interferon), tsvina, rayation, kana kushushikana kukuru.
Pakupedzisira, subacute thyroiditis (inonziwo De Quervain's thyroiditis) inokonzera hutachiona hwehuperi hutsva huchitorwa nechinguva (kunyange dzimwe nguva huripo) hypothyroidism. Chimwe chinhu chinosiyanisa subacute thyroiditis ndechokuti munhu achava neharuti yekroid yegland.
Zvimwe Zvinokonzera
Kunyange zvazvo zviitiko zvizhinji zve hyperthyroidism zvichibva kune zvataurwa pamusoro apa, zvimwe zvinokonzera zvinogonawo kufungwa nezvazvo:
Mishonga-Inobatsira Hyperthyroidism
Kutora mishonga yakawandisa yekodemoni yeHotmone -kana kuti nengozi kana nokuzvipira-kuzvipira-kunogona kukonzera mishonga-inokonzerwa hyperthyroidism. Vamwe vanopfuura-the-simba simba, kudya, uye glandular zvinowedzerawo zvine hutachiona hwehutori hunoita, hunoita kuti uve hyperthyroid.
Iodine
Kuratidzwa kana kudiridza iodine yakawandisa (somuenzaniso, kutora iodine kana kuwedzera kune iodine ) kunogona kukonzera hyperthyroidism.
Temporary Hyperthyroidism muHashimoto's Disease
Kazhinji vanhu vane Hashimoto's thyroiditis vane hypothyroid, sezvinoita munhu masimba emuviri anoshandura utachiona hwetachiona. Muzviitiko zvisingaiti, kunyange zvakadaro, munhu angangove hyperthyroid, asati ava hypothyroid. Izvi dzimwe nguva zvinonzi Hashitoxicosis.
Zvishoma Hyperthyroidism yeHyperemesis Gravidarum
Hyperemesis gravidarum chirwere chisingawanzoitiki chekunyengedzera kunoramba kuripo uye kurutsa uye kuora muviri kwe 5 muzana kana kupfuura paunenge uchitanga pamuviri.
Vamwe vakadzi vane hyperemesis gravidarum vanokura hyperthyroidism, kunyange zvazvo utachiona hwehomoni huzhinji hunosimudzirwa.
Pituitary-Inobatsira Hyperthyroidism
Chirwere chako chinonzi "tenzi" gland, sezvo inobereka mahomoni anokonzera mamwe mazamu, sezvinoita chirwere chako chetroroid, kusunungura mamwe mahomoni.
Kune mhando mbiri dzepituitary-inokonzerwa hyperthyroidism, iyo inonziwo inonzi hyperthyroidism. Chimwe chimiro chinokonzerwa nechirwere mumucheka wepituitary unowedzera hutachiona-hunokonzera hormone, kana kuti TSH (inonzi pituitary adenoma).
Kunyange rarer chiratidzo chinobatanidza kudarika kweTSH nechirwere chepituitary nekuda kwekuchinja kwemugene inotaridzirwa nehroroid hormone receptor.
Fetal-Neonatal Hyperthyroidism
Chirwere chechirwere ndicho chikonzero chinowanzokonzera hyperthyroidism pakuberekwa, kunyange zvazvo zvisingawanzoitiki, zvinowanzoitika kune 1 kubva kune 1500 vakadzi vane pamuviri, maererano neAmerican Thyroid Association.
Pakati pavakadzi ava vane chirwere cheBraves (kana kuti nhoroondo yezvirwere zveCheves), vanenge 2 muzana kusvika ku5 muzana yevana vavo vacheche vanoita fetal kana neonatal hyperthyroidism, iyo inoratidzwa nezviratidzo zvakasiyana-siyana. Zvimwe zvacho zvinosanganisira kubuda kwechirwere, kuwedzera kwemwoyo, kutsika kuberekwa, zvishoma zvishoma, uye chirwere chetrojeni yakakura (goiter).
Genetics
Genetics inobatanidzwa mukugadzirwa kweBraves 'hyperthyroidism, sezvinopupurirwa nekuti maGraves' mafupa ezvirwere mumhuri.
Izvi zvinoreva kuti kutakura mamwe majini (kana kuva nemhuri yekare inokosha kune zvirwere zveMakuva kana zvimwe zvirwere zvinogadziriswa) zvinogona kuita kuti munhu awedzere kuva nehutachiona husinganyanyi kudarika pane munhu asina mazamu aya.
Izvozvo zvakati, masayendisiti haana kunyatsotsoropodza zvose izvi masangano emagetsi, saka kuenzanisa kwemazwi hakuiti ikozvino kune vanhu vanofungidzirwa kuva neCheves 'chirwere.
Zvakakosha kucherechedza kuti mararamiro ehupenyu kana nzvimbo yakasikwa (somuenzaniso, kusvuta kana kutora pamuviri) kunotarisirwa kutangisa kutanga kwechirwere chetachiona. Saka munhu anogona kutakura majini anoita kuti vatarise zvirwere zveCheves, asi pasina chigamba, havatombochikudziri.
Zvinowanzoitika Nengozi
Kuziva zvinhu zvinogona kuwedzera mungozi yako ye hyperthyroidism zvinogona kukubatsira kuti uve nehurukuro yakanyatsozivikanwa nachiremba wako uye, zvichida, kuwedzera kuziva kwako zviratidzo chero zvipi zvaungangodaro:
- Kuva mukadzi
- Kuva nehupenyu hwemunhu kana wemhuri wehutachiona hwemoto (semuenzaniso, rheumatoid arthritis , lupus kana celiac disease )
- Kuva nehupenyu hwemunhu kana hwemhuri yehutachiona hwehutachiona, kusanganisira hutachiona hwehutachiona
- Uchangobva kuve nepamuviri
- Kusvuta
- Kutora iodine kudya kana iodine-ine mishonga (somuenzaniso, amiodarone)
- Kuona kushungurudzika kune chirwere chetachiona
- Kusakwana mu Vitamin D uye selenium
- Kuona kushungurudzika kwepfungwa (semuenzaniso, kurambana kana kurasikirwa nemumwe wako)
> Sources:
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> De Leo S, Lee SY, Braverman LE. Hyperthyroidism. Lance t 2016 Aug 27; 388 (10047): 906-18. dx.doi.org/10.1016/S0140-6736(16)00278-6
> Marino M, Latrofa F, Menconi F, Chiovato L, Vitti P. Basa rezvechimiro uye kwete-genetic zvinhu mu etiology yeBraves 'chirwere. J Endocrinol Invest. 2015 Mar; 38 (3): 283-94.
> Ross DS. (2017). Matambudziko anokonzera hyperthyroidism. Cooper DS, ed. Kusvika pari zvino. Waltham, MA: UpToDate Inc.
> Smith TJ, Hegedus L. Graves 'Disease. N Engl J Med . 2016 Oct 20; 375 (16): 1552-65.