Hypothyroidism inogona kukura nokuda kwezvikonzero zvakasiyana-siyana, kubva mukurwisa kwezvimoto kune utachiona hwehutano (hunonzi Hashimoto's thyroiditis) kutora mishonga yakadai se lithiamu. Hypothyroidism inogonawo kuva chiratidzo chekutanga chezvinetso zvepituitary gland.
Kunzwisisa "nei" shure kwekuongororwa kwe hypothyroidism kunokosha kuti uende mberi ne chirongwa chekurapa.
Izvi ndezvokuti kana vamwe vanhu vachida kuti utachiona hupenyu hwose huve hupenyu huripo, vamwe vanogona kunge vane nguva shoma shoma ye hypothyroidism (somuenzaniso, postpartum thyroiditis), vanoda kurega kutora mishonga, kana kuti zvinoda kuongororwa zvirwere zvakadai sekufungidzira gland pituitary.
Kazhinji Cause
Hashimoto's thyroiditis ndiyo inokonzera kukonzera hypothyroidism muUnited States.
Hashimoto's Thyroiditis
Hashimoto's thyroiditis chirwere chinotapira muviri chinokanganisa utachiona hwako. Mune Hashimoto, masimba anorwisa zvinopesana nemapurotini muhutano hwako hwetroroid, zvichiita kuti kuparara kwechiganda iwe pachako kuve kwakanyanya, zvichiita kuti zvikwanise kubudisa mahomoni ehutano muviri wako unoda.
Hashimoto's thyroiditis inonyanya kuwanikwa kuvakadzi, uye apo inogona kuitika chero ipi zvayo, yakawanda zvikuru sezvo vanhu vachikura. Kumadzimai, Hashimoto anowanzotanga panguva yekuzvitakura, mushure mokunge aberekwa, kana kuti nguva yakareba yekuenda kumwedzi.
Zvimwe Zvinokonzera
Kunze kwechirwere chaHashimoto, zvimwe zvinokonzera hypothyroidism zvinosanganisira:
Surgery
Vanhu vane hyperthyroidism, hutachiona hwehutachiona, kana chirwere chetachiona chingada kuvhiyiwa. Kana yose yejeni yegroid inobviswa chirwere, munhu achava hypothyroid uye anoda kuti utachiona hupenyu hwose huve hupenyu huripo.
Kana chikamu chetachiona chetachiona chibviswa, pane mukanano wakanaka wekuti uchakwanisa kukwanisa kutora hormone yakakwana yakakwana.
Radiation
Panzvimbo pekuvhiyiwa kwehutano kana mishonga ye-antithyroid, vamwe vanhu vane hyperthyroidism vanorapwa neodacid iodine, iyo ichaparadza utachiona hwehutano, kupa munhu hypothyroid. Vanhu vanoenda kurapwa kwemishonga yeHodgkin's lymphoma kana mutsara wemutsipa wemutsipa nemutsipa vari panjodzi yekuvandudza hypothyroidism.
Thyroiditis
Thyroiditis inorondedzera utachiona hwehutachiona nekuputika uye inoreva nguva yakawanda yehutano hwakasiyana-siyana. Chirwere cheHashimoto (sezvataurwa pamusoro apa) ndicho chinowanzoshandiswa che thyroiditis uye chinokonzerwa nekurwisa kwezvimoto.
Mumwe muenzaniso we thyroiditis ndeye subacute thyroiditis (inonziwo De Quervain's thyroiditis), inonzi inokonzerwa nehutachiona. Nemhando iyi ye thyroiditis, munhu anotarisana ne hyperthyroidism yakateverwa ne hypothyroidism, kuwedzera kune chinyoro chetrogia gland.
Zvimwe Zvinodhaka
Mimwe mishonga inogona kukonzera hypothyroidism. Iyi mishonga inosanganisira:
- Lithium
- Amiodarone
- Thionamides (antithyroid drugs)
- Interferon-alpha
- Interleukin-2
- Mimwe kenza yemishonga (tyrosine kinase inhibitors uye checkpoint inhibitor immunotherapies)
Iodine Kuwedzerwa kana Kusakosha
Iodine yakawandisa (somuenzaniso, kubva pane zvekudya zvinowedzera zvine kelp) inogona kukonzera kana kuwedzera kuwedzerwa kwehanai. Mukuwedzera, kushaiwa iodine, kunoonekwa mune vamwe vanhu vari munyika dzisina kusimbiswa kunogona kukonzera hypothyroidism. Iodine inofanirwa pakugadzirwa kwehomoni yehomoni, uye inowanikwa mukudya, sekugadzirwa kwemichero, chicken, nyama yemombe, yenguruve, hove, uye munyu wai iodizedhi.
Congenital Hypothyroidism
Vamwe vana vanoberekwa vasina chirwere chetachiona kana nehutachiona husina hanya. Sezvo pasina chirwere chetachiona (kana kuti kwete) kuti uite utachiona hwehomoni, hypothyroidism inokura, iyo yakakomba uye inoda kurapwa neutachiona hormone piritsi.
Pituitary Gland Chinetso
Iko plandishi gland iri muuropi uye inokurudzira zvimwe zvipembenene mukati memuviri, sehutachiona hweganda, kusunungura hormone. Kana chirwere chepituitary chichikuvadzwa nehupombwe hweuropi, marwadzo, kana chirwere chepfungwa, zvingasaita zvakanaka zvakakwana kuti zviratidze chirwere chetachiona. Izvi zvinogona kukonzera kuti utachiona husingaitiki hutachiona. Iko rudzi rwe hypothyroidism runonzi central kana secondary hypothyroidism.
Infiltrative Diseases
Kazhinji, zvimwe zvirwere, zvakadai se hemochromatosis, zvinogona kuisa zvinhu zvisina kuchena (iron, mumutambo we hemochromatosis) mumutambo wako wepituitary, zvichiita pakati pee hypothyroidism, kana kuti zvisingawanzoitiki, utachiona hwetroroid, zvichiita kuti utachiona hukuru.
Kunze kwe hemochromatosis, sarcoidosis inogona kukonzera granuloma kuisa mujeni yekotori. Ikoko kunewo chinhu chisingawanzozivikanwa chinonzi fibrous thyroiditis (kana Riedel's thyroiditis), iyo michina inoshandiswa inogadzirisa utachiona huripo.
Genetics
DNA yako inobatsira paunosvika pakuvandudza autoimmune hypothyroidism, uye izvi zvakatsigirwa nezviitiko zvakawanda.
Semuenzaniso, chimwe chidzidzo cheGermany chakawana ngozi yekuwedzera Hashimoto's thyroiditis muvana uye makore makumi maviri nematanhatu akawedzera mungozi kune vakoma vevanhu vane Hashimoto's thyroiditis.
Apo pachitarisa nezvemajini chaiwo akabatanidzwa neHashimoto's, masayendisiti akawana kuchinja kwemajeni kwevanhu leukocyte antigen (HLA), T-cell receptors, uye mamwe mamolekemu anobatanidzwa muchirwere chemuviri.
Kuti uwedzere kutsigira basa remajeni pakuvandudza Hashimoto's thyroiditis, genetic syndromes, Turner syndrome uye Down syndrome, vane chirwere chakanyanya kutarisirwa chechirwere chetachiona, zvikurukuru Hashimoto's thyroiditis.
Vose vakataura, zvisinei, zvakakosha kuyeuka kuti mazamu enyu chimwe chinhu chinobatsira kufanidzira dambudziko rako rekuvandudza hypothyroidism. Kune zvimwe zvakawanda zvinokonzera (zvakatipoteredza) zvinotanga kutamba, sekuita pamuviri kana kutora mishonga.
Pakupedzisira, ndiko kusanganiswa kwemajeni uye chigadziro chezvakatipoteredza chinofanotaura nezvehutano hwemunhu hunokonzerwa nekuvandudza hypothyroidism.
Zvinowanzoitika Nengozi
Zvimwe zvinowedzera dambudziko remunhu wekuvandudza hypothyroidism zvinosanganisira:
- Kuva mukadzi
- Kuva wekwegura
- Kuva Caucasian kana Asia
- Kuva nemhuri yeHashimoto's thyroiditis kana imwe chirwere chinotapukira
- Kuva nehupenyu hwehutachiona hwemoto (semuenzaniso, adrenal insufficiency, rheumatoid arthritis, kana chirwere cheshuga cheshuga)
- Kuva nepamuviri kana kuti shure
- Zvinyanyisa kana kuti zvisinganyanyi kudhinda iodine
- Yakatarisana neododacid iodine
- Yakagadziridzwa mazaisai kumutsipa kana kumusoro
- Inotora chirwere chetachiona
- Yakarapwa nemimwe mishonga (somuenzaniso, lithium ye bipolar disorder)
Kuchinja Zvinhu Zvengozi
Zvinofadza, r esearch inoratidza kuti selenium inoshaya inogona kunge yakabatana pakuvandudza Hashimoto's thyroiditis uye hypothyroidism. Uyezve, kuva nehutachiona hwepfungwa, sezvakaita migraines, yakawanikwa ichibatanidzwa nehuwandu hwehutachiona hwehttothyroidism, kunyanya muvakadzi vakanyanya.
Izvo zvisati zvanyatsojeka kunyatsoita kuti kusvuta kunokanganisa utachiona hweganda, kunyange zvingave zvakaoma. Apo zvidzidzo zvinoratidza kuti kusvuta fodya kunowedzera mukana we hypothyroidism kune vanhu vane Hashimoto's thyroiditis, mamwe matsvakurudzo anoratidza kuti kusvuta kunowanzobatana nehuwandu hwehuwandu hwe hypothyroidism uye huwandu hwehuwandu hwe hyperthyroidism.
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