Hypothyroidism

ʻO ka Hypothyroidism kahi ʻano kahi e lawa ʻole ai ka pona thyroid ma kahi o ka nui o ka hōmona. Kāhea pinepine ʻia kēia ʻano thyroid.

ʻO ka gland thyroid kahi mea nui o ka ʻōnaehana endocrine. Aia ia ma ke alo o ka ʻāʻī, ma luna pono o kahi e hui ai kou iwi iwi. Hana ka thyroid i nā hormone e kaohi i ke ala o kēlā me kēia cell i ke kino e hoʻohana ai i ka ikehu. Kapa ʻia kēia hana he metabolism.

ʻOi aku ka maʻamau o ka hypothyroidism i nā wahine a me nā poʻe ma luna o 50 mau makahiki.

ʻO ke kumu maʻamau o ka hypothyroidism ka thyroiditis. Hoʻopōʻino ka pehu a me ka mumū i nā hunaola o ka thyroid gland.

ʻO nā kumu o kēia pilikia e:

• ʻO ka ʻōnaehana paleʻoniʻoni e hoʻouka ana i ka kelu kelewa
• Nā maʻi Viral (cold cold) a i ʻole nā ​​maʻi hanu ʻē aʻe
• Hāpai keiki (i kapa pinepine ʻia i ka thyroiditis postpartum)

ʻO nā kumu ʻē aʻe o ka hypothyroidism:

• ʻO kekahi mau lāʻau, e like me lithium a me amiodarone, a me kekahi ʻano chemotherapy
• Nā hemahema hānau (hānau)
• Nā mālama radiation i ka ʻāʻī a i ʻole ka lolo e mālama ai i nā maʻi ʻokoʻa
• Hoʻohana ka iodine radioactive i mea e mālama ai i kahi gland thyroid overactive
• Lawe ʻoki ʻana i kahi ʻāpana a i ʻole o ka gland thyroid
• ʻO Sheehan Syndrome, kahi kūlana i hiki i kekahi wahine i kahe nui ke kahe i ka wā o ka hāpai ʻana a hānau hānau paha a kumu i ka luku ʻia o ka pituitary gland.
• Pituitary tumor a i ʻole ke ʻoki pituitary

Nā ʻōuli mua:

• Paʻa paʻalulu a paʻa paʻa paha
• ʻO ke anuanu (e komo ana i ka lole wili ke komo ka poʻe i kahi pālule)
• Lohi a luhi paha
• Nā wā kaumaha a me nā manawa paʻewa ʻole
• ʻEha a ʻeha puʻupuʻu paha
• ʻO kaʻili a me ka ʻili maloʻo
• Kaumaha a kaumaha paha
• Nani, lauoho lauoho a i ʻole nā ​​manamanalima
• Nawaliwali
• Kaumaha hoʻonui

Nā hōʻailona hope loa, inā ʻaʻole i mālama ʻia:

• Hoʻoemi i ka ʻono a me ka pilau
• Hoarseness
• ʻO ka helehelena puʻupuʻu, nā lima, a me nā wāwae
• ʻ .lelo lohi
• Mānoanoa o ka ʻili
• Lahilahi
• Mahana haʻahaʻa kino
• Kuhi puʻuwai lohi

E hana ka mea mālama ola i kahi hoʻokolohua kino a ʻike paha ua hoʻonui ʻia kāu gland thyroid. I kekahi manawa, he nui ka nui o ke gland a i ʻole ka liʻiliʻi ma mua o ka maʻamau. Hōʻike paha ka hōʻike:

• Ke koko kiʻekiʻe diastolic (helu ʻelua)
• Lauoho lahilahi
• Nā hiʻohiʻona ʻaʻano o ka helehelena
• ʻO kaʻili pale a maloʻo paha, ʻoluʻolu paha i ka paʻi
• ʻO nā reflexes i kūpono ʻole (hoʻomaha lohi)
• ʻO ka pehu ʻana o nā lima a me nā wāwae

Kauoha ʻia hoʻi nā hoʻokolohua koko e ana i kāu mau thyroid hormones TSH a me T4.

He mau hoʻokolohua paha kāu e nānā ai:

• Nā pae kolesterol
• Helu piha koko (CBC)
• Nā ʻenemona akepaʻa
• ʻO Prolactin
• Sodoma
• Cortisol

Hoʻopaʻa ʻia ka mālama ʻana e pani i ka hormone thyroid āu e nele nei.

ʻO Levothyroxine ka lāʻau i hoʻohana pinepine ʻia.

• E kuhikuhi ʻia ʻoe i ka lāʻau ʻoi loa e hiki ai ke hoʻomaha i kāu mau ʻōuli a hoʻihoʻi i kāu pae o ke kōmona i ka maʻamau.
• Inā loaʻa ʻoe i ka maʻi puʻuwai a i ʻole ʻelemakule ʻoe, e hoʻomaka paha kāu mea hāʻawi iā ʻoe ma kahi lāʻau liʻiliʻi.
• ʻO ka hapa nui o ka poʻe me ka thyroid hana ʻole e pono ke lawe i kēia lāʻau no ke ola.
• ʻO ka maʻamau ʻo Levothyroxine he pil, akā ʻo kekahi poʻe me ka hypothyroidism koʻikoʻi loa e pono e mālama mua ʻia i ka haukapila me ka levothyroxine intravenous (hāʻawi ʻia ma o kahi aa).

Ke hoʻomaka nei iā ʻoe i kāu lāʻau, hiki i kāu mea hāʻawi ke nānā i kāu pae hormonone i kēlā me kēia 2 a 3 mau mahina. Ma hope o kēlā, e kiaʻi ʻia kāu pae hormonone thyroid ma ka liʻiliʻi i hoʻokahi manawa i kēlā me kēia makahiki.

Ke lawe nei ʻoe i ka lāʻau thyroid, e makaʻala i kēia mau mea:

• Mai hoʻōki i ka lawe ʻana i ka lāʻau, ʻoiai ke maikaʻi ʻoe. E hoʻomau i ka lawe ʻana e like me ke kuhikuhi a kāu mea hāʻawi.
• Inā hoʻololi ʻoe i nā lama o ka lāʻau thyroid, e hoʻomaopopo i kāu mea hāʻawi. Pono e nānā i kāu mau pae.
• Hiki i ka mea āu e ʻai ai ke hoʻololi i ke ʻano o ka lawe ʻana o kou kino i ka lāʻau thyroid. E kamaʻilio me kāu mea hāʻawi inā ʻoe e ʻai nui i nā huahana soya a i ʻole i ka papaʻai kiʻekiʻe-fiber.
• ʻOi aku ka maikaʻi o ka lāʻau lapaʻau thyroid ma kahi ʻōpū nele a lawe ʻia i hoʻokahi hola ma mua o nā lāʻau ʻē aʻe. E noi i kāu mea hāʻawi inā pono ʻoe e lawe i kāu lāʻau i ka wā hiamoe. ʻO ka lawe ʻana i ka wā moe e ʻae paha kou kino i ka lāʻau ma mua o ka lawe ʻana i ke ao.
• E kali ma ka liʻiliʻi he 4 mau hola ma hope o ka lawe ʻana i ka hōmona thyroid ma mua o kou lawe ʻana i nā mea hoʻoliʻiliʻi fiber, calcium, iron, multivitamins, aluminium hydroxide antacids, colestipol, a i ʻole nā ​​lāʻau e hoʻopaʻa ai i nā waikawa bile.

ʻOiai ʻoe e lawe nei i ka lāʻau hoʻōla thyroid, e haʻi i kāu mea hāʻawi inā loaʻa iā ʻoe nā hōʻailona e hōʻike ana he kiʻekiʻe loa kāu lāʻau, e like me:

• Hopohopo
• Palpitations
• ʻO ka lilo wikiwiki ʻana
• Hoʻomaha ʻole a haʻalulu paha (haʻalulu)
• Hoʻoulu

I ka hapanui o nā hihia, lilo ka pae hormonone thyroid i mea maʻamau me ka lāʻau kūpono. E ʻai paha ʻoe i kahi lāʻau lauone thyroid no ke koena o kou ola.

ʻO ka pilikia Myxedema (i kapa ʻia hoʻi ʻo myxedema coma), ke ʻano nui loa o ka hypothyroidism, kākaʻikahi ia. Hana ʻia i ka wā e haʻahaʻa loa ai nā pae o ka thyroid. Hoʻokumu ʻia ka pilikia hypothyroid koʻikoʻi e ka maʻi, maʻi, ʻike ʻia i ke anuanu, a i ʻole kekahi mau lāʻau (opiates kahi kumu maʻamau) i ka poʻe me ka hypothyroidism koʻikoʻi.

ʻO ka pilikia Myxedema kahi pilikia olakino pono e mālama ʻia i ka haukapila. Pono paha kekahi poʻe i ka oxygen, kōkua hanu (ventilator), pani loli, a me nā kahu hānai mālama nui.

ʻO nā ʻōuli a me nā hōʻailona o ka myxedema coma:

• Ma lalo o ke ana wela o ke kino
• Hoʻoemi hanu
• Ke kahe haʻahaʻa systolic haʻahaʻa
• Koko kōpaʻa haʻahaʻa
• Ka pane ʻole ʻana
• Nā ʻano kūpono ʻole a i ʻole ʻano like ʻole

ʻO ka poʻe me ka hypothyroidism i mālama ʻole ʻia e hopohopo nui nei:

• Maʻi kīnā
• Hānau ʻole, hāpai keiki ʻole, hānau hānau pēpē me nā kīnā hānau
• ʻO ka maʻi puʻuwai ma muli o ke kiʻekiʻe o ka LDL (maikaʻi) kolesterol
• Hewa puʻuwai

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā hōʻailona o ka hypothyroidism.

Inā mālama ʻia ʻoe no ka hypothyroidism, kāhea i kāu mea hāʻawi inā:

• Hoʻolālā ʻoe i ka ʻeha o ka umauma a i ʻole ka puʻuwai wikiwiki
• He maʻi ʻoe
• E hele a maikaʻi ʻole kāu mau ʻōuli a hoʻomaikaʻi ʻole paha me ka lāʻau
• Hoʻokumu ʻoe i nā ʻōuli hou

Myxedema; Hypothyroidism makua; Thyroid underactive; Goiter - hypothyroidism; Thyroiditis - hypothyroidism; ʻO ka hōmona thyroid - hypothyroidism

• ʻO ka hemo ʻana o ka momona thyroid - hoʻokuʻu

• Nānā Endocrine
• Hypothyroidism
• Loulou lolo-thyroid
• ʻO ka hypothyroidism mua a me ke kula kiʻekiʻe

ʻO Brent GA, Weetman AP. ʻO ka hypothyroidism a me ka thyroiditis. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds.ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 13.

Garber JR, Cobin RH, Gharib H, et al. Nā kulekele hana lapaʻau no ka hypothyroidism i nā mākua: kūkākūkā ʻia e ka American Association of Clinical Endocrinologists and the American Tyroid Association. Hana Endocr. 2012; 18 (6): 988-1028. PMID: 23246686 pubmed.ncbi.nlm.nih.gov/23246686/.

Jonklaas J, Bianco AC, Bauer AJ, et al; ʻAmelika Hui Pū ʻIa Tiroida ʻAmelika Hui Pū ʻIa ma thyroid Hormone Hoʻololi. Nā ʻōkuhi no ka mālama ʻana i ka hypothyroidism: hoʻomākaukau ʻia e ka hui hana o ka American Tyroid Association ma ka hoʻololi hou ʻana o ka hormone thyroid. ʻOhana. 2014; 24 (12): 1670-1751. PMID: 25266247 pubmed.ncbi.nlm.nih.gov/25266247/.