Thyroiditis maʻi (maʻi Hashimoto)

Hoʻokumu ʻia ka thyroiditis maʻi ma muli o ka hopena o ka ʻōnaehana paleʻaleʻa e kūʻē i ka gland thyroid. ʻO ka hopena pinepine ka hoʻemi ʻia o ka hana thyroid (hypothyroidism).

Kapa ʻia kēia maʻi ʻo Hashimoto maʻi.

Aia ka glando thyroid i ka ʻāʻī, ma luna pono o kahi e hui ai kou iwi iwi i waenakonu.

ʻO ka maʻi Hashimoto kahi maʻi thyroid gland maʻamau. Hiki iā ia ke hana i kēlā me kēia makahiki, akā ʻike pinepine ʻia i nā wahine waena. Hoʻokumu ʻia ia e ka hopena o ka ʻōnaehana pale pale kūʻē i ka thyroid gland.

Hoʻomoe mālie ka maʻi. He mau mahina a mau makahiki paha ka ʻike ʻia ʻana o ke ʻano a no ka lilo ʻana o nā pae o ka thyroid i haʻahaʻa ma mua o ka maʻamau. ʻO ka maʻi Hashimoto ka mea maʻamau i ka poʻe me ka moʻolelo ʻohana o ka maʻi thyroid.

I nā hihia maʻamau, pili paha ka maʻi i nā pilikia hormone ʻē aʻe i hoʻokumu ʻia e ka ʻōnaehana pale. Hiki iā ia ke hana me ka hana adrenal maikaʻi ʻole a me ka maʻi diabetes 1. I kēia mau hihia, kapa ʻia ke ʻano he ʻano 2 polyglandular autoimmune syndrome (PGA II).

Kākaʻikahi (maʻa mau i nā keiki), loaʻa ka maʻi Hashimoto ma ke ʻano he ʻano o ke ʻano i kapa ʻia he type 1 polyglandular autoimmune syndrome (PGA I), me:

• Nā hana maikaʻi ʻole o ke kaha adrenal
• Nā maʻi fungal o ka waha a me nā kui
• Paʻalā parathyroid paʻa

Hiki i nā ʻōuli o ka maʻi Hashimoto ke hoʻopili i kekahi o kēia mau mea:

• Konipōpō
• Paʻa ka noʻonoʻo ʻana a i ʻole ka noʻonoʻo ʻana
• ʻIli maloʻo
• Hoʻonui ʻia ka ʻāʻī a i ʻole ke alo o goiter, ʻo ia wale nō paha ka hōʻailona mua
• Ka luhi
• Lilo ka lauoho
• Nā kau kaumaha a kau ʻole paha
• ʻAno ʻole i ke anu
• Ka loaʻa ʻana o ke kaupaona akahai
• Liʻiliʻi a hōʻemi paha ka pona thyroid (lohi i ka maʻi)

ʻO nā hoʻokolohua Laboratory e hoʻoholo i ka hana thyroid me:

• Hōʻike T4 manuahi
• Serum TSH
• Huina T3
• ʻO nā autoidibodies thyroid

ʻAʻole pono nā noiʻi kiʻi a me ka biopsy nila maikaʻi e ʻike ai i kāu thyroiditis ʻo Hashimoto.

Hoʻololi paha kēia maʻi i nā hopena o nā hōʻike aʻe:

• Helu piha koko
• ʻO ka prolactin serum
• Sodium soma
• Huina kolesterol

Hiki i ka hypothyroidism i hoʻomaʻamaʻa ʻole ʻia ke hoʻololi i ka hoʻohana ʻana o kou kino i nā lāʻau e lawe ai ʻoe no nā kūlana ʻē aʻe, e like me ka epilepsy. Pono paha ʻoe e loaʻa i nā hoʻokolohua koko maʻamau e nānā i nā pae o nā lāʻau i kou kino.

Inā loaʻa iā ʻoe nā ʻike o kahi thyroid hana ʻole, loaʻa paha iā ʻoe ka lāʻau hoʻōla thyroid.

ʻAʻole i loaʻa i nā poʻe āpau me ka thyroiditis a i ʻole ka goiter nā pae haʻahaʻa o ka thyroid hormone. Pono paha ʻoe i ka ukali maʻamau e ka mea mālama ola.

Noho paʻa ka maʻi no nā makahiki. Inā holomua mālie ia i ka hemahema o ka hormone thyroid (hypothyroidism), hiki ke mālama ʻia me ka hoʻōla hormonone.

Hiki i kēia ʻano ke hana me nā maʻi autoimmune ʻē aʻe. I nā hihia maʻamau, ulu paha ka maʻi ʻaʻai thyroid a i ʻole ka thyroid lymphoma.

Hiki i ka hypothyroidism i mālama ʻole ʻia ke alakaʻi i kahi loli o ka makaʻu, koma, a me ka make. Hana ʻia kēia inā loaʻa ka maʻi i nā kānaka, ʻeha, a lawe i nā lāʻau, e like me nā opioids.

Kāhea i kāu mea hāʻawi inā hoʻomōhala ʻoe i nā ʻōuli o ka thyroiditis mau a hypothyroidism paha.

ʻAʻohe ala i ʻike ʻia e pale ai i kēia maʻi. ʻO ka makaʻala ʻana i nā kumu pilikia e ʻae paha i ka ʻike mua a me ka lāʻau.

Hashimoto thyroiditis; Thyroiditis lymphocytic mau; ʻO ka thyroiditis autoimmune; Thyroiditis autoimmune maʻi; Lymphadenoid goiter - Hashimoto; Hypothyroidism - Hashimoto; ʻAno 2 polyglandular autoimmune Syndrome - Hashimoto; PGA II - Hashimoto

• Nānā Endocrine
• Hoʻonui ka thyroid - scintiscan
• Maʻi ʻo Hashimoto (thyroiditis mau)
• Kelepaʻi thyroid

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

Jonklaas J, Bianco AC, Bauer AJ, et al. 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/.

Lakis ME, Wiseman D, Kebebew E. Ka mālama ʻana i kāu thyroiditis. I: Cameron AM, Cameron JL, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: 764-767.

Marcdante KJ, Kliegman RM. Maʻi thyroid. I: Marcdante KJ, Kliegman RM, hua. Nā Pono Nui o Pediatrics. 8th ed. Elsevier; 2019: chap 175.