ʻO ka sub thyroiditis
ʻO Subacute thyroiditis kahi hopena pale o ka pona thyroid e ukali pinepine i kahi maʻi hanu luna.
Aia ka glando thyroid i ka ʻāʻī, ma luna pono o kahi e hui ai kou iwi iwi i waenakonu.
ʻO ke subidal thyroiditis kahi ʻano maʻamau. Manaʻo ʻia ʻo ia ka hopena o ka maʻi viral. Kū pinepine ke ʻano i kekahi mau pule ma hope o ka maʻi viral o ka pepeiao, sinus, a puʻu paha, e like me ka mumps, ka maʻi palū, a i ʻole ke anuanu maʻamau.
Hana pinepine ʻia ka thyroiditis subacute ma waena o nā wahine waena me nā ʻōuli o ka maʻi luna i luna i ka maʻi hanu i ka mahina i hala.
ʻO ka ʻōuli ʻōuli loa o ka subacute thyroiditis ka ʻeha ma ka ʻāʻī i hoʻokumu ʻia e ka pehu thyroid. I kekahi manawa, hiki i ka ʻeha ke hoʻolaha (pā) i ka ā a i ʻole nā pepeiao. He ʻeha a pehu paha ke kelepa thyroid no mau pule a i ʻole, i nā manawa maʻamau.
ʻO nā ʻōuli ʻē aʻe e like me:
- ʻO ke aloha ke kau ʻia ke kaomi haʻahaʻa i ka momona o ka thyroid
- Pilikia a ʻeha hoʻi i ke ale ʻana, hoarseness
- Ka luhi, nāwaliwali
- Fiva
Hoʻokuʻu paha ka pona thyroid i hoʻoulu ʻia i ka nui o ka hormone thyroid, e hana ana i nā ʻōuli o hyperthyroidism, me:
- ʻO ka neʻe pinepine ʻana o ka ʻōpū
- Lilo ka lauoho
- Ka hoʻomanawanui wela
- ʻO nā wā maʻamau (a maʻalahi ʻole paha) i nā wahine
- Hoʻololi ke ʻano
- Weliweli, haʻalulu (haʻalulu o nā lima)
- Palpitations
- Hoʻoulu
- ʻO ka hōʻemi kaumaha, akā me ka hoʻonui i ka makemake
E like me ka hoʻōla ʻana o ka pona thyroid, hiki paha ke hoʻokuʻu i kahi hormone liʻiliʻi, e hana ana i nā ʻōuli o ka hypothyroidism, me:
- Ka hoʻomanawanui ʻole ʻana
- Konipōpō
- Ka luhi
- Nā wā maʻamau (a kaumaha paha) i nā wahine
- Kaumaha hoʻonui
- ʻIli maloʻo
- Hoʻololi ke ʻano
Hoʻi pinepine ka hana o ka thyroid gland i mau mau mahina. I kēia manawa pono ʻoe i ka lāʻau no kāu thyroid underactive. I nā hihia kakaikahi, mau ka hypothyroidism.
ʻO nā hoʻokolohua Laboratory i hana ʻia e komo pū me:
- ʻO ka pae o ka hormone stimulate hormone (TSH)
- T4 (thyroid hormone, thyroxine) a me ka pae T3
- Lawe ʻia ka iodine radioactive
- Pae pae Thyroglobulin
- Ka helu sedimentation ʻErythrocyte (ESR)
- C hōʻano protein (CRP)
- ʻO ka ultrasound thyroid
I kekahi mau hihia, hana ʻia kahi biopsy thyroid.
ʻO ka pahuhopu o ka mālama ʻana e hōʻemi i ka ʻeha a mālama i ka hyperthyroidism, ke kū ʻia. Hoʻohana ʻia nā lāʻau e like me aspirin a i ʻole ibuprofen e kaohi i ka ʻeha ma nā hihia māmā.
Pono nā hihia koʻikoʻi hou aʻe i ka lāʻau pōkole me nā lāʻau e hōʻemi i ka pehu a me ka mumū, e like me prednisone. Mālama ʻia nā ʻōuli o kahi thyroid overactive me ka papa o nā lāʻau i kapa ʻia beta-blockers.
Inā lilo ka thyroid i mea hana ʻole i ka wā o ka hoʻōla, pono ʻia kahi pani hormonone thyroid.
Pono e hoʻomaikaʻi ke kūlana iā ia iho. Akā mau ka maʻi i mau mahina. ʻAʻole hiki pinepine nā pilikia lōʻihi a koʻikoʻi paha.
ʻAʻole hiki ke maʻi. ʻAʻole hiki i nā poʻe ke hopu iā ʻoe. ʻAʻole hoʻoilina ia i loko o nā ʻohana e like me kekahi mau kūlana thyroid.
Kāhea i kāu kahu mālama ola inā:
- Loaʻa iā ʻoe nā ʻōuli o kēia maʻi.
- Loaʻa iā ʻoe ka thyroiditis a me nā ʻōuli ʻaʻole hoʻomaikaʻi me ka lāʻau.
Hiki i nā ʻōpala ke pale aku i nā maʻi viral e like me ka maʻi flu ke kōkua i ka pale ʻana i ka suboid thyroiditis. ʻAʻole hiki ke pale ʻia nā kumu ʻē aʻe.
ʻO thyroiditis a De Quervain; Subacute nonsuppurative thyroiditis; ʻO ka thyroiditis pūnaewele nui; Subacute granulomatous thyroiditis; Hyperthyroidism - subacute thyroiditis
- Nānā Endocrine
- Kelepaʻi thyroid
ʻO Guimaraes VC. ʻO Subacute a me Riedel's thyroiditis. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 87.
ʻO Hollenberg A, Wiersinga WM. Nā maʻi Hyperthyroid. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 12.
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.
ʻO Tallini G, Giordano TJ. Kelepaʻi thyroid. I: Goldblum JR, Lamps LW, McKenney JK, Myers JL, eds. ʻO Rosai lāua ʻo Ackerman's Surgical Pathology. 11th hua. Piladelapia, PA: Elsevier; 2018: chap 8.