Thyroiditis hāmau

ʻO ka thyroiditis hāmau kahi hopena pale o ka ʻaila thyroid. Hiki i ka maʻi ke kumu i ka hyperthyroidism, ukali ʻia e hypothyroidism.

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

ʻAʻole ʻike ʻia ke kumu o ka maʻi. Akā pili ia i ka hoʻouka kūʻē i ka thyroid e ka ʻōnaehana pale. Hoʻopilikia pinepine ka maʻi i nā wahine ma mua o nā kāne.

Hiki ke maʻi i nā wahine i hānau pēpē. Hiki iā ia ke kumu ʻia e nā lāʻau e like me interferon a me amiodarone, a me kekahi ʻano chemotherapy, e hoʻopili ai i ka ʻōnaehana pale.

ʻO nā ʻōuli mua loa i hopena ʻia mai ka nui o ka gland thyroid (hyperthyroidism). Pili paha kēia mau ʻōuli a ʻekolu mau mahina.

Māmā pinepine nā ʻōuli, a hiki ke hoʻopili ʻia:

• Ka luhi, nāwaliwali
• ʻO ka neʻe pinepine ʻana o ka ʻōpū
• Ka hoʻomanawanui wela
• Hoʻonui i ka makemake
• Hoʻonui sweating
• Nā wā menstrual maʻamau
• Hoʻololi ke ʻano, e like me ka huhū
• Pākuʻi kaʻiʻo
• Weliweli, hoʻomaha ʻole
• Palpitations
• Kaumaha emi

ʻO nā ʻōuli ma hope mai kahi thyroid underactive (hypothyroidism), me:

• Ka luhi
• Konipōpō
• ʻIli maloʻo
• Kaumaha hoʻonui
• Ka hoʻomanawanui ʻole ʻana

Hiki ke hoʻomau i kēia mau ʻōuli a hiki i ka hoʻōla hou ʻana o ka thyroid i ka hana maʻamau. Hiki ke mālama i ka thyroid i mau mahina i kekahi poʻe. Hoʻomaopopo wale kekahi poʻe i nā hōʻailona hypothyroid a ʻaʻohe o lākou hōʻailona o ka hyperthyroidism e hoʻomaka ai.

E nānā ka mea mālama ola iā ʻoe a nīnau e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino.

Hōʻike kahi hoʻokolohua kino:

• Hoʻonui ʻia ka pākeke thyroid i mea ʻeha ʻole i ka paʻi ʻana
• Helu puʻuwai wikiwiki
• Lulu lima (haʻalulu)
• Nā reflexes wikiwiki
• Kuʻi, ʻili mahana

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Lawe ʻia ka iodine radioactive
• ʻO nā Turo thyroid T3 a me T4
• TSH
• ʻO ke ana sedimentation ʻErythrocyte
• Pūmua C-reactive

Nānā nā mea hoʻolako he nui no ka maʻi thyroid ma mua a ma hope o ka hoʻomaka ʻana i nā lāʻau e kumu pinepine ai i kēia ʻano.

Hoʻokumu ʻia ka lapaʻau ʻana ma nā ʻōuli. ʻO nā lāʻau i kapa ʻia beta-blockers hiki ke hoʻohana ʻia e hōʻoluʻolu ai i ka wikiwiki o ka puʻuwai a me ka sweating nui.

Hele pinepine thyroiditis hāmau ma kāna iho i loko o 1 makahiki. Pau ke kaʻina huina i loko o 3 mau mahina.

Hoʻolālā kekahi poʻe i ka hypothyroidism i ka manawa. Pono lākou e mālama ʻia no kekahi manawa me kahi lāʻau e pani ai i ka hōmona thyroid. Paipai ʻia nā ukali maʻamau me kahi mea hoʻolako.

ʻAʻole maʻi ka maʻi. ʻAʻole hiki i nā kānaka ke hopu i ka maʻi maiā ʻoe. ʻAʻole hoʻoilina ia i loko o nā ʻohana e like me nā kūlana thyroid ʻē aʻe.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o kēia ʻano.

Thyroiditis Lymphocytic; Subacute lymphocytic thyroiditis; Thyroiditis Painless; ʻO ka thyroiditis postpartum; Thyroiditis - hāmau; Hyperthyroidism - hamo thyroiditis

• Kelepaʻi thyroid

ʻO Hollenberg A, Wiersinga WM. Nā maʻi Hyperthyroid. I: Melmed S, Auchus RJ, Golfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 12.

ʻO Jonklaas J, ʻo Cooper DS. ʻOhana. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 213.

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.