He aha ka hyperthyroidism, nā kumu a pehea e hana ai ke kuhi

Anter

• Nā kumu o hyperthyroidism
• Pehea e hana ʻia ai ke kuhi
• Subthlinical hyperthyroidism
• Nā hōʻailona nui
• Hyperthyroidism i ka hāpai keiki
• Hoʻomaʻo no ka hyperthyroidism

ʻO Hyperthyroidism kahi ʻano i hōʻike ʻia e ka hana nui ʻana o nā homone e ka thyroid, e alakaʻi ana i ka hoʻomohala ʻana i kekahi o nā hōʻailona a me nā ʻōuli, e like me ka hopohopo, haʻalulu lima, ka nui o ka sweating, ka pehu ʻana o nā wāwae a me nā wāwae a me nā loli i ke kaʻina menstrual i ka hihia. o nā wahine.

ʻOi aku ka maʻamau o kēia kūlana i nā wahine ma waena o 20 a 40 mau makahiki, ʻoiai hiki ke hana ʻia i nā kāne, a pili pinepine ʻia me ka maʻi ʻo Graves, kahi maʻi maʻi autoimmune kahi e hoʻopuka ai ke kino iā ia iho i nā mea pale kūʻē i ka thyroid. Ma waho aʻe o ka maʻi ʻo Graves, hyperthyroidism paha ka hopena o ka nui o ka ʻai iodine, overdose o ka thyroid hormones a i ʻole ma ke kū ʻana o kahi nodule i loko o ka thyroid.

He mea nui e ʻike ʻia a mālama ʻia ka hyperthyroidism e like me ka ʻōlelo a ka endocrinologist i hiki ai ke hōʻoluʻolu i nā hōʻailona a me nā hōʻailona e pili ana i ka maʻi.

Nā kumu o hyperthyroidism

Hana ʻia ʻo Hyperthyroidism ma muli o ka hoʻonui ʻia o ka hana ʻana o nā homone e ka thyroid, ʻo ia ka hopena ma muli o ka maʻi o Graves, kahi maʻi autoimmune kahi e hana ai nā pūnaewele immune iā lākou iho e kūʻē i ka thyroid, ka hopena o ka hoʻonui ʻana i ka hana i nā nui o nā hormones. E aʻo hou aʻe e pili ana i ka maʻi ʻo Graves.

Ma waho aʻe o ka maʻi o Graves, nā kūlana ʻē aʻe i hiki ke alakaʻi i ka hyperthyroidism:

• Ke kūʻana o nā nodule a i ʻole nā ​​cyst i loko o ka thyroid;
• ʻO ka thyroiditis, ka mea i kūlike i ka mumū o ka momona thyroid, i hiki ke hana ʻia i ka wā postpartum a i ʻole ma muli o ka maʻi virus.
• ʻO ka nui o nā homone thyroid;
• ʻO kaʻai nui ʻana o ka iodine, he mea nui ia no ka hoʻokumu ʻia ʻana o nā homone thyroid.

He mea nui e ʻike ʻia ke kumu o ka hyperthyroidism, ʻoiai kēia ala e hiki ai i ka endocrinologist ke hōʻike i ka lapaʻau kūpono loa.

Pehea e hana ʻia ai ke kuhi

Hiki ke kuhi o ka hyperthyroidism ma o ke ana ʻana o nā hormones pili i ka thyroid i ke koko, a hōʻike ʻia ka loiloi o nā pae T3, T4 a me TSH. Pono e hana i kēia mau hoʻāʻo, i kēlā me kēia 5 mau makahiki mai ka makahiki 35, ka hapanui i nā wahine, akā ʻo ka poʻe iʻoi aku ka nui o ka pilikia i ka hoʻomōhala ʻana i ka maʻi e hana i kēia hoʻokolohua i kēlā me kēia 2 makahiki.

I kekahi mau hihia, hiki i ke kauka ke paipai i ka hana ʻana i nā hoʻokolohua ʻē aʻe e loiloi i kāu hana thyroid, e like me ka hoʻāʻo ʻana i ka antibody, ultrasound thyroid, ka nānā ʻana iā ʻoe iho, a i kekahi mau hihia, ka biopsy thyroid. ʻIke i nā hoʻokolohua e loiloi i ka thyroid.

Subthlinical hyperthyroidism

Hoʻomaopopo ʻia ka hyperthyroidism subclinical e ka loaʻa ʻole o nā hōʻailona a me nā ʻōuli e hōʻike ana i ka loli i ka thyroid, akā i ka hoʻāʻo ʻana o ke koko hiki ke ʻike ʻia ʻo TSH haʻahaʻa a me T3 a me T4 me nā waiwai maʻamau.

I kēia hihia, pono i ke kanaka e hana i nā hoʻokolohua hou ma waena o 2 a 6 mau mahina e nānā i ka pono no ka lawe ʻana i nā lāʻau, no ka mea, ʻaʻole pono ka lawe ʻana i nā lāʻau, a mālama wale ʻia ia inā loaʻa nā ʻōuli.

Nā hōʻailona nui

Ma muli o ka nui o ka nui o nā hormone thyroid e holo nei i loko o ke koko, hiki i kekahi mau hōʻailona a me nā ʻōuli e like me:

• Hoʻonui i ka helu o ka puʻuwai;
• Hoʻonui i ke kahe o ke koko;
• Nā hoʻololi i ka pōʻai menstrual;
• ʻOmmoe ʻole;
• Kaumaha emi;
• Weliweli o nā lima;
• Hou ka hou;
• ʻO ka pehu i nā wāwae a me nā wāwae.

Hoʻohui ʻia, nui aʻe ka makaʻi o ka osteoporosis ma muli o ka nalo wikiwiki ʻana o ka calcium i nā iwi. E nānā i nā ʻōuli ʻē aʻe o hyperthyroidism.

Hyperthyroidism i ka hāpai keiki

ʻO ka hoʻonui ʻia o nā hormone thyroid i ka hāpai ʻana hiki ke hana i nā pilikia e like me ka eclampsia, hāpai keiki ʻole, hānau mua ʻole, hoʻohaʻahaʻa hānau haʻahaʻa me ka hoʻohui puʻuwai ʻole i nā wahine.

ʻO nā wahine i loaʻa nā waiwai maʻamau ma mua o ka hāpai ʻana a ʻike ʻia me ka hyperthyroidism mai ka hoʻomaka a hiki i ka hopena o ka trimester mua o ka hāpai ʻana, ʻaʻole pono e mālama i kekahi ʻano lapaʻau no ka mea ua hoʻonui iki ʻia ka T3 a me ka T4 i ka wā hāpai. mea maʻamau. Eia nō naʻe, hiki i ke kauka ke koi aku i nā lāʻau e normalize i ka T4 i loko o ke koko, me ka hōʻeha ʻole i ka pēpē.

Hoʻololi ka lāʻau o ka lāʻau mai kekahi kanaka i kekahi ʻē aʻe a ʻo ka mahele mua i hōʻike ʻia e ka obstetrician ʻaʻole ia ka mea i koe i ka wā o ka mālama ʻana, no ka mea he mea pono paha e hoʻoponopono i ka lāʻau ma hope o 6 a 8 mau pule ma hope o ka hoʻomaka ʻana o ka lāʻau. E aʻo hou e pili ana i ka hyperthyroidism i ka hāpai keiki.

Hoʻomaʻo no ka hyperthyroidism

ʻO ka mālama ʻana no ka hyperthyroidism e pono e hana ʻia e like me ke alakaʻi a ka endocrinologist, nāna e noʻonoʻo i nā hōʻailona a me nā hōʻailona i hōʻike ʻia e ke kanaka, ke kumu o ka hyperthyroidism a me nā pae o nā homone i ke koko. I kēia ala, hiki i ke kauka ke hōʻike i ka hoʻohana ʻana i nā lāʻau e like me Propiltiouracil a me Metimazole, hoʻohana iodod radioactive a i ʻole hemo ʻana i ka thyroid ma o ka ʻoki ʻana.

Hōʻike wale ʻia ka hemo ʻana o ka thyroid ma ke ʻano he hopena hope loa, ke pau ʻole nā ​​ʻōuli a ʻaʻole hiki ke hoʻoponopono i ka thyroid ma ka hoʻololi ʻana i ka lāʻau o nā lāʻau. Hoʻomaopopo pehea e hana ai ka lāʻau no hyperthyroidism.

E nānā i kahi ʻōlelo aʻoaʻo aʻe i kēia wikiō e hiki ke kōkua i ka mālama ʻana i ka hyperthyroidism.