Nā hōʻailona Hypothyroidism, nā kumu nui a pehea pehea ka lāʻau

Anter

• Nā hōʻailona a me nā hōʻailona
• Nā kumu nui
• Pehea e ʻike ai inā he hypothyroidism ia
• ʻO wai ka mea e pono e loaʻa nā hoʻokolohua thyroid
• Hypothyroidism i ka hāpai keiki
• Pehea e mālama ai i ka Hypothyroidism
• Nā hōʻailona o ka hoʻomaikaʻi a me nā mea ʻino

ʻO ka hypothyroidism kekahi o nā maʻi endocrine maʻamau a ʻike ʻia e ka hana thyroid haʻahaʻa, kahi e hana ai i nā hormona liʻiliʻi ma mua o ka pono no ka hana maikaʻi loa o nā hana o ke kino, e alakaʻi ana i ke ʻano o kekahi mau ʻōuli me ka luhi nui, hoʻemi i ka helu o ka puʻuwai. , loaʻa ke kaupaona, lilo o ka lauoho a me ka ʻili maloʻo.

ʻOi aku ka loli o kēia loli i nā wahine ma mua o 40 mau makahiki, ka mea nona nā lālā pili o ka ʻohana me ka hypothyroidism, ka mea i hemo mua i ka hapa a i ʻole ka thyroid āpau a i ʻole i loaʻa i kekahi ʻano radiation i ke poʻo a i ʻole ka ʻāʻī. ʻO ka mālama ʻana i ka hypothyroidism ka mea e hoʻoponopono ai i nā pae o ka thyroid hormones a pēlā e hoʻomaha ai i nā ʻōuli, a me ka hoʻohana ʻana i nā hormones synthetic, e like me Levothyroxine, no ka laʻana, hōʻike pinepine ʻia e ka endocrinologist.

Nā hōʻailona a me nā hōʻailona

Hiki ke hōʻike lohi i nā ʻōuli a me nā ʻōuli e hōʻike haʻahaʻa i ka hana thyroid i loko o nā makahiki e like me ka emi ʻana o nā pae o ka thyroid, T3 a me T4. ʻO nā hōʻailona nui a me nā ʻōuli o ka hypothyroidism:

• Headache, i nā mākala a me nā hono;
• Menstruation maʻamau, i hiki ke paʻakikī i ka hāpai ʻana;
• Fragile, nāhaʻi mānoanoa a me kaʻili maloʻo, maloʻo;
• ʻO nā maka, i ka mahele o nā eyelids, pehu;
• Ka lauoho lauoho me ke kumu ʻole o ke kumu a lahilahi, lauoho maloʻo a ʻeleʻele hoʻi;
• Lohi ka puʻuwai ma mua o ka maʻamau;
• Luhi nui loa;
• Paʻa ka noʻonoʻo ʻana, hoʻomanaʻo hoʻomanaʻo maikaʻi ʻole;
• Libido i hōʻemi;
• Loaʻa kaupaona no ke kumu ʻole.

Eia hou, i kekahi mau hihia i ʻike ke kanaka i nā loli o ke ʻano, kaumaha a me ke dementia, eia nō naʻe ke kū nei kēia mau ʻōuli i ka poʻe nona nā pae haʻahaʻa loa o T3 a me T4.

I ka hihia o nā keiki, hiki i ka hypothyroidism ke hoʻopilikia i ka hoʻomohala ʻana, i hiki i ka wā ʻōpio, hoʻopaneʻe ʻia ka wā ʻōpio a me ke kino pōkole, no ka laʻana. Eia hou, i ka hihia o ka hypothyroidism congenital, inā ʻaʻole i ʻike ʻia ke keiki ma mua o ka pule mua ma hope o ka hānau ʻana, loaʻa paha i nā keiki nā hoʻololi neurological, me ka makaʻu o ka hoʻomohala ʻana i ka noʻonoʻo. E ʻike hou aʻe e pili ana i ka hypothyroidism congenital.

Nā kumu nui

ʻO ke kumu maʻamau o ka hypothyroidism ka Hashimoto's Thyroiditis, kahi maʻi maʻi autoimmune, kahi e hoʻomaka ai nā mea ʻino e hoʻouka i ka pona thyroid, me he mea lā e hōʻeha ia i ke kino ponoʻī. Eia hou, hiki i ka hypothyroidism ma muli o ka iodine hemahema, kahi ʻano i ʻike ʻia ʻo goiter, kahi e hoʻonui ai i ka nui o ka thyroid, akā ʻoi aku ka liʻiliʻi o T3 a me T4 ma muli o ka hōʻemi o ka iodine.

Hoʻomaʻamaʻa i ka hyperthyroidism a i ʻole ka hoʻohana ʻana i nā lāʻau e like me lithium carbonate, amiodarone, propylthiouracil a me methimazole hiki ke alakaʻi ʻia i ka hypothyroidism, a he mea nui e nīnau i ka endocrinologist inā ʻike ʻia kekahi o nā hōʻailona i hiki ai ke kāpae ʻia ka lāʻau a pani paha. kuhikuhi ʻia.

ʻO ka poʻe i lawe i nā lāʻau thyroid i mea e lilo ai ka paona hiki ke hoʻomohala i ka hypothyroidism no ka mea aia kēia mau hormones i ke kahe o ke koko, hiki i ka thyroid ke hōʻemi a hōʻemi paha i kāna hana maoli.

Ma waho o kēia mau kumu, hiki i ka hypothyroidism ke hōʻike pū i ka wā o ka hāpai ʻana a i ʻole ka wā postpartum e hoʻi i ka maʻamau ma hope koke iho. Eia hou, he mea nui e hoʻomanaʻo i kēia maʻi e hōʻemi i ka momona o ka wahine, e hāpai ana i nā pilikia e hāpai. E ʻike hou aʻe e pili ana i ka hypothyroidism a me ka hāpai ʻana.

Pehea e ʻike ai inā he hypothyroidism ia

E ʻike inā he hypothyroidism ia, loiloi ka endocrinologist i nā hōʻailona a me nā ʻōuli i hōʻike ʻia e ke kanaka a hōʻike i ka hana o nā hoʻokolohua koko e nānā i ka nui o nā kaola e pili ana i ka thyroid.

No laila, hōʻike ʻia ke ana o T3 a me T4, ka mea i hoʻoliʻiliʻi maʻamau i ka hypothyroidism, a me ke ana o TSH, i hoʻonui ʻia. I ke kumu o ka hypothyroidism subclinical, hiki ke nānā ʻia nā pae maʻamau o T4 a me ka hoʻonui ʻia o TSH. E ʻike hou aʻe e pili ana i nā hoʻāʻo e loiloi i ka thyroid.

Hoʻohui ʻia, hiki i ke kauka ke koi aku e hana i ka noiʻi antibody, ka palapala ʻāina thyroid a me ka ultrasound thyroid ke hoʻomaopopo ʻia nā nodule i ka wā o ka thyroid. Hiki nō i ke kanaka ke hana i kahi hoʻokolokolo ponoʻī o ka thyroid e ʻike ai i nā loli, ʻo ia hoʻi nā nodule. E aʻo pehea e hana ai i kāu loiloi ponoʻī thyroid.

ʻO wai ka mea e pono e loaʻa nā hoʻokolohua thyroid

Ma waho aʻe o ka poʻe e hōʻike ana i nā hōʻailona a me nā hōʻailona e hōʻike i ka hypothyroidism, pono e hana ʻia kēia mau hoʻokolohua e:

Hypothyroidism i ka hāpai keiki

ʻO ka hypothyroidism, inā ʻaʻole kaohi maikaʻi ʻia, hiki ke pale i ka hiki ke hāpai a loaʻa i nā hopena no ka makuahine a me ka pēpē. Hiki iā ia ke hana i ka wā postpartum, i kekahi mau mahina ma hope o ka hānau ʻana o ka pēpē, i kahi ala kuʻuna a pono pū kekahi me ka mālama.

No laila, he mea maʻamau ia i ka wā o ka mālama mua ʻana, kauoha ke kauka iā T3, T4 a me nā hōʻike TSH e loiloi i ka hana o ka thyroid a hoʻomau i ka nānā ʻana i ka postpartum pehea ka waiwai o ka hormone thyroid a inā he pono e hoʻohana i nā lāʻau. hoʻi i ka maʻamau. E ʻike he aha nā pilikia o ka hypothyroidism i ka hāpai ʻana.

Pehea e mālama ai i ka Hypothyroidism

He maʻalahi ka hoʻomaʻamaʻa ʻana no ka hypothyroidism a pono e hana ʻia ma o ka hoʻololi ʻana i ka hormone me ka lawe ʻia ʻana o nā hormones synthetic, ʻo Levothyroxine, kahi i loaʻa ka hone T4, a pono e lawe ʻia ma ka ʻōpū hakahaka, ma ka liʻiliʻi he 30 mau minuke ma mua o ka ʻaina kakahiaka. ʻaʻole hoʻemi ka digestion o ka meaʻai i kāna pono. Pono e kau ʻia ka mahele lāʻau o ka lāʻau e ka endocrinologist a ʻano ʻokoʻa paha ma loko o ka mālama e like me nā pae o T3 a me T4 e holo nei i loko o ke koko.

6 mau pule ma hope o ka hoʻomaka ʻana o ka hoʻohana lāʻau, hiki i ke kauka ke nānā i nā ʻōuli o ke kanaka a kauoha i kahi hōʻike TSH e ʻike inā pono e hoʻomaʻa i ka lāʻau o ka lāʻau a hiki i ka nui o ka T4 manuahi e normalized. Ma hope iho, pono e hana i nā hoʻokolohua e loiloi ai i ka thyroid hoʻokahi a ʻelua paha manawa o ka makahiki, e ʻike ai inā pono e hoʻoponopono i ka mahele lāʻau.

Ma waho aʻe o ka hoʻohana ʻana o nā lāʻau, he mea nui ka kaohi o ke kanaka i nā kiʻekiʻe o ke kōkō i loko o ke koko, e hōʻalo ana i ka ʻai ʻana o nā momona, ka ʻai ʻana i kahi papaʻai e kōkua ai i ka hana kūpono o ke akepaʻa a me ka hōʻalo ʻana i ka nui o ke koʻikoʻi, no ka mea hoʻopilikia ia ka huna o nā hormones e ka thyroid. I kekahi mau hihia, hiki ke ʻōlelo ʻia me ke kūkā kamaʻilio me kahi nutristist i mea e kōkua ai ka mālama ʻana me ka iodine i mea e hōʻemi ai i nā hōʻailona o ka hypothyroidism.

I ke kumu o ka hypothyroidism subclinical, ke loaʻa ʻole nā ​​ʻōuli, hiki i ke kauka ke koi aku i ka hoʻohana ʻana i nā lāʻau no ka mea hiki iā lākou ke kōkua e hōʻemi i ka pilikia o nā pilikia o ka maʻi puʻuwai, a he mea nui ia no ka poʻe kaumaha a i ʻole he kolesterol kiʻekiʻe a diabetes paha. .

E ʻike pehea e hiki ai i ka ʻai ke hoʻomaikaʻi i ka hana thyroid i kēia wikiō aʻe.

Nā hōʻailona o ka hoʻomaikaʻi a me nā mea ʻino

Hōʻike nā ʻōuli o ka hoʻomaikaʻi ʻana i ka hypothyroidism ma mua o 2 mau pule paha ma hope o ka hoʻomaka ʻana o ka lapaʻau, me ka hoʻoliʻiliʻi o ka luhi a me ka hoʻomaikaʻi ʻana i ke ʻano. Eia hou, kōkua ka mālama lōʻihi ʻana o ka hypothyroidism i ka mālama ʻana i ke kaupaona a hoʻemi i ke kiʻekiʻe o ke koko kolesterol.

Hōʻike nā ʻōuli o ka worsening ke hana pololei ʻole ʻia ka lāʻau a i ʻole ke lawa ʻole ka lāʻau o Levothyroxine, me ka hiamoe ʻole, hoʻonui ʻia ka makemake, nā palpitations a me nā haʻalulu, no ka laʻana.