Hyperthyroidism

Anter

• He aha ke kumu o ka hyperthyroidism?
• He aha nā hōʻailona o hyperthyroidism?
• Pehea e kuhikuhi ai nā kauka i ka hyperthyroidism?
• Hōʻike Cholesterol
• T4, manuahi T4, T3
• ʻO ka hoʻāʻo pae hormon stimulate thyroid
• Hōʻike Triglyceride
• ʻO ka nānā ʻana o ka thyroid a me ka lawe ʻana
• Kukuna ultrasound
• CT a me MRI scans
• Pehea e mālama ai i ka hyperthyroidism
• Laau Lapaʻau
• Iodine radioaktif
• ʻOki kino
• He aha kāu e hiki ai ke hoʻomaikaʻi i nā ʻōuli
• Outlook
• Q:
• A:

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

He aha ka hyperthyroidism?

ʻO Hyperthyroidism kahi kūlana o ka thyroid. ʻO ka thyroid kahi gland butterfly-shaped i mua o kou ʻāʻī. Hoʻopuka ia i ka tetraiodothyronine (T4) a me ka triiodothyronine (T3), he ʻelua mau hormones mua e kaohi pehea e hoʻohana ai kāu hunaola i ka ikehu. Hoʻoponopono kāu pona thyroid i kāu metabolism ma o ka hoʻokuʻu ʻia ʻana o kēia mau hormones.

Hana ʻia ʻo Hyperthyroidism ke hana ka thyroid iā T4, T3, a i ʻole ʻelua paha. ʻO ka hōʻailona o ka nui o ka thyroid a me ka mālama ʻana i ke kumu i hiki ke hoʻokuʻu i nā hōʻailona a pale i nā pilikia.

He aha ke kumu o ka hyperthyroidism?

Hiki i nā ʻano ʻano like ʻole ke kumu i ka hyperthyroidism. ʻO ka maʻi Graves, kahi maʻi autoimmune, ke kumu maʻamau o hyperthyroidism. Hoʻokumu ia i nā mea ʻino e hoʻonāukiuki i ka thyroid e hūnā i ka nui o ka hormone. Kū pinepine ka maʻi o Graves i nā wahine ma mua o nā kāne. Hoʻoholo ia i ka holo i loko o nā ʻohana, kahi e hōʻike nei i kahi loulou kūlohelohe. Pono ʻoe e haʻi i kāu kauka inā loaʻa i kāu mau ʻohana ka maʻi.

ʻO nā kumu ʻē aʻe o hyperthyroidism pū kekahi:

• ʻoi aku ka iodine, kahi mea nui i T4 a me T3
• ʻO ka thyroiditis, a i ʻole ke kuni ʻana o ka thyroid, ka mea e kulu ai ʻo T4 a me T3 mai ke gland
• nā tumors o nā ovaries a i ʻole nā ​​hōʻoia
• tumors maikaʻi o ka thyroid a i ʻole ka pituitary gland
• nui o nā tetraiodothyronine i lawe ʻia ma o nā meaʻai a me nā lāʻau

He aha nā hōʻailona o hyperthyroidism?

ʻO nā nui o T4, T3, a i ʻole ʻelua paha ke kumu o ka nui o ka nui o ka metabolic rate. Kapa ʻia kēia he mokuʻāina hypermetabolic. Ke hele i kahi kūlana hypermetabolic, ʻike paha ʻoe i ka wikiwiki o ka puʻuwai, ka piʻi ʻana o ke koko, a me nā haʻalulu lima. Hiki paha iā ʻoe ke hou nui i ka hou a hoʻomohala i kahi ahonui haʻahaʻa no ka wela. Hiki i ka Hyperthyroidism ke kumu i ka neʻe pinepine ʻana o ka ʻōpū, ka hoʻohaʻahaʻa ʻana i ke kaumaha, a, i nā wahine, nā wā paʻahana maʻamau.

ʻIke ʻia, hiki i ka pākana thyroid ponoʻī ke pehu i loko o kahi goiter, hiki ke hoʻohālikelike a ʻaoʻao hoʻokahi paha. ʻIke ʻia paha kou mau maka i ke ʻano nui, kahi hōʻailona o exophthalmos, kahi ʻano e pili ana i ka maʻi o Graves.

ʻO nā ʻōuli ʻē aʻe o hyperthyroidism pū kekahi:

• hoʻonui i ka makemake
• hopohopo
• hoʻomaha ʻole
• hiki ʻole ke noʻonoʻo
• nāwaliwali
• kuʻi naʻau kaulike ʻole
• paʻakikī i ka hiamoe
• maikaʻi, lauoho lauoho
• ʻūlili
• poho lauoho
• nausea a me ka luaʻi
• hoʻolālā ulu i nā kāne

ʻO nā ʻōuli aʻe e koi koke ʻia i ka lāʻau lapaʻau:

• ʻūpā
• pokole o ka hanu
• nalowale o ka ʻike
• wikiwiki, pākuʻi puʻuwai ʻole

Hiki i ka Hyperthyroidism ke hana i ka fibrillation atrial, kahi arrhythmia weliweli e hiki ai ke alakaʻi i nā hahau, a me ka puʻuwai puʻuwai kūwaho.

Pehea e kuhikuhi ai nā kauka i ka hyperthyroidism?

ʻO kāu hana mua i ke kuhi, ʻo ia ke kiʻi i kahi mōʻaukala piha a me ka hoʻokolohua kino. Hiki i kēia ke hōʻike i kēia mau hōʻailona maʻamau o hyperthyroidism:

• Kaumaha emi
• pulse wikiwiki
• piʻi kiʻekiʻe o ke koko
• maka hoʻopāpā
• hoʻonui nui ʻia i ka ʻaihue thyroid

Hana ʻia nā hoʻokolohua ʻē aʻe e loiloi hou i kāu ʻike. Pākuʻi ʻia kēia mau mea:

Hōʻike Cholesterol

Pono paha kāu kauka e nānā i kāu mau pae kolesterol. Hiki i ka kolesterol haʻahaʻa ke hōʻailona o kahi metabolic rate kiʻekiʻe, kahi e wela ai kou kino ma o ka cholesterol.

T4, manuahi T4, T3

Ana kēia mau hoʻokolohua i ka nui o ka nui o ka nui o ka nui o ka nui o ka nui o ka nui o ka nui o ka nui o kāu hormone (T4 a me T3) i kou koko.

ʻO ka hoʻāʻo pae hormon stimulate thyroid

ʻO ka thyroid stimulate hormone (TSH) kahi homone pituitary gland e hoʻoulu i ka gland thyroid e hana i nā homone. Ke kūleʻa a kiʻekiʻe paha nā pae hormone thyroid, pono e hoʻohaʻahaʻa i kāu TSH. Hiki i kahi TSH haʻahaʻa haʻahaʻa ke lilo i hōʻailona mua o ka hyperthyroidism.

Hōʻike Triglyceride

Hiki paha ke hoʻāʻo ʻia kāu pae triglyceride. E like me ka haʻahaʻa kolesterol, hiki i nā triglycerides haʻahaʻa ke hōʻailona o kahi kiʻekiʻe metabolic rate.

ʻO ka nānā ʻana o ka thyroid a me ka lawe ʻana

ʻAe kēia i kāu kauka e ʻike inā he hana nui kāu thyroid. I kahi kikoʻī, hiki iā ia ke hōʻike inā ʻo ka thyroid holoʻokoʻa a i ʻole kahi ʻāpana o ke gland ke kumu o ka overactivity.

Kukuna ultrasound

Hiki i nā ultrasounds ke ana i ka nui o ka gland thyroid āpau, a me nā lehulehu i loko ona. Hiki i nā kauka ke hoʻohana i nā ultrasounds e hoʻoholo inā paʻa a nui a cystic paha kahi nui.

CT a me MRI scans

Hiki i kahi CT a i ʻole MRI ke hōʻike inā aia kahi pituitary tumo e kū nei i kēia ʻano.

Pehea e mālama ai i ka hyperthyroidism

Laau Lapaʻau

ʻO nā lāʻau Antithyroid, e like me methimazole (Tapazole), hoʻokū i ka thyroid mai ka hana ʻana i nā homone. He lāʻau maʻamau lākou.

Iodine radioaktif

Hāʻawi ʻia ka iodine radioactive ma kahi o 70 pākēneka o nā mākua U.S. me hyperthyroidism, e like me ka American Thyroid Association. Luku pono ia i nā hunaola e hoʻohua i nā homone.

ʻO nā hopena ʻē aʻe e pili pū me ka waha maloʻo, nā maka maloʻo, ka ʻāʻī, a me nā loli i ka ʻono. Pono paha e mālama i nā akaʻi no kekahi manawa pōkole ma hope o ka lapaʻau ʻana e pale aku ai i ka pāhawewe ʻana i kekahi poʻe ʻē aʻe.

ʻOki kino

Hiki ke wehe ʻia kahi ʻāpana a i ʻole paha o kāu gland thyroid. A laila pono ʻoe e lawe i nā mea hoʻopili hormonone thyroid e pale ai i ka hypothyroidism, i kū ʻia ke loaʻa iā ʻoe kahi thyroid underact e hūnā i ka hormone liʻiliʻi. Eia nō naʻe, hiki i nā beta-blockers e like me propranolol ke kōkua i ka mālama ʻana i kāu pulse wikiwiki, ka hou ʻana, ka hopohopo, a me ke koko kiʻekiʻe. Pane maikaʻi ka hapa nui o ka poʻe i kēia lapaʻau.

He aha kāu e hiki ai ke hoʻomaikaʻi i nā ʻōuli

ʻO ka ʻai ʻana i kahi papaʻai kūpono, me ka nānā ʻana i ka calcium a me ka sodium, he mea nui ia, keu hoʻi i ka pale ʻana i ka hyperthyroidism. Hana pū me kāu kauka e hana i nā kulekele olakino no kāu papaʻai, nā mea hoʻopihaʻai a me nā hoʻoikaika kino.

Hiki i ka Hyperthyroidism ke hoʻonāwaliwali i kou mau iwi a lahilahi, a hiki i ka osteoporosis. ʻO ka lawe ʻana i nā huaora D a me nā mea hoʻowali kalipuna i ka wā a ma hope o ka mālama ʻana hiki ke kōkua i ka hoʻoikaika ʻana i kou mau iwi. Hiki i kāu kauka ke haʻi iā ʻoe i ka nui o ka wikamina D a me ka calcium e lawe i kēlā me kēia lā. E aʻo hou aʻe e pili ana i nā pono olakino o ka wikamina D.

Outlook

Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi endocrinologist, ka mea loea i ka mālama ʻana i nā ʻōnaehana hormone o ke kino. Hiki i ke koʻikoʻi a i ʻole nā ​​maʻi ke kumu i ka ʻino thyroid. Hana ʻia ka ʻino thyroid ke hoʻokuʻu ʻia kahi nui nui o ka hormone thyroid a hopena ia i ka hōʻeha ʻana o nā ʻōuli. He mea nui ka mālama ʻana e pale aku ai i ka ʻino thyroid, thyrotoxicosis, a me nā pilikia ʻē aʻe.

ʻO ka nānā lōʻihi no ka hyperthyroidism e pili ana i kāna kumu. Hiki i kekahi mau kumu ke hele me ka ʻole o ka lapaʻau. ʻO nā mea ʻē aʻe, e like me ka maʻi ʻo Graves, e ʻoi aku ka hewa ma mua o ka manawa me ka mālama ʻole ʻia. Hiki i nā pilikia o ka maʻi ʻo Graves ke hoʻoweliweli i ke ola a hoʻopili i kou ola lōʻihi lōʻihi. ʻO ka hōʻoia mua a me ka mālama ʻana i nā hōʻailona e hoʻomaikaʻi i ka nānā lōʻihi.

Q:

A: