ʻO Subacute thyroiditis

Anter

• Nā kumu a me nā kumu pilikia
• He aha nā hōʻailona o ka subacute thyroiditis?
• Nā ʻōuli o Hyperthyroidism
• Nā hōʻailona Hypothyroidism
• Nā ʻano o ka thyroiditis subacute
• Pehea e ʻike ʻia ai ka maʻi subyroid?
• Pehea e mālama ʻia ai ka subacute thyroiditis?
• Kāohi a me ka wānana
• He aha ka manaʻo no ka poʻe me ka thyroiditis subact?

He aha kāu subroid thyroiditis?

ʻO ka thyroiditis e pili ana i ka mumū o ka thyroid. ʻO ka thyroid kahi gland i mua o ka ʻāʻī e hoʻokuʻu i nā ʻano homone like ʻole. Kōkua kēia mau hormoni i ka hoʻoponopono ʻana i ka metabolism, ke kaʻina hana e hoʻohuli i ka meaʻai i ka ikehu. He mea nui pū kekahi i kāu pane kino a me ka naʻau, e like me ka makaʻu, pīhoihoi, a me ka leʻaleʻa.

Hoʻopili pū ka thyroiditis i kahi hui o nā maʻi e hoʻonā i ka thyroid. ʻO ka hapa nui o kāu ʻano thyroiditis e alakaʻi pinepine ai i hyperthyroidism a i ʻole hypothyroidism. ʻO Hyperthyroidism kahi maʻi kahi e overactive ai ka thyroid a hana i nā hormones he nui. ʻO ka Hypothyroidism kahi kūlana kahi o ka thyroid e hana ʻole ai a lawa ʻole nā ​​hormones. Hiki i kēia mau ʻano ʻelua ke hoʻololi i nā kaumaha, ka hopohopo, a me ka luhi.

ʻO ke suboid thyroiditis kahi ʻano maʻamau o ka thyroiditis e hōʻeha ai i ka ʻeha a me ka hōʻoluʻolu ʻole i ka thyroid. ʻO nā kānaka me kēia ʻano e loaʻa iā lākou nā ʻōuli o hyperthyroidism a ma hope e hoʻomōhala i nā ʻōuli o ka hypothyroidism. ʻOiai he manawa pōkole, hiki i ka subacute thyroiditis ke hana i nā pilikia paʻa inā haʻalele ʻole ʻia.

Nā kumu a me nā kumu pilikia

ʻAʻole like me nā ʻano thyroiditis ʻē aʻe, manaʻo ʻia ka pili o ka thyroiditis i pili i kahi maʻi viral. I ka pane ʻana i ka maʻi, pehu ka thyroid a hiki ke hoʻohaunaele i ka hana ʻana o ka hormone. ʻO kēia ke kumu o ka wela a me nā ʻano like ʻole.

ʻOi aku ka maʻamau o ka subacute thyroiditis i nā wahine mai 40 a 50 mau makahiki ma mua o nā kāne o ka makahiki like. Kū ia ma hope o kahi maʻi hanu luna, e like me ka maʻi flu a i ʻole nā ​​ʻāʻī.

He aha nā hōʻailona o ka subacute thyroiditis?

ʻAʻole like me nā ʻano thyroiditis ʻē aʻe, ke kumu o ka hana ʻana o ka thyroiditis ma muli o ka thyroiditis. I kekahi mau hihia, hoʻolaha paha kēia ʻeha i nā ʻāpana ʻē aʻe o kou ʻāʻī, pepeiao, a i ʻole. Pehu paha kou thyroid a palupalu i ka pā. Ua koho ka ʻAmelika Hui Pū ʻIa thyroid e mau ka ʻeha ma waena o 1 a 3 mau mahina.

ʻO nā ʻōuli ʻē aʻe o ka subacute thyroiditis e komo pū ana:

• fiva
• luhi
• nāwaliwali
• hulahula
• paʻakikī i ka ale ʻana

Nā ʻōuli o Hyperthyroidism

Hoʻonui ka hapanui o ka poʻe i ka hyperthyroidism i nā pae mua o ka subacute thyroiditis. ʻO nā ʻōuli i kēia wā o ka maʻi e hoʻopili pū paha:

• ukiuki
• hopohopo
• hoʻomaha ʻole
• pilikia pilikia
• pāhoehoe
• pohō kaumaha hikiwawe
• wikiwiki a i ʻole kuʻi puʻuwai puʻuwai
• hoʻonui i ka mahana o ke kino e alakaʻi pinepine i ka sweating nui
• haʻalulu

Nā hōʻailona Hypothyroidism

Ke holo nei ka maʻi, hypothyroidism ke hoʻololi i ka hyperthyroidism i ka pae ʻelua. ʻO nā ʻōuli i ka wā ʻelua e komo pū paha:

• luhi
• poho lauoho
• anu ahonui
• kōpaʻa
• loaʻa kaumaha kaumaha
• wā kaumaha loa
• kaumaha

ʻO ka pae mua o ka subacute thyroiditis e mau ai ma lalo o ʻekolu mau mahina. E mau ana paha ka pae ʻelua no ʻeiwa a 15 mau mahina hou aʻe.

Nā ʻano o ka thyroiditis subacute

ʻEhā mau ʻano subtypes o subact thyroiditis:

Kāhiko thyroiditis granulomatous: ʻO kēia ka ʻano maʻamau o ka subacute thyroiditis. Hoʻokumu ʻia ia e nā maʻi viral.

ʻO ka thyroiditis postpartum: Kū kēia i loko o nā wahine i loko o hoʻokahi makahiki ma hope o ka hānau ʻana, a hele pinepine i loko o 18 mau mahina. ʻO nā wahine e hoʻomohala i kēia ʻano o ka thyroiditis i manaʻo ʻia he maʻi maʻi autoimmune ke kumu o ka pehu. Hana ʻia nā ʻōuli i ʻelua mau manawa, e hoʻomaka ana me nā hōʻailona hyperthyroid a neʻe i nā hōʻailona hypothyroid.

Subacute lymphocytic thyroiditis: Hana ʻia kēia i ka wā postpartum. Hoʻokumu nā ʻōuli o Hyperthyroid ma mua (maʻa mau i loko o ʻekolu mau mahina ma hope o ka hānau ʻana), a hiki ke hala nā hōʻailona hypothyroid no kekahi mau mahina ma hope.

Palpation thyroiditis: Hoʻonui kēia i ka wā e hōʻino ʻia nā follicle thyroid mai ka hana mechanical e like me ka hoʻokolokolo pinepine ʻana i ka kelu thyroid a i ʻole ke ʻoki ʻana.

ʻO nā subtypes āpau o ka subacute thyroiditis e hāhai i kahi papa like o nā ʻōuli, me ka hyperthyroid e hoʻomohala mua ana. ʻO nā ʻokoʻa kī ke kumu.

Pehea e ʻike ʻia ai ka maʻi subyroid?

E ʻike kāu kauka a nānā i kou ʻāʻī e ʻike inā hoʻonui ʻia a hū paha ka gland thyroid. E nīnau pū lākou iā ʻoe e pili ana i kāu mau hōʻailona a me kāu mōʻaukala hou. E nānā paha kāu kauka no ka subacute thyroiditis inā ua loaʻa koke ʻoe i kahi maʻi viral i ka maʻi hanu luna.

E kauoha aku kāu kauka i kahi hoʻokolohua koko e hōʻoia i kahi hōʻoia subroid thyroiditis. E hōʻoia kēia hōʻike i nā pae o kekahi mau hormones i kou koko. ʻO ke kikoʻī, e ana ka hoʻokolohua koko i kāu hormone thyroid, a i ʻole T4 manuahi, a me nā pae hoʻoulu stimroid (TSH). ʻO nā pae T4 a me TSH manuahi ka ʻāpana o ka mea i kapa ʻia ʻo "loop loop feedback." Ke kiʻekiʻe kekahi pae, haʻahaʻa ka pae ʻē aʻe, a ʻo ka ʻaoʻao ʻē aʻe.

E ʻokoʻa nā hopena o ka hoʻāʻo ʻana o ke koko ma muli o ke kahua o ka maʻi. I nā pae mua, e kiʻekiʻe kāu pae manuahi T4 ʻoiai e haʻahaʻa kāu pae TSH. I nā pae hope, e kiʻekiʻe kāu pae TSH ʻoiai e haʻahaʻa nā pae T4. ʻO kahi pae maʻamau o kēlā me kēia hormone e hōʻike ana i ka subacute thyroiditis.

Pehea e mālama ʻia ai ka subacute thyroiditis?

Inā ʻike ʻia ʻoe me ka subacute thyroiditis, e hāʻawi aku kāu kauka iā ʻoe i nā lāʻau e kōkua i ka hōʻemi ʻana i ka ʻeha a me ka kaohi ʻana i ka pehu. I kekahi mau hihia, ʻo kēia wale nō ka lapaʻau e koi ʻia ai no ka suboid thyroiditis. ʻO nā lāʻau i hiki ke hoʻopili ʻia:

• Nā lāʻau anti-inflammatory nonsteroidal over-the-counter (NSAIDs). Hana nā lāʻau e like me ka aspirin a me ka ibuprofen e ka hōʻemi ʻana i ka lī. A ʻo kahi hopena, e hōʻemi ʻoe i ka ʻeha. ʻAʻole maikaʻi ka Acetaminophen (Tylenol) no ka mea ʻaʻole ia e hoʻemi i ka hoʻowalewale i nā kumu thyroiditis.
• Corticosteroids. Hoʻohana ʻia nā Corticosteroids ke lawa ʻole nā ​​NSAID e hōʻemi i ka pehu. ʻO Prednisone kahi corticosteroid maʻamau i hoʻohana ʻia e mālama i kāu suboid thyroiditis. Kau kauka paha i 15 a 30 mau milligrams i kēlā me kēia lā e hoʻomaka, a laila e hoʻoliʻiliʻi mālie i ke ana ma mua o ʻekolu a ʻehā mau pule.
• Nā poloka beta. Kau kauka paha i kau kauka beta-blockers inā kū ka hyperthyroidism i nā wā mua. Hoʻoiho kēia mau lāʻau i ke kahe o ke koko a me ka helu o ka lāʻau i mea e hōʻoluʻolu ai i kekahi mau hōʻailona, ​​e like me ka hopohopo a me ka puʻuwai puʻuwai ʻole.

He mea nui ka mālama ʻana no ka hyperthyroidism i ka hoʻomaka o ka maʻi. Eia naʻe, ʻaʻole ia he mea kōkua ke holo i mua kou kūlana i ka pae ʻelua. I nā wā hope o ka maʻi, e hoʻomohala ʻoe i ka hypothyroidism. E pono paha ʻoe e lawe i nā hormoni e like me levothyroxine e pani i nā mea a kou kino e hana ʻole ai.

ʻO ka mālama ʻana no ka subacute thyroiditis he manawa pōkole ia. E kāpae ka kauka iā ʻoe i kekahi lāʻau i kuhikuhi ʻia e mālama i ke ʻano.

Kāohi a me ka wānana

ʻAʻohe mea pale e akaka ai no ka subacute thyroiditis no ka mea ʻaʻole ʻike ʻia ke kumu kikoʻī. ʻAʻole maʻamau ka hoʻi hou.

I nā manawa he nui, hoʻonā ʻo subacute thyroiditis iā ia iho me ka ʻole o ka ʻōlelo aʻoaʻo. Aia ka wānana holoʻokoʻa i ka nui o ka pōʻino i ka momona o ka thyroid. Inā nui ka pohō i hana ʻia, ʻike paha ʻoe i nā pilikia thyroid paʻa a pono e hoʻomau i ka lāʻau lapaʻau.

He aha ka manaʻo no ka poʻe me ka thyroiditis subact?

Hele pinepine nā ʻōuli o ka subacute thyroiditis ma waena o 12 a 18 mau mahina. I kekahi mau hihia, eia naʻe, pau paha ka hypothyroidism i mea paʻa. Ua koho ka ʻAmelika Hui Pū ʻIa thyroid ma kahi o 5 pākēneka o ka poʻe me ka subacute thyroiditis e hoʻomohala i hypothyroidism paʻa. Kākaʻikahi loa nā pilikia olakino paʻa.

Kāhea i kāu kauka inā manaʻo ʻoe he thyroiditis liʻiliʻi kāu. Hiki i ke kuhi mua a me ka lāʻau lapaʻau ke kōkua i ka pale ʻana i ka hypothyroidism mau.