Thyroiditis: he aha ia, nā ʻano nui a me nā ʻōuli

Anter

• 1. ʻO ka thyroiditis o Hashimoto
• 2. ʻO ka thyroiditis o Quervain
• 3. thyroiditis Lymphocytic
• 4. ʻO ka thyroiditis a Riedel
• 5. ʻO ka thyroiditis ʻē aʻe

ʻO ka thyroiditis ka mumū o ka pona thyroid e hiki ke hana ma muli o nā hanana he nui, e like me nā loli o ka pale ʻana, nā maʻi a i ʻole ka hoʻohana ʻana i nā lāʻau, no ka laʻana, hiki ke hana i kahi ala koʻikoʻi, kahi e wikiwiki ai ka evolution, ai ʻole i ala maʻamau, i ka hele mālie o ka lī.

I ke kū ʻana o ka pehu thyroid, hiki ke ʻike ʻia nā hōʻailona a me nā ʻōuli, e like me ka ʻeha ma ka ʻāʻī, paʻakikī i ka ale ʻana, ka fiva a me ke anuanu, a he kumu paha e like me hypothyroidism a i ʻole hyperthyroidism.

He mea nui e ʻike ʻia a mālama ʻia ka thyroiditis ke ʻike ʻia nā ʻōuli a me nā ʻōuli mua, ʻoiai i kekahi mau manawa aia kahi manawa kūpono loa e ola ai. Hōʻike ʻia ka mālama ʻana no ka thyroiditis e ka endocrinologist a ʻokoʻa e like me ke kumu a, a no laila, ke ʻano o ka thyroiditis.

Wahi a ke kumu o ka huehue thyroid, hiki ke hoʻokaʻawale ʻia kāu thyroiditis i kekahi mau ʻano, ʻo ka mea nui:

1. ʻO ka thyroiditis o Hashimoto

ʻO ka thyroiditis o Hashimoto ka ʻano maʻamau o ka thyroiditis mau a ʻoi aku ka maʻamau o nā wahine mai 30 a 50 mau makahiki, ʻoiai hiki ke hōʻike ʻia i kēlā me kēia wā o ke ola. ʻO ka thyroiditis o Hashimoto kahi maʻi autoimmune kahi e hoʻopuka ai ke kino i nā meaola āpau e hoʻopau i ka hoʻouka ʻana i nā hunaola thyroid, e hoʻoulu ai i nā mumū, nā loli i kā lākou hana a hoʻemi i ka synthesis o nā thyroid hormones.

Nā hōʻailona nui: ʻo ka hōʻailona nui kahi thyroid hoʻonui ʻia, ʻike ʻia hoʻi ma ke ʻano he goiter, a ʻaʻole maʻamau ka ʻeha. Aia pū kekahi mau ʻōuli o ka hypothyroidism, e like me ka luhi, ka hiamoe, ka ʻili maloʻo a me ka nele o ka noʻonoʻo, ʻo kahi laʻana, akā hiki nō ke hoʻololi me nā wā o ka hyperthyroidism, me nā ʻōuli e like me palpitations, insomnia a me ka pohō kaumaha.

Lapaʻau: hoʻokumu ʻia ka lapaʻau e ka endocrinologist a hōʻike pinepine ʻia ka hope o ka hormonone thyroid, me ka hoʻohana ʻana o Levothyroxine, akā naʻe, pili ka hōʻike ma nā waiwai o ka hana thyroid, i hiki ke hōʻoia ʻia ma o TSH a me nā hōʻike koko T4 manuahi.

E aʻo hou e pili ana i ka thyroiditis o Hashimoto.

2. ʻO ka thyroiditis o Quervain

Hana ʻia ka thyroiditis o Quervain ma muli o nā maʻi i loaʻa i nā maʻi ʻino, e like me ka mumps, influenza, adenovirus, ecovirus a i ʻole Coxsackie, no ka laʻana, ʻoi aku ka maʻamau o nā wahine mai 30 a 50 mau makahiki. Hoʻokumu kēia maʻi i ka wela nui i ka thyroid a me ka luku ʻia o kāna mau hunaola.

Nā hōʻailona nui: ʻeha ma ka māhele thyroid, hiki ke hoʻomālamalama i ka ā a i ʻole nā ​​pepeiao. E hoʻonui iki ʻia paha ke gland, e ʻeha ai ka ʻāʻī a paʻakikī hoʻi i ka ale ʻana. Hiki paha i nā ʻōuli o ka maʻi hanu i ka maʻi hanu, e like me ke kaʻe ʻana a me ka hana huna ʻana.

Lapaʻau: mālama ʻia no kēia ʻano o ka thyroiditis me nā lāʻau e hōʻoluʻolu i nā ʻōuli, keu hoʻi me nā lāʻau anti-inflammatory, e like me Naproxen, no ka laʻana. I nā hihia o nā ʻōuli koʻikoʻi a hoʻomau ʻole paha, hiki ke hōʻike ʻia e ka endocrinologist ka hoʻohana ʻana i nā corticosteroids, e like me Prednisone.

No ka hōʻoia ʻana i kēia ʻano thyroiditis, hiki i ke kauka ke kauoha i nā hoʻokolohua e like me ESR, ka mea e hōʻike ai i ke kū ʻana o ka mumū, me ka hoʻāʻo ʻana o ka iodine radioact uptake test, kahi e nānā ai i ka hana o ka thyroid. Inā mau ka kānalua, hiki i ke kauka ke hana i ka puncture o ka thyroid, i hiki ai ke kāpae i nā kumu ʻē aʻe, e like me kahi cyst a i ʻole kahi maʻi ʻaʻa. E aʻo hou e pili ana i nā hoʻāʻo e loiloi i ka thyroid.

3. thyroiditis Lymphocytic

ʻO ka Lymphocytic thyroiditis, i ʻike ʻia he hāmau a ʻeha ʻole paha, hoʻokumu ʻia e ka autoimmunity, kahi i hana ai nā mea ʻino i loko o ke kino i ka thyroid, ʻoi aku ka maʻamau o nā wahine mai 30 a 60 mau makahiki.

Nā hōʻailona nui: lymphocytic thyroiditis ʻaʻole hana pinepine i ka ʻeha a palupalu paha i ka thyroid, akā hoʻonāukiuki ia i ka hoʻokuʻu ʻia ʻana o nā homone thyroid i loko o ke kahe o ke koko, i hiki ke hana i kahi manawa me nā ʻōuli o hyperthyroidism, e ola mau i loko o kekahi mau pule i mau mahina. I kekahi mau hihia, aia kekahi manawa pōkole o hypothyroidism.

Lapaʻau: ʻaʻohe lāʻau lapaʻau lymphocytic thyroiditis, a hōʻike ʻia ka mālama ʻana i nā ʻōuli o hyperthyroidism. I kekahi mau hihia, hiki i ke kauka ke koi aku i ka hoʻohana ʻana i nā lāʻau e like me Propranolol e kaohi ai i ka puʻuwai o ka puʻuwai i ka hyperthyroidism a i ʻole ka hoʻololi o nā homone i ka pae hypothyroid, no ka laʻana.

4. ʻO ka thyroiditis a Riedel

ʻO ka thyroiditis a Riedel, i ʻike ʻia he fibrotic thyroiditis, kekahi ʻano like o ka thyroiditis maʻi mau loa e kumu a lohi ai hoʻi nā lāʻau thyroid, a hiki i ka hypothyroidism.

Nā hōʻailona nui: ʻO ka thyroiditis a Riedel ke kumu o ka hoʻonui ʻana i ka nui o ka thyroid, akā hiki ke hana i kahi kaumaha o ka ʻāʻī, paʻakikī i ka ale ʻana, hoarseness, ʻano hanu a me ka liʻiliʻi o ka hanu.

Lapaʻau: ʻo ka lapaʻau ʻana no kēia ʻano o ka thyroiditis e hana ʻia me nā lāʻau e hōʻemi i ka hana hoʻohaunaele, e like me nā corticosteroids, Tamoxifen a i ʻole Methotrexate, e laʻa me. Hōʻike ʻia ke kauka hormonone thyroid e ke kauka, ke hōʻino ʻia ka hana thyroid, a me ke kahakaha ʻana, inā koʻikoʻi nā ʻōuli o ke kaohi ʻana o ke ea.

5. ʻO ka thyroiditis ʻē aʻe

ʻO nā kumu ʻē aʻe e pili ana i ka nui o ka thyroiditis me nā mea i hoʻoulu ʻia e ka ʻona me kekahi mau lāʻau, e like me chemotherapy a i ʻole Amiodarone. Hoʻokumu ʻia ka thyroiditis ʻo Actinic e nā mālama radiation i ka ʻāʻī o ka ʻāʻī, kahi e hiki ai ke hoʻoulu a i ʻole ka pāpā ʻana i ka hana o ka cell thyroid.

Aia kekahi thyroiditis i hoʻokumu ʻia e nā maʻi e ka staphylococcus a i ʻole nā ​​bacteria bacteria streptococcus, a i ʻole nā ​​fungi, e like me Aspergillus a i ʻole Candida, no ka laʻana, a i ʻole e kekahi mau parasite a me mycobacteria.