He aha kāu thyroiditis o Hashimoto, nā hōʻailona nui a pehea e mālama ai

Anter

• Nā hōʻailona nui
• He aha ke kumu o ka thyroiditis o Hashimoto
• Pehea e hōʻoia ai i ke kuhi
• Pehea e hana ai i ka lāʻau
• Pehea e pono ai ka papaʻai
• Hiki i nā pilikia o ka thyroiditis

ʻO ka thyroiditis o Hashimoto kahi maʻi autoimmune kahi e hoʻouka ai ka ʻōnaehana pale pale i nā hunaola thyroid, e hoʻoulu ai i ka momona o ia gland, a ʻo ka hopena ma muli o ka hyperthyroidism kuewa e ukali ʻia e hypothyroidism.

ʻO ka ʻoiaʻiʻo, ʻo kēia ʻano o ka thyroiditis kekahi o nā kumu maʻamau o ka hypothyroidism, keu hoʻi i nā wahine makua, ke hana nei i nā ʻōuli e like me ka luhi nui, ka lauoho lauoho, nā kui kui a me nā hemahema hoʻomanaʻo.

ʻO ka hapanui o nā manawa, hoʻomaka ka maʻi me ka hoʻonui ʻole ʻia o ka thyroid a, no laila, hiki ke ʻike ʻia i ka manawa o kahi loiloi maʻamau e ke kauka, akā i nā hihia ʻē aʻe, hiki i ka thyroiditis ke hana i kahi sensation i ka ʻāʻī, ʻo ia ka mea ʻaʻole kumu ʻeha ma palpation. I kēlā me kēia hihia, pono e hoʻomaka me ka endocrinologist i ka wā e hiki ai ke hoʻoponopono i ka hana o ka momona a pale i ke ʻano o nā pilikia.

Nā hōʻailona nui

ʻO nā ʻōuli maʻamau o ka thyroiditis o Hashimoto e like like me ka hypothyroidism, no laila he maʻamau ka loaʻa ʻana:

• Loaʻa ke kaupaona maʻalahi;
• Luhi nui loa;
• ʻO kaʻili anuanu a me ka mae;
• Puʻupuʻu;
• Ke ahonui anuanu haʻahaʻa;
• Ka ʻeha a ʻeha pū paha.
• Hoʻomaʻu iki o ka ʻāʻī i ka pūnaewele thyroid;
• Nā lauoho nawaliwali a me nā kui.

ʻOi aku ka maʻamau o kēia pilikia i nā wahine a ʻike pinepine ʻia ma waena o 30 a 50 mau makahiki. I ka mua, hiki i ke kauka ke kuhikuhi wale i ka hypothyroidism a, ma hope o ka hana ʻana i nā hoʻokolohua ʻē aʻe, e ʻike i ka hoʻā ʻana o ka thyroid e hōʻea ana i ka hōʻailona o ka thyroiditis o Hashimoto.

He aha ke kumu o ka thyroiditis o Hashimoto

ʻAʻole i ʻike ʻia ke kumu kikoʻī no ka helehelena o ka thyroiditis o Hashimoto, akā naʻe hiki ke kumu ʻia ia e ka loli, no ka mea hiki ke ʻike ʻia ka maʻi i kekahi mau kānaka o ka ʻohana like. Hōʻike nā noiʻi ʻē aʻe hiki ke hoʻomaka i kēia ʻano o ka thyroiditis ma hope o ka maʻi ʻana e kahi virus a i ʻole bacteria, a ʻo ka hopena ka hopena ʻana o ka thyroid.

ʻOiai ʻaʻohe kumu i ʻike ʻia, ʻoi aku ka pinepine o ka thyroiditis o Hashimoto i nā kānaka me nā maʻi endocrine e like me ke ʻano o ka maʻi diabetes 1, hana malū adrenal a i ʻole nā ​​maʻi autoimmune e like me ka anemia weliweli, rheumatoid arthritis, Sjögren's syndrome, Addison a lupus, a me nā mea ʻē aʻe. e like me ka hemahema o ka ACTH, maʻi ʻaʻai umauma, hepatitis a me ke alo o H. pylori.

Pehea e hōʻoia ai i ke kuhi

ʻO ke ala ʻoi loa e ʻike ai i ka thyroiditis o Hashimoto, e nīnau aku i ka endocrinologist a hana i kahi hoʻokolohua koko e loiloi ai i ka nui o T3, T4 a me TSH, i hoʻohui ʻia me ka ʻimi ʻana i nā antimonio antodies (anti-TPO). I ka hihia o ka thyroiditis, maʻamau a hoʻonui ʻia paha ʻo TSH.

Loaʻa i kekahi poʻe i nā antimonio antodies akā ʻaʻohe o lākou hōʻailona, ​​a manaʻo ʻia he subclinical autoimmune thyroiditis a no laila ʻaʻole pono ka lāʻau.

E aʻo hou e pili ana i nā hoʻāʻo e loiloi i ka thyroid.

Pehea e hana ai i ka lāʻau

Hōʻike wale ʻia ka mālama ʻana ke loli nā TSH waiwai a i ʻole ke ʻike ʻia nā ʻōuli, a hoʻomaka pinepine ʻia me ka hoʻololi hormonone i hana ʻia me ka hoʻohana ʻana o Levothyroxine no 6 mau mahina. Ma hope o kēlā manawa, pono mau ia e hoʻi i ke kauka e loiloi hou i ka nui o ke gland a hana i nā hoʻokolohua hou e ʻike inā pono e hoʻoponopono i ka mahele lāʻau.

I nā hihia kahi paʻakikī e hanu a ʻai paha, no ka laʻana, ma muli o ka hoʻonui ʻia o ka nui o ka thyroid, hōʻike ʻia ka ʻoki e wehe i ka momona, i kapa ʻia ʻo thyroidectomy.

Pehea e pono ai ka papaʻai

Hiki i ka meaʻai ke hoʻololi nui i ke olakino o ka thyroid a, no laila, koi ʻia e ʻai i kahi papaʻai olakino me nā meaʻai momona i nā mea momona maikaʻi no ka hana ʻana o ka thyroid e like me ka iodine, zinc a selenium paha, e laʻa me. E ʻike i kahi papa inoa o nā meaʻai thyroid ʻoi loa.

E ʻike i ka wikiō e hiki mai ana no nā ʻōlelo aʻoaʻo hou aʻe pehea e hiki ai i ka hoʻoponopono ʻana i kāu papaʻai ke kōkua pono i kāu hana thyroid.

Hiki i nā pilikia o ka thyroiditis

Ke hana nei ka thyroiditis i nā loli i ka hana ʻana o ka hormone a mālama ʻole ʻia me ka maikaʻi, hiki i kekahi pilikia olakino ke ala aʻe. ʻO ka mea maʻamau e hoʻopili ʻia:

• Nā pilikia puʻuwai: ʻo ka poʻe me ka hypothyroidism kāohi ʻole ʻia e loaʻa i nā kiʻekiʻe LDL kiʻekiʻe, e hoʻonui ai i ka pilikia o nā pilikia puʻuwai;
• Nā pilikia olakino noʻonoʻo: ma ka hoʻemi ʻana i ka hana ʻana o nā hormones thyroid, lilo ka kino i ka ikaika a no laila ke manaʻo nei ke kanaka ua nui ka luhi, hāʻawi i nā loli i ke ʻano a me ka hoʻomaka ʻana o ke kaumaha.
• Myxedema: he ʻano maʻamau kēia e kū mau i nā hihia kiʻekiʻe loa o ka hypothyroidism, e alakaʻi ana i ka pehu o ka maka a ʻoi aku nā hōʻailona koʻikoʻi e like me ka nele o ka ikehu a me ka nalo o ka ʻike.

No laila, ʻo ka mea maikaʻi ke manaʻo ʻoe i kāu thyroiditis, e ʻimi i kahi endocrinologist e hana i nā hoʻokolohua kūpono a hoʻomaka i ka lāʻau i ka wā hiki.