I-Hashimoto's thyroiditis yisifo se-thyroid esizimele esiwukuthi, e-United States, imbangela evame kakhulu ye-hypothyroidism, i-thyroid engasebenzi.
Isimo esingavamile esihlotshaniswa neHashimoto's thyroiditis yi-Hashimoto's encephalopathy (okufingqiwe njenge-HE). Ukukhathazeka kukaHashimoto kuyinkinga ye-neuroendocrine okungukuthi odokotela nabacwaningi abaqondi kahle izindlela zabo.
Kucatshangwa ukuthi njengesifo sikaHashimoto, ukukhathazeka kukaHashimoto kuyimvelo ngokuzenzakalelayo, futhi kubangelwa uhlelo lokuzivikela komzimba oluhlukumeza kodwa oluphutha olubhekiswe ezithombeni, izigulane nezicubu zomzimba. Endabeni ye-encephalopathy kaHashimoto okuhlosiwe yilobuchopho.
Qaphela: Ngenxa yokuthi akuzona zonke iziguli ezinezifo zesifo sikaHashimoto, abanye ochwepheshe basikisela ukuthi isimo kufanele sabizwe kabusha ukuze kususwe isixhumanisi ku-Hashimoto, futhi esikhundleni salokho kubizwe ngokuthi " ukucindezeleka kwesifo se-steroid ehambisana ne-autoimmune thyroiditis ."
Siyazi ukuthi ku-encephalopathy ye-Hashimoto, amazinga aphezulu e-antithyroid antibodies (i-thyroid peroxidase antibodies, noma i-TPO) kubonakala sengathi ihlobene nokuvuvukala ebuchosheni obungabonakaliswa ezinhlobonhlobo ezihlukahlukene ezonakalisayo.
I-Encephalopathy I-Hashimoto Inokuvame Kangakanani?
Ukukhathazeka kwe-Hashimoto kubhekwa kungavamile (kuneziguli eziningana eziningana ezitholakalayo e-United States) kodwa kungenzeka ukuthi kuneziguli eziningi ezingatholakali ezingabonwa noma ezingaqondakali kahle.
Ngenxa yokuthi aziwa kahle futhi izimpawu zayo ziyi-neurological, kulula ukungazi kahle noma ukungaziqondi futhi izibonakaliso zika-Hashimoto ze-encephalopathy ngokuvamile ziholela ekutholeni izifo ze-neurological.
Isilinganiso seminyaka yokuqala kwe-Hashimoto's encephalopathy ineminyaka engama-47 ubudala. Iningi labagulayo be-HE ngabesifazane.
U-HE angabonisa futhi ekukhuleni lapho kungenzeka ukuthi anganakiwe. Izimpawu ezisencane zihlanganisa ukugubha, ukudideka, nokucabangela. Ukudonsa ukusebenza esikoleni nakho kuyisimo esivamile, kanye nokuncipha okuqhubekayo kwengqondo. Amazinga we-antibody we-thyroid kufanele ahlolwe kunoma yimuphi umuntu osemusha onalezi zimpawu, ngisho noma ezinye izivivinyo zomsebenzi we-thyroid zivamile.
Ezinye zezimpawu ezivame kakhulu kubantu abadala abane-encephalopathy kaHashimoto zihlanganisa okulandelayo:
- ukukhathazeka
- i-psychosis kanye nokuziphatha okungcolile
- ukuthuthumela
- ukuhlushwa nokukhumbula izinkinga
- i-spasms kanye ne-jerks emisipha eyaziwa ngokuthi i-myoclonus
- ukungabi nokusebenzisana ngokomzimba
- ikhanda
- ukukhubazeka ngokwengxenye
- izinkinga zokukhuluma
- izinguquko zobuntu.
- ukuhlukunyezwa.
- ukuziphatha okubi.
- ukuhlushwa nokukhumbula izinkinga.
- ukuhlukunyezwa
- ukulala okungavamile
Uvame ukuqhubekela phambili ngezindlela ezimbili: noma ukuhlasela okunzima, okufana nesifo sohlangothi noma ukuthunjwa; noma ngokunyakaza okuqhubekayo ekudemeni kwengqondo, noma ngisho ne-coma. Ngesinye isikhathi, iziguli zitholwa ngephutha ngokuthi zine-stroke, isifo seCreutzfeldt-Jakob, isifo sengqondo somqondo, noma isifo se-Alzheimer's.
Njengamanje, asikho ukuhlolwa okucacile kokukhathazeka kukaHashimoto. Ngenkathi ama-antibodies we-thyroid angase abe phezulu, angase abe khona.
Ngokufanayo, amazinga e-TSH angase abe nokukhathazeka noma angase avamile. Ukwelapha ngemithi ye-hormone esikhundleni sokuthi awukwenzi ukuxazulula HE.
Utholakala ukuthi uthola ezinye izimbangela zezimpawu.
Ukwelashwa kwe-Hashimoto's Encephalopathy
Ukwelashwa okuyinhloko kokuphelelwa yisifo se-Hashimoto yizidakamizwa zomlomo we-corticosteroid, njenge-prednisone. Iziguli eziningi zisabela ngendlela ephawulekayo ekunakekeleni izidakamizwa, ngezikhathi zokwelapha eziyinkimbinkimbi kwamasonto amane kuya kwamasonto ayisithupha. Njengezinkinga eziningi ezizimele, i-HE ayithathwa njengendlela yokuphulukisa, kodwa kunalokho iyaphiliswa. Ngemuva kokwelashwa kokuqala, lesi sifo sivame ukungena ekuxoxweni.
Ezinye iziguli ziyakwazi ukuyeka ukwelapha izidakamizwa iminyaka eminingana, nakuba kunengozi yokubuyela emuva esikhathini esizayo.
Ukwengeza ukwelashwa kwe-steroid, ezinye izindlela zokwelapha ezifana ne-immunoglobulin engaphakathi ne-plasma exchange zibhekwa njengezinketho.
Nakuba kungavamile, ukukhathazeka kukaHashimoto kungaba yimbangela yokucindezeleka, ukuthungatha okuncane, noma ukukhathazeka. Kuze kube yilapho isimo sizibonakalisa ngezimpawu ezibukhali, noma ezingaphenduli izimpawu ze-neuropsychiatric, ukuthi odokotela abaningi babheka izinkinga ze-thyroid, ama-nodules, noma umlando womndeni wokungasebenzi komzimba.
Iziguli ezithola ubuhlungu obunzima bukaHashimoto zibhekene nenselele yokuxilonga kanye nezifo ezingase zikhubekise. Ngenhlanhla, iningi labantu liyasabela ekwelapheni okutholakala kalula. Uma uthola izimpawu ezinzima ze-neurocognitive udokotela wakho akakwazi ukuchaza, qiniseka ukuthi usho umlando wakho womuntu siqu noma womndeni we-Hashimoto's thyroiditis noma ezinye izimo ze-thyroid.
> Imithombo:
> I-Carbone A, et. al. "I-Hashimoto's encephalopathy (HE): i-enimphalopathy engaphansi kwe-autoimmune-mediated." I-Endocrine. 2016 Nov; 54 (2): 572-573.
> Kaczmarczyk A, et al. "Ukukhathazeka kukaHashimoto - ukungaboni kahle okungajwayelekile lapho kunesifo esibi kakhulu." I-Wiad Lek. 2016; 69 (6): 768-772.
> Laurent C et al. "Ukukhubazeka kwesifo se-steroid ehambisana ne-autoimmune thyroiditis (SREAT): Izimpawu, ukwelashwa nomphumela ema-251 amacala avela ezincwadini." I-Autoimmun uMsombuluko 2016 Dec; 15 (12): 1129-1133. doi: 10.1016 / j.autrev.2016.09.008. I-Epub 2016 Sep 15.
> Litmeier S, et al. "Ama-antibodies okuqala we-serum we-peroxidase we-thyroid nemiphumela yesikhathi eside ku-SREAT." I-Acta Neurol Scand. I-2016 Dec; 134 (6): 452-457. i-doi: 10.1111 / ane.12556.
I-PMID: 26757046