I-Hashimoto Ingabangela Izimpawu Noma Ngenkathi I-TSH Isejwayelekile

Lesi sifo esizimele singasenciphisa izinga lempilo lapho umsebenzi wegazi ujwayelekile

Uma unezibonakaliso ze- hypothyroidism , njengokukhathala, ukuqothulwa, ukukhathazeka, ukucasuka, izinwele ezomile, nobunzima ukugxila, kodwa udokotela wakho usuhlole i-TSH yakho futhi kuvamile, ungase ube nesifo se-thyroid. I-Hashimoto's thyroiditis, isimo se-autoimmune se-autoimmune kanye nesisusa esivame kakhulu se-thyroid engasebenzi kakhulu e-US, ixilongwa kuphela ngokusebenzisa ukuhlolwa kwegazi ukuhlola amasosha omzimba we-thyroid-kodwa odokotela abaningi abaphumeleli lo mvivinyo lapho isiguli sigxeka kuqala nge-thyroid ephansi izimpawu.

Ngokuvamile, izimpawu ze-thyroiditis zenzeka uma i-Hashimoto's thyroiditis isuke ibe yi-hypothyroidism egcwele, ethatha iminyaka eminingana, kodwa ucwaningo lubonisa ngokucacile ukuthi uHashimoto's thyroiditis ingaqala ukunciphisa izinga lempilo, ngisho nangaphambi kokuba izinga le-TSH liguquke.

Lapho amazinga e-Thyroid ajwayelekile-kodwa amaHashimoto asabangela izimpawu

Ucwaningo olunyatheliswa ephephandabeni I- Thyroid ngo-2011 lubonise ukuthi abesifazane abanamazinga aphezulu we-anti-thyroid anti-peroxidase (TPO) anesibalo esikhulu kakhulu sezimpawu uma kuqhathaniswa nabesifazane abane-antibodies ephansi. Izimpawu ezincane ze-thyroid ezifana nokukhathala okungapheli nezinwele ezomile, ngisho nokukhulelwa kwesisu kwangaphambi kwesikhathi, zazihlobene nama-antibodies ephakeme e-TPO.

Lesi sihloko saphetha ngokuthi i-hypothyroidism yinto eyodwa kuphela efaka izimpawu ze-Hashimoto's thyroiditis.

UCharles H. Emerson, MD, uMhleli-ku-Omkhulu wephephandaba iTheroid , wathi: "Lolu cwaningo luphakamisa izinkinga ezibalulekile zomtholampilo.

Nakuba abalobi abazange bafunde ukwelashwa kwe-hormone ye-thyroiditis ye-thyroiditis, kuphakamisa ukuthi kungenzeka ukuthi ama-hormone e-thyroid angalungise kahle zonke izimpawu. Izifundo ezengeziwe zidingeka ukuqinisekisa ukutholakala kuka-Ott et al. futhi ukuthola ukuthi iziguli ezine-hypothyroidism ngenxa ye-Hashimoto's thyroiditis zisenayo izimpawu zokusabalala naphezu kokuthola impendulo enhle yezinto eziphilayo eziphathelene ne- hormone ye-thyroid esikhundleni . "

Kuyathakazelisa ukuthi sekuyiminyaka eminingi kusukela ngo-March 2001 ukukhishwa kwephepha elifanayo elifanayo , i- Thyroid , lanyathelisa isifundo seJalimane esathola ukuthi ukusetshenziswa kwe-levothyroxine yokwelashwa kwe- Hashimoto's autoimmune thyroiditis lapho i-TSH ingazange iphakanyiswe khona ("euthyroid") ngaphandle kokujwayelekile ibanga linganciphisa izinga kanye nesilinganiso sokuqhubekela phambili kwesifo somuntu siqu. Labo abacwaningi baphetha ngokuthi ukwelashwa kokuvimbela iziguli ezijwayelekile ze-TSH ezinezifo ze-Hashimoto zinciphisa izimpawu ezihlukahlukene ze-thyroiditis, futhi ucabanga ukuthi ukwelashwa okunjalo kungase kwenzeke ngisho nokuyeka ukuqhubeka kwesifo sikaHashimoto, noma mhlawumbe nokuvimbela ukuthuthukiswa kwe-hypothyroidism.

Ngakho-ke kungani uDokotela wami engangithinti ngenxa yeHashimoto?

Ngeshwa, ukuphatha iziguli zikaHashimoto ezinamazinga ajwayelekile we-TSH azange zibe yingxenye yesimiso samanje sokunakekelwa kwemithi. Umphakathi wezokwelapha usaphika kakhulu ukuthi uHashimoto angabangela izimpawu ezinzima ngokungabikho kwe-hypothyroidism, ngisho nalapho iziguli eziningi zibika ukuthi zizigula nge-TSH ebangeni elijwayelekile.

Okubalulekile? Ngesinye isikhathi, sidinga umphakathi wezokwelapha ukuthi uqaphele ukuthi amaHashimoto, ngisho nalapho amazinga wegciwane awela ebangeni okuthiwa "evamile", "angabangela izimpawu.

Ungase ufune ukukhathalela ngomuthi osebenzayo noma udokotela we-naturopathia endaweni yakini, njengoba laba odokotela bavame ukuvuleka kakhulu emcabangweni wokuthi uHashimoto angabangela izimpawu futhi abe nesipiliyoni esikhulu sokwelapha.

> Imithombo:

> Ott, Johannes et. U-Al. "I-Hashimoto's Thyroiditis iyathinta umthwalo wesimpawu kanye nekhwalithi yokuphila okungahambisani ne-Hypothyroidism: Isifundo Esithintekayo Sokulawulwa Kwesikhwama Kwabesifazane Esebenzisa I-Thyroidectomy yeBenign Goiter." I-Thyroid , 2011; 21 (2): 161 DOI: 10.1089 / thy.2010.0191

> Padberg S, et. al. . "Ukwelashwa kwe-one-year prophylactic ye-euthyroid iziguli ze-Hashimoto's thyroiditis ezine-levothyroxine: ingabe kunenzuzo?" I-Thyroid. 2001 Mar; 11 (3): 249-55.