Igama elithi thyroiditis lisho ngokujwayelekile kunoma yikuphi ukugula okubandakanya ukuvuvukala kwegciwane lakho le-thyroid. I-Thyroiditis ivame ukuhlukaniswa ngezigaba ezimbili ezibanzi-ezingenabuhlungu futhi ezibuhlungu-ezibandakanya izinga lobuhlungu obangela iziguli.
Phakathi kwesigaba sezinhlobo ezibuhlungu ze-thyroiditis uhlobo oluyinqaba olubizwa ngokuthi i-thyroiditis enesifo esithathelwanayo.
I-thyroiditis ephathekayo ihlelwa njengento ekhuthazayo (okusho ukuthi ikhiqiza i-pus), i-non-pupative, noma i-septic.
Kuhlanganisa zonke izinhlobo zokutheleleka, ngaphandle kwegciwane, futhi kubangelwa ukuhlasela kwe-thyroid ngamagciwane, i-mycobacteria, isikhunta, i-protozoa, noma i-flatworms.
I-thyroiditis evimbelayo ingavamile, kodwa ngokuvamile ivela ezigulini ezinomzimba omzimba obuthakathaka. Kuvame kakhulu ezinganeni. Amaphesenti angaba ngu-8 amacala kuthiwa akhona kubantu abadala. Kubuye kuvame kakhulu ekwindla nasebusika, ikakhulukazi emva kokutheleleka kwepheshana lokuphefumula.
. Ngokuvamile kubangelwa ngu:
- ukutheleleka kwebhaktheriya njenge-streptococcus, staphylococcus, i-pneumococcus, i-salmonella, i-klebsiella, nesifo sofuba, phakathi kwabanye
- isifo sofuba, kuhlanganise ne-aspergillus, candida albicans nabanye
Ukutheleleka ngokuvamile kuholele ekugqeni kwegciwane le-thyroid.
I-UpToDate, ireferensi ye-electronic esetshenziswa odokotela neziguli ine- overview ewusizo ye-thyroiditis . Ngokusho kwe-UptoDate:
"I-thyroiditis ehlukumezeka kakhulu ibhekene nobuhlungu obunzima bokuphuza kwentamo kanye nobubele obuvame ukusebenzisana futhi buhambisane nomkhuhlane, izikhukhula kanye nezinye izimpawu nezibonakaliso zokutheleleka. Iziguli eziningi zinezintambo ezingenalutho, okungenzeka ziguquke. futhi ububele kanye nesisindo se-thyroiditis kungase kubangelwe ukubola kwesifo somzimba.
Isiguli esinezinhlungu zesifo se-thyroid kufanele sihlolwe ngokushesha ngokuhlolwa komtholampilo kanye nesilingo se- needle yokulinda , okulandelwa ukwelashwa kwemithi kanye nemithi yokulwa namagciwane ngokwemiphumela yezifundo zomswakama otholakala entanyeni noma ngegazi noma kwamanye amasiko. Ucwaningo lwe-ultrasonography noma olunye ucwaningo lwama-imaging kufanele lwenziwa ukuze kuqinisekiswe ukuba khona kwe-abscess eyodwa. Ezimweni eziningi, kutholakala ukuxilongwa okusheshayo nokwelashwa ngokushesha. Ngokuvamile, ukugeleza noma ukususwa okudingekayo kudingekile ezigulini ezingaphenduli emithonjeni ye-drainage kanye ne-systemic antibiotic therapy. Kubalulekile ukuhlukanisa i-thyroiditis enesifo esithathelanayo esivela ku-subacute thyroiditis.
Izimpawu Ze-Infectious Thyroiditis Eyingozi
Uma uhlangabezana ne-thyroiditis evumayo, izifo zakho zingabandakanya:
- Ukuqala okuphuthumayo kobuhlungu nobubele kwesinye icala entanyeni yakho
- Ukwehlisa igciwane le-thyroid
- Umkhuhlane kanye nezikhukhula, umuzwa onjenge-flu
- Ukukhulisa entanyeni yakho , noma ukugoba okuthinta entanyeni ongayithola
- Hot, ithenda endaweni ezungeze i-thyroid
- Ukugwinya okubuhlungu
- Izimpungushe ze-lymph ziyavuvukala
Akuvamile, kepha abanye abantu abanesifo sofuba esithathelwanayo sizovela ngezinye izimpawu ze-hypothyroid noma i-hyperthyroidism.
Uma unayo lezi zimpawu, uzofuna ukubona umhlinzeki wakho wokunakekelwa kwezempilo ngokushesha ngangokunokwenzeka ukuze kuhlolwe futhi ukwelashwa.
Ukuqaphela Nokuphatha Ukwelapha Okusakazayo Kwe-Thyroiditis
Uma udokotela wakho esolwa ukuthi une-thyroiditis enegazi eliyingozi, kuzothathwa izinyathelo eziningi, kufaka phakathi:
- I-Ultrasound, i-MRI, kanye / noma i-CT scan imaging ye-thyroid yakho ukucacisa ukuthi unayo yini noma eyodwa yezinambuzane ezidinga ukwelashwa
- Isifiso esihle senaliti (FNA) ye-mass in thyroid yakho. Le nqubo ihilela ukuhoxisa ezinye zamanzi noma izinto ezivela emzimbeni wakho we-thyroid ukuze uzihlole ngokugcwele. Isampula izokwakhiwa ukuze ibheke ukutheleleka. Imiphumela yenkambiso ingasiza udokotela wakho ukhethe imithi elwa namagciwane kanye / noma imithi elwa ne-fungal yokwelashwa.
- Kwezinye izimo, i-biopsy, eholwa yi-ultrasound, isetshenziselwa ukucacisa indawo nendawo ye-abscess yokugeleza okunembile.
- Ukugeleza kwamagciwane okungaphandle kwesifo sakho se-thyroid noma isikhumba
- Ukuhlolwa kwegazi ukuhlola umsebenzi we -roid, futhi ubheke izibonakaliso zokutheleleka egunjini lakho le-thyroid
- Imithi yemithi yokwelapha yomlomo ezophatha uhlobo oluthile lokutheleleka onalo
Nakuba iziguli eziningi zisabela kahle ekwelapheni kwamanzi kanye namagciwane, ezimweni ezingavamile, amanzi okugcoba noma ukususwa kokuhlinzwa kwesisindo kuyadingeka. Kwezinye izimo, ukususwa kwesigamu se-thyroid, eyaziwa ngokuthi i-lobectomy, kungase kuhlinzeke ngemithi ephumelelayo.
Izwi elivela
Kwezinye izimo, ngemuva kwe-thyroiditis eyingozi, isifo se-thyroiditis singabhubhisa kuze kube yilapho ugcina unomphela i-hypothyroid, futhi udinga imishanguzo ye-hormone esikhundleni somuthi .
Imithombo:
Burman, Kenneth. Ross, Douglas. UMartin, uKatherine. "Sibutsetelo se-thyroiditis." UpToDate . Kufinyelelwe: Agasti 22, 2008.
> Shrestha, R. et. al. "I-Acute ne-Subacute, ne-Riedel's Thyroiditis." Umphathi we-Thyroid. Disemba 8, 2015
Online.