Okudingeka Ukwazi Nge-Painless Silent Thyroiditis
Igama elithi thyroiditis lisho ngokujwayelekile kunoma yikuphi ukugula okubandakanya ukuvuvukala kwegciwane lakho le-thyroid. I-Thyroiditis ivame ukuhlukaniswa ngezigaba ezimbili ezibanzi - ezingenabuhlungu futhi ezibuhlungu - ezibonisa izinga lobuhlungu obangela iziguli.
I-thyroiditis engenamaphutha ibuye ikhulunywe ngamanye amagama amaningi, kuhlanganise ne-thyroiditis ethule, i-subacute i-lymphocytic thyroiditis, i-atypical subacute thyroiditis, i-thyrotoxicosis yangasese nge-RAIU ephansi, i-hyperthyroiditis, ne-lymphocytic thyroiditis ngokuxazulula ngokuzenzakalela i-hyperthyroidism.
Nakuba ezinye izinhlobo ze-thyroiditis zihambisana nokukhuliswa kwe-thyroiditis - eyaziwa ngokuthi i-goiter - ku-thyroiditis engenabuhlungu, ngokuvamile ukugaya kwe-thyroid akukhuliswa.
Yini Ebangela Ubuthi Bakho Ubunzima?
Uma une-thyroiditis engenabuhlungu, uthathwa sengathi unesifo se-autoimmune, njenge-Hashimoto's thyroiditis, ngaphandle kokuthi ezimweni eziningi, kuzoxazulula ngokuhamba kwesikhathi futhi i-thyroid yakho izobuyela emsebenzini ojwayelekile. Izimbangela zezifo eziningi ezizimele ziyaziwa noma ziqondwa kahle.
Imithi ethile iyaziwa ngokubangela i-thyroiditis engenabuhlungu. Uma uthatha imithi elandelayo, kubalulekile ukuqaphela ukuthi kungabangela i-thyroiditis engenabuhlungu kwezinye iziguli:
- I-Interferon-alfa - imithi esetshenziselwa ukuphatha izifo ezithile zegciwane kanye namagciwane
- I-Interleukin-2 - imithi esetshenziselwa ukwelashwa komdlavuza
- I-Amiodarone - imithi esetshenziselwa ukuphatha ukushaya kwenhliziyo okungavamile
- I-lithium - isimo sengqondo sokuzinzisa izidakamizwa ezisetshenziselwa ukwelapha ukucindezeleka kwe-bipolar
Izimpawu
Kwezinye izimo, i-thyroiditis engenabuhlungu ngeke ibe nezimpawu. Kodwa lesi simo singase siphathwe nezimpawu, ikakhulukazi izimpawu ze-hyperthyroidism ekuqaleni. Lezi zimpawu zingapheli izinyanga ezintathu, futhi zingabandakanya:
- Ukukhathala
- Ubuthakathaka emisipha
- Ukunyakaza kwesibindi njalo, izibilini ezingavamile, isifo sohudo
- Ukungabekezelelani ukushisa, ukujuluka okukhulu
- Ukudla okukhulu
- Ukwandiswa kokudla okungenasisindo, noma ukulahlekelwa kwesisindo esingalindelekile
- Izikhathi ezingavamile zokuya esikhathini
- Ukuzwa ukwesaba, ukukhathazeka, ukuphumula, noma ukucasula
- I-palpitations yenhliziyo
- Ukungalali
Kamuva, izimpawu zakho zingase zishintshe kulabo abasebenzisa i-thyroid (hypothyroidism), futhi kungafaka phakathi ukukhathala, ukutholakala kwesisindo, ukulahlekelwa izinwele, ukucindezeleka nokubekezelelana okubandayo.
Abanye abantu baqaphela kuphela izimpawu ze-hypothyroid futhi abanayo izimpawu ze-hyperthyroidism.
I-Course of Painless Thyroiditis
Kulinganiselwa ukuthi i-thyroiditis engenabuhlungu ingaba yimbangela yamaphesenti angu-10 kuya kwangu-20 amacala we-hyperthyroidism - i-thyroid engasebenzi kakhulu - namaphesenti angu-10 e-hypothyroidism.
I-thyroiditis engenamaphutha ihlale ixazulula yona ezinyangeni ezimbili kuya kwezine, kodwa kwezinye izimo, ingahlala isikhathi esingangonyaka. Kulinganiselwa ukuthi ngokuhamba kwesikhathi, cishe amaphesenti angu-95 eziguli azobuyela emsebenzini ovamile wegciwane.
Kubalulekile ukuba udokotela wakho enze ukuxilongwa okunembile, ngoba ezimweni eziningi, ukwelashwa okuqondile kwe-thyroid njengezidakamizwa ze-antithyroid noma ukwelashwa kwe-hormone ye-thyroid akudingekile.
Ukuxilongwa
Ukuthola ukuhlolwa kwe-thyroiditis engenabuhlungu ngokuvamile kuhilela ukuhlolwa okucwaninga ngokucophelela , kufaka phakathi ukuhlolwa kwe-manual ye-gland yakho ye-thyroid, i-TSH, i-Free T4 kanye ne-Free T3 yokuhlola, nokunye okufakwe kwi-i-iodine uptake (RAI-U) kwezinye izimo. I-RAI-U ibonisa ukunciphisa kokunciphisa kwe-thyroiditis engenabuhlungu. Ngokuvamile, i-biopsy ye-thyroid - eyaziwa ngokuthi i- good nucleus aspiration (FNA) biopsy - ingenziwa ukuze ihlolwe ngokucacile.
Ukwelapha
I-thyroiditis engenalutho kaningi isifo esifushane, esinesikhathi esincane, futhi ngokuvamile ayibangeli ukungasebenzi kahle kwegciwane. Uma ukwelashwa kuyadingeka, kuvame ukuthi kube nezimpawu.
Ngakho-ke, isibonelo, uma ubhekene nesilinganiso senhliziyo ephezulu noma i-palpitations ngesikhathi sesifo se-hyperthyroid se-thyroiditis engenabuhlungu, ungase uthathe inkambo emfushane yezidakamizwa zokuvimbela i-beta. Noma uma unesifo se-hypothyroid eside, ungabekwa inkambo yemithi ye-hormone esikhundleni somzimba kuze kube yilapho igciwane libuyela kancane ekusebenzeni okujwayelekile.
Amaphesenti angaba ngu-20 weziguli ahlakulela i-hypothyroidism engapheli noma i-thyroiditis ephindaphindiwe, ngakho-ke, kubalulekile ukuthi ube nokulandelana kwesikhashana nodokotela wakho.
Imithombo:
Burman, Kenneth. Ross, Douglas. UMartin, uKatherine. "Sibutsetelo se-thyroiditis." UpToDate . Kufinyelelwe: Agasti 22, 2008.
> Schwartz F, Bergmann N, Zerahn B, Faber J. Izinga lomonakalo we-thyroiditis engenabuhlungu eveza i-thyrotoxicosis eDenmark njengoba ihlolwe ngokulandelana kwe-thyroid scintigraphies. I-Scand J Clin Lab Invest 2013; 73: 240.