Ukukhathala, ukungabi nobulukhuni, ukucindezeleka, nokuningi
Isifo sikaHashimoto, noma i-Hashimoto's Thyroiditis, yisimo esizimele lapho isimiso somzimba wakho samasosha omzimba siqala ukuhlasela igciwane lakho le-thyroid. I-thyroid iyi-gland efana ne-butterfly ngaphambili nangaphansi kwentamo yakho. Umsebenzi oyinhloko we-gland yegciwane ukukhiqiza ama-hormone, alawula indlela umzimba wakho osebenzisa ngayo amandla-i-gland gland inomthelela omkhulu cishe kuwo wonke amaseli emzimbeni wakho.
Uma unesifo sikaHashimoto, i-thyroid yakho ingalahlwa futhi ibonakale, iholele ku-hypothyroidism, noma i-thyroid engasebenzi. Ekugcineni, imisebenzi yomzimba wakho iyancipha ngoba i-thyroid ayikwazi ukukhiqiza amazinga e-hormone adingekayo.
E-United States, isifo sikaHashimoto yisisusa esivame kakhulu se-hypothyroidism, ngokusho kweNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), futhi kuthinta cishe abantu abahlanu kwabayishumi. Kungaba izikhathi eziyisishiyagalombili ezithandwa kakhulu kwabesifazane kunamadoda. Kwezinye izimo, i-thyroid ingase ikhuliswe futhi idale i- goiter .
Izici
Ekuqaleni, umuntu onesifo sikaHashimoto angase ahlale engacabangi iminyaka kuze kube yilapho isimo sithola ngesikhathi sokuhlolwa kwezokwelapha noma umsebenzi wegazi njalo, kubika i- American Association of Clinical Endocrinologists (AACE). Ukulandela ezinye zezibonakaliso nezifo zesifo sikaHashimoto:
Ukuvuvukala phansi kwentamo, ngokuvamile evame ukulimala
Ukuzwa kwengcindezi engxenyeni engezansi yentamo
Ukukhathala nokuphelelwa amandla
Ukubekezelelana okungenalutho noma ukuzwa kubanda lapho abanye abantu bengaboni
Ukulahlekelwa izinwele
Inzuzo yesisindo
Izipikili ziba yizinhlungu noma ziphule kalula
Ukuqokwa
Ubuhlungu obuhlangene
Ukwanda kokuqina okuhlangene
Imisipha amazinyo nezinhlungu
Ubuthakathaka bemisipha
Ukushisa kombuso
Ukulala
Kunzima ngememori
Ukukhohlwa
Ukulahlekelwa izinwele noma izinwele ezomile, ezinobunzima noma ezinomzimba
I-Menorrhagia noma ukuphuma kweqile ngokweqile kokuya esikhathini
Ukucindezeleka
Ukuncipha kwenhliziyo
Isikhumba esiphezulu
Ulimi olukhulisiwe
Izimbangela
Kuze kube manje, imbangela eyodwa ayitholakali, kepha abacwaningi bakholelwa ukuthi kuyinhlanganisela yezici ezifana ne-genetics yakho noma igciwane lesandulela ngculazi noma ukutheleleka ngegciwane elingase lidale lesi sifo. Isimo cishe sikhombisa abesifazane asebekhulile, kodwa, amadoda angayithola futhi. Futhi, kungenzeka ukuthi unesifo sikaHashimoto uma ilungu lomndeni wakho linalo noma uma unezimo ezizenzakalelayo ezikhona.
Uvivinyo
Ukuze uhlolele isifo sikaHashimoto, udokotela wakho uzobuyekeza umlando wakho wezempilo, uhlu lwezimpawu, futhi ahlole ukuhlolwa ngokomzimba. Ama-Goiters angavame ukuzwa phakathi nalezi zivivinyo.
Okulandelayo, udokotela wakho uzokhipha umsebenzi welebhu ukuze ahlole i-hypothyroidism. Isivivinyo esijwayelekile sibizwa ngokuthi i-hormone ye-thyroid noma iTSH. I-TSH yenziwe yi-pituitary gland ebuchosheni bakho, futhi ibonisa i-thyroid ukukhiqiza ama-hormone. Uma igciwane lakho le-thyroid lingasebenzi kahle, i-TSH yakho iyovame ukuphakanyiswa ngoba i-pituitary gland izama ukuhambisa igciwane lakho le-thyroid ukuze likhiqize ama-hormone amaningi.
Ukwengeza, uchwepheshe wakho wezempilo angalawula ukuhlolwa kwegazi njenge-thyroxine yamahhala, noma i-T4 yamahhala, ukuhlola izinga le-hormone ye-thyroid esebenzayo egazini lakho. Kodwa i-AACE ibonisa ukuthi imiphumela ye-T4 yamahhala ingase ingabi njalo ngokucacile ukuthi unesifo sikaHashimoto noma cha. "Izinga eliphakeme le-TSH lokuvuselela lingagcina amazinga e-thyroxine mahhala 'ngaphakathi kwemingcele evamile' iminyaka eminingi," kubika.
Enye igazi uhlola ukuthi udokotela wakho uzoyilindela ubheka ama-antibodies okuthiwa i-thyroperoxidase antibodies noma i-TPO. Lezi zinselo zomzimba zikhona kuningi labantu abanesifo sikaHashimoto, noma kunjalo, lo mvivinyo wodwa awusona uphawu lokuthi unesimo.
Kwezinye izimo, udokotela wakho angalawula i-ultrasound ye-thyroid. I-ultrasound inikeza izithombe ze-thyroid, ngakho udokotela angabona uma igulane likhuliswa ngenxa yesifo sikaHashimoto noma senza ezinye izimbangela ezinjengezinyosi ze-thyroid.
Ngemuva kokuqaphela
Ekuqaleni kwesifo sikaHashimoto, kungenzeka ukuthi awunayo izimpawu. Kulesi simo, ukungenelela kwezokwelapha kungase kungadingekile, kanti udokotela wakho anganquma ukulinda futhi abone ukuthi isimo sakho sibi kakhulu isikhathi.
Uma isimo sakho sithuthukela lapho i-thyroid yakho ingakwazi ukwenza ama-hormone awanele, udokotela wakho uzobe ebeka i-hormone ye-thyroid esikhundleni sokuthi i-levothyroxine-isakhi, i-hormone ye-T4 elandelana ne-hormone yegciwane emzimbeni wakho oveza ngokwemvelo. Udokotela wakho uzokwenza ukuhlolwa kwegazi njalo futhi alungise ukwelashwa kwakho njengoba kudingeka ukuze ufinyelele umthamo ofanelekile.
Ngezinye izikhathi, abantu abathile bangase bangazizwa kahle ku-levothyroxine yedwa, ngakho bangase bazuze ekufakeni i-hormone ye-T3 ebizwa nge-liothyronine. Inhlanganisela ye-T4 ne-T3 izinyanga ezintathu kuya kweziyisithupha yisikhathi esilingayo sokuhlola ukubona ukuthi uthola ukuphumula kwezibonakaliso zakho, kusho iMayo Clinic.
Ukwengeza, ngenkathi izinga lokunakekela isifo sikaHashimoto ukuphatha lesi sifo besebenzisa i-levothyroxine, imithi ebizwa ngokuthi i-nature-Throid noma i-Armor, ebizwa ngokuthi i-Nature-Throid noma i-Armor, ingaqondiswa kwabanye abantu. I-NDT ivela ezingulube futhi iqukethe kokubili i-T4 ne-T3.
Kukhona ukungabaza okuphathelene ne-NDT emphakathini wezokwelapha mayelana nokuthi isebenza noma ayihambisani yini nabalingani bayo. Kungani? Ngoba ukulinganisa kwe-T4 no-T3 ku-NDT kuhluke phakathi kwezingulube nabantu, futhi inani lamakhomoni awaziwa ukuthi ahluke ngaphakathi komkhiqizo.
Kodwa ukunakekelwa kwezempilo kudinga ukuba kube ngabanye ngesiguli ngasinye, ngakho kubalulekile ukukhuluma ukuthi ezinye iziguli zibika ukuthuthukiswa okuphawulekayo ku-NDT. Ukuze uthole imiphumela emihle kakhulu, kubalulekile ukuthi uyazi zonke izinketho ezitholakalayo kuwe futhi usebenze nodokotela wakho ukuze ukhethe ukwelashwa okulungile kuwe.
Izwi elivela
Ngenxa yokuthi isifo sikaHashimoto sivame ukuqhubekela phambili esikhathini sokuphila komuntu, udokotela wakho uzokufuna ukukuhlola ngezikhathi ezithile ukuze uqiniseke ukuthi unesilinganiso esifanele semithi. Ngezinye izikhathi, ukwelashwa kwakho kungadingeka kulungiswe. Izindaba ezinhle? Ngokuvamile, iziguli ze-thyroid ezinezifo zikaHashimoto zingalawulwa kahle ngemithi, ngakho-ke uzofuna ukuthatha imithi yakho njengoba inqunywe ngisho noma uqala ukuzwa kahle.
> Imithombo:
> Association of American of Clinical Endocrinologists website. I-Hashimoto's Thyroiditis .
> I-National Institute of Diabetes ne-Digestive and Kidney Diseases iwebhusayithi. Izifo zikaHashimoto.
> Ihhovisi lezeMpilo yabesifazane, uMnyango wezeMpilo wezeMpilo waseMelika kanye neWeb. Izifo zikaHashimoto.