Ukufunda Okungaphezulu Nge-Quervain's Thyroiditis
Igama elithi thyroiditis lisho ngokujwayelekile kunoma yikuphi ukugula okubandakanya ukuvuvukala kwegciwane lakho le-thyroid . I-thyroid yakho iyinkinga encane, efana ne-butterfly, ehle entanyeni, eyenza ama-hormone ahambisa oksijini namandla kumaseli akho, izicubu, izitho nezigulane kuwo wonke umzimba.
I-Thyroiditis ivame ukuhlukaniswa ngezigaba ezimbili ezibanzi: i-thyroiditis engenabuhlungu kanye ne-thyroiditis ebuhlungu.
Lezi zigaba ezimbili zilinganisa izinga lezinhlungu ozizwayo nezinhlobo ezahlukene ze-thyroiditis.
Phakathi kwesigaba sezinhlungu ezibuhlungu ze-thyroiditis uhlobo oluthiwa yi-subacute granulomatous thyroiditis. Kuyaziwa ngokuthi i-thyroiditis ye-subacute, ne-Quervain's thyroiditis, noma i-subacute thyroiditis ebuhlungu.
Sula izibonakaliso ezinkulu
Ngenkathi ukuhlukumeza uhlobo lwe-thyroiditis olungavamile, akuyona into evamile, ngokuvamile kuyisizathu sobuhlungu endaweni ye-thyroid, noma ububele lapho ukucindezelwa kusetshenziselwa i-thyroid noma intamo yakho. Ubuhlungu bubangelwa ukuvuvukala kwegciwane lakho le-thyroid.
Ngaphezu kokuhlukunyezwa kwentamo kanye nesisa, izimpawu ze-subacute thyroiditis granulomatous zihlanganisa futhi:
- ubunzima bokugwinya noma umkhuhlane
- izimpawu zokutheleleka, njengezitho zomzimba ezandisiwe eduze ne-thyroid
Ngokuvamile, izimpawu zingabandakanya:
- ukukhathazeka
- ubuthakathaka
- ukukhathala
- ukwesaba
- ukukhathazeka
- ukushisa ukubekezelelana
- ukulahlekelwa isisindo
- ukuthuthumela
- isifo sohudo nezihlalo ezixekethile
- ukuthuthumela
- izinhliziyo ezinjengezinhliziyo
Isizathu se-subacute thyroiditis granulomatous kucatshangwa ukuthi yisifo segciwane noma igciwane.
I-subacute i-thyroiditis ye-granulomatous ibuye ilandwe kakhulu ekwindla nasebusika, ngemuva kokutheleleka okuphezulu kokuphefumula.
I-Course Typical of Subacute I-Granulomatous Thyroiditis
Yini ongayilindela uma uphazamisa i-thyroiditis ye-granulomatous?
Ngokusho kwe- UpToDate:
"Ukubonakaliswa kwemitholampilo kuvame ukuhlukaniswa ngesigaba se-thyrotoxic esibuhlungu ngemva kwalokho amazinga we-hormone ye-thyroid abuyela ebangeni elivamile . Njengoba izitho ze-hormone ze-thyroid ziphelile, isigaba se-hypothyroid siyagcinwa . yenza ama-hormone we-hormone ye-thyroid. Isigaba ngasinye sihlala cishe amasonto amane kuya ayisithupha.
Esifundweni esilandelayo seziguli eziyi-160 ezine-subacute granulomatous thyroiditis ezitholakala eMayo Clinic, amaphesenti angu-4 kuphela weziguli aphindaphindiwe (iminyaka engu-6 kuya ku-21 ngemuva kwesiqephu sokuqala). Amaphesenti angu-15 kuphela iziguli zagcina zakhiwe i-hypothyroidism ehlala njalo efuna i-levothyroxine ukwelashwa. "
Ngokuvamile, isiqephu se-subacute granulomatous thyroiditis siqala ngesikhathi se- hyperthyroidism esivame ukugcina amasonto amane kuya kwamasonto. I-hyperthyroidism ingase ihambisane nobuhlungu bentamo noma ubunzima bokugwinya, nomkhuhlane. Amazinga we-hormone ye-thyroid bese eqala ukuwa phansi, abe evamile cishe amasonto amane. Ngemuva kokujwayelekile, amazinga we-thyroid aqhubeka ehla, futhi uba i-hypothyroid, ngokuvamile uhlala isikhathi esivela emasontweni amane kuya kweyisithupha.
Ukuxilongwa
Ukuhlola isimo kuhilela ukuhlolwa komtholampilo, futhi imiphumela yokuhlola esiza ukuxilonga lesi simo ingafaka izinga eliphakeme le-thyroglobulin, izinga eliphansi lokusakaza iodine, izinga eliphansi le-hormone le -roid (TSH), izinga eliphezulu le-T4, kanye nesilinganiso se-erythrocyte ephezulu (ESR) ).
Ukucubungula ukuhlolwa kungabonisa ukuvuvukala kwe-gland noma i-lymph nodes eduze ne-gland.
Ukwelapha
Ukuze ukwelashwa, uma isikhalazo esiyinhloko sibuhlungu noma ukuvuvukala, isidakamizwa esingezona-steroidal sokuvuvukala (njenge-aspirin noma ibuprofen) singanconywa. Uma ukutheleleka kwebhaktheriya kubonakala, ungase ube nemithi elwa namagciwane. Uma ubhekene nezimpawu eziphawulekayo ze-hyperthyroid , i-blocker ye-beta ebizwa ngokuthi i-propranolol ingase ibekwe ngesikhathi sakho se-hyperthyroid yesimo. Kwezinye izimo, imithi yokwelapha i-hormone ye-thyroid inganikezwa ngesikhathi se-hypothyroid, ukuze unciphise izimpawu.
Ekugcineni, ezigulini eziningi, igciwane le-thyroid kanye nokukhiqizwa kwe-hormone libuyela ekuvamile.
Izindaba ezinhle: Unengozi ephansi kakhulu yokuphindaphinda kwe-subacute granulomatous thyroiditis.
Izindaba ezimbi: Ucwaningo olude lwesikhathi eside lwathola ukuthi kumaphesenti angu-15 weziguli, isiqephu sabo se-subacute granulomatous thyroiditis sibonakaliso sokuthi ekugcineni bazogcina beba unomphela we-hypothyroid, futhi badinga ukwelashwa.
Izwi kusuka
Uma uthola ukuthi une-subacute granulomatous thyroiditis, qinisekisa ukuthi unokuhlola okulandelwayo okwesikhashana phakathi nesigaba se-hypothyroid. Uma unqunywe imishanguzo ye-hormone ye-thyroid, kufanele uqhubeke nokuthatha imithi kuze kube yilapho udokotela wakho ethola ukuthi amazinga akho e-thyroid ajwayelekile. Uma ususwa imithi kodwa unezimpawu ze-hypothyroidism ezifana nokukhathala, ukuzuza isisindo, ukucindezeleka, noma ukulahlekelwa izinwele, isibonelo, qiniseka ukuthi uphinde uhlolwe isifo sakho se-thyroid, njengoba ungase ube phakathi kwephesenti labantu abahlakulela unomphela we-hypothyroidism ngemva kokuzibulala i-granulomatous thyroiditis.
> Umthombo:
Burman, Kenneth. Ross, Douglas. UMartin, uKatherine. "" Sibutsetelo se-Thyroiditis "i- UpToDate .