Ukunakwa Okuthakazelisayo Ngezimbonakaliso ezithile, njengokukhathala nokubuhlungu
Abantu abanesifo se-HIMMIMOTO esiphethwe yi-Hashimoto babhekana nokukhathala okukhulu kanye nama-aches omzimba. Nakuba lezi zimpawu zivamile eHashimoto, zingaba izimpawu zezifo ezithile, njenge-syndrome engapheli noma i-fibromyalgia.
Ake sihlolisise lezi zinkinga ezintathu, kubandakanya ukuthi izimpawu zabo ziba kanjani, nokuthi ngabe imbangela yabo engase ihlobaniswe kanjani.
Izimpawu
Isifo Sokuphelelwa Isifo Sokugcina
Isibonakaliso esiyinhloko sokuphelelwa yisifo esingapheli isisu-kakhulu kangangokuthi ngisho nokuzikhandla okuncane kakhulu kungafaka umuntu embhedeni izinsuku (yingakho le syndrome ibizwa nangokuthi isifo sokungabekezelelani kwesimiso).
Ezinye izimpawu zesifo esingapheliyo ukukhathala zihlanganisa izinkinga zokucabanga nezinkumbulo, izinkinga zokulala, ama-aches, nama-lymph node, ikakhulukazi entanyeni nasezindaweni ezingaphansi kwe-underarm.
I-Fibromyalgia
Nakuba ukukhathala kuvame ukuvela ku-fibromyalgia, isikhalazo esiyinhloko yisifo sofuba esisemthethweni. Ezinye izimpawu zihlanganisa ukuphazanyiswa kwengqondo, ukucindezeleka kanye / noma ukukhathazeka, ikhanda kanye nama-paresthesias.
Hashimoto's
Nge-Hashimoto, i-thyroid ihluleka ukhiqiza i-hormone eyanele ye-thyroid ukuze ilawulwe ukugaya umzimba.
Izimpawu ze-thyroid engasebenzi kakhulu zihlanganisa ukukhathala nobuhlungu obuhlangene, kanye nesinye noma ezinye izimpawu ezifana nalezi:
- Ukunciphisa ngokweqile
- Izinwele ezincane noma ukulahleka
- Isikhumba esomile nesamaqabunga
- Ukuqokwa
- Ukugcinwa kwegazi nokugcina amanzi
- Imizwa ecindezelekile
- Izinga lokungena esikhathini
Ukuxilongwa
Isifo Sokuphelelwa Isifo Sokugcina
Ukuze uthole ukukhathala okungapheli, akukho igazi elisemthethweni noma ukuhlolwa kwe-imaging ukuze uhlolwe ngokuqinile. Esikhundleni salokho, odokotela ngokuvamile balawula ezinye izifo ezingezansi ngaphambi kokuthola ukuxilongwa kwesifo esingapheli.
Ngamanye amazwi, ukuxilongwa kokuxoshwa, uma ezinye izimo "ezivivinya", njengezifo zesifo sofuba noma ukutheleleka, zikhishwe ngaphandle.
I-Fibromyalgia
Ukuxilongwa kwe-fibromyalgia kudinga ukuhlolwa okuphelele " kwethenda ", okufaka ukucindezela imisipha ethile, njengengxenye engenhla yangaphandle. Njengesifo esingapheliyo sokukhathala, ezinye izimo zezokwelapha, njengezifo zesifo noma isifo sofuba esiswini, kudingeka zikhishwe kuqala.
Hashimoto's
Ngokungafani ne-syndrome yokukhathala okungapheli kanye ne-fibromyalgia, ukuxilongwa kukaHashimoto kuhloswe ukuba kube ngokuqondile. Lokhu kungenxa yokuthi ukuhlolwa kwegazi okubucayi, njenge-panel function ye-thyroid nama-antibodies we-thyroid, kungasetshenziswa.
Noma kunjalo, naphezu kokuhlolwa kwezokwelapha okukhonkolo okukhona ukuze kutholakale izinkinga ze-thyroid, ukuhlolwa okungaqondakali kusengenzeka. Ngokwesibonelo, amaHashimoto angase angabhekwa njengezinkinga zokucindezeleka, ukucindezeleka, noma izinkinga ze-hormone "zezinsikazi" njenge-premenstrual syndrome , ukucindezeleka okulandelayo ngemva kokuhlukunyezwa, noma izimpawu zokuya esikhathini.
Lokhu okungaqondakali okufanayo kungasetshenziswa kulabo abanenkinga yokukhathala okungavamile noma i-fibromyalgia.
Olunye uhlolo olungase luvele lapho umuntu enemibandela engaphezu kweyodwa eqhubekayo. Isibonelo, akuyona into engavamile ukugula okungapheli syndrome kanye ne-fibromyalgia ukuhlangana.
Eqinisweni, ngokucwaninga okudala, cishe amaphesenti angu-70 abantu abane-fibromyalgia abhekana nemigomo yokugula okungapheli syndrome.
Kungenzeka futhi ukuthi i-fibromyalgia ne-Hashimoto bahlangane. Kulesi sibonelo, njengoba ama-muscle aches angase abe ingxenye ye-Hashimoto, kunengqondo ukuphatha isifo somzimba ongasebenzi, bese ubona ukuthi ubuhlungu babo buyathuthuka yini. Uma ezinye izimpawu ze-thyroid zithuthuka, kodwa ama-aches ahlala, khona-ke ukuxilongwa okunye kulabo bantu (njenge fibromyalgia) kudinga ukucatshangelwa.
Isizathu
Kuze kube yilapho sekucutshungulwa ucwaningo olungapheli kwi-syndrome yokukhathala okungapheli, i-fibromyalgia, ne-Hashimoto, kunezinkolelo eziningi mayelana nesizathu salezi zifo.
Abanye abacwaningi bezokwelapha bakholelwa ukuthi igciwane (njengegciwane le-Epstein-Barr) lingumgogodla walezi zifo, ikakhulukazi ukukhathala kwesifo se-syndrome.
Abanye abacwaningi bakholelwa ukuthi ukutheleleka kwe-bacteria, ukucindezeleka, ingozi (njengengozi yemoto), noma ezinye izifo ezimbi zingase zivuselele amasosha omzimba . Amasosha omzimba, abuyele emuva evamile ngemuva kokuphumelela ukulwa nokutheleleka, bese uhlala esimweni esingasebenzi kahle.
Abanye baye basikisela ukuthuthukiswa kwesifo esisodwa se-autoimmune, njengesifo se-rheumatoid noma i-lupus, okungase kube khona isikhathi sokuqala kwesifo esingapheliyo sokukhathala, i-fibromyalgia, noma i-Hashimoto. Noma kunjalo, abanye ochwepheshe bakholelwa ukuthi inkinga ye-hormonal, njengezinga eliphansi le-cortisol, lingadlala indima, ikakhulukazi ekuthuthukisweni kwesifo esingapheliyo sokukhathala.
Okokugcina, ochwepheshe abathile bafuna isifo se-autoimmune ngokwabo njengokuthi mhlawumbe imbangela eyinhloko yezinye izifo ezingapheliyo zokukhathala nesifo se-fibromyalgia, noma mhlawumbe imbangela yezifo ngokwazo.
Izwi elivela
Uma ukhathazekile ukuthi une-syndrome yokukhathala okungapheli, i-fibromyalgia, noma i-Hashimoto (noma ngaphezulu kweyodwa), sicela ubheke udokotela ukuze ahlole futhi ahlolwe.
Ngaphezu kwalokho, uma uthola ukuthi unesinye salezi zimo futhi uqhubeke unezimpawu eziphazamisayo, njengokukhathala noma ubuhlungu, qiniseka ukuthi uzovakashela lokhu nodokotela wakho.
Ekugcineni, hlala uqine ekunakekelweni kwezempilo futhi zama ukubekezela. Izikhathi eziningi indaba "yezempilo" yomuntu kufanele ibonakale ngaphezu kokungena kokudokotela oyedwa.
> Imithombo:
> Gluckman SJ. (2017). Izici zomtholampilo kanye nokuxilongwa kwesifo esingapheliyo sokukhathala (isifo sokungabekezelelani kwesimiso). I-Aronson MD, ed. Kusesikhathini. Waltham, MA: UpToDate Inc.
> Goldenberg DL. (2017). Ukubonakaliswa kwemitholampilo nokuxilongwa kwe-fibromyalgia kubantu abadala. I-Schur PH, ed. Kusesikhathini. Waltham, MA: UpToDate Inc.
> Hailioglu S, Ekinci B, u-Uzkeser H, Sevimli H, i-Carlioglu A, iMacit PM. I-Fibromyalgia kwiziguli ezine-autoimmunity ye-thyroid: ukusabalalisa kanye nobuhlobo nomsebenzi wesifo. I-Clin Rheumatol. 2017 Jul; 36 (7): 1617-21.