I-Hashimoto's thyroiditis yisifo esizimele esisodwa se-gland yegciwane. Ngezifo ezizimele, amasosha omzimba wakho avulekele ezithombeni zakho, amaseli noma amathisisi okufanele awavikele. Izimbangela zezifo eziningi ezizimele aziqondi kahle. Nakuba amaphesenti angaba ngu-75 wezifo ezizimele ezenziwa ngabesifazane, ahlale engacacile ukuthi kungani lezi zimo - kufaka phakathi i-Hashimoto's thyroiditis - iningi labesifazane.
E-Hashimoto, isimiso somzimba sokuzivikela sisuke siphutha, futhi sihlasela isifo sakho se-thyroid nge-antibodies engenza ukuba igulane likhulise, i-atrophy, kanye / noma ingakwazi ukukhiqiza i-hormone ye-thyroid ngokuhamba kwesikhathi.
Ziyini Izimpawu Ze-Hashimoto's Thyroiditis?
Ezinye iziguli ezine-thyroiditis ye-Hashimoto kungenzeka zingenayo izimpawu, ikakhulukazi ekuqaleni, uma izikhukhula ze-thyroid ziphakanyisiwe , kodwa amanye amazinga wegciwane ahlala ngaphakathi kwebala lokubhekisela. Ngisho nangalesi sigaba sokuqala, ezinye iziguli zithola izimpawu ezivamile zomshuwalense ongase uhlanganise ukukhathala, ukucindezeleka, ukuzwela emakhazeni, ukunyuka kwesisindo, ukukhubazeka kwemisipha, isikhumba esomile, ukulahlekelwa izinwele nokuqhekeka, ukuzivivinya, ukuqina kwamasipha, izinkinga zokuya esikhathini, ukungena , ukukhulelwa kwesisu, izinhlungu zomzimba nezihlungu, kanye ne-gland enegciwane elikhulisiwe, elibizwa ngokuthi i- goiter .
Uyini umehluko phakathi kukaHashimoto's Thyroiditis ne-Hypothyroidism?
I-Hashimoto's thyroiditis yisifo esizimele esisodwa se-gland yegciwane.
I-Hypothyroidism ibhekisela esimweni lapho i-thyroid ingakwazi ukukhiqiza i-hormone ye-thyroid eyanele. I-Hashimoto's thyroiditis yiyona imbangela evame kakhulu ye- hypothyroidism e-United States nakwamanye amazwe asethuthukile.
Ingabe i-Hashimoto's Thyroiditis Hereditary?
Ngenkathi izifo ezithathelwana ngokuzenzakalela zona azizuzi njengefa ngokuqondile, kukhona ubufakazi bokuthi amandla okuthuthukisa isimo esizimele aphethe isakhi sezakhi zofuzo.
Lokhu kusho ukuthi ucwaningo lubonisa ukuthi izihlobo zokuqala-njengabazali, izingane, kanye nabantwana bakithi - zalabo abanesifo sokuzimela zineengozi elithile elikhulayo ngokwabo lokuthuthukisa izifo ezizimele.
Ingabe i-Hashimoto's Thyroiditis ingavinjelwa?
Ngokuyinhloko, azikho izici ezaziwayo ezingavimbela ngokuphelele i-Hashimoto's thyroiditis. Kukhona izici, noma kunjalo, njengokubhema ugwayi , ukucindezeleka okungalawulwa, ukuvezwa kwemisebe, nezinye izinto ezibangelwa yi-thyroid ukuthi ungakwazi ukubhekana nokunciphisa ingozi yesifo sikaHashimoto, noma ukuqhuma kukaHashimoto ku-hypothyroidism.
Ngingazi kanjani Uma ngineHashimoto's Thyroiditis?
Ngaphandle kokuhlolwa komtholampilo , udokotela wakho uzodinga ukuhlolwa kwegazi ngamagciwane okuvikela i-thyroid - ikakhulukazi, amasosha omzimba we-peroxidase (TPO) - angasiza ekuxilongeni isifo se-Hashimoto sika-autoimmune. Lokhu kuzovame ukuqhutshwa ngokuhambisana nokuhlolwa kwegazi ukutshela ukuthi umzimba wakho unesilinganiso esifanele samahomoni wegciwane, ngokuvamile i- blood TSH (izinga le-thyroid stimulating hormone) ukuze ubone ukuthi amazinga e-hormone wakho we-thyroid asezingeni elivamile.
Iyini Ukwelashwa kwe-Hashimoto's Thyroiditis?
Umbono wezokwelapha ovamile awuhlinzeki ngemithi ethile yeHashimoto's thyroiditis, ngaphandle uma ihambisana nokungajwayelekile kwamanye amazinga egazi le-thyroid, njenge-TSH.
Okuhlukile ukuthi ezinye ze-endocrinologists zikholelwa ukuthi ukwelashwa kwama-antibodies wakho we-thyroid , ngisho nalapho amanye amazinga ejwayelekile, angasiza ekuvimbeleni ukwanda kwamazinga omuntu wokulwa nomuntu noma ukuqhubekela phambili kwe-hypothyroidism. Kodwa odokotela abaningi abavamile bazohlinzeka ukwelashwa kuphela uma une-hypothyroidism eqinisekisiwe ngokuhlolwa kwegazi hhayi nje ubufakazi bukaHashimoto's thyroiditis.
Umbono odidiyelwe futhi osebenzayo weHashimoto's thyroiditis ubheka ezinye zezimbangela zokungasebenzi komzimba, ukungabi nokudla okunomsoco, nezinye izinto ezingabangela noma ukushayela isifo sikaHashimoto. Lokhu kufaka:
- Ukuzwela kwe-Gluten nesifo se-celiac
- Ukuntuleka kwe-iodine noma ngokweqile
- Ukuvuvukala nokugulisa ukuvuza
Eminye imithi yokwelapha ehambisanayo neyenzayo yeHashimoto's thyroiditis ihlanganisa ukudla okungenamsoco we-gluten, ukuhlolwa kwe-iodine nokuxhaswa, izinguquko zokudla, umthamo we-naltrexone (LDN) ophansi , kanye ne- autologous stem cell transplants .
I-hypothyroidism ephuma ku-Hashimoto's thyroiditis iphathwa ngemithi ye- hormone esikhundleni se-hormone , ehlanganisa i-levothyroxine (i-Synthroid, i-Levoxyl, i-Tirosint, i-Unithroid), nezidakamizwa zemvelo (i-NDT) ezidumile, njenge-Armor ne-Nature-throid. Le mithi izokwenza, ezimweni eziningi, idinga ukuthathwa impilo yakho yonke. Kungase kudingeke usebenze nodokotela wakho ngokuhamba kwesikhathi ukuthola ukuthi imithi engcono kakhulu ye-thyroid ini, futhi isilinganiso esiphumelele kakhulu.
Izwi kusuka
Uma kushiywe kungalashwa, i-Hashimoto's thyroiditis ingabangela izinkinga ezengeziwe, kuhlanganise nezinguquko emigqeni yokuya esikhathini, ukuvimbela ukuvuthwa kwegazi, ingozi eyengeziwe yokukhulelwa kwesisu , ukuqhubekela phambili kwe-hypothyroidism, futhi ihlotshaniswa nobungozi obuncane bomdlavuza wegciwane.
> Imithombo:
> Braverman, MD, Lewis E., noRobert D. Utiger, MD. Werner and Ingbar's The Thyroid: Umbhalo Eyisisekelo Nezokwelapha . 9th ed., Philadelphia: Lippincott Williams & Wilkins (LWW), 2013.
> De Groot, Leslie, MD, iMenenja yezifo ze-Thyroid , incwadi e-Inthanethi. Online