Odee: Charles Brown
OfbọChị Okike: 1 Februari 2021
DatebọChị Mmelite: 20 Novemba 2024
Anonim
Hypothyroidism mgbaàmà, isi na-akpata na olee ọgwụgwọ - Ahụ Ike
Hypothyroidism mgbaàmà, isi na-akpata na olee ọgwụgwọ - Ahụ Ike

Ndinaya

Hypothyroidism bụ otu n'ime ọrịa endocrine kachasị emetụta ma nwee obere ọrụ thyroid, nke na-eme ka ọ mepụta homonụ pere mpe karịa ka ọ dị mkpa maka ịrụ ọrụ kacha mma nke ọrụ ahụ niile, na-eduga n'ile anya nke ụfọdụ mgbaàmà na ike gwụrụ oke, belata ọnụego obi , uru dị arọ, ntutu isi na anụ akọrọ.

Mgbanwe a na-adịkarị karịa ụmụ nwanyị karịa afọ 40, ndị nwere ndị ezinụlọ ha nwere hypothyroidism, ndị wepụlarị akụkụ ma ọ bụ thyroid niile ma ọ bụ ndị natara ụdị radieshon n'isi ma ọ bụ n'olu. Ngwọta nke hypothyroidism bụ iji dozie ogo nke homonụ thyroid ka ọ wee belata mgbaàmà, yana ojiji nke homonụ sịntetik, dịka Levothyroxine, dịka ọmụmaatụ, onye na-ahụkarị endocrinologist na-egosi.

Ihe mgbaàmà na mgbaàmà

Ihe ịrịba ama na mgbaàmà ndị nwere ike igosi obere ọrụ thyroid nwere ike ịpụta nwayọ karịa afọ dịka nbelata ogo nke homonụ thyroid, T3 na T4. Isi ihe ịrịba ama na mgbaàmà nke hypothyroidism bụ:


  • Isi ọwụwa, na akwara na nkwonkwo;
  • Oge nwanyị na-ezighi ezi, nke nwere ike ime ka o sie ike ịtụrụ ime;
  • Na-emebi emebi, mbọ na-adịghị ike na akpụkpọ ahụ siri ike;
  • Anya, na mpaghara nke nku anya, aza;
  • Ntufu ntutu na-enweghị ihe kpatara ya na dị njọ, akọrọ ma dull ntutu;
  • Heartbeat jiri nwayọ karịa nke nkịtị;
  • Ike gwụrụ;
  • O siri ike itinye uche, ncheta na-adịghị mma;
  • Mbelata libido;
  • Ibu ibu n’enweghi ihe kpatara ya.

Tụkwasị na nke a, n'ọnọdụ ụfọdụ onye ahụ nwere ike ịnwe mgbanwe dị iche iche, ịda mbà n'obi na mgbaka, agbanyeghị mgbaàmà ndị a na-eme na ndị nwere obere ọkwa T3 na T4.

N'ihe banyere ụmụaka, hypothyroidism nwekwara ike igbochi mmepe, nke mere na n'oge uto, oge uto nwere ike igbu oge na mkpụmkpụ, dịka ọmụmaatụ. Na mgbakwunye, n'ihe banyere hypothyroidism nke ime mmụọ, ọ bụrụ na achọpụtaghị nwatakịrị ahụ n'isi mmalite nke izu mbụ mgbe amuchara nwa, nwatakịrị ahụ nwere ike inwe mgbanwe ngbanwe akwara, yana ihe ọghọm nke ịmalite ịda mbà n'obi. Hụ ihe gbasara hypothyroidism nke ime.


Isi ihe kpatara ya

Ihe kachasị akpata hypothyroidism bụ Hashimoto's Thyroiditis, nke bụ ọrịa autoimmune, nke nje na-amalite ịwakpo gland, dị ka a ga - asị na ọ na - emerụ ahụ n'onwe ya. Na mgbakwunye, hypothyroidism nwere ike ime n'ihi ụkọ iodine, nke bụ ọnọdụ a maara dị ka goiter, nke nwere mmụba na ụba nke thyroid, mana obere T3 na T4 n'ihi nbelata ịta ayodiin.

Ọgwụgwọ megide hyperthyroidism ma ọ bụ iji ọgwụ ọjọọ eme ihe dị ka lithium carbonate, amiodarone, propylthiouracil na methimazole nwekwara ike ibute hypothyroidism, yana ọ dị mkpa ịkpọtụrụ endocrinologist ma ọ bụrụ na achọpụta ihe mgbaàmà ọ bụla ka e wee kwụsịtụ ọgwụ ma ọ bụ dochie ya.

Ndị haveụrụ ọgwụ ọgwụ gị iji belata ibu nwekwara ike ibute hypothyroidism n'ihi na ozugbo homonụ ndị a dị n'ọbara, thyroid nwere ike ịkwụsị ma ọ bụ belata mmepụta okike.


Na mgbakwunye na ihe ndị a, hypothyroidism nwekwara ike ịpụta n'oge afọ ime ma ọ bụ na oge a na-amụ nwa nke na-achọ ịlaghachi nkịtị n'oge na-adịghị anya. Na mgbakwunye, ọ dị mkpa ka anyị cheta na ọrịa a na-ebelata ọmụmụ nwa nwanyị, na-akpata nsogbu ịtụrụ ime. Hụ ihe gbasara hypothyroidism na afọ ime.

Etu ị ga - esi mara ma ọ bụ hypothyroidism

Iji chọpụta ma ọ bụrụ na ọ bụ hypothyroidism, endocrinologist na-enyocha ihe ịrịba ama na mgbaàmà nke onye ahụ gosipụtara ma gosipụta arụmọrụ nke nyocha ọbara iji chọpụta ọnụọgụ nke ịmịkọrọ homonụ metụtara thyroid.

N'ihi ya, a na-egosi usoro ọgwụgwọ T3 na T4, nke na-agbadata na hypothyroidism, na usoro TSH, nke a na-abawanye. N'ihe banyere hypothyroidism dị n'okpuru, enwere ike ịhụ ọkwa nkịtị nke T4 na ụba TSH. Hụ ihe banyere ule ndị na-enyocha thyroid.

Na mgbakwunye, dọkịta ahụ nwere ike ịkwado ịme nchọpụta antibody, nkewa nke thyroid na thyroid ultrasound mgbe a na-ahụ nodules n'oge palpation nke thyroid. O nwekwara ike onye ahụ mee nyocha onwe ya nke thyroid iji chọpụta mgbanwe ọ bụla, ọkachasị nodules. Mụta otu esi eme nyocha nke onwe gị.

Onye kwesiri inwe nyocha nke thyroid

Na mgbakwunye na ndị mmadụ na-egosi ihe ịrịba ama na mgbaàmà nwere ike igosi hypothyroidism, a ga-enyocha ule ndị a site na:

Overmụ nwanyị gafere 50Onye nwere ọgwụgwọ radieshon n'isi ma ọ bụ n'oluNdị mmadụ na-arịa ụdị ọrịa shuga nke mbụ
N'oge afọ imeNdi nwere ogwu ogwuNdị nwere ọrịa autoimmune
Ọ bụrụ na ị nwere goiterỌ bụrụ na ị nwere ikpe nke ọrịa thyroid na ezinụlọN'ọnọdụ nke obi nkoropu
Hasnye nwere Down syndromeOnye nwere oria TurnerMmepụta mmiri ara ehi na mpụga ime ma ọ bụ na-enweghị ara

Hypothyroidism dị ime

Hypothyroidism, ma ọ bụrụ na ejighị ya nke ọma, nwere ike igbochi ohere nke ịtụrụ ime ma nwee mmetụta maka nne na nwa. O nwekwara ike ime na oge ọmụmụ, ọnwa ole na ole mgbe a mụsịrị nwa ahụ, n'ụzọ na-adịghị agafe agafe na nke ahụ chọkwara nlekọta na ọgwụgwọ.

N'ihi ya, ọ bụ ihe kwesịrị ekwesị na n'oge nlekọta ahụike, dọkịta na-enye iwu nyocha T3, T4 na TSH iji nyochaa ọrụ gị na-arụ ọrụ ma na-aga n'ihu na-eleba anya na nwa a mụrụ ka ụkpụrụ uru nke hormone thyroid dị na ma ọ dị mkpa iji ọgwụ. laghachi na nkịtị. Chọpụta ihe bụ nsogbu nke hypothyroidism na afọ ime.

Etu esi emeso Hypothyroidism

Ọgwụgwọ maka hypothyroidism dịtụ mfe ma a ga-emerịrị ya site na nnweta homonụ site n'iji homonụ sịntetik, Levothyroxine, nke nwere hormone T4, na nke a ga-ewere na afọ efu, ọ dịkarịa ala minit 30 tupu iri nri ụtụtụ. na mgbaze nri adighi adighi ike ya. Ọgwụgwụ nke ọgwụ ahụ kwesịrị ịdepụtara site na endocrinologist ma nwee ike ịdị iche na ọgwụgwọ niile dịka ọkwa nke T3 na T4 na-ekesa n'ime ọbara.

Izu isii ka mbido ị useụ ọgwụ, dọkịnta nwere ike ịlele mgbaàmà nke onye ahụ wee nye iwu nyocha TSH ka ọ mara ma ọ dị mkpa iji dozie ọgwụ ọgwụ ahụ ruo mgbe ọnụọgụ T4 efu anaghị edozi. Mgbe nke ahụ gasịrị, a ga-eme nyocha iji nyochaa thyroid ahụ otu ugboro ma ọ bụ ugboro abụọ n'afọ, iji hụ ma ọ dị mkpa iji dozie ọgwụ nke ọgwụ ahụ.

Na mgbakwunye na iji ọgwụ, ọ dị mkpa na onye ahụ na-achịkwa ọkwa ọbara cholesterol, na-ezere oriri nke abụba, na-eri nri na-enyere umeji aka ịrụ ọrụ nke ọma ma na-ezere oke nrụgide, ebe ọ na-emebi ihe nzuzo nke homonụ site na thyroid. N'ọnọdụ ụfọdụ, a pụkwara ịkwado ndụmọdụ banyere onye na-edozi ahụ ka usoro ọgwụgwọ nri na mgbakwunye iodine nwere ike inye aka belata mgbaàmà nke hypothyroidism.

N'ihe banyere hypothyroidism dị n'okpuru, mgbe enweghi ihe mgbaàmà ọ bụla, dọkịta nwere ike ịkwado iji ọgwụ n'ihi na ha nwere ike inye aka belata ihe ize ndụ nke nsogbu obi, nke nwere ike ịdị mkpa maka ndị buru oke ibu ma ọ bụ ndị nwere nnukwu cholesterol ma ọ bụ ọrịa shuga .

Hụ otu iri nri nwere ike isi melite ọrụ thyroid na vidiyo na-esonụ.

Ihe ịrịba ama nke imeziwanye ma na-akawanye njọ

Ihe ịrịba ama nke imeziwanye na hypothyroidism na-apụta karịa ma ọ bụ obere izu 2 mgbe mmalite nke ọgwụgwọ, na mbelata ike ọgwụgwụ na mmelite nke ọnọdụ. Na mgbakwunye, ọgwụgwọ ogologo oge nke hypothyroidism na-enyekwa aka ịchịkwa ibu ma belata ọkwa cholesterol ọbara.

Ihe ịrịba ama nke na-akawanye njọ na-apụta mgbe a na-emeghị ọgwụgwọ ahụ n'ụzọ ziri ezi ma ọ bụ mgbe ọgwụ nke Levothyroxine adịghị ezu, na ụra ehighị ụra, agụụ na-arịwanye elu, palpitations na ịma jijiji, dịka ọmụmaatụ.

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