Chisingaperi thyroiditis (Hashimoto chirwere)

Chisingaperi thyroiditis inokonzerwa nekuita kweye immune system kurwisa iyo thyroid gland. Iyo inowanzo gumisa kudzikiswa kwehutachiona basa (hypothyroidism).

Chirwere ichi chinonziwo Hashimoto chirwere.

Iyo thyroid gland iri mumutsipa, pamusoro chete panosangana mapoloni ako epakati.

Hashimoto chirwere chinowanzoitika chirwere chetachiona gland. Izvo zvinogona kuitika chero zera, asi zvinowanzoonekwa mune vepakati-vakadzi vakadzi. Iyo inokonzerwa nekuita kweye immune system kurwisa iyo thyroid gland.

Chirwere chinotanga zvishoma nezvishoma. Zvinogona kutora mwedzi kana kunyange makore kuti mamiriro acho aonekwe uye kuti mahormone ehutachiona ave akaderera pane zvakajairwa. Hashimoto chirwere chinowanzoitika kune vanhu vane nhoroondo yemhuri yechirwere chetachiona.

Muzviitiko zvisingawanzoitika, chirwere ichi chingave chine hukama nemamwe matambudziko ehomoni anokonzerwa ne immune system. Izvo zvinogona kuitika nehurombo adrenal basa uye mhando 1 chirwere cheshuga. Mune zviitiko izvi, mamiriro acho anonzi mhando 2 polyglandular autoimmune syndrome (PGA II).

Kazhinji (kazhinji muvana), Hashimoto chirwere chinoitika sechikamu chechimiro chinonzi mhando 1 polyglandular autoimmune syndrome (PGA I), pamwe ne:

• Basa rakashata remadrenal glands
• Fungal hutachiona hwemukanwa nezvipikiri
• Isingashande parathyroid gland

Zviratidzo zvehashimoto chirwere chinogona kusanganisira chero yeanotevera:

• Kuzvimbirwa
• Zvakaoma kuisa pfungwa kana kufunga
• Ganda rakaoma
• Yakawedzera mutsipa kana kuvapo kwegwiti, iyo inogona kunge iri chete chiratidzo chekutanga
• Kuneta
• Bvudzi kurasikirwa
• Zvinorema kana zvisina kujairika nguva
• Kusashivirira kutonhora
• Hunyoro huremu kuwedzera
• Diki kana shrunken thyroid gland (kunonoka muchirwere)

Rabhoritari bvunzo kuona utachiona basa dzinosanganisira:

• Yemahara T4 bvunzo
• Serum TSH
• Yakazara T3
• Utachiona autoantibodies

Kufungidzira zvidzidzo uye yakanaka tsono biopsy kazhinji hazvidiwe kuti uongorore Hashimoto thyroiditis.

Chirwere ichi chinogona zvakare kuchinja mhedzisiro yemiedzo inotevera:

• Yakazara kuverenga ropa
• Serum prolactin
• Serum sodium
• Yakazara cholesterol

Kusarapwa hypothyroidism kunogona kuchinja mashandisiro anoita muviri wako mishonga yaungatore kune mamwe mamiriro, senge pfari. Iwe ungangoda kuve nekugara uchiongororwa ropa kuti utarise huwandu hwemishonga mumuviri wako.

Kana iwe uine zvakawanikwa zveiyo isingashande thyroid, iwe unogona kugamuchira utachiona kutsiva mushonga.

Haasi munhu wese ane thyroiditis kana goiter ane yakaderera huwandu hwetachiona hutachiona. Unogona kungoda kuteedzerwa nguva dzose nemubatsiri wezvehutano.

Chirwere chinogara chakadzikama kwemakore. Kana ikadzikira zvishoma nezvishoma kusvika kuhutachiona hwehutachiona (hypothyroidism), inogona kurapwa nehomoni kutsiva kurapwa.

Aya mamiriro anogona kuitika nezvimwe autoimmune kusagadzikana. Muzviitiko zvisingawanzoitiki, kenza yehutachiona kana thyroid lymphoma inogona kukura

Yakanyanya isina kurapwa hypothyroidism inogona kutungamira mukuchinja mukuziva, pakoma, uye kufa. Izvi zvinowanzoitika kana vanhu vakawana hutachiona, vakakuvara, kana kutora mishonga, senge maopioid.

Fonera mupiki wako kana iwe ukava nezviratidzo zvechirwere chisingaperi chetachionaitis kana hypothyroidism.

Iko hakuna inozivikanwa nzira yekudzivirira iyi kusagadzikana. Kuziva nezvezvinhu zvine njodzi kunogona kubvumidza kuongororwa kwekutanga uye kurapwa.

Hashimoto thyroiditis; Chisingaperi lymphocytic thyroiditis; Autoimmune thyroiditis; Chisingaperi autoimmune thyroiditis; Lymphadenoid goiter - Hashimoto; Hypothyroidism - Hashimoto; Nyora 2 polyglandular autoimmune syndrome - Hashimoto; PGA II - Hashimoto

• Endocrine masero
• Kuwedzera kwehutachiona - scintiscan
• Hashimoto's chirwere (chisingaperi thyroiditisitis)
• Gland yeganda

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Lakis ME, Wiseman D, Kebebew E. manejimendi yetiyititisitis. Mune: Cameron AM, Cameron JL, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 2020: 764-767.

Marcdante KJ, Kliegman RM. Utachiona chirwere. Mune: Marcdante KJ, Kliegman RM, eds. Nelson Zvakakosha zvePediatrics. 8th ed. Elsevier; 2019: chits. 175.