Munyori: Charles Brown
Zuva Rekusika: 1 Kukadzi 2021
Gadziridza Zuva: 20 Mbudzi 2024
Anonim
Hypothyroidism zviratidzo, zvikonzero zvikuru uye kurapwa kwacho kwakadii - Utano
Hypothyroidism zviratidzo, zvikonzero zvikuru uye kurapwa kwacho kwakadii - Utano

Zvemukati

Hypothyroidism ndechimwe chezvirwere zvakajairika endocrine uye inozivikanwa neakaderera utachiona chiitiko, icho chinokonzeresa kuti ibudise mahormone mashoma pane anodikanwa kuti ishandise zvakakwana mabasa ese emuviri, zvichitungamira pakuonekwa kwezvimwe zviratidzo nekuneta kwakanyanya, kudzikira kwemoyo , kuwedzera uremu, kurasikirwa nevhudzi uye ganda rakaoma.

Shanduko iyi yakajairika kuvakadzi vanopfuura makore makumi mana ekuberekwa, vane nhengo dzepedyo dzemhuri vane hypothyroidism, vakatobvisa chikamu kana iyo yese utachiona kana vakagamuchira imwe mhando yemwaranzi kumusoro kana mutsipa. Kurapa kweiyo hypothyroidism kunovavarira kudzora huwandu hwehomoni yehorosi uye nekudaro kubvisa zviratidzo, uye kushandiswa kwema synthetic mahormone, saLevothyroxine, semuenzaniso, inowanzo kuratidzwa neye endocrinologist.

Zviratidzo nezviratidzo

Zviratidzo nezviratidzo zvinogona kuratidza kudzikira kwehutachiona basa zvinogona kuoneka zvishoma nezvishoma pamusoro pemakore zvichienderana nekuderera kwematanho ehormone mahormone, T3 uye T4. Zviratidzo zvikuru nezviratidzo zve hypothyroidism ndezvi:


  • Musoro, mumhasuru nemajoini;
  • Kuenda kumwedzi zvisina kujairika, izvo zvinogona kuita kuti zvive zvakaoma kubata pamuviri;
  • Asina kusimba, akapwanyika nzara uye yakaoma, yakaoma ganda;
  • Maziso, munharaunda yemaziso, kuzvimba;
  • Kurasikirwa kwebvudzi pasina chikonzero chiri pachena uye kuonda, bvudzi rakaoma uye rakasviba;
  • Kurova kwemwoyo kunononoka kupfuura zvakajairwa;
  • Kuneta zvakanyanya;
  • Dambudziko rekutarisa, kusarangarira ndangariro;
  • Yakadzikira libido;
  • Kurera huremu pasina chikonzero chiri pachena.

Pamusoro pezvo, mune zvimwe zviitiko munhu anogona kusangana nehunhu shanduko, kushushikana uye kuora mwoyo, zvisinei zviratidzo izvi zvinoitika kune vanhu vane mwero wakaderera kwazvo weT3 neT4.

Panyaya yevana, hypothyroidism inogona zvakare kupindira mukukura, kuitira kuti mukuyaruka, kuyaruka kunogona kunonoka uye kupfupi chimiro, semuenzaniso. Uye zvakare, mune iyo yekuzvarwa hypothyroidism, kana mwana akaonekwa asingaite svondo rekutanga mushure mekuzvarwa, mwana anogona kuve nekuchinja kwetsinga, nenjodzi yekudzora pfungwa. Ona zvimwe nezve kuberekwa hypothyroidism.


Zvinokonzera

Chikonzero chakajairika chehypothyroidism ndiHashimoto's Thyroiditis, inova autoimmune chirwere, umo maantibodies anotanga kurwisa iyo thyroid gland, sekunge inokuvadza muviri pachawo. Uye zvakare, hypothyroidism inogona kuitika nekuda kwekushomeka kwe ayodini, chinova chiitiko chinozivikanwa se goiter, umo mune kuwedzera kwehukuru hwehutachiona, asi hushoma huwandu hwe T3 ne T4 nekuda kwekuderera kwekusungwa kwe ayodini.

Kurapa kurwisa hyperthyroidism kana kushandiswa kwemishonga yakadai se lithiamu carbonate, amiodarone, propylthiouracil uye methimazole zvinogona zvakare kutungamira ku hypothyroidism, uye zvakakosha kubvunza kune endocrinologist kana chimwe chezviratidzo chikaonekwa kuitira kuti kumiswa kwemushonga kana kutsiva.

Vanhu vakatora mishonga yehutachiona kuti vadzikise huremu vanogona zvakare kukura hypothyroidism nekuti kana aya mahormone atove muropa, utachiona hunogona kumira kana kudzikisa kugadzirwa kwaro kwechisikigo.


Pamusoro pezvikonzero izvi, hypothyroidism inogona zvakare kuitika panguva yekuzvitakura kana munguva yepashure inowanzo dzokera pane zvakajairwa nguva pfupi yapfuura. Mukuwedzera, zvakakosha kuyeuka kuti chirwere ichi chinoderedza kubereka kwemukadzi, zvichikonzera matambudziko kubata pamuviri. Ona zvakawanda nezve hypothyroidism uye nhumbu.

Nzira yekuziva kana iri hypothyroidism

Kuti uone kana iri hypothyroidism, iyo endocrinologist inoongorora zviratidzo uye zviratidzo zvinoratidzwa nemunhu uye inoratidza mashandiro eropa kuongorora huwandu hwekutenderera mahormone ane hukama nehutachiona.

Nekudaro, muyero weT3 uye T4 unoratidzwa, uyo unowanzo kuderera mu hypothyroidism, uye muyero weTSH, uyo unowedzerwa. Muchiitiko che subclinical hypothyroidism, zvakajairika mazinga e T4 uye yakawedzera TSH inogona kucherechedzwa. Ona zvimwe nezve bvunzo dzinoongorora utachiona.

Uye zvakare, chiremba anogona kukurudzira kuitisa ongororo yeantibody, mamepu ehutachiona uye utachiona ultrasound apo maqhure anoonekwa panguva yekurohwa kwetachiona. Izvo zvakare zvinokwanisika kuti munhu aite kuzviongorora kweiyo thyroid kuti aone chero shanduko, kunyanya maqhure. Dzidza maitiro ekuita utachiona kuzviongorora.

Ndiani anoda kuve nemiedzo yetachiona

Pamusoro pevanhu vanoratidza zviratidzo nezviratidzo zvinogona kuratidza hypothyroidism, bvunzo idzi dzinofanirwa kuitwawo ne:

Vakadzi vanopfuura makumi mashanuNdiani aive nemwaranzi kurapwa kumusoro kana mutsipaVanhu vane type 1 diabetes
Panguva yekuzvitakuraNdiani akavhiyiwa utachionaVanhu vane autoimmune chirwere
Kana uine goiterKana iwe uine zviitiko zvechirwere chetachiona mumhuriMukana wekutadza kwemoyo
Ndiani ane Down syndromeNdiani ane Turner SyndromeKugadzirwa kwemukaka kunze kwekuzvitakura kana pasina kuyamwisa

Hypothyroidism pakuzvitakura

Hypothyroidism, kana isinganyatso kudzorwa, inogona kutadzisa mukana wekuve nepamuviri uye kuva nemhedzisiro kune vese amai nemwana. Izvo zvinogona zvakare kuitika mumashure mekusununguka, mwedzi mishoma mushure mekuzvarwa kwemwana, nenzira inopfuura uye iyo inodawo kutarisirwa nemushonga.

Nekudaro, zvakajairika kuti panguva yekutarisirwa kwepamuviri, chiremba anorayira T3, T4 uye TSH bvunzo kuti aongorore kushanda kwehutachiona uye arambe achiongorora mumashure mekusununguka kuti utachiona hwehomoni hunokosheswa sei uye kana paine chikonzero chekushandisa mishonga. kudzokera kune zvakajairika. Tsvaga kuti ndeapi njodzi dzehypothyroidism pakuzvitakura.

Maitiro Ekurapa Hypothyroidism

Kurapa kwehypothyroidism kuri nyore uye kunofanirwa kuitwa kuburikidza nekutsiva mahormone nekutora mahormone ekugadzira, Levothyroxine, ine iyo hormone T4, uye inofanirwa kutorwa isina chinhu mudumbu, maminetsi makumi matatu usati wadya mangwanani. kuti kugaya kwechikafu hakuderedze kushanda kwayo. Muyero wemushonga unofanirwa kupihwa endocrinologist uye inogona kusiyana mukati mekurapa zvichienderana nematanho eT3 uye T4 anotenderera muropa.

Vhiki nhanhatu mushure mekutanga kwekushandisa mishonga, chiremba anogona kutarisa zviratidzo zvemunhu uye kuraira bvunzo yeTSH kuti aone kana zvichidikanwa kugadzirisa muyero wemushonga kusvikira huwandu hweT4 yemahara hwajairwa. Shure kwaizvozvo, bvunzo dzekuongorora utachiona dzinofanirwa kuitwa kamwe chete kana kaviri pagore, kuona kana zvichidikanwa kugadzirisa muyero wemushonga.

Pamusoro pekushandiswa kwemishonga, zvakakosha kuti munhu adzore mwero wecholesterol muropa, achidzivirira kudyiwa kwemafuta, kudya chikafu chinobatsira chiropa kuti chishande nemazvo uye kudzivirira kunetseka zvakanyanya, sezvo kuchikanganisa kubviswa kwehomoni ne utachiona. Mune zvimwe zviitiko, kubvunzana nenyanzvi yezvokudya kunogonawo kukurudzirwa kuitira kuti kurapa kwekudya zvinovaka muviri neodhini yekuwedzera kunogona kubatsira kudzikisa zviratidzo zvehypothyroidism.

Panyaya ye subclinical hypothyroidism, kana pasina zviratidzo zviripo, chiremba anogona kukurudzira kushandiswa kwemishonga nekuti inogona kubatsira kudzikisa njodzi yematambudziko emwoyo, ayo anogona kuve akakosha kune vanhu vakafutisa kana vane cholesterol yakakura kana chirwere cheshuga .

Ona kuti kudya kunogona kuvandudza sei utachiona muvhidhiyo inotevera.

Zviratidzo zvekuvandudza uye kuwedzera

Zviratidzo zvekuvandudza mu hypothyroidism zvinoonekwa zvakanyanya kana zvishoma masvondo maviri mushure mekutanga kwekurapa, nekudzikisira pakuneta uye nekuvandudza kwemanzwiro. Uye zvakare, iyo yekurapa kwenguva refu ye hypothyroidism inobatsirawo kudzora huremu uye kudzikisa huwandu hweropa cholesterol.

Zviratidzo zvekuwedzera zvinoonekwa kana kurapwa kusingaitwe nemazvo kana kana muyero weLevothyroxine usina kukwana, nekushaya hope, kuwedzerwa kudya, kurova moyo uye kudedera, semuenzaniso.

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