Hashimoto sika isifo - isifo indlala yegilo

isifo Hashimoto sika It yaqanjwa udokotela Japanese, ngokokuqala ngqa ngo-1912, owachaza thyroiditis sokuhlasela kwamasosha omzimba - kweNdikimba indlala yegilo. Igama elithi "sokuhlasela kwamasosha omzimba" ( "okuzenzekelayo" - uqobo a) Kusho ukuthi ubudlova izivikeli mzimba, okuyinto evamile aqondiswe amaseli angaphandle, aqondiswe bakhe, okungukuthi, kulesi simo amaseli yegilo, okuyinto ziqondakala umzimba njengoba angaphandle.

thyroiditis Hashimoto sika ekuqaleni asymptomatic. Ngezikhathi ezithile okungase kuthintwe kabi ubuhlungu engaqinile entanyeni. Lapho kumba kungembula okuqinile goiter heterogeneous. Kukhona izinhlobo ezimbili (izinhlobo) izifo sokuhlasela kwamasosha omzimba yendlala, omunye wabo - Graves 'disease ivame, lapho uketshezi kwama-hormone egilo waphawula ngobuningi, elinye noHezekeli - ukuhlanganiswa kwezici hormone encishisiwe (myxedema noma isifo Hashimoto sika).

isifo Hashimoto sika nge kwesikhathi owabonakaliswa ukucobeka, ukozela, isikhumba esomile kanye izinwele, ukuqunjelwa. Iqala esisindo okwandisa ngenxa nokugcinwa uketshezi. Sikwazi ukukhula Izimpawu iminyaka eminingi. Ukuwohloka inkumbulo, ukucabanga, iphika, edema. Ukunyakaza babe kancane, futhi abantu - Clumsy. Siyabhubha umsebenzi zocansi: besifazane - umjikelezo wokuya esikhathini, ukungazali ezingabantu - kwehle ubulili drive, nokuvusa induku. Kukhona coarsening izici zobuso, inkulumo esilufifi, bradycardia (kancane kwenhliziyo), ushintsho ezwini, umbala. Njengoba le ndlala yegilo ngokuhamba sifo liyaqhubeka likhula, uqale ukuzizwa izimpawu kokucindezelwa entanyeni, kukhona ubuhlungu ngesikhathi nokugwinya, iphika ilele.

Lesi sifo ngokuvamile kakhulu kuthinta abesifazane kunabesilisa (izikhathi 4-7). Izimbangela sifo isifo Hashimoto ambalwa. Lokhu kungaba kuyisifo esiwufuzo. Uma izihlobo eduze babe abanale nkinga futhi abanesifo sikashukela, ingozi Hashimoto sika isifo inyuka kakhulu. izici ngodlame ingase ihlanganise izifo ezibangelwa amagciwane, izifo sibi zokuphefumula ngisho nokubola kwamazinyo.

isifo Hashimoto sika kuyinto esigabeni ukuqhutshwa eziphambili kanzima kakhulu. edema generalized kuholela iphika, imakwe pericarditis (ukuvuvukala ngokujulile pericardium), ascites (isifo sokuvuvuka besisu). Ukuwohloka Obalulekile kungaholela ikhoma hypothyroid. Ngakho-ke, lapho ukwehla elibukhali ingcindezi, ukubonakala ukucobeka noma nokuquleka kuyinto esiphuthumayo ukuba afune usizo lwezokwelapha.

Umthelela ukwelashwa izidakamizwa kuncike kakhulu nesigaba lesi sifo. Ppoetomu ukwelashwa ngokushesha waqala, ngakho, ngokwemvelo, kuzoba ngcono futhi imiphumela. Zimbili izindlela zokwelashwa: yezokwelapha futhi kuhlinzwa. Ezinye hormone nomphumela omuhle zokwelapha. Lezi zihlanganisa tireoidin ukuthi izimpawu sokuhlasela kwamasosha omzimba thyroiditis Imiphumela ekuthuthukisweni reverse, okusho kunciphisa indlala yegilo kusayizi wayo.

isifo Hashimoto sika ingase ihlale izinyanga noma iminyaka eminingi. futhi kungaba isikhathi eside kanye nokwelashwa yayo. Ukweqiwa izidakamizwa esimisiwe ngokuqinile ngamunye. Muva nje, ngo-ukwelapha izifo evame ukusetshenziswa cortisone, prednisone noma ama hormone adrenocorticotropic. Ukwelashwa kwemfuyo kusebenza isimo lula kakhulu jikelele iziguli, kunciphisa imithelela-hypothyroidism. imiphumela eyanelisayo babonakala ku ngemisebe ye-X-ray of indlala yegilo.

Kodwa kunzima ukubala baragele phambili impumelelo enkulu kakhulu lapho insimbi ufikile izinguquko engelapheki. Ezimweni ezinjalo, kokungenela kuhlinzwa - yegilo okubandakanya ukususwa ephelele indlala yegilo noma isinqamu yalo. Ngemva kokuhlinzwa, esimisiwe replacement therapy, esivikela esigulini phakathi hypofunction we indlala, kanye ukubukeka izimila engxenyeni esele.

Kubalulekile ukuthi iziguli othola ukuhlinzwa okungenani izikhathi 2 ngonyaka nge udokotela ukuba khona, futhi banamathela Yiqiniso Kunconywa yokwelashwa kubo.