Izifo Hashimoto sika thyroiditis: Izimpawu kanye Ukwelashwa

Oyedwa eziyisishiyagalombili abesifazane emva kweminyaka eyi ayisithupha, ebhekene isifo onjalo afana ngazo thyroiditis Hashimoto sika. Izimpawu kanye nokwelashwa yalesi sifo, kanye nezimbangela zayo futhi zimpawu ezichazwe kulesi sihloko. Isikhathi esining impela lesi sifo kubangela ukukhathazeka okukhulu, okubangela iziguli ukuza endocrinology. Kodwa eqinisweni, lesi sifo singumbulali kungavamile ukuba ingozi, ngakho ukuphathwa efanele wesabe lutho.

Kuyini thyroiditis Hashimoto sika

Izimpawu kanye nokwelashwa yalesi sifo uzobe kuchaziwe ngezansi. Okwamanje, kuyasiza ukuqonda ukuthi iyini. Ngokokuqala ngqá sifo watholwa futhi esachazwa udokotela Japanese Hashimoto. Ukuze kuhlonishwe kuye, futhi lethiwa. Nokho, imithi, lesi sifo singumbulali elinye igama - thyroiditis Hashimoto sika.

I sifo sibhekwa. Ngenxa-ke ziqala ukuyeka ukusebenza emangqamuzaneni indlala yegilo ngaphansi kwethonya autoantibodies antithyroid.

Isizathu esikhulu lesi sifo

Empeleni thyroiditis isifo Hashimoto sika, izimpawu kanye nokwelashwa okuzokwenziwa wachaza ngokuningiliziwe kulesi sihloko kungenzeka ngenxa izinto eziningi. Futhi, ngokuvumelana ososayensi, iphutha ngqo lomuntu kule namanje asipheli. Iziguli eziningi abe nezici ezithile zofuzo ukuze thyroiditis, njengoba ososayensi bakwazi ukubona ezinye izinhlobo izakhi zofuzo ezibangela ukudluliswa kwalesi sifo. Ngakho-ke, uma izihlobo zakho baphazamisekile ezinjalo, kukhona ithuba amahle nawe kuyoba.

Umbhali wayevame ukunezela lokhu isifo Hashimoto sika thyroiditis ekulandulayo adluliselwe ukucindezeleka.

Futhi, ngokuvumelana izibalo, kwatholakala ukuthi lesi sifo cishe ahlupheke kakhulu kangakanani umuntu besifazane, ikakhulukazi ngemva kweminyaka engu-mahlanu. Kodwa manje lesi sifo ngokuvamile kubonakala abantu nentsha, kanye nezingane.

Futhi abahlala ezindaweni imvelo abampofu kuyoba nesandla ekuthuthukiseni thyroiditis Hashimoto sika. Izimpawu kanye Ukwelashwa (isithombe ungabona kulesi sihloko) ikuvumela ukuba ngokushesha ukukhomba isifo futhi baqala ukwazi ukubhekana ngokuphumelelayo nakho. Qala sifo ezibangelwa amagciwane kanye nezifo ezithathelwanayo.

I indima ebalulekile kwesimiso somzimba sokuzivikela ezifweni

Ungakhohlwa ukuthi izivikeli mzimba - kuyinto ukusebenza komzimba, uyivikele ngokumelene eziphilayo lesinye isizwe, futhi izifo ezihlukahlukene. Uma lesi simiso ehluleka ke emzimbeni womuntu, kuncike thyroiditis sokuhlasela kwamasosha omzimba, uqala akhiqiza amasosha omzimba emangqamuzaneni indlala yegilo. Le nqubo iholela ekubhujisweni lezi amaseli.

Izimpawu zesifo

Izifo Hashimoto sika thyroiditis (izimpawu kanye nokwelashwa, izizathu - okungukuthi, ukwaziswa okungasiza zonke nesineke ukuthatha indlela eya ekululameni) kuyinto ububanzi sasivumela ebanzi izimpawu ne ntshashintshe of kobukhulu. Isikhathi esining impela, iziguli esekhala ukutubeka nokukhathala kakhulu. Kwezinye iziguli, ke laligujwa palpitations, ukulahlekelwa ukucaciseleka engqondo futhi kwakhulisa isimo ukwethuka.

Uma indlala yegilo ikhiqiza nenani elikhulu kakhulu thyroxine hormone, iziguli kakhulu isheshisa umzimba, ngakho izimpawu zesifo kuyoba: ngokushesha kakhulu kwesisindo, ukujuluka yanda, futhi sohudo kanye nobuhlungu. Ngakho, uma thyroxine is ngobuningi e thyroiditis sifo Hashimoto sika (izimpawu kanye zokwelapha zichazwe isihloko), isimiso somzimba sokuzivikela iqala ngenkuthalo ukuhlasela indlala yegilo.

Uma lokhu yensimbi, kunalokho, ukhiqiza amanani enganele hormone, isiguli nzuzo isisindo, fatigability kulula kakhulu, njalo isimo sokucindezeleka, ukuqunjelwa kanye amabhithi kancane we imisipha yenhliziyo.

isevisi kuyinto

Hashimoto sika thyroiditis (izimpawu nokwelashwa isifo akulula ukusungula njalo) kwenzeka lapho ukungasebenzi yegilo indlala. Thola lesi sifo kungenziwa kuphela beqhuba izivivinyo ezikhethekile laboratory. Uma kukhona izihlobo ukungamukeleki sokuhlasela kwamasosha omzimba, khona-ke kufanele kwakudingeka alandele inqubo uhlu olugcwele izifundo laboratory. Phawula uhlu kubo:

- Uhlaziyo jikelele, okuvumela ukuba abone ezingeni lama-lymphocyte egazini.

- Immunogram, angasetshenziswa ukucacisa khona amasosha ama-hormone egilo, kanye thyroglobulin futhi yegilo peroxidase.

- Qiniseka ukuthi ukwenza US indlala yegilo. Kuyokusiza ukucacisa lingakanani, kanye oyiyo zizoshintsha (uma ikhona).

- Hand phezu ukuhlaziywa, sokunquma ezingeni hormone i-T3, T4 futhi yegilo-emnandi.

- Kwezinye izimo, biopsy inaliti futhi ukusiza ukukhomba inani elikhulu lama-lymphocyte nezinye amaseli kukhona isici ukubhebhetheka kwalesi sifo kuyinto sokuhlasela kwamasosha omzimba thyroiditis Hashimoto sika. Izimpawu kanye nokwelashwa izimpawu isifo kungaba azimisele kuphela uchwepheshe abanolwazi.

Indlela esiphatha ngayo

Umgomo oyinhloko ekwelapheni lesi sifo iwukuhlale isamba evamile kwama-hormone egilo. Uma isifo euthyrosis esiteji, imithi ngokuvamile zinikwa. Kodwa nakhu ukuqapha kwama-hormone egilo ukwenze njalo ngemva kwezinyanga eziyisithupha.

Uma indlala yegilo asisho ukukhiqiza ama-hormone ngokwanele, isiguli imithi enqunyiwe ezingaba ubuyise amasheya abo. "Eutiroks» futhi «L-thyroxine" Ngokuvamile, odokotela linqume. Umthamo ikhethwa udokotela ngokuqinile ngamunye, kuye ngokuthi isimo sempilo. Ngokuvamile, ukukhuphuka Isikali isifika kancane kakhulu, ngaphansi kokuqondisa esiqinile ongoti. Ngokuvamile, le mithi zithathwa ukuphila.

Uma kufakwa ama-hormone ekhiqizwa, kunalokho, i semali ngokweqile, amalungiselelo ukunciphisa ukukhiqizwa yabo hhayi ngokuvamile zinikwa. Kulokhu, odokotela batusa ukuchitha yokwelapha lingaze. Izidakamizwa kanye nokwelashwa akhethiwe ngamunye.

izinkombandlela ukwelashwa

Odokotela noma kunjalo is hhayi Kunconywa ukuba sibhekane ngokuphumelelayo nezinkinga zempilo yabo ezifana thyroiditis Hashimoto sika. Izimpawu kanye nokwelashwa, ukuhlola zichazwe ngokuningiliziwe kulesi sihloko, ukuze ube nethuba simazi kangcono izici eziyisisekelo lesi sifo.

Phawula eyolanda imithi ukwelapha kungaba endocrinology abanolwazi emva ukuxilongwa yakho zaziwa kahle kakhulu. Ephambi kwezinduna sifo namanje ochwepheshe musa ukweluleka ezihlukahlukene immunomodulators. Kodwa kusukela ukudla okunempilo ukunikeza nje hhayi zinkulu. Yidla izithelo eziningi kanye nemifino. Phakathi imithwalo okusezingeni eliphezulu ngokomzimba, kanye ukucindezeleka Kunconywa ukuba baphuze izakhiwo multivitamin, njengokuthi "Vitrum" futhi "Supradin".

Sicela uqaphele ukuthi ukusetshenziswa kwesikhathi eside compounds iodine-equkethe, kuhlanganise kwemukelwa okugeza ngosawoti iodized, ukwandisa isibalo amasosha omzimba ngokumelene amaseli yegilo.

Izibikezelo ukutakula

Izifo Hashimoto sika thyroiditis (izimpawu kanye nokwelashwa, izimbangela zezinkumbulo isifo kungatholakala esihlokweni) kuyinto izibikezelo esihle yokutakula. Uma lesi sifo wathatha ngesimo hypothyroidism, isiguli ziyophoqeleka ukuba baphuze imithi ukuphila gormonosoderzhaschie.

Control nemingcele hormone idingekile ukuze njalo ngemva kwezinyanga eziyisithupha. Ngokuhambisana imiphumela yokuhlaziya udonsa iziphetho mayelana okunye ukwelashwa.

Uma ultrasound yabonisa Izigaxana, okuyinto basuke ehlelekile okwandisa ubukhulu, ochwepheshe batusa ukuchitha biopsy wokubhoboza we indlala yegilo. Lokhu kwenziwa ukuze aqede isimila zokwakheka ebulalayo. Uma ubukhulu ngamaqhubu engaphansi isentimitha, umuntu akufanele sikhohlwe ukuba afeze ukuqapha okuqhubekayo isimo yegilo.

hormone Kungani yegilo

Empeleni, ama-hormone egilo zinengxenye izinqubo eziningi emzimbeni, okuyilezi:

- alawule ukushisa exchange;

- banesibopho ukwakheka kwamaseli amasha kanye nokukhula wonke umzimba;

- babamba iqhaza ekuthuthukisweni izinhlelo sezinzwa futhi zokuzala;

- alawule umzimba;

- iqhaza kumiswa igazi.

Indlala yegilo elawula cishe zonke izinqubo emzimbeni, ngakho uma ehluleka, baqala zingasebenzi kahle, zonke izinhlelo zomzimba womuntu. Njengoba ama-hormone egilo inethonya wonke umzimba, kunzima kakhulu ukuhlonza izimpawu zesifo kuyinto thyroiditis Hashimoto sika. Ngokuvamile ku kusaqalwa lesi sifo kuphela kwaba nokwanda izicubu yezindlala, kanye namazinga aphakeme hormone ekhiqizwa indlala yegilo. Yingakho lesi sifo kunzima kakhulu ukuqala okuphulukisa.

Thyroiditis ngesikhathi sokukhulelwa

Ukukhulelwa isimo yegilo okuhambisanayo kwasekuqaleni kuzoncika sengqondo loMkhandlu umama okhulelwe ukuze impilo yabo futhi impilo umntwana babo abangakazalwa. Ngakho-ke, zonke imikhiqizo udokotela, kudingeka uzinike isikhathi, ngesikhathi futhi umthamo kwesokudla. Uma loku kungentiwa, izimpilo zabesifazane nezingane kuzoba yingozi enkulu.

Uma iphathwa kahle futhi sihlale njalo siqaphele izinga lama-hormone, le yokukhulelwa nokubeletha kwenzeke kalula futhi isongele ekuphileni komntwana ngeke yini.

Kumele kukhunjulwe ukuthi ukushintsha kwama-hormone ohlelweni endocrine ngokuvamile kwenzeka kwabesifazane abakhulelwe. Ngakho-ke ukuxilonga izifo sokuhlasela kwamasosha omzimba kungenzeka kuphela ukusebenzisa izindlela ezincane kanye ultrasonic.

Thyroiditis ezinganeni

Ngokuvamile, isifo kungatholakala e izingane ngaphambi kusukela kwabasanda kweva eshumini phakathi kwalo. Kusukela ngalesi sikhathi izinguquko ezinkulu zenzeka ohlelweni endocrine, yikuphi ukwephula indlala yegilo kungenzeka ngempela ngokuzumayo. Nokho, ibhalansi hormone izingane eziningi sika normalizes ngokwayo, ngaphandle ukusetshenziswa kwezidakamizwa hormone. Kulokhu kuphela ne ehlelekile isinxephezelo izindlela.

Kodwa uma zonke udokotela ofanayo ebekiwe osemusha izidakamizwa hormone, ukwelashwa kufanele kwenziwe ngokucophelela okukhulu, ngoba kulesi simo, emva ukuthuthukiswa ngokobulili lesi sifo kufanele ashona.

Ezinganeni, lesi sifo ngokuvamile iningi eyohlasela ngenxa ukungondleki kahle, ngemvelo ezimbi, ukucindezeleka nokungakhulumisani kahle, yebo, yokuba izici zofuzo eziyingozi.

Zinakekele, bese kungekho isifo ngeke esabe. Yiba enempilo.