SIDA AY U BAAHAN YAHAY XANUUNKA XANUUNKA Xanuunka Nirroolka ee Laga Yaabo Inay Ku Xirtaan Tilmaamaha Dheeriga
Sida laga soo xigtay Washington, Hay'adda Endocrine Society, hypothyroidism ( shaqo tayroodh hooseeya) waxay ku dhacdaa qiyaas ahaan boqolkiiba shan dumarka iyo boqolkiiba hal ragga. Waa xaalad keeni karta daal, calool-gal, qabow-qabow, miisaanka, korodh timaha, maqaarka qalalan, iyo xabeeb.
Mid ka mid ah calaamadaha yaryar ee la aqoonsan yahay ee cudurku waa kuwa ka mid ah nidaamka dareemayaasha, gaar ahaan nidaamka neerfaha.
Tani waa qayb ka mid ah xaddiga maskaxda iyo xangulada laf-dhabarka waxayna mas'uul ka tahay hawlaha dareenka iyo mashiinka jidhka iyo addimada.
Mid ka mid ah cudurrada aan si caadi ah loo sheegin sida astaamaha hypothyroidism waa cillad maskaxeed (CTS ). Inkasta oo aynu u leenahay in aan la xidhiidhno dhaawaca soo noqnoqda ee curcurta, dad badan ayaa bilaabay in ay aqoonsadaan CTS labadaba astaamaha suurtagalka ah ee hypothyroidism iyo calaamadaha digniinta hore ee cudurka qanjidhka aan la ogaan karin.
Sidee Buufiyadu u keentaa CTS
Hypothyroidism waxaa loo yaqaanaa inay keento xaalad la yiraahdo neef-ba'an dadka naafada ah. Peripheral neuropathy waa erey loo isticmaalo qeexitaanka dhaawaca nerves peripheral, oo keenaya dareemo aan caadi aheyn oo xanuunka iyo xanuunka sida:
- Kabuubis
- Gubasho, xiirid, ama "dareeraha iyo cirbadaha" dareenka
- Murqaha daciifka
- Feejignaanta inuu taabto ama heerkulka
Inkastoo xiriirka ka dhexeeya shaqada tayroodh iyo neeropathy-ka neefsashada aan si buuxda loo fahmin, waxaa la rumaysan yahay in cudurka hypothyroidism uu keeni karo dheecaan dheecaan ah oo keena unugyada barara.
Waa bararkan oo cadaadiska joogtada ah ku qaadi kara dareemayaasha dabiiciga ah.
Mid ka mid ah goobaha sida caadiga ah u saameeyeen waa curcurka meesha dareemayaasha ay u socdaan iyada oo loo marayo wiish jilicsan oo loo yaqaan tunnel carpal. Haddii cadaadis la saaro aaggan, waxay keeni kartaa calaamadaha CTS. Mid ka mid ah astaamaha suurtagalka ah ee kudhaca maskaxda (hypothyroidism) waa marka aysan jirin sababo kale oo cudurka ah, oo ay ka mid yihiin dhaawacyo jahwareer ah ama dhaawac badan .
Inkastoo inta badan kiisaska CTS-du aysan la xiriirin cudurka hypothyroidism, CTS-du waa mid ka mid ah calaamadaha ugu badan ee cudurka hypothyroid-ku xiran ee neuropathy. Sababaha kale waxaa ka mid ah sonkorowga iyo cudurrada wadajir ah .
Daaweynta
Inkasta oo xanuunka dareemaha dareenka ah uu noqon karo mid dhib badan oo xitaa wax u dhimaya qaar, daaweynta hypothyroid waxay inta badan cirib tiri kartaa calaamadaha. Bartamaha tan waa isticmaalka nuxurka hormoonka ah ee loo yaqaan 'synthetic hormone levothyroxine' oo si caadi ah loo isticmaalo in lagu nadiifiyo heerarka hoormoonka ee dadka qabta hawlo tayroodh.
Waxaa sidoo kale muhiim ah baahida loo qabo in la kormeero heerarka hormoonka muddada daaweynta. Waxaa jira cadaymo muujinaya in, xitaa dadka ku jira daaweynta hormoonka beddelidda hormoonka , heerarka TSHK ee sareeya ay kordhin karaan khatarta CTS-da si fudud sababtoo ah cudurka ayaa la qaadayaa.
Marka laga soo tago levothyroxine, dhakhaatiirtu waxay ku talin karaan daaweynta soo socda ee dadka CTS:
- Buruska curcurka, oo habeenkii la seexdo iyo mararka qaarkood maalintii
- Daawooyinka aan dawooyinka lahayn (anti-inflammatory drugs) (NSAIDs)
- Daaweynta shaqooyinka iyo jimicsiga si aad u kordhisid awoodda jilibka
- Isbedelka ku yimaadda ergonomiska xafiiska
- Cortisone cirbadaha
- Qalliinka maskaxda
Ereyga
Inkastoo cudurka hypothyroidism uu yahay mid aan macquul ahayn ee CTS, adiga (ama dhakhtarkaaga) ma aha in aad ka qaadatid in dhaawac weyni uu yahay sababta keliya.
Dhakhaatiir badan ayaa maanta baaraya dadka CTS-da ee cudurka macaanka ama hypothyroidism sida koorsada.
Marka sidaas la sameeyo, qof la aqoonsan yahay hypothyroidism wuxuu awoodi karaa inuu iska ilaaliyo qalliin isla markaana xaaladdooda si guul leh loola dhaqmo daawooyinka keligood.
> Ilo:
> Azhary, H .; Farooq, M .; Bhanushali, M. et al. "Peripheral Neuropathy: Ciladaha Diinta iyo Maareynta." Amer Fam Phys. 2010; 81 (7): 887-92.
> Bulshada Endocrine. "3. Hypothyroidism." (2015) Xaqiiqooyinka iyo Calaamadaha Indho-Daro: Tirada (First Edition). Washington, DC: Ururka Dhimirka Indhaha.