Dulmarka Daaweynta Qanjidhka Dumarka
Daaweynta xaaladaada thyroid waxay ku xiran tahay nooca dhibaatada thyroid-ka iyo in aad qanjidhkaagu uu yahay mid aan firfircooneyn, aan firfircooneyn, ama uu yahay kansar. Halkan waxa ku yaala aragtida guud ee daaweynta kala duwan ee loo bixiyay xaaladaha tayroodh.
Hyperthyroidism / Daaweynta Cudurrada Daawooyinka
Marka qanjidhkaagu uu si caadi ah u dhaco ama si joogta ah u xakameysan - xaalad loo yaqaan hyperthyroidism -waxaad soo saaraysaa hoormoonka tayroodh aad u badan.
Hyperthyroidism waxaa badanaa sabab u ah xaalad ba'an oo loo yaqaan 'Graves' , ama xaaladaha qaarkood sababo qanjirka thyroid oo keena hormoonka thyroid-ka ee badan ama thyroiditis.
Hyperthyroidism waxaa lagu daaweeyaa iyada oo la isaga difaacayo thyroid-ka hormoonka kor u kaca, hoos u dhigista awoodda qanjidhka ee hormoonka, ama qalliin looga saaro. Gaar ahaan, daaweynta waxaa ka mid ah:
- Dawooyinka antidikaotiyada , oo ay ku jiraan methimazole (Tapazole), propylthiouracil (PTU), iyo carbimazole (Neo-Mercazole). Sababtoo ah PTU ayaa mararka qaarkood lala xiriiriyaa waxyeelo halis ah, methimazole waxaa loo tixgeliyaa daawada antithyroid ee Maraykanka (PTU), si kastaba ha ahaatee, waxaa lagula talinayaa daaweynta inta lagu jiro seddexda bilood ee ugu horreysa ee uurka sababtoo ah khatar yar oo ka dhalata cilladaha dhalashada ee la xidhiidha methimazole.
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Hypothyroidism Inta badan lama qabin Levothyroxine iyo Normal TSH
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Ilaalinta Qoyska Ka Dib Daaweynta Raadiyaha Iodiin
- Daweynta iodine-ga ee Raadiyaha ah (RAI) , oo loo yaqaan 'radioiodine ablation' . Daaweyntani waxaay ku saabsantahay qaadashada qiyaas daawo iodine ah, ka dibna waxaa ku soo baxa thyroid oo burburiya-ama dhamaan-ama qayb ka mid ah awoodda qanjidhada ee soo saaridda hoormoonka tayroodh.
- Qaliinka ka-saarista dhammaan ama qayb ka mid ah qanjirka, oo loo yaqaano thyroidectomy.
- Xaaladaha qaarkood, calaamadaha cudurka hyperthyroidism sida wadne garaaca wadnaha, garaaca, ama cadaadiska dhiigga oo sareeya ayaa sidoo kale lagu daaweeyaa daawooyinka loo yaqaan beta blockers.
Guud ahaan, habka daaweynta loo isticmaalo waxay ku xiran tahay darnaanta xaaladdaada, haddii aad u dulqaadan karto daawooyinka antidiotiyada, iyo haddii aad uur leedahay ama qorsheyneyso inaad dhawaan uur yeelato.
Juqraafigu sidoo kale waa arrin, sababtoo ah waxa aad u badan tahay in lagu siiyo RAI-ka Mareykanka ama qaliinka daawada antithyroid. Maraykanka dhexdiisa, qaliinka waxaa loo yaqaan 'hyperthyroidism', haddii aadan uur lahayn oo aadan u dulqaadan karin daawooyinka antidiotiko. Daawada dawada ee antithyroid waxay u badan tahay inay noqoto qofkii ugu horeeyey ee daaweeynaya daaweynta, iyo qaliinka ayaa si ballaaran loo isticmaalaa, gaar ahaan carruurta iyo haweenka da'da dhalashada.
Qaar ka mid ah daaweynta murugada leh ee daaweynta loogu talagalay daaweynta waxaa ka mid ah daaweynta block / replacement therapy (BRT) oo isku-dar ah daawooyinka hormoonnada hormoonada hormoonka ah iyo daawooyinka antithyroid-iyo habka loo yaqaano " embolization arterial artery" .
Bukaannada ugu badan kuwa qaata daaweynta RAI ama qalliinka ayaa ugu dambeyntii dhameeya hypothyroid, waxaana lagu daaweeyaa daawooyinka hormoonnada hormoonka tayroodh .
Qaar ka mid ah dadka farsameysan ee ku takhasusay ayaa kugula taliya hababka yareynta cadaadiska iyo maaraynta macaamiisha sida foojignaan la hagayay, isugeynta nafaqada iyo nafaqada, daawada dhaqanka ee Shiineeska ah, iyo habab kale oo xeeldheer si ay u caawiyaan qanjirka 'overactive'.
Daaweynta Goiter
Goiter-ka wuxuu loola jeedaa korriin tayo badan, oo ku dhici karta labadaba hypothyroidism iyo hyperthyroidism.
Iyada oo ku xiran xajmiga iyo meesha, haddii aad leedahay googo, waxay keeni kartaa dareemid buuxda qoorta, xanuunka, iyo sida caadiga ah, caadi ahaan, waxay adkeyn kartaa in la liqo ama la neefsado.
Haddii aad leedahay goys yar oo aan calaamado lahayn oo aan la soconin wax qalad ah oo ku jira heerarka tayroodhka, dhakhtarkaagu wuxuu go'aansan karaa in uu kormeero - ma daaweyn-goostaada.
Qeyb yar oo, guntada astaamaha ah, dhakhtarradu sida caadiga ah waxay kuula dhaqmaan daawooyinka hormoonnada hoormoonka tayroodh . Xaaladaha qaarkood, daroogadu waxay gaabin kartaa ama joojin kartaa kobaca maqaarkaaga, laakiin maaha inay yareyso.
Haddii xajiyahaagu aad u weyn yahay, sii wadaan inuu koro inkastoo uu ku jiro hoormoonka tayroodhka, adiguna aad u riixdo, ama aad ufududeysid wax liqid ama neefsasho, dhakhtarkaagu wuxuu kugula talin karaa iodine radioactive (RAI) inuu yareeyo dheef-shiidkaaga, ama qalliin si looga saaro dhammaan ama qayb ka mid ah qanjidhka thyroid.
Xaaladda goyska oo sabab u ah yaraanta iodine, dhakhtarkaagu wuxuu kugula talin doonaa isticmaalka iodine supplemental.
Daweynta Thyroid Nodule
Inta badan qanjidhada thyrox-ka waa kuwo wanaagsan. Si yaryar, calaamadaha aan fiicnayn ee keena calaamado, dhakhaatiir badan ayaa doorbidaya inay la socdaan bukaanka. Boqolkiiba tiro badan oo ka mid ah dadweynaha - khubarada qaarkood waxay soo jeediyaan dadka intiisa badan - waxay leeyihiin sifooyinka asymptomatic ah, oo uma baahna daaweyn dheeraad ah.
Qalabka koowaad ee daaweynta calaamadaha sigaarka ah, inta badan daaweyntu waxay badanaa tahay isbedelka hoormoonada hormoonka ee hormoonka tirokyroxine , kaasoo mararka qaarkood hoos u dhigi kara nodule, ka hortagga noduleska soo koraya, oo ka caawiya ka hortagga inuu ka yimaado qaabab badan. Sababtoo ah daaweyntu waxay si buuxda u shaqeyneysaa tiro yar oo ka mid ah bukaanada, daaweynta levothyroxine waxaa loo tixgeliyaa inay tahay arrin murugo leh.
Xaaladaha qaarkood, haddii noodleerka la socdo hyperthyroidism, iodine radioactive (RAI) ayaa loo adeegsadaa, si loo yareeyo nodule iyo qanjirka thyroid. Haddii laf-dhabarku ku yaraado oo aan daaweyn lahayn daawada ama RAI, qalliin ayaa inta badan lagula taliyaa.
Qaab kale oo loo isticmaalo nodules waa cirbadeynta ethanol (PEI) , halkaas oo qanjirada ay hoos u dhacdo cirbad.
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Bukaannada Qanjirka 'Thyroid': Miyaad u Baahantahay T3 ama Dabeecadda Dabiiciga ah?
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Metformin iyo Thyroid Your
Tiknoolajiyad kale oo cusub oo aan qalliinka ahayn ee loogu talagalay nodules waa farsamooyinka farsamada sare ee ultrasound .
Haddii noodleerka ama nodules badan la go'aamiyo inay noqdaan kansar, dhakhtarkaagu inta badan waa qaliinka oo dhan laga saaro dhammaan ama qayb ahaan. Marka laga hadlayo kansarka , hababka daaweynta kansarka qanjirka 'thyroid treatment' waxaa lagu raacaa nooca kansarka la ogaaday.
Waqtigii hore, thyroidectomy ayaa la sameeyey kadib markii daaweyn cadaadis ah (FNA) uu muujiyay nodules aan caadi ahayn ama aan ciriiri lahayn , laakiin habka cusub ee loo yaqaan ' Veracyte Afirma Thyroid Analysis' ayaa si aad ah u yareysa natiijooyinkan aan caddayn oo waxay ka hortagtaa qalliinka aan loo baahnayn .
Tilmaamiin faahfaahsan oo ku saabsan daaweynta noduleska waxaa lagu soo bandhigay Ururka Mareykanka ee Dhakhtarka Caafimaadka ee 'Endocrinologists' ee Tilmaamaha Caafimaadka ee Hawlgallada Caafimaad ee loogu talagalay Xaqiiqda iyo Maareynta Qanjiraha Nodules.
Daaweynta Thyroiditis
Qanjirka 'Thyroiditis' wuxuu loola jeedaa infakshanka qanjirka 'thyroid'. Halkaas ootamoto (Hashimoto's) thyroiditis waa tan ugu caansan, waxaa jira noocyo kale ee thyroiditis, oo ay ka mid yihiin thyroiditis-ka ka dib, De Quervain (oo loo yaqaanno subacute ama granulomatous) thyroiditis, iyo thyroiditis viral, iyo kuwo kale.
Sida lagu xusay, xaaladaha qaarkood, Hashimoto's thyroiditis waxaa lagu daaweeyaa daawooyinka hormoonnada hormoonka tayroodh . Xaaladaha xanuunka thyroiditis ee xanuunka leh, dhakhtarradu caadi ahaan waxay kugula talinayaan xanuunka loo yaqaan 'antiviral', sida aspirin, ibuprofen (Advil / Motrin), ama naproxen (Aleve).
Haddii dheef-shiid kiimikaadka uu si gaar ah u xanuunsado, dhakhtarradu mararka qaarkood waxay kugula taliyaan daawooyinka steroid-yada si loo yareeyo bararka, oo ay weheliyaan daawooyinka hormoonnada hormoonnada hormoonnada hormoonka ah, si loo ogaado qanjirada in ay ka nastaan shaqadeeda wax soo saarka hoormoonka.
Dhinaca quudinta nafaqada, waxaa jira caddayn muujinaysa in la kordhiyo silica macdanta laga yaabo inuu ku caawiyo cudurka thyroiditis.
Halkan waxaa ku qoran macluumaad dheeraad ah oo ku saabsan noocyada gaarka ah ee thyroiditis :
- Riedel's thyroiditis
- subakute thyroiditis
- cudurka qanjirada ba'an ee ba'an
- xannuun la'aan thyroiditis
- thyroiditis postpartum
Daaweynta Cudurka Kaansaroolka
Waxaa jira afar nooc oo kala duwan ee kansarka thyroidka ah: fayadhowrka, xajmiga, daawooyinka, iyo anaplastic . Daaweynta kansarka thyroid waxay ku salaysan tahay nooca kansarka, iyo mararka qaarkood, waxqabadka-illaa inta kansarku ku faafay qaybaha kale ee jirka - iyo sidoo kale haddii uu yahay kansar cusub ama kansarka soo noqnoqda.
Daaweynta kansarka qanjirka 'thyrox' waxaa ka mid ah:
- Qalliinka si looga saaro kansarka, oo loo yaqaanno thyroidectomy . Qaar ka mid ah bukaannada ayaa hela xakameyn, kaas oo ka saaraya hal dhinac oo ka mid ah qanjidhka. Dhammaan wadarta qanjirka 'thyroidectomy' oo dhan ayaa ka saareysa dhammaan qanjidhada. Tirada guud ee qanjirka 'thyroid' waa laga saaraa wadarta guud ee tirtiridda . Qalitaanka lymph node waxaa sidoo kale mararka qaarkood la sameeyaa inta lagu jiro qalliinka qanjirka, si loo qiimeeyo fiditaanka kansarka thyroid.
- Daaweynta shucaaca si loo dilo unugyada kansarka. Kansarka tayroodhka, shucaacu inta badan wuxuu kudhacdaa dareer ama kiniin ku jirta kiimiko shucaac ah (RAI). Qanjirka 'Thyroid' wuxuu ka nuugaa iodine, iyo qaabka shucaacu ee iodine wuxuu ururiyaa unugyada thyroid wuxuuna dilaa unugyada kansarka. Xaaladaha qaarkood, shucaaca ayaa laga soo saaraa dibadda jirka, oo si gaar ah loogu bartilmaameedsado tufo, waxaana loo yaqaanaa shucaaca haragga.
- Daaweynta hormoonka, oo isticmaala daroogada hormoonka tayroodhka . Ka dib qaliinka tayroodh ama RAI, waxaad u badantahay inaad noqotid hypothyroid, oo aad u baahan tahay daawo joogto ah oo daawada hoormoonta loo isticmaalo. Xaaladaha qaarkood, dhakhaatiirta ayaa kugula talin doona qiyaasta yar ee uur-ku-taaga hooseeya ama aan la garan karin, si looga hortago kansarka tayroodhka soo noqnoqda.
- Daawooyinka la bartilmaameedsanayo, oo ay ku jiraan noocyo kala duwan oo daawooyin ah oo loogu talagalay noocyada kala duwan ee kansarka thyroid, oo ay ku jiraan kuwa u adkeysanaya daaweynta iodine raadiyaha.
- Chemotherapy ma aha mid caadi ah, laakin waxaa loo isticmaali karaa xaaladaha qaarkood, ugu horrayn si loo yareeyo calaamadaha.
Daaweynta Cudurka Dhiigga ee Hypothyroidism / Hashimoto
Hypothyroidism waa xaalad meesha thyroid-ka aan firfircooneyn, kiimikada la burburiyo, ama qalliin looga saaro, sidaas darteedna aan awoodin in ay soo saaraan heerar ku filan oo ah hoormoon tayroodh. Waxaan ka tagnay ugu dambeyn sababtoo ah, inta badan, daaweynaha kale ee qanjirada-badanaa - sababtoo ah waxay ku lug yeelanayaan raad raac ahaan ama qalliin ahaan u tirtiraayo qanjidhka-badanaa badiyaa adiga oo noqda hypothyroid.
Hypothyroidism waxaa lagu daaweeyaa adoo beddelaya hormoonka maqan, hormoon kaas oo lagama maarmaan u ah hawlaha muhiimka ah ee jirka. Tani waxay ku dhammaatay adigoo qaadanaya daawooyinka hoormoonka tayroodhka ee dhakhtarku kuu qoray.
Qalabka hoormoonada ee hormoonnada hormoonnada ah ayaa beddelaya hoormoonka tayroodh ee maqan ee jirkaada. Waxay ka mid yihiin kuwan soo socda:
- Daroogada bedelka loo yaqaan 'tyroid hormone' ugu badanaaba waa loo yaqaan 'levothyroxine', oo ah nooc caleenta ah oo lagu magacaabo thyroxine thyroxine thyroxine (T4). Magacyada caanka ah ee caanka ah waxaa ka mid ah Synthroid, Levoxyl, Unithroid, iyo Tirosint.
- Waxaa sidoo kale jira nooc caleenta ah ee hormoonka T3, oo loo yaqaanno liotyronine, oo mararka qaarkood lagu daro levothyroxin daaweynta isku dhafan ee T4 / T3. Magaca calaamadda ee Maraykanka waa Cytomel.
- Sidoo kale, waxaa jira daroogo beddelaad ah oo hormoon ah oo la yidhaahdo qanjirada dabiiciga ah ee loo yaqaan 'thyroid', mararka qaarkood la soo gaabiyo NDT ama loo yaqaan "extract extract from thyroid." Inkastoo uu diyaar u yahay in ka badan qarni ah isla markaana weli la isticmaalo maanta, NDT waxaa loo tixgeliyaa muran ka taagan beesha caafimaadka guud, laakiin waxaa badanaa loo qoraa dhakhaatiirta daawada oo dhammeystiran iyo kuwo shaqeeya. Magacyada guud ee caanka ah waxaa ka mid ah Nature-throid, Armor Thyroid, iyo WP Thyroid.
Daaweynta cudurka Hashimoto, xaalad-caafimaadeedka ba'an ee badiyaa keena hypothyroidism, waa muran badan. Dhakhaatiirta ugu muhiimsan waxay aaminsan yihiin in Hashimoto aysan u baahnayn daaweyn, waxayna kaliya daaweeyaan daawooyinka hormoonnada hormoonka tayroodhka marka ay Hashimoto keento hypothyroidism. (Baro wax badan oo ku saabsan kala soocidda: Hashimoto iyo Hypothyroidism: Waa maxay Farqiga?)
Dhaqtarka qaarkood waxay aaminsan yihiin in cudurka Hashimoto, oo lagu xaqiijin karo tijaabada tayroodhka difaaca jirka , wuxuu daaweynayaa bukaannada qaarkood oo calaamado muujinaya, xitaa haddii heerarka kale ee tayroodhku caadi yahay. Waxaa sidoo kale jira cadeymo muujinaya in daweynta cudurka Hashimoto ee qaba daawooyinka hoormoonka hoormoonka tayroodhka ka hor intaan laga qaadin heerka hormoonka kor u kaca ee hormoonada (TSH) heerarka tayroodhka (TSH) ayaa laga yareeyn karaa calaamadaha qaar. Cilmi-baarisyada qaarkood waxay sidoo kale soo jeedinayaan in daweynta qof qaba Hashimoto ee kale haddii uu leeyahay baaritaano dhiig oo caadi ah, oo ay ku jiraan heerka caadiga ah ee TSH , ayaa laga yaabaa inay ka caawiso ka hortagga heerka sare ee TSH iyo horumarka hypothyroidism oo buuxa. Si kastaba ha ahaatee, daaweynta Hashimoto's marka ay TSH waa caadi tahay.
Laba daweyn oo cusub oo loogu talagalay daawaynta Hashimoto: isticmaalka daawada qiyaasta yar ee naltrexone (LDN) iyo unugyada unugyada unugyada jirka ee unugyada jirka. Labada nooc ee daaweyntu waxay kaa caawin karaan hoos u dhigista unugyada difaaca jirka waxayna ku guuleystaan daaweynta bukaanka qaarkood.
Marka laga eego daawada isku dhafka ah , qaar ka mid ah dhakhaatiirta dabiiciga ahi waxay kugula talinayaan dheellitirka iodine , dheellitooyinka kale ee nafaqada, isbeddelka cuntada, isbitaallada gaarka ah, daawada maskaxda, iyo habab kale oo dheellitiran oo lagu caawiyo qanjirka.
Hababka kale ee daaweynta isku dhafan waxaa ka mid ah:
- Kala-saaridda Selenium si loo yareeyo difaaca jirka
- Wax ka qabashada isu dheelitir la'aanta la xidhiidha adrenal ee laga yaabo inay wax ka qabato daaweynta thyroid
- Isbedelada cuntooyinka si loo yareeyo bararka
- Ka saarista gluten cuntada ka timaadda xiriirka u dhexeeya gluten iyo autoimmunity
- Yaraynta cadaadiska iyo maamulka
Ereyga
Marka ay timaado inaad doorato daaweynta thyroid, waxaad u baahan tahay macluumaad. Meel fiican oo laga bilaabi karo halkan, iyada oo la adeegsanayo kheyraadyada dhamaystiran oo ku saabsan dhammaan dhinacyada dhibaatooyinka tayroodh .
Waxaad sidoo kale u baahan tahay inaad hesho dhakhtarkaaga ugu tafa-xayta badan , lana wadaagto isaga ama iyada. Xasuuso: Ha ka waaban inaad hesho fikrad labaad oo ku saabsan daryeelkaaga tirtirka haddii aad qabto su'aalo ku saabsan koorsada daaweyntaada.
Ilaha:
Bahn R, Burch H, Cooper D, et al. Hyperthyroidism iyo Sababaha kale ee Thyrotoxicosis: Tilmaamaha Maareynta ee Tiriimka Maraykanka ee Tirakoobka iyo Xiriirka Mareykanka ee Endocrinologists . Tababarka Indhaha . Vol 17 Maya 3 Maajo / Juun 2011.
> Garber J, Cobin R, Gharib H, iyo al. Tilmaamaha Tababarka Caafimaadka ee loogu talagalay Hypothyroidism ee Dadka Qaangaarka: Cosponsored by American Association of Endocrinologists Clinical Association iyo Ururka Tiriinka American . Tababarka Indhaha . Vol. 18 No 6 Noofembar / Disembar 2012.
Smallridge R, Ain K, Asa S, iyo al. Tilmaamaha Aashitada Maraykanka ee Tilmaamaha Maaraynta Bukaanka qaba Cudurka Tiriinka Anaplastic. Tirada . Volume 22, Number 11, 2012: 10.1089 / 20122010
Stagnaro-Green A, Abalovich M, Alexander E. et al. Tilmaamaha Ururka Astaamaha Ameerikaanka ee loogu talagalay Ciladda iyo Maareynta Cudurka Qanjirka 'Thyroid' inta lagu jiro xilliga uurka iyo dhalmada kadib. Tirada . Volume 21, Number 10, 2011 waxaad: 10.1089 / your.2011.0087
Wells S, Asa S, Dralle H, et al. Tilmaamayaasha Tiriimka Aasaasiga ah ee Maraykanka ee Maareynta Maaraynta Thyroid Therapy ee Medullary. Tirada . Volume 25, Number 6, 2015. doi: 10.1089 / Your 2014.0335