Hypothyroidism

Dulmarka guud ee Hypothyroidism

Hypothyroidism waa xaalad taasoo qanjirka thyroid-yar yar, qanjirada kuuskuusan ee qoortaada ku jira - ma keeno hormoon tayo leh oo ku filan. Waxaa mararka qaarkood loogu yeeraa "tirtir la'aan" tirokoob. Hypothyroidism wuxuu hoos u dhigaa dheef-shiid kiimikaad, taasoo keenta calaamadaha sida miisaan korodh, murgacasho, dareemid qabow, iyo in ka badan. Baaritaan dhiig oo fudud ah oo lagu magacaabo hormoonka thyroid-stimulating hormone (TSH) ayaa calaamadeyn kara hypothyroidism, iyo daaweynta hormoonada hormoon ee hormoonka ah ayaa daaweyn kara.

Adigoo helaya aqoonta ku saabsan cudurka hypothyroidism, oo ay ku jiraan waxa uu dareemayo sida dhibaatadan qanjirka ah, iyo sida loo ogaado oo loo maareeyo, waxaad noqon doontaa mid aad u diyaarsan oo isku kalsooni leh markaad bilaabeyso socdaalkaaga tirtirka.

> Fiiri anatomy ee qanjidhka, oo ku yaal korka xarkaha.

Astaamaha

Qanjirkaaga qanjirka 'thyroid gland' wuxuu isticmaalaa iodine dietinta si uu u sameeyo hoormoonka tayroodh. Marka uu jiro wax yar ee hoormoonka thyroid, jirkaaga ayaa dhib ku ah isticmaalka tamarta iyo joogista diiran.

• Daweynta Hivotyroidism ee Uurka

• Hypothyroidism iyo Migraines: Fahamka Link

Muruqyada, maskaxda, iyo xubnaha kale ayaa laga yaabaa inay dhibaato ka qabaan shaqeynta.

Calaamadaha iyo astaamaha hypothyroidism waa kuwo isbeddela oo waxay noqon karaan kuwo xaddidan, xitaa qaldamaan walaaca ama dhibaatooyin kale oo caafimaad.

Halkan waxaa kuugu dhow in la eego qaar ka mid ah calaamadaha qofka qaba qanjirro aan firfircooneyn oo laga yaabo in uu la kulmo:

• Dareemidda daal iyo daal, xitaa ka dib hurdo dheer
• Dareemidda niyadjab ama buluug
• Inaad miisaan u yeelato, inkastoo wax isbeddel ah lagaa bedelin cunto caafimaad leh iyo jimicsi
• Baro "fogaanta maskaxda" iyo adkaanta xoogga saaraya
• Dareemid dareento qabow marka dadka kale dareemaan kuleyl
• Muujinta timaha aan qalafsaneyn oo qalalan, jebin, jaban, ama dhacaya

• Ogaashada maqaarka oo adkaada, qalalan, xajin, iyo qaro, gaar ahaan cagahaaga
• Qalab aan caadi ahayn ama cadaadiska dhiigga
• Niyad jimicsi yaryar ama jilicsan
• Maqalka wajiga, gaar ahaan agagaarka indhaha
• Heerarka sare ee kolestaroolka oo aan waxba ka qabin daawada dufanka "cholesterol-lowering"
• Cilladaha caadada ah ee aan caadiga ahayn
• Baro muruqyada murqaha

Sababaha

Waxaa jira dhowr arrimood oo caafimaad iyo xaalado keeni kara hypothyroidism .

Cudurka infalawansada Hashimoto's thyroiditis waa sababta ugu badan ee keenta cudurka hypothyroidism ee Maraykanka. Cudurkan, unugyada difaaca ayaa weerara qanjidhada thyroid, taasoo ka dhigaysa mid aan awood u lahayn inuu shaqeynayo.

Qaliinka dambe ee qanjirka 'hypothyroidism' waxaa loola jeedaa hoormoonka qanjirka 'thyroid-ka ee' sababtoo ah in laga saaro qaliinka dhamaan ama qayb ka mid ah qanjirka thyroid. Qaliinka ku jira qanjirka 'thyroid' waxaa loo yaqaan 'thyroidectomy'.

Tijaabada 'hypothyroidism' waxaa laga yaabaa inay ka timaado daweynta Iodine (RAI), taas oo loo isticmaalo daaweynta hyperthyroidism iyo kansarka tayroodh. Cudurka shucaaca ee ku yimaada madaxa iyo luqunta, ama shucaac ka yimaada shilalka nukliyeerka sida Chernobyl ama Fukushima, ayaa sidoo kale keeni kara hypothyroidism.

Iyada oo ay la socoto hypothyroidism, dhalaanka cusub ayaa ku imaanaya adduunka iyada oo aan lahayn qanjirka thyroid ama qanjidh-ka qayb ahaan.

Hypothyroidism ayaa sidoo kale laga yaabaa inay ka dhalato qaadashada daawooyinka qaarkood (oo loo yaqaan ' hypothyroidism' ). In kasta oo tani aysan ahayn liis dhamaystiran, qaar ka mid ah dawooyinka sida caadiga ah loo yaqaan waa:

• Lithium
• Amiodarone
• Interferon alpha
• Interleukin-2

Hypothyroidism waxay ku dhici kartaa wax yar oo iodine ah (oo loo yaqaan ' iodine deficiency hypothyroidism' ) ama haddii iodine aad u badan la isticmaalo (oo loo yaqaanno iodine-hypothyroidism ).

Qanjirka ' hypothyroidism' ama 'hypothyroidism' , qanjirka 'pituitary' (oo ku yaal maskaxdaada) waa waxyeello (laga soo bilaabo burka, shucaaca, ama qalliin) oo aan awoodin inuu kiciyo qanjirkaaga qanjirka si uu u sameeyo hormoon tayroodh.

Marmar dhif ah, hypothyroidism-ka cudurada infiltrative (tusaale ahaan, sarkoidosis ama hemochromatosis) waxay soo saari karaan walxaha (sida granulomas ama birta, siday u kala horreeyaan) qanjirka thyroid, yareeya awoodda ay u leeyihiin inay shaqeeyaan.

Ciladeynta

Cudurka qanjirka 'hypothyroidism' wuxuu u baahan yahay baadhitaan caafimaad iyo baaritaan dhiig.

Imtixaanka Daaweynta
Marka lagu daro baadhitaanka qanjirka 'clinical' , oo ay ku jiraan baaritaanka gacanta iyo muuqaalka qanjirka 'thyroid', dhakhtarku wuxuu kaloo samaynayaa baadhitaan jireed si uu u eego astaamaha hypothyroidism. Qaar ka mid ah calaamadahaas waxaa ka mid ah maqaarka, qalafsan, garaaca wadnaha oo hooseeya, gaabis gaabis, iyo barar.

Baaritaanka Dhiiga

Baadhitaanka ugu weyn ee dhiigga loo isticmaalo si loo ogaado cudurka hypothyroidism waa baaritaanka hormoonka kicinta (thyroid stimulating hormone) (TSH) . Baaritaankani wuxuu cabirayaa TSH, oo ah hoormoonka pituitary. TSH waxay kacdaa marka ay ogaato heerarka hoose ee hoormoonka tayroodhka, waxayna dhacdaa marka uu ogaado hormoonka thyroid xad-dhaafka ah. Shaybaaradu waxay sameeyeen qiyaasta tixraaca, iyo heerarka kor ku xusan tixraaca tixraaca waxaa loo tixgeliyaa inay tilmaamayaan hypothyroidism.

Waxaa intaa dheer, heerarka xaddidan iyo kuwa la heli karo ee qiyaasta hoormoonka tayroodhka ah ee wareegsan - Tyroxin bilaash ah (T4 oo bilaash ah) iyo triodotyronine bilaash (T3 lacag la'aan ah) - lama qiyaasi karo. Waxaa jira kala duwanaansho tixraac ah labadan tijaabo ee hormoonnada, iyo heerarka hoos ku xusan tixraaca tixraaca (oo muujinaya in aysan jirin T4 oo bilaash ah iyo / ama T3 lacag la'aan ah) ayaa loo tixgeliyaa calaamadaha cudurka hypothyroidism.

• Caadi ahaantaada Caadi ah, laakiin weli waad qabtaa?

• Miyuu kaaga kaa hor istaagi karaa daawada 'Hypothyroidism'?

Daaweynta

Hypothyroidism waxaa lagu daaweeyaa daawo beddelaad hormoonka hoormoonta ah, taas oo ah daawo beddeleysa hoormoonka thyroid ee maqan ee jirka.

Levothyroxine
Daroogada bedelka loo yaqaan 'tyroid hormone' ugu badanaaba waa loo yaqaan 'levothyroxine', oo ah nooc caleenta ah oo lagu magacaabo thyroxine thyroxine thyroxine (T4).

Liotyronine
Waxaa sidoo kale jira nooc caleenta ah ee hormoonka T3, oo loo yaqaan liothyronin. Waxaa mararka qaarkood lagu daraa levothyroxine iyadoo qayb ka ah daaweynta loo yaqaanno T4 / T3 daaweynta isku-dhafan, inkasta oo tababarkan loo tixgelinayo muran ka dhashay cilmi-baarayaasha badan ee endocrinologists and practitioners majors.

Dabiiciga ah ee loo yaqaan "Thyroid Natural Desiccated"
Ugu dambeyntii, waxaa jira daroogo beddelaad ah oo hormoon ah oo loo yaqaan 'thyroid' oo dabiiciga ah, mararka qaarkood la soo gaabiyo NDT ama loo yaqaan "extract extract from thyroid." NDT waxaa ku jira foomamka dabiiciga ah ee T4 iyo T3 labadaba. In kasta oo uu diyaar u yahay in ka badan qarni, haddana wali waxaa la isticmaalayaa maanta, waxaa loo arkaa muran ka dhashay beesha caafimaadka guud iyo in badanaa loo qoro dhakhtarrada iskudhafka ah, shaqeeya, iyo kuwa jirka ah, marka la barbardhigo dhakhtarka indhaha iyo dhakhaatiirta caadiga ah.

Tilmaamaha rasmiga ah ee ururada qanjidhada kala duwan ee loo yaqaan 'levothyroxine' ayaa ah habka daaweynta loo doorbido, iyo in la joojiyo daaweynta T4 / T3 labadaba iyo isticmaalka NDT.

Ereyga

Haddii adiga (ama qof aad jeceshahay) dhawaan laguugu helay cudurka hypothyroidism, ama hadda laguu daaweeyo, laakiin weli aadan saxsanayn, fadlan ogow inaadan kali aheyn. Sii wad in aad raadsato aqoonta ku saabsan cudurkaaga qanjirka 'thyroid' iyo inaad iska caabiso markaad u socoto mararka qaarkood canshuurta safarka.

Sidoo kale, xusuusnow in si fiican loo noolaado cudurka hypothyroidism ma aha oo kaliya daawada. Waxa kale oo muhiim ah in aad si fiican wax u cunto, hesho nasasho ku filan, sameyso wakhti jimicsi iyo cayaar, iyo maaraynta walwalkaaga. Xitaa haddii aad dareentid inaad la dagaallamaysid dagaal yaryahay dhakhtar, daaweyn, iyo calaamadaha dhibta, haka deyin. Ugu dambeyntii waxaad ka heli doontaa jawaabaha kaa caawin doona inaad si fiican u noolaato oo aad si fiican u dareento.

> Ilo:

> Ururka Astaamaha Maraykanka. (nd). Hypothyroidism (aan firfircooneyn).

> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10-aad. WLL / Wolters Kluwer; 2012.

> Garber J et. al. Tilmaamaha Tababarka Caafimaadka ee loogu talagalay Hypothyroidism ee Dadka Qaangaarka: Cosponsored by American Association of Endocrinologists Clinical Association iyo Ururka Tiriinka American. Endocr Prac t. 2012 Nov-Dec; 18 (6): 988-1028.