Lub thyroid yog ib lub qog zoo li npauj npaim uas nyob rau hauv pem hauv ntej ntawm lub caj dab nyob rau hauv qab lub thawv suab. Lub qog no ua lub luag haujlwm tseem ceeb hauv peb lub cev los tswj cov metabolism, tswj lub zog, lub cev kub thiab ntau lwm yam. Muaj ob qho teeb meem thyroid uas tshwm sim, uas yog hypothyroidism thiab hyperthyroidism. Hauv hypothyroidism, lub qog tsim cov tshuaj hormones tsawg dhau hauv lub cev uas ua rau koj lub cev qeeb. Hauv Hyperthyroidism, lub qog tsim ntau cov tshuaj hormones uas pab ua kom lub cev ua haujlwm sai dua. Tam sim no, hauv cov blog no, peb yuav paub txog cov hom thyroid kom meej nrog lawv txoj kev kho mob. Thaum kawg, peb yuav paub seb cov no puas tuaj yeem cuam tshuam rau kev xeeb tub lossis cev xeeb tub.
Hypothyroidism yog dab tsi?
Nws tseem hu ua kev ua haujlwm tsis zoo ntawm cov thyroid. Nws tshwm sim thaum lub qog thyroid tsis tsim cov tshuaj hormones T3 thiab T4 txaus. Cov tshuaj hormones no tswj cov metabolism thiab ua rau muaj cov tsos mob xws li qhov hnyav nce, qaug zog, lub plawv dhia qeeb thiab lub zog qis. Cov poj niam muaj feem yuav mob hypothyroidism ntau dua li cov txiv neej, thiab nws tuaj yeem tshwm sim tom qab cev xeeb tub, uas hu ua postpartum thyroiditis. Hypothyroidism yog ib qho mob uas tus kws kho mob tuaj yeem kho tau yooj yim. Feem ntau cov neeg mob muaj peev xwm daws qhov teeb meem nrog cov tshuaj tsim nyog nrog kev pab los ntawm lawv tus kws kho mob endocrinologist.
Cov tsos mob ntawm Hypothyroidism
Cov tsos mob ntawm tus mob hypothyroidism yuav maj mam tshwm sim thiab nws kuj nyob ntawm tus neeg mob. Qee cov tsos mob uas pom ntau muaj xws li:
- Qhov hnyav nce
- Lub plawv dhia qeeb
- Cov leeg tsis muaj zog
- Puffy ntsej muag
- nkees nkees
- Lub caij nyoog tsis sib xws
- Cov tawv nqaij qhuav thiab plaub hau
- Kev nyuaj siab
- cem quav
- Mob pob qij txha thiab mob pob qij txha
Cov ua rau mob Hypothyroidism
Qee qhov ua rau mob hypothyroidism feem ntau yog:
- Kab mob HashimotoTus kab mob Hashimoto yog tus kab mob uas ua rau muaj tus kab mob no. Hauv qhov teeb meem no, lub cev tiv thaiv kab mob ntawm peb lub cev yuav tawm tsam peb lub qog thyroid uas ua rau cov thyroid hormone tsawg dua.
- Kev Phais Mob Thyroid: Yog tias koj tau phais kom tshem tawm ib feem lossis tag nrho cov thyroid caj pas qhov no yuav txo lossis tso tseg kev tsim cov tshuaj hormones.
- Kev kho hluav taws xob: Cov kws kho mob siv txoj kev kho mob no los kho thaj chaw taub hau thiab caj dab ntawm mob qog noj ntshav thyroid thiab lwm yam cancer, ib yam nkaus. Nrog rau cov hluav taws xob no nws tuaj yeem ua rau peb cov hlwb thyroid puas tsuaj mus tas li uas ua rau lub qog no ua haujlwm qeeb.
- Iodine DeficiencyLub cev tib neeg xav tau cov iodine ntau ntau hauv nws cov zaub mov kom tsim cov tshuaj hormones thyroid. Yog tias koj tsis noj cov iodine kom raug los ntawm koj cov zaub mov ces nws tuaj yeem ua rau hypothyroidism.
- Tshuaj: Qee cov tshuaj siv los kho cov mob plawv thiab cov teeb meem kev puas siab puas ntsws, xws li lithium thiab amiodarone, uas tuaj yeem cuam tshuam rau kev ua haujlwm ntawm thyroid.
Kev Kho Mob Hypothyroidism
Muaj qee txoj hauv kev los kho hypothyroidism:
- Hloov cov thyroid hormones: Qhov no yog kev kho mob feem ntau uas yog noj ib lub tshuaj txhua hnub uas muaj cov tshuaj hormones thyroid hu ua levothyroxine. Cov tshuaj no pab hloov cov tshuaj hormones uas ploj lawm thiab ua rau rov qab ua haujlwm li qub. Thaum koj pib hloov cov tshuaj hormones thyroid, koj yuav tsum sib txuas lus nrog koj tus kws kho mob.
- Kev kuaj ntshav li niaj zaus: Thaum pib, tus kws kho mob yuav qhia rau tus neeg mob kom kuaj ntshav rau Thyroid Stimulating Hormone (TSH). Cov kev kuaj no pab tus kws kho mob xyuas koj qib thiab raws li qhov ntawd lawv yuav kho cov koob tshuaj yog tias xav tau.
Hyperthyroidism yog dab tsi?
Nws tshwm sim thaum lub qog thyroid tsim cov tshuaj hormones thyroid ntau heev xws li thyroxine, T3, thiab T4. Qhov no ua rau lub cev ua haujlwm sai dua thiab tuaj yeem cuam tshuam rau ntau yam haujlwm ntawm lub cev. Nws yog ib qho mob thyroid ua haujlwm ntau dhau. Hauv qhov teeb meem no koj yuav ntsib kev ntxhov siab, pw tsis tsaug zog, hws lossis ntsej muag liab thiab koj tuaj yeem poob phaus yam tsis tau sim.
Cov tsos mob ntawm Hyperthyroidism
Cov tsos mob tseem ceeb ntawm hyperthyroidism yog:
- poob phaus
- Nervousness
- Ntxhov siab vim
- Kev chim siab
- Tremors
- Thaum tshav kub kub rhiab heev
- Tawm fws
- nkees nkees
- Nyuaj pw tsaug zog
- Lub voj voog ntawm lub hli tsis muaj zog
Ua rau Hyperthyroidism
Muaj qee qhov ua rau muaj tus kab mob no:
- Grave's Disease: Nws yog qhov ua rau feem ntau. Hauv qhov mob autoimmune no, lub cev tiv thaiv kab mob tsim cov tshuaj tiv thaiv xws li thyroid stimulating immunoglobulins uas ua raws li TSH thiab txuas ntxiv txhawb lub thyroid, uas ua rau nws tsim cov thyroxine ntau dhau.
- Cov thyroid nodules: Qee zaum cov qog thiab cov nodules tuaj yeem tsim nyob rau hauv koj lub qog thyroid uas ua rau muaj ntau dhau ntawm cov tshuaj hormones.
- Kev Noj Qab Haus Huv Iodine Ntau: Kev noj ntau dhau ntawm iodine los ntawm koj cov zaub mov lossis tshuaj tuaj yeem ua rau hyperthyroidism.
- Thyroiditis: Kev o ntawm cov thyroid caj pas vim yog kev kis kab mob lossis kev tiv thaiv kab mob autoimmune uas tso cov tshuaj hormones khaws cia rau hauv lub cev los ntawm cov ntshav uas ua rau hyperthyroidism.
Kev Kho Mob Hyperthyroidism
Muaj cov kev kho mob hauv qab no rau hyperthyroidism :
- Cov tshuaj tiv thaiv thyroid: Cov tshuaj xws li methimazole thiab propylthiouracil (PTU) tuaj yeem ua rau qeeb lossis thaiv qhov ntau ntawm cov tshuaj hormones hauv peb lub qog thyroid.
- Kev Kho Mob Radioactive Iodine: Hauv kev kho mob no lawv siv ib hom tshuaj iodine tshwj xeeb los txo cov qe ntshav hauv cov thyroid kom nws tsis txhob tsim cov tshuaj hormones ntau dhau. Tib neeg noj cov tshuaj iodine no ua ib lub tshuaj ntsiav yog li nws tsuas yog cuam tshuam rau cov qog thyroid xwb.
- Beta BlockersCov tshuaj beta blocker tsis cuam tshuam ncaj qha rau cov qog thyroid tab sis lawv pab txo cov tsos mob xws li lub plawv dhia ceev thiab tshee hnyo. Tus kws kho mob siv cov tshuaj beta blockers nrog rau lwm yam kev kho mob.
- Kev Phais Mob Thyroid: Thaum tus neeg mob tsis teb zoo rau lwm yam kev kho mob ces cov kws phais yuav phais tshem tawm tag nrho lossis ib feem me me ntawm cov qog thyroid. Tom qab thyroid phais tus kws kho mob pom zoo kom noj tshuaj thyroid hormone hloov kho kom rov zoo sai dua.
Qhov sib txawv ntawm Hypothyroidism thiab Hyperthyroidism
Nov yog qhov sib txawv tseem ceeb ntawm hypothyroid thiab hyperthyroid:
| nta | Congenital hypothyroidism | Hyperthyroidism |
| Lus txhais | Nws tsis tshua muaj zog thiab tsim cov tshuaj hormones me me. | Nws ua haujlwm ntau dhau thiab tsim cov tshuaj hormones ntau heev. |
| metabolism hauv | Qaug zog zuj zus | Ua kom nrawm dua |
| Lub cev hnyav hloov | Qhov hnyav nce | poob phaus |
| Qib Zog | nkees nkees | Nyob tsis tswm |
| Kub rhiab heev | rhiab heev rau huab cua txias | Kub rhiab heev |
| mus ob peb vas | Kev nyuaj siab | Kev ntxhov siab thiab kev khaus |
| Kev qab los yog | Txo qab los noj mov | Kev ntshaw zaub mov ntau ntxiv |
| Kev Ua Nres | kab mob Hashimoto | Grave tus kab mob |
| lub cev Tsos | Lub ntsej muag o, daim tawv nqaij qhuav | Qhov muag loj, cov plaub hau zoo |
| Lub plawv dhia | Quaj siab lub plawv dhia | Lub plawv dhia ceev ceev |
Kuv yuav paub li cas yog tias kuv muaj Hyperthyroidism lossis Hypothyroidism?
Cov no yog cov kab mob thyroid uas muaj cov teebmeem txawv rau lub cev. Hyperthyroidism ua rau peb lub cev zom zaub mov ntau ntxiv thiab ua rau poob phaus, lub plawv dhia ceev, ntxhov siab thiab tawm hws. Hypothyroidism ua rau peb lub cev zom zaub mov tsawg dua thiab ua rau qaug zog, nce phaus, tawv nqaij qhuav thiab rhiab rau huab cua txias. Yog tias koj xav tias muaj cov tsos mob no ces nrhiav kws kho mob sai li sai tau. Lawv yuav qhia koj cov kev kuaj ntshav thyroid xws li TSH, T4 thiab qee zaum T3 uas tsim nyog los kuaj qhov mob no thiab pib kho kom zoo.
Lawv cuam tshuam li cas rau Fertility thiab cev xeeb tub?
Yog tias hyperthyroidism thiab hypothyroidism tsis tau kho raws sijhawm, ces lawv tuaj yeem cuam tshuam rau koj txoj kev muaj menyuam thiab cev xeeb tub. Hypothyroidism tuaj yeem ua rau lub sijhawm tsis xwm yeem, poob menyuam, teeb meem ovulation thiab ntau ntxiv. Ntawm qhov tod tes, hyperthyroidism tuaj yeem ua rau tsis sib npaug ntawm cov tshuaj hormones, cuam tshuam lub voj voog ntawm lub hli thiab ua rau muaj kev pheej hmoo ntawm kev yug ntxov. Nrog kev pab los ntawm kws kho mob, koj tuaj yeem tau txais kev kho mob kom zoo, kuaj xyuas thyroid tsis tu ncua thiab tshuaj rau kev xeeb tub noj qab haus huv.
Thaum twg mus ntsib kws kho mob?
Yog tias koj ntsib cov tsos mob ntawm hypothyroidism lossis hyperthyroidism lossis pom muaj kev hloov pauv hauv koj lub caj dab qhov twg thyroid nyob, ces hu rau koj tus kws kho mob tam sim ntawd sai li sai tau. Qee cov tsos mob xws li lub plawv dhia ceev, qaug zog, hloov pauv qhov hnyav, ntxhov siab thiab ua tsis taus pa tuaj yeem ua rau koj muaj kev phom sij tiag tiag. Kev kuaj pom thaum ntxov yuav pab koj tau txais kev kho mob zoo thiab pab koj rov zoo sai.
xaus
Ob hom kab mob thyroid uas feem ntau pom yog hypothyroidism thiab hyperthyroidism uas cuam tshuam rau lub cev hauv ntau txoj kev sib txawv. Hypothyroidism ua rau lub cev ua haujlwm qeeb tab sis hauv hyperthyroidism, nws ua rau lawv ceev dua. Ob qho kab mob no tuaj yeem cuam tshuam rau koj lub zog, kev xeeb tub thiab kev noj qab haus huv tag nrho thaum tsis kuaj xyuas. Kev kuaj mob thaum ntxov ntawm cov kab mob no nrog kev kuaj mob xws li TSH, T3 thiab ntau lwm yam tuaj yeem pab tau zoo heev hauv kev kuaj pom hom thyroid thiab tau txais kev kho mob kom zoo. Nrog kev pab los ntawm kev kho mob thiab kev kuaj xyuas txhua hnub tus neeg mob tuaj yeem rov qab mus rau lawv txoj kev ua neej ib txwm thiab noj qab haus huv.
Lus Ceeb Toom: Cov blog no tsuas yog rau kev qhia xwb. Yog tias koj muaj ib qho ntawm cov tsos mob uas tau muab los saum toj no, thov nrog koj tus kws kho mob tham.