I-thyroid yi-gland efana nebhabhathane efumaneka ngaphambili entanyeni ngaphantsi kwebhokisi yelizwi. Le gland idlala indima ebalulekileyo emzimbeni wethu ukulawula imetabolism, ukugcina amandla asemgangathweni, ubushushu bomzimba kunye nezinye ezininzi. Kukho iingxaki ezimbini eziqhelekileyo ze-thyroid, ezizi-hypothyroidism kunye ne-hyperthyroidism. Kwi-hypothyroidism, i-gland ivelisa iihomoni ezincinci kakhulu emzimbeni ezinciphisa isantya somzimba wakho. Kwi-Hyperthyroidism, i-gland ivelisa iihomoni ezininzi kakhulu ezinceda ukukhawulezisa umzimba. Ngoku, kule bhlog, siza kwazi ngeentlobo ze-thyroid ngokweenkcukacha ngonyango lwazo. Ekugqibeleni, siza kwazi ukuba ezi zinto zinokuchaphazela ukuzala okanye ukukhulelwa.
Yintoni i-Hypothyroidism?
Ikwaziwa nangokusebenza okuphantsi kwe-thyroid. Kwenzeka xa i-thyroid gland ingavelisi ii-hormone ze-T3 kunye ne-T4 ezaneleyo. Ezi hormone zilawula imetabolism kwaye zikhokelela kwiimpawu ezinje ngokutyeba, ukudinwa, ukubetha kwentliziyo okucothayo kunye namandla aphantsi. Abafazi banamathuba amaninzi okuba ne-hypothyroidism kunamadoda, kwaye ngamanye amaxesha inokukhula emva kokukhulelwa, eyaziwa ngokuba yi-postpartum thyroiditis. I-Hypothyroidism yimeko ugqirha anokuyinyanga ngokulula. Uninzi lwezigulana ziyakwazi ukujongana nale meko ngamayeza afunekayo ngoncedo lwe-endocrinologist yazo.
Izimpawu ze-Hypothyroidism
Iimpawu ze-hypothyroidism ziza kancinci ngokuhamba kwexesha kwaye zixhomekeke kumntu. Ezinye zeempawu eziqhelekileyo ziquka:
- Ukutyeba kwakho
- Isantya sentliziyo esicothayo
- Ubuthakathaka obuthathaka
- Ubuso bePuffy
- Ukukhathala
- Ixesha lokuya exesheni elingavumelekanga
- Ulusu olomileyo kunye neenwele
- ukudakumba
- Ukutyunjwa
- Ukuqina kunye nentlungu yamalungu
Iingxaki ze-Hypothyroidism
Nazi ezinye zezizathu eziqhelekileyo ze-hypothyroidism:
- Isifo sikaHashimoto: Eyona nto ibangela esi sifo sisifo sikaHashimoto. Kule meko, amajoni omzimba wethu ahlasela ngengozi i-thyroid gland yethu nto leyo ekhokelela ekuvelisweni kancinci kwe-thyroid hormone.
- Uqhaqho Lwedlala Ukuba wenze utyando lokususa inxalenye okanye yonke i-thyroid gland, oku kuya kunciphisa okanye kumise ukuveliswa kweehomoni.
- Unyango ngemitha: Oogqirha basebenzisa olu nyango ukunyanga umhlaza we-thyroid kunye nezinye izifo ezibangelwa yintloko nentamo. umhlaza, nayo. Ngale misebe inokonakalisa iiseli zethu ze-thyroid ngokusisigxina nto leyo ekhokelela ekusebenzeni kancinci kwale gland.
- Ukunqongophala kwe-iodineUmzimba womntu udinga i-iodine eyaneleyo ekutyeni kwawo ukuze uvelise iihomoni ze-thyroid. Ukuba awusebenzisi i-iodine eyaneleyo ekutyeni kwakho, oko kunokukhokelela kwi-hypothyroidism.
- Imithi: Amanye amayeza asetyenziselwa ukunyanga izifo zentliziyo kunye neengxaki zengqondo, ezifana ne-lithium kunye ne-amiodarone, ezinokuphazamisana nokusebenza kwe-thyroid.
Unyango lwe-Hypothyroidism
Kukho ezinye iindlela zokunyanga i-hypothyroidism:
- Ukutshintshwa kweHormone ye-Thyroid: Olu lolona nyango luqhelekileyo lokuthatha ipilisi yemihla ngemihla equlethe iihomoni ze-thyroid zokwenziwa ezibizwa ngokuba yi-levothyroxine. Ezi pilisi zinceda ekuthatheni indawo yehomoni engekhoyo kwaye zibuyisele imisebenzi eqhelekileyo. Xa uqala ukutshintsha iihomoni ze-thyroid, kufuneka uhlale unxibelelana nogqirha wakho.
- Uvavanyo lwegazi rhoqo: Ekuqaleni, ugqirha ucebisa isigulana ukuba senze uvavanyo lwegazi oluqhelekileyo lwe-Thyroid Stimulating Hormone (TSH). Olu vavanyo lunceda ugqirha ukuba ajonge inqanaba lakho kwaye ngokwelo nqanaba balungisa iidosi ukuba kuyimfuneko.
Yintoni iHyperthyroidism?
Kwenzeka xa i-thyroid gland ivelisa iihomoni ze-thyroid ezininzi kakhulu ezifana ne-thyroxine, i-T3, kunye ne-T4. Oku kuyakhawulezisa imetabolism yomzimba kwaye kunokuchaphazela imisebenzi emininzi yeenkqubo zomzimba. Yimeko ye-thyroid esebenza kakhulu. Kule ngxaki unokujongana nexhala, ungabi nabuthongo, ubile okanye uhlambe kwaye unokunciphisa umzimba ngaphandle kokuzama.
Iimpawu zeHyperthyroidism
Nazi iimpawu eziphambili ze-hyperthyroidism:
- Ukuhla ukusinda
- Ukhathazeka
- Ukuxhalabisa
- Ukucaphuka
- Ukugubha
- Ubuzaza bobushushu
- ukubila
- Ukukhathala
- Ubunzima bokulala
- Umjikelo wexesha lokuya esikhathini olula
Iimbangela ze-Hyperthyroidism
Kukho ezinye zezizathu eziqhelekileyo zesi sifo:
- Isifo Sengcwaba: Yeyona nto ixhaphakileyo. Kule meko yokuzikhusela komzimba, inkqubo yomzimba yokuzikhusela ivelisa ii-antibodies ezifana ne-thyroid evuselela ii-immunoglobulins ezilinganisa i-TSH kwaye ziqhubeke zivuselela i-thyroid, nto leyo ebangela ukuba ivelise i-thyroxine eninzi.
- Amaqhuqhuva e-Thyroid: Kwezinye iimeko amaqhuma kunye namaqhuma anokwakheka kwi-thyroid gland yakho nto leyo ekhokelela ekuveliseni iihomoni ezininzi kakhulu.
- Ukutya okuphezulu kwe-iodine: Ukutya i-iodine eninzi kakhulu ngokutya okanye amayeza akho kunokubangela i-hyperthyroidism.
- I-Thyroiditis: Ukudumba kwe-thyroid gland ngenxa yosulelo okanye ukusabela komzimba okukhupha i-hormone egciniweyo emzimbeni ngegazi, nto leyo ekhokelela kwi-hyperthyroidism.
Unyango lwe-Hyperthyroidism
Nazi iindlela zokuphatha i-hyperthyroidism :
- Amayeza okulwa ne-thyroid: Amayeza anjenge-methimazole kunye ne-propylthiouracil (PTU) anokunciphisa okanye athintele ukuveliswa kweehomoni kwi-thyroid gland yethu.
- Unyango lwe-Radioactive Iodine: Kolu nyango basebenzisa uhlobo olukhethekileyo lwe-iodine ukunciphisa iiseli ze-thyroid ukuze iyeke ukuvelisa iihomoni ezigqithisileyo. Abantu basebenzisa le iodine njengepilisi ukuze ichaphazele kuphela i-thyroid gland.
- Beta Blockers: I-beta blocker ayichaphazeli ngqo i-thyroid gland kodwa iluncedo ekunciphiseni iimpawu ezifana nokubetha kwentliziyo ngokukhawuleza kunye nokungcangcazela. Ugqirha usebenzisa i-beta blockers kunye nezinye iindlela zonyango.
- Uqhaqho Lwedlala Xa isigulana singasabelanga kakuhle kwezinye iindlela zonyango, oogqirha bayasisusa yonke okanye inxalenye encinci ye-thyroid gland. utyando lwedlala lengqula ugqirha ucebisa ukuba kuthathwe unyango lokutshintshwa kwehomoni ye-thyroid ukuze kuphulukane nobunzima obuqhelekileyo.
Ukwahlula phakathi kweHypothyroidism kunye neHyperthyroidism
Nantsi umahluko omkhulu phakathi kwe-hypothyroid kunye ne-hyperthyroid:
| Iimbonakalo | Hypothyroidism | Hyperthyroidism |
| inkcazelo | Ayisebenzi ngokwaneleyo kwaye ivelisa inani elincinci kakhulu leehomoni. | Isebenza kakhulu kwaye ivelisa inani elikhulu kakhulu leehomoni. |
| Metabolism | Iyacotha | Isantya phezulu |
| Utshintsho lobunzima | Ukutyeba kwakho | Ukuhla ukusinda |
| Amanqanaba eMandla | Ukukhathala | Ukungabi naso |
| Uvakalelo lobushushu | Ibuthathaka kubanda | Iyanyamezela ubushushu |
| imo | Uxinzelelo | Ixhala kunye nokucaphuka |
| Ukutya | Ukunciphisa ukutya | Ukwandisa ukutya |
| Unobangela oqhelekileyo | Isifo sikaHashimoto | Isifo sengcwaba |
| Imbonakalo yomzimba | Ubuso obufumileyo, ulusu olomileyo | Amehlo avuvukileyo, iinwele ezintle |
| Inqanaba lentliziyo | Ukunyaniseka kwentliziyo | Ukunyaniseka kwentliziyo |
Ndingayazi njani ukuba ndine-Hyperthyroidism okanye i-Hypothyroidism?
Ezi ziingxaki ze-thyroid ezinemiphumo eyahlukileyo emzimbeni. I-Hyperthyroidism inyusa imetabolism yethu kwaye ibangela ukwehla kobunzima, ukubetha kwentliziyo ngokukhawuleza, ixhala kunye nokubila. I-Hypothyroidism inciphisa imetabolism yethu kwaye ibangela ukudinwa, ukutyeba, ulusu olomileyo kunye nokuziva ubanda. Ukuba uziva naziphi na ezi mpawu, khangela ugqirha ngokukhawuleza. Baza kukucebisa ukuba uvavanye igazi le-thyroid njenge-TSH, i-T4 kwaye ngamanye amaxesha i-T3 efunekayo ukuze kufunyanwe olu xilongo kwaye uqale unyango olufanelekileyo.
Ziyichaphazela njani iNzala kunye nokukhulelwa?
Ukuba i-hyperthyroidism kunye ne-hypothyroidism azinyangwa ngexesha, zinokuchaphazela ukuzala kwakho kunye nokukhulelwa. I-Hypothyroidism inokubangela ukuya exesheni okungacwangciswanga, ukukhulelwa okuphumileyo, iingxaki zokukhutshwa kwamaqanda kunye nezinye ezininzi. Kwelinye icala, i-hyperthyroidism inokubangela ukungalingani kwamahomoni, iphazamise umjikelo wokuya esikhathini kwaye yonyuse umngcipheko wokuzalwa ngaphambi kwexesha. Ngoncedo lukagqirha, unokufumana unyango olufanelekileyo, uhlolo lwe-thyroid rhoqo kunye namayeza okukhulelwa okunempilo.
Ubonana nini noGqirha?
Ukuba ujongene nazo naziphi na iimpawu ze-hypothyroidism okanye i-hyperthyroidism okanye ubona naluphi na utshintsho entanyeni yakho apho i-thyroid ikhona khona, ngoko nangoko qhagamshelana nogqirha wakho ngokukhawuleza. Ezinye iimpawu ezifana nokubetha kwentliziyo ngokukhawuleza, ukudinwa, utshintsho lobunzima, ixhala kunye nokuphefumla okuncinci zinokukubeka engozini yokwenyani. Ukufunyanwa kwangoko kukunceda ufumane unyango olufanelekileyo kwaye kukunceda ukuba uphile ngokukhawuleza.
isiphelo
Iindidi ezimbini eziqhelekileyo zeengxaki ze-thyroid ezibizwa ngokuba yi-hypothyroidism kunye ne-hyperthyroidism ezichaphazela umzimba ngeendlela ezahlukeneyo. I-Hypothyroidism iyawucothisa umsebenzi womzimba kodwa kwi-hyperthyroidism, iyawukhawulezisa. Zombini ezi ngxaki zinokuchaphazela inqanaba lamandla akho, ukuzala kunye nempilo iyonke xa zingajongwanga. Ukuxilongwa kwangoko kwezi ngxaki ngovavanyo olufana ne-TSH, i-T3 kunye nezinye ezininzi kunokuba luncedo kakhulu ekufumaneni uhlobo lwe-thyroid kunye nokufumana unyango olufanelekileyo. Ngoncedo lonyango kunye nokuhlolwa kwemihla ngemihla, isigulana sinokubuyela kwindlela yaso yokuphila eqhelekileyo nesempilweni.
Isikhanyeli: Le bhlog yenzelwe ulwazi kuphela. Ukuba uhlangabezana nazo naziphi na iimpawu ezichazwe apha ngasentla, nceda uqhagamshelane nomboneleli wakho wezempilo.