Chithokomiro cha chithokomiro ndi chimodzi mwazinthu zofunika kwambiri za endocrine. Amayang'anira kuphatikizidwa kwamahomoni ofunikira m'thupi la munthu - thyroxine (T3) ndi triiodothyronine (T4).
Popanda iwo, njira yokhazikika ya njira zingapo zoyambira kagayidwe siyosatheka. Ngati mahomoni awa sanapangidwe okwanira, matenda owopsa monga hypothyroidism amakula. Autoimmune chithokomiro, matenda a chithokomiro chotsimikizika, nthawi zambiri chimayambitsa.
Zizindikiro za matendawa zimawoneka pafupipafupi, koma nthawi zina chithunzi cha matendawa chimakhala chosapweteka, wodwalayo mwina satha kukayikira kuti akudwala. Matendawa amatchedwa subclinical hypothyroidism.
Kodi matenda ndi chiyani?
Kwenikweni, "subclinical" amatanthauza "Zizindikiro zisanachitike." Ndiye kuti, matendawa akhazikika kale ndipo akupita patsogolo, koma zizindikilo zake sizimawonekera.
Subclinical hypothyroidism ilinso ndi mawonekedwe osiyana - kuwonetsa hypothyroidism. Pankhaniyi, zizindikirazi zimapezeka mosavuta mothandizidwa ndi mayeso a labotale, ndikuwunika kwa wodwalayo kunja.
Subclinical hypothyroidism imayamba pazifukwa zomwe zimakonda - mawonekedwe a hypothyroidism. Zinthu zomwe zakonzedweratu matendawa ndi motere:
- Kuperewera kwa ayodini m'thupi (nthawi zambiri kumachitika mwa anthu okhala kumadera akumidzi);
- Congenital hypothyroidism ndi zonyansa pakukula kwa chithokomiro;
- England chithokomiro chimachotsedwa kwathunthu kapena pang'ono chifukwa cha kupangika kwa zotupa zoyipa;
- Chithandizo cha chithokomiro England ndi ntchito ya ayodini;
- Chithandizo cha nthawi yayitali ndi thyreostatics - mankhwala omwe amachepetsa kugwira ntchito kwa chithokomiro;
- Kuwulutsa kwadzidzidzi kwa gland kapena ziwalo zoyandikana ndi thupi kumathandizanso kuti chiwopsezo cha autoimmune chithokomiro;
- Chithokomiro cha mitundu yosiyanasiyana ya mwadzidzidzi ndi kulowetsedwa kwa minyewa yolumikizana ndi England.
Autoimmune chithokomiro chimatha kutsagana ndi subclinical hypothyroidism. Ndi matenda awa, ma antibodies apadera amayamba kupangidwa mthupi la munthu - zinthu zomwe zimapangidwa ndi chitetezo chamthupi zomwe zimayang'ana maselo a chithokomiro ngati achilendo ndikuyamba kuwawononga. Zizindikiro nthawi zambiri zimakhala zofatsa kwambiri, chifukwa chake, nkovuta kuyambitsa chithandizo cha panthawi yake.
Autoimmune chithokomiro ndi matenda obadwa nawo kapena amapangidwa pambuyo pa matenda opatsirana oyambitsidwa ndi ma virus.
Subclinical hypothyroidism nthawi zambiri imayamba chifukwa cha matenda amtunduwu, popeza njira ndi kakulidwe kake kakang'ono kwambiri, zizindikilo zambiri sizikupezeka.
Chithunzi cha matenda
Zizindikiro za matendawa nthawi zonse zimakhala zofatsa, nthawi zambiri sizizindikirika konse, chifukwa iwo amagwira ntchito mopitirira muyeso kapena kusasangalala. Zizindikiro zazikulu koyambira, zomwe zikusonyeza kuti wodwalayo amakula subclinical autoimmune hypothyroidism:
- Lethargy, kupanda chidwi;
- Kuchedwa, kusafuna kuchita chilichonse.
- Kuchepa chilako lako.
- Kulemera thupi, koma, mosiyana ndi kuwonetsa hypothyroidism, kumachitika pang'onopang'ono m'malo mokhwima.
Zizindikiro za matenda opita patsogolo zimatchulidwanso. Kuchulukitsa kwa subclinical hypothyroidism kumatha kuzindikirika ndi zizindikiro izi:
- Khungu lowuma, lacteric, khungu losasangalatsa;
- Tsitsi lodontha, lomwe limayamba kuwonongeka;
- Kudzimbidwa pafupipafupi, kutentha kwa kutentha, kupweteka m'mimba - Zizindikiro zofala zamatenda;
- Kukula thupi pafupipafupi, ngakhale mutakhala olimbitsa thupi komanso kudya;
- Myxedema - kutupa kwa thupi ndi ziwalo zamkati;
- Kusamba kwa msambo, kutsika kwa potency.
Chofunika: subclinical hypothyroidism nthawi zambiri imadziwika mukamayesedwa pafupipafupi kapena mukamayang'ana matenda a ziwalo zina. Ndi chachilendo kwambiri kumuzindikira chifukwa chokhala ndi moyo wabwino.
Momwe mungapezere matenda
Kuti muzindikire matendawa ndikuwapatsa chithandizo, ndikofunikira kumuwunika wodwalayo. Nthawi zambiri kuyezetsa komweku kumafunikira komwe kumayikidwa pa autoimmune chithokomiro.
Kuyesedwa kwa magazi kupezeka kwa mahomoni a chithokomiro. Triiodothyronine ndi thyroxine ziyenera kukhala zochuluka za 2.6-5.7 mmol / lita ndi 9.0-22.0 mmol / lita, motero, ngati matendawa sakula. Vuto ndilakuti ngati subclinical hypothyroidism ikakula, kuchuluka kwa mahomoni kumachepa pang'onopang'ono. Kutengera kupenda kumeneku, ndizovuta kuzindikira matenda.
Kuyesedwa kwa magazi kwa chithokomiro cholimbikitsa cha chithokomiro. Mlingo wa mahomoniwa mwa munthu wathanzi ndi 0.4-4.0 mU / lita. Mchitidwe wamchiberekedwe nthawi yomweyo umakumana ndimasintha pang'ono mthupi, chifukwa kusanthula uku ndikofunika ngati muyenera kuzindikira matenda a chithokomiro.
Kuzindikira kwa ma antibodies a thyroglobulin ndi thyroperoxidase m'magazi. Ngati munthu ali wathanzi, ndiye kuti mwina sakupezeka m'magazi, kapena akapezeka m'magawo osaposa 0-18 U / ml ndi 0-5.6 U / ml. Ngati zizindikirozi ndizidutsa, titha kunena kuti autoimmune chithokomiro chimayamba, ngakhale zizindikiro zina sizikudziwika.
Scintigraphy ndiyovomerezeka - iyi ndi njira yodziwira kuthekera kwa chithokomiro kutulutsa iodine m'magazi ndikusintha mahomoni kuchokera pamenepo. Hypothyroidism yamtundu uliwonse imadziwika chifukwa chakuti chithokomiro chimalandira iodine kangapo kuposa munthu wathanzi.
Ngati matendawa adapezeka ndi zotsatira za mayeso onse omwe ali pamwambapa, maphunziro owonjezera amafunikira. Izi ndizofunikira kuti muzindikire zomwe zimayambitsa matenda a hypothyroidism. Izi zimaphatikizapo zinthu monga ultrasound, computer tomography, MRI, chithokomiro cha chithokomiro cha endocrinologist.
Pambuyo pofufuza zotsatira za kusanthula, njira zabwino kwambiri zamankhwala zidzasankhidwa.
Kodi amathandizidwa bwanji?
Chithandizo cha subclinical hyperteriosis chimakhazikitsidwa pa mfundo zomwezo monga chithandizo cha chiwonetsero chilichonse cha vuto la kuchepa kwa chithokomiro. Ndi
- Hormone mankhwala. Chithandizo ndi mlingo wa mankhwalawa zimapangidwa ndi adokotala okha. Thyroxine kapena levothyroxine nthawi zambiri amapatsidwa.
- Chithandizo cha matenda omwe adakhumudwitsa kukula kwa hypothyroidism.
- Kusintha kwamphamvu. Mosasamala mtundu wa hypothyroidism yomwe imapezeka, chithandizo chokwanira sichingatheke popanda wodwala wokwanira komanso wodwala.
Kuperewera kwa ayodini nthawi zambiri kumayamba chifukwa cha zovuta za metabolic. Chifukwa chake, ndikofunikira kuti muphatikize zakudya zomwe zimakhala ndi fiber yambiri, chimbudzi cholimbikitsa - zipatso zosaphika ndi masamba, chimanga, zitsamba. Popewa kudzimbidwa, onetsetsani kuti mukumwa mafuta a masamba.
Iodine imapezeka mu nsomba zam'nyanja, nsomba zam'nyanja zilizonse, nyanja yakale. Chakudya choterocho chimayenera kuperekedwa patsogolo pa matenda aliwonse a chithokomiro.
Zakudya Zabwino
- Kukana chakudya chamafuta chamafuta ndi zakudya zomalizidwa, kudya mwachangu, masoseji, zakudya zamzitini;
- Kuletsa kwakukulu pa kugwiritsa ntchito ma muffin ndi zinthu za ufa;
- Chepetsani kugwiritsa ntchito mchere ndi madzi chifukwa chowopsa cha edema.
Yoyenera kuphatikizidwa muzakudya za zowonjezera zomwe zimakhala ndi ma multivitamin. Chithandizo cha mankhwala omwe ali ndi mavitamini ndi michere amavomerezeka kangapo pachaka.
