I-Hyperthyroidism Emadodeni: Izimbangela, Izimpawu kanye Nokwelashwa

Emkhakheni wezempilo nenhlalakahle, ezinye izifo ziyanyenyeza ngaphambi kokuba zibhonge. Phakathi kwalokhu, izifo zegilo, ikakhulukazi i-hyperthyroidism, zigqama ngokuqala kwazo okucashile kodwa okungaba nomthelela omkhulu empilweni. Kuyiqiniso ikakhulukazi kwabesilisa, abavame ukunganaki noma bahumushe ngokungeyikho izimpawu ze yegilo isifo ngenxa yokuvela kancane kancane uma kuqhathaniswa nabesifazane. Le bhulogi ebanzi ihlose ukucacisa ngempi ethule ngokumelene ne-hyperthyroidism kwabesilisa, kusukela ezimbangela zayo kanye nokubonakaliswa kwayo kuya ekuxilongweni, ukwelashwa, kanye nezikhathi ezibalulekile zokufuna usizo lwezokwelapha.

Izimbangela Zezinga Eliphezulu Le-thyroid Kwabesilisa

Nakuba kungavamile kakhulu kwabesilisa kunakwabesifazane, isifo se-thyroid singaphazamisa kakhulu izinga lokuphila komuntu. Indlala yegilo, isitho esimise okwemvemvane ngaphambili kwentamo, idlala indima ebalulekile ekulawuleni i-metabolism, ukukhiqizwa kwamandla, nokulinganisela kwamahomoni. I-Hyperthyroidism ivela lapho ingasebenzi kahle, ikhiqize amazinga aphezulu kunejwayelekile e-thyroid kwabesilisa nabesifazane futhi ibangele ukusabela komzimba.

Izimbangela zamazinga aphezulu e-thyroid kwabesilisa zihlukahlukene, kufaka phakathi: 

• Izifo ezizimele, njenge-Graves' disease, zihola icala ngokukhohlisa amasosha omzimba ukuba ahlasele indlala yegilo, ngaleyo ndlela andise umsebenzi wayo. Yimbangela evame kakhulu yezifo ze-thyroid kwabesilisa.
• Umlando womndeni wesifo se-thyroid ungandisa ingozi yokuphazamiseka kwe-thyroid kwabesilisa. 
• Ukudla ngokweqile kwe-iodine noma ukuhlala endaweni yokuntuleka kwe-iodine kungaholela ezinkingeni zegilo emadodeni.
• Izimo ezithile zezokwelapha, ezifana nokuphazamiseka kwe-pituitary, zingathinta ngokungaqondile ukusebenza kwegilo ngokuphazamisa ukukhiqizwa kwehomoni ye-thyroid-stimulating (TSH).
• Abanye abanikelayo bahlanganisa amaqhuqhuva akhiqiza ngokuzenzakalelayo i-hormone yegilo kanye nokuvuvukala kwendlala yegilo, okungase kubangele i-hyperthyroidism yesikhashana, ingxenye ebalulekile yegilo. amahomoni.

Izimpawu Zezifo Eziphezulu Ze-thyroid Kwabesilisa

Izimpawu zegilo kwabesilisa ku-hyperthyroidism zingadukisa, ngokuvamile zizenze njengezimpawu zezinye izinkinga zempilo noma izingcindezi zokuphila. Kwenza kube lula ukuzichitha, okungase kubambezele ukuxilongwa nokwelashwa. Izimpawu ezisemqoka zihlanganisa: 

• Okungalindelekile kwesisindo, naphezu kokuba kungekho zinguquko ekudleni noma ezindleleni zokuzivocavoca
• Ukwanda kokuzwela ku ukushisa
• Ukusheshisa okubonakalayo ku isilinganiso senhliziyo nokushaya kwenhliziyo
• Ukuvuvuka entanyeni, isibonakaliso esibonakalayo sendlala yegilo ekhulisiwe noma i-goiter
• Ubunzima bokugxila noma izinkinga zenkumbulo
• Imizwa iyashintsha, ukukhathazeka, nokucasuka  
• Ubuthakathaka bemisipha nokukhathala
• Ukuncipha kwe-libido noma ukungasebenzi kahle kwe-erectile
• Ukushintsha kwemikhuba yamathumbu (ukuqunjelwa noma isifo sohudo)
• Ukulahlekelwa izinwele noma ukunciphisa
• Isikhumba esomile nezinzipho eziphukayo
• Ubunzima bokulala nokugcina ubuthongo
• Akuvamile, ukwanda kwebele lowesilisa (gynecomastia)

Ukuxilongwa kwe-Hyperthyroidism Emadodeni

Ukuxilongwa kwezifo zegilo emadodeni kuhilela inhlanganisela yokuhlolwa komtholampilo, ukuhlolwa kwezimpawu, nokuhlolwa okuqondile kokuxilonga.  

• Ukuhlola ngokomzimba: Udokotela wakho uzohlola ngokucophelela ngokomzimba, egxile ebukhulu bendlala yegilo, ukuba khona kwamaqhuqhuva, noma izimpawu zokwanda kwemetabolism, njengokushaya kwenhliziyo okusheshayo.
• Igazi isithombe: Ukuhlolwa kwegazi kudlala indima ebalulekile ekuxilongeni. Bakala amazinga e-Thyroid Stimulating Hormone (TSH) namahomoni egilo (T3 ne-T4). Ku-hyperthyroidism, amazinga e-TSH ngokuvamile ayancipha ngenxa yokukhiqizwa ngokweqile kwamahomoni e-thyroid, abonakala emazingeni aphezulu e-T3 ne-T4. 
• Ukuhlolwa kwe-antibody ye-thyroid: Ezimeni lapho kusolwa khona isifo se-autoimmune, njenge-Graves' disease, ukuhlolwa okukhethekile kwe-antibody kungase kusize ukuthola amasosha omzimba aqondise indlala yegilo.
• Okunye ukuthwebula izithombe: Ukuze uthole ukuhlola okunemininingwane eyengeziwe, odokotela bangase batuse ukuhlolwa kwezithombe njenge-scan yegilo noma i-ultrasound ukuze ubone ngeso lengqondo ukwakheka kwendlala nokuhlonza noma yikuphi ukungahambi kahle.
• Uma kutholakala izigaxa zegilo futhi kunokukhathazeka ngomdlavuza, odokotela bangase benze i-biopsy ukuze banqume ukuthi kungenzeka yini.

Ukwelashwa kwe-Hyperthyroidism emadodeni

Ukwelashwa kwe-hyperthyroidism emadodeni kuncike ebucayi besimo, isizathu esiyisisekelo, kanye nempilo yomuntu iyonke. Izindlela ezahlukene zokwelapha zihlanganisa: 

• Imithi: Imithi ye-antithyroid ivame ukuba yindlela yokuqala yokwelapha. Basebenza ngokuvimbela ikhono legilo lokukhiqiza amahomoni. Nakuba isebenza kahle, le mithi idinga ukuqapha ngokucophelela ukuze igweme ukulungiswa okungaphansi noma ukulungisa ngokweqile amazinga e-hormone yegilo. 
• Ukwelashwa kwe-radioactive iodine (RAI): Ukwelashwa kwe-RAI kuhilela ukudla into ekhipha imisebe ebulala ngokukhetha amaseli egilo asebenza ngokweqile. Lokhu kwelashwa kuhloswe ngesixazululo sesikhathi eside kodwa kungase kuholele ku-hypothyroidism, okudinga ukwelashwa kokubuyisela ama-hormone impilo yonke.
• Ukuhlinzwa: Ezimeni lapho imithi nokwelapha nge-radioactive kungafaneleki noma kungasebenzi, odokotela bangase bacabangele ukuhlinzwa ukuze bakhiphe ingxenye noma yonke indlala yegilo. Le ndlela eqondile inikeza impumuzo ku-hyperthyroidism kodwa futhi ngokuvamile iphumela ku-hypothyroidism, edinga ukuxhaswa kwama-hormone okuqhubekayo.
• Ukuphathwa kwe-Symptomatic: Kuye ngokubonakaliswa okuqondile komuntu ngamunye, odokotela bangase batuse ukwelashwa okusekelayo. Babhekana nokunyuka kwesilinganiso senhliziyo, ukushintshashintsha kwesisindo, amandla aphansi, nokungasebenzi kahle kocansi.

Kufanele Ngimbone Nini Udokotela?

Ukuqaphela isikhathi sokufuna usizo lwezokwelapha kubalulekile ekulawuleni impilo yegilo. Izimpawu ze-thyroid kwabesilisa, ezifana noshintsho lwesisindo olungachazeki, ukushintshashintsha kwemizwa okungapheli, noma ukushaya kwenhliziyo okungajwayelekile, luqinisekisa usizo lochwepheshe. Ngokufanayo, uma kukhona ukukhuliswa okubonakalayo entanyeni noma izimpawu ziba zimbi naphezu kokwelashwa kokuqala, yisikhathi sokuphinda uhlole nodokotela.

Isiphetho

Ukuqonda nokulwa ne-thyroid ephezulu emadodeni kugcwele izinselele ezihlukahlukene. Izimpawu zegilo emadodeni zingalawuleka ngokunaka izimpawu, ukuxilongwa ngokushesha, nokwelashwa okufanele. Ukuqwashisa nokufundisa kudlala indima ebalulekile ekuchazeni izifo ze-thyroid futhi kukhuthaze abantu ukuthi bafune usizo lapho bedingeka. 

FAQ sika

1. Ingabe amadoda angatholakala enesifo se-thyroid?

Amadoda angaxilongwa yegilo izifo, kuhlanganise ne-hyperthyroidism. Nakuba kungavamile kakhulu kunakwabesifazane, ukuphazamiseka kwegilo kuyithinta kakhulu impilo yabesilisa futhi kudinga ukunakekelwa okufanele.

2. Izinkinga zegilo ziqala nini emadodeni?

Izinkinga zegilo zingaqala kunoma ibuphi ubudala kodwa ngokuvamile zivela phakathi nezikhathi zoshintsho olukhulu lwamahomoni, njengokuthomba, iminyaka ephakathi, noma ngemva kweminyaka engu-60. Izici zendlela yokuphila kanye nokuthambekela kofuzo nakho kudlala indima ekuqaleni kwezinkinga zegilo emadodeni.

3. Ingabe indlala yegilo emadodeni ingelapheka?

Indlela yokwelapha izifo zegilo emadodeni incike kumbangela nobukhulu. Nakuba ezinye izimo zingaphathwa ngempumelelo noma zelashwe, ezinye zidinga ukuphathwa impilo yonke. Amadoda amaningi angaphila impilo evamile, enempilo naphezu kwesimo sawo se-thyroid ngokwelashwa okufanele.