I-Hashimoto's thyroiditis - okanye i-autoimmune (lymphomatous) thyroiditis yisifo esingapheliyo esibangela ukutshatyalaliswa kwegciwane le-thyroid ngenxa yokungcola kwiiseli zezinto ezizimeleyo. Esi sifo sivame ukuxilongwa kubasetyhini abasemaphakathi, kodwa iimeko ziqhelekileyo kubantu abaselula.
Nangona ukuba isifundo sesi sifo saqalwa ngugqirha waseJapan u-Hakaru Hashimoto (emva koko waqanjwa ngamagama) ngaphezu kweminyaka eyi-100 edlulileyo, akukho nkcazelo echanekileyo malunga nezizathu zesifo. Kodwa kubonakaliswe ukuba i-thyroiditis ye-autoimmune yeHashimoto ifa. Ukongezelela, kukho unxibelelwano olungenakukhunjulwa phakathi kwezinto eziphilayo kwendawo kunye nezinga lentengo phakathi kwabantu. Izifo ezinokuthi ziguqulwe ngentsholongwane zingadluliselwa kwiintsholongwane zentsholongwane.
Iimpawu ze thyroiditis Hashimoto
Iingcali ziqaphele ukuba i-symptomatology ye-thyroiditis ye-autoimmune ixhomekeke kwi-severeness of the disease. Njengomthetho, ukubonakaliswa kwe-hypothyroidism kunye ne-hyperthyroidism kuyafana nezigulane. Ngenxa yokuveliswa kwehomoni ye-hormone, i-thyroxin iyaqwalaselwa:
- ntliziyo;
- ukwanda ukwesaba, ukuguquka kwemizwelo;
- buthathaka;
- ukuphulwa komjikelezo wesini;
- ukujuluka okukhulu;
- isifo sohudo ;
- zincinci.
Izigulane ezine-thyroxed thyroid gland, kwaye ngenxa yoko, ngokufihla ngokwaneleyo, zibonakaliswe ngu:
- ukucotha kwezinga lentliziyo;
- ukukhathala okukhulu;
- ukuqothulwa;
- rhu lumente;
- inzuzo enzima.
Ukuba eso sifo singaphathwa, ke ukuhla kweememori, ukulahleka kwengcaciso yengqondo kwaye, ekugqibeleni, ukuphazamiseka kwengqondo kungahlakulela (ukunyuka kwengqondo). Ezinye iingxaki zinokwenzeka:
- amalungiselelo amakhulu;
- i-myocardial infarction;
- i-atherosclerosis;
- i-lymphoma ye-thyroid gland, njl
Ukuxilongwa kwe thyroiditis Hashimoto
Ukuba ukrokreza iHashimoto thyroiditis, kufuneka uqhagamshelane ne-endocrinologist. Ugqirha uqhuba uviwo oluqhelekileyo, uqokelela i-anamnesis kwaye uqeshe iimvavanyo ukuchonga izinga le-hormone ne-antithyroid autoantibodies. Ukumisela izinga lokuphuhliswa kwesifo, isifo se-thyroid sinconywa usebenzisa umshini we-ultrasound.
Unyango lwe thyroiditis Hashimoto
Ukuba u-Hashimoto's thyroiditis ufunyaniswa, kufuneka ulandelelwano oluqhubekayo kwi-endocrinologist, nangona kungekho zitshintsho ezitshintshiweyo kwimvelaphi ye-hormonal, kwaye amalungiselelo akhethekileyo ayimiselwe. Isigulana esibhalisiweyo kunye neengcali kufuneka sibe nexesha lokuhlola kwaye ubuncinane kanye kwinyanga ezintandathu ukunika igazi ukuhlalutya.
Unyango lwe-autoimmune thyroiditis i-Hashimoto ngokuyinhloko kufikelela kwinqanaba le-thyroxine ukuya kwisiqhelo. Iimpawu zonyango lwe thyroiditis Hashimoto zihambisa i-goiter enetyhefu , okanye i-hypothyroidism. Ugqirha ukhetha isigulane ukuba uyenze i-thyroxine. Ukongezelela, ukusetyenziswa kwamalungiselelo aqukethe i-selenium iyacetyiswa. Kwiimeko zokunyuka okukhulu kwi-goiter kunye noxinzelelo lwe-trachea okanye iinqanawa zentanyeni kunye nokwakhiwa kwamacandelo (ngokukodwa ubukhulu obungaphezu kwe-1 cm), kwenziwa umsebenzi ophenywayo. Kwakhona, ukuba isalathisi esibuhlungu sokubunjwa sikhankanywe, i-biopsy
Ngokuphuhliswa kwe-hypothyroidism, unyango lunqunywe ukuba lunikwe ukunyanzeliswa kwe-goiter kwiidiski ezibekwe ngabanye ngonyango. Eyona nto eyaziwayo namhlanje iyakulungiselelwa ngamachiza:
- Levothyroxine;
- L-thyroxine;
- Eutiroks.
Ngonyango olufanelekileyo ngexesha elifanelekileyo kwaye laneleyo, ukuxela kwangoku kulungile.