ʻO nā hōʻailona mua o ka hypothyroidism i nā wahine

ʻO nā hōʻailona o ka hypothyroidism i loko o nā wahine e kū nei ma muli o kahi hema o nā hormone thyroid. Hōʻike pinepine nā hūnā huna e paʻakikī i ka hoʻāʻo ʻana, a ma ka hoʻomaka mua ʻana o ka hoʻomohala ʻana o ka palaualelo, nā mākaʻikaʻi o nā ʻano o nā maʻi ʻē aʻe. ʻO nā hōʻailona mua o ka hypothyroidism e like me ka luhi. Hiki i nā wahine ke hoʻopili iā lākou me ka hapai a i ʻole ka hana hewa o ke kāne kāne.

ʻO ke kiʻi haumanu o ka maʻi

Hoomaka ka hypothyroidism ma muli o ka nalowale o ka hiki o nā ʻili e hana i nā hormones i pili i nā hana metabolism, e hoʻoulu ai i ka hoʻokaʻawale o nā endocrine a me nā urogenital. I kēia hihia, huehue nā hana o nā kulu he nui. ʻOiai ke hana nei o ka hypothyroidism hana, ʻike ʻia kāna mau hōʻailona a me nā hoʻopiʻi. Hoʻokomo ʻia nā kōpili o nā kino i hilinaʻi ʻia i nā hormones thyroid. Hōʻai pinepine ka hypothyroidism i ka hopena wale nō. ʻO nā hemahema o ka nui o nā hormone thyroid e hōʻeha i kahi nui o nā maʻi e holo wikiwiki nei.

ʻO nā hōʻailona mua o ka maʻi i nā wahine:

nā kāne haole
momona momona
ʻeha nā huakaʻi,
ka ʻōpū o ka maka a me nā wāwae.

Maemae a lauoho ka lauoho o ka mea maʻi, ua nānā ʻia ko lākou nalowale. Hoʻololi ka wā hele i ka leo a me ka lohe. Ua lohi nā kaʻina o nā manaʻo. Ma muli o nā maʻi metabolic, ʻike ʻia nā mea weliweli.

Huhuluhi ka wahine wikiwiki, me ke kuhi o ka hana. ʻIli ka ʻili i ka lau melemele.

Hōʻike ʻia kekahi mau ʻano o ka hypothyroidism ma ke kaohi ʻana o ke ana wela a me nā leo hoʻonaninani.

Hoʻokomo ʻia ka ʻōpū ma ka ʻili ʻana. Ke hele lōʻihi ʻole nei ka neʻe ʻana, ʻaʻole maopopo. Hōʻikeʻike o ka ʻōnaehana cardiovascular:

ʻeha ma hope o ka hope,
brieociaia
ponoomania
puʻu leo puʻu,
pericarditis
hypotension.

Hoʻonui ka mea maʻi a luhi, hoʻomau pinepine ʻia ka pohō. Hoʻoikaika ke hoʻomanaʻo a me ka noʻonoʻo akamai. Hoʻomua ke akamai o ka lohe a me ka hoʻolohe. Me ka hana adrenal hana, hoʻonui ʻia nā hōʻailona o ka hypothyroidism. I nā wahine, hōʻemi ka libido, hoʻokuʻu mai nā puka mammary, ua lawa ʻole ka menstruation.

He hopena maikaʻi ka maʻi ʻana i ka ʻōnaehana hematopoietic. Hoʻolālā ka anemia a me ka leukopenia, nāwaliwali ka make ʻana. Hoʻomaʻeha ka ʻōnaehana urinary - hoʻoneʻe ʻia ka diuresis i kēlā me kēia lā. Hōʻike maopopo ʻia ka hopena o nā maʻi.

ʻili ʻia ka ʻili,
huehū paʻu ʻana
kāʻehaʻeha
hoʻohaʻahaʻa i ke koko
e hoʻolohi i nā hana noʻonoʻo,
huhū, hoʻōpiopio.

Hoʻopau i nā hana o nā wahi i hikiʻole i ka constipation, nausea, ka nalowale o ka makemake. Loaʻa nā ʻāpana meaʻai i hoʻohemo ʻia ma nā feces.

ʻO ka manaʻo o ka hypothyroidism

ʻO ka hua glid thyroid kahi liʻiliʻi liʻiliʻi i ke ʻano o kahi pōpō, e kū ana ma ke alo o ka trachea. Inā ʻoe e kau i kou mau manamana lima ma nā kihi o ka ʻūpihi o Adamu a hoʻomaha paha, hiki iā ʻoe keʻike pehea e pulu ai ma lalo o nā manamana lima. Hoʻopuka kēia kino i ka hormone thyroid, nāna e kāohi i ka ulu a me ka metabolism o ka hapa i kēlā me kēia wahi.

ʻO ka gion pituitary, he keli liʻiliʻi ma waena o ke poʻo, kaohi i ka physiology a hoʻokuʻu i ka hormone thyroid-stimulating (TSH). ʻO TSH kahi hōʻailona i ka ʻōmaʻi o ka thyroid e hoʻōla i ka hormone thyroid (thyroid).

ʻO kekahi manawa ke ala aʻe ka pae o ka hormone thyroid-hoʻouluulu ʻia, akā ʻaʻole hiki i ka ʻōmaʻomaʻo thyroid ke hoʻokuʻu i ka nui o ka hormone thyroid. ʻIke ʻia kēia ʻano maʻi ma mua o ka hypothyroidism maʻamau, ua hui pū ʻia me ka loli o ka nui o ka giro thyroid. I nā kūlana ʻē aʻe, ua emi iho ka TSH, a ʻaʻole i loaʻa ka gland thyroid i kahi hōʻailona e hoʻololi i kāna mau mea hana. Ua kapa ʻia kēia ma muli o ka hypothyroidism.

"ʻO nā pae hormone thyroid liʻiliʻi" a i ʻole ka hypothyroidism i hui pū ʻia me nā hōʻailona like ʻole. E kōkua kēia ʻatikala e hoʻomaopopo ʻoe i kēia mau hōʻailona.

Nā ʻano o ke ʻano a me nā kumu o kona hōʻea

Ma muli o nā noi lōʻihi, hiki i nā poʻe loea ke wehewehe maʻalahi i kēia ʻano me ke kumu o kona kumu. No laila, hoʻokaʻawale lākou:

ʻO ka hypothyroidism mua, ʻo ia ka mea ma muli o ke kaʻina pili o ka pathological i kū mai i ke kelepona thyroid.
hypothyroidism poʻokela, e ulu ana ma muli o ka hōʻeha ʻana i ka a me ka hypuitalamus.

ʻO ka hypothyroidism maʻamau

Hoʻohālikelike ʻia ia e ka hōʻino ʻana i ka lāʻau thyroid ponoʻī iho. Hāʻawi ʻia i ka mua, aia ʻelua ʻano o ia ʻano:

ʻO Congenital, ka mea i ʻike pololei ʻia i loko o nā pēpē, ke kumu o kēia neʻe, ma ke ʻano he kānāwai, ʻo ka hele ʻana o myxedema ma ka makuahine i ka wā hāpai ʻana,
loaʻa, ka ulu ʻana ma ka hopena o ka hōʻike i nā ʻano maikaʻi ʻole i ke kino o ke kanaka.

Mahele hypothyroidism

Hoʻokumu ʻia e ka aplasia a i ʻole hypoplasia o ka lau thyroid gland i nā keiki ʻōpio, ʻo ka hapanui o nā hihia me ke kahawai i ka hoʻomohala kino a me ka noʻonoʻo (cretinism).

ʻO ka maʻi maʻamau e hōʻike pinepine ʻia i 96-98% o nā maʻi āpau. ʻO nā mea nui i kumu e hoʻoulu ai i ka hypothyroidism i loaʻa:

maʻi maʻi o nā ʻano ʻano like ʻole,
Iodine nele i nā wahi ma mua i hele ai goiter,
Hashimoto autoimmune thyroiditis,
ka heleʻana o nā hana ʻoi, sarcoidosis,
Ike ʻia o nā kelena thyroid,
ʻoihana iodine maʻi radio,
kauʻana i ka estrogens, androgens,
hana i ka radiotherapy, radiation therapy,
ka ʻike ʻana i kekahi mau lāʻau lapaʻau (sulfonamides, glucocorticoids),
Hana no ka hoʻokō ʻana.

Kekahi hypothyroidism

Hoʻoulu ia ma muli o ka hiki ʻana o kahi palapu a i ʻole ka traumatic lesions o ka pituitary a i ʻole hypothalamus, ka poʻe e kaohi i ka hana a nā kipi thyroid. Hiki ke ʻike ʻia kahi ʻano lua o ka hypothyroidism inā:

ʻO ka nui o ka ulu ulu o ka hormone,
piula
me ka hoʻopau wale ʻana o nā hana moekolohe (hypogonadism).

Hoʻolilo ka poʻe loea i ka mea i kapa ʻia ʻo subclinical hypothyroidism o ka kelekoʻo thyroid, i ka manawa ʻole o ka maʻi loaʻa ʻole nā hōʻailona a hiki i kahi ʻano latent (latent). ʻO ke ʻano o kēia maʻi ka lelo - i loko wale nō 10-20% o nā hihia, a he ʻano no nā wahine ma hope o ke mau makahiki he 50.

Me ka subclinical, aia kahi hypothyroidism, ke hele wikiwiki nei ka maʻi, me ka hōʻike ʻana o ka maʻi ma kahi mua.

Nā hōʻailona a me nā hōʻailona

1) Ua ʻeha a paʻakikī paha

ʻO ka hōʻailona maʻamau ka hypothyroidism ka manaʻo o ka nāwaliwali o ke kino. Hoʻākāka ʻia kēia ma ka meka e ka mālama o ka hormone thyroid i ke kāʻei o ka ikehu, pili i ka naʻau o ke ala ʻana a me ka hiamoe. No kekahi laʻana, i ka hānau ʻana o nā holoholona, aia kahi haʻahaʻa hormonal haʻahaʻa, ʻo ia ka mea e hoʻoholo ai i ka hiamoe lōʻihi.

I loko o nā noiʻi hoʻokahi, ua loaʻa ka 138 i ka pākeke me ka hypothyroidism i waho ka hoʻopau ʻana i ka hana o waho. Eia kekahi, ua hōʻike lākou no ka nele o ka hoʻoikaika a me kahi hoʻoluhi o ka naʻau ʻana i ka pono. A me kahi hiamoe hiamoe maikaʻi a me ka hoʻomaha lōʻihi, ʻaʻole i hoʻomaha nā kumuhana. Ma kekahi noiʻi, 50% o nā poʻe me ka hypothyroidism i hōʻohaʻeha mau, a ʻo 42% me kēia maʻi i loaʻa ka maʻi hiamoe o ka hiamoe.

2) Loaʻa kaʻili

ʻO kahi "bele" kēia ma ke ʻano o kahi maʻi he maʻi nui ʻole ka nui o ke kaumaha o ke kino.

ʻAʻole wale ka poʻe me ka hana thyroid haʻahaʻa e neʻe mai, e hāʻawi pū lākou i kahi hōʻailona ma ko lākou puʻuwai, nā ʻuhane a me nā kiko adipose e paʻa ai i nā kaloli.

Ke emi ka pae o ka hormone ma lalo o ka maʻamau, e loli ke kino i ka helu metabolic, e hoʻohuli i kekahi "mode". Ma kahi o ka puhi wela ʻana i nā calories no ka ulu a me ka hoʻoponopono hou ʻana o nā nui, e mālama ke kino iā lākou. I ka hopena, mālama ke kino i ka nui o nā calorie e like me ka momona. A loaʻa ke kaumaha ma nā hihia, ʻoiai inā ua loli ʻole ka ʻai ʻana i ka meaʻai.

Ma nā haʻawina i hana ʻia i nā poʻe i hoʻokumu i ka hypothyroidism, ke loaʻa ʻana o ka nui o ka paona 7-14 kg i kēlā me kēia makahiki mai ka wā i hana ai lākou.

Ke hoʻonui nei i ke kaupaona, pono ʻoe e noʻonoʻo e pili ana i ka pili ola a me nā hana maikaʻi. Inā ala ke kaumaha, ʻoiai ke kūpono o ka meaʻai a me ka hoʻomaʻamaʻa, he mea kūpono e hōʻike i kāu kauka. Hiki i kēia ke 'aila' i ka hana a nā loli hewa i loko o ke kino.

3) He kūmole

Hoʻoulu ʻia ka mahana e ke ahi ʻana i nā kalora i ke kino. Eia nō naʻe, i nā hihia o ka hypothyroidism, hōʻemi ka nui o ka metabolic, e hoʻemi ana i ka wela i hoʻolālā ʻia.

Eia kekahi, hoʻonui ka hormone thyroid "i ka lula" o ka momona o ka brown, kahi e hoʻoulu ai i ka wela. He hana koʻikoʻi ia i ka mālama ʻana i ke ʻano wela o ke kino i ke anuanu, akā ʻo ka nele o ka hormone thyroid e pale i ka hana ʻana i kāna hana. ʻO ia ke kumu me kēlā maʻi, hiki i kahi kanaka ke hōʻeha i ka ʻeha.

Ma kahi o 40% o ka poʻe me ka hypothyroidism e ʻoi aku ka naʻau i ke anuanu ma mua o ka poʻe olakino.

4) Hoʻomaʻamaʻa i ka ʻeha a me nā nāwaliwali i nā ʻōpū a me nā naʻau

Hoʻololi ka hāʻule ʻana o ka hormone thyroid i ka metabolism, a e loaʻa ai ka ikaika e pono ai, hoʻomaka ke kino e luku i nā ʻuhane, e alakaʻi ana i ka catabolism. I ka wā o ka catabolism, ua emi iho ka ikaika o ka muse, a me kēia mea e hoʻonāwaliwali ai i ka nawaliwali. ʻO ka luku ʻia o ka nui o ka ʻiʻo ke alakaʻi ʻana i ka ʻeha.

Mai ke ʻano o ka manawa nāwaliwali mākou āpau. Eia nō naʻe, ʻo ka poʻe me nā haʻahaʻa thyroid haʻahaʻa, ʻelua mau manawa e ʻike i ka ʻeha ma mua o nā kānaka olakino. Hoʻopili ia, hele nā mau pōpoki mākeke i ka 34% o nā poʻe me kēia kūlana.

Ke hōʻike nei iā 35 kanaka hoʻokahi me ka hypothyroidism i lawe i ka lawe ʻana i ka hormone synthetic - levothyroxine, hoʻāla i ka ikaika o ka ʻiʻo a hōʻemi i ka ʻeha, hoʻohālikelike ʻia me ka hala ʻole o ka mālama ʻana. Ua hōʻike kekahi like hou i kahi holomua 25% i ke ʻano kino ma waena o nā kumuhana e loaʻa ana i ka therapy hormone.

ʻO ka nāwaliwali a me ka hōʻeha ke ʻano ma hope o ka hana kino kino. Eia nō naʻe, i ka manawa e kū ʻia mai ai kēia mau hōʻailona, a inā hoʻi i nā mea i manaʻo ʻole ʻia, pono e ʻimi aku i ke kauka.

5) lilo lauoho

Hoʻopilikia ikaika ka ʻōmaʻomaʻo thyroid i nā follicle lauoho, no ka mea, aia ka follicle i nā pūpū huapalapala, he pōkole pōkole a me ka wikiwiki. ʻO ka emi ʻana o nā pae hormonal e pani i ka hoʻihoʻi ʻana o nā cell, kahi i kaalo ai i ka lauoho. Holo ʻia kēia pilikia ma hope o ka hoʻihoʻi ʻana o nā pae hormone.

I loko o nā noiʻi hoʻokahi, ua ʻike ʻia aia no kahi 25-30% o nā mea maʻi e kipa aku nei i ka trichologist i loaʻa i kāu hormone thyroid haʻahaʻa. Ua hoʻonui ke kumukūʻai i ka 40% o nā kānaka ma luna o 40. Eia kekahi, ʻo kekahi noiʻi ʻē aʻe i hōʻike ʻia ʻo ka hypothyroidism i alakaʻi i "coarsening" o ka lauoho i ka 10% o nā poʻe me ka haʻahaʻa thyroid thyne.

Pono ia e noʻonoʻo e pili ana i ka hypothyroidism me kahi loli loli ʻole e like me ka hoʻolālā o ka lauoho, ko lākou nalowale, maloʻo. ʻOiaʻiʻo, aia kekahi mau kumu e pili ana i ka lauoho, akā hiki i ke kauka ke kōkua i ke kumu o ke kumu o kēia maʻi a hāʻawi i ke kōkua pono.

6) Hoʻopilikia a maloʻo ka ʻili o ka ʻili

ʻO nā sela ʻili, e like me ka lauoho follicle, he kiʻekiʻe ke kaha hou. Akā ʻoi aku ka maikaʻi o nā loli i nā pae hormone thyroid.

Ke wāwahi ʻia ka hūnā hou o ka ʻili, ʻoi aku ka manawa e hoʻi hou i kona ʻano kūlohelohe. ʻO ka papale o waho o ka ʻili - ka epidermis - e hoʻonui hou ʻia, hōʻuluʻulu ʻia ka hōʻino. Eia kekahi, ʻo nā mea kino ʻupena e hoʻopau i nā hewa, e alakaʻi ana i ka huhū a me ka maloʻo.

Ua ʻike ʻia kekahi noiʻi o 74% o ka poʻe me ka haʻahaʻa hormone thyroid i hōʻike i ka maloʻo maloʻo. Eia nō naʻe, 50% o nā mea maʻi me nā pae hormonal maʻamau e hōʻike pū ana i nā pilikia ʻili i kū mai no nā kumu ʻē aʻe. Ma muli o kēia, ʻaʻole hiki ke hoʻoholo pololei inā hoʻoholo nā maʻi thyroid e hoʻomau ai i ka maloʻo.

Eia naʻe, 50% o ka poʻe me ka hypothyroidism i hōʻike i ka ulu ʻana o ko lākou kino i ka makahiki i hala. ʻAʻole hiki i nā loli ke hoʻohālikelike ʻia e ka maʻi kūlohelohe a i ʻole ka hoʻohana ʻana i nā meaʻai hou he hōʻailona paha nā pilikia thyroid.

ʻO ka hopena, hiki ke hoʻohaʻahaʻa i kahi pae o ka hormone maʻi e ka maʻi autoimmune, he hopena maikaʻi ʻole i ka ʻili o ka ʻili, e hōʻemi ana i ka ʻula a me ʻulaʻula, i kapa ʻia ʻo myxedema. ʻOiʻo Myxedema me ka hypothyroidism i ʻoi aku ka maʻamau ma mua o ka ʻili a i ʻole ka hoʻonāukiuki paha.

7) E hōʻeha a makaʻu paha

Hōʻike pinepine ka hypothyroidism i ke kaumaha. ʻAʻohe mea wehewehe i kēia kumu i kēia lā, ʻoi paha kēia ma muli o nā maʻi noʻonoʻo, hōʻemi ka ikaika a me ke olakino maikaʻi.

ʻO 64% o nā wāhine a me 57% o nā kāne me ka haʻahaʻa haʻahaʻa haʻahaʻa hōʻike i ka pohō. E pili ana i ka pākēneka like ʻole o ka hopohopo ʻelua.

Ma kahi noiʻi hoʻokahi, ʻo ka lawe ʻana i nā hormone thyroid e hoʻohālikelike i ka placebo i hoʻopau i ke kaumaha i nā poʻe maʻi me ka hypothyroidism moderate. ʻO kekahi noiʻi o nā wahine ʻōpio me ke emi ʻana o ka hormone thyroid i hōʻike i ka nui o ka nui o nā moʻo kaumaha, i pili pū me ka leʻaleʻa me ko lākou ola kino.

Eia kekahi, hiki i ka loli ʻana o ka hormone postpartum ke kumu i ka hypothyroidism a, ma ka hopena, ʻo ke kaumaha ma hope.

8) Hoʻopilikia o ka hoʻomanaʻo a hoʻemi i ka ʻike

Nui ka poʻe maʻi me ka hypothyroidism e loaʻa i ka noʻonoʻo "nebula" a me kahi laʻa o ka neʻe ʻana.

Ma ka noiʻi hoʻokahi, 22% o nā poʻe me ka haʻahaʻa haʻahaʻa o ka nui o ka thyroid i wehewehe i kahi paʻakikī i ka helu ʻana o kēlā me kēia lā, ua 36% ka pale ʻana i nā hopena, a 39% hōʻikeʻike hoʻomanaʻo hoʻomanaʻo. Ma kekahi noiʻi, he 14 mau wahine a me nā kāne me ka hypothyroidism ua paʻakikī i ka hoʻomanaʻo ʻana i nā ʻōlelo waha.

ʻAʻole maopopo i nā kumu kumu no kēia, akā ua hoʻopau ʻia nā pilikia me ka hoʻomanaʻo ʻana me ka therapy hormonal.

Hiki ke loli o ka hoʻomanaʻo a i ʻole ka nānā ʻana i ka poʻe āpau, akā inā ākea a lōʻihi paha lākou, hiki ke lilo i "kani" a ka hypothyroidism.

9) Hōʻea ka hoʻohemo ʻana

Hoʻopilikia ka hypothyroidism i ka hana o ka hana maʻa.

Wahi a hoʻokahi noiʻi, 17% o nā poʻe me ka haʻahaʻa haʻahaʻa o ka maʻi thyroid hormone constipation, hoʻohālikelike ʻia me 10% o nā poʻe me nā pae maʻamau. Ma kekahi noiʻi, 20% o ka poʻe me kēia maʻi e ʻōlelo ana e piʻi nui ka pilikia o ka constipation, e hoʻohālikelike ʻia me 6% o nā poʻe me ka pae o ka hormone maʻamau.

ʻOiai ka constipation he hoʻopiʻi maʻamau ma ka poʻe maʻi me ka hypothyroidism, ʻoi loa ka hihia o ka constipation ʻo ia wale nō ka hōʻailona koʻikoʻi.

10) He kaumaha a i ʻole ka palena

ʻO nā hoʻoneʻe koko a me ke kaumaha nui e pili ana i ka hypothyroidism.

Ua ʻike ʻia kekahi noiʻi e pili ana i ka 40% o nā wahine me ka liʻiliʻi o ka hormone thyroid i ʻike pinepine ʻia i nā kāne menstrual a i ʻole ke kahe koko kaumaha ma mua o ka makahiki i hala, ua hoʻohālikelike ʻia me 26% o nā wahine me nā pae maʻamau. Ma kekahi noiʻi, 30% o nā wahine me nā menstrual irregularities i hōʻike ʻia me ka hypothyroidism ma hope o nā hōʻailona ʻē aʻe i hoʻokō iā lākou.

Hiki i nā hormone thyroid ke pili me nā hormone ʻē aʻe e keohi i kāu manawa, a me nā haʻahaʻa kalaka ke hiki ke hoʻopili i kā lākou hana maʻamau. Eia kekahi, hoʻopili pololei nā pili i nā ovaries a me nā kō.

Eia nō naʻe, aia nā kumu ʻē aʻe e hiki ke hoʻopilikia i ka nīkū i hōʻemi a me ka lāʻau kaumaha.

Nā hana hoʻohālikelike

Inā aia kekahi mau hōʻailona o ka maʻi, pono ia e kipa i kahi endocrinologist e hana i kahi loiloi me nā loiloi o nā hana diagnostic e pili ana, ka mea:

ʻO kahi hōʻike koko no ka hele ʻana o nā hormones thyroid a me ko lākou koʻikoʻi i ka serum,
kahi hōʻike koko koko e hōʻike ai i ka hormone thyroid-stimulate o ka pituitary gland i mea e maopopo ai ke ʻano o ka hypothyroidism: nā kumu TSH haʻahaʻa e hōʻike ana i ka hoʻomohala o ka hypothyroidism kūloko, a me nā kumu kiʻekiʻe e hōʻike i ka hoʻokumu ʻana o ka hypothyroidism mua,
scintigraphy, kahi e hoʻoholo ai i ka hiki o ke keleko thyroid e hopu i ka iodine a hana i kāna kōnane ponoʻī,
ka hoʻoholo ʻana o ke kukuna o nā antibodies i ka thyro pyroxidase (AT-TPO), a me ka thyroglobulin (AT-TG), nā kumu kiʻekiʻe o nā hōʻailona e hōʻike ana i ke ʻano o ka autoimmune o ka maʻi,
E kōkua ka nū MPT a me ka radiography e hoʻopau i ka hopena o ka ulu ʻana i ka lua (pituitary) a me ka tersiaea (hypothalamic) hypothyroidism,
ʻO ka ʻōmaʻomaʻo o ka kelekoʻo thyroid e kōkua i ke nānā ʻana i ka hele ʻana a i ʻole, i ka ʻole ke ʻano o nā ʻōpū a me nā node, ma muli o ia hypothyroidism o ka hana thyroid e hoʻomohala.

Hoʻololi ʻia ka ʻokoʻa hoʻāʻo ʻana o ka hypothyroidism congenital me ka hoʻohana ʻana i ka nānā sconening neonatal, ʻo ia nō e hana ʻia ma lalo o nā kūlana lapaʻau 4-5 mau lā ma hope o ka hānau ʻana o ka pēpē.

Kekahi mau makahiki i hala, ʻaʻohe lāʻau lapaʻau maikaʻi. Loaʻa ka maʻi i ke ala koʻikoʻi ma ke ola he lōʻihi, he myxedema kahi koho maʻamau no ka hoʻomohala ʻana i nā pathology i nā wahine. Inā ulu ka pilikia o ka thyroid i ka manawa o ka hoʻomohala ʻana i ka maʻi intrauterine, ua hōʻike pinepine ʻia ka cretinism, me ka loaʻa ʻole o ka mālama kūpono.

I kēia manawa, kākau pinepine nā palapala o ka hypothyroidism.

Hōʻikeʻike ka hōʻike ʻana i ka maʻi o ka thyroid ma ka hoʻomaka mua ʻana o ka maʻi a hoʻoponopono ʻia i ka hoʻololi ʻana o ka hormone. ʻO ka hana a ke kauka ke koho i nā ʻano pai ʻana o nā lāʻau lapaʻau: L-thyroxine, Thyrecomb a me kā lākou mau analogues.

Hoʻomaka ka mālamaʻana i ka hypothyroidism i nā wahine me nā liʻiliʻi liʻiliʻi, e hoʻonui pinepine i ka dosis. E like me ka maikaʻi o ka olakino olakino (me ka hoʻāʻo ʻia o ka lāʻau lapaʻau maʻamau), hoʻonui ʻia nā nui o ka hormonal a hiki i nā nalowale nā hōʻailona. Akā i ka wā e hoʻomaha ana i nā hōʻailona o ka maʻi, ʻaʻole e pau ka lāʻau lapaʻau. Hiki i ke hōʻike ʻana i nā lāʻau hoʻoliʻi hormone hiki i ke ola holoʻokoʻa. Inā hoʻomaka ka mālama ʻana i ka manawa a hoʻomanawanui i nā maʻi nā lāʻau lapaʻau, hoʻomau ka hana o ka mea maʻi.

Aia nā koho maʻi lapaʻau. I ka wā o ka hana hana, neʻe ʻia kahi ʻāpana o ka gland thyroid. Ma hope o ka hoʻonā ʻana, kauoha ʻia nō hoʻi ke ʻano o ka hoʻololi ʻana i ka hāmeʻe.

Ua hoʻolako ʻia ka mea maʻi i nā mea lapaʻau therapeutic, me ka hoʻonui pinepine ʻana i ka nui o ka waiora a me nā minela, ka nui o ka ʻai o ke kō, a me ke kaupalena ʻana i ka hana o nā momona a me nā kāmeama, hoʻemi ʻana i ka ikehu o ka ikehu o kēlā me kēia lā o ka meaʻai.

ʻO nā huahana e hiki i nā mea momona hoʻoemi (hoʻolaʻa ʻia, nā ʻeke, nā kime a me nā momona holoholona) ʻaʻole i haʻalele ʻia i ka meaʻai, a me nā huahana me nā haʻalulu paʻakikī o nā haʻalulu, nā fiber sayur, a me nā meaʻai i waiwai ʻia i ka lāʻau laʻu a me ka protein holoholona i hoʻohui ʻia. Ma ka hoʻokomo ʻia o ka hypothyroidism o ka thyroid gland me ka edema, ua hāʻawi ʻia nā mea maʻi i ka ʻai paʻakai, me nā mea paʻa o ka kō ʻana o ka wai. Ma ke alo o ka constipation, ke kau ai i ka meaʻai:

Nā waiʻona maoli: beetroot, apple, kā kaloti,
nā hua maloʻo: nā hua liʻiliʻi, nā hua palaoa,
nā lā wai momona i hoʻokahi lā-lā - yogurt, kefir.

I loko o nā ala hoʻonā nui loa o ka maʻi, ua kuhikuhi ʻia nā mea ʻai i kahi meaʻai kūikawā no 8, ka mea i loaʻa ka haʻahaʻa o ka ikehu - a hiki i ka 1800 kcal. ʻO ka hoʻokō nui me ka meaʻai e hoʻomaʻamaʻa nui i ke ʻano o ka mea maʻi a hoʻokaʻawale i ka manawa mālama.

Hoʻohālikelike

ʻO ka hypothyroidism a i hōʻemi paha i ka hana thyroid he maʻi maʻamau.

Hiki i kēia maʻi ke hōʻeha i nā hōʻailona he nui, e like me ka luhi, ke kaupaona ʻana, a me ke ʻano o ke anuanu. Hiki iā ia ke hana i nā pilikia me ka lauoho, ka ʻili, nā ʻuhane, ke hoʻomanaʻo a me ka moʻo ʻana.

He mea nui ia e hoʻomaopopo ʻole he koʻikoʻi kēia mau pilikia i ka hypothyroidism.

Eia nō naʻe, inā e hui pū ʻia kekahi o kēia mau ʻōuli, a i ʻole i ʻike hou ʻia a i ʻole ka hoʻoikaika, a laila e ʻimi ʻoe i ke kauka e hoʻoholo ai e hana i nā hōʻike no ka hypothyroidism.

ʻO ka mea pōmaikaʻi, ua mālama pinepine ʻia kēia maʻi me nā lāʻau lapaʻau kūʻai.

Inā haʻahaʻa ka nui o ka hormone thyroid, hiki i ka hoʻomaʻamaʻa maʻalahi ke hoʻomaikaʻi maikaʻi i kou maikaʻi o ke ola.

ʻO ia ka mea, code ICD-10

Ma muli o kēia maʻi e ka hoʻokō mau nei o ka lōʻihi o nā hormone thyroid a he nele ʻole o kā lākou hopena ola ma ka pae o ka nui.

Ua hōʻiliʻili ʻia ka ʻāʻī o ka:

lama (kūmolehe, huna),
hōʻike (wā kiʻekiʻe),
hoakino.

ʻO kahi hemahema o nā hormones thyroid e alakaʻi i ka hoʻolohi i ka metabolism, kahi hoʻohaʻahaʻa i nā hōʻailona āpau o ka metabolism nui a me nā hopena redox, hōʻiliʻili nā glycoproteins i loko o nā kiko, nā mea e kōkua ai i ka hoʻomohala ʻana i ka edema mucous.

Ma muli o kēia mau pilikia, aneane pili nā kino a me nā ʻōnaehana.

Wahi a ka International Classifier of Diseases o ka loiloi 10th (ICD-10) ʻO ka hypothyroidism e pili ana i nā maʻi o ka ʻōnaehana endocrine me ka leka "E" a me nā helu ma waena o 00 a 03.

Hāʻawi ʻia kahi palapala hoʻokaʻawale i kēlā me kēia ʻano maʻi.. ^ E Ha yM. Pono kēia no ka hōʻike ʻana a me ka hoʻohālikelike ʻana i ke kikowaena o nā maʻi, no nā helu ma nā wahi like ʻole, kōkua i ka hana ʻana i ka maʻi kūpono a koho i nā hana lapaʻau kūpono.

Hōʻike ʻia nā kumu nui o ka palu wahine i loko o kēia ʻatikala.

ʻO nā ʻōmaʻomaʻo a me nā hōʻailona o ka appendicitis maʻi mau wahine e kamaʻilio ma aneʻi. E makaʻala i kou olakino!

ʻO nā kumu o ka hoʻolālā ʻana i ka wā ulu a me ka menopausal

No nā kumu nui (95% o nā hihia) hypothyroidism ke kumu o ka nalowale o ke kelenʻo thyroid, e alakaʻi ana i kāna hana haʻahaʻa, hiki i ka congenital a loaʻa paha.

ʻAno lua nā hōʻemi ʻana i ka hiki o ka huina pituitary e hana i ka hormone thyroid-stimulate, aoao kūhelu kula nā kumu e hōʻino ʻia e ka nuclei hypothalamic.

E pili ana i ke ʻano peripheral ʻ lākou i ka wā i loaʻa ai nā hormones hana i hana e like me kā lākou.

Inā ke mākaukau nei ka ʻohana no ke ʻano o ke pēpē, pono ka wahine e hele ai i ka nānā ʻana o ka hormonal ma ka papa hoʻolālā o ka hāpai ʻana, ʻoiai ka hiki ʻana o kahi pilikia i ka wā gestation e hiki ai i ka hoʻomohala ʻana o ka ʻōpū o ka pēpē o ka keiki hānau ʻole a alakaʻi i ka hopena noʻonoʻo.

ʻOiai ka pili o ke aʻala a me ka menopause a me ka menopause i hoʻopili ʻia kekahi me kekahi. loaʻa ka hapanui o nā wāhine i ka hypothyroidism i ka wā menopause.

ʻO ke koʻikoʻi, pōʻino, ka nele o ka hiamoe, ka hopena maikaʻi o ke kaiapuni, a me ka moʻomeheu hiki ke lilo i kumu o ka hoʻopiʻi ʻana i ka hana o kēia kelepona koʻikoʻi.

ʻO nā pilikia ma ka hana ʻana o nā pōpoki ʻē aʻe e ulu ana i kahi makahiki i hiki ke hoʻopilikia i ka hana o ke kuʻi.

Nā kumu a me nā hōʻailona o ka hypothyroidism - ka hapa ʻole o nā hormone thyroid:

ʻO ke kiʻi olakino, nā hōʻailona

ʻO ke kiʻi lāʻau lapaʻau o ka maʻi e pili ana i ka lōʻihi o ka hapa o nā hormones, ka makahiki o ka mea maʻi, a me nā maʻi concomitant.

He nui nā "masks" ʻo Hypothyroidism hiki iā ia ke hoʻohuli ʻo ia iā ia iho e like me nā maʻi a me nā ʻeha ʻole:

rheumatologic: polysynovitis, polyarthritis, polyarthralgia, osteoarthrosis holomua,
dermatological: hyperkeratosis, alopecia, onycholysis, maloʻo maloʻo, hoʻomaʻemaʻe i nā kui manamana me ka stryation a wā lōʻihi paha,
psychiatric: dementia, hopohopo,
mea hanu: hopu hopu i ka hiamoe (apnea), hoarseness, kahi i pili ai i ka laryngitis maʻi,
ʻekekikema: infertility, ovarian dysfunction, amorrhea, polymenorrhea, menorrhagia, hypermenorrhea, dysfunctional uterine blood,
cardiovascular: dyslipidemia, pericardial a pleural effusion, hypotension, diastolic hypertension,
neurologicalʻuhane: nā ʻaleme (tunnel canal (canal carpal, peroneal nerve, etc.),
gastroenterological: atrophy mucosa gastric, constipation maʻi, dyskinesia biliary, dyskinesia palupalu nui, cholelithiasis, hepatitis maʻi, hōʻemi ʻai, ʻaihue.

Me nā hemahema TSH, ua emi ka pae o ka manaʻo o ka manaʻo a me ka hana. I ka poʻe maʻi me ka hypothyroidism, hypercholesterolemia a me ka dyslipidemia he mea maʻamau nō hoʻi.

ʻOi mau manawa i hala mai ka wā i hoʻomaka ʻia ai ka maʻi, ʻoi aku ke kiʻekiʻe hiki i ka ulu ʻana o ka hypertension intracranial.

He poʻohiwi ka puʻuwai, nāwaliwali o ka naʻau, ʻeha, goosebumps, and tingling sensations. I nā wahine, hala ke hele a hala ke kāne hele ʻana, hoʻomohala a mastopathy.

Akā ke hele aku ka mea maʻi i ke kauka. hoʻopiʻi nā mea hoʻopiʻi: nā moʻo lahilahi, luhi, luhi, chilliness, lethargy, hoʻomanaʻo ʻana, hoʻomanaʻo ʻana, constipation, lauoho lauoho, hōʻiliʻili paona.

I ka wā subclinical

ʻOkoʻa nā hopena o ka palapala subclinical, ʻaʻole ke hōʻike iki iā ia ihoʻaʻole e ʻae e ʻae i ka maʻi.

E hoʻopiʻi ka hoʻopiʻi a me ka nāwaliwali.

I kēia manawa, ʻeha ka hopena o ka naʻau., mai aneʻi e hele mai i kahi manaʻo kaumaha, kahi luhi hikiʻole ke makaʻuʻole, nā kaumaha me nā mea o ka panic, kahi i kōkua ai nā antidepressants, e hoʻomanaʻo, ka manaʻo, a me ka naʻauao.

Hoʻohui ʻia ke ʻano me ka hoʻonui hiamoe, hiamoe ʻole me ke ʻano hoʻomaha, apnea.

Ke ulu nei ʻo ia

Ke ulu nei ka pilikia, maopopo kēia mau ʻōmole, aia hoʻi i nā ʻano pilikino o ke kino.

Kūleʻa i loko o nā kānaka:

ho'ēmi i ka naʻauao
leo launa a lohe ʻia ka lohe,

neʻe ʻo constipation
hoʻomaka ʻia nā maʻi broncho-pulmonary
ulu ka ʻōpū,
i loko o nā wahine, lilo ka huki kāne, a lilo ka haehae e like me ke koko.
ulu ka ulu, e hiki ai iā ia ke paʻakikī i ka ʻōlelo,
i loko o kahi hoʻopiha nui, ulu nā ascites (ʻōpū o ka ʻōpū).

Ma kahi palapala i hōʻike ʻia nā maʻi neuropsychiatric kaulana loa, kūikawā i nā wahine a me nā kāne, ua pio nā hana cognitive.

ʻO ka mea e hoʻopili, hoʻopili ʻana i nā ala, diagnostic

Hana ka Endocrinologist i ka hypothyroidism. ^ E Ha yM. Hoʻopili ʻia nā Diagnostics, maʻalahi a me nā kikoʻī.

Ke kōkua nei ka hui pū ʻana o kēia mau ho'āʻo i ka endocrinologist e wehewehe i ka pilikia:

kahi hoʻonui kaʻawale i TSH e hōʻike ana i ka subclinical hypothyroidism,
ka piʻi nui o TSH, kahi i hoʻohaʻahaʻa i ka triiodothyronine (T3) a me ka thyroxine (T4) - ma kahi kikoʻī a hōʻailona i hōʻike ʻia, a me nā pae o T3 a me T4 i hōʻemi i ka hoʻohālike i ka nui o ka maʻi.
inā he TSH a me ka T4 ma lalo o ka maʻamau, ke waiho nei ke kumu o ka pilikia i loko o ka aiha keluitary.

Nā huaʻeha a me nā hoʻopiʻi

ʻO ka hōʻeha o ka hypothyroidism ma ke kūkuluʻana i nā pilikia lehulehuʻo ka hapa nui loa he ʻeha loa.

ʻO kēia ka hemahema, ka anemia, ka hānau ʻana o kahi keiki hoʻomohala, ke kūkulu ʻana i ka hemahema o ka noʻonoʻo ma kekahi pākeke, maʻi maʻi ʻōpio.

ʻAʻole ke maʻi ʻoluʻolu loa, pono pono e lawe i ka lāʻau no ke ola. ^ E Ha yM. Inā hana nā mea āpau e like me nā kuhikuhi, hiki ke hoʻokele ʻia nā hōʻailona, pale iā lākou mai ke hoʻoikaika ʻana i ke koena o ko lākou ola.

Aia nā hihia o ka hoʻihoʻi, akā ʻO ka manawa wale nō ia o ka pilikia ma muli o ka lawa ʻole o ka hoʻokomo o ka iodine a i ʻole ka lolo ʻana o ka nui o ka maʻi thyroid ma muli o kahi maʻi maʻi.

Kūleʻa kuʻuna

ʻO ke kumu nui o ka mālama ʻana ke kaila mau ana i nā lāʻau thyroid ma ke kino. Hoʻohana pinepine ʻia hormone Hōʻeha T4.

Pono ʻoe e lawe i nā lāʻau lapaʻau i loko o ke ola. ʻO kahi ʻokoʻa kūikawā wale nō nā hihia o ka maʻi hypothyroidism maʻamau.

No ka mai puʻuwai, hoʻohana ʻia nā poki liʻiliʻi.ke inu nei no nā wiki he 4-6 ma lalo o ka nānā ʻana o kahi ECG. Kuhi wale ka loiloi i ka hiki ke hoʻonui ʻana i ka nui.

ʻO ka hoʻōla ʻana o ka maʻi o ka hypothyroidism - ʻoi aku ke kaumaha o ka hormone;

ʻO nā kumu o ka hoʻolālā ʻana i nā wahine

He aha nā kumu o nā maʻi? No ka mea ʻoi aku ka maʻamau o ka hypothyroidism ma mua o ka loaʻa i nā wahine, ʻo nā kumu mua he mea i loaʻa i ka predisposition hereditary. ʻO ka hoʻomohala ʻana o ka maʻi i nā wahine ma muli o ia mau ʻano:

Deformity thyroid - aplasia a hypoplasia,
ʻO ka kahi hewa o ka lau thyroid gland i loko o ka sublingual wahi o ka larynx,
ʻO ka paleʻana i nā biosynthesis o ka nui o ka hormone thyroid.

Aia kekahi mau ʻano i loaʻa i ka hypothyroidism:

Hoʻokumu ka hypothyroidism mua me ka hōʻino pololei i ka aʻu i ka thyroid gland. ʻO nā kumu ka mahele o ke kaʻina hoʻoiho ma ka kelepaʻo thyroid, kona mau hōʻeha, nā maʻi a me nā maʻi infiltration, irradiation X-ray, ka iodine deficiency i ke kino, ka maʻi thyroiditis autoimmune.

Hoʻopilikia ka lua o ka hypothyroidism, hana ʻia kona hoʻokumu ʻia ʻana e nā wī o ka gland pituitary, ma muli o ke ʻano o ka hoʻololi ʻana o nā pathological i nā cell glid thyroid, a hōʻea ka hana ʻana o ka hormone thyroid-stimulating. ʻO ia ka hopena maʻamau ma ka maʻi a me nā hōʻeha o ka gland pituitary.

He mea ʻoi aku ka hypertiroidism Tertiary kahi o nā leʻaleʻa i nā wahi o ka hypothalamus e kuleana no ka synthesis o ka hormone thyroliberin (TRH) i nā wahine a me nā kāne.

Hoʻomaopopo ka ʻano peripheral o nā maʻi i ka wā e kāohi nei i ka hoʻoneʻe ʻana i nā hormone hypothyroid-hoʻouluulu ʻia ʻana, a i ʻole ke kūʻē ʻana o nā ʻāpana kino i nā mea.

ʻAʻole hiki i ka ʻepekema ke hāʻawi i nā ʻike kūpono no ke aha e hele mai nei kēia hanana, me ka kiʻekiʻe kiʻekiʻe o nā kumu kumu he genis predisposition e hoʻoili ʻia e ka hoʻoilina.

I kēia mau lā, kākau wale nā hōʻailona a kau ʻia nā hana kūpono.

Pehea e hoʻomaopopo ai i ka hypothyroidism, nā hōʻailona

ʻO ka emi ʻana o ka hana ʻana i ka hormone, ka ʻano ʻona o kekahi ʻano o ka hypothyroidism, pili i ka hana o ke ʻona holoʻokoʻa o nā ʻōpū āpau a me nā ʻōnaehana o kahi kanaka: ka gastrointestinal tract, puʻuwai, pili koko, urogenital a me nā ʻōnaehana waena. Loaʻa nā hōʻailona o kēlā me kēia hihia.

Ke lōʻihi ka hoʻomohala ʻana a me ke ala o ka maʻi, kokoke me ka ʻole o ka haʻi ʻana i ka hōʻailona ma ka lā mua. ʻO kēia a me nā ʻano o ka hōʻike, like like me nā hōʻailona o nā maʻi ʻē aʻe, e hoʻopiʻi i ka wā o ka maʻi hypothyroidism manawa. ʻO nā ʻōuli maʻamau loa i ka wahine ka:

ʻO ka luhi ākea, nā momona,
ʻEhaʻeha
Hoʻemi ka hana noʻonoʻo a me ka hoʻomanaʻo hoʻomanaʻo,
ʻO nā lawehala kāne
Loaʻa ka loaʻa ʻana o ka momona kaumaha
Kaaudeana
ʻO ka ʻili maloʻo, lauoho lauoho a me nā kui,
E ʻoki ana i ka maka a me nā ʻūhā.
Kāwili ʻole me ka hiʻona, ma nā lima mau a me nā wāwae.

ʻIke ʻia, i kekahi manawa ke hoʻonui ʻia ka nui o ka gland thyroid - ke hoʻomaopopo ʻia nei ka hoʻomohala ʻia o ka "goiter", "bulging eye syndrome", ʻaʻole hiki ke hala kēia mau hōʻailona.

Hoʻomaka ka maʻi i ʻekolu mau manawa: latent, manifest and paʻakikī. ʻO ka hana mua o ka nui o nā hihia ke ʻike ʻole ʻia, ʻo ia nō ke koi o ka maʻi, ke ʻike ke ʻano o kahi kanaka i ka ʻeha, akā ʻaʻohe kumu no ka maʻi ʻana, ʻaʻole maopopo ʻia nā hōʻailona, ʻaʻole koi ʻia ka lāʻau lapaʻau.

ʻO nā manaʻo a me nā hōʻailona e hoʻemi i ka hōʻeha a me ka neʻe pinepine ʻana i ka nui o nā wahine, nā hoʻomanaʻo ʻana a me ka hana.

Ka inoa Manifest hypothyroidism ua kapa ʻia hoʻi i ka hypothyroidism maoli i ka lāʻau lapaʻau. ʻElua mau subspecies:

Kuhi ka pōpilikia me kahi palapala decompensated.

He mea minamina loa ka hypothyroidism i ko mākou manawa, ma ke ʻano he maʻi like, me kēia ʻano o ka maʻi, nā ola koʻikoʻi o kahi kanaka e hōʻeha nui, ʻeha puʻuwai paʻakikī, a me ka huli ʻana no ka noʻonoʻo (cretinism), a me nā polyserositis ka nānā ʻana.

Nā Palapala Diagnostic

Ma muli o ke kiʻi kauka maʻi ʻeha o ka maʻi a me ka nui o nā hōʻailona e hōʻike pū i nā ʻano o nā ala o nā kino ʻē aʻe, he paʻakikī maoli ke kūleʻa i ka maʻi a hiki i loko o kahi keʻena hou.

He mea nui ʻole ka hilahila i ka hypothyroidism me nā hana ʻē aʻe o ka hormonal e hopena i nā rickets, kahi maʻi o Hirschsprung, ulu ulu, chondrodystrophy, like me kēlā me kēia maʻi like nā hōʻailona like.

E nānā i ke kiʻekiʻe o nā hormones thyroid, e hana ʻia kahi hōʻike koko mai kekahi vein. Inā hōʻemi ʻia ka nui o ka triiodothyronine a me ka thyroxine, a ua hōʻemi a hoʻonui ʻia ka nui o ka ulu ʻana o ka maʻi thyroid, hoʻonui ʻia i ka maʻi.

Ke hōʻoia nei i ka hoʻomohala ʻana, hana ʻia kahi ultrasound o ka gland thyroid, e kōkua ana e ʻike i nā loli kūlohelohe o ke a me ka hoʻokolohua ʻana, a me ka biopsy.

I mea e hōʻoki ʻia mai nā maʻi, pono ke koi ʻana i ka maʻi paʻakikī. ʻO ka mea mua, pono ke hoʻihoʻi pono i ka hana maʻamau o ka gland thyroid - hoʻihoʻi ʻia ka lāʻau hormonal no kēia kumu, ma hope o ka hoʻohiki ʻana o nā hōʻailona.

Ma ke ʻano he kānāwai, he mau mea hoʻohālikelike kēia no nā hormone thyroid. Ma ke kumuhana hoʻokahi, e pili ana i ka makahiki, nā ʻano a me nā ʻano o ka maʻi o ka mea maʻi, koho ʻia nā lāʻau lapaʻau a me ka mālama ʻana, ʻo ia ka mea hana nui a ʻoi ka sodium levothyroxni.

Ma nā ʻāpana like, ua ʻōlelo pinepine ʻia ʻo iodotherapy inā he hemahema o kēia mea o ke kaao. Hoʻoholo ʻia ka meaʻai a hoʻonā ʻia nā lāʻau lapaʻau kūpono. Pono nā ʻōlelo āpau e hana pono i ke kauka ma hope o ka nānā ʻana i nā hopena o ka loiloi e hōʻoia nei i ka nele iodine.

Hiki i nā hoʻopiʻi a me nā hopena

He maʻi maʻi koʻikoʻi ʻo Hypothyroidism a me ka nānā ʻole ʻia e hiki ke hele i nā hihia koʻikoʻi a hiki i ka make. Pono e hana ʻia ka lāʻau lapaʻau ma lalo o ka mākaʻi o ke kauka, me ka nānā mau ʻana o ka pae o ka hormone thyroid a me nā hōʻailona ʻē aʻe. ʻOiai ma hope o ka hoʻōla ʻana, pono e mālama mau ʻia e ka loea.

ʻO ka hoʻopiʻi weliweli loa he maʻi hypothyroid, ka mea i loaʻa me kahi ʻano lohi o ka maʻi i ʻike ʻole ʻia i kahi manawa kūpono. I ka nui o nā hihia, e pili pono ana i nā poʻe o ka wā o ka makahiki, ʻo ka banal hypothermia, ke kū nei i ka luhi, a me ka trauma e hiki ai ke hoʻonāukiuki. Ke hōʻike ʻia ka hypothyroid coma:

Ma waho o ke keʻakeʻa kiriki, make ka mea maʻi.

Hoʻopilikia nui ka naʻau a me nā kīʻaha koko. Hoʻomaka ka ʻike o ka hoʻomaʻamaʻa kino o ke kolamu ma ke koko, ulu ka ulu ʻana o ka puʻuwai, a nui aʻe ka loaʻa ʻana o ka puʻuwai puʻuwai.

Hoʻopilikia koʻikoʻi ka nele o ka maʻi a me ke ala paʻa ʻole o ka maʻi me ka congenital thyroid dysfunction i loko o nā keiki. Ka luhi o ka ulu, ke ʻano o ke kino a me ka noʻonoʻo i ka ulu ʻana - i kēia mau hopena wale nō nā hopena nui o ka maʻi, inā ʻaʻole hana ʻia ka lāʻau lapaʻau i kahi manawa kūpono.

ʻO ke kumu nui no ka mālama manuō ʻana i ka manawa kipa i kahi kauka a hoʻokō paʻa ʻana i kāna mau ʻōlelo aʻoaʻo a pau. Ke haʻalele nei nā pilikia, hoʻōla a hoʻolōʻihi ʻia ka lāʻau a me nā hopena mau loa. ʻAʻole e hopohopo nā hōʻailona i ka mea maʻi i ka manawa āpau, e haʻalele a me ka pau ʻole o ke kaumaha.

He mea koʻikoʻi ke hoʻomaopopo i ka mālama ʻana i ka hoʻōla ʻana a me ka hoʻōla me ka ʻano congenital i loaʻa ʻole ka maʻi. I ke ola holoʻokoʻa, pono e loaʻa ka mea maʻi i nā lāʻau lapaʻau, e hahai i kahi meaʻai e mālama ai i kahi kūlana maʻamau o ke kino. ʻO nā lāʻau lapaʻau hou nā makahiki ʻaʻole kokoke i nā hopena ʻokoʻa a hāʻawi iā ʻoe e alakaʻi i kahi ʻano ʻokoʻa ʻole o nā mea ʻē aʻe.

Hiki i ka puka i loaʻa ke palekana a palekana a hope nā hōʻailona. Mai ka hoʻokaʻawale ʻana o ka hana ʻana o nā hormone thyroid e pili ana i kahi hana o kekahi mea hoʻokele, hoʻihoʻi i kāna hana, hiki iā ʻoe ke hoʻihoʻi hou i ka hiki i ka lolo thyroid e hana i ka nui o nā hormones.

2 ʻōlelo

ʻO ka hypothyroidism kahi ala pathological e hōʻike ana i ka lawaʻole o ka hana o ka gland thyroid, i hōʻike ʻia e ka hoʻohaʻahaʻa ʻana i ka syntel o hormonal. No ka mea, ʻo nā hana o ka hoʻolaʻa pinepine a me ka hoʻihoʻi hou ʻana i ke kino o ke kanaka (ka ikehu metabolism) e pili ana i ka hana ʻana i ka hormone hana, ʻoi aku ka hapa ʻana o ka hormone hana i ka pale ʻana i nā kaʻina metabolic nui.

Hōʻike ka Patology i kahi kokoke o 3% o ka heluna o ka lehulehu, a i loko o kahi kikoʻī i loaʻa ma mua o 9% o nā maʻi. ʻO ka hoʻohālikelike nui, ka hānau ʻana i nā wahine a me nā mākua. ʻO ka hoʻolōʻihi i ka hypothyroidism kahi mea paʻakikī i nā maʻi o ka maʻi, ʻoiai ʻo ka symptomatology mua e hiki ke hoʻopili no nā maʻi he nui.

He aha ka hypothyroidism?

He aha kēia maʻi?

He nui nā hiʻohiʻona o ka thyroid hypothyroidism, a ma ia ʻano ʻaʻole i manaʻo ʻia he maʻi kaawale. ʻOiaʻiʻo, aia kekahi kumu kumu ma hope o kēia, nāna i hana i nā maʻi thyroid. E hōʻike ʻia nā kaʻina lōʻihi o ka hōʻemi ʻana i kāna hana i ka nui o nā ʻehaʻeha i loko o ke kino, me ka waiho ʻana o nā ala ʻē aʻe i kahi e hōʻike ai ke ʻano maikaʻi.

ʻO ke kumu o ka hypothyroidism ʻaʻole nā maʻi kūlohelohe i loko o nā kiko o ka momona thyroid a me ko lākou loli i ke ʻano, akā he maʻi i loko o nā kaʻina o ka synthesis hormonal (thyroxine, calcitonin, triiodothyronine), e hoʻonāukiuki i nā pilikia ʻē aʻe (hana, organoanatomical) i nā meaʻokoʻa a me nā kiko. I ka manawa like, ʻaʻole hewa wale ka hana, akā, ʻo ke ʻano o ka anatomical.

A no ka mea o kā mākou (endocrine), e hoʻoponopono i nā hana a pau o nā kino o loko ma o nā hormone, e hana ana i ke kumumanaʻo o kahi pōʻaiapau maikaʻi, ka lilo ʻana o ka kaula hoʻopono paʻa ʻole mai ia ka mea i pale i nā hana āpau. Hana kēia me ka hypothyroidism.

ʻO ka hapa ʻole o nā hormones pituitary e hoʻoponopono i nā hana o ka gland thyroid no ka mea e hoʻonui ai i ka hoʻoulu ʻana i ka synthesis o ke ʻano a me ka hoʻāla ʻana a ka thyroid, ka mea i hōʻike ʻia e ka hoʻomaʻamaʻa ʻana o nā kūlohelohe - nodules a me nā hōʻino hewa.
E pale aku i ke ʻano o nā haunaele i ka hoʻonaninamu o nā hormones hypothalamic-pituitary - kahi hoʻohaʻahaʻa i ka hoʻāla ʻana o nā hormone thyroid a he nui ka piʻi ʻana o ka hormone thyroid-stimulate, hoʻonui ʻia ke ʻano prolactin, ka mea i hōʻike ʻia e nā ʻano like ʻole i nā lolo mummary, nā hōʻike mau o ka galactorrhea (ʻoi ka excretion o colostrum a me ka waiū mai ka umauma, a i ʻole ka hoʻololi ʻana o ka wahine i ka umauma) hormonal synthes o nā ovaries.
ʻO ka hoʻohaʻahaʻa o ka hana hormone e ka neʻe ʻana o ka adrenal a me nā aniani o ka sex e ʻike ʻia ana e nā mea maʻamau i loko o ke kāpili ʻana o nā protein (hoʻololi iki i ka protein) i loko o ka ate, e hoʻoulu ana i nā hana hoʻonā i nā kelepa adrenal a me nā ovaries.
ʻO ka hana nui loa o nā hormone parathyroid a me nā haunaele i ka calcium metabolism, ka mea e hoʻonāuki i kona holoi holoi ʻana ma waho o ka kiko o nā iwi, ma muli o kahi hana maʻi kokoke i ka lolo o ka thyroid (parathyroid) i hoʻolako i ke kino i ka hoʻokaʻawale ʻana o ka testosterone calcitonin.

Hiki i ke thyroid hypothyroidism i ka wahine ke maʻi kūʻokoʻa inā ʻaʻole i hoʻokumu ʻia ke kumu kumu o kona hoʻomohala, a i ʻole ma ka pae maʻamau o ke ʻano o ka hormonal synthesis, kahi māka ʻano ʻano maʻi o ka maʻi. I kēia mau hihia, ua hōʻike ʻia he ʻano idiopathic (kūʻokoʻa). Akā he kumu wehewehe no kēia. Hoʻoulu kekahi kūlana like i ka hope o ke ʻano o ka nui o ka nui o ka nui o ke ʻano he nui o nā hormones, a i ʻole ka wikiwiki o ka wikiwiki i ka plasma.

ʻO nā kaʻina Autoimmune e hele pū me nā alaʻeha koʻikoʻi, nā hōʻeha paʻakikī, kuni i nā hōʻeha a i ʻole ke kūʻē i ka background o ka pancreatic necrosis e hoʻonāukiuki i kēia.

ʻO kēia ka manaʻo he nui nā hormones i loko o ke koko kaʻapuni, akā naʻe like ʻole lākou i kā lākou ola iho.

ʻO nā hōʻailona mua o ka hypothyroidism

Luhua, luhi, hoʻohaʻahaʻa ka mahana o ke kino ...

Ke hoʻomohala nei, me ka piʻi ʻana o ka hypothyroidism no nā makahiki he nui. No laila, he mea paʻakikī ke hoʻonohonoho koke i nā hala. Hōʻike koke a loaʻa nā hōʻailona. I kēia manawa, pilikia paha nā wahine i nā pilikia ʻē aʻe - hele lākou i ke kauka me nā hoʻopiʻi ʻana i ka hōʻino o ka ʻōnaehana cardiovascular, hiki iā lākou ke loaʻa i ka hilahila, ka maloʻo mau, a me nā manawa iʻike ʻole ʻia.

ʻO ke kaʻina mua o ka hoʻolālā ʻana, hiki i nā kauka ke kānalua no kekahi mau hiʻohiʻona hōʻailona o ka hypothyroidism, i hōʻike ʻia i loko o nā wahine.

I kēia manawa, hoʻomaha ka mea maʻi i kahi manaʻo anu. Loaʻa ia i kahi kulu i kēlā me kēia wā a me kekahi microclimate ma ka hale.
E hiamoe mau ana nā wahine i ka lā, ʻoiai lākou i hiamoe maikaʻi i ka pō. Hoʻohālikelike ʻia a lohi. ʻAʻole ʻike koke lākou i ka mea a lākou i ʻōlelo ʻia ai.
Hōʻike ka lohi i nā kaʻina loina o ka metabolic i ka ʻili me ka maloʻo a me ka hoʻonaninani puna.
Hiki i ka mahana ke hāʻule i nā pae koʻikoʻi. ʻO kēia ʻano, ʻoiai, ʻo ia hoʻi ke hoʻonui ʻana, e hōʻike paha i ka manawa mua o ka hoʻomohala ʻana o kekahi ʻōnaehana pathological a i ʻole kahi hopohopo ikaika.
Kuhi ka constipation, ka emi ʻana o ka puʻuwai puʻuwai (bradycardia), a me nā ʻehaʻeha e pili ana i nā nū.

I nā mau maka mua o ka hypothyroidism i loko o ka wahine, ʻaʻole e waiho ʻia ka maʻi a me ka mālama ʻana i ka "pahu lōʻihi". Hiki wale i nā lāʻau lapaʻau ke pale i ka ulu ʻana o nā hoʻopiʻi ʻana, ka lāʻau ola pau ʻole a me nā hana kūihoʻi ʻole.

Pehea e ulu ai ka hypothyroidism? Nā ʻano like o ka hypothyroidism

ʻO ka maʻamau, hana ka nui o ka thyroid gland i kahi e pili ana i ka iodine e hele mai ana mai ka meaʻai: triiodothyronine (T3) a me thyroxine (T4). ʻAʻole kū liʻiliʻi ka thyroxine a lilo i triiodothyronine, kahi mea e hoʻopili mau ai i nā ʻāpana o ke kino, e hana ana iā lākou e hana pono. Hoʻoponopono nā hormone thyroid i nā nui nui.

hoʻokūkū
nā hana o ka ʻōnaehana cardiovascular,
ka hana ana o ka gastrointestinal tract,
hana hana
pae hiʻona pale pale aku,
hana pilikino
manaʻo hoʻonaninani
ke ʻano o ka ʻili, ka lauoho, nā kui.

Ma kahi kokoke i kahi wahi o ka hana kanaka e koi ai i ka komo ʻana o nā hormone thyroid. Inā ʻaʻole lawa kahi lawa o kēia mau hormon i kekahi o kēia mau wahi, pilikia nā maʻi, ʻo ia ke kumu ke hōʻike ʻia nei ka hypothyroidism e nā ʻano ʻoniʻoni like ʻole i manaʻo ʻia ʻole i ka gland thyroid.

Hoʻololi ʻia ka hana o ka hana thyroid gland pono i ka gland pituitary a me ka hypothalamus: nā huina ʻona i loko o ka lolo. Hoʻolaha ʻia ka hoʻoponopono ma o ka hormone thyroid-stimulating huna e ka honu pituitary. Maʻalahi ke ʻano: me ka hoʻohaʻahaʻa ʻana i ka hana o T3 a me T4, ka hoʻokuʻu ʻana o ka hormone hoʻoulu i ka thyroid e hoʻonui ai i ka hana o T3 a me T4. Me ia, me ka hoʻonui nui o ka ʻike o nā hormone thyroid, ua emi ka hana o ka hormone thyroid-stimulating. No laila, hoʻopili ke kino i nā kūlana kūlohelohe. ʻO ka loaʻaʻana o nā patology i kekahi wahi o kēia kaulahao o ke kaʻi hiki ke hana i ka hypothyroidism.

Inā pilikia ka pilikia ma kāu maiā kelepaʻo thyroid, a laila he koʻikoʻi ka hypothyroidism, akā inā ia o ka pituitary a i ʻole hypothalamus, a laila ua manaʻo ʻia ia ʻano hypothyroidism. Eia kekahi, hiki i ka hypothyroidism hiki i ka congenital (no ka laʻana, me ka abnormality o ka nui thyroid gland) a i loaʻa (e like me ke ʻano, ma hope o ke wehe ʻana i kahi ʻāpana o ka momona thyroid). Wahi a ka paʻakikī o nā hōʻike lāʻau, ua kū mai ka hypothyroidism:

lama (subclinical). I kēia kūlana, ʻaʻohe hōʻailona o ka hypothyroidism, hiki ke ʻike ʻia ma ka hoʻoholo ʻana i ke kiʻekiʻe o ka hormone i loko o ke koko,
hōʻike. I kēia hihia, ua ʻike ʻia kahi kiʻi kulekele kikoʻī.

Hoʻopili ʻia ka Hypothyroidism a decompensated. ʻO ka decompensation koʻikoʻi o ka hypothyroidism ka hypothyroid (myxedema) coma.

ʻO nā hiʻohiʻona ʻike o ka hypothyroidism i nā wahine

Inā hana ʻole nā hōʻailona mua loa, a hiki ke ʻike ʻia me nā maʻi he nui, a laila ke hōʻike ʻia nei nā hōʻailona kūikawā e hōʻike ana i ka hypothyroidism e hōʻike ana i ka holomua o ke kaʻina pili, me ka hōʻike hou iā ia iho:

E hoʻolōʻihi a me ka hua'ōlelo ʻole,
E poina ke hoʻomanaʻo a me ka hoʻomanaʻo ʻana, 0
ʻO Macroglossia (hoʻonui i ka lewa) a me ke alopecia (nalowale ka lauoho),
ʻO ka ʻeleʻele a me ka hina hina -
Hypotension a me pōkole o ka hanu,
Hoʻopau piha kaʻai no ka meaʻai a me ka kaumaha kaumaha,
ʻO nā maʻi noʻonoʻo noʻonoʻo naʻau,
He leo ʻano paʻakikī
ʻO nā hōʻailona o ka anemia a me thrombophlebitis.

ʻO ka hōʻike ʻana o nā hōʻailona maʻamau a ma hope aʻe e hōʻike wale ana i ka hiki ke hoʻomohala ʻia o ka pathology. I mea e wehewehe pono ai i nā kumu o kēlā mau loli, he mea pono ke nānā ʻia e ka endocrinologist a me nā maʻi kūpono loa. ʻOi aku ka hoʻolālā ʻana i ka wā hāpai, e pale i nā hopena i hala ʻole i ke kaʻina o ka hānō.

He aha ka uluʻokoʻa o ka wahine hypothyroidism?

I ka hoʻohui ʻana i nā hōʻailona nui o ka maʻi, i hōʻike ʻia ma muli o ka hōʻino o ka metabolic abnormalities, loaʻa kekahi mau hōʻailona i loko o nā wahine i hōʻike ʻole loa i ka maʻi o nā maʻi i nā kāne (a i ʻole ka haʻi ʻia).

I ka wahine, ʻo ka nui, ka nui o ka maʻi o ka nui o ka nui o ka hormone thyroid - thyroxine a me ka triiodothyronine (T4 a me T3) i hoʻopilikia nui i ka hana o kā lākou kopila:

I ka hopena o ka luku (inactivation i ka plasma) o kēia mau hormones, ua hoʻemi nui kā kā lākou hana, kahi e piʻi ai i ka nui o ke kiʻekiʻe o ka nui o nā testosterone (estrogens) synthesized e nā ovarian follicle.
Ke hoʻonui nei ka hana ʻana o nā hormones pituitary (prolactin).
Ke hoʻonui nui nei ka nui o nā kāne male (testosterone).
Aia kahi hewaʻole o nā hormones i hana ʻia e ka hypothalamus a me ka pituitary gland (follicle-stimulating and luteinizing) e hoʻoponopono i nā sex sex o nā wahine.

Ma muli o kēlā "metamorphoses", loaʻa i nā pilikia nā pilikia o ke kaʻo no ka menstrual - he hōʻino i kā lākou cyclicity me nā mea ākea nui a i ʻole nā mea huna, a i ko lākou pau ʻole. Hiki i nā hemorrhages uterine. Ua hoʻemi ʻia ka mea hoihoi i ka launa.

ʻO ka laboratory a me ke kumu hoʻokolohua

Pehea e hōʻoia ai i ke ʻano kolohe?

ʻO ka hōʻoia ʻana o ka hypofunction o ka hana thyroid gland a me ka ʻike ʻana i nā kumu kumu e lawe ʻia ana ma ke kumu o ka hoʻokolokolo ʻana e ka endocrinologist, ka loaʻa ʻana o nā hōʻike pilikino, hoʻopiʻi hoʻopiʻi a me nā hopena o ka laboratorium a me nā diagnostics diagnuse.

Ma ka diagnostics laboratorium, ua ʻike ʻia ka pae o nā hormone thyroid a me ka pituitary gland i ke koko. ʻO ka hōʻoia o ka hypothyroidism hiki ke hoʻonui i ka hōʻailona o ka hormone thyroid (thyroid), a me nā hormone pituitary me kekahi mau hōʻailona (hoʻonui a hoʻoneʻe).
Hoʻoholo ʻia ka hele ʻana o nā autoantibodies i ke kelepona thyroid.
Hoʻoholo ʻia nā ʻōkuhi olokolika koko. Ma ka pololei o ka hōʻoia ʻana o ka pathology e kū i ka pae kiʻekiʻe a me nā mea momona e like me nā momona (lipids).

ʻ includelelo i loko o nā hana pono:

Kahi ʻia o nā keleko thyroid, e hōʻike ana i ka helu ma kahi o ka iodine radioactive. Hōʻike ka haʻahaʻa o nā helu absorption e hōʻike ana i ka hypothyroidism.
ʻO ka hoʻonāukiuki o ka iʻa, nā mea e kōkua i ke ʻike i nā loli o ka pathological i kāna papa - nā hōʻailona honi, hoʻonui ʻia a me nā maʻi ʻē aʻe.
Wahi a nā hōʻailona, hiki ke hoʻoneʻe i ka lāʻau ponoā ʻōmaʻomaʻo a scintigraphy ke kāpae a hōʻoia paha i ka oncology ma kahi pae mua o ka hoʻomohala ʻana.
ʻO kahi electrocardiogram e kōkua i ka hoʻokumu i ka mau hoʻonāukiuki i ka conduction a me ka puʻuwai puʻuwai.
ʻO ke Electroencephalography, kahi mea e kōkua i ka hoʻomaopopo ʻana i ka lohi o ka psyche.

Hiki ke kōkua i ka maʻi kiʻekiʻe ke hoʻokolohua i kahi kiʻi pahuhopu o ka maʻi a hoʻoholo i ka papahana mālama kūpono maikaʻi loa no ka hypothyroidism.

Ka maʻi Hypothyroidism - Hoʻōla Hormone

Kūkulu ʻia ka hopena Therapyutic ma muli o ka hoʻomaha ʻana i nā kumu nui o ka hypothyroidism. ʻO ka mea pōʻino, ʻaʻole hiki ke maʻalahi, a luhi ka hopena maikaʻi. ʻO ka regimen paʻakikī hoʻi nā komo ʻana o ka mālama maʻi ma ka maʻi hypothyroidism:

ʻO ka lāʻau cardioprotective ma ke ʻano o Riboxin, Preductal, Trimetazidine, AFT a me Mildronate.
Ma ke ʻano o ka glycosides cardiac - Digoxin, Korglikon, Strofantina.
Nā paikini momona - "Neurobeks", "Aevita", "Milgama".
No nā maʻi Nootropic a me neuroprotective e hoʻomaikaʻi i ka hana lolo.
Me ka hoʻomaʻamaʻa koʻikoʻi, ua kau ʻia nā lula liʻiliʻi o nā diuretics - "Lasix" a i ʻole "Furosemide."
Hoʻopau nā kūlana hoʻonāuki e nā lāʻau lapaʻau e like me Persena, Volokordin a i ʻole Corvalol.

Hoʻohui i ka hoʻomākaukau o ka pharmacological, ua hoʻomake ʻia ka mālama ʻia o ka hypothyroidism e nā meaʻai kūpono i kāhea ʻia e kāpae i nā huahana mai ka meaʻai e hiki ai ke hōʻemi i ka huna ʻana o ka thyroid. Pono e hoʻokaʻawale nā legumes, millet, palaoa a me nā ʻuala mai nā meaʻai. Hoʻemi iki i ka hoʻohana ʻana o ke kāleka a me nā kao.

ʻO nā mea hou no nā thyroxine he mau lāʻau lapaʻau - Levothyroxine, Triiodothyronine, thyroidin, Eutirox a i Bagotirox. ʻO ke papa a me nā dosage kēlā me kēia kanaka. Hoʻoholo kū hoʻokahi ka nīnau o ke koho ʻana i nā kālā no ka iodine.

Me nā hōʻailona o ke kiko (peripheral) hypothyroidism, i ka manawa a me nā kino a me nā kino e hōʻike i ka kūʻē (immunity) i nā hormone thyroid, ʻelua mau wahi hormonal (triiodothyronine a me ka thyroxine) a i kā lākou hui pū ʻia ma ke ʻano o "Thyrecomba", "Tyyrotom-fort" a "" Tirotoma "i kuhikuhi ʻia i nā mea maʻi . ^ E Ha yM. Inā ʻaʻole, ʻaʻole e hāʻawi ka hoʻomaikaʻi i ka hopena maikaʻi.

I nā hihia i hana ʻia ai nā mea maʻi, ma muli o ka pono, ʻo ka radiation radiation a me ka hoʻokaʻawale ʻana o nā kiniki thyroid, hoʻomaʻamaʻa ʻia ka hormone hoʻololi i ke ola holoʻokoʻa.

Me ke ʻano o ka mālama ʻana i ka pale ʻana, ua mālama ʻia ka mālama ʻia ʻana o ka hypothyroidism me nā "bads" "Endonorm", "Bi-pollen", "Garcinia", "Kelp" a i "Grepine". ʻO kēia nā lāʻau lapaʻau e hoʻomaikaʻi i nā kaʻina metabol. ʻO nā mea āpau he mea kanu ʻano, loaʻa ka hopena i ka holo ʻana o nā kaila papa koho maʻamau.

He aha nā hopena paʻakikī?

I loko o nā wahine i ka wā hāpai, hiki ke ʻike ʻia kēia pathology i ka hoʻohuli hewa ʻole o nā kino o ke keiki a ke keiki a me kona hānau ʻana me ka lawa ʻole o ka thyroid.

I nā wahine me ka hypothyroidism, hana ʻia ka hana hoʻoulu, e hoʻoweliweli i ka maʻi maʻi. Hoʻokomo ʻia nā maʻi huelo, ka mea i hōʻike ʻia i ka hiki ʻana o nā maʻi ʻōnaehana, ka hoʻomohala ʻana i nā maʻi pinepine a me nā ala oncological.

Nā kumu o ke Hypothyroidism

ʻO nā kumu maʻamau maʻamau o ka hypothyroidism:

autoimmune thyroiditis (maʻi ʻo Hashimoto),
ka wehe ʻana i kahi ʻāpana o ka lau thyroid.
hōʻeha ʻehā a ka maʻi thyroid
nā lithium-based rongoā (Quilonium, Kontemnol, Litosan, Sedalit), ka ʻike i ka huaʻai ʻokoʻa ʻo iodine.
ka huina o ka iodine a me ka selenium i loko o ka meaʻai,
hana me ka radiood yodine, irradiation o ka nui o ka thyroid,
nā helehelena o ka kelipiʻi pituitary a me nā hypothalamus (nā hōʻeha, nā hōʻeha, nā ʻōpū, nā hana ma kēia wahi a pēlā aku).

Hōʻike ʻia ka hypothyroidism e ka nui o nā hana ole loiloi, ʻo ia hoʻi, ka manawa like o nā hōʻailona e hōʻike ana i ka pathology o nā ʻanoʻokoʻa o nā kino. ʻO kahi hōʻailona hoʻokahi o ka hypothyroidism ʻoi ʻole ia he nonspecific, e hoʻopili ana i ke ʻano maʻi o kēia ʻano. ʻAʻole loaʻa i kahi mea maʻi kekahi mau hōʻailona āpau i ka manawa like. ʻO ka maʻamau, nui ka poʻe o lākou i ke koena, ʻoiai ke koena aku paha i ka manawa i hiki mai ai i kahi ʻāpana, a i ʻole noho ma mua. ʻO ka paleha o nā hōʻailona pilikino e loli, i kekahi manawa hewahewa wale lākou no ka hōʻike ʻana o nā loli senile i loko o ke kino (ʻoiai ua maʻamau ka hypothyroidism ma hope o 55-60 mau makahiki).

ʻO nā hōʻailona nui o ka hypothyroidism nā:

ʻālaʻaka aseic. ʻO ka maʻi me ka hypothyroidism e hopohopo nei e pili ana i ka nāwaliwali laulā, lethargy, nā mākaukau, a i ʻole ka mau ʻana o ka ʻeha. Hoʻēmi nā hoʻomanaʻo i ka wikiwiki o nā kaʻina noʻonoʻo, hoʻoemi ka hana. Hoʻomaopopo ʻia ka ʻoluʻolu no ka hiamoe i kēlā me kēia lā. Ua nalowale ka hoihoi i ke ola, ke kaumaha a me ka makemake ʻole i nā mea āpau e ulu nei. Hoʻomaʻamaʻa pinepine ʻia nā ʻano mea leʻaleʻa holoʻokoʻa i loko o ke kino: ka holo ʻana, hoʻonaninau, ʻūlū, ʻaila, a me nā mea like. Hōʻeha ka poʻo, hōʻeha a me nā ʻeha kuʻuna
nā mea hoʻohālikelike trophic pilikia. ʻO ka mea mua, he maloʻo maloʻo (i kekahi manawa me ka jaundice), ke kiko (a i ke alo a me ka ʻāpana o nā ʻāpana o ke poʻo, e hāʻawi ana i ke ʻano o kahi kanaka, e ʻoluʻolu loa iaʻu, ka mea i ala aʻe ma hope o kahi palupalu hōʻeha i ke ao ma mua), brittleness a hoʻonui i ka pohō lauoho. Hoʻopili ʻia nā kui a he exfoliate, he transverse a longitudinal striation wale nō. ʻOi aku ka nui o nā maʻi like ʻole, ʻoiai hiki ke ʻai iki lākou. Loaʻa kēia ma muli o ka mālama nui o ka wai i loko o ke kino a me kahi hoʻohaʻahaʻa i ka pae o ka hana kaʻina o ka metabola. ʻO ka poʻe maʻi me ka hypothyroidism e hoʻomau mau nei, ʻoiai i ke kauwela wela, a i ʻole palaka ʻia nā frosts. Palapala pinepine ʻia ke kino ma lalo o 36.6 ° C,
ka ʻaʻa ʻana o nā ʻili. Hoʻopili i ka puffiness o ka helehelena a me ka umauma, me ka hypothyroidism e lohi pinepine ka leo ma muli o ka ʻōpū o ka larynx ligament, pilikia ka hanu (hoʻonā a paʻakikī a maʻi) ma muli o ka huehue o ka mucosa nasal, lohe nā pepeiao (no ka nui o ka ʻā ʻana o ka tube auditory a me ka pepeiao waena) Mālama ʻia nā manamana lima ma ke alelo, ua lohi ka ʻōlelo (ma muli o ka lohi o ka ʻōlelo palaka). E like me ʻoe e ʻike ai, nui nā ʻano like ʻole e kau like nui me ke ʻano kūlohelohe o ke ʻano o ke kino, no laila, ʻaʻole lākou ʻike ʻia he ala palolo, ʻaʻole me ka mea maʻi ʻo ia iho a me nā mea ʻē aʻe.
hōʻemi i ka helu naʻau (bradycardia) a me ka haʻahaʻa o ke koko (hypotension). Ke nānā nei i kēlā me kēia mau mea maʻi, ua hoʻohaʻahaʻa ka nui a maʻamau paha ke ʻano (a ma lalo) a me ka diastolic ("haʻahaʻa"). Hāʻawi ʻia kahi ECG e kapa ʻia ʻo ka mea haʻahaʻa haʻahaʻa haʻahaʻa (haʻahaʻa ka nui o nā niho āpau), he nalu ʻino T. Aia paha i ka hopena maʻi ma waena o nā membranes o ka naʻau. I kēia hihia, ulu nā pericarditis. ʻO ka hōʻike pinepine ʻana o ka hypothyroidism ka hana ʻole o ka naʻau me ka lohi o ka hanu a me ka ʻeha i loko o ka puʻuwai,
nā pilikia me ka gastrointestinal tract. Ke emi nei ka lohi o ka ʻōpū a me ka ʻawaʻawa me ka hypothyroidism lohi, ʻai ka meaʻai i nā manawa lōʻihi ma kēlā me kēia keʻena, kahi e alakaʻi ai i ka pohō i ka ʻōpū, ka belching, ka hoʻoluhi ʻana i ka momona, palupalu, constipation, nausea. Hiki ke hoʻonui i ka nui o ke akea (hepatomegaly) ma muli o ka mālama waiʻana i ka hoʻopili pili o ke akeʻa, ka maʻi o ka dyskinesia biliary e like me ke ʻano hypotonic,
pilikia me nā gonads. Hoʻohana pū ka hana o ke kelepona thyroid me ka huna ʻana o nā hormones sex. Me ka hypothyroidism i loko o nā wahine, ke kahalaha ʻia ke ahulau a hiki i ka hala ʻole ʻana o nā kāne, ke nānā ʻia nei ka huhū o ka ʻōpū o ka ʻōpū, ʻo ke ʻano o ka lilo ʻana i ka hapalua i kokoke. Malia paha e hūnā ʻia mai nā kumulima manu e like me ke ʻano o ka umauma umauma, ka hiki ʻana o ka mastopathy. Ua hoemiia ka ʻanu ʻana
anemia ʻO nā helu ʻelua i nā pūnaʻi koko a me ka hoʻohaʻahaʻa iho ka hemoglobin
hoonui ka puna kolamu a me ka atherosclerosis mua vascular,
hoʻonui i nā maʻi pinepine ma muli o ka emi ʻana o ke ʻano palekana.

ʻO ka hoʻopiʻi maikaʻi loa e pili ana i ka hypothyroidism he hypothyroid (myxedema) coma. Hiki iā ia ke hoʻomohala inā ʻaʻole i mālama ʻia ka hypothyroidism, a i ʻole i nā hihia holomua loa. Hoʻāla ʻia ka comxedema coma e nā hoʻonui koi no ke kino, i ka manawa e pono ai ka neʻe ʻana o nā kaohi. Hiki iā ia ke maʻi maʻi, maʻi psycho-emotional, hypothermia, lawe i ka antipsychotics a me barbiturates, trauma o ke kino, ka hoʻokuʻi, ka hoʻihoʻi i ka meaʻai, a me nā mea like.

Hoʻokomo maikaʻi ka com Hypothyroid. Ke loaʻa nei, hoʻonui ʻia nā hōʻailona o ka hypothyroidism: ke nānā ʻana mai ka hiamoe i ka coma, ke kaumaha nei ka nui o ka puʻuwai a me ka hanu, nāwaliwali o ke koko, ʻoi aku ka pae o ka 35 ° C a i lalo hoʻi, ua hāhā ke kino, hoʻoneʻe ka urination, a hoʻomōhala ʻia ka ʻōpū o ke kino. aia ka hopena i loko o nā puʻu pleural, pericardial a me ka ʻōpū, emi ka ʻōmumu i loko o ke koko, e hoʻoneʻe ana ka lauoho ma ke poʻo a ma nā pale lima. Me ka hoʻonui ʻana o nā mea e pili ai i ka hanu a me ka cardiovascular failed me ka ʻole o ka mālama pono, make ka mea maʻi. Hōʻemi ka makeʻana i nā coma hypothyroid ma kahi o 80%.

Nā huapau

Maʻalahi ka hoʻoweliweli ʻana o ka hypothyroidism. ʻO ka mea nui ka kānalua i kona hele ʻana, e noʻonoʻo ana i nā hōʻailona o ka mea maʻi i ka hui pū ʻana. I kekahi mau manawa ʻaʻole ʻike like ʻia nā hōʻike keu o ka hypothyroidism.

ʻO ke ala kumu mua nui, a i ʻole ka hōʻoia ʻana, ʻo ka hypothyroidism nā hōʻike koko no ka ʻike o nā hormone thyroid. Pono e hoʻoholo i nā ʻike o ka hormone hoʻoulu i ka thyroid (TSH), thyroxine (T4) a me ka triiodothyronine (T3). I ka hypothyroidism, piʻi ke kiʻekiʻe o TSH, hoʻemi ʻia, a ʻano maʻamau paha, akā ua hōʻemi ʻia nā pae T3 a me T4.

ʻO nā ala āpau āpau hou no ka hypothyroidism (ka ultrasound o ka glandula thyroid, ka hoʻoholo ʻana i ka pae o ka autoantibodies i ka thyroid tissue, thyroid scintigraphy, magnetic resonance imaging of the brain, etc.) ʻaʻole manaʻo e hōʻoia i ka noho ʻana o ka hypothyroidism, akā i ka loaʻa ʻana o ke kumu maoli, ʻo ia kēlā maʻi. ka hoikeia ana i kana nei.

ʻO ke ala nui e mālama ai i ka hypothyroidism i kēia lā ke hoʻololi i ka therapy me nā hormone thyroid synthetic. Hoʻohana pinepineʻia, ʻo Levothyroxine (L-thyroxine, Eutirox) no kēia kumu. Koho ʻia ka pākēnē no kēlā me kēia mea maʻi (e kuhikuhi pinepine ʻia ka nui o ka nui a hiki i ke ʻano o ke ʻano o ka nui o ke ʻano o ka nui o ke koko). ʻO ka hapa liʻiliʻi loa o ka lāʻau lapaʻau he 12.5 mcg. Pono ka lawe ʻia o ka Levothyroxine i ke kakahiaka 20-30 mau minuke ma mua o ka pāʻina.

Hoʻoholo ka lōʻihi o ka lāʻau lapaʻau kūʻokoʻa a hilinaʻi nui i ka kumu o ka hypothyroidism. No laila, no ka laʻana, me ka autoimmune thyroiditis, ua hoʻololi ʻia ke kauā ʻana no ka ola, me ka hypothyroidism ma muli o ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau, a hiki i ka pae ʻana o ka hormone thyroid ma ke koko normalizing. ʻO kekahi, ke hoʻokō i kahi pae maʻamau o nā hormones i loko o ke koko, pono pono e lawe i ka Levothyroxine i mau mahina (ʻoiaʻiʻo kēia no ka poʻe maʻi maʻi). Me ka loaʻa mau o ka Levothyroxine, pono ia manawa e hana i nā hoʻokolohua no ka ʻike o TSH, T3 a me T4 e hoʻoponopono i ka dosage.

Inā he kumu iʻa ka nui o ka hypothyroidism i ka ʻai, a laila he nui i ka ʻai ʻana (iodized ka paʻakai), a i kekahi manawa a kona ʻona i loko o ke ʻano o nā lāʻau lapaʻau me nā lāʻau kūlohelohe kūpono, hiki ke kōkua i ka hoʻōla.

ʻO ka hapanui o nā hōʻailona o ka hypothyroidism e hoʻohuli hou ʻia i loko, ʻo ka mea nui, ʻaʻole ia e hoʻomaka i ka maʻi a ʻaʻole e hoʻōla pono iā ʻoe iho. ʻAʻole pono ʻoe e makaʻu i ka hoʻōla ʻana o ka hormone. Me kahi maʻi kūpono i koho ʻia, ʻaʻole i loli pinepine nā hopena, a hoʻomaikaʻi maikaʻi ke ʻano o ke ola. A mai hāʻawi ʻoe i kahi hoʻololi ma ka makahiki: a ma 70-80 mau makahiki maikaʻi ke ʻoliʻoli pono!

Pēlā, hiki i ka hypothyroidism ke hopena i nā kaʻina hololi i loko o ke kino o ke kanaka. ʻO nā hōʻailona o kēia kūlana ke nui a me nā mea kū ʻole. ʻAʻole paʻakikī ka paʻakikī o ka hypothyroidism, ʻo ka mea nui ka kānalua i kona hele. ʻO ke kumu nui o ka mālama ʻana i ka ʻoi aku ka hapanui, kahi e hiki ai iā ʻoe ke hoʻi i ka mea maʻi i ke ola holoʻokoʻa.

ʻO ka loea o ka lāʻau lapaʻau Siena-Med ke kamaʻilio e pili ana i ka hypothyroidism:

ʻO ka Symptomatic a me nā kākoʻo kākoʻo, mau mea hoʻonā

Hoʻohana ʻia ka maʻi maʻi Symptomatic e lohi i ka holomua o ka loli o nā palu a me nā ʻōpala ma muli o ka nele o nā hormones pono.

Pehea e mālama ai i ka maʻi hypothyroidism i nā wahine? Wae ʻia:

hoʻonui ka naʻau metabolism
cardiac glycosides,
cardioprotectors
hoʻomākaukau ʻia ʻana o ka male sex,
lāʻau lapaʻau lāʻau.

E loiloi ke kauka i ka kūpono o kēlā me kēia ʻano lau. Na ia i hoʻoholo inā kūpono nā dosage maʻamau, dosage, a dosage regimen kūpono hoʻi i ka mea maʻi.

ʻO nā hopena palekana

Hoʻohana ʻia nā kālā kālā mai kahi lāʻau lapaʻau ʻōiwi ma hope o ke kamaʻilio ʻana me kāu kauka.

Hiki iā ʻoe ke hoʻohui i nā mea kanu i ka manawa hoʻokahi, hoʻololi i ke ʻano.

Hoʻohana pinepine ʻia hua chokeberry, walnut lau, pua pua, maral root, alder bark, juniper fruit, chamomile or calendula pua, St. John's wort, flax seeds, field horsetail, wild rose, chicory, dandelion and licorice root, lingonberry leaf.

Kāohi a me ka mālama ʻana i ka hypothyroidism me nā kūleʻa o nā kānaka:

ʻAlaʻai, meaʻai

Pono ka wahine e hoʻoulu i kaʻaiʻai - hoʻopiha i ka meaʻai me ka meaʻai protein, me ka liʻiliʻi o nā momona a me nā mea i kālai ʻia i loko.

ʻO ka hopena maikaʻi ke hoʻohana ʻana i nā meaʻai momona i ka iodine.: nā mākala, nāʻaʻai, nā hua ʻai, ka ʻikinā kūlohelohe, nā ʻinaka i kī ʻia, etc.

ʻAʻole hiki i kahi meaʻai hoʻokahi ke ho'ōla i ka hypothyroidism, akā ʻO kaʻai kūpono e hōʻoluʻolu i kekahi mau hōʻailona: huʻaleʻa, hoʻonaninani i ka edema, hoʻōla i nā metabolism, hoʻihoʻi i ka meaʻai ponoʻī.

Hoʻopau i nā koi i hōʻike ʻia papa ʻaina lapaʻau No. 10c e like me Pevzner.

Hiki i ka papa o ka meaʻai i ka lā i hala aku nei, nā kuki maloʻo, nā pōpoki momona, ka iʻa kai, ka ʻiʻo ʻai ʻawa, ka waiū skim, cereals, salads huamala, nā huaʻai (me ka nui o ka kiwi, persimmon, feijoa), ka kai kaiʻai, ʻeleʻele i ka ʻala a i ʻole ʻūa me ka waiū.

Palapala ʻia ka meaʻai Soy, no ka mea, ua hoʻokaʻawale kekahi o kāna mau hana i ka hana o ka aʻu o ka thyroid, ka mea kanu pipi no ka kumu like, ka wai kīʻaha wai ʻole, ka meaʻai me nā momona holoholona a me nā kolamu, maʻalahi nā mea huʻaleʻa hoʻoneʻe a me nā meaʻai hana.

Pehea e mālama ai i nā mea ʻōpio a me nā ʻelele, ʻo ka lōʻihi o ka papa

Nā wahine ʻōpio a i waena paha hiki ke hoʻomaka ka mālama ʻana ma ka lawe ʻana iā L-thyroxine ma 25 mgk i kēlā me kēia lā.

No ka makua Hoʻomaka ka hana maʻi ma ka huina o 12,5 mgk i kēlā me kēia lā, e hoʻonui ai i ka 12.5 mgk i kēlā me 10-14 lā mau lā, kuhikuhi ʻia kekahi ma lalo o 1 mgk / kg i kēlā me kēia lā.

No ka mea, e pili ana ka mālama ʻana me nā hormone thyroid i ke ʻano o ka puʻuwai, nā kīʻaha koko, nā ʻōnaehana ma waena o ke kikowaena, i ke koho ʻana i kahi dosis a me kona hoʻonui aʻe, e hoʻomaka ka poʻe kahiko e ʻōhumu e pili ana i nā hiʻohiʻona o nā hōʻailona maikaʻi ʻole.

A laila paʻa ke kaomi. ʻAʻole paʻa ke maʻi, a ma hope o ka hoʻomau ʻana o ke kuni ʻana, lilo ka ʻoihana i ke ola lōʻihi.

ʻO nā hopena hiki, wānana

Pono nā wahine e hoʻomaopopo ʻole me ka ʻole o ka hoʻololi ʻana i nā hāmeʻe, hiki nō nā hopena.

ka emi ʻana o ke kanulau,
pilikia pilikia
nanea hypotension,
ho'ēmi i ka mana noʻonoʻo,
nā maʻi hōʻeha
lāhou o nā momona mammary, ovaries, external genitalia,
ka hopena o ka hōʻemi nui ʻana i nā homona, ke alakaʻi nei i ka coma hypothyroid.

Me ka hoʻohana mau ʻana i nā lāʻau lapaʻau i kauoha ʻia e ka loea, hiki i nā hōʻailona ke noho a ola ʻole me ka hoʻō ʻole ʻana iā lākou no ke koena o kou ola.

Inā hoʻokiʻekiʻe ka anti-Muller hormone i nā wahine, he aha ka manaʻo? E aʻo hou mai kēia paʻi.

E pili e pili ana i ka hana o nā bilirubin i ke koko o nā wahine hāpai i hiki i ka ʻatikala.

Nā hana kūpono

Pono nā wahine a pau e hahai i nā kānāwai maʻalahi:

e hoʻāʻo e ʻai i nā meaʻai i momona i nā minamina, nā minelala, e like me ka yodine.
mai waiho i nā maʻi o ka lolo, i ka lolo thyroid.
mai lawe i ka lāʻau lapaʻau me ka loaʻa ʻole o ka kauka kauka,
mai aʻa, e like me kēia he kumu maʻamau o ka maʻi a me ka ʻōpio,
i ka lawehala, lawe i nā mea hoʻoikaika paʻa ʻokoʻa.

Pono e ʻike pono kekahi wahine i kona olakino pono, a i ka wā e hoʻomohala ai i nā kūlana atypical a i ʻole nā hōʻailona kānalua, e nīnau koke i ka endocrinologist.