Kev Hypothyroidism

Hypothyroidism yog ib qho mob uas cov thyroid caj pas tsis ua cov thyroid hormones txaus. Tus mob no feem ntau hu ua tus ua cov thyroid tsis txaus ntseeg.

Cov thyroid caj pas yog ib qho tseem ceeb ntawm cov kab mob endocrine. Nws yog nyob ntawm sab xub ntiag ntawm caj dab, tsuas yog saum toj no qhov twg koj cov collarbones sib ntsib. Cov thyroid ua rau cov tshuaj hormones uas tswj xyuas txhua txoj kev ntawm tes hauv lub cev siv lub zog. Tus txheej txheem no hu ua kev hloov khoom siv metabolism.

Mob Hypothyroidism ntau dua rau cov pojniam thiab cov neeg hnub nyoog 50 dua.

Feem ntau ua rau hypothyroidism yog cov thyroiditis. Kev o thiab o ua rau cov thyroid caj pas lub hlwb ua haujlwm.

Cov ua rau qhov teeb meem no suav nrog:

• Lub cev muaj zog tiv thaiv cov thyroid caj pas
• Cov mob viral (khaub thuas sib xws) lossis lwm yam mob ntsws
• Cev xeeb tub (feem ntau hu ua postpartum thyroiditis)

Lwm yam ua rau hypothyroidism suav nrog:

• Qee yam tshuaj, xws li lithium thiab amiodarone, thiab qee hom tshuaj khomob
• Congenital (yug me nyuam) qhov tsis xws luag
• Hluav taws xob kho rau lub caj dab lossis lub hlwb kom kho cov qog nqaij hlav sib txawv
• Radioactive iodine siv los kho tus mob qog ua haujlwm
• Kev phais mob tshem tawm qee qhov lossis tag nrho cov thyroid caj pas
• Sheehan syndrome, cov xwm txheej uas yuav tshwm sim rau tus poj niam uas los ntshav ntau lub sijhawm cev xeeb tub lossis yug menyuam thiab ua rau lub caj pas pituitary puas tsuaj.
• Pituitary qog lossis phais plab phais

Cov tsos mob thaum ntxov:

• Cov quav tawv tawv los yog cem quav
• Hnov khaub thuas (hnav tsho tiv no thaum lwm tus hnav tsho luv luv)
• Nkees heev los yog mloog tau qeeb
• Ntau thiab coj khaub ncaws tsis xwm yeem
• Mob leeg los yog mob leeg
• Paleness lossis tawv nqaij qhuav
• Tu siab lossis nyuaj siab
• Nyias, nyias muaj nyias cov plaub hau los yog rau tes
• Neeg tsis muaj zog
• Qhov hnyav nce

Cov tsos mob lig, yog hais tias tsis kho:

• Txo kev saj thiab hnov ​​ntxhiab
• Khuam
• Puffy ntsej muag, tes thiab taw
• Hais lus qeeb
• Thickening ntawm daim tawv nqaij
• Thinning ntawm pob muag
• Tsawg lub cev kub
• Lub plawv dhia qeeb

Tus kws kho mob yuav kuaj xyuas lub cev thiab yuav pom tias koj cov thyroid caj pas loj ntxiv. Qee zaum, lub qog ua qhov loj me lossis me dua-li qub. Qhov kev kuaj mob kuj tseem yuav qhia tawm:

• Ntshav siab diastolic (ntshav thib ob)
• Nyias cov plaub hau
• Coarse nta ntawm lub ntsej muag
• Tawv daj lossis qhuav ntawm daim tawv nqaij, uas tej zaum yuav txias rau qhov kov
• Reflexes uas txawv txav (qeeb so)
• O o ntawm caj npab thiab txhais ceg o

Kev ntsuam xyuas ntshav kuj raug txiav txim los ntsuas koj cov thyroid hormones TSH thiab T4.

Koj tseem tuaj yeem muaj cov kev sim coj los kuaj:

• Cov theem roj ntau
• Ua kom tiav cov ntshav suav (CBC)
• Nplooj siab enzymes
• Prolactin
• Kev Sodium
• Cortisol

Txoj kev kho yog saib xyuas los hloov cov thyroid hormones txaus uas koj tsis muaj.

Levothyroxine yog cov tshuaj siv feem ntau:

• Koj yuav tau noj tshuaj kom qis tshaj plaws uas yuav txo tau koj cov tsos mob thiab coj koj cov ntshav hauv qib ntshav rov qab zoo li qub.
• Yog tias koj muaj kab mob plawv lossis koj laus dua, koj tus kws khomob yuav pib koj ib koob tshuaj me me.
• Cov neeg feem coob uas tsis muaj cov thyroid tsis txaus ntseeg yuav tau noj cov tshuaj no rau lub neej.
• Levothyroxine feem ntau yog ntsiav tshuaj, tab sis qee tus neeg mob hypothyroidism loj heev yuav tsum tau kho ua ntej nyob hauv tsev kho mob nrog cov leeg ntshav levothyroxine (muab los ntawm cov leeg ntshav).

Thaum pib noj koj cov tshuaj, koj tus kws kho mob yuav kuaj xyuas koj cov tshuaj hormones ntau ntau txhua 2 rau 3 hlis. Tom qab ntawd, koj cov thyroid hormones txaus yuav tsum raug saib xyuas tsawg kawg ib xyoos ib zaug.

Thaum koj noj tshuaj thyroid, nco ntsoov cov hauv qab no:

• Tsis txhob tsum tsis txhob tsum noj tshuaj, txawm hais tias koj twb zoo me ntsis lawm. Noj txuas ntxiv raws nraim li koj tus kws kho mob tau hais tseg.
• Yog tias koj hloov hom tshuaj cov thyroid tshuaj, qhia rau koj tus kws kho mob paub. Koj cov qib yuav tsum tau soj ntsuam.
• Koj noj dab tsi tuaj yeem hloov txoj kev uas koj lub cev nqus cov thyroid tshuaj. Tham nrog koj tus kws kho mob yog tias koj noj ntau yam khoom ua kua lossis nyob nrog cov khoom noj muaj fiber ntau.
• Cov tshuaj thyroid ua haujlwm zoo tshaj plaws ntawm lub plab khoob thiab thaum noj 1 teev ua ntej lwm yam tshuaj. Nug koj tus kws kho mob yog tias koj yuav tsum noj koj cov tshuaj thaum mus pw. Noj nws thaum mus pw yuav ua rau koj lub cev nqus tau cov tshuaj zoo dua li noj thaum nruab hnub.
• Tos yam tsawg 4 teev tom qab noj cov thyroid hormone ua ntej koj noj tshuaj fiber ntau, calcium, iron, multivitamins, aluminium hydroxide antacids, colestipol, lossis tshuaj uas khi cov kua qaub.

Thaum koj tab tom noj cov thyroid hloov kho, qhia koj tus kws kho mob yog tias koj muaj cov tsos mob qhia tias koj cov koob tshuaj muaj ntau heev, xws li:

• Ntxhov siab vim
• Cov lus cuav
• Sai poob ceeb thawj
• Nyob tsis tswm los yog tshee tshee (tshee tshee)
• Tawm hws

Feem ntau, cov thyroid hormones txaus yuav dhau los ua ib qho kev kho mob raug. Koj yuav yuav noj cov thyroid hormones tshuaj rau tas koj lub neej.

Myxedema teebmeem (tseem hu ua myxedema coma), uas yog ib hom kev mob siab tshaj plaws ntawm hypothyroidism, yog qhov tsis tshua muaj. Nws tshwm sim thaum cov thyroid hormones txaus siab poob qis heev, muaj qis heev. Qhov teeb meem hypothyroid hnyav yog tom qab ntawd los ntawm kev kis mob, mob, kis tus mob khaub thuas, lossis qee yam tshuaj (opiates yog ib qho tshwm sim) hauv cov neeg muaj tus mob hypothyroidism hnyav.

Myxedema teebmeem yog mob ti tes ti taw uas yuav tsum tau kho hauv tsev kho mob. Qee tus neeg yuav xav tau pa oxygen, pab ua pa (tshuab pa), hloov dej, thiab saib xyuas mob hnyav.

Cov tsos mob thiab cov tsos mob ntawm myxedema coma suav nrog:

• Hauv qab lub cev qhov kub thiab txias
• Tsawg ua pa
• Tsawg systolic ntshav siab
• Cov piam thaj hauv ntshav tsawg
• Kev tsis tuaj koom
• Kev tsis tsim nyog lossis tsis xav txog thaum ua lub siab xav

Cov neeg uas tsis kho tus mob hypothyroidism yog cov muaj kev pheej hmoo:

• Kab mob
• Muaj menyuam tsis taus txiv, nchuav menyuam, yug menyuam thaum yug muaj teeb meem
• Kab mob siab vim tias cov qib roj cholesterol (LDL) phem dua
• Lub plawv tsis ua hauj lwm

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm hypothyroidism.

Yog tias koj raug kho tus mob hypothyroidism, hu rau koj tus kws khomob yog:

• Koj mob hauv siab lossis mob plawv sai
• Koj muaj mob
• Koj cov tsos mob mob heev los yog tsis txhim kho nrog kho
• Koj tsim cov tsos mob tshiab

Myxedema; Cov neeg laus hypothyroidism; Cov thyroid tsis txaus ntseeg; Tus kws phais - hypothyroidism; Mob thyroiditis - hypothyroidism; Cov thyroid hormones - hypothyroidism

• Cov thyroid caj pas tshem tawm - tawm

• Cov qog endocrine
• Kev Hypothyroidism
• Lub paj hlwb-lub qog txuas
• Cov hypothyroidism thaum pib thiab nruab nrab

Brent GA, Weetman AP. Mob Hypothyroidism thiab mob qog. Hauv: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds.Williams Phau Ntawv ntawm EndocrinologyCov. Xab 14th. Philadelphia, PA: Elsevier; 2020: cha 13.

Garber JR, Cobin RH, Gharib H, li al. Cov chaw kho mob xyaum cov lus qhia txog tus mob hypothyroidism rau cov neeg laus: cosponsored los ntawm American Association of Clinical Endocrinologist thiab American Thyroid Association. Kev Ua Siab PhemCov. Xyoo 2012; 18 (6): 988-1028. PMID: 23246686 pubmed.ncbi.nlm.nih.gov/23246686/.

Jonklaas J, Bianco AC, Bauer AJ, li al; American Thyroid Association Task Force ua haujlwm hloov cov thyroid Hormone Hloov. Cov txheej txheem rau kev kho mob hypothyroidism: npaj los ntawm American Thyroid Association ua haujlwm ntawm kev hloov cov thyroid hormone. Lub qogCov. Xyoo 2014; 24 (12): 1670-1751. PMID: 25266247 pubmed.ncbi.nlm.nih.gov/25266247/.