Mob thyroiditis (Kab mob Hashimoto)

Tus mob qog ua rau mob qog ua rau lub cev tsis muaj zog tiv thaiv cov thyroid caj pas. Nws feem ntau ua rau txo cov thyroid muaj nuj nqi (hypothyroidism).

Qhov teeb meem no tseem hu ua Hashimoto kab mob.

Lub qog caj pas nyob hauv lub caj dab, tsuas yog saum toj no qhov twg koj cov collarbones sib ntsib hauv ib nrab.

Tus mob Hashimoto yog ib qho muaj cov thyroid caj pas ntau. Nws tuaj yeem tshwm sim thaum twg los laus, tab sis feem ntau pom rau cov poj niam hnub nyoog nruab nrab. Nws tshwm sim los ntawm kev tawm tsam ntawm lub cev tiv thaiv kab mob ntawm lub qog gland.

Tus mob pib qeeb. Nws yuav siv sijhawm ntau lub hlis lossis ntau xyoo rau kev kuaj mob thiab kom cov thyroid hormones txaus ua qis dua li ib txwm. Tus mob Hashimoto feem ntau yog raug rau cov neeg muaj keeb kwm mob caj pas ntawm cov thyroid.

Muaj qee zaus, tus mob no yuav cuam tshuam nrog lwm cov teeb meem hormone los ntawm kev tiv thaiv kab mob. Nws tuaj yeem tshwm sim nrog adrenal ua haujlwm tsis zoo thiab hom 1 mob ntshav qab zib. Hauv cov xwm txheej no, qhov mob hu ua type 2 polyglandular autoimmune syndrome (PGA II).

Tsis tshua muaj (feem ntau yog menyuam yaus), tus mob Hashimoto tshwm sim ua ib feem ntawm tus mob hu ua type 1 polyglandular autoimmune syndrome (PGA I), nrog rau:

• Kev ua haujlwm tsis zoo ntawm cov qog adrenal
• Cov kab mob mob ntsws ntawm lub qhov ncauj thiab tes
• Underactive caj pas parathyroid caj pas

Cov tsos mob ntawm Hashimoto yuav suav nrog ib qho ntawm cov hauv qab no:

• Cem quav
• Nyuaj dhau los ua rau muaj siab xav lossis xav txog
• Qhuav ntawm daim tawv nqaij
• Tsa caj dab lossis muaj cov neeg tso pov tseg, uas tej zaum tsuas yog cov yam ntxwv ua ntej lawm
• Nkees
• Cov plaub hau poob lawm
• Hnyav lossis tsis raws sijhawm
• Intolerance rau tus mob khaub thuas
• Kev hnyav hnyav
• Me me los yog ua rau muaj cov thyroid caj pas (lig hauv cov kab mob)

Kev kuaj ntsuas los txiav txim rau cov thyroid muaj nuj nqi suav nrog:

• Kuaj dawb T4
• Ntshiab TSH
• Tag Nrho T3
• Lub qog ua haujlwm autoantibodies

Kev tshawb nrhiav duab thiab koob xoo me me feem ntau tsis xav tau kuaj Hashimoto thyroiditis.

Tus kab mob no kuj tseem tuaj yeem pauv cov txiaj ntsig ntawm kev sim hauv qab no:

• Ua kom tiav cov ntshav suav
• Ntshav dej prolactin
• Ntshav dej sodium
• Cov roj (cholesterol tag nrho)

Yog tsis kho hypothyroidism tuaj yeem hloov pauv koj lub cev siv cov tshuaj uas koj tuaj yeem siv rau lwm yam mob, xws li mob vwm. Koj yuav tsum tau tso ntshav ntsuas cov ntshav kom tsis tu ncua hauv koj lub cev.

Yog tias koj muaj kev tshawb pom ntawm cov thyroid tsis txaus ntseeg, koj tuaj yeem tau txais cov tshuaj thyroid hloov.

Tsis yog txhua tus neeg muaj mob qog lossis cov kiav txhab qes muaj cov thyroid hormones txaus. Koj tsuas yog xav tau kev saib xyuas los ntawm kws kho mob.

Tus kab mob nyob ruaj khov rau xyoo. Yog tias nws maj mam dhau mus ua kom cov thyroid hormones txaus (hypothyroidism), nws tuaj yeem kho nrog kev hloov kho tshuaj.

Tus mob no tuaj yeem tshwm sim nrog lwm txoj kev ua haujlwm autoimmune. Muaj qee zaus, mob qog nqaij hlav cancer lossis thyroid lymphoma yuav loj tuaj.

Kev tsis haum tus mob hypothyroidism tuaj yeem ua rau hloov pauv ntawm kev nco qab, tsis nco qab, thiab tuag. Qhov no feem ntau tshwm sim yog tias tib neeg kis mob, raug mob, lossis noj tshuaj, xws li opioids.

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm mob qog mob ntshav qab zib lossis mob hypothyroidism.

Nws tsis muaj txoj hau kev paub los tiv thaiv tus mob no. Kev paub txog cov kev pheej hmoo yuav ua rau kev kuaj mob thiab kho mob thaum ntxov.

Hashimoto thyroiditis; Mob ntsws lymphocytic rau mob ntev; Tus kab mob ua rau thyroiditis; Cov leeg mob qog ua ntshav; Lymphadenoid goiter - Hashimoto; Cov Tshuaj Tiv Thaiv Hypothyroidism - Hashimoto; Hom 2 Lub cev polyglandular autoimmune syndrome - Hashimoto; PGA II - Hashimoto

• Cov qog endocrine
• Lub qog ua kom loj hlob - scintiscan
• Hashimoto's disease (mob qog ntshav ua ntshav)
• Lub qog ua haujlwm

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

Jonklaas J, Bianco AC, Bauer AJ, li al. 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/.

Lakis ME, Wiseman D, Kebebew E. Kev tswj cov thyroiditis. Hauv: Cameron AM, Cameron JL, eds. Kev Kho Mob Tam Sim NoCov. 13th ed. Philadelphia, PA: Elsevier; 2020: 764-767.

Marcdante KJ, Kliegman RM. Mob qog noj ntshav. Hauv: Marcdante KJ, Kliegman RM, eds. Nelson Cov Ntawv Tseem Ceeb ntawm PediatricsCov. 8 tus ed. Elsevier; 2019: cha 175.