Xa cov thyroiditis

Tso cov thyroiditis yog cov tshuaj tiv thaiv qog ua cov thyroid caj pas uas feem ntau ua raws li cov pa sab sauv.

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

Subacute thyroiditis yog qhov tsis tshua muaj tshwm sim. Nws xav tias yog los ntawm kev kis tus kabmob. Tus mob feem ntau tshwm sim li ob peb lub lis piam tom qab kis mob ntawm lub pob ntseg, qhov ntswg, lossis caj pas, xws li mob qog, khaub thuas, lossis mob khaub thuas.

Subacute thyroiditis feem ntau tshwm sim rau cov poj niam hnub nyoog nruab nrab uas muaj cov tsos mob ntawm tus mob lub ntsws ua pa hauv lub hli dhau los.

Cov tsos mob pom tseeb tshaj plaws ntawm subacute thyroiditis yog mob rau lub caj dab los ntawm o caj pas o thiab o ua rau cov qog ua paug. Qee zaum, qhov mob tuaj yeem kis (tawm) rau ntawm lub puab tsaig lossis pob ntseg. Cov thyroid caj pas yuav mob thiab o rau lub lis piam los yog, qee zaum, qee lub hlis.

Lwm cov tsos mob muaj xws li:

• Kev sib txig thaum cov kua muag maj xaj siv rau cov thyroid caj pas
• Nyuaj lossis mob hnyav nqos, txhaws qa
• Qaug qaug zog, xav tsis muaj zog
• Ua npaws

Cov mob ua cov thyroid caj pas yuav tso cov thyroid hormones ntau dhau, ua rau cov tsos mob ntawm hyperthyroidism, suav nrog:

• Ntau zaus tso quav
• Cov plaub hau poob lawm
• Thaum tshav kub kub intolerance
• Kev coj khaub ncaws tsis xwm yeem (lossis lub teeb heev) ua poj niam coj khaub ncaws
• Mus ob peb vas hloov
• Kev poob siab, tshee hnyo (tshee hnyo ntawm tes)
• Cov lus cuav
• Tawm hws
• Lub cev hnyav dua, tab sis nrog qab los noj mov nce ntxiv

Raws li cov thyroid caj pas kho, nws yuav tso tawm cov tshuaj hormones me dhau, ua rau muaj cov tsos mob ntawm hypothyroidism, suav nrog:

• Txias intolerance
• Cem quav
• Nkees
• Kev coj khaub ncaws tsis xwm yeem (lossis hnyav) ntawm cov poj niam
  
• Qhov hnyav nce
• Qhuav ntawm daim tawv nqaij
• Mus ob peb vas hloov

Lub qog ua haujlwm lub qog feem ntau rov ua haujlwm dua li ob peb hlis. Lub sijhawm no koj yuav tsum tau txais kev kho mob rau koj qhov ua tsis txaus cov thyroid. Tsis tshua muaj neeg mob, hypothyroidism tej zaum yuav yog mus tas li.

Kev kuaj sim uas yuav tau ua muaj:

• Cov thyroid stimulating hormone (TSH) qib
• T4 (cov thyroid hormones, thyroxine) thiab T3 qib
• Lub radioactive iodine uptake
• Thyroglobulin theem
• Erythrocyte tus nqi txo qis (ESR)
• C protein reactive (CRP)
• Cov thyroid ultrasound

Hauv qee kis, kev kuaj qog ntawm lub qog ua tau.

Lub hom phiaj ntawm kev kho mob yog txo qis qhov mob thiab kho hyperthyroidism, yog tias nws tshwm sim. Cov tshuaj xws li tshuaj aspirin lossis ibuprofen yog siv los tswj qhov mob thaum qee mob.

Cov mob hnyav dua yuav xav tau kev kho mob ncua sijhawm luv luv nrog kev siv yeeb tshuaj uas txo qhov o thiab mob, xws li prednisone. Cov tsos mob ntawm tus mob qog ua ntshav yog kho nrog chav kawm ntawm cov tshuaj hu ua beta-blockers.

Yog tias lub qog ua tsis txaus siab thaum lub sijhawm rov qab, cov thyroid hormone hloov mus yuav xav tau.

Tus mob yuav tsum txhim kho nws tus kheej. Tabsis nws yuav mob mus txog ntau lub hli. Ntev mus ntev los yog mob hnyav tsis tshwm sim ntau zaus.

Tus mob no tsis kis tau yooj yim. Cov neeg tsis tuaj yeem ntes nws ntawm koj. Nws tsis tau txais los ntawm tsev neeg xws li qee yam mob qog.

Hu koj tus kws kho mob yog hais tias:

• Koj muaj cov tsos mob ntawm tus mob no.
• Koj muaj mob qog thiab cov tsos mob tsis zoo tuaj nrog kev kho mob.

Cov tshuaj tiv thaiv uas tiv thaiv kab mob kis los ntawm khaub thuas xws li khaub thuas yuav pab tiv thaiv tus mob thyroiditis. Lwm qhov laj thawj yuav tsis tiv thaiv tau.

De Quervain's thyroiditis; Subacute tsis hais txog qhov mob thyroiditis; Lub qog cell thyroid loj heev; Subacute granulomatous thyroiditis; Hyperthyroidism - subacute thyroiditis

• Cov qog endocrine
• Lub qog ua haujlwm

Guimaraes VC. Subacute thiab Riedel's mob qog. Hauv: Jameson JL, De Groot LJ, de Kretser DM, li al, eds. Endocrinology: Cov Neeg Loj thiab PediatricCov. 7 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: tshooj 87.

Hollenberg A, Wiersinga WM. Cov mob hyperthyroid. Hauv: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Phau Ntawv ntawm EndocrinologyCov. Xab 14th. Philadelphia, PA: Elsevier; 2020: chap 12.

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.

Tallini G, Giordano TJ. Lub qog ua haujlwm. Hauv: Goldblum JR, Teeb Yuav LW, McKenney JK, Myers JL, eds. Rosai thiab Ackerman's phais Neeg Kho MobCov. 11th ed. Philadelphia, PA: Elsevier; 2018: chap 8.