Uas ntsiag to thyroiditis

Qhov ua kom lub qog ua rau lub qog ua ke yog lub zog ntawm lub qog ua cov thyroid caj pas. Kev cuam tshuam tuaj yeem ua rau hyperthyroidism, tom qab ntawd los ntawm hypothyroidism.

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

Cov ua rau tus kab mob no tsis paub. Tab sis nws muaj feem xyuam rau kev tawm tsam koj lub qog los ntawm kev tiv thaiv kab mob. Tus kab mob cuam tshuam rau poj niam ntau dua li txiv neej.

Tus kab mob no yuav tshwm sim rau cov poj niam uas nyuam qhuav muaj me nyuam. Nws kuj tseem tuaj yeem tshwm sim los ntawm cov tshuaj xws li interferon thiab amiodarone, thiab qee yam kev siv tshuaj khomob, uas cuam tshuam rau lub cev tiv thaiv kab mob.

Cov tsos mob tshwm sim thaum ntxov yog los ntawm kev ua cov thyroid caj pas ntau heev (hyperthyroidism). Cov tsos mob no tuaj yeem kav ntev txog 3 hlis.

Cov tsos mob feem ntau mob hnyav, thiab yuav muaj xws li:

• Qaug qaug zog, xav tsis muaj zog
• Nquag nquag plob tsis so tswj
• Thaum tshav kub kub intolerance
• Muaj ntau yam qab los noj mov
• Muaj hws ntau
• Kev coj khaub ncaws tsis xwm yeem
• Mus ob peb vas hloov, xws li txob taus
• Mob leeg
• Kev ntshai nkees, nyob tsis tswm
• Cov lus cuav
• Lub cev yuag

Cov tsos mob tom qab tej zaum yuav yog qhov tsis txaus ntseeg qog (hypothyroidism), suav nrog:

• Nkees
• Cem quav
• Qhuav ntawm daim tawv nqaij
• Qhov hnyav nce
• Txias intolerance

Cov tsos mob no tuaj yeem rub tawm kom txog thaum lub sijhawm cov thyroid zoo li qub. Kev rov qab los ntawm cov thyroid tuaj yeem siv sijhawm ntau lub hlis hauv qee cov neeg. Qee tus neeg tsuas yog pom tus mob hypothyroid thiab tsis muaj cov tsos mob ntawm hyperthyroidism los pib nrog.

Tus kws kho mob yuav tshuaj xyuas koj thiab nug koj txog koj cov tsos mob thiab keeb kwm kev kho mob.

Kev kuaj mob lub cev yuav qhia:

• Ua rau cov thyroid caj pas uas tsis mob rau qhov kov
• Lub plawv dhia nrawm
• Sib tuav tes (tshee)
• Ntse tsis nco qab
• Sweaty, sov tawv

Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Lub radioactive iodine uptake
• Cov thyroid hormones T3 thiab T4
• TSH
• Erythrocyte cov tshuaj loog nrawm
• C-nti protein

Ntau tus kws kho mob tam sim no kuaj xyuas seb puas muaj cov thyroid ua ntej thiab tom qab pib cov tshuaj uas feem ntau ua rau tus mob no.

Txoj kev kho yog kho raws cov tsos mob. Cov tshuaj hu ua beta-blockers tuaj yeem siv los daws lub plawv dhia ceev thiab tawm hws.

Cov ntshav qog ua ntshav ntau zaus ploj mus rau nws tus kheej hauv 1 xyoos. Cov theem mob xaus nyob rau hauv 3 hlis.

Qee tus neeg pib mob hypothyroidism thaum lub sijhawm. Lawv yuav tsum tau kho mus ib ntus nrog tshuaj uas hloov cov thyroid hormone. Peb nqua hu kom nrog cov kws khomob tham.

Tus kabmob yog tsis kis tau. Tib neeg tsis tuaj yeem kis tus mob los ntawm koj. Nws kuj tseem tsis tau txais hauv cov tsev neeg xws li qee yam mob qog.

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm tus mob no.

Lymphocytic thyroiditis; Tso Tawm lymphocytic Lub qog ua ntshav; Tsis mob cov thyroiditis; Mob tom qab cov thyroiditis; Mob caj pas - ua ntsiag to; Hyperthyroidism - ntsiag to thyroiditis

• Lub qog ua haujlwm

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

Jonklaas J, Cooper DS. Lub qog. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 213.

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.