Hypothyroidism cov tsos mob, cov laj thawj tseem ceeb thiab kev kho mob li cas

Zoo Siab

• Cov phiajcim thiab cov tsos mob
• Cov tseem ceeb ua
• Yuav ua li cas paub yog tias nws yog hypothyroidism
• Leej twg xav tau kev kuaj mob cov thyroid
• Hypothyroidism kev xeeb menyuam
• Yuav Kho Li Cas Hypothyroidism
• Cov cim ntawm kev txhim kho thiab zuj zus

Hypothyroidism yog ib qho muaj feem ntau ntawm cov kab mob endocrine thiab yog tus yam ntxwv tsis muaj cov thyroid tsawg, uas ua rau nws ua cov tshuaj hormones tsawg dua li qhov tsim nyog rau kev ua haujlwm zoo ntawm txhua lub cev, ua rau muaj qhov tshwm sim ntawm qee cov tsos mob nrog ntau dhau, ua rau lub plawv dhia qis. , nce phaus, plaub hau ploj thiab tawv nqaij qhuav.

Qhov kev hloov no tshwm sim ntau dua rau cov poj niam hnub nyoog 40 xyoo, uas muaj cov neeg hauv tsev neeg nrog hypothyroidism, uas twb tau tshem tawm ib feem lossis tag nrho cov thyroid lossis tus neeg uas tau txais qee yam hluav taws xob rau lub taub hau lossis caj dab. Kev kho mob ntawm hypothyroidism tsom rau kev tswj cov theem ntawm cov thyroid hormones thiab yog li daws cov tsos mob, thiab kev siv cov tshuaj hormones hluavtaws, xws li Levothyroxine, piv txwv, feem ntau yog qhia los ntawm tus endocrinologist.

Cov phiajcim thiab cov tsos mob

Cov tsos mob thiab cov tsos mob uas yuav qhia tau tias cov thyroid tsis ua haujlwm zoo yuav tshwm sim qeeb xyoo dhau los raws li qhov txo qis hauv cov thyroid hormones, T3 thiab T4. Cov cim tseem ceeb thiab cov tsos mob ntawm hypothyroidism yog:

• Mob taub hau, hauv cov leeg thiab pob qij txha;
• Kev coj khaub ncaws tsis xwm yeem, uas tuaj yeem ua rau nws xeeb tub;
• Tawg, txhuam cov ntsia hlau thiab ntxhib, qhuav tawv nqaij;
• Ob lub qhov muag, thaj av ntawm lub tawv muag, o;
• Cov plaub hau poob yam tsis pom meej pom thiab ua rau nyias dua, qhuav thiab npub plaub hau;
• Lub plawv dhia qeeb qeeb dua li ib txwm;
• Nkees dhau heev;
• Nyuaj tsis yooj yim mloog, tsis nco qab zoo;
• Kev txo qis libido;
• Lub cev hnyav nce yam tsis pom tseeb.

Ntxiv rau, qee qhov xwm txheej tus neeg yuav muaj tus cwj pwm hloov pauv, kev nyuaj siab thiab dementia, txawm li cas los xij cov tsos mob no tshwm sim rau cov neeg uas muaj Qib T3 thiab T4 tsawg heev.

Hauv cov menyuam yaus, hypothyroidism tuaj yeem cuam tshuam kev loj hlob, yog li thaum tiav hluas, kev pub dawb yuav qeeb thiab luv luv, piv txwv. Tsis tas li ntawd, nyob rau hauv rooj plaub ntawm kev mob qog nqaij hlav ntshav siab, yog tias tus me nyuam tsis pom muaj thaum ntxov thawj lub lim tiam tom qab yug, tus me nyuam yuav muaj qhov mob hlwb, nrog kev pheej hmoo ntawm kev txhim kho hlwb ruamqauj. Saib ntxiv txog Congenital hypothyroidism.

Cov tseem ceeb ua

Qhov feem ntau ua rau hypothyroidism yog Hashimoto's Thyroiditis, yog ib tus kabmob autoimmune, hauv cov tshuaj tiv thaiv kab mob pib tua cov thyroid caj pas, zoo li nws muaj kev phom sij rau lub cev nws tus kheej. Tsis tas li ntawd, hypothyroidism tuaj yeem tshwm sim vim muaj iodine tsis txaus, uas yog ib qho mob hu ua goiter, nyob rau hauv uas muaj qhov nce ntawm cov thyroid qhov loj me, tab sis cov nyiaj tsawg dua T3 thiab T4 vim qhov txo qis hauv kev ua kom cov tshuaj iodine.

Kev kho tiv thaiv hyperthyroidism lossis kev siv tshuaj xws li lithium carbonate, amiodarone, propylthiouracil thiab methimazole tseem tuaj yeem ua rau hypothyroidism, thiab nws yog ib qho tseem ceeb rau sab laj endocrinologist yog tias ib qho ntawm cov tsos mob tau txheeb xyuas kom thiaj li ncua kev noj tshuaj lossis hloov chaw.

Cov neeg uas tau noj cov tshuaj thyroid kom poob phaus kuj tseem tuaj yeem txhim kho hypothyroidism vim tias thaum cov tshuaj hormones no tseem nyob rau hauv cov hlab ntshav, cov thyroid tuaj yeem nres lossis txo nws qhov kev ua haujlwm ntuj.

Dua li ntawm cov laj thawj no, kev mob hypothyroidism kuj tseem tuaj yeem tshwm sim thaum cev xeeb tub lossis tom qab lub sijhawm yug menyuam tas uas rov zoo li qub tom qab. Tsis tas li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias tus kab mob no ua rau tus poj niam lub cev tsis txaus, ua rau muaj teeb meem rau cev xeeb tub. Saib ntxiv txog hypothyroidism thiab cev xeeb tub.

Yuav ua li cas paub yog tias nws yog hypothyroidism

Txhawm rau kom paub yog tias nws yog hypothyroidism, tus kws kho keeb endocrinologist soj ntsuam cov cim thiab cov tsos mob uas tau nthuav tawm los ntawm tus neeg thiab qhia qhov ua haujlwm ntawm kev kuaj ntshav los kuaj xyuas seb puas muaj cov kabmob ntshav ntsig txog cov thyroid.

Yog li, qhov ntau npaum ntawm T3 thiab T4 yog qhia, uas nquag txo qis hauv hypothyroidism, thiab ntau npaum ntawm TSH, uas yog ntau zog. Tus muaj subclinical hypothyroidism, nyob rau qib T4 thiab muaj zog TSH yuav ntxiv tau. Saib ntxiv txog kev ntsuam xyuas uas ntsuas cov thyroid.

Tsis tas li, tus kws kho mob tuaj yeem pom zoo ua cov kev tshawb fawb tshuaj tiv thaiv kab mob ntshav, lub qog daim pheem phom thiab cov thyroid ultrasound thaum cov hnoos qeev tau sau tseg thaum lub sijhawm palpation ntawm lub qog. Nws tseem ua tau rau tus neeg mus ntsuas tus kheej ntawm cov thyroid los txheeb xyuas cov kev hloov pauv, tshwj xeeb yog cov nodules. Kawm yuav ua li cas thiaj li paub ntsuas cov thyroid.

Leej twg xav tau kev kuaj mob cov thyroid

Ntxiv rau cov tib neeg uas qhia pom cov tsos mob thiab cov tsos mob uas yuav qhia tau tias hypothyroidism, cov kev sim no yuav tsum tau ua los ntawm:

Hypothyroidism kev xeeb menyuam

Hypothyroidism, yog tias tsis muaj kev tswjhwm zoo, tuaj yeem cuam tshuam qhov muaj peev xwm xeeb tub thiab muaj tshwm sim rau niam thiab menyuam. Nws kuj tseem tuaj yeem tshwm sim tom qab lub sijhawm yug menyuam, ob peb lub hlis tom qab yug tus menyuam, nyob rau hauv txoj kev hloov thiab qhov ntawd tseem xav tau kev saib xyuas nrog kev kho mob.

Yog li, nws yog ib qho ib txwm hais tias thaum lub sijhawm saib xyuas ua ntej yug menyuam, kws kho mob xaj T3, T4 thiab TSH mus soj ntsuam cov thyroid muaj nuj nqi thiab txuas ntxiv soj ntsuam hauv lub sijhawm tom qab seb cov thyroid hormones muaj nuj nqis li cas thiab seb puas xav siv tshuaj los kom tau rov los zoo. Nrhiav seb dab tsi yog cov kev pheej hmoo ntawm hypothyroidism hauv cev xeeb tub.

Yuav Kho Li Cas Hypothyroidism

Kev kho mob rau hypothyroidism yog qhov yooj yim thiab yuav tsum tau ua los ntawm kev hloov pauv nrog kev noj cov tshuaj hormones hluavtaws, Levothyroxine, uas muaj cov tshuaj hormones T4, thiab uas yuav tsum noj rau ntawm lub plab khoob, tsawg kawg 30 feeb ua ntej noj tshais, yog li tias kev zom zaub mov tsis txo nws txoj kev ua haujlwm. Cov tshuaj ntawm cov tshuaj yuav tsum yog kws kho los ntawm tus kws kho mob endocrinologist thiab tuaj yeem sib txawv thoob plaws hauv kev kho mob raws li theem ntawm T3 thiab T4 nthuav dav hauv cov ntshav.

6 lub lis piam tom qab pib siv tshuaj, tus kws kho mob tuaj yeem kuaj xyuas tus neeg ntawd cov tsos mob thiab xaj TSH los kuaj seb nws puas yuav tsum tau kho qhov ntau npaum li cas ntawm kev noj tshuaj kom txog thaum tus nqi pub dawb T4 yog ib txwm muaj. Tom qab ntawd, kev ntsuam xyuas los soj ntsuam cov thyroid yuav tsum tau ua ib zaug lossis ob zaug ib xyoos, kom pom tias nws puas yuav tau hloov kho qhov siab ntawm cov tshuaj.

Ntxiv nrog rau kev siv tshuaj, nws yog ib qho tseem ceeb uas tus neeg tswj kev noj cov ntshav muaj roj cholesterol, txwv tsis pub noj cov rog, noj zaub mov uas pab ua rau daim siab ua haujlwm kom zoo thiab zam dhau kev ntxhov siab, vim nws ua rau muaj kev zais ntawm cov tshuaj hormones los ntawm lub qog. Qee qhov xwm txheej, kev sab laj nrog tus kws qhia noj zaub mov noj zaub mov kuj tseem raug pom zoo kom kho kev noj zaub mov nrog iodine ntxiv tuaj yeem pab txo cov tsos mob ntawm hypothyroidism.

Yog hais tias subclinical hypothyroidism, thaum tsis muaj cov tsos mob cuam tshuam, tus kws kho mob yuav pom zoo kom siv cov tshuaj vim tias lawv tuaj yeem pab txo cov kev pheej hmoo ntawm cov hlab plawv, uas yuav yog qhov tseem ceeb rau cov neeg rog lossis cov neeg muaj ntshav siab lossis ntshav qab zib Cov.

Saib seb kev noj zaub mov tuaj yeem txhim kho cov thyroid ua haujlwm nyob hauv video hauv qab no.

Cov cim ntawm kev txhim kho thiab zuj zus

Cov cim ntawm kev txhim kho hauv hypothyroidism tshwm sim ntau dua lossis tsawg dua 2 lub lis piam tom qab pib ntawm kev kho mob, nrog kev txo qis ntawm kev nkees thiab kev txhim kho hauv lub siab. Tsis tas li ntawd, kev kho mob mus ntev ntawm hypothyroidism kuj tseem pab tswj cov hnyav thiab txo cov ntshav cov roj kom tsawg.

Cov cim ntawm kev ua tsis zoo tshwm sim thaum kev kho mob tsis ua tiav lossis thaum koob tshuaj Levothyroxine tsis txaus, nrog kev tsis tsaug zog, nce siab, qab plab thiab tshee, piv txwv.