Hyperthyroidism rau txiv neej: Yam Koj Yuav Tsum Tau Paub Txog

Zoo Siab

• Txheej txheem cej luam
• Ua rau hyperthyroidism rau txiv neej
• Cov tsos mob tshwm sim ntawm hyperthyroidism
• Cov txiv neej-cov tsos mob ntawm hyperthyroidism
• Cov tsos mob ntsig txog txiv neej kev noj qab haus huv
• Kev kuaj mob hyperthyroidism rau txiv neej
• Kev kho mob hyperthyroidism rau txiv neej
• Outlook ntawm hyperthyroidism rau tus txiv neej

Txheej txheem cej luam

Hyperthyroidism yog ib qho mob uas koj lub qog ua cov thyroid caj pas ntau dua qhov koj lub cev xav tau. Nws tseem muaj lub npe hu ua "cov thyroid txaus nyiam." Nws tuaj yeem ua rau muaj mob rau koj lub plawv, cov leeg, cov phev ua kom zoo, thiab ntau dua yog tias tsis kho kom zoo.

Qhov me me, npauj npaim-puab cov thyroid caj pas yog nyob hauv lub caj dab. Cov tshuaj hormones ua los ntawm cov thyroid caj pas cuam tshuam txog koj qib kev sib luag thiab kev ua haujlwm ntawm feem ntau ntawm koj cov kabmob. Piv txwv, cov thyroid hormones txaus, yog lub luag haujlwm ntawm kev ntaus koj lub plawv.

Qhov rov qab ntawm hyperthyroidism yog qhov feem ntau hypothyroidism, lossis "thyroid tsis txaus nyiam", uas yog thaum lub qog tsis tsim cov thyroid txaus kom phim lub cev kev xav tau.

Thaum poj niam muaj 2 txog 10 npaug ntau dua li cov txiv neej los tsim muaj cov thyroid loj, txiv neej hyperthyroidism tshwm sim thiab feem ntau yuav tsum tau noj tshuaj kom nws nyob hauv kev kuaj xyuas. Tus txiv neej thiab poj niam sib koom ntau tus hyperthyroidism cov tsos mob tseem ceeb, tab sis muaj qee qhov tsos mob uas tsis zoo rau txiv neej.

Ua rau hyperthyroidism rau txiv neej

Ib qho mob hu ua Graves 'kab mob yog qhov feem ntau ua rau hyperthyroidism rau cov txiv neej, txawm tias poj niam tseem muaj feem ntau los txhim kho qhov kev tsis zoo no.

Muaj Graves 'kab mob txhais tau tias koj lub cev tiv thaiv tsis raug lawm ua rau lub qog ua haujlwm lub qog ua haujlwm, ua rau nws tsim cov thyroid ntau dhau. Feem ntau nws loj hlob thaum muaj hnub nyoog 30 thiab 50 xyoo, tab sis nws tuaj yeem tshwm sim thaum muaj hnub nyoog li cas.

Lwm cov laj thawj suav nrog:

• nodules, uas yog qhov txawv txav ntawm cov qog ntshav hauv lub caj pas
• Plummer's disease, tseem muaj npe hu ua nodular goiter lom, uas muaj ntau rau cov poj niam thiab cov neeg muaj hnub nyoog 60 xyoo
• lub qog ua haujlwm, ib qho ntawm ob peb yam mob uas ua rau mob cov thyroid caj pas
• noj iodine ntau dhau los ntawm cov tshuaj los yog noj zaub mov

Cov tsos mob tshwm sim ntawm hyperthyroidism

Muaj ntau cov cim ntawm hyperthyroidism. Qee tus, xws li nyuaj pw tsaug zog, koj yuav tsis pom lossis xav txog tias yog tus tsos mob ntawm tus mob loj. Lwm tus, zoo li lub plawv dhia ceev tsis zoo (txawm tias thaum so) yuav tsum tau txais koj lub ntsej muag sai.

Lwm cov tsos mob tshwm sim ntawm hyperthyroidism suav nrog:

• kev poob phaus poob nthav, tab txawm tias kev noj zaub mov thiab qab los nyob tsis hloov
• lub plawv dhia tsis xwm yeem
• lub plawv dhia
• kev tshee
• txob taus
• nkees
• tshee tshee (feem ntau ua tshee tsog ntawm cov ntiv tes thiab ob txhais tes)
• hws
• muaj kev cuam tshuam zoo ntxiv rau cov cua sov thiab / lossis txias
• ntau zaus tso quav
• leeg tsis muaj zog
• cov plaub hau thinning

Cov txiv neej-cov tsos mob ntawm hyperthyroidism

Txawm hais tias tus txiv neej thiab poj niam nyiam sib koom ua ke feem ntau ntawm cov tsos mob tshwm sim ntawm hyperthyroidism, nws muaj qee qhov teeb meem tseem ceeb uas cuam tshuam rau tus txiv neej nkaus xwb.

Hauv tshwj xeeb, kev sib tshooj ua haujlwm hauv lub qog tuaj yeem pab ua rau kev ua haujlwm erectile kawg (ED), ntxiv rau cov phev suav tsawg. Kev tawm pob thaum ntxov kuj tseem tuaj yeem ua lub cim ntawm hyperthyroidism rau tus txiv neej.

Ntau dhau los cov thyroid hormones txaus tseem tuaj yeem ua rau cov testosterone qis dua, uas tuaj yeem ua rau ntau yam kev nyuaj. Piv txwv li, cov txiv neej kuj tseem tuaj yeem pom qhov cuam tshuam los ntawm qhov ua rau cov leeg mob los ntawm hyperthyroidism.

Kab mob hauv lub qog ua kom sib deev kuj tseem yuav ua rau txiv neej ua tsis taus pa, vim tias qhov kab mob ua pob txha no feem ntau cuam tshuam nrog poj niam. Ib qho mob hu ua gynecomastia (txiv neej lub mis o tuaj) kuj tseem tuaj yeem yog los ntawm hyperthyroidism.

Cov tsos mob ntsig txog txiv neej kev noj qab haus huv

Cov thyroid hormones muaj feem cuam tshuam rau kev ua haujlwm ntawm qee cov hlwb hauv koj cov noob qes, raws li kev tshawb fawb xyoo 2018 hauv. Piv txwv li, ntau dhau los yog tsawg dhau los cov thyroid hormones txaus tuaj yeem cuam tshuam txoj kev noj qab haus huv ntawm Leydig hlwb, uas pab tsim khoom thiab ua kom cov testosterone tsis ua haujlwm.

Hyperthyroidism tseem tuaj yeem cuam tshuam cov phev hlwb, ua rau txo qis phev thiab qhov kom muaj zog (zoo npaum li cas phev tuaj yeem txav lossis "ua luam dej"). Nws tuaj yeem cuam tshuam rau qhov tseeb duab lossis daim ntawv ntawm phev lawv tus kheej.

Mob qog noj ntshav kuj tseem cuam tshuam nrog kev coj tus cwj pwm mob erectile, txawm hais tias qhov kev sib txuas lus tseem tsis tau to taub. Ob qho kev ua haujlwm tsis txaus ntseeg thiab tsis txaus siab qog yuav cuam tshuam txog kev ua haujlwm erectile, txawm hais tias hypothyroidism zoo li txuas rau ED ntau dua.

Tag nrho cov no tuaj yeem ua rau muaj qhov tsis taus ntxiv. Yog tias koj tsis muaj peev xwm ua ib leej txiv rau koj tus menyuam, kev sim ntsuas koj cov phev zoo tuaj yeem pab daws teeb meem. Cov phev suav tsawg yuav tsum tau taug qab los ntawm kev sim koj cov qib qog ua ntshav. Cov no yog cov kev sim uas yooj yim uas tuaj yeem ua rau cov kev kho mob uas yuav ua kom sib luag ntawm koj cov qib tshuaj hormones, uas yuav pab txhim kho koj txoj kev noj qab haus huv, ib yam nkaus.

Kev kuaj mob hyperthyroidism rau txiv neej

Tsuas yog vim cov poj niam yuav muaj feem ntau ua mob hyperthyroidism, tsis tau txhais tau tias txiv neej tsis tuaj yeem kuaj vim tias lawv cov kev pheej hmoo nce ntxiv. Koj yuav tsum muaj kev ntsuas pom cov tsos mob tshwm sim. Koj yuav tsum raug txheeb xyuas tus mob hyperthyroidism yog tias koj muaj tsev neeg muaj keeb kwm ntawm cov thyroid lossis muaj hnub nyoog laus dua 60. Ib yam li ntawd, koj yuav muaj kev pheej hmoo siab ntau yog tias koj muaj ntshav qab zib hom 2, nyob rau hauv rooj plaub no, koj yuav tsum xav txog kev soj ntsuam kab mob thyroid.

Kev ntsuas hyperthyroidism pib nrog kev tshuaj xyuas koj li keeb kwm kho mob thiab cov tsos mob. Koj tus kws kho mob yuav saib seb koj puas tshee tshee thiab pauv hauv koj lub qhov muag lossis tawv nqaij. Lawv kuj tuaj yeem kuaj xyuas yog tias koj muaj qhov rov qab zoo dua. Tag nrho cov no yuav qhia tias muaj cov thyroid muaj zog.

Ntxiv rau kev kuaj mob lub cev, kev kuaj ntshav hyperthyroidism yuav tsum muaj kev ntsuas rau cov thyroid stimulating hormone (TSH) thiab thyroxine, cov tshuaj loj tso tawm los ntawm cov thyroid caj pas. Kev ntsuam xyuas cov ntshav hu ua thyroid scan tuaj yeem pab tau rau kev kuaj ntshav hyperthyroidism.

Tham nrog koj tus kws kho mob txog kev kuaj xyuas, vim tias cov thyroid kab mob yog ib qho kev kuaj mob tsis txaus ntseeg thiab muaj kev noj qab haus huv. Kwv yees li ntawm 60 feem pua ​​ntawm cov tib neeg uas muaj qee yam mob qog tsis paub tias lawv muaj tus mob no.

Kev kho mob hyperthyroidism rau txiv neej

Hyperthyroidism tuaj yeem nyuaj kho kho ntau dua li hypothyroidism, uas feem ntau tuaj yeem tswj hwm los ntawm kev noj hluavtaws cov thyroid. Cov kev xaiv rau kev kho cov thyroid ntau heev suav nrog:

• Antithyroid tshuaj, xws li methimazole, uas ua rau lub qog ua rau lub cev tsis muaj zog qis.
• Kev phais mob txhawm rau tshem tawm tag nrho lossis ib feem ntawm cov thyroid, uas ua rau muaj kev noj cov tshuaj hormones hluavtaws.
• Radioiodine kho, uas cuam tshuam txog kev noj tshuaj radioactive iodine-131 los ntawm qhov ncauj. Iodine maj mam tua qee cov qog ua rau cov thyroid hormones txaus nrog lub hom phiaj ntawm kev coj cov tshuaj hormone ntau lawm rau hauv ib txwm muaj, kev noj qab haus huv ntau. Nov yog kev siv dav dav uas qee zaum tuaj yeem xav tau ntau dua kev kho mob.

Ntxiv nrog rau kev pabcuam daws cov tsos mob ntsig txog lub plawv dhia, lub cev nyhav, lub zog, thiab lwm yam kev cuam tshuam ntsig txog kev mob qog ntshav siab, kev kho mob hyperthyroidism kuj tseem yuav pab daws cov teeb meem kev sib deev tsis txaus ntseeg.

Outlook ntawm hyperthyroidism rau tus txiv neej

Yog tias koj muaj cov tsos mob ntawm hyperthyroidism, tsis txhob tos kom ntsuam xyuas qhov tsis zoo no. Kev puas tsuaj rau koj txoj kev noj qab haus huv yuav yog txuas ntxiv yam tsis muaj koj tsis paub txog.

Yog tias koj raug kuaj pom muaj tus mob hyperthyroidism tab sis tseem tsis tau muaj tsos mob tshwm sim, tseem ua raws li koj tus kws kho mob cov lus qhia txog kev kho mob. Tham txog txhua qhov phom sij thiab txiaj ntsig ntawm ntau txoj kev kho ua ntej yuav ua rau ib txoj hauv kev. Thaum koj pib pib cuam tshuam nrog hyperthyroidism ntau, kev muaj mob ntev ntev yuav ua rau nws mob.