Tso Rau Mob Thyroiditis

Zoo Siab

• Cov ua rau thiab txaus ntshai
• Cov tsos mob ntawm subacute thyroiditis zoo li cas?
• Cov tsos mob hyperthyroidism
• Cov tsos mob hypothyroidism
• Hom ntawm subacute thyroiditis
• Yuav kuaj li cas thiaj paub tus mob thyroiditis?
• Yuav kho tus mob thyroiditis li cas?
• Kev tiv thaiv thiab kev kwv yees
• Dab tsi yog qhov kev xam pom rau cov neeg mob qog mob thyroiditis?

Yuav ua li cas yog subacute thyroiditis?

Lub qog ua haujlwm yog hais txog kev mob ntawm cov thyroid. Lub qog yog ib lub caj pas ua ntej ntawm caj dab uas tso tawm ntau cov tshuaj hormones. Cov tshuaj hormones no pab tswj cov metabolism, cov txheej txheem uas hloov cov zaub mov ua lub zog. Lawv kuj tseem yog qhov tseem ceeb hauv koj cov lus teb lub cev thiab kev xav, xws li ntshai, zoo siab thiab txaus siab.

Lub qog ua haujlwm (Thyroiditis) suav nrog ib pawg kev tsis sib haum xeeb uas ua rau lub qog ua mob mus rau hauv lub cev. Feem ntau ntawm cov thyroiditis feem ntau ua rau hyperthyroidism lossis hypothyroidism. Hyperthyroidism yog ib qho kev tsis sib haum uas cov thyroid ntau heev thiab ua rau muaj cov tshuaj hormones ntau dhau. Hypothyroidism yog ib yam mob uas cov thyroid tsis txaus ntseeg thiab tsis tsim cov tshuaj hormones txaus. Ob qho xwm txheej no tuaj yeem ua rau hnyav hloov, ntxhov siab thiab qaug zog.

Subacute thyroiditis yog ib hom mob qog ntshav tsawg uas ua rau mob thiab tsis xis nyob hauv lub qog. Cov neeg muaj tus mob no tseem yuav pom tsos mob ntawm hyperthyroidism thiab tom qab ntawd yuav tsim cov tsos mob ntawm hypothyroidism. Thaum lub sij hawm feem ntau ib ntus, subacute lub qog ua mob tuaj yeem ua rau muaj kev phom sij mus tas li yog tias tsis kho.

Cov ua rau thiab txaus ntshai

Tsis zoo li lwm hom kev mob qog, ua rau mob cov thyroiditis yog xav tias ua rau mob voos. Hauv kev teb rau tus kabmob, cov thyroid nrawm nrawm thiab tuaj yeem cuam tshuam kev loj hlob hormone. Qhov no ua rau mob o thiab ntau yam tsos mob.

Cov mob qog ua rau lub qog muaj ntau dua rau cov poj niam hnub nyoog 40 txog 50 dua nws nyob hauv cov txiv neej hnub nyoog tib yam. Nws feem ntau tshwm sim tom qab kis mob siab dua, xws li khaub thuas lossis mob qog.

Cov tsos mob ntawm subacute thyroiditis zoo li cas?

Tsis zoo li lwm hom kev mob qog, ua rau mob cov thyroiditis ua rau muaj mob hauv cov thyroid caj pas. Rau qee kis, cov mob no tseem yuav kis rau lwm qhov ntawm koj lub caj dab, pob ntseg, lossis puab tsaig. Koj lub qog yuav o tuaj thiab o tuaj rau qhov kov. Lub koom haum American Thyroid Association kwv yees tias qhov mob feem ntau nyob ntawm 1 txog 3 hlis.

Lwm cov tsos mob ntawm subacute thyroiditis suav nrog:

• ua npaws
• nkees
• tsis muaj zog
• txhaws qa
• teeb meem nqos

Cov tsos mob hyperthyroidism

Feem ntau cov neeg feem ntau muaj tus mob hyperthyroidism thaum pib ntawm subacute thyroiditis. Cov tsos mob nyob rau theem no ntawm tus kab mob no yuav suav nrog:

• txob taus
• ntxhov siab
• nyob tsis tswm
• teeb meem kev xav tsis tau
• zawv plab
• ceeb thawj phaus
• lub plawv dhia ceev lossis ceev
• nce lub cev kub uas feem ntau ua rau muaj hws ntau dhau
• tshee

Cov tsos mob hypothyroidism

Thaum tus kab mob zuj zus, hypothyroidism feem ntau hloov hyperthyroidism hauv qib ob. Cov tsos mob thaum theem ob yuav muaj:

• nkees
• plaub hau poob
• txias intolerance
• cem quav
• nce ceeb thawj sai
• hnyav ntu ntawm lub sijhawm coj khaub ncaws
• kev nyuaj siab

Thawj theem ntawm subacute thyroiditis feem ntau tsuas kav tsawg dua peb lub hlis. Qeb zaum ob yuav nyob ntev ntxiv rau cuaj txog 15 hlis.

Hom ntawm subacute thyroiditis

Muaj plaub txoj kev sib txawv ntawm subacute thyroiditis:

Subacute granulomatous lub qog: Qhov no feem ntau ua hom subacute thyroiditis. Feem ntau yog tim cov kab mob khaub thuas.

Mob Tom Qab Tom Qab (thyroiditis): Qhov no tshwm sim rau cov poj niam tsis pub dhau ib xyoos tom qab yug me nyuam, thiab feem ntau yuav ploj mus li ntawm 18 lub hlis. Cov poj niam uas tau txhim kho cov mob ua cov thyroiditis yog xav tias muaj tus kab mob autoimmune uas ua rau mob o. Cov tsos mob tshwm sim ua ob ntu, pib nrog cov tsos mob hyperthyroid thiab txav mus rau cov tsos mob hypothyroid.

Tso Tawm lymphocytic Lub qog: Qhov no kuj tshwm sim thaum lub sijhawm yug menyuam. Cov tsos mob hyperthyroid pib txhim kho ntxov dua (feem ntau hauv peb lub hlis tom qab yug me nyuam), thiab cov tsos mob hypothyroid tuaj yeem nyob rau ntau lub hlis tom qab.

Palpation lub qog: Qhov no loj tuaj thaum cov thyroid hauv paus tau puas los ntawm kev siv kho tshuab xws li rov tshawb xyuas dua ntawm cov thyroid caj pas lossis phais.

Txhua yam ntawm kev hloov pauv ntawm subacute thyroiditis ua raws cov txheej txheem zoo sib xws, nrog hyperthyroid pib ua ntej. Cov sib txawv tseem ceeb yog qhov ua rau.

Yuav kuaj li cas thiaj paub tus mob thyroiditis?

Koj tus kws kho mob yuav hnov ​​thiab kuaj koj lub caj dab seb cov thyroid caj pas puas loj lossis ua paug. Lawv yuav nug koj txog koj cov tsos mob thiab koj li keeb kwm kho mob dhau los. Koj tus kws kho mob yuav yog cov yuav mus kuaj mob rau cov thyroiditis ntau dua yog tias koj nyuam qhuav muaj tus mob nyob rau ntawm cov pa ua pa.

Koj tus kws kho mob yuav xaj mus kuaj ntshav kom paub meej tias yog subacute thyroiditis kuaj. Qhov kev kuaj ntshav no yuav kuaj cov qib ntawm qee cov tshuaj hormones hauv koj cov ntshav. Tshwj xeeb, kev kuaj ntshav yuav ntsuas koj cov thyroid hormones, lossis T4 dawb, thiab cov thyroid stimulating hormone (TSH) ntau ntau. Qeb T4 thiab TSH dawb yog ib feem ntawm qhov uas hu ua "kev tawm tswv yim sab hauv lub voj." Thaum ib theem siab, lwm qib muaj qes, thiab rov qab tuaj.

Cov txiaj ntsig ntawm kev kuaj ntshav yuav sib txawv raws qib ntawm tus kab mob. Hauv thawj theem, koj qib T4 pub dawb yuav siab thaum uas koj qib TSH yuav tsawg. Hauv theem tom qab, koj qib Q yuav tau siab thaum koj qib T4 yuav tsawg. Qib uas txawv txav ntawm cov tshuaj hormones qhia tias yog subacute thyroiditis.

Yuav kho tus mob thyroiditis li cas?

Yog tias koj tus mob raug mob qog mob qog, koj tus kws kho mob yuav muab tshuaj rau koj kom pab txo qhov mob thiab tswj qhov mob. Muaj qee kis, qhov no yog kev kho mob nkaus xwb uas yuav tsum tau ua rau subacute thyroiditis. Cov tshuaj muaj peev xwm suav nrog:

• Cov tshuaj tiv thaiv tsis haum nonsteroidal (NSAIDs). Cov tshuaj zoo li tshuaj aspirin thiab ibuprofen ua haujlwm los ntawm kev txo qhov mob. Raws li qhov tshwm sim, koj yuav ntsib kev mob siab dua. Acetaminophen (Tylenol) tsis muaj txiaj ntsig vim tias nws tsis txo qis cov thyroiditis ua rau mob.
• Corticosteroids. Corticosteroids siv thaum NSAIDs tsis txaus kom txo tau o. Prednisone yog ib qho kev tiv thaiv corticosteroid siv los kho subacute thyroiditis. Koj tus kws kho mob yuav muab tshuaj rau 15 mus rau 30 milligrams ib hnub los pib, thiab tom qab ntawd maj mam txo qhov ntau npaum li ntawm peb mus rau plaub lub lis piam.
• Beta-blockers. Koj tus kws kho mob tuaj yeem sau tshuaj beta-blockers yog tias hyperthyroidism tshwm sim thaum ntxov. Cov tshuaj no txo ​​qis ntshav siab thiab mem tes los daws qee cov tsos mob, nrog rau kev ntxhov siab thiab lub plawv dhia tsis xwm yeem.

Kev kho rau hyperthyroidism yog ib qho tseem ceeb thaum pib ua mob. Txawm li cas los xij, nws yuav tsis muaj txiaj ntsig zoo ib zaug tom qab koj tus mob mus rau theem ob. Hauv cov theem tom qab ntawm tus kab mob, koj yuav pib txhim kho hypothyroidism. Tej zaum koj yuav tau noj tshuaj xws li levothyroxine los hloov cov uas koj lub cev tsis ua haujlwm.

Kev kho rau subacute thyroiditis feem ntau yog ib ntus. Koj tus kws kho mob yuav txiav koj txoj kev siv tawm los kho cov mob ntawd.

Kev tiv thaiv thiab kev kwv yees

Tsis muaj cov ntsiab lus tiv thaiv kom meej meej rau qhov mob qog thyroiditis vim tias muaj qhov ua kom paub tseeb. Kev rov muaj dua tsis yog.

Feem ntau, subacute thyroiditis daws nws tus kheej yam tsis muaj kev ceeb toom. Qhov teeb meem zuag qhia tag nrho yog nyob ntawm qhov kev puas tsuaj hauv lub qog ua haujlwm lub qog. Yog tias muaj ntau qhov kev puas tsuaj tiav, koj yuav ntsib teeb meem cov thyroid mus tas li thiab xav tau kev kho mob tsis tu ncua.

Dab tsi yog qhov kev xam pom rau cov neeg mob qog mob thyroiditis?

Cov tsos mob ntawm subacute thyroiditis feem ntau yog ploj mus hauv 12 txog 18 hlis. Qee qhov xwm txheej, txawm li cas los xij, hypothyroidism yuav xaus mus tas li. Lub koom haum American thyroid kwv yees kwv yees li kwv yees li 5 feem pua ​​ntawm cov neeg mob qog nqaij hlav ua rau mob qog mob ntshav qab zib. Cov teeb meem kev noj qab haus huv tas li yog qhov tsawg kawg.

Hu rau koj tus kws kho mob yog tias koj xav tias koj muaj mob qog ua ntshav qab zib. Kev paub ntxov thiab kho tuaj yeem pab tiv thaiv kom tsis txhob mob hypothyroidism mus tas li.