Lub qog mob ntsws o: nws yog dab tsi, hom tseem ceeb thiab tsos mob tshwm sim

Zoo Siab

• 1. Hashimoto's thyroiditis
• 2. Quervain's thyroiditis
• 3. Lymphocytic lub qog ua ntshav
• 4. Riedel's thyroiditis
• 5. Lwm tus mob qog ntshav

Thyroiditis yog qhov o ntawm cov thyroid caj pas uas tuaj yeem tshwm sim vim muaj ntau yam xwm txheej, xws li hloov kev tiv thaiv kab mob, kis tus mob lossis siv cov tshuaj, piv txwv, uas tuaj yeem tshwm sim los ntawm txoj kev mob, uas qhov kev hloov pauv sai dua, lossis hauv kev kho mob, hauv qhov kev tshwm sim maj mam tshwm sim.

Raws li cov thyroid mob tshwm sim, cov tsos mob thiab cov tsos mob yuav tshwm sim, xws li mob hauv caj dab, nqos nyuaj, ua npaws thiab ua daus no, thiab nws kuj tuaj yeem ua rau muaj kev cuam tshuam xws li hypothyroidism lossis hyperthyroidism.

Nws yog ib qho tseem ceeb uas cov thyroiditis tau txheeb xyuas thiab kho sai li sai tau thaum thawj tus tsos mob thiab cov tsos mob tshwm sim, zoo li qee kis muaj txoj hmoo ntawm kev kho mob. Txoj kev kho rau cov thyroiditis yog qhia los ntawm tus endocrinologist thiab nws txawv raws li qhov ua rau thiab, yog li ntawd, hom qog mob qog.

Raws li qhov ua kom muaj cov thyroid o, cov thyroiditis tuaj yeem raug faib ua qee yam, cov tseem ceeb tau ua:

1. Hashimoto's thyroiditis

Hashimoto's thyroiditis yog hom mob muaj ntau tshaj plaws ntawm kev mob qog ntshav thiab muaj ntau rau cov poj niam hnub nyoog 30 txog 50, txawm hais tias nws tuaj yeem tshwm sim rau txhua theem ntawm lub neej. Hashimoto's thyroiditis yog ib tus kabmob autoimmune uas lub cev tsim cov tshuaj tiv thaiv kabmob uas tawm tsam cov thyroid hlwb, ua rau muaj kev voos, hloov pauv hauv lawv txoj haujlwm thiab txo lub zog cov thyroid hormones.

Cov tsos mob tseem ceeb: Cov tsos mob tseem ceeb yog ib qho ua rau cov thyroid loj, kuj paub tias yog tus neeg tso zis, thiab nws tsis yog nquag ua rau mob. Tej zaum kuj tseem muaj cov tsos mob ntawm hypothyroidism, xws li nkees, nkees nkees, qhuav ntawm daim tawv nqaij thiab tsis muaj peev xwm, piv txwv li, txawm li cas los xij, nws tseem tuaj yeem hloov nrog lub sijhawm ntawm hyperthyroidism, nrog cov tsos mob xws li palpitations, insomnia thiab poob phaus.

Kev Kho Mob: kev kho mob yog tsim los ntawm tus kws endocrinologist thiab kev hloov kho cov thyroid hormone feem ntau yog qhia, nrog kev siv Levothyroxine, txawm li cas los xij, nws qhov ntsuas nyob ntawm lub txiaj ntsig ntawm cov thyroid muaj nuj nqi, uas tuaj yeem kuaj tau los ntawm TSH thiab kuaj ntshav dawb T4.

Kawm paub ntau ntxiv txog Hashimoto's thyroiditis.

2. Quervain's thyroiditis

Quervain's thyroiditis tshwm sim los ntawm kev kis mob los ntawm cov kab mob, xws li mob qog, khaub thuas, adenovirus, ecovirus lossis Coxsackie, piv txwv, ua ntau rau cov pojniam uas muaj hnub nyoog 30 txog 50 xyoo. Tus kab mob no ua rau muaj mob ntau hauv cov thyroid thiab rhuav tshem nws lub hlwb.

Cov tsos mob tseem ceeb: mob nyob rau hauv lub qog cheeb tsam, uas tuaj yeem tawm mus rau hauv lub puab tsaig lossis pob ntseg. Lub caj pas yuav nthuav dav me ntsis, ua rau mob caj pas thiab ua nyuaj rau nqos. Tej zaum yuav muaj tsos mob ua pa ntawm lub ntsws ua pa, xws li hnoos thiab kev tsim kom huv.

Kev Kho Mob: kev kho mob rau hom thyroiditis ua tiav nrog cov tshuaj kom txo cov tsos mob, tshwj xeeb tshaj yog siv cov tshuaj los tiv thaiv, xws li Naproxen, piv txwv. Yog tias muaj cov tsos mob hnyav los yog mob ntev, siv cov tshuaj corticosteroids, xws li Prednisone, kuj yuav qhia tau los ntawm tus endocrinologist.

Txhawm rau kom paub tseeb tias muaj cov thyroiditis, tus kws kho mob tuaj yeem xaj kom kuaj xws li ESR, uas qhia txog qhov muaj mob, ntxiv rau kev kuaj mob radioactive iodine uptake, uas ntsuas cov thyroid muaj nuj nqi. Yog tias tseem muaj qhov ua xyem xyav, tus kws kho mob tuaj yeem ua rau lub qog ntawm lub qog, uas tuaj yeem txiav tawm lwm yam kev mob, xws li mob cyst lossis mob qog noj ntshav. Kawm paub ntau ntxiv txog kev ntsuam xyuas uas ntsuas cov thyroid.

3. Lymphocytic lub qog ua ntshav

Lymphocytic thyroiditis, tseem hu ua ntsiag to lossis tsis mob, kuj yog tshwm sim los ntawm autoimmunity, nyob rau hauv cov tshuaj tiv thaiv uas ua rau lub cev tawm tsam cov thyroid, ua ntau rau cov poj niam hnub nyoog 30 txog 60 xyoo.

Cov tsos mob tseem ceeb: lymphocytic thyroiditis feem ntau tsis ua rau mob lossis mob hauv lub qog, txawm li cas los nws pab txhawb kev tso tawm cov thyroid hormones rau hauv cov ntshav, uas tuaj yeem ua rau lub sijhawm nrog cov tsos mob ntawm hyperthyroidism, uas feem ntau zoo li ob peb lub lis piam mus rau lub hlis. Hauv qee kis, kuj tseem yuav muaj lub sijhawm luv luv ntawm hypothyroidism.

Kev Kho Mob: lymphocytic thyroiditis tsis muaj kev kho mob tshwj xeeb, thiab tswj cov tsos mob ntawm tus mob hyperthyroidism yog qhia. Qee qhov xwm txheej, tus kws kho mob tuaj yeem pom zoo siv cov tshuaj xws li Propranolol los tswj lub plawv dhia hauv hyperthyroidism lossis hloov cov tshuaj hormones hauv hypothyroid theem, piv txwv.

4. Riedel's thyroiditis

Riedel's thyroiditis, tseem hu ua fibrotic thyroiditis, yog lwm yam kev mob ntsws uas tsis tshua muaj mob ua rau cov thyroid mob thiab cov qog mob ua rau maj mam maj mam pib, uas tuaj yeem ua rau hypothyroidism.

Cov tsos mob tseem ceeb: Riedel's thyroiditis ua rau tsis muaj kev mob ntxiv ntawm cov thyroid, tab sis nws tuaj yeem ua rau lub siab nyob hauv caj dab, nyuaj rau nqos, txhaws qa, zoo li ua tsis taus pa thiab ua tsis taus pa.

Kev Kho Mob: kev kho mob rau hom thyroiditis ua tiav nrog cov tshuaj txo qis kev ua haujlwm, xws li corticosteroids, Tamoxifen lossis Methotrexate, piv txwv. Kev hloov cov thyroid hormone tseem tuaj yeem yog tus kws kho mob qhia, thaum lub qog ua haujlwm tsis muaj zog, thiab phais mob, yog tias qhov tsos mob ntawm lub ntsws khiav ceev heev.

5. Lwm tus mob qog ntshav

Lwm qhov tsis tshua pom muaj ua rau muaj cov thyroiditis suav nrog cov mob los ntawm intoxication nrog qee yam tshuaj noj, xws li kev kho mob lossis Amiodarone piv txwv. Actinic ua cov thyroiditis yog los ntawm kev kho mob hluav taws xob hauv thaj chaw caj dab, uas tuaj yeem ua rau o lossis ua rau lub qog ua haujlwm ntawm lub qog.

Kuj tseem muaj cov thyroiditis los ntawm kev kis mob los ntawm tus kab mob staphylococcus lossis streptococcus, lossis los ntawm cov kab mob hu ua fungi, xws li Aspergillus lossis Candida, piv txwv, lossis tseem kis los ntawm qee cov cab thiab mycobacteria.