Hashimoto's thyroiditis yog dab tsi, cov tsos mob tseem ceeb thiab yuav kho li cas

Zoo Siab

• Cov tsos mob tseem ceeb
• Dab tsi ua rau Hashimoto's thyroiditis
• Yuav ua li cas kom paub meej tias kuaj mob
• Yuav kho tus mob li cas
• Noj cov zaub mov zoo li cas
• Muaj teeb meem tshwm sim ntawm cov thyroiditis

Hashimoto's thyroiditis yog ib tus kabmob autoimmune uas lub nruab zog tiv thaiv cov qog ua haujlwm rau cov thyroid hlwb, ua rau muaj mob ntawm cov qog ntawd, uas feem ntau ua rau mob hyperthyroidism uas yog tom qab ntawd los ntawm hypothyroidism.

Qhov tseeb, hom thyroiditis yog ib qho ua rau muaj tus mob hypothyroidism, tshwj xeeb tshaj yog rau cov poj niam laus, ua rau cov tsos mob xws li nkees ntau dhau, ua plaub hau, ntsej muag daj thiab txawm tias lub cim xeeb tsis ua haujlwm.

Feem ntau, tus kab mob pib nrog qhov tsis mob tsis txaus ntawm qhov ua rau cov thyroid thiab, yog li ntawd, tuaj yeem raug txheeb xyuas tsuas yog thaum kuaj mob niaj hnub los ntawm tus kws kho mob, tab sis nyob rau lwm qhov, mob qog mob tuaj yeem ua rau muaj kev cia siab nyob hauv caj dab hauv caj dab, uas ua tsis ua rau tsis muaj mob ntawm palpation. Txawm li cas los xij, kev kho mob nrog endocrinologist yuav tsum tau pib sai li sai tau txhawm rau tswj kev ua haujlwm ntawm lub qog thiab tiv thaiv qhov pom ntawm cov teeb meem.

Cov tsos mob tseem ceeb

Cov tsos mob tshwm sim feem ntau ntawm Hashimoto's thyroiditis zoo tib yam li rau hypothyroidism, yog li nws nquag muaj:

• Ib qho yooj yim hnyav nce;
• Nkees dhau heev;
• Cov tawv nqaij txias thiab daj;
• Cem quav;
• Tsawg kam rau ua txias;
• Mob los yog mob ua ke;
• Me me o ntawm pem hauv ntej caj dab ntawm lub qog chaw;
• Tsis muaj zog cov plaub hau thiab cov rau tes.

Qhov teeb meem no tau tshwm sim rau cov poj niam thiab feem ntau pom ntawm 30 thiab 50 xyoo. Thaum pib, tus kws kho mob tuaj yeem kuaj mob tsuas yog hypothyroidism thiab, tom qab ua lwm yam kev sim, txheeb xyuas cov thyroid mob tuaj txog ntawm kev kuaj mob Hashimoto's thyroiditis.

Dab tsi ua rau Hashimoto's thyroiditis

Qhov tshwj xeeb rau qhov tshwm sim ntawm Hashimoto's thyroiditis tseem tsis tau paub, txawm li cas los xij nws muaj peev xwm ua tau los ntawm kev hloov caj ces, vim tias nws muaj peev xwm tshwm sim tau tias tus kabmob no tshwm rau ntau tus neeg ntawm tib tsev neeg. Lwm qhov kev tshawb fawb qhia tau tias hom thyroiditis tuaj yeem pib tom qab kis mob los ntawm tus kab mob lossis kab mob, uas mus ua rau mob ntev rau ntawm cov thyroid.

Txawm hais tias tsis muaj ib qho paub ua, Hashimoto's thyroiditis tshwm sim ntau dua rau cov neeg uas muaj lwm yam mob endocrine xws li mob ntshav qab zib hom 1, mob qog ua haujlwm rau lub qog lossis lwm yam mob xws li mob hlwb ua paug, mob rwj mob rwj, Sjögren's syndrome, Addison lossis lupus, thiab lwm yam zoo li ACTH muaj nyiaj tsawg, mob cancer mis, mob siab thiab muaj H. pylori.

Yuav ua li cas kom paub meej tias kuaj mob

Txoj hauv kev zoo tshaj plaws los kuaj Hashimoto's thyroiditis yog mus sab laj nrog tus kws kho mob endocrinologist thiab ua cov ntshav ntsuas uas ntsuas tus nqi T3, T4 thiab TSH, ntxiv rau kev tshawb nrhiav tshuaj tua kabmob (anti-TPO). Nyob rau hauv cov ntaub ntawv ntawm lub qog, TSH yog feem ntau ib txwm lossis nce.

Qee tus neeg yuav muaj cov tshuaj tua kab mob antithyroid tab sis tsis muaj tsos mob dab tsi, thiab tau txiav txim siab tias muaj subclinical autoimmune thyroiditis thiab vim li ntawd tsis tas kho.

Kawm paub ntau ntxiv txog kev ntsuam xyuas uas ntsuas cov thyroid.

Yuav kho tus mob li cas

Txoj kev kho yog feem ntau tsuas yog qhia thaum muaj kev hloov hauv TSH qhov tseem ceeb lossis thaum cov tsos mob tshwm sim, thiab nws feem ntau pib nrog kev hloov pauv tshuaj nrog kev siv ntawm Levothyroxine rau 6 lub hlis. Tom qab lub sijhawm ntawd, feem ntau nws yuav tsum tau rov mus cuag kws kho mob los ntsuas dua qhov loj me ntawm cov qog thiab ua qhov kev ntsuam xyuas tshiab kom pom tias nws puas yuav tsum tau kho lub koob tshuaj.

Hauv kis uas nyuaj rau ua pa lossis noj mov, piv txwv li, vim qhov nce ntawm lub ntim cov thyroid, phais mus tshem tawm cov qog, hu ua thyroidectomy, tej zaum yuav qhia tau.

Noj cov zaub mov zoo li cas

Khoom noj khoom haus kuj tuaj yeem cuam tshuam loj rau kev noj qab haus huv ntawm lub qog thiab, yog li ntawd, nws raug nquahu kom noj zaub mov zoo nrog cov zaub mov muaj txiaj ntsig zoo rau kev ua haujlwm ntawm cov thyroid xws li iodine, zinc lossis selenium. Saib cov npe ntawm cov zaub mov zoo tshaj plaws cov thyroid.

Saib cov yeeb yaj kiab hauv qab no rau cov lus qhia ntxiv rau kev kho koj li kev noj haus tuaj yeem pab koj cov thyroid ua haujlwm kom zoo:

Muaj teeb meem tshwm sim ntawm cov thyroiditis

Thaum cov thyroiditis ua rau muaj kev hloov hauv hormone ntau lawm thiab tsis raug kho kom zoo, qee yam kev mob nkeeg tuaj yeem tshwm sim. Qhov feem ntau muaj xws li:

• Lub plawv muaj teeb meem: cov neeg uas tsis tuaj yeem tswjhwm hypothyroidism yog cov muaj ntshav siab ntau dua LDL, uas ua rau muaj kev pheej hmoo mob plawv ntau dua;
• Teeb meem mob hlwb: los ntawm kev ua kom tsawg dua cov cov thyroid hormones txaus, lub cev poob qis lub zog thiab yog li tus neeg hnov ​​ntau lub zog, ua rau hloov pauv mus rau hauv lub siab thiab txawm tias qhov pib ntawm kev nyuaj siab;
• Myxedema: qhov no yog qhov mob uas tsis tshua muaj tshwm sim feem ntau tshwm sim hauv kev mob siab ntawm hypothyroidism, ua rau o ntawm lub ntsej muag thiab txawm tias cov tsos mob hnyav xws li ua tiav tsis muaj lub zog thiab tsis nco qab.

Yog li, qhov zoo tshaj plaws yog tias thaum twg koj xav tias koj muaj cov thyroiditis, nrhiav cov endocrinologist ua cov kev kuaj mob tsim nyog thiab pib kho sai li sai tau.