ʻO ka ʻōmaʻomaʻo thyroid kekahi o nā lālā nui o ka ʻimi o ka endocrine. ʻO ia ke kuleana no ka synthesis o nā hormones e pono ai no ke kino kanaka - thyroxine (T3) a me ka triiodothyronine (T4).
Ma waho o lākou, ʻaʻole hiki ke hele i ke ʻano maʻamau o nā kaʻina hoʻokaumaha metabolic. Inā ʻaʻole hana ʻia kēia mau hormones i lawa nui, e hoʻomohala ʻia kahi maʻi ākea e like me ka hypothyroidism. ʻO Autoimmune thyroiditis, kahi ʻano thyroid pathology kuaʻa pinepine, lilo i kumu kumu.
ʻO nā hōʻailona ʻona o ka maʻi e ʻike koke ʻia koke, akā i kekahi mau manawa, ua pōkole ke kiʻi o ke kino, ʻaʻole paha i manaʻo ka mea maʻi he maʻi ia. ʻO kēia ʻano o ka maʻi i kapa ʻia he subclinical hypothyroidism.
He aha ka maʻi?
Ma keʻano pilikino, "subclinical" "ʻoiai ma mua o ka hele ʻana o nā hōʻailona." ʻO ia, ua hoʻomau ka maʻi a ke holomua nei, akā ʻaʻole mau kuhi nā hōʻailona.
Hiki i ka subclinical hypothyroidism ke ʻano kū'ē - hōʻike hypothyroidism. Ma kēia hihia, ʻike maʻalahi ʻia nā hōʻailona ʻelua me ke kōkua o nā hoʻokolohua o ka hoʻokolohua, a ma ka hoʻokolohua hou i ka mea maʻi.
Hoʻokumu ka subclinical hypothyroidism i nā kumu like o kona ʻano maʻamau maʻamau - hōʻike hypothyroidism. ʻO nā mea ʻike ʻia no ka maʻi maʻi:
- ʻAno ʻole o ka iodine i loko o ke kino (i ʻike pinepine ʻia i nā mea noho o nā wahi āpau);
- ʻO ka hypothyroidism congenital a me nā abnormalities i ka hoʻomohalaʻana o ka hana thyroid;
- ʻO ka kelepona thyroid ua hoʻopau a ʻokoʻa paha ma kahi o ke kaʻi ʻana i nā tumors malignant;
- Hoʻomaʻamaʻa ʻia o ka momona thyroid me ka hoʻohana ʻana o ka iodine radioactive;
- Hoʻohana lōʻihi me ka thyreostatics - nā lāʻau lapaʻau e kāohi ana i ka hana o ke kelepona thyroid;
- ʻO ka neʻe ʻana o ka radioaktif o nā kelomi a i nā ʻāpana paha o ke kino he impetus no ka hoʻomohala ʻana i ka thyroiditis autoimmune;
- ʻO ka thyroiditis o nā ʻano ʻenehana o ka hanana me ka loli o ka hoʻopili hoʻohui kōpona o ka puna.
Hiki iā Autoimmune thyroiditis ke hele pū me ka hypothyroidism subclinical. Me kēia pathology, hoʻomaka nā antibodies e hoʻohua i loko o ke kino o ke kanaka - nā mea i hana ʻia e ke ʻano pale o ka maʻi i hoʻoponopono i nā cell thyroid ma ke ʻano haole a hoʻomaka e luku iā lākou. Hoʻomaʻamaʻa pinepine ʻia nā ʻōmaʻomaʻo, no laila he paʻakikī ke hoʻomaka i ka mālama ʻana i ka manawa kūpono.
ʻO ka Autoimmune thyroiditis kahi maʻi hoʻoilina a i kūkulu ʻia ma hope o nā maʻi maʻi maʻi a me nā maʻi maʻi.
Hoʻokumu pinepine ka subclinical hypothyroidism no kēia ʻano kikoʻī, no ka mea ua lohi kona aʻo ʻana a me ka hoʻomohala ʻana, ʻike pinepine ʻia nā hōʻailona kikoʻī.
ʻO ke kiʻi haumanu o ka maʻi
Hoʻomaʻamaʻa mau nā ʻano o ka maʻi i ka manawa, ʻaʻole lākou i ʻike pinepine ʻia, e hoʻihoʻi nei iā lākou i ka hana maʻamau a i ʻole ka ʻano ʻino. ʻO nā hōʻailona nui i ka papa mua, e hōʻike ana e kūkulu ka mea maʻi i ka subclinical autoimmune hypothyroidism:
- Lethargy, ʻaʻaupō;
- ʻAnakaha, makemake ʻole e hana i kahi hana.
- Hoʻoholo i ka makemake moekolohe.
- ʻO ka loaʻaʻana o ka mea momona, akā, i ka hoʻohālikelike ʻana i ka hypothyroidism, ʻoi aku ka paʻakikī ma mua o ka huakaʻi.
Hoʻomaopopo ka hōʻailona o kahi maʻi holomua. ʻO ka hoʻonui ʻana i ka hypothyroidism subclinical hiki ke hoʻomaopopo ʻia e nā hōʻailona aʻe:
- ʻIli maloʻo, icteric, ʻono ʻole i ka ʻili o ka ʻili;
- ʻŌpala, lauoho hina hoʻi ke nalowale;
- Ka pinepine constipation, heartburn, ʻeha i loko o ka ʻōpū - nā hōʻailona maʻamau o ka maʻi;
- ʻO ka loaʻa ʻana o ke kaupaona mau, ʻoiai ka hana kino a me ka meaʻai;
- Myxedema - ke kīwaha i ke kino a me nā kino o loko;
- Menregu haʻo, hoʻoemi i ka ʻoi.
He mea nui: ʻike pinepine ʻia ka subclinical hypothyroidism i ka wā e nānā ai i ka hana maʻamau a i ka wā e nānā ai i ke ala o nā kino ʻē aʻe. ʻAʻole kupaianaha loa ia e ʻike iā ia ma kona ola ʻana.
Pehea e hōʻoia ai i kahi maʻi
I mea e maopopo ai ka maʻi a me ke kuhikuhi i ka mālama ʻana, pono ia e hoʻokau i kahi loiloi piha o ka mea maʻi. Kuhi pinepine ʻia nā hoʻokolohua like ʻole i kuhikuhi ʻia no ka mea hoʻoweliweli autoimmune thyroiditis.
ʻO kahi hoʻokolohua he koko no ka hele ʻana o nā hormones thyroid o ka nui o ke giro thyroid. Pono ka Triiodothyronine a me kou thyxxine i ka nui o ka 2.6-5.7 mmol / lita a me 9.0-22.0 mmol / liter, ma ia mau, inā ʻaʻole hoʻomohala ka maʻi. ʻO ka pilikia ʻo ia inā e ulu ka subclinical hypothyroidism, hōʻemi ka nui o ka hormone. Ma muli o kēia mau loiloi wale nō, aneane hiki ʻole ke nānā i kahi maʻi.
ʻO kahi hōʻike koko ke hoʻoneʻe aku i ka hormone thyroid-stimulate o ka gluitary gland. ʻO ka pae o kēia hormone ma ka mea olakino ʻo 0.4-4.0 mU / lita. Hoʻomaka koke ka ʻōnomi pituitary i nā loli liʻiliʻi loa o ke kino, no ka mea, ʻo kēia loiloi ke kī ʻana inā pono ʻoe e hōʻoia i ka maʻi thyroiditis.
Kuhi ka nānā ʻana i nā antibodies i kāu thyoglobulin a me ka thyroperoxidase i ke koko. Ina e ola ana kekahi kanaka, alaila e hala ole paha lakou i loko o ke koko, a ikeia ia ma ka nui o ka hapa ole o ka 0-18 U / ml a me 0-5.6 U / ml. Inā nui aʻe kēia mau ʻōuli, hiki ke ʻōlelo ʻia e hoʻomohala ʻia ka thyroiditis autoimmune, ʻoiai inā ʻaʻole i ʻike ʻia nā hōʻailona ʻē aʻe.
He kānāwai ʻo Scintigraphy - kēia kahi kumu no ka ʻike ʻana i ka hiki ʻana o ka gland thyroid e kiʻi i ka iodine mai loko o ke koko a synthesize i nā hormon mai ia. Kekahi ʻano o ka hypothyroidism i hōʻike mua ʻia e ka loaʻa ʻana o ka gland thyroid i hana pinepine ʻia iodine ma mua o ke kanaka olakino.
Inā hōʻike ka maʻi i nā hopena o nā hōʻike āpau i luna, pono nā haʻawina hou. Hana ʻia kēia i mea e maopopo ai i ke kumu o ka hypothyroidism. Hoʻopili kēia i nā hana e like me ka ultrasound, compect tomography, MRI, palpation thyroid e kahi endocrinologist.
Ma hope o ka loiloi ʻana i nā hopena o ka loiloi, e koho ʻia nā ʻano loiloi ʻoi loa.
Pehea ka hana ʻana
Hoʻokumu ʻia ka mālama ʻana o ka hyperteriosis subclinical i nā kumuhana like me ka mālama ʻana i kekahi o nā hōʻike o ka nele o ka hormone thyroid. Puka
- Hoʻōla lāʻau Hone. Hoʻoholo ʻia e ka lāʻau lapaʻau wale nō a me ka loaʻa ʻana o nā lāʻau lapaʻau. Ua kuhikuhi pinepine ʻia ka thyroxine a i ʻole levothyroxine.
- ʻO ka mālama ʻana i kahi maʻi e hoʻonāukiuki i ka hoʻomohala ʻana o ka hypothyroidism.
- Hoʻoponopono i ka mana. ʻO kahi ʻano o ke ʻano o ka hypothyroidism e hōʻike ʻia, ua hiki ʻole ke mālama ʻia me ka loaʻa ʻole o kahi meaʻai piha a me ka pono o ka mea maʻi.
Iʻa pinepine ka pilikia o Iodine e hōʻeha ʻia e nā maʻi metabolic. No laila, mea koʻikoʻi loa ia e hoʻopili i nā meaʻai i mea momona, ka hoʻowalewale ʻana i ka ʻai - nā hua maka a me nā lau, nā lau, nā mea kanu. I mea e pale ai i ka constipation, e hoʻokūkū i nā aila ʻaila hua.
ʻIke ʻia ʻo Iodine i nā iʻa kai, nā kai ʻē aʻe, nā ʻōpū moana. Pono e hāʻawi ʻia kēlā meaʻai ma ka nui o kahi maʻi thyroid
Mea Hoʻohui Nānā
- Pae mai ka momona o ka ʻai momona a me nā huahana semi-hoʻopau, ka meaʻai wikiwiki, sausages, nā meaʻai kahiʻaila;
- ʻO ka palena palena loa ma ka hoʻohana ʻana i nā muffins a me nā huahana palaoa;
- Hoʻemi i ka hoʻohana ʻana o ka paʻakai a me nā waiʻai ma muli o ka kiʻekiʻe o ka edema.
Ke komo pū ʻana i ka meaʻai o nā mea hoʻohui kai e loaʻa ai nā paʻakikī multivitamin. Pono e hoʻolālā ʻia me ka hoʻomākaukau ʻana i nā huaora a me nā minuke i nā manawa i hoʻokahi makahiki.
