Hashimoto's thyroiditis - kapena autoimmune (lymphomatous) thyroiditis ndi matenda aakulu omwe amachititsa kuwonongeka kwa chithokomiro chifukwa cha kufotokozera maselo a zinthu zomwe zimapangitsa munthu kudzimana yekha. Matendawa amapezeka kawirikawiri pakati pa akazi achikulire, koma milandu imakhala yofala pakati pa achinyamata.
Ngakhale kuti kuphunzira kwa matendawa kunayambitsidwa ndi dokotala wa ku Japan Hakaru Hashimoto (yemwe amamutcha dzina lake) zaka zoposa 100 zapitazo, palibe chidziwitso chenicheni cha zomwe zimayambitsa matendawa. Koma zinawululidwa kuti thyroiditis ya autoimmune ya Hashimoto ndi cholowa. Komanso, pali mgwirizano wosatsutsika pakati pa zamoyo za m'derali komanso kuchuluka kwa chiwerengero cha anthu. Zomwe zimatulutsa zikhoza kukhala zowonongeka ndi mavenda komanso zovuta kwambiri.
Zizindikiro za thyroiditis Hashimoto
Akatswiri amanena kuti zizindikiro za matenda otchedwa thyroiditis zimadalira kuopsa kwa matendawa. Monga lamulo, mawonetseredwe a hypothyroidism ndi hyperthyroidism ali ochiritsira kwa odwala. Ndi kupanga mahomoni ambiri, thyroxin imati:
- mtima;
- mantha amodzi, kusintha kwachisokonezo;
- kufooka kwakukulu;
- Kuphwanya kwa msambo;
- thukuta lalikulu;
- kutsekula m'mimba ;
- kutchulidwa kochepa.
Kwa odwala matenda a chithokomiro otchedwa atrophied, ndipo, motero, pokhala osakwanira, amadziwika ndi:
- kuchepetsa kuyima kwa mtima;
- kutopa kwakukulu;
- kudzimbidwa;
- boma lachisoni;
- kupindula kwakukulu.
Ngati matendawa sali ochiritsidwa, ndiye kuti kuchepa kukumbukira, kutayika kwa malingaliro, ndipo potsirizira pake, matenda a maganizo amatha kukhala (senile dementia). Zovuta zina ndizotheka:
- chowopsa arrhythmias;
- myocardial infarction;
- atherosclerosis;
- Lymphoma ya chithokomiro, etc.
Kutulukira kwa chithokomiro Hashimoto
Ngati mukukayikira chithokomiro cha Hashimoto, muyenera kulankhulana ndi katswiri wina wamagetsi. Dokotala amayesa kafukufuku wamkulu, amasonkhanitsa an anamnesis ndikuika mayesero kuti adziwe mlingo wa hormone ndi antithyroid autoantibodies. Kuti mudziwe kuchuluka kwa chitukuko cha matendawa, chithokomiro cha chithokomiro chimalimbikitsidwa pogwiritsa ntchito makina a ultrasound.
Kuchiza kwa thyroiditis Hashimoto
Ngati Hashimoto's thyroiditis akupezeka, ndiye kuti kuyang'anitsitsa nthawi zonse kuli kofunika kwa wotchedwa endocrinologist, ngakhale ngati palibe kusintha komwe kumatchulidwa m'mayendedwe a mahomoni, ndipo kukonzekera kwapadera sikunapangidwe. Wodwala amene amalembedwa ndi katswiri ayenera kukhala pa nthawi ya mayeso komanso kamodzi pa miyezi isanu ndi umodzi kuti apereke magazi.
Chithandizo cha autoimmune thyroiditis Hashimoto makamaka muyeso ya digro thyroxine ndi yachizolowezi. Zizindikiro za thyroiditis Hashimoto mwina zimafalitsa poizoni goiter , kapena hypothyroidism. Dokotala amamupatsa wodwala kupanga thyroxine. Kuwonjezera pamenepo, ntchito yokonzekera yomwe ili ndi selenium ikulimbikitsidwa. Panthawi ya kuwonjezeka kwakukulu kwa goiter ndi kupanikizika kwa trachea kapena zotengera za khosi ndi kupanga mapepala (makamaka kukula kwa oposa 1 cm), opaleshoni ikuchitidwa. Ndiponso, ngati chikhalidwe choipa cha mapangidwe chikayikidwa, chiwopsezo chowombera
Ndi chitukuko cha hypothyroidism, mankhwala amaperekedwa omwe amachititsa kupanikizika kwa goiter pa mlingo womwe umatsimikiziridwa payekha ndi dokotala wodwalayo. Chodziwika kwambiri lero ndi kukonzekera mankhwala:
- Levothyroxine;
- L-thyroxine;
- Eutiroks.
Ndi mankhwala othandiza pa nthawi yake komanso okwanira, zizindikirozo ndi zabwino kwambiri.