Rashin ciwon gwiwar thyroid yana haifar da matsalolin zuciya. A gaskiya ma, daya daga cikin dalilai mafi mahimmanci don ganowa da kuma magance maganin karoid shine ya hana yanayin zuciya wanda zai iya haifar da ita.
Bayani
Glandar thyroid shine karamin glandin da ke cikin wuyansa a ƙarƙashin itacen apple na Adamu, kuma yana da alhakin gyaran ayyuka da yawa na jiki.
Ta hanyar samar da adadin adadin hormone thyroid, thyroid yana taimakawa wajen tsara tsarin jikinka - mafi mahimmanci, yawan oxygen da makamashi jikinka yana amfani da - kazalika da aikin narkewa, aikin muscle, da sautin fata.
A gaskiya ma, thyroid yana da akalla wasu tasiri akan kowace kwayoyin jiki, ciki har da zuciya.
A cikin mutum wanda ya kusan kowane nau'i na cututtukan zuciya, cututtukan glande na thyroid zai iya ciwo cututtukan zuciya ko haifar da sababbin, kuma zai iya inganta matsalar matsalar zuciya ta zuciya. Cutar thyroid zai iya haifar da sababbin matsalolin zuciya a cikin mutane tare da marasa lafiya.
Cutar thyroid tana rinjayar zuciya ko dai ta hanyar samar da karamin hormone thyroid (yanayin da ake kira hypothyroidism ) ko kuma mai yawa hormone thyroid (wanda ake kira hyperthyroidism ). Duk nau'i nau'i na maganin thyroid ne na kowa kuma duka biyu na iya samun tasiri mai muhimmanci a zuciya.
Hypothyroidism
Hanyoyin hawan karo yana da mahimmanci ga aikin kwakwalwa na al'ada. Lokacin da rashin isasshen hormone thyroid bai isa ba, ba zuciya ko jini ba zasu iya aiki kullum.
A hypothyroidism, ƙananan nauyin hormone thyroid ya sa zuciyar tsoka ta bugun ƙasa da karfi kuma ƙarshe ya zama raunana.
Bugu da ƙari, ƙwayar zuciya ba za ta iya shakatawa ba bayan kowace kullun zuciya.
Wannan rushewar shakatawa zai iya haifar da lalacewar diastolic, yanayin da zai iya haifar da gazawar zuciya . Hypothyroidism kuma yana sa karfin jini yayi ƙarfi, wanda zai haifar da hawan jini .
Kwayar cutar ta Cardiac zai iya faruwa a cikin wani mutum tare da hypothyroidism, amma suna da mahimmanci a cikin mutanen da suka riga sun kamu da cututtukan zuciya.
Abubuwan matsalolin kwakwalwa masu dangantaka da hypothyroidism sun hada da:
- Dyspnea -Kamarin numfashi a kan aiki da matalauta aikin haƙuri a hypothyroidism shine yawanci saboda rauni a cikin tsokoki mai ƙumshi. A cikin mutanen da ke da cututtukan zuciya, yana iya zama saboda rashin ciwo zuciya.
- Raunin zuciya kadan ( bradycardia ) - Zuciyar zuciya ta canzawa daga thyroid hormone. Sabili da haka, tare da hypothyroidism, yawancin zuciya shine yawanci 10 zuwa 20 a cikin minti daya cikin hankali fiye da al'ada. Musamman ma marasa lafiya waɗanda ke da cututtukan zuciya, duk da haka, hypothyroidism na iya kara tsananta halin da ba'a taba ba (kamar PVCs ) kuma zai iya haifar da fibrillation.
- Diastolic hauhawar jini - Wani zaiyi tunanin cewa, saboda rashin rashin lafiyar thyroid hormone ya rage saukar da metabolism, mutane da hypothyroidism na iya fuskanci ƙananan saukar karfin jini . Yawancin lokaci, kishiyar gaskiya ne - arteries suna da ƙarfi a cikin hypothyroidism, wanda zai haifar da cutar jinin jini.
- Rashin ƙarfin zuciya ko sabon farawa na zuciya -Hypothyroidism na iya sa zuciya da rashin ƙarfi a cikin zuciya kuma zai iya haifar da rashin ƙarfi na zuciya a karo na farko a cikin marasa lafiya da rashin lafiya.
- Edema (kumburi) -Edema zai iya faruwa ne saboda sakamakon rashin ciwo na zuciya. Bugu da ƙari, hypothyroidism kanta zai iya samar da irin rubutun da ake kira myxedema, ta hanyar tarawar sunadarin sunadarai da sauran kwayoyin a cikin ruwa na tsakiya (ruwa a waje da jikin jikin).
- Kaddamar da cututtukan cututtuka na zuciya (CAD) - Yayin da ragewa a cikin hormone mai ciwo zai iya yin angina (rashin lafiya na zuciya wanda ke hade da CAD) marasa lafiya a cikin marasa lafiya wadanda ke da angina, karuwa a cikin LDL cholesterol (bad cholesterol) kuma a cikin furotin na C-reactive tare da hypothyroidism na iya kara hankalin kowane CAD mai basira.
Hypothyroidism ne sau da yawa wani tsari mai mahimmanci . Yawanci yana da matukar hankali sosai, saboda haka alamunta na iya "sneak up" a kanku. Bugu da ƙari kuma, musamman a cikin tsofaffi, yawancin hypothyroidism yakan faru ba tare da maƙasudin hankulan alamun "rubutu" wanda likitoci suke tsammani ba.
Har ila yau, hypothyroidism ya fi sau da yawa fiye da mutane da yawa likitoci sun gane. Don haka idan kana da wasu alamomin da ke ba da shawara game da hypothyroidism kuma likitanka ba su da cikakken bayani game da su (musamman idan kana da cututtukan zuciya na kowane nau'i), ya kamata ka tambayi likitanka don auna matakan hormone.
Hypothyroidism ana bi da tare da maganin hormone thyroid . Yin isasshen maganin hypothyroidism abu ne mai banƙyama har ma da rikici.
Hyperthyroidism
Hyperthyroidism yana haifar da overproduction na thyroid hormone. Lokacin da mummunan hormone mai zafi, da ƙwayar zuciya yana "tasa" kamar doki kuma, ga mutumin da ke da ciwon zuciya yana kama da tayar da doki mai gajiya.
Hanyoyin hawan kuɗin da ke wucewa yana ƙaruwa da karfin zuciya na tsoka da kuma kara yawan oxygen da zuciyar ta bukaci. Har ila yau, yana ƙarfafa zuciya. A sakamakon haka, aikin zuciya ya karu sosai.
Kwayar cutar ta Cardiac zai iya faruwa a kowane mutum tare da hyperthyroidism, amma zai iya zama mai hatsarin gaske a cikin mutane da cututtukan zuciya. Common bayyanar cututtuka sun haɗa da:
- Rawan zuciya mai sauri ( tachycardia ) da kuma lalacewa -Daɗar sakamako (wato, marar bambanci) hyperthyroidism shine mawuyacin hali na karuwar zuciya a hutawa tare da miki aiki. Dole ne ya kamata a kawar da ciwon sanyi ta hanyar jini tare da gwaje-gwaje da jini kafin a gane ainihin sinadarin sinus tachycardia . Musamman ma marasa lafiya da cututtukan zuciya, hyperthyroidism na iya haifar da wasu wasu maganganu, irin su PVCs, tachycardia ventricular, kuma musamman a fibrillation . Lalle ne, yana da muhimmanci a yi watsi da hyperthyroidism a cikin wani wanda ke da ladabi da ba tare da wata hujja mai ma'ana ba.
- Rashin hawan jini na jiki -Kamar ƙin zuciya na zuciya yana ƙaruwa da jini na jini (matsin lamba a cikin jini yayin da katsewar zuciya).
- Dyspnea tare da aiki mai tsanani -Kamar hankali na numfashi na iya zama saboda rauni mai tsoka wanda ke hade da hyperthyroidism ko kuma ya kara tsanantawar zuciya.
- Ciwowar zuciya - Hanyoyin kamala da kanta zasu iya haifar da rashin zuciya, amma kawai in mun gwada da wuya. A gefe guda, idan cututtukan zuciya da suka rigaya sun kasance, damuwa da rashin tausayi na zuciya tare da hyperthyroidism na kowa ne kuma zai iya zama da wuya a magance shi.
- Magance mai rauni- Masu aiki tare da CAD sukan sha wahala sosai a cikin bayyanar cututtuka da hyperthyroidism. Wadannan zasu iya haɗawa da karuwa a cikin angina ko ma ciwon zuciya.
Kamar dai tare da hypothyroidism, hyperthyroidism na iya zama ba tare da samar da classic littafin rubutu bayyanar cututtuka. Saboda haka duk wanda ke da wani daga cikin wadannan cututtukan zuciya na zuciya wanda ba za'a iya bayyanawa a fili ba idan ya kamata a auna aikin da ake yi na thyroid.
Hanyar "mafi kyau" da za a bi da hyperthyroidism shine mai kawo rigima. A Amurka, mafi yawan likitoci sun fito fili don ablating da overactive thyroid gland shine tare da radioactive aidin . Sai suka ba da marasa lafiya thyroid hormone kwayoyin cuta tun lokacin da thyroid gland shine ba aikin. Duk da haka, wannan na iya zama kuskure a wasu lokuta tun lokacin da wani maganin thyroid ne mai rikitarwa na cutar Hashimoto , wanda yanayin da yake ɗaukar nauyin gwiwar thyroid ba shi da mahimmanci.
Duk da yake amfani da kwayoyi don ragewa glandar thyroid (irin su Tapazole ko PTU a Amurka) ya haifar da ƙarin bayani game da maganin dogon lokaci ga likitoci, yawancin masana sunyi imanin cewa zai iya haifar da marasa lafiya.
Kalma Daga
Cutar thyroid zai iya rushe aiki na al'ada da dama na tsarin jiki. Daga cikin manyan matsalolin da za a iya haifar da maganin thyroid ne matsalolin da ke shafi zuciya. A gaskiya ma, cututtukan thyroid sun kasance abin da ke faruwa a cikin yanayin zuciya. Duk wanda ya tasowa bayyanar cututtukan zuciya kusan kowane nau'in ya kamata tabbatar da cewa likita ya kula da gwajin gwajin ka, da kuma cewa duk wani yanayin thyroid wanda za'a iya samuwa ana kula dashi.
> Sources
> Klein I, Ojamaa K. Karoid Hormone da Kwayoyin jijiyoyin jini. N Engl J Med 2001 Feb 15; 344 (7): 501-9.
> Jonklaas J, Bianco AC, Bauer AJ, et al. Sharuɗɗa don maganin Hypothyroidism: Shirye-shiryen da Amurka Yourroid Ƙungiyar Task Force a kan Thyroid Hormone Sauyawa. Thyroid 2014; 24: 1670.
> Ross DS, Burch HB, Cooper DS, et al. 2016 Hanyoyi na Kungiyar Thyroid na Kungiyar Thyroid don Bincike da Gudanarwa na Hyperthyroidism da kuma sauran dalilan Thyrotoxicosis. Thyroid 2016; 26: 1343.