Thyroid cuta Ciwon

An Bayani game da maganin Thyroid

A lura don thyroid yanayin ya dogara da irin matsalar thyroid kuma ko thyroid ne overactive, underactive, kara girma, ko kuma yana cancerous. Ga wani bayyani na daban-daban jiyya bayar da thyroid yanayi.

Cututtukan Hyperthyroidism / Graves '

Lokacin da thyroid ya kasance mai sauƙi ko kuma lokaci-lokaci-wani yanayin da aka sani da hyperthyroidism -kana samar da yawancin karoid hormone.

Hyperthyroidism ya fi sau da yawa saboda yanayin da ake kira " Graves" , ko kuma a wasu lokuta saboda thyroid nodules da ke samar da kwayar cutar thyroid ko thyroiditis.

Ana bi da mahaifa ta hanyar hana karoid daga hormone mai ci gaba, rage ragewar thyroid na haifar da hormone, ko cirewa ta cirewa. Musamman, magunguna sun haɗa da:

• Antithyroid kwayoyi , ciki har da methimazole (Tapazole), propylthiouracil (PTU), da kuma carbimazole (Neo-Mercazole). Saboda PTU wani lokaci ana hade da wasu cututtuka masu tsanani, an yi la'akari da methimazole maganin miyagun ƙwayar antithyroid a Amurka (PTU, duk da haka, an ba da shawarar don magani a lokacin farkon farkon watanni na ciki saboda dan kadan yaron hadarin haihuwa da aka haifa da methimazole.)

• Hypothyroidism Sau da yawa Unrelieved by Levothyroxine da kuma al'ada TSH

• Kare lafiyar ku bayan yaduwar jiyya

• Magungunan yadiniyar radiyo (RAI) , wanda aka fi sani da haɓakar radioiodine. Wannan magani ya haɗa da shan kashi na iodine na rediyo, wanda kuma ciwon giyar da kake ciki yana shafe shi-ko ablates-duk ko wani ɓangare na gland na iya samar da hormone thyroid.
• M kau da duk ko ɓangare na thyroid, da aka sani da thyroidectomy.
• A wasu lokuta, halayyar hyperthyroidism da ke rikicewa kamar ƙwaƙwalwar zuciya, damuwa, ko karfin jini ya karu da kwayoyi da ake kira beta blockers.

Kullum, tsarin da ake amfani dashi don kare lafiyar ya dogara ne akan mummunan yanayinka, ko zaka iya jure wa magungunan antithyroid, kuma idan kun kasance ciki ko shirin yin ciki a sannu-sannu.

Har ila yau, geography yana da mahimmanci, kamar yadda za a iya bayar da RAI a Amurka-da tiyata ko maganin antithyroid. A Amurka, tiyata ba wuya a yi wa hyperthyroidism ba, sai dai idan kana da ciki kuma ba za ka iya jure wa kwayoyin antithyroid ba. A waje da Amurka, maganin magungunan maganin antithyroid zai iya kasancewa na farko na zabi don magani, kuma aikin tiyata yafi amfani dashi, musamman ma yara da mata masu haihuwa.

Wasu maganganu masu rikitarwa, cututtuka don magancewa sun haɗa da toshe / maye gurbin farfadowa (BRT) - haɗuwa da kwayoyi masu maye gurbin horroone da maganin antithyroid-da kuma hanyar da aka sani da fasahar karoid.

Mafi yawan karoid marasa lafiya da suka karbi RAI magani ko da tiyata ƙarshe ƙare hypothyroid, kuma ana bi da tare da maganin thyroid hormone maye gurbin .

Wasu masu haɗin gwiwar sun bayar da shawarar magance matsalolin danniya da kuma hanyoyin gudanarwa irin su tunani mai shiryarwa, sauye-sauyen antithyroid da gyaran abinci, maganin gargajiya na gargajiya na kasar Sin, da sauran hanyoyin da za su taimaka wajen maganin maganin maganin ka.

Goiter Jiyya

Goiter yana nufin ciwon daɗaɗɗyar thyroid , wanda zai iya inganta a duka hypothyroidism da hyperthyroidism.

Dangane da girman da wuri, idan kana da goiter, zai iya haifar da jinin cikakke a cikin wuyanka, zafi, da ƙasa da ƙasa, na iya sa ya wuya a haɗiye ko numfashi.

Idan kana da karamin goiter wanda ba alama ba ne kuma ba tare da wani irregularities ba a cikin matakan thyroid, likitan ka iya yanke shawarar saka idanu - ba kula da goiterka ba.

Don karami, likitocin likitoci, likitoci sukan bi da ku da kwayoyin maye gurbin maganin hormone . A wasu lokuta, kwayoyi na iya ragewa ko tsayar da ci gaba na goiter amma ba zai yiwu ba.

Idan goiter din babba ne, ya ci gaba da girma duk da ciwon hawan da kake ciki, yana damuwa da kai, ko kuma yana haɗuwa da haɗiye ko numfashi, likitanku na iya bada shawara da Idinin radioactive (RAI) don hana ƙwayar ka, ko tiyata don cire duk ko ɓangare na thyroid gland shine.

A cikin yanayin goiter wanda yake da rashin asidin iodine, likitanku zai iya bayar da shawarar yin amfani da ƙarain iodine.

Thyroid Nodule Jiyya

Mafi yawa daga thyroid nodules ne mai zurfi. Don ƙananan ƙwayoyin cuta, wadanda ba su haifar da bayyanar cututtuka ba, yawancin masu aiki sun fi son saka idanu marasa lafiya. Yawancin yawan yawan jama'a-wasu masana sun nuna cewa mafi yawancin mutane-suna da wadannan nau'in nodules, kuma basu buƙatar wani magani.

Don samfurori na nodules mai nuna alama, hanyar farko na magani shine akai-akai da ke maye gurbin maganin ƙwayar maganin hormone, levothyroxine , wanda zai iya hana wani ƙwayar nodule wani lokacin, ya hana nodules daga girma, kuma ya taimaka wajen hana wasu nodules daga zamawa. Saboda magani yana da tasiri sosai a cikin ƙananan marasa lafiya, an yi la'akari da maganin levothyroxine kadan ne mai rikitarwa.

A wasu lokuta, idan nodule ya kasance tare da hyperthyroidism, ana amfani da iodine radioactive (RAI), don hana ƙyama da nauyin gwiwar taroid. Idan nodule mai zurfi ya fi girma kuma bai amsa zuwa magani ko RAI ba, ana tilastawa aikin tiyata.

Wani tsarin da ake amfani dashi ga nodules shine inhanol injection (PEI) , inda aka yi amfani da allurar nodule.

• Magunguna na thyroid: Shin Kuna Bukatar T3 ko Halittarka ta Halitta?

• Metformin da Thyroid

Wata sabuwar alamar sabuwar fasaha ta fasaha don nodules ita ce fasaha mai tartsatsi mai mahimmanci .

Idan nodule ko mahara nodules an ƙaddara su zama masu ciwo, toka tana kusan kusan cirewa ko kuma wani ɓangare. A cikin yanayin rashin lafiya , ana bin hanyoyin maganin ciwon daji na thyroid a kan abin da aka gano akan ciwon daji.

A baya, an yi thyroidectomy bayan zuwan inganci mai kyau (FNA) wanda ya nuna rashin tabbas ko ƙananan nodules , amma sabon sabon tsarin binciken na Afirma Thyroid Analysis ya rage ƙwarai da gaske sakamakon waɗannan kuma bai hana aikin tiyata ba .

Jagoran bayani game da maganin nodules an bayyana a cikin Ƙungiyar Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru ta Ƙwararrun Ƙwararren Ƙwararru don Ƙwarewar da Kula da Thyroid Nodules.

Thyroiditis Jiyya

Thyroiditis yana nufin kumburi da thyroid gland shine yake. Yayinda lokutta (Hashimoto's) thyroiditis ne ya fi kowa, akwai wasu nau'o'in thyroiditis, ciki har da thyroiditis, De Quervain (wanda ake kira subacute ko granulomatous) thyroiditis, da kuma hoto ko bidiyo mai zagaya yanar gizo da sauri thyroiditis, a tsakanin wasu.

Kamar yadda aka gani, a wasu lokuta, ana magance thyroiditis na Hashimoto tare da maganin maganin maganin hormone . Don lokuta na thyroiditis wadanda suke da zafi, likitocin sun bada shawara kan sauƙin haɗari tare da kariya masu kariya, kamar aspirin, ibuprofen (Advil / Motrin), ko naproxen (Aleve).

Idan thyroiditis ne musamman m, likitoci bayar da shawarar da steroid kwayoyi don rage ƙonewa, tare da maganin thyroid hormone maye gurbin, don ba da damar karoid ya huta daga aikin aikin hormone.

A kan abincin sinadirai, akwai wasu shaidu cewa ƙarawa tare da mineral selenium na iya taimakawa thyroiditis.

Ga ƙarin bayani akan takamaiman nauyin thyroiditis :

• Riedel ta thyroiditis
• subacute granulomatous thyroiditis
• m ciwon magunguna thyroiditis
• m thyroiditis
• matsakaicin thyroiditis

Thyroid Cancer Treatment

Akwai nau'i daban-daban na ciwon maganin thyroid: papillary, follicular, medullary, da anaplastic . Gwanayen maganin ciwon daji na thyroid na dogara ne akan irin ciwon daji, kuma a wasu lokuta, dabarun-yadda yaduwar ciwon daji ya yada zuwa wasu sassan jiki - da kuma idan akwai sabon ciwon daji ko ciwon daji na ci gaba.

A jiyya ga ciwon thyroid ciwon daji sun hada da:

• Tiyata don cire ciwon daji, wanda aka sani da thyroidectomy . Wasu marasa lafiya suna karɓar lobectomy, wanda ke kawar da daya gefen thyroid. Cikakken maganinka na kusa yana cire kusan dukkan gland. An cire allroid dinka cikin cikakkiyar thyroidectomy . Hakanan an yi watsi da yaduwar ƙumburi na Lymph a lokacin tiyata, don tantance yaduwar ciwon maganin ciwon thyroid.
• Rage maganin radiation don kashe ciwon daji. Domin ciwon daji na thyroid, an ba da radiation mafi yawa a cikin ruwa ko kwaya dauke da iodine radioactive (RAI). Karoid yana shafanin aidin, kuma irin nauyin rediyo na iodine yana tattarawa a cikin jikin karo da kuma kashe kwayoyin cutar kanjamau. A wasu lokuta, ana fitar da radiation daga jikin jiki, wanda aka kera musamman a thyroid, kuma an sani shi ne radiation daga waje.
• Hormone far, ta yin amfani da maganin maganin hormone maye gurbin . Bayan yin tiyata ko RAI, zaka iya zama hypothyroid, kuma yana buƙatar yin amfani da kwayoyin maganin maganin hormone. A wasu lokuta, likitoci za su bayar da shawarar wani kashi wanda zai kiyaye TSH takaici ko maras tabbas, don taimakawa wajen hana ciwon ciwon thyroid daga maimaitawa.
• Cutar maganin da aka ƙayyade, ciki har da sababbin sababbin kwayoyi don daban-daban na ciwon maganin thyroid, ciki har da waɗanda ke da alaƙa ga magani na rediyo.
• Chemotherapy ba na kowa ba ne, amma ana iya amfani da shi a wasu lokuta, da farko don taimakawa wajen kawar da bayyanar cututtuka.

Hypothyroidism / Hashimoto ta Cutar Jiyya

Hypothyroidism shine yanayin inda thyroid ba shi da lalacewa, an lalatar da shi, ko kuma an cire shi, kuma saboda haka baza su iya samar da isasshen matakan hormone thyroid ba. Mun bar shi saboda ƙarshe, domin, har zuwa mafi yawancin, yawancin maganin maganin kawo-saboda sun haɗa da yin amfani da rediyowa ko kuma ta hanyar cirewa-sau da yawa ƙarasa tare da ka zama hypothyroid.

Anyi amfani da hypothyroidism ta maye gurbin hormone bace, hormone da ke da muhimmanci ga ayyukan maɓallin jiki. An cika wannan ta hanyar shan maganin maganin hormone maye gurbin da likitan ka ke.

Dabobi masu maye gurbin thyroid horroone sun maye gurbin hormone thyroid na jikinka. Sun hada da wadannan:

• Mafi yawan wajabcin maye gurbin maganin ƙwayar karamar kafar sanroid ne da aka sani da genetically kamar levothyroxine, wani nau'i na roba da thyro hormone thyroxine (T4). Sunan sunaye sun hada da Synthroid, Levoxyl, Unithroid, da Tirosint.
• Har ila yau, akwai nau'i na roba na T3 hormone, wanda aka sani da suna honeythyronine, wanda wani lokaci ana kara wa levothyroxine don maganin T4 / T3. Sunan iri a Amurka shine Cytomel.
• Har ila yau, akwai magani mai maye gurbin da ake kira dabbar da ake kira thyroid, wani lokacin abbreviated NDT ko ake kira "thyroid cire." Yayinda yake samuwa fiye da karni kuma har yanzu ana amfani dashi, NDT tana dauke da rikice-rikice da magungunan likita, amma an tsara shi sau da yawa daga likitoci na aikin likita. Sunaye sunaye sun hada da Nature-throid, Armor Thyroid, da WP Thyroid.

Yin jiyya na cutar Hashimoto, yanayin yanayin da ke haifar da hypothyroidism, yafi rikici. Yawancin masu aikin gargajiya sunyi imanin cewa Hashimoto bai bukaci magani, kuma kawai suna magance kwayoyin maye gurbin maganin hormone lokacin da Hashimoto ya haifar da hypothyroidism. (Ƙara koyo game da bambancin: Hashimoto ta vs. Hypothyroidism: Mene ne Bambanci?)

Wasu likitoci sunyi imanin cewa cutar Hashimoto, wadda za a tabbatar da gwaji don maganin rigakafin maganin karoid , yana tabbatar da magani a wasu marasa lafiya wadanda ke da alamun kwayar cutar , ko da wasu matakan thyroid su ne al'ada. Akwai kuma wasu shaidu cewa yin maganin cutar Hashimoto tare da maganin maganin hormone na karoid kafin maganin hormone (THS) mai motsi wanda zai iya rage wasu bayyanar cututtuka. Wasu bincike kuma sun nuna cewa zalunta wani tare da Hashimoto wanda wanda ba haka ba yana da gwajin jini na al'ada, ciki har da matakin TSH na yau da kullum , zai iya taimakawa tsayayyar matakin TSH da ci gaba zuwa cikakken hypothyroidism. Yin maganin Hashimoto ta lokacin da TSH yake al'ada shi ne rikici, duk da haka.

Sabbin wurare biyu masu alamar rahama ga magani na Hashimoto: yin amfani da ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta (LDN) da kuma ƙwayar mota mai tsauri. Dukansu jiyya na iya taimaka wa marasa lafiya marasa lafiya kuma su sami gafara a wasu marasa lafiya.

A kan maganin rigakafi , wasu ƙwararrun likitoci sun ba da shawarar haɗin gwanin amine , sauran kayan abinci mai gina jiki, canje-canje na abinci, musamman yoga, magani na zuciya-da-sauran, da sauran hanyoyin da za su taimaka wajen maganin thyroid.

Sauran hanyoyin magance haɗin kai sun haɗa da:

• Ƙarin tare da selenium zuwa ƙananan ƙwayoyin cuta
• Yin jawabi game da halayen da ke tattare da adrenal wanda zai iya maganin maganin karoid
• Sauye-sauye na abinci don rage ƙonewa
• Cutar da gurasar daga cin abinci saboda haɗin kai tsakanin gurasar da kuma ba da kyauta
• Ƙuntatawa da gwaninta

Kalma Daga

Yayin da za a zabi zabar maganin thyroid, kana buƙatar bayani. Kyakkyawan farawa ne a nan, tare da cikakken albarkatunmu game da dukkan facets na matsaloli thyroid .

Kana kuma bukatar samun likitan thyroid don kanka , kuma ka yi tarayya da shi. Kuma ku tuna: Kada ku yi shakka don samun ra'ayi na biyu game da maganin ku na jinƙan ku idan kuna da tambayoyi game da tsarin ku.

_Sources:

_{Bahn R, Burch H, Cooper D, et al. Hyperthyroidism da sauran dalilai na Thyrotoxicosis: Jagoran Gudanarwa na Amurka Yourroid Association da kuma American Association of Clinical Endocrinologists . Endocrine Practice . Vol 17 No. 3 Mayu / Yuni 2011.}

> Garber J, Cobin R, Gharib H, et al. Ka'idojin Gudanar da Harkokin Clinic don Hypothyroidism a cikin Adult: Cikin Shaɗin Ƙungiyar Amirka na Ƙwararrun Ƙwararrun Ƙwararrun Cututtukan Halitta da Ƙungiyar Thyroid Association . Endocrine Practice . Vol 18 No. 6 Nuwamba / Disamba 2012.

_{Smallridge R, Ain K, Asa S, et al. Amirka Yourroid Association Guidelines don Management na marasa lafiya tare da Anaplastic Thyroid Cancer. Thyroid . Volume 22, Lamba 11, 2012: 10.1089 / ka.2012.0302}

_{Stagnaro-Green A, Abalovich M, Alexander E. et al. Sharuɗɗan Ƙungiyar Wararka ta Amurka da ke Kula da Ciwon Bincike da Gudanar da Ciwo na Thyroid a lokacin Ciki da Ƙwararraki. Thyroid . Volume 21, Lamba 10, 2011: 10.1089 / Your.2011.0087}

_{Wells S, Asa S, Dralle H, et al. Amintaccen Ma'aikatar Harkokin Cibiyar Nazarin Kuɗi ta Jagoran Kuɗi don Kula da Magunguna Thyroid Carcinoma. Thyroid . Volume 25, Lamba 6, 2015. Doi: 10.1089 / Your.2014.0335}