Wani bayani game da cutar Thyroid
Thyroid cuta yana daya daga cikin mafi yawan, duk da haka fahimta da kuma kau da kai, yanayi a Amirkawa. An kiyasta cewa a Amurka, akalla miliyan 27 - kuma yawancin mutane miliyan 60-suna da maganin thyroid.
Mata suna da yawancin masu maganin thyroid. Kuma da rashin alheri, mutanen da ke da maganin thyroid amma basu riga an bincikar su ba yawancin marasa lafiya na thyroid.
Bari mu binciko muhimman bayanai game da muhimman al'amurran da suka shafi cutar thyroid.
Mene Ne Thyroid?
Your thyroid ne karami, malam buɗe ido-dimbin yawa gland shine located a cikin wuyansa-a kasa kuma a baya your apple ta Apple. Kyakkyawan maganin kawancinka yana yin kimanin guda daya. Ayyukan thyroid na aiki shine samar da hormone thyroid wanda yake da muhimmanci ga ayyukan jikinka duka.
Your thyroid gland shine babban sashin jiki a jikin da zai iya sha iodine. The thyroid daukan iodine daga abinci da kuma mayar da shi a cikin hormones thyroid.
Yana haɗar amino acid tyrosine da iodine don yin hormone thyroid.
Hakanan mahimmanci guda biyu da aka haifar da thyroid ne thyroxine da aka sani da T4-da triiodothyronine da aka sani da T3. Wadannan mahimman ma'anar hormones shine ya tsara yadda kwayoyin ku, sassan jiki, kyallen takalma, da gland sunyi amfani da oxygen da makamashi.
Duk abin da ke cikin jikinka yana dogara ne akan hormone thyroid - ciki har da narkewa, ci gaban gashinka da kusoshi, jima'i, da aikin jikin ka da gland. Kwaƙwalwarka, zuciya, da metabolism sun dogara ne akan matakan da ka dace na hormone thyroid don aiki yadda ya dace da kyau.
Karoid yana aiki a cikin maɓallin amsawa tare da glandonku.
Pituitary ya gano matakan karan da ke jikinka a jikin jini da sake sakewa-ko kuma jinkirin saki-wani hormone da ake kira Thyroid Stimulating Hormone (TSH). Lokacin da aka saki TSH, aikinsa shine ya motsa karoid don samar da karin hormone. Lokacin da TSH sun sauke, sakon zuwa thyroid shine a rage jinkirin samar da hormone thyroid.
Mene ne Cutar Thyroid?
Akwai wasu cututtuka musamman-ba sakamakon yanayin kamar hyper ko hypothyrodism- wanda zai iya shafar kalandar ka. Thyroid yanayi yawanci haifar da wani muhimmi thyroid cuta. Kwayoyin cututtukan da suka shafi thyroid sun hada da:
Wannan wani cututtuka ne na ainihi, ma'anar cewa tsarin rigakafinka ba daidai ba ne kai tsaye ga glandar ka. Makamin? Kwayoyin maganin da ke jikinka wanda ke jikinka, ciki har da kwayoyin maganin peroxidase thyroid (TPO) da thyroglobulin antibodies (TgAb).
Hashimoto ta cuta yawanci sa ƙonewa da kuma gradual halakar your thyroid gland shine a kan lokaci.
A ƙarshe, yawancin mutanen da Hashimoto ya ƙare tare da hypothyroidism, yanayin da ba cikakkiyar hormone.
Hashimoto na iya, duk da haka, ya haifar da lokaci ko ɓangarori na overactivity, wanda ake kira hyperthyroidism. Har ila yau, ya zo tare da kara yawan hadarin thyroid nodules, goiter (an kara girman thyroid), da kuma dan kadan ƙara hadarin thyroid ciwon daji.
Cututtuka
Wannan cututtuka ita ce cutar ta jiki wanda tsarinka na rigakafi ya samar da marasa lafiya, wanda ake kira thyroid stimulating antibodies (TSI). Wadannan kwayoyin overstimulate your thyroid gland shine kuma ya sa shi to overproduce thyroid hormone.
A wasu lokuta, magungunan TPO da na TgAb zasu iya karuwa. Cunkurin maganin thyroid zai haifar da haɗari na hormone thyroid (hyperthyroidism) ko thyrotoxicosis. Yawancin cututtuka yana tare da goiter tare da wasu lokuta thyroid nodules.
Wannan yana nufin ciwon daji wanda ke tasowa a cikin glandon thyroid. Ciwon daji na thyroid an samo shi ne a cikin nodules (madarar ruwa ko cikakken lumps) a cikin glandon thyroid.
Akwai nau'i hudu na ciwon maganin thyroid:
- Papillary ko kuma gauraye mai cutar papillary-follicular thyroid wanda ke dauke da kimanin kashi 80 na dukan thyroid cancers.
- Magungunan ciwon maganin karoid ko ƙwayar cuta na thyroid wanda ya zama kimanin kashi 15 cikin 100 na lokuta.
- Medullary thyroid ciwon daji wanda ya sa sama game da kashi uku na thyroid cancers.
- Magungunan ciwon maganin thyroid wanda ke dauke da kashi biyu cikin dari na lokuta.
Yawancin ciwon maganin karoid ne ana daukar su da kyau sosai.
> Dubi nakasar thyroid da matakai na ciwon daji na thyroid.
Thyroiditis
Wannan wani nau'i ne na cututtukan thyroid wanda ya shafi kumburi na glandar thyroid. Yourroiditis za a iya lalacewa ta hanyar antibody hare-haren a kan gland, ƙwayoyin cuta, da kuma kwayoyin cuta. A iri thyroiditis sun hada da:
- Hashimoto ta thyroiditis
- Ƙarƙashin granulomatous thyroiditis / de quervain ta thyroiditis / m subacute thyroiditis
- M ciwon ƙwayoyin cuta thyroiditis
- Painless thyroiditis / shiru thyroiditis
- Riedel ta thyroiditis / mamaye thyroiditis
- Makaranta thyroiditis
Jiyya ya dogara da irin thyroiditis da jere daga kulawa da marasa steroidal anti-inflammatory magunguna zuwa maganin rigakafi da kuma thyroid hormone maye gurbin magani.
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Yaya Yayi Ayyukan Thyroid Gland?
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My Antiroid Antibody na Hashimoto ta Gaskiya, amma My TSH ne na al'ada
Goiter mai amfani mai guba
Wannan wata cuta ne inda thyroid gland shine ya tasowa nodules da kuma girma (goiter). Sau da yawa, nodules suna "aiki," ma'ana cewa banda ganyayyakin hormone na thyroid glanders, nodules kansu suna samarwa da saki hormone thyroid. Gwanin mai saukowa mai yawan gaske yana haifar da hyperthyroidism.
Mene Ne Babban Dalili na Kyau?
Babban mawuyacin lamarin ga thyroid cuta sun hada da:
- Idsine rashi ko wuce haddi
- Bayyanawa zuwa rediyon rediyo ko rashawa na rediyo
- Kashe nauyin soya da abinci na goitrogenic
- Yin aiki ko damuwa zuwa yanki
- Tuna ciki ko kwanan nan
- Halin mace
- Tarihin mutum ko tarihin lafiyar marasa lafiya
- Cigarette shan taba
Mene ne bambancin Thyroid Conditions?
Mafi yawan maganin thyroid ne hypothyroidism, wanda yake nufin wani yanayin inda ba ka da isasshen hormone thyroid. Yana da wasu dalilai:
- Hashimoto ta thyroiditis-wani autoimmune yanayin da ke haifar da rashin lafiya ko halakar da thyroid gland shine.
- An cire mopothyroidism bayan-baya ko kuma wani ɓangare na glandon thyroid.
- Sakamakon bayanan hypothyroidism bayan da rediyo mai yaduwar jinin dangi (RAI) ya yi amfani da ciwon maganin thyroid, cutar cutar, da kuma wasu lokuta na hypothyroidism da nodules.
- Tsarin hypothyroidism na al'ada- lokacin da jaririn ya haife ba tare da glandon giroid ba ko kuma tare da glandan da ba'a iya samar da isasshen hormone.
- Iodine-deficiency hypothyroidism-saboda wani rashi na aidin a rage cin abinci.
- Drug- da kuma kariyar da ake amfani da kwayoyin hypothyroidism-prescription da kuma kari wanda ke da ikon haifar da hypothyroidism.
- Hawan hypothyroidism-induced Goitrogen-duk wani amfani mai amfani na raw goitrogens-abinci da ke da sinadarai a cikin su wanda ya rage jinkirin thyroid.
- Secondary / tsakiya hypothyroidism-saboda wani lahani a cikin aiki / sadarwa na gwargwadon ƙwayar cuta da hypothalamus.
- Harkokin cutar hypothyroidism-mai tsanani zuwa wuyansa, irin su whiplash ko karya wuyansa, an danganta shi da farkon hypothyroidism.
- Hypothyroidism na asali ba tare da sanin bane ba / hypothyroidism-ƙari-akwai lokuta inda karoid ya zama maras kyau kuma ba a gano wasu cututtuka masu mahimmanci ko cututtuka ba.
Wannan yana nufin wani yanayin inda thyroid gland shine ya zama overproducing thyroid hormone. Har ila yau, yana da ƙididdiga masu yawa:
- Cututtukan cututtuka na Autoimmune Graves - mafi yawan hanyar hyperthyroidism.
- Sakamakon cutar Hashimoto na Autoimmune-wani lokaci yana sa lokaci na hyperthyroidism na wucin gadi.
- Hanyoyin hyperthyroidism masu haɗari da ƙwayar cuta mai haɗari-haɓaka daga tsaikowa ko ƙyamarwa na iodine.
- Hanyoyin maganin hyperthyroidism da ƙwayar cuta da yawa-da kuma kari-sakamakon da aka samu daga wasu kwayoyi da dama da kwayoyi da kuma wasu kariyar kari.
- Magungunin multinodular mai guba - yanayin da yakan haifar da haɓaka da hormone thyroid.
- Yourroiditis-wasu siffofin iya haifar da lokaci na hyperthyroidism.
- Ciwon gurguntaccen gurguntaccen kwakwalwa-inda gurasar thyroid zai iya zama wanda ya rage ta hanyar gland da kuma samar da hawan hormone thyroid.
- Yourroid nodules-a wasu lokuta za su iya haifar da inversionivity na kewaye thyroid gland shine, haifar da hyperthyroidism. Suna iya, a kan kansu, samar da hormone thyroid.
Wannan yana nufin yanayin inda thyroid gland shine kara girman girman. Goiter zai iya haifar da cututtuka na Hashimoto da na Graves, ƙwayar iodine da rashi, da kuma cututtukan thyroid.
Cutar cututtuka
Hanyoyin cututtukan cututtukan thyroid sun kasance suna nuna rashin kulawa da gland (hypothyroidism), rashin ƙwarewa (hyperthyroidism), gyaran haɓaka, da / ko ƙonewa / karawa / taushi a cikin wuyan (yourroiditis, nodules, cancer).
Common bayyanar cututtuka na hypothyroidism sun hada da:
- Wulo
- Amfanin nauyi
- Samun damar rasa nauyi tare da abinci da motsa jiki
- Tabbatarwa
- Ba da amfani
- Ji sanyi
- Gashi hasara (ciki har da ƙananan gefen girare)
- Brain farfado
- Muscle da hadin gwiwa haɗa / aches
Kwayoyin bayyanar cutar hyperthyroid sun hada da:
- Raguwa
- Insomnia
- Panicky ji
- Tremors
- Ƙarƙwarar hanzari
- Girman zuciya mai yawa
- Diarrhea ko sako-sako
- Jin damuwarsa
- Baceccen asarar rashin lafiya
Cutar cututtuka a cikin wuyansa da kuma thyroid yankin da za su iya bayar da shawarar wani thyroid matsalar hada da:
- Abun rashin jin kunya
- Gwaran giyar da kake gani ko kararrawa
- Marashin jin dadi tare da hulɗa, yadudduka, tururuwa, ko wuyan hannu
- Girma
- Sore baƙin ciki
- Soreness a wuyansa
- Difficile haɗiye
A wasu lokuta, cututtukan thyroid da yanayi ba su da alamun bayyanar cututtuka, kamar ciwon thyroid ko wasu nau'in thyroiditis.
Bincike da ganewar asali
Sanin asali na yanayin maganin thyroid ya ƙunshi abubuwa da yawa:
- Bincike na asibiti
- Gwajin jini : T ypically, wannan ya haɗa da gwajin maganin hormone (TSH) mai motsa jiki, free thyroxine (Free T4) da kuma free triiodothyronine (Free T3) gwajin cutar don tantance cutar Hashimoto da kuma Graves, da kuma gwada don baya T3 matakan.
- Gwaje-gwaje-gwaje : Ana yin gwaje-gwajen hotunan da yawa domin kara kimanta girman, siffar, da kuma aikin glandar thyroid. Wadannan gwaje-gwaje kuma suna kallon nodules ko lumps kuma suna kimanta ko suna da damuwa ga ciwon daji na thyroid kuma suna buƙatar ƙarin gwadawa. Wadannan gwaje-gwajen sun haɗa da maganin Idinin rediyo mai karfi (RAI-U), CT scans, yanayin hoton magnetic (MRI), da kuma duban dan tayi.
- Gurasar ƙwararriyar ƙwararriya mai kyau : Anyi amfani da asibiti maras lafiya (FNA) biopsy lokacin da ake dauke da thyroid nodules m kuma yana buƙatar gwadawa don ciwon cancer na thyroid.
Jiyya
Wannan yanayin ana bi da shi tare da maganin maye gurbin maganin hormone . Waɗannan su ne maganin magungunan magani wanda ke maye gurbin hormone mai ciwo a jiki.
- Yawancin wajabcin maye gurbin maganin ƙwayar ƙarancin karo wanda aka fi sani da shi ne levothyroxine, wani nau'i na roba na thyroxine thyroid hormone.
- 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.
- 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 daya kuma har yanzu ana amfani da shi, NDT tana dauke da rikice-rikicen jama'a daga magungunan likita.
Cututtukan cututtuka da Hyperthyroidism
Akwai hanyoyi guda uku na cutar Graves da kuma hyperthyroidism na kullum:
- Antithyroid magani magani - Wadanda ke amfani da kwayoyi na Asithyroid, ciki har da methimazole (tapazole), carbimazole (neo-mercazole), da kuma propylthiouracil (PTU), zasu iya rage yawan maganin thyroid na thyroid hormone.
- Yin magani mai yadiniya mai raɗaɗi (RAI) -Ya kasance a cikin kashi daya, ko dai a cikin wani matsurar ruwa ko abin sha, shi yana shiga cikin maganin kawanci, yana shayar da kwayoyin thyroid, da kuma lalata da kuma kashe su. Wannan shrinks thyroid, jinkirin saukar da aiki, kuma ya juya baya hyperthyroidism.
- Magunguna na thyroid / thyroidectomy - A wasu lokuta, an yi wannan ne a matsayin maganin cututtukan Graves da hyperthyroidism, musamman ga mutanen da basu iya jure wa kwayoyin antithyroid ko suna da ciki kuma RAI ba wani zaɓi ba ne.
Ciwon daji na thyroid
Jiyya ga thyroid ciwon daji kusan ko da yaushe ya shafi m cire daga thyroid gland shine yake . Don ƙarin m irin ciwon maganin thyroid, wannan zai iya biyan maganin RAI don tabbatar da cewa dukkanin kwayoyin thyroid sun lalace, wani tsari da aka sani da raguwa.
Bayan m cirewar karoid gland shine, marasa lafiya suna aiki hypothyroid da kuma bukatar rayuwar rayuwa thyroid hormone sauyawa magani. Mafi mahimmanci, wasu jiyya-ciki har da radiation na katako na waje, chemotherapy, zubar da rediyo, da ƙananan ethanol injections-ana amfani dashi.
Autoimmunity da Hashimoto ta
Masu haɗin gwiwa da masu aikin aikin likita a wasu lokuta sukanyi maganin cutar ta kwayar cutar, musamman Hashimoto, tare da ƙwayar ƙwayar ƙwayar ƙwayar cuta (LDN) wanda zai iya taimaka wa ƙananan ƙwayoyin cuta.
Sauran hanyoyin magance sun hada 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
Ku shawara kuɗi da haihuwa
Tsarin haihuwa shine muhimmiyar lokaci don kula da lafiyarka da aikinka. Yin aikin jinƙan kuɗin lafiya yana buƙatar ƙwayar haihuwa, ci gaba da cin nasara , da lafiyar lafiyar bayanan .
Lokacin da akwai yanayin da ba a jin dadi-ko rashin lafiya-maganin karoid, zai iya samun sakamako mai yawa, ciki har da:
- Cutar haihuwa
- Ba a yi nasarar taimaka wa jiyya ba (irin su in vitro hadi)
- Ƙarin haɗari na farkon ɓarna
- Ƙarin haɗarin preeclampsia da damuwa
- Ƙarin haɗarin harkar haihuwa
- Ƙarin haɗarin rashin jin daɗi na matsakaicin matsakaicin rai
- Ƙarin haɗari na matsalolin nono
Dalili mai kyau shi ne bincika jagorancin jagorancin kula da cutar thyroid a lokacin da bayan ciki .
Yadda za a yi daidai da likitoci
Abin mamaki shine, daya daga cikin kalubale a cikin maganin maganin ka, jiyya, da kuma taimakawa daga bayyanar cututtuka na iya kasancewa likitocinka. Dattijan likita zai iya yin dukkan bambanci. Don haka, yana da muhimmanci a san yadda za a zabi kyakkyawan likita don maganin thyroid kuma ku koyi yadda za a sadarwa tare da su sosai
Wata tambaya da za ku yi mamaki shi ne ko kuna bukatar likitancin likita . Amsar ya dogara da yanayinka da burinka. Idan kana buƙatar likitancin likita, za ka so ka tabbatar ka sami likitan aikin likita tare da kwarewa ta dace da cancanta . Har ila yau, kuna so ku tabbatar cewa likitanku yana samar da mafi kyawun kulawa don lafiyar ku.
Rayuwa da Thyroid cuta
Kasancewa ilimi, karfafawa, da kuma aiki tare da masu aiki nagari suna da mahimmanci don yalwata da cutar thyroid. Don wasu shawarwari masu amfani, dubi:
Abincin abinci, Rushewar Hawan, da Haɗin gwiwa
Ɗaya daga cikin hanyoyi da wasu mutane suka gano suna da matsalar maganin karoid ne ƙaddamar da sauƙin kaya ko rashin cikakkiyar rashin nauyi . Ga masu bincikar lafiya da kuma biyan marasa lafiya, daya daga cikin kalubalen da aka saba da shi shi ne wahalar rasa nauyi ko kwarewa, duk da ciwon abinci mai kyau da kuma motsa jiki.
Hanya tsakanin aikin thyroid da metabolism ya bayyana. Duk da haka, magungunan gargajiya yana rage dangantakar dake tsakanin hypothyroidism da wadataccen nauyi, matsalolin da ke fama da hypothyroidism sun rasa nauyi , da kuma tasirin da maganganun ka ke da shi a kan lafiyar jiki, narkewa, jini da sukari, da kuma lafiyar lafiya.
Yawancin magunguna da ke fama da nauyi suna taimakawa wajen fahimtar abubuwan da suka shafi asarar hasara tare da hypothyroidism . Wannan ya hada da matsayi na baya T3 da leptin , biyu maƙalaran mahimmanci wadanda suka shafi karoid marasa lafiya 'ikon rasa nauyi.
Don ƙarin bayani, bincika:
- Menene Mafi alhẽrin Cincin Thyroid?
- 30 hanyoyi don yin aikin ku na abinci
- Cibiyar Cincin Gwajin Kuɗi da Ciwon Lissafin Kuɗi
Kalma Daga
Duk lokacin da aka gano ku da matsalar lafiya ta kullum, zai iya rikicewa da firgita. Mafi kyawun zarafi a nasarar kiwon lafiyar ya hada da shiga cikin kuma mai bada shawara don kulawa da maganin ka. Kuma daya daga cikin muhimman abubuwa na kasancewa mai nasara thyroid haƙuri yana zama sanarwa. Wannan yana nufin karatun, biyo baya bincike, da kuma haɗawa da wasu waɗanda zasu iya raba shawararsu mai kyau.
Koyi duk abin da za ka iya kuma tabbatar da cewa ka gudanar da danniya- tunani , misali, zai iya taimakawa tare da maganin kawancin ka. Kuma ko da kuna jin kamar kuna fama da yaki da likitoci, jiyya, da kuma alamun bayyanar cututtuka, kada ku daina ! Miliyoyin mutane suna rayuwa da yanayin maganin karoid kuma kai ma za ka iya zama ɗaya daga cikin labarun nasarar.
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.
Braverman, L, Cooper D. Werner & Ingbar's Thyroid, Edition na 10. WLL / Wolters Kluwer; 2012.
Garber, J, Cobin, R, Gharib, H, et. al. "Ayyukan Gudanar da Harkokin Gudanarwa na Hypothyroidism a cikin Manya: Cikin Shaɗin Ƙungiyar Ƙungiyar Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararruyar Amirka da Ƙungiyar Ƙasa ta Amirka." Endocrine Practice. Vol 18 No. 6 Nuwamba / Disamba 2012.
Haugen, A, Alexander, K., Littafi Mai Tsarki K, et. al. "Yarjejeniyar Gudanar da Ƙungiyar Kula da Gudanar da Ƙungiyar Kuɗi ta Amirka ta Amirka na Amirka da Amirka da Thyroid Nodules da Cutar Canroid." Thyroid. Janairu 2016, 26 (1): 1-133. Doi: 10.1089 / Your.2015.0020.
Smallridge, R, Ain, K, Asa, S, et. al. "Dokokin Kuɗi na Amirka Yourroid for Management of Patients 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. "Sharuɗɗa na Ƙungiyar Karoid ta Amurka da ke Kula da Ciwon Bincike da Gudanar da Ciwon Thyroid a Cikin Ciki da Cikin Gida." Thyroid. Volume 21, Lamba 10, 2011: 10.1089 / Your.2011.0087
Wells, S., Asa, S., Dralle, H, et. al. "Cibiyar Nazarin Ƙungiyar Kuɗi ta Jaridun Kuɗi da ke Kula da Kai don Gudanar da Kulawar Thyroid Carcinoma." Thyroid. Volume 25, Lamba 6, 2015. Doi: 10.1089 / Your.2014.0335