I-Hashimoto's thyroiditis - noma i-autoimmune (lymphomatous) thyroiditis yisifo esingelapheki esiholela ekubhujisweni kwegciwane le-thyroid ngenxa yokuvezwa kwamangqamuzana ezinto ezizimele. Lesi sifo sivame ukutholakala ukuthi sinobudala besifazane, kodwa amacala avamile kubantu abasha.
Naphezu kokuthi ukuhlolwa kwesifo kwaqalwa udokotela waseJapan uHakaru Hashimoto (emva kwalokho ogama lakhe laqanjwa ngamagama) eminyakeni engaphezu kwengu-100 eyedlule, akukho ulwazi olunembile mayelana nezimbangela zesifo. Kodwa kwavezwa ukuthi i-thyimitisite ye-autoimmune yaseHashimoto ifa. Ngaphezu kwalokho, kunesixhumanisi esingenakuphikwa phakathi kwezinto eziphilayo zendawo kanye nesilinganiso senani labantu. Izifo zokuguqula izifo zingase zihanjiswe izifo ezibangelwa amagciwane kanye nezimo ezicindezelayo ezijulile.
Izimpawu ze-thyroiditis Hashimoto
Ochwepheshe baqaphele ukuthi izimpawu ze-thyroiditis ezizimele zixhomeke ekutheni lesi sifo siqine. Njengomthetho, ukubonakaliswa kwe-hypothyroidism ne-hyperthyroidism kubonakala ngeziguli. Ngokukhiqizwa kwe-hormone ngokweqile, i-thyroxin iyaphawula:
- izinhliziyo zomzimba;
- ukwesaba okukhulu, ukushintsha kwemizwelo;
- ubuthakathaka jikelele;
- ukwephulwa komjikelezo wokuya esikhathini;
- ukujuluka okukhulu;
- isifo sohudo ;
- kusho ukumbalwa.
Kulezi ziguli ezine-gland ene-orrophied gland, futhi ngenxa yalokho, ngokufihla okwanele, zibhekwa yi:
- ukunciphisa izinga lokushaya kwenhliziyo;
- ukukhathala okukhulu;
- ukuqotshwa;
- isimo sokucindezeleka;
- inzuzo enkulu yesisindo.
Uma lesi sifo singelashwa, khona-ke ukwehla kwenkumbulo, ukulahleka kwengqondo ecacile futhi, ekugcineni, ukushada komqondo kungase kuthuthuke (ukushada komqondo ngokweqile). Ezinye izinkinga kungenzeka:
- i-arrhythmias enzima;
- i-infarction ye-myocardial;
- i-atherosclerosis;
- i-lymphoma ye-gland yegciwane, njll.
Ukuxilongwa kwe-thyroiditis Hashimoto
Uma usola i-Hashimoto thyroiditis, kufanele uxhumane nesifo se-endocrinologist. Udokotela uqhuba ukuhlolwa okujwayelekile, uqoqa i-anamnesis futhi akhethe ukuhlolwa ukuze ahloniphe izinga le-hormone ne-antantiydian autoantibodies. Ukunquma izinga lokuthuthukiswa kwalesi sifo, ukugcoba kwegciwane kunconywa usebenzisa umshini we-ultrasound.
Ukwelashwa kwe-thyroiditis Hashimoto
Uma i-Hashimoto's thyroiditis itholakele, ukuqapha okuqhubekayo kuyadingeka ku-endocrinologist, ngisho noma kungekho izinguquko ezitshengiswayo emlandweni we-hormonal, futhi amalungiselelo akhethekile ayimisiwe. Isiguli esibhalisiwe ngumphathi kufanele sibe yisikhathi sokuhlolwa futhi okungenani kanye ezinyangeni eziyisithupha ukunikeza igazi ukuhlaziywa.
Ukwelashwa kwe-autoimmune thyroiditis Hashimoto ngokuyinhloko ekulinganiseni kwezinga le-thyroxine kuya kujwayelekile. Izinkomba zokwelashwa kwe-thyroiditis Hashimoto zingasakaza i-goiter enobuthi , noma i-hypothyroidism. Udokotela ukhetha isiguli ukuthi senze i-thyroxine yakho. Ukwengeza, ukusetshenziswa kwamalungiselelo aqukethe i-selenium kunconywa. Uma kwenzeka ukwanda okukhulu ku-goiter ngokucindezela kwe-trachea noma izitsha zentanyeni nokubunjwa kwamakhidi (ikakhulukazi ubukhulu obungaphezu kuka-1 cm), kwenziwa ukuhlinzwa okuhlinzekwayo. Futhi, uma uhlamvu olubi lwesakhiwo selusolakala, i-biopsy ye-puncture
Ngokuthuthukiswa kwe-hypothyroidism, kunqunywa ukuthi kuhlinzekwe ukwelapha okuhlinzekwa ukucindezelwa kwe-goiter emithonjeni enqunywe yilowo odokotela. Okuthandwa kakhulu namuhla kunamalungiselelo okulwa nemithi:
- Levothyroxine;
- L-thyroxine;
- Eutiroks.
Njengoba ukwelashwa okufike ngesikhathi futhi okwanele, ukubikezela kulungile kakhulu.