Created at:1/16/2025
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Hashimoto's ni indwara y'ubudahangarwa aho ubudahangarwa bwawe bugaba igitero ku mpyiko yawe y'umwijima. Iki gitero gikomeza kwangiza umwijima, ukaba utakiri kubona imisemburo ihagije umubiri wawe ukeneye kugira ngo ukore neza.
Tekereza kuri umwijima wawe nk'ikigo gikurikirana uburyo umubiri wawe ukora. Iyo Hashimoto's ihungabanya ubu buryo, ishobora kugabanya ibikorwa byinshi by'umubiri wawe. Inkuru nziza ni uko iyi ndwara iroroshye cyane kuvurwa neza, kandi abantu benshi barwaye Hashimoto's babayeho ubuzima busanzwe, bwiza.
Hashimoto's ni yo ntandaro ikunze kugaragara y'ubucye bw'imisemburo y'umwijima muri Leta Zunze Ubumwe za Amerika. Ubudahangarwa bwawe bukoramo imiti igenda yangiza umwijima mu mezi cyangwa imyaka. Uyu mujinya ubusanzwe aba buhoro kandi nta bubabare, ariyo mpamvu abantu benshi batamenya ko barwaye.
Umwijima ni umusemburo muto, usa n'inyoni, uri mu ijosi ryawe, ukora imisemburo igenga uburyo umubiri wawe ukora, umuvuduko w'umutima, n'ubushyuhe bw'umubiri. Iyo Hashimoto's yangije uyu musemburo, umusaruro w'imisemburo ugabanuka, bigatuma haba ubucye bw'imisemburo y'umwijima. Ibi bivuze ko ibikorwa by'umubiri wawe bigabanuka, bigira ingaruka kuri byose, kuva ku mbaraga zawe kugeza ku buryo umubiri wawe utunganya ibyo urya.
Abagore bafite amahirwe menshi cyane yo kurwara Hashimoto's kurusha abagabo, cyane cyane mu gihe cy'ubukure. Ariko rero, ishobora kwibasira umuntu uwo ari we wese, igihe icyo ari cyo cyose, harimo n'abana n'abangavu.
Ibimenyetso bya Hashimoto's bigenda bigaragara buhoro buhoro, kandi bishobora kuba bito mu ntangiriro, bikaba byafashwe nk'umunaniro cyangwa gusaza. Abantu benshi babona ko bananiwe kurusha igihe cyose cyangwa bagira ikibazo cyo kwibanda mbere y'uko ibindi bimenyetso bigaragara.
Dore ibimenyetso bikunze kugaragara ushobora kugira:
Bamwe mu bantu bagira n'ibimenyetso bito, nko kubyimbagira mu maso, ijwi ridafite imbaraga, cyangwa umwijima ukomeye (umwijima ukomeye utera kubyimbagira mu ijosi). Ibuka ko ibimenyetso bishobora gutandukana cyane ukurikije umuntu, kandi ntukeneye kubigira byose kugira ngo ugire Hashimoto's.
Hashimoto's ibaho iyo ubudahangarwa bwawe buhinduka, bugatangira kugaba igitero ku mpyiko y'umwijima nzima. Abahanga mu bya siyansi bemeza ko ibi biterwa n'ihuriro ry'imiterere ya genetique n'ibintu byo mu kirere, nubwo intandaro nyayo itaramenyekana neza.
Imwe mu mibiri yawe igira uruhare runini mu kumenya ibyago byawe. Niba ufite abagize umuryango barwaye Hashimoto's cyangwa izindi ndwara z'ubudahangarwa nka diyabete yo mu bwoko bwa mbere cyangwa rhumatoïde, ufite amahirwe menshi yo kuyirwara. Ariko rero, kugira ibyo bintu ntibihamya ko uzayirwara.
Ibintu byo mu kirere bishobora gutera Hashimoto's ku bantu bafite imiterere ya genetique. Ibyo bintu bishobora kuba umunaniro ukabije, indwara (cyane cyane iziterwa na virusi), gutwita, cyangwa guhura n'ibintu bimwe na bimwe. Bamwe mu bashakashatsi baracyiga niba urwego rw'iyode rufite ingaruka ku iterambere ryayo, nubwo ubu buhunganizi budahamye.
Guhinduka kw'imisemburo bigaragara ko bigira uruhare, ariyo mpamvu abagore aribo bakunze kwibasirwa, kandi impamvu ibimenyetso bikunze kugaragara mu gihe cyo gutwita, gucura, cyangwa ibindi bihe byo guhinduka kw'imisemburo.
Ukwiye kujya kwa muganga niba ufite umunaniro udashira, guhinduka kw'ibiro bitazwi, cyangwa ibimenyetso byinshi byavuzwe haruguru. Kumenya hakiri kare no kuvura birashobora gukumira ingaruka mbi kandi bikagufasha kumva neza vuba.
Tegura gahunda vuba niba ubona ihuriro ry'ibimenyetso nko kunanirwa buri gihe nubwo ubaye wararyamye bihagije, kumva ubuzima igihe abandi bumva ubwiza, cyangwa guhinduka mu gihe cy'ukwezi. Ibi bishobora kugaragaza ko umwijima wawe utakora neza.
Ntugatege amatwi niba ufite umwijima ukomeye (kubyimbagira mu ijosi), ugira ikibazo cyo kwishima, cyangwa ugira ikiniga gikabije cyangwa ibibazo byo kwibuka. Nubwo ibyo bimenyetso bishobora kuba bifite izindi ntandaro, bikwiye gusuzuma kwa muganga kugira ngo habeho gukumira ibibazo by'umwijima.
Niba ufite amateka y'indwara y'umwijima mu muryango wawe cyangwa izindi ndwara z'ubudahangarwa, tekereza ku kuganira n'umuganga wawe ku isuzuma nubwo nta bimenyetso ufite. Kumenya hakiri kare bishobora gutuma kuvura bikora neza.
Kumva ibyago byawe bishobora kugufasha wowe n'umuganga wawe kuba maso ku bimenyetso bya Hashimoto's hakiri kare. Hari ibintu bimwe na bimwe udashobora guhindura, mu gihe ibindi ushobora kubigenzura.
Ibyago bikomeye cyane birimo:
Ibindi byago bito birimo kugira sindwome ya Down, sindwome ya Turner, cyangwa gufata imiti imwe nka lithium cyangwa interferon. Kuvuza itabi bishobora kandi kongera ibyago byawe, nubwo ubu buhunganizi budahamye nk'ibindi bintu.
Kugira ibyago ntibisobanura ko uzirwara Hashimoto's, ariko ni byiza kubiganiraho n'umuganga wawe, cyane cyane niba ufite ibimenyetso.
Abantu benshi barwaye Hashimoto's bakora neza cyane bavuwe neza, ariko ubucye bw'imisemburo y'umwijima butaravuwe bushobora gutera ibibazo bikomeye by'ubuzima mu gihe kirekire. Inkuru nziza ni uko ibyo bibazo bishobora kwirindwa hakoreshejwe ubuvuzi bukwiye.
Ingaruka zisanzwe zo kudavura Hashimoto's zirimo:
Ingaruka zikomeye ariko zidafite akaga zishobora kuba myxedema coma, ikibazo cy'ubuzima kigira ingaruka ku mikorere y'umubiri. Ibi bikunze kubaho mu gihe cy'indwara ikomeye, idakize igihe kirekire, kandi ni ubutabazi bw'ubuvuzi.
Mu gihe cyo gutwita, Hashimoto's idakize ishobora kongera ibyago byo kubura imbabura, kubyara imburagihe, cyangwa ibibazo by'iterambere ry'umwana. Ariko rero, hakoreshejwe ubugenzuzi bukwiye n'ubuvuzi, abagore benshi barwaye Hashimoto's bagira utwitwa dukomeye.
Ubuvuzi busanzwe no gufata imiti yagenewe hafi ya byose bikuraho ibyago by'izo ngaruka. Umuganga wawe azakurikirana uko ubuzima bwawe buhagaze kugira ngo amenye impinduka hakiri kare.
Kumenya Hashimoto's bikubiyemo ibizamini by'amaraso bisuzumira uko umwijima wawe ukora kandi bikareba imiti runaka. Umuganga wawe azatangira akumva ibimenyetso byawe akakora isuzuma ry'umubiri, harimo no gusuzuma ijosi ryawe kugira ngo arebe niba umwijima wawe ukomeye.
Ibizamini by'amaraso by'ingenzi birimo gupima TSH (imisemburo istimula umwijima) na T4 (thyroxine). Inyinshi za TSH hamwe na T4 nke cyangwa zisanzwe zigaragaza ubucye bw'imisemburo y'umwijima. Umuganga wawe azasuzumisha kandi imiti y'umwijima, cyane cyane anti-TPO (anti-thyroid peroxidase) na anti-thyroglobulin antibodies, ziba mu bantu benshi barwaye Hashimoto's.
Rimwe na rimwe umuganga wawe ashobora gutegeka ibindi bizamini nka ultrasound y'umwijima kugira ngo arebe ingano n'imiterere y'umwijima. Iyi shusho ishobora kwerekana imiterere y'ibyangiritse by'umwijima bitera Hashimoto's.
Uburyo bwo kuvura ubusanzwe buroroshye, nubwo bishobora gutwara igihe kugira ngo hamenyekane uburyo bukwiye bwo kuvura ukurikije uko ubuzima bwawe buhagaze. Umuganga wawe ashobora kuba akeneye gusubiramo ibizamini buri gihe kugira ngo akurikirane uko ubuzima bwawe buhagaze.
Ubuvuzi bwa Hashimoto's bugamije gusimbuza imisemburo umwijima wawe utakibasha gukora bihagije. Ubuvuzi nyamukuru ni imiti ifatwa buri munsi yitwa levothyroxine, imisemburo y'umwijima ya T4.
Levothyroxine ifatwa mu binyobwa, ubusanzwe mu gitondo cyane mbere yo kurya. Umuganga wawe azatangira agufatira umwanya ukurikije ibiro byawe, imyaka yawe, n'uburemere bw'ubucye bw'imisemburo y'umwijima, hanyuma abihindura hashingiwe ku bizamini by'amaraso byakurikiyeho. Gushaka umwanya ukwiye bishobora gutwara amezi menshi yo guhindura.
Abantu benshi batangira kumva neza mu byumweru bike nyuma yo gutangira kuvurwa, nubwo bishobora gutwara amezi atatu kugira ngo babone inyungu zuzuye. Uzakeneye ibizamini by'amaraso buri gihe kugira ngo hagenzurwe urwego rw'imisemburo y'umwijima kandi habeho kwemeza ko umwanya wawe ukwiye.
Bamwe mu bantu bakeneye imiti y'inyongera niba batumva neza kuri levothyroxine gusa. Amahitamo ashobora kuba harimo kongeramo T3 (liothyronine) cyangwa kugerageza kuvura hamwe, nubwo ibi bidafite akaga.
Ubuvuzi busanzwe buhoraho, ariko ibi ntibisobanura ko uzumva urwaye cyangwa ufite ibibazo. Ufite imiti ikwiye, abantu benshi barwaye Hashimoto's bumva neza kandi bashobora gukora byose bakoraga mbere yo kuvurwa.
Nubwo imiti ariyo shingiro ry'ubuvuzi bwa Hashimoto's, uburyo bwo kwitwara mu buzima bushobora kugufasha kumva neza no gushyigikira ubuzima bwawe muri rusange. Ibyo bintu bikorana n'ubuvuzi bwawe, bitari icyo gusimbuza.
Fata umwanya wo kurya indyo yuzuye, yuzuye intungamubiri, irimo imbuto nyinshi, imboga, ibiryo by'inyama, n'ibinyampeke byuzuye. Bamwe mu bantu basanga kwirinda ibiryo bikonjeshejwe cyane bibafasha kumva bafite imbaraga. Kora uko ushoboye kugira selenium na zinc bihagije, bishigikira imikorere y'umwijima.
Gukora imyitozo ngororamubiri bishobora gufasha guhangana n'umunaniro no gushyigikira uburyo umubiri wawe ukora, nubwo ushobora kumva unaniwe mu ntangiriro. Tangira udakora cyane nko kugenda cyangwa koga, hanyuma ugire imbaraga uko imbaraga zawe zigenda ziyongera uko uvuwe.
Gucunga umunaniro ni ingenzi cyane kuko umunaniro ushobora kongera indwara z'ubudahangarwa. Tekereza ku buryo bwo guhangana n'umunaniro nko gutekereza, guhumeka neza, yoga, cyangwa icyakora kugufasha kuruhuka. Kuryama bihagije ni ingenzi cyane mu guhangana n'ibimenyetso no gushyigikira ubudahangarwa bwawe.
Fata imiti yawe buri gihe mu gihe kimwe, ubusanzwe mu gitondo mbere yo kurya. Irinde kuyifata hamwe na kawa, imiti y'umusemburo wa calcium, cyangwa imiti y'umusemburo wa fer, kuko ibyo bishobora kubangamira imikorere yayo.
Kwitunganya uruzinduko rwawe bishobora kugufasha kwemeza ko ubonye ibyiza byinshi mu ruzinduko rwawe no gutanga amakuru umuganga wawe akeneye kugufasha neza. Tangira wandike ibimenyetso byawe byose, harimo igihe byatangiye n'uko bigira ingaruka ku buzima bwawe bwa buri munsi.
Zana urutonde rwuzuye rw'imiti yose, imiti y'inyongera, na vitamine ufata, harimo n'umwanya. Ibi bifasha umuganga wawe kumenya ibyo bishobora guhura cyangwa ibintu bishobora kugira ingaruka ku mikorere y'umwijima wawe.
Andika ibibazo ushaka kubabaza, nko kumenya icyo witeze mu buvuzi, kenshi uzakenera ibizamini by'amaraso, cyangwa niba hari ibikorwa ukwiye kwirinda. Ntugatinye kubabaza icyakubangamiye.
Niba ufite abagize umuryango barwaye indwara y'umwijima cyangwa izindi ndwara z'ubudahangarwa, andika ayo makuru. Nanone, zana ibizamini byakozwe mbere niba uri kubona umuganga mushya.
Tekereza kuzana inshuti cyangwa umuryango wawe kugira ngo bagufashe kwibuka amakuru akomeye yavuzwe mu gihe cy'uruzinduko. Bashobora kandi gutanga inkunga mu gihe cy'iki gikorwa.
Hashimoto's ni indwara iroroshye kuvurwa ikibasira abantu benshi ku isi. Nubwo kubona iyi ndwara bishobora kuguha ikibazo mu ntangiriro, icy'ingenzi ni ukwibuka ko hakoreshejwe ubuvuzi bukwiye, ushobora kubaho ubuzima busanzwe, bwiza.
Icy'ingenzi ni ugukorana n'umuganga wawe, gufata imiti yawe buri gihe, no kujya mu bugenzuzi buri gihe. Abantu benshi bumva barushijeho kumererwa neza mu mezi make nyuma yo gutangira kuvurwa.
Ntugatinye kuvugana n'umuganga wawe uko wumva. Ubuvuzi bwawe bushobora guhinduka niba bibaye ngombwa, kandi hari amahitamo atandukanye ahari niba uburyo bwa mbere budakora neza kuri wowe.
Ibuka ko kugira Hashimoto's ntibikugaragaza cyangwa ntibigabanye ibyo ushobora kugeraho. Ufite ubugenzuzi bukwiye, ushobora kugumana imbaraga zawe, gukurikira intego zawe, no kwishimira ibikorwa byose bikubera ingenzi.
Kuri ubu, nta muti wa Hashimoto's, ariko iroroshye cyane kuvurwa no kuyigenzura. Uburyo bw'ubudahangarwa bwangaza umwijima ntibushobora gusubizwa, ariko kuvura imisemburo bikemura neza ubucye bw'imisemburo y'umwijima. Abantu benshi bavuwe neza bumva neza kandi babayeho ubuzima buzuye, bwiza. Ubushakashatsi burakomeza mu buryo bwo guhindura uburyo bw'ubudahangarwa, ariko ubuvuzi buriho burahagije mu guhangana n'ibimenyetso no gukumira ingaruka.
Kubyibuha ni kimwe mu bimenyetso bisanzwe bya Hashimoto's idakize kuko imisemburo mike y'umwijima igabanya uburyo umubiri wawe ukora. Ariko rero, uhereye igihe utangiye kuvurwa neza kandi urwego rw'imisemburo rwawe rugasubira mu buryo, abantu benshi basanga biroroshye kugumana ibiro byiza. Ubwinshi bw'ibiro byiyongereye bitandukanye cyane ukurikije abantu, kandi bamwe mu bantu ntibagira impinduka zikomeye z'ibiro. Ufite ubuvuzi bukwiye, imyitozo ngororamubiri, n'imirire yuzuye, gucunga ibiro birahinduka byoroshye.
Yego, abagore benshi barwaye Hashimoto's bashobora gutwita kandi bagira abana bazima bafite ubuvuzi bukwiye. Ni ingenzi kugira urwego rw'imisemburo y'umwijima rwuzuye mbere yo kugerageza gutwita no gukorana n'itsinda ryawe ry'abaganga mu gihe cyo gutwita. Ubucye bw'imisemburo y'umwijima butaravuwe bushobora kugira ingaruka ku kubyara no ku miterere y'inda, ariko hakoreshejwe ubugenzuzi bukwiye no guhindura imiti, ibyago bigabanuka. Umuganga wawe ashobora kuba akeneye guhindura umwanya wawe mu gihe cyo gutwita kuko ibyo umubiri ukeneye mu misemburo y'umwijima bisanzwe byiyongera.
Yego, Hashimoto's ifite ibintu byinshi bya genetique kandi ikunze kuzimukira mu muryango. Niba ufite abavandimwe ba hafi barwaye Hashimoto's, izindi ndwara z'umwijima, cyangwa izindi ndwara z'ubudahangarwa, ibyago byawe biri hejuru. Ariko rero, kugira amateka y'umuryango ntibihamya ko uzayirwara. Ibintu byo mu kirere n'ibindi bintu bigira uruhare. Niba ufite amateka y'umuryango, ni byiza kubiganiraho n'umuganga wawe, cyane cyane niba ufite ibimenyetso.
Mu ntangiriro, uzakenera ibizamini by'amaraso buri cyumweru 6-8 mu gihe umuganga wawe ari gushaka umwanya ukwiye w'imiti kuri wowe. Iyo urwego rwawe rwarasubiye mu buryo, abantu benshi bakenera isuzuma buri mezi 6-12 kugira ngo habeho kwemeza ko ubuvuzi bwabo bukwiye. Umuganga wawe ashobora kugutegeka isuzuma ryihuta niba utwite, ufite ibimenyetso, cyangwa niba hari impinduka mu buzima bwawe cyangwa imiti. Ubugenzuzi busanzwe ni ingenzi kuko ibyo umubiri ukeneye mu misemburo y'umwijima bishobora guhinduka uko igihe gihita bitewe n'ibintu nko gusaza, guhinduka kw'ibiro, cyangwa izindi ndwara.