Thyroidite Mpyobya Iterwa Na Limfositesi Zirema

Indwara ya Hashimoto ni indwara iterwa n'ubudahangarwa bw'umubiri bugira ingaruka kuri glande ya thyroid. Thyroid ni glande ifite ishusho y'inyoni iri hasi y'umutwe, hepfo gato y'agakoko k'umunwa. Thyroid ikora imisemburo ifasha mu gukora imirimo myinshi mu mubiri.

Indwara iterwa n'ubudahangarwa bw'umubiri ni uburwayi buterwa n'ubudahangarwa bw'umubiri bugaba igitero ku mitsi myiza. Mu ndwara ya Hashimoto, uturemangingabo tw'ubudahangarwa bw'umubiri dutera urupfu rw'uturemangingabo two muri thyroid dukora imisemburo. Iyi ndwara isanzwe itera kugabanuka kw'imisemburo (hypothyroidism).

Nubwo umuntu wese ashobora kurwara indwara ya Hashimoto, igaragara cyane mu bagore bafite imyaka y'ubugimbi. Ubuvuzi bw'ibanze ni ukwongeramo imisemburo ya thyroid.

Indwara ya Hashimoto izwi kandi nka thyroidite ya Hashimoto, thyroidite ya lymphocytic ya karande na thyroidite ya karande iterwa n'ubudahangarwa bw'umubiri.

Indwara ya Hashimoto itera gahoro gahoro mu myaka. Ushobora kutamenya ibimenyetso cyangwa ibimenyetso by'indwara. Amaherezo, kugabanuka kw'imisemburo ya thyroid bishobora gutera ibyo bikurikira:

• Umunaniro n'ubushyuhe buke
• Kugira ubukonje cyane
• Gusinzira cyane
• Umurire wumye
• Impatwe
• Kugira intege nke z'imikaya
• Kubabara kw'imikaya, kubabara no gukomera
• Kubabara no gukomera kw'ingingo
• Umuvuduko utari mwiza cyangwa mwinshi w'amaraso
• Kugira agahinda
• Kugira ibibazo byo kwibuka cyangwa kwibanda
• Kubyimba kwa thyroid (goiter)
• Isura y'ibyimba
• Imisumari yoroshye
• Kugwa kw'imisatsi
• Kubyimba kw'ururimi

Ibimenyetso n'ibibonwa bya Hashimote biratandukanye cyane kandi ntabwo ari byo biranga iyi ndwara. Kubera ko ibi bimenyetso bishobora guterwa n'izindi ndwara nyinshi, ni ngombwa kubona umuganga wawe vuba bishoboka kugira ngo ubone ubuvuzi bwiza kandi bwihuse.

Indwara ya Hashimoto ni indwara iterwa n'ubudahangarwa bw'umubiri. Ubudahangarwa bw'umubiri bwikora imiti igaba ibitero ku tugize umwijima nk'aho ari udukoko, virusi cyangwa ikintu icyo ari cyo cyose cyaturutse hanze. Ubudahangarwa bw'umubiri bubuza nabi ibintu birwanya indwara bigatuma utugize umubiri turangirika bikaviramo urupfu rw'utwo tugize umubiri.

Icyateza ubudahangarwa bw'umubiri gutera ibitero ku tugize umwijima ntibiramenyekana. Itangira ry'indwara rishobora kuba rifite aho rihuriye na:

• Ibintu by'umurage
• Ibintu by'ibidukikije bitera indwara, nk'ubwandu, umunaniro cyangwa kuba hafi y'imirasire
• Imikorere iri hagati y'ibintu by'ibidukikije n'iby'umurage

Ibintu bikurikira bifitanye isano n'ingaruka nyinshi z'indwara ya Hashimoto:

• Ibitsina. Abagore bafite ibyago byinshi byo kurwara indwara ya Hashimoto.
• Imyaka. Indwara ya Hashimoto ishobora kubaho mu myaka yose ariko ikunze kubaho mu myaka y'ubukure.
• Indwara y'ubudahangarwa bw'umubiri. Kugira izindi ndwara z'ubudahangarwa bw'umubiri — nka rhumatoïde arthritis, diyabete yo mu bwoko bwa mbere cyangwa lupus — byongera ibyago byo kurwara indwara ya Hashimoto.
• Uruhererekane rw'imiryango n'amateka y'umuryango. Uri mu kaga kenshi cyo kurwara indwara ya Hashimoto niba abandi mu muryango wawe barwaye indwara z'umwijima cyangwa izindi ndwara z'ubudahangarwa bw'umubiri.
• Ububata. Impinduka zisanzwe mu mikorere y'ubudahangarwa bw'umubiri mu gihe cy'inda bishobora kuba intandaro y'indwara ya Hashimoto itangira nyuma yo kubyara.
• Ifungwa ryinshi rya iyode. Iyode nyinshi mu mirire ishobora gukora nk'intandaro ku bantu basanzwe bafite ibyago byo kurwara indwara ya Hashimoto.
• Kumanuka kw'imirasire. Abantu bahuye n'imirasire myinshi y'ibidukikije bafite ibyago byinshi byo kurwara indwara ya Hashimoto.

Hormoni yo mu gikorwa cy'umwijima ni ingenzi ku mikorere myiza y'imigabane myinshi y'umubiri. Bityo, iyo indwara ya Hashimoto n'uburwayi bw'umwijima bidafashwe, hari ibibazo byinshi bishobora kuvuka. Ibi birimo:

• Umuhumeko. Umuhumeko ni ukubyimbagira kw'umwijima. Uko umusaruro w'imisemburo yo mu gikorwa cy'umwijima ugabanuka kubera indwara ya Hashimoto, umwijima uhabwa ibigo bigira ngo ukore ibindi. Iyi nzira ishobora gutera umuhumeko. Ntabwo bisanzwe bituma umuntu yumva nabi, ariko umuhumeko munini ushobora kugira ingaruka ku isura yawe kandi ushobora kubangamira guhumeka cyangwa kurya.
• Ibibazo by'umutima. Uburwayi bw'umwijima bushobora gutera imikorere mibi y'umutima, umutima ukubana ndetse n'umutima ukomanga nabi. Bishobora kandi gutera kuzamuka kw'ikigero cya cholesterol ya lipoprotein ya density (LDL) - cholesterol 'mibi' - ikaba ari ikintu gishobora gutera indwara z'umutima n'uburwayi bw'umutima.
• Ibibazo byo mu mutwe. Kugira intege nke cyangwa izindi ndwara zo mu mutwe bishobora kubaho hakiri kare mu ndwara ya Hashimoto kandi bishobora kuba bibi uko igihe kigenda gihita.
• Ibibazo by'imyororokere n'imibonano mpuzabitsina. Ku bagore, uburwayi bw'umwijima bushobora gutera kugabanuka kw'irari ryo gukora imibonano mpuzabitsina (libido), kudakora intanga ngore, no kuva amaraso menshi kandi adasanzwe. Abagabo bafite uburwayi bw'umwijima bashobora kugira libido itagezeho, kudakora imibonano mpuzabitsina neza no kugabanuka kw'intanga ngabo.
• Ingaruka mbi z'inda. Uburwayi bw'umwijima mu gihe cyo gutwita bushobora kongera ibyago byo kubura imbabura cyangwa kubyara imburagihe. Abana bavutse ku bagore bafite uburwayi bw'umwijima butaravuwe bafite ibyago byo kugira ubwenge buke, autism, gutinda kuvuga n'izindi ndwara zo mu mibanire.
• Myxedema (miks-uh-DEE-muh). Iyi ndwara idasanzwe kandi ishobora kwica, ishobora kuvuka kubera uburwayi bw'umwijima bukomeye, bumaze igihe kirekire kandi butaravuwe. Ibimenyetso byayo birimo uburwayi bukurikiwe n'umunaniro ukabije no kubura ubwenge. Koma ya myxedema ishobora guterwa no gukonja, imiti ituma umuntu aryama, indwara cyangwa ibindi bintu bishobora guhangayikisha umubiri wawe. Myxedema isaba ubuvuzi bwihuse bw'ubuhanga mu buvuzi.

Uburwayi bwinshi bushobora gutera ibimenyetso bya Hashimito. Niba ufite ibyo bimenyetso, umuganga wawe azakora isuzuma ryuzuye, asuzume amateka yawe y'ubuzima kandi akubaze ibibazo ku bimenyetso byawe.

Kugira ngo amenye niba hypothyroidism ari yo itera ibyo bimenyetso, umuganga wawe azakora ibizamini by'amaraso bishobora kuba birimo ibi bikurikira:

Indwara nyinshi zishobora gutera hypothyroidism. Kugira ngo umenye niba indwara ya Hashimito ari yo itera hypothyroidism, umuganga wawe azakora ikizamini cy'antikorora.

Intego y'antikorora ni ukugaragaza ibintu by'amahanga biterwa n'indwara bikeneye kurimburwa n'abandi bakinnyi mu mikorere y'umubiri. Mu ndwara ziterwa n'umubiri ubwawo, umubiri ukora antikorora mbi zigaba igitero ku turemangingabo cyangwa poroteyine zikora neza mu mubiri.

Ubusanzwe mu ndwara ya Hashimito, umubiri ukora antikorora ya thyroid peroxidase (TPO), poroteyine igira uruhare runini mu gukora imisemburo ya thyroid. Abantu benshi barwaye Hashimito bazagira antikorora za thyroid peroxidase (TPO) mu maraso yabo. Bishobora kuba ngombwa gukora ibizamini by'izindi antikorora zijyana n'indwara ya Hashimito.

• Isuzuma rya TSH. Thyroid stimulating hormone (TSH) ikorwa na pituitary gland. Iyo pituitary gland ibonye imisemburo ya thyroid micye mu maraso, ituma thyroid stimulating hormone (TSH) ijya kuri thyroid kugira ngo yongere umusaruro w'imisemburo ya thyroid. Urwego rwo hejuru rwa TSH mu maraso rugaragaza hypothyroidism.
• Isuzuma rya T-4. Imisemburo nyamukuru ya thyroid ni thyroxine (T-4). Urwego rwo hasi rwa thyroxine (T-4) mu maraso remera ibyavuye mu isuzuma rya TSH kandi bigaragaza ko ikibazo kiri muri thyroid ubwayo.

Abenshi bafite indwara ya Hashimoto bafata imiti yo kuvura hypothyroidism. Niba ufite hypothyroidism yoroheje, ushobora kutakira imiti ariko ukabona ibizamini bya TSH buri gihe kugira ngo ugenzure urwego rw'imisemburo ya thyroid.Hypothyroidism ifitanye isano n'indwara ya Hashimoto ivurwa hakoreshejwe imisemburo ikorwa n'abantu izwi nka levothyroxine (Levoxyl, Synthroid, n'izindi). Iyi misemburo ikorwa n'abantu ikora nk'imisemburo ya T-4 ikorwa n'umwijima.Intego y'ubuvuzi ni ugushyiraho no kubungabunga urwego rwa T-4 ruhagije no kunoza ibimenyetso bya hypothyroidism. Uzakenera ubu buvuzi ubuzima bwawe bwose.Umuvuzi wawe azagena umunono wa levothyroxine ukwiriye imyaka yawe, ibiro, umusaruro wa thyroid ubu, izindi ndwara n'ibindi bintu. Umuvuzi wawe azasubiramo ibizamini bya TSH nyuma y'ibyumweru 6 kugeza kuri 10 hanyuma agahindura umunono uko bikenewe.Iyo umunono mwiza wamenyekanye, uzakomeza gufata imiti rimwe ku munsi. Uzakeneye ibizamini byo gukurikirana rimwe mu mwaka kugira ngo ugenzure urwego rwa TSH cyangwa igihe icyo ari cyo cyose nyuma y'uko umuvuzi wawe yahinduye umunono.Ikinini cya levothyroxine gisanzwe gifatwa mu gitondo mbere yo kurya. Ganira na muganga wawe niba ufite ikibazo cy'igihe cyangwa uburyo bwo gufata ikinini. Kandi, babaze icyo wakora niba ubuze gufata umunono. Niba ubwisungane bwawe bw'ubuzima busaba ko uhindura imiti isanzwe cyangwa izindi mpuzandengo, ganira na muganga wawe.Kubera ko levothyroxine ikora nk'iya T-4 y'umubiri, nta ngaruka mbi zibaho mugihe ubuvuzi butanga urwego rwa T-4 rusanzwe ku mubiri wawe.Imisemburo myinshi ya thyroid ishobora kongera igihombo cy'amagufwa gitera amagufwa adakomeye, adafite imbaraga (osteoporosis) cyangwa gutera igihombo cy'umutima (arrhythmias).Imiti imwe, ibintu byongera imbaraga n'ibiribwa bishobora kugira ingaruka ku bushobozi bwawe bwo kunywa levothyroxine. Bishobora kuba ngombwa gufata levothyroxine nibura amasaha ane mbere y'izi ngingo. Ganira na muganga wawe ku bijyanye nibi bikurikira:T-4 ikorwa n'umubiri ihinduka indi misemburo ya thyroid yitwa triiodothyronine (T-3). Imisemburo ya T-4 ishyirwa mu mwanya na yo ihinduka triiodothyronine (T-3), kandi kuri benshi, kuvura hakoreshejwe T-4 biha umubiri umwanya uhagije wa T-3.Ku bantu bakeneye kunoza uburyo ibimenyetso bigabanuka, muganga ashobora kandi kwandika imisemburo ya T-3 ikorwa n'abantu (Cytomel) cyangwa imisemburo ya T-4 na T-3 ifatanye. Ingaruka mbi zo gusimbuza imisemburo ya T-3 harimo gutera umutima, kudasinzira no guhangayika. Ibi bivuriro bishobora kugeragerezwa mu gihe cy'amezi 3 kugeza kuri 6.* Ibicuruzwa bya soya* Ibiryo bifite fibre nyinshi* Ibintu byongera umwimerere w'umubiri, harimo vitamine nyinshi zirimo umwimerere* Cholestyramine (Prevalite), imiti ikoreshwa mu kugabanya urwego rw'umunyu mu maraso* Aluminium hydroxide, ishobora kuboneka muri antiasides zimwe* Sucralfate, imiti yo kuvura uburwayi bw'ibibyimba* Ibintu byongera calcium