Thyroiditis Yema Lymphocytes Echirongwa

Hashimoto chirwere che autoimmune chinokanganisa gland ye thyroid. Thyroid igland ine chimiro che bhatafurai iri pazasi pe mutsipa, pasi pe Adam's apple. Thyroid inogadzira mahomoni anobatsira kudzora mabasa akawanda mumuviri.

Chirwere che autoimmune chirwere chinokonzerwa ne immune system inorwisa tishu dzakajairika. MuHashimoto chirwere, masero e immune system anotungamira pakufa kwemasero anogadzira mahomoni e thyroid. Chirwere ichi kazhinji chinoita kuti kugadzirwa kwehomoni kudzikire (hypothyroidism).

Kunyangwe ani zvake anogona kuwana Hashimoto chirwere, kazhinji kunoonekwa pakati pevakadzi vakati vakura. Kurapa kukuru ndiko kutsiva kwehomoni ye thyroid.

Hashimoto chirwere chinozivikanwawo se Hashimoto's thyroiditis, chronic lymphocytic thyroiditis uye chronic autoimmune thyroiditis.

Chirwere cheHashimoto chinofambira mberi zvishoma nezvishoma kwemakore. Ungasazive zviratidzo kana zviratidzo zvechirwere ichi. Pakupedzisira, kudzikira kwekugadzirwa kwehomoni yetayiroidi kunogona kukonzera chero chezvinotevera:

• Kuneta nekudonha
• Kuwedzera kunzwa kutonhora
• Kuwedzera kurara
• Ganda rakanyanya kuoma
• Kuvimbiswa
• Kushaya simba retsandanyama
• Kurwadziwa kwetsandanyama, kunzwa kurwadza nekukora
• Kurwadziwa kwezvibatanidzwa nekukora
• Kubuda ropa kwemwedzi kusina kururama kana kwakanyanya
• Kuora mwoyo
• Matambudziko ekurangarira kana kuisa pfungwa
• Kuwedzera kwetayiroidi (goiter)
• Chiso chakafuta
• Nzara dzakapwanyika
• Kurasikirwa nevhudzi
• Kuwedzera kwerurimi

Zviratidzo nezvimwe zvirwere zveHashimoto zvinosiyana zvikuru uye hazvisi zvechirwere ichi chete. Sezvo zviratidzo izvi zvingakonzerwa nezvirwere zvakawanda, zvakakosha kuona chiremba wako nekukurumidza sezvinobvira kuti uwane kurapwa kwakakodzera nekukurumidza.

Hashimoto's chirwere chirwere chinorwara chakazvimiririra. Sisitimu yekudzivirira muviri inogadzira maantibody anorwisa masero etairoidi sekunge ari mabhakitiriya, mavhairasi kana chimwe chinhu chisiri chemukati memumuviri. Sisitimu yekudzivirira muviri inokanganisa zvisizvo vashandi vekurwisa zvirwere vanokuvadza masero uye vanokonzera kufa kwemasero.

Chikonzero chekuti sisitimu yekudzivirira muviri inorwisa sei masero etairoidi hachizivikanwe. Kutanga kwechirwere kunogona kunge kwakabatana ne:

• Zvinhu zvemagwenya
• Zvinokonzera zvakatipoteredza, senge hutachiona, kushushikana kana kusimbiswa kwemwaranzi
• Kusangana kwezvinhu zvakatipoteredza nezvinhu zvemagwenya

Zvinhu zvinotevera zvine chekuita nekuwedzera njodzi yeHashimoto's disease:

• Bonde. Vakadzi vane mukana wakakura wekuwana Hashimoto's disease.
• Zera. Hashimoto's disease inogona kuitika pazera ripi zvaro asi kazhinji inoitika pakati pemakore.
• Zvimwe zvirwere zve autoimmune. Kuva nezvimwe zvirwere zve autoimmune — sekunge rheumatoid arthritis, type 1 diabetes kana lupus — kuwedzera njodzi yako yekuwana Hashimoto's disease.
• Genetics uye nhoroondo yemhuri. Uri panjodzi yakakura yeHashimoto's disease kana vamwe vemhuri yako vane matambudziko etsvokotsvoko kana zvimwe zvirwere zve autoimmune.
• Pamuviri. Kushanduka kwakajairika mukuita kwe immune system panguva yepamuviri kunogona kuva chinhu muHashimoto's disease inotanga mushure mepamuviri.
• Kuwedzera kudya iodine. Iodine yakawanda mune zvekudya inogona kushanda sechikonzero pakati pevanhu vari panjodzi yeHashimoto's disease.
• Kuonekwa ne radiation. Vanhu vanowanikwa ne radiation yakawanda vari panjodzi yakakura yeHashimoto's disease.

Hormone dze thyroid dzinodiwa kwazvo kuti nhengo dzomuviri dzishande zvakanaka. Saka, kana chirwere cheHashimoto ne hypothyroidism zvisina kurapwa, matambudziko mazhinji anogona kuitika. Izvi zvinosanganisira:

• Goiter. Goiter kuwedzera kukura kwe thyroid. Sezvo kugadzirwa kwe hormone ye thyroid kuchidzikira nekuda kwechirwere che Hashimoto, thyroid inogamuchira mameseji kubva ku pituitary gland kuti iite zvakawanda. Iyi cycle inogona kuita kuti pave ne goiter. Kazhinji haina kurwadza, asi goiter huru inogona kukanganisa chitarisiko chako uye inogona kukanganisa kunwa kana kufema.
• Matambudziko emwoyo. Hypothyroidism inogona kuita kuti mwoyo ushande zvisina kunaka, mwoyo ukure uye kurova kwemwoyo kusave kwakajairwa. Inogona zvakare kuita kuti pave nemazinga akakwirira e low-density lipoprotein (LDL) cholesterol - iyo "yakaipa" cholesterol - iyo iri njodzi yechirwere che cardiovascular uye kukundikana kwemwoyo.
• Matambudziko ehutano hwepfungwa. Kuora mwoyo kana mamwe matambudziko ehutano hwepfungwa anogona kuitika pakutanga kwechirwere che Hashimoto uye anogona kuva akaomarara nekufamba kwenguva.
• Kusashanda zvakanaka pabonde nekuberekesa. Mukadzi, hypothyroidism inogona kuita kuti chido chepabonde (libido) chidzikire, kusakwanisa kubereka, uye kubuda ropa kwemwedzi kusina kujairika uye kwakawanda. Varume vane hypothyroidism vanogona kuva ne libido yakaderera, erectile dysfunction uye nhamba yakaderera yesperm.
• Migumisiro yakaipa yekuzvitakura. Hypothyroidism panguva yekuzvitakura inogona kuwedzera njodzi yekubvisa pamuviri kana kuberekwa kwenguva isati yakwana. Vacheche vanoberekwa kumadzimai ane hypothyroidism isina kurapwa vari panjodzi yekuderera kwehunhu hwepfungwa, autism, kuomerwa kutaura uye mamwe matambudziko ekukura.
• Myxedema (miks-uh-DEE-muh). Iyi mamiriro akaoma, anotyisa anogona kukura nekuda kwe hypothyroidism yakareba, yakakomba, isina kurapwa. Zviratidzo nezviratidzo zvaro zvinosanganisira hope inoteverwa nekushaya simba kwakanyanya uye kusaziva. Myxedema coma inogona kutangwa nekubuda kunotonhora, sedatives, chirwere kana mamwe matambudziko emuviri wako. Myxedema inoda kurapwa nekukurumidza kwemishonga yekukurumidza.

Zvirwere zvakawanda zvinogona kukonzera zviratidzo zvechirwere cheHashimoto. Kana uri kurwara chero chezviratidzo izvi, chiremba wako achaita bvunzo yakakwana yemuviri, aongorore nhoroondo yako yezvokurapa, wobvunza mibvunzo nezve zviratidzo zvako.

Kuti aone kana hypothyroidism ndiyo inokonzera zviratidzo zvako, chiremba wako achaita bvunzo yeropa inogona kusanganisira zvinotevera:

Zvirwere zvakawanda zvinogona kukonzera hypothyroidism. Kuti aone kana chirwere cheHashimoto ndicho chinokonzera hypothyroidism, chiremba wako achaita bvunzo yeantibody.

Puropozi yeantibody ndeyekuratidza zvinhu zvinokonzera chirwere zvinoda kuparadzwa nevamwe vanobatanidzwa mune immune system. Mukurwara kwe autoimmune, immune system inogadzira maantibody asina kunaka anorwisa masero ane hutano kana mapuroteni emuviri.

Kazhinji muHashimoto's disease, immune system inogadzira antibody kuenda ku thyroid peroxidase (TPO), puroteni inotamba basa rinokosha mukuita kwe thyroid hormone. Vanhu vakawanda vane Hashimoto's disease vachava ne thyroid peroxidase (TPO) antibodies muropa ravo. Bvunzo dze laboratori dzemamwe maantibody anobatanidzwa neHashimoto's disease dzinofanira kuitwa.

• TSH bvunzo. Thyroid stimulating hormone (TSH) inogadzirwa ne pituitary gland. Kana pituitary ikaona ma thyroid hormones mashoma muropa, inotumira thyroid-stimulating hormone (TSH) kuenda ku thyroid kuti ikurudzire kuwedzera mukuita kwe thyroid hormone. TSH yakakwira muropa inoratidza hypothyroidism.
• T-4 bvunzo. Thyroid hormone huru ndiyo thyroxine (T-4). Ropa rakaderera re thyroxine (T-4) rinotsigira zvawanikwa ne TSH bvunzo uye rinoratidza kuti dambudziko riri mu thyroid pachayo.

Vanhu vakawanda vane chirwere cheHashimoto vanotora mishonga yekurapa hypothyroidism. Kana uine hypothyroidism yakapfava, ungasazoita kurapwa asi uongorore TSH nguva dzose kuti utarise mazinga ehormone yetitairodi.\n\nHypothyroidism inobatanidzwa nechirwere cheHashimoto inorapwa nehomoni yakagadzirwa inonzi levothyroxine (Levoxyl, Synthroid, nezvimwewo). Hormone yakagadzirwa inoshanda sehormone yeT-4 inogadzirwa netitairodi. \n\nChinangwa chekurapa ndechekudzoreredza nekugara uine mazinga akakwana ehormone yeT-4 uye kuvandudza zviratidzo zvehypothyroidism. Uchada kurapwa uku kweupenyu hwako hwese.\n\nChiremba wenyu achazotsanangura huwandu hwe levothyroxine hunokodzera zera rako, uremu, kugadzirwa kwetitairodi, zvimwe zvirwere uye zvimwe zvinhu. Mupi wenyu achazodzokorora mazinga ako eTSH mushure memavhiki matanhatu kusvika gumi, wobva wadzorera huwandu sezvinodiwa.\n\nKana huwandu hwakanakisa hwasarudzwa, ucharamba uchitora mushonga kamwe chete pazuva. Uchada bvunzo dzekutevera kamwe chete pagore kuti utarise mazinga eTSH kana chero nguva mushure mekunge mupi wenyu achichinja huwandu hwako.\n\nPiritsi re levothyroxine rinowanzo torwa mangwanani usati wadya. Taura nachiremba wako kana uine mibvunzo chero ipi zvayo nezvekuti ungatora sei piritsi. Uyewo, bvunza kuti uite sei kana ukakanganwa dose. Kana inishuwarenzi yako yehutano ichida kuti uchinje kune mushonga we generic kana bhendi rakasiyana, taura nachiremba wako.\n\nNekuti levothyroxine inoshanda seT-4 yakasikwa mumuviri, kazhinji hapana zvinokonzeresa zvinokonzeresa chero kurapwa kuri kuita mazinga eT-4 "akasikwa" emuviri wako.\n\nHormone yakawanda yetitairodi inogona kuipa kurasikirwa kwemapfupa kunokonzeresa mapfupa asina simba, anopwanya (osteoporosis) kana kukonzera kurova kwemoyo kusina kururama (arrhythmias).\n\nMishonga yakati, zvinowedzerwa uye zvekudya zvinogona kukanganisa kugona kwako kukanganisa levothyroxine. Zvinogona kuve zvakakosha kutora levothyroxine kanenge maawa mana usati watora izvi zvinhu. Taura nachiremba wako nezve chero chezvinotevera:\n\nT-4 yakagadzirwa nechisikigo inoshandurwa kuita imwe hormone yetitairodi inonzi triiodothyronine (T-3). Hormone yekutsiva yeT-4 inoshandurwawo kuita triiodothyronine (T-3), uye kune vanhu vakawanda kurapwa kweT-4 kunotsiva kunounza huwandu hwakakwana hweT-3 kumuviri.\n\nKune vanhu vanoda kudzora zviratidzo zvakanaka, chiremba anogonawo kunyora hormone yeT-3 yakagadzirwa (Cytomel) kana musanganiswa weT-4 neT-3. Zvinokonzeresa zvinokonzeresa kutsiva kwehomoni yeT-3 zvinosanganisira kurova kwemoyo nekukurumidza, kushaya hope uye kunetseka. Aya kurapwa kunogona kuyedzwa ne nguva yekuedzwa kwemwedzi mitatu kusvika mitanhatu.\n\n* Zvigadzirwa zveSoy\n* Zvekudya zvine fiber yakawanda\n* Zvinowedzerwa zveIron, kusanganisira multivitamins dzine iron\n* Cholestyramine (Prevalite), mushonga unoshandiswa kuderedza mazinga echolesterol muropa\n* Aluminum hydroxide, iyo inowanikwa mune mamwe antacids\n* Sucralfate, mushonga wemaulcer\n* Zvinowedzerwa zveCalcium