ʻO ka Hyperthyroidism

ʻO ka Hyperthyroidism

THEpālahalaha denotes abnormally high production ofhormones e ka ili thyroid, kēia ʻano ʻano pepeke ma ke kumu o ka ʻāʻī, ma lalo o ka ʻāpala a Adamu (e nānā i ke kiʻi). ʻAʻole ia he kūhā thyroid, e like me ka manaʻo i kekahi manawa.

Hoʻomaka maʻamau ka maʻi i nā pākeke ma waena o nā makahiki 20 a me 40. Eia naʻe, hiki ke loaʻa i kēlā me kēia makahiki, a ʻike pū ʻia i nā keiki a me nā ʻelemakule. He mea maʻamau ia ma mua o ka hypothyroidism.

Ka mana o ka gland thyroid ma ke kino ka mea nui: ʻo kāna hana nui ka hoʻoponopono ʻana i ka metabolism o nā cell o ko mākou kino. No laila, hoʻoholo ia i ka wikiwiki o ka "engine" o kā mākou pūnaewele a me nā ʻāpana a me ka wikiwiki e hoʻohana ʻia ai nā "fuels": lipids (momona), proteins a me nā carbohydrates (sugars). I na kanaka i pālahalaha, holo ka enekini ma ke ano hooikaika. Hiki paha iā lākou ke hopohopo, hoʻoneʻe pinepine i ka ʻōpū, haʻalulu a lilo ke kaumaha, no ka laʻana.

ʻO ka metabolism maoli

I ka wā hoʻomaha, hoʻopau ke kino i ka ikehu e hoʻomau i kāna mau hana koʻikoʻi: ke kahe koko, ka hana o ka lolo, ka hanu ʻana, ka ʻai ʻana, ka mālama ʻana i ka mahana o ke kino, a pēlā aku. ʻOkoʻa ka nui o ka ikehu i hoʻolilo ʻia mai kēlā me kēia kanaka, ma muli o ka nui, ke kaumaha, ka makahiki, ke kāne a me ka hana a ke kanaka. thyroid gland.

Nā kumu

Nā kumu nui

  • ʻO ka maʻi ʻeha (ai ole na Graves). ʻO ia ke kumu maʻamau o ka hyperthyroidism (ma kahi o 90% o nā hihia7). He maʻi autoimmune kēia: ʻoi aku ka hoʻoulu ʻana o nā antibodies i ka thyroid e hana hou i nā hormones. Hoʻopilikia ka maʻi i kekahi manawa i nā ʻiʻo ʻē aʻe, e like me nā maka. Hoʻopilikia kēia maʻi ma kahi o 1% o ka heluna kanaka ma Kanada7.
  • Nā nodule thyroid. He mau puʻupuʻu liʻiliʻi nā nodules i hana ʻia i loko o ka thyroid gland, hoʻokahi a i ʻole nā ​​hui (e nānā i kā mākou Thyroid Nodule sheet). ʻAʻole nā ​​nodules a pau e hana i nā hormones, akā ʻo nā mea e hana (i kapa ʻia ʻo "toxic") hiki ke alakaʻi i ka hyperthyroidism.
  • thyroiditis. Inā pili ka mumū i ka thyroid, hiki ke hoʻonui i nā hormone thyroid i loko o ke koko. ʻO ka manawa pinepine, ʻaʻole ʻike ʻia ke kumu o ka mumū. Hiki ke ma'i ma ke 'ano a i 'ole ma hope o ka hāpai 'ana. ʻO ka maʻamau, ʻo ka thyroiditis ke kumu o ka hyperthyroidism pōkole, me ka hoʻi ʻana o ka thyroid i ka hana maʻamau ma hope o kekahi mau mahina, me ka ʻole o ka hana. Hiki i ka lāʻau lapaʻau ke kōkua i ka hoʻopau ʻana i nā hōʻailona ke kali ʻoe i ka hala ʻana o ka maʻi. Holoi ka thyroiditis i hypothyroidism mau ma kahi o 1 ma 10 mau hihia.

'Ōlelo Aʻo. kekahi nā lāʻauʻona, e like me ka poe waiwai i iodine, hiki ke alakaʻi i ka hyperthyroidism manawa. ʻO kēia ka hihia, no ka laʻana, me ka amiodarone, i kuhikuhi ʻia i kekahi mau hihia o ka arrhythmia naʻau, a me nā mea hoʻohālikelike iodinated i hoʻopaʻa ʻia i kekahi manawa ma ka hoʻokolokolo radiology.

Nā pilikia i hiki

kapālahalaha kumu a hoʻokē ʻia ka metabolism, no laila ua hoʻonui ʻia ka hoʻolilo o ka ikehu. I ka wā lōʻihi, hoʻonui ka hyperthyroidism i mālama ʻole ʻia i ka ulu ʻana o ka osteoporosis no ka mea e pili ana ka absorption o ka calcium mai nā iwi. ʻO ka pilikia o ka hoʻomohala ʻana i kahi ʻano arrhythmia naʻau i kapa ʻia ke hoʻopunipuniʻana i keʻano o ka hana hoʻonui pū kekahi.

Hiki ke alakaʻi i ka hyperthyroidism nui i mālama ʻole ʻia pilikia thyreotoxic. I ka wā o ia hoʻouka ʻana, hui pū nā hōʻailona āpau o ka hyperthyroidism a hōʻike ʻia i ko lākou kiʻekiʻe, hiki ke alakaʻi i nā pilikia koʻikoʻi, e like me ka puʻuwai puʻuwai a i ʻole coma. Pioloke ke kanaka a me ka haʻalulu. Pono kēia kūlana i ka lāʻau lapaʻau wikiwiki.

PalekanaEND_LINK

ka nā hōʻailona Hiki ke maʻalahi ka hyperthyroidism, ʻoi aku i ka poʻe ʻelemakule. Hoʻokahi wale nō kālailai koko (e nānā i ka pahu ma lalo) e hōʻike ana i ka hāʻule ʻana o nā pae hormone TSH a me ka piʻi ʻana o nā pae hormone thyroid (T4 a me T3) e hōʻoia i ka maʻi. ʻO ka hoʻomaka ʻana o nā hōʻailona i helu ʻia ma lalo nei e koi iā ʻoe e ʻimi i ka lāʻau lapaʻau i mea e loaʻa ai kahi maʻi hōʻoia.

 

ʻO TSH, nā hormones thyroid T3 a me T4 a me Co

ʻO nā mea nui 2 hormones hunaia e ka thyroid ʻO T3 (triiodothyronine) a me T4 (tetra-iodothyronine a i ʻole thyroxine). Loaʻa iā lāua ʻelua ka huaʻōlelo "iodo" no ka meaiodine he mea nui ia no kā lākou hana ʻana. ʻO ka nui o nā hormones i hana ʻia ma muli o nā kelepa ʻē aʻe. ʻO ia ka hypothalamus e hoʻomalu i ka pituitary gland e hana i ka hormone TSH (no ʻo kou hormone hoʻonani kaomi). ʻO ka hopena, hoʻoulu ka hormone TSH i ka thyroid e hana i kāna mau hormones.

Hiki iā ʻoe ke ʻike i ka thyroid gland underactive a overactive ma ke ana ʻana i ke kiʻekiʻe o TSH i loko o ke koko. I ka hihia o'hypothyroidism, kiʻekiʻe ka pae TSH no ka mea e pane ana ka pituitary gland i ka nele o nā hormones thyroid (T4 a me T3) ma ka huna ʻana i nā TSH hou aʻe. Ma kēiaʻano, ho'āʻo ka pituitary gland e hoʻoulu i ka thyroid e hana i nā hormones. Ma ke kulana opālahalaha (inā nui loa ka hormone thyroid) hiki ke hoʻololi: haʻahaʻa ka pae TSH no ka ʻike ʻana o ka pituitary gland i ka nui o nā hormone thyroid i loko o ke koko a hoʻōki i ka hoʻoulu ʻana i ka gland thyroid. ʻOiai i ka hoʻomaka ʻana o kahi pilikia thyroid, ʻaʻole pinepine nā pae TSH.

 

 

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