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Ua paʻi ʻia ka puahiohio o ke ao hou i ko mākou ʻano a me ko mākou kūlana: wikiwiki mākou, huhū mākou, luhi mākou, huhū mākou. A liʻiliʻi ka poʻe e hoʻopili i kēia mau hōʻailona me nā maʻi o ka ʻōnaehana endocrine. A noho nā maʻi thyroid i ka lua o ka nui o nā pathologies, ʻo ka piʻi ʻana he 5% i kēlā me kēia makahiki e like me WHO. Kū'ē i nā manaʻo,ʻaʻole wale ka maʻi ma muli o ka nele o ka iodine i loko o ke kino, no laila,ʻo ka lāʻau lapaʻau pono'ī me nā lāʻau iodine,ʻaʻole ia he ponoʻole, akā he meaʻino. Hiki ke hoʻokumu ʻia ka maʻi kūpono e ka endocrinologist ma ke kumu o kahi hoʻokolokolo, kahi loiloi o nā hōʻailona a me nā hopena o nā hoʻokolohua hoʻokolohua.
Kānāwai o nā maʻi thyroid
ʻO ka weliweli o nā maʻi thyroid i ka hāʻawi ʻana i nā hōʻailona i ke ola o kēlā me kēia lā a nānā ʻole iā lākou a hiki i ke ʻano o ka hanana, ʻike ʻia e nā maka maka. I kekahi manawa e aʻo ka poʻe e pili ana i ka maʻi ma ke kuʻuna, hāʻawi i ke koko no nā homone.
Inā kānalua ʻoe i kahi maʻi thyroid, kuhikuhi ʻia kahi hōʻike koko e pili ana i ka ʻike o TSH (thyroid-stimulate hormone), T3 (triiodothyronine) a me T4 (thyroxine). Ma waho o nā hoʻokolohua, nānā lākou i ka hiʻohiʻona (ke ʻano o nā kui, ka lauoho, ka ʻili ma nā kuʻekuʻe lima), nīnauele a nānā i ka hana a ka mea maʻi.
Nā nīnau kūpono mai ka endocrinologist
nui:
- ua hauʻoli paha ʻoe i kēia mau lā;
- aia kekahi mau hoʻololi i ke kahe o ke koko;
- ua ʻike ʻoe i ka hoʻonui ʻana o ka hou;
- He aha nā mea āu i maʻi ai i ka wā e hiki mai ana a he aha ka mea i mālama ʻia ai me ʻoe;
- aia kekahi mau hoʻololi i nā ʻono ʻono;
- e haʻi iā mākou e pili ana i kāu kūlana naʻau maʻamau: pehea ʻoe e pane ai i nā hemahema, kūleʻa, a pēlā aku.
- he mau poʻo poʻo kou, ehia mau manawa;
- hana ʻoe i nā loli i ke aniau;
no nā kāne:
- ua loaʻa kahi hōʻemi o ka ikaika i kēia manawa?
nā wāhine:
- pehea i loli ai ka pōʻai menstrual: ka nui o nā huna huna, ʻeha, pinepine.
I nā hoʻokolohua maikaʻi ʻole, ʻike i kahi paʻakikī o nā ʻōuli ʻano, ke kū ʻana o nā sila, ka hoʻonui ʻana i ka nui o ka gland, kuhikuhi ʻia nā diagnostics hardware: Ultrasound a i ʻole X-ray. I nā hihia kontroversial, hana ʻia kahi biopsy kiko. ʻElua ʻano o nā maʻi thyroid: ka hana a me ka hanana. Koho ʻia ka hoʻomaʻamaʻa e pili ana i ke kuhi, koho ʻia ka lāʻau o nā lāʻau i ka nānā ʻana i ka moʻo hormonal.
Nā maʻi hana o ka gland thyroid
ʻO nā maʻi kūpono o ka thyroid gland me hypothyroidism (lawa ʻole o ka hana ʻana i nā hormoni) a me ka thyrotoxicosis (ka hana nui ʻana o nā hormona).
Hypothyroidism: hōʻailona, mālama
Hōʻalo pinepine ʻia nā ʻōuli o ka hypothyroidism e like me nā ʻano ʻē aʻe: kaumaha, maʻi menstrual, lethargy. He mea paʻakikī kēia e hoʻopili aku i ka loea kūpono a hana i ka hōʻailona pololei. Aia i waena o nā hōʻailona o ka hypothyroidism:
- ka lauoho lauoho, nāwaliwali a me nā puʻupuʻu,
- ka maloʻo o ka ʻili o ka maka a me kekahi mau ʻāpana o ka ʻili,
- hoʻemi i ka hana, nāwaliwali, wikiwiki luhi (i lawe pinepine ʻia no ka palaualelo maʻamau),
- hōʻino o ka hoʻomanaʻo, noonoo,
- anuanu, nā lālā anu.
Ke kuhi ʻia ka hypothyroidism, kuhikuhi ʻia ka hoʻōla hormonone, i hoʻolālā ʻia no ka nele o ka hana ʻana o kāu mau homone ponoʻī. Lawe ʻia kēlā ʻano lāʻau no ke ola me ka hoʻonui iki ʻana o nā ana.
Thyrotoxicosis: hōʻailona, mālama
ʻO ka hoʻonui mau ʻana o nā homone thyroid i ke koko i kapa ʻia ʻo thyrotoxicosis. Alakaʻi ia i nā hōʻailona aʻe:
- hoʻonui i ka huhū,
- nā maʻi hiamoe,
- sweating mau,
- Kaumaha emi,
- kahi hoʻonui iki o ka mahana (kahi āu e ʻike ʻole ai),
- arrhythmia naʻau
Ke kuhikuhi nei ʻo thyrotoxicosis i nā lāʻau e ālai i ka hana ʻana o nā hormones-thyrostatics. No ka hoʻokō ʻana i ke kaulike hormonal i makemake ʻia, hoʻololi ʻia nā papa o thyrostatics me ka hoʻoliʻiliʻi hormon.
Nā maʻi kūpono o ka gland thyroid
ʻO nā maʻi kūpono o ka thyroid gland e komo pū me adenoma, cyst, nodular formations. Nā ʻōuli: hoʻonui ka ʻike i ka nui, ka hoʻopili ʻana ma ka palpation, ka hoʻokumu goiter. I nā wā mua, kuhikuhi ʻia ka lāʻau, i nā hihia paʻakikī - ke kahakaha ma hope o HRT.