Te Huringa Haumaru o Naianei

Hypothyroidism

Ko te hypothyroidism tetahi ahuatanga e kore ai e rahi te taiaki thyroid i roto i te repe thyroid. Ko tenei ahuatanga e kiia ana he thyroid ngoikore.

Ko te hypothyroidism tetahi ahuatanga e kore ai e rahi te taiaki thyroid i roto i te repe thyroid. Ko tenei ahuatanga e kiia ana he thyroid ngoikore.

Ko te repe thyroid he mea nui o te punaha endocrine. Kei mua o te kaki, kei runga noa atu o te waahi e tutaki ai o poroiwi. Ma te tiroid e hanga nga homoni hei whakahaere i te tikanga o te whakamahi o te pūngao i roto i te tinana i te kaha. Ko tenei mahinga e kiia ana he pungao.

Ko te Hypothyroidism e kaha ake ana ki nga waahine me nga taangata neke atu i te 50 tau.

• Ko te take nui o te hypothyroidism ko te thyroiditis. Ko te pupuhi me te mumura ka pakaru i nga puoro o te repe taakaro.
• Ko nga take o tenei raru ko:
• Ko te punaha mate e whakaeke ana i te repe tairoiro

Nga mate Viral (makariri noa) etahi atu mate manawa ranei

• Te hapu (e kiia ana ko te thyroiditis postpartum)
• Ko etahi atu take o te hypothyroidism ko:
• Ko etahi rongoa, penei i te lithium me te amiodarone, me etahi momo chemotherapy
• Nga ngoikoretanga o te whanautanga (whanau)
• Nga maimoatanga iraruke ki te kaki, ki te roro ranei, hei whakaora i nga momo mate pukupuku
• I whakamahia e te iodine reo irirangi ki te hamani i te repe taiki kore mahi
• Te tango i te waahanga me te katoa o te repe tairoiro

Ko te mate a Sheehan, te ahua ka pa ki te waahine e tino whakaheke toto ana i te wa e hapu ana, ka whanau ranei ka mate te repe pituitary

• Te puku pituitary, te pokanga pituitary ranei
• Tohumate wawe:
• Tueke maro tautauwha ranei
• He makariri (he koti taera kei te mau koti ke etahi)
• Ka rohirohi te ngoikore me te ahua ranei
• He waatea te taumaha me te haangai
• Te mamae tahi, te uaua ranei
• Kiri ma, kiri maroke ranei
• Te pouri, te pouri ranei
• Angiangi, makawe ngawari, nga maikuku ranei

Te ngoikoretanga

• Taumaha taumaha
• Nga tohu mutunga, ki te kore e whakamaimoa:
• Ka heke te reka me te haunga
• Urutapu
• Kanohi puihi, ringaringa, me nga waewae
• Korero puhoi
• Te matotoru o te kiri
• Mihi o te tukemata

Te pāmahana iti o te tinana

• Te tere tere o te ngakau
• Ka whakamātautau ā-tinana te kaiwhakarato hauora ka kitea pea kua nui ake to repe repe tairoiro. I etahi wa, he rite te rahi o te repe repe iti iho ranei-te-noa. Akene ka kitea te whakamatautau:
• Taumaha toto toto tino (tau tuarua)
• He makawe kikokore
• Nga ahua matotoru o te mata
• He kiri kiri ma, kiri maroke ranei, he pai tonu ki te pa

Nga whakaahuru kaore i te rereke (he roa te whakaroa)

Te pupuhi o nga ringaringa me nga waewae

• Ko nga whakamatautau toto ka whakahau kia whanganga i o homoni thyroid TSH me T4.
• Akene he whakamatautau ano koe hei tirotiro:
• Nga taumata Cholesterol
• Tatauranga toto oti (CBC)
• He whākōkī ate
• Prolactin

Sodium

Cortisol

• Ko te rongoa ko te whakakapi i te taika thyroid e hapa ana koe.
• Ko te Levothyroxine te rongoa e kaha whakamahia ana:
• Ka tohua koe mo te horopeta iti rawa ka taea te whakaora i o tohu ka whakahoki i nga taumata o te homoni toto ki te waa noa.
• Mena he mate pukupuku to ngakau, he pakeke ranei koe, akene ka tukuna koe e to kaiwhakarato ki te horopeta iti rawa.

Ko te nuinga o nga taangata kaore he taakaro ngoikore e hiahia ana ki te tango i tenei rongoa mo te koiora

Ko te Levothyroxine te tikanga he pire, engari ko etahi taangata he mate hypothyroidism tino kaha te mate tuatahi i te hohipera me te rewharewha levothyroxine (he mea tuku na te uaua).

• Ka tiimata ana koe ki te rongoa, ka tirotirohia pea e to kaiwhakawhiwhi o taumata homoni ia 2 ki te 3 marama. Muri iho i tera, kia tirotirohia nga taumata o te homoni taakeiro i te iti rawa i te wa kotahi ia tau.
• I te wa e inu ana koe i te rongoa tairoiro, kia mataara ki nga mea e whai ake nei:
• Kaua e mutu te kai rongoa, ahakoa ka pai ake koe. Me mau tonu ki ta te kaitoha i whakarite ai.
• Mena ka huri koe i nga waitohu rongoa thyroid, whakamohio atu ki to kaiwhakarato. Me tirohia pea o taumata.
• Ma te mea e kai ana ka huri te ahua o te ngongo o to tinana ki te rongoa thyroid. Korero ki to kaiwhakarato mena kei te kai koe i te maha o nga hua paraoa, kei te kai nui-muka ranei koe.

He pai ake te rongoa thyroid i te kopu kau ka tangohia 1 haora i mua o etahi atu rongoa. Patai ki to kaiwhakarato mena ka inu koe i to rongoa i te wa e moe ana. Ma te tango i te wa e moe ana ka pai pea te ngongo o to tinana i te rongoa i te tango i te awatea.

• Tatari kia 4 haora i muri i te tango i te homo taika maau i mua i te tangohanga o te muka, te konupūmā, te rino, te multivitamins, te konumoana hydroxide antacids, te colestipol, nga rongoa ranei e herea ai te waikawa ngote.
• I a koe e tango ana i te rongoa whakakapinga thyroid, mea atu ki to kaiwhakarato mena kei a koe etahi tohu e tohu ana he nui rawa to horopeta, penei i te:
• Te Manukanuka
• Palpitations
• Te whakaheke taumaha tere

Te harikoa, te wiri ranei (te wiri)

Te werawera

I te nuinga o nga wa, ka noho noa te taumata homoni taika ki te rongoa tika. Akene ka inu koe i te rongoa homoni taikaa mo te toenga o to koiora.

Ko te raru o te myxedema (e kiia ana ko te myxedema coma), te ahua kino rawa o te hypothyroidism, he onge. Ka puta i te wa e tino iti rawa ana te taumata o te taiaki thyroid. Ko te raru nui o te mate hypothyroid ka pa ki te mate, te mate, te paangia o te makariri, etahi rongoa ranei (ko te opiates te take noa) ki nga taangata he mate hypothyroidism.

• Ko te raru o Myxedema he aitua ohorere me rongoa i te hohipera. Akene ko etahi taangata e hiahia ana ki te oxygen, te awhina manawa (ventilator), te whakakapi wai, me te tapuhi manaaki atawhai.
• Ko nga tohu me nga tohu o te koma myxedema ko:
• Kei raro iho te paemahana o te tinana
• Whakaheke manawa
• Te pehanga toto systolic iti
• Te huka toto iti

Te kore whakautu

• Nga ahuatanga koretake, kaore ranei i te wairua
• Ko nga taangata e whai hypothyroidism kaore i te whakamaatauhia he morearea pea:
• Mate
• Te pungarehu, te haputanga o te kopu, te whanau mai i te tamaiti me te koha o te whanau

Nga mate ngakau na te kaha o te LDL (kino) te cholesterol

Ngakau ngakau

• Karangahia to kaiwhakarato mena he tohu tohu hypothyroidism koe.
• Mena kei te tukuna koe mo te hypothyroidism, waea atu ki to kaiwhakarato mena:
• Ka pa ki a koe te mamae o te uma, te tere ranei o te ngakau
• He mate koe

Ka kino rawa o tohu kaare e pai ake ranei ma te maimoatanga

• Ka whakawhanakehia e koe nga tohu hou

• Myxedema; Hypothyroidism pakeke; Tirohanga ngoikore; Goiter - hypothyroidism; Tirooro - hypothyroidism; Taiki thyroid - hypothyroidism
• Tangohanga repe repe thyroid - tukuna
• Repe repe Endocrine
• Hypothyroidism

Hononga Brain-thyroidKo te hypothyroidism tuatahi me te tuaruaBrent GA, Weetman AP. Hypothyroidism me te thyroiditis. I roto i: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds.

Pukapuka Pukapuka a Williams mo te Endocrinology . 14th ed. Philadelphia, PA: Elsevier; 2020: chap 13.Garber JR, Cobin RH, Gharib H, et al. Nga aratohu mahi haumanu mo te hypothyroidism i roto i nga pakeke: he mea tirotiro e te American Association of Clinical Endocrinologists me te American Thyroid Association.

Whakamutunga Whakamutunga . 2012; 18 (6): 988-1028. PMID: 23246686 pubmed.ncbi.nlm.nih.gov/23246686/.Jonklaas J, Bianco AC, Bauer AJ, et al; Ko te Mahi Mahi a te American thyroid Association mo te Whakakapi Hormone Taimiro. He aratohu mo te whakaora i te hypothyroidism: he mea whakarite e te roopu mahi a te American Thyroid Association mo te whakakapinga homone thyroid.