Nyob ntawm lub hauv paus ntawm lub caj dab, lub caj pas hu ua cov thyroid tsim cov tshuaj hormones uas yog lub luag haujlwm tswj hwm tus nqi ntawm cov txheej txheem metabolic, tsim lub zog rau lub cev thiab tswj nws qhov kub thiab txias. Tsis tas li ntawd, xws li lub caj pas tseem ceeb heev rau kev ua haujlwm kom raug thiab nqus cov vitamins uas nkag mus rau tib neeg lub cev nrog zaub mov, nrog rau lub plawv dhia thiab kev loj hlob ntawm cov ntaub so ntswg. Cov thyroid caj pas tsis yog lub cev nkag siab tag nrho, thiab qhov no yog qhov phem, vim tias nws yog qhov cuam tshuam rau lub xeev ntawm tib neeg kev noj qab haus huv, thiab txhua yam teeb meem uas tshwm sim hauv nws ib txwm ua rau muaj kev phom sij txaus ntshai.
Status Description
Txawm tias muaj cov txheej txheem pathological hauv cov thyroid caj pas feem ntau tshwm sim hauv cov poj niam, cov laj thawj ntawm lawv cov tsos mob rau ob leeg poj niam yog tib yam: kev tsim khoom thiab lub sijhawm ntev nyob hauv lub cev ntawm ntau cov thyroxine thiab triiodothyronine tuaj yeem ua rau kev noj qab haus huv ntawm lub cev, lossis,ntawm qhov tsis sib xws, lawv qhov tsis zoo.
Nyob rau theem pib, thawj cov tsos mob ntawm cov thyroid kab mob yog tsawg, uas ua rau nws tsis yooj yim sua kom kuaj tau tus kab mob thaum ntxov ntawm nws txoj kev loj hlob. Nws yog ib qho tseem ceeb uas yuav tau xav txog cov cim tseem ceeb ntawm kev puas tsuaj ntawm lub cev. Nws yuav tsum nco ntsoov tias cov tsos mob ntawm cov thyroid kab mob thiab cov tsos mob ntawm tus kab mob tshwm sim tsuas yog tom qab ob peb lub hlis los yog txawm xyoo.
thyroid caj pas yog dab tsi?
Cov thyroid caj pas yog ib qho khoom nruab nrog nyob ntawm lub hauv paus ntawm caj dab. Nws yog ib daim ntawv ntawm npauj npaim uas nquag tso cov tshuaj hormones hauv qab no rau hauv cov hlab ntsha: thyroxine, calcitonin thiab triiodothyronine. Lawv cuam tshuam rau kev ua haujlwm ntawm tag nrho cov kabmob thiab cov ntaub so ntswg hauv tib neeg lub cev. Ib qho tseem ceeb kab nyob rau hauv uas txhawb cov synthesis ntawm cov thyroid hormones yog iodine. Nws yog nws cov nyiaj txaus hauv lub cev uas ua rau lub cev ua haujlwm ntawm cov thyroid caj pas.
Thaum tus menyuam tseem nyob hauv tsev menyuam thiab hauv thawj ob peb xyoos ntawm nws lub neej, cov thyroid hormones cuam tshuam rau kev loj hlob ntawm tus menyuam lub hlwb. Nrog rau lawv qhov tsis muaj peev xwm thaum lub sij hawm loj hlob hauv lub cev, tus me nyuam tsim kev puas hlwb mus tas li.
Tsis tas li ntawd, cov thyroid hormones yog lub luag haujlwm tswj kev loj hlob thiab kev laus ntawm tus hluas. Thoob plaws hauv lub neej, lawv muab cov cua sov ib txwm muaj, cuam tshuam rau tib neeg lub siab xav thiab lub hlwb kev ua haujlwm, kev ua haujlwm ntawm lub plawv, cov leeg pob txha, thiab cov kabmob ntawm lub plab zom mov.
Cov kab mob ntau tshaj
Nyob rau txiv neejCov thyroid kab mob hauv qab no muaj ntau:
- kab mob goiter;
- hypothyroidism;
- mob autoimmune thyroiditis;
- oncological neoplasms hauv lub cev: thyroid qog.
txhawm rau kuaj xyuas thiab sau tshuaj kho tau zoo, tus neeg mob yuav tsum mus ntsib kws kho mob endocrinologist. Tus kws kho mob yuav coj mus rau hauv tus account tag nrho cov ntaub ntawv tau txais los ntawm tus neeg mob, ua ib qho kev ntsuam xyuas sab nraud, sau cov kev tshawb fawb tsim nyog, uas, nyob ntawm seb qhov xwm txheej tshwj xeeb, yuav suav nrog kev tshuaj xyuas qib tshuaj hormones, ultrasound, scintigraphy thiab kev kuaj mob dav dav.
kab mob goiter nyob rau hauv ib tug txiv neej
kab mob goiter - kev loj hlob nquag, nce qhov loj ntawm cov thyroid cov ntaub so ntswg vim tsis muaj iodine uas nkag mus rau tib neeg lub cev nrog zaub mov thiab dej.
Cov tsos mob tseem ceeb ntawm tus kab mob no yog qhov nce ntawm cov thyroid caj pas (hauv cov txiv neej nws yog ntau tshaj 25 mm). Thawj cov tsos mob ntawm tus kab mob thyroid nyob rau hauv ib tug txiv neej:
- xav tsis zoo;
- mob taub hau, kiv taub hau;
- teeb meem plawv;
- xav kom lub caj dab muaj zog, uas tsuas yog muaj zog thaum pw tom qab;
- teeb meem ua pa thiab nqos;
- suffocation attacks (squeezing of the trachea);
- hnoos qhuav.
Thaum kho, tus kws kho mob tau sau cov tshuaj uas muaj iodine, nrog rau kev noj zaub mov tshwj xeebzaub mov. Yog tias tus kab mob goiter tau mus txog qhov loj heev, ces siv phais.
Khoom noj muaj iodine
Txhawm rau tiv thaiv tus kab mob no, tus txiv neej laus yuav tsum tau noj 100-200 micrograms ntawm iodine tsis tu ncua. Txhawm rau ua tiav qhov txiaj ntsig niaj hnub no, koj yuav tsum noj cov khoom noj uas muaj micronutrients. Piv txwv li:
- seafood;
- feijoa;
- iodized ntsev;
- walnuts;
- seaweed.
Yog tias nws tsis tuaj yeem siv cov khoom zoo li no tas li, qee zaum koj tuaj yeem noj cov tshuaj uas kws kho mob tau sau tseg nrog iodine hauv cov tshuaj, piv txwv li, "Jodomarin".
Kev txhim kho ntawm hypothyroidism
Hypothyroidism yog ib yam kab mob uas tshwm sim vim tsis muaj cov thyroid hormones. Cov kab mob no tuaj yeem tshwm sim thaum cov hlwb ntawm lub caj pas puas los ntawm autoimmune o, thaum cov ntaub so ntswg ntawm lub caj pas raug puas los ntawm tuberculosis lossis syphilis. Tsis tas li, tus mob no feem ntau tshwm sim los ntawm kev txo qis ntawm cov hlwb mus rau cov thyroid-stimulating cov tshuaj hormones, tom qab kev phais tshem tawm ntawm ib feem ntawm cov thyroid caj pas vim yog oncology.
Cov cim tseem ceeb thiab cov tsos mob ntawm cov thyroid kab mob hauv cov txiv neej muaj xws li hauv qab no:
- kev xav tsis zoo;
- mob hnyav heev;
- faus;
- rog dhau;
- txo qis hauv lub cev kub, qhov tsos ntawm txias;
- kis ntawm edema ntawm lub ntsej muag;
- tawv nqaij;
- teeb meem nrognco thiab lub hlwb ua haujlwm;
- mob pob qij txha;
- mob hauv siab, qeeb mem tes;
- npaum cem quav;
- ua tiav lossis ib nrab tsis qab los;
- kev nyuaj siab, teeb meem nrog lub paj hlwb.
Tsis tas li ntawd, cov txiv neej feem ntau tsim teeb meem nrog kev ua haujlwm erectile.
Thaum kho tus kab mob no, tus kws kho mob tau hais kom noj cov thyroid hormone hloov mus rau lub neej. Cov kws kho mob tsis paub qhov txawv ntawm kev tiv thaiv tshwj xeeb hauv kev tsim cov kab mob zoo li no. Txhawm rau tiv thaiv kev txhim kho ntawm cov teeb meem hypothyroid, nws yog ib qho tseem ceeb uas yuav tsum tau ua raws li kev kho mob tsis tu ncua, nrog rau kev mus ntsib kws kho mob endocrinologist tsis tu ncua uas yuav saib xyuas lub xeev ntawm cov thyroid hormones thiab kho cov tshuaj noj.
Kev txhim kho ntawm hyperthyroidism
Hyperthyroidism - ntau dhau ntawm cov thyroid hormones hauv tib neeg lub cev.
Cov tsos mob tseem ceeb ntawm cov thyroid kab mob thiab cov tsos mob ntawm tus kab mob muaj xws li cov hauv qab no:
- poob ceeb thawj rau ib tus neeg.
- tawm hws ntau dhau.
- Kev loj hlob ntawm qhov muag pom.
- Nyob lub plawv dhia.
- Kev txhim kho ntawm atrial fibrillation.
- mob hnyav, hais lus ntau ntxiv.
- Ntshai tshee hnyo.
- Nco qab qab los.
- Atrophy thiab mob hnyav tsis muaj zog.
- Kev tsis sib haum xeeb ntawm kev sib koom tes.
- Cov tsos mob sab nraud ntawm cov thyroid kab mob hauv tus txiv neej: cov plaub hau thaum ntxov ntawm lub taub hau thiab lwm qhov chawlub cev.
- Qub thiab mob saib cov plaub hau.
Nyob rau hauv cov txiv neej, libido thiab erectile muaj nuj nqi yog heev txo, pem hauv ntej ib feem ntawm lub sab ceg, nrog rau lub nraub qaum ntawm ko taw, yog thickened. Nrog rau hyperthyroidism, ib tug txiv neej tej zaum yuav muaj myocardial infarction, osteoporosis, thiab hnyav rau tes.
Thyrotoxicosis hauv cov txiv neej yog qhov nyuaj dua li cov poj niam. Tab sis ntau tus neeg mob tsis mus ntsib kws kho mob ntev, vim lawv xav tias txhua yam yuav zoo li qub ntawm nws tus kheej. Kev ntsuas kev kho mob tuaj yeem ua tiav nrog kev pab ntawm cov tshuaj (cov tshuaj thyrostatic siv los pab txo qis kev ua haujlwm ntawm cov thyroid caj pas).
Qee zaum cov xov tooj cua iodine tau sau tseg, uas suav nrog ntau ntau hauv cov qog thiab ua rau muaj kev tuag ntawm cov kab mob pathogenic microorganisms. Nyob rau theem loj ntawm kev loj hlob ntawm tus kab mob, tus kws kho mob tau sau ib qho kev cuam tshuam (kev tshem tawm ib feem ntawm lub cev nqaij daim tawv).
Kev kho mob nrog tshuaj suav nrog kev saib xyuas tsis tu ncua thiab kev ntsuas kev ua tau zoo ntawm kev kho mob los ntawm tus kws kho mob endocrinologist. Cov teeb meem tshwm sim feem ntau thaum noj tshuaj nrog iodine hauv kev sib xyaw lossis thaum lub sijhawm phais yog qhov pom ntawm hypothyroidism, uas nws yog ib qho tseem ceeb uas yuav tau pib kho lub neej mus ntev.
Tom qab qhov kawg ntawm kev kho mob, nws yog ib qho tseem ceeb kom ua raws li qee yam kev tiv thaiv. Cov kws tshaj lij qhia:
- zam kev ua lub cev;
- faus;
- ua haujlwm hmo ntuj;
- kev xav ntau dhau, kev nyuaj siab ntev.
Nws yog ib qho tseem ceeb kom tswj tau txoj kev noj qab haus huv, tsis tu ncua mus kuaj kev tiv thaiv mus rau tus kws kho mob endocrinologist thiab tso tseg cov cwj pwm phem.
Chronic autoimmune thyroiditis
Feem ntau tus mob no muaj ib hom kab mob, tab sis nws kuj tuaj yeem txhim kho nrog kev ua haujlwm tsis zoo hauv lub cev tiv thaiv kab mob. Cov tsos mob ntawm cov thyroid kab mob yog dab tsi? Cov neeg mob feem ntau pom cov tsos mob tshwm sim ntawm hypothyroidism.
Kev ntsuas kev kho mob yog tsom rau kev txo qis cov tshuaj tiv thaiv kab mob autoimmune, tshem tawm cov txheej txheem inflammatory, rov qab kho hypothyroidism los ntawm kev teem caij tshuaj tshwj xeeb.
Kev tiv thaiv tau raug coj los tiv thaiv tus neeg mob lub cev los ntawm kev tsim cov hlwv thiab cov qog hauv cov thyroid caj pas. Txhawm rau ua qhov no, nws yog ib qho tseem ceeb kom tsis tu ncua mus ntsib tus kws kho mob endocrinologist, saib xyuas kev ua haujlwm ntawm lub cev thiab cov tshuaj hormones tsim tawm, tshem tawm cov tsos mob ntawm autoimmune o.
qog hlav thiab mob qog noj ntshav
Nyob rau hauv cov txiv neej, cov qog nqaij hlav thaum pib ntawm txoj kev loj hlob dhau mus yam tsis muaj cov tsos mob tshwm sim. Nws yog ib qho tseem ceeb uas yuav tau mus ntsib kws kho mob endocrinologist tam sim ntawd tom qab qhov tsos ntawm ib qho asymmetry ntawm lub caj dab (piv txwv li, lub caj pas ntawm sab xis pib sawv tawm ntau dua ntawm sab laug). Tus kws kho mob tshwj xeeb ntawm lub chaw txais tos yuav ua cov lus qhia ntxaws ntxaws ntawm tus neeg mob, muab tshuaj ultrasound thiab lwm yam kev kuaj mob.
Thaum cov qog tsim tawm, nws yog ib qho tseem ceeb uas yuav tau xav txog cov cim tseem ceeb ntawm cov thyroid kab mob thiab kev kho mob. Cov qog tsim thiab cov hlwv me me tau pom los ntawm kws kho mob. Cov qog nqaij hlav qog noj ntshav tau kho los ntawm tus kws kho mob oncologist nrogphais, thiab xov tooj cua thiab kws khomob.
Tiv thaiv kev loj hlob ntawm cov kab mob txaus ntshai xws li qog nqaij hlav qog noj ntshav los ntawm normalizing iodine tshuav hauv lub cev.
Kev mus ntsib kws kho mob endocrinologist tsis tu ncua, ultrasound ntawm cov nodes thiab lwm yam kev tshawb fawb soj ntsuam yuav pab txiav txim siab qhov kev loj hlob ntawm cov qog thiab ntsuas qhov tsim nyog.
Lub cev tshwm sim
Cov tsos mob ntawm cov thyroid kab mob hauv tus txiv neej pom lawv tus kheej los ntawm lub cev. Tsis txaus iodine nyob rau hauv lub cev provokes hnyav fragility ntawm cov plaub hau thiab rau tes, ib nrab los yog tag nrho tsis qab los noj mov, yuag poob. Daim duab ntawm cov tsos mob ntawm cov thyroid kab mob hauv cov txiv neej yog nthuav tawm hauv qab no.
Lub cev tsis muaj qhov kub thiab txias, vim tias tus neeg pib txias. Cov ntshav ncig hauv lub cev tsis nqa cov khoom noj kom zoo uas tseem ceeb heev rau kev tswj cov tawv nqaij thiab elasticity ntawm daim tawv nqaij, vim tias daim tawv nqaij qhuav heev thiab poob tag nrho elasticity.
Kev hloov pauv hauv lub siab
Psycho-emotional manifestations nyob rau hauv cov txiv neej yog txawv heev ntawm cov tsos mob ntawm tus kab mob nyob rau hauv cov poj niam. Ib tug txiv neej lub siab hloov pauv loj heev, teeb meem nco tshwm sim, tsis nco qab, kev nyuaj siab, ntxhov siab vim, khaus khaus, thiab aggressiveness tshwm sim. Nrog rau cov cim qhia no, qhov zoo ntawm lub neej ntawm ib tug txiv neej yog deterioration heev vim tsis meej pem hauv kev xav, teeb meem nrog kev nkag siab txog dab tsi yog feem ntau tshwm sim nyob ib ncig ntawm. Thaum twgRau cov tsos mob ntawm tus kab mob thyroid, nws yog ib qho tseem ceeb mus rau lub chaw kho mob tam sim ntawd.
