Cov kws kho mob endocrinologist tseem tsis tau tshawb nrhiav tag nrho cov laj thawj rau kev txhim kho autoimmune thyroiditis (AIT). Los ntawm nws lub hauv paus chiv keeb, cov kab mob no tuaj yeem tshwm sim los ntawm keeb kwm, thiab tuaj yeem kis tau thoob plaws lub neej.
Yog tias qhov tshwm sim tshwm sim thaum cev xeeb tub, qhov tshwm sim ntawm autoimmune thyroiditis rau tus menyuam tuaj yeem sib txawv. Feem ntau, nws cuam tshuam rau inhibition ntawm kev loj hlob ntawm kev txawj ntse ntawm tus menyuam.
Yog vim li cas
Muaj txhua qhov laj thawj uas ntseeg tau tias kev hloov pauv hloov pauv tseem yog thawj qhov ua rau autoimmune thyroiditis hauv cov menyuam yaus.
Tab sis txawm hais tias tus menyuam yaus muaj kev cuam tshuam los ntawm AIT, qhov no tsis txhais tau tias nws yuav mob tiag tiag. Nyob rau hauv rooj plaub thib ob, qhov pib ntawm qhov tshwm sim ntawm autoimmune thyroiditis nyob rau hauv tus me nyuam tuaj yeem ua rau mob ua pa nyuaj thiab lwm yam foci uas ua rau mob o, uas kis tau mus rau hauv lub ntsws. Hauv qhov xwm txheej zoo li no, lub cev tsis muaj zog heev thiab kev ua haujlwm ntawm lub cev tiv thaiv kab mob cuam tshuam.
qaug zog tiv thaiv vim-vim muaj kev ntxhov siab, nws tsis paub qhov txawv ntawm cov hlwb ntawm nws tus kheej lub cev thiab ua rau lawv tsis meej pem nrog cov neeg txawv teb chaws. Lwm yam kev ntxhov siab (psycho-emotional), nrog rau cov xwm txheej xws li cov thyroid raug mob, kev cuam tshuam ib puag ncig, lossis nyob hauv thaj chaw uas muaj hluav taws xob ntev ntev kuj tuaj yeem ua rau muaj kab mob. Tsis tas li ntawd, kev sib raug zoo ntawm cov kab mob endocrine nrog kev sib deev ntawm tus menyuam thiab hnub nyoog tau rov pom dua. Ntawm cov tub, cov neeg mob tsawg dua cov ntxhais.
Symptoms
Autoimmune thyroiditis nyob rau hauv cov menyuam yaus yog ib tus kab mob ntev. Nws yog qhia nyob rau hauv txoj kev loj hlob ntawm cov txheej txheem o nyob rau hauv cov ntaub so ntswg ntawm cov thyroid caj pas nyob rau hauv teb rau kev puas tsuaj rau nws cov hlwb los ntawm lub cev tsis muaj zog. Cov follicles raug tawm tsam, ua rau lawv puas tsuaj.
Cov tsos mob tseem ceeb ntawm autoimmune thyroiditis hauv tus menyuam yog:
- pom kab mob goiter;
- tsim cov tshuaj tiv thaiv rau thyroglobulin thiab thyroperoxidase;
- kev tsis sib haum xeeb ntawm peripheral thyroid-stimulating hormones.
Kev txhim kho Goiter yog txheej txheem maj mam. Thaum pib, tus me nyuam yuav hnov mob hauv cov thyroid caj pas, muaj teeb meem nqos thiab ua pa. Txawm li cas los xij, qhov mob syndrome feem ntau yog mob me. Tus me nyuam feem ntau tsis yws txog dab tsi, nws keeb kwm hormonal yog qhov qub.
Cov tsos mob tseem ceeb ntawm cov thyroiditis yog qhov ncauj qhuav, tshwj xeeb tshaj yog thaum sawv ntxov. Nws yog yam ntxwv uas tus menyuam tsis nqhis dej. Hauv cov menyuam yaus uas muaj autoimmune thyroiditis, muaj kev txhim kho me ntsis los ntawmcov phooj ywg. Tom qab qee lub sijhawm, autoimmune goiter yuav ploj mus ntawm nws tus kheej. Ntawd yog, kev rov qab los sai sai.
Tej zaum qhov no yog vim qhov ploj ntawm qhov ua rau muaj kev cuam tshuam ua ntej cov txheej txheem ntawm kev hloov cov thyroid caj pas tau dhau los ua qhov hloov tsis tau. Tab sis qee zaum, xws li goiter kav ntev thiab vim li ntawd tuaj yeem ua rau muaj kev loj hlob ntawm hypothyroidism.
Views
Cov hauv qab no yog kev faib tawm thiab kev piav qhia ntawm autoimmune thyroiditis los ntawm hom. Raws li kev ua haujlwm ntawm cov thyroid caj pas hauv cov tshuaj, euthyroid, hyperthyroid thiab hypothyroid thyroiditis yog qhov txawv.
Euthyroid goiter - kev loj hlob ntawm cov thyroid caj pas nrog nws cov haujlwm ib txwm muaj. Txawm li cas los xij, tus neeg mob cov thyroid caj pas tseem loj dua. Qhov laj thawj ntawm qhov no yog qhov tsis muaj cov thyroid hormones. Lub cev ntawm tus menyuam nyob rau hauv txoj kev no them nyiaj rau lawv qhov tsis muaj. Qhov no yog qhov txawv tshaj plaws ntawm tus kab mob. Txhua qhov thib ob ntawm goiter yog euthyroid. Muab piv rau cov kab mob toxic goiter, nws tsis txaus ntshai. Euthyroid goiter qee zaum hu ua "tsis muaj tshuaj lom", tab sis qhov kev txhais no tsis nyiam dua.
Hyperthyroid goiter yog tus cwj pwm los ntawm kev nce hauv cov haujlwm ntawm cov thyroid caj pas - hyperthyroidism. Qhov no yog ib theem luv ntawm tus kab mob. Nws yog tshwm sim los ntawm kev puas tsuaj loj ntawm cov thyroid hlwb thiab tso tawm ntau cov tshuaj hormones rau hauv cov ntshav.
Hypothyroid goiter yog ib yam kab mob tshwm sim los ntawm inhibition ntawm tag nrho cov thyroid functions. Nyob rau hauv autoimmune thyroiditis, nws yog mob ntev, nce. Raws li cov txheej txheem ntawm tus kab mobfaib cov latent thiab kho mob hom autoimmune thyroiditis. Latent tau muab zais, yam tsis muaj kev kho mob tshwj xeeb; kev kho mob, ntawm qhov tsis sib xws, yog cov tsos mob tshwm sim.
Raws li qhov kev hloov pauv ntawm qhov ntim ntawm cov thyroid caj pas, cov ntaub ntawv hypertrophic thiab atrophic yog qhov txawv. Thawj yog tus yam ntxwv ntawm cov ntaub so ntswg proliferation thiab goiter tsim. Atrophic yog nrog los ntawm atrophy (tuag) ntawm cov thyroid cov ntaub so ntswg nrog qhov txo qis hauv nws qhov loj.
Diagnosis
Ib tug menyuam tuaj yeem kuaj tau AIT los ntawm kws kho mob endocrinologist. Nws yog ib qho tseem ceeb kom paub tus me nyuam cov lus tsis txaus siab:
- caj dab loj dua;
- xav tias ua pa hauv caj dab;
- ua tsis taus pa thaum tus menyuam tsaug zog;
- mob hauv cheeb tsam thyroid.
Cov tsos mob no qhia tias muaj qhov loj ntawm cov thyroid caj pas.
Thiab cov cim qhia no qhia tias tsis muaj lossis ncua sijhawm nce qib ntawm cov thyroid hormones:
- kev nyuaj siab;
- txo qis hauv qib siab;
- poob phaus;
- tshiav tes.
Nws yog ib qho tseem ceeb kom paub txog cov txheeb ze ntawm tus me nyuam uas muaj tus kab mob zoo sib xws. Tus kws kho mob qhov kev kuaj pom tsis txaus los kuaj xyuas AIT.
Kev kuaj mob zoo li no yuav tsum tau:
- Kev Tshawb Fawb.
- Tau suav suav.
- kuaj ntshav biochemical.
- Qib ntawm cov thyroid hormones (T3, T4) thiab thyroid-stimulating hormone (TSH) raug kuaj.
- Kev kuaj pom cov tshuaj tiv thaiv rau cov thyroid cov ntaub so ntswg.
- ntsuas ntsuas: thyroid ultrasound.
Kev kuaj ntshav kom tsis suav nrog kev kuaj mob qog nqaij hlav qog nqaij hlav hauv cov thyroid yog ua nyob rau hauv lub xub ntiag ntawm nodular tsim nyob rau hauv cov thyroid caj pas.
AIT kuaj pom thaum:
- Kev kuaj ntshav pom muaj cov tshuaj tiv thaiv kab mob siab rau hlau.
- Cov ntaub ntawv ultrasound tau lees paub.
- Rau cov tsos mob ntawm hypothyroidism.
kev kho mob phais
Kev phais rau autoimmune thyroiditis hauv tus menyuam yuav tsum tau ua hauv cov xwm txheej hauv qab no:
- xav tias mob qog noj ntshav.
- Cov thyroid caj pas compresses lub paj hlwb thiab kev kho mob nrog Levothyroxine tsis ua rau qhov xav tau.
- Nodules pom nyob rau hauv cov thyroid caj pas.
- Lwm yam kev kho mob tsis tau muaj qhov xav tau.
Hauv cov xwm txheej saum toj no, subtotal strumectomy tau ua. Tom qab kev phais, nws yog ib qho tsim nyog yuav tsum tau sau cov tshuaj thyroid hormones, vim tias hypothyroidism yuav luag ib txwm tshwm sim tom qab kev phais. Nws yog vim li no tias cov xwm txheej ntawm kev phais mob rau autoimmune thyroiditis yog qhov tsawg heev. Tsis tas li ntawd, tom qab kev ua haujlwm, kev kho lub neej ntev tuaj yeem raug tshuaj.
Yog hais tias cov thyroid caj pas loj heev thiab ua rau nws nyuaj rau tus me nyuam ua tsis taus pa thiab nqos, compresses lub caj dab ntawm caj dab, ces phais yog nqa tawm tam sim ntawd. Txwv tsis pub, tus me nyuam raug muab tshuaj tshwj xeeb, cov nyhuv uastsom rau normalizing kev ua haujlwm ntawm cov thyroid caj pas. Kev kho mob autoimmune thyroiditis yog ua raws li kev tswj hwm ntawm cov thyroid hormones thiab ultrasound.
kev kho mob
Yog tias tus menyuam tau kuaj pom tias muaj cov thyroiditis autoimmune, ces cov tshuaj hormones tsim nyog tau txhaj rau hauv tus menyuam lub cev rau kev kho mob. Kev siv cov tshuaj muaj zog - xws li glucocorticoids - yog nyob rau hauv cov theem nyuaj ntawm tus kab mob. Yog tias pom tias muaj kev nce hauv kev ua haujlwm ntawm cov thyroid caj pas, ces siv thyrostatics. Cov tshuaj tiv thaiv kab mob yog siv los txo cov tshuaj tiv thaiv kab mob. Nws kuj tau qhia kom siv cov vitamins thiab tshuaj los txhim kho kev ua haujlwm ntawm lub cev tiv thaiv kab mob.
Tshuaj
Thaum muaj mob, kev kho mob hauv qab no ntawm autoimmune thyroiditis hauv cov menyuam yaus raug qhia:
- "Tiamazol" - ua rau cov thyroid caj pas mus rau lub xeev ruaj khov. Thov tsis tu ncua rau ib hlis thiab ib nrab. Tom qab cov chav kawm zoo li no, cov tshuaj siv me me (tsis pub ntau tshaj 10 mg hauv ob lub hlis tom ntej).
- "Mercazoll". Peb zaug ib hnub, koj yuav tsum noj 3 ntsiav tshuaj (5 mg). Nws raug nquahu kom noj cov tshuaj tom qab noj mov, thaum haus dej ntau. Thaum tus menyuam tsis haum tshuaj, xeev siab thiab khaus lub cev tshwm sim.
- "Metindol". Cov kws kho mob qhia kom noj tsis pub ntau tshaj ob ntsiav tshuaj ib hnub twg. Tsis txhob siv cov tshuaj no yog tias tus menyuam muaj lub plawv tsis zoo. Cov tshuaj yuav ua rau pob khaus thiab xeev siab.
- Voltaren. Raukev hloov kho rau kev siv, kev sab laj nrog kws kho mob yog tsim nyog. Feem ntau noj ib ntsiav tshuaj tsis pub ntau tshaj peb zaug ib hnub twg. Cov tshuaj no tsis pom zoo rau cov menyuam yaus hnub nyoog qis dua 6 xyoo.
kev kho neeg zoo
Ib qho kev kho mob tseem ceeb rau autoimmune thyroiditis hauv cov menyuam yaus thiab cov tub ntxhais hluas yog cov tshuaj tiv thaiv kab mob (Pallas Euphorbia, txhuam liab). Nws yog qhov zoo dua los coj lawv ua ke nrog tshuaj tua kab mob (qab zib clover, elderberry). Nws tseem yuav tsum tau siv tshuaj ntsuab uas txhim kho cov ntshav khiav hauv txhua txoj hauv kev, piv txwv li:
- red cag;
- raspberries;
- peony;
- will.
Tom qab txhua pluas noj (zoo dua peb zaug hauv ib hnub), koj yuav tsum haus ib khob tshuaj ntsuab: Baikal skullcap, meadowsweet, sandy immortelle, adonis, horsetail, common toadflax. Ua ntej yuav mus pw, noj 25 tee ntawm peony tincture nrog rau 100 ml. dej
Khoom noj khoom haus
Nrog tus kab mob no, koj yuav tsum noj zaub mov uas muaj fiber ntau thiab ntau cov vitamins. Nws yog ib qho tsim nyog yuav tsum haus ntau cov cereals, ntau yam zaub, tsev cheese, tshuaj ntsuab li sai tau, thiab ib qho yuav tsum tsis txhob hnov qab txog nqaij. Cov zaub mov uas muaj iodine kuj tseem ceeb hauv cov zaub mov no. autoimmune thyroiditis kuj tuaj yeem kho nrog dais bile. Thaum lub sijhawm kho, koj yuav tsum tsis txhob ua rau koj tus kheej ua rau lub cev hnyav thiab kev ntxhov siab.
Kev rov qab los thiab tawm tswv yim los ntawm tus kws kho mob endocrinologist
Raws li kev kho mob cov lus qhia, autoimmune thyroiditis hauv cov menyuam yaus xav tauqee yam kev ua neej:
- Kev ua lub cev yuav tsum tau txo qis. Tus kab mob no feem ntau nrog rau qhov mob ntawm cov leeg nqaij lossis pob qij txha. Tej zaum yuav muaj qhov tsis sib xws hauv kev ua haujlwm ntawm lub plawv, lub siab hloov tsis tu ncua - nws nce lossis txo. Tsis tas li ntawd, tus kab mob cuam tshuam cov metabolism, thiab qhov no ua rau muaj kev raug mob ntxiv. Koj yuav tsum tau sab laj nrog kws kho mob txog cov khoom thauj twg uas haum rau lub cev hauv qhov xwm txheej no. Zoo dua siv sij hawm ntau sab nraum zoov thiab taug kev.
- Tsis txhob tsim txom hnub ci hluav taws xob. Nyob ntawm ntug hiav txwv ntev yuav tsis ua dab tsi zoo rau tus neeg mob autoimmune thyroiditis.
- Raws li kev mus los ntawm hiav txwv, kuj muaj kev txwv. Yog tias ib tus neeg tau nce cov thyroid-stimulating hormone, koj yuav tsum tsis txhob nyob hauv dej hiav txwv ntev tshaj 10 feeb.
- Yuav tsum zam kom tsis txhob muaj kev ntxhov siab - ntxhov siab thiab txhawj xeeb tsawg.
Kev Ntsuas rau autoimmune thyroiditis hauv cov menyuam yaus yog qhov zoo. Tau kawg, tus kab mob tsis tuaj yeem tshem tawm tag nrho, tab sis nrog kev kho kom raug raws sijhawm, nws yuav muaj peev xwm tshem tawm qhov tshwm sim.
