Hashimoto lub thyroiditis - los yog autoimmune (lymphomatous) thyroiditis yog ib hom kab mob uas ua rau kev puas tsuaj rau cov thyroid caj pas vim raug rau cov qe ntshav ntawm cov tsos mob autoimmune. Tus kab mob no feem ntau pom cov poj niam laus hauv nruab nrab, tab sis cov mob no kuj tshwm sim ntawm cov neeg hluas.
Dua li ntawm qhov tseeb tias txoj kev kawm ntawm tus kab mob no tau pib los ntawm Japanese tus kws kho mob Hakaru Hashimoto (tom qab uas nws tau npe) ntau tshaj 100 xyoo dhau los, tsis muaj lus qhia txog qhov ua rau muaj tus kab mob. Tab sis nws tau ices tias qhov autoimmune thyroiditis ntawm Hashimoto yog hereditary. Tsis tas li ntawd, muaj ib qho kev sib txuas ntawm cov ecology ntawm qhov chaw thiab qhov xwm txheej ntawm cov pejxeem. Tej yam yuav ua rau kis tau tus kab mob kis thiab kis tob tshaj plaws.
Cov tsos mob ntawm thyroiditis Hashimoto
Kws txawj ntse hais tias qhov symptomatology ntawm autoimmune thyroiditis nyob ntawm qhov mob loj ntawm tus kab mob. Raws li txoj cai, qhov tshwm sim ntawm hypothyroidism thiab hyperthyroidism yog rau cov neeg mob. Cov tshuaj hormone ntau li ntau, thyroxin yog:
- plawv palpitations;
- nce nervousness, thaum lub viav vias;
- kev tsis muaj zog;
- ua txhaum ntawm kev coj khaub ncaws;
- mob hnyav heev;
- zawv plab ;
- hais tau thinness.
Rau cov neeg mob uas muaj atrophied thyroid caj pas, thiab, qhov ntawd, nrog qhov tsis txaus los ntawm kev noj qab haus huv, mas yog:
- qeeb ntawm lub plawv dhia;
- siab qaug zog;
- cem quav;
- depressive xeev;
- tseem ceeb hnyav nce.
Yog hais tias tus kab mob tsis kho, ces txo qis qis, qhov tsis pom tseeb ntawm lub hlwb thiab, thaum kawg, kev xav hais tias dementia yuav txhim kho (senile dementia). Lwm cov teebmeem yog ua tau:
- loj heev arrhythmias;
- myocardial infarction;
- atherosclerosis;
- lymphoma ntawm lub qog caj pas, thiab lwm yam.
Kev kuaj ntawm thyroiditis Hashimoto
Yog tias koj xav tias muaj Hashimoto thyroiditis, koj yuav tsum hu rau tus kws kho mob. Tus kws kho mob ua ib qho kev ntsuam xyuas dav dav, sau cov tshuaj anamnesis thiab suav cov kev ntsuas kom paub txog qib ntawm cov tshuaj hormone thiab antithyroid autoantibodies. Los txiav txim seb qhov teeb meem ntawm kev loj hlob ntawm tus kab mob, ib lub thyroid caj pas yog pom zoo siv ib lub tshuab ultrasound.
Kev kho mob ntawm thyroiditis Hashimoto
Yog tias Hashimoto cov thyroiditis tau kuaj, ces kev soj ntsuam txhua qhov tsim nyog rau tus kws kho mob, txawm tias tsis muaj kev hloov hauv cov keeb kwm hormonal, thiab tshwj xeeb npaj tsis sau. Tus neeg mob uas tau sau npe nrog ib tus kws kho mob tshwj xeeb yuav tsum tuaj kom ncav sij hawm mus kuaj thiab tsawg kawg ib zaug hauv rau lub hlis los muab ntshav rau kev ntsuam xyuas.
Kev kho mob ntawm autoimmune thyroiditis Hashimoto feem ntau yog nyob rau hauv kev ua kom ze ntawm theem ntawm thyroxine rau cov cai. Cov kev qhia rau cov kev kho mob ntawm thyroiditis Hashimoto yog cov diffuse tshuaj lom neeg mus ncig , los yog hypothyroidism. Tus kws kho mob kos npe rau tus neeg mob ib qho tshuaj synthesized thyroxine. Tsis tas li ntawd, kev siv cov tshuaj muaj cov selenyum raug nquahu. Nyob rau hauv rooj plaub ntawm ib tug loj nce nyob rau hauv goiter nrog compression ntawm trachea los yog cov hlab ntsha ntawm lub caj dab thiab tsim ntawm nodes (tshwj xeeb tshaj yog qhov loj ntawm ntau tshaj 1 cm), ib lub lag luam kev phais. Tsis tas li ntawd, yog tias tus xeeb ceem phem ntawm kev tsim muaj qhov teeb meem tshwm sim, ib qho hnyuv tws
Nrog rau cov kev xav ntawm hypothyroidism, ib txoj kev kho yog tus kws kho mob uas tau muab rau regression ntawm qhov kev txiav txim siab ntawm kev txiav txim siab txiav ib leeg zuj zus los ntawm tus kws kho mob. Qhov feem ntau nrov rau hnub no yog kev npaj tshuaj:
- Levothyroxine;
- L-thyroxine;
- Eutiroks.
Nrog rau kev kho kom raws caij nyoog thiab tsim nyog, qhov kev huam vam yog zoo heev.