Thyroid nakong ea bokhachane: liphetoho tse kholo le tlhokomelo

Litaba

• 1. Hypothyroidism
• 2. Hyperthyroidism
• Tlhokomelo nakong ea bokhachane
• Meriana
• lijo
• Litlhahlobo tsa kamehla le lipuisano

Tšoelesa ea qoqotho nakong ea bokhachane e bohlokoa molemong oa bophelo ba mme le lesea mme ho se sebetse hantle ho tlameha ho tsejoa le ho phekoloa e le hore ho se bake mathata ho lesea le hlokang lihormone tsa 'm'a lona ho fihlela bekeng ea bo12 ea boimana. Kamora karolo ena, lesea le khona ho iketsetsa lihormone tsa qoqotho.

Lihormone tsa qoqotho ke T3, T4 le TSH tse ka eketsoang kapa tsa fokotseha tsa baka mathata a mantlha a qoqotho nakong ea bokhachane joalo ka hypothyroidism le hyperthyroidism. Mathata ana a ka baka ho senyeheloa ke mpa, ho hlaha pele ho nako kapa a susumetsa kholo ea lesea. Ho phaella moo, mathata a qoqotho a ka baka liphetoho matsatsing a ho ilela khoeli, a thatafalletsa ho ima.

Ka hona, ho bohlokoa ho etsa litlhahlobo tse thibelang ho ima le pelehi ho fumana hypothyroidism kapa hyperthyroidism, ho netefatsa bophelo bo botle ba mme le lesea. Fumana hore na ke liteko life tse lokelang ho etsoa ha u rera ho ima.

Mathata a mantlha a qoqotho nakong ea bokhachane ke:

1. Hypothyroidism

Hypothyroidism ke phokotso ea tlhahiso ea lihormone tsa qoqotho nakong ea bokhachane mme e ka baka keketseho ea ho tsoa mali, ho ntša mpa ka boithaopo, tsoalo ea pele ho nako kapa keketseho ea khatello ea mali le pre-eclampsia ho basali ba bakhachane. Ho lesea, hypothyroidism e ka baka ho lieha ho hola kelellong, khaello ea kelello, ho fokotsa bohlale quotient (IQ) le goiter (chat).

Matšoao a tloaelehileng a hypothyroidism ke ho otsela, mokhathala o feteletseng, manala a fokolang, ho lahleheloa ke moriri, ho fokotseha ha pelo, ho sokela, letlalo le omeletseng, bohloko ba mesifa le ho fokotsa mohopolo.

Hypothyroidism e ka etsahala nakong ea pelehi kapa likhoeli tse 'maloa kamora hore ngoana a hlahe, a hloka kalafo. Ithute haholoanyane ka hypothyroidism.

2. Hyperthyroidism

Hyperthyroidism ke keketseho ea tlhahiso ea lihormone tsa qoqotho tseo, leha li sa tloaelehang haholo nakong ea bokhachane, li ka bakang bakhachane ho senyeheloa ke mpa, ho hloleha ha pelo, pre-eclampsia, ho fallisoa ha malinyane kapa ho beleha pele ho nako. Ho lesea, hyperthyroidism e ka baka boima ba 'mele bo hlahang, hyperthyroidism ea masea kapa lefu la lesea.

Matšoao a hyperthyroidism nakong ea bokhachane ke mocheso, ho fufuleloa ho feta tekano, mokhathala, ho otla ha pelo ka potlako le matšoenyeho, tse atisang ho sitisa ho hlahlojoa, kaha matšoao ana a tloaelehile nakong ea bokhachane, empa liteko tsa laboratori li lumella ho fumana ts'ireletseho ka tsela e sireletsehileng 'me kahoo e qale kalafo e ntle ka ho fetisisa. Ithute haholoanyane ka hyperthyroidism nakong ea bokhachane.

Tlhokomelo nakong ea bokhachane

Mehato e meng ea bohlokoa ea ho itšireletsa nakong ea bokhachane ke:

Meriana

Kalafo ea hypothyroidism nakong ea bokhachane e etsoa ka meriana, joalo ka levothyroxine. Ho bohlokoa ho noa moriana ka nako e ts'oanang letsatsi ka leng. Leha ho le joalo, haeba u lebala ho noa, e noe kapele kamoo u hopolang kateng, u itlhokomele hore u se ke ua noa litekanyetso tse peli ka nako e le ngoe. Ts'ebetso ea bakhachane kapa lipuisano le ngaka ea endocrinologist li lokela ho etsoa bonyane libeke tse ling le tse ling tse 6 ho isa ho tse 8 ho lekola maemo a lihormone tsa qoqotho 'me, ha ho hlokahala, a fetole lethal dose la meriana.

Tabeng ea hyperthyroidism nakong ea bokhachane, ho latela libeke tse ling le tse ling tse 4 ho isa ho tse 6 le lisebelisoa tse tloaelehileng tsa lesea li lokela ho etsoa. Kalafo ea hyperthyroidism nakong ea bokhachane e lokela ho qalisoa hang kamora ho hlahlojoa 'me e etsoa ka meriana e kang propylthiouracil, mohlala, mme lethal dose le lokela ho fetoloa, ha ho hlokahala. Kamora ho pepa, ngaka ea bana e lokela ho tsebisoa hore o na le hyperthyroidism nakong ea bokhachane e le hore lesea le ka hlahlojoa, ka hona, le hlahlobe hore na lesea le na le hyperthyroidism mme, ha ho hlokahala, le qale kalafo. Sheba liteko tse ling tse 7 tseo lesea le lokelang ho li nka.

lijo

Ho fepa nakong ea bokhachane ho lokela ho fapana le ho leka-lekana ho fa 'm'a le lesea limatlafatsi tse hlokahalang. Lijo tse ling li na le iodine ka sebopeho sa eona e hlokahalang tlhahiso ea lihormone tsa qoqotho, joalo ka cod, lehe, sebete le libanana, ho thusa ho boloka botsitso ba qoqotho. Maemong a ho se sebetse ha qoqotho nakong ea bokhachane, ho lekoa le setsebi sa phepo e nepahetseng ho khothalletsoa ho boloka phepo e nepahetseng. Bona lijo tse ling tse 28 tse nang le iodine e ngata.

Litlhahlobo tsa kamehla le lipuisano

Ho bohlokoa hore basali ba fumanoeng ba e-na le hypothyroidism kapa hyperthyroidism nakong ea bokhachane ba felehelitsoe ke ngaka ea mafu a basali-lingaka kapa lingaka tsa mafu a ho qetela ho lekola kholo ea lesea le ho netefatsa bophelo bo botle ba mme le lesea. Leha ho le joalo, haeba nakong ea lipuisano u ba le matšoao a hypothyroidism kapa hyperthyroidism, batla thuso ea bongaka hanghang. Ithute haholoanyane ka tlhokomelo ea bakhachane.

Nakong ea lipuisano, liteko tsa laboratori tsa maemo a lihomone tsa T3, T4 le TSH li kopuoa ho lekola tšebetso ea qoqotho 'me, ha ho hlokahala, ultrasound ea qoqotho. Ha ho ka ba le liphetoho, kalafo e nepahetseng ka ho fetisisa e lokela ho qala hanghang.