Hashimoto sika thyroiditis. Into esibi kakhulu. Okufanele ukulindele? Izimpawu nezinkomba

thyroiditis sokuhlasela kwamasosha omzimba - esinye sezifo ezivamile eRussia, ikakhulu ezindaweni ezikude zolwandle. Kodwa akubona bonke abantu uyabona ukuthi yegilo yakhe yegilo ayisebenzi at zigcwele: ke kungatholakala kuphela ngidlula ekhethekile ukuhlaziywa laboratory. Futhi abelaphi bayaqondisa kulokhu ukuhlaziywa akuvamile ngakho ngaphandle kokubona isidingo. Iqiniso lokuthi isithombe lingaze lesi sifo ezingacacile ukuze ngisho udokotela abanolwazi endaweni kokuqala kubonisa khona nezinye izifo ze-non-endocrine.

AIT - kuyini?

Lapho amasosha ethu omzimba iqala ukuhlasela amasosha omzimba siqu, inqubo ebizwa ngokuthi i sokuhlasela kwamasosha omzimba. Igciwane engena umzimba, okuyinto lingena singene amaseli bese ahlale khona, futhi amasosha omzimba amasosha ethu omzimba ayinayo "uthole" leli gciwane amaseli, ukuba alibhubhise, ku arsenal of amakhono abo kuphela ukubhujiswa amaseli kanye "isitha."

Amagciwane e indlala yegilo uthole ngokuvamile kakhulu. Isitho esisogwini kwegilo ngaphambili entanyeni, kuyinto isihlungi ethize esiwuphefumulayo, ngakho bonke Amagciwane singene kwezicubu yegilo. Yiqiniso, akuwona wonke umuntu thyroiditis ngokushesha ngemva kwalokho iyagula, lokhu kudinga yofuzo, kodwa sicabanga ukuthi bangaki abantu kakade ubuhlungu lesi sifo, ungaqiniseka ukuthi cishe wonke umuntu isihlobo nalesi sifo sokuhlasela kwamasosha omzimba.

Lapho amasosha omzimba ahlasela le umzimba njengendlela target, zilimaza ke, okwathi ngemva kwalokho rumen - kancane kancane embozwe ngendwangu replaceable, njengoba yenza ne-isifo okuthiwa i-Hashimoto sika thyroiditis. Into embi kakhulu ukuthi kungalindeleka - ukuthi umzimba zarubtsuetsya ngokuphelele futhi eyeka hormone ukukhiqiza. Ngenhlanhla, zonke lezi hormone kakade inguqulo zokwenziwa ngesimo ngamaphilisi okudingeka zithathwe ekwelashweni esikhundleni.

izimpawu

Lapho umuntu ozwa igama uphethwe ukuthi umsindo umxhwele, kubonakala sengathi lesi sifo kuyingozi kakhulu. Futhi siqala ukucinga ulwazi "thyroiditis sokuhlasela kwamasosha omzimba". Into embi kakhulu ukuthi yini okufanele uyilindele - izimpawu zezifo, njengoba abanye becabanga, ngokuba bengesibo, Uma unganakile, nenze esishubile. Kodwa kubalulekile ukukhumbula ukuthi iningi labantu, uphethwe ukumangala ephelele, okungukuthi, abaze ukuthi kukhona ogulayo. Ngakho-ke Aita izimpawu Yiqiniso, kuyinto, kanye nohlu ezibanzi yabo, kodwa ukuba aphile ukuphila okwanelisayo nabo ngempela ngempela.

Futhi ilapho-ke inkinga eyinhloko yale zokugula njengoba thyroiditis sokuhlasela kwamasosha omzimba. Into embi kakhulu wukuthi izimpawu kulindeleke lesi sifo kungaba akupheli, kodwa abazange ivele nje umsebenzi we indlala yegilo is zinyamalale ngokuphelele.

Ukuze kwenziwe uhlu lwazo zonke izimpawu akwenzi mqondo, ngoba le ndlala yegilo ikhiqiza Gaumont abayingenelayo ngokuphelele kuzo zonke izinhlelo zomzimba. Lapho uhlaka lilimele, lemali hormone egazini ziphelelwa futhi ahlupheke zonke izitho. Kodwa zibonisa ngokucacile kuphela labo izinhlelo ukuthi bona babedabuka eziyinkinga.

Uma umuntu inohlelo ababuthakathaka sezinzwa, AIT ngeke ambusise asthenia, ukucasuka futhi ukozela, abantu onohlelo ababuthakathaka wokugaya ukudla oyohlushwa ukuqunjelwa kanye nesifo sohudo nokunye.

Ngakho-ke, uma kuziwa uphethwe "thyroiditis sokuhlasela kwamasosha omzimba" lalibhekisela yini okumele uyilindele - ukubonakaliswa emitholampilo babengavunyelwe ukuxilonga ngokushesha ephendukela udokotela kwesokudla. Ezimweni eziningi, abantu ngeke ukuzithethelela zonke izimpawu, echaza sici kwabo Ubumnene noma iziphi izici zangaphandle.

ukuhlola

Lapho umuntu uthola i-aphoyintimenti ne endocrinology, umbuzo ukuxilongwa ibekwa kwegazi okubili laboratory:

1. Okokuqala, ukugcinwa igazi kule ndlala i-hormone igazi (T4) kanye pituitary i-hormone (TSH), okuyinto baxhumana indlala yegilo, nokukhiqizwa kwezincwadi la ma-hormone njalo ezihlobene uma TTG lehliselwa T4 uyanda futhi okuphambene nalokho.
2. Okwesibili, i-kokuhlahlela khona amasosha amaseli indlala yegilo.

Uma ukuhlolwa ukuthola futhi khona amasosha omzimba bese ukhulisa amazinga TSH, uphethwe "thyroiditis sokuhlasela kwamasosha omzimba". Into embi kakhulu ukuthi yini okufanele uyilindele - ukuhlola kwaholela ekutheni izikhulu zibonise uphethwe esichazayo, kanye nokwelashwa Manje abe nokuphila, ngaphandle-ke, isayensi akusho baziqambela izindlela esikhundleni replacement therapy.

ukwelashwa

Lapho indlala yegilo asisho ukukhiqiza okwanele hormone, ukwelashwa nje amnike ke kuthebhulethi. Ukuze wenze lokhu emakethe umkhiqizo wemithi, kukhona izidakamizwa:

• «L-thyroxine";
• "Eutiroks".

I ukwakhiwa akhiqizwa ngemithamo ehlukene: 25, 50, 75, 100, 150 mcg. Udokotela utjho ukwelashwa nge umthamo ephansi futhi kancane kancane umthamo, futhi ekunqumeni ukuthi umuntu uyophuza njalo kukho konke ukuphila. Ngakho-ke, uphethwe "thyroiditis sokuhlasela kwamasosha omzimba" lalibhekisela yini okumele uyilindele - ke kuyimfuneko njalo ekuseni, kungakhathaliseki ukuthi izimo, ukuthatha izidakamizwa esiswini esingenalutho. Kodwa eqinisweni lokhu iziguli ngokushesha ukujwayela.

Isikali ukulungiswa

Yiqiniso, uma umthamo esithile engafakwanga for a lifetime, njengoba isitho (yegilo) uyaqhubeka ukuze ugoqe bedle amasosha omzimba futhi uyoveza kancane le-hormone zemvelo. Ngaphezu kwalokho, iyehla iyenyuka sama-hormone asemzimbeni okungenzeka bahlukunyezwe izinto ezifana isisindo ngisho nokushintsha kwesimo sezulu.

Ngakho-ke, okungenani kanye njalo ezinyangeni eziyisithupha kubalulekile ukuze nginikeze ukuhlaziya, okuyinto inquma inani TSH kanti i-T4, ukuze baqonde ukuthi kubalulekile ukukhulisa umthamo zomuthi noma ukunciphisa. Kunoma ikuphi ushintsho umthamo kumele singeqi 25 mg izinsuku ezingu-14. Lapho akhethiwe kahle ukwelashwa umuntu ngeke uhlangabezana izimpawu ezingemnandi kwezifo ezifana, ezifana thyroiditis Hashimoto sika. Into embi kakhulu ukuthi yini okufanele uyilindele: ukuphathwa kudinga igazi njalo umnikelo, okusho bevakashela imitholampilo kanye nesineke kulayini ngesikhathi ekamelweni ukwelashwa.

zokuvimbela

Uma othile eziseduze abaphethwe isifo AIT, kuba basemathubeni amakhulu okugula kakhulu, ikakhulukazi zokugula ngokuvamile lidlule kusuka kumama kuya indodakazi. Akunakwenzeka aluqede ngokuphelele ingozi lesi sifo kodwa ngangokunokwenzeka ukuze ibenze ukuthuthukiswa okuhlaselayo zokugula ngempela. Ukuze wenze lokhu, udinga ukuthatha iodine amalungiselelo, njengokuthi "Jodomarin", ngokulandela imiyalelo. Endocrinologists siqinisekise ukuthi engayitholi iodine nokuphumula njalo ogwini lolwandle angathuthukisa omzimba ukulwa yegilo amasosha omzimba futhi usethe amasosha omzimba.

Ngaphezu kwalokho, kubalulekile ukugwema zezici kungaba abangobhongoza lesi sifo:

• umsebenzi contraindicated noma lihlale ezindaweni Isizalo kwabahluphekayo, isibonelo, umuntu has a ingozi enkulu yokuba AITom, akudingekile ukuba uthole umsebenzi esiteshini gas;
• kubalulekile ukugwema ukuhlala ucindezelekile, hhayi kuphela ngokomzwelo kodwa futhi ngokomzimba, ezifana nokuguquguquka kwesimo sezulu;
• kubalulekile ukuze uzivikele imikhuhlane ezenza amasosha omzimba nolaka, ikakhulukazi ukuqapha yokuntuleka foci ezingamahlalakhona zokugula nasopharynx.

Le ndlela elula ungagcina ngokwakho kusuka ingozi yokuba iziyaluyalu ezifana thyroiditis Hashimoto sika. Into embi kakhulu ukuthi yini okufanele uyilindele: zokuvimbela kungase kubonakale umuntu kalula, ngoba ihlanganisa nohlu lwezinkanyezi iziqondiso okulula enempilo. Futhi kulokhu, umuntu, ayelidelela izincomo kungenzeka ukubhekana nesifo.

kwesisindo

Ngokwe Iningi leziguli eziza uxilongwe "thyroiditis sokuhlasela kwamasosha omzimba" into embi kakhulu balindele - ukubonakaliswa ngesimo kwesisindo okuyinto nenza okusheshayo, ngoba udokotela kusikisela ukuba baphuze ama-hormone!

Empeleni, umzimba ngesikhathi ukuntula we-hormone yegilo ngempela ukubambezela, futhi umuntu kungase isisindo. Kodwa replacement therapy izidakamizwa kujwayeleke amazinga ama-hormone, ngakho lapho kukhethwe kahle umthamo umzimba abantu nge AITom iyafana noma yimuphi omunye umuntu. Ukuze uzivikele ikhula ngesisindo esifanele, nje ngokwanele 'fuel' umzimba ngokudla njalo, in izingxenye ezincane.

Kukhona ingxenye iqoqo ematfuba isisindo okweqile akuyona ngezithukuthuku mass amafutha, futhi ngenxa ekuqongeleleni lymph. Ngakho-ke, endocrinologists ukweluleka iziguli zabo ukuqapha inani uketshezi uphuza. Kudingeka baphuze 1.2-2 amalitha uketshezi ngosuku, kanti umkhuba aphuza itiye awuveli ukoma futhi isithukuthezi kuzodingeka. Lokhu kwenzeka naphezu kokuba ukuxilongwa "thyroiditis sokuhlasela kwamasosha omzimba" lalibhekisela angalindela ini kusuka kwenkululeko enqabela, ngoba lonke ekuphileni komuntu nge AITom akuhlukile ukuphila umuntu enempilo.

AIT nokukhulelwa

Manje ngokuya kutholakala ukuthi uphethwe yini AIT ukubeka kwabesifazane abasebancane kakhulu, nakuba ngaphambili, ngokusho izibalo, lesi sifo itholiwe eneminyaka engu-eminyakeni 40-45. Kodwa "omncane" ngempela zonke izifo, hhayi kuphela endocrine egunjini lokuhlolwa kwezifo.

Ngokuvamile, amantombazane abasha bacabanga ukuthi uphethwe "thyroiditis sokuhlasela kwamasosha omzimba" lalibhekisela yini okumele uyilindele - kuyinto nenzalo. Kodwa lo mqondo sibi, ngoba ngaleso ihlawulelwa owesifazane AIT-euthyroid evundile ngempela futhi lingaba izingane. Nokho, ngaphambi ukuthi wayezoba ukuba ngivakashele ihhovisi zokuhlela umndeni ukwazisa mayelana sesifo, kwenza udokotela kuboniswane wakhe indlela ulungise umthamo ukwelashwa izidakamizwa esikhundleni kusukela emasontweni okuqala okukhulelwa.

AIT yokuphila kanye neminyaka okulindeleke

Abantu abaningi bacabanga lapho zibeka ngokuphelele yimuphi uphethwe, kuhlanganise "thyroiditis sokuhlasela kwamasosha omzimba" lalibhekisela yini okumele uyilindele - nokuncipha ukuphila. Eqinisweni, i-hormone yegilo emazweni amaningi, kutuswa ukuthatha ngemva okuvela ebudaleni obuthile kuphela, ngisho ngaphandle Aita kutholakala ukuthi uphethwe yini ukwenza ukuphila nokulondoloza kwentsha.