Hashimoto kuti thyroiditis. Chakaipa kupfuura chinhu. Chii kutarisira? Zviratidzo uye zviratidzo

Autoimmune thyroiditis - mumwe rakajairika zvirwere muRussia, kunyanya mumaruwa mugungwa. Asi haasi munhu wose anoziva kuti ake thyroid shwanu haasi kushanda pana zvizere vachikwanisa: unogona kuonekwa chete nokuisa rinokosha rabhoritari kuongorora. Uye varapi kupa nhungamiro ongororo iyi haisi kazhinji pasina kuona kudiwa. Chokwadi chokuti symptomatic mufananidzo chirwere saka kujeka kuti kunyange chiremba ane ruzivo pakutanga anoratidza kuvapo nevamwe vasiri kwemakemikari anobudiswa zvirwere.

Ait - chii here?

Kana redu rokuzvidzivirira anotanga kurwisa masero muviri pachake, muinonzi autoimmune. Utachiona anopinda muviri, iyo chinopinda mumakamuri uye kuramba ikoko, uye antibodies dzedu zvirwere hauna "kuwana" hutachiwana kubva mumasero, kuti ariparadze, ari zvombo pakati nezvaanogona zvavo chete kuparadzwa masero pamwe "muvengi."

Nemavhairasi ari thyroid shwanu kuwana kakawanda. Nhengo iri nechemberi pamutsipa, ndiwo chaiwo Sefa nokuda mhepo yatinofema, saka vose utachiona kupinda thyroid tishu. Chokwadi, haasi munhu wose pakarepo pashure anorwara thyroiditis, ichi chinoda nemagene kubatwa, asi kufunga kuti vanhu vakawanda kare kurwadzisa chirwere ichi, unogona kuva nechokwadi chokuti anenge munhu wose ane hama ine chirwere ichi autoimmune.

Apo masero zvirwere urwise muviri sokunge, vanoipwanya, achibva rumen - zvishoma nezvishoma yakafukidzwa replaceable jira, sezvo anoita pamwe chirwere rinonzi Hashimoto kuti thyroiditis. The kutombonaka angatarisirwa - kuti muviri zarubtsuetsya zvachose uye arega kubereka mahormone. Sezvineiwo, mahormone izvi zvose vatova munhu chakaita zvokugadzirwa shanduro iri muchimiro mapiritsi zvinofanira kutorwa mu kuzvitsinhanisa kurapwa.

zviratidzo

Kana munhu akanzwa chirwere zita zvinoita chaizvo, zvinoita sokuti chirwere kune ngozi chaizvo. Uye anotanga kutsvaka ruzivo "autoimmune thyroiditis". The kutombonaka ndiko kutarisira - zviratidzo chirwere, sezvo vamwe vanofunga, nekuti ivo, pakutanga aitarire, regai kuita nerongo. Asi zvinokosha kuti tiyeuke kuti vanhu vakawanda, chirwere ari kushamisika chakakwana, kureva, havana kunyange kuziva kuti chinhu vanorwara. Naizvozvo Aita zviratidzo, Chokwadi, kureva, uye mazita avo pahupamhi, asi kuti tirarame upenyu huzere navo rakanyatsojeka zvechokwadi.

Uye mairi nhema huru dambudziko zvokurwara ichi sezvo autoimmune thyroiditis. The kutombonaka ndechokuti kutarisirwa zviratidzo chirwere zvinogona magumo, asi havana kuonekwa sokuvapo kushanda thyroid shwanu haisi chose kunyangarika.

Kunyora zvose zviratidzo hazvina musoro, nokuti thyroid shwanu unobereka Gaumont uyo kuitawo chose zvose muviri hurongwa. Kana nhengo wakaremara, huwandu kemikari muropa havazodi uye kutambura ose nhengo. Asi zvakajeka dzinoratidza izvozvo chete hurongwa avo vakanga pakutanga matambudziko.

Kana munhu ane simba tsinga, Ait achakomborera iye asthenia, kushatirwa uye nehope, vanhu vane simba zvomudumbu gadziriro achatambura kubva kupatira uye manyoka uye zvichingodaro.

Naizvozvo, kana totaura nechirwere "autoimmune thyroiditis" chakaipisisa chii kutarisira - the zvekuchipatara kuratidzwa vaisabvumirwa rokuongorora nokukurumidza, akatendeuka chiremba zvakarurama. Muzviitiko zvakawanda, vanhu vachange natsiridza zviratidzo zvose, vachitsanangura kwavo chinhu nevakwegura, unhu kana zvimwewo zvinoitika.

Diagnostics

Kana munhu anowana waari pamwe endocrinologist, mubvunzo nechirwere anoiswa mukati miedzo miviri murabhoritari ropa:

1. Chekutanga, kwerunyararo ropa muropa kemikari thyroid (T4) uye pituitary kemikari (TSH), iro interacts pamwe thyroid shwanu, uye kugadzirwa mahormone izvi nguva dzose dyidzana kana TTG iri akatura T4 inowedzera ndiEzekieri.
2. Chechipiri, kuongorora kuvapo antibodies kuti masero ari thyroid shwanu.

Kana miedzo kuwana uye kuvapo antibodies uye yakawedzera TSH yomuropa, nechirwere "autoimmune thyroiditis". The kutombonaka ndiko kutarisira - Diagnostics zvakatungamirira zvachose nechirwere, uye kurapwa ikozvino neupenyu, kana, Chokwadi, sainzi hakuiti wekuvamba dzimwe nzira kutsiva yekutsiva mishonga.

mabatiro

Kana thyroid shwanu Haibudisi uwandu kemikari yakakwana, kurapwa ndiko kumupa ndokuita piritsi inongova. Kuita izvi nomusi pamusika ane mishonga chigadzirwa, pane zvinodhaka:

• «L-thyroxine";
• "Eutiroks".

The Formulations anobudiswa mune mishonga yakasiyana: 25, 50, 75, 100, 150 mcg. Chiremba prescribes kurapa pamwe yakadereresa chipimo chemushonga uye kuwedzera zvishoma nezvishoma dose, uye kuona kuti munhu acharamba achimwa hwose. Naizvozvo, nechirwere "autoimmune thyroiditis" chakaipisisa chii kutarisira - iri faniro mangwanani ose, pasinei nemamiriro, kutora mushonga usina chawadya. Asi chokwadi varwere ichi nokukurumidza vajaire.

chipimo chemushonga kuchinja

Chokwadi, kamwe imwe chipimo chemushonga haina akachengetedza hwose, sezvo nhengo (thyroid) anoramba hupere pasi pokudzora antibodies uye ichabereka zvishoma zvakasikwa kemikari. Mukuwedzera, nokufamba mukati mahomoni dzingave dzawirwa zvinhu zvakadai uremu uye kunyange mamiriro ekunze.

Naizvozvo, kanenge kamwe mwedzi mitanhatu ose zvinokosha mumaoko pamusoro pachisara iyo anosarudza uwandu TSH uye T4, kuti tinzwisise kuti zvakakodzera kusimudzira chipimo chemushonga zvinodhaka kana kuderedza. Chero zvazvingava zviri dose kuchinja haafaniri kupfuudza 25 MG kwemazuva 14. Kana aisarudza zvakanaka kurapwa munhu kuona chero mamiriro zviratidzo zvirwere zvakadai, akadai Hashimoto kuti thyroiditis. The kutombonaka ndiko kutarisira: kurapa kunoda nguva mupiro ropa, zvinoreva kushanyira makiriniki uye mwoyo murefu ari tungamidzana panguva kurapwa mukamuri.

dziviriro

Kana munhu pedyo nehama kutambura kubva chirwere Ait, zvingangoita kuti kurwara zvakare, kunyanya zvokurwara kazhinji vakapfuura kubva mai nomwanasikana. Hazvibviri kubvisa zvachose njodzi chirwere, asi zvikuru kwazvo sezvinobvira kusunda kurwisa kukura zvokurwara chaizvo. Kuti aite izvi, unofanira kutora ayodhini kugadzirira, akadai "Jodomarin", maererano nemirayiridzo. Endocrinologists vimbisa kuti ayodhini yaunodya uye kugara zororo pamhenderekedzo yegungwa anogona kunatsiridza muviri dzokuzvidzivirira pamusoro thyroid antibodies uye akamisa kutapata.

Uyezve, zvinokosha kudzivisa zvinogona kuva vaikurudzira chirwere:

• contraindicated basa kana vachigara mukudyidzana nezvimwe zvisikwa vanotambudzika kunzvimbo Somuenzaniso, mumwe munhu ane mukuru pangozi yokuita AITom, haumanikidzwi kuwana basa pane imwe gasi chiteshi;
• zvakakosha kudzivisa kushushikana, kwete chete pfungwa asiwo chaiko, akadai kuchinja kwemamiriro ekunze;
• zvakakosha uzvidzivirire chikosoro kuti kutapata nehasha, kunyanya kuongorora kushaya chisingaperi foci chirwere ari nasopharynx.

nyore nzira yakadaro unogona chizviponesa kubva pangozi yokuita zvirwere zvakadai Hashimoto kuti thyroiditis. The kutombonaka ndiko kutarisira: kudzivirira ingaita zvoufuza munhu, nokuti zvinosanganisira mazita nyore mitemo utano mararamiro. Zvino iyi, munhu, kwete pamusoro kunenge vangangorambana kutarisana chirwere.

kufuta

Maererano ruzhinji varwere vari chirwere "autoimmune thyroiditis" yakaipisisa chinhu kuti kutarisira - kuratidzwa muchimiro kufuta riri kusingadzoreki uye nokukurumidza, nokuti chiremba zvinoratidza kunwa mahormone!

Kutaura zvazviri, muviri panguva kushayiwa kuti thyroid kemikari chaizvoizvo sipidhi, uye munhu anogona uremu. Asi yokutsiva jekiseni zvinodhaka normalize mahomoni, saka kana vakasarudzwa zvakanaka chipimo chemushonga muviri muvanhu pamwe AITom zvakafanana mumwe munhu. Kuti uzvidzivirire kuwana uremu, chete zvakakwana 'mafuta' muviri nokudya kakawanda, ari zvikamu zviduku.

Pane yakatarwa inorwara mukana yokufutisa haisi tichiregeredza mafuta guru, uye nokuda kuunganidza node. Naizvozvo, endocrinologists zano varwere vavo kuongorora uwandu zvinwiwa iwe kunwa. Need kunwa 1.2-2 litres pamusoro Urume zuva rimwe, uye tsika kunwa tii kwete nyota uye kubhoekana uchava kupa. Uye ichi pasinei nechirwere "autoimmune thyroiditis" chakaipisisa chii kutarisira kubva yezvinoreva inorambidza, nekuti vamwe upenyu munhu ane AITom haana kusiyana upenyu hwakanaka munhu.

Akati uye pamuviri

Zvino kuwedzera chirwere Ait akaisa vasikana vaduku chaizvo, kunyange akanga apfuura, maererano nenhamba, chirwere chakanga dzakaonekwa nemakore 40-45 makore. Asi "muduku" zvachose zvose zvirwere, kwete kwemakemikari anobudiswa chete zvokurwara.

Kazhinji, vasikana vaduku vanofunga kuti nechirwere "autoimmune thyroiditis" chakaipisisa chii kutarisira - ndiko kushaya mbereko. Asi pfungwa iyi chinhu chakaipa, nekuti panguva ndanyarara hangu Ait-euthyroid mukadzi zvikuru yakaorera uye anogona kuva nevana. Zvisinei, asati kuti aizofanira kushanyira kuronga hofisi mhuri kuti vazivise pamusoro chirwere, chiremba akabvunza wake sei kuchinja dose zvinodhaka kuzvitsinhanisa kurapwa kubva vhiki pamuviri rokutanga.

Ait uye upenyu anotarisirwa

Vanhu vakawanda vanofunga kuti kana vakaisa zvachose chero chirwere, kusanganisira "autoimmune thyroiditis" chakaipisisa chii kutarisira - zvinoderedza muupenyu. Kutaura zvazviri, thyroid kemikari munyika dzakawanda, Zvinokurudzirwa kutora pashure panowanikwa rimwe zera, kunyange pasina chirwere Aita kurebesa upenyu uye kuchengetedza vechidiki.