How kutarisa thyroid shwanu? Ndeupi chiremba achaongorora kuti thyroid shwanu?

Kudeuka kwemakemikari anobudiswa shwanu mumuviri womunhu ndiye thyroid shwanu. Riri pamberi nemutsipa uye nechitarisiko chakafanana shavishavi. Inoitwa thyroid shwanu vaviri lobes uye rokuPacific unobva pavo.

thyroid basa

Nzwisisa kuti pane nyaya inofanira kuita endocrinologist oga haagoni kuita zvose. Uye kuongorora mamiriro muviri kunokosha. Uyewo, thyroid shwanu riri kushanda thyroid mahormone dzakadai triiodothyronine uye thyroxine. Vari anonziwo T3 uye T4, ukuwo.

Unobereka hormone munyaya mutemo unopa simba mumasero zvose muviri, izvo wapera kwerunyararo upenyu. Rinodzika kugovera kufema, mwoyo tsandanyama, ropa anotengeswa, thermoregulation.

Asi handizvo zvose thyroid chaitika. It unoberekawo calcitonin, hormone. It anoita muviri mumuviri zvinhu zvakadai phosphorus uye calcium yakawanda. Ndiye anokonzera kukura remafupa rinenge uye kunokanganisa karusiyamu muviri, runosvika mukati muchitokisi.

Zviratidzo matambudziko

Kana haudi kuenda vanachiremba uye kashoma kuenda imwe endocrinologist kunoongororwa, ipapo unofanira kuziva kuti chii chikonzero vanofanira chifungidziro dambudziko. Tanga kufunga sei kuona thyroid shwanu, izvo anoedza unofanira kupfuura panguva imwe chete, mune zvinotevera nyaya.

Kana ukaona kuti vava kuwedzera ashatirwa, chemai, kunyanya vangadikitira, iwe akaona tremor mumaoko ake, paroxysmal palpitations, hope zvirwere, kunyange zvazvo chinodiwa kushanyira imwe endocrinologist. Ava zviratidzo hyperthyroidism - kudhaka yakawandisa thyroid mahormone.

A hypothyroidism haagoni kuratidza. Asi kazhinji kukwana thyroid basa akacherechedza ungaderedza waivako, kurukutika, kunzwa rinooneka inotonhora, ganda inova pakaoma uye zvacheneruka. Uyewo, vanhu kuona vasanyanye kudya, uremu asi panguva imwe chete anotanga kuwedzera.

anodiwa tsvakurudzo

Kana ukaona munhu atadze kushanda zvakanaka womuviri wako, unofanira kufunga sei kushanyira chiremba. Kuti Mutange, unogona kuenda kune mumwe chiremba, uyo anogona kukuudza chii chiremba achaongorora kuti thyroid shwanu, uye, kana zvakakodzera, umupe gwara. matambudziko ataurwa Pepa endocrinologist.

Mazvikokota angava kuitisa zvizere kuongorora zviri thyroid shwanu. Kuchitanga zvake rokuongorora uye palpation kwemitsipa akati shwanu. Zviya, ichi chidzidzo munhu anogona kupedza pamba. Zvakakosha chete kunzwisisa sei kuona thyroid shwanu oga. Inogona akanzwa pamusoro pemvura mutsipa, riri pedyo thyroid shwashwa yacho dokeriro. Vanofunga zvinokwanisika, kana ukaisa minwe yako iine nzvimbo nechemberi kurutivi huro uye zvinyoronyoro kwiza. Soft uye jira kwakavharwa nenyama - ndiwo thyroid shwanu. Kazhinji zvinofanira kuva kukura mbambo phalanx pamusoro thumbs.

Mushure kudzidza, kunyange kwakanga kusina abnormalities, chiremba ringavakurudzira kunyatsofunga tarisa thyroid shwanu. Chii miedzo zvinodiwa kuti ichi, achaita zvachose kuudza. Saka, unofanira kuti vape ropa hormone T3 uye T4. Zvinonzi zvakare inokosha chirwere kudzidza kuti huwandu thyroid-anotokonya kemikari pituitary shwanu - TTG. Hazvina chokuita thyroid, asi anogona kuva anoratidza zvimwe nezvinetso thyroid shwanu.

miedzo ropa

Miedzo unotipa kunzwisisa kana pane dambudziko iri muviri kwemakemikari anobudiswa hurongwa. Nokuti ichi zvakakwana kuziva chinhu endocrinologist, sei kuti aedze thyroid ushande. Iyewo, vanofanira kukupa nhungamiro hurukuro TSH, T3 uye T4. Asi, pfungwa, kuona padanho thyroid-anotokonya kemikari iwayo anodzidzisa. It anogadzirwa pakupindura chitsama T3 uye T4. Naizvozvo, kana TSH romuzvarirwo, zvinoratidza kuti huwandu mamwe mahormone haina kunaka.

Asi kakawanda, vanachiremba vanoti kutora mahormone zvose vari kunzwisisa. Zvechokwadi, mune nyaya TSH abnormalities haufaniri kuzodzosera kuziva sei kuona thyroid shwanu, uye kuenda vape ropa zvakare.

kududzira zvabuda

Kana vose mahormone achawira mukati kwomuzvarirwo mwero, zvino hauna chikonzero chokunetseka. Asi kunyange zvishomanana kubva kutsanangurwa kupfuura rimwe zvabuda vanofanira kuona iwe. Muchiitiko chino, haufaniri chete edza sei kuti aone wako thyroid shwanu, asiwo kuzodzosera kushanyira imwe endocrinologist. nyanzvi chete anogona kuita chirwere, dzinoongorora migumisiro mumarabhoritari zvidzidzo.

Somuenzaniso, kana ari T3 kana T4 nhanho vari zvakare pasi, ipapo TSH inowedzerawo. The pituitary shwanu iri nenzira kuedza inotokonya thyroid shwanu, zvichiita kuti kuwedzera kugadzirwa mahormone izvi. Asi overvalued kwevari thyroid mahormone nekusiyana, zvinotungamirira kuderedza TSH tsika. Maererano T3 uye T4 chiremba anogona kare kuudza chii iwe kukanganisa: hyperthyroidism kana hypothyroidism. Uyezve, vakapiwa akayera tsika vakawana muna kwokuomerwa zvinetso zviri thyroid shwanu. zviratidzi aya anopa mukana kuongorora matambudziko ushandiswe kurapwa pamunhu. Somuenzaniso, kana iwe akakwanisa kudzikamisa hyperthyroidism, ipapo mumazuva wokutanga TSH angava pasi, asi zvinokosheswa T3 uye T4 kuderera uye kuwira mukati vasingambooni chakaipa nazvo.

zvimwe zvirwere

Sezvambotaurwa pamusoro, pane zvimwe mitemo ukama mahormone pamuviri. Kana kare afunga apo unogona kuongorora thyroid wako, takapfuura miedzo yose inodiwa uye kuwana migumisiro, unogona kuedza angadzidudzira.

About munhu kwakaderedza kushanda thyroid shwanu ndiko kutaura wemishonga yakaderera kana kuipa kwevari T3 uye T4 mahormone pamwe zvakawedzera TSH. muenzaniso Izvi zvinogona kurondwa mune chikuru hypothyroidism.

Uyewo, kuderera mune thyroid akati kwakaderedza pamwero T3 kana T4 pachiimbwa vasanyanye TSH. Izvi zvinoitika kana hypothyroidism dzisiri.

Asi kana uwandu T3 uye T4 dzakakwirira kupfuura dzose, apo kukosha TSH ipfupi, zvino tiri kutaura pamusoro hyperthyroidism uye kuwedzera thyroid ushande.

Kugadzirira hurukuro Analyses

Kana endocrinologist aizokupa zvivabatsire kuongororwa, iye aifanira kuudza kwete chete kuti aone pane thyroid shwanu, asiwo sei kugadzirira kuzviongorora. Zvakafanira kuti ndiite venous ropa. Zvinonzi kubatwa mangwanani usina chawadya. Panguva iyoyo pashure okupedzisira kudya anofanira kutora maawa anopfuura 8. Asi zviri nani, kana yokuzorora ichava maawa 12.

Kana ari rokuongorora uye palpation chiremba akaona zvimwe zvinetso, ipapo panguva imwe chete chete nokutumwa miedzo vanogona kuita Ultrasound kuzviongorora thyroid shwanu. An Integrated kusvika ichakwanisa kuona chero matambudziko.

Zvinokoshawo kuziva kuti kudya kuti thyroxine zvinodhaka hazvina musoro kuongorora T3 uye T4. Asi TSH pamwero achava pachena. Sezvo zvichibvira kuziva sei kurapwa murwere.

Ultrassom ongororo

Kana wakagamuchira Zvinogumbura migumisiro Analyses, uyewo zvichaita vanofanira kuenda nokuda Ultrasound. Narwo adzidza shwanu yakarongeka, rinotaura zvemamiriro inotungamirwa, vanofungidzirwa saizi yayo. Zvakakosha kuita kuongororwa iyi emuchina, kuona sei akati muviri ikasakendenga waakaudzwa kurapwa.

Kuongorora mufananidzo pamusoro tarisisa, chiremba, pakuongorora thyroid shwanu, anogona kuona kunyange zviduku kuchinja munyama muviri nyaya yacho. Kana vakanga dzakaonekwa zvachinja marongerwo kana mufanidziro nodules, akataura pamusoro simba chinodikanwa. Izvi zvichabatsira kudzivirira zvinetso zvakakomba zvikuru. Mushure nodes zvose riri thyroid shwanu, pamwe mubatanidzwa yaivhuvhuta zvingakonzera kuva akaipa - kukwegura kuva akaipa bundu. Ultrasound zvinokosha kuenda nokukurumidza unonzwa kurwadziwa kana kuona kuwedzera kenza.

hypothyroidism

Kazhinji endocrinologists kwavo tsika anotarisana nenguva thyroid kukanganisika. The chirwere zvingava Pakutanga kuva asymptomatic, asi pamwe nguva mumwe anoona pfungwa muutera, kuramba lethargy uye nehope, kuzvimba. Asi zvinosuwisa kwete nguva dzose zviratidzo kumugombedzera vanhu vafunge, sei kuti kutarisa thyroid shwanu. Ivo mhosva varombo mamiriro eutano okunze, nzvimbo madutu uye zvimwewo.

Asi kana nguva kukumbira rubatsiro, zvino matambudziko ose aya ari mumuviri inogona nokukurumidza zvachose. Pakusarudza yakarurama chipimo chemushonga pakati thyroxine kemikari achibvumira nokukurumidza muripo chirwere chacho. Mumazuva ari TSH pamwero mangwanani zvinokosha kuongorora uri pamwedzi hwaro. Kana kushaya thyroid mahormone zvinobvira kuripa, pamwe nguva yakakwana unzi TTG kamwe pagore.

Hypothyroidism muvana

Kana vakuru simba pamusoro thyroid basa iri mamiriro akashata utano, vacheche, mahormone aya anokonzera mumuviri uye mupfungwa kukura. Naizvozvo, kana imi kuona kuchinja mwana maitiro, zvinokurudzirwa kuti uzive kuti kutarisa thyroid mahormone vana, uye kuomerera kune akadaro kuongorora zvakakodzera. Asi kutanga Chokwadi, unofanira kushanyira imwe endocrinologist. Anogona kutokurudzira kuti cardiogram. Akapiwa chokwadi kuti kukundikana thyroid shwanu kunotungamirira kusingarapiki kuchinja kwepfungwa uye kwomuviri dzinodya mafufu, ipapo akuteerere ezvinhu ake chinodikanwa. Zvinokoshawo kuona vachiberekwa hypothyroidism.

thyrotoxicosis

Zvakawandisa thyroid kemikari hakuna muduku ngozi pane kushaya kwavo. Pavakaona chichiwedzera kushatirwa, wakawedzera kwemwoyo, wakawedzera vangadikitira, zvakanakisisa kuenda imwe endocrinologist kuti zano uye tarisa padanho thyroid mahormone. Kana ari vanomutswa, zvakakosha kuwana munhu akwanise nyanzvi anoziva kurapwa zvaiitwa, iyo unogona aripire hyperthyroidism.

Mamiriro rakaoma nokuti pharmacology ano haasati akakurukura mushonga, izvo zvinogona kubvisa thyrotoxic dambudziko - mamiriro umo chinokosha rakawanda mahormone muropa inowedzerawo. Treatment kana ichi zvainanga detoxification. Zvechokwadi, muna tanga vachine mukana kudzikamisa chirwere ichi, asi mamiriro ezvinhu zvikuru kuoma kana chava kumhanya.

Nzira yokurapa yebongozozo thyroid kemikari

Kana uine dambudziko, zvino pasina nenguva uye akarurama kunokwanisa kuita basa kwemakemikari anobudiswa hurongwa. Ndokusaka zvichikosha kuti kuziva sei kuona thyroid shwanu, uye izvo chiremba kuenda kana uine matambudziko.

Nzira nhatu anogona kushandiswa nokurapa hyperthyroidism:

• thyreostatics mabiko Somuenzaniso, mushonga "Merkazolil" kana analogues dzayo;
• kuvhiya nokubviswa thyroid shwanu;
• radioiodine kuparadzwa tishu.

Drug "Merkazolil" rubatsiro chete kana hosha yakanga dzakaonekwa mukutanga nezvishoma. Handiti iye anokwanisa kuvhara kugadzirwa mahormone itsva, asi haagoni deactivate munhu kare dzinounzwa. Akati isakarurama kunokanganisa chiropa uye kunogona kutungamirira cirrhosis. Saka, senzira "Merkazolil" chete inoshandiswa nekure chirwere. Pashure paizvozvo, kazhinji, achiri kunomutsa mubvunzo kudiwa kubviswa thyroid shwanu. chete kuvhiya Kupindira kwaiitwa pamusoro munharaunda nyika dzaimbova dzeSoviet.

The nodes of thyroid shwanu

Mumwe zvinetso zvakakomba yakatarisana varwere endocrinologist zvechigarire ndiko kuziva chiito zvidobi pamwe nechitarisiko upi masangano munyama pamusoro thyroid shwanu. Kuti aonekwa mu kwakajairika Ultrasound.

Kazhinji, hofisi yachiremba, varwere vanoziva kuti ivo benign nodes. Asi kuti azive kana vachange unoberekwazve mune nyanyisa hazviiti. Ndicho chikonzero vanachiremba vanoti kuti, dzimwe nguva kuti dzibviswe. Chokwadi, hazvina musoro kuenda pasi chiremba wacho banga nedzidzo shoma, mune zviitiko zvakadaro zviri nani kushanyira hofisi US uye yeuka kuti kutarisa thyroid shwanu. Asi kana raiva pedyo nebundu vanopfuura 3 masendimita ari dhayamita, izvozvo zvinomutsa mubvunzo kuti kudiwa kuvhiyiwa. Kuwedzera ukuru, chiremba vanofanira nezvemabatiro arambe achirema uye nguva yokuvapo. Asi chero zvakadaro, hapana anogona kumanikidza murwere kubvisa benign namamota, dambudziko iri ragadziriswa chiremba murwere.