Hashimoto nehosha - chirwere of thyroid shwanu

Hashimoto chirwere Zvinonzi zita chiremba Japanese, kokutanga muna 1912, uyo akarondedzera autoimmune thyroiditis - akawedzera thyroid shwanu. Shoko rokuti "autoimmune" ( "motokari" - pacharo a) zvinoreva kuti utsinye ari zvirwere, izvo kazhinji kunangana masero vatorwa, kunangana ake kuti, uyu kana thyroid masero, izvo vanotanga kuonekwa, nomuviri sezvo dzimwe.

Pakutanga Hashimoto kuti thyroiditis asymptomatic. Apo neapo kunogona akanzwa kusanzwa uye marwadzo asina simba ari mumutsipa. Apo inoda kufunga anogona kuzivisa zvakasimba heterogeneous goiter. Pane mhando mbiri (mhando) pamusoro autoimmune zvirwere zviri thyroid, mumwe wavo - Graves 'chirwere, kana secretion kuti thyroid mahormone akacherechedza zvakawanda, vamwe vakutarisire - kubatana kwetunhu mahormone akaderedzwa (myxedema kana Hashimoto chirwere).

Hashimoto chirwere nokufamba kwenguva yakaratidzwa lethargy, hope, ganda yakaoma uye bvudzi, kupatira. Rinotanga kuwedzera muviri uremu nokuda mvura mvura chengetedzo. Zviratidzo zvinogona kukura kwemakore akawanda. Ndirasikirwe ndangariro, mafungiro, kupfupika mweya, edema. Kufamba kuva anononoka, uye vanhu - zveufende. Akanetseka pabonde basa: vakadzi - kumwedzi, kushaya mbereko muvarume - ungaderedza pabonde nemotokari, kusabetsera. Panewo coarsening chiso chake features, Blurred pakutaura, bradycardia (kunonoka kwemwoyo), kuchinja inzwi, ruvara. Sezvo ari thyroid shwanu mukufamba hosha inoramba ichiwedzera, kutanga kunzwa zviratidzo compression kwemitsipa, pane marwadzo panguva pakuparadza, kupfupika mweya kana akarara pasi.

The chirwere kazhinji chinobata vakadzi pane vanhu (4-7 times). Zvinokonzera chirwere chirwere Hashimoto shoma. Izvi zvingava nhaka chirwere. Kana pedyo nehama vane thyroid chirwere uye vanotambura chirwere cheshuga, mukana Hashimoto nehosha inowedzera yekudyidzana. Sembura zvingakonzera zvinosanganisira nemavhairasi zvirwere, chenjera zvirwere kufema uye kunyange mazino.

chirwere Hashimoto riri azara mberi kwazvo. Generalized edema kunotungamirira kupfupika mweya, kwakaratidzwa pericarditis (rikwanise kuzvimba pericardium), ascites (abdominal norukandwe). Rinokosha kudzikira zvinogona pakoma hypothyroid. Naizvozvo, kana munhu unopinza kuderera kumanikidzwa, chimiro lethargy kana kufenda chinhu chimbi kurapwa.

The mugumisiro kurapika iri chaizvo novimba pavaipfuura chirwere. Ppoetomu nokukurumidza kurapwa iri rakatanga, saka, sezvingatarisirwa, zvichava nani uye nemigumisiro. Kune nzira mbiri kurapwa: zvokurapa uye zvomusejari. Vamwe mahormone vane zvakanaka kuchirapa kushanda. Izvi zvinosanganisira tireoidin kuti zviratidzo autoimmune thyroiditis kunoguma neizvi kukura, kureva kunoderedza thyroid shwanu kuti nomumhu.

chirwere Hashimoto kuti agare kwemwedzi uye makore. Uyewo anogona kwaaisvika yayo kurapwa. Drug mishonga vakagadzwa zvachose nomumwe. Munguva ichangopfuura, ari kurapwa kwezvirwere inowanzoshandiswa cortisone, prednisone kana adrenocorticotropic kemikari. Treatment nyore zvikuru vakawanda mamiriro varwere, zvinoderedza zvinokonzerwa hypothyroidism. Nemazvo vakanga kuchengetwa ari irradiation kuti maekisirei zviri thyroid shwanu.

Asi zvakaoma kuvimba rinonyatsooneka kubudirira kana simbi kare kuuya kusingarapiki kuchinja. Muzviitiko zvakadaro, kuvhiya kupindira - thyroidectomy, unosanganisira zvakakwana nokubviswa thyroid shwanu kana chinyorwa chacho. Pashure pokuvhiyiwa, akagadza yokutsiva kurapa, izvo inodzivirira murwere hypofunction pamusoro shwanu, uyewo chitarisiko anomera munzvimbo dzasara.

Zvakakosha kuti varwere achirapwa vavhiyiwa kanenge 2 pagore nokuda kupinda chiremba, uye pane zvinotaurwa rakarumbidza yawapiwa kwavari.