Cov kev tshawb fawb pom tias hypothyroidism tshwm sim thaum koj cov thyroid tsis tsim cov tshuaj hormones txaus, uas ua rau muaj kev sib npaug ntawm cov tshuaj lom hauv koj lub cev. Cov thyroid yog cov qog endocrine tseem ceeb uas tswj lub cev cov metabolism hauv thiab nyob rau sab xub ntiag ntawm lub caj dab hauv qab koj Adas lub kua. Cov kws tshaj lij pom zoo tias tus mob no, uas muaj feem ntau rau cov poj niam tshaj 40 xyoo, nyuaj rau kev kuaj mob yam tsis muaj kev kuaj mob, tab sis feem ntau nws tuaj yeem tshawb pom sai dua los ntawm kev kuaj ntshav lossis txhaj tshuaj hormone sib xyaw. Txawm hais tias hypothyroidism muaj ntau dua rau cov poj niam laus, nws tseem tuaj yeem cuam tshuam rau poj niam cev xeeb tub, poj niam tom qab yug menyuam, cov uas tab tom cev xeeb tub, cov menyuam mos yug tshiab, cov neeg muaj kab mob autoimmune, cov neeg tau txais iodine radioactive lossis kho, thiab cov neeg uas tau muaj hluav taws xob hauv caj dab lossis hauv siab.
Cov kauj ruam
Ntu 1 ntawm 3: Txheeb Xyuas Leej Twg Yuav Tsum Tau Xeem
Kauj Ruam 1. Mus kuaj yog koj pom cov tsos mob
Cov tsos mob tshwm sim maj mam ntau xyoo. Ntau cov tsos mob tuaj yeem cuam tshuam nrog ntau lwm yam xwm txheej, tab sis kev sib xyaw ua ke ntawm kev qaug zog, ua rau lub cev txias dua, cem quav, tawv nqaij qhuav, hnyav ntxiv, cov leeg nruj lossis tsis muaj zog, ua kom plaub hau poob, kev nyuaj siab, thiab/lossis tsis nco qab yuav Feem ntau yuav ua rau koj mus rau hypothyroidism.
- Yog tias tsis kho, hypothyroidism tuaj yeem dhau los ua teeb meem loj. Lub cev, nws tuaj yeem ua rau mob plab thiab lub hlwb ua rau muaj kev nyuaj siab.
- Myxedema, lossis hypothyroidism qib siab, tsis tshua muaj tab sis tuaj yeem ua rau muaj kev phom sij rau lub neej. Ntshav siab tsawg, ua tsis taus pa, ua kom lub cev sov qis, tsis teb zoo, thiab tsis nco qab yog cov cim qhia thiab cov tsos mob ntawm qib siab uas tuaj yeem ua rau tuag taus.
Kauj Ruam 2. Kuaj cov menyuam mos yug tshiab
Vim tias muaj kev pheej hmoo ntawm kev xiam oos qhab hauv cov menyuam mos, kuaj koj tus menyuam mos tshiab thaum tseem nyob hauv tsev kho mob. Kev kuaj mob ntxov, nyob rau thawj thawj lub hlis ntawm lub neej, yuav ua rau koj tus menyuam yooj yim thim rov qab los ntawm kev mob hypothyroidism. Kev kuaj ntshav yooj yim tuaj yeem kuaj pom tus mob thiab tom qab ntawd, thaum siv cov tshuaj kom raug, koj tus kws kho mob yuav tshuaj xyuas cov qib cov thyroid hormone nrog kev kuaj ntshav tas li.
- Cov menyuam mos tshiab uas raug kev txom nyem los ntawm hypothyroidism yuav ua rau daj ntseg, nquag hnoos, loj, tus nplaig nthuav tawm, thiab lub ntsej muag puffy.
- Yog tias tus mob hnyav zuj zus tuaj, koj tus menyuam yuav muaj teeb meem noj zaub mov, cem quav, tsis muaj suab nrov, lossis tsaug zog ntau dhau.
- Yog tias tsis kho, hypothyroidism tuaj yeem ua rau lub cev thiab kev puas siab puas ntsws loj zuj zus.
Kauj Ruam 3. Tshuaj xyuas poj niam cev xeeb tub
Yog tias koj cev xeeb tub lossis xav txog kev xeeb tub ces koj yuav tsum kuaj koj cov thyroid. Cov kab mob hauv cov thyroid yog ib txwm muaj rau cov poj niam uas muaj menyuam hnub nyoog. Yog li, qhov xwm txheej no tuaj yeem cuam tshuam rau leej niam thiab menyuam thaum lub sijhawm cev xeeb tub.
- Txhua tus poj niam cev xeeb tub nrog cov thyroid loj (goiter), tsev neeg keeb kwm ntawm hypothyroidism, lossis ntshav siab ntawm cov thyroid cov tshuaj tiv thaiv kab mob yuav tsum tau kuaj.
- Nug koj tus kws kho mob rau kev noj tshuaj selenium ntxiv yog tias koj muaj cov tshuaj tiv thaiv kab mob siab ntau thaum lub sijhawm npaj ua ntej.
- Cov poj niam noj cov tshuaj thyroid hloov ua ntej cev xeeb tub yuav tsum tau saib xyuas lawv qib, tshwj xeeb tshaj yog thaum thawj peb lub hlis twg. Cov koob tshuaj tuaj yeem nce ntxiv thaum cev xeeb tub nce ntxiv.
- Tom qab yug me nyuam (tom qab yug me nyuam hypothyroidism), cov poj niam tuaj yeem ntsib kev nyuaj siab, nco thiab teeb meem kev xav, lossis mob qog noj ntshav.
Kauj Ruam 4. Saib xyuas cov cim hauv menyuam yaus thiab hluas
Cov menyuam yaus thiab cov hluas yuav pom cov cim thiab tsos mob zoo ib yam li cov neeg laus, tab sis txij li thaum lawv tseem tab tom loj hlob thiab muaj cov qog ua haujlwm hauv lub cev, lawv kuj tseem yuav raug kev loj hlob tsis zoo uas ua rau muaj qhov ua haujlwm luv, ncua kev txhim kho ntawm lawv cov hniav, qeeb kev loj hlob ntawm kev xav, lossis ntev dua lub sijhawm los nkag rau puberty.
Cov menyuam yaus uas muaj tus mob hypothyroidism yuav tsum tau mus ntsib kws kho mob tsis tu ncua vim tias, thaum lawv loj tuaj, cov tshuaj yuav hloov pauv. Qhov tshwm sim hnyav yuav tshwm sim yog tias qhov ntau npaum li cas tsis raug
Kauj Ruam 5. Tshuaj xyuas cov neeg mob uas muaj xwm txheej lossis raug cuam tshuam nrog kev pheej hmoo siab ntawm kev tsim cov mob hypothyroidism
Cov tib neeg uas muaj tus mob xws li Down syndrome lossis Turner syndrome lossis cov uas siv qee yam tshuaj (amiodarone, lithium, thalidomide, interferon, sunitinib, thiab rifampicin) lossis kho mob (kho hluav taws xob rau caj dab, kho cov kab mob hauv lub cev, suav nrog cov thyroid), yuav tsum tau tshuaj xyuas txhua xyoo rau hypothyroidism.
Kev tshuaj xyuas cov neeg uas tsis muaj kev pheej hmoo thiab tsis muaj tsos mob muab kev pab me me thiab tsis txhawb nqa. Cov poj niam uas muaj hnub nyoog tshaj 50 xyoo thiab muaj ib lossis ntau tus tsos mob, txawm li cas los xij, yuav tsum tau tshuaj xyuas
Ntu 2 ntawm 3: Kev Xeem
Kauj Ruam 1. Txheeb koj tus kheej hauv tsev
Yog tias koj tab tom nthuav tawm cov tsos mob cuam tshuam nrog hypothyroidism, koj yuav xav ua qee qhov ntsuas ntsuas ua ntej txhawm rau txiav txim siab yog tias koj muaj tus mob. Ib txoj hauv kev tsis txhob txiav txim siab yog tias koj muaj hypothyroidism yog txhawm rau txheeb xyuas koj lub cev kub hauv qab (BBT yog koj lub cev kub qis tshaj hauv 24 teev sijhawm) hauv tsev.
- Txhawm rau kom tau txais kev nyeem ntawv raug, koj yuav tsum ntsuas koj qhov kub thaum koj sawv ntxov thaum sawv ntxov, ua ntej koj txawm zaum saum txaj. Khaws nws hauv koj txhais tes rau kaum feeb.
- Ua qhov no rau plaub hnub sib law liag thiab sau nws. Koj qhov kub thiab txias yuav tsum nyob nruab nrab ntawm 97.8 txog 98.2 ° F (36.6 thiab 36.8 ° C). Yog tias koj qhov kub qis dua 97.8 ° F *(36.6 ° C), koj cov thyroid tuaj yeem ua haujlwm tsis zoo. Nrog koj tus kws kho mob tham txog cov tshuaj thyroid.
- Nco ntsoov, hypothyroidism tsis tuaj yeem lees paub tias yog ib qho xwm txheej nrog kuaj hauv tsev ib leeg. Tsuas yog kev kuaj ntshav ua los ntawm koj tus kws kho mob tuaj yeem lees paub txhua yam kev kuaj mob. Txawm hais tias kev tshuaj xyuas hauv tsev tsis qhia txog hypothyroidism, koj yuav tsum ceev faj vim tias nws nyuaj heev kom paub thiab feem ntau siv sijhawm ntau xyoo los txhim kho.
Kauj Ruam 2. Txheeb xyuas koj tsev neeg thiab keeb kwm kev kho mob
Txij li ntau cov tsos mob ntawm hypothyroidism yog cov kev tsis txaus siab pom nyob hauv cov neeg uas tsis muaj teeb meem nrog lawv cov thyroid, kev mob hnyav, nthuav dav-qhia keeb kwm kev kho mob yog los ntawm koj tus kws kho mob. Nco ntsoov tias koj nco qab ntev npaum li cas koj cov tsos mob tau cuam tshuam koj.
- Cov kws kho mob yuav ua tib zoo saib xyuas seb koj niam lossis ib tus txheeb ze ze puas tau kuaj pom tias muaj tus mob hypothyroidism. Sim nrhiav cov ntaub ntawv no ua ntej mus ntsib koj tus kws kho mob.
- Cov neeg muaj mob qog noj ntshav, tshwj xeeb tshaj yog cov uas tau txais hluav taws xob nyob ib ncig ntawm lub caj dab, lossis phais caj dab, yuav raug tshuaj xyuas zoo.
- Lwm qhov chij liab tseem ceeb yog tshuaj uas tuaj yeem ua rau mob hypothyroidism, xws li amiodarone, lithium, interferon alpha, lossis interleukin-2.
Kauj Ruam 3. Mus kuaj lub cev
Yuav kuaj lub cev tom qab tshuaj xyuas koj tsev neeg thiab keeb kwm kev noj qab haus huv txhawm rau tshuaj xyuas cov tsos mob. Koj tus kws kho mob yuav tshuaj xyuas qhov pov thawj ntawm daim tawv nqaij qhuav, o o nyob ib ncig ntawm lub qhov muag thiab ob txhais ceg, ua kom qeeb qeeb, thiab lub plawv dhia qeeb.
Kauj Ruam 4. Kuaj cov ntshav
Yog tias cov txiaj ntsig los ntawm koj keeb kwm thiab kev kuaj mob lub cev ua rau koj tus kws kho mob xav tias koj muaj hypothyroidism lossis subclinical hypothyroidism, koj yuav tau kuaj ntshav kom paub tseeb tias kuaj mob. Muaj ob qhov kev kuaj ntshav tseem ceeb txhawm rau txheeb xyuas kev kuaj mob ntawm hypothyroidism: Thyroid-stimulating hormone (TSH) kuaj thiab Thyroxine (T4) ntsuas.
- Yog tias qhov kev ntsuam xyuas rov qab tsis zoo, kev tiv thaiv cov tshuaj tiv thaiv cov thyroid tuaj yeem txiav txim siab seb koj puas muaj tus kab mob autoimmune Hashimoto's thyroiditis, uas lub cev tiv thaiv kab mob tawm tsam cov qog qog.
- Ultrasound tsuas yog siv rau qee qhov xwm txheej txhawm rau ntsuas cov thyroid cov qog uas pom txawv txav. Hloov chaw, xam tomography (CT) scan lossis sib nqus resonance imaging (MRI) ntawm hypothalamus lossis pituitary caj pas tuaj yeem ua tiav txhawm rau nrhiav kev hloov pauv hauv cov cheeb tsam no ntawm lub hlwb.
Ntu 3 ntawm 3: Xeem Zoo
Kauj Ruam 1. Siv tshuaj
Kev kho tus txheej txheem rau hypothyroidism yog tshuaj noj qhov ncauj uas rov kho koj cov tshuaj hormones rau lawv qib kom raug. Koj yuav tsum tau noj cov thyroid hormone levothyroxine txhua hnub kom thim rov qab cov cim thiab cov tsos mob ntawm hypothyroidism. Tom qab pib kho, koj yuav tau mus ntsib kws kho mob tas li kom ntseeg tau tias koj tau txais cov tshuaj kom raug.
- Feem ntau, koj cov tsos mob yuav pib txo qis thiab koj yuav tau txais qee lub zog rov qab los li ob rau rau lub lim tiam tom qab pib kho.
- Lwm qhov txiaj ntsig rau kev kho tshuaj no yog txo qis cov roj cholesterol, uas tuaj yeem txo qhov hnyav nce thaum cev xeeb tub.
- Cov menyuam mos thiab menyuam yaus nrog hypothyroidism yuav tsum tau kho ib txwm.
Kauj Ruam 2. Txuas ntxiv kev kho mob
Kev noj levothyroxine feem ntau yog rau lub neej, tab sis qhov ntau npaum li cas tuaj yeem dhau los tsawg dua sijhawm. Rau cov neeg laus dua, qhov rov qab tshwm sim. Nws yog ib qho uas hypothyroidism zuj zus nrog lub hnub nyoog xav tau ntau dua vim tias cov thyroid ua haujlwm qeeb.
- Noj tshuaj txhua hnub rau tas koj lub neej tsis yooj yim ua haujlwm thiab raws li cov tsos mob ntawm lub cev ploj mus, koj yuav raug ntxias kom tsis txhob noj koj cov tshuaj. Hauv qhov no, cov tsos mob yuav rov tshwm sim dua thiab koj yuav tsum rov pib dua.
- Cov thyroid feem ntau rov zoo li qub yog tias qhov ua rau koj tus mob hypothyroidism yog los ntawm kev mob hnyav lossis kis mob.
- Tej zaum koj yuav tsum noj tshuaj luv luv kom pom tias koj cov thyroid ua haujlwm li qub. Yog tias cov thyroid tuaj yeem tsim cov tshuaj hormones txaus los ntawm nws tus kheej, kev kho mob tuaj yeem xaus.
- Txuas ntxiv mus tshuaj xyuas txhua xyoo thaum noj tshuaj.
Kauj Ruam 3. Xav txog yav tom ntej
Ceev faj txog cov zaub mov twg koj noj thiab seb yuav noj ntxiv lossis tsis nrog koj cov tshuaj. Nws yog ib qho tseem ceeb uas koj tseem noj koj cov tshuaj thyroid kom raug. Yog tias koj tsis meej pem vim li cas koj thiaj noj nws lossis qhov tshwm sim muaj tshwm sim, hu rau koj tus kws kho mob.
- Zam kev noj cov tshuaj hlau thiab calcium nrog koj cov tshuaj vim tias lawv txo qis cov thyroid hormone nqus los ntawm lub cev. Cov tshuaj Calcium, txawm li cas los xij, tuaj yeem noj ua ntej lossis tom qab plaub teev ntawm kev noj tshuaj.
- Cov zaub mov xws li txiv ntseej, hmoov nplej, thiab cov pluas noj hauv tsev yuav tsum raug zam vim tias lawv tuaj yeem cuam tshuam nrog koj cov tshuaj thiab yog li ntawd, txo nws cov txiaj ntsig tag nrho.
- Yog tias koj noj tshuaj tiv thaiv menyuam lossis lwm yam tshuaj hormone, tham nrog koj tus kws kho mob txog kev kho qhov tshuaj ntawm koj cov tshuaj.
- Ntau lub khw muag khoom noj qab haus huv nqa cov khoom "ntuj" muaj cov thyroid cov tshuaj ntxiv. Cov khoom no tsis raug cai los ntawm Food and Drug Administration. Yog li ntawd, yuav tsum ceev faj txog qhov ua tau zoo thiab ua tau zoo ntawm cov khoom no. Qee qhov muaj cov khoom xyaw nquag uas ua haujlwm, tab sis tseem tuaj yeem ua rau tib neeg muaj kev phom sij. Tham nrog koj tus kws kho mob yog tias koj txaus siab rau cov tshuaj no.
