Secondary hypothyroidism: Zoyambitsa, Zizindikiro ndi Chithandizo

Ndi kumva kutopa kwambiri, kunenepa kwambiri, kuthothoka tsitsi ndi misomali Chimaona - izi ndi zizindikiro bwino kwa anthu ambiri. Nthawi zambiri nkhawa akazi, koma nthawi zina anaona amuna. Nthawi zina, zizindikiro chabe musati mupereke chidwi. Kutopa zimagwiritsa ntchito mpaka kalekale, ndipo kunenepa - kuperewera kwa zakudya m'thupi. Komabe, zizindikiro zambiri amasonyeza chitukuko cha kudwala ichi monga hypothyroidism sekondale. Akuluakulu, matenda ofanana angayambe mawonekedwe chobisika. Zizindikiro za matenda akhoza kusokonezedwa ndi zizindikiro za matenda ena. Ndipotu, hypothyroidism umakhudza onse machitidwe thupi. Chithandizo cha matenda m'thupi yemwenso.

Hypothyroidism: ikulongosola za kudwala kwa

Hypothyroidism amakhala ndi kusintha madzi a m'thupi kugwirizana ndi mkhutu chithokomiro ntchito kapena ubongo (pituitary). Matendawa ali ndi makhalidwe mawonetseredwe zosiyanasiyana matenda, amene amafotokoza pafupifupi onse ziwalo ndi kachitidwe. Ngakhale kusintha kwa timadzi ta m'thupi chithokomiro England mu hypothyroidism sekondale imatengedwa wathanzi. chakuti kudwala uyu ali ndi chiyambi chapakati. Akufotokozera pamene kuyan'anila ndi pituitary England - ndi endocrine limba ili ubongo. Izi, mu zingathandize kuti zotupa yachiwiri ya chithokomiro England.

hypothyroidism Secondary kawirikawiri matenda odwala wamng'ono. Iye ambiri mwa akazi. Ngozi makamaka matenda akupereka ana. Laboratory zizindikiro za matenda - ndi kuwonjezera mlingo wa TSH ndi kuchepetsa compensatory kuchuluka kwa thyroxine (T4) ndi triiodothyronine (T3). Chifukwa kusintha mu pituitary England angakhale nayo kukanika nyumba zina endocrine. Makamaka, adrenal England, gonads, ndi zina zotero D..

hypothyroidism Secondary: zimayambitsa matenda

Zimayambitsa wa kudwala kugwirizana ndi kusintha kandalama minofu ubongo. Chapakati Genesis ali hyperthyroidism pulayimale ndi sekondale. Kotero kusiyana pakati pa iwo? Monga amadziwika, ndi hypothalamic-pituitary dongosolo akulamulira zotumphukira endocrine zopangitsa onse pano mu thupi. Ndi ili mu ubongo. Waukulu maphunziro endocrine ndi ubongo imene imalamulira kutentha. limba ili pakati pa hemispheres lamanja ndi lamanzere ubongo. Ngati inu akuphwanya katulutsidwe mahomoni mu dipatimenti ya hypothyroidism yaikulu kwambiri. The ubongo imene imalamulira kutentha umabala biologically yogwira amene ndiye kudyetsedwa kwa pituitary lapansi. Pali aumbike chithokomiro zolimbikitsa timadzi (TSH). The pituitary England ali ndi maganizo kwa ziwalo endocrine, monga chithokomiro. Choncho, ndi kuwonjezeka katulutsidwe wa TSH yopanga thyroxine ndi triiodothyronine yafupika.

The zifukwa kuchititsa hypothyroidism sekondale monga:

1. matenda yotupa wa pituitary lapansi. Kugonjetsedwa kwa thupi likhoza kulumikizidwa ndi encephalitis bakiteriya ndi tizilombo.
2. Kobadwa nako hypoplasia kapena pakalibe pituitary England.
3. Khansa kapena chosaopsa zotupa.
4. Ischemic ubongo.
5. Kutayika kwa magazi mu dera pituitary.
6. Ndinakumana ndi cheza pa walitsa wa zotupa ubongo.
7. Atrophic matenda.

Chifukwa chitukuko cha kuwonongeka pituitary amapezeka hypothyroidism sekondale. Sizikusokonezani chikhalidwe ichi ndi matenda a chithokomiro. Ndi kugonjetsedwa kwa thupi pali ukachenjede hypothyroidism. Kaya etiology ndi mankhwala a m'thupi matenda gwero la matenda ndi m'thupi yemwenso.

Development wa postpartum hypothyroidism

Woyembekezera, thupi kwambiri kusintha osiyana, mokulirapo zikugwirizanirana ndi endocrine dera. Ichi ndi chifukwa chakuti ena mahomoni tochoka ndi nsengwa ndi. Chifukwa ndi owonjezera zinthu zina kwachilengedwenso mu thupi la katulutsidwe wa amachepetsa pituitary England. Tikawonetsetsa kuchepa kupanga timadzi akutumikira monga mbendera kuonjezera kupangidwa mu ubongo. Chifukwa cha kusintha, akazi ena kukhala hypothyroidism sekondale wangobereka kumene. Chiopsezo pakuwonekera kwake ndi apamwamba pakati pa odwala amene magazi lili akupha maselo a chithokomiro.

Autoimmune kutupa kwa endocrine limba amachititsa kutsegula kwa pituitary England. Chithokomiro-zolimbikitsa timadzi akuyamba kupangidwa mofulumira ndi lalikulu zedi. Chotero boma atabadwa imatengedwa osakhalitsa, kuti n'kosakhalitsa. Hypothyroidism amapezeka akazi pambuyo pa miyezi 4-5 atabadwa mwana. Nthawi zambiri, alibe aakulu matenda chithunzi. Ndichepe mu chithokomiro timadzi yoyamba njira n'zosiyana - thyrotoxicosis. Iwo anati mu miyezi ya nthawi postnatal. M'chaka cha mahomoni kubwerera mwakale. Ngati izo sizitero, ndiye, matenda kwachitika kale komanso mimba, koma sanaulule kale.

Kuthi Hypothyroidism: Zizindikiro ndi mankhwala akazi

Hypothyroidism chiyambi chapakati ndi pafupipafupi mu akazi. Zizindikiro zimadalira kusalekerera kulephera m'thupi. Kodi hypothyroidism? Zizindikiro ndi mankhwala a akazi, monga momwe zilili ndi pathologies zina zogwirizana. Zizindikiro zazikulu zikusonyeza kukhalapo kwa matenda:

1. matenda kusamba.
2. Kugona.
3. Ndi kumva kutopa.
4. misomali Chimaona ndi tsitsi.
5. Kuwonjezeka thupi.
6. Edematous syndrome.
7. Chizolowezi kudzimbidwa.

Nthawi zina, pali ena mawonetseredwe kotsimikizika matenda, pamene ena - zochepa kutchulidwa. Nthawi zina hypothyroidism ndi asymptomatic. Nthawi zambiri, chifukwa cha mankhwala kuchipatala amakhala onenepa, alopecia (tsitsi imfa) ndipo anawapatsa edema syndrome.

hypothyroidism, chithandizo amasankha ndi kuika mankhwala m'thupi. Pa nthawi yomweyo kupeza chifukwa cha matenda. Nthawi zina, m'malo mankhwala si njira yaikulu chithandizo.

Zizindikiro za hypothyroidism ana

hypothyroidism Secondary ana - ichi ndi matenda oopsa zimene zingachititse kuti retardation maganizo, ndi kuchedwa kukula. chakuti mahomoni chithokomiro ali wamng'ono n'kofunika kwambiri. Zikukhudzira njira kukula ndi mapangidwe nzeru. Matendawa akhoza kuyamba chifukwa cha kuvutika pituitary, ndi osakwanira madyedwe a mwana ayodini (kwa hypothyroidism ukachenjede). Kaya gwero amasintha substitutive m'thupi mankhwala ayenera anayamba mwamsanga pamene kuwonjezeka wapezeka mu ndende ya TSH.

Matenda a hypothyroidism yachiwiri

Monga vyvit hypothyroidism sekondale? Kudwala Matendawa amayamba ndi mndandanda wa madandaulo ndi mosamala mtima. Odwala zambiri akunena kutopa nthawi zonse ndipo kusinza, kunenepa. Taonani tsembwe ndi zosayembekezereka wa edema. Nthawi zina hypothyroidism wapezeka mwangozi, mwachitsanzo pamene kusamba kuchedwa zifukwa mimba.

Kuzionetsetsa anavumbula kuchepa kugunda kwa mtima ndi hypotension. Edema akhoza ili mbali ina ya thupi, nthawi zambiri - pa nkhope. Palpation anasonyeza kuti ali ndi kugwirizana zofewa mucosa (myxedema).

Matenda komaliza zikhoza kupangidwa pambuyo mayesero zasayansi. Odwala ndi Amowabu kuwonjezeka mlingo wa TSH ndi kuchepa kuchuluka mahomoni chithokomiro. Zinasonyeza gwero la matenda ikuchitika radiography sella, ubongo CT.

Njira ya chithandizo cha hypothyroidism

Secondary hypothyroidism limasonyeza kuti mankhwala yaitali m'thupi. Chithandizo ayenera kuyang'anira ndi m'thupi yemwenso ndi. Pakatha miyezi 3 ikuchitika zasayansi diagnostics kudziwa kuchuluka kwa TSH ndi thyroxine. The olimba zizindikiro izi ndi chitsimikiziro cha mankhwala. Ndi mkulu mlingo wa TSH kuwonjezeka timadzi mlingo. The ntchito mankhwala "Eutiroks" ndi "Levothyroxine" monga mankhwala m'malo.

Komanso, m'pofunika kupeza chifukwa cha kudwala kwambiri. Mu matenda yotupa imachitika antibacterial ndi mankhwala mavairasi oyambitsa. Nthawi zina, chithandizo opaleshoni (adenoma ndi khansa ya pituitary England).

Kuneneratu ndi kupewa mavuto

Pa phwando nthawi zonse mahomoni mu hypothyroidism zanyengo yabwino. Bwino osankhidwa mlingo wa mankhwala amathandiza kwathunthu kudzagwira zizindikiro za matendawo. Pofuna kupewa mavuto nthawi zonse tiyenera kuziyeza kuti mtima wa milingo TSH ndipo adamsunga ndi m'thupi yemwenso. Paokha kusintha mlingo wa mankhwala kapena chithandizo sangathe kuletsa.