Matenda Hashimoto a - matenda a chithokomiro England

matenda Hashimoto a Iwo chikutchedwa dokotala Japanese, kwa nthawi yoyamba mu 1912, amene anafotokoza autoimmune thyroiditis - kukulitsa ya chithokomiro England. Mawu akuti "autoimmune" ( "galimoto" - yokha a) zikutanthauza kuti olusa a chitetezo cha m'thupi, zomwe zambiri ukuperekedwa maselo yachilendo, ukuperekedwa wake, ndiye mu nkhani iyi maselo a mabele, zomwe zazindikirika ndi thupi kunja.

thyroiditis Hashimoto Poyambirira asymptomatic. Nthawi zina zikhoza anamva ululu komanso ululu mphamvu mu khosi. Pamene akufufuza mpata angaulule olimba sakanikira Chotupa chija. Pali mitundu iwiri (mitundu) matenda autoimmune a chithokomiro, mmodzi wa iwo - matenda manda, pamene katulutsidwe mahomoni chithokomiro anati wochuluka, ndi wachiwiri ena inayo - kaphatikizidwe mahomoni yafupika (myxedema kapena matenda Hashimoto a).

matenda Hashimoto a ndi ndime ya nthawi anaonetsa ulesi, kugona, khungu youma ndi tsitsi, kudzimbidwa. Umayamba kuwonjezeka thupi chifukwa posungira madzimadzi. Zizindikiro akhoza kukula kwa zaka zingapo. Kuwonjezeka kukumbukira, maganizo, kufupika kwa mpweya, edema. Kayendedwe kukhala wodekha ndi anthu - zosamveka. Posasangalala ntchito kugonana: akazi - msambo, osabereka amuna - utachepa kugonana galimoto, kusabala. Palinso coarsening wa nkhope, kulankhula khungu, bradycardia (pang'onopang'ono kugunda kwa mtima), kusintha mawu, mtundu. Popeza mabele England mu njira ya matenda chikukulirakulirabe, kuyamba kumva zizindikiro za psinjika wa khosi, pali ululu Pomeza, kufupika kwa mpweya pamene atagona.

Matendawa nthawi zambiri zimakhudza akazi kuposa amuna (nthawi 4-7). Zimayambitsa matenda matenda Hashimoto ochepa. Zimenezi zingakhale ndi matenda otengera kwa makolo. Ngati achibale ndi matenda a chithokomiro ndipo amadwala matenda a shuga, zimakhala zosavuta matenda Hashimoto a kwambiri. zinthu kukulitsa zingaphatikizepo matenda tizilombo, matenda pachimake kupuma ndipo ngakhale mano.

matenda Hashimoto ndi mu chimaposa patsogolo siteji zovuta kwambiri. Zowombetsa mkota edema kumabweretsa kufupika kwa mpweya, amalembedwa pericarditis (pachimake kutupa pericardium a), ascites (m'mimba wambulu). Chochititsa chidwi kuwonongeka kungachititse chikomokere hypothyroid. Choncho, pamene kuchepa lakuthwa mu kuthamanga, maonekedwe a ulesi kapena kukomoka kukufunikira kupita kuchipatala.

Zotsatira za mankhwala ndi kwambiri amadalira siteji ya matenda. Ppoetomu mankhwala mwamsanga ndi anayamba, kotero, mwachibadwa, ndibwino ndi zotsatira. Pali njira ziwiri za mankhwala: zachipatala ndi opaleshoni. Ena mahomoni yabwino achire zotsatira. Zikuphatikizapo tireoidin kuti zizindikiro za autoimmune thyroiditis zotsatira chitukuko n'zosiyana, mwachitsanzo amachepetsa chithokomiro England mwakale.

matenda Hashimoto zikhoza kwa miyezi ndi zaka. komanso ukhoza yaitali ndi mankhwala ake. Mlingo mankhwala yoikidwiratu mosamalitsa payekha. Posachedwapa, mu mankhwala a matenda ambiri ntchito cortisone, prednisone kapena adrenocorticotropic timadzi. Chithandizo ndi zosavuta ambiri chikhalidwe cha odwala, amachepetsa zotsatira za hypothyroidism. zotsatira zokhutitsa anali anamuona pa walitsa wa X-ray ya chithokomiro England.

Koma n'zovuta kudalira bwino kwambiri pamene chitsulo kale inasinthiratu. Zikatero, alowererepo opaleshoni - chithokomiro, imene imakhudza kuchotsa lathunthu la chithokomiro England kapena mpukutu zace. Pambuyo opaleshoni, oikidwa m'malo mankhwala amene amateteza wodwalayo hypofunction la England, komanso ngati maonekedwe a zotupa mu Mavesi.

Nkofunika kuti odwala likufa opaleshoni nthawi zosachepera 2 chaka ndi dokotala nawo, ndi mosamalitsa kutsatira njira otero chithandizo kwa iwo.