Hypothyroidism in eeyaha, calaamadaha, daaweynta, sababa cudurka

Mid ka mid ah laamaha yaraa oo inta badan si degdeg ah horumarinta ee daawada waa endocrinology. Si kastaba ha ahaatee, inta badan xanuunada Baadhista caafimaadka xoolaha hormoonada jidhka waa maanta bilaw. Si kastaba ha ahaatee, xoolaha jiran, iyo hawsha oo khaas ah - in ay si sax ah uu sheego iyo, haddii loo baahdo, la saxo cudurada nidaamka hormoonada jidhka ah.

Mid ka mid ah kuwa ugu badan ee cuduradan waxaa loo arkaa hypothyroidism in eeyaha. Photos of xayawaanka, sababaha, calaamadaha iyo daweynta cudurrada this, waxaan soo bandhigi doonaa in aad in this article. Waxa kale oo wax ka qaban doona hababka cudurka.

Hypothyroidism in eeyaha: description cudurka

Cudurkaan waxaa ku weheliyay rabshooyin in hawshu qanjirka thyroid ka, taas oo uu leeyahay waxyaabo badan oo hawlaha kala duwan. Hypothyroidism - cudurada a gartaa hoos u dhac in tirada hormoonnada thyroid dhexsameeysmo jirka.

noocyada cudurada

Khubarada jira laba nooc oo cudurka this - hoose iyo kuwa sare. Acquired (hoose) hypothyroidism - barar ku dhaca qanjirka thyroid, oo la odhan jiray cudurka Hashimoto ee, ama hababka kale ee jidhka ka baabbi'in. Mararka qaarkood hypothyroidism in eeyaha dhirfinaya la'aanta iodine in cunto ee caabuqa xoolaha, burooyinka ee thyroid ka. Si kastaba ha ahaatee, xubinta buka awoodin in ay soo saaraan tiro ku filan ee hormoonnada.

hypothyroidism Sare ee calaamadaha eeyaha oo laga yaabaa inuu dhaco da'da hore ee xayawaanka, saamayn burbur ku shaqeeyo sii kordhaya. hormoonnada Hunguriga ayaa muhiim u ah horumarinta nidaamka dhexe ee neerfaha iyo lafaha, ay deficiency keeni kartaa xayawaanka haleelay xilligii uu. hypothyroidism Sare ee eeyaha u muuqato in xibnaha lagu dhasho ama cabista si ay formation of burooyinka. Sidaas darteed, habka la carqaladeeyey hormone.

hypothyroidism Secondary mararka qaarkood uu yeeshay ka dib markii daaweyn aan habboonayn la glucocorticoids ama cunto dheeli tirnayn.

stage of cudurka

In horumarka hypothyroidism in calaamadaha eeyaha sidoo kale waa ka duwan yahay. Marxalad hore ee cudurka xaddiga tyrosine ee qanjirka thyroid waa la dhimay, taasoo keenta korodhka waxsoosaarka hormoonada kale. Sayidka, dheelitirka hormoon jirka ee waxaa u barbareeyay. Mararka aad dhif u ah, jirka ka kaban karaa on iyaga u gaar ah, laakiin marar badan cudurka gaadho heerkan sare.

Xaaladdan oo kale, heerka tyrosine lagama maarmaan ah oo aad u soo maratay hoos u, iyo dheelitirka ee lays suurtogal ma aha. qanjirka thyroid ka helo dhaawacyo halis ah oo keeni kasii weyn ee xaaladda guud ee xayawaanka.

Sida inta badan aan caadi ahayn hormoonada jidhka ah, hypothyroidism in calaamadaha eeyaha waxaa laga yaabaa kala duwan. Inta badan ku saabsan horumarinta cudurka waxay muujinaysaa xad dhaaf yahay, cayilka. Intaa waxaa dheer, cudurka waxaa badanaa la baaraa at khasaaro ah oo dhibaatooyin jaakad iyo maqaarka.

Sida eeyaha hypothyroidism shaaca ka qaaday? Cilad ayaa suuragal ah keliya in rugta caafimaadka xoolaha oo wanaagsan ka dib markii baaritaan dhiig miidhan xoolaha. Natiijooyinka baadhitaanka ogolaan doonaa inay is barbar dhigaan natiijooyinka la iska caadi ah, oo waa dabeecadda xoolaha ee la da'da ah iyo sirdoonka.

Sababaha cudurka

qanjirka thyroid - qanjirka yar oo cabbirkooda ku yaalla cunaha. Its hawlaha waxaa nidaaminaya by qanjirka pituitary ee maskaxda ah. Waayo, hawlihiisa caadiga ah u baahan hormone dhiirrigelin gaar ah. qanjirka pituitary The daydaa hormone ah iyo waxa sababa qanjirka thyroid in ay soo saaraan gaar adag ka. From ay gobolka ku xiran tahay tayada shaqo ee qanjirka.

Si kastaba ha ahaatee, hypothyroidism in eeyaha inta badan la horumariyo xoolaha, qanjirka pituitary oo ku taal gobolka caadiga ah. Waa maxay sababta ay sidani u dhacaysaa? About 95% ka mid ah xaaladaha ku jira "background", waxay yeeshaan sababtoo ah cudurrada raaco geedi socodkii isbedel burbur ee qanjirka thyroid. Nasiib darro, waxaa markasta suurtagal ma aha si aad u ogaato nooca hawlgaladaa.

Dhakhaatiirta waxay aaminsan yihiin in eedda for this disorder, shalalka, kaas oo jidhka xoolaha ee uu bilaabo inuu laftiisa baabbi'in. Hypothyroidism, sababta oo laga yaabo kala duwan, ilaa xad inta badan sabab u ah atrophy qanjirka thyroid ka. Tani gaar ahaan waa cad marxaladaha ugu dambeeya ee cayilka iyo cudurka kansarka.

Maxaa kale waxay sababi kartaa hypothyroidism? Sababta waxaa laga yaabaa in ay joogaan iyo cudurrada faafa Dulin ku dhuunta. Natiijada A la mid ah waxay keeni kartaa daawooyinka caasiyoobay hormoon. Muddo markii la joogaba la aqoonsado xaaladaha ka mid ah lagu dhasho ee hypothyroidism. Dhakhaatiirta ayaa sheegaya in deris dixirigoodu halis keeni kartaa hypothyroidism in eeyaha. Sababaha waa wax iska cad - jirka ah ee xayawaanka lagu gano qadar weyn oo sunta oo saamayn qanjirka thyroid.

Eyda cabista in hypothyroidism

Hypothyroidism in eeyaha, calaamadaha (photo aad ka arki kartaa in this article), astaamaha caafimaad oo lagu ogaan laga yaabaa in xoolaha jinsi kala duwan, da'da iyo sirdoonka. Inkasta oo koorsada ah sannado badan oo dhawrid ku ogaaday in calaamadaha cudurkaan waxaa inta badan la ogaado in xayawaanka da'doodu ka yar tahay toban sano. In 70% ee kiisaska ay dhacdo in eeyaha eyda waaweyn oo aad u ballaaran, iyo xayawaanka yar yar jiran.

khubaro ururtay hareeraha show statistics dunida oo si weyn u badan tahay in ay ku xanuunsado oo ka eyda soo socda:

• pinscher Doberman;
• Sarkaal Golden;
• schnauzer;
• dhigayo hormuudka Irish;
• Cocker Spaniel;
• lacag;
• Airedales.

Shepherd The German waa mid u nugul cuduro badan oo hidde (hypothyroidism sidoo). ku salaysan jinsiga In xaaladaha caadiga ah ma, si kastaba ha ahaatee, bitches ovariectomized xanuunsado cudurka tani waa arrin inta badan. Laakiin hawlgal noocan oo kale ah ayaa loo baahan yahay si looga hortago kansarka naasaha, si kastaba ha ahaatee in hypothyroidism xaaladda tani waa dheeraad ah u xulatay this: dhimashada cudurkan waa toban jeer ka hooseeya ee kansarka.

symptomatology

hormoonnada thyroid waa lagama maarmaanka u ah shaqo caadi dheefshiidka ee u shaqeeyo xayawaanka. Waxa ay la'aanta saamayn ku dhowaad dhammaan xubnaha iyo nidaamka. Marka tan la eego, waxaa lagu kala muujiyey kartaa hypothyroidism in eeyaha. Calaamadaha iyo daaweynta cudurka go'aamiyo xoolaha ku salaysan waxbarashada clinical. Si kastaba ha ahaatee, waxaa jira dhowr calaamadood oo si fiican u dhici kara in 90% ka mid ah xaaladaha halkaas oo xad gudub ku ah qanjirka thyroid.

Sawirka caafimaad ee cudurka oo kaliya lagu guud daawan karaa, sida calaamadaha qaar ka mid ah si gooni gooni ah ayaa tilmaamaya jiritaanka cudur kale. Milkiilayaasha Dog waa inay la xiriiraan calaamadaha soo socda ka dhacdo rugta caafimaadka xoolaha, haddii xayawaanka:

1. Kala duwanaanshaha dhaqanka (gardarada xad-dhaaf ah ama, taas bedelkeeda, cabsi).
2. fiirsashada Dhiman (arxandarro, sabayn eegno).
3. dhibaatooyin habdhiska dabeecadda (daal, miisaanka xad-dhaaf ah, dulqaad kulka iyo qabow, isbeddelo ah niyadda oo af badan).
4. daraysa weyn maqaarka iyo jubbadda (qolofta, qallayl, timaha oo aan tooska ahayn, midabka jirka aan caadi ahayn, maqaarka actinic).
5. Dhibaatooyinka Faracoodii loo maqli karo (nasasho yar ama aad u weyn oo u dhexeeya maraysa, libido masaakiinta, Caruur Tabar Yar ama dhintay, uurka been ah).
6. Rabshadaha ee wadnaha iyo xididada dhiiga, sidoo kale nidaamka hematopoietic (bradycardia, hemoglobin aamba, yareynta dhiig xinjirowga, iyo unugyada dhiigga cad, hoos, dhiig).
7. Isbeddelka ku caloosha iyo mindhicirka (shuban, matag, calool-) ah.
8. Dhibaatooyinka indhaha (conjunctivitis, isha qalalan, baruurta wilka, cudurada indhaha).

calaamado khatar ah oo kale - wiiqmin dhaqdhaqaaqin, curyaannimo, baalasha indhaha kaa dhaga, la xidhiidha dhibaatada. Inta badan, calaamadaha waxaa u muuqday oo kaliya marxalad soo daahay, tan iyo markii ay si tartiib tartiib ah loo horumariyo. calaamadaha Clinical guud ahaan, laga yaabaa in aanay muuqan muddo dhowr toddobaad ah, ama in ay si daciif ah, "maydhay soo baxay" iyo inta jeer in milkiilayaasha aadan kaliya bixiyo iyaga fiiro.

Waxaa jira arrin kale oo muhiim ah - waa cudurada ka mid ah qanjirka thyroid. Inta badan, ka dib markii eey ka gudbo kooras ah oo degdeg ah daaweynta by daroogada xoog leh, jidhka ku buriyaan laga yaabaa. Waxbarashada kaarka caafimaadka xoolaha, dhakhtarka xaadirka ah waa in taas xisaabta ku darsanaa, haddii kale cudurka noqon xumaan kara. Cudurada of kelyaha, beerka, macaanka iyo cudurrada kale ee ka cadhaysiinina bahal thyroid syndrome.

ogaanshaha cudurka

Hypothyroidism in eeyaha waxaa lagu ogaada ayado oo ku saleysan natiijooyinka baaritaannada dhowr. Ay doorashada ku xiran tahay awoodda dhaqaale ee milkiilayaasha xayawaanka, helitaanka qalab casri ah oo loo baahan yahay in reagents rugta. Sababtoo ah calaamadaha cudurka halkii aan caddayn, aan aad samayn karto oo aan cudurka xirfadle caafimaad.

Falanqaynta ugu badan waxaa loo arkaa inay hubiso tyroksiini (T4). Qalabkan waxaa la samaysan karin oo keliya by qanjirka thyroid. Sidaa darteed, marka ay ka kooban tahay ay ku yar tahay dhiigga u qaadan kartaa jiritaanka cudur halis ah. Si kastaba ha ahaatee, in maanka lagu hayo in ay jiraan tiro ka mid ah sababaha, oo iska xanaajin hoos u dhac tyroksiini ee dhiigga, sidaas darteed waxaa lagama maarmaan ah in la tixgeliyo farsamooyinka kale ee lagu ogaanayo.

Tyroksiini waxaa laga yaabaa in la joogo dhiigga in laba nooc. foomka ku lifaaqan Tagitaanka borotiinka iyo ma dhex gelin galay unugyada. T4 Free aan la xidhiidha borotiinada in ay tahay awoodaan in ay dhex gasho qaab-dhismeedka gacanta iyo guud ahaan joogo dhexdeeda oo tiro yar. Its jajab mugga waa la tixgeliyaa marka cudurka.

Haddii eey leedahay heerka hoose ee T4, baari kara tyroksiini, ku salaysan tallaabada of diyaarinta caafimaad ee gaarka ah. Xaaladdan oo kale, qadar yar oo ah hormoonka pituitary dardaro waxaa maamula intravenously. Lix saacadood ka dib markii habka, eeyaha ayaa gororkii iyo heerarka T4 hubiyaa. Haddii xayawaan waxaa la xaqiijiyay hypothyroidism, heerka hoormoonka in uu dhiiggiisu ahaan doono meel u dhow gacanta ku caadiga ah. heerka eey A caafimaad ee walax this si weyn u dhaafto xadka sare ee caadiga ah.

warbixin qiimo leh ku siin kara baaritaanka joogtada ah, oo lagu sameeyo baaritaanka caafimaad. Si arrintan loo sameeyo, waa in aad u fuliyaan waxyaabaha soo socda:

• chemistry dhiig la heer qaar ka mid ah dufanta iyo kolestaroolka, iyo guud ahaan kiliinikada;
• urinalysis (la wadaago);
• echocardiography;
• electrocardiogram.

waxbarashada hematological

Iyada oo ku saleysan macluumaadka la ururiyey by xoolaha, in ku dhow soddon boqolkiiba eeyaha la hypothyroidism yeesho anemia non-regenerative. Waxaa intaa dheer, xog ah in hypothyroidism in eeyaha inta badan keeni hemostasis aan caadi ahayn ama ka cadhaysiinina dhiig.

In xoolaha fiirsashada serum bukaanka ah dufanta oo kolestaroolka si weyn u kordhay. Hyperlipidemia - dhibaatooyin si caddaalad ah wax caadi ah ee hypothyroidism. Hypertriglyceridemia waa yara naadir ah. Mararka qaarkood serum ka helay oo kordhay ensaymes beerka, iyo azotemia, ka itaalka daran si dhexdhexaad ah.

daaweynta

Sannad kasta, daraasadda of hypothyroidism in eeyaha ku takhasusay waxay maamushaa in ay soo bandhigaan xog cusub oo saameyn ku hababka iyo siyaabo lagu daweeyo cudurka this. Maalmahan therapy loogu talagalay wareeg ah oo ka mid ah isku day ah in la baabi'iyo sababaha cudurka iyo dawaynta astaamaha.

Haddii dhakhtarku uu karin inuu ogaado barar ku dhaca qanjirka thyroid ku jira marxaladaha hore (cudur Hashimoto ee), waxaa aad u muhiim ah in aad ka saartid si looga hortago hypothyroidism in eeyaha. Daaweynta ku lug leedahay maamul dose oo ah hormoonka thyroid dardaro - tyroksiini ( "Levothyroxine"). Waa in la maalin ay maamusho. therapy isku daro waxay u baahan tahay baaritaan dhiig soo noqnoqda si ay ula qabsadaan qiyaasta of daroogada.

Maanta, shirkadda dawooyinka ee caalamiga ah manufactures noocyo badan oo ka mid ah daroogada this, taas oo ku kala duwan yihiin oo kaliya in magacyada ka diiwaan gashan. Qiyaasta daroogada waxay ku xiran tahay marxaladda oo ka mid ah cudurka iyo wax ka qabashada xayawaanka ee therapy. Marka hore, heerka qiyaasta maalin ka dib ka dhigi baaritaan dhiig, hubi heerka hoormoonka, ka dibna daaweynta waxaa laga beddelo iyada oo la raacayo natiijada. Dhakhtarka ayaa go'aamin doona taas oo nidaamka waa jirka ee gaar ahaan ku adag tahay in ay ka jawaabaan cudurka wareejiyaa daaweynta taageero iyo astaamaha.

socodka bukaanka iyo saadaasha dheeraad ah

Laba toddobaad ka dib bilowga daweynta loo hubiyo fiirsashada T4 ee plasma dhiigga. Sida caadiga ah, uruureen peak diiwaan lix ilaa siddeed saacadood ka dib qofku cuno gudahood. Muddadan, fiirsashada tyroksiini waa in ay sida ugu dhow in ay si caadi ah.

Ka hor inta hordhaca ah ee daroogada ee content T4 serum waa in xadka hoose ee caadiga ah. fiirsashada T4 gacmeed hor iyo ka dib maamulka daroogada waxay muujinaysaa dose ku darsatey hooseeyo. Tani waxaa keeni kara nuugeynin daroogada ku jira xiidmaha, jadwalka soo dhaweynta qaldan ama maamulka of daroogada.

About baahida loo qabo in la qabsato dose of caddayn daroogada ma baabi'iyo calaamadaha cudurka thyroid, ama, taas bedelkeeda, calaamadaha xad dhaafka ah. saadaasha The xayawaanka dadka waaweyn la hypothyroidism hoose kuwaas oo therapy beddelka ku habboon, positive.

Haddii hordhaca ah ee hormoonnada thyroid ka dib isticmaalka daba dheeraaday la joojiyo, waxay qaadan kartaa dhowr toddobaad, iyo mararka qaarkood bilood si loo soo celiyo xiriirka u dhaxeeya hormoonnada thyroid iyo qanjirka pituitary ee. kabashada noocan oo kale ah sida caadiga ah dhacdaa iyada oo aan wax cawaaqib caafimaadka xoolaha.