Secondary hypothyroidism: Izimbangela, Izimpawu kanye Ukwelashwa

ukukhathala okungamahlalakhona, isisindo somzimba, nezinwele nezinzipho ziyaqothuka - lawa izimpawu ijwayelekile eziningi. Ngokuvamile bakhathalela kwabesifazane, kodwa ngezinye izikhathi ebonwe amadoda. Kwezinye izimo, lezi zimpawu nje bamshaya indiva. Ukukhathala lihlotshaniswa umsebenzi unomphela, futhi isisindo somzimba - ukungondleki. Nokho, lezi zimpawu ngokuvamile abonisa kakhulu ekuthuthukeni kwale zokugula njengoba i-hypothyroidism yesibili. Kubantu abadala, isifo esifanayo singenzeka ifomu ezifihliwe. Izimpawu zalesi sifo kudidaniswe izimpawu nezinye izifo. Phela, i-hypothyroidism sithinta cishe zonke zomzimba. Ukwelashwa kwe-endocrinology zokunqanda izifo.

Hypothyroidism: incazelo zokugula

Hypothyroidism libhekene izinguquko amazinga ama-hormone ahlobene ne-kahle yegilo umsebenzi noma ubuchopho (pituitary). Lesi sifo libhekene okunhlobonhlobo emitholampilo, ezihlanganisa cishe yonke kwezitho izinhlelo. Naphezu izinguquko kwamazinga ama-hormone, yegilo indlala i-hypothyroidism yesibili kubhekwa enempilo. Iqiniso lokuthi leli zokugula has a umsuka emaphakathi. Kutfutfukisa lizinga lapho ukwephulwa ngu indlala pituitary - uhlaka endocrine, elise ubuchopho. Lokhu, kuholela izilonda yesibili indlala yegilo.

i-hypothyroidism yesibili ngokuvamile kutholakala seziguli ezisencane. He is kwande kakhulu phakathi kwabesifazane. A engozini ethile yalesi sifo inikeza izingane. izimpawu Laboratory yesifo - iwukuba ukwandisa ezingeni TSH kanye nokwehla compensatory e inani thyroxine (T4) kanye triiodothyronine (T3). Ngenxa yezinguquko indlala pituitary bangezwa ukungasebenzi ezinye izakhiwo endocrine. Ikakhulukazi, indlala adrenal, gonads, nokunye. D.

i-hypothyroidism yesibili: izimbangela zezifo

Izimbangela zokugula ezihambisana nezinguquko ezihlelekile izicubu ingqondo. genesis Central has hyperthyroidism zamabanga aphansi naphezulu. Ngakho yini umehluko phakathi kwalokhu? Njengoba yaziwa, uhlelo hypothalamic-pituitary zibamba bonke neuropathy endocrine nezindlala ekhona emzimbeni. Itholakala ubuchopho. The main endocrine imfundo yiyona ngxenye. Lesi sitho itholakala phakathi ama- sokunene nesobunxele zobuchopho. Uma ihlukumeza uketshezi yama-hormone uMnyango hypothyroidism eyinhloko eba. Le ngxenye ukhiqiza izinto eziphila abakhuthele iziphi ke fed kuya pituitary. kwakhiwa Kukhona yegilo inkanuko i-hormone (TSH). Indlala pituitary has a impendulo ezithweni endocrine, ezifana yegilo. Ngakho-ke, ngokwandisa uketshezi zokukhiqiza TSH ka thyroxine futhi triiodothyronine encishisiwe.

Izizathu okubangela i-hypothyroidism yesibili zihlanganisa:

1. Izifo ukuvuvukala we pituitary. Ukunqotshwa umzimba lingaphathelaniswa ne encephalitis amagciwane ahlukahlukene.
2. hypoplasia azalwa naso noma ukungabi khona indlala pituitary.
3. izimila olunomdlavuza noma ingozi.
4. ukulimala kobuchopho Ischemic.
5. Ukopha esifundeni pituitary.
6. Ukuchayeka emisebeni ngesikhathi ngemisebe ye izimila ebuchosheni.
7. isifo Atrophic.

Ngenxa ukuthuthukiswa umonakalo pituitary kwenzeka hypothyroidism yesibili. Musa ukudida kulesi simo abanale nkinga. Lapho kunqotshwa umzimba kukhona i-hypothyroidism ephakeme. Kungakhathaliseki etiology kanye nokwelashwa hormone iziyaluyalu umthombo lesi sifo i endocrinology.

Kutfutfukiswa kwangemva kokubeletha hypothyroidism

Phakathi nenkathi yokukhulelwa, umzimba izinguquko eziningi ezahlukene, ngokwezinga elikhulu ezihlobana ngayo emkhakheni endocrine. Lokhu kungenxa yokuthi ezinye hormone ethakwa ngu-placenta. Ngenxa ngokweqile izinto ezithile begazi emzimbeni we uketshezi we liyancipha pituitary indlala. Ngakolunye uhlangothi, ukwehla ekukhiqizweni kwama-hormone ukhonza njengelungu isignali ukwandisa umkhiqizo wabo ebuchosheni. Ngenxa yalezi zinguquko, abanye abesifazane ukuthuthukisa i-hypothyroidism yesibili emva kokubeletha. Ingozi ivela khona iphezulu kakhulu ezigulini ezigazi luqukethe amasosha omzimba ngokumelene amaseli yegilo.

ukuvuvukala sokuhlasela kwamasosha omzimba isitho endocrine kubangela ukusebenza indlala pituitary. Thyroid-inkanuko i-hormone iqala lekufanele akhicitwe ngokushesha futhi inqwaba. isimo esinjalo emva kokuzalwa kubhekwa yesikhashana, ukuthi buyadlula. Hypothyroidism kwenzeka kwabesifazane emva kwezinyanga 4-5 emva kokuzalwa kwengane. Ngokuvamile, akanayo ezinzima isithombe emtholampilo. Nciphisa e-hormone yegilo kwandulelwe inqubo reverse - thyrotoxicosis. It is baphawula ezinyangeni zokuqala kwesikhathi nangemuva kokuzalwa komntwana. Phakathi nonyaka amahomoni zibuyele kokujwayelekile. Uma kungaqali ke, sesize ndawo ngaphambi kokukhulelwa, kodwa akuzange kwembulwe ngaphambili.

Ngazuza hypothyroidism: Izimpawu kanye Treatment abesifazane

Hypothyroidism Lokudabuka esimaphakathi njalo ngaphezulu abesifazane. Izimpawu zincike kobukhulu ukwehluleka hormone. kuyinto hypothyroidism kanjani? Izimpawu nendlela aphatha ngayo abesifazane, njengoba kunjalo nezinye pathologies ezixhunyiwe. Izibonakaliso main eveza khona lesi sifo:

1. iziyaluyalu kokuya esikhathini.
2. Ukozela.
3. ukukhathala okungamahlalakhona.
4. izinzipho ziyaqothuka futhi izinwele.
5. Ukwanda isisindo emzimbeni.
6. syndrome Edematous.
7. Bethambekele ukuqunjelwa.

Kwezinye izimo, kukhona nje abanye ukubonakaliswa esiqondile isifo, kuyilapho abanye - kancane evelele. Ngezinye izikhathi i-hypothyroidism kuyinto asymptomatic. Ngokuvamile, isizathu ukwelashwa emtholampilo iba ukhuluphele, Alopecia (nezinwele) futhi wamemezela edema syndrome.

i-hypothyroidism, impatho isiqalisile ukuqashwa izidakamizwa hormone. Ngesikhathi esifanayo ukuthola imbangela yalesi sifo. Kwezinye izimo, replacement therapy akuyona indlela eyinhloko yokwelashwa.

Izimpawu ze-hypothyroidism ezinganeni

i-hypothyroidism Secondary ezinganeni - lesi sifo esiyingozi engaholela retardation engokwengqondo imisiwe ukuthuthukiswa ngokomzimba. Iqiniso lokuthi ama-hormone egilo zisencane okuhle kuyadingeka ikakhulu. Ingathinta izinqubo sokukhula kanye kumiswa biko. Lesi sifo kungase kubangelwe izinkinga kwezinso pituitary futhi engayitholi enganele kid iodine (i-hypothyroidism ephakeme). Ngaphandle komthombo eshintsha substitutive yokwelapha hormone kufanele waqala ngokushesha nje lapho ukwanda zitholiwe lokuhlushwa TSH.

Ukuxilongwa hypothyroidism yesibili

Njengoba vyvit hypothyroidism yesibili? Pathology Sifo iqala ukuqoqwa izikhalazo neluhlolo isiguli. Iziguli ngokuvamile ukubika ukutubeka futhi ukozela, isisindo somzimba. Phawula obandayo futhi okuvela edema. Kwezinye izimo-hypothyroidism Kutholwe ngephutha, isib lapho eseqala ukuya esikhathini ukubambezeleka ezingahlobene sokukhulelwa.

On luhlolo wembula ukwehla kwenhliziyo hypotension. Edema kungenziwa akhiwe kunoma iyiphi ingxenye yomzimba, avame - ebusweni. Palpation wembula ukuthi banayo ethambile ukungaguquguquki mucosa (myxedema).

Imiphumela yaloku kuhlola okungenhla yokugcina zingenziwa emva ukuhlolwa laboratory. In iziguli ngokwanda wawubona ezingeni TSH bese wehlise imali kwama-hormone egilo. Ukuhlonza umthombo sifo Kwenziwa esimweni sella, ubuchopho CT.

Izindlela ukwelapha i-hypothyroidism

i-hypothyroidism Secondary inkomba isikhathi eside therapy hormone. Ukwelashwa kufanele wawuqondiswa i endocrinology. Njalo ezinyangeni 3 kwenziwe ukuhlola i-laboratory ukunquma amazinga TSH kanye thyroxine. Kuqiniswa lezi izinkomba iyona isiqinisekiso ekwelapheni. Nge ezingeni lelisetulu TSH i-hormone umthamo ukwanda. Izidakamizwa ukusetshenziswa "Eutiroks" futhi "Levothyroxine" njengoba replacement therapy.

Ngaphezu kwalokho, kubalulekile ukukhomba imbangela egunjini lokuhlolwa kwezifo. Ngo Izifo ukuvuvukala olwenziwa elwa namagciwane kanye therapy namagciwane. Kwezinye izimo, umuthi wokwelapha kuhlinzwa (adenoma kanye nomdlavuza indlala pituitary).

Ukubikezela kanye nokuvinjelwa izinkinga

Ngezinye reception njalo hormone i-hypothyroidism sezulu esihle. umthamo kahle abakhethiwe imithi esiza ukuba abophe ngokuphelele izimpawu zesifo. Ukuvimbela yezinkinga kufanele njalo zihlolelwe ukuzimisela amazinga TSH futhi baphawula endocrinology. Ngokuzimela ashintshe isilinganiso semithi oyidlayo yemithi yezokwelapha noma ukwelashwa Awukwazi ukukhansela.