Ko te korero mo nga take o te hyperthyroidism he whakawhitiwhiti whakaaro mo nga mate pukupuku-Whero-mate, thyroiditis, goiter, me etahi atu-atu i te ahua toharite. Ahakoa he rereketanga taatai i roto ia ratou i roto i te mea ka meinga e ratou katoa kia tohatoha te taikaro ki a koe i te nui o te hiroone thyroid, me pehea e rere ke ai tenei. Ko etahi take kaore e taea te whakakore, engari ko te nuinga kaore i te-me te whakatau ko wai kei te pakiaka o to take take me whakamatau.
Nga Take Katoa
Ko nga take tino e toru o te kawa o te whero o te Kerei, ko te mate o Graves , ko te nodular teitei, ko te kaitautoko multinodular , me te thyroiditis .
Nga mate o te Kawe
Ko te mate o te pungarehu, he mate autoimmune, ko te take tino nui o te hyperthyroidism i te United States. I roto i te mate o te Kerei, kei te hangaia e te tangata he mate pukupuku e herea ana ki nga kamera thyroid, me te whakatairanga ia ratou ki te whakakore i te hiroone hukarere.
Nodular Toomoa ranei Kaituku Motuhake
Ko te nodular me te kaitautoko multinodular toxicity e whakaatuhia ana e tetahi neke atu i te maha o nga nekehanga o te kouroid ranei. I etahi wa e kiia ana enei puranga hei "ngaa ngongo wera," no te mea ka paopaohia e ratou te rauropi i runga i te whakamatautau iodine.
Thyroiditis
Ko to Thyroiditis te tikanga o te "mumura o te kiriu kawa" me te waa mo te maha o nga mate o te mate rero.
Ko tetahi tauira o tou thyroiditis he thyroiditis postpartum, e puta ana i muri i te whanautanga o te wahine.
Ko etahi o nga wahine e whai ana i te haukotinga-roa-roa, ka whai i te hypothyroidism mo te wa poto, ko etahi atu wahine e whai ana i te hyperthyroidism, me etahi atu, ko te hypothyroidism anake.
I tua atu i te wa o te waitohu, ka puta pea te mate o te thyroiditis (hei tauira, he huakita e pakaru ana i nga pūtau thyroid), etahi rongoā (hei tauira, amiodarone, lithium, te whakawhitinga) ranei, te mamae, te werahanga, te wero nui ranei.
I te mea whakamutunga, ko to thyroid (tou ingoa ko te thyroiditis o Quervain) ka whai i te hyperthyroidism mo te wa poto (ahakoa i etahi wa) hypothyroidism. Ko te ahuatanga o te tohu o tou thyroiditis ko te tangata ka whai i te kiriu kawa o te rero.
Ētahi Atu Take
Ahakoa te nuinga o nga take o te hyperthyroidism e tika ana ki runga ake, ka whakaarohia ano hoki etahi atu take:
Hauora-Tohungatia Hyperthyroidism
Ko te tango i te nuinga o nga kaitohutohu o te homone thyroid -whether i roto i te aitua, i te maatauranga whaiaro ranei-ka taea te hanga i te hyperthyroidism. Ko etahi atu o te kaha, te kai, me nga taputapu glandular kei roto hoki etahi o te hiroone mahi ki a koe, e taea ai e koe te whakaheke toto.
Iodine
Ko te whakaatu ki te whakauru i te nui o te nui o te iodine (hei tauira, te tango i te iodine me nga taputapu kei roto i te iodine ) ka taea te whakaputa i te hyperthyroidism.
Te Hyperthyroidism Kore i te mate o Hashimoto
Ko te nuinga o nga tangata ko te thyroiditis o Hashimoto he hypothyroid, i te mea ka tukuna e nga tünaha pünaha taraiwa a te tangata te mate hukarere. I roto i nga take ohorere, kaore pea i te tuatahi te tangata, i te tuatahi, i te hyperthyroid, i mua i te riro i te hypothyroid. Koinei te ingoa o te Hashitoxicosis.
Hyperthyroidism Transient o Hyperemesis Gravidarum
Ko te Hyvidmesis gravidarum he raruraru nui o te tausea tamau me te ruarua me te mate taimaha o te 5 ōrau neke atu rānei i te wa o te hapūtanga.
Ko etahi wahine whai hyperemesis gravidarum whakawhanake i te hyperthyroidism, ahakoa he mea iti noa ake nga taumata o te himoni thyroid.
Te Hyperthyroidism Pituitary-Induced
Ko to ingoa pituitary e kiia ana ko te "rangatira", he mea hanga i nga homoni e pupuhi ana i etahi atu awa, kia rite ki to taone huka, hei tuku i etahi atu homoni.
E rua nga ahuatanga o te hyperthyroidism pituitary-induced, i huaina hoki ko te hyperthyroidism pokapū. Ko tetahi momo ka puta mai i te kopu i roto i te pituitary gland e nui ake te hiro-whakaongaonga hormone, TSH ranei (e kiia ana ko te peneitary adenoma).
Ko te kaiwhaiwhai hoki he momo e kore e pupuhihia te TSH e te pituitary gland e tika ana ki nga whakawhitinga i roto i te ira e tohu ana mo te kaitautoko hiroone.
Fetal-Neonatal Hyperthyroidism
Ko te mate pukupuku ko te take tino nui o te hyperthyroidism i roto i te hapu, ahakoa he mea tino rereke, ka puta i roto i te 1 i roto i 1500 wahine hapu, kia rite ki te American Thyroid Association.
Ko enei wahine e mate ana i te mate o te Kerei (ko te hitori o nga mate o te Keera), ko te 2% ki te 5 ōrau o a rātou tamariki hou e whakawhanake ana i te mokupuku, i te taatai ranei o te tangata, e whakaatu ana i te maha o nga tohu me nga tohu. Ko etahi o enei he whakawhitinga tahumaero, he nui ake te hinengaro o te hinengaro, te iti o te whanautanga o te tamaiti, te taapi iti o te upoko, me te whakanui i te kiriu kawa (goiter).
Genetics
Ko nga tikanga taiao he mahi i roto i te whakawhanaketanga o te hyperthyroidism o te Graves, e mohiotia ana e te koiora o nga mate o te Kaiaka i roto i nga hapu.
Ko te tikanga ko te kawe i etahi momo (ko te whai hitori o te whanau mo te mate o te Kerei, me etahi atu mate mate) ka ahei pea i te tangata te whakawhanake i te taiu kawa i te tangata kahore he ira.
E ai ki nga korero, kaore rawa nga kaimataiao i te whakahirahira i enei hui katoa, na kaore i te mahihia nga whakamatautau ira ki nga tangata e whakaarohia ana ko te mate o te Kerei.
He mea nui kia kite i te ahua o te noho taiao, te taiao taiao (hei tauira, te paowa me te maakupuku) e hiahiatia ana kia puta ai te mate o te mate takaro. Na ka taea e te tangata te kawe i nga ira ka meinga kia whakaraerae ki te mate o te Kerei, engari kaore he tipu, kaore e whakawhanake.
Nga Mea Raraunga Rangatira
Ma te mohio ki nga mea ka taea te whakanui ake i te raruraru o te hyperthyroidism ka awhina i a koe ki te korero matapaki me to rata, me te whakarahi i to mohio ki nga tohu ka pa ki a koe:
- He wahine
- He whai korero whaiaro mo te mate whaiaro me te whanau ranei (mo te tauira, te mate rhumatoid , te lupus me te mate celiac )
- Kei a koe he hitori o te tangata whaiaro ranei o tou mate mate, tae atu ki nga nodules thyroid
- I te wa e hapu ana
- Te paraka
- Te tango i te hopi iodine me te waikawa iodine (hei tauira, amiodarone)
- Te wheako i te matehura ki te kiriu kawa
- Kei te ngoikore i roto i te Vitamin D me te selenium
- Te whakatutuki i te kaha o te hinengaro hinengaro (hei tauira, te whakarereketanga o te hoa)
> Mahinga:
> Bahn RS et al. Hyperthyroidism me etahi atu take o Thyrotoxicosis: Aratohu Whakahaere o te American Thyroid Association me te American Association o Clinical Endocrinologists. Mahi Whakamutunga. 2011; 17 (Nama 3).
> De Leo S, Lee SY, Braverman LE. Te Hyperthyroidism. Lance t 2016 Aug 27; 388 (10047): 906-18. dx.doi.org/10.1016/S0140-6736(16)00278-6
> Marino M, Latrofa F, Menconi F, Chiovato L, Vitti P. Nga mahi o te ira me te kore-ira i roto i te aiology o te mate a Graves. J Endocrinol Invest. 2015 Maehe; 38 (3): 283-94.
> Ross DS. (2017). Nga raruraru e pangia ana e te hyperthyroidism. Cooper DS, ed. UpToDate. Waltham, MA: UpToDate Inc.
> Te Tiamana TJ, Hegedus L. Whero. N Engl J Med . 2016 Oketopa 20; 375 (16): 1552-65.