Secondary hypothyroidism: Zvinokonzera, Zviratidzo neMarapirwo

Chirwere kuneta, kufuta, kurasikirwa bvudzi uye pfava nezvipikiri - izvi zviratidzo avanoziva zhinji. Kakawanda vari kunetseka pamusoro vakadzi, asi dzimwe nguva kuchengetwa nevanhu. Mune zvimwe zviitiko, zviratidzo izvi chete havateereri. Kuneta Rinobatanidzwa ne basa zvachose, uye uremu - chirwere. Zvisinei, Zviratidzo izvi kazhinji anoratidza kukura zvokurwara ichi sezvo hypothyroidism yechipiri. In vakuru, yakafanana chirwere chinogona kuitika muchimiro yakavanzwa. Zviratidzo chirwere ichi chinogona kuvhiringidzwa zviratidzo nezvimwe zvirwere. Pashure pezvose, hypothyroidism inobata anenge zvose muviri enyika. Pakurapa nokudzora chirwere endocrinologist.

Hypothyroidism: rondedzero zvokurwara

Hypothyroidism kunoratidzwa nokuchinja kwemakemikari omuviri mumatunhu chokuita havachanyatsogoni thyroid kushanda kana uropi (pituitary). The chirwere kunoratidzwa siyana zvekuchipatara kuratidzwa, izvo kufukidza zvinenge zvose nhengo uye hurongwa. Pasinei kuchinja mahomoni, thyroid shwanu mu hypothyroidism yechipiri anonzi vatano. Chokwadi chokuti zvokurwara ichi ane nechepakati mavambo. Inokudziridza kana kutyorwa kubudikidza pituitary shwanu - imwe kwemakemikari anobudiswa nhengo, iri muuropi. Izviwo, inotungamirira yechipiri maronda ari thyroid shwanu.

Secondary hypothyroidism zvinowanzooneka chirwere muvarwere vaduku. Ndiye anonyanya pakati pavakadzi. A mungozi chaiyo chirwere ichi anouya vana. Laboratory zviratidzo chirwere - ndiko kuwedzera huwandu TSH uye compensatory zvinoderedza uwandu thyroxine (T4) uye triiodothyronine (T3). Nokuda zvachinja pituitary shwanu vanogona dysfunction vamwe kwemakemikari anobudiswa zvivako. Zvikurukuru, adrenal shwanu, gonads, uye zvichingodaro. D.

Secondary hypothyroidism: zvinokonzera chirwere

Zvinokonzera kuti zvokurwara chokuita STRUCTURAL zvachinja uropi. Central Genesi ane nesekondari hyperthyroidism. Saka chii mutsauko pakati pavo? Sezvo chikazozikamwa, ari hypothalamic-pituitary hurongwa anodzora ose peripheral kwemakemikari anobudiswa mumasero mumuviri. It riri muuropi. The chikuru kwemakemikari anobudiswa dzidzo ndiyo hypothalamus. Nhengo iyi iri pakati kurudyi uye vakasiya hemispheres wouropi. Kana mukaputsa secretion kuti mahormone vari dhipatimendi chinonyanya hypothyroidism hwapedyo. The hypothalamus unobereka pakugadzira vanoshingaira zvinhu izvo ipapo zvokudya kune pituitary. Pane aumbwa thyroid anotokonya kemikari (TSH). The pituitary shwanu ane inofambiswa kuti kwemakemikari anobudiswa zvomukati, akadai thyroid. Naizvozvo, kubudikidza kuwedzera secretion kuti TSH pakuburitswa thyroxine uye triiodothyronine kuderedzwa.

Zvikonzero zvichikonzera hypothyroidism yechipiri inosanganisira:

1. Anogumbura zvirwere pituitary. Kukurirwa muviri anogona chokuita kwemabhakitiriya uye nemavhairasi encephalitis.
2. Vachiberekwa hypoplasia kana pasina pituitary shwanu.
3. Kenza kana benign anomera.
4. Ischemic uropi.
5. Ropa iri pituitary nharaunda.
6. Kuonana nemwaranzi panguva irradiation anomera muuropi.
7. Atrophic chirwere.

Nokuda kukura pituitary kukuvadzwa kunoitika hypothyroidism yechipiri. Regai kufunga mamiriro iyi thyroid chirwere. Kukurirwa muviri pane tertiary hypothyroidism. Pasinei etiology uye vabatwe hormone zvirwere kunobva chirwere ichi ane endocrinologist.

Kugadzirwa postpartum hypothyroidism

Panguva pamuviri, muviri yakawanda kuchinja siyana, kuti mukuru zvakadini havana chokuita kwemakemikari anobudiswa bhora. Izvi imhaka yokuti vamwe mahormone secreted nokuda placenta. Nokuda kwazvo dzimwe zvoutachiona zvinhu zviri mumuviri secretion zviri pituitary shwanu kunodzikira. Asiwo, vasanyanye pagadzirwe mahormone anoshanda somureza kuwedzera zviitwe muuropi. Somugumisiro kuchinja izvi vamwe vakadzi, kuva hypothyroidism yechipiri pashure yokusununguka. Mukana parinowanika kwakakwirira zvikuru pakati varwere vane ropa rine antibodies pamusoro thyroid masero.

Autoimmune kuzvimba kwemakemikari anobudiswa nhengo kunokonzera activation yacho pituitary shwanu. Thyroid-anotokonya kemikari anotanga kuberekwa nokukurumidza uye akawanda. mamiriro akadaro pashure pokuberekwa anonzi duku, kuti Inopera. Hypothyroidism kunoitika vakadzi pashure 4-5 mwedzi azvarwa mwana. Kakawanda, haina zvikuru kunotoda mufananidzo. Kuderera mune thyroid kemikari pashure neizvi muitiro - thyrotoxicosis. Zvinonzi kuchengetwa pamwedzi postnatal nguva yokutanga. Mugore racho mahormone kudzokera dzose. Kana asingadi, Saka, chirwere kwakaitika pamberi pamuviri, asi haina zvatoziviswa.

Vawana Hypothyroidism: Zviratidzo neMarapirwo vakadzi

Hypothyroidism nechepakati akavamba kakawanda vakadzi. Zviratidzo kuvimba kwokuomerwa hormone kukundikana. Sei hypothyroidism? Zviratidzo uye kurapwa vakadzi, sezvakaita vamwe pathologies zvakabatana. Huru zviratidzo pamberi chirwere:

1. Kumwedzi zvirwere.
2. Hope.
3. Chisingaperi kuneta.
4. Pfava nezvipikiri uye bvudzi.
5. Kuwedzera uremu muviri.
6. Edematous syndrome.
7. Tsika kupatira.

Mune zvimwe zviitiko, panongova chaicho kuratidzwa chirwere, nepo vamwe - zvishoma raidudzwa. Dzimwe nguva hypothyroidism iri asymptomatic. Kakawanda, chikonzero kunorapwa kuchipatara kunova kufuta, alopecia (bvudzi kurasikirwa) uye akazivisa edema syndrome.

hypothyroidism, kurapwa ndiye anosarudza pamwe kugadzwa hormone zvinodhaka. Panguva iyoyowo azive mhosva chirwere. Mune zvimwe zviitiko, yokutsiva kurapa haisi nzira huru kurapwa.

Zviratidzo hypothyroidism muvana

Secondary hypothyroidism muvana - ichi chirwere ngozi zvingakonzera mupfungwa retardation, uye kunonoka kwomuviri. Chokwadi chokuti thyroid mahormone pazera vari kunyanya kudiwa. Ivo sei dzinotsanagura kukura uye inotungamirwa yenjere. The chirwere kunogona kukonzerwa pituitary abnormalities, uye kushomeka yaunodya pamusoro ayodhini mbudzana (nokuti tertiary hypothyroidism). Pasinei panobva anochinja substitutive hormone kurapa inofanira kwakatanga panongovira dzakaonekwa yakawedzera wevasungwa pakati TSH.

Chirwere kuti hypothyroidism yechipiri

Sezvo vyvit hypothyroidism yechipiri? Zvokurwara chirwere kunotanga muunganidzwa zvichemo kuzviongorora murwere. Varwere kazhinji dzinoshuma kugara kuneta uye Hope, kufuta. Cherechedza chill uye panowanikwa edema. Mune zvimwe zviitiko hypothyroidism dzakaonekwa netsaona, semuenzaniso kana kumwedzi kunonoka chokuita pamuviri.

On ongororo yakaratidza vasanyanye kwemwoyo uye hypotension. Edema anogona riri pamusoro chero chikamu chomuviri, kazhinji - kumeso. Palpation kwakaratidza kuti vane nyoro kusachinja-chinja mucosa (myxedema).

Kwokupedzisira chirwere chinogona kuitwa pashure murabhoritari nemiedzo. In varwere nemuumbi kuwedzera huwandu TSH uye kuderera uwandu thyroid mahormone. Kuziva anokonzera chirwere rinoitwa radiography sella, pfungwa CT.

Nzira Mabatirwo hypothyroidism

Secondary hypothyroidism chiratidzo nokuda kwenguva refu hormone kurapa. Treatment anofanira raitarisirwa ane endocrinologist. Ose 3 months kunze rabhoritari Diagnostics kuona kwevari TSH uye thyroxine. The Kudzikamiswa pamusoro zviratidzo izvi ndiwo nokusimbisa kurapwa. With mukuru pamwero TSH kemikari dose kuwedzera. Kushandiswa zvinodhaka "Eutiroks" uye "Levothyroxine" sezvo yokutsiva mishonga.

Uyezve, zvinokosha kuziva mhosva zvokurwara. In anogumbura zvirwere zvidzidzo antibacterial uye antiviral kurapa. Mune zvimwe zviitiko, rimwe kuvhiya kurapwa (adenoma uye kenza pituitary gland).

Kufembera uye kudzivirira yematambudziko

At kuramba negashiro mahormone mu hypothyroidism ramangwana zvakanaka. Zvakanaka akasarudzwa dose kurapwa zvinobatsira kusunga zvachose zviratidzo chirwere. Kuti adzivise yematambudziko vanofanira kugara vaedzwa kuti Kutsunga TSH siyana uye akacherechedza imwe endocrinologist. Vakazvimiririra kushandura chipimo chemushonga kurapwa kana kurapwa havagoni kukanzura.