Iko kukanganisa kwe COVID-19 pane yako thyroid: Zvaunofanira kuziva

Nhau

CORONAVIRUS UPDATE: Sezvo nyanzvi dzichidzidza zvakawanda nezve novel coronavirus, nhau uye ruzivo rwunochinja. Nezvezvazvino padenda re COVID-19, ndapota shanyira iyo Nzvimbo dzekudzivirira nekudzivirira hosha .

Apo Deborah, mukadzi ane makore makumi matatu nemapfumbamwe ekuberekwa muNew York, paakaporeswa kubva ku coronavirus muna Kubvumbi, akafunga kuti chakaipisisa chaive shure kwake. Asi masvondo mashanu gare gare, akatanga kuve nekurova kwemoyo, zvisina kujairika adrenaline rushes, ndokuona chero chii chaiitika chaive chisina kujairika. Akatanga kuongorora mikana navanachiremba vake, uye akatomboona chiremba wezve moyo wekuongororwa kwemoyo neropa asati aona kuti thyroiditis yaimukonzera. Kwemwedzi minomwe Deborah aive hyperthyroidism, kana yakanyanyisa thyroid. Mahormone ekuwedzera akaburitswa nemuviri wake akaita kuti anzwe achinetseka, kunge anga aine makapu akawandisa ekofi. Pakupedzisira, utachiona hwake hwakadzokera pane zvakajairwa. Icho chaive chinoshamisa uye chinogara-kwenguva chinetso post-COVID-19.

Dhibhora haasi ega. Ndiye mumwe wevashoma muzana yevanhu vakasangana nematambudziko ehurongwa hwemakemikari anounzwa nehutachiona hwehutachiona, senge COVID-19.

Nezve matambudziko ehutachiona

Utachiona igland-yakaita gland mumutsipa inogadzira mahormone anokanganisa metabolism yako, kukura uye kukura, uye tembiricha yemuviri. Matambudziko ehutachiona anotangira pane zvinyoro kusvika kune zvakanyanya. Around 12% yevanhu vanozoita mamiriro ehutachiona imwe nguva muhupenyu hwavo. Heano mashoma ehutachiona nyaya dzekutarisa:

• Hyperthyroidism: Inowanzo kukonzerwa nechirwere cheGrave, autoimmune kusagadzikana uko immune system yako inorwisa yako utachiona, izvi zvinoguma nekuwedzera kuwanda kwetachiona kemikari.
• Hypothyroidism: Inowanzo kukonzerwa ne Hashimoto's thyroiditis , inova mamiriro ayo immune system yako painorwisa thyroid yako, izvi zvinoguma nekuderera kwekugadzirwa kwehormone hormone.
• Subacute thyroiditis: Utachiona, hwakadai secoronavirus, hunokonzera kuzvimba mugland, uye kazhinji hune mitsara mitatu, inosanganisira: hyperthyroidism, hypothyroidism, uyezve kuomesa mazinga, maererano Maria Cardenas, MD , endocrinologist.
• Kenza yeTiroid: Mapundu kana maronda anogona kutakura mukana wekenza, asi chete 10% yenguva, Dr. Cardenas anodaro. Vanachiremba vanogona kuita biopsy uye kuongorora hunhu kuti vaone cancer yekenza. Iwo maCentre ekurapa nekudzivirira Zvirwere ( CDC ) nyora zvinhu zvine njodzi semwaranzi yakawandisa kunzvimbo yemutsipa, uye hutachiona.

Utachiona chirwere uye coronavirus

Pakutanga kwehosha, kwaive nekumwe kutya kuti vanhu vaitova ne autoimmune kusagadzikana senge mamiriro ehutachiona vaive vasina kugadzikana uye vanogona kuwana coronavirus, sekureva Alan Christianson , NMD, endocrinologist uye Medical Chiremba weKubatanidza Hutano. Sezvineiwo kutya ikoko kwaive kusiri kwechokwadi.

Kune vanhu vane preexisting thyroid mamiriro ane mukana wekuwana coronavirus?

Vanhu vane hutachiona mamiriro - kunyangwe autoimmune chirwere chetachiona - havana mukana wekutapukirwa nehutachiona, sekureva kwe YeAmerican Thyroid Association . Ndanga ndichisimbisa vanhu [vane utachiona mamiriro] kuti njodzi idzodzo hadzishandi kwavari, anodaro Christianon.

Kana vakawana coronavirus, ivo vanowanzo kuve nematambudziko here?

Vaya vane zvakanyanya kusadzora mamiriro ehutachiona vanogona kuve nenjodzi yakakwira yezvinetso kana vangowana hutachiona hweCOVID-19. Ivo vanonyanya kukodzera kurapwa muzvipatara, anodaro Christianon. Pamusoro pezvo, varwere veCOVID-19 vanoona kuwedzera uremu kana kurasikirwa uremu vangangoda kugadziriswa kumushonga wemishonga yavo kuti vachengetedze zviratidzo, Dr. Cardenas anodaro. Izvi zvinogona kuitwa pane post-COVID-19 yekutevera kuteedzana neye endocrinologist.

Inogona coronavirus inokonzeresa nyaya yehutachiona muvanhu vanga vasina kare?

Vamwe vanhu vasina kumbobvira vaine hutano hwehutachiona vanogadzira subacute thyroiditis (SAT) mushure mekupora kubva kuCOVID-19. Nyaya yenyaya yakaburitswa muna Iyo Journal yeClinical Endocrinology uye Metabolism muna Nyamavhuvhu 2020 inotevera zviitiko zvevakadzi vana vakagadzira SAT pakati pemazuva gumi nematanhatu kusvika makumi matatu nemasere mushure mekugadziriswa kwemacorronavirus kesi dzavo. Vaizoona zviratidzo zvinosangana neSAT senge kurwadziwa kwemutsipa (uko utachiona huripo) uye kurova kwemoyo (chiratidzo chehyperthyroidism).

Dr.Christonon vanoti kurwadziwa kwemutsipa kunogona kuve pachena, uye nzvimbo yemutsipa padyo nepawaipfeka bowtie inogona kuve yakatsvuka uye kuzvimba. Vanhu vanofanirwawo kutarisa nezvenyaya dzemwoyo sekuonekwa kwakaitwa chidzidzo. Kana iyo utachiona ikashungurudzwa inogona kutsvina yakawanda kubuda muropa kamwechete. Zvinogona kukonzera moyo kumhanya. Yakawedzera thyroid thyroid inogona kukonzera kurova kwemoyo kwe120-150 kurova paminiti, Dr. Christianson anodaro. Dai vaive vachishingaira kana vaine caffeine zvakare inogona chaizvo kubvisa. Vanogona kunzwa kutya, jittery, kudedera, kana kunzwa kupisa.

Christianson anotsanangura kuti SAT inowanikwa munzvimbo dzinosvika gumi muzana yevarwere vakaiswa muchipatara neCOVID-19, sekureva kwechidzidzo chakaburitswa mu Iyo Lancet, Chirwere cheshuga uye Endocrinology , munaGunyana 2020.

Vanachiremba vanorapa sei subacute thyroiditis mushure mecoronavirus?

Neraki, kazhinji kesi dzeSAT dzinozvigadzirisa dzoga, kazhinji pasina kurapwa. Mune mamwe mazwi, mamiriro ekuzvidzora. Irene Mulla, MD , endocrinologist ane Chicago Health Medical Group, anobata mamiriro aya nema nonsteroidal anti-anogumbura madhiragi (NSAIDS) akadai seMotrin kana Advil kubatsira nemarwadzo emutsipa pachawo. Mune zvimwe zviitiko, anodaro, kumwe kurapwa kunodiwa senge steroids.

Vamwe varwere vakaita saDebbie vanonyaradzwa nenyaya yekuti ivo vanoziva zviri kuitika, uye kuti kazhinji yenguva yacho inozopedzisira yaenda. Muchiitiko chake, akasarudza kusatora mishonga, kunyangwe nyaya yake yeSAT yakaramba iripo kwemwedzi minomwe, yakareba kupfuura 1-2 mwedzi nguva yakatarwa nachiremba wake zvaive zvakajairika.

Chidzidzo chaGunyana 2020 chakaburitswa mu American Zvinyorwa zveMedhi Sayenzi inokurudzira varapi vezvehutano kuti kuchengetedzwa kwekutsigira kunoramba kuri iro rekona yekurapa kweECVID-19 inosanganisirwa subacute thyroiditis, uye kuti NSAIDS uye beta-blockers senge propranolol inogona kubatsira kubata zviratidzo. Inoenderera ichiti kune dzimwe nguva panguva yehypothyroid chikamu, ipfupi kosi ye levyothyroxine inogona kushandiswa kudzamara utachiona hwatanga zvekare kuita basa.

Dr. Cardenas vanoti vamwe varwere vangangodawo rutsigiro panguva yepasi yeturosi danho reSAT, uyezve vanogona kubva pamushonga sezvo utachiona huchizvirapa.

Ini ndinofanira kuwana mushonga wecoronavirus kana ndine hutachiona mamiriro?

Hapana mumwe wevanoona nezvehutano akazeza kukurudzira mushonga weCOVID-19 wevarwere vetachiona, sezvo ivo vasiri panjodzi yekuwedzera yezvinetso kana mhedzisiro kubva pairi. Dr.Christon anoti, Hakuna kumbove nemishumo yezviri kuwedzera chirwere chemuviri.

Vanhu vane chirwere chetachiona havazoiswa pamberi kuti vagamuchire mushonga pamberi pevamwe, sezvo vasingaonekwe sevasina kugadzikana kupfuura munhu asina chirwere chetachiona. Cardenas anovimbisa varwere vake kuti zvakachengeteka kuwana jekiseni, uye havazove iro boka rine njodzi huru.

Ndingakwanise kuvhiringidza mhedzisiro kubva methimazole nehutachiona hweCOVID-19?

Methimazole mushonga unoshandiswa kurapa hyperthyroidism, uye Dr. Mulla vanoti anti-thyroid mushonga dzimwe nguva unouya nemhedzisiro. Izvo zvine chekuita nemhedzisiro mhedzisiro inogona kutevedzera COVID-19 inosanganisira fever uye flu-kunge zviratidzo. Dr. Mulla vanoti nzira chete yekuudza mutsauko ndeyekufonera endocrinologist kuti aongororwe ropa kuti aone kana murwere ari kusangana nemhedzisiro kana COVID-19.

Kunyangwe iyi mhedzisiro inogona kuitika chero nguva, anoti zvinowanzoitika pakutanga kwenyaya nyowani, kana kana iyo dosi yakakwira. Dr. Cardenas anotaurirawo varwere vake mune iyi nyaya ivo vanofanirwa kuve nebasa rebhu rakaitwa kuti vaone panobva zviratidzo nenzira kwayo.

Ndinofanira kunonoka maitiro ane chekuita nehutachiona panguva yedenda here?

Kunze kwekunge chipatara chako kana chiremba abatirira pane sarudzo uye imwe yehutachiona kurapwa kwako kunzi kusarudzwa, hapafanire kuve nechikonzero chekuti denda racho riomese chirongwa chako chezvekurapa. Vose vechiremba vakakurudzira kuenderera mberi sezvakajairika kune Fine sindano aspiration biopsies, radioactive iodine kurapwa, uye chero imwe nzira yakakurudzirwa.

Vamwe vanachiremba vanoziva nodule uye vasingaone ichiratidza hunhu hwakaipisisa vanoshandisa kumirira uye kuona nzira zvakadaro. Dr. Mulla vanoti mune idzi kesi kazhinji maqhumu anokura zvishoma zvishoma, uye kana murwere akasununguka kumirira, saka zvakanaka. Iye anongomhanyira mune zviitiko apo nodule iri yakapetwa kana katatu mukukura nekukurumidza kana ine zvimwe zvine chekuita nenjodzi dzinogona kuratidza cancer.

Iko hakuna zvakare chikonzero chekumisikidza yako yakajairika thyroid kusagadzikana kuongorora, utachiona hwebasa bvunzo (TSH bvunzo) , kana kuvhiyiwa kwehutachiona nekuda kwechirwere ichi, kunze kwekunge kugona kwechipatara kuri kunetseka munharaunda yako.

Kufunga nezvematambudziko asina kutarisirwa

Kana ari Deborah, haapi mhosva vanachiremba vake nekusamuyambira nezve mukana weSAT mushure me COVID-19, achiti kwaive kutanga kwazvo mudenda, uye pakanga paine data shoma pane ratiri ikozvino. Ndakaonga ivo vese vaive vachinzwa kuti something was not normal for me and were willing to test to further resolution it. Izvo zvaive pamusoro peangu kubvunza mibvunzo uye kuita hurukuro, anodaro. Zvino, kune vanhu vazhinji vane mamiriro aya uye nekuziva kukuru nezvazvo.