Hypothyroidism vs Hyperthyroidism
Cov thyroid caj pas yog ib qho tseem ceeb ntawm cov kab mob endocrine nyob rau hauv tib neeg lub cev thiab nws secretes thyroxin (T4) thiab tri-iodothyronine (T3), uas nyob rau hauv lem pab tswj lub metabolic zog ntawm tib neeg lub cev, nrog rau txoj kev loj hlob. ntawm tib neeg lub cev thaum ntxov thiab tsim nyog neural kev loj hlob nyob rau hauv lub cortex. Raws li nws cuam tshuam rau tag nrho cov metabolic kev ua haujlwm ntawm tib neeg lub cev, nws cuam tshuam rau txhua yam ntawm lub cev ua haujlwm, yog li, qhov ntau dhau los yog qhov tsis txaus yuav cuam tshuam rau tus neeg mob siab ntawm ob qho tib si cov lus qhia rau kev ua haujlwm ib txwm muaj. Kev sib tham yuav ua raws li qhov ua rau ntawm cov xwm txheej no, cov tsos mob thiab cov tsos mob, thiab kev tswj xyuas qhov zoo.
YHypothyroidism
Hypothyroidism yog qhov tsis txaus ntawm cov thyroid hormones ua rau txo qis hauv kev xav tau. Qhov no tuaj yeem yog vim qhov tshwm sim los ntawm qhov tshwm sim, lossis iatrogenic, lossis tshwm sim los ntawm hluav taws xob, thiab lwm yam. Tus neeg mob no yuav yws yws ntawm qhov mob khaub thuas, cem quav, qaug zog, hnyav nce, tawv nqaij qhuav, mob khaub thuas hnyav, thiab kev nyuaj siab. Cov tsos mob ntawm hypothyroidism yuav suav nrog, daim tawv nqaij qhuav, BMI ntau dua, bradycardia, qeeb qeeb cov leeg sib sib zog nqus reflexes, thiab lwm yam. Kev tshawb nrhiav yuav ua tiav los ntawm T4 thiab TSH qib, thiab qhov no tuaj yeem ntsuas yog tias nws yog overt lossis subclinical hypothyroidism. Kev tswj hwm yuav yog los ntawm, kho qhov ua rau muaj txiaj ntsig thiab ntxiv cov thyroidal cov tshuaj hormones nrog levothyroxine, tuaj yeem ua rau tag nrho lub neej.
YHyperthyroidism
Hyperthyroidism yog qhov ntau tshaj ntawm cov thyroid hormones ua rau kom nrawm rau hauv qhov kev xav tau. Nws tuaj yeem tshwm sim los ntawm kev noj ntau dhau ntawm iodine lossis thyroxin, kev loj hlob tsis mob qog noj ntshav, Grave's disease, thiab lwm yam. Tus neeg mob no yuav yws yws ntawm qhov kub tsis haum, poob phaus, poob libido, ntxhov siab, tshee, ua tsis taus pa los ntshav, tawm hws ntau, psychosis, thiab lwm yam. Cov tsos mob yuav muaj xws li hyperhidrosis, zoo tshee, plaub hau poob, pom goiter, tachycardia, Kev nrawm nrawm nrawm sib sib zog nqus cov leeg reflexes, ntshav txhaj tshuaj ob lub qhov muag, protruding ob lub qhov muag, ntsia thawv deformities, thiab lwm yam. Ntawm no dua cov kev tshawb nrhiav muaj T4 thiab TSH qib, thiab tseem muaj cov kev tshawb fawb tshwj xeeb los qhia qhov ua rau hyperthyroidism. Kev tswj hwm yuav nyob ntawm qhov laj thawj. Txo cov thyroidal qib los ntawm cov tshuaj tiv thaiv thyroid yog ib qho tseem ceeb, thiab tom qab ntawd cov kev cuam tshuam tshwj xeeb xws li kev phais lossis kev kho xov tooj cua iodine tuaj yeem xaiv.
Qhov txawv ntawm Hypothyroidism thiab Hyperthyroidism yog dab tsi?
Ob qho xwm txheej no cuam tshuam nrog kev noj qab haus huv thiab kev ua haujlwm tsis zoo ntawm lub neej ib txwm muaj. Ob qho xwm txheej yuav cuam tshuam nrog goiters, thiab cuam tshuam nrog cov leeg mob thiab qaug zog. Kuj tseem muaj kev coj khaub ncaws tsis xwm yeem, thiab poob libido. Ob qho xwm txheej tuaj yeem ua rau pulmonary oedema, thiab kab mob plawv. Lwm yam mob yog txuam nrog kev puas siab puas ntsws, uas ua rau muaj kev ntxhov siab loj rau tus neeg. Cov cim tshwj xeeb thiab cov tsos mob ntawm cov mob no nyob ntawm qhov siab tshaj plaws ntawm ib txwm muaj, yog li thaum hypothyroidism ua rau mob khaub thuas, hnyav nce, tawv nqaij qhuav, hyperthyroidism ua rau kub tsis kam, poob phaus thiab tawm hws ntau dhau. Cov txheej txheem tshawb nrhiav zoo ib yam, tab sis kev tswj hwm txawv. Hyperthyroidism feem ntau yog tswj hwm nrog cov tshuaj tiv thaiv thyroid, thiab kev phais / xov tooj cua iodine yam tsis xav tau kev tswj hwm tshuaj mus ntev, tsam muaj teeb meem iatrogenic. Hypothyroidism ntawm qhov tod tes yuav tsum tau ntev, tej zaum thoob plaws hauv lub neej kev tswj hwm nrog levothyroxine.
Nyob rau hauv cov ntsiab lus ntawm ob qho xwm txheej no nyob rau ntawm ob qhov siab tshaj plaws ntawm kev sib raug zoo rau cov thyroid qib, thiab ua rau muaj kev mob hnyav thiab kev tuag, tshwj tsis yog tswj xyuas kom zoo.
