Qanjirka 'thyroiditis' (cudurka Hashimoto)

Cudurka qanjirka 'thyroid' waxaa sababa falcelinta nidaamka difaaca jirka ee qanjirka 'thyroid'. Waxay badanaa keentaa hoos u dhaca shaqada tayroodh (hypothyroidism).

Ciladda waxaa sidoo kale loo yaqaan cudurka Hashimoto.

Qanjirka 'thyroid' wuxuu ku yaalaa qoorta, wax yar ka sareysa halka ay qoortaadu ku kulmaan dhexda.

Cudurka Hashimoto waa cillad guud oo qanjidhada qanjidhada. Waxay ku dhici kartaa da 'kasta, laakiin badanaa waxaa lagu arkaa dumarka da'da dhexe. Waxaa sababa falcelinta nidaamka difaaca jirka ee qanjirka 'thyroid'.

Cudurka si tartiib ah ayuu ku bilaabmaa. Waxay qaadan kartaa bilo ama xitaa sanado in xaalada la ogaado iyo heerarka hoormoonka tayroodh inay ka hooseeyaan sida caadiga ah. Cudurka Hashimoto wuxuu ku badan yahay dadka taariikhda qoyska ku leh cudurka qanjirka 'thyroid'.

Marar dhif ah, cudurku wuxuu la xiriiri karaa dhibaatooyinka hormoonnada kale ee ay sababaan nidaamka difaaca jirka. Waxay ku dhici kartaa shaqo xumo adrenal iyo nooca 1aad ee sonkorowga. Xaaladahaas, xaaladda waxaa lagu magacaabaa nooca 2 polyglandular autoimmune syndrome (PGA II).

Marar dhif ah (badanaa carruurta), cudurka Hashimoto wuxuu ku dhacaa qayb ka mid ah xaalad loo yaqaan nooca 1 polyglandular autoimmune syndrome (PGA I), oo ay weheliso:

• Shaqada liidata ee qanjidhada adrenal
• Infekshannada fangaska ee ku dhaca afka iyo ciddiyaha
• Qanjirka 'parathyroid' oo aan firfircooneyn

Calaamadaha cudurka Hashimoto waxaa ka mid noqon kara mid ka mid ah kuwan soo socda:

• Calool fadhiga
• Dhibaato ka-fiirsashada ama fikirka
• Maqaarka qalalan
• Qoorta oo weynaata ama jiritaanka goiter, taas oo noqon karta calaamadaha kaliya ee hore
• Daal
• Timo lumis
• Muddooyin culus ama aan caadi ahayn
• Dulqaad la’aanta qabowga
• Miisaanka oo kordha
• Qanjirka 'thyroid' yar ama yaraaday (goor dambe cudurka)

Tijaabooyinka shaybaarka si loo go'aamiyo shaqada tayroodhka waxaa ka mid ah:

• Tijaabin bilaash ah T4
• Serum TSH
• Wadarta T3
• Qalabka jirka ee qanjirka 'thyroid'

Daraasadaha sawir-qaadista iyo cirbadda cirbadda lagu gooyo guud ahaan looma baahna in lagu baaro Hashimoto thyroiditis.

Cudurkani wuxuu sidoo kale beddeli karaa natiijooyinka baaritaannada soo socda:

• Tirinta dhiigga oo dhammaystiran
• Serum prolactin
• Serum sodium
• Wadarta kolestaroolka

Hypothyroidism aan la daaweyn wuxuu beddeli karaa sida jidhkaagu u isticmaalo daawooyinka aad u qaadan karto xaaladaha kale, sida suuxdinta. Waxay u badan tahay inaad u baahato baaritaano dhiig oo joogto ah si loo hubiyo heerarka daawooyinka jirkaaga ku jira.

Haddii aad heshay natiijooyinka qanjirka 'thyroid' oo aan firfircooneyn, waxaad heli kartaa daawada beddelka qanjirka 'thyroid'.

Ma aha qof kasta oo qaba qanjirka 'thyroid' ama 'goiter' inuu leeyahay heerar hoose oo hoormoonka tayroodhka ah. Waxaa laga yaabaa inaad u baahan tahay oo keliya dabagal joogto ah oo bixiyaha xanaanada caafimaadka ah.

Cudurku wuu xasilloon yahay sannado. Haddii ay si tartiib tartiib ah ugu gudubto yaraanshaha hoormoonka tayroodhka (hypothyroidism), waxaa lagu daaweyn karaa daaweynta beddelka hormoonka.

Xaaladani waxay ku dhici kartaa xanuunada kale ee isdifaaca jirka. Marar dhif ah, kansarka tayroodhka ama qanjirka 'thyroid lymphoma' ayaa soo bixi kara.

Hypothyroidism daran oo aan la daaweyn wuxuu u horseedi karaa isbeddel miyir-qabka, miyir-beel, iyo dhimasho. Tani waxay badanaa dhacdaa haddii dadku qaadaan infekshan, la dhaawaco, ama ay qaataan daawooyin, sida opioids.

Wac daryeel bixiyahaaga haddii aad isku aragto astaamaha tayroodh raaga ama hypothyroidism.

Ma jiro hab la yaqaan oo looga hortago cilladan. Ka warqabida arrimaha halista ah waxay u oggolaan kartaa ogaanshaha hore iyo daaweynta.

Hashimoto thyroiditis; Cudurka qanjirka 'lymphocytic thyroiditis'; Qanjirka 'thyroiditis'; Qanjirka 'autoimmune thyroiditis'; Lymphadenoid goiter - Hashimoto; Hypothyroidism - Hashimoto; Nooca 2 polyglandular autoimmune syndrome - Hashimoto; PGA II - Hashimoto

• Qanjirada 'Endocrine'
• Ballaarinta qanjirka 'thyroid' - scintiscan
• Cudurka Hashimoto (thyroiditis joogto ah)
• Qanjirka 'thyroid'

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Lakis ME, Wiseman D, Kebebew E. Maareynta tayroodh. Gudaha: Cameron AM, Cameron JL, eds. Daaweynta Qalliinka ee Hadda. 13aad. Philadelphia, PA: Elsevier; 2020: 764-767.

Marcdante KJ, Kliegman RM. Cudurka qanjirka 'thyroid'. Gudaha: Marcdante KJ, Kliegman RM, eds. Nelson Muhiimadda Caafimaadka Caruurta. 8aad ed. Elsevier; 2019: cutubka 175.