Daawada qanjirada 'thyroid'

Subacute tayroodh waa fal-celin difaaca jirka ee qanjirka 'thyroid' kaas oo badanaa la socda infakshanka sare ee neef mareenka.

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

Subacute thyroiditis waa xaalad aan caadi ahayn. Waxaa loo maleynayaa inay tahay natiijada infekshinka fayraska. Xaaladda badanaa waxay dhacdaa toddobaadyo yar kadib markii infakshanka fayraska ee dhegaha, sanka, ama cunaha, sida qaamo-qashiirta, ifilada, ama hargab caadi ah.

Subacute tayroodh ayaa badanaa ku dhacda dumarka da'da dhexe ee leh astaamaha infekshinka mareenka sare ee neef mareenka bishii la soo dhaafay.

Calaamadaha ugu muuqda ee subag-yaraanta 'thyroiditis' waa xanuun qoorta ah oo uu keeno barar iyo barar qanjirka 'thyroid'. Mararka qaarkood, xanuunku wuxuu ku faafi karaa (u fidi karaa) daanka ama dhagaha. Qanjirka 'thyroid' wuxuu noqon karaa mid xanuun badan oo barara toddobaadyo ama, marar dhif ah, bilo.

Calaamadaha kale waxaa ka mid ah:

• Jilicsanaan marka cadaadis jilicsan la mariyo qanjirka 'thyroid'
• Dhibaato ama liqitaan xanuun leh, xabeeb
• Daal, dareemid daciif
• Qandho

Qanjirka 'tayroodh bararsan' ayaa laga yaabaa inuu sii daayo hormoon badan oo tayroodh ah, oo keena astaamaha hyperthyroidism, oo ay ku jiraan:

• Dhaqdhaqaaqa saxaro badan oo soo noqnoqda
• Timo lumis
• Dulqaad la’aanta kuleylka
• Xilliyada caadada oo aan caadi ahayn (ama aad u fudud) dumarka
• Isbedelada niyadda
• Dareen, gariir (gariir gacmaha)
• Baabashooyin
• Dhidid
• Miisaan dhaca, laakiin rabitaanka cuntada oo kordha

Maaddaama qanjirka 'thyroid' uu bogsado, waxaa laga yaabaa inuu sii daayo hormoon aad u yar, oo keena astaamaha hypothyroidism, oo ay ku jiraan:

• Dulqaad la’aanta qabow
• Calool fadhiga
• Daal
• Caado aan caadi ahayn (ama culus) caadada dumarka
  
• Miisaanka oo kordha
• Maqaarka qalalan
• Isbedelada niyadda

Shaqada qanjirka 'thyroid' badanaa waxay ku soo noqotaa caadi dhowr bilood. Inta lagu jiro waqtigan waxaad u baahan kartaa daaweynta qanjirkaaga oo aan firfircooneyn. Xaaladaha dhifka ah, hypothyroidism waxay noqon kartaa mid joogto ah.

Tijaabooyinka shaybaarka ee la qaadi karo waxaa ka mid ah:

• Heerka tayroodh kiciya (TSH) heerka
• T4 (hoormoonka tayroodhka, tayroxin) iyo heerka T3
• Qaadashada iodine shucaaca
• Heerka Thyroglobulin
• Qiyaasta qanjirka 'Erythrocyte' (ESR)
• C protein-falcelin (CRP)
• Qalabka tayroodhka

Xaaladaha qaarkood, biopsy qanjirka 'thyroid' ayaa laga yaabaa in la sameeyo.

Ujeedada daaweynta waa in la yareeyo xanuunka lana daaweeyo hyperthyroidism, haddii ay dhacdo. Daawooyinka sida asbiriin ama ibuprofen ayaa loo isticmaalaa in lagu xakameeyo xanuunka xaaladaha fudud.

Xaaladaha aadka u daran waxay u baahan karaan daaweyn muddo-gaaban ah oo daroogo yareeya bararka iyo caabuqa, sida prednisone. Astaamaha tayroodh xad-dhaaf ah waxaa lagu daaweeyaa daroogo nooc ah oo loo yaqaan 'beta-blockers'.

Haddii tayroodhku noqdo mid aan firfircooneyn inta lagu jiro wajiga soo kabashada, beddelka hormoonka tayroodhka ayaa loo baahan karaa.

Xaaladda waa inay iskeed u hagaagtaa. Laakiin xanuunku wuxuu socon karaa bilo. Dhibaatooyinka muddada-dheer ama daran badanaa ma dhacaan.

Xaaladdu ma aha mid faafa. Dadku kaaama qaadi karaan. Lama kala dhaxlo qoysaska dhexdooda sida xaaladaha tayroodhka qaarkood.

Wac daryeel caafimaad bixiyaha haddii:

• Waxaad leedahay astaamo cilladan.
• Waxaad qabtaa tayroodh iyo astaamaha kuma fiicna daaweynta.

Tallaalada ka hortaga infekshinka fayraska sida ifilada ayaa laga yaabaa inay ka hortagto qanjirka 'thyroiditis'. Sababaha kale lagama yaabo in laga hortago.

Cudurka qanjirka 'thyroid' ee De Quervain; Qanjirka 'thyroiditis' aan loo baahnayn Qanjirka 'thyroid'; Subacute granulomatous thyroiditis; Hyperthyroidism - qanjidhka tayroodh ee hooseeya

• Qanjirada 'Endocrine'
• Qanjirka 'thyroid'

Guimaraes VC. Subacute iyo qanjirka 'thyroid' ee Riedel. Gudaha: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Dadka waaweyn iyo carruurta. 7aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 87.

Hollenberg A, Wiersinga WM. Ciladaha Hyperthyroid. Gudaha: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Buugga Buugga Endocrinology. 14aad. Philadelphia, PA: Elsevier; 2020: cutubka 12.

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.

Tallini G, Giordano TJ. Qanjirka 'thyroid' Gudaha: Goldblum JR, Lamps LW, McKenney JK, Myers JL, eds. Rosai iyo Ackerman's Pathology. 11aad. Philadelphia, PA: Elsevier; 2018: cutubka 8.