Hypothyroidism na nkịta: mgbaàmà, ọgwụgwọ, na-akpata ọrịa

Otu nke ọdụdụ nwa, ọtụtụ ngwa ngwa na-emepe emepe alaka nke na nkà mmụta ọgwụ bụ Endocrinology. Otú ọ dị, ọtụtụ anụmanụ nchọpụta nsogbu endocrine ọrịa bụ taa na-amalite amalite. O sina dị, ụmụ anụmanụ na-arịa ọrịa, na ọrụ nke ọkachamara - n'ụzọ ziri ezi na ịchọpụta ma, ọ bụrụ na ọ dị mkpa, dozie ọgba aghara nke endocrine usoro.

Otu n'ime ihe ndị kasị nke ọrịa ndị a na-ewere hypothyroidism na nkịta. Photos of ụmụ anụmanụ, na-akpata, ihe mgbaàmà na ọgwụgwọ nke ọrịa a, anyị ga-ewetara gị a n'isiokwu a. Ọ ga-eleba ụzọ nke nchoputa.

Hypothyroidism na nkịta: ọrịa nkọwa

Ọrịa a na-esonyere na-enwe nsogbu ndị ọrụ nke thyroid gland, nke nwere ọtụtụ dị iche iche ọrụ. Hypothyroidism - a daa ọrịa ji a ọnụ ọgụgụ nke synthesized thyroid homonụ.

ụdị ọrịa

Ndị ọkachamara na-na-abụọ na ụdị ọrịa a - isi na sekọndrị. Enwetara (isi) hypothyroidism - ihe mbufụt nke thyroid gland, nke a na-akpọ Hashimoto ọrịa, ma ọ bụ ndị ọzọ Filiks na-ebibi ahụ. Mgbe ụfọdụ, hypothyroidism na nkịta na-akpalite a enweghị ayodiin na ihe oriri nke anụmanụ na-efe efe, etuto ahụ nke thyroid. Na nke ọ bụla, na-arịa ọrịa ngwa bụ enweghị ike ịmị ezigbo ichekwa homonụ.

Secondary hypothyroidism na nkịta mgbaàmà nke nwere ike ime na nwata nke anụmanụ, a na-ebibi mmetụta na-eto eto organism. Thyroid homonụ dị oké mkpa maka mmepe nke Central ụjọ usoro na ọkpụkpụ, ha erughi nwere ike ime ka dwarfism ụmụ anụmanụ. Secondary hypothyroidism na nkịta na-egosipụta onwe ya na congenital thyroid dysfunction ma ọ pụrụ ịrịa guzobe etuto ahụ. N'ihi ya, usoro a na-akwusila hormone.

Secondary hypothyroidism mgbe ụfọdụ na-amalite mgbe na-ekwesịghị ekwesị ọgwụgwọ na glucocorticoids ma ọ bụ ekwesịghị ekwesị nri.

ogbo nke ọrịa

Na mmepe nke hypothyroidism na nkịta mgbaàmà bụkwa dị iche iche. Ná mmalite ogbo nke ọrịa ego nke tyrosine na thyroid gland na-ebelata, na-eme ụba mmepụta nke ọzọ homonụ. N'ihi ya, ahụ mmiri ọgwụ itule na-arịwanye elu. Na nnọọ obere okwu, ndị ahụ nwere ike naghachi na ha onwe ha, ma ndị ọzọ na-na ọrịa esịmde ihe elu ogbo.

Na nke a, na ọkwa nke tyrosine dị mkpa na nnọọ sharply ebelata, na nke itule nke itinye n'ọnọdụ bụ ekwe omume. The thyroid gland na-akawanye njọ unan na-eduga a ịrịba arịa ọrịa nke izugbe ọnọdụ nke anụmanụ.

Dị ka ọtụtụ ndị endocrine abnormalities, hypothyroidism na nkịta mgbaàmà nwere ike dị iche iche. Ọtụtụ mgbe na mmepe nke ọrịa na-egosi buru ibu, ibu oké ibu. Ke adianade do, ọrịa a na-chọpụtara na a na ọnwụ nke uwe na akpụkpọ nsogbu.

Dị ka e kpughere hypothyroidism nkịta? Nchoputa bụ na o kwere omume naanị na a ọma ọgwụgwọ ọrịa anụmanụ n'ụlọ ọgwụ mgbe a full nchoputa nke ọbara anụmanụ. Results nke analysis ga-ekwe ka e jiri ya tụnyere ndị na-arụpụta na norm, nke bụ ihe e ji mara anụmanụ nke otu afọ na ìgwè.

Na-akpata ọrịa

Thyroid gland - a obere-sized gland dị na akpịrị. Ọrụ na-usoro pituitary gland nke ụbụrụ. N'ihi ya nkịtị na-eme mkpa pụrụ iche na-akpali akpali hormone. The pituitary gland synthesizes a hormone na ọ na-akpata na thyroid gland na-emepụta ya ike. Si ya ala na-adabere na arụmọrụ nke prostate.

Otú ọ dị, hypothyroidism na nkịta mgbe ịzụlite ụmụ anụmanụ, na pituitary gland bụ nke dị na kwesịrị ikwu. Ntak emi ẹwọrọde? About 95% nke ikpe "na-ndabere", ha na n'ihi na nke ọrịa na-eso Filiks nke na-ebibi mgbanwe thyroid gland. N'ụzọ dị mwute, e nwere mgbe niile kwere omume chọpụta ọdịdị nke ndị a Filiks.

Veterinarians kwere na ụta maka nke a autoimmune aghara, na nke ụmụ anụmanụ si ahu amalite mebie onwe ya. Hypothyroidism, ihe kpatara nke a nwere ike dị iche iche, ezi mgbe a n'ihi nke atrophy nke thyroid gland. Nke a bụ ìhè karịsịa ikpeazụ nkebi nke ibu oké ibu na oncology.

Olee ihe ọzọ nwere ike ime ka hypothyroidism? Ihe kpatara nwere ike ezobe na ọnụnọ na parasitic na-efe efe. A yiri N'ihi nwere ike ime ka na-achịkwaghị achịkwa mmiri ọgwụ na ọgwụ ọjọọ. Site n'oge ruo n'oge mata ikpe nke congenital hypothyroidism. Veterinarians na-ekwu na oké njọ worm infestation nwere ike ime ka hypothyroidism na nkịta. The ihe ndị doro anya - aru nke anụmanụ a tụba oké ego nke nsí na-emetụta thyroid gland.

Udiri anumanu na a pụrụ ịrịa hypothyroidism

Hypothyroidism na nkịta, mgbaàmà (foto ị pụrụ ịhụ na isiokwu a), na-adakarị mgbaàmà nwere ike chọpụtara na ụmụ anụmanụ dị iche iche mmekọahụ, afọ na ìgwè. Ọ bụ ezie na ọtụtụ afọ nke chọpụtara chọpụtara na mgbaàmà nke ọrịa a na-ahụrụ na ụmụ anụmanụ n'okpuru afọ na afọ iri. Na 70% nke ikpe ha ime na nkịta nke buru ibu ma na nnọọ nnukwu udiri anumanu, na ụmụ obere anụmanụ na-arịa ọrịa obere mgbe.

Akwakọba ọkachamara gburugburu ụwa ọnụ ọgụgụ na-egosi na budata ọzọ yiri ka na-ata ahụhụ site na ndị na-esonụ na udiri anumanu:

• Doberman pinscher;
• Golden Retriever;
• schnauzer;
• Irish setter;
• Cocker Spaniel;
• ego;
• Airedales.

The German Onye Ọzụzụ Atụrụ bụ ewekarị ọtụtụ mkpụrụ ndụ ihe nketa ọrịa na (hypothyroidism nakwa). okike dabeere Na nkịtị ọnọdụ anaghị Otú ọ dị, bitches ovariectomized ata ahụhụ site na a na ọrịa bụ ezi mgbe. Ma ndị dị otú ịwa a chọrọ iji gbochie ara cancer, Otú ọ dị na nke a ọnọdụ hypothyroidism ọzọ bụ họọrọ n'ihi na nke a: na enwe si na ọrịa a bụ ugboro iri ala karịa nke cancer.

symptomatology

Thyroid homonụ ndị dị mkpa maka nkịtị metabolic ọrụ nke anụ organism. Ha na-enweghị na-emetụta ihe fọrọ nke nta niile na akụkụ na usoro. Na nke a, nwere ike iche iche puta ìhè hypothyroidism na nkịta. Mgbaàmà na ọgwụgwọ nke ọrịa kpebisiri ike site a vetiran soja nwoke dabeere na Clinical ọmụmụ. Otú ọ dị, e nwere ọtụtụ ihe ịrịba ama na nwere ike ime na 90% nke ikpe ebe ndị mebiri nke thyroid gland.

The adakarị picture nke ọrịa nwere ike na-ele ya anya holistically, dị ka ụfọdụ mgbaàmà iche iche na-egosi na ọnụnọ nke ọzọ ọrịa. Dog nwe kwesịrị ịkpọtụrụ ndị na-esonụ mgbaàmà ime na a ọgwụgwọ ọrịa anụmanụ n'ụlọ ọgwụ, ma ọ bụrụ na ụmụ anụmanụ:

1. Iche na omume (ókè-awakpo ma ọ bụ, ọzọ, fearfulness).
2. Mkpọchị ịta (enweghị mmasị, sere n'elu anya).
3. ụjọ agwa nsogbu (ike ọgwụgwụ, oké ibu, ekweghị ibe nọrọ ka ikpo na oyi na-atụ, nkọ ọnọdụ swings).
4. Ịrịba Ama arịa ọrịa nke anụ na kootu (dandruff, nkụ, patchy ntutu ọnwụ, ndiiche pigmentation, actinic akpụkpọ).
5. Nsogbu na playback mụrụ (obere ma ọ bụ kwa nnukwu ezumike n'etiti heats, ogbenye libido, adịghị ike ma ọ bụ nwụrụ anwụ ụmụ, ụgha ime).
6. Na-enwe nsogbu obi na ọbara arịa, nakwa dị ka hematopoietic usoro (bradycardia, fibrillation, mbenata platelet ọnụ, na ọbara ọcha cell ọnụ, ebelata haemoglobin, ọbara ọgbụgba).
7. Mgbanwe ndị na-eriri afọ (afọ ọsịsa, vomiting, afọ ntachi).
8. Nsogbu na anya (conjunctivitis, akọrọ anya, abụba ke cornea, anya na-efe efe).

Ndị ọzọ dị oké njọ mgbaàmà - maa jijiji gait, mkpọnwụ, drooping eyelids, na a aka nke nsogbu. Ọtụtụ mgbe, ihe mgbaàmà na-egosipụta naanị na a mbubreyo ogbo, ebe ọ bụ na ha na-eji nwayọọ nwayọọ. Clinical ihe ịrịba ama n'ozuzu, ọ pụrụ iyi ọtụtụ izu, ma ọ bụ na-adị otú ahụ na-adịghị ike, "saa pụta" na ugboro ole na ndị nwe adịghị nnọọ ntị ka ha.

E nwere ihe ọzọ dị mkpa banyere - bụ a daa ọrịa nke thyroid gland. Ọtụtụ mgbe, mgbe nkịta mechaa ọzụzụ kpụ ọkụ n'ọnụ ọgwụgwọ site ọgwụ ndị siri ike, ahụ nwere ike mbà. Im anụmanụ ahụ ike kaadị, na ịga dibịa ga-a n'ime akaụntụ, ma nchoputa nwere ike ịbụ na-ezighị ezi. Ọrịa nke akụrụ, imeju, ọrịa shuga na ọrịa ndị ọzọ kpasuo enweghị nchịkwa thyroid syndrome.

ọrịa nchoputa

Hypothyroidism na nkịta na-chọpụtara na ndabere nke ihe ọtụtụ ule. Ha na-ahọrọ na-adabere na ego ike nke anụmanụ ahụ nwe, nnweta nke oge a na ngwá na reagents mkpa na ụlọ ọgwụ. N'ihi na mgbaàmà nke ọrịa kama na-edochaghị anya, ị nwere ike ime na-enweghị ọkachamara adakarị nchoputa.

The kasị analysis a na-ewere na-elele thyroxine (T4). Nke a ihe onwunwe nwere ike synthesized naanị site thyroid gland. Ya mere, mgbe ya ọdịnaya bụ ala ke n'ọbara nwere ike iche ọnụnọ nke oké ọrịa. Otú ọ dị, buru n'uche na e nwere ọtụtụ ihe mere ha, nākpasu a ọnụ nke thyroxine n'ime ọbara, ya mere, ọ dị mkpa iji tụlee ihe ndị ọzọ na-achọpụta ọrịa usoro.

Thyroxine nwere ike ịbụ ugbu ke n'ọbara na abụọ iche-iche. Ẹma ụdị bụ mmasị na-edozi na ọ dịghị banye n'ime mkpụrụ ndụ. Free T4 na-adịghị metụtara ndi na-edozi na ọ bụ ike banye n'ime cell Ọdịdị na bụ n'ozuzu ugbu nime ya na obere ichekwa. Ya olu nta na-sonye na akaụntụ mgbe na-eme a nchoputa.

Ọ bụrụ na a nkịta nwere a ala ozo nke T4, nwere ike nwalere maka thyroxine, dabeere na ihe pụrụ iche ọgwụ preparations. Na nke a, a obere ego nke sịntetik pituitary hormone na-ndinọ intravenously. Awa isii mgbe usoro, nkịta na-bled na T4 etoju enyocha. Ọ bụrụ na anụmanụ na-egosi na hypothyroidism, ahụ ya na n'ọbara ya ga-nso nkịtị njikwa. A ike nkịta larịị nke a umi budata karịa elu ịgba nke nkịtị.

Ihe ọmụma bara uru nwere ike inye-eme nnyocha, nke na-eduzi n'oge na-adakarị nnyocha. Iji mee nke a, ị ga-ebu pụta na-esonụ:

• ọbara onwu na a ụfọdụ larịị nke triglycerides na cholesterol, na mkpokọta adakarị;
• urinalysis (akọrọ);
• echocardiography;
• ngwá.

hematological ọmụmụ

Dabere na data anakọtara site anụmanụ, banyere pasent iri atọ nke nkịta na hypothyroidism amalite na-abụghị regenerative anaemia. Ke adianade do, data na hypothyroidism na nkịta mgbe mgbe ka ndiiche hemostasis ma ọ bụ kpasuo ọbara ọgbụgba.

Na anụmanụ ọrịa ọbara ịta nke triglycerides na cholesterol budata ụba. Hyperlipidemia - a pụtara nkịtị sikwuoro nke hypothyroidism. Hypertriglyceridemia bụ ọtụtụ rarer. Mgbe ụfọdụ ọbara hu ụba imeju enzymes, na azotemia, si na-adịghị ike na-agafeghị oke.

ọgwụgwọ

Kwa afọ, na-amụ ihe nke hypothyroidism na nkịta ọkachamara ejisie ikpughe ihe ọmụma ọhụrụ na-emetụta ụzọ na ụzọ na-emeso ọrịa a. Naa ọgwụ e mere a circuit na-agụnye iji kpochapụ ndị na-akpata ọrịa na symptomatic ọgwụgwọ.

Ọ bụrụ na dọkịta ike ịchọpụta ihe mbufụt nke thyroid gland ná mmalite nkebi (Hashimoto ọrịa), ọ dị ezigbo mkpa iji wepụ ya iji gbochie hypothyroidism na nkịta. Ọgwụgwọ-agụnye ochichi nke doses nke sịntetik thyroid hormone - thyroxine ( "Levothyroxine"). Ọ ga-ndinọ kwa ụbọchị. Jikọtara ọgwụ na-achọ Ugboro ọbara ule ka ịhazie onunu ogwu nke ọgwụ.

Taa, zuru ụwa ọnụ, na-emepụta ọgwụ na ụlọ ọrụ manufactures ọtụtụ iche a ọgwụ, nke dị iche naanị na aha aha. The dose nke ọgwụ na-adabere na ogbo nke ọrịa na ụmụ anụmanụ Nzaghachi ọgwụ. Ná mmalite, a ọkọlọtọ dose a ụbọchị mgbe e mesịrị ka a ọbara ule, ịlele hormone larịị, mgbe ahụ, usoro ọgwụgwọ gbanwee dị na N'ihi. The dọkịta ga-ekpebi nke usoro bụ ahụ karịsịa ike ime ihe a na ọrịa na nyere akwado ya ma na symptomatic ọgwụgwọ.

Ndidi nlekota na n'ihu amụma

Izu abụọ mgbe mmalite nke ọgwụgwọ a na-enyocha T4 ịta n'ime ọbara plasma. A, ọnụ ọgụgụ kasị elu kasịnụ e dere n'ime isii ka awa asatọ mgbe ingestion. N'oge a, thyroxine ịta kwesịrị dị ka nso nkịtị.

Tupu mmeghe nke ọgwụ na ọbara T4 ọdịnaya kwesịrị na ala ịgba nke nkịtị. Emighị emi T4 ịta tupu mgbe ọgwụ ochichi na-egosi enweghị isi ala dose. Nke a nwere ike mere site malabsorption nke ọgwụ na eriri afọ, na-ezighị ezi n'ikuku oge ma ọ bụ ochichi nke ọgwụ.

Banyere mkpa ka ịhazie dose nke ọgwụ na-egosi adịghị akagbu mgbaàmà nke thyroid ọrịa, ma ọ bụ, ọzọ, ihe mgbaàmà nke ovadozu. The prognosis maka okenye ụmụ anụmanụ na isi hypothyroidism bụ ndị kwesịrị ekwesị dochie anya ọgwụ, mma.

Ọ bụrụ na iwebata thyroid homonụ mgbe ogologo oge iwere na-kwụsịrị, ọ pụrụ iwe ọtụtụ izu, na mgbe ụfọdụ ọnwa iji weghachi njikọ n'etiti thyroid homonụ na pituitary gland. Ndị dị otú ahụ na mgbake na-emekarị emee enweghị ihe ọ bụla na ya pụta maka ahụ ike nke anụmanụ.