Hyperthyroidism

Hyperthyroidism o se tuutuuga e mafua ai ona tele tele lauoneoneoneone i lou tino. O le tulaga e masani ona taʻua o le tele o lou thyroid.

O le thyroid gland o se taua vaega o le endocrine faiga. O loʻo tu i le pito i luma o le ua i luga tonu o le mea e feiloaʻi ai ou ponaivi. O le gland faia ia homone e faʻatonutonu le auala sela uma i le tino faʻaaogaina malosiaga. O lenei faiga e taʻua o le metabolism.

Tele faʻamaʻi ma tulaga mafai mafua ai hyperthyroidism, aofia ai:

• Faʻamaʻi tuugamau (mafuaʻaga masani o le hyperthyroidism)
• Fula (thyroiditis) o le tiroida e mafua mai i siama viral, nisi vailaʻau, pe ina ua mavae maʻito (masani)
• Avea tele tele o leoneoneoneone (masani)
• Le tuputupu ae Noncancerous o le thyroid gland poʻo pituitary gland (seasea)
• Nisi patu o le tofotofoga poʻo ovaries (seasea)
• Mauaina o faʻataʻitaʻiga faʻataʻitaʻi faʻafomaʻi ma le vali eseese e iodine (seasea, ma pe a fai o iai se faʻafitauli ma le tiroida)
• 'Ai tele i meaʻai e iai le iodine (seasea maua, ma pe a fai e iai se faʻafitauli ma le tiroida)

Faʻailoga masani aofia ai:

• Popole
• Faigata mafaufau
• Le lavava
• Faʻasolosolo gofie o manava
• Goiter (vaʻaia faʻateleina tele tui tiroida) poʻo puso nifo
• Lauulu leiloa
• Gatete lima
• Le faapalepale ole vevela
• Faateleina le fiaai
• Faʻaopoopoina afu
• Le masani ai taimi faʻasusu i fafine
• Suʻega o fao (mafiafia pe faʻapipiʻi)
• Le popolevale
• Pounding poʻo tuʻuga fatu tata (palpitations)
• Le mautonu
• Faʻafitauli o le moe
• Paʻu pauna (poʻo le mamafa maua, i nisi tulaga)

Isi faʻailoga e mafai ona tupu i lenei faʻamaʻi:

• Fatafata fatafata i aliʻi
• Paʻu paʻu
• Manava tata
• Lagona le matapogia pe a sisii i luga ou lima
• Toto maualuga
• Masau pe faʻamataʻu mata
• Paʻu paʻu
• Faanoi ma puaʻi
• Mata puputa (exophthalmos)
• Paʻu mumu pe faʻalava
• Paʻu paʻu i luga o paʻu
• Vaivaiga o suilapalapa ma tauau

O le fomaʻi soifua maloloina o le a faia se faʻataʻitaʻiga tino. E ono maua e le suʻega mea nei:

• Maualuga systolic toto toto (le numera muamua i le toto taofi faitauga)
• Faateleina le tata o le fatu
• Faalauteleina gland thyroid
• Lulu lima
• Fula pe mumu faataamilo i ou mata
• Matua malosi reflexes
• Paʻu, lauulu, ma fao suia

E faʻatonu foi le suʻesuʻeina o le toto e fua ai lou homone hormones TSH, T3, ma le T4.

E ono iai foʻi sau suʻega ile toto e siaki ai:

• Cholesterol maualuga
• Kulukose
• Faʻapitoa tiroida faʻataʻitaʻi e pei o le thyroid receptor antibody (TRAb) poʻo le Thyroid Stimulate Immunoglobulin (TSI)

Faʻataʻitaʻiga faʻataʻitaʻiga o le tiroida ono manaʻomia foi, e aofia ai:

• Avea ma faʻataʻitaʻi e le iodine leitio
• O lou ultrasound (seasea)

Togafitiga faalagolago i le mafuaaga ma le ogaoga o auga.Hyperthyroidism e masani ona togafitia ma le tasi pe sili atu o mea nei:

• Antithyroid vailaʻau (propylthiouracil po methimazole) e faʻaititia pe poloka ai le aafiaga o le faʻaopopo thyroid hormone
• Radioactive iodine e faʻatamaʻia le tiro tiro ma taofi le sili atu gaosia o homone
• Taotoga e aveese ai lou totoa

Afai e aveʻese lou thyroid i le taotoga pe faʻatamaia i le radioactive iodine, e tatau ona e inuina tui tiroida e suia ai lou toto i lou olaga atoa.

O vailaʻau e faʻaigoaina o le beta-blockers e mafai ona faʻatonuina e togafitia ai faʻailoga e pei o le vave o le tata o le fatu, gatete, afu, ma le popole vagana ua mafai ona taofiofia le hyperthyroidism.

Hyperthyroidism e mafai ona togafitia. O nisi mafuaʻaga ono alu ese e aunoa ma togafitiga.

Hyperthyroidism mafua mai faʻamaʻi Graves masani lava ona sili atu le leaga i le aluga o taimi. E tele faʻafitauli, o nisi o ia mea e ogaoga ma afaina ai le lelei o le olaga.

O le faʻafitauli o le thyroid (afa) o se faʻafuaseʻi ua atili ai ona atili faʻateteleina faʻailoga o le hyperthyroidism e ono tupu mai i siama poʻo le popole. Fiva, faaitiitia mataala, ma manava tiga ono tupu. Tagata manaʻomia ona togafitia i le falemaʻi.

Isi faʻafitauli o le hyperthyroidism aofia ai:

• O faʻafitauli o le fatu e pei o le vave o le tata o le fatu, fatu fatu masani, ma le fatu fatu
• Osteoporosis
• Faʻamaʻi mata (faʻalua vaʻaiga, papala o le kolo, leiloa faʻaaliga)

Togafitiga-fesoʻotaʻi faʻafitauli, aofia ai:

• Maʻila le ua
• Faʻaletonu ona o neula faʻaleagaina le pusa leo
• Maualalo tulaga o le calcium ona o le faʻaleagaina o le parathyroid glands (o loʻo tu latalata i le thyroid gland)
• Hypothyroidism (le toaga galue)

O le faʻaaogaina o le tapaa e ono atili ai ona leaga nisi o faʻafitauli o le hyperthyroidism.

Valaʻau lau tautua peʻa iai sau faʻailoga o le hyperthyroidism. Alu i se potu faʻafuaseʻi pe telefoni le 911 poʻo le numera o faʻalavelave faʻafuaseʻi pe a iai ia oe:

• Suiga i le malamalama
• Faanenefu
• Toto, tata le fatu fatu

Valaʻau lau tautua pe a fai o loʻo togafitia oe mo le hyperthyroidism ma e maua i faʻailoga o le le toaga, e aofia ai:

• Faʻanoanoa
• O le paie o le mafaufau ma le tino
• Faʻateleina le mamafa

Thyrotoxicosis; Ova tele lou thyroid; Faʻamaʻi tuugamau - hyperthyroidism; Thyroiditis - hyperthyroidism; Toxic goiter - hyperthyroidism; O lou nifo nodules - hyperthyroidism; Turo thyroid - hyperthyroidism

• Aveʻese lou totoa gland - faʻateʻaina

• Laʻau Endocrine
• Goiter
• Fesoʻotaʻiga o le Brain-thyroid
• Kelu tiroida

Hollenberg A, Wiersinga WM. Faʻafitauli o le Hyperthyroid. I: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Tusitusiga o Endocrinology. 14th lomiga. Filatelefia, PA: Elsevier; 2020: chap 12.

Ross DS, Burch HB, Cooper DS, et al. 2016 American Tyroid Association taiala mo faʻamaoniga ma puleaina o hyperthyroidism ma isi mafuaʻaga o thyrotoxicosis. Thyroid. 2016; 26 (10): 1343-1421. PMID: 27521067 pubmed.ncbi.nlm.nih.gov/27521067/.

Wang TS, Sosa JA. Faʻatonutonuina o le hyperthyroidism. I: Cameron AM, Cameron JL, eds. Togafitiga i le taimi nei. 13th lomiga. Filatelefia, PA: Elsevier; 2020: 767-774.

Weiss RE, Toe faʻafoʻi S. Vaʻavaʻaia galuega a le thyroid. I totonu: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Matutua ma Tamaiti. 7th ed. Filatelefaia, PA: Elsevier Saunders; 2016: mata 78.