Tasirin COVID-19 akan maganin ka: Abin da ya kamata ka sani
LabaraiCORONAVIRUS UPDATE: Kamar yadda masana ke koyo game da almara coronavirus, labarai da canje-canje na bayanai. Don sabon game da cutar COVID-19, da fatan za a ziyarci Cibiyoyin Kula da Cututtuka da Cututtuka .
Lokacin da Deborah, wata mace mai shekaru 39 a New York, ta warke daga coronavirus a watan Afrilu, ta yi tunanin mafi munin yana bayanta. Amma makonni biyar bayan haka, sai ta fara samun sauƙin zuciya, saurin adrenaline, kuma ta fahimci duk abin da ke faruwa ba al'ada bane. Ta fara binciko dama tare da likitocinta, har ma ta ga likitan zuciya don gwajin zuciya da jini kafin ta gano cewa thyroiditis na haifar mata da alamun ta. Deborah ta kwashe wata bakwai tana fama da cutar hawan jini, ko kuma yin aiki a jiki. Hormonesarin homon ɗin da jikinta ya samar ya sa ta ji daɗi, kamar tana da kofuna da yawa a kofi. A ƙarshe, aikin ta na thyroid ya dawo daidai. Ya kasance abin ban mamaki da dogon lokacin wahala bayan-COVID-19.
Deborah ba ita kaɗai ba ce. Tana ɗayan ƙaramin kaso na mutanen da suka fuskanci matsalolin tsarin endocrine waɗanda ƙwayar cuta ta kamuwa da su ta kawo, kamar COVID-19.
Game da matsalolin thyroid
Thyroid shine ƙwayar malam buɗe ido a cikin wuyansa wanda ke haifar da hormones waɗanda ke tasiri tasirin ku, girma da ci gaban ku, da zafin jikin ku. Matsalolin thyroid sun fara daga mai sauki zuwa mai tsanani. A kusa 12% na mutane za su ci gaba da yanayin thyroid wani lokaci a rayuwarsu. Anan ga wasu maganganun thyroid don kallo:
- Hyperthyroidism: Mafi yawan cututtukan Grave ne ke haifar da shi, rashin lafiyar autoimmune wanda tsarin rigakafin jikin ku ya kawo ƙarar ku, wannan yana haifar da haɓakar haɓakar thyroid.
- Hypothyroidism: Yawanci lalacewa ta hanyar Hashimoto ta thyroiditis , wanda shine yanayin da tsarin rigakafin ku ya afka maka maganin ku na thyroid, wannan yana haifar da raguwar samarda hormone na thyroid.
- Acuteaddamar da thyroiditis: Kwayar cuta, kamar coronavirus, na haifar da kumburi a cikin glandar thyroid, kuma galibi yana da jimloli uku, gami da: hyperthyroidism, hypothyroidism, sannan daidaita daidaito, a cewar Maria Cardenas, MD , masanin ilimin halittu.
- Ciwon daji na thyroid: Kumburi ko raunuka na iya ɗaukar yuwuwar cutar kansa, amma kashi 10% kawai na lokacin, Dokta Cardenas ya ce. Doctors zasu iya yin biopsy kuma suyi nazarin halaye don ƙayyade ciwon kansa na thyroid. Cibiyoyin Kula da Cututtuka da Cututtuka ( CDC ) jera abubuwan haɗari azaman radiation mai yawa zuwa yankin wuya, da ƙaddarar halittar jini.
Cutar tahyroid da kwayar cutar kanjamau
A farkon annobar, akwai wasu fargabar cewa mutanen da suka riga sun kamu da cutar ta jiki kamar su yanayin thyroid sun kasance ba su da kariya kuma suna iya kamuwa da kwayar cutar, a cewar Alan Christianson , NMD, endocrinologist da Medical Director na Hadakar Kiwan lafiya. Abin takaici waɗannan tsoran ba su da tushe.
Shin mutanen da ke fama da yanayin thyroid sun fi saurin kamuwa da kwayar cutar?
Mutanen da ke da yanayin maganin karoid-har ma da cutar ta thyroid-ba su iya kamuwa da kwayar, in ji ta Tungiyar Thyroid ta Amurka . Na kasance ina tabbatarwa mutane [tare da yanayin thyroid] cewa waɗancan kasada ba ta shafe su ba, in ji Christianson.
Idan sun sami kwayar cutar kanjamau, shin suna iya fuskantar matsaloli?
Wadanda ke da mummunan yanayin yanayin maganin kawancen ka na iya samun barazanar rikitarwa da zarar sun kamu da cutar COVID-19. Sun fi dacewa da samun asibiti, in ji Christianson. Bugu da ƙari, marasa lafiya na COVID-19 waɗanda ke fuskantar babban nauyi ko asarar nauyi na iya buƙatar daidaitawa zuwa maganin shan su don ci gaba da bayyanar cututtuka, Dokta Cardenas ya ce. Ana iya yin wannan a alƙawari na biyan bayan-COVID-19 tare da masanin ilimin likitancin jiki.
Shin kwayar cutar kwayar cuta za ta iya haifar da lamuran thyroid a cikin mutanen da ba su da su a da?
Wasu mutanen da ba su taɓa samun matsalar maganin thyroid ba suna haifar da maganin thyroiditis (SAT) bayan sun murmure daga COVID-19. A jerin jerin da aka buga a Jaridar Clinical Endocrinology da Metabolism a cikin watan Agusta 2020 yana bin shari'ar mata huɗu waɗanda suka ɓullo da SAT tsakanin kwanaki 16-36 bayan an warware matsalolinsu na coronavirus. Sun sami gogewar cututtukan da ke tattare da SAT kamar ciwon wuya (inda thyroid yake) da kuma bugun zuciya (alamar hyperthyroidism).
Dr. Christianson ya ce ciwon wuya na iya zama a bayyane, kuma yankin wuyan kusa da inda za ka sa baka zai iya zama ja da kumbura. Yakamata mutane su kula da al'amuran zuciya kamar yadda binciken ya lura. Idan thyroid ya ji rauni yana iya matso da yawa cikin jini lokaci ɗaya. Zai iya sa zuciya tayi tsere. Hormonearin hormone na thyroid zai iya haifar da bugun zuciya na 120-150 a cikin minti ɗaya, Dokta Christianson ya ce. Idan suna aiki ko suna da maganin kafeyin shima yana iya tashi da gaske. Suna iya jin tsoro, rawar jiki, rawar jiki, ko jin zafi.
Christianson ya bayyana cewa SAT yana faruwa a kusan 10% na marasa lafiya waɗanda aka kwantar da su tare da COVID-19, a cewar wani binciken da aka buga a The Lancet, Ciwon sukari da Endocrinology , a cikin Satumba 2020.
Ta yaya likitoci ke magance cututtukan cututtukan thyroid bayan cutar kwayar cutar?
Abin takaici, yawancin lokuta na SAT suna warware kansu, sau da yawa ba tare da magani ba. A wasu kalmomin, yana da yanayin iyakance kansa. Irene Mulla, MD , masanin ilimin likitancin jiki tare da Medicalungiyar Kiwon Lafiya ta Chicago, yana magance wannan yanayin tare da ƙwayoyin cututtukan ƙwayoyin cuta (NSAIDS) kamar Motrin ko Advil don taimakawa tare da wuyan wuyan kanta. A wasu lokuta, ta ce, ana buƙatar ƙarin magani kamar su steroids.
Wasu marasa lafiya kamar Debbie suna jin daɗin gaskiyar cewa sun san abin da ke faruwa, kuma cewa mafi yawan lokuta daga ƙarshe zai tafi. A halin da take ciki, ta zabi kar ta sha magani, duk da cewa shari'arta ta SAT ta ci gaba har tsawon watanni 7, fiye da lokacin watannin 1-2 da likitanta ya bayyana ya fi dacewa.
Binciken Satumba na 2020 wanda aka buga a cikin Jaridar Amurka ta Kimiyyar Kiwon Lafiya yana ba da shawara ga masu ba da kiwon lafiya cewa kulawa mai tallafi ya kasance ginshiƙin jiyya na COVID-19 hade da maganin thyroiditis, kuma NSAIDS da beta-blockers kamar su propranolol na iya taimakawa wajen sarrafa alamun. Ya ci gaba da cewa a wasu lokuta yayin lokacin hypothyroid, gajeriyar hanya levothyroxine za a iya amfani da su har sai thyroid ya ci gaba da aiki na yau da kullun.
Dokta Cardenas ya ce wasu marasa lafiya na iya buƙatar tallafi yayin ƙarancin matakin SAT, sannan kuma za su iya yaye magani kamar yadda maganin kawan ke warkar da kansa.
Shin ya kamata in sami maganin rigakafin coronavirus idan ina da cutar thyroid?
Babu wani daga cikin masu ba da kiwon lafiyar da ya yi jinkirin bayar da shawarar allurar rigakafin COVID-19 ga masu cutar ta thyroid, saboda ba sa cikin haɗarin rikitarwa ko sakamako masu illa daga gare ta. Dokta Christianson ya ce, Ba a sami rahotanni game da cutar da ke ci gaba ba.
Har ila yau, ba za a ba da fifiko ga mutanen da ke fama da cututtukan thyroid don karɓar alurar riga kafi da wuri ba, saboda ba a kallon su kamar rigakafin rigakafi fiye da mutum ba tare da yanayin cutar ta thyroid ba. Cardenas ya tabbatarwa da marassa lafiyarta cewa ba shi da kariya don samun allurar, kuma ba za su kasance ƙungiyar haɗari ba.
Shin zan iya rikitar da sakamako masu illa daga methimazole tare da kamuwa da COVID-19?
Methimazole magani ne da ake amfani da shi don magance hyperthyroidism, kuma Dr. Mulla ya ce maganin anti-thyroid zai iya zuwa wani lokaci tare da sakamako masu illa. Sakamakon abin da zai iya yin kama da COVID-19 ya haɗa da zazzaɓi da alamomin mura. Dokta Mulla ya ce hanya daya tilo da za a iya bambance bambancin ita ce a kira masanin ilimin halittar dan adam don a yi gwajin jini a gani ko wani mara lafiya yana fama da larura ko COVID-19.
Duk da yake waɗannan illolin na iya faruwa a kowane lokaci, ta ce yawanci hakan yana faruwa ne a farkon sabon takardar sayan magani, ko kuma lokacin da maganin ya yi yawa. Dokta Cardenas kuma ta gaya wa marasa lafiyarta a wannan yanayin suna buƙatar yin aikin bincike don gano asalin alamun cutar daidai.
Shin ya kamata in jinkirta hanyoyin da suka shafi thyroid yayin annobar?
Sai dai idan asibitinku ko likitanku sun dakatar da hanyoyin zaɓen kuma ɗayan maganin ku na maganin cutar da aka lakafta shi zaɓaɓɓe, babu dalilin da zai sa annobar ta rikita shirinku na yau da kullun. Dukkanin likitocin sun ba da shawarar ci gaba kamar yadda aka saba don kwayar cutar ƙyamar allura mai kyau, maganin iodine na rediyo, da duk wasu hanyoyin da aka ba da shawarar.
Wasu likitocin da ke gano nodule kuma ba sa ganinta yana nuna halaye marasa kyau za su yi amfani da jira da ganin kusanci. Dokta Mulla ya ce a cikin waɗannan yanayin yawanci nodules suna girma a hankali, kuma idan mai haƙuri yana da kwanciyar hankali jira, to ba laifi. Tana hanzarta ne kawai a cikin yanayin inda nodule ke ninki biyu ko sau uku cikin sauri ko kuma tana da wasu abubuwa masu haɗari da ke iya nuna kansa.
Har ila yau, babu wani dalili da zai sa a jinkirta binciken lafiyar ka na yau da kullun, gwaje-gwajen aikin karoid (gwajin TSH) , ko aikin tiyata saboda cutar, sai dai idan ƙarfin asibiti ne damuwa a yankinku.
Yin tunani akan matsalar da ba a zata ba
Game da Deborah, ba ta zargi likitocinta ba don ba su yi mata gargaɗi game da yuwuwar SAT ba bayan COVID-19, tana mai cewa yana da wuri a farkon annobar, kuma akwai ƙananan bayanai kamar yadda muke da su yanzu. Na ji daɗin duk suna jin cewa wani abu ba al'ada ba ne a gare ni kuma a shirye suke don gwadawa don ƙara warware shi. Ya kasance game da ni yin tambayoyi da tattaunawa, in ji ta. Yanzu, akwai ƙarin mutane da wannan yanayin da kuma wayewar kai game da shi.
