Isifo seMangcwaba sisifo esisigxina sezinto ezibangelwa yi-hyperthyroidism-isifo se-thyroid esingasebenzi ngokuvelisa i-hormone ephezulu ye-thyroid. Ukuba u-hyperthyroid, unomngcipheko omncinci wokuphuhlisa imeko eyaziwayo njengeqhwithi se- thyroid.
Isiqhwithi se-Thyroid asiqhelekanga. Kuphela kwepesenti ezimbini zabantu abaphethe i-hyperthyroidism basebenzise isiphepho se-thyroid.
Ngethuba leqhwithi le-thyroid, intliziyo yakho yezinga, uxinzelelo lwegazi, kunye nokushisa komzimba kunokuba lukhulu kakhulu. Ezi zimpawu zinzulu, kwaye zingasongela ubomi. Iingxaki zesiphepho se-thyroid ziquka ukuhlaselwa kwesifo kunye nesifo senhliziyo.
Ukuba Uxela i-Thyroid Storm, Yiya kwi-ER Ngokukhawuleza
Nanini na isityholo se-thyroid, kufuneka uhambe ngokukhawuleza kwisibhedlele. Isiqhwithi se-Thyroid sisongela ubomi, kwaye sinokukhula kwaye siphumelele ngokukhawuleza. Isiqhwithi se-Thyroid sidinga unyango olukhawulezileyo ukukhusela iingxaki ezisongela ubomi.
Izinto zobungozi
Umngcipheko oyintloko wokukhusela isifo se-thyroid unesifo se-Graves kunye / okanye i-hyperthyroidism engaphathiswa.
Ukongezelela, abafazi basengozini enkulu kunamadoda, kwaye abantu abadala basemngciphekweni kunabantu abaselula abaneGraves '/ hyperthyroidism.
Nangona xa isifo se- Graves sibonakalisiwe kwaye siphathwa, kunjalo, kukho nezinye iimeko eziphakamisa umngcipheko weqhwa le-thyroid:
- Usuleleko, ukutheleleka kweemiphunga, imiphunga yengqondo okanye impumoniya.
- Igazi leshukela liguquka, kuquka i-ketoacidosis yesifo sikashukela kunye ne-insulin-eyenza i-hypoglycemia.
- Ukuhlinzwa okwakutshanje kwi-thyroid gland, okanye kwi-thyroid yakho.
- Ukuphazamiseka ngokukhawuleza kwemithi yakho ye-antithyroid.
- Iyeza ye-iodine (RAI) unyango lwe-thyroid yakho.
- Ukugqithisa ngokweqile (ukuphatha / ukuphathwa) kwe-thyroid gland.
- Ukuboniswa kubuninzi be-iodine (njenge - ejenti echasene ne -iodine , okanye i-heart syndrome amiodarone).
Ukuxinezeleka kwengqondo. - Ukugqithisa kakhulu izidakamizwa ze-thyroid.
- I-Toxemia yokukhulelwa kunye nabasebenzi.
Iimpawu
Ziziphi iimpawu zesiphepho se-thyroid?
- Umkhuhlane ophezulu kakhulu wee-degrees ezingama-100 ukuya phezulu ukuya kuma-degrees ayi-106.
- Inqanaba lentliziyo ephakamileyo kakhulu, elinokuthi liphakame njenge-beats ezingama-200 ngomzuzu (BPM).
- Iipilpitations, intlungu yesifuba kunye nokuphefumula okufutshane.
- Igazi elonyukayo.
- Ukudideka, i-delirium, kunye neengqondo.
- Ubuthakathaka obukhulu kunye nomzimba
- Ukukhathala okukhulu nokudinwa.
- Ukungazinzi okukhulu, ukwesaba, kunye nokuguquka kwemizwelo.
- Iingcamango ezixubileyo, ingakumbi kumadolo nasezindaweni zeenyawo.
- Ukuphefumula okunzima.
- Isisindo, ukuhlanza, kunye nesifo sohudo.
- Ukuthuthumela okanye ukutyhila amanzi.
- I-Stupor okanye i-coma
Enye yengozi yento / uphawu kukuba ukulahlekelwa kwesisindo esikhulu kunokuba kwenzeke kungekudala.
Oogqirha baye bavelisa inkqubo yokufaka amanqaku abancedisa ukuba bavavanye ngokukhawuleza iimpawu baze benze ukuxilongwa ngokukhawuleza kwesiphepho se-thyroid, ngoko banokuqala ngokukhawuleza unyango.
Unyango
Isiqhwithi se-Thyroid siphathwa ngeendlela ezininzi.
Abanye oogqirha bajonga "kwii-B" ezintlanu xa unyango lwe-thyroid.
- Vimba ukuhlanganiswa kwe-hormone ye-thyroid - usebenzisa izidakamizwa ze-antithyroid . Oku kwenziwa ngokukhawuleza ngokukhululeka kokulayishwa kokuqala, kunye nokulawulwa rhoqo kwee-doses ezongezelelweyo. Kwizigulane ezingenako ukunyamezela izidakamizwa ze-antithyroid, i-lithium isetyenziswa ngamanye amaxesha
- Vimba ukukhululwa kwehomoni ye-thyroid - usebenzisa ukulungiselela i-potassium iodide. Oku kudla ngokunikezwa emva kwezilwanyana ze-antithyroid, kwaye kunceda ukukhupha i-thyroid hormone release.
- Vimba ukuguqulwa kweT4 ukuya ku-T3 ukusetyenziswa-usebenzisa i-corticosteroid drug, efana ne-hydrocortisone
- I-Beta-blocker - sebenzisa izidakamizwa ze-beta-blocker, rhoqo ipropranolol, ukunciphisa uxinzelelo lwegazi kunye nentliziyo
- Vimbela ukusasaza kwesibindi - usebenzisa isilwanyana esinjenge-cholestyramine
Ukongezelela, olunye unyango oluxhasayo lubandakanya ukupholisa ukunceda ukunciphisa ukushisa komzimba, ukusetyenziswa kwamanzi ukulwa nokunyuka kwamanzi, kunye nonyango lwaluphi na olunye unyango.
Ngokuqhelekileyo, ukuba unyango luya kusebenza, uphuculo luya kubonakala kwiiyure ezingama-24 ukuya kwe-72.
Xa isithwathwa se-thyroid singaphenduli kwezi ndlela, kwezinye iimeko, i- plasmapheresis- i-blood filtering treatment - eyenziwa ukususa i-hormone ye-thyroid egazini. Ipesenti kuphela encinci ye-hormone ingasuswa ngexesha leseshoni nganye, ngoko kufuneka yenziwe maxesha amaninzi.
Kwiimeko ezinqabileyo, i-thyroid igqithiselwa ngokugqithiseleyo, kodwa ugqirha kufuneka ukuba uqaphele ngokugqithiseleyo njengoko utyando lunokubangela ukugqithisa ukwanda kwesimo se-thyroid ukuba amazinga e-hormone sele ephakamileyo.
Yintoni Okufanele Uyenze?
Isiqhwithi se-thyroid sisinqabile kakhulu, kodwa sisichengeni esiyingozi se-hyperthyroidism. Ukuba ukrokreza isiphepho se-thyroid, kufuneka ufune ngokukhawuleza unyango lwezonyango.