Ebia woate thyroid gland, ntini ketewaa bi a ɛte sɛ ntontom a ɛwɔ wo kɔn anim no ho asɛm. Ɛyɛ adwuma te sɛ engine wɔ yɛn nipadua mu. Ɛma thyroid
hormone , a ɛkame ayɛ sɛ ɛho hia ma yɛn nipadua mu nkwammoaa biara. Nanso ɛtɔ mmere bi a saa ntini yi dwumadi so tew na tebea bi ba a thyroid hormone ahorow no ntumi nyɛ adwuma sɛnea ɛsɛ. Yɛfrɛ eyi
hypothyroidism . Ɛnnɛ yɛreka eyi ho asɛm a emu yɛ den sen biara, a ɛde nkwa to asiane mu mpo ho asɛm. Ɛno ne Myxedema Coma.
Nea edi kan no, ma yɛnhwɛ nea Hypothyroidism yɛ.
Sɛ yɛbɛka no tiawa a, hypothyroidism yɛ thyroid ntini a ɛnyɛ adwuma yiye. Eyi ma nipadua no akwaa no yɛ adwuma brɛoo kakra. Nsɛnkyerɛnne no bi ne:
Esiane sɛ saa sɛnkyerɛnne ahorow yi betumi abu so wɔ nnipa pii mu nti, nnipa binom nsusuw mpo sɛ ɛyɛ yare. Nanso sɛ wɔanhu tebea yi yiye na wɔansa a, ebetumi abɛyɛ asiane.
Enti dɛn ne Myxedema Coma?
Fa no sɛ eyi yɛ tebea a ɛba bere a hypothyroidism mu yɛ den yiye, na thyroid hormone dodow a ɛwɔ nipadua no mu no so tew kodu baabi a asiane wom no. Ɛwom sɛ eyi yɛ tebea a ɛntaa nsi de,
nanso ɛyɛ aduruyɛ mu ntɛmpɛ a ɛde nkwa to asiane mu kɛse . Ɛwom sɛ asɛmfua "Coma" wɔ edin Myxedema Coma mu de, nanso ɛnyɛ ayarefo nyinaa na wɔn ho ntɔ wɔn. Nanso, wɔn adwene betumi asɛe kɛse na ebia wɔada araa ma wontumi nyɛ hwee.
Wobetumi abu eyi sɛ ɛyɛ hypothyroidism fã a etwa to, a emu yɛ den sen biara, enti ɛho hia sɛ wuhu eyi.
Dɛn na ebetumi ama obi anya myxedema coma?
Wɔ obi a ɔwɔ hypothyroidism a emu yɛ den dedaw fam no, nsɛm a edidi so yi mu biara betumi akanyan tebea a ɛyɛ hu yi.
| Ade a Ɛkanyan Nneɛma | Nkyerɛmu |
|---|
| Nyarewa a wɔde nyarewa ba | Titiriw ahurututu (ahurututu mu yare) ne nsu mu yare. |
| Ayaresa mu tebea afoforo | Tebea horow te sɛ komayare ne ɔyare a ɛma obi hwe ase. |
| Nipadua mu nkɛntɛnso ahorow | Akwanhyia kɛse (Trauma) anaa oprehyɛn a obi benya. |
| Nnuru bi | Nnuru bi te sɛ nnuru a ɛma obi dwo, lithium, ne amiodarone. |
| Aduruyɛ mu afotu a wonni akyi | Nea ɛtaa ba nti! Thyroid aduru a oduruyɛfo no akyerɛw ama no a wɔmfa nni dwuma pɛpɛɛpɛ. |
Dɛn ne sɛnkyerɛnne ahorow a asiane wom a ɛsɛ sɛ yɛhwɛ yiye wɔ ho?
Sɛ obi a ɔwɔ hypothyroidism nya saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ebetumi ayɛ nea edi tebea bi a wɔfrɛ no Myxedema Coma anim.
- Mmerewa anaa ɔbrɛ: Obi da araa ma wontumi nnyane no.
- Adwene a ɛyɛ basaa anaa mmuae a wɔmfa nyɛ hwee: Ɔnte nea wɔreka no ase anaasɛ onnye mmuae.
- Nipadua mu hyew a ɛba fam (Hypothermia): Sɛ woka nipadua no ho a, ɛte sɛ awɔw te sɛ nsukyenee.
- Nipadua mu ahonhon : Titiriw no anim, tɛkrɛma, ne nan ho ahonhon.
- Ɔhome a ɛyɛ den : Ɔhome dodow so tew kɛse.
Sɛ obi a ɔwɔ saa sɛnkyerɛnne ahorow yi nnim hwee anaasɛ ɔdae wɔ ɔkwan soronko so a, ɛyɛ
ntɛmpɛ na ɛsɛ sɛ wɔde no kɔ ayaresabea ntɛm ara . Ɛsɛ sɛ abusuafo anaa nnamfo de wɔn kɔ
Emergency Treatment Unit (ETU) a ɛbɛn hɔ no ntɛm ara.Ɛsɛ sɛ wofa. Bere a wobɛsɛe no ma asiane a ɛwɔ wo nkwa mu no yɛ kɛse.
Sɔhwɛ ne ayaresa a wɔyɛ wɔ ayaresabea
Bere a wɔde wɔn baa ayaresabea akyi no, nnuruyɛfo no yɛ ntɛm yɛ nhwehwɛmu mpɛn pii de si yare no so dua.
- Mogya mu nhwehwɛmu: Mogya mu nhwehwɛmu hwɛ thyroid hormone dodow (TSH, T4), asikre, electrolytes , ne cortisol.
- Mogya mu mframa: Ɛhwɛ sɛnea oxygen ne carbon dioxide dodow a ɛwɔ mogya no mu no te.
- ECG nhwehwɛmu: Ɛhwɛ sɛ ɔhaw biara wɔ koma no dwumadi mu anaa.
Sɛ́ ayaresa no, wɔtaa de ɔyarefo no
kɔ Intensive Care Unit (ICU) .
- Ntini a wɔde fa ntini mu: Nea ɛbɛyɛ na thyroid hormone dodow asan aba ntɛmntɛm no, wɔde hormone ma sɛ nnuru a wɔde twitwiw nipadua no mu (wɔde fa ntini mu anaa IV) .
- Ɔhwɛ a ɛboa: Sɛ nipadua no hyew sua a, fa kuntu a ɛma ɔhyew yɛ hyew . Sɛ asikre a ɛwɔ mogya mu no sua a, ma glucose. Sɛ ɔyare mmoawa bi wɔ hɔ a, ma nnuru a ekum ɔyare mmoawa. Sɛ wosusuw sɛ ɔhaw bi wɔ adrenal ntini no ho a, ma steroid (glucocorticoids).
Ade a ɛho hia sen biara a ɛsɛ sɛ mmusua hu!
Sɛ tebea a ɛte sɛɛ to abusua muni anaa adamfo bi a, nea ehia paa ne sɛ woremmɔ hu na wobɛyɛ ade a ɛteɛ.
Obi a ɔwɔ myxedema coma mu no nnim hwee. Enti, wɔn ankasa ntumi nyɛ biribiara. Mmɔ mmɔden da sɛ wobɛma thyroid nnuru wɔ fie. Ade a ɛsɛ sɛ woyɛ ntɛm ara ne sɛ wode wɔn bɛkɔ ayaresabea, ETU. Efisɛ ɛtɔ mmere bi a, sɛ wɔde thyroid nnuru ka hormone afoforo a enni nipadua mu ho a, ebetumi de tebea a ɛyɛ hu kɛse mpo aba (adrenal crisis). Enti, oduruyɛfo nkutoo na ɛsɛ sɛ osi saa gyinae no.
So wobetumi asiw tebea yi ano?
Aane! Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wubesiw tebea yi ano. Ɛyɛ mmerɛw yiye ankasa. Sɛ wowɔ hypothyroidism a, ade a ɛho hia sen biara a ɛsɛ sɛ woyɛ ne
sɛ wobɛnom thyroid aduru a wo duruyɛfo akyerɛw ama wo no dodow a ɛfata, wɔ bere a ɛfata mu, da biara . Mma nnyae aduru no nom esiane mfonoe nti anaasɛ wususuw sɛ "ɛyɛ papa mprempren." Afei nso, ɛho hia paa sɛ wobɛkɔ wo duruyɛfoɔ nkyɛn wɔ mmerɛ a ɛfata mu na woayɛ mogya mu nhwehwɛmu te sɛ TSH de ahwɛ wo tebea no. Sɛ wudi nneɛma abien a ɛnyɛ den yi akyi a, ɛkame ayɛ sɛ wubetumi abɔ wo ho ban koraa afi tebea a ɛyɛ hu te sɛ Myxedema Coma ho.
Nkrasɛm a Wɔde Kɔ Fie
- Myxedema Coma ne ntɛmpɛ a emu yɛ den sen biara a ɛde nkwa to asiane mu a ɛba bere a obi anya hypothyroidism a wɔansa no yare.
- Nsɛnkyerɛnne titiriw ne nna a ɛtra so, adwene a ɛyɛ basaa, nipadua a ɛyɛ nwini soronko, ɔfe, ne ahome a ɛyɛ den.
- Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, fa ɔyarefo no kɔ Emergency Treatment Unit (ETU) a ɛbɛn no ntɛm ara.
- Mmɔ mmɔden sɛ wode thyroid nnuru bɛhyɛ wo fie esiane biribiara nti.
- Ɔkwan a eye sen biara a wobɛfa so akwati eyi ne sɛ wobɛnom thyroid aduru a wo duruyɛfo akyerɛw ama wo no da biara, wɔ dodow a wɔakyerɛw ama wo no mu, na woahwehwɛ aduruyɛ mu afotu sɛnea wɔakyerɛw ama wo no.
myxedema coma, hypothyroidism, thyroid, thyroid hormone, hypothyroidism, thyroid a enni nipadua mu, ayaresa a egye ntɛmpɛ
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