So wo thyroid te sɛ ahum? (Thyroid Storm) Momma yensua tebea a ɛyɛ hu yi ho ade!

So woate biribi a wɔfrɛ no ‘Thyroid Storm’ ho asɛm pɛn? Edin no te sɛ nea ɛyɛ hu kakra, ɛnte saa? Nokwarem no, ɛyɛ tebea a emu yɛ den a ɛhwehwɛ sɛ wɔde wɔn kɔ ayaresabea ntɛm ara na ebetumi de nkwa ato asiane mu. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛyɛ thyroid hormone ahorow a efi thyroid ntini no mu ba mpofirim dodo. Momma yɛnka ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Dɛn ne thyroid ntini no? Dɛn na ɛyɛ?

Seesei ebia woredwen ho sɛ, ‘Dɛn ne saa thyroid ntini yi?’ Ɛyɛ mmerɛw yiye. Ɛyɛ ntini ketewaa bi a ɛwɔ wo kɔn anim, a ne nsɛso te sɛ ɔkɔre. Saa ntini ketewa yi yɛ adwuma a ɛho hia pii wɔ yɛn nipadua mu.

Thyroid ntini no yɛ nkwaadɔm atitiriw abien: triiodothyronine (T3) ne thyroxine (T4) . Sɛ wɔka saa nkwaadɔm abien yi bom a, wɔfrɛ no thyroid hormone. Saa nkwaadɔm yi hwɛ yɛn nipadua mu hyew, koma bɔ, ne nea ɛho hia sen biara no, yɛn nipadua mu nneɛma a ɛsakra no so .

Sɛ yɛbɛka no tiawa a, nipadua mu nneɛma a ɛsakra no yɛ sɛnea yɛn nipadua no di nneɛma ho dwuma ntɛmntɛm, kyerɛ sɛ, sɛnea yɛdan aduan a yedi no ntɛmntɛm ma ɛbɛyɛ ahoɔden ne ɔhyew. Afei fa no sɛ, sɛ thyroid ahum tu a, thyroid hormone dodow a ɛboro so boaboa ano mpofirim wɔ nipadua no mu. Dɛn na ɛba saa bere no? Yɛn nipadua no mu nneɛma a ɛsakra no yɛ ntɛmntɛm a wontumi nsusuw ho. Te sɛ keteke a ɛde ahoɔhare tu mmirika! Eyi yɛ asiane kɛse ankasa, na ɛde nkwa mpo to asiane mu.

Sɛ nipadua mu nneɛma a ɛsakra kɛse yi ba a, yɛn nipadua no hia mframa pa pii. Nea ɛbɛyɛ na yɛadi mframa pa ho ahiade a ɛkɔ soro yi ho dwuma no, yɛn koma fi ase bɔ ntɛmntɛm paa. Yɛfrɛ eyi tachycardia . Esiane ahoɔhare kɛse yi nti, koma no ntumi nnyina ano bio na koma no di huammɔ mpo. So wote sɛnea asiane wom no ase?

Hena na ɛda adi sɛ obenya thyroid ahum kɛse?

Thyroid ahum yɛ ɔhaw a anibere wom a efi tebea bi a wɔfrɛ no hyperthyroidism , a ɛyɛ thyroid hormone pii a wɔyɛ no mu ba. Enti, nnipa a wɔwɔ tebea horow a ɛde hyperthyroidism ba te sɛ Graves yare anaa awuduru thyroid adenoma no taa nya bi.

Te sɛ thyroid nyarewa afoforo no, tebea yi taa ba mmea so sen mmarima. Nnuruyɛfo ka sɛ ɛtaa ba nnipa a wɔadi fi mfe 42-43 so.

Saa tebea yi abu so dɛn?

Thyroid ahum ho yɛ na ankasa.Biribi. Ɛno kyerɛ sɛ ɛntaa nsi koraa. Sɛ nhwɛso no, sɛnea akontaabu a ɛwɔ United States kyerɛ no, saa tebea yi ba nnipa 5 kosi 7 wɔ ɔpepem biara mu. Nanso ɛwom mpo sɛ ɛntaa nsi de, nanso ɛmma ɛnyɛ aniberesɛm kɛse.

Sɛ obi anya thyroid ahum a, ɛte dɛn?

Esiane sɛ saa thyroid hormone ahorow yi ka nipadua no afã horow pii nti, sɛ wowɔ thyroid ahum a, wobɛte nka sɛ emu yɛ duru yiye wɔ wo nipadua nyinaa mu, te sɛ nea ɛrehyew fi mu. Ebia wubehyia nneɛma te sɛ:

• Ɛyɛ hyew paa na me ho fifiri reyɛ me kɛse. Ɛte sɛ nea wobɛn fononoo.
• Wo koma rebɔ ntɛmntɛm araa ma ɛte sɛ nea ebehuruw afi wo moma so. Ebia wobɛte saa nnyigyei no mpo.
• Mete nka sɛ me ho ntɔ me, me ho yeraw me, na me ho yeraw me kɛse. Me koma tu mmirika a ntease biara nnim.
• Me nipadua ho popo. Ɛte sɛ nea awɔw wom, nanso nokwarem no, ɛyɛ hyew.
• Mete nka sɛ me yafunu mu yɛ me yaw, me ho yɛ me yaw, na mefe.
• Mete nka sɛ mintumi nni me nipadua so. Me akwaa reyɛ ayɛ me yaw, me nsɛm ayɛ mmerɛw.
• Mete nka sɛ m’adwene atu afra na m’adwene atu afra. Ɛte sɛ nea mintumi nhu nea ɛrekɔ so no.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, ade a ɛho hia sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ ayaresabea a ɛbɛn wo ntɛm ara sɛnea wubetumi, a wontwentwɛn wo nan ase sekan biako mpo.

Dɛn na ɛde thyroid ahum ba?

Nhwehwɛmufo da so ara nnim nea ɛde thyroid ahum ba ankasa. Nanso, sɛ wowɔ hyperthyroidism a ɛtra hɔ kyɛ a wonnyaa ayaresa a, ebetumi aba. Nanso mpɛn pii no, adeyɛ bi a emu yɛ den mpofirim na ɛde ba. Ɛne sɛ, "asɛm a ɛkanyan."

Fa no sɛ, ɛtɔ mmere bi a yɛn maame anaa yɛn maame nuabea nom nnuru a wɔde sa thyroid. Ebia obi bɛka sɛ, ‘Ɛnyɛ papa sɛ wobɛkɔ so anom saa aduru no,’ anaasɛ ebia aka akyi dodo sɛ wobɛsan anom bio bere a aduru no asa awie no. Sɛ wugyae aduru no mpofirim a, hyperthyroidism a ɛda adi no betumi asɛe kɛse, na tebea a ɛyɛ hu a wɔfrɛ no thyroid storm yi betumi aba. Ɛno nti na ɛnyɛ papa sɛ wubegyae aduru no anaasɛ wobɛsesa dodow a wode ma a wunni aduruyɛ mu afotu.

Nea edidi so yi yɛ nneɛma a ɛkanyan a ebetumi ama thyroid ahum aba:

• Ɛsɛ sɛ wugyae wo thyroid aduru a ɛkyerɛ nnuru a ekum thyroid no nom mpofirim.
• Thyroidectomy yɛ oprehyɛn a wɔyɛ de yi thyroid ntini no fi hɔ.
• Oprehyɛn kɛse foforo a ɛne thyroid nni abusuabɔ.
• Akwanhyia, opira a emu yɛ den (Trauma) .
• Nyarewa a emu yɛ den a ɛwɔ nipadua no mu, te sɛ ahurututu mu yare.
• Asikreyare Ketoacidosis (DKA) , Koma a Ɛnyɛ DenTebea a egye ntɛmpɛ, te sɛ komayare, anaasɛ nnuru bi a wɔde di dwuma ɔkwammɔne so a emu yɛ den.
• Nnuru a ɛma nneɛma a ɛne ne ho bɔ abira a iodine wom, a wɔde di dwuma wɔ X-ray nhwehwɛmu ahorow bi mu no betumi ama iodine dodow akɔ soro mpofirim wɔ nipadua no mu.
• Abofra a wɔwo ma ɔbea.
• Nnwodwoɔ .

Dɛn ne sɛnkyerɛnne ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya thyroid ahum?

Sɛnea yɛadi kan aka ho asɛm kakra no, eyi ho sɛnkyerɛnne pii betumi aba.

Nsɛnkyerɛnne ne sɛnkyerɛnne ahorow a ɛtaa ba:

• Atiridiinini a ano yɛ den – atiridiinini a ɛyɛ digrii Fahrenheit 104 kosi 106 (bɛyɛ digrii Celsius 40-41). Eyi nyɛ atiridiinini a ɛfata, na mmom atiridiinini a ano yɛ den.
• Koma no bɔ ntɛmntɛm yiye (Tachycardia) – ebetumi abɔ bɛboro 140 simma biara.
• Sɛ wote nka sɛ wo ho ntɔ wo, wo bo fuw, na/anaasɛ wo ho yeraw wo.
• Delirium – Tebea a ɛma wohwere baabi a wowɔ, bere, ne nnipa a wunim wɔn.
• Congestive Heart Failure betumi aba.
• Nhumu a wɔhwere.

Nsɛnkyerɛnne ne sɛnkyerɛnne ahorow a ɛntaa nsi:

• Akisikuru a emu yɛ den ne/anaasɛ ɔfe.
• Ayamtuo.
• Yafunu mu yaw a emu yɛ den.
• Wora anaa aniwa a ɛyɛ kɔkɔɔ, kyerɛ sɛ, jaundice .

Ɔkwan bɛn so na wohu thyroid ahum yi?

Oduruyɛfo begyina ɔyarefo no sɛnkyerɛnne ahorow a emu yɛ den a ɛde ne nkwa to asiane mu (te sɛ atiridiinini kɛse, koma mu haw), thyroid hormone (T3, T4) a ɛdɔɔso yiye wɔ mogya mu, ne thyroid-stimulating hormone (TSH) a ɛba fam koraa so ahu thyroid ahum .

Nanso, esiane sɛ eyi de nkwa to asiane mu na ayaresa ho hia ntɛm nti, wɔ nsɛm pii mu no, nnuruyɛfo ntwɛn nea ebefi mogya mu nhwehwɛmu aba, na mmom sɛ wosusuw sɛ thyroid ahum bi gyina sɛnkyerɛnne ahorow so a, wofi ase sa yare no ntɛm ara. Efisɛ sekan biara ho hia.

Nea ɛka ho no, nnuruyɛfo nso nam nipadua mu nhwehwɛmu so hwehwɛ eyi ho sɛnkyerɛnne. Eyinom bi ne:

• Goiter , a ɛkyerɛ sɛ thyroid ntini no ayɛ kɛse.
• Ophthalmopathy , a ɛyɛ Graves yare no mu nsunsuanso bɔne no, aniwa a ɛho ahonhon ne aniwa a ɛyɛ kɛse.
• Lid lag , a ɛkyerɛ sɛ sɛ wohwɛ fam a, wuhu sɛ aniwa a ɛwɔ soro no korɔn sen sɛnea ɛsɛ sɛ ɛyɛ anaa.
• So wowɔ nsa a ɛwosow?
• So wowɔ honam ani hyew na ɛyɛ nwini?
• Wɔhwɛ sɛ koma no mu yare bi a wɔfrɛ no tachycardia anaa atrial fibrillation bi wɔ hɔ anaa .

Ɔkwan bɛn so na wɔsa thyroid ahum yi?

Esiane sɛ eyi yɛ aduruyɛ mu tebea a egye ntɛmpɛ nti, ɛho behia sɛ wɔde wo kɔ ayaresabea, mpɛn pii no wɔ Intensive Care Unit (ICU), sɛnea ɛbɛyɛ a nnuruyɛfo kuw no betumi ahwɛ wo tebea no yiye.

Wobetumi akyekyɛ ɔkwan a wɔfa so sa thyroid ahum no mu ayɛ no afã atitiriw anan:

1. Ayaresa a ɛhwɛ thyroid hormone a ɛba ne nea efi mu ba so ntɛm ara: Eyi hwehwɛ sɛ wɔde nnuru a ekum thyroid (e.g., Thionamides ) ma na ama wɔagyae hormone foforo a wɔyɛ. Afei nso, wɔde iodine aduru bi ma de siw hormone ahorow a thyroid ntini no ayɛ dedaw no ano.

2. Wo nipadua nhyehyɛe ahorow, titiriw koma no, a thyroid hormone a ɛboro so nya so nkɛntɛnso no a wobɛsa: Wɔde beta-blockers ma de hwɛ koma a ɛbɔ ne mogya mmoroso so.

3. Tebea anaa yare a ɛde wo thyroid ahum bae no a wobɛsa: Sɛ nhwɛso no, sɛ ɛyɛ ɔyare mmoawa a, wɔbɛma wo nnuru a ekum ɔyare mmoawa.

4. Ayaresa afoforo a ɛboa a ɛbɛboa wɔ sɛnkyerɛnne ne nea efi mu ba ho:

• Wɔde acetaminophen (Paracetamol) ne ntama a ɛma onwini di dwuma de tew nipadua mu hyew so.
• Wobetumi de nnuru te sɛ bile acid sequestrants ama de asiw thyroid hormone ahorow a ɛsan nkɔ dwensɔtwaa no mu no ano.
• Sɛ ɛyɛ den sɛ ɔbɛhome a, wɔde ɔhome mmoa te sɛ oxygen a wɔde ka ho ma.

Ɛrenkyɛ na me ho atɔ me wɔ ayaresa akyi?

Sɛ wunya ayaresa a ɛfata ntɛm a, mpɛn pii no wubehu nkɔso kɛse wɔ wo tebea no mu wɔ nnɔnhwerew 24 ntam. Wo yare no ho sɛnkyerɛnne no bɛbrɛ ase na wo ho bɛtɔ wo kakra. Nanso, ebia ebegye dapɛn biako anaa nea ɛboro saa ansa na ne ho atɔ no koraa afi nea ɛde Thyroid Storm ba no ho, bere a wɔasa tebea no wiei no.

So metumi asiw thyroid ahum ano?

Ɛnyɛ thyroid ahum nyinaa na wobetumi asiw ano, efisɛ ɛtɔ mmere bi a biribi a ɛba mpofirim betumi akanyan. Nanso, sɛ wowɔ hyperthyroidism dedaw a, nneɛma bi wɔ hɔ a ɛho hia a wubetumi ayɛ de abɔ mmɔden sɛ wubesiw tebea a asiane wom yi ano:

• Bere nyinaa nom wo thyroid aduru no sɛnea wo duruyɛfo akyerɛ wo no pɛpɛɛpɛ, wɔ bere ano. Mma da koro mpo nmpa wo ti so.
• Kɔ wo duruyɛfo nkyɛn daa na yɛ nhwehwɛmu a ɛho hia na ama woahwɛ ahu sɛ w’ayaresa no reyɛ adwuma yiye na wo hormone dodow nso nni wo so.
• Tew adwennwen so sɛnea wubetumi biara. Nneɛma te sɛ adwennwen ne apɔw-mu-teɛteɛ betumi aboa.
• Sɛ wobɛyɛ oprehyɛn biara a, di kan ka kyerɛ wo nnuruyɛfo sɛ wowɔ hyperthyroidism. Afei wɔbɛyɛ nneɛma a ɛho hia de asiw thyroid ahum ano, ebia wɔbɛma wo nnuru a ekum thyroid ansa na wɔayɛ oprehyɛn no.
• Titiriw sɛ wowɔ hyperthyroidism na worekɔyɛ wo thyroid oprehyɛn (thyroidectomy) , ɛda adi sɛ wo duruyɛfo bɛkyerɛw nnuru bi ansa na wɔayɛ oprehyɛn no de asiesie wo ama no, na ama asiane a ɛwɔ hɔ sɛ thyroid ahum bɛba no so atew.

Dɛn ne nkɔmhyɛ a ɛfa thyroid ahum ho?

Thyroid ahum yɛ aduruyɛ mu tebea a egye ntɛmpɛ a sɛ wɔansa a, ebetumi akum obi.

Owu betumi afi koma a entumi nyɛ adwuma yiye, koma a ɛnyɛ adwuma yiye , anaa akwaa ahorow pii a entumi nyɛ adwuma yiye mu aba . Nanso, sɛ wohu nnipa dodow no ara ntɛm na wɔsa wɔn yare yiye a, wɔn ho tɔ wɔn wɔ nnɔnhwerew 24 ntam.

Nanso, wɔ tebea horow bi mu no, asiane ahorow bi wɔ hɔ a ebetumi atew hokwan a ɛwɔ hɔ sɛ ne ho bɛtɔ no so. Ebi ne:

• Sɛ ɔyarefo no anyin yiye a.
• Sɛ ntini mu haw ahorow a emu yɛ den wɔ hɔ (e.g., adwene a ɛyera, adwene a ɛyɛ basaa) bere a wɔde no akɔ ayaresabea no.
• Sɛ ɛrentumi nyɛ yiye sɛ wɔde nnuru titiriw a ɛho hia (beta-blockers, antithyroid nnuru) bɛma esiane akwahosan tebea afoforo nti (e.g., wontumi mma beta-blockers esiane nyarewa te sɛ ayamtu nti).
• Sɛ w'asaabo a entumi nyɛ adwuma yiye esiane thyroid ahum nti na ɛsɛ sɛ wɔyɛ dialysis , anaasɛ sɛ wuntumi nhome na wuhia sɛ wɔde mfiri ma mframa a .

So Thyroid Storm betumi akum obi?

Yiw, awerɛhosɛm ne sɛ, Thyroid Storm betumi akum obi. Eyi yɛ aduruyɛ mu tebea a ɛde ne nkwa to asiane mu. Sɛ wɔansa a, ɛkame ayɛ sɛ owu da adi. Sɛ wɔsa yare mpo a, wɔ nsɛm bi a emu yɛ den mu no, owu betumi aba. Akontaabu mu no, wɔbɔ amanneɛ sɛ Thyroid Storms no mu 10% kosi 30% na ɛma owu.

Ɛno nti na yɛkɔ so ka sɛ, sɛ wowɔ thyroid ahum ho sɛnkyerɛnne a, ɛho hia yiye, yiye sɛ wobɛkɔ ayaresabea ntɛm ara sɛnea wubetumi, a worenkyɛ sekan biako mpo. Ntwɛn nkosi sɛ yare no ho sɛnkyerɛnne no mu bɛyɛ den.

Nsɛnnennen afoforo bɛn na ebetumi aba wɔ Thyroid Storm ho?

Sɛ wɔtwentwɛn ayaresa no ase anaasɛ wɔannye no yiye a, thyroid ahum betumi de nsɛnnennen a emu yɛ den aba. Eyinom bi ne:

• Koma a entumi nyɛ adwuma yiye a ɛreyɛ kɛse.
• Wɔ nipadua no afã horowMogya mu ntini betumi ayɛ, na ɛno betumi de tebea horow a emu yɛ den te sɛ akisikuru aba.
• Akisikuru te sɛ akisikuru.
• Delirium a ɛkɔ so daa .
• Coma yɛ tebea a ɛma obi da kɛse na ontumi nhu hwee.

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Room?

Sɛ wowɔ sɛnkyerɛnne biako anaa nea ɛboro saa a wususuw sɛ ebetumi ayɛ thyroid ahum, te sɛ atiridiinini a ano yɛ den, koma a ɛbɔ ntɛmntɛm, ahomegye a ɛtra so, anaa adwene a ɛyɛ basaa , kɔ baabi a ɛbɛn wo ntɛm ara, ntɛm ara sɛnea wubetumi. Mma nsɛe bere.

Nneɛma bɛn na ɛho hia paa a ɛsɛ sɛ yɛde fi saa asɛm yi mu kɔ fie? (Nkrasɛm a Wɔde Kɔ Fie)

Okay, enti, sɛnea yɛaka ho asɛm no, eyinom ne nneɛma a ɛho hia sen biara a ɛsɛ sɛ yɛma ɛtra yɛn adwenem:

1. Thyroid Storm yɛ tebea a ɛyɛ hu yiye, ɛde nkwa to asiane mu a ɛhwehwɛ sɛ wɔde kɔ ayaresabea ntɛm ara. Eyi nyɛ agoru.

2. Mpɛn pii no, nnipa a wɔwɔ hyperthyroidism (thyroid hormone a ɛboro so) na ɛde eyi ba, titiriw wɔn a wonnya ayaresa a ɛfata mma no, anaasɛ biribi a ɛkanyan wɔn mpofirim.

3. Hwɛ yiye wɔ sɛnkyerɛnne ahorow te sɛ atiridiinini kɛse, koma a ɛbɔ ntɛmntɛm, ahomegye a ɛtra so, fifiri, ne adwene a ɛyɛ basaa ho .

4. Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, kɔ ayaresabea ntɛm ara a ntwentwɛn wo nan ase. Ayaresa a wɔyɛ no ntɛm betumi agye obi nkwa.

5. Sɛ wowɔ hyperthyroidism a, di wo duruyɛfo akwankyerɛ akyi, nom w’aduru no yiye, na kɔhwɛ wo daa. Eyi betumi atew asiane a ɛwɔ hɔ sɛ obi benya thyroid ahum no so.

6. Ɛwom sɛ saa tebea yi ho yɛ na de, nanso ɛho hia sɛ obiara hu.

Sɛ wowɔ tebea bi te sɛ hyperthyroidism, te sɛ Graves yare a, hwɛ hu sɛ wubebisa wo duruyɛfo thyroid ahum ne ɔkwan a wobɛfa so asiw ano ho asɛm. Kɔ so nya apɔwmuden!

Thyroid Storm, Hyperthyroidism, Thyroid Gland, Thyroid Hormones, Nsɛnkyerɛnne, Ayaresa, Ntɛmntɛm, Graves Yare