Ðe wò lãkusi le abe ahom enea? (Thyroid Storm) Na míasrɔ̃ nu tso nɔnɔme sia si me afɔku le ŋu!

Èse nane si woyɔna be ‘Thyroid Storm’ ŋu nya kpɔa? Ŋkɔa ɖi vɔvɔ̃ vie, alo? Le nyateƒe me la, enye dɔléle sesẽ aɖe si hiã be woakpɔ egbɔ kpata eye ate ŋu ade ame ƒe agbe afɔku me. Ne míagblɔe tututu la, enye lãmetsiŋusẽ siwo dona le lãkusi me zi ɖeka si gbɔ eme. Mina míaƒo nu tso eŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Nukae nye lãkusi si woyɔna be thyroid gland? Nukae wòwɔna?

Fifia ɖewohĩ èle eŋu bum be, ‘Nukae nye lãkusi sia?’ Ele bɔbɔe ŋutɔ. Enye lãkusi sue aɖe si le wò kɔ ƒe ŋgɔgbe, si ƒe nɔnɔme le abe kpakpaluʋui ene. Lãmetsi sue sia wɔa dɔ vevi geɖe le míaƒe ŋutilã me.

Lãmetsiŋusẽ vevi eve dona le lãkusi me: triiodothyronine (T3) kple thyroxine (T4) . Ne wotsɔ lãmetsi eve siawo ƒo ƒui la, woyɔa lãmetsiŋusẽ si woyɔna be thyroid hormones. Lãmetsiŋusẽ siawo kpɔa míaƒe ŋutilã ƒe dzoxɔxɔ, dzi ƒe tsotso, kple vevietɔ wu la, míaƒe lãmenugbagbeviwo ƒe dɔwɔwɔ dzi .

Ne míagblɔe kpuie ko la, lãmenugbagbeviwo ƒe dɔwɔwɔe nye alesi míaƒe ŋutilã wɔa dɔ kabakabae, si fia be míetrɔa nuɖuɖu siwo míeɖuna kabakaba wòzua ŋusẽ kple dzoxɔxɔ. Azɔ bu eŋu kpɔ, ne thyroid ahom tu la, thyroid hormone gbogbo aɖewo ƒoa ƒu ɖe ŋutilãa me zi ɖeka. Nukae dzɔna ɣemaɣi? Míaƒe ŋutilã ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ kabakaba ale gbegbe be míesusui o. Abe keteke si zɔna sesĩe ene! Le nyateƒe me la, esia nye afɔku gã aɖe, eye wòdea ame ƒe agbe afɔku me gɔ̃ hã.

Ne lãmenugbagbeviwo ƒe dɔwɔwɔ gã sia dzɔ la, míaƒe ŋutilã hiãa ɔksidzin geɖe. Be míakpɔ oxygen ƒe hiahiã sia si le dzidzim ɖe edzi gbɔ la, míaƒe dzi dzea ƒoƒo gɔme kabakaba ŋutɔ. Míeyɔa esia be dzitodzito ƒe ʋuʋu . Le duƒuƒu sesẽ sia ta la, dzia megate ŋu nɔa te ɖe enu o eye dzia ƒe dɔmawɔmawɔ nyuie gɔ̃ hã ate ŋu adzɔ. Èse alesi gbegbe afɔku le emee gɔmea?

Amekae ate ŋu axɔ thyroid storm wu?

Thyroid storm nye dɔléle aɖe si woyɔna be hyperthyroidism , si nye thyroid lãmetsi si sɔ gbɔ akpa, ƒe nugbegblẽ le ame ŋu vevie. Eyata amesiwo ŋu nɔnɔme siwo hea ʋumenugbagbeviɣidɔ si gbɔ eme, abe Graves ƒe dɔléle alo aɖi ƒe lãkusi ƒe adenoma ene, le la ate ŋu axɔe wu.

Abe thyroid dɔléle bubuwo ene la, nɔnɔme sia ate ŋu adze nyɔnuwo dzi wu ŋutsuwo. Ðɔktawo gblɔ be ebɔ ɖe amesiwo xɔ tso ƒe 42-43 dome wu.

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, thyroid ahomwo mebɔ kura o.Nane. Ema fia be ƒã ŋutɔ. Le kpɔɖeŋu me, le United States ƒe akɔntabubu nu la, ame 5 va ɖo 7 ye dzɔna le ame miliɔn ɖeka me. Gake togbɔ be ƒã hafi wòdzɔna hã la, mena wòganyea nu vevi aɖeke o.

Aleke wòsena le eɖokui me ne ʋumenugbagbeviɣidɔ le ame ŋu?

Esi wònye be thyroid hormone siawo kpɔa ŋusẽ ɖe ŋutilã ƒe akpa geɖe dzi ta la, ne thyroid ahom tu la, àse le ɖokuiwò me be yeƒe ŋutilã katã le kpekpem ŋutɔ, abe ɖe wòle dzo dam tso ememe ene. Àte ŋu ato nusiwo le abe:

• Dzoxɔxɔ le edzi yim ŋutɔ eye fifia le fifiam ŋutɔ. Ðeko wòle abe ɖe nèle dzodoƒe aɖe gbɔ ene.
• Wò dzi le ƒoƒom sesĩe ale gbegbe be wòse le eɖokui me abe ɖe wòati kpo ado le wò akɔta ene. Ðewohĩ àse gbeɖiɖi ma gɔ̃ hã.
• Mesena le ɖokuinye me be nyemeɖea dzi ɖi kura o, metsia dzimaɖi, eye metsia dzimaɖi. Nye dzi le ƒoƒom le susu aɖeke manɔmee.
• Nye ŋutilã le ʋuʋum. Ewɔna nam abe vuvɔ le wɔwɔm ene, gake le nyateƒe me la, dzoxɔxɔ le eme.
• Mesena le ɖokuinye me abe ɖe nye dɔgbo le veve sem, nye lãme le ʋuʋum, eye nye lãme le ʋuʋum ene.
• Mesena le ɖokuinye me be nyemate ŋu aɖu nye ŋutilã dzi o. Nye abɔwo le ʋuʋum, nye nyawo le ʋuʋum.
• Mesena le ɖokuinye me be metɔtɔ eye nye susu tɔtɔ. Edze abe nyemate ŋu akpɔ nusi le edzi yim o ene.

Ne dzesi siawo dometɔ aɖe le ŋuwò la, nu vevitɔ si nàwɔe nye be nàyi kɔdzi si te ɖe ŋuwò kaba, eye màhe ɖe megbe sɛkɛnd ɖeka pɛ hã o.

Nukae hea thyroid ahom vɛ?

Numekulawo menya nusi tututu hea thyroid ahom vɛ haɖe o. Gake ate ŋu adzɔ ne ʋumenugbagbeviɣidɔ si nu sẽ si ŋu womekpɔ atike na o le ŋuwò ɣeyiɣi didi. Gake zi geɖe la, nudzɔdzɔ kpata aɖe si nu sẽ ŋutɔ gbɔe wòtsona. Eyae nye be, "nu si ʋãa ame."

Bu eŋu kpɔ, ɣeaɖewoɣi la, mía dada alo mía nyruiyɔvi noa atike na thyroid. Ðewohĩ ame aɖe agblɔ be, ‘Menyo be nàyi edzi anɔ atike ma nom o,’ alo ɖewohĩ etsi megbe akpa be woaganoe ne atikeawo vɔ. Ne èdzudzɔ atikeawo zazã kpata la, ʋumenugbagbeviɣidɔ si gbɔ wòtso ate ŋu agblẽ ɖe edzi, eye nɔnɔme sia si me afɔku le si woyɔna be ʋumenugbagbeviɣidɔ ate ŋu adze ame dzi. Esia tae menyo be woadzudzɔ atikeawo zazã alo atrɔ atikeawo ƒe agbɔsɔsɔme atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o.

Nusiwo gbɔna nye nusiwo ate ŋu ana ʋumenugbagbeviɣidɔ nadze ame dzi:

• Ele be nàdzudzɔ wò ʋumenugbagbeviɣitike si gɔmee nye ʋumenugbagbeviɣitikewo nono zi ɖeka.
• Thyroidectomy nye amekoko si wowɔna tsɔ ɖea lãkusia ɖa.
• Amekoko gã bubu si meku ɖe lãkusi ŋu o.
• Afɔku, abixɔxɔ sesẽ (Trauma) .
• Dɔlékui sesẽ aɖe si le ŋutilãa me, abe aklãdɔ ene.
• Suklidɔ ƒe Ketoacidosis (DKA) , Dzi ƒe Dɔmawɔmawɔ nyuieNɔnɔme kpata aɖe, abe dzidɔ ene, alo atike aɖewo zazã ƒe nugbegblẽ le ame ŋu vevie.
• Atike siwo me iodine le, siwo wozãna le X-ray dodokpɔ aɖewo me, ate ŋu ana iodine ƒe agbɔsɔsɔ nadzi ɖe edzi kpata le ŋutilãa me.
• Vidzidzi na nyɔnu.
• Gbagbãdᴐ .

Nukawoe nye thyroid ahom ƒe dzesiwo kple dzesiwo?

Abe alesi míeƒo nu tso eŋu vie va yi ene la, esia ƒe dzesi geɖe ate ŋu anɔ anyi.

Dzesi kple dzesi siwo bɔ:

• Asrã sesẽ – dzoxɔxɔ si ade 104 va ɖo 106 degree Fahrenheit (anɔ abe 40-41 degree Celsius). Esia menye dzoxɔxɔ si sɔ o, ke boŋ asrã sesẽe.
• Dzia ƒoa kabakaba ŋutɔ (Tachycardia) – ateŋu aƒo wu 140 le miniti ɖeka me.
• Sese le eɖokui me be yemeɖe dzi ɖi o, yedo dziku, eye/alo yetsi dzimaɖi.
• Delirium – Nɔnɔme si me mènya afisi nèle, ɣeyiɣi si nèle, kple ame siwo nènya o.
• Dzi ƒe Dɔmawɔmawɔ nyuie ate ŋu adzɔ.
• Ame ƒe susu meganɔa ame ŋu o.

Dzesi kple dzesi siwo mebɔ o:

• Aɖuɖɔtoe sesẽ kple/alo ʋuʋudedi.
• Dɔmetɔtrɔ.
• Ƒodo ƒe vevesese sesẽ.
• Ŋutilã alo ŋku ƒe ɣie, si nye jaundice .

Aleke wowɔna dea dzesi thyroid ahom sia?

Ðɔkta anɔ te ɖe dɔnɔa ƒe dzesi sesẽ siwo ate ŋu ade eƒe agbe afɔku me (abe dzoxɔxɔ sesẽ, dzidɔ ene), ʋumenugbagbeviɣidɔlékuiwo (T3, T4) ƒe agbɔsɔsɔ si sɔ gbɔ ŋutɔ le ʋu me, kple lãmetsiŋusẽ si doa ŋusẽ ʋumenugbagbeviɣidɔ (TSH) si bɔbɔ ŋutɔ dzi anya ʋumenugbagbeviɣidɔ .

Gake esi esia dea ame ƒe agbe afɔku me eye atikewɔwɔ kabakaba le vevie ta la, le go geɖe me la, ɖɔktawo melalana ʋudodokpɔ me tsonu o, ke boŋ wodzea atikewɔwɔ gɔme enumake ne wosusu be ʋumenugbagbeviɣidɔ aɖe tu le dzesiawo ta. Elabena sɛkɛnd ɖesiaɖe le vevie.

Tsɔ kpe ɖe eŋu la, ɖɔktawo hã dia esia ƒe dzesiwo to ŋutilãmedɔdada me. Esiawo dometɔ aɖewoe nye:

• Goiter , si fia be lãkusia lolo.
• Ŋkudɔ , si nye Graves ƒe dɔlélea ƒe nugbegblẽ le ame ŋu, ƒe dzesi enye ŋkuwo ƒe vuvu kple ŋkuwo ƒe ʋuʋu.
• Lid lag , si fia be ne èkpɔ anyigba la, àkpɔe be ŋkume ƒe akpa si le etame la kɔ wu alesi wòle be wòanɔ hã.
• Ðe asi ʋuʋu le ŋuwòa?
• Ðe ŋutigbalẽ si me dzo le eye wòtsi la le ŋuwòa?
• Woléa ŋku ɖe dzi ƒe tsotso ƒe dɔléle aɖe si woyɔna be tachycardia alo atrial fibrillation ŋu .

Aleke wodaa thyroid ahom siae?

Esi wònye be atikewɔwɔ kpatae esia nye ta la, ahiã be woaxɔ wò ɖe kɔdzi, zi geɖe le Dɔnɔdzikpɔlawo ƒe Dɔwɔƒe (ICU), ale be atikewɔlawo ƒe ƒuƒoƒoa nate ŋu alé ŋku ɖe wò nɔnɔmea ŋu nyuie.

Woate ŋu ama atike si wozãna na thyroid ahom la ɖe akpa vevi ene me:

1. Atikewɔwɔ si kpɔa lãmetsiŋusẽ ƒe wɔwɔme kple eƒe dodo dzi enumake: Esia bia be woana atike siwo tsia ʋumenugbagbeviɣidɔ nu (e.g., Thionamides ) be woadzudzɔ lãmetsi yeyewo ƒe wɔwɔ. Azɔ hã, wonaa iodine-tsi aɖe be wòaxe mɔ na lãmetsi siwo thyroid gland wɔ xoxo la ƒe dodo.

2. Atikewɔwɔ na wò ŋutilã ƒe dɔwɔwɔ, vevietɔ dzi, si ŋu thyroid hormone siwo sɔ gbɔ akpa gblẽa nu le: Wona beta-blockers be woatsɔ akpɔ dzi ƒe tsotso kple ʋu ƒe sisi dzi.

3. Nɔnɔme alo dɔléle si gbɔ wò ʋumenugbagbeviɣidɔ le dada: Le kpɔɖeŋu me, ne dɔlékui aɖee la, woana dɔlékuiwutike wò.

4. Atikewɔwɔ bubu siwo akpe ɖe ame ŋu atsɔ akpe ɖe dɔlélea ƒe dzesiwo kple eƒe nugbegblẽ le ame ŋu ŋu:

• Wozãa acetaminophen (Paracetamol) kple fafa ƒe avɔwo tsɔ ɖea ŋutilã ƒe dzoxɔxɔ dzi kpɔtɔna.
• Woate ŋu ana atikewo abe bile acid sequestrants ene be woaxe mɔ na thyroid lãmetsiwo ƒe gbugbɔgaxɔ tso dɔgboa me.
• Ne gbɔgbɔ sesẽ la, wonaa gbɔgbɔtsixe ƒe kpekpeɖeŋu, abe ɔksidzin kpeɖeŋutɔ ene.

Aleke gbegbee nye lãme asẽ le atikewɔwɔ vɔ megbe kpuie?

Ne èxɔ atike nyuitɔ kaba la, zi geɖe la, àkpɔ ŋgɔyiyi ɖedzesi aɖe le wò nɔnɔmea me le gaƒoƒo 24 me. Wò dzesiwo nu aɖiɖi eye wò lãme asẽ vie. Gake ate ŋu axɔ kwasiɖa ɖeka alo esi wu nenema hafi ahaya keŋkeŋ tso nusi gbɔ Thyroid Storm tsona gbɔ, ne wonya da dɔa ko.

Ðe mate ŋu axe mɔ ɖe ʋumenugbagbeviɣidɔ nua?

Menye thyroid ahomwo katãe woate ŋu axe mɔ na o, elabena ɣeaɖewoɣi la, nudzɔdzɔ kpata aɖe ate ŋu ahe wo vɛ. Gake ne ʋumenugbagbeviɣidɔ le ŋuwò xoxo la, nu vevi aɖewo li nàte ŋu awɔ atsɔ adze agbagba axe mɔ ɖe nɔnɔme sia si me afɔku le nu:

• No wò lãkusi me atikewo ɣesiaɣi abe alesi wò ɖɔkta gblɔe ene pɛpɛpɛ, ɖe game dzi. Mègana ŋkeke ɖeka pɛ hã nato ŋuwò o.
• Kpɔ wò ɖɔkta edziedzi eye nàwɔ dodokpɔ siwo hiã be nàka ɖe edzi be wò atikewɔmɔnua le dɔ wɔm nyuie eye be lãmetsiŋusẽ ƒe agbɔsɔsɔ le lãme na wò.
• Ðe nuteɖeamedzi dzi kpɔtɔ alesi nàte ŋui. Nuwo abe ŋugbledede kple kamedede ene ate ŋu akpe ɖe ŋuwò.
• Ne woawɔ dɔ na wò la, gblɔ na wò ɖɔktawo do ŋgɔ be ʋumenugbagbeviɣidɔ le ŋuwò. Emegbe woaɖe afɔ siwo hiã be woatsɔ axe mɔ ɖe ʋumenugbagbeviɣidɔ ƒe ahomya nu, eye ɖewohĩ woana atike siwo tsia ʋumenugbagbeviɣidɔ nu wò hafi woawɔ dɔ na wò.
• Vevietɔ ne ʋumenugbagbeviɣidɔ le ŋuwò eye woawɔ dɔ na wò (thyroidectomy) , anɔ eme be wò ɖɔkta aŋlɔ atike aɖewo na wò hafi awɔ dɔa be wòadzra wò ɖo ɖe eŋu, be wòaɖe ʋumenugbagbeviɣidɔ ƒe afɔkua dzi akpɔtɔ.

Nukae nye thyroid ahom ƒe ŋgɔdonya?

Thyroid storm nye atikewɔwɔ kpata si ate ŋu awu ame ne womewɔ atike nɛ o.

Ku ate ŋu atso dzi ƒe dɔmawɔmawɔ nyuie, dzi ƒe dɔmawɔmawɔ nyuie , alo ŋutinu geɖe ƒe dɔmawɔmawɔ nyuie gbɔ . Gake ne wokpɔ ame akpa gãtɔ kaba hewɔ atike na wo nyuie la, wohayana le gaƒoƒo 24 me.

Gake le go aɖewo me la, afɔku aɖewo li siwo ate ŋu aɖe mɔnukpɔkpɔ si li be woahaya la dzi akpɔtɔ. Wo dometɔ aɖewoe nye:

• Ne dɔnɔa tsi ŋutɔ.
• Ne lãmekawo ƒe dɔwɔwɔ ƒe kuxi sesẽwo li (e.g., ame ƒe susu ƒe dɔwɔwɔ, tɔtɔ) ne woxɔe ɖe kɔdzi.
• Ne manya wɔ be woana atike vevi siwo hiã (beta-blockers, antithyroid atikewo) le lãmesẽkuxi bubuwo ta (e.g., ŋutete manɔamesi be woana beta-blockers le dɔlélewo abe asrã ene ta).
• Ne ayiku megale dɔ wɔm nyuie o le ʋumenugbagbeviɣidɔ ta eye wòhiã be woaɖe tsi le wò ayiku me , alo ne mète ŋu le gbɔgbɔm o eye wòhiã be woatsɔ mɔ̃ agbɔ ya o .

Ðe Thyroid Storm ate ŋu awu amea?

Ẽ, nublanuitɔe la, Thyroid Storm ate ŋu awu ame. Esia nye atikewɔwɔ me nɔnɔme si ate ŋu ade ame ƒe agbe afɔku me. Ne womewɔ atike nɛ o la, kakaɖedzi le ku ŋu kloe. Ne wowɔ atike nɛ gɔ̃ hã la, le nɔnɔme sesẽ aɖewo me la, ku ate ŋu adzɔ. Le akɔntabubu nu la, wogblɔ be Thyroid Storms ƒe 10% va ɖo 30% hea ku vɛ.

Esia tae míenɔ gbɔgblɔm be, ne thyroid ahom ƒe dzesiwo le ŋuwò la, ele vevie ŋutɔ, vevie ŋutɔ be nàyi kɔdzi kaba ale si nàte ŋui, eye màhe ɖe megbe sɛkɛnd ɖeka pɛ hã o. Mègalala vaseɖe esime dzesiawo nagblẽ ɖe edzi o.

Kuxi bubu kawoe ate ŋu ado mo ɖa le Thyroid Storm ŋu?

Ne wohe atikewɔwɔa ɖe megbe alo womexɔe nyuie o la, ʋumenugbagbeviɣidɔ ate ŋu ahe kuxi sesẽwo vɛ. Esiawo dometɔ aɖewoe nye:

• Dzi ƒe dɔmawɔmawɔ nyuie si le sesẽm ɖe edzi.
• Le ŋutilã ƒe akpa vovovowoƲu ƒe sisi ate ŋu adzɔ, si ate ŋu ahe nɔnɔme sesẽwo abe ʋusɔgbɔdɔ ene vɛ.
• Alɔ̃madɔmadɔ abe asrãdɔ ene.
• Delirium si nɔa anyi ɖaa .
• Coma nye alɔ̃dɔdɔ vevie kple ame ƒe susu ƒe dɔwɔwɔ .

Ɣekaɣie wòle be mayi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ?

Ne dzesi ɖeka alo esi wu nenema si nèsusu be ate ŋu anye ʋumenugbagbeviɣidɔ, abe dzoxɔxɔ sesẽ, dzi ƒe tsotso kabakaba, dzimaɖitsitsi si gbɔ eme, alo tɔtɔ ene le ŋuwò la, yi xɔ si te ɖe ŋuwò si kpɔa nudzɔdzɔ kpatawo gbɔ enumake, kaba ale si nàte ŋui. Mègagblẽ ɣeyiɣi o.

Nu vevi kawoe wòle be míatsɔ ayi aƒemee tso ŋutinya sia me? (Gbedasi si Wotsɔ Yi Aƒeme)

Enyo, eyata, le nusiwo ŋu míeƒo nu tsoe nu la, esiawoe nye nu vevitɔ kekeake siwo wòle be wòanɔ susu me na mí:

1. Thyroid Storm nye dɔléle si me afɔku le ŋutɔ, si ate ŋu ade ame ƒe agbe afɔku me, si hiã be woakpɔ egbɔ kpata. Esia menye fefe o.

2. Zi geɖe la, amesiwo ŋu hyperthyroidism (thyroid hormone si sɔ gbɔ ɖo) le, vevietɔ amesiwo mekpɔa atike nyui aɖeke nɛ o, alo nusi hea dɔlélea vɛ kpata gbɔe esia tsona.

3. Nya dzesiwo abe dzoxɔxɔ sesẽ, dzi ƒe tsotso kabakaba, dzimaɖitsitsi si gbɔ eme, fifia, kple tɔtɔ ene .

4. Ne èkpɔ dzesi siawo dometɔ aɖe la, yi kɔdzi enumake kaba. Atikewɔwɔ kaba ate ŋu axɔ ame aɖe ɖe agbe.

5. Ne ʋumenugbagbeviɣidɔ le ŋuwò la, wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi, no wò atikewo nyuie, eye nàdo wò kpɔ edziedzi. Esia ate ŋu aɖe afɔku si le thyroid storm xɔxɔ me dzi akpɔtɔ.

6. Togbɔ be nɔnɔme sia mebɔ o hã la, ele vevie be amesiame nanyae.

Ne dɔléle aɖe abe ʋumenugbagbeviɣidɔ ene, abe Graves ƒe dɔléle ene, le ŋuwò la, kpɔ egbɔ be yebia yeƒe ɖɔkta tso ʋumenugbagbeviɣidɔ kple alesi nàwɔ axe mɔ ɖe enu be wòagadzɔ ɖe dziwò o ŋu. Nɔ lãmesẽ me!

Thyroid Storm, Hyperthyroidism, Thyroid Gland, Thyroid Lãmetsiŋusẽ, Dzesiwo, Atikewɔwɔ, Kpata, Graves ƒe Dɔléle