He aha inā lilo ka hypothyroidism i mea koʻikoʻi? E kamaʻilio kākou e pili ana i ka Myxedema Coma

Ua lohe paha ʻoe i ke kelepa thyroid, kahi kelepa liʻiliʻi e like me ke ʻano o ka pepeke i loaʻa ma ke alo o kou ʻāʻī. Hana ia e like me ka ʻenekini i loko o ko mākou kino. Hoʻopuka ia i nā hormones thyroid, he mea nui ia no ka aneane o kēlā me kēia cell i loko o ko mākou kino. Akā i kekahi manawa e emi ana ka hana o kēia kelepa a loaʻa kahi kūlana i hana ʻole ʻia ai nā hormones thyroid i lawa. Kāhea mākou i kēia hypothyroidism . I kēia lā ke kamaʻilio nei mākou e pili ana i ka hihia koʻikoʻi loa, a hiki ke hoʻoweliweli i ke ola, o kēia. ʻO ia ka Myxedema Coma.

ʻO ka mea mua, e nānā kākou i ke ʻano o ka hypothyroidism.

I ka ʻōlelo maʻalahi, ʻo ka hypothyroidism kahi ʻano hana ʻole o ka thyroid. ʻO kēia ke kumu o ka hana lohi iki ʻana o nā ʻōkana o ke kino. ʻO nā hōʻailona penei:

• Luhi nui a me ka hiamoe no ke kumu ʻole.
• Manaʻo anuanu ma mua o nā poʻe ʻē aʻe.
• Ka piʻi ʻana o ke kaumaha .
• ʻIli maloʻo a me ka nalowale o ka lauoho.
• Ka paʻa ʻana o ka ʻōpū .
• Paʻakikī i ka noʻonoʻo ʻana.

Ma muli o ka mea maʻamau o kēia mau hōʻailona i nā kānaka he nui, ʻaʻole manaʻo kekahi poʻe he maʻi ia. Akā inā ʻaʻole i ʻike pono ʻia a mālama ʻia kēia ʻano maʻi, hiki ke lilo i mea weliweli.

No laila he aha ka Myxedema Coma?

E noʻonoʻo, he kūlana kēia e kū mai ana i ka wā e lilo ai ka hypothyroidism i mea koʻikoʻi loa, a hāʻule ka pae o ka hormone thyroid i loko o ke kino i kahi pae haʻahaʻa weliweli. ʻOiai he kūlana kakaikahi kēia, he pilikia olakino hoʻoweliweli loa ia . ʻOiai aia ka huaʻōlelo "Coma" ma ka inoa ʻo Myxedema Coma, ʻaʻole pau nā maʻi i ka ʻike ʻole. Eia nō naʻe, hiki ke hoʻopilikia nui ʻia ko lākou ʻike a hiki paha iā lākou ke hiamoe loa a ʻaʻole lākou e pane.

He aha ka mea e hiki ai ke hana i ka myxedema coma?

No kekahi kanaka i loaʻa mua i ka hypothyroidism koʻikoʻi, hiki i kekahi o nā hanana ma lalo nei ke hoʻoulu i kēia kūlana weliweli.

He aha nā hōʻailona weliweli e makaʻala ai?

Inā loaʻa i kekahi kanaka me ka hypothyroidism kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​​​hiki ke lilo ia i mea mua i kahi maʻi i kapa ʻia ʻo Myxedema Coma.

• Ka nāwaliwali a palaualelo paha: Ua hiamoe loa ke kanaka a ʻaʻole hiki ke hoʻāla ʻia.
• Huikau a pane ʻole paha: ʻAʻole maopopo i ka mea e ʻōlelo ʻia nei a i ʻole ʻaʻole pane mai.
• Haʻahaʻa o ke kino (Hypothermia): Ua anu ke kino e like me ka hau ke pā aku.
• Pehu kino : Pehu nui ka maka, ke alelo, a me nā wāwae.
• Paʻakikī ka hanu ʻana : Ke emi nui nei ka wikiwiki o ka hanu ʻana.

Inā ʻike ʻole kekahi kanaka me kēia mau hōʻailona a hiamoe paha, he pilikia ia a pono e lawe koke ʻia i ka haukapila . Pono ka ʻohana a i ʻole nā ​​hoaaloha e lawe koke iā lākou i ka Emergency Treatment Unit (ETU) kokoke loa.Pono ʻoe e lawe. ʻO ka hoʻonele ʻana i ka manawa e hoʻonui wale i ka pilikia o kou ola.

Nā hoʻokolohua a me nā lāʻau lapaʻau ma ka haukapila

Ma hope o ka lawe ʻia ʻana i ka haukapila, ua holo koke nā kauka i kekahi mau hoʻokolohua e hōʻoia i ke kūlana.

• Nā hoʻāʻo koko: Nānā nā hoʻāʻo koko i nā pae hormone thyroid (TSH, T4), ke kō, nā electrolytes , a me ka cortisol.
• Nā kinoea koko: Nānā i nā pae o ka oxygen a me ke kalapona ʻokikene i loko o ke koko.
• Hoʻāʻo ECG: Nānā i nā pilikia me ka hana o ka puʻuwai.

Ma ke ʻano he lāʻau lapaʻau, ua hoʻokomo pinepine ʻia ka mea maʻi i ka Intensive Care Unit (ICU) .

• Nā hormones intravenous: No ka hoʻihoʻi koke ʻana i nā pae hormone thyroid, hāʻawi ʻia nā hormones ma ke ʻano he injections (intravenously a i ʻole IV) .
• Mālama kākoʻo: Inā haʻahaʻa ka mahana o ke kino, e hoʻomehana iā ia me kahi kapa hoʻomehana . Inā haʻahaʻa ke kō koko, e hāʻawi i ka glucose. Inā he maʻi, e hāʻawi i nā antibiotics. Inā he kānalua no kahi pilikia me nā kelepa adrenal, e hāʻawi i nā steroids (glucocorticoids).

ʻO ka mea nui loa e pono ai nā ʻohana e ʻike!

Inā loaʻa kahi kūlana e like me kēia i kahi lālā o ka ʻohana a i ʻole hoaaloha, ʻo ka mea nui, ʻaʻole e hopohopo a hana i ka mea kūpono.

Hiki ke pale ʻia kēia kūlana?

ʻAe! ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke pale ʻana i kēia ʻano mai ka hanana ʻana. He mea maʻalahi loa ia. Inā loaʻa iā ʻoe ka hypothyroidism, ʻo ka mea nui e hana ai, ʻo ia ke lawe i ka lāʻau thyroid i kuhikuhi ʻia e kāu kauka ma ka nui kūpono, i ka manawa kūpono, i kēlā me kēia lā . Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau no ka luhi a no ka mea ua manaʻo ʻoe "ua ʻoi aku ka maikaʻi i kēia manawa." Eia kekahi, he mea nui loa e ʻike i kāu kauka i nā manawa kūpono a loaʻa nā hoʻāʻo koko e like me TSH e nānā i kou ʻano. Ma ka hahai ʻana i kēia mau mea maʻalahi ʻelua, hiki iā ʻoe ke pale loa iā ʻoe iho mai kahi ʻano weliweli e like me Myxedema Coma. myxedema coma, hypothyroidism, thyroid, thyroid hormone, hypothyroidism, hemahema thyroid, lapaʻau ulia pōpilikia