Ua like anei kou thyroid me ka ʻino? (ʻIno Thyroid) E aʻo kākou e pili ana i kēia kūlana weliweli!

Ua lohe paha ʻoe i kahi mea i kapa ʻia ʻo 'Thyroid Storm'? He mea weliweli iki ke kani o ka inoa, ʻeā? He maʻi koʻikoʻi maoli nō ia e pono ai ke kōkua lapaʻau koke a hiki ke hoʻoweliweli i ke ola. I ka pololei, he hoʻokuʻu koke ʻia ʻana o nā hormones thyroid mai ke kelepa thyroid. E kamaʻilio kākou e pili ana i ia mea ma ke ʻano maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ke kelepa thyroid? He aha kāna hana?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'He aha kēia kelepa thyroid?' He mea maʻalahi loa ia. He kelepa liʻiliʻi ia ma ke alo o kou ʻāʻī, i ke ʻano e like me ka pulelehua. Hana kēia kelepa liʻiliʻi i nā hana koʻikoʻi he nui i loko o ko mākou kino.

Hoʻopuka ka ʻōpū thyroid i ʻelua mau hormones nui: triiodothyronine (T3) a me thyroxine (T4) . I ka hui pū ʻana, ua kapa ʻia kēia mau hormones ʻelua he mau hormones thyroid. Hoʻomalu kēia mau hormones i ka mahana o ko mākou kino, ka helu o ka puʻuwai, a, ʻo ka mea nui loa, ko mākou metabolism .

ʻO ka metabolism, i ka ʻōlelo maʻalahi, pehea ka wikiwiki o ka hana ʻana o ko mākou kino i nā mea, ʻo ia hoʻi, pehea ka wikiwiki o kā mākou hoʻololi ʻana i ka meaʻai a mākou e ʻai ai i ka ikehu a me ka wela. I kēia manawa e noʻonoʻo, i ka wā e hana ʻia ai kahi ʻino thyroid, hōʻiliʻili koke ka nui o nā hormones thyroid i loko o ke kino. He aha ka mea e hana ai? Lilo ka metabolism o ko mākou kino i mea wikiwiki loa. E like me ke kaʻaahi wikiwiki! He mea weliweli loa kēia, a hiki ke hoʻoweliweli i ke ola.

Ke hana ʻia kēia metabolism kiʻekiʻe, pono ko mākou kino i ka nui o ka oxygen. No ka hoʻokō ʻana i kēia pono hoʻonui no ka oxygen, hoʻomaka ko mākou puʻuwai e kuʻi wikiwiki loa. Kāhea mākou i kēia he tachycardia . Ma muli o kēia wikiwiki kiʻekiʻe, ʻaʻole hiki i ka puʻuwai ke hoʻomanawanui a hiki ke hiki mai ka hāʻule ʻana o ka puʻuwai . Maopopo iā ʻoe ke ʻano o ka weliweli?

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o ka ʻino thyroid?

He hopena koʻikoʻi ka ʻino thyroid o kahi maʻi i kapa ʻia ʻo hyperthyroidism , ʻo ia hoʻi ka hana ʻana o ka nui o ka hormone thyroid. No laila, ʻoi aku ka nui o ka poʻe me nā maʻi e hoʻoulu ai i ka hyperthyroidism, e like me ka maʻi Graves a i ʻole ka adenoma thyroid ʻawahia, e loaʻa iā ia.

E like me nā maʻi thyroid ʻē aʻe, ʻoi aku ka nui o ka ulu ʻana o kēia maʻi i nā wahine ma mua o nā kāne. Wahi a nā kauka he mea maʻamau ia i nā poʻe ma waena o 42-43 mau makahiki.

Pehea ka maʻamau o kēia ʻano?

He mea kākaʻikahi loa nā ʻino thyroid.Kekahi mea. ʻO ia hoʻi, he mea kakaikahi loa ia. No ka laʻana, e like me nā helu helu ma ʻAmelika Hui Pū ʻIa, ʻike ʻia kēia ʻano ma waena o 5 a me 7 mau kānaka no ka miliona. Akā, ʻoiai he mea kakaikahi ia, ʻaʻole ia e hoʻēmi i kona koʻikoʻi.

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He aha ke ʻano o ka loaʻa ʻana o kahi ʻino thyroid?

Ma muli o ka hoʻopilikia ʻana o kēia mau hormones thyroid i nā ʻāpana he nui o ke kino, inā loaʻa iā ʻoe kahi ʻino thyroid, e ʻike ʻoe i kahi manaʻo kaumaha loa ma kou kino holoʻokoʻa, me he mea lā e ʻā ana mai loko mai. Hiki iā ʻoe ke ʻike i nā mea e like me:

• He wela loa ia a ke hou nui nei au. Ua like ia me ke kokoke ʻana i kahi kapuahi.
• Ke kuʻi wikiwiki nei kou puʻuwai a me he mea lā e lele ana i waho o kou umauma. E lohe paha ʻoe i kēlā leo.
• Ua hopohopo nui wau, ua hopohopo, a ua hopohopo hoʻi. Holo wikiwiki koʻu puʻuwai me ke kumu ʻole.
• Ke haʻalulu nei koʻu kino. Me he mea lā ua anu wau, akā he wela maoli nō.
• Ua like wau me ka ʻeha o koʻu ʻōpū, ka nausea, a me ka luaʻi.
• Manaʻo wau ʻaʻole hiki iaʻu ke kāohi i koʻu kino. Ke ʻūlū nei koʻu mau lālā, ua paʻakikī kaʻu mau ʻōlelo.
• Ua huikau a ua pioloke koʻu ala. ʻAʻole hiki iaʻu ke hoʻomaopopo i ka mea e hana nei.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​ʻo ka mea nui e hana ai, ʻo ia ke hele koke i ka haukapila kokoke loa, me ka hoʻokaʻulua ʻole no kekahi kekona.

He aha ke kumu o ka ʻino thyroid?

ʻAʻole maopopo loa i nā kānaka noiʻi ke kumu o ka ʻino thyroid. Eia nō naʻe, hiki ke hana inā loaʻa iā ʻoe ka hyperthyroidism lōʻihi a mālama ʻole ʻia. Akā ʻo ka hapa nui, ua hoʻokumu ʻia e kahi hanana koʻikoʻi a koke. ʻO ia hoʻi, he "mea hoʻoulu."

E noʻonoʻo, i kekahi manawa, lawe ko mākou makuahine a ʻanakē paha i ka lāʻau lapaʻau no ka thyroid. Malia paha e ʻōlelo kekahi, 'ʻAʻole maikaʻi ke hoʻomau i ka lawe ʻana i kēlā lāʻau lapaʻau,' a i ʻole ua lohi paha e lawe hou ma hope o ka pau ʻana o ka lāʻau. Inā ʻoe e hoʻōki koke i ka lāʻau lapaʻau, hiki ke ʻoi aku ka ʻino o ka hyperthyroidism ma lalo, a hiki ke ulu kēia ʻano weliweli i kapa ʻia ʻo ka thyroid storm. ʻO ia ke kumu ʻaʻole maikaʻi ke hoʻōki i ka lāʻau lapaʻau a hoʻololi paha i ka dosage me ka ʻole o ka ʻōlelo aʻoaʻo lapaʻau.

ʻO kēia nā mea hoʻonāukiuki e hiki ke hoʻoulu i ka ʻino thyroid:

• Pono ʻoe e ho'ōki i ka lawe ʻana i kāu lāʻau thyroid, ʻo ia hoʻi ka lāʻau antithyroid, me ka koke.
• ʻO ka Thyroidectomy kahi ʻoki kino e wehe ai i ka thyroid gland.
• ʻO kekahi hana ʻoki nui ʻē aʻe i pili ʻole i ka thyroid.
• Ulia, ʻeha nui (Trauma) .
• He maʻi koʻikoʻi i loko o ke kino, e like me ka maʻi niumonia.
• ʻO ke Ketoacidosis Diabetic (DKA) , ka hāʻule ʻana o ka puʻuwaiʻO kahi kūlana pilikia, e like me ka hāʻule puʻuwai, a i ʻole kahi hopena ʻino nui i kekahi mau lāʻau lapaʻau.
• ʻO nā mea hoʻohālikelike iodinated, ka mea i hoʻohana ʻia i kekahi mau hoʻokolohua X-ray, hiki ke hoʻonui koke i nā pae iodine i loko o ke kino.
• Ka hānau ʻana i keiki na ka wahine.
• Hahau ʻana .

He aha nā hōʻailona a me nā hōʻailona o ka ʻino thyroid?

E like me kā mākou i kamaʻilio ai ma mua iki, nui nā hōʻailona o kēia.

Nā hōʻailona a me nā ʻōuli maʻamau:

• He kuni nui - he kuni o 104 a 106 degere Fahrenheit (ma kahi o 40-41 degere Celsius). ʻAʻole kēia he kuni maʻamau, akā he kuni nui.
• Kuʻi wikiwiki loa ka puʻuwai (Tachycardia) - hiki ke ʻoi aku ma mua o 140 mau kuʻi i kēlā me kēia minuke.
• Manaʻo hoʻomaha ʻole, huhū, a/a i ʻole hopohopo.
• Delirium - ʻO ia ke ʻano e nalowale ai ʻoe i kou wahi, ka manawa, a me nā poʻe āu i ʻike ai.
• Hiki paha ke hana ʻia ka hāʻule ʻana o ka puʻuwai paʻa .
• Ka nalowale o ka ʻike.

Nā hōʻailona a me nā ʻōuli kakaikahi:

• Ka luaʻi nui a me/a i ʻole ka luaʻi ʻana.
• Ka maʻi pākī.
• ʻEha nui o ka ʻōpū.
• Melemele o ka ʻili a i ʻole nā ​​​​maka, ʻo ia hoʻi, jaundice .

Pehea e ʻike ʻia ai kēia ʻino thyroid?

E nānā ke kauka i ka ʻino thyroid ma muli o nā hōʻailona koʻikoʻi a hoʻoweliweli i ke ola o ka mea maʻi (e like me ke kuni nui, nā pilikia o ka puʻuwai), nā pae kiʻekiʻe loa o nā hormones thyroid (T3, T4) i loko o ke koko, a me nā pae haʻahaʻa loa o ka hormone hoʻoulu thyroid (TSH) .

Eia nō naʻe, no ka mea he mea hoʻoweliweli kēia i ke ola a he mea nui ka mālama koke ʻana, i nā manawa he nui, ʻaʻole kali nā kauka i nā hopena o ka hoʻāʻo koko, akā hoʻomaka koke i ka mālama ʻana inā manaʻo lākou he ʻino thyroid ma muli o nā hōʻailona. No ka mea, he mea nui kēlā me kēia kekona.

Eia kekahi, ke nānā nei nā kauka i nā hōʻailona o kēia ma o ka hoʻokolokolo kino. ʻO kēia mau mea:

• ʻO Goiter , ʻo ia hoʻi, ua hoʻonui ʻia ka nui o ka thyroid gland.
• ʻO ka Ophthalmopathy , kahi hopena ʻaoʻao o ka maʻi Graves, i hōʻike ʻia e ka pehu ʻana o nā maka a me ka puʻupuʻu ʻana o nā maka.
• Ka lohi o ke poʻi , ʻo ia hoʻi, ke nānā ʻoe i lalo, ʻike ʻoe inā ʻoi aku ke kiʻekiʻe o ka lihilihi o luna ma mua o ka mea e pono ai.
• Ke haʻalulu nei kou mau lima?
• He ʻili mahana a pulu kou?
• Nā nānā ʻana no kahi maʻi puʻuwai i kapa ʻia ʻo tachycardia a i ʻole atrial fibrillation .

Pehea e mālama ʻia ai kēia ʻino thyroid?

No ka mea he pilikia olakino kēia, pono ʻoe e hoʻokomo ʻia i ka haukapila, pinepine i loko o ka Intensive Care Unit (ICU), i hiki i ka hui lapaʻau ke nānā pono i kou kūlana.

Hiki ke hoʻokaʻawale ʻia ke ʻano hana no ka ʻino thyroid i ʻehā mau ʻāpana nui:

1. ʻO ka lāʻau lapaʻau e kāohi koke i ka hana ʻana a me ka hoʻokuʻu ʻana o nā hormones thyroid: Pili kēia i ka hāʻawi ʻana i ka lāʻau antithyroid (e.g., Thionamides ) e hoʻōki i ka hana ʻana o nā hormones hou. Eia kekahi, hāʻawi ʻia kahi hopena iodine e hoʻōki i ka hoʻokuʻu ʻana o nā hormones i hana mua ʻia e ka thyroid gland.

2. Ke mālama ʻana i kou mau ʻōnaehana kino, ʻoiai ka puʻuwai, i hoʻopilikia ʻia e nā hormones thyroid keu: Hāʻawi ʻia nā Beta-blockers e kaohi i ka helu o ka puʻuwai a me ke koko.

3. Ke mālama ʻana i ke kūlana kumu a i ʻole ka maʻi i hoʻokumu i kou ʻino thyroid: No ka laʻana, inā he maʻi ia, e hāʻawi ʻia ʻoe i nā antibiotics.

4. Nā lāʻau lapaʻau kākoʻo ʻē aʻe e kōkua i nā hōʻailona a me nā hopena ʻaoʻao:

• Hoʻohana ʻia ka Acetaminophen (Paracetamol) a me nā pākeke hoʻomaʻalili e hoʻohaʻahaʻa i ka mahana o ke kino.
• Hiki ke hāʻawi ʻia nā lāʻau lapaʻau e like me ka bile acid sequestrants e pale ai i ka reabsorption o nā hormones thyroid mai nā ʻōpū.
• Inā pilikia ka hanu ʻana, hāʻawi ʻia ke kākoʻo hanu, e like me ka oxygen hoʻohui.

ʻEhia ka manawa e ʻoi aku ai koʻu maikaʻi ma hope o ka lāʻau lapaʻau?

Inā loaʻa koke iā ʻoe ka lāʻau lapaʻau kūpono, e ʻike pinepine ʻoe i kahi hoʻomaikaʻi koʻikoʻi i kou kūlana i loko o 24 mau hola. E emi ana kou mau hōʻailona a e hoʻomaka ʻoe e ʻoluʻolu iki. Eia nō naʻe, hiki ke hala i hoʻokahi pule a ʻoi aku paha e hoʻōla piha ai mai ke kumu nui o Thyroid Storm, ke mālama ʻia ke kūlana.

Hiki iaʻu ke pale aku i ka maʻi thyroid?

ʻAʻole hiki ke pale ʻia nā ʻino thyroid āpau, no ka mea, hiki ke hoʻāla ʻia i kekahi manawa e kahi hanana koke. Eia nō naʻe, inā loaʻa iā ʻoe ka hyperthyroidism, aia kekahi mau mea nui hiki iā ʻoe ke hana e hoʻāʻo e pale i kēia kūlana weliweli:

• E lawe mau i kāu lāʻau lapaʻau thyroid e like me ke kauoha a kāu kauka, i ka manawa kūpono. Mai haʻalele i hoʻokahi lā.
• E ʻike pinepine i kāu kauka a loaʻa i nā hoʻokolohua e pono ai e hōʻoia i ka hana pono ʻana o kāu lāʻau lapaʻau a ua kaohi ʻia kāu mau pae hormone.
• E hōʻemi i ke kaumaha i ka hiki. Hiki i nā mea e like me ka noʻonoʻo ʻana a me ka hoʻoikaika kino ke kōkua.
• Inā e hana ʻia kekahi ʻoki kino, e haʻi mua i kāu mau kauka he hyperthyroidism kou. A laila e hana lākou i nā hana e pono ai e pale aku i ka ʻino thyroid, e hāʻawi paha iā ʻoe i ka lāʻau antithyroid ma mua o ke ʻoki kino.
• ʻOiai inā loaʻa iā ʻoe ka hyperthyroidism a e hana ʻia ana ke ʻoki thyroid (thyroidectomy) , e kuhikuhi paha kāu kauka i kekahi mau lāʻau lapaʻau ma mua o ke ʻoki ʻana e hoʻomākaukau iā ʻoe no ia, e hōʻemi i ka pilikia o ka ʻino thyroid.

He aha ka wānana no ka ʻino thyroid?

He pilikia olakino ka ʻino thyroid e hiki ke make inā ʻaʻole mālama ʻia.

Hiki ke make mai ka hāʻule ʻana o ka puʻuwai, nā arrhythmias o ka puʻuwai, a i ʻole ka hāʻule ʻana o nā ʻōkana he nui . Eia nō naʻe, me ka ʻike mua ʻana a me ka mālama kūpono, hoʻōla ka hapa nui o ka poʻe i loko o 24 mau hola.

Eia nō naʻe, i kekahi mau hihia, aia kekahi mau mea pilikia e hiki ke hōʻemi i ka manawa kūpono o ka ho'ōla ʻana. ʻO kekahi o lākou:

• Inā ua ʻelemakule loa ka mea maʻi.
• Inā he mau pilikia koʻikoʻi o ka ʻōnaehana nerve (e like me ka nalowale o ka ʻike, ka huikau) i ke komo ʻana i ka haukapila.
• Inā ʻaʻole hiki ke hāʻawi i nā lāʻau lapaʻau koʻikoʻi e pono ai (nā beta-blockers, nā lāʻau antithyroid) ma muli o nā kūlana olakino ʻē aʻe (e.g., hiki ʻole ke hāʻawi i nā beta-blockers ma muli o nā maʻi e like me ka hānō).
• Inā loaʻa iā ʻoe ka hāʻule ʻana o nā puʻupaʻa ma muli o ka ʻino thyroid a pono ʻoe e dialysis , a inā ʻaʻole hiki iā ʻoe ke hanu a pono ʻoe e hoʻoulu i ka ea mechanical .

Hiki i ka ʻino Thyroid ke lilo i mea make?

ʻAe, ʻo ka mea pōʻino, hiki i ka ʻino Thyroid ke make. He kūlana olakino hoʻoweliweli kēia i ke ola. Inā ʻaʻole mālama ʻia, kokoke maopopo ka make. ʻOiai me ka mālama ʻana, i kekahi mau hihia paʻakikī, hiki ke make. Ma ke ʻano helu, ma waena o 10% a me 30% o nā ʻino Thyroid i hōʻike ʻia e hopena i ka make.

ʻO ia ke kumu e ʻōlelo mau nei mākou, inā loaʻa iā ʻoe nā hōʻailona o ka ʻino thyroid, he mea nui loa ia e hele i ka haukapila i ka wā hikiwawe loa, me ka hoʻokaʻulua ʻole no kekahi kekona. Mai kali a hiki i ka wā e ʻino ai nā hōʻailona.

He aha nā pilikia ʻē aʻe e hiki ke hana me ka Thyroid Storm?

Inā hoʻopaneʻe ʻia ka lāʻau lapaʻau a i ʻole ʻaʻole i loaʻa pono, hiki i ka ʻino thyroid ke alakaʻi i nā pilikia koʻikoʻi. ʻO kekahi o kēia mau mea:

• Ke piʻi nei ka ʻino o ka puʻuwai .
• Ma nā ʻāpana like ʻole o ke kinoHiki ke hana ʻia nā ʻūpā koko, kahi e hiki ai ke alakaʻi i nā kūlana koʻikoʻi e like me nā hahau.
• Nā maʻi e like me ka epilepsy.
• Ka delirium mau loa.
• ʻO Coma kahi kūlana hiamoe hohonu a me ka nalowale o ka ʻike.

Āhea wau e hele ai i ka lumi pilikia?

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha mau hōʻailona āu e manaʻo nei he ʻino thyroid paha, e like me ke kuni nui, ka puʻuwai wikiwiki, ka hoʻomaha nui, a i ʻole ka huikau , e hele koke i ka lumi pilikia kokoke loa, i ka hikiwawe loa. Mai hoʻonele i ka manawa.

He aha nā mea nui loa e pono ai kākou e lawe i ka home mai kēia moʻolelo? (Leka Lawe-i-ka-Home)

ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai, eia nā mea nui e hoʻomanaʻo:

1. He maʻi weliweli loa ka ʻino thyroid a he mea hoʻoweliweli i ke ola e pono ai ke kōkua lapaʻau koke. ʻAʻole kēia he pāʻani.

2. Hoʻokumu pinepine ʻia kēia e ka poʻe me ka hyperthyroidism (ka nui o ka hormone thyroid), ʻoiai ka poʻe i loaʻa ʻole ka lāʻau kūpono no ia mea, a i ʻole ma muli o kahi mea i hoʻāla koke ʻia.

3. E makaʻala i nā hōʻailona e like me ke kuni nui, ka puʻuwai wikiwiki, ka hoʻomaha nui, ka hou ʻana, a me ka huikau .

4. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e hele koke i ka haukapila me ka hoʻokaʻulua ʻole. Hiki i ka lāʻau lapaʻau koke ke hoʻopakele i ke ola.

5. Inā loaʻa iā ʻoe ka hyperthyroidism, e hahai i nā ʻōlelo a kāu kauka, e lawe pololei i kāu lāʻau lapaʻau, a e hana i nā nānā maʻamau. Hiki i kēia ke hōʻemi i ka pilikia o ka loaʻa ʻana o kahi ʻino thyroid.

6. ʻOiai he mea kakaikahi kēia maʻi, he mea nui i nā mea a pau ke ʻike iā ia.

Inā loaʻa iā ʻoe kahi maʻi e like me ka hyperthyroidism, e like me ka maʻi Graves, e nīnau pono i kāu kauka e pili ana i ka ʻino thyroid a pehea e pale ai iā ia mai ka hiki ʻana iā ʻoe. E noho olakino!

ʻO ka ʻino Thyroid , Hyperthyroidism, Thyroid Gland, Nā Hormone Thyroid, Nā Hōʻailona, ​​​​Lapaʻau, Pilikia, Maʻi Graves