Tej zaum koj yuav tau hnov txog lub qog thyroid, ib lub qog me me zoo li npauj npaim nyob rau pem hauv ntej ntawm koj lub caj dab. Nws ua haujlwm zoo li lub cav hauv peb lub cev. Nws tsim
cov tshuaj hormones thyroid, uas tseem ceeb rau yuav luag txhua lub cell hauv peb lub cev. Tab sis qee zaum qhov ua haujlwm ntawm lub qog no txo qis thiab muaj mob tshwm sim uas cov tshuaj hormones thyroid tsis tau tsim txaus. Peb hu qhov no
hypothyroidism . Niaj hnub no peb tab tom tham txog qhov teeb meem hnyav tshaj plaws, txawm tias muaj kev phom sij rau lub neej. Ntawd yog Myxedema Coma.
Ua ntej, cia peb kawm seb Hypothyroidism yog dab tsi.
Hais yooj yim xwb, hypothyroidism yog ib qho mob uas cov thyroid tsis ua haujlwm zoo. Qhov no ua rau lub cev cov kabmob ua haujlwm qeeb me ntsis. Cov tsos mob muaj xws li:
Vim tias cov tsos mob no feem ntau tshwm sim rau ntau tus neeg, qee tus neeg tsis xav tias nws yog kab mob. Tab sis yog tias qhov mob no tsis raug kuaj mob thiab kho kom zoo, nws tuaj yeem ua rau muaj kev phom sij.
Yog li ntawd, Myxedema coma yog dab tsi?
Xav txog seb, qhov no yog ib qho mob uas tshwm sim thaum hypothyroidism hnyav heev, thiab qib ntawm cov tshuaj thyroid hauv lub cev poob qis mus rau qib qis heev. Txawm hais tias qhov no yog ib qho mob tsis tshua muaj,
nws yog ib qho xwm txheej ceev heev uas yuav ua rau tuag taus. Txawm hais tias lo lus "Coma" nyob rau hauv lub npe Myxedema Coma, tsis yog txhua tus neeg mob yuav tsis nco qab. Txawm li cas los xij, lawv txoj kev nco qab yuav raug cuam tshuam loj heev thiab lawv yuav tsaug zog heev uas lawv tsis teb.
Qhov no suav tau tias yog theem kawg, theem hnyav tshaj plaws ntawm hypothyroidism, yog li nws tseem ceeb heev uas yuav tsum paub txog qhov no.
Dab tsi ua rau muaj myxedema coma?
Rau ib tus neeg uas twb muaj mob hypothyroidism hnyav lawm, ib qho ntawm cov xwm txheej hauv qab no tuaj yeem ua rau muaj qhov mob txaus ntshai no.
| Qhov Ua Rau Muaj Teeb Meem | Kev piav qhia |
|---|
| Kev kis kab mob | Tshwj xeeb tshaj yog mob ntsws (mob ntsws) thiab mob txeeb zis. |
| Lwm yam mob nkeeg | Cov mob xws li lub plawv tsis ua haujlwm thiab mob stroke. |
| Cov teebmeem ntawm lub cev | Muaj ib qho xwm txheej loj (Kev raug mob hnyav) lossis phais. |
| Qee cov tshuaj | Qee cov tshuaj xws li tranquilizers, lithium, thiab amiodarone. |
| Ua tsis tau raws li cov lus qhia kho mob | Qhov laj thawj feem ntau yog! Tsis noj cov tshuaj thyroid uas tus kws kho mob tau sau ntawv kom raug. |
Cov tsos mob txaus ntshai uas yuav tsum tau ceev faj yog dab tsi?
Yog tias ib tug neeg uas muaj tus kab mob hypothyroidism muaj ib lossis ntau yam ntawm cov tsos mob no, nws yuav yog qhov ua ntej ntawm tus mob hu ua Myxedema Coma.
- Tsis muaj zog los yog qaug zog: Ib tug neeg tsaug zog heev ua rau lawv sawv tsis tau.
- Kev tsis meej pem lossis tsis teb: Tsis nkag siab txog yam uas tau hais lossis tsis teb.
- Lub cev kub qis (Hypothermia): Lub cev txias li dej khov thaum kov.
- Lub cev o : Tshwj xeeb tshaj yog lub ntsej muag, tus nplaig, thiab ob txhais ceg o.
- Ua pa nyuaj : Kev ua pa qeeb qeeb heev.
Yog tias ib tug neeg uas muaj cov tsos mob no tsis nco qab lossis tsaug zog ntau dhau, qhov no yog
qhov xwm txheej ceev thiab yuav tsum tau coj mus rau tsev kho mob tam sim ntawd . Tsev neeg lossis cov phooj ywg yuav tsum coj lawv mus rau
Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) uas nyob ze tshaj plaws tam sim ntawd.Koj yuav tsum coj nws mus. Kev nkim sijhawm tsuas yog yuav ua rau koj lub neej muaj kev pheej hmoo ntau ntxiv xwb.
Kev kuaj thiab kev kho mob hauv tsev kho mob
Tom qab raug coj mus rau tsev kho mob, cov kws kho mob tau ua ntau qhov kev kuaj mob sai sai los paub meej tias tus mob yog dab tsi.
- Kev kuaj ntshav: Kev kuaj ntshav xyuas cov theem ntawm cov tshuaj hormones thyroid (TSH, T4), qab zib, electrolytes , thiab cortisol.
- Cov pa roj ntshav: Tshawb xyuas cov pa oxygen thiab carbon dioxide hauv cov ntshav.
- Kev kuaj ECG: Tshawb xyuas seb puas muaj teeb meem nrog kev ua haujlwm ntawm lub plawv.
Ua ib qho kev kho mob, feem ntau tus neeg mob raug xa
mus rau Chav Saib Xyuas Mob Hnyav (ICU) .
- Cov tshuaj hormones txhaj rau hauv cov hlab ntsha: Yuav kom rov qab tau cov tshuaj hormones thyroid sai sai, cov tshuaj hormones raug muab ua cov tshuaj txhaj (tso rau hauv cov hlab ntsha lossis IV) .
- Kev saib xyuas txhawb nqa: Yog tias lub cev kub qis, muab ib daim pam sov so rau nws. Yog tias cov piam thaj hauv cov ntshav qis, muab glucose. Yog tias muaj kev kis kab mob, muab tshuaj tua kab mob. Yog tias muaj kev xav tias muaj teeb meem nrog cov qog adrenal, muab cov tshuaj steroids (glucocorticoids).
Qhov tseem ceeb tshaj plaws uas tsev neeg yuav tsum paub!
Yog tias muaj xwm txheej zoo li no tshwm sim rau ib tug neeg hauv tsev neeg lossis phooj ywg, qhov tseem ceeb tshaj plaws yog tsis txhob ntshai thiab ua qhov yog.
Ib tug neeg uas muaj tus mob myxedema coma tsis nco qab dab tsi li lawm. Yog li ntawd, lawv ua tsis tau dab tsi ntawm lawv tus kheej. Tsis txhob sim muab tshuaj thyroid rau hauv tsev. Qhov uas yuav tsum ua tam sim ntawd yog coj lawv mus rau tsev kho mob, ETU. Vim tias qee zaum, yog tias muab tshuaj thyroid nrog rau lwm yam tshuaj hormones tsis txaus, nws tuaj yeem ua rau muaj mob txaus ntshai dua (adrenal crisis). Yog li ntawd, tsuas yog tus kws kho mob thiaj li yuav tsum txiav txim siab li ntawd.
Puas tiv thaiv tau qhov teeb meem no?
Yog lawm! Qhov zoo tshaj plaws uas yuav tsum ua yog tiv thaiv kom tsis txhob muaj tus mob no tshwm sim. Nws yooj yim heev. Yog tias koj muaj tus mob hypothyroidism, qhov tseem ceeb tshaj plaws uas yuav tsum ua yog
noj cov tshuaj thyroid uas koj tus kws kho mob tau sau tseg rau hauv qhov ntau npaum li cas, rau lub sijhawm, txhua hnub . Tsis txhob tsum noj cov tshuaj vim yog kev dhuav lossis vim koj xav tias "nws zoo dua tam sim no." Tsis tas li ntawd, nws tseem ceeb heev uas yuav tsum mus ntsib koj tus kws kho mob rau lub sijhawm zoo thiab kuaj ntshav xws li TSH los saib xyuas koj tus mob. Los ntawm kev ua raws li ob yam yooj yim no, koj tuaj yeem tiv thaiv koj tus kheej kom tsis txhob muaj tus mob txaus ntshai xws li Myxedema Coma.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Myxedema Coma yog qhov xwm txheej ceev tshaj plaws, txaus ntshai tshaj plaws ntawm hypothyroidism uas tsis tau kho.
- Cov tsos mob tseem ceeb yog tsaug zog ntau dhau, tsis meej pem, lub cev txias txawv txawv, o, thiab ua pa nyuaj.
- Yog koj pom cov tsos mob no, tam sim ntawd coj tus neeg mob mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) uas nyob ze tshaj plaws.
- Tsis txhob sim muab cov tshuaj thyroid hauv tsev rau txhua qhov laj thawj.
- Txoj kev zoo tshaj plaws kom tsis txhob muaj qhov no yog noj cov tshuaj thyroid uas koj tus kws kho mob tau sau txhua hnub, raws li cov tshuaj tau sau tseg, thiab mus nrhiav kev pab kho mob raws li tau sau tseg.
myxedema coma, hypothyroidism, thyroid, thyroid hormone, hypothyroidism, tsis muaj thyroid txaus, kev kho mob thaum muaj xwm txheej ceev
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus