Koj lub thyroid puas zoo li cua daj cua dub? (Thyroid Storm) Cia peb kawm txog qhov mob txaus ntshai no!

Koj puas tau hnov ​​txog ib yam dab tsi hu ua 'Thyroid Storm'? Lub npe suab me ntsis txaus ntshai, puas yog? Nws yog ib qho mob hnyav uas xav tau kev kho mob thaum muaj xwm txheej ceev thiab tuaj yeem ua rau tuag taus. Yog hais kom meej, nws yog kev tso tawm cov tshuaj hormones thyroid ntau dhau los ntawm lub qog thyroid. Cia peb tham txog nws yooj yim, hauv txoj kev uas koj tuaj yeem nkag siab.

Lub qog thyroid yog dab tsi? Nws ua dab tsi?

Tam sim no tej zaum koj yuav xav tias, 'Lub qog thyroid no yog dab tsi?' Nws yooj yim heev. Nws yog ib lub qog me me nyob rau pem hauv ntej ntawm koj lub caj dab, zoo li ib tug npauj npaim. Lub qog me me no ua ntau yam haujlwm tseem ceeb hauv peb lub cev.

Cov qog thyroid tsim ob lub tshuaj hormones tseem ceeb: triiodothyronine (T3) thiab thyroxine (T4) . Ua ke, ob lub tshuaj hormones no hu ua thyroid hormones. Cov tshuaj hormones no tswj peb lub cev qhov kub, lub plawv dhia, thiab, qhov tseem ceeb tshaj plaws, peb cov metabolism .

Kev ua kom lub cev zom zaub mov sai npaum li cas, uas yog, peb hloov cov khoom noj uas peb noj mus ua lub zog thiab cua sov sai npaum li cas. Xav txog tam sim no, thaum muaj cua daj cua dub ntawm lub thyroid, cov tshuaj hormones thyroid ntau dhau yuav sib sau ua ke hauv lub cev. Tom qab ntawd yuav ua li cas? Peb lub cev zom zaub mov sai heev. Zoo li lub tsheb ciav hlau ceev! Qhov no txaus ntshai heev, txawm tias ua rau tuag taus.

Thaum lub cev ua haujlwm ntau dhau, peb lub cev xav tau oxygen ntau. Yuav kom tau raws li qhov kev xav tau oxygen ntau ntxiv no, peb lub plawv pib dhia ceev heev. Peb hu qhov no ua tachycardia . Vim yog qhov ceev ceev no, lub plawv tsis tuaj yeem ua haujlwm tau thiab txawm tias lub plawv tsis ua haujlwm kuj tuaj yeem tshwm sim. Koj puas nkag siab tias nws txaus ntshai npaum li cas?

Leej twg yuav muaj feem mob thyroid storm ntau dua?

Mob thyroid storm yog ib qho teeb meem loj heev ntawm tus mob hu ua hyperthyroidism , uas yog kev tsim cov tshuaj hormones thyroid ntau dhau. Yog li, cov neeg uas muaj mob uas ua rau hyperthyroidism, xws li Graves' kab mob lossis toxic thyroid adenoma, yuav muaj feem ntau dua rau tus mob no.

Ib yam li lwm yam kab mob thyroid, tus mob no feem ntau yuav tshwm sim rau cov poj niam dua li cov txiv neej. Cov kws kho mob hais tias feem ntau nws tshwm sim rau cov neeg hnub nyoog ntawm 42-43 xyoo.

Tus mob no feem ntau tshwm sim li cas?

Cov cua daj cua dub ntawm cov thyroid yeej tsis tshua muaj.Ib yam dab tsi. Qhov ntawd txhais tau tias nws tsis tshua muaj. Piv txwv li, raws li cov ntaub ntawv hauv Tebchaws Meskas, qhov mob no tshwm sim ntawm 5 thiab 7 tus neeg ib lab. Tab sis txawm tias nws tsis tshua muaj, nws tsis ua rau nws tsis hnyav dua.

Zoo li cas thaum muaj cua daj cua dub hauv lub thyroid?

Vim tias cov tshuaj hormones thyroid no cuam tshuam rau ntau qhov ntawm lub cev, yog tias koj muaj cua daj cua dub thyroid, koj yuav hnov ​​​​​​qhov hnyav heev thoob plaws koj lub cev, zoo li nws kub hnyiab los ntawm sab hauv. Tej zaum koj yuav ntsib tej yam zoo li:

• Kub heev thiab kuv tawm hws ntau heev. Zoo li nyob ze lub qhov cub.
• Koj lub plawv dhia ceev heev ua rau nws zoo li nws yuav dhia tawm hauv koj lub hauv siab. Tej zaum koj yuav hnov ​​​​​​lub suab ntawd.
• Kuv xav tias kuv tsis nyob twj ywm, ntxhov siab, thiab ntxhov siab heev. Kuv lub plawv dhia ceev heev yam tsis muaj laj thawj.
• Kuv lub cev tshee hnyo. Zoo li kuv txias, tab sis qhov tseeb nws kub.
• Kuv xav tias kuv mob plab, xeev siab, thiab ntuav.
• Kuv xav tias kuv tswj tsis tau kuv lub cev. Kuv ob txhais ceg tingling, kuv cov lus tsis meej.
• Kuv xav tias kuv tsis meej pem thiab tsis paub yuav ua li cas. Zoo li kuv tsis paub tias muaj dab tsi tshwm sim.

Yog tias koj muaj ib qho ntawm cov tsos mob no, qhov tseem ceeb tshaj plaws yog mus rau tsev kho mob ze tshaj plaws sai li sai tau, tsis txhob ncua ib pliag.

Dab tsi ua rau muaj cua daj cua dub hauv thyroid?

Cov kws tshawb nrhiav tseem tsis tau paub meej tias yog dab tsi ua rau muaj cua daj cua dub ntawm lub thyroid. Txawm li cas los xij, nws tuaj yeem tshwm sim yog tias koj muaj mob hyperthyroidism ntev thiab tsis tau kho. Tab sis feem ntau, nws yog tshwm sim los ntawm qhov xwm txheej sai sai thiab hnyav. Ntawd yog, "ua rau muaj."

Xav txog seb, tej zaum peb niam lossis peb phauj noj tshuaj rau mob thyroid. Tej zaum ib tug neeg hais tias, 'Tsis zoo rau kev noj tshuaj ntawd tas mus li,' lossis tej zaum lig dhau lawm los noj dua tom qab cov tshuaj tas. Yog tias koj tsum tsis noj tshuaj tam sim ntawd, qhov mob hyperthyroidism hauv qab no tuaj yeem zuj zus tuaj, thiab qhov mob txaus ntshai no hu ua thyroid storm tuaj yeem tshwm sim. Yog vim li cas nws tsis zoo rau kev tsum tsis noj tshuaj lossis hloov cov tshuaj yam tsis tau kev qhia los ntawm kws kho mob.

Cov hauv qab no yog cov ua rau muaj cua daj cua dub hauv thyroid:

• Koj yuav tsum tsis txhob noj koj cov tshuaj thyroid, uas txhais tau tias yog cov tshuaj antithyroid, tam sim ntawd.
• Kev phais mob thyroidectomy yog ib qho kev phais mob kom tshem tawm cov qog thyroid.
• Lwm qhov kev phais loj uas tsis muaj feem cuam tshuam nrog lub thyroid.
• Xwm txheej, raug mob hnyav (Trauma) .
• Kev kis kab mob hnyav hauv lub cev, xws li mob ntsws.
• Mob ntshav qab zib ketoacidosis (DKA) , Lub plawv tsis ua haujlwmIb qho mob ceev, xws li mob plawv nres, lossis kev tsis haum tshuaj hnyav rau qee yam tshuaj.
• Cov tshuaj tiv thaiv iodine uas muaj cov tshuaj sib piv, uas siv rau hauv qee qhov kev kuaj X-ray, tuaj yeem ua rau cov iodine hauv lub cev nce ntxiv sai sai.
• Ua ib tug menyuam rau ib tug poj niam.
• Mob stroke .

Cov cim thiab tsos mob ntawm cua daj cua dub thyroid yog dab tsi?

Zoo li peb tau tham txog me ntsis ua ntej lawm, muaj ntau yam cim qhia txog qhov no.

Cov cim thiab cov tsos mob uas pom ntau:

• Kub taub hau siab - kub taub hau li ntawm 104 txog 106 degrees Fahrenheit (kwv yees li 40-41 degrees Celsius). Qhov no tsis yog kub taub hau ib txwm muaj, tab sis kub taub hau siab.
• Lub plawv dhia ceev heev (Tachycardia) - nws tuaj yeem ntau dua 140 zaus ib feeb.
• Xav tias tsis nyob twj ywm, chim siab, thiab/lossis ntxhov siab.
• Kev chim siab - Ib qho mob uas koj tsis nco qab koj nyob qhov twg, lub sijhawm, thiab cov neeg koj paub.
• Tej zaum yuav muaj mob plawv tsis ua haujlwm zoo .
• Poob siab.

Cov tsos mob thiab cov tsos mob tsis tshua muaj:

• Xeev siab thiab/lossis ntuav heev.
• Mob raws plab.
• Mob plab heev.
• Tawv nqaij lossis qhov muag daj, uas yog, mob ntshav qab zib .

Yuav kuaj mob li cas txog tus kab mob thyroid no?

Tus kws kho mob yuav kuaj mob thyroid storm raws li tus neeg mob cov tsos mob hnyav, uas yuav ua rau tuag taus (xws li kub taub hau, teeb meem plawv), cov tshuaj thyroid hormones (T3, T4) ntau heev hauv cov ntshav, thiab cov tshuaj thyroid-stimulating hormone (TSH) tsawg heev.

Txawm li cas los xij, vim qhov no yog qhov txaus ntshai rau lub neej thiab kev kho mob sai yog qhov tseem ceeb, feem ntau, cov kws kho mob tsis tos cov txiaj ntsig ntawm kev kuaj ntshav, tab sis pib kho tam sim ntawd yog tias lawv xav tias muaj cua daj cua dub thyroid raws li cov tsos mob. Vim tias txhua ob feeb suav.

Tsis tas li ntawd xwb, cov kws kho mob kuj nrhiav cov cim qhia txog qhov no los ntawm kev kuaj lub cev. Cov no suav nrog:

• Goiter , uas txhais tau hais tias cov thyroid caj pas loj dua.
• Kab mob Ophthalmopathy , ib qho kev mob tshwm sim ntawm Graves' kab mob, yog tus yam ntxwv los ntawm o ntawm lub qhov muag thiab lub qhov muag o.
• Lub qhov muag poob qis , uas txhais tau tias thaum koj saib mus rau hauv qab, koj pom tias lub qhov muag sab saud siab dua li nws yuav tsum yog.
• Koj puas muaj kev tshee hnyo tes?
• Koj puas muaj daim tawv nqaij sov thiab noo?
• Kuaj xyuas seb puas muaj teeb meem plawv dhia tsis zoo hu ua tachycardia lossis atrial fibrillation .

Yuav kho tus mob thyroid storm no li cas?

Vim tias qhov no yog xwm txheej ceev hauv kev kho mob, koj yuav tsum tau mus pw hauv tsev kho mob, feem ntau nyob hauv Chav Saib Xyuas Mob Hnyav (ICU), kom pab pawg kho mob tuaj yeem saib xyuas koj tus mob kom zoo.

Txoj kev kho mob rau tus mob thyroid storm muaj plaub ntu tseem ceeb:

1. Kev kho mob uas tswj tau qhov kev tsim thiab tso tawm cov tshuaj hormones thyroid tam sim ntawd: Qhov no suav nrog kev muab tshuaj antithyroid (piv txwv li, Thionamides ) kom tiv thaiv kev tsim cov tshuaj hormones tshiab. Tsis tas li ntawd, muaj kev muab cov tshuaj iodine los tiv thaiv kev tso tawm cov tshuaj hormones uas cov qog thyroid twb tsim lawm.

2. Kho koj lub cev, tshwj xeeb yog lub plawv, uas raug cuam tshuam los ntawm cov tshuaj hormones thyroid ntau dhau: Cov tshuaj Beta-blockers yog muab los tswj lub plawv dhia thiab ntshav siab.

3. Kho tus mob lossis kab mob uas ua rau koj lub thyroid muaj cua daj cua dub: Piv txwv li, yog tias nws yog kev kis kab mob, koj yuav tau txais tshuaj tua kab mob.

4. Lwm yam kev kho mob txhawb nqa los pab txo cov tsos mob thiab cov kev mob tshwm sim:

• Cov tshuaj Acetaminophen (Paracetamol) thiab cov pam vov txias siv los txo qhov kub ntawm lub cev.
• Cov tshuaj xws li cov tshuaj bile acid sequestrants tuaj yeem muab tau los tiv thaiv kev rov nqus cov tshuaj hormones thyroid los ntawm txoj hnyuv.
• Yog tias ua pa nyuaj, yuav muab kev pab txhawb kev ua pa, xws li cov pa oxygen ntxiv.

Kuv yuav zoo dua sai npaum li cas tom qab kho tas?

Yog koj tau txais kev kho mob sai sai, koj yuav pom tias koj tus mob zoo dua hauv 24 teev. Koj cov tsos mob yuav ploj mus thiab koj yuav pib zoo dua me ntsis. Txawm li cas los xij, nws yuav siv sijhawm ib lub lim tiam lossis ntau dua kom rov zoo los ntawm qhov ua rau muaj tus kab mob Thyroid Storm, thaum kho tau tus mob lawm.

Kuv puas tuaj yeem tiv thaiv tau cua daj cua dub thyroid?

Tsis yog txhua yam cua daj cua dub ntawm lub thyroid yuav tiv thaiv tau, vim tias qee zaum lawv tuaj yeem tshwm sim los ntawm qhov xwm txheej tam sim ntawd. Txawm li cas los xij, yog tias koj twb muaj hyperthyroidism lawm, muaj qee yam tseem ceeb uas koj tuaj yeem ua tau los sim tiv thaiv qhov mob txaus ntshai no:

• Noj koj cov tshuaj thyroid raws li koj tus kws kho mob tau hais, raws sijhawm. Tsis txhob ncua ib hnub twg.
• Mus ntsib koj tus kws kho mob tsis tu ncua thiab mus kuaj mob kom paub tseeb tias koj txoj kev kho mob ua haujlwm zoo thiab koj cov tshuaj hormones raug tswj hwm.
• Txo kev ntxhov siab ntau li ntau tau. Tej yam xws li kev xav thiab kev tawm dag zog yuav pab tau.
• Yog koj yuav phais mob, qhia rau koj cov kws kho mob ua ntej tias koj muaj mob hyperthyroidism. Tom qab ntawd lawv yuav ua cov kauj ruam tsim nyog los tiv thaiv kom tsis txhob muaj cua daj cua dub ntawm cov thyroid, tej zaum yuav muab tshuaj antithyroid rau koj ua ntej phais.
• Tshwj xeeb tshaj yog tias koj muaj mob hyperthyroidism thiab yuav phais mob thyroid (thyroidectomy) , koj tus kws kho mob yuav sau ntawv rau koj noj tshuaj ua ntej phais kom npaj koj rau qhov ntawd, kom txo qhov kev pheej hmoo ntawm mob thyroid.

Yuav ua li cas thiaj paub tias muaj cua daj cua dub hauv thyroid?

Mob thyroid yog ib qho xwm txheej ceev uas tuaj yeem ua rau tuag taus yog tias tsis kho.

Kev tuag tuaj yeem tshwm sim los ntawm kev ua tsis taus pa, lub plawv dhia tsis xwm yeem , lossis ntau lub cev tsis ua haujlwm . Txawm li cas los xij, yog tias kuaj pom thaum ntxov thiab kho kom zoo, feem ntau cov neeg rov zoo hauv 24 teev.

Txawm li cas los xij, qee zaum, muaj cov yam uas ua rau muaj kev pheej hmoo uas yuav txo tau qhov muaj feem rov zoo. Ib txhia ntawm lawv suav nrog:

• Yog tus neeg mob laus heev lawm.
• Yog tias muaj teeb meem loj heev ntawm lub paj hlwb (piv txwv li, tsis nco qab, tsis meej pem) thaum nkag mus rau hauv tsev kho mob.
• Yog tias nws tsis muaj peev xwm muab cov tshuaj tseem ceeb tsim nyog (beta-blockers, antithyroid tshuaj) vim yog lwm yam mob (piv txwv li, tsis muaj peev xwm muab beta-blockers vim yog cov kab mob xws li mob hawb pob).
• Yog tias koj lub raum tsis ua haujlwm vim muaj teeb meem thyroid thiab xav tau kev ntxuav dialysis , lossis yog tias koj ua tsis tau pa thiab xav tau kev pab ua pa .

Kab mob Thyroid Storm puas tuaj yeem ua rau tuag taus?

Yog lawm, hmoov tsis zoo, Thyroid Storm tuaj yeem ua rau tuag taus. Qhov no yog ib qho mob uas txaus ntshai rau lub neej. Yog tias tsis kho, yuav luag paub tseeb tias yuav tuag. Txawm tias kho tau los xij, qee kis nyuaj, kev tuag kuj tuaj yeem tshwm sim. Raws li kev suav lej, ntawm 10% thiab 30% ntawm Thyroid Storms tau tshaj tawm tias ua rau tuag.

Yog vim li ntawd peb thiaj li hais tias, yog tias koj muaj cov tsos mob ntawm tus kab mob thyroid storm, nws yog ib qho tseem ceeb heev uas yuav tsum mus rau tsev kho mob sai li sai tau, tsis txhob ncua ib pliag. Tsis txhob tos kom txog thaum cov tsos mob hnyav zuj zus.

Lwm yam teeb meem dab tsi tuaj yeem tshwm sim nrog Thyroid Storm?

Yog tias kev kho mob raug ncua lossis tsis tau txais kev kho mob kom raug, qhov mob thyroid tuaj yeem ua rau muaj teeb meem loj dua. Qee qhov ntawm cov no suav nrog:

• Kev ua haujlwm ntawm lub plawv tsis zoo zuj zus tuaj.
• Hauv ntau qhov ntawm lub cevCov ntshav txhaws tuaj yeem tsim tau, uas tuaj yeem ua rau muaj cov mob hnyav xws li mob stroke.
• Mob qaug dab peg xws li qaug dab peg.
• Kev chim siab tas li.
• Coma yog lub xeev pw tsaug zog tob thiab poob kev nco qab.

Kuv yuav tsum mus rau Chav Xwm Ceev thaum twg?

Yog tias koj muaj ib lossis ntau yam tsos mob uas koj xav tias yuav yog cua daj cua dub ntawm lub thyroid, xws li kub taub hau heev, lub plawv dhia ceev ceev, tsis so, lossis tsis meej pem , mus rau chav kho mob ceev ze tshaj plaws tam sim ntawd, sai li sai tau. Tsis txhob nkim sijhawm.

Dab tsi yog yam tseem ceeb tshaj plaws uas peb yuav tsum coj mus tsev los ntawm zaj dab neeg no? (Cov Lus Coj Mus Tsev)

Zoo, yog li, los ntawm qhov peb tau tham txog, cov no yog cov yam tseem ceeb tshaj plaws uas yuav tsum nco ntsoov:

1. Kab mob Thyroid Storm yog ib qho mob txaus ntshai heev, ua rau tuag taus uas yuav tsum tau kho mob thaum muaj xwm txheej ceev. Qhov no tsis yog kev ua si.

2. Qhov no feem ntau yog tshwm sim los ntawm cov neeg uas muaj hyperthyroidism (cov tshuaj hormones thyroid ntau dhau), tshwj xeeb tshaj yog cov neeg uas tsis tau txais kev kho mob kom zoo, lossis los ntawm qhov ua rau mob tam sim ntawd.

3. Yuav tsum paub txog cov tsos mob xws li kub taub hau heev, lub plawv dhia ceev ceev, tsis so, tawm hws, thiab tsis meej pem .

4. Yog koj muaj cov tsos mob no, mus rau tsev kho mob tam sim ntawd yam tsis muaj kev ncua. Kev kho mob sai sai tuaj yeem cawm tau ib tug neeg txoj sia.

5. Yog koj muaj mob thyroid ntau dhau, ua raws li koj tus kws kho mob cov lus qhia, noj koj cov tshuaj kom raug, thiab mus kuaj mob tsis tu ncua. Qhov no yuav txo tau qhov kev pheej hmoo ntawm kev mob thyroid.

6. Txawm hais tias tus mob no tsis tshua muaj los xij, nws yog ib qho tseem ceeb rau txhua tus neeg kom paub txog nws.

Yog koj muaj mob xws li hyperthyroidism, xws li Graves' kab mob, nco ntsoov nug koj tus kws kho mob txog thyroid storm thiab yuav ua li cas tiv thaiv nws kom tsis txhob tshwm sim rau koj. Nyob zoo!

Kab Mob Thyroid Cua daj cua dub, Hyperthyroidism, Thyroid Gland, Cov Tshuaj Hormones Thyroid, Cov tsos mob, Kev kho mob, Xwm txheej ceev, Kab mob Graves