Puas tau muaj ib tug neeg qhia koj tias koj cov thyroid siab dhau lawm? Los yog puas muaj ib tug neeg uas koj paub muaj tus mob no? Feem ntau, kev nce ntxiv ntawm cov tshuaj hormones thyroid , uas yog hu ua hyperthyroidism , tuaj yeem tswj tau zoo tshaj plaws nrog kev siv tshuaj. Tab sis xav txog seb tus mob no puas nce siab sai sai mus txog qhov uas nws yuav ua rau tuag taus? Qhov xwm txheej ceev heev ntawd yog qhov peb hu ua 'thyroid storm' lossis thyroid crisis. Qhov no tsis yog ib yam dab tsi uas yuav tsum tau saib yooj yim.
Ua ntej, cia peb saib, lub qog thyroid no yog dab tsi?
Hais yooj yim xwb, lub qog thyroid zoo li tus thawj coj ntawm peb lub cev. Lub qog me me no, zoo li npauj npaim nyob rau hauv qab ntawm koj lub caj dab tsim cov tshuaj hormones uas tswj peb lub cev metabolism . Ntawd yog, qhov nrawm uas cov khoom noj koj noj hloov mus ua zog, qhov nrawm uas koj lub plawv dhia, koj lub cev kub, thiab txawm tias txoj kev ua haujlwm ntawm lwm yam kabmob yog tswj los ntawm cov tshuaj hormones thyroid no. Nws ua haujlwm zoo li lub accelerator hauv lub tsheb uas tswj qhov ceev ntawm lub cav.
Yog li ntawd, qhov cua daj cua dub no yog dab tsi?
Feem ntau, ib tug neeg uas muaj hyperthyroidism muaj cov tshuaj hormones thyroid ntau hauv lawv lub cev. Txawm li cas los xij, yog tias muaj qee qhov laj thawj, cov tshuaj hormones no nce mus rau qib txaus ntshai hauv ob peb teev, nws tuaj yeem cuam tshuam tag nrho lub cev. Qhov xwm txheej ceev uas hem txoj sia no hu ua cua daj cua dub thyroid .
Qhov no suav hais tias yog xwm txheej ceev thiab xav tau kev kho mob hauv tsev kho mob tam sim ntawd.
Cov tsos mob ntawm qhov no yog dab tsi? Peb yuav paub li cas tias ib tug neeg muaj tus mob no?
Cov tsos mob no feem ntau tshwm sim sai heev. Yog tias ib tug neeg muaj ib lossis ntau yam ntawm cov tsos mob no ib zaug, nws yog ib yam uas yuav tsum txhawj xeeb txog.
| Cov tsos mob | Ib qho kev piav qhia txog nws |
|---|---|
| Kub taub hau sai sai | Feem ntau nws yuav kub tshaj 100.5 Fahrenheit (38 Celsius). Qee zaum nws yuav kub dua ntawd. |
| Lub plawv dhia ceev | Lub hauv siab dhia ceev heev ua rau nws nyuaj rau ua pa. Lub plawv dhia tuaj yeem tshaj 140 lub suab ib feeb. |
| Ntuav thiab raws plab | Cov tsos mob no yuav tshwm sim nrog rau mob plab thiab xeev siab. |
| Kev tsis meej pem ntawm lub hlwb thiab kev tsis so | Kuv ntshai thiab ntxhov siab heev. Kuv hais lus zoo li kuv tsis nco qab dab tsi, kuv tshee hnyo. |
| Tawv nqaij daj (Jaundice) | Cov dawb ntawm lub qhov muag thiab daim tawv nqaij yuav tig daj, vim yog cov teebmeem rau lub siab. |
| Tsaus muag | Yog tias qhov mob no tsis raug tswj, tus neeg mob yuav tsis nco qab thiab poob rau hauv lub coma. |
Yog tias ib tug neeg koj paub muaj cov tsos mob no tam sim ntawd, nws yog ib qho xwm txheej ceev. Thov tsis txhob nkim sijhawm thiab coj lawv mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
Lwm yam ua rau muaj cua daj cua dub hauv cov thyroid yog dab tsi?
Ib tug neeg uas muaj mob hyperthyroidism xav tau ib yam dab tsi los ua rau muaj qhov "cua daj cua dub" no. Qhov ntawd yog, qhov mob no tshwm sim vim muaj qee qhov kev ntxhov siab rau lub cev.
| Qhov Ua Rau/Ua Rau | Nws cuam tshuam li cas? |
|---|---|
| Kab mob Graves | Kab mob hyperthyroidism yog ib qho ua rau mob hnyav. Qhov no yog ib yam kab mob autoimmune. Yog tias tsis tswj tau zoo, nws tuaj yeem ua rau muaj cua daj cua dub. |
| Tsis noj tshuaj raws li kws kho mob tau sau tseg kom raug | Yog tias ib tug neeg uas muaj hyperthyroidism tam sim ntawd tsis noj cov tshuaj uas lawv tus kws kho mob tau sau tseg lossis txo cov tshuaj noj. |
| Cov Kab Mob Hnyav | Cov kab mob ua pa xws li mob ntsws thiab mob khaub thuas hnyav. |
| Cev xeeb tub | Kev hloov pauv hormonal thaum cev xeeb tub, tshwj xeeb tshaj yog kev ntxhov siab ntawm kev yug menyuam. |
| Kev phais mob | Vim muaj kev ntxhov siab rau lub cev tom qab phais rau lwm yam kab mob. |
| Kev puas tsuaj rau lub qog thyroid | Zoo li raug mob hnyav rau lub caj dab thaum muaj xwm txheej. |
| Cov qog ntawm cov thyroid | Cov qog ntxiv uas tsim cov tshuaj hormones thyroid (Thyroid adenoma) lossis cov qog loj hlob (Toxic multinodular goiter). |
Qhov no kho li cas?
Qhov no tsis yog ib yam dab tsi uas tuaj yeem kho tau hauv tsev.Qhov no yog ib qho xwm txheej ceev thiab yuav tsum tau mus pw hauv tsev kho mob tam sim ntawd. Feem ntau tus neeg mob yuav raug kho los ntawm kev nkag mus rau hauv chav kho mob hnyav (ICU).
Hauv tsev kho mob, cov kws kho mob siv ntau yam tshuaj tshwj xeeb los tswj tus mob no.
- Cov tshuaj Antithyroid: Cov no yog muab los txo cov tshuaj hormones tshiab sai sai.
- Beta-blockers : Cov no pab tswj cov tsos mob xws li lub plawv dhia ceev thiab tshee hnyo.
- Cov tshuaj steroids: Txo kev ntxhov siab thiab kev ntxhov siab hauv lub cev thiab pab tswj cov tshuaj hormones.
- Cov tshuaj iodine: Cov no yog siv los tiv thaiv kev tso tawm cov tshuaj hormones los ntawm cov qog thyroid ib ntus.
Nrog kev kho mob no, tus mob feem ntau pib zoo dua hauv 1-3 hnub.
Tiam sis nco ntsoov, txoj haujlwm tseem tsis tau xaus tom qab qhov xwm txheej ceev no dhau mus. Koj yuav tsum mus ntsib kws kho mob uas tshwj xeeb hauv kev kho cov tshuaj hormones, uas yog, tus kws kho mob endocrinologist , kom nrhiav tau qhov ua rau muaj tus mob no thiab txuas ntxiv kev kho mob.
Tiamsis tsis txhob txhawj. Cua daj cua dub ntawm lub thyroid tsis yog ib yam dab tsi uas tshwm sim txhua hnub. Yog tias koj noj koj cov tshuaj kom raug thiab ua raws li koj tus kws kho mob cov lus qhia, koj tuaj yeem tiv thaiv nws kom tsis txhob rov tshwm sim dua. Cov neeg feem coob uas muaj hyperthyroidism nyob noj qab nyob zoo, muaj sia nyob ntev nrog kev tswj hwm kom zoo. Qhov tseem ceeb tshaj plaws yog kom paub txog koj tus mob thiab qhib siab txog txhua yam nrog koj tus kws kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Mob thyroid storm yog ib qho xwm txheej ceev heev thiab txaus ntshai rau lub neej ntawm hyperthyroidism.
- Yog tias muaj cov tsos mob xws li kub taub hau heev, lub plawv dhia ceev ceev, tsis meej pem, thiab ntuav tam sim ntawd, qhov ntawd yog qhov xwm txheej ceev. Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Yog tias koj muaj hyperthyroidism, tsis txhob tsum noj koj cov tshuaj uas koj tau sau tseg yam tsis tau koj tus kws kho mob qhia.
- Yog koj kho thiab tswj tau zoo, koj yuav tswj tau qhov mob no thiab ua neej noj qab nyob zoo. Sib tham nrog koj tus kws kho mob tsis tu ncua.
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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