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A hmasain Hypothyroidism hi eng nge a nih i en ang u.
A awlsam zawngin sawi ila, hypothyroidism hi thyroid gland underactive a ni. Hei hian taksa peng hrang hrangte chu a thawk zawi deuh a ni. A lan chhuah dan chu:- Chauh lutuk leh chhan awm lova mutthilh lutuk.
- Midang aiin a lum zawk tih hriat .
- A taksa rihna a tipung .
- Vun vawt leh sam tlakchham.
- Ek khal .
- Thil ngaihtuah harsa tak a ni.
Chuti a nih chuan Myxedema Coma chu eng nge ni?
Ngaihtuah teh, hei hi hypothyroidism a nasat em em a, taksaa thyroid hormone level a tlahniam a, hlauhawm takin a tlahniam a ni. Hei hi thil awm lo tak ni mah se, nunna atana hlauhawm tak medical emergency a ni . "Coma" tih thumal hi Myxedema Coma tih hmingah awm mah se, damlo zawng zawng hi hriat lohvin an awm vek lo. Mahse, an hriatna a tichhe nasa hle thei a, an muhil lutuk a, an chhang let thei lo.Hei hi hypothyroidism stage hnuhnung ber, na ber anga ngaih theih a nih avangin hei hi hriat a pawimawh hle.
Eng thilin nge myxedema coma a thlen theih?
Hypothyroidism na tak nei tawh tan chuan a hnuaia thil thleng zawng zawng hian he dinhmun hlauhawm tak hi a thlen thei a ni.| Trigger Factor a ni | Hrilhfiahna |
|---|---|
| Infection awm thei te | A bik takin lung (pneumonia) leh zun kawng natna. |
| Damdawi lam thil dang | Heart failure leh stroke ang chi natna te. |
| Taksa lama nghawng a neih dan | Accident lian tak (Trauma) emaw, surgery emaw neih. |
| Damdawi thenkhat | Damdawi thenkhat, tranquilizer, lithium, leh amiodarone te. |
| Damdawi lam thurawn zawm loh | A chhan tlangpui ber chu! Doctor-in thyroid damdawi a pek dik tak ei loh. |
Eng natna lan chhuahna hlauhawm tak takte nge fimkhur tur?
Hypothyroidism vei chuan heng symptoms pakhat emaw a aia tam emaw a neih chuan Myxedema Coma an tih natna hmahruaitu a ni thei.- Chak lo emaw, chau lutuk emaw: Mi chu a muhil a, a harh thei lo.
- Buaina emaw chhan loh emaw: Thu sawi hrethiam lo emaw, chhan loh emaw.
- Taksa lumna hniam (Hypothermia): Taksa hi khawih chuan vur ang maiin a vawt hle.
- Taksa hring : A bik takin hmai, lei, leh ke a hring.
- Thâwk harsa : Thâwk lakna rate a tlahniam nasa hle.
Damdawi inah test leh enkawlna te
Damdawi ina hruai an nih hnuah doctor-te chuan rang takin test eng emaw zat an kalpui a, a natna hi an finfiah a ni.- Thisen test: Thisen test hian thyroid hormone level (TSH, T4), sugar, electrolytes , leh cortisol te a enfiah thin.
- Thisen gas: Thisen a oxygen leh carbon dioxide awm zat a enfiah thin.
- ECG test: Thinlung hnathawh danah harsatna a awm leh awm loh a enfiah thin.
- Intravenous hormones: Thyroid hormone level rang taka siam that nan hormone hi injection (intravenous emaw IV emaw) angin pek thin a ni .
- Supportive care: Taksa lumna a hniam chuan warm blanket hmangin lum rawh . Thisen thlum a hniam chuan glucose pek tur a ni. Infection a awm chuan antibiotics pe tur a ni. Adrenal glands-a harsatna awm nia rinhlelhna a awm chuan steroid (glucocorticoids) pek tur a ni.
Chhungkawte hriat tur pawimawh ber chu!
Hetiang dinhmun hi chhungte emaw, thian emaw chungah a thleng a nih chuan a pawimawh ber chu hlauthawng lo leh thil dik tih hi a ni.Myxedema coma-a awm chu a rilru a buai hle. Chuvang chuan mahni thuin engmah an ti thei lo. In lamah thyroid pill pek tum ngai suh. Tih nghal tur chu damdawi in, ETU-ah hruai a ni. A chhan chu a chang chuan thyroid damdawi hi hormone tlakchhamna dang nen pek a nih chuan natna hlauhawm zawk (adrenal crisis) a thlen thei a ni. Chuvangin chu thutlukna chu Doctor chauhin a siam tur a ni.
Hetiang dinhmun hi ven theih a ni em?
Awle! A tha ber chu he natna hi a lo awm loh nan ven hi a ni. A awlsam hle tak zet a ni. Hypothyroidism i neih chuan i tih tur pawimawh ber chu i doctor-in thyroid damdawi a pek chu a dose dik takah, a hun takah, nitin ei hi a ni Boredom vang emaw, "tunah chuan a tha zawk" i tih vang emawa damdawi ei kha bansan suh. Tin, a hun takah doctor hmu a, i dinhmun enfiah nan TSH ang chi thisen test neih a pawimawh hle bawk. Heng thil awlsam pahnih hi zawm hian Myxedema Coma ang chi dinhmun hlauhawm tak lakah hian i inveng vek tawh mai thei.Take-Home Thuchah a ni
- Myxedema Coma hi hypothyroidism enkawl loh avanga emergency na ber, nunna atana hlauhawm ber a ni.
- A lan chhuah dan ber chu mutthilh lutuk, rilru buai, taksa khawsik danglam tak, hring dup leh thawk harsa te hi a ni.
- Heng symptoms te hi i hmuh chuan damlo chu a hnai ber Emergency Treatment Unit (ETU) ah hruai nghal rawh.
- In lamah eng chhan pawh nise thyroid pill inject tum suh.
- Chutiang laka invenna tha ber chu i doctor-in thyroid damdawi a pek chu nitin ei la, a zat tur angin i ei a, a tih angin doctor thurawn la rawh.
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