‘Thyroid Storm’ tih hi i hre ngai em? A hming hi a hlauhawm deuhin a ri a ni lawm ni? A nihna takah chuan natna khirh tak a ni a, emergency medical attention a ngai a, nunna atana hlauhawm thei a ni. A dik tak chuan thyroid gland atanga thyroid hormone chhuak nghal, a tam lutuk a ni. A awlsam zawngin, i hriatthiam theih dan tur angin sawi ila.
Thyroid gland hi eng nge ni? Eng nge a tih?
Tunah chuan, 'He thyroid gland hi eng nge ni?' A awlsam khawp mai. I kawr hmalam a gland te tak te, hnim hring ang maia siam a ni. He gland te tak te hian kan taksaah hna pawimawh tak tak a thawk a.
Thyroid gland hian hormone lian pahnih a siam chhuak a, chungte chu triiodothyronine (T3) leh thyroxine (T4) te an ni . Heng hormone pahnih hi an inzawm khawm chuan thyroid hormone an ti a. Heng hormone te hian kan taksa lum leh vawt te, thinlung chakna te, leh a pawimawh ber chu kan metabolism te an control a ni .
Metabolism, a awlsam zawngin sawi ila, kan taksain thil a process rang dan, chu chu kan ei tur chu chakna leh lumnaah kan chantir chak dan a ni. Tunah chuan han ngaihtuah teh, thyroid thlipui a lo thlen hian thyroid hormone tam lutuk chu taksaah a pungkhawm nghal mai thin. Chuti a nih chuan eng nge thleng? Kan taksa metabolism hi ngaihtuah phak loh khawpin a rang ta hle. Rel chak tak ang maiin! Hei hi a hlauhawm tak zet a, nunna atana hlauhawm tak pawh a ni.
Hetiang metabolism sang tak hi a lo awm hian kan taksa hian oxygen tam tak a mamawh a ni. He oxygen mamawhna sang tak hi phuhruk nan hian kan thinlung hi a thawk chak hle a ni. Hei hi tachycardia kan ti a . Hetiang speed sang tak avang hian thinlung hian a tuar thei tawh lo va, heart failure pawh a awm thei a ni. A hlauhawm zia i hrethiam em?
Tute nge thyroid storm vei tam zawk?
Thyroid storm hi hyperthyroidism , thyroid hormone siam tam lutuk avanga side effect na tak a ni. Chuvangin, hyperthyroidism thlen thei dinhmun, Graves natna emaw, toxic thyroid adenoma emaw nei te chuan an vei tam zawk.
Thyroid natna dang ang bawkin he natna hi mipa aiin hmeichhiaah a awm tam zawk. Doctor-te chuan kum 42-43 inkar zingah a tam ber niin an sawi.
Hetiang dinhmun hi engtiang chiahin nge a awm?
Thyroid thlipui hi a takah chuan a tlem hle.Engemaw. Chu chu a tlem hle tihna a ni. Entirnan, United States-a statistics atanga a lan dan chuan he natna hi mi maktaduai khatah mi 5 leh 7 inkar ah a awm thin. Mahse a tlem hle nachungin a pawi lo zawk lo.
Thyroid thlipui (thyroid storm) nei hi eng ang nge a nih?
Heng thyroid hormone te hian taksa peng tam tak a nghawng avangin, thyroid thlipui i neih chuan i taksa pum puiah rit tak tak i nei ang a, chhungril atanga kang ang maiin i hria ang. Hetiang thil hi i tawng thei a ni:
- A lum hle a, ka thawkrim hle bawk. Stove bula awm ang mai a ni.
- I thinlung chu a na em em a, i rilru atanga zuang chhuak ang maiin i hria. Chu thawm pawh chu i hre mai thei.
- Ka rilru a hah hle a, ka lungkham a, ka lungkham hle bawk. Ka thinlung chu chhan awm lovin a na a.
- Ka taksa chu a khur a. Ka vawt ang maiin ka hria, mahse a takah chuan a lum hle.
- Ka pum na, luak chhuak, leh luak chhuak ang maiin ka inhria.
- Ka taksa hi ka thunun thei lo ang maiin ka hria. Ka ke ruhte chu a tingling a, ka thusawi chu a slurred.
- Ka buai a, ka rilru a buai hle bawk. Eng thil nge thleng tih chu ka hrethiam thei lo niin a lang.
Heng symptoms te hi i neih chuan a pawimawh ber chu a rang thei ang bera damdawi in hnai ber pan la, second khat pawh tikhawtlai lova.
Eng thilin nge thyroid thlipui a thlen?
Researcher-te chuan thyroid thlipui hi eng nge a thlen tih chiang takin an la hre lo. Mahse, hun rei tak chhung, enkawl loh hyperthyroidism i neih chuan a thleng thei. Mahse a tam zawkah chuan thil thleng rang tak, na tak avanga lo awm a ni. Chu chu "trigger" tihna a ni.
Ngaihtuah teh, a chang chuan kan nu emaw, kan pi emaw hian thyroid damdawi an ei thin. Miin, ‘Chu damdawi ei chhunzawm chu a tha lo’ a ti mai thei a, damdawi a tlakchham hnua ei leh tur chu a tlai lutuk mai thei bawk. Damdawi i chawlhsan thut chuan a hnuaia hyperthyroidism chu a zual thei a, he natna hlauhawm tak thyroid storm an tih hi a lo awm thei a ni. Chuvang chuan damdawi lam thurawn tel lova damdawi ei khap emaw, a dose thlak emaw chu a tha lo.
A hnuaia tarlan te hi thyroid thlipui thlen thei trigger te an ni:
- I thyroid damdawi, antithyroid damdawi tihna chu i ei nghal vat tur a ni.
- Thyroidectomy hi thyroid gland lakchhuahna surgery a ni.
- Thyroid nena inzawm lo surgery lian dang.
- Accident, hliam na tak (Trauma) .
- Taksa chhunga natna khirh tak, pneumonia ang chi.
- Diabetic Ketoacidosis (DKA) , Lung lam natnaEmergency condition, heart attack emaw, damdawi thenkhat avanga harsatna nasa tak emaw.
- X-ray test thenkhata hman thin Iodinated contrast agents hian taksaah iodine level a tisang nghal thei a ni.
- Hmeichhia tan fa hrinsak .
- Thai .
Thyroid thlipui (thyroid storm) chhinchhiahna leh chhinchhiahnate chu engte nge ni?
Tlem kan sawi tawh ang khan hei hi chhinchhiahna tam tak a awm thei.
A chhinchhiahna leh a lan chhuah dan tlangpui:
- Khawsik sang – khawsik 104 atanga 106 degree Fahrenheit (40-41 degree Celsius vel) a ni. Hei hi khawsik pangngai a ni lo va, khawsik sang tak a ni.
- Thinlung hi a thawk chak hle (Tachycardia) – minute khatah vawi 140 aia tam a thawk thei.
- Hahdam lo, thinrim, leh/ emaw lungkhamna neia inhriatna.
- Delirium – I awmna hmun, i hun leh i hriatte i hriat loh theihna dinhmun.
- Congestive Heart Failure a awm thei.
- Thil hriatna hloh.
A chhinchhiahna leh a lan chhuah dan hmuh tur awm lo:
- Nausen nausea leh/ emaw luak chhuak.
- Kawthalo.
- Pum natna nasa tak.
- Vun emaw mit emaw a sen, chu chu jaundice .
Engtin nge he thyroid thlipui hi an hriat theih?
Doctor chuan damlo natna lan chhuah dan na tak, nunna atana hlauhawm tak (khawsik sang, thinlung lama harsatna nei), thisena thyroid hormone (T3, T4) a tam lutuk, leh thyroid-stimulating hormone (TSH) a hniam lutuk te a zirin thyroid thlipui a hriat theih ang
Mahse, hei hi nunna atana hlauhawm a nih avangin enkawl vat a pawimawh avangin thil tam takah chuan doctor-te chuan thisen test result an nghak lo va, symptoms atanga thyroid thlipui an rinhlelh chuan enkawlna an tan nghal thin. A chhan chu second tin hi a chhiar tel vek a ni.
Hei bakah hian doctor-te pawhin taksa enfiahna hmangin hetiang chhinchhiahna an zawng thin. Chung zingah chuan:
- Goiter , chu chu thyroid gland a lian tihna a ni.
- Graves natna avanga side effect pakhat Ophthalmopathy , hi mit a hring leh mit a hring chhuak thin a ni.
- Lid lag , chu chu hnuai lam i han en chuan mitmeng chunglam chu a nih tur aia sang a ni em tih i hmu tihna a ni.
- Kut nghing i nei em?
- Vun lum leh hnim i nei em?
- Heart rhythm disorder tachycardia emaw atrial fibrillation emaw tih a awm leh awm loh enfiah thin .
He thyroid thlipui hi engtin nge enkawl a nih?
Hei hi medical emergency a nih avangin damdawi inah dah i ngai dawn a, a tam zawkah chuan Intensive Care Unit (ICU)-ah dah i ngai dawn a, chutiang chuan medical team-in i dinhmun chu uluk takin an enfiah thei ang.
Thyroid thlipui enkawlna kawng hi hmunpui paliah then theih a ni a, chungte chu:
1. Thyroid hormone siam chhuah leh chhuah dan thunun nghal thei enkawlna: Hei hian hormone thar siam chhuah tihtawp nan antithyroid damdawi (e.g., Thionamides ) pek a ni. Tin, thyroid gland atanga hormone siam tawhte chhuah tihtawp nan iodine solution pek a ni bawk.
2. Thyroid hormone tam lutuk avanga i taksa system, a bik takin thinlung enkawl dan: Beta-blockers hi heart rate leh blood pressure control nan pek thin a ni.
3. I thyroid storm thlentu underlying condition emaw natna emaw enkawl dan: Entirnan, infection a nih chuan antibiotics pek i ni ang.
4. Symptoms leh side effects te tanpui thei tur supportive treatment dang:
- Acetaminophen (Paracetamol) leh cooling blanket te hi taksa lumna tihhniam nan hman a ni.
- Thyroid hormone te chu intestine atanga an lakluh leh loh nan bile acid sequestrants ang chi damdawi pek theih a ni.
- Thâwk harsa a awm chuan thawkna lama ṭanpuina, supplemental oxygen ang chi chu pek a ni.
Engtiang chiahin nge enkawl hnuah ka dam leh ang?
Damdawi dik tak i hmuh thuai chuan darkar 24 chhungin i dinhmunah hmasawnna nasa tak i hmu fo ang. I symptoms a reh ang a, tlem chuan i dam tan ang. Mahse, Thyroid Storm chhan bulpui atanga a dam kim theih nan kar khat emaw a aia rei emaw a ngai thei a, chu chu enkawl a nih veleh a ni.
Thyroid thlipui hi ka veng thei ang em?
Thyroid thlipui zawng zawng hi ven theih a ni lo va, a chang chuan thil thleng nghal mai avanga lo awm thei a nih avangin. Mahse, hyperthyroidism i neih tawh chuan he natna hlauhawm tak hi ven tumna atana thil pawimawh tak tak i tih theih a awm a:
- I thyroid damdawi hi doctor-in a tih ang chiah chiah, a hun takah ei fo ang che. Ni khat pawh lo tlai tawh suh.
- I doctor hmu fo la, i enkawlna a thawk tha em tih leh i hormone level control theih a nih leh nih loh enfiah turin a tul ang ang test ti rawh.
- A theih ang angin stress tihziaawm rawh. Meditation leh exercise ang chi thilte hian a pui thei a ni.
- Eng surgery pawh i neih dawn chuan i doctor-te hnenah hyperthyroidism i neih thu hrilh lawk ang che. Chumi hnuah chuan thyroid thlipui venna atan a tul angin hma an la ang a, operation hmain antithyroid damdawi an pe mai thei che a ni.
- A bik takin hyperthyroidism i neih a, thyroid surgery (thyroidectomy) i neih dawn a nih chuan, i doctor chuan surgery hmain damdawi thenkhat a pe mai thei che a, chu chu a inbuatsaih theih nan, thyroid thlipui hlauhawmna tihziaawm nan.
Thyroid storm awm theihna tur prognosis chu eng nge ni?
Thyroid storm hi medical emergency a ni a, enkawl loh chuan thihna a thlen thei a ni.
Thihna hi thinlung chak lohna, thinlung arrhythmias , emaw, taksa peng hrang hrang chak lohna a \angin a thleng thei a ni. Amaherawhchu, a hmaa hriat chian leh enkawl dan dik a nih chuan mi tam zawk chu darkar 24 chhungin an dam leh thin.
Mahse, a then phei chuan dam theihna chance tihtlem thei risk factor a awm. Chung zinga ṭhenkhat chu:
- Damlo chu a upa tawh hle a nih chuan.
- Damdawi ina admit a nih veleh nervous system lama harsatna nasa tak (e.g., hriatna hloh, buai) a awm chuan.
- Hriselna lama harsatna dang (e.g., asthma ang chi natna avanga beta-blocker pek theih lohna) avanga damdawi pawimawh (beta-blockers, antithyroid damdawi) mamawh pek theih a nih loh chuan.
- Thyroid thlipui avanga kal (kidney failure) i neih a , dialysis i mamawh a nih chuan , thawk la thei lo leh mechanical ventilation i mamawh a nih chuan .
Thyroid Storm hian thihna a thlen thei em?
Ni e, vanduaithlak takin Thyroid Storm hian thihna a thlen thei. Hei hi damdawi lam dinhmun nunna atana hlauhawm tak a ni. Enkawl loh chuan thihna hi a chiang tawh mai. Enkawlna nen pawh hian thil buaithlak thenkhatah chuan thihna a thleng thei. Statistically chuan Thyroid Storms zinga 10% leh 30% inkar vel chu thihna thlentu an ni.
Chuvangin kan sawi fo thin, thyroid thlipui symptoms i neih chuan a rang thei ang bera damdawi in pan a pawimawh hle a, second khat pawh tihkhawtlai lovin. Symptoms a na zual hma chu nghak suh.
Thyroid Storm hian eng harsatna dang nge a thlen theih?
Enkawlna a tlai emaw, a dawng tha lo emaw a nih chuan thyroid thlipui hian harsatna lian zawk a thlen thei a ni. Chung zinga ṭhenkhat chu:
- Cardiac failure a zual zel.
- Taksa hmun hrang hrangahThisen zam a lo awm thei a, chu chuan stroke ang chi natna khirh tak a thlen thei a ni.
- Seizures te, epilepsy ang chi te.
- Delirium awm reng .
- Coma hi mut thuk leh hriatna hloh a ni .
Engtikah nge Emergency Room-ah ka kal ang?
Thyroid thlipui a nih theih nia i ngaih symptom pakhat emaw, a aia tam emaw i neih chuan, a rang thei ang bera, a rang thei ang bera emergency room hnai ber pan rawh. Hun khawhral suh.
He thawnthu atang hian eng thil nge kan in lama kan hruai haw tur pawimawh ber? (In lama hruai tur thuchah)
Okay, chuti a nih chuan, kan sawi tawh atang chuan hengte hi kan ngaihtuah tur pawimawh ber berte chu an ni:
1. Thyroid Storm hi natna hlauhawm tak, nunna atana hlauhawm tak a ni a, emergency medical attention a ngai a ni. Hei hi game a ni lo.
2. Hei hi hyperthyroidism (Thyroid hormone tam lutuk) nei te, a bik takin a enkawl dan mumal lo te, emaw, a trigger nghal vang emaw a ni fo.
3. Khawsik sang, thinlung na rang, rilru hah lutuk, thawk hah, leh buaina ang chi symptoms te chu fimkhur rawh .
4. Heng symptoms zinga pakhat tal i neih chuan tihkhawtlai lovin damdawi in pan nghal mai tur a ni. Enkawlna rang tak chuan nunna a chhanhim thei a ni.
5. Hyperthyroidism i nei a nih chuan doctor thupek zawm la, i damdawi ei tur dik tak ei la, checkup reng reng i nei bawk ang. Hei hian thyroid thlipui vei theihna a ti tlem thei a ni.
6. Hetiang dinhmun hi a tlem hle nachungin, mi zawng zawngin kan hriat chian a pawimawh.
Hyperthyroidism ang chi natna, Graves natna ang chi i neih chuan i doctor hnenah thyroid thlipui chungchang leh i chunga a lo thlen loh dan tur zawt ngei ang che. Hrisel takin awm rawh!
Thyroid Storm, Hyperthyroidism, Thyroid Gland, Thyroid Hormone, A natna lan chhuah dan, Enkawl dan, Emergency, Graves’ Disease











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