Kua rongo pea koe i te repe tairoiti, he repe iti āhua pūrerehua kei mua o tō kaki. He rite tana mahi ki te miihini i roto i tō tātou tinana. Ka whakaputa i
ngā homoni tairoiti, he mea nui mō te nuinga o ngā pūtau o tō tātou tinana. Engari i ētahi wā ka heke te mahi a tēnei repe, ā, ka puta he āhuatanga kāore e ranea te whakaputanga o ngā homoni tairoiti. Ka kiia tēnei he
hypothyroidism . I tēnei rā kei te kōrero tātou mō te take tino kino, tae atu ki te mate. Koia te Myxedema Coma.
Tuatahi, kia kite tātou he aha te Hypothyroidism.
He whakarāpopototanga noa iho, ko te hypothyroidism he repe tairoiti kāore i te mahi pai. Nā tēnei ka pōturi ake te mahi a ngā whekau o te tinana. Ko ngā tohu:
Nā te mea he noa ēnei tohu ki te tini o te tangata, kāore ētahi e whakaaro he mate tēnei. Engari ki te kore tēnei āhuatanga e tātaritatia tikatia, e rongoātia hoki, ka noho hei mate kino.
Nā, he aha te Myxedema Coma?
Whakaarohia, he āhuatanga tēnei e puta ana ina tino kino te hypothyroidism, ā, ka heke te taumata o te homoni tairoi i roto i te tinana ki tētahi taumata tino iti. Ahakoa he āhuatanga onge tēnei,
he āhuatanga ohorere hauora tino morearea ki te ora . Ahakoa kei roto i te ingoa Myxedema Coma te kupu "Coma", ehara i te mea ka ngaro te mōhio o ngā tūroro katoa. Heoi, tera pea ka tino ngoikore te mōhio, ā, tera pea ka tino hiamoe rātou, ā, kāore e taea te aro atu.
Ka taea te whakaaro koinei te wāhanga whakamutunga, te wāhanga tino kino o te hypothyroidism, nō reira he mea nui kia mōhio koe ki tēnei.
He aha ngā mea ka taea te whakararu i te koma myxedema?
Mō te tangata kua pāngia kē e te hypothyroidism kino, ka taea e tētahi o ēnei āhuatanga te whakaoho i tēnei āhuatanga morearea.
| Tauwehe Whakaoho | Whakaahuatanga |
|---|
| Ngā mate urutā | Tērā pea ko ngā mate pūkahukahu (pneumonia) me ngā mate mimi. |
| Ētahi atu āhuatanga hauora | Ngā āhuatanga pēnei i te ngoikore o te ngākau me te whiu. |
| Ngā pānga ā-tinana | Te pāngia e tētahi aituā nui (Whara) me tētahi pokanga rānei. |
| Ētahi rongoā | Ko ētahi rongoā pēnei i te tranquilizers, lithium, me te amiodarone. |
| Te kore whai i ngā tohutohu hauora | Ko te take tino noa! Kāore i te tango tika i te rongoā tairoi i tohua e te tākuta. |
He aha ngā tohu mōrearea hei tūpato māu?
Mena ka pāngia te tangata e te hypothyroidism e tētahi, e ētahi rānei o ēnei tohu, tera pea he tohu tēnei mō tētahi mate e kiia nei ko te Myxedema Coma.
- Ngoikore, ngenge rānei: Nā te hiamoe rawa o te tangata, kāore e taea te whakaara ake.
- Te pōhēhē, te kore aro rānei: Kāore e mārama ki te mea e kōrerotia ana, kāore rānei e aro mai.
- Te pāmahana tinana iti (Hypothermia): Ka rite te makariri o te tinana ki te hukapapa ina pā atu.
- Pupuhi tinana : Ka pupuhi te mata, te arero, me ngā waewae, inā koa.
- Te uaua ki te manawa : Ka tino heke te tere o te manawa.
Mena kei te kore e mōhio te tangata e pāngia ana e ēnei tohu, kei te hiamoe rawa rānei, he
āhuatanga ohorere tēnei, ā, me hari tonu ki te hōhipera . Me hari tonu te whānau, te hoa rānei i a ia ki te
Wāhanga Maimoatanga Ohotata (ETU) tata.Me tango e koe. Mā te moumou taima ka nui ake te mōrearea o tōu ora.
Ngā whakamātautau me ngā maimoatanga i te hōhipera
I muri i te kawe mai i a rātou ki te hōhipera, ka tere te whakahaere a ngā tākuta i ētahi whakamātautau hei whakaū i te āhua.
- Ngā whakamātautau toto: Ka tirohia e ngā whakamātautau toto ngā taumata o ngā homoni tairoi (TSH, T4), te huka, ngā electrolytes , me te cortisol.
- Ngā hau toto: Ka tirotiro i ngā taumata o te hāora me te hauhā waro i roto i te toto.
- Whakamātautau ECG: Ka tirohia mēnā he raruraru kei te mahi a te ngākau.
Hei rongoā, ka whakaurua te tūroro
ki te Wāhanga Tiaki Kaha (ICU) .
- Ngā homoni ā-uaua: Hei whakaora wawe i ngā taumata o te homoni tairoi, ka hoatu ngā homoni hei werohanga (ā-uaua, ā-infus rānei) .
- Manaaki tautoko: Ki te iti te pāmahana o te tinana, whakamahanahia ki te paraikete whakamahana . Ki te iti te huka toto, hoatu he hukahuka. Ki te mea he mate, hoatu he paturopi. Ki te mea kei te whakapaehia he raruraru ki ngā repe adrenal, hoatu he steroids (glucocorticoids).
Ko te mea nui rawa atu me mōhio ngā whānau!
Ki te pā mai tētahi āhuatanga pēnei ki tētahi mema o te whānau, ki tētahi hoa rānei, ko te mea nui kia kaua e mataku, kia tika hoki te mahi.
Kāore te tangata e pāngia ana e te myxedema coma e te mōhio. Nō reira, kāore e taea e ia te mahi i tetahi mea ko ia anake. Kaua rawa e ngana ki te hoatu pire tairoi ki te kāinga. Ko te mea tika kia mahia ko te kawe wawe i a rātou ki te hōhipera, ki te ETU rānei. Nā te mea i ētahi wā, ki te hoatuhia he rongoā tairoi me ētahi atu ngoikoretanga homoni, ka taea e ia te puta he mate kino rawa atu (te raruraru adrenal). Nō reira, ko te tākuta anake te mea hei whakatau.
Ka taea te ārai i tēnei āhuatanga?
Āe! Ko te mea pai rawa atu ko te ārai i tēnei āhuatanga. He tino māmā noa iho. Mena he mate hypothyroidism tōu, ko te mea nui ko
te tango i te rongoā tairoi kua tohua e tō tākuta i te horopeta tika, i te wā tika, i ia rā . Kaua e mutu te tango i te rongoā nā te hoha, nā te mea rānei kei te whakaaro koe "kua pai ake inaianei." He mea nui hoki kia kite i tō tākuta i ngā wā tika, kia whai whakamātautau toto pērā i te TSH hei aroturuki i tō āhua. Mā te whai i ēnei mea ngāwari e rua, ka taea e koe te tiaki i a koe anō mai i tētahi āhuatanga kino pērā i te Myxedema Coma.
Karere Tangohia ki te Kāinga
- Ko te Myxedema Coma te āhuatanga ohorere tino kino, tino morearea hoki o te hypothyroidism kāore i rongoatia.
- Ko ngā tohu matua ko te hiamoe nui, te pōhēhē, te tinana makariri rawa, te pupuhi, me te uaua ki te manawa.
- Ki te kite koe i ēnei tohu, haria tonutia te tūroro ki te Wāhanga Maimoatanga Ohotata (ETU) tata atu.
- Kaua e ngana ki te wero i ngā pire tairoi ki te kāinga mō tētahi take.
- Ko te huarahi pai ki te karo i tēnei ko te tango i te rongoā tairoi i tohua e tō tākuta i ia rā, i roto i te horopeta kua tohua, me te rapu tohutohu hauora e ai ki te tohu.
myxedema coma, hypothyroidism, tairoi, homoni tairoi, hypothyroidism, ngoikore o te tairoi, maimoatanga whawhati tata
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