Kua rongo pea koe mō tō tairoiti, te repe iti, āhua pūrerehua kei mua o tō kaki. Whakaarohia koinei te miihini o tō tinana. Ka whakaputa i ngā homoni tairoiti nui e hiahiatia ana e ia pūtau o tō tinana kia tika ai te mahi. Heoi, i ētahi wā, ka ngoikore te mahi a tēnei repe, ā, kāore e nui ngā homoni e whakaputaina ana. E mōhiotia ana tēnei mate ko te hypothyroidism . I tēnei rā, kei te kōrero tātou mō tōna raruraru tino onge, tino morearea hoki: Myxedema Coma.
Tuatahi, he aha te Hypothyroidism?
Ki te kī ngāwari, ka puta te hypothyroidism ina kore e mahi pai tō repe tairoi, ka puhoi ai ngā mahi a tō tinana. Ko ngā tohu noa ko:
- Te ngenge nui me te hiamoe , kāore i te mārama te take.
- He mātao ake tōu i tō te hunga e karapoti ana i a koe.
- Te pikinga taumaha kāore i te mārama.
- Kiri maroke me te ngaro o te makawe.
- Te kōroke .
- He uaua ki te arotahi, he "kohu roro" rānei.
Nā te mea he noa ēnei tohu, he tokomaha te hunga kāore e mōhio kei a rātou tētahi mate hauora. Heoi, ki te kore e tautuhia, e rongoatia rānei, ka pā he kino ki te hauora.
He aha te Myxedema Coma?
Ko te Myxedema Coma te wāhanga tino kino, tino matatau o te hypothyroidism ina tae ngā taumata o ngā homoni tairoi i roto i tō tinana ki ngā taumata tino iti. Ahakoa he onge, he āhuatanga ohorere hauora tūturu . Ahakoa te kupu "coma" i roto i te ingoa, kāore e ngaro te mārama o ngā tūroro katoa. Heoi, he maha ngā wā ka pāngia ngā tūroro e te pōhēhē hinengaro nui, te ngenge nui, te kore aro.
Koinei te wāhanga whakamutunga me te wāhanga tino nui o te hypothyroidism. He mea nui te mōhio ki ngā tohu mō tō haumaru.
He aha te mea e whakaoho ai i te Myxedema Coma?
Mō te tangata kua pāngia e te hypothyroidism kino, ka taea e ētahi āhuatanga te whakaoho i tēnei āhuatanga kino:
| Tauwehe Whakaoho | Whakaahuatanga |
|---|---|
| Ngā mate urutā | Tērā pea ko te niumōnia, ko ngā mate pūkahukahu rānei. |
| Ētahi atu take hauora | Ngā āhuatanga pēnei i te ngoikore o te ngākau, te whiu rānei. |
| Te ahotea tinana | Ngā whara tinana nui, ngā pokanga rānei. |
| ētahi rongoā | Ngā rongoā pēnei i te tranquilizers, te lithium, te amiodarone rānei. |
| Te kore tutuki i ngā whakaritenga | Ko te tino take! Te korenga, te kore rānei e tango i te rongoā tairoi kua tohua. |
Ngā tohu whakatūpato me tirotiro e koe
Mena kei a koe, kei tētahi rānei o tō whānau e pāngia ana e te hypothyroidism, ka kitea pea ēnei tohu e rua, arā, ko te Myxedema Coma:
- Te ngoikore nui, te ngenge rānei: Te uaua ki te ara ake, te kore rānei e taea te whakaara ake.
- Pōhēhē, kore rānei e aro: Te kōrero koretake, te kore rānei e taea te taunekeneke.
- Te pāmahana tinana tino iti (Hypothermia): Te mātao ina pā atu.
- Pupuhi : Ina koa i te mata, te arero, me ngā waewae.
- Ngā uauatanga manawa : He papaku, he puhoi rawa rānei te manawa.
Ki te kite koe i ēnei tohu, rapua tonutia he awhina hauora ohorere . Me kawe te tangata e te whānau, e ngā hoa rānei ki te tari ohorere tata, waea atu rānei ki ngā ratonga ohorere (911). He mea nui ia meneti.
Ngā whakamātautau me te maimoatanga i roto i te hōhipera
Kia tae atu ki te hōhipera, ka tere te mahi a ngā tākuta ki te whakatau i te tūroro:
- Ngā whakamātautau toto: Hei tirotiro i ngā taumata o te tairoi (TSH, T4), te huka toto, ngā electrolytes me ngā taumata cortisol.
- Ngā hau toto: Hei ine i ngā taumata hāora me te hauhā waro i roto i ō toto.
- ECG: Hei tirotiro i ngā raruraru e pā ana ki te ngākau.
I te nuinga o te wā ka whakahaerehia te maimoatanga i roto i te Wāhanga Tiaki Kaha (ICU) :
- Ngā homoni ā-uaua: Ka hoatu ngā homoni tairoi mā te IV hei whakaora wawe i ngā taumata.
- Manaaki tautoko: Whakamahanahia ngā paraikete mēnā he iti te pāmahana o te tinana, te huka toto mō te huka toto iti, ngā paturopi mō ngā mate pāwera, ngā corticosteroids rānei mēnā he āwangawanga mō te repe adrenal.
Ngā mea me mōhio e ngā mema o te whānau!
Kia marino, engari kia kaha te mahi.
Kāore e taea e te tangata e pāngia ana e te Myxedema Coma te tiaki i a ia anō. Kaua rawa e ngana ki te whāngai pire tairoi ki tētahi i roto i tēnei āhua. Kawea tonutia ki ngā ratonga ohorere. Mā te hoatu rongoā me te kore he tirotiro a te tākuta ka puta he raruraru repe adrenal, he raruraru morearea anō hoki tēnei.
Ka taea te ārai i tēnei?
Āe! He māmā noa te ārai, ā, he tino whai hua hoki.
Mena he mate tōu, ko te mea nui rawa atu ka taea e koe te mahi ko te tango i te rongoā tairoi kua tohua kia rite ki te tohutohu, i ia rā, kia rite ki te mea kua tohua . Kaua rawa e mutu te rongoā, ahakoa kua "pai ake" tō ahua.
He mea nui ngā tirotiro me ngā whakamātautau toto auau (pērā i ngā taumata TSH) e ai ki ngā taunakitanga a tō tākuta. Mā te whai i ēnei mahi ngāwari ka ārai i te Myxedema Coma.
Ngā Whakaaro Matua
- He raruraru onge engari he morearea te Myxedema Coma o te hypothyroidism kāore i rongoatia.
- Kia tūpato ki te tino ngenge, te pōhēhē, te matewai nui, te pupuhi, me te uaua ki te manawa.
- Ki te puta ngā tohu, rapua tonutia he ratonga hauora ohorere (911).
- Kaua e ngana ki te hoatu rongoā tairoi ki te kāinga ki tētahi tūroro kāore e aro nui mai.
- Ko te ārai i tēnei mate e whakawhirinaki ana ki te piripono ki ngā rongoā tairoi kua whakaritea e koe, me te tirotiro tonu i a koe e ngā tohunga o Nirogi Lanka.
koma myxedema, hypothyroidism, tairoi, ngā homoni tairoi, tairoi ngoikore, tiaki whawhati tata
