Nanga bwanji ngati hypothyroidism yakula kwambiri? Tiyeni tikambirane za Myxedema Coma

Mwina munamvapo za chithokomiro, kachithokomiro kakang'ono kooneka ngati gulugufe komwe kali kutsogolo kwa khosi lanu. Kamagwira ntchito ngati injini m'thupi lathu. Kamapanga mahomoni a chithokomiro, omwe ndi ofunikira pafupifupi selo lililonse m'thupi lathu. Koma nthawi zina ntchito ya chithokomirochi imachepa ndipo pamakhala vuto lomwe mahomoni a chithokomiro sapangidwa mokwanira. Tikutcha izi hypothyroidism . Lero tikulankhula za vuto lalikulu kwambiri, ngakhale loopsa, la izi. Imeneyo ndi Myxedema Coma.

Choyamba, tiyeni tiwone chomwe Hypothyroidism ndi.

Mwachidule, hypothyroidism ndi chithokomiro chomwe chimagwira ntchito molakwika. Izi zimapangitsa kuti ziwalo za thupi zisamagwire ntchito mochedwa. Zizindikiro zake ndi izi:

• Kutopa kwambiri komanso kugona popanda chifukwa.
• Kumva kuzizira kuposa ena.
• Kulemera .
• Khungu louma ndi kutayika kwa tsitsi.
• Kudzimbidwa .
• Kuvuta kuganizira kwambiri.

Popeza zizindikirozi zimakhala zofala kwa anthu ambiri, anthu ena saganiza kuti ndi matenda. Koma ngati matendawa sanapezeke bwino ndi kuchiritsidwa, akhoza kukhala oopsa.

Ndiye Myxedema Coma ndi chiyani?

Tangoganizirani, uwu ndi mkhalidwe womwe umachitika pamene hypothyroidism ikukula kwambiri, ndipo kuchuluka kwa mahomoni a chithokomiro m'thupi kumatsika kwambiri. Ngakhale kuti uwu ndi mkhalidwe wosowa, ndi vuto lachipatala lomwe limayambitsa imfa . Ngakhale kuti mawu oti "Coma" ali mu dzina lakuti Myxedema Coma, si odwala onse omwe amakomoka. Komabe, chikumbumtima chawo chingawonongeke kwambiri ndipo akhoza kukhala ndi tulo tofa nato kotero kuti salabadira.

Kodi n’chiyani chingayambitse myxedema coma?

Kwa munthu amene ali kale ndi vuto lalikulu la hypothyroidism, chilichonse mwa zotsatirazi chingayambitse vutoli.

Kodi zizindikiro zoopsa zomwe muyenera kuzisamala ndi ziti?

Ngati munthu amene ali ndi vuto la hypothyroidism akumana ndi chimodzi mwa zizindikiro izi, chikhoza kukhala chiyambi cha vuto lotchedwa Myxedema Coma.

• Kufooka kapena kutopa: Munthu amakhala ndi tulo tofa nato kwambiri moti sangadzuke.
• Kusokonezeka kapena kusayankha: Sakumvetsa zomwe zikunenedwa kapena sakuyankha.
• Kutentha kochepa kwa thupi (Hypothermia): Thupi limamva kuzizira ngati ayezi likakhudza.
• Kutupa kwa thupi : Makamaka nkhope, lilime, ndi miyendo zimatupa.
• Kuvuta kupuma : Kuthamanga kwa mpweya kumachepa kwambiri.

Ngati munthu amene ali ndi zizindikirozi ali ndi chikumbumtima kapena akugona modzidzimutsa, ndi vuto ladzidzidzi ndipo ayenera kutengedwera kuchipatala nthawi yomweyo . Achibale kapena abwenzi ayenera kumutengera kuchipatala chapafupi cha Emergency Treatment Unit (ETU).Uyenera kuigwiritsa ntchito. Kuwononga nthawi kumangowonjezera chiopsezo cha moyo wako.

Mayeso ndi chithandizo kuchipatala

Atabweretsedwa kuchipatala, madokotala amachita mayeso angapo mwachangu kuti atsimikizire vutoli.

• Kuyezetsa magazi: Kuyezetsa magazi kumayesa kuchuluka kwa mahomoni a chithokomiro (TSH, T4), shuga, ma electrolyte , ndi cortisol.
• Mpweya wa m'magazi: Umayang'ana kuchuluka kwa mpweya ndi carbon dioxide m'magazi.
• Kuyesa kwa ECG: Kumayesa mavuto aliwonse okhudza kugwira ntchito kwa mtima.

Monga chithandizo, wodwalayo nthawi zambiri amalowetsedwa mu Intensive Care Unit (ICU) .

• Mahomoni operekedwa kudzera m'mitsempha: Kuti abwezeretse msanga kuchuluka kwa mahomoni a chithokomiro, mahomoni amaperekedwa ngati jakisoni (m'mitsempha kapena m'mitsempha) .
• Chithandizo chothandizira: Ngati kutentha kwa thupi kuli kotsika, tenthetsani ndi bulangeti lofunda . Ngati shuga m'magazi muli shuga wochepa, perekani shuga. Ngati pali matenda, perekani maantibayotiki. Ngati mukukayikira kuti pali vuto ndi adrenal glands, perekani ma steroid (glucocorticoids).

Chinthu chofunika kwambiri chomwe mabanja ayenera kudziwa!

Ngati vuto ngati ili litachitikira wachibale kapena mnzanu, chofunika kwambiri ndi kusachita mantha ndikuchita zoyenera.

Kodi vutoli lingapewedwe?

Inde! Chinthu chabwino kwambiri choti muchite ndikuletsa vutoli kuti lisachitike. Ndikosavuta kwambiri. Ngati muli ndi hypothyroidism, chinthu chofunikira kwambiri kuchita ndikumwa mankhwala a chithokomiro omwe dokotala wanu wakupatsani muyeso woyenera, panthawi yoyenera, tsiku lililonse . Musasiye kumwa mankhwalawo chifukwa chosowa chochita kapena chifukwa mukuganiza kuti "tsopano ndi bwino." Komanso, ndikofunikira kwambiri kuonana ndi dokotala wanu panthawi yoyenera ndikuyesedwa magazi ngati TSH kuti muwone momwe mulili. Mwa kutsatira zinthu ziwiri zosavuta izi, mutha kudziteteza kwathunthu ku vuto loopsa monga Myxedema Coma. myxedema coma, hypothyroidism, chithokomiro, mahomoni a chithokomiro, hypothyroidism, kusowa kwa chithokomiro, chithandizo chadzidzidzi