Kodi chithokomiro chanu chili ngati mphepo yamkuntho? (Chithokomiro cha Mkuntho) Tiyeni tiphunzire za vuto loopsa ili!

Kodi mudamvapo za chinthu chotchedwa 'Thyroid Storm'? Dzinalo likumveka loopsa pang'ono, sichoncho? Ndi vuto lalikulu lomwe limafuna chithandizo chamankhwala chadzidzidzi ndipo likhoza kukhala pachiwopsezo. Kunena zoona, ndi kutuluka mwadzidzidzi kwa mahomoni a chithokomiro kuchokera ku chithokomiro. Tiyeni tikambirane mwachidule, m'njira yomwe mungamvetse.

Kodi chithokomiro ndi chiyani? Chimagwira ntchito bwanji?

Tsopano mwina mukuganiza kuti, 'Kodi chithokomiro ichi ndi chiyani?' N'zosavuta kwambiri. Ndi chithokomiro chaching'ono chomwe chili kutsogolo kwa khosi lanu, chooneka ngati gulugufe. Chithokomiro chaching'onochi chimagwira ntchito yofunika kwambiri m'thupi lathu.

Chithokomiro chimapanga mahomoni awiri akuluakulu: triiodothyronine (T3) ndi thyroxine (T4) . Pamodzi, mahomoni awiriwa amatchedwa mahomoni a chithokomiro. Ma mahomoni awa amalamulira kutentha kwa thupi lathu, kugunda kwa mtima, komanso, chofunika kwambiri, kagayidwe kathu ka chakudya .

Kagayidwe kachakudya, mwachidule, ndi momwe matupi athu amagwirira ntchito zinthu mwachangu, kutanthauza momwe timasinthira chakudya chomwe timadya kukhala mphamvu ndi kutentha mwachangu. Tsopano taganizirani, pamene chithokomiro chikuyamba, mahomoni ambiri a chithokomiro amasonkhana mwadzidzidzi m'thupi. Ndiye chimachitika ndi chiyani? Kagayidwe kachakudya m'thupi lathu kamakhala kofulumira kwambiri. Monga sitima yothamanga kwambiri! Izi ndizoopsa kwambiri, ngakhale kupha.

Pamene kagayidwe kabwino ka thupi kakukwera, thupi lathu limafunikira mpweya wambiri. Kuti tikwaniritse kufunikira kwa mpweya kumeneku, mtima wathu umayamba kugunda mofulumira kwambiri. Timatcha izi tachycardia . Chifukwa cha liwiro lalikululi, mtima sungathenso kupirira ndipo ngakhale kulephera kwa mtima kungachitike. Kodi mukumvetsa kuopsa kwake?

Ndani amene ali ndi mwayi waukulu wopeza matenda a chithokomiro?

Matenda a chithokomiro ndi zotsatira zoyipa kwambiri za matenda otchedwa hyperthyroidism , omwe ndi kupanga mahomoni ambiri a chithokomiro. Chifukwa chake, anthu omwe ali ndi matenda omwe amayambitsa hyperthyroidism, monga matenda a Graves kapena toxic thyroid adenoma, amakhala ndi mwayi waukulu wopeza matendawa.

Monga matenda ena a chithokomiro, vutoli limapezeka kwambiri mwa akazi kuposa amuna. Madokotala amati limapezeka kwambiri mwa anthu azaka zapakati pa 42-43.

Kodi vutoli ndi lofala bwanji?

Mphepo yamkuntho ya chithokomiro ndi yosowa kwambiri.Chinachake. Izi zikutanthauza kuti ndi chosowa kwambiri. Mwachitsanzo, malinga ndi ziwerengero ku United States, vutoli limapezeka pakati pa anthu 5 ndi 7 pa anthu miliyoni. Koma ngakhale kuti ndi losowa, sizikutanthauza kuti silikhala loopsa kwambiri.

Kodi mumamva bwanji kukhala ndi vuto la chithokomiro?

Popeza mahomoni a chithokomiro awa amakhudza ziwalo zambiri za thupi, ngati muli ndi vuto la chithokomiro, mudzamva kupweteka kwambiri m'thupi lanu lonse, ngati kuti likuyaka kuchokera mkati. Mungakumane ndi zinthu monga:

• Kukutentha kwambiri ndipo ndikuchita thukuta kwambiri. Zili ngati kukhala pafupi ndi chitofu.
• Mtima wanu ukugunda mofulumira kwambiri moti umamva ngati ukutuluka pachifuwa panu. Mwina mungamvenso phokoso limenelo.
• Ndikumva kusakhazikika, kuda nkhawa, komanso kuda nkhawa. Mtima wanga ukugunda popanda chifukwa.
• Thupi langa likunjenjemera. Ndikumva ngati ndikuzizira, koma kwenikweni ndi lotentha.
• Ndikumva ngati ndikumva kupweteka m'mimba, nseru, komanso kusanza.
• Ndikumva ngati sindingathe kulamulira thupi langa. Ziwalo zanga zikunjenjemera, mawu anga akumveka molakwika.
• Ndikumva kusokonezeka komanso kusokonezeka maganizo. Sindingathe kumvetsa zomwe zikuchitika.

Ngati muli ndi zizindikiro izi, chofunika kwambiri ndikupita kuchipatala chapafupi mwamsanga, osazengereza kwa mphindi imodzi.

Kodi chimayambitsa vuto la chithokomiro ndi chiyani?

Ofufuza sakudziwabe chomwe chimayambitsa vuto la chithokomiro. Komabe, zitha kuchitika ngati muli ndi hyperthyroidism kwa nthawi yayitali komanso yosachiritsidwa. Koma nthawi zambiri, imayamba chifukwa cha chochitika chadzidzidzi komanso choopsa. Ndiko kuti, "choyambitsa."

Tangoganizirani, nthawi zina amayi athu kapena azakhali athu amamwa mankhwala a chithokomiro. Mwina wina anganene kuti, 'Si bwino kupitiriza kumwa mankhwala amenewo,' kapena mwina kwachedwa kwambiri kuti muwamwenso mankhwalawo atatha. Ngati musiya kumwa mankhwalawo mwadzidzidzi, hyperthyroidism yomwe imayambitsa matendawa ikhoza kukulirakulira, ndipo vuto loopsa lotchedwa thyroid storm lingayambe. Ndicho chifukwa chake si bwino kusiya kumwa mankhwalawo kapena kusintha mlingo popanda upangiri wa dokotala.

Zotsatirazi ndi zinthu zomwe zimayambitsa vuto la chithokomiro:

• Muyenera kusiya kumwa mankhwala anu a chithokomiro, omwe amatanthauza mankhwala oletsa chithokomiro, mwadzidzidzi.
• Kuchotsa chithokomiro ndi opaleshoni yochotsa chithokomiro.
• Opaleshoni ina yaikulu yosakhudzana ndi chithokomiro.
• Ngozi, kuvulala kwambiri (Kuvulala kwambiri) .
• Matenda oopsa m'thupi, monga chibayo.
• Matenda a shuga a Ketoacidosis (DKA) , Kulephera kwa MtimaMatenda adzidzidzi, monga matenda a mtima, kapena vuto lalikulu la mankhwala ena.
• Mankhwala osiyanitsa omwe ali ndi ayodini, omwe amagwiritsidwa ntchito poyesa X-ray, angayambitse kuwonjezeka kwadzidzidzi kwa ayodini m'thupi.
• Kubereka mwana kwa mkazi.
• Stroke .

Kodi zizindikiro za chithokomiro ndi ziti?

Monga tanenera kale, pakhoza kukhala zizindikiro zambiri za izi.

Zizindikiro ndi zizindikiro zodziwika bwino:

• Malungo amphamvu - kutentha kwa madigiri 104 mpaka 106 Fahrenheit (pafupifupi madigiri 40-41 Celsius). Uku si kutentha kwachibadwa, koma kutentha kwambiri.
• Mtima umagunda mofulumira kwambiri (Tachycardia) - ukhoza kukhala ndi mabeti opitilira 140 pamphindi.
• Kumva kusakhazikika, kukwiya, ndi/kapena nkhawa.
• Kusokonezeka maganizo - Vuto lomwe limakupangitsani kuiwala komwe muli, nthawi, ndi anthu omwe mumawadziwa.
• Kulephera kwa Mtima Wokhazikika Kungathe Kuchitika.
• Kutaya chidziwitso.

Zizindikiro ndi zizindikiro zachilendo:

• Kusanza kwambiri ndi/kapena kusanza.
• Kutsegula m'mimba.
• Kupweteka kwambiri m'mimba.
• Khungu kapena maso achikasu, ndiko kuti, jaundice .

Kodi vuto la chithokomiro limeneli limapezedwa bwanji?

Dokotala adzazindikira vuto la chithokomiro kutengera zizindikiro zoopsa komanso zoopsa za wodwalayo (monga kutentha thupi kwambiri, mavuto a mtima), kuchuluka kwambiri kwa mahomoni a chithokomiro (T3, T4) m'magazi, komanso kuchuluka kochepa kwambiri kwa mahomoni olimbikitsa chithokomiro (TSH) .

Komabe, chifukwa izi zimaika moyo pachiswe ndipo chithandizo chachangu n'chofunikira, nthawi zambiri, madokotala sayembekezera zotsatira za mayeso a magazi, koma amayamba chithandizo nthawi yomweyo ngati akukayikira kuti chithokomiro cha thyroid chikudwala chifukwa cha zizindikiro zake. Chifukwa sekondi iliyonse imawerengedwa.

Kuphatikiza apo, madokotala amafufuzanso zizindikiro za izi kudzera mu kuyezetsa thupi. Izi zikuphatikizapo:

• Goiter , zomwe zikutanthauza kuti chithokomiro cha thyroid chakula, imayesedwa.
• Matenda a maso , omwe ndi zotsatira zoyipa za matenda a Graves, amadziwika ndi kutupa kwa maso ndi kutupa kwa maso.
• Kuchedwa kwa chivundikiro , zomwe zikutanthauza kuti mukayang'ana pansi, mumawona ngati chikope chapamwamba chili chokwera kuposa momwe chiyenera kukhalira.
• Kodi muli ndi kunjenjemera kwa manja?
• Kodi muli ndi khungu lofunda komanso lonyowa?
• Kufufuza ngati pali vuto la mtima lotchedwa tachycardia kapena atrial fibrillation .

Kodi vuto la chithokomiro limachiritsidwa bwanji?

Popeza izi ndi zadzidzidzi zachipatala, muyenera kugonekedwa m'chipatala, nthawi zambiri m'chipinda chosamalira odwala kwambiri (ICU), kuti gulu lachipatala lizitha kuyang'anira bwino vuto lanu.

Njira yothandizira matenda a chithokomiro ingagawidwe m'magawo anayi akuluakulu:

1. Chithandizo chomwe chimawongolera kupanga ndi kutulutsa mahomoni a chithokomiro nthawi yomweyo: Izi zimaphatikizapo kupereka mankhwala oletsa chithokomiro (monga Thionamides ) kuti aletse kupanga mahomoni atsopano. Komanso, mankhwala a ayodini amaperekedwa kuti aletse kutulutsa mahomoni omwe amapangidwa kale ndi chithokomiro.

2. Kuchiza matupi anu, makamaka mtima, omwe amakhudzidwa ndi mahomoni ochulukirapo a chithokomiro: Ma beta-blockers amaperekedwa kuti achepetse kugunda kwa mtima ndi kuthamanga kwa magazi.

3. Kuchiza matenda omwe amayambitsa vuto la chithokomiro chanu: Mwachitsanzo, ngati ndi matenda, mudzapatsidwa mankhwala opha maantibayotiki.

4. Mankhwala ena othandizira pochiza zizindikiro ndi zotsatirapo zake:

• Acetaminophen (Paracetamol) ndi mabulangete ozizira amagwiritsidwa ntchito kuchepetsa kutentha kwa thupi.
• Mankhwala monga mankhwala oletsa kuyamwa kwa mahomoni a chithokomiro m'matumbo angaperekedwe kuti aletse kuyamwanso kwa mahomoni a chithokomiro kuchokera m'matumbo.
• Ngati kupuma kuli kovuta, thandizo la kupuma, monga mpweya wowonjezera, limaperekedwa.

Kodi ndidzakhala bwino nthawi yayitali bwanji nditatha kulandira chithandizo?

Ngati mwalandira chithandizo choyenera chamankhwala mwachangu, nthawi zambiri muwona kusintha kwakukulu pa thanzi lanu mkati mwa maola 24. Zizindikiro zanu zidzachepa ndipo mudzayamba kumva bwino pang'ono. Komabe, zingatenge sabata imodzi kapena kuposerapo kuti muchire bwino chifukwa cha vuto la Thyroid Storm, vutoli likangochiritsidwa.

Kodi ndingapewe vuto la chithokomiro?

Si mphepo zonse za chithokomiro zomwe zingapewedwe, chifukwa nthawi zina zimatha kuyambitsidwa ndi chochitika chadzidzidzi. Komabe, ngati muli kale ndi hyperthyroidism, pali zinthu zofunika zomwe mungachite kuti mupewe vutoli loopsa:

• Nthawi zonse imwani mankhwala a chithokomiro monga momwe dokotala wanu wanenera, pa nthawi yake. Musaphonye tsiku limodzi.
• Pitani kwa dokotala nthawi zonse ndipo mupeze mayeso ofunikira kuti muwonetsetse kuti chithandizo chanu chikugwira ntchito bwino komanso kuti kuchuluka kwa mahomoni anu kukuchepa.
• Chepetsani kupsinjika maganizo momwe mungathere. Zinthu monga kusinkhasinkha ndi kuchita masewera olimbitsa thupi zingathandize.
• Ngati mukufuna kuchitidwa opaleshoni iliyonse, uzani madokotala anu pasadakhale kuti muli ndi hyperthyroidism. Kenako adzachitapo kanthu kuti apewe vuto la chithokomiro, mwina kukupatsani mankhwala oletsa chithokomiro musanachite opaleshoniyo.
• Makamaka ngati muli ndi hyperthyroidism ndipo mukufuna kuchitidwa opaleshoni ya chithokomiro (thyroidectomy) , dokotala wanu mwina adzakupatsani mankhwala ena musanachite opaleshoniyo kuti akukonzekeretseni, kuti achepetse chiopsezo cha chithokomiro.

Kodi chiyembekezo cha chithokomiro cha chithokomiro ndi chiyani?

Mphepo ya chithokomiro ndi vuto lachipatala lomwe lingathe kupha ngati silinachiritsidwe.

Imfa ingachitike chifukwa cha kulephera kwa mtima, kusakhazikika kwa mtima, kapena kulephera kwa ziwalo zambiri . Komabe, anthu ambiri akazindikira msanga komanso kulandira chithandizo choyenera, amachira mkati mwa maola 24.

Komabe, nthawi zina, pali zinthu zomwe zingachepetse mwayi wochira. Zina mwa izo ndi izi:

• Ngati wodwalayo ndi wokalamba kwambiri.
• Ngati pali mavuto aakulu a mitsempha (monga kutaya chidziwitso, kusokonezeka) mutalowa kuchipatala.
• Ngati sizingatheke kupereka mankhwala ofunikira (ma beta-blockers, mankhwala oletsa chithokomiro) chifukwa cha matenda ena (monga kulephera kupereka ma beta-blockers chifukwa cha matenda monga mphumu).
• Ngati muli ndi vuto la impso chifukwa cha vuto la chithokomiro ndipo mukufunika dialysis , kapena ngati simungathe kupuma ndipo mukufunika mpweya wabwino wamakina .

Kodi Mphepo ya Chithokomiro Ingaphetse?

Inde, mwatsoka, Mphepo ya Chithokomiro ikhoza kupha. Uwu ndi matenda omwe amaika moyo pachiswe. Ngati sachiritsidwa, imfa imakhala yotsimikizika. Ngakhale mutalandira chithandizo, nthawi zina zovuta, imfa imatha kuchitika. Malinga ndi ziwerengero, pakati pa 10% ndi 30% ya Mphepo ya Chithokomiro imanenedwa kuti imabweretsa imfa.

Ndicho chifukwa chake timapitiriza kunena kuti, ngati muli ndi zizindikiro za vuto la chithokomiro, ndikofunikira kwambiri kupita kuchipatala mwachangu, osazengereza kwa mphindi imodzi. Musadikire mpaka zizindikirozo zitakula kwambiri.

Ndi mavuto ena ati omwe angachitike ndi Thyroid Storm?

Ngati chithandizo chachedwa kapena sichinalandiredwe bwino, vuto la chithokomiro lingayambitse mavuto aakulu. Zina mwa izi ndi izi:

• Kulephera kwa mtima kukukulirakulira.
• M'mbali zosiyanasiyana za thupiMagazi amaundana, zomwe zingayambitse matenda aakulu monga sitiroko.
• Matenda monga khunyu.
• Kusokonezeka maganizo kosalekeza.
• Chikomokere ndi mkhalidwe wa tulo tofa nato komanso kutaya chidziwitso.

Kodi ndiyenera kupita ku Chipinda cha Zadzidzidzi liti?

Ngati muli ndi chizindikiro chimodzi kapena zingapo zomwe mukuganiza kuti zingakhale vuto la chithokomiro, monga kutentha thupi kwambiri, kugunda kwa mtima mofulumira, kusakhazikika maganizo kwambiri, kapena kusokonezeka , pitani kuchipatala chapafupi mwamsanga, mwamsanga. Musataye nthawi.

Kodi ndi zinthu ziti zofunika kwambiri zomwe tiyenera kuphunzira kuchokera mu nkhaniyi? (Uthenga Wopita Nawo Kunyumba)

Chabwino, kuchokera pa zomwe takambirana, izi ndi zinthu zofunika kwambiri kukumbukira:

1. Mphepo ya chithokomiro ndi matenda oopsa kwambiri komanso oopsa omwe amapha anthu omwe amafunika thandizo lachipatala mwachangu. Si masewera.

2. Izi nthawi zambiri zimachitika chifukwa cha anthu omwe ali ndi hyperthyroidism (hormone yochuluka ya chithokomiro), makamaka omwe salandira chithandizo choyenera cha izi, kapena chifukwa cha zinthu zomwe zimayambitsa mwadzidzidzi.

3. Dziwani zizindikiro monga kutentha thupi kwambiri, kugunda kwa mtima mofulumira, kusakhazikika maganizo, thukuta, ndi kusokonezeka maganizo .

4. Ngati mukumva zizindikiro izi, pitani kuchipatala nthawi yomweyo. Kulandira chithandizo mwachangu kungapulumutse moyo.

5. Ngati muli ndi vuto la hyperthyroidism, tsatirani malangizo a dokotala wanu, imwani mankhwala anu moyenera, ndipo muyezedwe nthawi zonse. Izi zingachepetse chiopsezo chotenga matenda a chithokomiro.

6. Ngakhale kuti vutoli ndi losowa, ndikofunikira kuti aliyense adziwe za vutoli.

Ngati muli ndi vuto monga hyperthyroidism, monga matenda a Graves, onetsetsani kuti mwafunsa dokotala wanu za vuto la chithokomiro komanso momwe mungapewere kuti lisakuchitikireni. Khalani athanzi!

Mphepo ya Chithokomiro , Hyperthyroidism, Chithokomiro, Mahomoni a Chithokomiro, Zizindikiro, Chithandizo, Zadzidzidzi, Matenda a Manda