Kodi nthawi zina mumamva ngati mukuthamanga marathon mkati? Muli ndi mantha kwambiri, mukutuluka thukuta kwambiri, mtima wanu ukuthamanga kwambiri ... ndipo mukuchepetsa thupi mosasamala kanthu kuti mumadya motani? Ngati zinthuzi ndizofala kwa inu, ndikofunikira kuti mudziwe za matenda omwe tikukamba lero. Izi zimatchedwa Thyrotoxicosis. Ngakhale dzinalo lingamveke lachilendo pang'ono, palibe choopa. Tiyeni tikambirane mwachidule.
Mwachidule, kodi thyrotoxicosis ndi chiyani?
Mwachidule, Thyrotoxicosis imachitika pamene thupi lanu lili ndi mahomoni ambiri a chithokomiro.
Tsopano mwina mukudabwa kuti hormone iyi ya chithokomiro ndi chiyani. Imapangidwa ndi kachidutswa kakang'ono kooneka ngati gulugufe komwe kali kutsogolo kwa khosi lathu, chithokomiro. Ntchito yayikulu ya hormone iyi ndikulamulira kagayidwe ka thupi m'thupi lathu. Izi zikutanthauza kuti, imalamulira liwiro lomwe chakudya chomwe timadya chimasanduka mphamvu.
Taganizirani thupi lathu ngati injini m'galimoto. Homoni ya chithokomiro ili ngati chofulumizitsa galimotoyo. Ngati ili mu kuchuluka koyenera, injiniyo idzayenda bwino komanso pa liwiro loyenera. Koma mu Thyrotoxicosis, zimakhala ngati chofulumizitsacho chikukanikizidwa nthawi zonse. Ndiye chimachitika ndi chiyani? Injiniyo imayenda mofulumira kwambiri, imatentha, ndikuwotcha mafuta ambiri. Mofananamo, pamene kuchuluka kwa mahomoni a chithokomiro kukukwera, njira zonse m'thupi lathu zimayamba kuthamanga mofulumira kwambiri. Mtima wanu ukugunda mofulumira, thupi lanu limakhala lochepa thupi, ndipo mumakhala ndi nkhawa. Mungamve ngati simukulamulira.
Kodi vutoli likuika moyo pachiswe?
Ngakhale kuti mawu akuti "poizoni" ali m'dzina lake, thyrotoxicosis si nthawi zonse imakhala yoopsa. Komabe, ngati ikhala yoopsa kwambiri , ikhoza kukhala yoopsa. M'mawu azachipatala, timatcha izi kuti thyroid storm . Komabe, iyi ndi vuto losowa kwambiri.
Chifukwa chachikulu cha vuto la chithokomiro ndi kupsinjika kwakukulu mwadzidzidzi. Mwachitsanzo, opaleshoni yayikulu, matenda oopsa, ndi zina zotero. Komanso, ngati mukumwa kale mankhwala a chithokomiro, vutoli lalikulu lingachitike ngati mutasiya kumwa mwadzidzidzi.
Choncho kumbukirani kuti ndikofunikira kwambiri kupeza chithandizo cha matenda a Thyrotoxicosis mwamsanga. Ngati sichichiritsidwa, chingayambitse mavuto ena azaumoyo.
Kodi zizindikiro za thyrotoxicosis ndi ziti?
Zizindikiro za vutoli zimasiyana malinga ndi kuchuluka kwa mahomoni a chithokomiro. Ngati mahomoniwo ali okwera kwambiri, zizindikiro zake zimakhalanso zoopsa kwambiri. Tiyeni tiwone zizindikirozi.
| Chizindikiro | Kufotokozera |
|---|---|
| Kuchepetsa thupi popanda chifukwa | Ngakhale mutadya bwino kapena bwino, mudzachepetsa thupi. Chifukwa chakuti kagayidwe kanu ka chakudya kamakhala kokwera, chakudya chomwe mumadya chimasanduka mphamvu mwachangu ndipo chimatha. |
| Kugunda kwa mtima | Mtima umatha kugunda mofulumira kuposa nthawi 100 pamphindi. Timatcha izi (Tachycardia) . Nthawi zina kugunda kwa mtima kumathanso kukhala kosasinthasintha (Arrhythmia) . |
| Kugwedezeka kwa manja | Kugwedezeka pang'ono, makamaka m'manja, kungachitike. |
| Kusakhazikika maganizo | Ndikumva nkhawa kwambiri, sindingathe kupirira. Ndimakwiya komanso ndimaopa ngakhale zinthu zazing'ono. |
| Kusalolera kutentha | Ena akamamva kutentha kwabwinobwino, iwe umamva kutentha kwambiri. Umatuluka thukuta nthawi zonse. |
| Kusintha kwa msambo pamwezi | Azimayi amatha kukhala ndi msambo wosakhazikika, masiku ochepa, kapena kusiya kwathunthu. |
| Matenda aakulu: Mphepo ya chithokomiro - Pitani kuchipatala nthawi yomweyo! | |
| Zizindikiro zoopsa kwambiri | Kugunda kwa mtima kumawonjezeka kufika pa kugunda kopitilira 140 pamphindi. Malungo akulu, kusakhazikika kwambiri, chisokonezo, komanso kutaya chidziwitso zingachitike. Izi ndi zadzidzidzi zachipatala. Muyenera kupita ku Dipatimenti Yothandiza Pachipatala (ETU) nthawi yomweyo. |
Ngati muli ndi zizindikiro izi, chonde musanyalanyaze. Onetsetsani kuti mwaonana ndi dokotala wanu.
Chifukwa chiyani thyrotoxicosis imachitika?
Pakhoza kukhala zifukwa zingapo za izi. Tiyeni tiwone zazikulu.
- Hyperthyroidism: Ichi ndiye chifukwa chofala kwambiri cha thyrotoxicosis. Hyperthyroidism imachitika pamene chithokomiro chanu chimagwira ntchito mopitirira muyeso ndipo chimapanga mahomoni ambiri. Pali zifukwa zingapo zomwe zimayambitsa izi.
- Matenda a Graves: Ichi ndi vuto la autoimmune. Izi zikutanthauza kuti chitetezo cha mthupi lathu chimaukira chithokomiro chathu, zomwe zimapangitsa kuti chipange mahomoni ambiri.
- Matumbo a chithokomiro: Nthawi zina, matumbo ena omwe amapangika mu chithokomiro amayamba kupanga mahomoni okha.
- Chithokomiro: Apa ndi pamene chithokomiro chimatupa. Chimayambitsidwa ndi matenda osiyanasiyana, mankhwala ena (monga lithiamu, interferons), kapena mavuto a chitetezo chamthupi. Chithokomiro chikatupa, mahomoni omwe amasungidwa mkati mwake amalowa m'magazi. Izi zimawonjezera mahomoni kwakanthawi. Matendawa amathanso kuchitika kwa amayi akabereka (postpartum thyroiditis).
- Kumwa mankhwala ambiri a chithokomiro: Ngati mukulandira chithandizo cha hypothyroidism (kusowa kwa mahomoni a chithokomiro), kumwa mapiritsi ambiri a levothyroxine kuposa omwe dokotala wanu wakupatsani kungayambitse matenda a thyrotoxicosis. Izi zitha kuchitika mosadziwa kapena mwadala.
- Kumeza mahomoni kuchokera ku chakudya: Imeneyi ndi vuto losowa kwambiri. Vutoli lingachitike ngati mudya ng'ombe, yomwe ili ndi minofu ya chithokomiro kuchokera m'khosi mwa ng'ombe ya ng'ombe. Izi zimatchedwanso "hamburger thyrotoxicosis."
Ndani amene ali pachiwopsezo chachikulu cha vutoli?
Pali zinthu zingapo zomwe zimayambitsa matenda a thyrotoxicosis:
- Kukhala ndi mbiri ya banja la matenda a chithokomiro: Matenda monga matenda a Graves, makamaka, amatha kuchitika m'mabanja.
- Kukhala mkazi: Akazi ali ndi mwayi waukulu wopeza matenda a chithokomiro kuposa amuna.
- Kukhala ndi zaka zoposa 60.
- Kukhala ndi matenda ena a autoimmune:Mwachitsanzo, matenda monga matenda a shuga a mtundu woyamba kapena matenda a Addison.
- Kwapita nthawi yayitali kuchokera pamene ndinabereka mwana.
- Kukhala ndi mankhwala a chithokomiro (levothyroxine) kunyumba: Wina m'nyumba akhoza kumwa mankhwala awa mwangozi. Chifukwa chake, ndikofunikira nthawi zonse kusunga mankhwalawo kukhala otetezeka.
Kodi dokotala amapeza bwanji izi?
Mukapita kukaonana ndi dokotala, adzachita zinthu zingapo kuti atsimikizire vutoli.
1. Kuyezetsa thupi: Choyamba, adzakufunsani za zizindikiro zanu ndikukuyesani. Adzafufuza zinthu monga kugunda kwa mtima mofulumira komanso manja omwe amanjenjemera.
2. Kuyezetsa magazi a chithokomiro: Iyi ndi mayeso ofunikira kwambiri. Magazi anu adzayesedwa kuchuluka kwa mahomoni a chithokomiro (T3 ndi T4) ndi kuchuluka kwa TSH (Chithokomiro Cholimbikitsa Chithokomiro). Mu thyrotoxicosis, kuchuluka kwa T3 ndi T4 kumakhala kwakukulu kwambiri kuposa kwachizolowezi, ndipo kuchuluka kwa TSH kumakhala kochepa kwambiri kapena sikungatheke kuwonedwa.
Mwachidule, TSH ndi chizindikiro chochokera ku ubongo kupita ku chithokomiro kuti 'chigwire ntchito'. Popeza thupi lili kale ndi mahomoni ambiri, ubongo umasiya kupereka chizindikirochi. Ichi ndichifukwa chake kuchuluka kwa TSH kumachepa.
3. Mayeso ojambulira: Nthawi zina mayeso ojambulira amatha kuchitidwa kuti athandize kudziwa chomwe chimayambitsa vuto lenileni. Izi zitha kuphatikizapo ultrasound scan ya chithokomiro kapena mayeso a radioactive iodine uptake (RAIU). Dokotala wanu adzakufotokozerani izi.
Kodi chimachiritsidwa bwanji?
Chithandizo cha thyrotoxicosis chimadalira chomwe chimayambitsa. Dokotala wanu adzadziwa chomwe chimayambitsa ndikukupatsani chithandizo choyenera kwambiri kwa inu.
| Njira Yothandizira | Kodi chimachitika ndi chiyani? |
|---|---|
| Mankhwala oletsa chithokomiro | Mankhwala monga methimazole ndi propylthiouracil (PTU) amaletsa chithokomiro kupanga mahomoni. Nthawi zambiri matenda a hyperthyroidism amatha kuchiritsidwa ndi mankhwalawa. |
| Chithandizo cha ayodini cha radioactive (RAI) | Izi zimagwira ntchito powononga maselo a chithokomiro omwe amagwira ntchito mopitirira muyeso. Komabe, pambuyo pa chithandizochi, chithokomiro nthawi zambiri chimakhala chosagwira ntchito kwamuyaya. Kenako muyenera kumwa mapiritsi a chithokomiro (levothyroxine) moyo wanu wonse. |
| Opaleshoni (Opaleshoni - Kuchotsa Chithokomiro) | Nthawi zina, dokotala wanu angakulangizeni opaleshoni yochotsa chithokomiro. Izi zingayambitsenso hypothyroidism yosatha, zomwe zimafuna kuti mumwe mapiritsi a mahomoni moyo wanu wonse. |
| Beta-blockers | Mankhwalawa amangolamulira zizindikiro zokha. Amathandiza kuwongolera zinthu monga kugunda kwa mtima mofulumira, kusakhazikika, komanso kunjenjemera kwakanthawi kochepa. Koma sasintha kuchuluka kwa mahomoni m'magazi. |
| Glucocorticoids | Ngati muli ndi thyroiditis, mankhwala awa angathandize kuchepetsa kutupa ndi ululu. |
Ndi mavuto otani omwe angachitike ngati sanachiritsidwe?
Ngati sichichiritsidwa, thyrotoxicosis, makamaka hyperthyroidism, ingayambitse mavuto aakulu.
- Kugunda kwa mtima kosakhazikika komanso kofulumira (Afib): Kugunda kwa mtima kosakhazikika komanso kofulumira.
- Kulephera kwa mtima (kulephera kwa mtima kokhazikika).
- Stroke (Ischemic stroke).
- Matenda a mafupa: Matenda omwe mafupa amachepa ndipo amasweka mosavuta.
- Kufooka kwa minofu.
Ngati vuto la chithokomiro silinalandire chithandizo mwachangu, lingayambitse khunyu, kulephera kwa mtima, komanso imfa. Choncho musanyalanyaze zizindikiro zake.
Uthenga Wopita Nawo Kunyumba
- Thyrotoxicosis ndi kuwonjezeka kwakukulu kwa mahomoni a chithokomiro m'thupi, zomwe zimapangitsa kuti ntchito zonse m'thupi ziziyenda mofulumira.
- Ngati muli ndi zizindikiro monga kuchepa thupi kosamvetsetseka, kugunda kwa mtima mofulumira, kusakhazikika, komanso kusalolera kutentha, onetsetsani kuti mwaonana ndi dokotala.
- Vutoli lingathe kuchiritsidwa bwino komanso kulamuliridwa. Palibe chifukwa chochita mantha.
- Ngati sanalandire chithandizo, mavuto aakulu monga matenda a mtima ndi sitiroko angachitike.
- Mphepo ya chithokomiro ndi vuto lalikulu lachipatala. Ngati muli ndi zizindikiro monga kutentha thupi kwambiri komanso kusokonezeka maganizo, pitani ku dipatimenti yothandiza anthu odwala mwadzidzidzi (ETU) nthawi yomweyo.
- Ngati mukumwa mankhwala a chithokomiro, imwani mlingo wokhawo womwe dokotala wanu wakupatsani. Sungani mankhwalawa mosamala, kutali ndi ana.
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