Ushobora kuba warumvise iby'agahu gato ka tiroyide, agahu gato gafite ishusho nk'iy'ikinyugunyugu gaherereye imbere mu ijosi ryawe. Gakora nk'umuyoboro mu mubiri wacu. Gakora
imisemburo ya tiroyide, ikaba ari ingenzi kuri buri turemangingo two mu mubiri wacu. Ariko rimwe na rimwe imikorere y'aka gahu iragabanuka maze hakabaho ikibazo aho imisemburo ya tiroyide idakorwa bihagije. Ibi twita
hypothyroidism . Uyu munsi turimo kuvuga ku kibazo gikomeye cyane, ndetse gishyira ubuzima mu kaga. Icyo ni Myxedema Coma.
Reka tubanze turebe icyo Hypothyroidism ari cyo.
Muri make, hypothyroidism ni imiterere idakora neza ya tiroyide. Ibi bituma ingingo z'umubiri zigira imikorere igenda buhoro. Ibimenyetso birimo:
Kubera ko ibi bimenyetso bishobora kugaragara ku bantu benshi, hari abantu batatekereza ko ari indwara. Ariko iyo iyi ndwara idasuzumwe neza kandi ngo ivurwe, ishobora kuba akaga.
None se Myxedema Coma ni iki?
Tekereza, iyi ni indwara ibaho iyo hypothyroidism ibaye ikomeye cyane, kandi urugero rw'imisemburo ya tiroyide mu mubiri rukagabanuka cyane. Nubwo iyi ari indwara idasanzwe,
ni ikibazo gikomeye cyane cy’ubuzima . Nubwo ijambo "Coma" riri mu izina rya Myxedema Coma, si abarwayi bose bahita bata ubwenge. Ariko, ubwenge bwabo bushobora kugabanuka cyane kandi bashobora gusinzira cyane ku buryo batabyitabira.
Iki gishobora gufatwa nk'icyiciro cya nyuma kandi gikomeye cyane cya hypothyroidism, bityo rero ni ngombwa kubimenya.
Ni iki gishobora gutera myxedema coma?
Ku muntu usanzwe afite hypothyroidism ikomeye, kimwe muri ibi bikurikira gishobora gutera iyi ndwara iteje akaga.
| Impamvu y'Iterambere | Ibisobanuro |
|---|
| Indwara zandurira mu mubiri | Cyane cyane indwara z'ibihaha (pneumonia) n'iz'inkari. |
| Izindi ndwara | Indwara nko kunanirwa k'umutima no gucika intege kw'imitsi. |
| Ingaruka z'umubiri | Kugira impanuka ikomeye (Ihungabana) cyangwa kubagwa. |
| Imiti imwe n'imwe | Imiti imwe n'imwe nka serivise zituza, lithium, na amiodarone. |
| Kudakurikiza inama z'abaganga | Impamvu ikunze kugaragara cyane ni ukudafata imiti ya tiroyide yatanzwe na muganga neza. |
Ni ibihe bimenyetso biteje akaga ugomba kwitondera?
Iyo umuntu ufite hypothyroidism agize kimwe cyangwa byinshi muri ibi bimenyetso, bishobora kuba ari imbarutso y'indwara yitwa Myxedema Coma.
- Intege nke cyangwa ubunebwe: Umuntu aba asinziriye cyane ku buryo adashobora gukangurwa.
- Urujijo cyangwa kudasubiza: Ntiyumva ibivugwa cyangwa ntasubize.
- Ubushyuhe bw'umubiri buri hasi (Hypothermia): Umubiri wumva ukonje nk'urubura iyo uwukozeho.
- Kubyimba umubiri : Cyane cyane mu maso, ururimi n'amaguru birabyimba.
- Guhumeka bigoranye : Igipimo cyo guhumeka kigabanuka cyane.
Iyo umuntu ufite ibi bimenyetso atazi cyangwa asinziriye mu buryo budasanzwe, ni
ikibazo cyihutirwa kandi agomba kujyanwa kwa muganga vuba . Umuryango cyangwa inshuti zigomba guhita zimujyana mu
ishami rishinzwe ubuvuzi bwihutirwa (ETU) riri hafi.Ugomba kubifata. Gupfusha ubusa igihe byongera ibyago byo kurokoka.
Ibizamini n'uburyo bwo kuvura mu bitaro
Nyuma yo kugezwa kwa muganga, abaganga bihutiye gukora ibizamini byinshi kugira ngo bemeze ko indwara imeze.
- Ibipimo by'amaraso: Ibipimo by'amaraso bireba urugero rw'imisemburo ya tiroyide (TSH, T4), isukari, electrolytes , na cortisol.
- Imyuka yo mu maraso: Igenzura urugero rwa ogisijeni na dioxyde de carbone mu maraso.
- Ikizamini cya ECG: Gisuzuma ibibazo byose bijyanye n'imikorere y'umutima.
Mu rwego rwo kuvura, umurwayi asanzwe yinjira
mu cyumba cy’indembe (ICU) .
- Imisemburo iterwa mu mitsi: Kugira ngo imisemburo ya tiroyide igarurwe vuba, imisemburo itangwa mu buryo bw'inshinge (mu mitsi cyangwa mu buryo bwa IV) .
- Ubufasha: Niba ubushyuhe bw'umubiri buri hasi, bushyushye ukoresheje igitambaro gishyushya . Niba isukari iri hasi mu maraso, tanga isukari. Niba hari ubwandu, tanga imiti yica udukoko. Niba hari ikibazo gikekwa ku ngirabuzimafatizo z'intanga, tanga imiti ya steroide (glucocorticoids).
Ikintu cy'ingenzi imiryango igomba kumenya!
Iyo ibintu nk'ibi bibayeho ku muntu wo mu muryango cyangwa inshuti, icy'ingenzi ni ukudatinya no gukora ikintu gikwiye.
Umuntu uri muri koma ya myxedema aba atazi. Kubwibyo, ntacyo ashobora gukora wenyine. Ntukigere ugerageza gutanga ibinini bya tiroyide mu rugo. Ikintu cyakorwa vuba ni ukumujyana kwa muganga, ETU. Kuko rimwe na rimwe, iyo imiti ya tiroyide itanzwe hamwe n'indi misemburo idafite imisemburo, bishobora guteza ikibazo gikomeye kurushaho (crisis adrenal). Kubwibyo, umuganga wenyine niwe ugomba gufata icyo cyemezo.
Ese iki kibazo gishobora kwirindwa?
Yego! Ikintu cyiza cyo gukora ni ukwirinda iyi ndwara. Biroroshye cyane. Niba ufite hypothyroidism, ikintu cy'ingenzi cyo gukora ni
ugufata imiti ya tiroyide wahawe na muganga wawe mu gipimo gikwiye, mu gihe gikwiye, buri munsi . Ntureke gufata imiti kubera kurambirwa cyangwa kuko ubona "ubu bimeze neza." Nanone, ni ingenzi cyane kubonana na muganga wawe mu bihe bikwiye no gupimwa amaraso nka TSH kugira ngo ukurikirane uko umeze. Ukurikije ibi bintu bibiri byoroshye, ushobora kwirinda indwara ishobora kugutera akaga nka Myxedema Coma.
Ubutumwa bwo kujyana mu rugo
- Myxedema Coma ni indwara ikomeye cyane kandi ishyira ubuzima mu kaga iterwa na hypothyroidism idakira.
- Ibimenyetso by'ingenzi ni ugusinzira cyane, urujijo, ubukonje budasanzwe mu mubiri, kubyimba no guhumeka bigoranye.
- Ubonye ibi bimenyetso, hita ujyana umurwayi mu Ishami rishinzwe Ubuvuzi bwihutirwa (ETU) riri hafi yawe.
- Ntukagerageze gutera imiti ya tiroyide mu rugo kubera impamvu iyo ari yo yose.
- Uburyo bwiza bwo kwirinda ibi ni ugufata imiti ya tiroyide wahawe na muganga wawe buri munsi, mu gipimo cyagenwe, no gushaka inama z'abaganga nk'uko byagenwe.
myxedema coma, hypothyroidism, tiroyide, imisemburo ya tiroyide, hypothyroidism, kubura tiroyide, ubuvuzi bwihutirwa
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Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.