Ungave wakambonzwa nezve thyroid gland, ka gland kadiki kakaita seshavishavi kari pamberi pemutsipa wako. Kanoshanda semuchina mumuviri wedu. Kanogadzira
mahormone e thyroid, ayo akakosha kune anenge sero rega rega mumuviri wedu. Asi dzimwe nguva kushanda kwe gland iyi kunoderera uye panoitika mamiriro ezvinhu apo mahormone e thyroid haagadzirwe zvakakwana. Tinoti izvi
hypothyroidism . Nhasi tiri kutaura nezvenyaya yakanyanya kuipa, inotouraya. Ndiyo Myxedema Coma.
Kutanga, ngationei kuti Hypothyroidism chii.
Zvichitaurwa zviri nyore, hypothyroidism igland re thyroid risingashande zvakanaka. Izvi zvinoita kuti nhengo dzemuviri dzishande zvishoma. Zviratidzo zvinosanganisira:
Nekuti zviratidzo izvi zvinogona kuonekwa nevanhu vazhinji, vamwe vanhu havatombofungi kuti chirwere. Asi kana chirwere ichi chikasaongororwa zvakanaka uye chikarapwa, chinogona kuva nengozi.
Saka chii chinonzi Myxedema Coma?
Fungidzira, ichi chirwere chinoitika kana hypothyroidism ikanyanya kuipa, uye huwandu hwehormone yethyroid mumuviri huchidzikira kusvika padanho rakaderera zvine njodzi. Kunyangwe ichi chiri chirwere chisingawanzoitiki,
idambudziko rehutano rinotyisidzira hupenyu . Kunyangwe izwi rekuti "Coma" riri muzita rekuti Myxedema Coma, havasi varwere vese vanoshaya kuziva. Zvisinei, pfungwa dzavo dzinogona kunge dzakakanganisika zvakanyanya uye vanogona kunge vakarara zvekuti havachakwanisi kupindura.
Ichi chinogona kutorwa sedanho rekupedzisira, rakaipisisa re hypothyroidism, saka zvakakosha kuziva izvi.
Chii chinogona kukonzera myxedema coma?
Kune mumwe munhu atova ne hypothyroidism yakanyanya, chero chiitiko chinotevera chinogona kukonzera chirwere ichi chine njodzi.
| Chinhu Chinokonzera Zvikonzero | Tsananguro |
|---|
| Utachiona | Kunyanya mapapu (pneumonia) uye zvirwere zvemunzira yeweti. |
| Zvimwe zvirwere | Zvirwere zvakaita sekushaya simba kwemoyo uye sitiroko. |
| Migumisiro yemuviri | Kuita tsaona huru (Trauma) kana kuvhiyiwa. |
| Mimwe mishonga | Mimwe mishonga yakaita seyekunyaradza, lithium, uye amiodarone. |
| Kukundikana kutevedzera mazano ekurapa | Chikonzero chinonyanya kukosha! Kusatora mushonga we thyroid wakanyorerwa nachiremba chaizvo. |
Ndezvipi zviratidzo zvine njodzi zvekuchenjerera?
Kana munhu ane hypothyroidism akasangana nechimwe chezviratidzo izvi kana kupfuura, zvinogona kunge zviri kutanga kwechirwere chinonzi Myxedema Coma.
- Kushaya simba kana kuneta: Munhu anorara zvakanyanya zvekuti haakwanise kumutswa.
- Kuvhiringidzika kana kusapindura: Haanzwisisi zviri kutaurwa kana kuti haapinduri.
- Kupisa muviri kwakaderera (Hypothermia): Muviri unonzwa kutonhora sechando kana ukangobatwa.
- Kuzvimba kwemuviri : Kunyanya kumeso, rurimi, nemakumbo zvinozvimba.
- Kuoma kwekufema : Kufema kunoderera zvakanyanya.
Kana munhu ane zviratidzo izvi asina chaanoziva kana kuti aine hope dzisingawanzoitiki,
idambudziko rekukurumidza uye anofanira kuendeswa kuchipatara nekukasika . Mhuri kana shamwari dzinofanira kumuendesa
kuEmergency Treatment Unit (ETU) iri pedyo.Unofanira kuitora. Kutambisa nguva kunongowedzera njodzi yehupenyu hwako.
Kuongororwa uye kurapwa kuchipatara
Mushure mekuunzwa kuchipatara, vanachiremba vakakurumidza kuita bvunzo dzakawanda kuti vasimbise mamiriro acho ezvinhu.
- Kuongororwa kweropa: Kuongororwa kweropa kunoongorora huwandu hwemahormone ethyroid (TSH, T4), shuga, maelectrolyte , uye cortisol.
- Magasi eropa: Anotarisa huwandu hweokisijeni nekabhoni dhayokisaidhi muropa.
- Kuongororwa kweECG: Kunoongorora matambudziko aripo pakushanda kwemoyo.
Sekurapwa, murwere anowanzo pinda
muIntensive Care Unit (ICU) .
- Mahormone anopinzwa mutsinga: Kuti hormone yethyroid idzoke nekukurumidza, mahormone anopinzwa mutsinga (mutsinga kana mutsinga) .
- Kubatsira: Kana tembiricha yemuviri yakaderera, idziise negumbeze rinodziya . Kana shuga yeropa yakaderera, ipai glucose. Kana paine hutachiona, ipai mishonga inorwisa mabhakitiriya. Kana paine fungidziro yekuti pane dambudziko neadrenal glands, ipai mishonga inorwisa mabhakitiriya (steroids) (glucocorticoids).
Chinhu chinonyanya kukosha chinofanira kuzivikanwa nemhuri!
Kana mamiriro ezvinhu akadai akaitika kumunhu wemhuri kana shamwari, chinhu chakakosha ndechekusavhunduka woita zvakanaka.
Munhu ari mu myxedema coma anenge asina chaanoziva. Saka, haagoni kuita chero chinhu ega. Usamboedza kupa mapiritsi e thyroid kumba. Chinhu chekutanga chekuita ndechekuenda naye kuchipatara, ETU. Nekuti dzimwe nguva, kana mushonga we thyroid ukapihwa pamwe chete nemamwe mahormone asina kukwana, zvinogona kukonzera dambudziko guru (adrenal crisis). Saka, chiremba chete ndiye anofanira kuita sarudzo iyoyo.
Mamiriro ezvinhu aya anogona kudzivirirwa here?
Ehe! Chinhu chakanakisa chekuita ndechekudzivirira chirwere ichi kuti chisaitike. Zviri nyore chaizvo. Kana uine hypothyroidism, chinhu chakakosha kuita
kutora mushonga we thyroid wawakanyorerwa nachiremba wako muchiyero chakakodzera, panguva yakakodzera, zuva nezuva . Usarega kutora mushonga nekuda kwekufinhwa kana kuti nekuti unofunga kuti "zvava nani izvozvi." Zvakare, zvakakosha kuona chiremba wako panguva dzakakodzera uye kuongororwa ropa seTSH kuti uone mamiriro ako. Nekutevera zvinhu zviviri izvi zviri nyore, unogona kuzvidzivirira zvachose kubva kuchirwere chine njodzi seMyxedema Coma.
Mharidzo Yekuenda Nayo Kumba
- Myxedema Coma ndiyo dambudziko guru uye rinotyisidzira hupenyu re hypothyroidism isingarapwe.
- Zviratidzo zvikuru kurara zvakanyanya, kuvhiringidzika, muviri unotonhora zvisingawanzoitiki, kuzvimba, uye kufema zvakaoma.
- Kana ukaona zviratidzo izvi, kurumidza kuenda nemurwere kuEmergency Treatment Unit (ETU) iri pedyo.
- Usaedze kubaya mapiritsi ethyroid kumba chero chikonzero chipi zvacho.
- Nzira yakanakisisa yekudzivirira izvi ndeyekutora mushonga we thyroid wawakanyorerwa nachiremba wako zuva nezuva, muchiyero chakatarwa, uye kutsvaga mazano echiremba sezvawakanyorerwa.
myxedema coma, hypothyroidism, thyroid, thyroid hormone, hypothyroidism, kushomeka kwethyroid, kurapwa kwekukurumidzira
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