Gwara rako remudumbu rakaita sedutu here? (Gwara remudumbu) Ngatidzidzei nezvedambudziko iri rine njodzi!

Wakambonzwa nezvechinhu chinonzi 'Thyroid Storm' here? Zita racho rinonzwika serinotyisa, handiti? Chaizvoizvo chirwere chakakomba chinoda kurapwa nekukurumidza uye chinogona kuisa hupenyu panjodzi. Kutaura chokwadi, kuburitswa kwemahormone ethyroid kamwe kamwe, kwakawandisa kubva mugland rethyroid. Ngatitaurei nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.

Chii chinonzi thyroid gland? Chii chinoita kuti ishande?

Iye zvino ungangove uchifunga kuti, 'Chii chinonzi thyroid gland iyi?' Zviri nyore kwazvo. Igland diki riri pamberi pemutsipa wako, rakaita seshavishavi. Gland diki iri rinoita basa rakawanda rinokosha mumuviri wedu.

Gland re thyroid rinoburitsa mahormone maviri makuru: triiodothyronine (T3) uye thyroxine (T4) . Pamwe chete, mahormone maviri aya anonzi mahormone e thyroid. Mahormone aya anodzora tembiricha yemuviri wedu, kurova kwemoyo, uye, chinonyanya kukosha, metabolism yedu.

Kuchinja kwemuviri, muchidimbu, ndiko kukurumidza kunoita miviri yedu kugadzirisa zvinhu, ndiko kuti, kukurumidza kwatinoita kushandura chikafu chatinodya kuita simba nekupisa. Zvino fungidzira, kana dambudziko rethyroid rikaitika, huwandu hwakawanda hwemahormone ethyroid hunongoerekana hwaungana mumuviri. Chii chinoitika ipapo? Kuchinja kwemuviri wedu kunova nekukurumidza zvisingafungidzike. Sechitima chinomhanya! Izvi zvine njodzi zvikuru, zvichitotyisidzira hupenyu.

Kana kugaya chikafu kwakanyanya uku kwaitika, muviri wedu unoda okisijeni yakawanda. Kuti tigutse kuda kwakawanda kweokisijeni, mwoyo yedu inotanga kurova nekukurumidza. Tinoidaidza kuti tachycardia . Nekuda kwekumhanya uku kukuru, moyo hauchakwanisi kurarama uye kunyange kutadza kwemoyo kunogona kuitika. Unonzwisisa here kuti zvine njodzi yakadii?

Ndiani ane mukana mukuru wekuva nechirwere chethyroid?

Thyroid storm imhedzisiro yakakomba yechirwere chinonzi hyperthyroidism , icho chiri kugadzirwa kwehormone yethyroid yakawandisa. Saka, vanhu vane zvirwere zvinokonzera hyperthyroidism, zvakaita sechirwere cheGraves kana chepfu thyroid adenoma, vane mukana mukuru wekuva nayo.

Kufanana nezvimwe zvirwere zve thyroid, chirwere ichi chinowanzoitika kuvakadzi kupfuura kuvarume. Vanachiremba vanoti chinowanzoitika kuvanhu vane makore ari pakati pe42-43.

Dambudziko iri rakajairika zvakadii?

Madutu e thyroid haawanzoitiki .Chimwe chinhu. Izvi zvinoreva kuti hazviwanzoitiki. Semuenzaniso, zvichienderana nehuwandu hweUnited States, chirwere ichi chinoitika pakati pevanhu 5 ne7 pamiriyoni. Asi kunyangwe zvisingawanzoitiki, hazviiti kuti chisanyanya kuipa.

Zvinonzwa sei kuva nedutu re thyroid?

Nekuti mahormone aya ethyroid anokanganisa nhengo dzakawanda dzemuviri, kana uine dambudziko rethyroid, uchanzwa kunzwa kwakanyanya mumuviri wako wese, sekunge kuri kupisa kubva mukati. Unogona kusangana nezvinhu zvakaita se:

• Kunopisa zvikuru uye ndiri kudikitira zvakanyanya. Zvakafanana nekuva pedyo nechitofu.
• Mwoyo wako uri kurova nekukurumidza zvekuti unonzwa sekunge uchasvetuka kubva muchipfuva chako. Ungatonzwa ruzha irworwo.
• Ndiri kunzwa kusagadzikana, kunetseka, uye kunetseka. Moyo wangu unorova pasina chikonzero.
• Muviri wangu uri kudedera. Zvinoita sekunge ndiri kutonhorwa, asi zviri kupisa chaizvo.
• Ndinonzwa sekuti ndiri kurwadziwa nemudumbu, kuda kurutsa, uye kurutsa.
• Ndinonzwa sekunge handigoni kudzora muviri wangu. Makumbo angu ari kurwadza, mashoko angu ari kushata.
• Ndiri kunzwa kuvhiringidzika uye kuvhiringidzika. Ndiri kutadza kunzwisisa zviri kuitika.

Kana uine chimwe chezviratidzo izvi, chinhu chakakosha kuita kuenda kuchipatara chiri pedyo nekukurumidza, pasina kunonoka kwesekondi.

Chii chinokonzera dambudziko re thyroid?

Vaongorori havasati vaziva kuti chii chinokonzera thyroid storm. Zvisinei, zvinogona kuitika kana uine hyperthyroidism kwenguva refu isingarapwe. Asi kazhinji, inokonzerwa nechiitiko chakakomba. Kureva kuti, "chinokonzera."

Fungidzira, dzimwe nguva amai vedu kana tete vanotora mushonga we thyroid. Pamwe mumwe munhu anoti, 'Hazvina kunaka kuramba uchitora mushonga iwoyo,' kana kuti pamwe zvanonoka kuutora zvakare mushure mekunge mushonga wapera. Kana ukarega mushonga kamwe kamwe, hyperthyroidism inogona kuipa, uye chirwere ichi chine njodzi chinonzi thyroid storm chinogona kukura. Ndosaka zvisina kunaka kurega mushonga kana kuchinja dosage pasina zano rechiremba.

Zvinotevera ndizvo zvinokonzera chirwere chethyroid:

• Unofanira kurega kutora mushonga wako we thyroid, zvinoreva mushonga we antithyroid, kamwe kamwe.
• Kuvhiyiwa kwegland re thyroid (thyroidectomy) kuvhiyiwa kwekubvisa gland re thyroid.
• Kumwe kuvhiyiwa kukuru kusina chekuita ne thyroid.
• Tsaona, kukuvara kwakanyanya (Kukuvara) .
• Utachiona hwakakomba mumuviri, hwakadai sepneumonia.
• Chirwere cheshuga Ketoacidosis (DKA) , Kukundikana kwemoyoDambudziko rekukurumidzira, rakadai sechirwere chemwoyo, kana kuti kukanganiswa kwakanyanya nemishonga.
• Mishonga yekuenzanisa ine iodine, iyo inoshandiswa mune dzimwe bvunzo dzeX-ray, inogona kukonzera kuwedzera kamwe kamwe kwehuwandu hwe iodine mumuviri.
• Kuzvarira mwana mukadzi.
• Kurohwa nestroke .

Ndezvipi zviratidzo zvechirwere chethyroid?

Sezvatakambotaura kare, panogona kuva nezviratidzo zvakawanda zveizvi.

Zviratidzo nezviratidzo zvakajairika:

• Fivha yakanyanya - fivha ye104 kusvika 106 degrees Fahrenheit (inenge 40-41 degrees Celsius). Iyi haisi fivha yakajairika, asi fivha yakanyanya.
• Mwoyo unorova nekukurumidza (Tachycardia) - unogona kurova kupfuura 140 paminiti.
• Kunzwa kusagadzikana, kutsamwa, uye/kana kunetseka.
• Kuvhiringidzika mupfungwa - Kushaya ruzivo rwekuti uri kupi, nguva, uye vanhu vaunoziva.
• Kukundikana kwemoyo mudumbu kunogona kuitika.
• Kurasikirwa nepfungwa.

Zviratidzo zvisingawanzoitiki:

• Kusvotwa zvakanyanya uye/kana kurutsa.
• Manyoka.
• Kurwadziwa kwakanyanya mudumbu.
• Kutsvuka kweganda kana maziso, kureva kuti, jaundice .

Dambudziko iri re thyroid rinoonekwa sei?

Chiremba achaongorora chirwere chethyroid zvichibva pazviratidzo zvakakomba uye zvinotyisidzira hupenyu hwemurwere (zvakadai sefivha yakanyanya, matambudziko emwoyo), huwandu hwakawanda hwemahormone ethyroid (T3, T4) muropa, uye huwandu hwakaderera hwehormone inokurudzira thyroid (TSH) .

Zvisinei, sezvo izvi zvichityisidzira hupenyu uye kurapwa nekukurumidza kwakakosha, kazhinji, vanachiremba havamiriri mhinduro dzekuongororwa ropa, asi vanotanga kurapwa nekukasika kana vachifungidzira kuti thyroid yatanga kurwara zvichibva pazviratidzo. Nekuti sekondi yega yega inoverengwa.

Pamusoro pezvo, vanachiremba vanotsvagawo zviratidzo zveizvi kuburikidza nekuongororwa kwemuviri. Izvi zvinosanganisira:

• Goiter , zvinoreva kuti thyroid gland yakakura, inoongororwa.
• Ophthalmopathy , mhedzisiro yechirwere cheGraves, inoratidzwa nekuzvimba kwemaziso uye kuzvimba kwemaziso.
• Kunonoka kwechivharo , zvinoreva kuti paunotarisa pasi, unoona kana ziso repamusoro rakareba kupfuura zvarinofanira kunge riri.
• Une kubvunda kwemaoko here?
• Une ganda rinodziya uye rakanyorova here?
• Kuongororwa kwechirwere chemwoyo chinonzi tachycardia kana atrial fibrillation .

Dambudziko iri re thyroid rinorapwa sei?

Nekuti iyi inyaya yekukurumidzira yekurapa, uchafanirwa kurara muchipatara, kazhinji muIntensive Care Unit (ICU), kuitira kuti timu yezvekurapa ikwanise kunyatsoongorora mamiriro ako.

Nzira yekurapa chirwere chethyroid inogona kukamurwa kuita zvikamu zvina zvikuru:

1. Kurapa kunodzora kugadzirwa nekuburitswa kwemahormone ethyroid nekukurumidza: Izvi zvinosanganisira kupa mushonga we antithyroid (semuenzaniso, Thionamides ) kumisa kugadzirwa kwemahormone matsva. Uyewo, mushonga we iodine unopihwa kumisa kuburitswa kwemahormone atogadzirwa ne thyroid gland.

2. Kurapa masisitimu emuviri wako, kunyanya mwoyo, anokanganiswa nemahormone ethyroid akawandisa: MaBeta-blockers anopiwa kudzora kurova kwemoyo neBP.

3. Kurapa chirwere chakakonzera dambudziko re thyroid: Semuenzaniso, kana chiri chirwere, uchapihwa mishonga inorwisa mabhakitiriya.

4. Mamwe marapirwo anobatsira nezviratidzo uye migumisiro:

• Acetaminophen (Paracetamol) nemagumbeze ekutonhodza zvinoshandiswa kuderedza tembiricha yemuviri.
• Mishonga yakaita se bile acid sequestrants inogona kupihwa kudzivirira kutorwazve kwemahormone ethyroid kubva mudumbu.
• Kana paine dambudziko rekufema, rutsigiro rwekufema, senge okisijeni yekuwedzera, runopihwa.

Ndichanzwa zviri nani kwenguva yakareba sei mushure mekurapwa?

Kana ukawana kurapwa kwakakodzera nekukurumidza, unowanzoona kuvandudzika kukuru muhutano hwako mukati memaawa makumi maviri nemana. Zviratidzo zvako zvinodzikira uye unotanga kunzwa zviri nani zvishoma. Zvisinei, zvinogona kutora vhiki imwe kana kupfuura kuti unyatsopora kubva pachikonzero cheThyroid Storm, kana chirwere chacho charapwa.

Ndinogona here kudzivirira dambudziko re thyroid?

Haasi ese madutu e thyroid anogona kudzivirirwa, sezvo dzimwe nguva achigona kukonzerwa nechiitiko chisingatarisirwi. Zvisinei, kana uine hyperthyroidism kare, pane zvimwe zvinhu zvakakosha zvaunogona kuita kuti uedze kudzivirira chirwere ichi chine njodzi:

• Nguva dzose tora mushonga wako we thyroid sezvawakarairwa nachiremba wako, nenguva. Usapotsa zuva rimwe chete.
• Ona chiremba wako nguva nenguva uye ongororwa zvinodiwa kuti uve nechokwadi chekuti kurapwa kwako kuri kushanda nemazvo uye kuti huwandu hwemahormone ako huri pasi pesimba.
• Deredza kushushikana zvakanyanya sezvinobvira. Zvinhu zvakaita sekufungisisa nekurovedza muviri zvinogona kubatsira.
• Kana uchizovhiyiwa, udza vanachiremba vako pachine nguva kuti une hyperthyroidism. Vachabva vatora matanho anodiwa kudzivirira dambudziko re thyroid, zvichida vachikupa mishonga ye antithyroid usati wavhiyiwa.
• Kunyanya kana uine hyperthyroidism uye uchizovhiyiwa thyroid (thyroidectomy) , chiremba wako angangokupa mimwe mishonga usati wavhiyiwa kuti akugadzirire, kuderedza njodzi yekubatwa ne thyroid storm.

Chii chinonzi fungidziro yechirwere chethyroid?

Dutu rethyroid chirwere chinokurumidzira chinogona kuuraya kana chikasarapwa.

Rufu runogona kuitika nekuda kwekutadza kushanda zvakanaka kwemoyo, kusagadzikana kwemoyo, kana kutadza kushanda zvakanaka kwenhengo dzakawanda dzemuviri . Zvisinei, kana vanhu vazhinji vakaonekwa nekukurumidza uye vakarapwa zvakanaka, vanopora mukati memaawa makumi maviri nemana.

Zvisinei, mune dzimwe nguva, pane zvinhu zvinogona kuderedza mukana wekupora. Zvimwe zvacho zvinosanganisira:

• Kana murwere akura zvikuru.
• Kana paine matambudziko makuru etsinga (semuenzaniso, kurasikirwa nepfungwa, kuvhiringidzika) pakupinda muchipatara.
• Kana zvisingaite kupa mishonga inokosha inodiwa (beta-blockers, mishonga yekurwisa thyroid) nekuda kwezvimwe zvirwere (semuenzaniso, kutadza kupa beta-blockers nekuda kwezvirwere zvakaita seasthma).
• Kana itsvo dzako dzisisina kushanda zvakanaka nekuda kwedambudziko re thyroid uye uchida dialysis , kana kuti usingakwanise kufema uye uchida mhepo yekufema yemuchina .

Dutu reThyroid rinogona kuuraya here?

Ehe, zvinosuwisa kuti Thyroid Storm inogona kuuraya. Ichi chirwere chinoisa hupenyu panjodzi. Kana chikasarapwa, rufu runenge rwatovepo. Kunyangwe nekurapwa, mune dzimwe nguva dzakaoma, rufu runogona kuitika. Maererano nehuwandu, pakati pe10% ne30% yeThyroid Storms inonzi inokonzera rufu.

Ndosaka tichiramba tichiti, kana uine zviratidzo zve thyroid storm, zvakakosha zvikuru kuenda kuchipatara nekukurumidza, pasina kunonoka kwesekondi. Usamirire kusvika zviratidzo zvawedzera kuipa.

Ndezvipi zvimwe zvinetso zvinogona kuitika neThyroid Storm?

Kana kurapwa kukanonoka kana kusagamuchirwa nemazvo, chirwere chethyroid chinogona kukonzera matambudziko akakomba. Mamwe acho anosanganisira:

• Kukundikana kwemoyo kuri kuwedzera.
• Muzvikamu zvakasiyana-siyana zvemuviriKugwamba kweropa kunogona kuumbwa, izvo zvinogona kukonzera zvirwere zvakakomba zvakaita sestroko.
• Kubatwa nepfari kwakadai sepfari.
• Kusaziva zviri kuitika.
• Coma ihope huru uye kurasikirwa nepfungwa.

Ndinofanira kuenda kuEmergency Room riini?

Kana uine chimwe kana zviratidzo zvakawanda zvaunofunga kuti chingave chirwere chethyroid, zvakaita sefivha yakanyanya, kurova kwemoyo nekukurumidza, kusagadzikana kwakanyanya, kana kuvhiringidzika , enda kuchipatara che emergency chiri pedyo nekukurumidza, nekukurumidza sezvinobvira. Usatambisa nguva.

Ndezvipi zvinhu zvakakosha zvatinofanira kuyeuka kubva munyaya iyi? (Mharidzo Yekuenda Kumba)

Zvakanaka, kubva pane zvatataura nezvazvo, izvi ndizvo zvinhu zvakakosha kurangarira:

1. Dutu reThyroid chirwere chine njodzi zvikuru, chinouraya chinoda kurapwa nekukurumidza. Izvi hazvisi zvemutambo.

2. Izvi zvinowanzokonzerwa nevanhu vane hyperthyroidism (hormone yethyroid yakawandisa), kunyanya avo vasingapihwe kurapwa kwakakodzera, kana kuti nechirwere chinongoerekana chaitika.

3. Ziva zviratidzo zvakaita sefivha yakanyanya, kurova kwemoyo nekukurumidza, kusagadzikana kwakanyanya, kudikitira, uye kuvhiringidzika .

4. Kana ukaona chimwe chezviratidzo izvi, enda kuchipatara nekukasika pasina kunonoka. Kurapwa nekukasika kunogona kuponesa hupenyu.

5. Kana uine hyperthyroidism, tevera mirairo yachiremba wako, tora mishonga yako nemazvo, uye gara uchiongororwa. Izvi zvinogona kuderedza njodzi yekuva nechirwere chethyroid.

6. Kunyangwe chirwere ichi chisingawanzoitiki, zvakakosha kuti munhu wese azive nezvacho.

Kana uine chirwere chakadai se hyperthyroidism, chakadai sechirwere cheGraves, iva nechokwadi chekubvunza chiremba wako nezve thyroid storm uye maitiro ekudzivirira kuti chisaitike kwauri. Ramba uine hutano hwakanaka!

Dutu reThroyidhiya , Hyperthyroidism, Gland reThroyidhiya, Mahormone eThroyidhiya, Zviratidzo, Kurapwa, Emergency, Chirwere cheMakuva