Dzimwe nguva unonzwa sekunge uri kumhanya marathon mukati here? Une kutya kukuru, uri kudikitira zvakanyanya, moyo wako uri kumhanya... uye uri kudzikira huremu zvisinei nekuti unodya zvakadii? Kana zvinhu izvi zvakajairika kwauri, zvakakosha kuti uzive nezvechirwere chatiri kutaura nezvacho nhasi. Izvi zvinonzi Thyrotoxicosis. Kunyangwe zita racho ringanzwika serisinganzwisisike, hapana chekutya. Ngatitaurei nezvazvo zviri nyore.
Zvichitaurwa zviri nyore, chii chinonzi thyrotoxicosis?
Muchidimbu, thyrotoxicosis inoitika kana muviri wako uine thyroid hormone yakawandisa.
Zvino ungave uchishamisika kuti iyi thyroid hormone chii. Inogadzirwa negland diki rakaita seshavishavi riri pamberi pemutsipa wedu, iro thyroid gland. Basa guru reiyi hormone nderekudzora metabolism yemuviri wedu. Kureva kuti, inodzora mwero wekushandurwa kwechikafu chatinodya kuita simba.
Funga nezvemuviri wedu seinjini iri mumotokari. Hormone yethyroid yakafanana neinosimudzira mota iyoyo. Kana iri muhuwandu hwakakodzera, injini ichafamba zvakanaka uye nekumhanya kwakakodzera. Asi muThyrotoxicosis, zvinoita sekunge iyo inosimudzira iri kugara ichidzvanywa. Chii chinoitika ipapo? Injini inomhanya nekukurumidza, inopisa, uye inopisa mafuta akawandisa. Saizvozvowo, kana huwandu hwehomoni yethyroid hukawedzera, maitiro ese mumuviri wedu anotanga kumhanya nekukurumidza. Mwoyo wako unorova nekukurumidza, muviri wako unotetepa, uye unonzwa kunetseka. Ungangonzwa usina simba rekudzora.
Dambudziko iri rinotyisidzira hupenyu here?
Kunyange hazvo izwi rekuti "chepfu" riri muzita, thyrotoxicosis haisi chirwere chinotyisidzira hupenyu nguva dzose. Zvisinei, kana chikanyanya kuipa, chinogona kutyisidzira hupenyu. Mukurapa, tinoti izvi idutu rethyroid . Zvisinei, ichi chirwere chisingawanzoitiki.
Chikonzero chikuru chedutu rethyroid idambudziko guru rinowanzoitika kamwe kamwe. Semuenzaniso, kuvhiyiwa kukuru, hutachiona hwakanyanya, nezvimwewo. Zvakare, kana watove kutora mushonga wethyroid, chirwere ichi chakakomba chinogona kuitika kana ukangoerekana warega kuutora.
Saka yeuka, zvakakosha zvikuru kuwana mushonga we common Thyrotoxicosis nekukurumidza sezvinobvira. Kana ikasarapwa, inogona kukonzera mamwe matambudziko ehutano.
Ndezvipi zviratidzo zve thyrotoxicosis?
Zviratidzo zvechirwere ichi zvinosiyana zvichienderana nekuti huwandu hwemahormone ethyroid hwakakwira zvakadii. Kana huwandu hwemahormone hwakakwira zvakanyanya, zviratidzo zvacho zvakanyanyawo. Ngationei kuti zviratidzo izvi ndezvipi.
| Chiratidzo | Tsananguro |
|---|---|
| Kuderedza uremu pasina chikonzero | Kunyangwe ukadya zvakanaka kana zviri nani, uchadzikira huremu. Nekuti metabolism yako yakakwira, chikafu chaunodya chinokurumidza kushandurwa kuita simba uye kupedzwa. |
| Kurova kwemoyo | Mwoyo unogona kurova nekukurumidza kupfuura ka100 paminiti. Izvi tinozvidaidza kuti (Tachycardia) . Dzimwe nguva kurova kwemoyo kunogonawo kunge kusina kurongeka (Arrhythmia) . |
| Kudedera kwemaoko | Kudedera kudiki, kunyanya mumaoko, kunogona kuitika. |
| Kusagadzikana kwepfungwa | Ndiri kunetseka zvikuru, handichakwanisi kutsungirira. Ndinotsamwa uye ndinotya kunyange zvinhu zvidiki diki. |
| Kusashivirira kupisa | Kana vamwe vachinzwa kupisa kwakajairika, unonzwa kupisa kwakanyanya. Unogara uchidikitira. |
| Kuchinja kwekuenda kumwedzi pamwedzi | Vakadzi vanogona kusangana nemwedzi isina kurongeka, mazuva mashoma, kana kumira zvachose. |
| Dambudziko guru: Dutu reThroyidhi - Enda kuchipatara nekukasika! | |
| Zviratidzo zvakakomba zvikuru | Kurova kwemoyo kunowedzera kusvika pakurova kunopfuura 140 paminiti. Fivha yakanyanya, kusagadzikana kwakanyanya, kuvhiringidzika, uye kurasikirwa nepfungwa zvinogona kuitika. Iyi idambudziko rehutano. Unofanira kuenda kuEmergency Department (ETU) yechipatara nekukasika. |
Kana uine chimwe chezviratidzo izvi, ndapota usazviregeredza. Iva nechokwadi chekuona chiremba wako.
Sei thyrotoxicosis ichiitika?
Panogona kunge paine zvikonzero zvakawanda zveizvi. Ngatitarisei zvikuru.
- Hyperthyroidism: Ichi ndicho chinonyanya kukonzera thyrotoxicosis. Hyperthyroidism inoitika kana gland rako re thyroid rikatanga kushanda zvakanyanya uye richigadzira mahormone akawandisa. Pane zvikonzero zvakawanda zvinokonzera izvi.
- Chirwere cheGraves: Ichi chirwere chinokonzerwa ne autoimmune. Izvi zvinoreva kuti masoja emuviri wedu anorwisa thyroid gland yedu, zvichiita kuti igadzire mahormone akawanda.
- Mapundu ethyroid: Dzimwe nguva, mamwe mapundu anoumbwa mugland re thyroid anotanga kugadzira mahormone ega.
- Thyroiditis: Apa ndipo apo thyroid gland inozvimba. Inogona kukonzerwa nehutachiona hwakasiyana-siyana, mimwe mishonga (semuenzaniso, lithium, interferons), kana matambudziko ekudzivirira muviri. Kana thyroid ikazvimba, mahormone akachengetwa mairi anodonhera muropa. Izvi zvinowedzera huwandu hwemahormone kwenguva pfupi. Dambudziko iri rinogonawo kuitika kuna vanaamai mushure mekusununguka (postpartum thyroiditis).
- Kutora mishonga yakawandisa yethyroid: Kana uri kurapwa hypothyroidism (kushomeka kwehormone yethyroid), kutora mapiritsi akawanda e levothyroxine kupfuura akanyorerwa nachiremba wako kunogona kukonzera thyrotoxicosis. Izvi zvinogona kuitika usingazivi kana kuti uchiziva.
- Kudya mahormone kubva muchikafu: Ichi chirwere chisingawanzoitiki. Chirwere ichi chinogona kuitika kana ukadya nyama yemombe, ine thyroid tishu kubva mumutsipa wemombe yemombe. Izvi zvinonziwo "hamburger thyrotoxicosis."
Ndiani ari panjodzi huru yechirwere ichi?
Kune zvinhu zvakawanda zvinowanzokonzera thyrotoxicosis:
- Kuva nenhoroondo yemhuri yechirwere chethyroid: Matambudziko, kunyanya chirwere cheGraves, anogona kuitika mumhuri.
- Kuva mukadzi: Vakadzi vane mukana mukuru wekuwana chirwere chethyroid kupfuura varume.
- Kuva nemakore anopfuura makumi matanhatu.
- Kune zvimwe zvirwere zve autoimmune:Semuenzaniso, zvirwere zvakaita sechirwere cheshuga cherudzi rwekutanga kana chirwere cheAddison.
- Yave nguva yakareba kubva pandakava nemwana.
- Kuva nemishonga ye thyroid (levothyroxine) kumba: Mumwe munhu ari mumba anogona kutora mushonga uyu netsaona. Saka, zvakakosha kuchengetedza mushonga uyu nguva dzose.
Chiremba anowana sei izvi?
Paunoenda kunoona chiremba, anotora matanho akati wandei kuti asimbise chirwere ichi.
1. Kuongororwa kwemuviri: Kutanga, vachakubvunza nezvezviratidzo zvako uye vachakuongorora. Vachaongorora zvinhu zvakaita sekurova kwemoyo nekukurumidza uye maoko anodedera.
2. Kuongororwa kweropa re thyroid: Uku ndiko kuongorora kwakakosha zvikuru. Ropa rako richaongororwa huwandu hwe thyroid hormone (T3 na T4) uye huwandu hwe TSH (Troid-Stimulating Hormone). Mu thyrotoxicosis, huwandu hweT3 na T4 hwakakwira zvakanyanya kupfuura zvakajairwa, uye huwandu hweTSH hwakaderera zvakanyanya kana kuti hauonekwe.
Zvichitaurwa zviri nyore, TSH chiratidzo chinobva kuuropi kuenda kugland re thyroid kuti 'chishande'. Sezvo muviri watova nemahormone akawanda, uropi hunomira kupa chiratidzo ichi. Ndosaka huwandu hweTSH huchidzikira.
3. Kuongororwa kwemifananidzo: Dzimwe nguva kuongororwa kwemifananidzo kunogona kuitwa kuti kubatsire kuona chikonzero chaicho. Izvi zvinogona kusanganisira thyroid ultrasound scan kana radioactive iodine uptake (RAIU). Chiremba wako achakutsanangurira izvi.
Inorapwa sei?
Kurapwa kwe thyrotoxicosis kunoenderana nechikonzero. Chiremba wako ndiye achaona chikonzero uye achakurudzira kurapwa kwakakunakira.
| Nzira yekurapa | Chii chinoitika kwairi? |
|---|---|
| Mishonga yekurwisa thyroid | Mishonga yakaita semethimazole nepropylthiouracil (PTU) inomisa thyroid gland kugadzira mahormone. Zviitiko zvakawanda zve hyperthyroidism zvinogona kurapwa nemishonga iyi. |
| Kurapa ne radioactive iodine (RAI) | Izvi zvinoshanda nekuparadza masero ethyroid anonyanya kushanda. Zvisinei, mushure mekurapwa uku, thyroid gland inowanzova isingashande zvachose. Wobva watora mapiritsi e thyroid hormone (levothyroxine) kweupenyu hwako hwese. |
| Kuvhiyiwa (Kuvhiyiwa - Kuvhiyiwa kweThyroidectomy) | Dzimwe nguva, chiremba wako anogona kukurudzira kuvhiyiwa kubvisa thyroid gland. Izvi zvinogonawo kukonzera hypothyroidism isingaperi, zvichireva kuti unofanira kunwa mapiritsi emahormone kweupenyu hwako hwese. |
| Beta-blockers | Mishonga iyi inongodzora zviratidzo chete. Inobatsira kudzora zvinhu zvakaita sekurova kwemoyo nekukurumidza, kusagadzikana, uye kudedera kwenguva pfupi. Asi haichinje huwandu hwemahormone muropa. |
| Glucocorticoids | Kana uine thyroiditis, mishonga iyi inogona kubatsira kuderedza kuzvimba nekurwadziwa. |
Ndezvipi zvinetso zvinogona kuitika kana zvikasarapwa?
Kana ikasarapwa, thyrotoxicosis, kunyanya hyperthyroidism, inogona kukonzera matambudziko akakomba.
- Kurova kwemwoyo zvisina kurongeka uye nekukurumidza.
- Kukundikana kwemoyo (Congestive heart failure).
- Kurohwa neIschemic (stroke).
- Osteoporosis: Chirwere chekuti mapfupa anotetepa uye anotyoka nyore nyore.
- Kushaya simba kwetsandanyama.
Kana chirwere chethyroid chikasarapwa nekukasika, chinogona kukonzera pfari, kutadza kushanda kwemoyo, uye kunyange rufu. Saka usaregeredza zviratidzo zvacho.
Mharidzo Yekuenda Nayo Kumba
- Thyrotoxicosis kuwedzera kwakanyanya kwemazinga ehomoni yethyroid mumuviri, izvo zvinoita kuti maitiro ese mumuviri akurumidze.
- Kana uine zviratidzo zvakaita sekurasikirwa nehuremu zvisina tsarukano, kurova kwemoyo nekukurumidza, kusagadzikana, uye kusashivirira kupisa, iva nechokwadi chekuona chiremba.
- Dambudziko iri rinogona kurapwa uye kudzorwa zvinobudirira. Hapana chikonzero chekuvhunduka.
- Kana zvikasarapwa, matambudziko akakomba akadai sechirwere chemwoyo nesitiroko anogona kuitika.
- Dutu rethyroid chirwere chepfungwa chinonetsa zvikuru. Kana uine zviratidzo zvakaita sefivha yakanyanya uye kuvhiringidzika, enda kuchipatara nekukurumidza.
- Kana uri kutora mushonga we thyroid, inwa mushonga wakanyorwa nachiremba wako chete. Chengeta mushonga wacho zvakachengeteka, kure nevana.
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