Usenokuba ukhe weva nge-thyroid gland, i-gland encinci efana nebhabhathane ekwicala elingaphambili entanyeni yakho. Isebenza njengenjini emzimbeni wethu. Ivelisa
ii-hormone ze-thyroid, ezibalulekileyo phantse kuyo yonke iseli emzimbeni wethu. Kodwa ngamanye amaxesha umsebenzi wale gland uyancipha kwaye kwenzeka imeko apho ii-hormone ze-thyroid zingaveliswa ngokwaneleyo. Oku sikubiza ngokuba yi
-hypothyroidism . Namhlanje sithetha ngemeko enzima kakhulu, nesongela ubomi. Le yiMyxedema Coma.
Okokuqala, masibone ukuba yintoni iHypothyroidism.
Ngamafutshane, i-hypothyroidism yindlala ye-thyroid engasebenzi kakuhle. Oku kubangela ukuba amalungu omzimba asebenze kancinci. Iimpawu ziquka:
Ngenxa yokuba ezi mpawu ziqhelekile kubantu abaninzi, abanye abantu abacingi nokuba sisifo. Kodwa ukuba esi sifo asichongwanga kwaye asinyangwa ngokufanelekileyo, sinokuba yingozi.
Ngoko ke yintoni iMyxedema Coma?
Khawucinge nje, le yimeko eyenzeka xa i-hypothyroidism iba mandundu kakhulu, kwaye inqanaba le-hormone ye-thyroid emzimbeni liyehla liye kwinqanaba eliyingozi kakhulu. Nangona le yimeko engaqhelekanga,
yimeko engxamisekileyo yezonyango esongela ubomi . Nangona igama elithi "Coma" livela kwigama elithi Myxedema Coma, ayingabo bonke abaguli abaphelelwa zingqondo. Nangona kunjalo, ingqondo yabo inokuphazamiseka kakhulu kwaye banokuba sebuthongweni kangangokuba bangasabeli.
Oku kungathathwa njengesigaba sokugqibela nesona sibi kakhulu se-hypothyroidism, ngoko ke kubalulekile ukukwazi oku.
Yintoni enokubangela i-myxedema coma?
Kumntu osele ene-hypothyroidism enzima, nayiphi na kwezi ziganeko zilandelayo inokubangela le meko iyingozi.
| Into Ebangela Ingxaki | Inkcazo |
|---|
| Iintsholongwane | Ingakumbi izifo zemiphunga (i-pneumonia) kunye neendlela zomchamo. |
| Ezinye iimeko zonyango | Iimeko ezinje ngokusilela kwentliziyo kunye nokubetha. |
| Iziphumo zomzimba | Ukuba nengozi enkulu (iTrauma) okanye utyando. |
| Amanye amayeza | Amayeza athile afana ne-tranquilizers, i-lithium, kunye ne-amiodarone. |
| Ukungaphumeleli ukulandela icebiso lezonyango | Esona sizathu siqhelekileyo! Ukungawasebenzisi amayeza e-thyroid achazwe ngugqirha ngqo. |
Zeziphi iimpawu eziyingozi ekufuneka uziqaphele?
Ukuba umntu one-hypothyroidism ufumana enye okanye ngaphezulu kwezi mpawu, isenokuba sisandulela semeko ebizwa ngokuba yiMyxedema Coma.
- Ubuthathaka okanye ukudinwa: Umntu ulele kakhulu kangangokuba akanakuvuswa.
- Ukudideka okanye ukungaphenduli: Akaqondi ukuba kuthethwa ntoni okanye akaphenduli.
- Ubushushu bomzimba obuphantsi (iHypothermia): Umzimba uziva ubanda njengomkhenkce xa uwuchukumisa.
- Ukudumba komzimba : Ingakumbi ubuso, ulwimi, kunye nemilenze ziyadumba.
- Ubunzima bokuphefumla : Izinga lokuphefumla liyancipha kakhulu.
Ukuba umntu onezi mpawu akazi nto okanye ulele ngendlela engaqhelekanga,
yingxamiseko kwaye kufuneka asiwe esibhedlele ngoko nangoko . Usapho okanye abahlobo mabamse kwangoko
kwiYunithi yoNyango oluNgxamisekileyo (ETU) ekufutshane.Kufuneka uyithathe. Ukuchitha ixesha kwandisa umngcipheko wobomi bakho.
Uvavanyo kunye nonyango esibhedlele
Emva kokuziswa esibhedlele, oogqirha bakhawuleza benza iimvavanyo ezininzi ukuqinisekisa imeko.
- Uvavanyo lwegazi: Uvavanyo lwegazi lujonga amanqanaba ehomoni ye-thyroid (TSH, T4), iswekile, ii-electrolytes , kunye ne-cortisol.
- Iigesi zegazi: Ijonga amanqanaba eoksijini kunye nekhabhoni dioksayidi egazini.
- Uvavanyo lwe-ECG: Lujonga naziphi na iingxaki ekusebenzeni kwentliziyo.
Njengonyango, isigulana sidla ngokungeniswa
kwiYunithi yoKhathalelo oluPhezulu (ICU) .
- Iihomoni ezifakwa kwimithambo yegazi: Ukuze kubuyiselwe ngokukhawuleza amanqanaba ehomoni ye-thyroid, iihomoni zinikwa njengeenaliti (ngaphakathi kwemithambo yegazi okanye nge-IV) .
- Ukhathalelo oluxhasayo: Ukuba ubushushu bomzimba buphantsi, bufudumale ngengubo yokufudumeza . Ukuba iswekile yegazi iphantsi, mnike iglucose. Ukuba kukho usulelo, mnike amayeza okubulala iintsholongwane. Ukuba kukho isikrokro sokuba kukho ingxaki kwi-adrenal glands, mnike amayeza okubulala iintsholongwane (i-steroids) (i-glucocorticoids).
Eyona nto ibalulekileyo ekufuneka iintsapho ziyazi!
Ukuba imeko efana nale yenzeke kwilungu losapho okanye kumhlobo, eyona nto ibalulekileyo kukungaphakuzeli kodwa wenze into elungileyo.
Umntu okwi-myxedema coma akazi nto. Ngenxa yoko, akanakwenza nto eyedwa. Ungaze uzame ukunika iipilisi ze-thyroid ekhaya. Into ekufuneka yenziwe ngoko nangoko kukubasa esibhedlele, i-ETU. Kuba ngamanye amaxesha, ukuba amayeza e-thyroid anikwa kunye nezinye iingxaki ze-hormone, anokubangela imeko eyingozi ngakumbi (ingxaki ye-adrenal). Ke ngoko, ngugqirha kuphela omele enze eso sigqibo.
Ngaba le meko ingathintelwa?
Ewe! Eyona nto ingcono onokuyenza kukuthintela le meko ukuba ingenzeki. Kulula kakhulu. Ukuba une-hypothyroidism, eyona nto ibalulekileyo onokuyenza
kukuthatha amayeza e-thyroid anikwe ngugqirha wakho ngedosi efanelekileyo, ngexesha elifanelekileyo, yonke imihla . Musa ukuyeka ukuwathatha amayeza ngenxa yokudinwa okanye kuba ucinga ukuba "kungcono ngoku." Kwakhona, kubaluleke kakhulu ukubona ugqirha wakho ngamaxesha afanelekileyo kwaye wenze uvavanyo lwegazi olufana ne-TSH ukuze ujonge imeko yakho. Ngokulandela ezi zinto zimbini zilula, unokuzikhusela ngokupheleleyo kwimeko eyingozi efana ne-Myxedema Coma.
Umyalezo Wokuya Ekhaya
- I-Myxedema Coma yeyona meko inzima neyingozi kakhulu ye-hypothyroidism enganyangwanga.
- Iimpawu eziphambili kukozela kakhulu, ukudideka, ukubanda okungaqhelekanga komzimba, ukudumba, kunye nobunzima bokuphefumla.
- Ukuba ubona ezi mpawu, mthathe umguli uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) ekufutshane nawe ngoko nangoko.
- Musa ukuzama ukutofa iipilisi ze-thyroid ekhaya nangasiphi na isizathu.
- Eyona ndlela ingcono yokuphepha oku kukuthatha amayeza e-thyroid owalelwe ngugqirha wakho yonke imihla, ngokwemilinganiselo emiselweyo, kwaye ufune iingcebiso zonyango njengoko kumiselwe.
i-myxedema coma, i-hypothyroidism, i-thyroid, i-thyroid hormone, i-hypothyroidism, ukungabikho kwe-thyroid, unyango olungxamisekileyo
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