Ingaba i-thyroid yakho ifana nesivuthuvuthu? (Isivuthuvuthu se-thyroid) Masifunde ngale meko iyingozi!

Ngaba wakha weva ngento ebizwa ngokuba yi-'Thyroid Storm'? Eli gama livakala liyoyikisa kancinci, akunjalo? Ngokwenene yimeko enzima efuna unyango olungxamisekileyo kwaye inokuba yingozi ebomini. Ukuchaneka, kukukhululwa ngequbuliso, okugqithisileyo kweehomoni ze-thyroid kwi-thyroid gland. Makhe sithethe ngayo ngokulula, ngendlela onokuyiqonda.

Yintoni i-thyroid gland? Yintoni eyenzayo?

Ngoku mhlawumbi ucinga ukuba, 'Yintoni le ndlala yegilo?' Kulula kakhulu. Yindlala encinci engaphambili entanyeni yakho, efana nebhabhathane. Le ndlala incinci yenza umsebenzi omninzi obalulekileyo emzimbeni wethu.

I-thyroid gland ivelisa iihomoni ezimbini eziphambili: i-triiodothyronine (T3) kunye ne-thyroxine (T4) . Ezi homoni zimbini zibizwa ngokuba ziihomoni ze-thyroid. Ezi homoni zilawula ubushushu bomzimba wethu, isantya sentliziyo, kwaye, okona kubaluleke kakhulu, imetabolism yethu.

I-metabolism, ngokufutshane, yindlela imizimba yethu esebenza ngayo izinto ngokukhawuleza, oko kukuthi, indlela esiguqula ngayo ukutya esikutyayo kube ngamandla nobushushu ngokukhawuleza. Khawuthelekelele, xa kukho isivuthuvuthu se-thyroid, inani elikhulu lee-hormone ze-thyroid liqokelelana ngequbuliso emzimbeni. Kwenzeka ntoni ke ngoko? I-metabolism yomzimba wethu iba ngokukhawuleza ngendlela engenakucingelwa. Njengololiwe okhawulezayo! Oku kuyingozi kakhulu, kude kube yingozi ebomini.

Xa le metabolism iphezulu, imizimba yethu ifuna ioksijini eninzi. Ukuze kuhlangatyezwane nale mfuno ikhulayo yeoksijini, intliziyo yethu iqala ukubetha ngokukhawuleza. Oku sikubiza ngokuba yi-tachycardia . Ngenxa yesi santya siphezulu, intliziyo ayisakwazi ukumelana nayo kwaye nokusilela kwentliziyo kunokwenzeka. Uyaqonda ukuba kuyingozi kangakanani?

Ngubani onokuthi abe nesifo se-thyroid?

I-thyroid storm sisiphumo esibi kakhulu semeko ebizwa ngokuba yi -hyperthyroidism , evelisa i-thyroid hormone eninzi kakhulu. Ngoko ke, abantu abaneemeko ezibangela i-hyperthyroidism, njengesifo sikaGraves okanye i-thyroid adenoma enobuthi, banamathuba amaninzi okuba nayo.

Njengezinye izifo ze-thyroid, le meko inokwenzeka kakhulu kubasetyhini kunakumadoda. Oogqirha bathi ixhaphake kakhulu kubantu abaphakathi kweminyaka engama-42-43 ubudala.

Ixhaphake kangakanani le meko?

Iinkqwithela ze-thyroid aziqhelekanga kakhulu.Into ethile. Oko kuthetha ukuba ayiqhelekanga kakhulu. Umzekelo, ngokwezibalo eMelika, le meko iyenzeka kubantu abaphakathi kwe-5 kunye ne-7 kwisigidi ngasinye. Kodwa nangona ingaqhelekanga, ayikwenzi kube nzima kangako.

Kuvakala njani ukuba ne-thyroid storm?

Ngenxa yokuba ezi hormone ze-thyroid zichaphazela amalungu amaninzi omzimba, ukuba une-thyroid storm, uya kuziva uvakalelwa kakhulu emzimbeni wakho wonke, ngokungathi utsha ngaphakathi. Ungaziva izinto ezinje:

• Kushushu kakhulu kwaye ndibila kakhulu. Kufana nokuba kufutshane nesitovu.
• Intliziyo yakho ibetha ngokukhawuleza kangangokuba ivakala ngathi iza kuphuma esifubeni sakho. Usenokusiva eso sandi.
• Ndiziva ndingaphumli, ndixhalabile, kwaye ndixhalabile. Intliziyo yam ibetha ngamandla ngaphandle kwesizathu.
• Umzimba wam uyaqhaqhazela. Kuvakala ngathi ndiyabanda, kodwa kushushu ngokwenene.
• Ndivakalelwa kukuba ndinesisu esibuhlungu, isicaphucaphu, kunye nokuhlanza.
• Ndivakalelwa kukuba andikwazi ukulawula umzimba wam. Amalungu am ayaqaqamba, amazwi am ayaxaka.
• Ndiziva ndididekile kwaye ndididekile. Andikwazi ukuqonda ukuba kwenzeka ntoni.

Ukuba unayo nayiphi na kwezi mpawu, eyona nto ibalulekileyo omawuyenze kukuya kwisibhedlele esikufutshane ngokukhawuleza, ngaphandle kokulibazisa umzuzwana.

Yintoni ebangela isivuthuvuthu se-thyroid?

Abaphandi abakayazi kakuhle into ebangela i-thyroid storm. Nangona kunjalo, inokwenzeka ukuba une-hyperthyroidism engapheliyo, enganyangwanga. Kodwa amaxesha amaninzi, ibangelwa sisiganeko esibuhlungu ngequbuliso. Oko kukuthi, "i-trigger."

Khawucinge nje, ngamanye amaxesha umama okanye umakhulu wethu usela amayeza e-thyroid. Mhlawumbi umntu uthi, 'Akulunganga ukuqhubeka usela loo mayeza,' okanye mhlawumbi sekudlule ixesha lokuba uphinde uwasele emva kokuba amayeza ephelile. Ukuba uyeka amayeza ngequbuliso, i-hyperthyroidism esisiseko inokuba mandundu, kwaye le meko iyingozi ebizwa ngokuba yi-thyroid storm inokukhula. Yiyo loo nto kungalungelanga ukuyeka amayeza okanye ukutshintsha umthamo ngaphandle kwengcebiso kagqirha.

Nazi ezinye zezizathu ezibangela isifo se-thyroid:

• Ufanele uyeke ukuthatha amayeza akho e-thyroid, oko kuthetha ukuba amayeza e-antithyroid, ngequbuliso.
• I-thyroidectomy lutyando lokususa i-thyroid gland.
• Olunye utyando olukhulu olungahambelaniyo ne-thyroid.
• Ingozi, ukwenzakala okukhulu (Ukwenzakala) .
• Usulelo olunzima emzimbeni, olufana ne-pneumonia.
• I-Diabetic Ketoacidosis (DKA) , Ukusilela kwentliziyoImeko engxamisekileyo, efana nokuhlaselwa yintliziyo, okanye impendulo engalunganga kakhulu kumayeza athile.
• Ii-iodine contrast agents, ezisetyenziswa kwezinye iimvavanyo ze-X-ray, zinokubangela ukunyuka ngequbuliso kwamanqanaba e-iodine emzimbeni.
• Ukubeleka umntwana kowesifazane.
• Istroke .

Ziziphi iimpawu zesifo se-thyroid?

Njengoko besikhe sathetha ngayo ngaphambili, kunokubakho iimpawu ezininzi zoku.

Iimpawu eziqhelekileyo:

• Umkhuhlane ophezulu – umkhuhlane ophakathi kwama-degrees Fahrenheit ali-104 ukuya kwi-106 (malunga nama-degrees Celsius angama-40-41). Lo asingomkhuhlane oqhelekileyo, kodwa ngumkhuhlane ophezulu.
• Intliziyo ibetha ngokukhawuleza kakhulu (iTachycardia) – ingaba ngaphezulu kwe-140 beats ngomzuzu.
• Ukuziva ungaphumli, unomsindo, kunye/okanye uxhalabile.
• Ingqondo ephazamisekileyo – Imeko apho ulahlekelwa khona ngumbono wokuba ukuphi, ixesha, kunye nabantu obaziyo.
• Ukusilela kwentliziyo okubangelwa kukunganyamezelani kungenzeka.
• Ukulahlekelwa yingqondo.

Iimpawu ezingaqhelekanga:

• Ukucaphuka okukhulu kunye/okanye ukuhlanza.
• Urhudo.
• Intlungu ebuhlungu esiswini.
• Ukutyheli kolusu okanye amehlo, oko kukuthi, i-jaundice .

Ifunyanwa njani le ngxaki ye-thyroid?

Ugqirha uza kuchonga isifo se-thyroid ngokusekelwe kwiimpawu eziqatha nezisongela ubomi zesigulana (ezifana nomkhuhlane ophezulu, iingxaki zentliziyo), amanqanaba aphezulu kakhulu eehomoni ze-thyroid (T3, T4) egazini, kunye namanqanaba aphantsi kakhulu ehomoni evuselela i-thyroid (TSH) .

Nangona kunjalo, kuba oku kusongela ubomi kwaye unyango olukhawulezileyo lubalulekile, kwiimeko ezininzi, oogqirha abalindi iziphumo zovavanyo lwegazi, kodwa baqala unyango ngoko nangoko ukuba barhanela ukuba kukho isiphepho se-thyroid ngokusekelwe kwiimpawu. Kuba umzuzwana ngamnye uyabala.

Ukongeza, oogqirha bajonga iimpawu zoku ngokuhlolwa ngokwasemzimbeni. Ezi ziquka:

• I-Goiter , oko kuthetha ukuba i-thyroid gland ikhulisiwe, iyahlolwa.
• I-Ophthalmopathy , isiphumo esibi sesifo sikaGraves, sibonakala emehlweni, njengokudumba nokudumba kwamehlo.
• Ukungakhathali , oko kuthetha ukuba xa ujonga ezantsi, ubona ukuba ijwabu eliphezulu liphezulu kunokuba kufanele libe njalo.
• Ngaba unezandla ezingcangcazelayo?
• Ngaba unolusu olufudumeleyo nolumanzi?
• Uhlola ukuba kukho ingxaki yentliziyo enesingqisho esibizwa ngokuba yi-tachycardia okanye i-atrial fibrillation .

Iphathwa njani le ngxaki ye-thyroid?

Ngenxa yokuba le yingxamiseko yezonyango, kuya kufuneka ulaliswe esibhedlele, rhoqo kwiYunithi yoKhathalelo oluPhezulu (ICU), ukuze iqela lezonyango likwazi ukujonga imeko yakho ngokusondeleyo.

Icebo lokunyanga isifo se-thyroid linokwahlulwa libe ziinxalenye ezine eziphambili:

1. Unyango olulawula ukuveliswa nokukhululwa kweehomoni ze-thyroid ngoko nangoko: Oku kuquka ukunika amayeza e-antithyroid (umz., iiThionamides ) ukuthintela ukuveliswa kweehomoni ezintsha. Kwakhona, kunikwa isisombululo se-iodine ukuthintela ukukhutshwa kweehomoni esele zenziwe yi-thyroid gland.

2. Ukunyanga iinkqubo zomzimba wakho, ingakumbi intliziyo, ezichaphazeleka ziihomoni ze-thyroid ezigqithisileyo: Ii-Beta-blockers zinikwa ukulawula izinga lentliziyo kunye noxinzelelo lwegazi.

3. Ukunyanga imeko okanye isifo esibangele isifo sakho se-thyroid: Umzekelo, ukuba sisifo esibangelwa yintsholongwane, uza kunikwa amayeza okubulala iintsholongwane.

4. Ezinye iindlela zonyango ezixhasayo ukunceda ngeempawu kunye nemiphumo emibi:

• I-Acetaminophen (iParacetamol) kunye neengubo zokupholisa zisetyenziselwa ukunciphisa ubushushu bomzimba.
• Amayeza anjenge -bile acid sequestrants anokunikwa ukuthintela ukufunxwa kwakhona kweehomoni ze-thyroid emathunjini.
• Ukuba kukho ubunzima bokuphefumla, inkxaso yokuphefumla, efana neoksijini eyongezelelweyo, iyabonelelwa.

Ndiza kuziva bhetele nini emva konyango?

Ukuba ufumana unyango olufanelekileyo ngokukhawuleza, uya kubona ukuphucuka okukhulu kwimeko yakho kwiiyure ezingama-24. Iimpawu zakho ziya kuncipha kwaye uya kuqala ukuziva ungcono kancinci. Nangona kunjalo, kungathatha iveki okanye ngaphezulu ukuba uphile ngokupheleleyo kwisizathu esiyintloko seThyroid Storm, emva kokuba imeko inyangiwe.

Ndingakwazi ukuthintela isifo se-thyroid?

Ayizizo zonke iziphepho ze-thyroid ezinokuthintelwa, njengoko ngamanye amaxesha zinokubangelwa sisiganeko esingalindelekanga. Nangona kunjalo, ukuba sele une-hyperthyroidism, kukho izinto ezibalulekileyo onokuzenza ukuzama ukuthintela le meko iyingozi:

• Soloko usela amayeza akho e-thyroid njengoko ugqirha wakho ekuyalele, ngexesha elifanelekileyo. Ungaphoswa nalusuku olunye.
• Bona ugqirha wakho rhoqo uze ufumane iimvavanyo ezifunekayo ukuqinisekisa ukuba unyango lwakho lusebenza kakuhle kwaye amanqanaba akho ehomoni aphantsi kolawulo.
• Nciphisa uxinzelelo kangangoko unako. Izinto ezifana nokucamngca kunye nokuzilolonga zinokunceda.
• Ukuba uza kwenziwa naluphi na utyando, xelela oogqirha bakho kwangaphambili ukuba une-hyperthyroidism. Baza kuthatha amanyathelo afunekayo ukuthintela isivuthuvuthu se-thyroid, mhlawumbi bakunike amayeza okulwa ne-thyroid ngaphambi kotyando.
• Ingakumbi ukuba une-hyperthyroidism kwaye uza kwenziwa utyando lwe-thyroid (i-thyroidectomy) , ugqirha wakho uya kukunika amayeza athile ngaphambi kotyando ukuze akulungiselele lona, ​​ukunciphisa umngcipheko we-thyroid storm.

Yintoni i-prognosis yesifo se-thyroid?

Isiphepho se-thyroid sisifo esingxamisekileyo esinokubangela ukufa ukuba asinyangwa.

Ukufa kunokubangelwa kukusilela kwentliziyo, ukungasebenzi kakuhle kwentliziyo, okanye ukusilela kwamalungu amaninzi omzimba . Nangona kunjalo, xa kufunyenwe kwangethuba kwaye kunyangwa ngokufanelekileyo, uninzi lwabantu luya kuphila kwiiyure ezingama-24.

Nangona kunjalo, kwezinye iimeko, kukho izinto ezinokubangela umngcipheko ezinokunciphisa amathuba okubuyela esimeni. Ezinye zazo ziquka:

• Ukuba isigulana sikhulile kakhulu.
• Ukuba kukho iingxaki ezinkulu zenkqubo yemithambo-luvo (umz., ukulahlekelwa zingqondo, ukudideka) xa ungeniswa esibhedlele.
• Ukuba akunakwenzeka ukunika amayeza abalulekileyo afunekayo (ii-beta-blockers, amayeza e-antithyroid) ngenxa yezinye iimeko zempilo (umz., ukungakwazi ukunika ii-beta-blockers ngenxa yezifo ezifana ne-asthma).
• Ukuba unesifo sezintso ngenxa yesifo se-thyroid kwaye udinga i-dialysis , okanye ukuba awukwazi ukuphefumla kwaye udinga umoya ongeniswa ngomatshini .

Ngaba iThyroid Storm ingabulala?

Ewe, ngelishwa, iThyroid Storm inokubulala. Le yimeko yezonyango esongela ubomi. Ukuba ayinyangwa, ukufa kuyaqinisekiswa. Nokuba unyango lukhona, kwezinye iimeko ezinzima, ukufa kunokwenzeka. Ngokwezibalo, phakathi kwe-10% kunye ne-30% yeThyroid Storms kuthiwa ibangela ukufa.

Yiyo loo nto sihlala sisithi, ukuba uneempawu zesifo se-thyroid, kubaluleke kakhulu ukuya esibhedlele ngokukhawuleza, ngaphandle kokulibazisa umzuzwana. Musa ukulinda de iimpawu zibe mandundu.

Ziziphi ezinye iingxaki ezinokwenzeka nge-Thyroid Storm?

Ukuba unyango lulibaziseka okanye alufunyanwanga kakuhle, isifo se-thyroid singakhokelela kwiingxaki ezinzulu ngakumbi. Ezinye zezi ziquka:

• Ukungasebenzi kakuhle kwentliziyo kuya kusiba mandundu.
• Kwiindawo ezahlukeneyo zomzimbaAmahlwili egazi anokubakho, nto leyo enokubangela izifo ezinzulu ezifana nesifo sohlangothi.
• Ukuxhuzula okufana nokuxhuzula.
• Ukuphambana okungapheliyo.
• I-Coma yimeko yokulala ubuthongo obunzulu kunye nokulahlekelwa zingqondo.

Ndingaya nini kwiGumbi loNgxamiseko?

Ukuba unempawu enye okanye ezingaphezulu ocinga ukuba zinokuba yingxaki ye-thyroid, ezinje ngomkhuhlane ophezulu, ukubetha kwentliziyo ngokukhawuleza, ukungazinzi kakhulu, okanye ukudideka , yiya kwigumbi likaxakeka elikufutshane ngokukhawuleza, ngokukhawuleza. Musa ukuchitha ixesha.

Zeziphi izinto ezibalulekileyo esifanele sizithathele ekhaya kweli bali? (Umyalezo Wokubuyela Ekhaya)

Kulungile, ngoko ke, ngokwezinto esizithethileyo, ezi zezona zinto zibalulekileyo ekufuneka zikhunjulwe:

1. I-Thyroid Storm yimeko eyingozi kakhulu, esongela ubomi kwaye ifuna unyango olungxamisekileyo. Lo asingomdlalo.

2. Oku kudla ngokubangelwa ngabantu abane -hyperthyroidism (i-hormone ye-thyroid egqithisileyo), ingakumbi abo bangafumani unyango olufanelekileyo ngayo, okanye ngenxa yesifo esibangelwa yi-autoimmune.

3. Lumka ngeempawu ezinje ngomkhuhlane ophezulu, ukubetha kwentliziyo ngokukhawuleza, ukungazinzi kakhulu, ukubila, kunye nokudideka .

4. Ukuba ufumana naziphi na kwezi mpawu, yiya esibhedlele ngokukhawuleza ngaphandle kokulibazisa. Unyango olukhawulezileyo lunokusindisa ubomi.

5. Ukuba une-hyperthyroidism, landela imiyalelo kagqirha wakho, usele amayeza akho ngokufanelekileyo, kwaye uhlolwe rhoqo. Oku kunokunciphisa umngcipheko wokuba ne-thyroid storm.

6. Nangona le meko ingaqhelekanga, kubalulekile ukuba wonke umntu ayiqaphele.

Ukuba unesifo esifana ne-hyperthyroidism, esifana nesifo sikaGraves, qiniseka ukuba ubuza ugqirha wakho malunga ne-thyroid storm kunye nendlela yokuthintela ukuba ingenzeki kuwe. Hlala usempilweni!

Isiphepho seThyroid , iHyperthyroidism, iThyroid Gland, iiHormones zeThyroid, Iimpawu, Unyango, iNgxamiseko, Isifo samaBanga