Ngaba ngamanye amaxesha uziva ngathi ubaleka i-marathon ngaphakathi? Unexhala kakhulu, ubila kakhulu, intliziyo yakho iyabetha ngamandla... kwaye unciphisa umzimba nokuba utya kangakanani na? Ukuba ezi zinto ziqhelekile kuwe, kubalulekile ukuba uqaphele imeko esithetha ngayo namhlanje. Oku kubizwa ngokuba yiThyrotoxicosis. Nangona igama lisenokuvakala lingaqhelekanga, akukho nto yokoyika. Masithethe ngayo ngokulula.
Ngamafutshane, yintoni i-thyrotoxicosis?
Ngamafutshane, i-Thyrotoxicosis iyenzeka xa umzimba wakho une-hormone ye-thyroid eninzi kakhulu.
Ngoku usenokuba uyazibuza ukuba yintoni le hormone ye-thyroid. Iveliswa yi-gland encinci efana nebhabhathane engaphambili entanyeni yethu, i-thyroid gland. Umsebenzi ophambili wale hormone kukulawula imetabolism yomzimba wethu. Oko kukuthi, ilawula isantya apho ukutya esikutyayo kuguqulwa khona kube ngamandla.
Cinga ngemizimba yethu njengenjini emotweni. Ihomoni ye-thyroid ifana ne-accelerator yaloo moto. Ukuba ikwizinga elifanelekileyo, injini iya kusebenza kakuhle nangesantya esifanelekileyo. Kodwa kwi-Thyrotoxicosis, kuba ngathi i-accelerator ihlala icinezelwa. Kwenzeka ntoni ke ngoko? Injini isebenza ngokukhawuleza, ishushu, kwaye itshise amafutha amaninzi. Ngokufanayo, xa amanqanaba ehomoni ye-thyroid enyuka, zonke iinkqubo emzimbeni wethu ziqala ukusebenza ngesantya esiphezulu. Intliziyo yakho ibetha ngokukhawuleza, umzimba wakho uba mncinci, kwaye uzive uxhalabile. Usenokuziva ungalawuleki.
Ingaba le meko isongela ubomi?
Nangona igama elithi "toxic" likwigama, i-thyrotoxicosis ayisoloko isongela ubomi. Nangona kunjalo, ukuba iba mandundu kakhulu , inokuba yingozi ebomini. Ngokwezonyango, oku sikubiza ngokuba yi-thyroid storm . Nangona kunjalo, le yimeko engaqhelekanga kakhulu.
Eyona nto ibangela isifo se-thyroid yingxaki enkulu eyenzeka ngequbuliso. Umzekelo, utyando olukhulu, usulelo oluqatha, njl. Kwakhona, ukuba sele usela amayeza e-thyroid, le meko inzima inokwenzeka ukuba uyeka ukuwasela ngequbuliso.
Ngoko ke khumbula, kubaluleke kakhulu ukufumana unyango lwe-Thyrotoxicosis eqhelekileyo ngokukhawuleza. Ukuba ayinyangwa, inokukhokelela kwezinye iingxaki zempilo.
Ziziphi iimpawu ze-thyrotoxicosis?
Iimpawu zale meko ziyahluka ngokuxhomekeke kwinqanaba apho amanqanaba ehomoni ye-thyroid enyuka khona. Ukuba amanqanaba ehomoni aphezulu kakhulu, iimpawu nazo zinzima kakhulu. Makhe sibone ukuba zeziphi ezi mpawu.
| Uphawu | Inkcazo |
|---|---|
| Ukunciphisa umzimba ngaphandle kwesizathu | Nokuba utya ngendlela eqhelekileyo okanye nangcono, uza kunciphisa umzimba. Ngenxa yokuba imetabolism yakho iphezulu, ukutya okutyayo kuguqulwa ngokukhawuleza kube ngamandla kwaye kuphele. |
| Ukubetha kwentliziyo | Intliziyo inokubetha ngokukhawuleza ngaphezu kwe-100 ngomzuzu. Oku sikubiza ngokuba yi- (Tachycardia) . Ngamanye amaxesha ukubetha kwentliziyo kunokuba yinto engahambelaniyo (Arrhythmia) . |
| Ukungcangcazela kwezandla | Kunokubakho ukungcangcazela okuncinci, ingakumbi ezandleni. |
| Ukungazinzi kwengqondo | Ndiziva ndixhalabile kakhulu, andisakwazi ukunyamezela. Ndiba nomsindo kwaye ndoyike nezinto ezincinci. |
| Ukunganyamezelani nobushushu | Xa abanye besiva ubushushu obuqhelekileyo, wena uziva ushushu kakhulu. Uhlala ubila. |
| Utshintsho kwinyanga yokuya exesheni | Abafazi banokuba nexesha elingacwangciswanga, iintsuku ezimbalwa, okanye bayeke ngokupheleleyo. |
| Imeko embi kakhulu: I-Thyroid Storm - Yiya esibhedlele ngokukhawuleza! | |
| Iimpawu ezinzima kakhulu | Isantya sentliziyo sinyuka siye kutsho ngaphezulu kwe-140 beats ngomzuzu. Umkhuhlane ophezulu, ukungazinzi okukhulu, ukudideka, kunye nokulahlekelwa zingqondo kunokwenzeka. Le yingxamiseko yezonyango. Kufuneka uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko. |
Ukuba unayo nayiphi na kwezi mpawu, nceda ungazihoyi. Qiniseka ukuba ubona ugqirha wakho.
Kutheni i-Thyrotoxicosis isenzeka?
Kunokubakho izizathu ezahlukeneyo zoku. Makhe sijonge ezona ziphambili.
- I-Hyperthyroidism: Le yeyona nto ixhaphakileyo ebangela i-thyrotoxicosis. I-Hyperthyroidism kuxa i-thyroid gland yakho isebenza kakhulu ize ivelise iihomoni ezininzi kakhulu. Zininzi izizathu ezibangela oku.
- Isifo sikaGraves: Esi sisifo esibangelwa kukuzikhusela komzimba. Oku kuthetha ukuba inkqubo yomzimba wethu yokuzikhusela ihlasela i-thyroid gland yethu, iyikhuthaza ukuba ivelise iihomoni ezingaphezulu.
- Ii-nodules ze-thyroid: Ngamanye amaxesha, ezinye ii-nodules ezakha kwi-thyroid gland ziqala ukuvelisa ii-hormone ngokwazo.
- I-thyroiditis: Oku kwenzeka xa i-thyroid gland idumba. Ingabangelwa zizifo ezahlukeneyo, amayeza athile (umz., i-lithium, ii-interferons), okanye iingxaki zenkqubo yomzimba yokuzikhusela. Xa i-gland idumba, ii-hormone ezigcinwe kuyo zivuza egazini. Oku kunyusa amanqanaba e-hormone okwethutyana. Le meko inokwenzeka nakoomama emva kokubeleka (postpartum thyroiditis).
- Ukusela amayeza e-thyroid amaninzi: Ukuba unyangwa i-hypothyroidism (ukungabikho kwe-hormone ye-thyroid), ukuthatha iipilisi ze-levothyroxine ezingaphezulu kunezo ugqirha wakho akuxelele zona kunokukhokelela kwi-thyrotoxicosis. Oku kunokwenzeka ngokungazi okanye ngokwazi.
- Ukufunxwa yi-hormone ekutyeni: Le yimeko engaqhelekanga kakhulu. Le meko inokwenzeka ukuba utya inyama yenkomo, equlethe izicubu ze-thyroid ezivela entanyeni yenkomo yenkomo. Oku kukwabizwa ngokuba yi-"hamburger thyrotoxicosis."
Ngubani osengozini enkulu yokuba nale meko?
Kukho izinto ezininzi ezibangela i-thyrotoxicosis:
- Ukuba nembali yesifo se-thyroid kusapho: Iimeko, ingakumbi isifo sikaGraves, zinokuvela kwiintsapho.
- Ukuba ngumfazi: Abafazi banamathuba amaninzi okufumana isifo se-thyroid kunamadoda.
- Ukuba uneminyaka engaphezu kwama-60 ubudala.
- Ukuba nezinye izifo ze-autoimmune:Umzekelo, izifo ezifana nesifo seswekile sohlobo 1 okanye isifo sika-Addison.
- Sele kudlule ixesha elide ndingazange ndibe nomntwana.
- Ukuba namayeza e-thyroid (levothyroxine) ekhaya: Umntu osendlwini angawasebenzisa ngempazamo la mayeza. Ngoko ke, kubalulekile ukugcina amayeza ekhuselekile rhoqo.
Ugqirha uyifumana njani le nto?
Xa usiya kugqirha, uza kuthatha amanyathelo aliqela ukuqinisekisa le meko.
1. Uvavanyo lomzimba: Okokuqala, baza kukubuza ngeempawu zakho baze bakuhlole. Baza kujonga izinto ezifana nokubetha kwentliziyo okukhawulezayo kunye nezandla ezingcangcazelayo.
2. Uvavanyo lwegazi le-thyroid: Olu lolona vavanyo lubalulekileyo. Igazi lakho liza kuvavanywa amanqanaba e-thyroid hormone (T3 kunye ne-T4) kunye namanqanaba e-TSH (Troid-Stimulating Hormone). Kwi-thyrotoxicosis, amanqanaba e-T3 kunye ne-T4 aphezulu kakhulu kunesiqhelo, kwaye amanqanaba e-TSH aphantsi kakhulu okanye awabonakali.
Ngamafutshane, i-TSH luphawu oluvela kwingqondo ukuya kwi-thyroid gland ukuze 'isebenze'. Ekubeni umzimba sele uneehomoni ezininzi kakhulu, ingqondo ayiniki olu phawu. Yiyo loo nto inqanaba le-TSH liyehla.
3. Uvavanyo lokufota: Ngamanye amaxesha uvavanyo lokufota lunokwenziwa ukunceda ekufumaneni unobangela ochanekileyo. Oku kungabandakanya i-thyroid ultrasound scan okanye uvavanyo lwe-radioactive iodine uptake (RAIU). Ugqirha wakho uza kukuchazela oku.
Iphathwa njani?
Unyango lwe-thyrotoxicosis luxhomekeke kwisizathu. Ugqirha wakho uya kugqiba unobangela aze acebise unyango olulungele wena.
| Indlela Yonyango | Kwenzeka ntoni kuyo? |
|---|---|
| Amayeza okulwa ne-thyroid | Amayeza anjenge-methimazole kunye ne-propylthiouracil (PTU) ayayithintela i-thyroid gland ekuveliseni iihomoni. Amaxesha amaninzi e-hyperthyroidism anokunyangwa ngala mayeza. |
| Unyango lwe-iodine ye-radioactive (RAI) | Oku kusebenza ngokutshabalalisa iiseli ze-thyroid ezisebenza kakhulu. Nangona kunjalo, emva kolu nyango, i-thyroid gland ihlala ingasebenzi ngokusisigxina. Emva koko kufuneka uthathe iipilisi ze-thyroid hormone (levothyroxine) ubomi bakho bonke. |
| Utyando (Utyando - Utyando lweThyroidectomy) | Kwezinye iimeko, ugqirha wakho unokucebisa utyando lokususa i-thyroid gland. Oku kunokubangela i-hypothyroidism engapheliyo, nto leyo enokudinga ukuba uthathe iipilisi zehomoni ubomi bakho bonke. |
| Ii-Beta-blockers | La mayeza alawula iimpawu kuphela. Anceda ekulawuleni izinto ezifana nokubetha kwentliziyo ngokukhawuleza, ukungazinzi, kunye nokungcangcazela okwethutyana. Kodwa awatshintshi amanqanaba eehomoni egazini. |
| Iiglucocorticoids | Ukuba une-thyroiditis, la mayeza anokunceda ekunciphiseni ukudumba kunye nentlungu. |
Zeziphi iingxaki ezinokwenzeka ukuba azinyangwa?
Ukuba ayinyangwa, i-thyrotoxicosis, ingakumbi i-hyperthyroidism, inokukhokelela kwiingxaki ezinkulu.
- I-Atrial fibrillation (Afib): Ukubetha kwentliziyo okungaqhelekanga nokukhawulezayo.
- Ukungaphumeleli kwentliziyo (ukungaphumeleli kwentliziyo okubangelwa kukuqina kwentliziyo).
- Istroke (i-Ischemic stroke).
- I-Osteoporosis: Imeko apho amathambo aba mancinci aze aphuke lula.
- Ubuthathaka bemisipha.
Ukuba isifo se-thyroid asinyangwa ngokukhawuleza, sinokukhokelela ekuxhuzuleni, ekuweleni kwentliziyo, kwanokufa. Ngoko ke musa ukuzityeshela iimpawu.
Umyalezo Wokuya Ekhaya
- I-Thyrotoxicosis kukunyuka okukhulu kwamanqanaba ehomoni ye-thyroid emzimbeni, nto leyo ebangela ukuba zonke iinkqubo emzimbeni zikhawuleze.
- Ukuba uneempawu ezifana nokwehla kobunzima ngendlela engachazekiyo, ukubetha kwentliziyo ngokukhawuleza, ukungazinzi, kunye nokunganyamezelani nobushushu, qiniseka ukuba ubona ugqirha.
- Le meko inokunyangeka kwaye ilawulwe ngempumelelo. Akukho mfuneko yokoyika.
- Ukuba ayinyangwa, iingxaki ezinkulu ezifana nesifo sentliziyo kunye nesifo sohlangothi zinokwenzeka.
- Ingxaki ye-thyroid yingxaki enkulu yezonyango. Ukuba uneempawu ezifana nomkhuhlane ophezulu kunye nokudideka, yiya kwicandelo lezonyango elingxamisekileyo (ETU) ngokukhawuleza.
- Ukuba usebenzisa amayeza e-thyroid, thatha kuphela idosi echazwe ngugqirha wakho. Gcina amayeza ngokukhuselekileyo, kude nabantwana.
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