Kungenzeka ukuthi uke wezwa ngendlala yegilo, indlala encane efana novemvane etholakala ngaphambili entanyeni yakho. Isebenza njengenjini emzimbeni wethu. Ikhiqiza ama-hormone egilo, abalulekile cishe kuwo wonke amaseli emzimbeni wethu. Kodwa ngezinye izikhathi ukusebenza kwale ndlala kuyehla bese kuvela isimo lapho ama-hormone egilo engakhiqizwa khona ngokwanele. Lokhu sikubiza ngokuthi yi -hypothyroidism . Namuhla sikhuluma ngesimo esibi kakhulu, ngisho nesisongela ukuphila, salokhu. Leso yi-Myxedema Coma.

Okokuqala, ake sibone ukuthi iyini i-Hypothyroidism.

Kalula nje, i-hypothyroidism iyindlala ye-thyroid engasebenzi kahle. Lokhu kubangela ukuthi izitho zomzimba zisebenze kancane. Izimpawu zifaka:

Ukukhathala ngokweqile kanye nokulala ngaphandle kwesizathu.
Ukuzizwa ubanda kakhulu kunabanye.
Ukwanda kwesisindo .
Isikhumba esomile kanye nokulahlekelwa izinwele.
Ukuqunjelwa .
Ubunzima bokugxilisa ingqondo.

Ngenxa yokuthi lezi zimpawu zingaba yinto evamile kubantu abaningi, abanye abantu abacabangi ngisho nokuthi kuyisifo. Kodwa uma lesi simo singahlolwanga futhi singalashwa kahle, singaba yingozi.

Ngakho-ke iyini i-Myxedema Coma?

Cabanga nje, lesi yisimo esenzeka lapho i-hypothyroidism iba nzima kakhulu, futhi izinga le-hormone ye-thyroid emzimbeni lehla liye ezingeni eliphansi kakhulu. Nakuba lesi kuyisimo esingavamile, kuyisimo esiphuthumayo sezokwelapha esisongela impilo kakhulu . Nakuba igama elithi "Coma" lisegameni elithi Myxedema Coma, akuzona zonke iziguli eziphelelwa yingqondo. Kodwa-ke, ukwazi kwazo kungase kuphazamiseke kakhulu futhi zingase zilale kakhulu kangangokuthi azisabeli.

Lokhu kungabhekwa njengesigaba sokugcina nesinzima kakhulu se-hypothyroidism, ngakho-ke kubalulekile ukuqaphela lokhu.

Yini engabangela i-myxedema coma?

Kumuntu osevele ene-hypothyroidism enzima, noma yisiphi sezehlakalo ezilandelayo singabangela lesi simo esiyingozi.

Isici Sesiqalisi	Incazelo
Izifo	Ikakhulukazi amaphaphu (i-pneumonia) kanye nokutheleleka komgudu womchamo.
Ezinye izimo zezokwelapha	Izimo ezinjengokwehluleka kwenhliziyo kanye nesifo sohlangothi.
Imiphumela yomzimba	Ukuba nengozi enkulu (i-Trauma) noma ukuhlinzwa.
Eminye imithi	Imithi ethile efana nemithi yokunciphisa ukucindezeleka, i-lithium, ne-amiodarone.
Ukwehluleka ukulandela iseluleko sezokwelapha	Isizathu esivame kakhulu! Ukungayithathi imithi ye-thyroid enqunywe udokotela ngqo.

Yiziphi izimpawu eziyingozi okufanele uziqaphele?

Uma umuntu one-hypothyroidism eba nesinye noma ngaphezulu salezi zimpawu, kungaba yimbangela yesimo esibizwa ngokuthi i-Myxedema Coma.

Ubuthakathaka noma ukudinwa: Umuntu ulele kakhulu kangangokuthi akakwazi ukuvuswa.
Ukudideka noma ukungaphenduli: Akaqondi ukuthi kuthiwani noma akaphenduli.
Izinga lokushisa lomzimba eliphansi (i-Hypothermia): Umzimba uzizwa ubanda njengeqhwa uma uwuthinta.
Ukuvuvukala komzimba : Ikakhulukazi ubuso, ulimi, kanye nemilenze kuyavuvukala.
Ubunzima bokuphefumula : Izinga lokuphefumula lehla kakhulu.

Uma umuntu onalezi zimpawu engazi lutho noma elele ngendlela engavamile, kuyisimo esiphuthumayo futhi kufanele ayiswe esibhedlela ngokushesha . Umndeni noma abangani kufanele bamyise ngokushesha e -Emergency Treatment Unit (ETU) eseduze.Kufanele uyithathe. Ukuchitha isikhathi kwandisa ingozi yokuphila kwakho.

Ukuhlolwa kanye nokwelashwa esibhedlela

Ngemva kokulethwa esibhedlela, odokotela basheshe benza izivivinyo eziningana ukuqinisekisa isimo.

Ukuhlolwa kwegazi: Ukuhlolwa kwegazi kuhlola amazinga e-thyroid hormone (TSH, T4), ushukela, ama-electrolyte , kanye ne-cortisol.
Amagesi egazi: Ihlola amazinga omoya-mpilo kanye ne-carbon dioxide egazini.
Ukuhlolwa kwe-ECG: Kuhlola noma yiziphi izinkinga ngokusebenza kwenhliziyo.

Njengokwelashwa, isiguli sivame ukungeniswa eYunithi Yokunakekelwa Okujulile (i-ICU) .

Ama-hormone afakwa ngemithambo: Ukuze kubuyiselwe ngokushesha amazinga ama-hormone e-thyroid, ama-hormone anikezwa njengomjovo (ngomjovo noma nge-IV) .
Ukunakekelwa kokusekela: Uma izinga lokushisa lomzimba liphansi, lifudumale ngengubo yokufudumeza . Uma ushukela wegazi uphansi, nikeza i-glucose. Uma kukhona ukutheleleka, nikeza ama-antibiotic. Uma kukhona okusolakala ukuthi kunenkinga ngezindlala ze-adrenal, nikeza ama-steroid (ama-glucocorticoids).

Into ebaluleke kakhulu imindeni okudingeka iyazi!

Uma isimo esinjengalesi sehlela ilungu lomndeni noma umngane, into ebaluleke kakhulu ukungesabi bese wenza into efanele.

Umuntu onesifo se-myxedema coma usuke engazi lutho. Ngakho-ke, akakwazi ukwenza lutho eyedwa. Ungalokothi uzame ukunikeza amaphilisi e-thyroid ekhaya. Into okufanele uyenze ngokushesha ukumyisa esibhedlela, i-ETU. Ngoba ngezinye izikhathi, uma umuthi we-thyroid unikezwa kanye nokunye ukuntuleka kwama-hormone, kungabangela isimo esiyingozi nakakhulu (inkinga ye-adrenal). Ngakho-ke, udokotela kuphela okufanele enze leso sinqumo.

Ingabe lesi simo singavinjelwa?

Yebo! Into engcono kakhulu ongayenza ukuvimbela lesi simo ukuthi singenzeki. Kulula kakhulu. Uma une-hypothyroidism, into ebaluleke kakhulu ongayenza ukuthatha umuthi we-thyroid owunikezwe udokotela wakho ngesilinganiso esifanele, ngesikhathi esifanele, nsuku zonke . Ungayeki ukuthatha umuthi ngenxa yokudinwa noma ngoba ucabanga ukuthi "sekungcono manje." Futhi, kubaluleke kakhulu ukubona udokotela wakho ngezikhathi ezifanele futhi uhlolwe igazi njenge-TSH ukuze uqaphe isimo sakho. Ngokulandela lezi zinto ezimbili ezilula, ungazivikela ngokuphelele esimweni esiyingozi njenge-Myxedema Coma.

Umlayezo Wokuya Nawe Ekhaya

I-Myxedema Coma iyisimo esiphuthumayo esinzima kakhulu nesisongela ukuphila se-hypothyroidism engelashwa.
Izimpawu eziyinhloko ukulala ngokweqile, ukudideka, ukubanda okungajwayelekile komzimba, ukuvuvukala, kanye nobunzima bokuphefumula.
Uma ubona lezi zimpawu, thatha isiguli usiyise e-Emergency Treatment Unit (ETU) eseduze nawe ngokushesha.
Ungazami ukujova amaphilisi e-thyroid ekhaya nganoma yisiphi isizathu.
Indlela engcono kakhulu yokugwema lokhu ukuthatha imithi ye-thyroid oyinikezwe udokotela wakho nsuku zonke, ngesilinganiso esinqunyiwe, nokufuna iseluleko sezokwelapha njengoba kunqunyiwe.