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:
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.
i-myxedema coma, i-hypothyroidism, i-thyroid, i-hormone ye-thyroid, i-hypothyroidism, ukuntuleka kwe-thyroid, ukwelashwa okuphuthumayo
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