Ingabe i-thyroid yakho ifana nesiphepho? (Isiphepho se-thyroid) Ake sifunde ngalesi simo esiyingozi!

Wake wezwa ngento ebizwa ngokuthi 'i-Thyroid Storm'? Leli gama lizwakala lithusa kancane, akunjalo? Empeleni yisimo esibucayi esidinga usizo oluphuthumayo lwezokwelapha futhi esingasongela impilo. Uma sikhuluma iqiniso, ukukhishwa kwama-hormone e-thyroid ngokuzumayo, ngokweqile okuvela e-thyroid gland. Ake sixoxe ngakho kalula, ngendlela ongayiqonda.

Iyini i-thyroid gland? Yenzani?

Manje cishe ucabanga ukuthi, 'Iyini le ndlala yegilo?' Kulula kakhulu. Yindlala encane engaphambili entanyeni yakho, ebumbeke njengovemvane. Le ndlala encane yenza imisebenzi eminingi ebalulekile emzimbeni wethu.

Indlala yegilo ikhiqiza amahomoni amabili ayinhloko: i-triiodothyronine (T3) kanye ne -thyroxine (T4) . La mahomoni amabili abizwa ngokuthi amahomoni egilo. La mahomoni alawula izinga lokushisa lomzimba wethu, ukushaya kwenhliziyo, futhi, okubaluleke kakhulu, indlela esisebenza ngayo .

I-metabolism, kafushane nje, iyindlela imizimba yethu esebenza ngayo izinto ngokushesha, okungukuthi, indlela esiguqula ngayo ukudla esikudlayo kube amandla nokushisa ngokushesha. Manje cabanga, lapho kuvela isiphepho se-thyroid, inani elikhulu lama-hormone e-thyroid liqongelela ngokuzumayo emzimbeni. Kwenzekani-ke? I-metabolism yomzimba wethu iba ngokushesha ngendlela engenakucatshangwa. Njengesitimela esisheshayo! Lokhu kuyingozi kakhulu, ngisho nokusongela impilo.

Uma kwenzeka lokhu kuguqulwa kwe-metabolism ephezulu, imizimba yethu idinga umoya-mpilo omningi. Ukuze kuhlangatshezwane nalesi sidingo esikhulu somoya-mpilo, inhliziyo yethu iqala ukushaya ngokushesha okukhulu. Lokhu sikubiza ngokuthi i-tachycardia . Ngenxa yalesi sivinini esikhulu, inhliziyo ayisakwazi ukubhekana naso futhi kungenzeka ngisho nokwehluleka kwenhliziyo . Uyaqonda ukuthi kuyingozi kangakanani?

Ubani onamathuba amaningi okuthuthukisa isifo se-thyroid?

I-thyroid storm ingumphumela omubi kakhulu wesimo esibizwa ngokuthi i-hyperthyroidism , okuwukukhiqizwa kwe-thyroid hormone eningi kakhulu. Ngakho-ke, abantu abanezimo ezibangela i-hyperthyroidism, njengesifo sikaGraves noma i-thyroid adenoma enobuthi, banamathuba amaningi okuba nayo.

Njengezinye izifo ze-thyroid, lesi simo sivame kakhulu kwabesifazane kunakwabesilisa. Odokotela bathi sivame kakhulu kubantu abaneminyaka ephakathi kuka-42-43.

Sivame kangakanani lesi simo?

Iziphepho ze-thyroid empeleni azivamile kakhulu.Okuthile. Lokho kusho ukuthi akuvamile kakhulu. Isibonelo, ngokwezibalo e-United States, lesi simo senzeka kubantu abaphakathi kuka-5 no-7 ngesigidi. Kodwa yize kungavamile, akukwenzi kube kubi kakhulu.

Kuzwakala kanjani ukuba nesiphepho se-thyroid?

Ngenxa yokuthi la ma-hormone e-thyroid athinta izingxenye eziningi zomzimba, uma une-thyroid storm, uzozwa umuzwa onzima kakhulu emzimbeni wakho wonke, njengokungathi uyasha ngaphakathi. Ungase uzwe izinto ezifana nalezi:

• Kushisa kakhulu futhi ngijuluka kakhulu. Kufana nokuba seduze nesitofu.
• Inhliziyo yakho ishaya ngokushesha kangangokuthi kuzwakala sengathi izogxuma iphume esifubeni sakho. Ungase uzwe ngisho nalowo msindo.
• Ngizizwa ngingakhululekile, ngikhathazekile futhi ngikhathazekile. Inhliziyo yami ishaya ngamandla ngaphandle kwesizathu.
• Umzimba wami uyathuthumela. Kuzwakala sengathi ngiyabanda, kodwa empeleni kuyashisa.
• Ngizizwa sengathi nginobuhlungu besisu, isicanucanu, nokuhlanza.
• Ngizizwa sengathi angikwazi ukulawula umzimba wami. Izitho zami zomzimba ziyathuthumela, amazwi ami ayaxaka.
• Ngizizwa ngididekile futhi ngididekile. Kubonakala sengathi angikwazi ukuqonda ukuthi kwenzekani.

Uma unezinye zalezi zimpawu, into ebaluleke kakhulu okufanele uyenze ukuya esibhedlela esiseduze ngokushesha okukhulu, ngaphandle kokulibala umzuzwana.

Yini ebangela isiphepho se-thyroid?

Abacwaningi abakakazi kahle ukuthi yini ebangela isivunguvungu se-thyroid. Kodwa-ke, kungenzeka uma une-hyperthyroidism yesikhathi eside, engalashwanga. Kodwa ngokuvamile, ibangelwa isenzakalo esibi kakhulu, esizumayo. Okusho ukuthi, "isizathu."

Cabanga nje, ngezinye izikhathi umama noma u-anti wethu uphuza imithi ye-thyroid. Mhlawumbe othile uthi, 'Akukuhle ukuqhubeka uphuza lowo muthi,' noma mhlawumbe sekwephuze kakhulu ukuwuthatha futhi ngemva kokuba umuthi uphelile. Uma uyeka umuthi ngokuzumayo, i-hyperthyroidism eyisisekelo ingaba yimbi kakhulu, futhi lesi simo esiyingozi esibizwa ngokuthi i-thyroid storm singakhula. Yingakho kungekuhle ukuyeka umuthi noma ukushintsha umthamo ngaphandle kweseluleko sikadokotela.

Okulandelayo yizimbangela ezingabangela isiphepho se-thyroid:

• Kufanele uyeke ukuthatha imithi yakho ye-thyroid, okusho ukuthi imithi yokulwa ne-thyroid, ngokuzumayo.
• I-thyroidectomy iwukuhlinzwa kokususa i-thyroid gland.
• Okunye ukuhlinzwa okukhulu okungahlobene ne-thyroid.
• Ingozi, ukulimala okukhulu (Ukuhlukumezeka) .
• Ukutheleleka okukhulu emzimbeni, njenge-pneumonia.
• I-Diabetic Ketoacidosis (DKA) , Ukwehluleka KwenhliziyoIsimo esiphuthumayo, njengokuhlaselwa yinhliziyo, noma ukusabela okubi kakhulu emithini ethile.
• Ama-contrast agents ane-iodine, asetshenziswa kwezinye izivivinyo ze-X-ray, angabangela ukwanda okungazelelwe kwamazinga e-iodine emzimbeni.
• Ukubeletha umntwana kowesifazane.
• Isifo sohlangothi .

Yiziphi izimpawu zesifo se-thyroid?

Njengoba sikhulume ngakho ekuqaleni, kungaba nezimpawu eziningi zalokhu.

Izimpawu nezimpawu ezivamile:

• Umkhuhlane ophezulu – umkhuhlane ongama-degrees Fahrenheit angu-104 kuya kwangu-106 (cishe ama-degrees Celsius angu-40-41). Lona akuwona umkhuhlane ojwayelekile, kodwa umkhuhlane ophezulu.
• Inhliziyo ishaya ngokushesha kakhulu (i-Tachycardia) – ingaba ngaphezu kwama-beats angu-140 ngomzuzu.
• Ukuzizwa ungahlaliseki, ucasukile, kanye/noma ukhathazekile.
• Ukusangana – Isimo lapho ulahlekelwa khona umkhondo wokuthi ukuphi, isikhathi, kanye nabantu obaziyo.
• Ukwehluleka kwenhliziyo okubangelwa yi-Congestive kungenzeka.
• Ukulahlekelwa ukwazi.

Izimpawu nezimpawu ezingavamile:

• Isicanucanu esikhulu kanye/noma ukuhlanza.
• Uhudo.
• Ubuhlungu obukhulu besisu.
• Ukuphuzi kwesikhumba noma amehlo, okungukuthi, i-jaundice .

Lesi siphepho se-thyroid sitholakala kanjani?

Udokotela uzohlonza isifo se-thyroid ngokusekelwe ezimpawini zesiguli ezibucayi nezisongela ukuphila (njengomkhuhlane ophakeme, izinkinga zenhliziyo), amazinga aphezulu kakhulu ama-hormone e-thyroid (T3, T4) egazini, kanye namazinga aphansi kakhulu e-hormone evuselela i-thyroid (TSH) .

Kodwa-ke, ngenxa yokuthi lokhu kusongela impilo futhi ukwelashwa okusheshayo kubalulekile, ezimweni eziningi, odokotela abalindi imiphumela yokuhlolwa kwegazi, kodwa baqala ukwelashwa ngokushesha uma besola ukuthi kukhona isiphepho se-thyroid ngokusekelwe ezimpawini. Ngoba umzuzwana ngamunye uyabaluleka.

Ngaphezu kwalokho, odokotela babheka nezimpawu zalokhu ngokuhlolwa ngokomzimba. Lokhu kufaka phakathi:

• I-Goiter , okusho ukuthi indlala yegilo ikhulisiwe, iyahlolwa.
• I-Ophthalmopathy , umphumela ongemuhle wesifo sikaGraves, ibonakala emehlweni, njengokuvuvukala nokuvuvuka kwamehlo.
• Ukungagculiseki kwesikhumba , okusho ukuthi uma ubheka phansi, ubona ukuthi ijwabu leso eliphezulu liphakeme kunalokho okufanele libe yikho.
• Ingabe unezandla eziqhaqhazelayo?
• Ingabe unesikhumba esifudumele nesimanzi?
• Ukuhlola ukuphazamiseka kwesigqi senhliziyo okubizwa ngokuthi i-tachycardia noma i-atrial fibrillation .

Lesi siphepho se-thyroid siphathwa kanjani?

Ngenxa yokuthi lesi yisimo esiphuthumayo sezokwelapha, kuzodingeka ulaliswe esibhedlela, ngokuvamile eYunithi Yokunakekelwa Okujulile (ICU), ukuze ithimba lezokwelapha likwazi ukuqapha isimo sakho eduze.

Isu lokwelapha isiphepho se-thyroid lingahlukaniswa izingxenye ezine eziyinhloko:

1. Ukwelashwa okulawula ngokushesha ukukhiqizwa nokukhishwa kwama-hormone e-thyroid: Lokhu kuhilela ukunikeza imithi yokulwa ne-thyroid (isib., ama-Thionamides ) ukuze kumiswe ukukhiqizwa kwama-hormone amasha. Futhi, kunikezwa isisombululo se-iodine ukuze kumiswe ukukhishwa kwama-hormone asevele ekhiqizwa yi-thyroid gland.

2. Ukwelapha izinhlelo zomzimba wakho, ikakhulukazi inhliziyo, ezithintwa ama-hormone e-thyroid amaningi: Ama-beta-blocker anikezwa ukulawula izinga lokushaya kwenhliziyo kanye nomfutho wegazi.

3. Ukwelapha isimo noma isifo esibangele isivunguvungu se-thyroid yakho: Isibonelo, uma kuyisifo, uzonikezwa ama-antibiotic.

4. Ezinye izindlela zokwelapha ezisekelayo zokusiza ngezimpawu nemiphumela emibi:

• I-Acetaminophen (i-Paracetamol) kanye nezingubo zokupholisa zisetshenziselwa ukunciphisa izinga lokushisa lomzimba.
• Imithi efana ne -bile acid sequestrants inganikezwa ukuvimbela ukumuncwa kabusha kwama-hormone e-thyroid emathunjini.
• Uma kunobunzima bokuphefumula, kunikezwa ukwesekwa kokuphefumula, njengomoya-mpilo owengeziwe.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Uma uthola ukwelashwa okufanele ngokushesha, uzobona intuthuko enkulu esimweni sakho zingakapheli amahora angama-24. Izimpawu zakho zizophela futhi uzoqala ukuzizwa ungcono kancane. Kodwa-ke, kungathatha isonto noma ngaphezulu ukululama ngokuphelele embangeni eyisisekelo ye-Thyroid Storm, uma isimo sesilashiwe.

Ngingakwazi yini ukuvimbela isivunguvungu se-thyroid?

Akuzona zonke iziphepho ze-thyroid ezingavinjelwa, njengoba ngezinye izikhathi zingabangelwa yisenzakalo esingazelelwe. Kodwa-ke, uma usuvele une-hyperthyroidism, kunezinto ezibalulekile ongazenza ukuze uzame ukuvimbela lesi simo esiyingozi:

• Njalo thatha imithi yakho ye-thyroid njengoba nje udokotela wakho ekuyalele, ngesikhathi. Ungaphuthelwa usuku olulodwa.
• Bona udokotela wakho njalo bese uthola izivivinyo ezidingekayo ukuqinisekisa ukuthi ukwelashwa kwakho kusebenza kahle nokuthi amazinga akho ama-hormone ayalawuleka.
• Nciphisa ukucindezeleka ngangokunokwenzeka. Izinto ezifana nokuzindla nokuzivocavoca umzimba zingasiza.
• Uma uzohlinzwa, tshela odokotela bakho kusenesikhathi ukuthi une-hyperthyroidism. Bazobe sebethatha izinyathelo ezidingekayo zokuvimbela isivunguvungu se-thyroid, mhlawumbe bakunike imithi yokulwa ne-thyroid ngaphambi kokuhlinzwa.
• Ikakhulukazi uma une-hyperthyroidism futhi uzohlinzwa i-thyroid (i-thyroidectomy) , udokotela wakho cishe uzokunikeza imithi ethile ngaphambi kokuhlinzwa ukuze akulungiselele yona, ukunciphisa ingozi yesiphepho se-thyroid.

Iyini iphrojekthi yesifo se-thyroid?

Isiphepho se-thyroid siyisimo esiphuthumayo sezokwelapha esingaba yingozi uma singelashwa.

Ukufa kungabangelwa ukwehluleka kwenhliziyo, ukungasebenzi kahle kwenhliziyo, noma ukwehluleka kwezitho eziningi . Kodwa-ke, ngokutholwa kusenesikhathi nokwelashwa okufanele, abantu abaningi bayalulama zingakapheli amahora angama-24.

Kodwa-ke, kwezinye izimo, kunezici eziyingozi ezinganciphisa amathuba okululama. Ezinye zazo zifaka:

• Uma isiguli sesikhulile kakhulu.
• Uma kunezinkinga ezinkulu zesimiso sezinzwa (isib. ukulahlekelwa ukwazi, ukudideka) lapho ungeniswa esibhedlela.
• Uma kungenzeki ukunikeza imithi ebalulekile edingekayo (ama-beta-blockers, imithi ye-antithyroid) ngenxa yezinye izimo zempilo (isb., ukungakwazi ukunikeza ama-beta-blockers ngenxa yezifo ezifana ne-asthma).
• Uma unezinkinga zezinso ngenxa yesifo se-thyroid futhi udinga i-dialysis , noma uma ungakwazi ukuphefumula futhi udinga umoya womoya ophefumulayo .

Ingabe i-Thyroid Storm ingaba yingozi?

Yebo, ngeshwa, i-Thyroid Storm ingaba yingozi. Lesi yisimo sezokwelapha esisongela impilo. Uma singelashwa, ukufa cishe kuqinisekile. Ngisho noma ukwelashwa kwelashwa, kwezinye izimo eziyinkimbinkimbi, ukufa kungenzeka. Ngokwezibalo, phakathi kuka-10% no-30% weziphepho ze-Thyroid kubikwa ukuthi zibangela ukufa.

Yingakho sihlala sithi, uma unezimpawu zesifo se-thyroid, kubaluleke kakhulu ukuya esibhedlela ngokushesha okukhulu, ngaphandle kokulibala umzuzwana. Ungalindi kuze kube yilapho izimpawu ziba zimbi kakhulu.

Yiziphi ezinye izinkinga ezingase zenzeke nge-Thyroid Storm?

Uma ukwelashwa kwephuza noma kungatholakali kahle, i-thyroid storm ingaholela ezinkingeni ezinkulu kakhulu. Ezinye zalezi zinkinga zifaka:

• Ukwehluleka kwenhliziyo kuya ngokuya kuba kubi.
• Ezingxenyeni ezahlukene zomzimbaKungakheka amahlule egazi, okungaholela ezimweni ezimbi kakhulu njengohlangothi.
• Ukuquleka okufana nesifo sokuwa.
• Ukuphambana okuqhubekayo.
• I-Coma yisimo sokulala ubuthongo obukhulu kanye nokulahlekelwa ukwazi.

Kufanele ngiye nini eGumbini Lezimo Eziphuthumayo?

Uma unesinye noma ngaphezulu izimpawu ocabanga ukuthi kungaba yisifo se-thyroid, njengomkhuhlane ophakeme, ukushaya kwenhliziyo okusheshayo, ukungaphumuli okukhulu, noma ukudideka , iya ekamelweni eliphuthumayo eliseduze ngokushesha okukhulu. Ungachithi isikhathi.

Yiziphi izinto ezibaluleke kakhulu okufanele sizithathe ekhaya kule ndaba? (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke, kusukela kulokho esikhulume ngakho, lezi yizinto ezibaluleke kakhulu okufanele uzikhumbule:

1. Isiphepho se-thyroid siyisimo esiyingozi kakhulu, esisongela ukuphila esidinga usizo oluphuthumayo lwezokwelapha. Lokhu akuwona umdlalo.

2. Lokhu kuvame ukubangelwa abantu abane- hyperthyroidism (i-hormone ye-thyroid eyeqile), ikakhulukazi labo abangatholi ukwelashwa okufanele ngayo, noma ngenxa yesifo esingazelelwe.

3. Qaphela izimpawu ezifana nomkhuhlane ophakeme, ukushaya kwenhliziyo okusheshayo, ukungaphumuli okukhulu, ukujuluka, kanye nokudideka .

4. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, hamba esibhedlela ngokushesha ngaphandle kokulibala. Ukwelashwa okusheshayo kungasindisa impilo.

5. Uma une-hyperthyroidism, landela imiyalelo kadokotela wakho, uphuze imithi yakho ngendlela efanele, futhi uhlolwe njalo. Lokhu kunganciphisa ingozi yokuba nesifo se-thyroid.

6. Nakuba lesi simo singavamile, kubalulekile ukuthi wonke umuntu asiqaphele.

Uma unesifo esifana ne-hyperthyroidism, njengesifo sikaGraves, qiniseka ukuthi ubuza udokotela wakho ngesiphepho se-thyroid nokuthi ungasivimbela kanjani ukuthi singenzeki kuwe. Hlala uphilile!

Isiphepho Se -Thyroid , I-Hyperthyroidism, I-Thyroid Gland, Ama-hormone E-Thyroid, Izimpawu, Ukwelashwa, Isimo Esiphuthumayo, Isifo Samathuna