Ingabe ngezinye izikhathi uzizwa sengathi ugijima i-marathon ngaphakathi? Ukhathazekile kakhulu, ujuluka kakhulu, inhliziyo yakho iyashaya ngamandla... futhi wehlisa isisindo kungakhathaliseki ukuthi udla malini? Uma lezi zinto zivamile kuwe, kubalulekile ukuthi uqaphele isimo esikhuluma ngaso namuhla. Lokhu kubizwa ngokuthi i-Thyrotoxicosis. Nakuba igama lingase lizwakale lingavamile, akukho okufanele ukwesabe. Ake sixoxe ngakho kalula.
Kalula nje, iyini i-thyrotoxicosis?
Kalula nje, i-Thyrotoxicosis iyenzeka lapho umzimba wakho une-hormone ye-thyroid eningi kakhulu.
Manje ungase uzibuze ukuthi iyini le hormone ye-thyroid. Ikhiqizwa yindlala encane efana novemvane engaphambili entanyeni yethu, indlala ye-thyroid. Umsebenzi oyinhloko wale hormone ukulawula ukusebenza komzimba emzimbeni wethu. Okusho ukuthi, ilawula izinga lokuguqulwa kokudla esikudlayo kube amandla.
Cabanga ngemizimba yethu njengenjini emotweni. I-hormone ye-thyroid ifana ne-accelerator yaleyo moto. Uma isesilinganisweni esifanele, injini izosebenza kahle nangesivinini esifanele. Kodwa ku-Thyrotoxicosis, kuba sengathi i-accelerator icindezelwa njalo. Kwenzekani-ke? Injini isebenza ngokushesha kakhulu, ishise, futhi ishise uphethiloli omningi kakhulu. Ngokufanayo, lapho amazinga e-hormone ye-thyroid ekhuphuka, zonke izinqubo emzimbeni wethu ziqala ukugijima ngokushesha kakhulu. Inhliziyo yakho ishaya ngokushesha, umzimba wakho uba mncane, futhi uzizwe ukhathazekile. Ungase uzizwe ungasalawuleki.
Ingabe lesi simo sisongela ukuphila?
Nakuba igama elithi "ubuthi" lisegameni, i-thyrotoxicosis akuyona njalo isimo esisongela ukuphila. Kodwa-ke, uma iba nzima kakhulu , ingaba yingozi empilweni. Ngokwezokwelapha, lokhu sikubiza ngokuthi isiphepho se-thyroid . Kodwa-ke, lesi yisimo esingavamile kakhulu.
Imbangela eyinhloko yesiphepho se-thyroid yisenzakalo esikhulu esiphuthumayo. Isibonelo, ukuhlinzwa okukhulu, ukutheleleka okukhulu, njll. Futhi, uma usuvele uthatha imithi ye-thyroid, lesi simo esibi singavela uma uyeka ukuyithatha ngokuzumayo.
Ngakho-ke khumbula, kubaluleke kakhulu ukuthola ukwelashwa kwe-Thyrotoxicosis evamile ngokushesha okukhulu. Uma ingelashwa, ingaholela kwezinye izinkinga zempilo.
Ziyini izimpawu ze-thyrotoxicosis?
Izimpawu zalesi simo ziyahlukahluka kuye ngokuthi amazinga e-hormone ye-thyroid aphakeme kangakanani. Uma amazinga e-hormone ephezulu kakhulu, izimpawu nazo zimbi kakhulu. Ake sibone ukuthi ziyini lezi zimpawu.
| Isibonakaliso | Incazelo |
|---|---|
| Ukwehlisa isisindo ngaphandle kwesizathu | Ngisho noma udla ngendlela evamile noma engcono kakhulu, uzokwehlisa isisindo. Ngenxa yokuthi i-metabolism yakho ishesha, ukudla okudlayo kuguqulwa ngokushesha kube amandla bese kuphelelwa yisikhathi. |
| Ukushaya kwenhliziyo | Inhliziyo ingashaya ngokushesha okungaphezu kwezikhathi eziyi-100 ngomzuzu. Lokhu sikubiza ngokuthi (i-Tachycardia) . Ngezinye izikhathi ukushaya kwenhliziyo kungaba okungajwayelekile (i-Arrhythmia) . |
| Ukuthuthumela kwesandla | Kungase kube nokuthuthumela okuncane, ikakhulukazi ezandleni. |
| Ukungaphumuli kwengqondo | Ngizizwa ngikhathazekile kakhulu, angisakwazi ukukubekezelela lokho. Ngithukuthela futhi ngesaba ngisho nezinto ezincane kakhulu. |
| Ukungabekezeleli ukushisa | Uma abanye bezwa ukushisa okuvamile, uzizwa ushisa kakhulu. Ujuluka njalo. |
| Izinguquko esikhathini sanyanga zonke | Abesifazane bangase babe nokuya esikhathini okungajwayelekile, izinsuku ezimbalwa, noma bayeke ngokuphelele. |
| Isimo esibi kakhulu: Isiphepho se-thyroid - Yiya esibhedlela ngokushesha! | |
| Izimpawu ezinzima kakhulu | Isilinganiso senhliziyo sikhuphuka sibe ngaphezu kwama-beats angu-140 ngomzuzu. Umkhuhlane ophakeme, ukungahlaliseki okukhulu, ukudideka, nokulahlekelwa ukwazi kungase kwenzeke. Lesi yisimo esiphuthumayo sezokwelapha. Kufanele uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha. |
Uma unezinye zalezi zimpawu, sicela ungazinaki. Qiniseka ukuthi ubona udokotela wakho.
Kungani i-thyrotoxicosis ikhula?
Kungaba nezizathu eziningana zalokhu. Ake sibheke eziyinhloko.
- I-Hyperthyroidism: Lena imbangela evame kakhulu ye-thyrotoxicosis. I-Hyperthyroidism yilapho i-thyroid gland yakho isebenza ngokweqile futhi ikhiqiza ama-hormone amaningi kakhulu. Kunezimbangela eziningana zalokhu.
- Isifo sikaGraves: Lesi yisimo sokuzivikela komzimba. Lokhu kusho ukuthi amasosha omzimba wethu ahlasela indlala yethu yegilo, ayikhuthaze ukuthi ikhiqize amahomoni engeziwe.
- Amaqhubu e-thyroid: Ngezinye izikhathi, amanye amaqhubu akheka e-thyroid aqala ukukhiqiza ama-hormone ngokwawo.
- I-thyroiditis: Lokhu kwenzeka lapho i-thyroid gland ivuvukala. Kungabangelwa izifo ezahlukahlukene, imithi ethile (isib. i-lithium, ama-interferons), noma izinkinga zesistimu yomzimba. Lapho i-gland ivuvukala, ama-hormone agcinwe kuyo avuza egazini. Lokhu kwandisa amazinga ama-hormone okwesikhashana. Lesi simo singavela nakomama ngemva kokubeletha (postpartum thyroiditis).
- Ukuthatha imithi ye-thyroid eningi kakhulu: Uma welashwa i-hypothyroidism (ukuntuleka kwe-hormone ye-thyroid), ukuthatha amaphilisi e-levothyroxine amaningi kunalawo udokotela wakho akunike wona kungaholela ku-thyrotoxicosis. Lokhu kungenzeka ngokungazi noma ngokwazi.
- Ukungena kwama-hormone ekudleni: Lesi yisimo esingavamile kakhulu. Lesi simo singavela uma udla inyama yenkomo, equkethe izicubu ze-thyroid ezivela entanyeni yenkomo yenkomo. Lokhu kubizwa nangokuthi "i-hamburger thyrotoxicosis."
Ubani osengozini enkulu yalesi simo?
Kunezinhlobo eziningana zezinkinga ezivame kakhulu zokuthuthukisa i-thyrotoxicosis:
- Ukuba nomlando womndeni wesifo se-thyroid: Izimo, ikakhulukazi isifo sikaGraves, zingase zivele emindenini.
- Ukuba ngowesifazane: Abesifazane banamathuba amaningi okuthola isifo se-thyroid kunabesilisa.
- Ukuba neminyaka engaphezu kwengu-60 ubudala.
- Ukuba nezinye izifo ze-autoimmune:Isibonelo, izifo ezifana nesifo sikashukela sohlobo 1 noma isifo sika-Addison.
- Sekuyisikhathi eside ngingazange ngibe nomntwana.
- Ukuba nemithi ye-thyroid (i-levothyroxine) ekhaya: Umuntu endlini angase athathe lo muthi ngengozi. Ngakho-ke, kubalulekile ukugcina umuthi uphephile njalo.
Udokotela ukuthola kanjani lokhu?
Uma uya kudokotela, uzothatha izinyathelo eziningana ukuqinisekisa lesi simo.
1. Ukuhlolwa komzimba: Okokuqala, bazobuza ngezimpawu zakho futhi bakuhlole. Bazohlola izinto ezifana nokushaya kwenhliziyo okusheshayo kanye nezandla ezithuthumelayo.
2. Ukuhlolwa kwegazi le-thyroid: Lokhu ukuhlolwa okubaluleke kakhulu. Igazi lakho lizohlolwa amazinga e-thyroid hormone (T3 kanye ne-T4) kanye namazinga e-TSH (i-Troid-Stimulating Hormone). Ku-thyrotoxicosis, amazinga e-T3 kanye ne-T4 aphezulu kakhulu kunokuvamile, kanti amazinga e-TSH aphansi kakhulu noma awabonakali.
Kalula nje, i-TSH iyisiginali esuka ebuchosheni iye endlaleni ye-thyroid ukuze 'isebenze'. Njengoba umzimba usuvele unama-hormone amaningi kakhulu, ubuchopho buyayeka ukunikeza lesi siginali. Yingakho izinga le-TSH lehla.
3. Ukuhlolwa kwezithombe: Ngezinye izikhathi ukuhlolwa kwezithombe kungenziwa ukuze kutholakale imbangela eqondile. Lokhu kungafaka phakathi ukuhlolwa kwe-thyroid ultrasound noma ukuhlolwa kwe-radioactive iodine uptake (RAIU). Udokotela wakho uzokuchazela lokhu.
Iphathwa kanjani?
Ukwelashwa kwe-thyrotoxicosis kuncike embangela. Udokotela wakho uzonquma imbangela futhi ancome ukwelashwa okukulungele.
| Indlela Yokwelapha | Kwenzekani kuyo? |
|---|---|
| Imithi yokulwa ne-thyroid | Imithi efana ne-methimazole kanye ne-propylthiouracil (PTU) ivimba i-thyroid gland ekukhiqizeni ama-hormone. Amacala amaningi e-hyperthyroidism angelashwa ngale mithi. |
| Ukwelashwa nge-iodine ekhishwa ngemisebe (RAI) | Lokhu kusebenza ngokubhubhisa amaseli e-thyroid asebenza ngokweqile. Kodwa-ke, ngemva kwalokhu kwelashwa, i-thyroid gland ivame ukusebenza unomphela. Ngemuva kwalokho kufanele uthathe amaphilisi e-thyroid hormone (levothyroxine) impilo yakho yonke. |
| Ukuhlinzwa (Ukuhlinzwa - Ukuhlinzwa Kwe-Thyroidectomy) | Kwezinye izimo, udokotela wakho angase ancome ukuhlinzwa ukuze kususwe indlala yegilo. Lokhu kungabangela ne-hypothyroidism engapheli, okudinga ukuthi uphuze amaphilisi ama-hormone impilo yakho yonke. |
| Ama-Beta-blocker | Le mithi ilawula izimpawu kuphela. Isiza ekulawuleni izinto ezifana nokushaya kwenhliziyo okusheshayo, ukungaphumuli, kanye nokuthuthumela okwesikhashana. Kodwa ayishintshi amazinga ama-hormone egazini. |
| Ama-Glucocorticoids | Uma une-thyroiditis, le mithi ingasiza ekunciphiseni ukuvuvukala nobuhlungu. |
Yiziphi izinkinga ezingaba khona uma zingelashwa?
Uma ingelashwa, i-thyrotoxicosis, ikakhulukazi i-hyperthyroidism, ingaholela ezinkingeni ezinkulu.
- I-Atrial fibrillation (Afib): Ukushaya kwenhliziyo okungajwayelekile nokusheshayo.
- Ukwehluleka kwenhliziyo (ukwehluleka kwenhliziyo okubangelwa ukuqina kwemisipha).
- Isifo sohlangothi (i-Ischemic stroke).
- I-Osteoporosis: Isimo lapho amathambo eba mancane futhi aphuke kalula.
- Ubuthakathaka bemisipha.
Uma isifo se-thyroid singelashwa ngokushesha, singaholela ekuqulekeni, ekuhlulekeni kwenhliziyo, ngisho nasekufeni. Ngakho-ke ungazinaki izimpawu.
Umlayezo Wokuya Nawe Ekhaya
- I-Thyrotoxicosis ukwanda ngokweqile kwamazinga e-hormone ye-thyroid emzimbeni, okwenza zonke izinqubo emzimbeni zisheshise.
- Uma unezimpawu ezifana nokwehla kwesisindo okungachazeki, ukushaya kwenhliziyo okusheshayo, ukungahlaliseki, kanye nokungabekezelelani nokushisa, qiniseka ukuthi ubona udokotela.
- Lesi simo singelashwa futhi silawulwe ngempumelelo. Asikho isidingo sokwesaba.
- Uma ingelashwa, izinkinga ezinkulu ezifana nesifo senhliziyo kanye nesifo sohlangothi zingavela.
- Isiphepho se-thyroid siyisimo esiphuthumayo sezokwelapha esibi kakhulu. Uma unezimpawu ezifana nomkhuhlane ophakeme kanye nokudideka, hamba uye emnyangweni wezimo eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Uma uthatha imithi ye-thyroid, thatha kuphela umthamo obekwe udokotela wakho. Gcina imithi ngokuphephile, kude nezingane.
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