Matenda a manda ndi matenda omwe amachititsa kuti hyperthyroidism iwonongeke kwambiri. Ngati muli hyperthyroid, muli ndi chiopsezo chochepa chokhala ndi matenda otchedwa chithokomiro.
Mphepo ya chithokomiro si yachilendo. Amodzi pa awiri peresenti ya anthu amene ali ndi hyperthyroidism amakhala ndi mphepo yamkuntho.
Pa mphepo yamatenda, mtima wanu, kuthamanga kwa magazi, ndi kutentha kwa thupi zimatha kukhala mopitirira malire. Zizindikiro izi ndizoopsa, ndipo zingathe kupha moyo. Mavuto a chithokomiro amachititsa kudwala ndi matenda a mtima.
Ngati Mukuganiza Matenda a Chithokomiro, Pitani ku ER Nthawi yomweyo
Nthawi iliyonse pamene mukuganiza kuti mliri wa chithokomiro ukuganiza, muyenera kupita mwamsanga kuchipatala. Mphepo ya chithokomiro imayambitsa moyo, ndipo ikhoza kukulirakulira mofulumira. Mphepo ya chithokomiro imafunika chithandizo mwamsanga kuti chiteteze mavuto omwe angakhale nawo.
Zowopsa
Choopsa chachikulu cha mkuntho wa chithokomiro chili ndi matenda a Graves ndi / kapena hyperthyroidism omwe sagwiritsidwa ntchito.
Komanso, amayi ali pangozi yaikulu kuposa amuna, ndipo okalamba ali pachiopsezo kuposa achinyamata omwe ali ndi Graves '/ hyperthyroidism.
Ngakhale pamene matenda a Graves amadziwika ndi kuchitidwa chithandizo, pali zifukwa zambiri zomwe zimayambitsa chiopsezo cha chithokomiro chanu:
- Kutenga, matenda opatsirana makamaka m'mapapo, matenda a mmimba kapena chibayo.
- Shuga ya magazi imasintha, kuphatikizapo shuga ya ketoacidosis ndi insulini-inachititsa hypoglycemia.
- Kuchita opaleshoni yatsopano ku chithokomiro chanu, kapena kuwonongeka kwa chithokomiro chanu.
- Kutaya mwadzidzidzi mankhwala anu a antithyroid.
- Thandizo la mankhwala a iodin (RAI) la chithokomiro chanu.
- Matenda ovuta kwambiri (kugwiritsira ntchito / kugwiritsira ntchito) kwa chithokomiro chanu.
- Kuwonetsera kwa kuchuluka kwa ayodini (monga ayodini-based difference agent , kapena mtima drug amiodarone).
Kupsinjika maganizo kwakukulu. - Kuchulukanso kwa mankhwala osokoneza bongo.
- Toxemia wa mimba ndi ntchito.
Zizindikiro
Kodi zizindikiro za mphepo ya chithokomiro ndi chiyani?
- Kutentha kwambiri kwa madigiri 100 mpaka kufika madigiri 106.
- Kuthamanga kwa mtima kwambiri, komwe kungakhale kokwera ngati 200 kugunda pamphindi (BPM).
- Palpitations, kupweteka pachifuwa, ndi kupuma pang'ono.
- Kuthamanga kwa magazi.
- Chisokonezo, delirium, ngakhale psychosis.
- Kufooka kwakukulu ndi thupi
- Kutopa kwambiri ndi kutopa.
- Kusagwedezeka kwakukulu, mantha, ndi kusintha maganizo.
- Zokongoletsera zowonjezereka, makamaka m'madzulo ndi m'matumbo.
- Kuvuta kupuma.
- Nsomba, kusanza, ndi kutsekula m'mimba.
- Kutulutsa thukuta kapena kutaya madzi m'thupi.
- Sungani kapena coma
Chinthu chimodzi choopsya / chidziwitso ndichoti kuwonongeka kwakukulu kumeneku kunachitika posachedwa.
Madokotala apanga njira yowunikira yomwe imawathandiza kufufuza mwamsanga zizindikiro ndikupanga chitsimikizo chodzidzimutsa cha chithokomiro cha chithokomiro, kotero iwo akhoza kuyamba mwamsanga mankhwala.
Chithandizo
Mphepo ya chithokomiro imakhala ndi njira zingapo.
Madokotala ena amatchula "5 Bs" pamene akuchiza mphepo yamkuntho.
- Pewani kusakanikirana kwa mavitamini a chithokomiro - kugwiritsa ntchito mankhwala osokoneza bongo . Izi zimachitidwa nthawi yomweyo ndi kuyeza koyambirira koyambira, komanso nthawi zambiri kuyendetsa mlingo woyenera. Kwa odwala omwe sangathe kulekerera mankhwala osokoneza bongo, lithiamu nthawi zina imagwiritsidwa ntchito
- Pewani kutulutsa kwa mahomoni a chithokomiro pogwiritsa ntchito kukonzekera kwa iodide ya potassium. Izi zimaperekedwa pambuyo pa mankhwala osokoneza bongo, ndipo zimathandiza kuchepetsa kutulutsa mahomoni.
- Lembani kutembenuza T4 mpaka T3 kutembenuka - pogwiritsa ntchito mankhwala a corticosteroid, monga hydrocortisone
- Beta-blocker - gwiritsani ntchito beta-blocker mankhwala, kawirikawiri propranolol, kuchepetsa kuthamanga kwa magazi ndi kuthamanga kwa mtima
- Pewani kusindikiza kwa chiwindi - kugwiritsa ntchito mankhwala monga cholestyramine
Kuonjezera apo, mankhwala ena othandizira amaphatikizapo kuzizira kuti athe kuchepetsa kutentha kwa thupi, madzi okwanira kuthana ndi kuchepa kwa madzi, komanso mankhwala ena.
Kawirikawiri, ngati mankhwalawa akugwira ntchito, kusinthako kudzawoneka mkati mwa maola 24 mpaka 72.
Pamene mphepo ya chithokomiro siyimayankha njirazi, nthawi zina, plasmapheresis - mankhwala oyeretsera magazi - amachotsa kuchotsa mahomoni kuchokera ku magazi. Kachigawo kakang'ono kokha ka hormoni kamatha kuchotsedwa pa phunziro lililonse, kotero liyenera kuchitika kangapo.
Nthawi zambiri, chithokomiro chimachotsedwa opaleshoni, koma madokotala amayenera kusamala kwambiri pamene opaleshoni ikhoza kuchepetsa mphepo yamkuntho yowonongeka ngati mahomoni alipo kale.
Kodi Muyenera Kuchita Chiyani?
Mphepo ya chithokomiro ndi yosazolowereka, koma ndizoopsa kwa hyperthyroidism. Ngati mukuganiza kuti mvula ya chithokomiro, muyenera kuyesetsa kupeza chithandizo chamankhwala mwamsanga.