Kuchiza Matenda Anu a Chithokomiro ndi Kutenga Beta Blocker Kawirikawiri Kodi Ndibodza
Mumtima mwako mumapuma mofulumira komanso mofuula. Manja anu agwedezeka ndi mantha. Mukuona kuti ndikumvera chizungulire. Ndi kovuta kuti mupeze mpweya wanu. Inu mumatuluka mu thukuta. Mukuganiza kuti mukufa. Mumakhala ndi mantha. Mutha kukhala ndi mantha.
Kapena, mumamva mtima wanu akudumphira, kuthamanga, kukugwedeza, kapena kugwedeza. Iwe ukhoza kukhala ndi zovuta za mtima.
Kuwopsya ndi Kupsinjika Mtima Kumachokera ku Hyperthyroidism
Anthu ambiri sazindikira kuti kuopsezedwa ndi mantha amatha kukhala zizindikiro za hyperthyroidism - chithokomiro chopitirira muyeso - kapena matenda a Graves .
Odwala ena amaonedwa kuti alibe mantha kapena matenda a mtima pomwe ali hyperthyroid. Akapatsidwa chithandizo cha chithokomiro, amatha kukhala opanda zizindikirozi.
Pamene muli hyperthyroid, thupi lanu limapanga mahomoni ambiri a chithokomiro. Kutulutsidwa kwa ma hormone kungachititse kuti mtima wanu ukhale wovuta kwambiri, kuwonjezera kupsyinjika kwa magazi, ndipo nthawi zambiri kuika thupi lanu mowonjezereka. Mwa kuyankhula kwina, mahomoni ambiri a chithokomiro angayambe kumenyana-kapena-kuthawa adrenaline yankho.
Kuphatikiza pa matenda omwe amapezeka m'manda a m'manda, mu matenda a Hashimoto , nthawi yowonongeka ndi kutsika kwa chithokomiro nthawi zina amachititsa kuti hormone yambiri yowonongeka ikamasulidwe molakwika.
Goiter multinodular goiter ingayambitsenso nthawi yambiri ya hyperthyroidism. Pachifukwachi, zigawo izi zikhoza kuchititsa mantha kapena kusokoneza mtima.
Anthu ambiri omwe ali ndi vuto la chithokomiro adzapeza kuti atachiritsidwa bwino (mwachitsanzo, ndi mankhwala a antithyroid, iodine ya radioactive, kapena opaleshoni), kuzunzidwa kwawo ndi mantha kumakhala chinthu chakale.
Izi zinkati, nthawi zambiri kuphatikizapo kuchiza matenda a chithokomiro, beta blocker (mtundu wa mankhwala a magazi) imalangizidwanso kuti athetse zizindikiro monga kuthamanga kwa mtima ndi mantha.
Kuchiza kwa Zowopsya ndi Kuwongolera Mtima
Koma bwanji ngati mwakhala mukuchiritsidwa ndipo mukukumana ndi zigawo izi?
Panthawi imeneyi, muyenera kufufuza ndi dokotala wanu.
Chinthu chimodzi chofunika kwambiri kuti mufufuze ndi ngati muli ndi mitral valve kapena ayi, mtima wosasinthasintha wamagetsi umene umakhala wochuluka kwa odwala chithokomiro ndipo ukhoza kutulutsa zizindikiro monga kupwetekedwa mtima, kupweteka kwa mtima, kupweteka, mantha, mantha, kupuma pang'ono, ndi zizindikiro zina.
Kutuluka kwa valve ya Mitral kungapezekedwe ndi echocardiogram , ndipo pali mankhwala, kuphatikizapo beta blockers , omwe angachepetse zizindikiro.
Chinthu china choyenera kuganizira ndi dokotala wanu ndi mlingo wanu wa TSH. Atapatsidwa mankhwala a hyperthyroidism, anthu ambiri amakhala hypothyroid, chifukwa cha mavitamini a iodine (RAI), mankhwala osokoneza bongo, kapena opaleshoni.
Panthawi imeneyo, mutha kukhala ndi mahomoni otere. Koma ngati muli ndi mlingo wokwanira kwambiri wa mahomoni otere, ndipo TSH yanu ili pamapeto otsika, mukhoza kukhala malire a hyperthyroid chifukwa cha kuledzeretsa . Pachifukwa ichi, ndibwino kuti mukambirane za kuchepa pang'ono kwa dokotala wanu kuti muwone ngati izi zimachepetsa zizindikiro zanu.
Mofananamo, ngati muli ndi nthawi ya hyperthyroidism chifukwa cha matenda a Hashimoto kapena mitsempha yowopsa , chithandizo chabwino cha matenda anu chingathetsere mantha anu ndi zizindikiro za mtima.
Pomalizira, ngati inu ndi dokotala simungathe kudziwa zifukwa zomwe zimayambitsa zizindikiro zanu, mukhoza kukhala ndi mantha kapena nkhawa yodetsa nkhawa, kapena mtundu wina wa mtima wosayenerera. Muzochitika izi, muyenera kuyang'ananso ndi katswiri wamtima komanso / kapena wodwala zamaganizo.
Kuwonjezera pa mavuto a mtima kapena nkhawa yeniyeni, zifukwa zina zomwe zimayambitsa mantha ndizo:
- Kugwiritsa ntchito mankhwala osokoneza bongo (zopatsa mphamvu monga caffeine, cocaine kapena amphetamines)
- Hypoglycemia (shuga wochepa wa magazi)
- Kusuta mankhwala
- Adrenal gland amakayikira, kuphatikizapo pheochromocytoma
Mawu Ochokera
Tsimikizirani kuti mwa kuchiritsidwa bwino kwa hyperthyroidism yanu ndi beta blocker, mtima wanu palpitations ndi mantha mantha ayenera kuchepetsedwa.
Ngati simukutero, chonde lemberani dokotala wanu wa chithokomiro. Mungafunikire kuyesedwa chifukwa cha zifukwa zina.
Khalanibe olimbikitsana kudzera mu njirayi-pozitsatira mwatsatanetsatane ndi dongosolo lokonzekera bwino la mankhwala, mukhoza kumverera bwino.
> Zotsatira:
> Gra IM, Sowers JR. Chithokomiro ndi mtima. Am J Med . 2014 Aug; 127 (8): 691-98.
> Ross DS. (2016). Matenda a hyperthyroidism m'manda mwa anthu akuluakulu osakwanira: Mbiri ya chithandizo. Cooper DS, ed. Zaposachedwa. Waltham, MA: UpToDate Inc.