Pamene chithokomiro chanu chikutha (hyperthyroidism) ndipo chimabala mahomoni ochulukirapo, thupi lanu limachepa msanga. Poganizira za thupi lonse zomwe zingakhalepo, zizindikiro zosiyanasiyana zingapangitse, kuphatikizapo kulemera kwake, kukwiya, kusasinthasintha kwa mtima, mantha, kusowa tulo, kutaya tsitsi, ndi zina zambiri. Hyperthyroidism imakhalanso ndi mavuto ena, monga fupa, kutulutsa thupi, komanso kutenga mimba, ngakhale kuti izi zimakhala zachilendo kwambiri pamene matendawa sapitilira kapena osayendetsedwa.
Zizindikiro Zowonjezereka
Anthu ambiri omwe ali ndi hyperthyroidism amakumana ndi zizindikiro zotsatirazi kapena chimodzi. Ngakhale kuti zizindikirozi zimayamba pang'onopang'ono, zingayambe mwadzidzidzi, makamaka kwa achinyamata. Komabe, anthu achikulire omwe ali ndi hyperthyroidism amakhala ndi zizindikiro zochepa zosazindikirika kuposa achinyamata.
Monga mukuonera, hyperthyroidism ingakhudze thupi lonse, pamwamba mpaka pansi:
Kutentha
Kuwonjezeka thukuta, pamene thupi limapanga kutentha kwambiri, ndilo chizindikiro china chofala cha hyperthyroidism. Kuchuluka kwa thukuta kumawonjezera kukanika kwakutentha, zomwe zikutanthawuza kuti munthu akhoza kukhala wovuta kulekerera chilengedwe chofunda kapena ntchito zomwe zingapangitse patsogolo kutentha kwa dzuwa, monga zolimbitsa thupi.
Khungu / Tsitsi / Misomali
Kuwonjezera pa kupukuta tsitsi ndi kuchepa kwa misomali, khungu la munthu yemwe ali ndi hyperthyroidism nthawi zambiri ndi losavuta komanso lofunda, chifukwa cha kuuluka kwa magazi.
Mtima
Chifukwa cha kuwonjezereka kwa mtima, munthu yemwe ali ndi hyperthyroidism nthawi zambiri amazindikira mtima wawo ukukwera kapena kuphulika.
Mitundu ya mtima yosasinthasintha (yotchedwa arrhythmias ) komanso kuthamanga kwa magazi kungayambenso ndi chithokomiro chopitirira muyeso.
Mphungu
Kupuma pang'ono, makamaka pogwiritsa ntchito masewera olimbitsa thupi, n'kofala kwa anthu achikulire omwe ali ndi hyperthyroidism. Zimapezeka chifukwa cha kufooka kwa minofu ya kupuma, komanso kuwonjezeka kwafunika kwa mpweya mkati mwa thupi.
Matumbo
Zizindikiro za m'mimba, monga dyspepsia ndi nthawi zambiri matumbo / kutsekula m'mimba, zimatha kuchitika mu hyperthyroidism chifukwa cha kuchuluka kwa matumbo.
Kulemera kwa msinkhu, ngakhale kuwonjezeka kwa njala, kumabwera chifukwa cha kuchuluka kwa matumbo (zomwe zimapangitsa mafuta malabsorption) ndi kuchuluka kwa mphamvu zamagetsi (zomwe zikutanthauza kuti thupi likuyaka kupyolera mwa calories mwamsanga kusiyana ndi mwachizolowezi). Ngakhale kuwonjezeka kwa kagayidwe kameneka kumayambitsa anthu, potsiriza amakhala otopa ngati matayala a thupi.
Khosi
Kutsekula kwa chithokomiro (wotchedwa goiter) kungachitike mwa anthu ena omwe ali ndi hyperthyroidism, zomwe zimachititsa zizindikiro zomwe zingakhale ngati pakhosi ndi / kapena kupweteka kwa khosi. Kutupa kwa m'khola kumaonekera, makamaka pamene munthu ayesa kuvala tayi kapena scarvu. A goiter akhoza potsiriza amachititsa mavuto kumeza kapena kupuma.
Tsamba la Urinary
Kuthamanga mochuluka, masana ndi usiku, ndi wamba mwa anthu omwe ali ndi hyperthyroidism.
Njira zoberekera
Chifukwa cha kusintha kwa mahomoni ogonana m'thupi, akazi omwe ali ndi hyperthyroidism akhoza kukhala ndi nthawi yambiri ya kusamba. Ndi hyperthyroidism yoopsa, mayi akhoza kusiya kusamba ( amenorrhea ).
Popeza kuti mahomoni ambiri amatha kutembenukira ku testosterone ku estradiol (mtundu wa estrogen), amuna amatha kuchepa pa kugonana kwawo, kupweteka kwa erectile, ndi kutupa kwa mawere awo (gynecomastia).
Komanso, umuna umakhala wotsika kapena wosadziwika.
Ubongo ndi Mitsempha
Kusokonezeka kwa manja nthawi zambiri kumachitika mu hyperthyroidism, kuphatikizapo kusintha kwa makhalidwe ndi umunthu, monga kupsinjika maganizo, nkhawa, mantha, ndi / kapena kukwiya. Kulephera kugona, komanso mavuto ndi kuika maganizo kapena kukumbukira zinthu, amakhalanso kawirikawiri mu hyperthyroidism.
Zina
Matenda ena azachipatala, monga kuchepa kwa magazi m'thupi (kuchepa kwa maselo ofiira a magazi) ndi kuyesa kwachilendo kosadziwika, kungakhale chitsimikizo choyamba kuti munthu ali ndi chithokomiro chopitirira muyeso.
Mavuto
Pali mavuto akuluakulu omwe angakhalepo chifukwa chokhala ndi hyperthyroidism, makamaka ngati osatulutsidwa.
Diso
Anthu ena amakhala ndi vuto la maso (lomwe limatchedwa 'Graves' ophthalmopathy ), limene lingayambitse maso, maso ofiira kapena kutuluka kwa maso chifukwa cha kutupa kumbuyo kwa maso. Milandu yoopsa, masomphenya awiri akhoza kukula.
Thupi
Hyperthyroidism imagwirizanitsa ndi matenda a osteoporosis, omwe amachititsa kuti mafupa azifooka, zomwe zimapangitsa munthu kukhala wathanzi woswa mafupa ngakhale atagwa pang'ono kapena kugwa.
Mtima
Mu hyperthyroidism, ali ndi chiopsezo chachikulu chokhala ndi matenda opatsirana pogonana, makamaka okalamba. Matenda a atrial ndi omwe amachititsa kuti mtima ukhale ndi mavuto aakulu monga kupweteka kapena mtima wosalimba.
Chithokomiro Chamkuntho
Mphepo ya chithokomiro ndizovuta koma zoopsa kwambiri, zomwe zingawopsyeze moyo umene umapezeka mwa anthu omwe alibe hyperthyroidism. Zingathenso kuyambitsidwa ndi zovuta zochitika monga opaleshoni, kupweteka, kapena matenda.
Nthenda ya chithokomiro imakhala ndi zizindikiro zowonjezereka za hyperthyroidism, monga kuthamanga kwa mtima kwambiri, kutentha thupi, kutsekula m'mimba, kusokonezeka, delirium, ndi / kapena kuchepa chidziwitso.
Mimba
Ngakhale kuti mchitidwe wochepa wa hyperthyroidism mu mimba sizimayambitsa mavuto kwa mayi ndi mwana wake, mayi ndi mayi ake amatha kukhala ndi mavuto osiyanasiyana.
Kwa mwanayo, malinga ndi American Thyroid Association, kusakanizidwa kapena kusatetezedwa kwa hyperthyroidism kwa amayi pamene ali ndi mimba kumayanjanitsidwa ndi kukula kochepa kwa zaka zapakatikati, kubadwa, kubadwa, komanso kuwonongeka kwa ubongo.
Kwa amayi, mavuto omwe angakhalepo a hyperthyroidism osatetezedwa amaphatikizapo pre-eclampsia ndipo, kawirikawiri, chimphepo cha chithokomiro.
Fetal Neonatal Hyperthyroidism
Kwa mayi wapakati ali ndi matenda a Graves (omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda), timakhala ndi chiopsezo chochepa kuti mwana wake adzalandira hyperthyroidism asanabadwe (wotchedwa fetal thyrotoxicosis) kapena kubadwa ndi hyperthyroidism (yotchedwa neonatal hyperthyroidism).
Ana ena amabadwa hyperthyroid pamene ena amatenga masiku kapena masabata (mpaka atatu) kuti apange hyperthyroidism. Hyperthyroidism imayamba ngati mankhwala osokoneza bongo omwe mayi amatha kutenga. omwe anali kudutsa mu pulasitiki kupita kwa mwana, amavala atabereka.
Ngakhale si zachilendo, hyperthyroidism ikhozanso kupezeka kwa ana omwe ali ndi amayi omwe ali ndi mbiri ya matenda a Graves (kutanthauza kuti matenda awo ali mu chikhululukiro). Ichi ndi chifukwa chake n'kofunika kudziwitsa dokotala wanu mbiri iliyonse ya matenda a chithokomiro, kuphatikizapo matenda a chithokomiro.
Ngati mwana wanu ali ndi hyperthyroidism, zizindikiro zina zingaphatikizepo izi:
- Kulemera kochepa
- Mng'onoting'ono wamtundu wazing'ono (microcephaly)
- Khungu lofunda, lonyowa
- Kukhumudwa ndi kusagona bwino
- Kupsinjika kwa mtima
- Kupeza madzi owopsa, omwe amadziwika kuti fetal hydrops (osowa)
Nthawi Yomwe Muwone Dokotala
Ngati mukukufunsani (kapena wokondedwa) ali ndi chizindikiro chimodzi kapena zambiri za chithokomiro chopitirira muyeso, onetsetsani kuti mukuwona dokotala wanu kuti ayese bwino. Nkhani yabwino ndi yakuti chithokomiro chanu chimatha kuyang'aniridwa mosavuta ndi mayeso a magazi omwe amachititsa kuti muyambe kuyesa kutchedwa hormone (TSH).
Inde, funsani kuchipatala mwamsanga mukamawona zizindikiro zoopsa, monga kutentha kosasinthasintha, kupuma kwa vuto, kapena delirium.
Pomalizira, ngati mukugwiritsa ntchito mankhwala a antithrojekiti ya hyperthyroidism ndikuganizira za mimba, nkofunika kupeza chitsogozo kwa dokotala wanu, ndipo mwinamwake, katswiri wa zamaganizo. Mukufuna kutsimikiza kuti chithokomiro chanu chikuyendetsedwa bwino musanayambe mimba.
> Zotsatira:
> Boelaert K, Torlinska B, Wowonjezera RL, Franklyn JA. Ophunzira achikulire omwe ali ndi hyperthyroidism akukhala ndi chidziwitso cha zizindikiro ndi zizindikilo: kufufuza kwakukulu kwa magawo ena. J Clin Endocrinol Metab . 2010 Jun; 95 (6): 2715-26.
> Garber J et al. Malangizo Othandizira Amagulu a Hypothyroidism Aakuluakulu: Olembedwa ndi a American Association of Clinical Endocrinologists ndi American Thyroid Association. Chitetezo cha Endocr. 2012 Vol 18 No. 6 Nov-Dec; 18 (6): 988-1028.
> Kurtoglu S, Ozdemir A. Fetal mwana wamwamuna hyperthyroidism: kuyerekezera ndi kuchiritsira njira. Turk Pediatri Ars. 2017 Mar; 52 (1): 1-9. lembani: 10.5152 / TurkPediatriArs.2017.2513
> Lin TY ndi al. Kuwonjezereka kwa mayesero osadziwika a chiwindi a zamoyo mu hyperthyroidism. Clin Endocrinol ( Ocf ) . 2017 May; 86 (5): 755-59.
> Luewan S, Chakkabut P, Tongsong T. Zotsatira za mimba zovuta ndi matenda a hyperthyroidism: maphunziro a kagulu. Chitsulo cha Arch Gynecol . 2011 Feb; 283 (2): 243-7.