Isifo se-Graves yisifo esizimele esisodwa esibangela ukuthi i-hyperthyroidism - i-gland yegciwane engasebenzi kakhulu ikhiqiza i-hormone yegciwane elikhulu kakhulu. Uma u-hyperthyroid, unengozi encane yokuthuthukisa isimo esibizwa ngokuthi isiphepho se-thyroid.
Isiphepho se-thyroid asivamile. Umuntu oyedwa kuya kwamaphesenti amabili kuphela one-hyperthyroidism esebenzayo athuthukisa isiphepho se-thyroid.
Ngesikhathi sesiphepho se-thyroid, izinga lakho lenhliziyo, ukucindezeleka kwegazi, nokushisa komzimba kungakwazi ukuphakama ngokungapheli. Lezi zimpawu ziyingozi, futhi zingasongela ukuphila. Izinkinga zesiphepho se-thyroid zihlanganisa ukushaywa nesifo senhliziyo.
Uma Usola iSiphepho se-Thyroid, Iya ku-ER Masinyane
Noma nini lapho kusolwa khona isiphepho se-thyroid, kufanele uhambe ngokushesha ngesibhedlela esibhedlela. Isiphepho se-thyroid sisongela ukuphila, futhi singakhula futhi siphume ngokushesha. Isiphepho se-Thyroid sidinga ukwelashwa okusheshayo ukuvimbela izinkinga ezingozi zokuphila.
Izingozi Zezingozi
Into ebalulekile engozini yesiphepho se -roid isifo se-Graves kanye / noma i-hyperthyroidism engaphathwa kabi.
Ukwengeza, abesifazane basengozini enkulu kunamadoda, kanti abadala basengozini kakhulu kunabantu abasebasha abaneGraves '/ hyperthyroidism.
Ngisho nalapho izifo ze - Graves zibonakala futhi zelashwa, kunjalo, kunezinye izici eziphakamisa ingozi yesiphepho se-thyroid:
- Ukutheleleka, ikakhulukazi imishanguzo yamaphaphu, izifo zomlomo noma i-pneumonia.
- Igazi leguquko liguquka, kuhlanganise ne-ketoacidosis yesifo sikashukela kanye ne-hypoglycemia.
- Ukuhlinzwa kwakamuva ku-gland yakho yegciwane, noma ukuhlukunyezwa ku-thyroid yakho.
- Ukuhoxiswa ngokuphuthumayo kwemithi yakho ye-antithyroid.
- Imithi yokwelapha i-iodine (RAI) ye-thyroid yakho.
- I-palpation ngokweqile (ukusingatha / ukuxhaphaza) kwegciwane lakho le-thyroid.
- Ukuvezwa kokuningi kwe-iodine (njengokuthi i - agent ehlukile-e -iodine ehlukile , noma i-amiodarone yezidakamizwa zenhliziyo).
Ukucindezeleka okukhulu ngokomzwelo. - Ukudlula ngokweqile izidakamizwa ze-hormone yegciwane.
- I-Toxemia yokukhulelwa nokusebenza.
Izimpawu
Ziyini izimpawu zesiphepho se-thyroid?
- Umkhuhlane ophakeme kakhulu we-degrees angu-100 ukuya phezulu njengezi-106 degrees.
- Izinga eliphezulu lenhliziyo, okungaba ngaphezu kwezimbambo ezingu-200 ngomzuzu (BPM).
- Ukuphambuka, ubuhlungu besifuba nokuphefumula.
- Umfutho wegazi ophezulu.
- Ukudideka, i-delirium, ngisho ne-psychosis.
- Ubuthakathaka obukhulu ngokomzimba nangokwemisipha
- Ukukhathala okukhulu nokukhathala.
- Ukuphumula okukhulu, ukwesaba, nokuzizwa kwemizwa.
- I-reflexes exaggerated, ikakhulukazi emadolweni nasemagcekeni.
- Ukuphefumula okunzima.
- I-nausea, ukuhlanza, nokuhuda.
- Ukukhukhumeza noma ukuphelelwa amandla kwamanzi.
- I-Stupor noma i-coma
Enye ingozi yesifo / isibonakaliso ukuthi ukulahlekelwa kwesisindo esikhulu kungenzeka okwamanje.
Odokotela baye bahlakulela uhlelo lokufaka amanxeba olusiza ukuba bahlole ngokushesha izimpawu bese benza ukuxilongwa okuqaphile kwesiphepho se-thyroid, ngakho bangakwazi ukuqala ukwelashwa ngokushesha.
Ukwelapha
Isiphepho se-Thyroid siphathwa ngezindlela eziningana.
Abanye odokotela babhekisela ku "Bs amahlanu" lapho belapha isiphepho se-thyroid.
- Vimbela ukuqala kwehomoni ye-thyroid - usebenzisa izidakamizwa ze-antithyroid . Lokhu kuvame ukuqhutshwa ngokushesha kanye nokulinganisa okukhulu kokuqala kokulayishwa, nokuphathwa njalo kwezilinganiso ezengeziwe. Kuziguli ezingenakubekezelela izidakamizwa ze-antithyroid, ngezinye izikhathi i-lithium isetshenziswa
- Vimbela ukukhululwa kwe-hormone yegciwane - usebenzisa ukulungiselela i-iodide ye-potassium. Lokhu kuvame ukunikezwa ngemuva kwezidakamizwa ze-antithyroid, futhi kusiza ukucindezela ukukhululwa kwe-hormone ye-thyroid.
- Vimbela ukuguquguquka kwe-T4 kuya ku-T3 - usebenzisa i-corticosteroid izidakamizwa, njenge-hydrocortisone
- I-Beta-Blocker - sebenzisa isidakamizwa se-beta-blocker, njalo u-propranolol, ukunciphisa ukucindezelwa kwegazi nokushaya kwenhliziyo
- Vimbela ukujikeleza kwesibindi - usebenzisa izidakamizwa ezifana ne-cholestyramine
Ngaphezu kwalokho, ukwelashwa okusekelayo kuhlanganisa ukupholisa ukusiza ukunciphisa izinga lokushisa komzimba, uketshezi lokulwa nokuphelelwa amanzi, nokuphathwa kwanoma yiziphi ezinye izifo.
Ngokujwayelekile, uma izindlela zokwelashwa zizosebenza, ukuthuthukiswa kuzobonakala emahoreni angu-24 kuya ku-72.
Lapho isiphepho se-thyroid singaphenduli kulezi zindlela, kwezinye izimo, i- plasmapheresis - ukwelashwa kwegazi - kwenziwa ukuze ususe i-hormone yegciwane egazini. Iphesenti elincane kuphela le-hormone lingasuswa ngesikhathi sesiseshini ngasinye, ngakho-ke kufanele lenziwe izikhathi eziningana.
Ezimweni ezingavamile, igciwane liyasuswa ngokuhlinzwa, kodwa odokotela kufanele baqaphele ngokukhethekile njengoba ukuhlinzeka kunganciphisa ukuqhuma kwesiphepho se-thyroid uma amazinga e-hormone esevele ephakeme.
Yini Okufanele Uyenze?
Isiphepho se-thyroid asivamile, kepha kuyinkinga eyingozi yohlukusebenza kwe-hyperthyroidism. Uma usola isiphepho se-thyroid, kufanele ufune ngokushesha usizo lwezokwelapha oluphuthumayo.