Ukwelapha Izifo Zakho Ze-Thyroid nokuthatha i-Blocker ye-Beta Ngokuvamile Ingabe Kuyiqhinga
Inhliziyo yakho inqwaba ngokushesha futhi ngokuzwakalayo. Izandla zakho zithuthumela ngokuthuthumela. Uzizwa unesizungu. Kunzima ukubamba umoya wakho. Uyaphuma ngokuthukuthuka. Ucabanga ukuthi ufa. Ushaywa umoya wesaba. Ungase ube nokuhlaselwa kwesibindi.
Noma, uzizwa ukushaya izinhliziyo zakho, ukugijima, ukuqhuma noma ukushaya. Ungase ube nezinhliziyo zenhliziyo.
Ukuhlaselwa Kwesifo Sokuhlukumezeka Nezinhliziyo Zomlilo Ezivela Ku-Hyperthyroidism
Abantu abaningi abaqapheli ukuthi ukuhlaselwa kwe-panic kanye ne-palpitations kungaba izimpawu ze-hyperthyroidism-isifo se-thyroid esiyingozi kakhulu noma isifo se-autoimmune.
Ezinye iziguli zingalokothi zibhekwe njengezinkinga zokuphazamiseka noma izinkinga zenhliziyo uma empeleni ziyi-hyperthyroid. Lapho bephathwa nge-thyroid engasebenzi, bayaqhubeka bekhululekile kulezi zimpawu.
Uma u-hyperthyroid, umzimba wakho uveza i-hormone yegciwane elikhulu kakhulu. Lokhu kukhululwa kwe-hormone kungasheshisa izinga lenhliziyo yakho ngokuphawulekayo, kwandise ukucindezela kwegazi, futhi ngokuvamile kufaka umzimba wakho ube yi-overdrive. Ngamanye amazwi, i-hormone ye-thyroid engaphezu kwegazi ingase ikhiphe empilweni yakho-noma-abalekele i-adrenaline response.
Ngaphandle kwesifo se- Graimmune sika- Graves, esesifo sikaHashimoto , umsebenzi ophezulu we-theroid ungase ubangele ukuthi i-hormone ye-thyroid eyengeziwe ikhululwe ngokungavamile.
I-Goiter ye-multinodular goiter ingase ibangele nezikhathi ezincane ze-hyperthyroidism. Kanti lezi ziqephu zingabangela ukuhlaselwa kwesibindi noma kubangele izinhliziyo zomzimba.
Abantu abaningi abanenkinga yegciwane bayothola ukuthi uma bephathwa ngendlela efanele (isibonelo, ngemithi ye-antithyroid, iodine ye-radioactive, noma ukuhlinzeka), ukuhlasela kwabo okwesabisa kanye nokwehluleka kuba yinto esedlule.
Lokho kusho ukuthi izikhathi eziningi ngaphezu kokuphathwa kwesifo se-thyroid, i- beta blocker (uhlobo lwemithi yomshoshaphansi wegazi) iphinde linikezwe ukunciphisa izimpawu ezifana nokushaya kwenhliziyo okusheshayo nokwesaba.
Ukwelashwa Kwezinhlupho Zobunzima Nezinhliziyo Zezinhliziyo
Kodwa kuthiwani uma uphathwe futhi usabhekene nalezi ziqephu?
Ngaleso sikhathi, kuzodingeka uhlole ukuxilongwa okuqhubekayo nodokotela wakho.
Okunye okusemqoka okuphenywayo ukuthi ngabe une- valve ye-mitral noma une- valve ye-valve , inhlawulo ye-valve yenhliziyo evame kakhulu ezigulini ze-thyroid futhi ingaveza izimpawu ezifana nokushaya kwenhliziyo, ukushaya kwenhliziyo okusheshayo, ukuphazamiseka kwenhliziyo, ukuhlaselwa kwesibindi, ukuzondeka, ukuphefumula, nezinye izimpawu.
I-Mitral valve prolapse ingatholakaliswa yi- echocardiogram , futhi kunezokwelapha, kuhlanganise ne- beta blockers , enganciphisa izimpawu.
Enye into okufanele uyicabangele nodokotela wakho yizinga lakho le-TSH. Uma usuphathwa nge-hyperthyroidism, abantu abaningi baba i-hypothyroid, ngenxa ye-iodine yama-radioactive (RAI), izidakamizwa ze-antithyroid, noma ukuhlinzwa.
Ngaleso sikhathi, uzoba ne-hormone ye-thyroid esikhundleni. Kodwa uma unesilinganiso esikhulu kakhulu se-hormone ye-thyroid esikhundleni sakho, futhi i-TSH yakho isiphetho esingaphansi kobubanzi obujwayelekile, ungase ube umngcele we-hyperthyroid ngenxa yokungcola . Kulesi simo, kufanelekile ukuxoxa ngokunciphisa kancane kwesilinganiso sakho nodokotela wakho ukubona ukuthi lokho kunciphisa izimpawu zakho.
Ngokufanayo, uma unesifo se-hyperthyroidism ngenxa yesifo sikaHashimoto noma ama-nodules ezinobuthi , ukwelashwa okungcono kwesimo sakho kungase kuxazulule izimpawu zakho zokuphazamiseka nezinhliziyo.
Okokugcina, uma wena nodokotela wakho bengakwazi ukunquma izizathu ezihlobene nesimo sezimpawu zakho, empeleni ungase ube nesifo sokuphazamiseka noma ukukhathazeka, noma uhlobo oluthile lokungahambisani nenhliziyo. Kulezi zimo, kufanele uphinde uhlolwe ngumchwepheshe wezinhliziyo kanye / noma isazi sengqondo.
Ngaphandle kwezinkinga zenhliziyo noma ukukhathazeka kwangempela, ezinye izimbangela zokuhlaselwa kwesibindi zihlanganisa:
- Ukusetshenziswa kwezidakamizwa (izikhuthazo ezifana ne-caffeine, i-cocaine noma i-amphetamines)
- I-Hypoglycemia (ushukela wegazi ophansi)
- Ukuhoxiswa kwemithi
- Izinkinga ze-adrenal gland, kuhlanganise ne-pheochromocytoma
Izwi elivela
Qinisekisa ukuthi ngokuphathwa kahle kwe-hyperthyroidism yakho kanye ne-beta blocker, ukushaya kwenhliziyo yakho kanye nokuhlaselwa kwenhliziyo kufanele kuncishiswe.
Uma kungenjalo, sicela utshele udokotela wakho we-thyroid. Kungadingeka ukuthi uhlolwe ezinye izimbangela.
Hlala uqinisile ngokusebenzisa le nqubo-ngokulandela okulandelayo kanye necebo elihle lokwelashwa, ungazizwa kahle.
> Imithombo:
> Grais IM, Sowers JR. I-thyroid nenhliziyo. Am J Med . 2014 Aug; 127 (8): 691-98.
> I-Ross DS. (2016). Hyperthyroidism yamangcwaba kubantu abadala abangenasidlangalaleni: Uhlolojikelele ukwelashwa. Cooper DS, ed. Kusesikhathini. Waltham, MA: UpToDate Inc.