Hyperthyroidism (thyrotoxicosis) chirwere chinowanikwa apo chirwere chako chetroroid-gland, rakaita seguruvhiri rakagadzirwa mumutsipa wako-rinowedzera hormone yakawanda yehutano. Dzimwe nguva kunonzi utachiona husingaitiki, hyperthyroidism inogona kuwedzera mastabolism, zvichiita kuti ureruke, kuonda bvudzi, kutuka, nezvimwewo. Ropa rekuongorora rinorwara, uye kurapwa kunowanzobatanidza mishonga yemishonga, kunyange zviitiko zvakakomba zvinogona kuratidza kubvisa kana kuporesa kubviswa kwehutachiona.
Nokuwana manzwiro ezvinofanirwa kuva ne hyperthyroidism, uyewo kuti chirwere ichi chinoratidzwa sei uye chinorapwa, unogona kutarisira kunzwa simba kana iwe uchifamba nenzira yako yehutachiona-kubva pakuongororwa kusvika kuhutungamiri.
Zviratidzo
Paunenge uchishanda zvakajairika, utachiona hwako hunoshandisa iodine yezvokudya kuti uite utachiona hwehomoni. Iyi hormone inotungamirira kuti nhengo dzako, gland, maviri, uye masero zvinoshandisa sei oxygen nesimba. Nekuwedzerwa kwakanyanya, zvirongwa mumuviri wako "kukurumidza." Saka, somuenzaniso, mwoyo wako unoputira ropa nekukurumidza (zvichiita kuti mwoyo wepambiso), uye uropi hwako hunopinda mukudarika, zvichiita kuti zvive nyore kurara.
Dzimwe zviratidzo zve hyperthyroidism dzinosanganisira:
- Kufunganya uye / kana kukanganisa
- Kurasikirwa kweutema pasina kudya
- Kunzwa kupisa apo vamwe vari kutonhora (kupisa kusagadzikana)
- Kunyorera kupfuura kupfuura
- Kuveura bvudzi uye ganda rinonyatsonaka
- Utsi husina simba
- Chinhu chinoratidzika kana chinenge chisina kuputika munzvimbo yako yetroroid / neck (goiter)
Zviratidzo izvi, zvisinei, zvinongova chidimbu chechando. Kune dzimwe zviratidzo zvakawanda , zvimwe zvinyengeri kupfuura vamwe, izvo zvinogona kureva kuongororwa kwe hyperthyroidism.
Zvinokonzera
Pane huwandu hwehutano huripo kana mamiriro ezvinhu anokonzera hyperthyroidism .
Chirwere chechifu ndicho chikonzero chinowanzoitika, chinokanganisa makumi manomwe kubva muzana yevanhu vane hyperthyroidism.
Muchifuva, chirwere chako chemasununguko hachina kubereka zvirwere, zvinonzi seroid inokurudzira zvirwere (TSI), iyo inowedzera simba rako rehutachiona, zvichiita kuti iwedzere kuwanda kwehomoni yehomoni.
Zvimwe zvinokonzera hyperthyroidism zvinosanganisira:
- Toxic multinodular goiter
- Kunyanya kushandura utachiona hwetachiona (hunonzi toxic adenoma)
- Thyroiditis: Izvi zvinokonzera kukanganisa zvinogona kukonzerwa nezvinhu zvakadai sehutachiona, tsvina, mahara, kana postpartum period.
- Kutora hormone yakawanda yehutano, zvichida nemishonga yepamutemo kana kuwedzerwa kushandiswa
- Iodine-excess hyperthyroidism
- Temporary hyperthyroidism muHashimoto's disease
- Nguva duku hyperthyroidism ye hyperemesis gravidarum
- Pituitary-induced hyperthyroidism
- Fetal-neonatal hyperthyroidism
Kuziva
Kuongororwa kwe hyperthyroidism kunosanganisira matanho anoverengeka anokosha.
Clinical Examination
Munguva yekliniki yekuongororwa, chiremba wako achaongorora nhoroondo yako yega yega uye yemhuri yehutachiona uye chirwere chekuzvimirira, chengorora zviratidzo zvako, uye uongorore utachiona hwako pachako. Chiremba achatarisawo zvimwe zviratidzo zvemakiriniki e hyperthyroidism sekuda kwepfungwa yepamwoyo , goiter , uye kufungidzira kwakanyanyisa, pakati pevamwe.
Ropa Kuedzwa
Kuongorora ropa kunoshandiswa kuongororwa hyperthyroidism. Kuongorora kukuru kweropa kunoshandiswa inonzi thyroid-stimulating hormone (TSH) ropa test.
Apo utachiona hwako huri kutakura hormone yakawanda ye utachiona, hutachiona hweTSH hwakadzika.
Chiremba wako anogonawo kuronga thyroxine yakasununguka (FT4) kana kusununguka thyroxine index (FTI), zvichienderana nenyaya yako yezvechirwere nemigumisiro yeTSH yako yeropa. Vanhu vane hyperthyroidism vachava nepamusoro FT4 kana FTI.
Dzimwe ropa rinoshandiswa chiremba wako anogona kuraira rinosanganisira:
- Triiodothyronine (T3)
- Thyroid antibodies
Testing Imaging
A thyroid scan inonzi radioactive iodine inoshandiswa scan (RAI-U) inoshandiswa kuziva chikonzero che hyperthyroidism yako (somuenzaniso, Graves 'chirwere chinopesana nezvinokonzera zvinokonzera zvinokonzerwa nevanhu vakawanda).
Kurapa
Hyperthyroidism inotapwa inoshandisa nzira nhatu dzakasiyana:
- Kurapa zvinodhaka nemishonga inotapira mishonga
- Ablation ye thyroid gland ne radioactive iodine, inozivikanwa seRI
- Kuvhiya kubvisa zvose kana chikamu chetachiona
Iro kurapa kwaunoita kunoenderana nenyaya dzinoverengeka, dzakadai sechikonzero nekuoma kwehu hyperthyroidism yako, makore ako, zvaunofarira, uye hutano hwako hwose.
Iwe unogonawo kurongerwa rudzi rwemishonga inonzi beta-blocker kunonoka kuderedza mwoyo wako uye kuderedza kudengenyeka kwako kana kufunganya.
Kusabata mhando dzakawanda dze hyperthyroid kunogona kutungamirira kune kusagadzikana kwepfungwa, kukonzerwa kweropa, uye kunyange pangozi yekurwadziwa kwepfungwa kana kurohwa, sechikamu chekutengesa upenyu kunotyisa kunonzi chirwere chetrosi .
Mune zvimwe zviitiko, varwere vachabata kuregererwa nekuda kwemishonga ye antithyroid kana kuti maitiro emusununguko ekuchinja. Zvisinei, vazhinji veMakuva uye hyperthyroidism varwere vanoda kurapwa kwemishonga yehupenyu hwehupenyu hwose kana imwe yezvigaro zvisingagumi zvakanyorwa pamusoro apa.
Shoko Rinobva
Zivo isimba. Nokudzidza zvinyorwa zve hyperthyroidism, iwe watova nhanho mberi kwako (rwendo rwako) kana chirosi chako.
Kunyangwe kuongororwa kwe hyperthyroidism kunogona kuratidzika sekunetseka pane dzimwe nguva (zvinowanzova nekutya pamusoro pokutora mishonga mitsva kana kuita mitsva itsva kana kuvhiyiwa), tarisiro pfungwa yako iri nyore kuziva kuti chirwere ichi chinorapwa.
> Sources:
> American Thyroid Association. (2018). Hyperthyroidism FAQs .
> Ross DS et al. 2016 American Thyroid Association Mirayiridzo yeKutsvaga uye Kutungamirirwa kweHyperthyroidism nezvimwe Zvikonzero zve Thyrotoxicosis. Thyroid . 2016 Oct; 26 (10): 1343-1421.