Kana uine zviratidzo kana zviratidzo zve hyperthyroidism, zvakakosha kuti iwe uwane huongorori hwakawanda kuitira kuti iwe ugone kunyatsorapwa uye nekukurumidza kurapwa, kana zvichidiwa. Chiremba wako achaita kuongorora kwakakwana kwepanyama, ongorora nhoroondo yako yezvechiremba, uye shandisa kuongororwa kwakawedzerwa ropa (zvakadai saTSH, T3, T4) kusvika pakuongororwa; miedzo yekufungidzira, yakadai seyroidy ultrasound kana CT scan inogonawo kurayirwa.
Hyperthyroidism inogona kugadziriswa asi inogona kukonzera matambudziko kana isina kusiyiwa isingateereri, saka kuongororwa kwokutanga nguva dzose kunonyanya kukosha.
Kuongorora
Mushure mokunge maongorora zviratidzo zvenyu uye mungozi dzechirwere chetachiona, kana chiremba wenyu achifungidzira kuti angangosarudzwa ne hyperthyroidism, achaita nekuongorora kwakadzika kuisa pfungwa dzako pane utachiona hwako, asiwo dzimwe nhengo dzomuviri wako.
Thyroid Examination
Penguva yekuongororwa kwetachiona , chiremba wako achabata (palpate) mutsipa wako, achitarisa kuwedzera kwehutachiona uye mutsvuku.
Iye acharatidzawo kuti chii chinozivikanwa se "kufara," iyo inotsanangura kuwedzerwa kwekuyerera kweropa murotori inogona kuonekwa. Chiremba wako anoteererawo "rwiyo" ne stethoscope yake, iyo inzwi rekuwedzerwa kweropa kuderera kusvika kuhutachiona.
Kuvapo kwehutano hwehutano uye / kana rwiyo kunonyanya kuratidza zvirwere zveGerves ' .
Kuongorora Kwepanyama
Kunze kwekuongororwa kwetachiona, chiremba wako achaongorora muviri wako wose nokuda kwezviratidzo zvetachiona yakashata.
Somuenzaniso, iye achaedza mafungiro ako, sokukurumidza kana kuti hyper-responsive reflexes inogona kuva chiratidzo che hyperthyroidism. Achatarisa mwoyo wako, rhythm, uye ropa. Izvi ndezvekuti kupera , kubatwa kwepereyumu, kushaya mwoyo, kana kuwedzerwa kweropa kunogona kuisa pfungwa kune hyperthyroidism zvakare.
Zvimwe zvikamu zvekuongorora kwepanyama zvinosanganisira:
- Kuongororwa kweganda rako, sezvo ganda risina kujeka uye rinodziya, rinogona kuva chiratidzo che hyperthyroidism. Chikamu chiduku chevanhu vane chirwere cheCheves 'chinokurawo nekukurumidza pamashizha avo (pretibial myxedema).
- Kucherechedza kwehuwandu hwehuwandu uye huthu hwebvudzi rako, sekunoponda, kwakanaka, kana kukwegura bvudzi kunogona kuratidza chimiro chetachiona
- Kucherechedza chero kudengenyeka chero kupi zvako, kusvibiswa nemaoko, kana kufamba kwehuwandu hwakafanana nefurafura yekudha, kuisa maziso, kana kufamba kwakasimba (kazhinji kunowedzera kuvana)
- Kuongororwa kwemaziso ako, sekusviba, kuvhara, kuoma, kubhururuka, kuzvikudza, uye maziso anoona zvinogona kuva zviratidzo zvechinetso chetachiona. Pamusoro pezvo, "chivako chegungwa" (apo hunofu hwepamusoro huri kunyatsotevera kutevera kwemaziso apo iwe unotarira pasi) kunogona kuonekwa mu hyperthyroidism.
Labs uye Miedzo
Kuongorora ropa kunosanganisira utachiona hunokurudzira hormone (TSH) test, pamwe ne thyroxine (T4) uye triiodothyronine (T3) miedzo. Chiremba wako anogonawo kuedza utachiona hwehutachiona hwehutano hunosimbisa hutachiwana hweHerves 'chirwere.
Zvakakosha kudzokorora zviitiko zvako zvekuedza nechiremba wako. Usatya kubvunza mibvunzo. Iyi ndiyo hutano hwako, saka zvinokosha kuti unzwisise zviri kuitika.
TSH Zvakawanikwa
Iyo yakaenzana yakatarwa yekutaridzirwa kweTSH inenge inenge 0.5 kusvika ku5,5 milli-maundi emaundi pamigiri (mIU / L). Vanhu vose vane primary hyperthyroidism vane TSH yakadzika; zvisinei, hutachiona hweTSH huga hahugoni kuziva huwandu hwe hyperthyroidism. Ichi ndicho chiremba chiremba wako achaongorora zvakare T4 yako uye T3 mazinga.
Yakasununguka T4 uye T3 Zviwanikwa
Kuongororwa kwepamusoro hyperthyroidism kunoenderana nechepasi TSH, uye yakasununguka T4 uye / kana T3 kuongororwa ropa.
Sezvakanakira, kana TSH yako yakakosha kana yakakwirira, uye T4 yako yakasununguka neT3 yakakwirira, iwe unoda MRI yepituitary gland kuti uongorore kune imwe nzvimbo inonzi central kana TSH-induced hyperthyroidism.
High T3 uye Kazhinji Free T4 Zviwanikwa
Kana TSH yako ichinge yakaderera uye T3 yako yakakwirira (asi yako T4 yakasununguka yakajairika), zvichida kuti kuongororwa kwako kuchiri chirwere cheGraves kana chirwere chetroroid chinokonzera hormone yakawandisa. Chiyero chekufungidzira, chinonzi radioactive iodine inoshandiswa scan, chinogona kusiyanisa pakati pezviviri izvi.
Kutora zvakanyanya T3 (inonzi inogumira T3 kuisa) ndeimwe imwe nguva.
Kazhinji T3 uye High Free T4 Zviwanikwa
Kana TSH yako ichinge yakaderera, yako T4 yakasununguka yakakwirira, asi T3 yako yakajairika, unogona kunge uine hyperthyroidism kubva pakutora zvakanyanya T4 (levothyroxine). Chimwe chiitiko chinogona kuongororwa chirwere chemadiodarone-chinokonzerwa nehutachiona.
Iko kusanganiswa kwebasa kunogona kuonekwawo kune vanhu vane hyperthyroidism vane chirwere chisingaiti chetroroidal (somuenzaniso, chirwere chakakomba) chiri kuderedza kutendeuka kweT4 kusvika kuT3.
Kazhinji Free T4 uye T3 Zvabuda
Kana TSH yako ichinge yakaderera, asi maT3 ako uye T4 mazinga akajairika, unogona kunge une subclinical hyperthyroidism. Izvi zvinogonawo kuonekwa mukuzvitakura.
Anoriporeki Mhinduro
Kuedza ropa rako nekuda kwezvirwere, zvakadai se-thyroid-stimulating immunoglobulin kana TSH receptor autoantibodies, inokosha. Muedzo wakanaka unotsigira kuongororwa kwechirwere cheCheves, kunyange vamwe vanhu vane chirwere vane unhu husingaoneki hwechirwere. Muchiitiko ichi, re-radioactive iodine uptake test (RAIU) inogona kusimbisa kuongororwa.
Imaging
Muzviitiko zvizhinji, kuongorora mifananidzo , yakadai sey ultrasound, i-radioactive iodine uptake (RAI-U), CT scan, kana kuti MRI ichaitwa kuitira kunyatsoongorora uye kunyatsoongorora.
Radiacid Iodine Scan
Muchiratidzo che-iodine uptake (RAI-U) chirwere, chirwere chiduku che iodine 123 inogadziriswa inogadziriswa mupiritsi kana fomu yemvura.
Maawa anoverengeka gare gare, kukosha kweiodini muhutano hwako kunoyera, pamwe chete ne X-ray. Chirwere chetachiona chinopedza simba chinowanzove chakakonzera mhinduro ye RAI-U (gland rinopfurikidza rinowanzotora huwandu hweodhini kupfuura yakasarudzwa, uye iyo inowanikwa inowanikwa mu X-ray).
Muhosha yemakuva, RAI-U yakakwirira uye iwe unogona kuona kuti pane kuwanikwa mukati meglandhi rose. Kana iwe uine hyperthyroid nekuda kwehutundu hunoita kuti utachiona hwehomori huwedzere, hutachiona huchaonekwa munharaunda iyoyo. Kana iwe uine thyroiditis sechikonzero chekutapira kwako kwetrojeni gland, kuwedzerwa kuchave kwakaderera mukati meglandu.
Kunyange zvazvo iodine ye-iodine 123 isingakuvadzi kune utachiona hwetroroid yako, haifaniri kupiwa kuvakadzi vane pamuviri kana kunyamwisa.
Thyroid Ultrasound
Chirwere chetachiona chinogadzirisa chinogona kubudisa goiter, pamwe chete nemashonga angangodaro anokonzera hyperthyroidism. Mumadzimai ane pamuviri kana kunwisa, utachiona hwe ultrasound hunowanzoshandiswa sechimwe chinhu kune inonzi radioactive scan scan.
CT Scan
A CT scan, inonzi computed tomography kana cat scan, inonyanya kurudzi rwe X-ray iyo inogona kubatsira kugona goiter, pamwe chete nemadututi makuru ehutachiona.
Magnetic Resonance Imaging (MRI)
Kungofanana neT CT scan kana ultrasound, MRI haigone kuudza chiremba kuti utachiona huri kuita sei, asi hunogona kubatsira kuona goiter nemavhuturo ehutachiona.
MRI dzimwe nguva inoshandiswa kuT CT scan nokuti haifaniri chero jekisi yekusiyana, iyo ine iodine uye inogona kupindira ne radioactive iodine scan.
Kusiyanisa Kuongorora
Nepo zviratidzo zve hyperthyroidism zvingave zvisina kukanganisa nokuda kwekutya kukuru kana kushungurudzika, vanogonawo kutevedzera izvo zveimwe zvirwere zvakajairika.
Nokuda kweizvi, kusarondedzera kurasikirwa kwekurema kunogona kuva chiratidzo chehutano hwemuviri (somuenzaniso, utachiona, husingaiti utachiona hwehutachiona, kana kenza). Inogona kuvawo chiratidzo chokutanga chechirwere chepfungwa, kufanana nekuora mwoyo kana kuora mwoyo, kunyanya kana munhu aine mafungiro emafungiro, kusagadzikana, kana kusava nehanya-chiratidzo chinowanzoonekwa kune vakwegura vane hyperthyroidism.
Kuyera kwepfungwa yemwoyo kana kusinganzwisisiki mwoyo rhythm inogona kuva chiratidzo chekutanga chepfungwa yemwoyo kana mapapu chepfungwa kana kuti chirwere chekushaya ropa.
Iyi mienzaniso inongova chidimbu chechando, sezvo pane kazhinji kazhinji inogona kuongororwa. Nhau dzakanaka ndeyekuti chiremba anogona kugadzirisa kana kutapudza kuongororwa kwe hyperthyroidism nyore nyore uye nokukurumidza nehuwandu hwezvokurapa, kuongororwa kwemuviri, uye kumwe kuongorora ropa.
Pakupedzisira, kana chiremba wako achikuongororei ne hyperthyroidism, iye zvino achada kuziva chikonzero che hyperthyroidism yako (somuenzaniso, Graves 'chirwere versus thyroiditis). Izvi zvinogona kugadziriswa nehuwandu hwekuedzwa kweropa uye kuongorora kwekufungidzira kunonzi radioactive iodine inoshandiswa scan.
> Sources:
> American Thyroid Association. (2018). Matongo 'Matenda' FAQ.
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.
> Zvivako I. Hyperthyroidism: Kuziva nekurapa. Ndiye Chiremba weNzara. 2016 Mar 1; 93 (5): 363-70.
> Ross DS. (2017). Kuongororwa kwe hyperthyroidism. Cooper DS, ed. Kusvika pari zvino. Waltham, MA: UpToDate Inc.
> Ross DS et al. American Thyroid Association Mirayiridzo yeKutsvaga uye Kutungamirirwa kweHyperthyroidism nezvimwe Zvikonzero zve Thyrotoxicosis. Thyroid . 2016 Oct; 26 (10): 1343-1421.