Chirwere chehwiro chirwere chinotapira muviri chinowanzokonzera hyperthyroidism - chirwere chetachiona chinopedza simba chinowedzera hurotoni yakawanda kwazvo. Kana iwe uri hyperthyroid, unenge uine dambudziko duku rekugadzira mamiriro ezvinhu anozivikanwa semhepo inotonhora.
Utachiona hwehutachiona hahuwanzoitiki. Chero chete kusvika kune maviri kubva muzana yevanhu vane hutano hwe hyperthyroidism vanokudziridza dutu remhepo.
Munguva yehutano hwehutachiona, mwoyo wako wekuratidzira, kukonzerwa kweropa, uye kutonhora kwemuviri kunogona kuve kusingadzorwi. Zviratidzo izvi zvakakomba, uye zvinogona kutyisa upenyu. Zvinetso zvehutachiona dutu zvinosanganisira kuora mwoyo uye kushaya mwoyo.
Kana Iwe Uchitseuka Thyroid Dutu, enda kuE ER Pakarepo
Pose apo dutu remhepo rinotangarirwa, iwe unofanira kuenda pakarepo pangozi kuchipatara. Utachiona hwehutano hunopisa upenyu, uye hunogona kukura nekukurumidza kukurumidza. Utachiona hwehutano hunoda kukurumidza kurapwa kuti udzivirire zvinetso zvinotyisa upenyu.
Risk Factors
Icho chikuru chinokonzera chirwere chetachiona chiri neCheves 'chirwere uye / kana hyperthyroidism isingateereri.
Uyezve, vakadzi vari pangozi yakanyanya kupfuura varume, uye vakwegura vari pangozi kupfuura vaduku vane Graves '/ hyperthyroidism.
Kunyangwe apo chirwere cheGraves chinozivikanwa uye chichirapwa, zvakadaro, kune zvimwe zvimwe zvinokonzera ngozi yako yehutachiona dutu:
- Kurwara, kunyanya mapapu, zvirwere zvehuro kana pneumonia.
- Ropa shuga rinoshanduka, kusanganisira chirwere cheshuga ketoacidosis uye insulin-yakakonzera hypoglycemia.
- Kuvhiya kwekupedzisira kuhutano hwako hwetroroid, kana kutambudza ku thyroid yako.
- Kukurumidza kubvisa mishonga yako ye antithyroid.
- Majekiseni eIodine (RAI) kurapa utachiona hwako.
- Kuwedzeredza palpation (kubata / kukanganisa) zvehutano hwako hwetroroid.
- Kuisa kune iodine yakawandisa (yakadai se iodine-based contrast agent , kana mwoyo drug amiodarone).
Kunetseka mupfungwa kunetseka. - Kuwedzeredza kwetachiona hormone zvinodhaka.
- Toxemia yekuzvitakura nekushanda.
Zviratidzo
Ndezvipi zviratidzo zvehutano hwetachiona?
- A fivha yakakura ye-digrii zana kusvika kumusoro kwe10 degrees.
- Iyo yakakura yepamwoyo yepamusoro, iyo inogona kunge yakareba zvakapetwa mazana maviri paminiti (BPM).
- Mapapita, kurwadziwa kwepfupa, uye kupererwa kwemhepo.
- High blood pressure.
- Kushungurudzika, delirium, uye kunyange psychosis.
- Kunyanya muviri uye musimba simba
- Kunyanya kuneta uye kuneta.
- Kuzorora kwakanyanyisa, kutya, uye manzwiro anopinduka.
- Kuwedzererwa mafungiro, kunyanya mumabvi uye kumakumbo.
- Kuoma kufema kufema.
- Nausea, kurutsa, uye chirwere.
- Inokurudzira kufema kana kupera mvura.
- Stupor kana coma
Imwe ngozi yechiratidzo / chiratidzo ndeyokuti kuora kunorema kunogona kuitika munguva pfupi yapfuura.
Vanachiremba vakagadzira scoring system iyo inovabatsira nokukurumidza kuongorora zviratidzo uye kuita kuti kuve nekufungisisa kwechirwere chetachiona, saka vanogona kukurumidza kutanga kurapwa.
Kurapa
Utachiona hwehutano hunobatwa nemhando dzakawanda.
Vamwe vanachiremba vanotaura nezve "maBs mashanu" apo vanorapa dutu reyroid.
- Bvisa hutachiona hwetrojoni - uchishandisa mishonga inotapira mishonga . Izvi zvinowanzoitwa panguva imwe chete nepamusoro pekutanga kuenzanisa doses, uye nguva dzose kutungamirirwa kwemamwe madheji. Muvatachiona vasingakwanisi kubvumira mishonga ye antithyroid, lithiamu dzimwe nguva inoshandiswa
- Dzorera kusunungurwa kwehomoni yehomoni - uchishandisa potassium iodide kugadzirira. Izvi zvinowanzopiwa pashure pemishonga ye antithyroid, uye inobatsira kubvisa utachiona hwekushushikana.
- Ivhara T4 kusvika kuT3 kutendeuka - kushandisa chirwere che corticosteroid, chakadai se hydrocortisone
- Beta-blocker - shandisa zvinodhaka zvepa beta-blocker, kazhinji propranolol, kuderedza kushanda kweropa uye kushaya mwoyo
- Ivhara iyo kupararira kune chiropa - kushandisa shandiswa secholestyramine
Mukuwedzera, mamwe mushonga unotsigira unosanganisira kunonoka kubatsira kubatsira kuderedza kutsetseka kwemuviri, mvura inoshandiswa kurwisa kupererwa nemvura, uye kurapwa kwemamwe zvirwere.
Kazhinji, kana kurapwa kwacho kuchienda kushanda, kuvandudza kuchaonekwa mumaawa makumi maviri nemasere nemaviri.
Kana chirwere chetachiona chisingapindirani nenzira idzi, pane dzimwe nguva, plasmapheresis - ropa rekuchenesa ropa - rinoitwa kubvisa hormone yekroid kubva muropa. Chechi duku chete chehomoni inokwanisa kubviswa panguva imwe neimwe yero, naizvozvo inofanira kuitwa kakawanda.
Muzviitiko zvisingawanzoitiki, utachiona hunobviswa chirwere, asi vanachiremba vanofanira kunyanya kuchenjerera sezvo chirwere ichi chinogona kukonzera kuwedzera kwehutano hwetachiona kana mahomoni eve atove akakwirira.
Chii Unofanira Kuita?
Utachiona hwehutachiwana hahuwanzoitiki, asi ihwo hutano hwakaoma hwe hyperthyroidism. Kana iwe uchifungidzira chirwere chetachiona, iwe unofanira kutsvaga kutsvaga kurapwa kwekukurumidzira.