Hyperthyroidism kumaKakati

NgoNovemba 21, 2002

UBubba usanda kutholakala ukuthi une- hyperthyroidism , emva kwesikhathi esifushane sezimpawu ezikhula ngokushesha. Uyinkathi eneminyaka engama-15 ubudala enomsoco, onomlando wezempilo omuhle kakhulu ngaphandle kokunye okuhlukile: inkinga ngamakhemikhali e- urinary eminyakeni eminingana edlule, nokugula okungaqondakali (okwakungakaqatshelwe) okwenzeke lapho eneminyaka engu-12. i-alpha yekhaya lethu manje elingu-3-cat, eyathuthukiswa ngo-2002 yi-Guide Kittens Jaspurr noJeyey, ngemuva kokushona kukaShannon wethu othandekayo ngo-2001, i-Guide Cat yangaphambilini yale ndawo Mayelana namakati.

Ukuxilongwa

Ngenxa yobudala bukaB bubba, sigcina umlindi osondelene kakhulu empilweni yakhe, kodwa lesi sishiya sidlulile isikhathi esithile. Wayesanda kuthuka ngokungajwayelekile, kodwa sathi lokhu kubonakala sengathi wayengathandi uJoey omncane (nakuba ebonakala ethanda uJaspurr). Kodwa ngesonto elidlule, uBubba wayechithe isikhathi esiningi yedwa, futhi wayefuna ukuphuma ngaphandle isikhathi esengeziwe. U-Bubba uhlale ehlanza ngemuva kokudla, kodwa kuze kube yamuva, lokho kwakususwe, ngenxa yokuguqulwa kokudla, nezinguquko endleleni ezenziwe ngayo.

Lapho eqala ukuhlanza izikhathi eziningana ngosuku bese ehamba "ukudla" kwakhe, sasimdonsela kudokotela wakhe wezilwane. Ngangicabanga ukuthi i-IBD (I- inflammatory Bowel Disease ), ngoba sasixoxile ukuthi kungenzeka esikhathini esedlule, ngakho-ke sasimangala lapho udokotela wezilwane ethi angase azizwele izigulane ze-thyroid zeBubba, futhi ukuthi kungenzeka ukuthi i-hyperthyroidism kungenzeka. Iphaneli yegazi kanye nephaneli le-T4 liqinisekisile ukuthi ukuxilongwa ngosuku olulandelayo.

Imiphumela ye-laboratory ibonise inani le-T4 lika-6.5, uma kuqhathaniswa nebala "lokujwayelekile" lokubhekisela le-0.7 - 5.2. I-footnotes kuleyo mbiko ibonise ukuthi ekhatheni elidala eminyakeni engaphezu kwengu-10 ngezibonakaliso zemitholampilo ye-hyperthyroidism, inani le-T4 eliphakeme kune-2.5 ngumsolwa we-hyperthyroidism. Lokhu kungenxa yokuthi ukukhiqizwa kwe-thyroid ngokuvamile kuyancipha njengoba izilwane zikhula.

The Treatment

UBubba wanikezwa umjovo we-antiemitic ngesikhathi sokuvakasha kokuqala kwezilwane, futhi wabekwa i-Reglan ngokuhlanza. Ukulandela imiphumela yokuhlolwa, waqala eTapazole (methimazole), kabili-nsuku zonke. Uzohlolwa futhi nge-full scan scan ne-T4 iphaneli ngemuva kwamasonto amabili kulolu ukwelashwa. Waphinde wabekwa uPeriactin ukusiza ukudla kwakhe.

Ngosuku lwesibili nje yokwelapha, ngiyajabula ukusho ukuthi uBobba usuqala ukufana nomuntu "omdala" naye. Udla ngokugcwele futhi, emva kokuqala okunamandla. Isidlo sokuqala esasikhonzwa, ngemuva kokuthola umthamo wakhe wokuqala wezokwelapha, waqala ukudla ngesitsha sokudla, wangibheka, njengokungathi uthi, "Ungenzelani mina, Mama"? Ngokushesha ngemva kwalokho, wavakashela ipuleti le-J-Boys futhi waqeda lokho ayekushiye. Ngicabanga ukuthi "ukudla okubiwe kunambitheka kangcono" yilo mthetho lapha, ngakho kuyoba uhlelo lwethu lokudla kuze kube yilapho isifiso sakhe sibuyela ngokugcwele.

Ukuvakasha Okulandelwayo

Ekucwaningeni i-hyperthyroidism emakati, ngathola ukuthi lesi sifo singasifaka isifo senhliziyo (kufihliwe). Ngakho-ke, nakuba izinso ze-Bubba nezindwangu zesibindi zihle kakhulu ekati lenkathi yakhe, sizokhululeka uma iphaneli yegazi lesibili lihlala lingaguquki. Uzophinde adinge ukuhlolwa kwesifo senhliziyo esifanele ngaphambi kokwenza isinqumo sokhetho lwezokwelapha .

I-Pilling Bubba kabili-nsuku zonke, ngezikhathi ezifanayo nsuku zonke kuyisimo esiyinkimbinkimbi, futhi ngenxa yokuphila kwethu okungaqondakali, angiqiniseki ukuthi kungaba yindlela enhle yokuphatha ukwelashwa isikhathi eside. Sithembele ekwelapheni kwe-iodine, futhi sinenhlanhla yokuhlala engamakhilomitha angu-50 e-Veterinary Teaching Hospital e-UC Davis, lapho kungenzeka khona. Kodwa-ke, asikwazi ukwenza isinqumo ngalesi sikhathi, ngezinto eziningi ezingaziwa ezihilelekile.

Kubalulekile ukuphawula ngalesi sikhathi ukubaluleka kokuhlolwa okuphelele kwonyaka kanye nephaneli legazi lamakati aphezulu, inqubomgomo engishumayele, kodwa angilandelanga kulonyaka, ngenxa yezizathu ezithile. Ngabe u-Bubba uthola ukuhlolwa okugcwele lapho ethola ukugoma kwakhe iminyaka emithathu engamaRabies ngasekuqaleni konyaka (ngenye i-vet), ngabe sesibambe lesi sifo ngokushesha, futhi sigweme ukucindezeleka kokuvakashelwa ukuvakashela ehhovisi le-vet.

Disemba 6, 2002

UBubba watholakala ukuthi une-hyperthyroidism kancane kwamasonto amabili edlule, ngemuva kokushintsha kwamagugu okusheshayo (ukukhula okukhulu nokushabalalisa isikhathi eside), kuhlanganise nokuphikisana okungahlongozwayo kokudla, kanye nokunyuka kokuhlanza. Ukwelashwa kwakhe kokuqala kwakuyi-shot antiemitic, amaphilisi e-Reglan (futhi nokuhlanza), i-Periactin (yokudla) kanye ne-Tapezole (imithi ephikisana ne-thyroid) kabili nsuku zonke ngesonto, kanye kanye njalo ngesonto.

Izinso ze-Bubba nezindwangu zamabindi zahlolwa futhi zabonakala zijwayelekile. Kodwa-ke, njengoba i-hyperthyroidism eyaziwa ngokufihla isifo sezinso ezifihliwe, kuyindlela ejwayelekile yokuphindaphinda ama-value we-thoase uma amazinga we -roid ebuyela evamile. Ukwaziswa okugcina kwakungikhathazeka kakhulu, ngoba ukwehluleka kwezinso akukona okhethweni lwe-iodine therapy.

Izivivinyo Zokulandelwa

Ngokuqondile njengoba kuhlelwe, uBubba wabuyiselwa emuva ekupheleni kwamaviki amabili okuqala we-Tapozole therapy. Sasivele sibone imiphumela emihle, njengoba isifiso sakhe sabuyele esimweni esivamile futhi ubonakala sengathi uye wathola isisindo esincane.

Sasikulindele ngesibindi imiphumela yokuhlolwa kwesibili, futhi sasijabule ukuzwa ukuthi izinga le-thyroid ye-Bubba (T-4) lase libuyele ku-3.3, (kusukela ku-6.5 amasonto amabili edlule), okuphakathi kwebanga elivamile. Izindaba ezikhuthazayo kakhulu ukuthi uphinde wazuza cishe isigamu sepondo, futhi izinso zakhe nezinso zesibindi namanje zijwayelekile.

Lokhu kusho ukuthi ungumfundi omele ukwelashwa kwe-iodine, okuyinto yokwelashwa kwethu okukhethayo.

Yini Ezayo Okulandelayo?

Nakuba sasilindele ukuthola ukwelashwa kwe-radioiodine eyenziwe ku-UC Davis, kubonakala sengathi leyo nsizakalo ayisekho esibhedlela sokufundisa wezilwane. Sathunyelwa kudokotela wezilwane eSigramento (cishe ngamamayela angaba ngu-70 ukusuka ekhaya), obonakala efika kakhulu efaneleka kakhulu.

Sithembele ukuthi ukwelashwa kwe-radioiodine kwenziwe ngokushesha ngangokunokwenzeka, kodwa, lapho ekhuluma noDkt. Van Vechten, uhlangabezane ne-glitch ephawulekayo: umtholampilo ungaphandle kwezinto ezibalulekile ze-I-131, futhi akucaci ukuthi kuzoba nini iyatholakala. Ngakho-ke, manje sidlala umdlalo wokulinda, futhi singalinda kuze kufike ucingo.

Okwamanje, i-Bubba iyaqhubeka ikhula; usezingeni elihle lokususa i-pilisi-a-day routine, futhi udla kahle ngokuhlanza okuncane. Ungaphila ngokungapheli kwi-Tapazole, futhi ngaphandle kwenkinga engaziwa (kodwa engabonakali, ebonakalayo) yesifo esinomdlavuza, ayikho impi engokoqobo, ngakho-ke sizolinda ucingo.

Ngo-Novemba 9, 2003

Ukuze siphinde siphumelele, sasizimisele ukugcina i-Bubba ku-Tapazole therapy, silinde isinqumo sokuya "ukwelapha okuqhubekayo" nge-therapy eyabiza kakhulu i-iodine therapy. Ngemva kokukhuluma nomphathi wemitholampilo eSigramento, futhi ngixoxa ngayo nomyeni wami, savuma ukuqhubeka eTapazole isikhathi esingapheli. Kubonakala sengathi kugcina amazinga we-bubba alawulwa, kepha ngokuyinhloko, u-Asa wayekhathazeke kakhulu ngezinga lokucindezeleka likaBubba, uma kwakudingeka ahlale amasonto amabili emtholampilo engamakhilomitha angu-80 kude.

Kwafika ku-Asa ukuba abe umphili-pilisi, njengoba uBubba amethemba futhi ebheka u-Asa "indoda yakhe eyinhloko."

Sekuyiminyaka engafanelekile, okwakubanjwe ngokukwesaba okuphakathi kuka-Julayi. UBubba uphinde waba yi-anorexic, kwabonakala sengathi ulahlekelwe isisindo, futhi, ngokungeziwe, kubonakala sengathi ulahlekelwa isisindo esiswini emagcekeni akhe okuzenzekelayo. Sasihlela i-aphoyintimenti nemitholampilo yakhe yokulwela izilwane, futhi ukuhlolwa kwegazi okwalandela kwaba kuhle kakhulu. Eqinisweni, lapho udokotela wezilwane (owayengakaze abone uBubba ngaphambili) wabiza imiphumela, wathi, "Ukube bengingeneminyaka yobudala kuleli khathi (iBubba yaphenduka iminyaka engu-16 ngoJulayi 4), ngabe ufunge ukuthi lokhu kwakuyi-test test ye-cat encane. "

Ngalezo zindaba ezikhuthazayo, saqhubeka inkambo yokwelashwa njalo, futhi sazama ukudla okunaminingana amasha. Isifiso sikaBubba sagxila, futhi wabonakala ebuyisela amanye alawo ounces alahlekile.

Muva nje, ngenxa yaleso siqephu esisha sokuhlanza njalo, ukulahleka kwesisindo, futhi ngoba sekuyisikhathi sokuhlolwa kwakhe ngonyaka, samhlela ukuba siqashwe.

Ngangikhathazekile futhi, ngoba ngangiphenyisisa ngomshuwalense wephrofayili kuleso sifo, futhi ngabona ukuthi ngichaza ukuthi imithwalo yegazi encane ephukile emehlweni kaB bubba (uDkt. Schnittker akazange abone noma yini engekho).

Futhi, udokotela wezilwane ubizwa ngezindaba ezinhle. I-T4 ye-Bubba ingaphakathi "ebangeni elijwayelekile," ngo-2.8 (nakuba ngiphawula ukuthi liye lashiya ngonyaka odlule 3.3).

Amazinga akhe we-BUN ne-Creatine nawo ajwayelekile.

Sizoqhubeka nokuphathwa kwe-Tapazole futhi ukwandise i-Reglan (yokuhlanza) kabili ngosuku.

Ngenxa yokuthi ngibhala ngamakati, kungenzeka kakhulu ukuthi ngiphatha kabi izimpawu ngamakati ami. Kodwa-ke, ngizenza "ngiphephile kangcono kunesihawu," ngoba impilo yabo nenhlalakahle kubaluleke kakhulu kimi.

Ukuziphendulela : Angiyena udokotela wezilwane, futhi lo mlando akuyona into ejwayelekile yekati le-hyperthyroid. Nguwe kuphela onguchwepheshe wezilwane oqeqeshiwe ukuphatha ikati lakho, ngokususelwa ekuxilongweni ngemuva kokuboniswa komsebenzi webhu. Ngithemba ukuthi uma unenkinga ye-hyperthyroid, isimo sakhe sizophendula ngokushesha njengoba nje uBubba anakho.