I-Hyperthyroidism, eyaziwa nangokuthi "isifo se-hyperthyroid," ivela lapho isikhumba se-thyroid sanda futhi siqala ukukhiqiza ama-hormone e-thyroid (thyrotoxicosis) ngokweqile. Lokhu kuphazamiseka kuvame ukubangelwa yisifo esinomsoco esiswini esisodwa noma zombili ze-lobes yegciwane . Nakuba izicubu ze-thyroid zingaba nomdlavuza, amathuba okuba ngamaphesenti angu-2 kuya ku-5% kuphela.
Ziyini Izimpawu Zokuthi Hyperthyroidism Amakati?
Akuzona zonke izimpawu ezizobonakala kuzo zonke izikhumba ezine-hyperthyroidism, kodwa noma yikuphi noma ezimbili zazo kufanele zibe yisibonakaliso esinamandla sokuthi ukuhlolwa kwezilwane kubonisiwe.
Ezinye noma zonke izimpawu ezilandelayo zingase zibe khona ku- cat hyperthyroid :
- Ukudla kwesidlo
- Ukulahlekelwa kwesisindo esingachaziwe nokulahlekelwa kwesisindo somzimba
- Ukuthukuthela noma Ukwesaba
- Ukuvota Okuvamile
- I-Coat ebukeka engahleleki
- Uhudo
- I-Thirst Thirst (i-polydipsia)
- Ukungabi namandla
- I-Lethargy
Iyatholakala kanjani i-Hyperthyroidism?
- Ukuhlolwa Kwemvelo : Udokotela wezilwane uzongena entanyeni yendawo, futhi angase abe nomuzwa wokuthi izigulane ezikhulisiwe. Isilinganiso senhliziyo kanye nomfutho wegazi sizohlolwa.
- I-CBC : Njengoba i-hyperthyroidism ingakwazi ukulinganisa izimpawu zezinye izifo, njenge-CRF ( ukuhluleka kwezintuthwane ezingapheliyo ) noma isifo sesibindi , iphaneli legazi lizovame ukukhombisa "isithombe esikhulu," uma kuhlangene nokuhlolwa okuqondile kwe-thyroid, ngokuvamile iT4, izobonisa amazinga we-thyroid. Amazinga aphakanyisiwe we-T4 azovame ukukhombisa ukuthi kukhona i-hyperthyroidism.
Kodwa-ke, amanye amakati asekhulile angase awele ngaphansi kwebala "evamile" futhi abe nesifo. Uma ungabaza, ezinye izivivinyo zokuhlola i-thyroid zinganikezwa.
Njengoba isifo se-hyperthyroid singagxila kwezinye izimo, njenge- cardiomyopathy hypertrophic noma umfutho wegazi ophezulu, iphaneli legazi lizoveza ulwazi olufanele enhliziyweni nakwezinye izitho, okubalulekile ukwazi ngaphambi kokukhetha ukwelashwa okuphezulu.
I-Hyperthyroidism iphathwa kanjani?
Zonke izindlela zokwelapha eziyisisekelo ngamunye zinikeza ithuba elinamandla lokubuyisela ugqozi wegciwane kumsebenzi ovamile.
Ngamunye wabo ubhekene nezinkinga, kodwa ngenhlanhla, umnakekeli akadingeki enze isinqumo ngokushesha.
Imishanguzo ye-Anti-Thyroid
Lokhu cishe njalo ukwelashwa kokuqala, ngenxa yezizathu esizoxoxa ngazo kamuva. Isidakamizwa esijwayelekile esinikwe i-methimazole, esilawula ukukhiqizwa kwamahomoni wegciwane.
Amakati amaningi enza kahle kakhulu nge-methimazole, kodwa kuzodingeka unikezwe kanye noma kabili ngosuku lokuphila, ngokuvivinywa okujwayelekile ukuqapha amazinga e-hormone, ngakho-ke umthamo ungalawulwa. Kungaba ukhetho olubi kakhulu lwezokwelapha, kuye ngokuthi ubudala benkathi ekuqaleni. I-Methimazole manje itholakala ngezinhlobo ezintathu: Amaphilisi, ifomu eliketshezi eliketshezi, noma ama-creams noma ama-gel aphethwe kahle ngendlebe.
Izinzuzo:
- Okungavamile
- Ngokwezinga elingabizi, ekuqaleni
- Ukuphela kokhetho lwezokwelapha ngamakati anezifo zezinso noma i- hypertrophic cardiomyopathy .
Izinkinga:
- Imiphumela emibi ivela kwamanye amakati, kuhlanganise nokuhlanza, i-anorexia, imfiva, i-anemia, kanye ne-lethargy. Umphumela wecala ongavamile ongawutholi emithini yemithi, ukuveza njengokushona, ngokuvamile ezindlebeni nasebusweni. Imiphumela emibi kakhulu emisebenzini yesikhathi eside ihlanganisa ukulimala kwesibindi nokucindezelwa komnyoba, nakuba lezi zivame ukubonakala.
- Ukulandela okulandelwayo kwezilwane kuyadingeka.
- Imithi ayithinti isisu, esingase siqhubeke sikhula.
- Amanye amakati (kanye / noma abanikazi) abakwazi ukusingatha kabili-ukugcwalisa nsuku zonke, futhi ukucindezeleka kwabasebenzi kungabangela ezinye izinkinga zomzimba.
Ukuhlinzwa
Ukwelashwa kuyindlela yokwelapha ephumelelayo, kodwa kungcono kakhulu okwenziwa yilwazi lwezilwane kulolu hlobo lohlinzekwa, okuthiwa "i-thyroidectomy." Ngokuvamile ukuhlinza kuboniswa lapho kuhileleka kuphela i-lobe eyodwa yegciwane. I-radionuclide scan iboniswa ngaphambi kokuhlinza ukucacisa ubukhulu bezincubu ze-thyroid ezigulayo, nokuthola noma yiziphi izicubu ze-thyroid ezivela kwenye indawo entanyeni (noma esifubeni) sekati, okungase kuhambisane nokuhlinzwa.
Ngenxa yokuthi ngezinye izikhathi i- hypertrophic cardiomyopathy ikhona, kudingeka ukuba kuqedwe ngokugcwele ukuqeda lesi simo esiyingozi. Futhi, ikati kumele iqhubeke nemithi elwa ne-thyroid ngaphambi kwezinsuku ezingu-15 ngaphambi kokuhlinzwa, ukuze umsebenzi we-renal uphindwe kabusha.
I-Hyperthyroidism ingagqokisa isifo se-renal, futhi imithi izobuyisela ama-hormone e-thyroid endaweni ejwayelekile, ezokwenza ukuthi ukwehluleka kwezinso okwamanje kuvezwe. Ikati elinesifo se-HCM noma isifo sezinso asiyena ozohlinzeka ngokuhlinzwa.
Izinzuzo Zokuhlinzwa:
- Iqeda isidingo semithi yesikhathi eside
- Ukuthandwa lapho i-Radioactive Iodine Therapy (I 131 ) ayitholakali
Izinkinga:
- Umonakalo ongase ube khona emgodini we-parathyroid oseduze
- Uma zombili izigulane zihilelekile, kudingeka ukuhlinzekwa kwesibili.
- Izingozi ezivamile ze-anesthesia
- Uma ngabe i-lobe eyodwa isusiwe, ukuphindaphinda kungenzeka.
- Ukuthuthukiswa okunokwenzeka kwe-hypothyroidism (Kungaphathwa nge-supplements ye-thyroid).
- Kubiza kakhulu kunokhetho lwephilisi
Ukwelashwa kwe-Iodine ye-radioactive
Lokhu ngokushesha kuba ukwelashwa okukhethwa kuzo ezindaweni lapho kutholakala khona, futhi lapho abanikeli abanakekeli bangakwazi ukukukhokhela khona. Umjovo owodwa we-iodine omsakazo (I-131) unikezwa ngezansi. Into "ithola" futhi ibhubhise zonke izicubu ezigulayo, kuhlanganise nanoma iyiphi i-ectopic (ngaphandle kwendawo evamile) amangqamuzana e-thyroid ngaphandle kokulimaza noma yiziphi izicubu ezivamile. Ikati kumele ihlale esibhedlela sezilwane izinsuku ezinhlanu kuya kwamasonto amabili (kuye ngemithetho kahulumeni) kuze kube yilapho amazinga akhe asebenza ngama-radioactive ayamukelekile. Abanakekelayo bangakwazi ukuvakashela ngaleso sikhathi, kodwa bazokwazi ukubuka i-kitty yabo ngokusebenzisa iwindi elikhethekile eliholelekile.
Ikati inikezwa imithi elwa ne-thyroid izinsuku ezingu-15 ngaphambi kokwelashwa nge-I-131. Njengokukhetha okukhethwa kukho, ikati elinesifo se-hypertrophic cardiomyopathy , isifo sezinso, isifo sikashukela , nanoma yisiphi esinye isimo esibucayi akusiyo ozokhethwa ukwelashwa kwe-iodine.
Izinzuzo:
- Inikeza ukwelashwa okuphakade kuma-95% amacala
- Kuphephile
- Kuncipha ukucindezeleka ekati
- Ayikho imiphumela emibi kakhulu
Izinkinga:
- Ezibizayo (okufana nokuhlinzwa)
- Ikati kumele ibe nempilo enhle ngaphambi kokwelashwa
- Ukuthuthukiswa okulandelayo kwe-hypothyroidism kungenzeka, kepha kungelashwa nge-supplementation ye-thyroid.
Isaziso esikhethekile mayelana nokulahlwa kwemfucumfucu yenkomo Ngemva kokuphathwa kwe-I-131
Imfucumfucu kanye nomchamo kubhekwa njenge-radioactive izinyanga ezintathu kulandela ukwelashwa kwe-iodine.
Imithetho yaseCalifornia nemithetho yaseSweden imisa ukulahlwa yilala yesikhumba phakathi naleso sikhathi. Ukwaziswa okwengeziwe kunikezwe ku-athikili yami, ukulahlwa okuphephile kwe-Wasteactive Cat Disas .
Amaqembu asekela kanye nezinsiza
Bheka kwiqembu le-Hyper-T elibonakala lisebenza kakhulu futhi libala nezinsiza eziningi ezinhle kakhulu. Futhi uphenye umtholampilo we-Animal Endocrine, ophethwe futhi uqhutshwa nguDkt. Mark E. Peterson.
Uma unezinye zala makakati akhethekile, kusiza ukwazi ukuthi awodwa futhi ukuthi ukwesekwa okunakekelayo kuyatholakala.
Ukuziphendulela : Angiyena udokotela wezilwane. Lesi sihloko senzelwe ukuthi sikunike indawo yokuqala yokwenza ucwaningo lwakho ukuze ukwazi ukwenza isinqumo esinolwazi, uma ngabe kudingekile.