Izinketho zokwelapha I-Hyperthyroidism Emakati

Kuyini Hyperthyroidism Emakati?

Isifo se-thyroid sivame kakhulu kumakati aphakeme , ikakhulukazi, hyperthyroidism. Izimpawu ezijwayelekile zingase zihlanganise ukulahlekelwa kwesisindo (naphezu kokunyuka kwesifiso), amandla okwanda noma ukucasula, nokunyuka ukoma nokuvuthwa ukubiza amagama ambalwa. Ngokuvamile, izibonakaliso eziphambene ziyabonakala: umsebenzi owehliwe, ukunciphisa ukudla, kanye nobuthakathaka. Lokhu kuthiwa yi- hyperthyroidism engenandaba . Izinketho zokwelashwa ziyafana nalokho okushiwo yi-presentation, kodwa zonke iziguquko kufanele zihlolwe ngaphambi kokukhetha ukhetho olungcono kakhulu lwezokwelapha ekati lakho.

Option # Treatment Hyperthyroid # 1:

I-Methimazole (igama lokuhweba yi-Tapazole®) yimithi efika ngesimo sephilisi esinikezwa ngomlomo izikhathi eziphindwe kathathu nsuku zonke, kuye ngokuthi kunjani ikati ngalinye. Ngaphandle kwalokho, ama-pharmacy ahlanganisayo angakha imithi ekheshisayo yamanzi noma i-paste esetshenziselwa ngaphakathi ezindlebeni zokumunca, uma ukugcwalisa ikati kunzima noma akuyona inketho. Lesi sidakamizwa sisebenza ngokucindezela ukukhiqizwa kwegciwane le-thyroid yehomoni ye-thyroid, kodwa ayisiphili lesi sifo. Uma ukwelashwa kumisiwe, isimo se-hyperthyroid sizobuyela.

• I-Methimazole Pros :
  • Ayidingi ukunakekelwa esibhedlela noma i-anesthesia.
  • Izindleko zokuqala zingaphansi.
  • Ungalungisa umthamo phezulu noma phansi kalula ukulawula izimpawu.
  • Imiphumela emibi ivame ukuthi ibe mncane futhi ixazulule ngokuhamba kwesikhathi (ukuxosha, i-anorexia, ukuhlanza).

  I-Methimazole Cons :

  • Le mithi akuyona ikhambi; izimpawu zizophinde zibuye uma imithi ivaliwe.
  • Ukuqapha ukuhlolwa kwegazi kanye nezindleko zamaphilisi kungangezelela.
  • Amanye amakati angathola imiphumela emibi kakhulu (ukucheka, ukuhluleka kwesibindi, izinguquko zegazi).
  • Ukulawula amaphilisi kabili nsuku zonke kungase kube nzima kakhulu kumnikazi noma ikati.

Option # Treatment Hyperthyroid # 2:

Ukuhlinzwa kwe-thyroid: Ingubo ye-thyroid igcwele izingxenye ezimbili, noma i-lobes. Amanye ama-vets asusa kuphela i-lobe ebonakalayo enezifo, kanti abanye batusa ukukhipha kokubili, ngoba kunamathuba aphezulu omunye lobe ogula. Lolu khetho ludinga udokotela ohlinzayo wezilwane, futhi isiguli siyoba ngaphansi kwe-anesthesia jikelele yokuhlinzwa.

Ukuhlola okuqaphile kokuqala kokusebenza kumele kugcwaliswe ngaphambi kokuhlinzwa ukuhlola izinso, isibindi kanye nenhliziyo.

• Izinqubo zokuhlinzwa :
  • Inqubo ivame ukwelapha i-hyperthyroidism.
  • Ayikho imithi yansuku zonke yokuphatha.

  Ukwelashwa Cons :

  • Ingozi ye-anesthetic iphakeme kuneziguli ezikhulile (futhi ngubani ovame ukuyekethisa impilo yenhliziyo noma izinso).
  • Izindleko ezengeziwe ngesikhathi esisodwa nokuqapha kokuhlinzwa kokuthunyelwe.
  • Umsebenzi wezintambo we-parathyroid ungase uthinteke *.
  • Uma kukhona izicubu ze-thyroid ezishiywe ngemuva, zingase zibe yi-hyperthyroid (kufaka phakathi izicubu ze-ectopicthyroid, ezitholakala kwamanye, izindawo ezingavamile emzimbeni)

Option # Treatment Hyperthyroid # 3:

Ukwelashwa kwe-radioiodine: Ukwelashwa kusetshenziswa umjovo owodwa we-radioiodine ( ¹³¹ I) ngaphansi kwesikhumba. Izicubu ze-thyroid ezithathelwanayo zithatha okuningi ngalezi zinto ngegazi, futhi amangqamuzana aphethwe yisifo sofuba ayafa.

• I-Radioiodine Therapy Pros :
  • Ukwelapha ukwelapha zonke izicubu ze-thyroid ezigulayo emzimbeni, ngisho nasezindaweni ezise-atypical.
  • Ayikho imithi yansuku zonke yokuphatha.
  • Ukwelashwa kuphephile; kunemiphumela emibi kakhulu kakhulu.
  • Izithobezi ze-parathyroid zashiya ngokuphelele.
  • Akukho-anesthesia noma ukuhlinzwa okudingekayo.

  I-Radioiodine Therapy Cons :

  • Ukwelapha kufanele kunikezwe esikhungweni esikhethekile.
  • Ikati kufanele igibele izinsuku ezimbalwa ngemuva kokwelashwa ngenxa yokuchithwa kwe-radioactive ebhokisini lensimbi.
  • Ukulahlwa okhethekile kwemfucumfucu ebhodini edingekayo isikhathi esithile semasonto ukuthunyelwa ukwelashwa ekhaya.
  • Amakati ambalwa angase abe ukwelashwa kwe-hypothyroid post.
  • Amakati anezinkinga ezingezansi noma ezinqamule, ezifana nokuhluleka kwezinso, angase abe nokunyuka okukhulu kwezibonakaliso.
  • Ukwelashwa kungunaphakade - umthamo awukwazi ukubizwa kamuva (njengokuthi kufana ne-methimazole).

* = Izigulane ezithandanayo zihlotshaniswa ngokujulile ne-gland yegciwane. Ilawula i-calcium.