Chowopsa cha hyperthyroidism

Chowonadi cha hyperthyroidism ndichokwera kuposa mahomoni amtundu wa chithokomiro m'magazi ndi zizindikilo zomwe zimafotokoza za hyperthyroidism. Zimachitika chifukwa chomwa mankhwala ochuluka a chithokomiro.

Hyperthyroidism imadziwikanso kuti chithokomiro chopitilira muyeso.

Chithokomiro chimatulutsa mahomoni a thyroxine (T4) ndi triiodothyronine (T3). Nthawi zambiri hyperthyroidism, chithokomiro chimatulutsa mahomoni ambiri.

Hyperthyroidism amathanso kuyambitsidwa ndikumwa mankhwala ochulukirapo a chithokomiro a hypothyroidism. Izi zimatchedwa factistic hyperthyroidism. Izi zikachitika chifukwa mulingo woyenera wa mankhwala a mahomoni ndiwokwera kwambiri, umatchedwa iatrogenic, kapena chifukwa cha dokotala, hyperthyroidism. Izi ndizofala. Nthawi zina izi zimachitika mwadala (kwa odwala ena omwe ali ndi nkhawa kapena khansa ya chithokomiro), koma nthawi zambiri izi zimachitika chifukwa mlingowu sunasinthidwe potengera kuyesa magazi.

Hyperthyroidism yodziwika imathanso kuchitika ngati wina atenga mahomoni ambiri a chithokomiro mwadala. Izi sizachilendo. Awa akhoza kukhala anthu:

• Omwe ali ndi vuto lamaganizidwe monga Munchausen syndrome
• Ndani akuyesera kuchepetsa thupi
• Ndani akuchiritsidwa chifukwa cha kukhumudwa kapena kusabereka
• Ndani akufuna kupeza ndalama kuchokera ku kampani ya inshuwaransi

Ana amatha kumwa mapiritsi a chithokomiro mwangozi.

Zizindikiro za hyperthyroidism zowoneka bwino ndizofanana ndi za hyperthyroidism yoyambitsidwa ndi vuto la chithokomiro, kupatula kuti:

• Palibe chotupa. Nthawi zambiri chithokomiro chimakhala chaching'ono.
• Maso samatupa, monga momwe amachitira ndi matenda a Graves (mtundu wofala kwambiri wa hyperthyroidism).
• Khungu pamwamba pa nsaluzi silikula, monga nthawi zina limagwirira anthu omwe ali ndi matenda amanda.

Mayeso amwazi omwe amagwiritsidwa ntchito pozindikira kuti hyperthyroidism ndi awa:

• T4 yaulere
• Thiroglobulin
• Chiwerengero cha T3
• Chiwerengero cha T4
• TSH

Mayesero ena omwe angachitike akuphatikizapo kuyamwa kwa ayodini kapena chithokomiro cha ultrasound.

Wothandizira zaumoyo wanu angakuuzeni kuti musiye kumwa mahomoni a chithokomiro. Ngati mukufuna kumwa, wothandizira anu amachepetsa mlingo.

Muyenera kuyang'ananso masabata awiri kapena anayi kuti mutsimikize kuti zizindikirazo zatha. Izi zimathandizanso kutsimikizira matendawa.

Anthu omwe ali ndi matenda a Munchausen adzafunika chithandizo chamankhwala amisala ndikutsatiridwa.

Hyperthyroidism yowoneka bwino idzawonekera yokha mukasiya kumwa kapena kuchepetsa kuchuluka kwa mahomoni a chithokomiro.

Pamene chidziwitso cha hyperthyroidism chimatenga nthawi yayitali, zovuta zomwe zimachitika ngati osachiritsidwa kapena osachiritsidwa hyperthyroidism zitha kukhala:

• Kugunda kwamtima kosadziwika bwino (fibrillation atrial)
• Nkhawa
• Kupweteka pachifuwa (angina)
• Matenda amtima
• Kutayika kwa mafupa (ngati kuli koopsa, kufooka kwa mafupa)
• Kuchepetsa thupi
• Kusabereka
• Mavuto akugona

Lumikizanani ndi omwe amakupatsani ngati muli ndi zizindikiro za hyperthyroidism.

Mahomoni a chithokomiro ayenera kutengedwa kokha ndi mankhwala komanso moyang'aniridwa ndi omwe amakupatsani. Kuyezetsa magazi pafupipafupi nthawi zambiri kumafunikira kuti muthandizire omwe amakupatsirani kusintha mlingo womwe mukutenga.

Chochititsa chidwi thyrotoxicosis; Thyrotoxicosis factitia; Thyrotoxicosis medicamentosa; Chowopsa cha hyperthyroxinemia

• Chithokomiro

Hollenberg A, Wersinga WM. Matenda a Hyperthyroid. Mu: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: mutu 12.

Kopp P. Kugwiritsa ntchito modzidzimutsa mitsempha ya chithokomiro ndi zina zomwe zimayambitsa thyrotoxicosis. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 85.