Matenda a Thyrotoxic periodic

Kufa ziwalo nthawi ndi nthawi ndi vuto lomwe limakhala ndi magawo ofooka kwambiri kwaminyewa. Zimapezeka mwa anthu omwe ali ndi mahomoni ambiri a chithokomiro m'magazi awo (hyperthyroidism, thyrotoxicosis).

Izi ndizochepa zomwe zimachitika mwa anthu omwe ali ndi mahomoni ambiri a chithokomiro (thyrotoxicosis). Amuna ochokera ku Asia kapena ku Puerto Rico amakhudzidwa nthawi zambiri. Anthu ambiri omwe amakhala ndi mahomoni ambiri a chithokomiro samakhala pachiwopsezo chofa ziwalo nthawi ndi nthawi.

Palinso vuto lofananalo, lotchedwa hypokalemic, kapena banja, ziwalo nthawi ndi nthawi. Ndi chibadwa chobadwa nacho ndipo sichikugwirizana ndi kuchuluka kwa chithokomiro, koma chimakhala ndi zisonyezo zomwezo.

Zowopsa zimaphatikizaponso mbiri yakubanja yakufa ziwalo nthawi ndi nthawi komanso hyperthyroidism.

Zizindikiro zimakhudza kufooka kwa minofu kapena kufooka. Zilondazi zimasinthasintha nthawi yayitali. Zowukira nthawi zambiri zimayamba pambuyo poti zizindikiro za hyperthyroidism zayamba. Zizindikiro za Hyperthyroid zitha kukhala zobisika.

Pafupipafupi ziwonetsero zimasiyanasiyana tsiku ndi tsiku. Zigawenga za kufooka kwaminyewa zimatha kukhala maola ochepa kapena masiku angapo.

Kufooka kapena kufooka:

• Amabwera ndikupita
• Zitha kukhala kwa maola ochepa mpaka masiku angapo (osowa)
• Amakonda kupezeka miyendo kuposa mikono
• Amakonda kupezeka m'mapewa ndi m'chiuno
• Amayambitsidwa ndi chakudya cholemera, chopatsa mphamvu, chakudya chamchere wambiri
• Zimayambitsa panthawi yopuma mutatha kuchita masewera olimbitsa thupi

Zizindikiro zina zosowa zimatha kukhala ndi izi:

• Kuvuta kupuma
• Kuvuta kwamalankhulidwe
• Kumeza vuto
• Masomphenya akusintha

Anthu amakhala tcheru pakuwukiridwa ndipo amatha kuyankha mafunso. Mphamvu yabwinobwino imabwerera pakati pazowukira. Kufooka kwa minofu kumatha kukula pakapita nthawi ndikamakumana mobwerezabwereza.

Zizindikiro za hyperthyroidism ndi monga:

• Kutuluka thukuta kwambiri
• Kuthamanga kwa mtima
• Kutopa
• Mutu
• Tsankho kutentha
• Kuchuluka chilakolako
• Kusowa tulo
• Kusuntha kwamatumbo pafupipafupi
• Zomverera zakumva kugunda kwamtima kwamphamvu (palpitations)
• Kugwedezeka kwa dzanja
• Khungu lofunda, lonyowa
• Kuchepetsa thupi

Wopereka chithandizo chamankhwala akhoza kukayikira ziwalo za thyrotoxic periodic zochokera:

• Mahomoni osadziwika bwino a chithokomiro
• Mbiri ya banja lavutoli
• Potaziyamu wochepa panthawi yamavuto
• Zizindikiro zomwe zimabwera ndikumadutsa

Kuzindikira kumatanthauza kuthana ndi zovuta zomwe zimakhudzana ndi potaziyamu wochepa.

Wothandizirayo atha kuyesa kuyambitsa vuto mwa kukupatsani insulini ndi shuga (shuga, yemwe amachepetsa potaziyamu) kapena mahomoni a chithokomiro.

Zizindikiro zotsatirazi zitha kuwonedwa panthawi yomwe akuukira:

• Kutsika kapena kusasintha
• Makhalidwe a mtima
• Potaziyamu wochepa m'magazi (potaziyamu amakhala wamba pakati pa ziwopsezo)

Pakati pa kuukiridwa, kuyezetsa kwachilendo. Kapena, pakhoza kukhala zizindikiro za hyperthyroidism, monga kusintha kwa chithokomiro m'maso, kunjenjemera, tsitsi ndi msomali.

Mayesero otsatirawa amagwiritsidwa ntchito pozindikira hyperthyroidism:

• Maseŵera akuluakulu a chithokomiro (T3 kapena T4)
• Maselo otsika a TSH (mahomoni otulutsa chithokomiro)
• Kutenga chithokomiro ndikusanthula

Zotsatira zina zoyesa:

• Electrocardiogram yachilendo (ECG) panthawi yamavuto
• Makina osokonekera a electromyogram (EMG) panthawi yamavuto
• Potaziyamu wocheperako wa potaziyamu pakamachitika ziwopsezo, koma zabwinobwino pakati pa ziwopsezo

Nthawi zina minofu imatha kutengedwa.

Potaziyamu ayeneranso kuperekedwa panthawi ya chiwonongeko, nthawi zambiri pakamwa. Ngati kufooka kuli kovuta, mungafunike kupeza potaziyamu kudzera mumtsempha (IV). Chidziwitso: Muyenera kutenga IV pokhapokha ngati ntchito yanu ya impso ndiyabwino ndipo mukuyang'aniridwa kuchipatala.

Kufooka komwe kumakhudza minofu yogwiritsira ntchito kupuma kapena kumeza ndi mwadzidzidzi. Anthu akuyenera kupita nawo kuchipatala. Kusasinthasintha kwakukulu kwa kugunda kwa mtima kumathanso kuchitika panthawi yamavuto.

Wothandizira anu akhoza kulangiza zakudya zopanda mafuta komanso mchere kuti zisawonongeke. Mankhwala otchedwa beta-blockers amatha kuchepetsa kuchuluka ndi kuopsa kwa ziwopsezo pomwe hyperthyroidism yanu imayang'aniridwa.

Acetazolamide imathandiza popewera anthu omwe ali ndi ziwalo zapabanja nthawi ndi nthawi. Nthawi zambiri sizothandiza pa ziwalo za thyrotoxic periodic.

Ngati chiopsezo sichichiritsidwa ndipo minofu yopuma imakhudzidwa, imatha kuchitika.

Kuukira kwakanthawi kwakanthawi kumatha kubweretsa kufooka kwa minofu. Kufooka kumeneku kumatha kupitilirabe ngakhale pakati pa ziwopsezo ngati thyrotoxicosis sichithandizidwa.

Matenda a Thyrotoxic periodic amalabadira bwino kuchipatala. Kuchiza hyperthyroidism kumateteza kuukira. Itha kusinthanso kufooka kwa minofu.

Kufooka kwa matenda a thyrotoxic periodic kumatha kubweretsa ku:

• Kuvuta kupuma, kuyankhula, kapena kumeza pakuwukira (kawirikawiri)
• Matenda a mtima panthawi yamavuto
• Kufooka kwa minofu komwe kumakulirakulira pakapita nthawi

Itanani nambala yadzidzidzi yakomweko (monga 911) kapena pitani kuchipinda chadzidzidzi ngati muli ndi kufooka kwa minofu. Izi ndizofunikira kwambiri ngati muli ndi banja lomwe limakhala ndi ziwalo nthawi zina kapena matenda a chithokomiro.

Zizindikiro zadzidzidzi ndizo:

• Kuvuta kupuma, kuyankhula, kapena kumeza
• Amagwa chifukwa cha kufooka kwa minofu

Upangiri wa chibadwa ungalangizidwe. Kuchiza matenda a chithokomiro kumalepheretsa kufooka.

Nthawi ziwalo - thyrotoxic; Hyperthyroidism - ziwalo nthawi ndi nthawi

• 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.

Kerchner GA, Ptacek LJ. Channelopathies: zovuta zamagetsi zamagetsi zamanjenje ndi zamagetsi zamanjenje. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 99.

Selcen D. Matenda a minofu. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: mutu 393.