Mphepo yamkuntho

Chimphepo cha chithokomiro ndichosowa kwambiri, koma chowopsa chamoyo cha chithokomiro chomwe chimayamba chifukwa cha matenda osachiritsika a thyrotoxicosis (hyperthyroidism, kapena chithokomiro chopitilira muyeso).

Chithokomiro chimakhala pakhosi, pamwambapa pomwe makola anu amakumana pakati.

Mphepo yamkuntho imachitika chifukwa cha kupsinjika kwakukulu monga kupwetekedwa mtima, matenda amtima, kapena matenda mwa anthu omwe ali ndi hyperthyroidism osalamulirika. Nthawi zina, chithokomiro chimatha chifukwa cha chithandizo cha hyperthyroidism ndi mankhwala a ayodini okhudzana ndi matenda a Graves. Izi zitha kuchitika ngakhale sabata limodzi kapena kupitilira pamenepo mankhwala a ayodini okhudzana ndi radioactive.

Zizindikiro ndizovuta ndipo zimatha kuphatikizira izi:

• Kusokonezeka
• Sinthani kukhala tcheru (kuzindikira)
• Kusokonezeka
• Kutsekula m'mimba
• Kuchuluka kutentha
• Mtima wolimba (tachycardia)
• Kusakhazikika
• Kugwedezeka
• Kutuluka thukuta
• Misozi yakuthwa

Wothandizira zaumoyo atha kukayikira kuti mkuntho wa thyrotoxic watengera:

• Systolic yapamwamba (nambala yochuluka) kuthamanga kwa magazi powerenga ndi diastolic wotsika (nambala yotsika) kuwerenga kwa kuthamanga kwa magazi (kuthamanga kwambiri)
• Kugunda kwamtima kwambiri
• Mbiri ya hyperthyroidism
• Kuyesedwa kwa khosi lanu kumatha kupeza kuti chithokomiro chanu chikukulitsidwa (goiter)

Kuyezetsa magazi kumachitika kuti muwone mahomoni a chithokomiro TSH, aulere T4 ndi T3.

Kuyezetsa magazi kwina kumachitika kuti muwone momwe mtima ndi impso zimagwirira ntchito komanso kuti aone ngati alibe matenda.

Mkuntho wa chithokomiro umawopseza moyo ndipo umafuna chithandizo chadzidzidzi. Nthawi zambiri, munthuyo amafunika kumulowetsa kuchipatala. Chithandizocho chimaphatikizapo njira zothandizira, monga kupatsa oxygen ndi zamadzimadzi pakavuta kupuma kapena kutaya madzi m'thupi. Chithandizo chingaphatikizepo:

• Mabulangete ozizira kuti abwezeretse kutentha kwa thupi kukhala labwinobwino
• Kuwunika madzi aliwonse owonjezera mwa okalamba omwe ali ndi matenda amtima kapena impso
• Mankhwala othandizira kusokonezeka
• Mankhwala ochepetsa kugunda kwa mtima
• Mavitamini ndi shuga

Cholinga chomaliza cha chithandizo ndikuchepetsa kuchuluka kwa mahomoni a chithokomiro m'magazi. Nthawi zina, ayodini amapatsidwa mlingo waukulu kuti ayesetse chithokomiro. Mankhwala ena atha kuperekedwa kuti achepetse kuchuluka kwa mahomoni m'magazi. Mankhwala a Beta blocker nthawi zambiri amaperekedwa ndi mitsempha (IV) kuti ichepetse kugunda kwa mtima, kutsika kwa magazi, ndikuletsa zovuta za kuchuluka kwa mahomoni a chithokomiro.

Maantibayotiki amaperekedwa ngati munthu atenga matenda.

Nyimbo zosasinthasintha za mtima (arrhythmias) zimatha kuchitika. Kulephera kwa mtima ndi edema ya m'mapapo kumatha kukula mwachangu ndikupangitsa kufa.

Izi ndizovuta. Imbani 911 kapena nambala ina yadzidzidzi ngati muli ndi hyperthyroidism ndikukumana ndi zimphepo zamkuntho.

Pofuna kupewa chimphepo cha chithokomiro, hyperthyroidism iyenera kuthandizidwa.

Mvula yamkuntho yamoto; Mavuto amtundu; Hyperthyroid mkuntho; Kuthamangira kwa hyperthyroidism; Mavuto a chithokomiro; Thyrotoxicosis - chithokomiro mkuntho

• Chithokomiro

Jonklaas J, Cooper DS. Chithokomiro. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 213.

Marino M, Vitti P, matenda a Chiovato L. Manda. 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 82.

Tallini G, Giordano TJ. Chithokomiro. Mu: Goldblum JR, Nyali LW, McKenney JK, Myers JL, olemba. Rosai ndi Ackerman's Surgical Pathology. 11th ed. Philadelphia, PA: Elsevier; 2018: mutu 8.

Thiessen MEW. Matenda a chithokomiro ndi adrenal. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 120.