Hyperthyroidism

Zamkati

• Kodi chimayambitsa hyperthyroidism ndi chiyani?
• Kodi zizindikiro za hyperthyroidism ndi ziti?
• Kodi madokotala amapeza bwanji hyperthyroidism?
• Mayeso a cholesterol
• T4, T4 yaulere, T3
• Mayeso olimbikitsa mahomoni otulutsa chithokomiro
• Kuyesa kwa Triglyceride
• Chotupa cha chithokomiro chimayamba
• Ultrasound
• Makina a CT kapena MRI
• Momwe mungachiritse hyperthyroidism
• Mankhwala
• Mavitamini a ayodini
• Opaleshoni
• Zomwe mungachite kuti muchepetse zizindikilo
• Chiwonetsero
• Funso:
• Yankho:

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kodi hyperthyroidism ndi chiyani?

Hyperthyroidism ndimkhalidwe wa chithokomiro. Chithokomiro ndi kansalu kakang'ono, koboola gulugufe kamene kali kutsogolo kwa khosi lanu. Amapanga tetraiodothyronine (T4) ndi triiodothyronine (T3), omwe ndi mahomoni awiri oyambira omwe amayang'anira momwe maselo amagwiritsira ntchito mphamvu. Chithokomiro chanu chimayendetsa kagayidwe kanu kudzera pakatulutsa mahomoniwa.

Hyperthyroidism imachitika chithokomiro chimapanga T4, T3, kapena zonse ziwiri. Kuzindikira kwa chithokomiro chopitilira muyeso ndikuchiza komwe kumayambitsa vutoli kumatha kuchepetsa zizindikilo ndikupewa zovuta.

Kodi chimayambitsa hyperthyroidism ndi chiyani?

Zinthu zosiyanasiyana zimatha kuyambitsa hyperthyroidism. Matenda a Graves, matenda omwe amabwera chifukwa chodzitchinjiriza thupi, ndi omwe amayambitsa matenda a hyperthyroidism. Zimayambitsa ma antibodies kuti chithokomiro chizitulutsa mahomoni ambiri. Matenda a manda amapezeka nthawi zambiri mwa akazi kuposa amuna. Amakonda kuthamanga m'mabanja, zomwe zimafotokozera za chibadwa. Muyenera kuuza dokotala wanu ngati abale anu adali ndi vutoli.

Zina mwazomwe zimayambitsa hyperthyroidism ndi monga:

• ayodini wambiri, chinthu chofunikira kwambiri mu T4 ndi T3
• chithokomiro, kapena kutupa kwa chithokomiro, komwe kumapangitsa kuti T4 ndi T3 zizituluka
• zotupa m'mimba mwake kapena machende
• zotupa zabwino za chithokomiro kapena pituitary
• kuchuluka kwa tetraiodothyronine komwe kumatengedwa kudzera mu zowonjezera zakudya kapena mankhwala

Kodi zizindikiro za hyperthyroidism ndi ziti?

Kuchuluka kwa T4, T3, kapena zonsezi zingayambitse kagayidwe kake kambiri. Izi zimatchedwa dziko la hypermetabolic. Mukakhala mu hypermetabolic state, mutha kugunda kwamtima mwachangu, kuthamanga kwa magazi, komanso kunjenjemera kwa manja. Muthanso thukuta kwambiri ndikupanga kulolerana kocheperako kutentha. Hyperthyroidism imatha kuyambitsa matumbo pafupipafupi, kuchepa thupi, ndipo mwa amayi, kusamba kosasamba.

Mwachiwonekere, chithokomiro chokha chimatha kutuphuka kukhala chotupa, chomwe chimatha kukhala chosakanikirana kapena chamodzi. Maso anu amathanso kuwonekera kwambiri, chomwe ndi chizindikiro cha exophthalmos, vuto lomwe limakhudzana ndi matenda a Graves.

Zizindikiro zina za hyperthyroidism ndi monga:

• kuchuluka kwa njala
• manjenje
• kusakhazikika
• kulephera kuyika mtima
• kufooka
• kugunda kwamtima kosasintha
• kuvuta kugona
• chabwino, tsitsi lophwanyika
• kuyabwa
• kutayika tsitsi
• nseru ndi kusanza
• Kukula kwa m'mawere mwa amuna

Zizindikiro zotsatirazi zimafunikira kuchipatala mwachangu:

• chizungulire
• kupuma movutikira
• kutaya chidziwitso
• kuthamanga, kugunda kwamtima kosasinthasintha

Hyperthyroidism itha kuchititsanso matenda a atrial fibrillation, arrhythmia yoopsa yomwe imatha kubweretsa zikwapu, komanso kufooka kwa mtima.

Kodi madokotala amapeza bwanji hyperthyroidism?

Gawo lanu loyamba pakupeza matenda ndikupeza mbiri yonse yazachipatala ndikuwunika. Izi zitha kuwulula izi zowonekera za hyperthyroidism:

• kuonda
• kuthamanga kwambiri
• kuthamanga kwa magazi
• maso otuluka
• kukulitsa chithokomiro

Mayesero ena atha kuchitidwa kuti muwunikenso matenda anu. Izi zikuphatikiza:

Mayeso a cholesterol

Dokotala wanu angafunike kuti muwone kuchuluka kwama cholesterol. Cholesterol yotsika ikhoza kukhala chizindikiro cha kuchuluka kwa kagayidwe kake, momwe thupi lanu limayaka kudzera mu cholesterol mwachangu.

T4, T4 yaulere, T3

Mayesowa amayesa kuchuluka kwa timadzi ta chithokomiro (T4 ndi T3) m'magazi anu.

Mayeso olimbikitsa mahomoni otulutsa chithokomiro

Mahomoni otulutsa chithokomiro (TSH) ndimatenda am'matumbo omwe amachititsa kuti chithokomiro chikhale ndi mahomoni. Pamene mahomoni a chithokomiro ali abwinobwino kapena okwera, TSH yanu iyenera kutsika. TSH yotsika modabwitsa imatha kukhala chizindikiro choyamba cha hyperthyroidism.

Kuyesa kwa Triglyceride

Mulingo wanu wa triglyceride amathanso kuyesedwa. Mofanana ndi cholesterol yochepa, ma triglycerides otsika amatha kukhala chizindikiro cha kuchuluka kwa kagayidwe kake.

Chotupa cha chithokomiro chimayamba

Izi zimathandiza dokotala kuti awone ngati chithokomiro chanu chikugwira ntchito kwambiri. Makamaka, imatha kuwulula ngati chithokomiro chonse kapena gawo limodzi lokha la gland chikuyambitsa kukhathamira.

Ultrasound

Ultrasounds amatha kuyeza kukula kwa chithokomiro chonse, komanso unyinji uliwonse mkati mwake. Madokotala amathanso kugwiritsa ntchito ma ultrasound kuti azindikire ngati misa ndiyolimba kapena yotupa.

Makina a CT kapena MRI

CT kapena MRI imatha kuwonetsa ngati chotupa cha pituitary chilipo chomwe chikuyambitsa vutoli.

Momwe mungachiritse hyperthyroidism

Mankhwala

Mankhwala a Antithyroid, monga methimazole (Tapazole), amaletsa chithokomiro kupanga mahomoni. Ndi mankhwala wamba.

Mavitamini a ayodini

Ma ayodini opatsirana amapatsidwa kwa 70 peresenti ya achikulire aku US omwe ali ndi hyperthyroidism, malinga ndi American Thyroid Association. Imawononga bwino maselo omwe amapanga mahomoni.

Zotsatira zoyipa zimaphatikizapo mkamwa wouma, maso owuma, zilonda zapakhosi, komanso kusintha kwa kukoma. Chenjezo lingafunike kutengedwa kwakanthawi kochepa mutalandira mankhwala kuti muchepetse kufalikira kwa ma radiation kwa ena.

Opaleshoni

Gawo kapena chithokomiro chanu chonse chitha kuchotsedwa opaleshoni. Muyenera kumwa mankhwala owonjezera a chithokomiro kuti muteteze hypothyroidism, yomwe imachitika mukakhala ndi chithokomiro chosagwira ntchito chomwe chimatulutsa timadzi tambiri. Komanso ma beta-blockers monga propranolol amatha kuthandizira kuwongolera kuthamanga kwanu, thukuta, nkhawa, ndi kuthamanga kwa magazi. Anthu ambiri amamvera mankhwalawa.

Zomwe mungachite kuti muchepetse zizindikilo

Kudya chakudya choyenera, choyang'ana calcium ndi sodium, ndikofunikira, makamaka popewa hyperthyroidism. Gwiritsani ntchito ndi dokotala wanu kuti mupange malangizo oyenera pa zakudya zanu, zowonjezera zakudya, komanso zolimbitsa thupi.

Hyperthyroidism imathandizanso kuti mafupa anu akhale ofooka komanso owonda, zomwe zingayambitse kufooka kwa mafupa. Kutenga vitamini D ndi calcium zowonjezera panthawi ndi pambuyo pake kumatha kulimbikitsa mafupa anu. Dokotala wanu angakuuzeni kuchuluka kwa vitamini D ndi calcium zomwe mungatenge tsiku lililonse. Dziwani zambiri zamaubwino a vitamini D.

Chiwonetsero

Dokotala wanu angakutumizireni kwa katswiri wa zamankhwala am'magazi, yemwe amadziwika bwino pochiza ma hormone amthupi. Kupsinjika kapena matenda kumatha kuyambitsa chimphepo cha chithokomiro. Mphepo yamkuntho imachitika pakatuluka mahomoni ambiri amtundu wa chithokomiro ndipo zimayambitsa kukulira kwadzidzidzi kwa zizindikilo. Kuchiza ndikofunikira popewa chimphepo cha chithokomiro, thyrotoxicosis, ndi zovuta zina.

Kuwona kwakutali kwa hyperthyroidism kumadalira pazomwe zimayambitsa. Zina mwazifukwa zimatha popanda chithandizo. Zina, monga matenda a Graves, zimaipiraipira pakapita nthawi popanda chithandizo. Zovuta za matenda a Graves zitha kupha moyo ndipo zimakhudza moyo wanu wanthawi yayitali. Kuzindikira koyambirira komanso kuchiza matenda kumathandizira kuti munthu akhale ndi chiyembekezo chanthawi yayitali.

Funso:

Yankho: