Mphepo Yamkuntho

Zamkati

• Zimayambitsa chimphepo chithokomiro
• Zizindikiro za chimphepo cha chithokomiro
• Kuzindikira mkuntho wa chithokomiro
• Kuchiza vutoli
• Kuwona kwakanthawi
• Kupewa chimphepo cha chithokomiro

Kodi chimphepo cha chithokomiro ndi chiyani?

Mphepo yamkuntho ndi thanzi lomwe limawopseza moyo lomwe limalumikizidwa ndi hyperthyroidism yosalandiridwa kapena kuchitidwa.

Nthawi ya chimphepo chamkuntho, kugunda kwa mtima, kuthamanga kwa magazi, komanso kutentha kwa thupi kumatha kukwera kwambiri. Popanda kuchitapo kanthu mwachangu, mwamphamvu chimphepo cha chithokomiro nthawi zambiri chimapha.

Chithokomiro ndi kansalu kakang'ono, koboola gulugufe komwe kali mkati mwa khosi lanu lakumunsi. Mahomoni awiri ofunikira a chithokomiro ndi triiodothyronine (T3) ndi thyroxine (T4). Izi zimayang'anira momwe selo iliyonse mthupi lanu imagwirira ntchito (kagayidwe kanu kagayidwe kake).

Ngati muli ndi hyperthyroidism, chithokomiro chanu chimatulutsa mahomoni awiriwa. Izi zimapangitsa kuti maselo anu onse azigwira ntchito mwachangu kwambiri. Mwachitsanzo, kupuma kwanu komanso kugunda kwa mtima kwanu kudzakhala kwakukulu kuposa momwe zimakhalira. Mwinanso mumalankhula mofulumira kwambiri kuposa momwe mumalankhulira.

Zimayambitsa chimphepo chithokomiro

Mphepo yamkuntho imapezeka kawirikawiri. Amayamba anthu omwe ali ndi hyperthyroidism koma sakulandila chithandizo choyenera. Matendawa amadziwika ndi kuchuluka kwambiri kwa mahomoni awiri omwe amapangidwa ndi chithokomiro. Osati anthu onse omwe ali ndi hyperthyroidism adzayamba chimphepo cha chithokomiro. Zomwe zimayambitsa izi ndi monga:

• matenda oopsa a hyperthyroidism
• chithandizo chosakwanira cha chithokomiro
• matenda okhudzana ndi hyperthyroidism

Anthu omwe ali ndi hyperthyroidism amatha kudwala chithokomiro atakumana ndi izi:

• kupwetekedwa mtima
• opaleshoni
• kupsinjika kwamaganizidwe
• sitiroko
• matenda ashuga ketoacidosis
• congestive mtima kulephera
• embolism ya m'mapapo mwanga

Zizindikiro za chimphepo cha chithokomiro

Zizindikiro za chimphepo cha chithokomiro ndizofanana ndi za hyperthyroidism, koma zimakhala mwadzidzidzi, mwamphamvu, komanso mopitirira muyeso. Ichi ndichifukwa chake anthu omwe ali ndi chimphepo cha chithokomiro sangathe kupeza chisamaliro paokha. Zizindikiro zodziwika ndizo:

• kuthamanga kwa mtima (tachycardia) yomwe imaposa kumenyedwa kwa 140 pamphindi, komanso kutsekemera kwa atrial
• malungo akulu
• thukuta losalekeza
• kugwedezeka
• kubvutika
• kusakhazikika
• chisokonezo
• kutsegula m'mimba
• kukomoka

Kuzindikira mkuntho wa chithokomiro

Anthu omwe ali ndi hyperthyroidism omwe ali ndi vuto lililonse la chithokomiro amaloledwa kupita kuchipinda chadzidzidzi. Ngati mukukayikira kuti inu kapena munthu wina ali ndi zizindikiro zamkuntho wa chithokomiro, itanani 911 mwachangu. Anthu omwe ali ndi chimphepo cha chithokomiro nthawi zambiri amawonetsa kugunda kwa mtima, komanso kuthamanga kwa magazi (systolic magazi).

Dokotala amayesa kuchuluka kwa mahomoni a chithokomiro ndikuyesa magazi. Maseŵera otulutsa chithokomiro (TSH) amakhala otsika mu hyperthyroidism ndi namondwe wa chithokomiro. Malinga ndi American Association for Clinical Chemistry (AACC), miyezo yokhazikika ya TSH imachokera pa 0,4 mpaka 4 milli – mayunitsi apadziko lonse pa lita (mIU / L). Mahomoni a T3 ndi T4 ndi apamwamba kuposa momwe amachitira anthu omwe ali ndi chimphepo cha chithokomiro.

Kuchiza vutoli

Mphepo yamkuntho imayamba mwadzidzidzi ndipo imakhudza machitidwe onse a thupi lanu. Chithandizochi chimayamba kukayikira kuti chimphepo cha chithokomiro chimakayikiridwa - makamaka zotsatira za labu zisanakwane. Mankhwala a Antithyroid monga propylthiouracil (amatchedwanso PTU) kapena methimazole (Tapazole) adzapatsidwa kuti achepetse kapangidwe ka mahomoniwa ndi chithokomiro.

Hyperthyroidism imafuna chisamaliro chosalekeza. Anthu omwe ali ndi hyperthyroidism amatha kulandira mankhwala a ayodini, omwe amawononga chithokomiro, kapena mankhwala omwe amapondereza chithokomiro kwakanthawi.

Amayi oyembekezera omwe ali ndi hyperthyroidism sangachiritsidwe ndi ayodini wa radioactive chifukwa zitha kuvulaza mwana wosabadwa. Pazochitikazi, chithokomiro cha mayiyo chimachotsedwa opaleshoni.

Anthu omwe akukumana ndi namondwe wa chithokomiro ayenera kupewa kumwa ayodini m'malo mwa chithandizo chamankhwala, chifukwa izi zitha kukulitsa vuto. Ngati chithokomiro chanu chikuwonongeka ndi mankhwala a ayodini kapena kuchotsedwa opaleshoni, muyenera kutenga mahomoni a chithokomiro kwa moyo wanu wonse.

Kuwona kwakanthawi

Chimphepo cha chithokomiro chimafuna chithandizo chamwadzidzidzi mwachangu. Mvula yamkuntho ikasiyidwa, imatha kuyambitsa vuto la mtima kapena mapapu odzaza madzi.

Anthu omwe ali ndi chimphepo cha chithokomiro chosachiritsidwa akuti ndi 75%.

Mwayi wopulumuka mkuntho wa chithokomiro ukuwonjezeka ngati mupita kuchipatala mwachangu. Mavuto ena okhudzana ndi matendawa amatha kuchepetsedwa kamodzi kanthawi kamene ma hormone anu a chithokomiro abwezeretsedwa kumtunda wamba (wotchedwa euthyroid).

Kupewa chimphepo cha chithokomiro

Njira yothandiza kwambiri yopewa kuyambika kwamkuntho wa chithokomiro ndikutsatira dongosolo lanu la chithokomiro. Tengani mankhwala anu monga mwalangizidwa. Sungani maimidwe onse ndi dokotala wanu ndipo tsatirani malamulo okhudza magazi ngati mukufunikira.