Uqhwithela

Isiphepho se-thyroid yinto enqabileyo kakhulu, kodwa imeko ebeka ubomi engozini ye-thyroid gland ekhulayo kwiimeko ze-thyrotoxicosis engaphendulwanga (hyperthyroidism, okanye i-thyroid engasebenzi).

Idlala lengqula lisentanyeni, ngasentla nje apho iithambo zekhola zakho zidibana embindini.

Isiphepho se-thyroid senzeka ngenxa yoxinzelelo olukhulu njengokuhlaselwa sisifo sentliziyo, isifo sentliziyo, okanye usulelo kubantu abane-hyperthyroidism engalawulekiyo. Kwiimeko ezinqabileyo, uqhwithela lwe-thyroid lunokubangelwa lunyango lwe-hyperthyroidism kunye nonyango lwe-iodine radioactive yesifo se-Graves. Oku kunokwenzeka kwiveki okanye nangaphezulu emva konyango lwe-iodine enemitha.

Iimpawu zinzima kwaye zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Ukuphazamiseka
• Guqula uqaphile (ukwazi)
• Ukudideka
• Urhudo
• Ukwanda kobushushu
• Intliziyo ebetha (tachycardia)
• Ukungazinzi
• Ndingcangcazela
• Ukubila
• Ukukhupha iibhola zamehlo

Umboneleli wezempilo unokurhanela isiphepho se-thyrotoxic ngokusekwe:

• I-systolic ephezulu (inombolo ephezulu) yokufunda uxinzelelo lwegazi nge-diastolic esezantsi (inani elingezantsi) ukufunda uxinzelelo lwegazi (uxinzelelo olubanzi lokubetha)
• Inqanaba lentliziyo eliphezulu kakhulu
• Imbali yehyperthyroidism
• Uvavanyo lwentamo yakho lunokufumanisa ukuba i-thyroid gland iyandisiwe (goiter)

Uvavanyo lwegazi lwenziwa ukujonga ihomoni ye-thyroid TSH, simahla i-T4 kunye ne-T3.

Olunye uvavanyo lwegazi lwenziwa ukujonga ukusebenza kwentliziyo nezintso kunye nokujonga usulelo.

Isiqhwithi se-thyroid sisongela ubomi kwaye sidinga unyango olungxamisekileyo. Rhoqo, umntu kufuneka angeniswe kwigumbi labagula kakhulu. Unyango lubandakanya amanyathelo axhasayo, njengokunika ioksijini kunye namanzi kwimeko yokuphefumla nzima okanye yokuphelelwa ngamanzi emzimbeni. Unyango lunokubandakanya:

• Iingubo ezipholileyo ukubuyisela iqondo lobushushu emzimbeni kwesiqhelo
• Ukubeka iliso kulo naluphi na ulwelo olugqithisileyo kubantu abadala abanesifo sentliziyo okanye sezintso
• Amayeza okulawula ukuphazamiseka
• Iyeza lokunciphisa ukubetha kwentliziyo
• Iivithamini kunye neglucose

Injongo yokugqibela yonyango ukunciphisa amanqanaba ehomoni yegazi egazini. Ngamanye amaxesha, iodine inikwa ngeedosi eziphezulu ukuzama kunye ne-thyroid. Amanye amachiza anokunikwa ukunciphisa izinga lehomoni egazini. Amayeza e-Beta blocker ahlala anikwa ngumthambo (IV) ukunciphisa isantya sentliziyo, uxinzelelo lwegazi olusezantsi, kunye nokuthintela iziphumo zokugqitha kwehomoni yedlala lengqula.

Amayeza okubulala iintsholongwane anikezelwa kwimeko yosulelo.

Iingqungquthela zentliziyo engaqhelekanga (i-arrhythmias) inokwenzeka. Ukungaphumeleli kwentliziyo kunye ne-edema yemiphunga kunokukhula ngokukhawuleza kwaye kubangele ukufa.

Le yimeko engxamisekileyo. Tsalela umnxeba ku-911 okanye enye inombolo engxamisekileyo ukuba une-hyperthyroidism kunye namava eempawu zestrophic thyroid.

Ukuthintela uqhwithela lwe-thyroid, kufuneka kunyangwe i-hyperthyroidism.

Isiphepho esinamandla; Ubunzima beThrotoxic; Hyperthyroid isiphepho; Ukukhawuleza kwehyperthyroidism; Ingxaki ye-thyroid; I-Thyrotoxicosis - isiphepho se-thyroid

• Idlala lengqula

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UMarino M, uVitti P, isifo sikaChiovato L. Amangcwaba. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, ii-eds. Endocrinology: Abantu abadala kunye nabantwana. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 82.

UTallini G, uGiordano TJ. Idlala lengqula. Ku: Goldblum JR, Izibane LW, McKenney JK, Myers JL, eds. Rosai kunye neAckerman's Pathology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2018: isahluko 8.

Thiessen MEW. Iingxaki ze-thyroid kunye ne-adrenal. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; 2018: isahluko 120.