Ukukhubazeka ngezikhathi ezithile kwe-Thyrotoxic

Ukukhubazeka ngezikhathi ezithile kwe-Thyrotoxic yisimo lapho kuneziqephu zobuthakathaka obunzima bemisipha. Kwenzeka kubantu abanamazinga aphezulu e-hormone yegilo egazini labo (hyperthyroidism, thyrotoxicosis).

Lesi yisimo esingajwayelekile esenzeka kuphela kubantu abanezinga eliphezulu le-thyroid (thyrotoxicosis). Amadoda avela e-Asia noma e-Hispanic athinteka kaningi. Iningi labantu abathuthukisa amazinga aphezulu e-thyroid yegciwane abekho engozini yokukhubazeka ngezikhathi ezithile.

Kunokuphazamiseka okufanayo, okubizwa ngokuthi yi-hypokalemic, noma umndeni, ukukhubazeka ngezikhathi ezithile. Kuyisimo esizuzwe njengefa futhi asihlobene namazinga aphezulu e-thyroid, kodwa sinezimpawu ezifanayo.

Izici zobungozi zifaka umlando womndeni wokukhubazeka ngezikhathi ezithile kanye ne-hyperthyroidism.

Izimpawu zibandakanya ukuhlaselwa kobuthakathaka bemisipha noma ukukhubazeka. Ukuhlaselwa kuyashintshana nezikhathi zomsebenzi wemisipha ojwayelekile. Ukuhlasela kuvame ukuqala ngemuva kokuba izimpawu ze-hyperthyroidism sezithuthukile. Izimpawu ze-Hyperthyroid zingase zibe ezicashile.

Ukuvama kokuhlaselwa kuyahluka mihla namalanga. Iziqephu zobuthakathaka bemisipha zingahlala amahora ambalwa noma izinsuku ezimbalwa.

Ubuthakathaka noma ukukhubazeka:

• Uyafika ahambe
• Ingahlala kusuka emahoreni ambalwa kuze kube yizinsuku ezimbalwa (ezingavamile)
• Ingabe kuvame kakhulu emilenzeni kunezingalo
• Kuvame kakhulu emahlombe nasezinqeni
• Kubangelwa ukudla okunzima, okunama-carbohydrate amaningi, ukudla okunosawoti omningi
• Iyenziwa ngesikhathi sokuphumula ngemuva kokuzivocavoca

Ezinye izimpawu ezingavamile zingafaka noma yikuphi okulandelayo:

• Kunzima ukuphefumula
• Ubunzima bokukhuluma
• Ukugwinya ubunzima
• Umbono uyashintsha

Abantu baqaphile ngesikhathi sokuhlaselwa futhi bangaphendula imibuzo. Amandla ajwayelekile abuya phakathi kokuhlaselwa. Ubuthakathaka bemisipha bungakhula ngokuhamba kwesikhathi ngokuhlaselwa okuphindaphindiwe.

Izimpawu ze-hyperthyroidism zifaka:

• Ukujuluka okweqile
• Ukushaya kwenhliziyo okusheshayo
• Ukukhathala
• Ubuhlungu bekhanda
• Ukungabekezelelani kokushisa
• Ukwanda kwesifiso
• Ukuqwasha
• Ukuhamba kwamathumbu kaningi
• Ukuzwa kokuzwa ukushaya kwenhliziyo okuqinile (ukushaya kwenhliziyo)
• Ukuthuthumela kwesandla
• Isikhumba esifudumele, esimanzi
• Ukwehla kwesisindo

Umhlinzeki wezokunakekelwa kwempilo angasola ukukhubazeka kwe-thyrotoxic ngezikhathi ezithile ngokususelwa ku:

• Amazinga we-hormone engavamile
• Umlando womndeni walesi sifo
• Izinga eliphansi le-potassium ngesikhathi sokuhlaselwa
• Izimpawu eza futhi zihambe ngeziqephu

Ukuxilongwa kuhilela ukukhipha ukuphazamiseka okuhambisana ne-potassium ephansi.

Umhlinzeki angazama ukuqala ukuhlasela ngokukunika i-insulin noshukela (i-glucose, eyehlisa izinga le-potassium) noma i-hormone yegilo.

Lezi zimpawu ezilandelayo zingabonakala ngesikhathi sokuhlaselwa:

• Ukucabanga okunciphile noma cha
• Ama-arrhythmias enhliziyo
• I-potassium ephansi egazini (amazinga e-potassium ajwayelekile phakathi kokuhlaselwa)

Phakathi kokuhlaselwa, ukuhlolwa kuvamile. Noma, kungahle kube nezimpawu ze-hyperthyroidism, njengokushintsha kwe-thyroid emehlweni, ukuthuthumela, ukuguquka kwezinwele nezinzipho.

Ukuhlolwa okulandelayo kusetshenziselwa ukuxilonga i-hyperthyroidism:

• Izinga eliphezulu le-hormone yegilo (T3 noma T4)
• Ama-serum TSH aphansi (amazinga we-thyroid stimulating hormone)
• Ukuthathwa kwe-thyroid bese uskena

Eminye imiphumela yokuhlolwa:

• I-electrocardiogram engajwayelekile (ECG) ngesikhathi sokuhlaselwa
• I-electromyogram engajwayelekile (EMG) ngesikhathi sokuhlaselwa
• I-serum potassium ephansi ngesikhathi sokuhlaselwa, kepha ejwayelekile phakathi kokuhlaselwa

I-biopsy yemisipha kwesinye isikhathi ingathathwa.

I-Potassium nayo kufanele inikezwe ngesikhathi sokuhlaselwa, imvamisa ngomlomo. Uma ubuthakathaka bukhulu, kungadingeka ukuthi uthole i-potassium ngomthambo (IV). Qaphela: Kufanele uthole i-IV kuphela uma umsebenzi wakho wezinso ujwayelekile futhi ubhekwa esibhedlela.

Ubuthakathaka obufaka imisipha esetshenziselwa ukuphefumula noma ukugwinya kuyisimo esiphuthumayo. Abantu kumele bayiswe esibhedlela. Ukungahleleki kahle kokushaya kwenhliziyo kungenzeka futhi ngesikhathi sokuhlaselwa.

Umhlinzeki wakho angancoma ukudla okunama-carbohydrate nosawoti omncane ukuvikela ukuhlaselwa. Imithi ebizwa nge-beta-blockers inganciphisa inani nokuqina kokuhlaselwa ngenkathi i-hyperthyroidism yakho ilawulwa.

I-Acetazolamide iyasebenza ekuvimbeleni ukuhlaselwa kubantu abanokukhubazeka komndeni ngezikhathi ezithile. Imvamisa ayisebenzi ekukhubazekeni kwe-thyrotoxic ngezikhathi ezithile.

Uma ukuhlaselwa kungalashwa futhi imisipha yokuphefumula iyathinteka, ukufa kungenzeka.

Ukuhlaselwa okungapheli ngokuhamba kwesikhathi kungaholela ekubeni buthakathaka kwemisipha. Lobu buthakathaka bungaqhubeka naphakathi kokuhlaselwa uma i-thyrotoxicosis ingelashwa.

Ukukhubazeka ngezikhathi ezithile kwe-Thyrotoxic kuphendula kahle ekwelashweni. Ukwelapha i-hyperthyroidism kuzovimbela ukuhlaselwa. Kungaguqula ubuthakathaka bemisipha.

Ukukhubazeka kwe-thyrotoxic ngezikhathi ezithile kungaholela ku:

• Kunzima ukuphefumula, ukukhuluma, noma ukugwinya ngesikhathi sokuhlaselwa (okungavamile)
• Ama-arrhythmias enhliziyo ngesikhathi sokuhlaselwa
• Ubuthakathaka bemisipha obuya buba bumbi ngokuhamba kwesikhathi

Shayela inombolo yendawo ephuthumayo (njenge-911) noma uye egumbini lezimo eziphuthumayo uma unezikhathi zokuba buthakathaka kwemisipha. Lokhu kubaluleke kakhulu uma unomlando womndeni wokukhubazeka ngezikhathi ezithile noma ukuphazamiseka kwe-thyroid.

Izimpawu zezimo eziphuthumayo zifaka:

• Kunzima ukuphefumula, ukukhuluma, noma ukugwinya
• Ukuwa ngenxa yobuthakathaka bemisipha

Ukwelulekwa ngofuzo kungalulekwa. Ukwelapha isifo se-thyroid kuvimbela ukuhlaselwa kobuthakathaka.

Ukukhubazeka ngezikhathi ezithile - i-thyrotoxic; Hyperthyroidism - ukukhubazeka ngezikhathi ezithile

• Indlala yegilo

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UKerchner GA, uPtacek LJ. I-Channelopathies: iziyaluyalu ze-episodic nezikagesi zesistimu yezinzwa. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 99.

Selcen D. Izifo zemisipha. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 393.