Isiphepho sendlala yegilo

Isiphepho se-thyroid yisimo esingajwayelekile kakhulu, kepha esisongela impilo sendlala yegilo esikhula ezimweni ze-thyrotoxicosis engalashwa.

Indlala yegilo ikhona entanyeni, ngenhla nje lapho kuhlangana khona amathambo akho ophakathi nendawo.

Isiphepho se-thyroid senzeka ngenxa yengcindezi enkulu njengokuhlukumezeka, isifo senhliziyo, noma ukutheleleka kubantu abane-hyperthyroidism engalawulwa. Ezimweni ezingavamile, isiphepho se-thyroid singabangelwa ukwelashwa kwe-hyperthyroidism nge-radioactive iodine therapy ye-Graves disease. Lokhu kungenzeka ngisho nangesonto noma ngaphezulu ngemuva kokwelashwa kwe-iodine enemisebe.

Izimpawu zinzima futhi zingafaka noma yikuphi okulandelayo:

• Ukuyaluza
• Shintsha ekuqwashiseni (ukwazi)
• Ukudideka
• Uhudo
• Ukushisa okwandisiwe
• Inhliziyo eshaya ngamandla (tachycardia)
• Ukungahlaliseki
• Kuthuthumela
• Ukujuluka
• Izinhlamvu zamehlo eziqhumayo

Umhlinzeki wezokunakekelwa kwempilo angasola isivunguvungu se-thyrotoxic ngokuya nge:

• I-systolic ephezulu (inombolo ephezulu) efunda umfutho wegazi nge-diastolic ephansi (inombolo engezansi) ukufundwa komfutho wegazi (ukucindezelwa kwenhliziyo okubanzi)
• Ukushaya kwenhliziyo okuphezulu kakhulu
• Umlando we-hyperthyroidism
• Ukuhlolwa kwentamo yakho kungathola ukuthi indlala yakho yegilo ikhulisiwe (goiter)

Ukuhlolwa kwegazi kuyenziwa ukuhlola ama-hormone e-thyroid TSH, i-T4 yamahhala ne-T3.

Okunye ukuhlolwa kwegazi kwenziwa ukuhlola ukusebenza kwenhliziyo nezinso nokuhlola ukutheleleka.

Isiphepho se-thyroid sisongela impilo futhi sidinga ukwelashwa okuphuthumayo. Imvamisa, lowo muntu udinga ukungeniswa egumbini labagula kakhulu. Ukwelashwa kufaka phakathi izindlela ezisekelayo, ezinjengokunikeza umoya-mpilo noketshezi uma kwenzeka uphefumula kanzima noma ukoma emzimbeni. Ukwelashwa kungafaka:

• Izingubo zokupholisa ukubuyisela ukushisa komzimba endaweni ejwayelekile
• Ukuqapha noma yikuphi uketshezi okweqile kubantu asebekhulile abanesifo senhliziyo noma sezinso
• Imithi yokulawula ukuyaluza
• Imithi yokwehlisa izinga lokushaya kwenhliziyo
• Amavithamini kanye ne-glucose

Inhloso yokugcina yokwelashwa ukunciphisa amazinga ama-hormone egilo egazini. Kwesinye isikhathi, iodine inikezwa ngemithamo ephezulu ukuzama ukumunca igilo. Eminye imishanguzo inganikezwa ukwehlisa izinga lamahomoni egazini. Imithi ye-beta blocker ivame ukunikezwa yi-vein (IV) ukunciphisa ijubane lenhliziyo, ukwehlisa umfutho wegazi, nokuvimba imiphumela ye-hormone yegilo eyeqile.

Ama-antibiotic anikezwa uma kwenzeka ukutheleleka.

Isigqi senhliziyo esingajwayelekile (arrhythmias) kungenzeka. Ukwehluleka kwenhliziyo kanye ne-edema yamaphaphu kungakhula ngokushesha futhi kubangele ukufa.

Lesi yisimo esiphuthumayo. Shayela u-911 noma enye inombolo ephuthumayo uma une-hyperthyroidism futhi uhlangabezana nezimpawu zesiphepho se-thyroid.

Ukuvimbela isiphepho se-thyroid, i-hyperthyroidism kufanele ilashwe.

Isiphepho se-Thyrotoxic; Inkinga ye-Thyrotoxic; Isiphepho se-Hyperthyroid; I-hyperthyroidism esheshayo; Inkinga yegilo; I-Thyrotoxicosis - isiphepho se-thyroid

• Indlala yegilo

UJonklaas J, Cooper DS. Indlala yegilo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 213.

UMarino M, uVitti P, isifo sikaChiovato L. Amathuna. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 82.

UTallini G, uGiordano TJ. Indlala yegilo. Ku: Goldblum JR, Lamps LW, McKenney JK, Myers JL, eds. URosai no-Ackerman's Pathology Yokuhlinzwa. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2018: isahluko 8.

Thiessen MEW. Izinkinga ze-thyroid ne-adrenal. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 120.