Indlala Yesibindi

-Delile

• Izimbangela zesiphepho segilo
• Izimpawu zesiphepho se-thyroid
• Ukuhlonza isiphepho segilo
• Ukwelapha lesi simo
• Umbono wesikhathi eside
• Ukuvimbela isiphepho segilo

Siyini isiphepho se-thyroid?

Isiphepho se-thyroid yisimo sezempilo esisongela impilo esihlotshaniswa ne-hyperthyroidism engalashwa noma eyenziwe.

Ngesikhathi sesiphepho se-thyroid, ukushaya kwenhliziyo yomuntu ngamunye, umfutho wegazi, nokushisa komzimba kungakhuphukela emazingeni aphezulu ayingozi. Ngaphandle kokwelashwa okusheshayo, okunamandla, isiphepho se-thyroid ngokuvamile siyabulala.

Indlala yegilo iyindlala encane emise okwevemvane etholakala maphakathi nentamo yakho engezansi. Ama-hormone amabili abalulekile we-thyroid akhiqizwa yi-thyroid yi-triiodothyronine (T3) ne-thyroxine (T4). Lokhu kulawula izinga lapho wonke amangqamuzana emzimbeni wakho esebenza (imetabolism yakho).

Uma une-hyperthyroidism, i-thyroid yakho ikhiqiza kakhulu lawa mahomoni amabili. Lokhu kubangela ukuthi wonke amaseli akho asebenze ngokushesha okukhulu. Isibonelo, isilinganiso sakho sokuphefumula kanye nokushaya kwenhliziyo kuzoba ngaphezulu kunalokho obekuzoba njalo. Ungase ukhulume ngisho nokushesha kakhulu kunokuvamile.

Izimbangela zesiphepho segilo

Isiphepho segilozi akuvamile. Ikhula kubantu abane-hyperthyroidism kodwa bengatholi ukwelashwa okufanele. Lesi simo sibonakaliswa ukukhiqizwa ngokweqile kwamahomoni amabili akhiqizwa yindlala yegilo. Akubona bonke abantu abane-hyperthyroidism abazohlakulela isiphepho se-thyroid. Izimbangela zalesi simo zifaka:

• i-hyperthyroidism eqine kakhulu
• indlala yegilo engalashwa engasebenzi
• ukutheleleka okuhambisana ne-hyperthyroidism

Abantu abane-hyperthyroidism bangathola isiphepho se-thyroid ngemuva kokuthola okunye kwalokhu okulandelayo:

• ukuhlukumezeka
• ukuhlinzwa
• ukucindezeleka okukhulu ngokomzwelo
• unhlangothi
• ketoacidosis sikashukela
• ukuhluleka kwenhliziyo
• embolism yamaphaphu

Izimpawu zesiphepho se-thyroid

Izimpawu zesiphepho segilo zifana nalezo ze-hyperthyroidism, kepha ziyashesha, zinzima futhi zeqisa kakhulu. Yingakho abantu abanesiphepho se-thyroid bangase bangakwazi ukufuna ukunakekelwa bebodwa. Izimpawu ezijwayelekile zifaka:

• ukushaya kwenhliziyo yokugijima (tachycardia) eyeqa ukushaya okungu-140 ngomzuzu, kanye ne-fibrillation ye-atrial
• umkhuhlane omkhulu
• ukujuluka okuphikelelayo
• eqhaqhazela
• ukuyaluza
• ukungahlaliseki
• ukudideka
• isifo sohudo
• ukuquleka

Ukuhlonza isiphepho segilo

Abantu abane-hyperthyroidism ababhekana nanoma yiziphi izimpawu zesiphepho se-thyroid bavame ukungena egumbini eliphuthumayo. Uma usola ukuthi wena noma omunye umuntu unezimpawu zesiphepho se-thyroid, shayela u-911 ngokushesha. Abantu abanesiphepho se-thyroid ngokuvamile babonisa ukukhuphuka kwenhliziyo, kanye nenombolo ephezulu yegazi (systolic blood pressure).

Udokotela uzolinganisa amazinga akho e-hormone yegilo ngokuhlolwa kwegazi. Amazinga e-thyroid akhuthaza ama-hormone (TSH) avame ukuba aphansi ku-hyperthyroidism kanye nesiphepho se-thyroid. Ngokwe-American Association for Clinical Chemistry (AACC), amanani ajwayelekile we-TSH asukela ku-0.4 kuye ku-4 milli – amayunithi wamazwe ngamazwe ngelitha ngalinye (mIU / L). Ama-hormone e-T3 ne-T4 aphakeme kunokujwayelekile kubantu abanesiphepho segilo.

Ukwelapha lesi simo

Isiphepho sendlala yegilo sikhula ngokuzuma futhi sithinte zonke izinhlelo zomzimba wakho. Ukwelashwa kuzoqala ngokushesha lapho kusolwa isiphepho se-thyroid - imvamisa ngaphambi kokuba imiphumela yelabhu isilungile. Imithi ye-Antithyroid efana nepropylthiouracil (ebizwa nangokuthi i-PTU) noma i-methimazole (iTapazole) izonikezwa ukunciphisa ukukhiqizwa kwala mahomoni yi-thyroid.

I-Hyperthyroidism idinga ukunakekelwa okuqhubekayo. Abantu abane-hyperthyroidism bangalashwa nge-iodine enemisebe, ecekela phansi i-thyroid, noma inkambo yezidakamizwa zokucindezela ukusebenza kwe-thyroid okwesikhashana.

Abesifazane abakhulelwe abane-hyperthyroidism abakwazi ukwelashwa nge-iodine enemisebe ngoba ingalimaza ingane engakazalwa. Kulezo zimo, i-thyroid yowesifazane izosuswa ngokuhlinzwa.

Abantu ababhekana nesiphepho se-thyroid kufanele bagweme ukuthatha i-iodine esikhundleni sokwelashwa, ngoba lokhu kungasibhebhethekisa isimo. Uma i-thyroid yakho ibhujiswa ukwelashwa kwe-iodine enemisebe noma isuswe ngokuhlinzwa, kuzodingeka uthathe i-hormone yegilo yokwenziwa impilo yakho yonke.

Umbono wesikhathi eside

Isiphepho se-thyroid sidinga ukunakekelwa kwezimo eziphuthumayo ngokushesha, nangolaka. Lapho ishiywe ingalashwa, isiphepho se-thyroid singadala ukwehluleka kwenhliziyo okucinana noma amaphaphu agcwele uketshezi.

Okwabantu abanesiphepho se-thyroid esingalashiwe kulinganiselwa ukuthi bangamaphesenti angama-75.

Amathuba okusinda kwesiphepho se-thyroid ayanda uma ufuna usizo lwezokwelapha ngokushesha. Izinkinga ezihlobene nazo zingancipha uma amazinga akho e-hormone yegilo ebuyiselwa ebangeni elijwayelekile (elaziwa njenge-euthyroid).

Ukuvimbela isiphepho segilo

Indlela ephumelela kunazo zonke yokuvimbela ukuqala kwesiphepho se-thyroid ukuhambisana necebo lakho lezempilo le-thyroid. Thatha imithi yakho njengoba uyalelwe. Gcina konke ukubonana nodokotela wakho bese ulandela ngemiyalo yokusebenza kwegazi njengoba kudingeka.