Thyrotoxic nguva nenguva kuoma mitezo

Thyrotoxic periodic kupora mitezo mune mamiriro ayo mune zvikamu zveakanyanya mhasuru kushaya simba. Izvo zvinoitika kune vanhu vane yakakwira mwero yehomoni yehomoni muropa ravo (hyperthyroidism, thyrotoxicosis).

Ichi chiitiko chisingawanzoitika chinoitika chete muvanhu vane mazinga mahormone ehorosi (thyrotoxicosis). Varume veAsia kana veSpanish vanobva vanokanganiswa kazhinji. Vazhinji vanhu vanovandudza hutachiona hwehutachiona hwehutachiona havasi panjodzi yekuoma mitezo nguva nenguva.

Ikoko kune kusagadzikana kwakafanana, kunonzi hypokalemic, kana yemhuri, kuora nguva nenguva. Iyo inzvimbo yekugara nhaka uye haina hukama nehuremu hwetachiona, asi iine zviratidzo zvakafanana.

Njodzi zvinhu zvinosanganisira nhoroondo yemhuri ye periodic kuora mitezo uye hyperthyroidism.

Zviratidzo zvinosanganisira kurwiswa kwemhasuru kushaya simba kana kuoma mitezo. Kurwiswa kunochinja pamwe neyakajairika mashandiro emhasuru. Kurwiswa kunowanzotanga mushure mezviratidzo zvehyperthyroidism. Hyperthyroid zviratidzo zvinogona kunge zvisiri nyore.

Kuwanda kwekurwiswa kunosiyana kubva zuva nezuva kusvika pagore. Zvikamu zvekushaya simba kwemhasuru zvinogona kutora kwemaawa mashoma kana mazuva akati wandei.

Iko kushaya simba kana kuoma mitezo:

• Anouya oenda
• Inogona kugara kubva maawa mashoma kusvika kumazuva akati wandei (zvisingawanzoitika)
• Inowanzoitika mumakumbo kupfuura maoko
• Inonyanya kuwanikwa mumapendekete nemuchiuno
• Inokonzereswa nehuremu, hwakawanda-makabhohaidhiretsi, kudya kwemunyu
• Inokonzerwa panguva yekuzorora mushure mekurovedza muviri

Zvimwe zviratidzo zvisingawanzo zvinogona kusanganisira chero yeanotevera:

• Kunetseka kufema
• Kunetsa kwekutaura
• Kumedza kuoma
• Chiono chinoshanduka

Vanhu vakasvinura panguva yekurwiswa uye vanogona kupindura mibvunzo. Simba rakajairika rinodzoka pakati pekurwiswa. Tsandanyama kushaya simba kunogona kukura nekufamba kwenguva nekurwiswa kakawanda.

Zviratidzo zve hyperthyroidism zvinosanganisira:

• Kuwedzera kudikitira
• Kukurumidza kurova kwemoyo
• Kuneta
• Kutemwa nemusoro
• Kusashivirira kupisa
• Kuwedzera kudya
• Kusarara
• Kunyanya kuwanda ura kufamba
• Kunzwa kwekunzwa kwakasimba kurova kwemoyo (palpitations)
• Kudedera kweruoko
• Rinodziya, ganda nyoro
• Kuonda

Anopa hutano anogona kufungidzira thyrotoxic periodic kupora kubva pa:

• Asina kujairika thyroid mahormone mazinga
• Nhoroondo yemhuri yechirwere
• Potasiamu yakaderera panguva yekurwiswa
• Zviratidzo zvinouya uye zvinoenda muzvikamu

Kuongororwa kunosanganisira kutonga kunze kwekunetseka kwakabatana nepasi potasium.

Iye mupi anogona kuyedza kukonzeresa kurwisa nekukupa insulini neshuga (glucose, iyo inoderedza potasiamu level) kana utachiona kemikari.

Zviratidzo zvinotevera zvinogona kuonekwa panguva yekurwiswa:

• Kupera kana kusafunga
• Mwoyo arrhythmias
• Potasiamu yakadzika muropa (potasiamu mazinga akajairika pakati pekurwiswa)

Pakati pekurwiswa, kuongororwa kwakajairika. Kana, panogona kuve nezviratidzo zvehyperthyroidism, senge rakakura utachiona shanduko mumaziso, kudedera, bvudzi uye nzara shanduko.

Iyi bvunzo inotevera inoshandiswa kuongorora hyperthyroidism:

• Yakakwira thyroid mahormone mazinga (T3 kana T4)
• Yakadzika serum TSH (thyroid inosimudzira mahormone) mazinga
• Utachiona hutore uye utarise

Mimwe mibairo yebvunzo:

• Isina kujairika electrocardiogram (ECG) panguva yekurwiswa
• Abnormal electromyogram (EMG) panguva yekurwiswa
• Yakaderera serum potasium panguva yekurwiswa, asi yakajairwa pakati pekurwiswa

Tsinga yemhasuru dzimwe nguva inogona kutorwa.

Potassium inofanirawo kupihwa panguva yekurwiswa, kazhinji nemuromo. Kana kushaya simba kwakanyanya, ungangoda kuwana potasium kuburikidza nemutsinga (IV). Cherekedza: Unofanirwa chete kuwana IV kana rako reitsvo rakajairika uye unotariswa muchipatara.

Kuneta kunosanganisira mhasuru dzinoshandiswa pakufema kana kumedza ndeye emergency. Vanhu vanofanirwa kuendeswa kuchipatara. Kukanganisa kwakakomba kwekurova kwemoyo kunogona kuitikawo panguva yekurwiswa.

Mupiki wako anogona kukurudzira kudya kwakaderera mumahydrohydrate uye munyu kudzivirira kurwiswa. Mishonga inonzi beta-blockers inogona kudzikisira huwandu uye kuomarara kwekurwiswa nepo hyperthyroidism yako ichidzorwa.

Acetazolamide inoshanda mukudzivirira kurwiswa kune vanhu vane mhuri yekuremara nguva nenguva. Kazhinji hazviite kune thyrotoxic periodic kuoma mitezo.

Kana kurwisa kukasarapwa uye mhasuru dzekufema dzakakanganiswa, kufa kunogona kuitika.

Kurwiswa kusingaperi kwenguva kunogona kutungamira kukundikana kwemhasuru. Uku kushaya simba kunogona kuenderera kunyangwe pakati pekurwiswa kana iyo thyrotoxicosis ikasarapwa.

Thyrotoxic periodic kuoma mitezo inopindura zvakanaka pakurapwa. Kurapa hyperthyroidism kunodzivirira kurwiswa. Iyo inogona kutodzosera kushaya simba kwemhasuru.

Kusarapwa thyrotoxic periodic kupora mitezo kunogona kutungamira ku:

• Kuoma kufema, kutaura, kana kumedza panguva yekurwiswa (zvisingawanzoitika)
• Mwoyo arrhythmias panguva yekurwiswa
• Tsvina kushaya simba kunowedzera zvakanyanya nekufamba kwenguva

Fonera iyo yemuno emergency emergency (senge 911) kana enda kuimba yekukurumidzira kana uine nguva dzekushaya simba kwemhasuru. Izvi zvinonyanya kukosha kana iwe uine nhoroondo yemhuri ye periodic kuoma mitezo kana chirwere chetachiona.

Emergency zviratidzo zvinosanganisira:

• Kunetseka kufema, kutaura, kana kumedza
• Kuwa nekuda kwekushaya simba kwemhasuru

Genetic counselling inogona kurairwa. Kurapa chirwere chetachiona kunodzivirira kurwisa kwekushaya simba.

Periodic kuoma mitezo - thyrotoxic; Hyperthyroidism - kupora nguva nenguva

• Gland yeganda

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Kerchner GA, Ptacek LJ. Channelopathies: episodic uye magetsi kusagadzikana kweiyo nervous system. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 99.

Selcen D. Zvirwere zvetsandanyama. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 393.