Hyperthyroidism

Hyperthyroidism mamiriro umo iyo gland yegland inogadzira yakawandisa thyroid hormone. Mamiriro acho anowanzonzi anodzvinyirira thyroid.

Iyo thyroid gland inhengo yakakosha yeiyo endocrine system. Iyo iri kumberi kwemutsipa kumusoro uko panosangana makoloni ako. Iyo gland inogadzira mahormone anodzora nzira iyo sero rega mumuviri rinoshandisa simba. Izvi zvinonzi metabolism.

Zvirwere zvakawanda uye mamiriro anogona kukonzera hyperthyroidism, kusanganisira:

• Graves chirwere (chinonyanya kukonzera hyperthyroidism)
• Kuzvimba (thyroiditis) yeiyo thyroid nekuda kwehutachiona hutachiona, mimwe mishonga, kana mushure mekuzvitakura (zvakajairika)
• Kutora yakawandisa thyroid hormone (zvakajairika)
• Kukura kusinganzwisisike kwetachiona gland kana pituitary gland (zvisingawanzoitika)
• Mamwe mamota ema testes kana ovaries (zvisingawanzoitika)
• Kuwana zvekurapa zvekufungidzira bvunzo neyekusiyana dhayi ine iodine (isingawanzo, uye chete kana paine dambudziko neiyo thyroid)
• Kudya zvakawandisa zvekudya zvine ayodini (zvisingawanzoitika, uye chete kana paine dambudziko nehutachiona)

Zviratidzo zvakajairika zvinosanganisira:

• Kufunganya
• Zvakaoma kuisa pfungwa
• Kuneta
• Kakawanda ura kufamba
• Goiter (inooneka yakakwidziridzwa yeglandi gland) kana matinji ehutachiona
• Bvudzi kurasikirwa
• Kubvunda kwemaoko
• Kusashivirira kupisa
• Kuwedzera kudya
• Kuwedzera kudikitira
• Nguva yekuenda kumwedzi zvisina kujairika muvakadzi
• Chipikiri shanduko (ukobvu kana kubaya)
• Kutya
• Kupwanya kana kumhanya kurova kwemoyo (palpitations)
• Kusadzikama
• Zvinetso zvekurara
• Kurera huremu (kana kurema, mune dzimwe nguva)

Zvimwe zviratidzo zvinogona kuitika nechirwere ichi:

• Kukura kwemazamu muvarume
• Clammy ganda
• Manyoka
• Kunzwa kupera simba kana iwe ukasimudza maoko ako
• Kuwedzera kweropa
• Itchy kana kutsamwa maziso
• Itchy ganda
• Kusvotwa uye kurutsa
• Maziso anobuda (exophthalmos)
• Kuganda kweganda kana kutsva
• Kuputika kweganda pane shins
• Kushaya simba kwehudyu nemapendekete

Anopa hutano anoita bvunzo dzepanyama. Bvunzo dzinogona kuwana zvinotevera:

• Yakakwira systolic yeropa (iyo yekutanga nhamba muropa rekuverenga kuverenga)
• Yakawedzera kurova kwemoyo
• Yakawedzera utachiona gland
• Kubata maoko
• Kuzvimba kana kuzvimba kwakakomberedza maziso
• Akasimba kwazvo mafungiro
• Ganda, vhudzi, uye nzara shanduko

Kuongororwa kweropa kunorairwawo kuyera mahormone ehutachiona TSH, T3, uye T4.

Iwe unogona zvakare kuve neropa kuongororwa kuti utarise:

• Cholesterol mazinga
• Glucose
• Yakasarudzika miedzo yehutachiona senge Thyroid receptor antibody (TRAb) kana Thyroid Inokurudzira Immunoglobulin (TSI)

Kufungidzira miedzo yehutachiona kunogona kudiwa, kusanganisira:

• Radioactive iodine inotora uye tarisa
• Utachiona ultrasound (kazhinji)

Kurapa kunoenderana nechikonzero uye kuomarara kwezviratidzo.Hyperthyroidism inowanzo kurapwa neimwe kana yakawanda yeanotevera:

• Mishonga yeAntithyroid (propylthiouracil kana methimazole) iyo inoderedza kana kuvharira mhedzisiro
• Radioactive iodine yekuparadza iyo yegland gland uye kumisa yakawandisa kugadzirwa kwehomoni
• Kuvhiya kubvisa utachiona

Kana utachiona hwako hukabviswa nekuvhiyiwa kana kuparadzwa iodine ine radioactive, unofanirwa kutora mapiritsi ekutsiva mahormone kweupenyu hwako hwese.

Mishonga inonzi beta-blockers inogona kupihwa kurapa zviratidzo zvakaita sekumhanyisa kwemoyo kurovera, kudedera, kudikitira, uye kushushikana kusvika iyo hyperthyroidism inogona kudzorwa.

Hyperthyroidism inorapwa. Zvimwe zvikonzero zvinogona kuenda zvisina kurapwa.

Hyperthyroidism inokonzerwa neGraves chirwere inowanzo nyanyisa nekufamba kwenguva. Iine matambudziko mazhinji, mamwe acho akaomarara uye anokanganisa hupenyu hwehupenyu.

Utachiona dambudziko (dutu) kukurumidza kuitika kwehypythyroidism zviratidzo zvinogona kuitika nehutachiona kana kushushikana. Fivhiri, kuderera kwekusvinura, uye kurwadziwa mudumbu kunogona kuitika. Vanhu vanoda kurapwa muchipatara.

Mamwe matambudziko e hyperthyroidism anosanganisira:

• Matambudziko emoyo akadai sekumhanyisa kwemoyo, kurovera pamwoyo, uye kukundikana kwemoyo
• Osteoporosis
• Chirwere cheziso (kuona kwakapetwa, maronda emakona, kurasikirwa kwemaonero)

Matambudziko ane chekuita nekuvhiya, kusanganisira:

• Kupenga kwemutsipa
• Hoarseness nekuda kwekukuvara kwetsinga kuzwi bhokisi
• Yakaderera calcium huwandu nekuda kwekukuvara kune parathyroid gland (iri padyo neiyo yegland gland)
• Hypothyroidism (isingashandi thyroid)

Kushandisa fodya kunogona kuita kuti mamwe matambudziko e hyperthyroidism awedzere.

Fonera mupi wako kana iwe uine zviratidzo zve hyperthyroidism. Enda kune imwe nzvimbo yekukurumidzira kana kufonera 911 kana iyo yemuno emergency nhamba kana iwe uine:

• Chinja mukuziva
• Dzungu
• Inokurumidza, isina kujairika kurova kwemoyo

Fonera waunopa kana iwe uchirapwa hyperthyroidism uye iwe unovandudza zviratidzo zvehutachiona husinga shande, kusanganisira:

• Kushungurudzika
• Kuneta kwepfungwa uye kwemuviri
• Kurera huremu

Thyrotoxicosis; Yakanyanyisa hutachiona; Graves chirwere - hyperthyroidism; Thyroiditis - hyperthyroidism; Chepfu goiter - hyperthyroidism; Madonhwe ehutachiona - hyperthyroidism; Thyroid kemikari - hyperthyroidism

• Kubvisa gland - kubuda

• Endocrine masero
• Goiter
• Brain-thyroid chinongedzo
• Gland yeganda

Hollenberg A, Wiersinga WM. Hyperthyroid kusagadzikana. Mune: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Chinyorwa cheEndocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: chits. 12.

Ross DS, Burch HB, Cooper DS, uye al. 2016 American Thyroid Association mirayiridzo yekuongororwa uye manejimendi yehypythyroidism uye zvimwe zvikonzero zve thyrotoxicosis. Utachiona. 2016; 26 (10): 1343-1421. PMID: 27521067 pubmed.ncbi.nlm.nih.gov/27521067/.

Wang TS, Sosa JA. Kutungamira kweiyo hyperthyroidism. Mune: Cameron AM, Cameron JL, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 2020: 767-774.

Weiss RE, Refetoff S.Thyroid basa rekuyedza. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 78.