Chii chinonzi hyperthyroidism, zvinokonzera uye maitiro ekuongororwa

Zvemukati

• Zvinokonzera hyperthyroidism
• Maitiro ekuongororwa kunoitwa
• Subclinical hyperthyroidism
• Zviratidzo zvikuru
• Hyperthyroidism pakuzvitakura
• Kurapa kweiyo hyperthyroidism

Hyperthyroidism chiitiko chinoratidzwa nekunyanyisa kugadzirwa kwehomoni nehutachiona, zvichikonzera kukura kwezvimwe zviratidzo nezviratidzo, sekushushikana, kudedera kwemaoko, kudikitira zvakanyanya, kuzvimba kwemakumbo netsoka uye shanduko yekuenda kumwedzi mune iyo kesi. yevakadzi.

Iyi mamiriro anowanzoitika kune vakadzi vari pakati pemakore makumi maviri nemakumi mana ekuberekwa, kunyangwe ichikwanisa kuitikawo muvanhurume, uye inowanzobatanidzwa nechirwere cheMakuva, chinova chirwere chemuviri umo muviri pachawo unoburitsa masoja anorwisa utachiona. Pamusoro pechirwere cheGraves, hyperthyroidism inogona zvakare kunge iri mhedzisiro yekunyanyisa iodine kunwiwa, kuwandisa kwemahormone ehutachiona kana kuve nekuda kwekuvapo kwedumbu mudumbu.

Izvo zvakakosha kuti hyperthyroidism ionekwe uye inorapwa zvinoenderana nezvakakurudzirwa endocrinologist kuitira kuti zvikwanisike kubvisa zviratidzo nezviratidzo zvine chekuita nechirwere.

Zvinokonzera hyperthyroidism

Hyperthyroidism inoitika nekuda kwekuwedzera kwekugadzirwa kwehomoni nehutachiona, izvo zvinowanzoitika nekuda kwechirwere cheGraves, chinova chirwere che autoimmune umo maseru ekudzivirira muviri pachawo anoita zvinopesana nehutachiona, iyo ine simba rekuwedzera kugadzirwa kuwanda kwehomoni. Dzidza zvakawanda nezve chirwere cheMakuva.

Pamusoro pechirwere cheMakuva, mamwe mamiriro anogona kutungamira ku hyperthyroidism ndeaya:

• Kuvapo kwemanundu kana ma cyst mune utachiona;
• Thyroiditis, inoenderana nekuzvimba kwetachiona gland, inogona kuitika mumashure mekusununguka kana nekuda kwehutachiona hutachiona;
• Ovhadhozi wetachiona mahormone;
• Kunyanyisa kudyiwa ayodini, izvo zvakakosha pakuumbwa kwehormone mahormone.

Izvo zvakakosha kuti chikonzero chehyperthyroidism chinozivikanwa, seiyi nzira iyo endocrinologist inogona kuratidza kurapwa kwakakodzera kwazvo.

Maitiro ekuongororwa kunoitwa

Kuongororwa kwehyperthyroidism kunokwanisika kuburikidza nekuyerwa kwemahormone ane hukama nehutachiona muropa, uye kuongororwa kweT3, T4 uye TSH mazinga anoratidzwa. Bvunzo idzi dzinofanirwa kuitwa, makore mashanu ega ega kubva pamakore makumi matatu nemashanu, kunyanya kuvakadzi, asi vanhu vari panjodzi huru yekubatwa nechirwere vanofanirwa kuita ongororo iyi makore maviri ese.

Mune zvimwe zviitiko, chiremba anogona zvakare kukurudzira kuita mimwe bvunzo inoongorora mashandiro ehutachiona, sekuyedza antibody, thyroid ultrasound, kuzviongorora, uye mune zvimwe zviitiko, thyroid biopsy. Ziva bvunzo dzinoongorora utachiona.

Subclinical hyperthyroidism

Subclinical hyperthyroidism inoratidzirwa nekushaikwa kwezviratidzo uye zviratidzo zvinoratidza shanduko muhutachiona, zvisinei mukuyedzwa kweropa kunogona kuzivikanwa yakaderera TSH uye T3 uye T4 vane zvakajairika tsika.

Mune ino kesi, munhu wacho anofanira kuita bvunzo nyowani mukati memwedzi miviri kusvika kumitanhatu kuti atarise kudiwa kwekutora mishonga, nekuti hazviwanzo kuita kurapwa, uko kunongochengeterwa kana paine zviratidzo.

Zviratidzo zvikuru

Nekuda kwehuwandu hwakawanda hwehormone mahormone anotenderera muropa, zvinokwanisika kuti zvimwe zviratidzo nezviratidzo zvakaita se:

• Yakawedzera kurova kwemoyo;
• Kuwedzera kweropa;
• Kuchinja kumwedzi;
• Kusarara;
• Kuonda;
• Kudedera kwemaoko;
• Ziya rakawandisa;
• Kuzvimba mumakumbo nemakumbo.

Uye zvakare, kune njodzi yakawedzera ye osteoporosis nekuda kwekukurumidza kurasikirwa kwecalcium nemapfupa. Tarisa uone zvimwe zviratidzo zveiyo hyperthyroidism.

Hyperthyroidism pakuzvitakura

Kuwedzera mahormone ehutachiona mukuzvitakura kunogona kukonzera kushushikana senge eclampsia, kupererwa nepamuviri, kuberekwa nguva isati yakwana, huremu hwekuzvarwa huremu kuwedzera mukundikana kwemoyo muvakadzi.

Vakadzi vaive nehunhu hwakanaka vasati vaita nhumbu uye vakaonekwa vaine hyperthyroidism kubva pakutanga kusvika kumagumo kwetatu yekutanga yepamuviri, kazhinji havafanirwe kurapwa chero mhando nekuti kuwedzera kudiki muT3 uye T4 panguva yekuzvitakura zvakajairika. Zvisinei, chiremba anogona kukurudzira mishonga kuti normalize T4 muropa, pasina kukuvadza mwana.

Muyero wemushonga unosiyana kubva kune mumwe munhu kuenda kune mumwe uye iyo yekutanga dhizaini inoratidzirwa nachiremba wekubereka haisi iyo nguva dzose inosara panguva yekurapwa, nekuti zvingave zvakakodzera kugadzirisa dhizaini mushure memavhiki matanhatu kusvika masere mushure mekutanga mushonga. Dzidza zvakawanda nezve hyperthyroidism pakuzvitakura.

Kurapa kweiyo hyperthyroidism

Kurapa kwehyperthyroidism kunofanira kuitwa zvinoenderana nekutungamira kweendocrinologist, iyo inofunga nezvezviratidzo nezvakaratidzwa nemunhu, chinokonzera hyperthyroidism uye huwandu hwehomoni muropa. Nenzira iyi, chiremba anogona kuratidza kushandiswa kwemishonga yakadai sePropiltiouracil neMetimazole, kushandiswa kweiodhini ine radioactive kana kubviswa kwetachiona kuburikidza nekuvhiyiwa.

Kubviswa kwehutachiona kunongoratidzirwa senzira yekupedzisira, apo zviratidzo zvikasatsakatika uye zvisingaite kudzora utachiona nekushandura muyero wemishonga. Nzwisisa kuti kurapwa kwehyperthyroidism kunoitwa sei.

Tarisa uone mamwe matipi mune inotevera vhidhiyo iyo inogona kubatsira kubata hyperthyroidism: