Hyperthyroidism - phekolo

Hyperthyroidism ke motsoako oa matšoao a hlahelang ka lebaka la ts'oaetso ea qoqotho 'me e khetholloa ke meriana e tlamang.

Hyperfunction e bolela tlhahiso e feteletseng, e feteletseng ea lihomone tsa thyroid - triiodothyronine le thyroxine. Li-hormone tsena, tse bitsoang qoqotho, li ikarabella bakeng sa khōlo le tsoelo-pele ea 'mele, li fana ka boemo bo tloaelehileng ba meleng le kelellong, metabolism le ho potlakisa mosebetsi oa kelello.

Lisosa tsa hyperthyroidism

Lebaka le tloaelehileng ka ho fetisisa la lingaka tsa hyperthyroidism le bitsoa Based's disease. Lefu lena, le boetse le bitsoa goiter goiter, le itlhahisa 'me le lebisa ho thyrotoxicosis kapa chefo ea hormone ea thyroid. Hangata basali ba lilemong tse bohareng ba nang le liphatsa tsa lefutso ba na le lefu lena.

Hangata ka seoelo, ho na le ntho e bitsoang Plummer lefu kapa nodular toiter goiter . Lefu lena ke lefuba le nang le bothata 'me le bonahatsoa ke matšoao a bophelo ba thyroid hyperthyroidism, phekolo eo re tla e tšohla ka tlaase. Mabaka a ho feta ke:

• ho amoheloa ntle le taolo ea lihomone tsa qoqotho;
• likokoana-hloko tsa 'mele;
• lihlahala tsa mokokotlo oa pituitary;
• ho ja haholo ha iodine 'meleng;
• maloetse a mang a se nang moeli.

Lipontšo tsa hyperthyroidism

Matšoao a meriana ea hyperthyroidism a tšoana le mabaka a sa tšoaneng, empa a fapana ho latela boholo ba lefu lena, hammoho le nako ea nako ea eona:

1. Matšoao a likokoana-hloko:
   • ho nyoloha ho eketsehileng;
   • ho hloka botsitso, ho fetoha maikutlo hangata;
   • boikutlo bo eketsehileng ba tšabo;
   • ho hlobaela;
   • tlōlo ea tlhokomelo le mahloriso.
2. Mathata a tsamaiso ea pelo:
   • tachycardia (pelo ea pelo e hlōlehang ho feta lebelo la pelo ho feta likoti tse 90 ka motsotso);
   • potlako e potlakileng;
   • matšoao a pelo ea ho hlōleha (phefumoloho e khutšoanyane, ho ruruha, cyanosis ea boraro-bo-bong ba nasolabial);
   • ho tlōla khatello ea mali (ho eketsa ka holimo ha ho theola e tlaase).
3. Mathata a tšoaetso ea lijo:
   • ho potlaka ha metabolism (ho bonahatsoa ke ho lahleheloa ke boima ba 'mele ka tloaelo kapa ho eketseha ha takatso ea lijo);
   • ho kula ha lijo (ho qeta kapa letšollo);
   • mahlaba a mpa ea mokokotlo;
   • ho hlatsa;
   • ho eketseha, bonolo ba sebete.
4. Tlhekefetso ea likamano tsa botona le botšehali (ho hloka matla le gynecomastia ho banna, khatello ea ho ea khoeling ho basali).
5. Mathata a metabolism (ho ruruha ho feteletseng, moriri o bobebe le o mosesaane, ho senyeha ha letlalo).
6. Matšoenyeho a mahlo (exophthalmos, sclera e ommeng, khoholeho ea mokokotlo, ho rohakana, ho hanyetsa).

Phekolo ea hyperthyroidism

Pele a etsa qeto ea ho phekola hyperthyroidism, ngaka e laela lithuto tse itseng. Tsena li kenyelletsa ho lekanyetsa lebelo la lihomone tsa qoqotho ea qoqotho, ultrasound le CT, ECG, mme ha ho hlokahala, biopsy ea qoqotho ea qoqotho.

Tabeng ea tlhokomelo e bonolo, litokisetso tsa moriana oa antithyroid. Ketso ea bona e itšetlehile ka ho thibela ho bokella ha iodine, ntle le eo tlhahiso ea lihomone tsa thyroid e sa khoneheng. Hape ho kenyeletsa lijo tse khethehileng tse nang le karolelano e nepahetseng ea liprotheine, mafura le lik'habohaedreite, palo e eketsehileng ea vithamine le letsoai la khalsiamo. Lithibelo li kenyelletsa lihlahisoa tse nang le phello e matlafatsang tsamaisong ea methapo ea bohareng.

Haeba kalafo e hlokang tlhokomelo e sa sebetse, phekolo e nang le iodine ea radioactive kapa ho buuoa ho sebelisoa ha karolo e itseng ea lesela e ka sebelisoa, e leng se fellang ka ho fokotseha ha sephiri sa lihomone. Liphello tsa mantlha tsa hyperthyroidism li kenyelletsa ho hloka matla (bobeli ba banna le ba basali) le bothata ba thyrotoxic, bo boetseng bo bitsoang hyperthyroid coma.