Hyperthyroidism

Ndinaya

• Kedu ihe na-akpata hyperthyroidism?
• Kedu ihe mgbaàmà nke hyperthyroidism?
• Kedu ka ndị dọkịta si achọpụta hyperthyroidism?
• Nnyocha cholesterol
• T4, n'efu T4, T3
• Thyroid na-akpali akpali hormone larịị
• Nnwale nnwale
• Thyroid scan na ntinye
• Ultrasound
• Nyocha CT ma ọ bụ MRI
• Otu esi emeso hyperthyroidism
• Ọgwụ
• Activedine redioti
• Wa ahụ
• Ihe ị nwere ike ime iji melite mgbaàmà
• Echiche
• Ajụjụ:
• A:

Anyị gụnyere ngwaahịa anyị chere bara uru maka ndị na - agụ akwụkwọ anyị. Ọ bụrụ na ịzụta site na njikọ na ibe a, anyị nwere ike nweta obere ọrụ. Nke a bụ usoro anyị.

Gịnị bụ hyperthyroidism?

Hyperthyroidism bụ ọnọdụ nke thyroid. The thyroid bụ obere, nru ububa-yiri gland emi odude ke n'ihu gị n'olu. Ọ na - emepụta tetraiodothyronine (T4) na triiodothyronine (T3), nke bụ homonụ isi abụọ na - achịkwa etu mkpụrụ ndụ gị si eji ike. Gland gị gland na-achịkwa metabolism gị site na ịhapụ homonụ ndị a.

Hyperthyroidism na-eme mgbe thyroid na-eme ọtụtụ T4, T3, ma ọ bụ abụọ. Nchoputa nke overactive thyroid na ọgwụgwọ nke ihe kpatara ya nwere ike ịkwụsị mgbaàmà ma gbochie nsogbu.

Kedu ihe na-akpata hyperthyroidism?

Ọnọdụ dịgasị iche iche nwere ike ibute hyperthyroidism. Ọrịa Graves, ọrịa autoimmune, bụ ihe kachasị akpata hyperthyroidism. Ọ na - eme ka ihe ndị na - alụso ọrịa ọgụ mee ka thyroid na-ezo ọtụtụ hormone. Ọrịa ili na-abịakarị na ụmụ nwanyị karịa ụmụ nwoke. Ọ na-agba ọsọ n'ezinụlọ, nke na-egosi na njikọ mkpụrụ ndụ ihe nketa. Ikwesiri ịgwa dọkịta gị ma ọ bụrụ na ndị ikwu gị enweela nsogbu ahụ.

Ihe ndị ọzọ na-akpata hyperthyroidism gụnyere:

• iodine dị oke, ihe dị mkpa na T4 na T3
• thyroiditis, ma ọ bụ mbufụt nke thyroid, nke na-eme ka T4 na T3 si na gland pụta
• akpụ nke ovaries ma ọ bụ testes
• benign etuto ahụ nke thyroid ma ọ bụ pituitary gland
• nnukwu tetraiodothyronine e weere site na mgbakwunye nri ma ọ bụ ọgwụ

Kedu ihe mgbaàmà nke hyperthyroidism?

Nnukwu nke T4, T3, ma ọ bụ ha abụọ nwere ike ịkpata oke metabolic dị elu. A na-akpọ nke a ọnọdụ hypermetabolic. Mgbe ị nọ n'ọnọdụ hypermetabolic, ị nwere ike ịnwe oke obi ọsọ ọsọ, ọbara mgbali elu, na ịma jijiji aka. I nwekwara ike ịsụsọ ọsọsọ ma mepụta obere ndidi maka okpomọkụ. Hyperthyroidism nwere ike ime ka eriri afọ na-arịwanye elu, ọnwụ ọnwụ, na, na ụmụ nwanyị, oge ịhụ nsọ nwoke na-ahụ oge.

O doro anya, gland thyroid n'onwe ya nwere ike gbaba n'ime goiter, nke nwere ike ịbụ ihe ngosi ma ọ bụ otu akụkụ. Anya gị pụkwara ịpụta nke pụtara ìhè, nke bụ ihe ịrịba ama nke exophthalmos, ọnọdụ metụtara ọrịa Graves.

Ihe mgbaàmà ndị ọzọ nke hyperthyroidism gụnyere:

• enwekwu agụụ
• ụjọ
• erughị ala
• enweghi ike itinye uche
• adịghị ike
• oge ufodu obi uto
• nsogbu ihi ụra
• ezi, ntutu isi
• ọkọ
• ntutu isi
• ọgbụgbọ na ọgbụgbọ
• ara mmepe na ụmụ nwoke

Ihe mgbaàmà ndị a chọrọ nlekọta ahụike ozugbo:

• Ibu ubo
• mkpụmkpụ nke ume
• enweghị uche
• ngwa ngwa, adịghị agbanwe agbanwe obi

Hyperthyroidism nwekwara ike ịkpata mgbatị nke atrial, arrhythmia dị egwu nke nwere ike ibute ọrịa strok, yana nkụda mmụọ obi.

Kedu ka ndị dọkịta si achọpụta hyperthyroidism?

Nzọụkwụ mbụ ị na-enyocha bụ ịchọpụta akụkọ gbasara ahụike na nyocha ahụ. Nke a nwere ike ikpughe ihe ịrịba ama ndị a nke hyperthyroidism:

• ọnwụ ọnwụ
• ngwa ngwa usu
• elu ọbara mgbali
• anya na-apụ apụ
• amụbawanye gland

Enwere ike ịme ule ndị ọzọ iji nyochakwuo nyocha gị. Ndị a gụnyere:

Nnyocha cholesterol

Dọkịta gị nwere ike ịchọ ịlele ogo ogo cholesterol gị. Cholesterol dị ala nwere ike bụrụ ihe ngosi nke ogo metabolic dị elu, nke ahụ gị na-ere ọkụ site na cholesterol ngwa ngwa.

T4, n'efu T4, T3

Nlere ndị a na-atụle ókè hormone gị (T4 na T3) dị n'ọbara gị.

Thyroid na-akpali akpali hormone larịị

Thyroid na-akpali akpali hormone (TSH) bụ pituitary gland hormone nke na-akpali thyroid gland ịmịpụta homonụ. Mgbe thyroid hormone dị nkịtị ma ọ bụ dị elu, TSH gị kwesịrị ịdị ala. Ọnọdụ TSH na-adịkarịghị ala nwere ike ịbụ akara ngosi izizi nke hyperthyroidism.

Nnwale nnwale

A pụkwara ịnwale ogo triglyceride gị. Yiri nke obere cholesterol, obere triglycerides nwere ike ịbụ ihe ịrịba ama nke ọnụego metabolic dị elu.

Thyroid scan na ntinye

Nke a na-enye dọkịta gị ohere ka ọ hụ ma thyroid na-arụ ọrụ. Karịsịa, ọ nwere ike ikpughere ma thyroid niile ma ọ bụ naanị otu akụkụ nke gland na-akpata oke ọrụ.

Ultrasound

Ultrasounds nwere ike ịlele nha nke gland niile, yana oke ọ bụla n'ime ya. Ndị dọkịta nwekwara ike iji ultrasound chọpụta ma ọ bụrụ na oke ike ma ọ bụ nke siri ike.

Nyocha CT ma ọ bụ MRI

CT ma ọ bụ MRI nwere ike igosi ma ọ bụrụ na ọrịa pituitary nọ na-akpata ọnọdụ ahụ.

Otu esi emeso hyperthyroidism

Ọgwụ

Ọgwụ Antithyroid, dịka methimazole (Tapazole), na-egbochi thyroid ịmịpụta homonụ. Ha bụ ọgwụgwọ nkịtị.

Activedine redioti

A na-enye iodine redioidio ihe karịrị pasent 70 nke ndị okenye US nwere hyperthyroidism, dị ka American Thyroid Association si kwuo. Ọ na-ebibi mkpụrụ ndụ nke na-emepụta homonụ nke ọma.

Mmetụta ndị na-agakarị gụnyere ọnụ mmiri, anya akọrọ, akpịrị mgbu, na mgbanwe uto. O nwere ike ịdị mkpa ka ị kpachara anya obere oge ka ị gachara ọgwụ iji gbochie radieshon na ndị ọzọ.

Wa ahụ

Enwere ike iji ịwa ahụ wepụ akụkụ ma ọ bụ gland gị niile. Ga-ewerezi ihe mgbakwunye hormone ị ga - egbochi hypothyroidism, nke na - eme mgbe ị nwere ọgwụ na - adịghị arụ ọrụ nke na - ekpughe obere hormone. Ọzọkwa, beta-blockers dị ka propranolol nwere ike inyere aka ịchịkwa ngwa ngwa ngwa ngwa gị, ọsụsọ, nchekasị, na ọbara mgbali elu. Imirikiti mmadụ na-anabata ọgwụgwọ a nke ọma.

Ihe ị nwere ike ime iji melite mgbaàmà

Iri nri kwesịrị ekwesị, na-elekwasị anya na calcium na sodium, dị mkpa, karịsịa na igbochi hyperthyroidism. Soro dọkịta gị rụọ ọrụ iji mepụta ụkpụrụ nduzi dị mma maka nri gị, mgbakwunye ihe oriri, na mmega ahụ.

Hyperthyroidism nwekwara ike ime ka ọkpụkpụ gị ghara isi ike ma dị gịrịgịrị, nke nwere ike ibute ọrịa ọkpụkpụ. Vitaminụ vitamin D na calcium mgbe ị na-agwọ ọrịa na mgbe ị gwọchara ya nwere ike inyere gị aka ime ka ọkpụkpụ gị dị ike. Dọkịta gị nwere ike ịgwa gị ole vitamin D na calcium ị ga-eri kwa ụbọchị. Mụta maka uru ahụike nke vitamin D.

Echiche

Dọkịta gị nwere ike ịkpọga gị na endocrinologist, ọkachamara na ịgwọ usoro hormone nke anụ ahụ. Nchegbu ma ọ bụ ọrịa nwere ike ime ka oké ifufe na-efe efe. Oké mmiri ozuzo gị na-eme mgbe a na-ewepụta nnukwu mmiri nke thyroid na ọ na-ebute na mberede nke mgbaàmà. Ọgwụgwọ dị mkpa iji gbochie oké ifufe thyroid, thyrotoxicosis, na nsogbu ndị ọzọ.

Echiche ogologo oge maka hyperthyroidism dabere na ihe kpatara ya. Fọdụ ihe nwere ike ịpụ n'enweghị ọgwụgwọ. Ndị ọzọ, dịka ọrịa Graves, na-akawanye njọ karịa oge na-enweghị ọgwụgwọ. Nsogbu nke ọrịa Graves nwere ike bụrụ ihe na-egbu ndụ ma na-emetụta ndụ gị ogologo oge. Nchoputa mbu na ogwugwu ihe mgbaàmà na eme ka nchekwube di ogologo.

Ajụjụ:

A: