Hyperthyroidism: ọgwụgwọ, na-akpata, nchoputa

Hyperthyroidism na-esonyere hyperthyroidism - na-abawanye na larịị nke homonụ na ọbara, nke na-emepụta site na thyroid gland. Ngafe nke ego nwere ike ime ka isi mgbanwe na ahụ ike na obi ala nke onye ọrịa. Na 80% nke ikpe, ndị a phenomena na-egosi na dị ndidi ili 'ọrịa, a makwaara dị ka asị ibe nsí goiter. Ọ e ji a anya ịmụba ọnụ ọgụgụ nke thyroid gland, na ekemende - ụba nervousness na ogwe, na-ama jijiji aka na ụkwụ. Anya ntopute na ndị ọrịa a karịrị oge. Dị ka a na-achị, ili 'ọrịa na-egosipụta onwe n'agbata afọ 20 na afọ 40.

Plummer ọrịa bụ obere nkịtị, ma ọ bụ nodular nsí goiter. Na nke a, na thyroid akpụ na-benign kpụrụ, intensively amị homonụ na enwekwu ndị larịị nke mmepe na thyrotoxicosis. Na mbụ, a na ọrịa tumadi na-amalite na ndị agadi, ma ọ bụ "rejuvenated" na-adịbeghị anya. Hyperthyroidism, ọgwụgwọ nke na-adabere na ya na-akpata, nwekwara ike ịbụ n'ihi Thyroiditis - thyroid mbufụt asọ subacute ma ọ bụ ala ala iche-iche. N'ihi ya, na ndị subacute thyroiditis de Quervain, na-emekarị na-amalite mgbe a malitere ịrịa ọrịa, hyperthyroidism hụrụ na mbụ ogbo nke ọrịa. E wezụga ndị ọrịa, ihe na-akpata nke hyperthyroidism nwere ike ịbụ a akpụ nke pituitary na ovary - tụnyere n'elu ọrịa, ha na-obere. Mgbe mberede ovadozu preparations nwere thyroid homonụ nwekwara ike ime hyperthyroidism. ya ọgwụgwọ nke a ga-abụ, nke mbụ niile, kwusi ha n'ikuku na symptomatic ọgwụgwọ, ma ọ bụrụ na ọ dị mkpa - na na gastric lavage.

Maka nchoputa nke hyperthyroidism na guzosie kpọmkwem akpata ya na-ekenye pụrụ iche ọmụmụ: ultrasound nke thyroid gland, ọ scintigraphy, ikwe na-akọwa ọrụ nke dị iche iche ngalaba, ma ọ dị mkpa - a biopsy, ọbara ule iji chọpụta etoju nke thyroid homonụ na thyroid na-akpali akpali hormone (TSH) mepụtara site na pituitary gland. N'oge tupu nnyocha ma palpation nke n'olu nwetara ọkachamara nwere ike na-eji ụfọdụ esi nchoputa, guzosie ike n'iru asị ibe ma ọ bụ nodular goiter.

Ọgwụgwọ nke hyperthyroidism bụ n'ụzọ bụ isi iji belata hormone na ọkwa-anabata ụkpụrụ. Nke a nwere ike ji dị ka mgbanwe ụzọ na arụmọrụ - wepụ thyroid ma ọ bụ akụkụ ya. Na mgbanwe ọgwụgwọ nke hyperthyroidism iji ọgwụ ọjọọ eme ihe na-egbochi njikọ nke ya homonụ - tionamidy (propylthiouracil, Mercazolilum et al.). N'oge ha na-n'ikuku kwere omume, a na-adịghị ugboro ugboro (na 1-3% nke ikpe), ma nnọọ oké njọ mmetụta - akpan akpan, thrombocytopenia na agranulocytosis. N'ihi nke a, hyperthyroidism, nke ọgwụgwọ a rụrụ iji tionamidov achọ akara ọbara ule ke akpa 10 ụbọchị nke ha ochichi. Otu kwesịghị ileghara ndị kwere omume nfụkasị Jeremaya: dermatitis, urticaria, angioneurotic edema. Mgbe hypersensitive pụrụ iche preparations, a ịrịba ama mmụba na thyroid adenoma ma ọ bụ ya multiple ọnụ gosiri n'ịwa ahụ. Hyperthyroidism na-emeso site na ndị a ụzọ nke-abụrịrị adighi ike, o nwere ike gwọrọ na redioaktivu ayodiin - ngbaghara n'akparamagwa 90% nke ikpe.

The iche iche iche iche nke akwụkwọ ahụ ike onye pụrụ mgbe mgbe chọta Ezi ntụziaka nke omenala na nkà mmụta ọgwụ, dị ka ma ọ bụrụ na aka tufuo thyroid ọrịa. Otú ọ dị, ndị dị otú ahụ oké mgbaàmà dị ka hyperthyroidism ọgwụgwọ nke ndiife ịgba akwụkwọ nwere ike-atụle a dochie anya omenala ụzọ. Dị ka ị maara, e nwere ọtụtụ nke thyroid ọrịa: na ụfọdụ n'ime ha na-ebu hyperthyroidism, ndị ọzọ - a ọnụ ya larịị nke homonụ na ọbara. Traditional Ezi ntụziaka nke ga-ewetara enyemaka site na otu nke ha, adịghị enye ọ bụla kwesiri ngosi mmetụta na ndị ọzọ, na mgbe ike na-eme ihe ọjọọ.

Hyperthyroidism achọ pụrụ iche diets. Nri ekwesịghị ịbụ na-erughị ise, ọ bụghị kwa arọ (fractional ike). Ekwe ike tii na kọfị, ngwa nri, na-aba n'anya, chocolate, ọgaranya efere. Diet hyperthyroidism agụnye oriri nke ihe oriri ọgaranya calcium, site na potassium, nakwa dị ka vitamin, na nke ahu na onye ọrịa na-enwe ihe ụba ina.