Thyrotoxic nsogbu: akpata, mgbaàmà, mberede-elekọta ma na ọgwụgwọ

Ajọ nsogbu ahụ ike na-amalite na ọrịa nke obere ngwa na olu. Thymus-adịghị ala ala ọrịa eduga onye na-abawanye na thyroid gland. Ikpeazụ ogbo nke nsogbu kwuru na dị ka a nsogbu tireotoksicski. Dị otú ahụ na a sikwuoro dapụtara adakarị mgbaàmà ibu kpara na 20% nke ikpe. N'oge nke nnukwu ngosipụta nke dị ize ndụ ọnọdụ onye ọrịa na-achọ na mberede aka na elekọta ya mgbe nile site n'ụlọ ọgwụ.

Isi ike na-adịghị ala ngwa ọrịa

Na ụmụ mmadụ, e nwere ike anwụrụ na mmetụta, nfụkasị Jeremaya, ọ na-aghọ ihe siri ike ilo - ọ pụrụ ịbụ thyrotoxic nsogbu. Ịdị ngwa nke na nsogbu ahụ adịgide a ụbọchị: na ịkpa usoro ọgwụgwọ nke thyroid gland adịghị mma. Mgbe mwepụ nke ahụ ime nsogbu ka a na mgbe nile na-ọgwụ maka ndụ.

Ọ bụghị ihe niile ndị dọkịta nwere ike ikwu na-amalite ịwa ahụ mwepụ nke thyroid gland, ole na ole ndị ọkachamara na-enwe ike imezu ihe dị otú ahụ arụ ọrụ. A obere ngwa bụ akụkụ nke lymphatic usoro nke ahu. Ọ bụrụ na ị wepụ njikọ nke a yinye mgbagwoju Filiks, na ọrịa bụ ike banye n'ime unu kpamkpam na akpa ume, bronchi, afo.

A na-ahụkarị ngosipụta nke nsogbu na a onye a na n'ime ime obodo thyroid bụ a gastric ọnyá afọ. Oge akara aka nke mkpụrụ ọgwụ ndị ọzọ ọgwụ na-enweghị ike ime ka elu nke furu efu ngwa ọrụ. Ọrịa na-adịghị ala ala ọrịa na-na n'ihe ize ndụ iji nweta thyrotoxic nsogbu. Mgbe ẹdude pụrụ ịrịa nke organism ka anụ ahụ edema goiter ebe ọrịa na ndị a hụrụ n'anya na-ume inyocha ụkpụrụ nke mbụ enyemaka n'oge nke na-adakarị ọnọdụ.

nsogbu nnweta ụzọ

Thyrotoxic nsogbu na-aghọ n'ihi nke dị iche iche na nsogbu ke idem:

1. Drug mmetụta na thyroid mkpụrụ ndụ.
2. Surgery ngalaba na olu.
3. Anabata mgbukepụ na-erukwa na mmiri na ụbịa.
4. Ọrịa nke lymphatic usoro.
5. Nnukwu ọnọdụ kpatara ọrịa nke Central ụjọ usoro. Ndị a bụ ngosipụta nke nchegbu. Ịnọgide nchegbu na-eduga ná ọdịda ke idem, na thyroid gland na-abawanye na size.
6. Of ọrịa: nje, nje ndị ọzọ.
7. Gbajaa Pụta nke cervical spain.
8. Ọtụtụ mgbe a na nsogbu na-adị na ndị inyom n'oge ime ka a n'ihi nke toxicity.
9. Mberede ndọrọ ego nke ọgwụgwọ na antithyroid ọgwụ ọjọọ e mere iji inhibit biosynthesis nke thyroid homonụ.

Isi ihe kpatara nsogbu na-aghọ a enweghị ayodiin ke idem. Ịba ahụ nwere ike ime na ike n'oge e guzobere connective anụ ahụ. Pathology ebilite mgbe a mebiri nke protein metabolism na ahụ mmadụ.

Mgbaàmà na-adakarị mgbe

Ọ bụrụ na ọ ghọrọ ìhè arịa ọrịa nke ahụ ike na ala ibu, ọ pụrụ ịbụ thyrotoxic nsogbu. Mgbaàmà-amalite na-egosi onwe ya n'ụzọ doro anya mgbe na-ewere ọgwụ ọjọọ ayodiin ma ọ bụ thyroid hormone. Anọrọ isi ihe ịrịba ama mgbe nke ngwa ngwa mkpa ka a na-enyocha ihe endocrinologist. Ọ bụrụ na ahụrụ karịa atọ mgbaàmà, i nwere ike iche na ọnụnọ nke nsogbu - thyrotoxic nsogbu.

Mgbaàmà, nke nwere ike onwe-amata ọganihu nke ọrịa:

1. Mbenata ike emee mbụ tụnyere ndị gara aga, ala nke organism.
2. usu adahade mgbe ngafe nke 100 gafere kwa nkeji.
3. E nwere ịma jijiji, iyatesịt bụ n'ihi na ọ bụla zuru ezu.
4. Mezue picture nke na-abawanye na nsogbu.
5. Unexplained fever maka karịa 3 ogo.
6. Ọ na-egosi dizziness, ọgbụgbọ, vomiting.
7. The aghara nke digestive usoro.
8. Kụrụ aka akụkụ okuku ume na ọnụego.

Usoro n'ihu ụgbọ ihe mberede

Ọ bụrụ na ị na-abịa thyrotoxic nsogbu, enyemaka ga-eso ozugbo. Ekwe Omume ọnwụ na-enweghị-ejere mbụ omume na ikwado ọkọnọ nke oxygen na akpa ume na ngọngọ ewepu dị mkpa metabolic n'ibu. Desirably mara bu ụzọ instants, nke bụ isi iyi nke ike na-arịa ọrịa.

Anọrọ isi omume mgbe nsogbu na-ebilite:

• Kpọọ ndị na mberede aka.
• Egosiputa onye ọrịa na ya azụ, na-etinye a kwushin n'okpuru n'olu.
• The mkpọchi ụlọ na ị chọrọ na-emeghe window, karịa ikwado ọhụrụ ikuku n'ime akpa ume nke onye ọrịa.
• Ruo mgbe dọkịta nwere ike amata na steeti nke ha onwe ha: ji atụ usu, ọbara mgbali, okpomọkụ. Ofu mpụga ọnọdụ: mmiri nke anụ, blanching ihu.
• ndidi nnyocha e mere na-enyere guzosie ike na oge nke na-arịa ọrịa nke ike. Ma onye na-anọgide maara mgbe tireotoksicheskom MKpọnwụ.

Olee otú mfe ọrịa onwe ọdịmma?

The nnukwu-adọ nke ọrịa so site aghara nke gbasara akụrụ ọrụ. Ya mere enye ọgwụgwọ na mbadamba ụdị bụ isi. The ọgwụ na-ndinọ intravenously ma ọ bụ site na intramuscular injection onye dọkịta ma ọ bụ ahụmahụ ẹkesikpede. N'ụlọ, adịkarịghị nwere ohere, na-eji aka ha nkà isi aka tara.

Anyị ịmata ihe dị iche isi-eme nke normalisation ọnọdụ:

• Ọ bụrụ na ahụ okpomọkụ dị elu, nke a na-hụrụ n'oge nsogbu, na recourse ajụkwa nke ahụ. Nke a na slows ala metabolism, n'igbochi oghom mmetụta nke homonụ. Onye ọrịa na-enịm ke a jụụ bath. Dị otú ahụ na-anọghị na-ewepụ ihe niile uwe gị. Otu ọzọ n'onwe-aghọ dị ka ndị a: itinye multiple eyiri dị iche iche akụkụ ahụ. Ọ na-ebelata okpomọkụ nke rubbing mmanya ngwọta.
• N'ihi na ndị mmadụ na-ele n'ihu ụgbọ ihe mberede. Language nwere ike imi rida na nkọlọ, na-eme na ekochi ekochi.
• Nyere-aṅụ ihe dị doro anya mmiri mmiri iji zere akpịrị ịkpọ nkụ mere.

Ihe a rụrụ, ndị dọkịta?

Ọ bụrụ na ị na-abịa thyrotoxic nsogbu, nnukwu na-elekọta na-agụnye na ochichi nke ọgwụ ọjọọ na belata mmetụta nke thyroid homonụ. Ndị bekee na-ifịk ifịk na-emepụta site na thyroid gland mebiri nke ahụ na-arụ ọrụ. Results nke ọgwụgwọ na-aghọ a gụnyere ya ná ha ọbara.

Mpụga ediyarade nke ọrịa na-aghọ asị ibe nsí goiter. Maka ozi ọzọ banyere ala nke ahụ na-enye ihe a nnyocha e mere site na otu ngwá. Set ndiiche:

• atrial fibrillation;
• imi tachycardia;
• nsogbu nke intraventricular conduction;
• uvelichienie QRS mgbagwoju na T-efegharị efegharị njupụta

preparations

Ọgwụgwọ thyrotoxic nsogbu dị mkpa maka ihe ọ bụla na-akpata oké egwu ala. Ihe na-esonụ iche nke ọgwụ:

• "Merkazolil" agbara dose of 100 ml.
• Igba a ngwọta nke sodium iodide.
• Oral ụzọ nye a ngwọta "Lugol" na ọnụego nke 30 tụlee kwa ụbọchị.
• Good pụta nọ na kwuru mgbe injection "kontrikala".
• Dabara dropper si ngwọta: 5% glucose, sodium chloride, albumin. Tụkwasị vitamin B1, B2, nicotinamide.

The mgbake oge ọgwụ na-eji dịkarịa ala izu abụọ mgbe oké egwu na-ekwu. Na mbụ na-eji thyreostatics naanị mgbe ihe karịrị ụbọchị abụọ kenyere ayodiin-nwere bekee.

Olee otú iji gbochie ọrịa?

Mepụta mgbochi iji kpochapụ oké egwu ala nke ahu - thyrotoxic nsogbu. Emergency enyemaka, na algọridim bụ n'ụzọ doro anya na ụgbọ ihe mberede pesonel ntuziaka ga-obere na-egbu mgbu, agaghị apụta irreversible pụta. N'ihi ya, na ọgwụgwọ a rụrụ n'ihu ịwa ahụ na ndị mmadụ na hyperthyroidism. Antithyroid preparations họrọ omume kenyere ayodiin-nwere bekee.

Agha na hyperthyroidism anamde mgbochi ụfọdụ oké egwu na-ekwu. Dọkịta kwuru na njupụta nke ọrịa n'etiti ndị inyom. Crisis na-adịghị ike na mmekọahụ na-egosi 9 ugboro ọzọ mgbe karịa mmadụ. Ogologo oge nsogbu nwere ike ime mgbe ọ bụla afọ n'okpuru nduzi nke ụfọdụ ihe.