Hyperthyroidism: kev kho mob, ua rau, mob

Hyperthyroidism yog nrog los ntawm hyperthyroidism - ib qho kev nce nyob rau hauv cov theem ntawm cov tshuaj hormones rau hauv cov ntshav, uas yog ua los ntawm cov thyroid caj pas. Qhov tshaj ntawm tus nqi yuav ua tau kom loj cov kev hloov nyob rau hauv lub noj qab haus huv thiab lub siab lub ntsws lub xeev ntawm cov neeg mob. Nyob rau hauv 80% ntawm cov neeg, cov phenomena qhia cov muaj neeg mob Graves 'kab mob, kuj hu ua diffuse lom goiter. Nws yog yus muaj los ntawm ib tug pom o ntawm cov thyroid caj pas, thiab tom qab - ntau zog nervousness thiab txob taus, trembling nqua. Ob lub qhov muag su nyob rau hauv cov neeg mob no lub sij hawm. Raws li ib tug txoj cai, Graves 'kab mob manifests nws tus kheej ntawm cov muaj hnub nyoog ntawm 20 mus rau 40 xyoo.

Plummer tus kab mob no yog tsis tshua muaj heev, los yog nodular goiter lom. Nyob rau hauv cov ntaub ntawv no, cov thyroid qog benign tsim, sib ua cov tshuaj hormones uas tsub kom cov theem ntawm txoj kev loj hlob thiab thyrotoxicosis. Yav tas los, tus kab mob no mas muaj nyob rau hauv cov neeg laus, tab sis nws yog "rejuvenated" nyob rau hauv xyoo tsis ntev los. Hyperthyroidism, kev kho mob uas nyob rau ntawm nws lub ua, tej zaum kuj yuav vim Thyroiditis - Thyroid o ntws nyob rau hauv subacute los yog mob cov ntaub ntawv. Yog li, nyob rau ntawm lub lub subacute thyroiditis de Quervain, feem ntau yog muaj tom qab ib tug kis tus kab mob, hyperthyroidism cai nyob rau hauv thawj zaug rau theem ntawm tus kab mob. Dhau li cov kab mob, qhov ua rau ntawm hyperthyroidism yuav ua tau ib tug mob ntawm lub pituitary thiab zes qe menyuam - piv nrog rau saum toj no cov kab mob, lawv tsis tshua muaj. Tom qab ib qho yuam overdose npaj muaj cov thyroid hormones kuj tshwm sim hyperthyroidism. nws kev kho mob nyob rau hauv cov ntaub ntawv no yuav, ua ntej ntawm tag nrho cov, mus tshem lawv txais tos thiab symptomatic kev kho mob, thiab yog hais tias tsim nyog - thiab nyob rau hauv pais plab lavage.

Rau cov mob ntawm hyperthyroidism thiab tsim kom muaj lub caij nyoog ua rau nws raug rau tshwj xeeb kev tshawb fawb: ultrasound ntawm lub qog caj pas, nws scintigraphy, uas txhais tau cov kev ua ntawm cov ntau yam seem, yog tias tsim nyog - ib tug me, kuaj ntshav los mus txiav txim seb cov thyroid hormones thiab thyroid stimulating lawm (TSH) ua los ntawm cov pituitary caj pas. Thaum lub sij hawm lub pre-kev soj ntsuam thiab palpation ntawm lub caj dab tej tus kws khomob tshwjxeeb tej zaum yuav tau siv ib co differential mob, tsim kom muaj lub xub ntiag ntawm diffuse los yog nodular goiter.

Kev kho mob ntawm hyperthyroidism yog feem ntau los txo lawm ntau ntau rau tau qhov tseem ceeb. Qhov no tej zaum yuav siv tau raws li lub conservative txoj kev thiab ua hauj lwm zoo - tshem thyroid los yog ib feem ntawd. Nyob rau hauv lub conservative kev kho mob ntawm hyperthyroidism siv cov tshuaj uas thaiv lub synthesis ntawm nws cov tshuaj hormones - tionamidy (propylthiouracil, Mercazolilum li al.). Thaum lub sij hawm lawv txais tos yog ua tau, tab sis yog tsis heev (nyob rau hauv 1-3% ntawm cov neeg), tab sis kuj phiv loj heev - nyob rau hauv particular, thrombocytopenia thiab agranulocytosis. Vim li no, hyperthyroidism, uas kho mob yog nqa tawm siv tionamidov yuav tsum tau tswj ntawm kev kuaj ntshav thaum lub sij hawm thawj 10 hnub ntawm lawv thawj coj. Ib tug yuav tsum tsis txhob quav ntsej cov tau kev tsis haum tshuaj: dermatitis, urticaria, angioneurotic edema. Thaum hypersensitive tshwj xeeb npaj, ib tug tseem ceeb nce nyob rau hauv lub qog adenoma los yog nws ntau o qhia phais. Hyperthyroidism yog kho los ntawm cov kev uas tau tawg paj txi txiv, nws yuav tsum kho tej iodine - zam txim tshwm sim nyob rau hauv 90% ntawm cov neeg.

Cov ntau hom kev kho mob los ntawm txhais tes ib tug yuav feem ntau nrhiav tau cov zaub mov txawv ntawm tsoos tshuaj, raws li tau hais tias yuav pab tau tshem ntawm lub qog tus kab mob. Txawm li cas los, nrog xws li mob loj li hyperthyroidism kev kho mob ntawm pej xeem cov tshuaj yuav tsis muab suav hais tias ib tug kev hloov rau kev cai. Raws li koj paub, muaj ntau ntau yam ntawm lub qog tus kab mob: ib co ntawm lawv yog nrog hyperthyroidism, rau lwm yam - ib tug txo nyob rau hauv cov theem ntawm cov tshuaj hormones rau hauv cov ntshav. Tsoos cov zaub mov txawv uas yuav coj nyem los ntawm ib tug ntawm lawv, tsis txhob muab tej yam hnov cov nyhuv hauv lub lwm yam, thiab feem ntau muaj peev xwm thiab ua raug mob.

Hyperthyroidism yuav tsum tau tshwj xeeb cov pluas noj. Noj mov yuav tsum tsis txhob yuav tsawg tshaj li tsib, tsis hnyav heev (fractional hwj chim). Cais tawm muaj zog tshuaj yej thiab kas fes, txuj lom, haus dej cawv, chocolate, nplua nuj broth. Noj cov zaub mov hyperthyroidism yuav noj ntawm cov khoom noj nplua nuj nyob rau hauv poov hlau, phosphorus thiab poov tshuaj, raws li zoo raws li nyob rau hauv cov vitamins, nyob rau hauv uas lub cev ntawm tus neeg mob yog muaj ib tug nce coob.