Hyperthyroidism kapena thyrotoxicosis ndi matenda opatsirana chifukwa cha kuchuluka kwa mankhwala a chithokomiro komanso kutulutsa kwambiri timadzi T3 (thyroxine) ndi T4 (triiodothyronine). Chifukwa chakuti magazi ndi operesaturated ndi mahomoni a chithokomiro, njira zamagetsi m'thupi zimachepa.
Mitundu ndi zizindikiro za hyperthyroidism
Kusiyanitsa hyperthyroidism yoyamba (yogwirizana ndi kusokonezeka kwa chithokomiro cha chithokomiro), yachiwiri (yokhudzana ndi kusintha kwa matenda a pituitary) ndi maphunziro apamwamba (omwe amayamba chifukwa cha matenda a hypothalamus).
Zizindikiro za hyperthyroidism , zomwe zimachitika kawirikawiri kwa amayi a msinkhu wautali, siziri zenizeni. Odwala amavomereza kuti:
- Matenda a CNS (kusowa tulo, kupsa mtima ndi kukhumudwa, kuopsezedwa, kuyankhula mwamsanga, kuganiza mozama, kugwedeza kwazing'ono);
- Matenda a mtima wamtima (kupitirizabe sinus tachycardia, ntchentche ndi matenda operewera kwa magazi, kuthamanga msanga, kuthamanga kwapamwamba (systolic) BP ndi kuchepa kwa diastolic, kulephera kwa mtima);
- kuwonongeka kwa maso (mu 45% ya milandu pali kuwonjezeka kwa diso la diso, kuchepetsa kusuntha kwa diso la maso ndi kusamuka kwake, kusuntha kosaoneka, khungu la chikopa, kuphwanyidwa kwa zinthu, kugwedeza, kugwedeza);
- matenda osokoneza bongo (mwa odwala, kuchepa kwa thupi, ngakhale chilakolako chabwino, kutuluka thukuta, kusasalana).
Matenda a chithokomiro otchedwa Hyperthyroidism amadziwika ndi zizindikiro monga:
- kupukuta khungu ndi tsitsi;
- kutupa kwa matenda ofewa a m'munsi mwendo;
- chitukuko cha dyspnea;
- zovuta kukwera masitepe, kuyendayenda kwautali, kunyamula katundu;
- ludzu lamphamvu la kukakamiza kukodza.
Kuzindikira ndi chithandizo cha hyperthyroidism kwa akazi
Mukapeza kuti, ma ma hormone T 3 ndi T 4 (pamwambapa) ndi hormoni ya chithokomiro (TSH - pansi pa chizoloŵezi) amayesedwa. Kuti mudziwe kukula kwake kwa chithokomiro ndikuzindikiritsa nodes pogwiritsa ntchito ultrasound. Kukhazikitsidwa kwa maonekedwe a nodal kumatsimikiziridwa pogwiritsa ntchito computed tomography. Kugwiritsidwa ntchito kwa chithokomiro kumayesedwa pogwiritsa ntchito radioisotope scintigraphy.
Njira zochiritsira matenda a hyperthyroidism zimagwiritsidwa ntchito (kusamalira mahomoni ndizochilendo pogwiritsa ntchito mankhwala), kuchotsa opaleshoni ya chithokomiro kapena gawo lake, komanso chithandizo cha radioiodine.