Inkinga Thyrotoxic: izimbangela, izimpawu, ukunakekelwa eziphuthumayo kanye nokwelashwa

izinkinga ezinkulu zempilo ziqala ngo izifo isitho esincane entanyeni. Thymus izifo ezingamahlalakhona kuholele ukwanda indlala yegilo. isigaba lokugcina yezinkinga anjengokuthi tireotoksicski crisis. Nge kwetintfo ezinjalo eziwumphumela izimpawu zokwelashwa olubulalayo e-20% amacala. Ngesikhathi ukubonakaliswa okukhulu isimo esiyingozi isiguli sidinga usizo oluphuthumayo futhi ebhekiwe by nabezokwelapha.

Ubunzima ezingamahlalakhona izifo isitho

Kubantu, kukhona choking eqinile umunyu, komzimba nezinto, kuba nzima ukugwinya - kungaba crisis thyrotoxic. Ukuphuthuma inkinga iqhubeka kuze kube yilolu suku: indlela op nokwelashwa indlala yegilo asifanele. Ngemva ukususwa emzimbeni kwenzeka yezinkinga ezidinga imithi njalo ukuphila.

Akubona bonke odokotela batusa iphendukele ukususwa kuhlinzwa we indlala yegilo, futhi ambalwa Ochwepheshe bayakwazi ukufeza eyohlinzwa ezinjalo. A isitho esincane siyingxenye uhlelo lymph zomzimba. Uma ususa isixhumanisi uchungechunge izinqubo eziyinkimbinkimbi, ukutheleleka uyakwazi ukungena mahhala emaphashini, bronchi, isisu.

Ukubonakaliswa ejwayelekile yezinkinga e umuntu yegilo kude kuyinto isilonda esiswini. Ukuqokwa amaphilisi neminye imithi abakwazi ukwenza i-elahlekile isitho umsebenzi. Iziguli abanezifo basengozini ukuthola esibucayi thyrotoxic. Lapho ekhona nezici ezithile umzimba ukuze izicubu edema goiter endaweni iziguli kanye nabathandekayo bayakhuthazwa ubuyekeze izimiso usizo lokuqala ngesikhathi izimo emitholampilo.

yezinkinga yokufuna indlela

Inkinga Thyrotoxic iba ngenxa yobunzima ezihlukahlukene emzimbeni:

1. imiphumela Izidakamizwa ku amaseli yegilo.
2. Ukuhlinzwa neminyango entanyeni.
3. mikhanyo Allergic ukuthi ngokuvamile kwenzeka entwasahlobo and ekwindla.
4. Izifo kohlelo lymph.
5. izimo olunamandla kubangelwa iziyaluyalu isimiso sezinzwa esiyinhloko. Lezi zenzo ziwukubonakaliswa ukucindezeleka. ukucindezeleka njalo kuholela ukwehluleka emzimbeni, ukwanda yegilo indlala ngosayizi.
6. Ukutheleleka: amagciwane eziwuhlupho.
7. Kuzamazamisa Imiphumela yomgogodla wesibeletho.
8. Ngokuvamile nesimo esibucayi kwenzeka kwabesifazane ngesikhathi sokukhulelwa ngenxa ubuthi.
9. zokuqaleka ngokushesha ngemithi antithyroid eklanyelwe zivimbela biosynthesis kwama-hormone egilo.

Isizathu esikhulu obumbi iba ukuntuleka kwe-iodine emzimbeni. Ukwandisa umzimba kwamanzi kungenzeka ngesikhathi esebenzayo phakathi kumiswa ezicutshini. kuphakama Pathology ngemva ukuhlukumeza wamaprotheni umzimba emzimbeni womuntu.

Izimpawu e amacala zokwelapha

Uma kwaba ukuwohloka manifest yezempilo imithwalo ongaphakeme, kungaba crisis thyrotoxic. Izimpawu ziqala ukubonisa ngokwayo ngokucacile ngemva kokuthatha imithi i-iodine noma hormone yegilo. Hlunga izimpawu eziyinhloko ngemva kwalokho Kuyaphuthuma ukuhlolwa i endocrinology. Uma Kutholwe izimpawu ezingaphezu kwezintathu, ungacabanga khona izinkinga - Inkinga thyrotoxic.

Izimpawu, okuyinto ingakwazi ukuhlola inqubekela phambili isifo:

1. impilo Ukunciphisa kwenzeka ngaphambili kuqhathaniswa isimo odlule umzimba.
2. ishayela liphuma ngokuvamile okweqa amabhithi 100 ngomzuzu.
3. Kukhona ukwethuka, ukucasuka kungenxa yonke imininingwane.
4. Qedela isithombe ukwanda ingcindezi.
5. imfiva simbe isikhathi esingaphezu 3 degrees.
6. Kubonakala isiyezi, isicanucanu, ukuhlanza.
7. Lesi sifo wokugaya ukudla.
8. Knocked Izinga lokuphefumula.

Inqubo ngaphambi ambulensi

Uma uza thyrotoxic esibucayi, usizo akufanele ukulandela ngokushesha. ukufa ezingenzeka ngaphandle ekunikeleni izenzo kokuqala ezihambisa umoya-mpilo emaphashini futhi uvimbele ngaphandle obalulekile izinqubo umzimba. Desirably isaziso esandulele instants, okuyizinto imithombo impilo ukuwohloka.

Hlunga umcimbi main lapho kuphakama izinkinga ezingase zivele:

• Shayela kosizo oluphuthumayo.
• Isikhundla isiguli emhlane wakhe, ubeke umcamelo ngaphansi entanyeni.
• Ikamelo stuffy ufuna ukuvula iwindi, kunokuba lula umoya omusha ungene emaphashini isiguli.
• Kwaze kwaba yilapho kufika udokotela ungakwazi ukuhlola isimo eyabo: yokulinganisa ishayela, umfutho wegazi, izinga lokushisa. izimo Fixed zangaphandle: umswakama kwesikhumba, blanching ubuso.
• inhlolovo isiguli kusiza ukuthola isikhathi sokuqala Ukuwohloka impilo. Kodwa umuntu uhlala bayazi lapho tireotoksicheskom Stroke.

Indlela ukudambisa lesiguli siqu enhlalakahleni yomuntu?

Isigaba acute lesi sifo ephelezelwa ukuphazamiseka umsebenzi kwezinso. Ngakho-ke nikela ukuthaka imithi ngefomu ithebhulethi ingenzi lutho. Umuthi iqondiswa ngemithambo yegazi noma ujove esicutshini ngudokotela noma uchwepheshe abanolwazi. Ekhaya, akuvamile nethuba, sebenzisa amakhono abo siqu usizo oluyisisekelo izisulu.

Thina ukuhlukanisa imisebenzi eyinhloko isimo ukuzinza:

• Uma izinga lokushisa komzimba siphezulu kakhulu, okuyinto sivame ukuba ngesikhathi kunezinkinga, lo wenziwa kuphole umzimba. Lokhu kubambezela umzimba, abacindezela ithonya enqabayo hormone. Isiguli wafakwa okugeza cool. Nge ukungabi ezifana zonke izingubo zakho. I samuntu okunye kuba kanje: unamathisele ezisonga amaningi ezingxenyeni ezihlukahlukene zomzimba. Kunciphisa lokushisa bezihlikihla utshwala izixazululo.
• Kubantu ibukwe ngaphambi kokuba ambulensi. Ulimi alukwazi ukubisha amalaka, okubangela yokungawutholi umoya.
• Siza ukuphuza iziphuzo kakhulu kucace ukugwema amanzi emzimbeni iphutha.

Isiphi isinyathelo Kwenziwa, odokotela?

Uma uza thyrotoxic esibucayi, ukunakekelwa okwengeziwe kuhilela ekuphathweni izidakamizwa ukuthi ukunciphisa umphumela we-hormone. Lezi izinto ukukhuthalele ezivezwa indlala yegilo ephula emsebenzini umzimba. Ezenye yokwelashwa iba nokuncipha serum yabo.

ukubonakaliswa kwangaphandle lesi sifo siba ngokukhukhumala kwentamo goiter anobuthi. Ukuze uthole olunye ulwazi mayelana nesimo se-umzimba ukunikeza imiphumela ucwaningo i electrocardiogram. Setha ukuphambuka:

• fibrillation atrial;
• itheku tachycardia;
• ukuphazamiseka conduction intraventricular;
• uvelichienie QRS eziyinkimbinkimbi ne-T wave amplitude

amalungiselelo

Ukwelashwa thyrotoxic crisis kudingekile nganoma imuphi imbangela isimo esibucayi. Lezi zinhlobo ezilandelayo imithi:

• "Merkazolil" injected umthamo 100 ml.
• Jova isixazululo sodium iodide.
• umzila Oral ukunikeza isixazululo "Lugol" ngesilinganiso 30 amathonsi ngosuku.
• Imiphumela emihle beziphawuleka emva umjovo "kontrikala".
• Ilingana weThrojani kusukela izixazululo: 5% glucose, i-sodium chloride,-albumin. Kungezwe amavithamini B1, B2, nicotinamide.

Imithi isikhathi yokutakula ukuchitha okungenani amaviki amabili ngemva uthi ezibucayi. Ekuqaleni asetshenziswa thyreostatics kuphela emva kwezinsuku engaphezu kwemibili ebekiwe izinto iodine-equkethe.

Indlela yokuvimbela isifo?

Feza izinyathelo ukuqeda isimo esibucayi zomzimba - Inkinga thyrotoxic. ezosizo oluphuthumayo, i-algorithm kusobala kuleli bhukwana ambulensi izisebenzi buzoba buncane ubuhlungu, ngeke ivele nemiphumela engelapheki. Ngakho, ukwelashwa wenziwa ngaphambi kokuba sihlinzwe kubantu abanegciwane i-hyperthyroidism. amalungiselelo Antithyroid izenzo ezikhethiwe ebekiwe izinto iodine-equkethe.

Fight ne-hyperthyroidism wenza isilinganiso izifo uthi ezibucayi. Odokotela itjheje ukwanda kwalesi sifo phakathi kwabesifazane. Crisis kwabobulili buthaka livela izikhathi 9 kaningi kunabantu. yezinkinga eside kungenzeka nganoma isiphi yobudala ngaphansi kwethonya nezici ezithile.