Subacute thyroiditis - Izimpawu, Ukwelashwa

De Kervina thyroiditis kuyinto isifo sokuvuvukala indlala yegilo. Etiology ka viral okusolakala, wafunda kuze ezimbi. Mhlawumbe ngenxa ye-acute, acute, okungamahlalakhona, relapsing. I kaningi kakhulu isifo span kweminyaka emibili nengu-20 kuya ku-50 kwabesifazane kwenzeka kaningi. Ngoba wonke amacala 20 eqoshiwe akhawunti isifo thyroiditis oyedwa kuphela subacute thyroiditis. Ukuthi ezocatshangelwa esihlokweni.

thyroiditis Subacute. izimbangela

Ngokumelene okwenza izifo ezibangelwa amagciwane noma ngemva kwabo. Ngokusho ucwaningo, lesi sifo ngokuvamile iningi kwenzeka emva kokutheleleka nge Coxsackie igciwane, adenovirus, mumps ubhubhane, Umkhuhlane amagciwane.

Thyroiditis. izimpawu

Ukuqala kungenzeka acute: umkhuhlane; nobuhlungu entanyeni (singagwinyi iyakhula, ithela endlebeni); ubuhlungu umhlathi ongezansi; ubuthakathaka futhi umkhuhlane.

Nokho, ngokuvamile ukuqala kancane: umkhuhlane lula, emkhakheni yegilo ukungakhululeki, a ukungakhululeki okuncane lapho uvuleka. Lapho sizama ungatshekisa noma vula yakho ubuhlungu ikhanda. Ubuhlungu lungavela ngesikhathi ukuhlafuna. I isabelo indlala yegilo kanye inyuka ngesikhathi palpation kubuhlungu. Lymph node ngokuvamile akukho ushintsho (akukho ukwanda). Kusukela ohlangothini amehlo, isikhumba, ukusebenza azikho izimpawu zokuphela inhliziyo. izikhalazo Sibekezele zibhekiswe, kakhulukazi ngesikhathi ukujuluka, ukuqwasha, ubuhlungu emalungeni. Lapho lesi sifo kuyehla isizukulwane TSH - hormone kuvusa indlala yegilo. Lesi sifo kungathatha izinyanga eziyisithupha.

thyroiditis Subacute. ukwelashwa

Ukwelashwa imithi subacute thyroiditis. I zokwenziwa hormone glucocorticoid (dexamethasone, prednisolone, metipred, kenakort) ngokuyinhloko asetshenziswa. Lapho isimo uqale kulesetayelekile, amahomoni umthamo kancane kancane.

Ngesikhathi besanda kuqala ukwelashwa siyefana. aspirin Inikezwe (ngenxa yobuhlungu owenqenayo 600 mg njalo ngemva kwamahora 3.5) noma prednisone (10-20 mg kabili ngelanga). Ubuhlungu kuyehla ngemva ekuphathweni izidakamizwa kuqala. Uma analgesic umphumela ingekho, uphethwe ungaphakathi ukungabaza. Ngemva kwesonto ukungenisa umthamo kuyehla zonke izinsuku ezimbili sihamba 5 mg. Isikhathi ukwelashwa udokotela. Kunoma ikuphi, akufanele kube ngaphezu kwenyanga. Uma, ngemva ukuhoxiswa inyuka ubuhlungu bezidakamizwa, umthamo luyanda bese ngihlaliswa futhi. Ukuqeda izimpawu-hyperthyroidism, kungenzeka propranolol babelwe (kane ngosuku 40 mg). Kulokhu, ejenti antithyroid azisetshenziswa.

Subacute thyroiditis ngesinyathelo hypothyroid ngokuvamile ihlala isikhathi esingaphezulu kwezinyanga ezingi ezintathu. Ibonisa replacement therapy (levothyroxine, 0,10 mg, kanye ngosuku kwanele).

Ukusetshenziswa kwezidakamizwa hormone kumele singeqi ezinyangeni ezimbili. Lung isifo ivumela ukusetshenziswa ekwelapheni gcina Brufen (noma Voltaren), Indomethacin futhi aspirin. Ithuba liphinyiselwe thyrotoxicosis. Kulokhu kufanele zabelwe beta-blocker. Ukuze ekwelapheni subacute thyroiditis imithi ngokweqile zifana nokuthela ayizange inikezwe. Ngaphezu kwalokho, zenza contraindicated, ngoba kungaholela ziwohloke zisesimweni lesiguli.

Onalesi sifo muhle. Lesi sifo kalula esilaphekayo. Ngaphezu kwalokho, uma ukuphathwa isiqalisile ngendlela esifike ngesikhathi, ngemva kwezinyanga ezintathu (noma ngisho nangaphambi) kukhona ukululama ephelele. Nokho, uma isifo liwukungazinaki futhi enqabe ukwelashwa ngendlela, kuzothatha Adalberto isikhathi eside (kuze kufike eminyakeni emibili) futhi kungenzeka ukuthuthukisa kahle iye kolunye uhlobo ezingamahlalakhona ukuxakeka.

yezinkinga

Ukwakheka ithumba e indlala yegilo, uyakwazi breaking ngokusebenzisa. Uma kugwinywe, ke agelezela isikhala pericardial; It kungalimaza imithambo yegazi; isingeniso ukutheleleka ezicutshini zobuchopho; ukuthuthukiswa sepsis.