Subclinical-hyperthyroidism: Izimbangela Nezingozi Ukwelashwa

Noma yimuphi ukuphambuka kule ndlala kuthinta inani lama-hormone ekhiqizwa. I ukungalingani okuholela kungaholela ukuthuthukiswa lesi sifo njengoba i-hyperthyroidism subclinical. Izimpawu ze-inqubo isifo, imbangela kanye nezindlela eyinhloko yokwelashwa uzobe okuxoxwe ngazo kulesi sihloko.

Indlela bahlonze izifo?

i-hyperthyroidism Subclinical sitholakale by ukuhlolwa kwegazi. Ukwehla yegilo inkanuko pituitary i-hormone (TSH) nge-hormone egilo evamile (i-T3, T4) kusikisela ukuba khona lesi sifo. Zonke izinqubo emzimbeni zihlobene kakhulu. Ngosizo pituitary TSH kuthinta yegilo futhi ilawula ukusebenza kwawo. Uma indlala iqala ukukhiqiza ama-hormone ngaphezulu, TSH incipha. Pituitary kuthola ukwanda T3 ne-T4. Besabela kuleso simemo, ngoba kunciphisa ukukhishwa kwama-hormone zabo. Lesi sithombe emitholampilo uchaza ngokugcwele inqubo sokugembula.

Izimbangela hyperthyroidism subclinical

Lesi sifo ngokuvamile kutholakala abesifazane abaneminyaka engu-18 kuya ku-45. Lapho nokwephula akunakwenzeka ukuqala ekuqaleni kwenqubo sokugembula. Zonke izimbangela hyperthyroidism odokotela evamile ihlukaniswe zangaphakathi nezangaphandle. Phakathi kwabokuqala yilezi:

• kwangemva kokubeletha ukushintsha kwama-hormone;
• adenoma we indlala yegilo;
• -Graves 'disease (ekubhebhetselisa goiter enobuthi).

i-hyperthyroidism Subclinical omnene kungenzeka seziguli ezithola imithi (izimbangela zangaphandle). Ekhuluma izidakamizwa, ochwepheshe ngokuvamile ucaphune isibonelo «L-thyroxine." Wamiswa ngemva resection we indlala yegilo noma nge ukwehla umsebenzi wayo sokusebenza. Ukuthuthukiswa lesi sifo nanesandla imithi esetshenziselwa ukwelapha thyroiditis ( "i-alpha interferon" kusho iodo).

Ubani isengozini?

Ngemva kokutadisha imiphumela ucwaningo oluningana, ochwepheshe bakwazi ukukhomba iqembu iziguli engozini yezifo. Kuhlanganisa:

• abantu abanalo izihlobo nge umlando abanale nkinga abakhona;
• abanesifo sikashukela;
• Iziguli pathologies sokuhlasela kwamasosha omzimba.

Ukuhambisana into eyodwa noma ngaphezulu kulolu hlu kwandisa amathuba wokuthuthukisa i-hyperthyroidism subclinical. Iziguli engozini ngezikhathi ibhekane luhlolo ukuthola isifo ngendlela efanele usaqala.

Izimpawu zokuqala zalesi sifo

Ngokwezwi nezwi, igama elithi "subclinical" lisho ukuthi "phambi lapho kuqala izimpawu." Ngakho-ke, lokhu kuzibonakalisa yalesi sifo akwanele aphoqelelwayo noma ngingekho ngokuphelele. Nokho i-hyperthyroidism subclinical kungenzeka imbangela izinguquko umsebenzi amasistimu ezilandelayo:

• zenhliziyo;
• kwemizwa;
• wokugaya ukudla.

Iziguli nale komdlavuza ngokuvamile banomlando nokuquleka tachycardia. I uhlezi isimo kwenhliziyo kungase kube amabhithi-100 ngomzuzu. Lapho yinoma yini ephathelene nomzimba ukuzikhandla ukushaya kwenhliziyo kuba njalo ukujuluka inyuka, kukhona iphika. Lezi zenzo zibangelwa ithoni komzimba NA nozwela. Ngenxa yalesi sizathu, iziguli esekhala njalo blood pressure liyaphuma, kancane kancane kuphenduke unomfutho wegazi ophakeme.

On the ingxenye sezinzwa izimpawu uhlelo lesi sifo azibonakali ngesimo ukuqwasha, inhliziyo embi futhi ezingeni lelisetulu excitability. Iziguli ingase uvuke izikhathi eziningana ebusuku. Nokho, ukuphazamiseka kokulala akuphazamisi empilweni yomuntu. Ukuze i-hyperthyroidism subclinical libhekene izinguquko njalo kwemizwa. Lesi sifo akuphazamisi amakhono engqondo, kodwa kwehle lokuhlushwa nokukhuthazela kubonakala kahle.

On the ingxenye ipheshana yesisu liye landa, emathunjini motility sifo, futhi isihlalo. Isiguli njalo uhlangabezana indlala, kaningi, adle omningi kodwa angawutholi kangcono. Kwesisindo ebonwe amacala angawodwa. Specific yokwelapha kwezinso e pheshana emathunjini akuyona kwenziwe.

izindlela ukuxilongwa

Ukuthola esifike hyperthyroidism subclinical kuyisihluthulelo eyinhloko yokwelashwa okuphumelelayo. Ukungabikho yokwelapha eyanele kungaholela ukukhumuzeka kwamathambo, ischemia, komqondo kanye nezinye pathologies edabukisayo. Yiziphi izindlela ukuxilongwa zesifo?

Lapho izimpawu ezithile ezisikisela-hyperthyroidism, kufanele kukhombe endocrinology. Ngemva ukuhlolwa ukutadisha umlando kuchwepheshe ukuze ubheke iziguli ukuze iyohlolwa olwengeziwe. Kuhlanganisa indlala ultrasound, igazi ECG ukuhlaziywa. Ukuze inqubo sokugembula libhekene kwehle amazinga TSH ngamazinga ejwayelekile T4 futhi T3. I ECG ngokuvamile Kutholwe tachycardia. Ngokusho imiphumela US udokotela ekunika imithi yokwelashwa futhi ekugcineni kuqinisekisa sitholakele "hyperthyroidism subclinical."

Ukwelashwa ngemithi

ezelaphayo kule isifo ahloselwe normalizing umsebenzi indlala. Standard ukwelashwa lwemithi lisikisela kadokotela kwemithi esekelwe methimazole futhi propylthiouracil. Izidakamizwa letsintsa ngco wendlala ngu ekuvimbeni umsebenzi walo. Isikali nobude imithi akhethiwe ngamunye. Uma ngcono nesineke eziyalezweni ukwelashwa ezihambayo ukusekela ukhetho.

Ezimweni eziningi, iziguli ebekiwe glucocorticosteroid i-hormone Isikali okuyilona elisebenzayo futhi elungile. A indima Ukukhetha yokwelapha uhlelo udlala yobudala lesiguli, isigaba sesifo. Ukwelashwa nge -iodine enemisebe kubhekwa enye yezindlela eziphumelela kakhulu zokwenza abantu ulwe ngokweqile ndlala umsebenzi. Le ndlela kuyasiza ukugwema isitho resection. ukwelashwa Radioiodine (Rit) wukuthi isiguli uthola amaphilisi noma uketshezi nge radioiodine ngesikhathi esithile. Uma emzimbeni, indaba iqala buthelela kancane kumaseli yegilo. Ngaphezu kwalokho, bayabulawa futhi zithathelwe indawo izicubu izakhi zezinzwa. i-hyperthyroidism Subclinical ngemva Rit ngokuvamile nzima-hypothyroidism. Isizathu esiyinhloko - lwemithi ngokungalungile abakhethiwe. Ekukhombeni le iziguli isifo ebekiwe yokwelapha i-hormone esaphila esikhundleni.

Uma lesi sifo akusho ithuthuke futhi akakubangeli thuthuva sina emzimbeni, odokotela bakhetha ukunamathela ukuphathwa okhulelwe. i-hyperthyroidism Subclinical ngesikhathi sokukhulelwa futhi ayidingi yokwelashwa. Ngenxa yokuthi lesi sifo ngokuvamile regresses ngesikhathi senyanga yesibili, futhi akuphazamisi isimo ezingenzeka embungwini, le thyreostatics ukusetshenziswa kungafaneleki. Ngemva ukubukeka ingane womama ukukhanya kudinga luhlolo ephelele zokuxilonga, uma umsebenzi indlala yegilo akuyona kwesejwayelekile.

Ungadliwa of abelaphi bendabuko

Ngo-hyperthyroidism subclinical ingasetshenziswa amakhambi abantu ukwelashwa ibhekwa yokwelapha oyinhloko njengomfundisi. Popular zokupheka abelaphi okuhloswe ngokuyinhloko at ekuqedeni izimpawu isifo. Ngokwesibonelo, lesi sifo ngokuvamile ehambisana nobutha ukuqunjelwa. Ukuze ukuzinza we emathunjini Kunconywa nsuku zonke ukudla mayelana 100 g beetroot ongahluziwe.

Lapho CNS iziyaluyalu kusiza valerian. Ukulungisa zoku- 2 wezipuni utshani obomile uthele 4 izinkomishi zamanzi abilayo, ubilise imizuzu 15. Ngemva kwalokho, ingxube okuholela kuyadingeka sokunika imizuzu 30 ke nzima. Umuthi Kunconywa ukuthatha 100 amagremu kathathu ngosuku.

Uma unezinkinga inhliziyo usizo nekufakwa hawthorn. Isipuni impahla eluhlaza edingekayo ukuze ugcwalise 200 ml amanzi abilayo. Sokunika hawthorn lencono thermos. Abelaphi bendabuko belulekwa ukuthatha imithi 4 wezipuni nsuku zonke. Isikhathi yokwelapha - 3 amaviki. Ngemva kwalokho kudingeka wenze ikhefu izinsuku ezingu-14 bese uqhubeka reception.

Izimpawu zesifo ezinganeni

ukuhlolwa Screening, ezisetshenziswa okungatholakali ezibhedlela eziningi womama ukuxilonga i-hyperthyroidism subclinical ngokushesha emva kokuzalwa. Phakathi izimpawu ezinkulu zihlanganisa:

• hoshozela ukhale;
• lokushisa ongaphakeme;
• jaundice;
• ukuvuvukala ezinzima ebusweni;
• ukoma okwandisiwe isikhumba.

Nokho, ngokuvamile kuba khona kwathishelanhloko losebenta inqubo sokugembula e abazali bengane ukuthola eminyakeni embalwa. Ukwelashwa kudinga indlela olunzulu futhi kusekelwe ukuthatha zokwenziwa hormone. Amalungiselelo akhethiwe ngamunye, ikhumbula lesiguli yobudala kanye nesisindo.

Isikhathi esijwayelekile ingelashwa sifo kungaholela nemiphumela ebuhlungu. i-hyperthyroidism Subclinical inomphumela omubi kwi ukwakheka ithambo apharathasi yengane, ukuthuthukiswa sakhe sengqondo. Ngezinye izikhathi kukhona izinkinga kanye umbono. ukwelashwa Late bungabangela izinkinga ukuthuthukiswa jikelele umntwana. Ngakho-ke, odokotela batusa ngezikhathi ahlolwe ngokuphelele ukuthola lesi sifo ngendlela efanele usaqala.

Kufinyeta

Ukungadli hormone emzimbeni ngokuvamile siyimbangela nezinkinga zempilo ezingathí sina. i-hyperthyroidism Subclinical ayinakho izici ahlukile. Izenzo sifo ezihlobene ne izilonda obuhlukahlukene zomzimba (sezinzwa, senhliziyo wokugaya ukudla). Ukuze ukuxilonga zokugula, odokotela batusa ngezikhathi kudlule luhlolo olunzulu. Mayelana izinkinga zezempilo kwasekuqaleni kubonisa ukuhlolwa igazi-hormone. Abanye odokotela basikisela uphethwe "hyperthyroidism subclinical" impatho? Izibuyekezo iningi leziguli abonisa ukuthi eziphumelela kakhulu yokwelapha i-hormone. Specific zokugwema isifo kungukuthi athuthukile.