Thyrotoxicosis ndi hyperthyroidism - vuto limene chithokomiro chimagwirira ntchito posokoneza mavitamini a thyroxine T_4 ndi triiodothyronine T_3. Pakulengedwa kwa mahomoniwa sikutanthauza khungu la chithokomiro, komanso kachilombo ka pituitary, hormone yake - TSH.
Zizindikiro za thyrotoxicosis zimasiyana malinga ndi kuchuluka kwake kwa ma hormoni ameneŵa. Ndikofunika kwambiri kuti adayambitsa thyrotoxicosis:
- Goods - Ndi matendawa pa chithokomiro chomwe chimapangidwa ndi nthenda yomwe ingakhale yopanda ubwino kapena yowonongeka; amathandizidwa ndi mankhwala opatsirana pogwiritsa ntchito mahomoni opangidwa, komanso m'matenda oopsa kwambiri pogwiritsa ntchito njira yopaleshoni kapena mankhwala opatsirana; Makhalidwe amtunduwu amayamba chifukwa cha ntchito yaikulu ya gland, choncho choyamba, pali hyperthyroidism, ndipo atalandira chithandizo - kuchotsa ntchito yake, hypothyroidism nthawi zambiri imawonetseredwa.
- Kufala kwa poizoni goiter ndiyomwe imatchedwa Basedova matenda, omwe ali ndi chikhalidwe chokha; mu ma autorommune thyrotoxicosis, mahomoni a chithokomiro amaposa, chifukwa cha kuchuluka kwawo, amachititsa thupi poizoni ndikupangitsa thyrotoxicosis; Matendawa amatha kupitirira mosavuta, koma amayamba, monga lamulo, mochuluka, ndi thyrotoxicosis.
- Subacute thyroiditis ndi kutupa kwa khungu la chithokomiro, lomwe lingakhale ndi tizilombo toyambitsa matenda.
- Kuchuluka kwa mankhwala a mahomoni - kudya kwambiri mahomoni m'thupi kungakwiyitse ndi chithandizo cha chithokomiro chomwe sichili cholakwika, koma chifukwa chodya kwambiri mankhwala ophera tizilombo.
Zizindikiro ndi ma indix a mahomoni ndi thyrotoxicosis a chithokomiro
Madokotala amasiyanitsa mitundu iwiri ya thyrotoxicosis malinga ndi magawo a mahomoni:
- mawonetseredwe thyrotoxicosis amatsimikizirika mosavuta, ichi ndi chomwe chimatchedwa "chodziwikiratu" thyrotoxicosis - ndi chiwerengero cha TSH chikutsika, ndipo mahomoni T_4 ndi T_3 akuwonjezeka; kukwera kungakhale imodzi mwa mahomoni;
- subclinical thyrotoxicosis - ndilo mlingo wa TSH waponyedwa, ndipo T_4 ndi T_3 ndi zachizolowezi kapena zimachepa.
Kutsika kwa hormone ya chifuwa cha pituitary chifukwa chakuti thupi ili limayendetsa kayendetsedwe ka chithokomiro, kuphatikizapo, mothandizidwa ndi TSH. Ndipo pamene chithokomiro chimazindikira kuti chithokomiro chimagwira ntchito kwambiri, imachepetsa kutuluka kwa TSH m'magazi. Pomwe pali hypothyroidism , mankhwala opatsirana mosiyana, mothandizidwa ndi kuchuluka kwa TSH, amachititsa kuti ayambe kugwira ntchito. Choncho, malinga ndi mahomoni atatuwa, njira ya thyrotoxicosis imatsimikiziridwa ndipo nthawi zambiri chithokomiro chimayesedwa.
Ponena za thyroiditis, deta ya mahomoni atatuwa imafuna zina ziwiri - AT-TPO ndi AT-TG. Kufufuza kwa magetsi otere: AT-TPO - ma antibodies to thyreperoxidase, AT-TG - mankhwala opangira thyroglobulin. Ndi mankhwala otchedwa autoimmune thyroiditis, nthawi zambiri kuwonjezeka kwa zizindikirozi kumapezeka. Manambala a antibody amatsimikizira chikhalidwe chokhazikika cha chithokomiro chosawonongeka. Ndi thyrotoxicosis, zizindikiro izi ziyenera kuchitidwa nthawi ndi nthawi kuti zimvetsetse chomwe chomwe chenicheni cha kuphulika kwa SCH chikugwira ntchito.
Zizindikiro za thyrotoxicosis
Zizindikiro za thyrotoxicosis zikhoza kusiyana ndi kukula ndi kuchepa kwa mahomoni, komanso kudalira chifukwa cha matendawa.
Mwachitsanzo, ndi matenda a Basedova, zizindikiro za diso mu thyrotoxicosis zimatchulidwa pamapeto omaliza: wophunzira samabisala kumbuyo kwa maso akewo ndipo pamakhala zochitika zinazake.
Ndi poizoni goiter ndi thyrotoxicosis, palinso khalidwe la goiter-kuwonjezeka kwa chithokomiro, chomwe chingamveke ngati chifuwa pammero pamayamba oyambirira, ndipo chikuwonekeranso kuti maso ali pamwamba.
Thyrotoxicosis mwa amayi amawonetseredwa ndi zizindikiro zokhudzana ndi msambo - pali kuphwanya, ndipo pangakhale mavuto ndi mimba.
Chifukwa cha kuchuluka kwa kagayidwe kake kamene wodwala amakhala ndi chilakolako chokhazikika, koma samakhala ndi mafuta - mosiyana, pali kusowa kwa thupi. Ngati thyrotoxicosis ikuchitika muunyamata, ndiye thupi limapangidwa ndi zinthu za infantilism.
Kawirikawiri, chifukwa cha njira yowonongeka yowonongeka, hyperthyroidism kwa odwala omwe ali ndi hyperthyroidism ali ndi mawonekedwe aunyamata, koma zizindikiro zooneka ngati zabwino zimakhala ndi mtengo wawo: choyamba, n'kosatheka kugwiritsa ntchito nzeru zowonjezereka chifukwa cha kuwonjezereka kwakukulu ndi kutopa mwamsanga ; Kachiwiri, kupanikizika kwa mkati kumapangitsa kuti munthu asasangalale ndipo sangathe kugwira ntchito bwino, chachitatu, kuopseza kwa kuperewera kwaumalempha, ndi kuukiridwa kwa nthawi ndi nthawi - kutentha kwakukulu, kuthamanga kolimba, chizungulire, kunyoza ndi nthawi zina - kutaya chidziwitso kumapangitsa kuti munthu ayambe kufunsa za chithandizo chamankhwala.
Mbali yamtundu wa thyrotoxicosis ndi mantha, kutukuta kwambiri , kumva kutentha, kupweteka kwa mtima mwamsanga komanso kukhala mu chipinda chophwanyika n'kovuta. M'nyengo yozizira, odwala akhoza kuvala mosavuta, ndi kutsegula mawindo m'chipindamo.
Chifukwa cha ntchito yowonjezereka ya mtima, odwala omwe ali ndi thyrotoxicosis nthawi zambiri amatchulidwa ku dipatimenti yokhala ndi moyo, ndipo ngati akatswiri sakudziwa za matenda omwe amatha kupwetekedwa ndi matenda a m'maganizo komanso amachititsa mtima kapena mantha, siziwathandiza kupeza zotsatira.
Kusintha kwa mahomoni kumawonetseratu osati mu thupi, komanso m'maganizo - wodwalayo amakwiya, kufulumira, kulira ndi kuyankhulana kwachidziwikire pamene chitukuko cha thyrotoxicosis sichitha. Ichi si chizindikiro cha munthu woipa - pambuyo pobwezera mahomoni, umunthu wake udzakhala wofanana.