Qhov tseeb hyperthyroidism

Qhov tseeb hyperthyroidism yog qhov siab dua-tshaj li cov thyroid hormones txaus hauv cov ntshav thiab cov tsos mob qhia tias hyperthyroidism. Nws tshwm sim los ntawm kev noj tshuaj ntau dhau los cov thyroid hormones txaus.

Hyperthyroidism kuj tseem paub zoo li ua cov thyroid qog.

Cov thyroid caj pas ua cov tshuaj hormones thyroxine (T4) thiab triiodothyronine (T3). Feem ntau ntawm hyperthyroidism, cov thyroid caj pas nws tus kheej tsim tawm ntau dhau ntawm cov tshuaj hormones no.

Hyperthyroidism tuaj yeem tshwm sim los ntawm kev noj ntau dhau los ntawm cov tshuaj thyroid hormones rau tshuaj rau hypothyroidism. Qhov no yog hu ua cov kev muaj tseeb hyperthyroidism. Thaum qhov no tshwm sim vim hais tias qhov tau muab tshuaj rau cov tshuaj hormone ntau dhau, nws hu ua iatrogenic, lossis tus kws kho mob tsim los, hyperthyroidism. Qhov no yog yam. Qee lub sij hawm qhov no yog txhob txwm (rau qee cov neeg mob uas muaj kev nyuaj siab lossis mob qog nqaij hlav cancer), tab sis feem ntau qhov no tshwm sim vim tias cov koob tshuaj tsis tau hloov kho raws li kev soj ntsuam ntshav.

Qhov tseeb hyperthyroidism kuj tseem tuaj yeem tshwm sim thaum ib tus neeg noj ntau dhau los cov thyroid hormones txaus raws lub hom phiaj. Nov yog ib yam tsis yooj yim. Cov no tuaj yeem yog tib neeg:

• Leej twg muaj mob hlwb xws li Munchausen syndrome
• Leej twg tseem tabtom yuag
• Cov uas tau raug kho mob rau kev nyuaj siab lossis tus menyuam ntxiv
• Leej twg xav tau txais nyiaj los ntawm lub tuam txhab kev pov hwm

Cov menyuam yaus tuaj yeem noj cov tshuaj thyroid hormone ua ke.

Cov tsos mob ntawm qhov tseeb hyperthyroidism yog tib yam li cov mob hyperthyroidism tshwm sim los ntawm cov thyroid caj pas tsis sib haum, tsuas yog tias:

• Yog tsis muaj cov mus. Lub qog ua haujlwm feem ntau me me.
• Qhov muag tsis su, raws li lawv ua hauv Graves kab mob (hom mob hyperthyroidism).
• Daim tawv nqaij dhau ntawm daim npog tsis thooj, zoo li nws qee zaum ua rau cov neeg muaj tus mob Graves.

Kev kuaj ntshav siv los kuaj xyuas qhov muaj tseeb hyperthyroidism suav nrog:

• T4 Dawb
• Thyroglobulin
• Tag Nrho T3
• Tag Nrho T4
• TSH

Lwm yam kev ntsuam xyuas uas yuav tau ua muaj xws li radioactive iodine uptake lossis thyroid ultrasound.

Koj tus kws kho mob yuav qhia koj kom tsis txhob noj cov thyroid hormones txaus. Yog tias koj yuav tsum tau noj, koj tus kws kho mob yuav txo qhov ntau npaum.

Koj yuav tsum tau kuaj dua hauv 2 rau 4 lub lim tiam kom paub tseeb tias cov tsos mob thiab tus mob ploj tag lawm. Qhov no tseem yuav pab txhawb kev kuaj mob.

Cov neeg uas muaj Munchausen syndrome yuav xav tau kev kho mob hlwb thiab ua tib zoo soj qab taug.

Qhov tseeb hyperthyroidism yuav tshem tawm nws tus kheej thaum koj tsum tsis noj lossis qis dua qhov noj cov thyroid hormones txaus.

Thaum paub qhov tseeb hyperthyroidism kav ntev heev, cov teeb meem zoo ib yam li tsis kho lossis tsis kho tus mob hyperthyroidism yuav tshwm sim:

• Lub plawv dhia tsis zoo (atrial fibrillation)
• Ntxhov siab vim
• Mob hauv siab (angina)
• Plawv nres
• Poob rau cov pob txha loj (yog tias mob hnyav, txha)
• Lub cev yuag
• Ntxiv lawm tshob
• Teeb meem pw tsaug zog

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm hyperthyroidism.

Lub qog tshuaj hormones yuav tsum noj tsuas yog noj tshuaj thiab nyob hauv kev saib xyuas ntawm tus kws kho mob. Kev ntsuam xyuas ntshav tas li yog ib txwm xav tau los pab koj tus kws kho mob hloov qhov tshuaj uas koj tau noj.

Qhov tseeb thyrotoxicosis; Thyrotoxicosis cov ntaub ntawv tseeb; Thyrotoxicosis medicamentosa; Qhov tseeb hyperthyroxinemia

• Lub qog ua haujlwm

Hollenberg A, Wiersinga WM. Cov mob hyperthyroid. Hauv: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Phau Ntawv ntawm EndocrinologyCov. Xab 14th. Philadelphia, PA: Elsevier; 2020: chap 12.

Kopp P. Lub zog ua haujlwm ntawm cov thyroid nodules thiab lwm yam ua rau thyrotoxicosis. Hauv: Jameson JL, De Groot LJ, de Kretser DM, li al, eds. Endocrinology: Cov Neeg Loj thiab PediatricCov. 7 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 85.