Hyperthyroidism

Zoo Siab

• Dab tsi ua rau hyperthyroidism?
• Cov tsos mob hyperthyroidism zoo li cas?
• Cov kws kho mob kuaj hyperthyroidism li cas?
• Kev ntsuam xyuas roj khov
• T4, pub dawb T4, T3
• Cov thyroid stimulating qib mus tshuaj qib
• Kev ntsuam xyuas triglyceride
• Lub qog kuaj ntshav thiab khaws
• Ultrasound
• CT lossis MRI scans
• Yuav kho cov hyperthyroidism li cas
• Cov tshuaj noj
• Hluav Taws Xob Hluav Taws Xob iodine
• Kev phais mob
• Koj tuaj yeem ua li cas txhawm rau txhim kho cov tsos mob
• Outlook
• Q:
• A:

Peb suav nrog cov khoom uas peb xav tias tseem ceeb rau peb cov nyeem. Yog tias koj yuav los ntawm cov txuas hauv nplooj ntawv no, peb yuav khwv tau nyiaj me me. Ntawm no yog peb cov txheej txheem.

Hyperthyroidism yog dab tsi?

Hyperthyroidism yog ib qho mob ntawm cov qog. Lub qog yog ib qho me me, npauj npaim-puab nyob hauv pem hauv ntej ntawm koj lub caj dab. Nws tsim cov tetraiodothyronine (T4) thiab triiodothyronine (T3), uas yog ob qho tshuaj hormones thawj uas tswj xyuas seb koj lub hlwb siv lub zog li cas. Koj lub qog ua haujlwm tswj koj cov metabolism hauv los ntawm kev tso tawm cov tshuaj hormones no.

Hyperthyroidism tshwm sim thaum lub qog ua ntau dhau T4, T3, lossis ob qho tib si. Kev kuaj mob ntawm kev ua haujlwm ntawm lub qog thiab kev kho mob ntawm lub hauv paus yuav tuaj yeem daws cov tsos mob thiab tiv thaiv kev cuam tshuam.

Dab tsi ua rau hyperthyroidism?

Ntau yam mob muaj peev xwm ua rau hyperthyroidism. Graves 'kab mob, kev mob autoimmune, yog qhov ua rau hyperthyroidism ntau dua. Nws ua rau cov tshuaj tiv thaiv los kho lub qog ua rau lub cev muaj zog ntau dhau. Graves 'kab mob tshwm sim feem ntau rau cov poj niam dua li tus txiv neej. Nws zoo li khiav hauv tsev neeg, uas qhia txog caj ces sib txuas. Koj yuav tsum qhia koj tus kws kho mob yog tias koj cov neeg txheeb ze tau muaj tus mob no.

Lwm yam ua rau hyperthyroidism suav nrog:

• tshaj iodine, ib qho tshuaj tseem ceeb hauv T4 thiab T3
• cov thyroiditis, lossis mob rau cov thyroid, uas ua rau T4 thiab T3 kom xau tawm ntawm lub qog
• qog ntawm zes qe menyuam lossis noob qes
• qog cov leeg ntshav qog lossis lub qog ua kua
• tetraiodothyronine ntau npaum li cas los ntawm kev noj zaub mov noj lossis tshuaj noj

Cov tsos mob hyperthyroidism zoo li cas?

Cov paj ntau ntawm T4, T3, lossis ob qho tib si tuaj yeem ua rau lub cev pauv ntau dhau. Qhov no yog hu ua lub xeev hypermetabolic. Thaum nyob hauv lub xeev hypermetabolic, koj yuav muaj lub plawv dhia ceev, nce ntshav siab, thiab tshee tes tshee. Koj kuj tseem tuaj yeem tawm hws ntau thiab tsim kom muaj qhov tsis nyiam siab rau tshav kub. Hyperthyroidism tuaj yeem ua rau lub plab xoo ntau dua, ua kom yuag, thiab, rau cov poj niam, kev coj khaub ncaws tsis xwm yeem.

Tshaj tawm, qhov ua haujlwm cov thyroid caj pas nws tus kheej tuaj yeem o tuaj mus los, uas tuaj yeem yog ob qho sib txig sib luag lossis ib tog. Koj lub qhov muag kuj tseem tuaj yeem tshwm sim heev, uas yog cov cim ntawm exophthalmos, ib qho xwm txheej uas cuam tshuam txog Graves 'kab mob.

Lwm cov tsos mob ntawm tus mob hyperthyroidism suav nrog:

• nce qab los noj mov
• kev tshee
• nyob tsis tswm
• tsis muaj peev xwm mloog
• tsis muaj zog
• lub plawv dhia tsis xwm yeem
• teeb meem pw tsaug zog
• zoo, nkig plaub hau
• khaus
• plaub hau poob
• xeev siab thiab ntuav
• kev loj hlob ntawm lub mis hauv tus txiv neej

Cov tsos mob hauv qab no xav tau kev kho mob sai:

• kiv taub hau
• txog siav
• tsis nco qab
• lub plawv dhia ceev ceev, tsis tu ncua

Hyperthyroidism tuaj yeem tuaj yeem ua rau atrial fibrillation, ib qho xwm txheej tsis zoo uas tuaj yeem ua rau mob hlab ntsha tawg, ntxiv rau lub plawv tsis ua haujlwm.

Cov kws kho mob kuaj hyperthyroidism li cas?

Koj thawj kaujruam hauv kev kuaj mob yog txhaj keeb kwm kev kuaj mob thiab kuaj mob lub cev tag nrho. Qhov no tuaj yeem qhia cov tsos mob tshwm sim ntawm hyperthyroidism:

• poob phaus
• cov mem tes ceev
• txhawb siab ntshav siab
• protruding ob lub qhov muag
• tsam cov thyroid caj pas

Lwm txoj kev kuaj yuav ua tau los ntsuas ntxiv rau koj txoj kev kuaj mob. Cov no suav nrog:

Kev ntsuam xyuas roj khov

Koj tus kws kho mob yuav tau kuaj xyuas seb koj cov roj (cholesterol) phem npaum li cas. Cov roj (cholesterol) tsawg yog lub cim ua kom muaj kev nce siab hauv lub cev, uas koj lub cev yuav hlawv roj los ntawm roj sai.

T4, pub dawb T4, T3

Cov kev kuaj no yuav ntsuas seb koj cov thyroid hormones ntau npaum li cas (T4 thiab T3) nyob hauv koj cov ntshav.

Cov thyroid stimulating qib mus tshuaj qib

Cov thyroid stimulating hormone (TSH) yog pituitary caj pas ua rau cov thyroid caj pas ua cov tshuaj hormones. Thaum cov thyroid hormones txaus lawm yog dab tsi lossis siab, koj TSH yuav tsum qis dua. Ib qho txawv txav tsis zoo TSH yuav yog thawj qho cim ntawm hyperthyroidism.

Kev ntsuam xyuas triglyceride

Koj qib triglyceride kuj tseem yuav raug sim. Zoo sib xws rau cov roj (cholesterol) tsawg, cov roj triglycerides tuaj yeem yog qhov qhia ntawm kev nce siab hauv lub cev zom zaub mov.

Lub qog kuaj ntshav thiab khaws

Qhov no tso cai rau koj tus kws kho mob kom pom tias koj cov thyroid zoo li kev siv zog. Hauv kev qhia tshwj xeeb, nws tuaj yeem qhia tawm seb tag nrho cov thyroid lossis tsuas yog ib thaj chaw ntawm lub qog ua rau lub cev nyhav dhau los.

Ultrasound

Cov duab hluav taws xob tuaj yeem ntsuas qhov luaj li cas ntawm tag nrho cov thyroid caj pas, nrog rau cov pawg nyob hauv nws. Cov kws kho mob kuj tseem tuaj yeem siv tshuab siv los txiav txim siab yog tias qhov ntau los yog quag.

CT lossis MRI scans

Daim duab CT lossis MRI tuaj yeem qhia tau yog tias qog nqaij hlav pituitary uas ua rau tus mob.

Yuav kho cov hyperthyroidism li cas

Cov tshuaj noj

Cov tshuaj Antithyroid, xws li methimazole (Tapazole), txwv cov thyroid los ua cov tshuaj hormones. Lawv yog cov kev kho mob ib txwm muaj.

Hluav Taws Xob Hluav Taws Xob iodine

Radioactive iodine tau muab rau ntau dua 70 feem pua ​​ntawm Asmeskas cov neeg laus uas mob hyperthyroidism, raws li American Thyroid Association. Nws ua tau zoo ua rau lub hlwb ua cov tshuaj hormones.

Cov kev mob tshwm sim feem ntau suav nrog lub qhov ncauj qhuav, qhov muag qhuav, mob caj pas, thiab hloov ntawm saj. Kev ceev faj yuav tsum tau siv nyob rau ib ntus tom qab kev kho mob kom tiv thaiv tau hluav taws xob kis mus rau lwm tus.

Kev phais mob

Ib ntu lossis tag nrho koj cov thyroid caj pas yuav raug tshem tawm. Koj yuav tom qab ntawd koj yuav tsum noj cov thyroid hormones pab kom tiv thaiv hypothyroidism, uas tshwm sim thaum koj muaj lub qog ua haujlwm tsis txaus ntseeg uas zais tsis txaus cov tshuaj hormones me me. Tsis tas li, beta-blockers xws li propranolol tuaj yeem pab tswj koj cov mem tes sai, tawm hws, ntxhov siab, thiab ntshav siab. Cov neeg feem coob tau teb zoo rau qhov kev kho no.

Koj tuaj yeem ua li cas txhawm rau txhim kho cov tsos mob

Noj zaub mov kom zoo, nrog kev tsom rau cov calcium thiab sodium, yog qhov tseem ceeb, tshwj xeeb tshaj yog kev tiv thaiv hyperthyroidism. Ua haujlwm nrog koj tus kws kho mob txhawm rau tsim cov txheej txheem kev noj qab haus huv rau koj cov kev noj zaub mov kom zoo, kev noj zaub mov zoo, thiab kev tawm dag zog.

Hyperthyroidism tuaj yeem ua rau koj cov pob txha tsis muaj zog thiab nyias, uas tuaj yeem ua rau txha osteoporosis. Noj tshuaj vitamin D thiab tshuaj ntxiv calcium thaum lub sijhawm thiab tom qab kev kho tuaj yeem pab koj cov pob txha tsis muaj zog. Koj tus kws kho mob tuaj yeem qhia koj tias yuav noj vitamin D ntau npaum li cas txhua hnub. Kawm paub ntau ntxiv txog cov txiaj ntsig kev noj qab haus huv ntawm cov vitamin D.

Outlook

Koj tus kws kho mob yuav xa koj mus rau tus kws kho mob endocrinologist, uas ua tus kho cov cev nqaij daim tawv rau lub cev. Kev ntxhov siab lossis kab mob tuaj yeem ua rau lub qog cov thyroid. Lub qog cov thyroid tshwm sim thaum cov qog cov thyroid hormones txaus raug tso tawm thiab nws ua rau cov tsos mob hnyav zuj zus ntxiv. Txoj kev kho yog ib qho tseem ceeb los tiv thaiv cov qog, cov thyrotoxicosis, thiab lwm yam kev nyuaj.

Qhov kev ua tau ntev mus ntev ntev rau tus mob hyperthyroidism nyob ntawm nws qhov ua rau. Qee qhov ua rau ploj mus yam tsis tau kho. Lwm tus, zoo li Graves 'kab mob, mob hnyav dua sijhawm tsis muaj kev kho. Cov teeb meem ntawm kab mob Graves 'tuaj yeem cuam tshuam tau lub neej thiab cuam tshuam rau koj lub neej ntev ntev. Kev paub thaum ntxov thiab kho cov tsos mob ua rau pom kev txhim kho mus ntev.

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