Hyperthyroidism

Hyperthyroidism

THEhyperthyroidism na-egosi abnormally elu mmepụta nkehormones site na gland thyroid, akụkụ ahụ yiri urukurubụba nke dị n'okpuru olu, n'okpuru apụl Adam (lee eserese). Ọ bụghị a ọzịza thyroid, dị ka a na-eche mgbe ụfọdụ.

Ọrịa a na-amalitekarị na ndị okenye nọ n'agbata afọ 20 na 40. Otú ọ dị, ọ nwere ike ime n'afọ ọ bụla, a na-ahụkwa ya na ụmụaka na ndị agadi. Ọ dị obere karịa hypothyroidism.

Mmetụta nke gland thyroid na ahu bụ isi: ya isi ọrụ bụ ịchịkwa metabolism nke mkpụrụ ndụ nke ahụ anyị. Ya mere ọ na-ekpebi ọsọ nke "engine" nke mkpụrụ ndụ anyị na akụkụ ahụ na ọnụego nke "mmanụ" a ga-eji: lipids (abụba), protein na carbohydrates (sugars). N'ime ndị mmadụ hyperthyroidism, engine na-agba ọsọ na accelerated mode. Ha nwere ike na-eche ụjọ, na-enwe mmegharị ahụ ugboro ugboro, maa jijiji ma felata ibu, dịka ọmụmaatụ.

Mgbanwe metabolism

N'oge ezumike, ahụ na-eri ike iji mee ka ọrụ ya dị mkpa na-arụ ọrụ: mgbasa ọbara, ọrụ ụbụrụ, iku ume, mgbaze, ịnọgide na-enwe okpomọkụ ahụ, wdg. A na-akpọ nke a basal metabolism, nke hormones thyroid na-achịkwa. Ọnụ ego a na-etinye na-adịgasị iche site n'otu onye gaa na onye ọzọ, dabere na nha, ịdị arọ, afọ, mmekọahụ na ọrụ nke onye ahụ. thyroid gland.

Eme

Isi ihe kpatara ya

  • Ọrịa ili (ma ọ bụ site na Graves). Ọ bụ ihe na-akpatakarị hyperthyroidism (ihe dịka 90% nke ikpe7). Nke a bụ ọrịa autoimmune: ọgwụ mgbochi ọrịa na-akpali thyroid karịa imepụta homonụ. Ọrịa ahụ na-awakpokwa anụ ahụ ndị ọzọ mgbe ụfọdụ, dị ka anya. Ọrịa a na-emetụta ihe dịka 1% nke ndị bi na Canada7.
  • Ọkpụkpụ thyroid. Nodules bụ obere igwe na-etolite na gland thyroid, naanị ya ma ọ bụ n'ìgwè (lee mpempe akwụkwọ Thyroid Nodule anyị). Ọ bụghị nodules niile na-emepụta homonụ, mana ndị na-eme (nke a na-akpọ "egbu egbu") nwere ike ibute hyperthyroidism.
  • thyroiditis. Ọ bụrụ na mbufụt na-emetụta thyroid, ọ pụkwara ịkpata oke homonụ thyroid n'ime ọbara. Ọtụtụ mgbe, a maghị ihe kpatara mbufụt. Ọ nwere ike na-efe efe na ọdịdị ma ọ bụ mee mgbe ime ime. Ọtụtụ mgbe, thyroiditis na-akpata hyperthyroidism dị mkpụmkpụ, na thyroid na-alaghachi n'ọrụ nkịtị mgbe ọnwa ole na ole gasịrị, na-enweghị enyemaka. Ọgwụ nwere ike inye aka belata mgbaàmà mgbe ị na-eche ka ọrịa ahụ gafere. Thyroiditis na-aga n'ihu hypothyroidism na-adịgide adịgide n'ihe dịka 1 n'ime ikpe iri.

Rịba ama. ụfọdụ ọgwụ, dị ka ndị bara ọgaranya ayodiin, nwere ike ibute hyperthyroidism nwa oge. Nke a bụ ikpe, dịka ọmụmaatụ, na amiodarone, nke edepụtara n'ọnọdụ ụfọdụ nke arrhythmia nke obi, yana ihe dị iche iche nke iodinated na-agbanye mgbe ụfọdụ n'oge nyocha redio.

Enwere ike nsogbu

Thehyperthyroidism na-akpata a accelerated metabolism, Ya mere ụbara mmefu nke ike. N'ime ogologo oge, hyperthyroidism na-adịghị agwọ ọrịa na-abawanye ohere nke ịmalite ọkpụkpụ ọkpụkpụ n'ihi na ọ na-emetụta absorption nke calcium site na ọkpụkpụ. Ihe ize ndụ nke ịmepụta ụdị obi arrhythmia a na-akpọ atrial fibrillation na-abawanye.

Nnukwu hyperthyroidism na-agwọghị ya nwere ike ibute ya nsogbu nke thyreotoxic. N'oge ọgụ dị otú ahụ, ihe ịrịba ama niile nke hyperthyroidism na-agbakọta ọnụ ma gosipụta ya n'ogo kachasị elu, nke nwere ike ịkpata nsogbu siri ike, dịka nkụda obi ma ọ bụ coma. Onye ahụ gbagwojuru anya na ọgbaghara. Ọnọdụ a chọrọ nlekọta ahụike ngwa ngwa.

diagnostic

The ihe mgbaàmà hyperthyroidism nwere ike ịbụ aghụghọ, karịsịa na ndị agadi. Naanị onye nyocha ọbara (lee igbe dị n'okpuru) igosi ma mbelata nke ọkwa hormone TSH na mmụba nke ọkwa hormone thyroid (T4 na T3) ga-akwado nchoputa ahụ. Mmalite nke mgbaàmà ndị e depụtara n'okpuru kwesịrị ịkpali gị ịchọ nlekọta ahụike iji nweta nchoputa doro anya.

 

TSH, thyroid hormones T3 na T4 na Co

Ndị isi 2 hormones zoro ezo site na thyroid Nke a bụ T3 (triiodothyronine) na T4 (tetra-iodothyronine ma ọ bụ thyroxine). Abụọ na-agụnye okwu "iodo" n'ihi naayodiin dị mkpa maka mmepụta ha. Ọnụ ego nke homonụ na-adabere na glands ndị ọzọ. Ọ bụ hypothalamus na-achịkwa gland pituitary iji mepụta hormone TSH (maka hormone na-akpali akpali nke thyroid). N'aka nke ya, hormone TSH na-eme ka thyroid emepụta hormones ya.

Ị nwere ike ịchọpụta gland thyroid na-adịghị arụ ọrụ ma ọ bụ nke na-arụ ọrụ nke ọma site n'ịtụ ọkwa TSH n'ime ọbara. Ọ bụrụ na'hypothyroidism, ọkwa TSH dị elu n'ihi na pituitary gland na-anabata enweghị homonụ thyroid (T4 na T3) site na izobe TSH ọzọ. N'ụzọ dị otú a, pituitary gland na-agbalị ime ka thyroid emepụta ọtụtụ hormones. N'ọnọdụ nkehyperthyroidism (mgbe enwere oke homonụ thyroid) nke a na-eme: ọkwa TSH dị ala n'ihi na pituitary gland na-aghọta oke homonụ thyroid n'ime ọbara wee kwụsị ịkpali thyroid gland. Ọbụna na mmalite nke nsogbu thyroid, ọkwa TSH na-abụkarị ihe na-adịghị mma.

 

 

Nkume a-aza