Thyrotoxicosis i hyperthyroidism - mamiriro umo utachiona hwebasa hunovhiringidzika mukuda kwekushanda kwemahydoni yako thyroxine T_4 uye triiodothyronine T_3. Mukusikwa kwemahomoni aya haabatanidzi chete chirwere chetachiona, asiwo chirwere chepituitary, hormone - TSH.
Zviratidzo zve thyrotoxicosis zvingasiyana zvichienderana nekuwanda kwemahomoni aya akawedzerwa. Izvo zvekukosha zvekuti zvakakonzera thyrotoxicosis:
- Nodular goiter - nechirwere ichi pane chirwere chetrosi yakagadzirwa nodhi dzingave dzisina kunaka kana dzakanaka; vanobatwa nechinzvimbo cherapiro kuburikidza nekushandiswa kwemahomoni ekugadzira, uye mumatambudziko akaoma nemaitiro ekuvhiya kana radioactive therapy; hurumende yakagadzika inomuka nekuda kwebasa guru reglandu, uye naizvozvo pakutanga kwezvose kune hyperthyroidism, uye mushure mekurapa - kuderedza basa rayo, hypothyroidism inowanzoratidzwa.
- Kupararira kwehutu goiter ndiyo inonzi "Basedova" chirwere, icho chine chimiro chemotokari; mune autoimmune thyrotoxicosis, utachiona hwehroroid hwakawandisa, nemhaka yehuwandu hwazvo, hunopisa muviri uye hunokonzera thyrotoxicosis; iyi chirwere chinotapira muviri chinogona kuenderera mberi chisingaiti, asi chinotanga, sekutonga, zvishoma, ne thyrotoxicosis.
- Subacute thyroiditis iri kuputika kwehutachiona, iyo inogona kuva nehutachiona hwehutachiona.
- Kuwedzera kwemaawa hormone therapy - kunyanya kudyiwa kwehomoni mumuviri kunogona kutsamwiswa nehutano hwehutachiona hunenge husina kunaka, asi nokudya zvakanyanya kwemadhimoni ane zvinodhaka.
Zviratidzo uye nhamba dzemahomoni ne thyrotoxicosis yehutano hwetachiona
Physicians anosiyanisa maitiro maviri e thyrotoxicosis zvichienderana nemiganhu yehomoni:
- kuratidza thyrotoxicosis inonyatsogadziriswa, iyi ndiyo inonzi "pachena" thyrotoxicosis - nayo iyo yeTSH inoderedzwa, uye mahomoni T_4 uye T_3 akawedzerwa; yakakwirira ingave imwe yehomoni;
- subclinical thyrotoxicosis - pamwe nayo iyo yeTSH inoderedzwa, uye T_4 uye T_3 zvakajairika kana kuderera.
Kupera kwehomoni yepituitary gland kunokonzerwa nekuti muviri uyu unotungamirira kushanda kwetachiona yekirori, kusanganisira, nekubatsira kwaTSH. Uye kana chirwere chepituitary chichiwana ruzivo kuti chirwere chetachiona chinonyanya kushanda, chinoita kuti kuderedzwa kweTSH muropa. Apo pane hypothyroidism , chirwere chepituitary chinopesana, nekubatsirwa kwehuwandu hweTSH, inobatsira pakuita kwayo. Nokudaro, maererano nemahomoni matatu aya, boka re thyrotoxicosis rinotsanangurwa uye kazhinji utachiona hwetachiona hunongororwa.
Apo zvinosvika ku autoimmune thyroiditis, data yehutoni idzi matatu inoda mamwe maviri - AT-TPO uye AT-TG. Iyi kuongororwa kwe antithyroid autoantibodies: AT-TPO - ma antibodies ku thyreperoxidase, AT-TG - maitiro anonzi thyroglobulin. Ne autoimmune thyroiditis, kazhinji kacho kuwedzera kwezvikwangwani izvi kunowanikwa. Antibody indices inobatsira kutsigira hutachiona hwehutachiona husina kunaka. Ne thyrotoxicosis, zviratidzo izvi zvinofanira kuongororwa nguva nenguva kuti zvinzwisise kuti chii chinokonzera kukanganisa kwaH SCH.
Zviratidzo zve thyrotoxicosis
Zviratidzo zve thyrotoxicosis zvinogona kusiyana kwete nekuwedzera uye kuderera muhuwandu hwemhomoni, asiwo zvichienderana nechinokonzera chirwere ichi.
Somuenzaniso, neArtova's disease, zviratidzo zveziso mu thyrotoxicosis zvinonyanya kutaurwa muzvikamu zvekupedzisira: mudzidzi haazvivanze kumashure kwemaziso mumamiriro ehurumende uye kune maziso evanhu.
Nekupararira-toxic goiter uye thyrotoxicosis, kunewo unhu hwe goiter-kuwedzerwa kwehutachiona, iyo inogona kunzwika seganda mukati mehuro mukati mezvikamu zvekutanga, uye iri kuonekwazve kune ziso rakashama sekumusoro.
Thyrotoxicosis muvakadzi inoratidzirwa nezviratidzo zvekuenda kumwedzi - kune kukanganisa, uye kunogona kuva nezvinetso nekuzvitakura.
Nemhaka yekuwedzera kwemasabetism murwere anowana chido chokuramba, asi haatore mafuta-asi zvinopesana, pane kushaya muviri. Kana thyrotoxicosis inowanikwa mukuyaruka, zvino muviri unoumbwa nehutano hwehutano.
Muzhinji, nekuda kwekukurumidza kushandiswa kwemagetsi, hyperthyroidism kune varwere vane hyperthyroidism vane maitiro ekuyaruka, asi izvozvi zviratidzo zvinoratidzika zvakanaka zvinowanzova nemutengo wavo: chokutanga, hazvibviri kushandisa zvakanaka kuwedzera kweuchenjeri nekuda kwekunyanyisa kukuru uye kukurumidza kuneta ; Chechipiri, kukanganiswa kwemukati nguva dzose kunoita kuti munhu asafara uye asingakwanisi kuita zvakanaka, chechitatu, kutyisidzika kwekuremara kwekuremara, uye kurwiswa kwenguva nenguva - kunzwa kwakasimba kwekupisa, kupisa kwakasimba, chirwere, chirwere chepfungwa uye dzimwe nguva - kurasikirwa kwekuziva kunotungamirira kumunhu kuti anomanikidzwa kubvunza pamusoro pekurapa.
Chimwe chinhu chinoshandiswa ne thyrotoxicosis ndechokudengenyeka, kuputika kukuru , manzwiro ekupisa, kutsamwa kwemoyo nokukurumidza uye kuva muimba yakazara kunonetsa. Muchando, varwere vanogona kupfeka nyore, uye vhura mahwindo muimba.
Nemhaka yekuwedzera kwebasa remwoyo, varwere vane thyrotoxicosis vanowanzotumidzwa kudhipatimendi rezvemapurisa, uye kana nyanzvi isingazivi nezvezvinogona kugadzirisa zvirwere zvekuguma uye kugadzirisa mwoyo kana nervous system, haitungamiri kune zvinotarisirwa.
Hormonal shanduko hairatidziri muhupenyu chete, asiwo mumamiriro ekufunga - murwere anotsamwiswa, anokurumidza kutsamwa, kuchema uye mukukurukurirana zvakafanana sezvo kukura kwe thyrotoxicosis kunoramba kusingagumiki. Ichi hachisi chiratidzo chemunhu akaipa - mushure mekubhadharwa kwehomoni, unhu hwake huchava hwakafanana.