Nengxaki Thyrotoxic: oonobangela, iimpawu, ukhathalelo olungxamisekileyo unyango

iingxaki zempilo ezimandundu kuqala izifo ilungu elincinane entanyeni. Thymus izifo ezingapheliyo kukhokelela ekwandeni le ndlala lengqula. Isigaba yokugqibela iingxaki ngokubizwa ngokuba tireotoksicski ntlekele. Ekubeni ingxaki enjalo ngenxa iimpawu zonyango zibe yingozi ngo-20% yamatyala. Ngelo xesha ukwenza izinto zale imeko eyingozi isigulana kufuna uncedo olungxamisekileyo kweliso lomgadi ngabasebenzi zonyango.

Ubunzima ezingapheliyo izifo zomzimba

Xa abantu, kukho umoya obomeleleyo imvakalelo, negazi, kuba nzima ukuba imginye - ngayo kwingxaki thyrotoxic. Ukungxamiseka ingxaki lusekho nanamhlanje: indlela ukusebenza konyango lwe esinobubovu lengqula ayifaneleki. Emva ukususwa umzimba zenzeka iingxaki ezifuna amayeza rhoqo ubomi.

Asingabo bonke oogqirha Siyaleza ukubhenela kokususa le nobubovu lengqula, yaye bambalwa iingcali bayakwazi ukwenza umsebenzi onjalo. A lungu encinane yinxalenye yenkqubo emithanjeni umzimba. Xa ususa i ikhonkco kwekhonkco iinkqubo ezintsonkothileyo, usulelo uyakwazi zingene ngokukhululekileyo emiphungeni, bronchi, isisu.

A kubonakaliswa eqhelekileyo yeengxaki xa umntu ndlala ekude i isilonda esiswini. Ukuqeshwa iipilisi kunye namanye amayeza bengenako zilibuyise umsebenzi iziko elahlekileyo. Izigulane abanezifo ezingapheliyo basengozini ukufumana kwingxaki thyrotoxic. Xa ezikhoyo sifuze yento ephilayo kwezihlunu nokudumba izigulane indawo goiter kunye nezalamane bayakhuthazwa ukuba ngokutsha imigaqo uncedo lokuqala ngexesha iimeko zonyango.

kwiingxaki zokufumana indlela

nengxaki Thyrotoxic uba ngenxa yobunzima ezahlukeneyo emzimbeni:

1. neziphumo Drug kwiiseli ndlala.
2. amasebe Surgery entanyeni.
3. ukukhanya zokwalana akholisa ukubakho entlakohlaza nasekwindla.
4. Izifo yenkqubo emithanjeni.
5. iimeko Acute okubangelwa ukuphazamiseka kwenkqubo luvo. Ezi izenzo ntshikilelo. uxinzelelo Ukusoloko kukhokelela iintsilelo emzimbeni, le ukunyuka lengqula kwidlala ubukhulu.
6. Osulelo: iintsholongwane, gazi.
7. Laqhekeza Iziphumo lomqolo wesibeleko.
8. Amaxesha amaninzi asiphumi kwenzeka kwabasetyhini ngexesha lokukhulelwa ngenxa yetyhefu.
9. ukurhoxiswa ngokukhawuleza unyango ngamachiza antithyroid eyenzelwe zinqanda biosynthesis of hormone.

Oyena nobangela yeentlekele uba ukunqongophala iodine emzimbeni. Ukwandisa umzimba zingenzeka kwi esebenzayo ngexesha ukuyilwa yethishyu nokuqina. Pathology kuvela emva kophulwa umthetho protein yokucolwa emzimbeni womntu.

Iimpawu kwiimeko clinical

Ukuba Ndaba nokubonakala ukonakala zempilo imithwalo eliphantsi, kunokuba kwingxaki thyrotoxic. Iimpawu ziqala ukubonisa ngokwayo ngokucacileyo emva iziyobisi iodine okanye ihomoni. Ikheswa iimpawu eziphambili emva koko kufuneka ngokukhawuleza makancinwe i endocrinologist. Ukuba kubonakele iimpawu ngaphezulu ezintathu, ungenza iqalise ubukho iingxaki - ntlekele thyrotoxic.

Iimpawu, leyo ngokuzimeleyo ukuhlola inkqubela sifo:

1. kwenzeka ekuqaleni impilo Ukunciphisa kuthelekiswa imeko sangaphambili eziphilayo.
2. ukubetha liphuma rhoqo ngaphaya ibetha 100 ngomzuzu.
3. Kukho uvalo, ukukruquka kubangelwe zonke iinkcukacha.
4. Gqibezela umfanekiso ukwanda koxinzelelo.
5. fever ukuncipha izidanga ngaphezulu kwama-3.
6. Kuyabonakala nesiyezi, isicaphucaphu, ukugabha.
7. Le ukuphazamiseka kwenkqubo yokwetyisa.
8. izinga wankqonkqoza zemiphunga.

Inkqubo phambi ambulensi

Ukuba uza thyrotoxic ntlekele, zoncedo kufuneka ulandele ngoko nangoko. ukufa kunokwenzeka ngaphandle ekunikeleni iintshukumo eziququzelela ioksijini emiphungeni kunye block ngaphandle iinkqubo ebalulekileyo metabolic. isaziso elandulelayo instants Desirably, ezo imithombo imandundu zempilo.

Womvalela isiganeko engundoqo xa kuvela iingxaki:

• Tsalela uncedo olungxamisekileyo.
• Beka isigulana emqolo, ubeke umqamelo phantsi entanyeni.
• Igumbi ukuvaleka ufuna ukuvula ifestile, kunokuba lula umoya amatsha emiphungeni yesigulana.
• De kufike ugqirha kubhekwe imo yabo: umlinganiselo ukubetha, uxinzelelo lwegazi, lobushushu. Fixed iimeko zangaphandle: ukufuma ulusu, ubuso blanching.
• survey isigulane inceda ukuseka ixesha imandundu yempilo. Kodwa umntu uhlala abazi xa tireotoksicheskom Stroke.

Indlela lula yomguli ezizezabo-ntle?

Isigaba zale sifo kunye disorder umsebenzi kwezintso. Ngakho imithi azipilisi ingamampunge. Ichiza ilawulwa yegazi okanye ngenaliti intramuscular ngugqirha okanye lweengcali onamava. Ekhaya, abafane babe nethuba, sebenzisa izakhono zabo kuncedo olusisiseko kumaxhoba.

Yindlela esiwaphawula ngayo imisebenzi engundoqo imeko ukuzinza:

• Ukuba iqondo lobushushu emzimbeni iphezulu kakhulu, nto leyo sivame ngexesha lentlekele, lo abanaluncedo Ukupholisa umzimba. Oku lingancipha nethe, abathintela impembelelo embi hormone. Isigulane yabekwa emanzini epholileyo. Ngenxa yokungabikho enjalo ukususa zonke iimpahla zakho. Isixhobo esisesinye ngobuwena uba ngolu hlobo lulandelayo: qhoboshela usonga ezininzi kumalungu omzimba ezahlukeneyo. Oku kunciphisa lobushushu ngokukhuhla izisombululo utywala.
• Kuba abantu babukela phambi ambulensi. Ulwimi nga wayetshona kwingqula, ebangela ukutsarhwa.
• Nceda ukuba asele izinto ezingamanzi kangangoko ecacileyo ukuze aphephe ukomisa yenzekile.

Yintoni kuliwa, oogqirha?

Ukuba uza thyrotoxic ntlekele, unonophelo etsolo ibandakanya ulawulo iziyobisi ukunciphisa ifuthe hormone. Ezi zinto ke ngenkuthalo eveliswe ndlala ndlala waphula umthetho umsebenzi yomzimba. Iziphumo zonyango iba ukwehliswa serum zabo.

kubonakaliswa lwangaphandle sifo iba goiter ehlasela ityhefu. Ukuze ufumane inkcazelo engakumbi malunga isimo umzimba ukunika iziphumo zophando ngumntu electrocardiogram. Beka ecaleni:

• fibrillation atrial;
• sinus tachycardia;
• ukuphazamiseka Uhanjiso intraventricular;
• uvelichienie QRS ezintsonkothileyo T wave awo

amalungiselelo

Treatment thyrotoxic nengxaki kuyimfuneko ngaso nasiphi na isizathu le engaginyisi mathe. Ezi ndidi zilandelayo lwamayeza:

• "Merkazolil" zenyuse ithamo ml 100.
• Bafake isisombululo sodium iodide.
• indlela Oral ukunika isisombululo "Lugol" ngomlinganiselo ngamathontsi-30 ngosuku.
• iziphumo ezilungileyo waphawula emva isitofu "kontrikala".
• Ingqamana dropper evela izisombululo: 5% iswekile, sodium chloride, albumin. Ifakiwe iivithamini B1, B2, nicotinamide.

Amayeza sokubuyisa ixesha ekuphulukenwe bachitha iiveki ezimbini emva kokuba ithi ezibalulekileyo. Esasifudula thyreostatics kuphela emva kweentsuku ngaphezu ezimbini emiselweyo izinto ayodini-equlethe.

Indlela yokukhusela isifo?

Qhuba amanyathelo othintelo ukuphelisa le engaginyisi mathe emzimbeni - crisis thyrotoxic. uncedo likaxakeka, algorithm ngokucacileyo kule ncwadana yabasebenzi ambulensi iza kuba ngaphantsi buhlungu, akayi kuvela iziphumo vuhlayiseki. Ngoko ke, lo unyango lwenziwa phambi utyando kubantu abane hyperthyroidism. amalungiselelo Antithyroid izenzo ekhethiweyo emiselweyo izinto ayodini-equlethe.

Yilwa ne hyperthyroidism yenza umlinganiselo lokuthintela States ezibalulekileyo. Oogqirha waphawula ukwanda kwesifo phakathi kwabafazi. Crisis kumntu wesini siethe livela kaninzi izihlandlo 9 kunamadoda. iingxaki Long-term kunokwenzeka nakweliphi na ubudala phantsi kwempembelelo yeemeko ezithile.