Subacute thyroiditis - Iimpawu, Treatment

De Kervina thyroiditis sisifo yokukrala le ndlala lengqula. I-umyalezo we viral kukrokrelwa, wafundela de embi. Mhlawumbi ngenxa sub-etsolo, etsolo, ezinganyangekiyo, relapsing. Iimeko ezininzi rhoqo kwesi sifo kwi span iminyaka engama-20 ukuya kwengama-50 kwabasetyhini kwenzeka rhoqo. Kuba zonke iimeko ezirekhodiweyo 20 akhawunti sifo thyroiditis kuphela subacute thyroiditis enye. Ukuba uya kuqwalaselwa kwinqaku.

thyroiditis Subacute. oonobangela

Sizoku lwisana kwezifo wentsholongwane egazini okanye emva kwabo. Ngokutsho uphando, esi sifo kaninzi kwenzeka emva kokuba bosulelwe Coxsackie yintsholongwane, adenovirus, uqilikwane bhubhane, iintsholongwane influenza.

Thyroiditis. iimpawu

Le ingase iqale etsolo: umkhuhlane; nobuhlungu entanyeni (yokuginya ziyanyuswa, ingqiqo nendlebe); intlungu umhlathi asezantsi; yokuswela amandla, umkhuhlane.

Noko ke, amaxesha amaninzi ekuqaleni nje kancinane: oluthile lula, entsimini yendlala ukungakhululeki, abe nazo olungephi xa ukuginya. Xa uzama zithambekele okanye vula intlungu yakho intloko. Intlungu angavela ngexesha ukuhlafuna. Isabelo esinobubovu lengqula kunye nokunyuka kwi Ngokucofa lubuhlungu. iindawo nkovu idla ngokuba akukho tshintsho (akukho ukwanda). Ukususela icala yamehlo, isikhumba, ukusebenza akukho iimpawu zentliziyo. izikhalazo Nomonde zibhekiswe ikakhulu ukubila, sokulibala, iintlungu kwamalunga. Xa isifo lifinyele isizukulwana TSH - hormone eshukumisa ndlala lengqula. Isifo elinokuthatha ukuya kuma kwiinyanga ezintandathu.

thyroiditis Subacute. unyango

Unyango imithi subacute thyroiditis. Le hormone glucocorticoid eyenziweyo (dexamethasone, prednisolone, metipred, kenakort) zisetyenziswa ikakhulu. Xa karhulumente uqala bunjani, amadlala ithamo ebegqwese lifinyele.

Ngelo lokuqala unyango kufana nomqondiso. aspirin eyabelwe (intlungu nikunqena 600 mg qho kwiiyure 3.5) okanye prednisone (10-20 mg kabini ngosuku). Iintlungu kuyehla emva kulawulo iziyobisi kuqala. Ukuba isiphumo iintlungu lungenzeki, uxilongo ethandabuza. Emva kweveki ye ithamo yokufakwa lifinyele zonke iintsuku ezimbini ngo-5 mg. Ubude unyango amiselwe ngugqirha. Enoba kunjalo, kufuneka ukuba ibe ngaphezu kwenyanga. Ukuba, emva kokuba ukurhoxiswa ukunyuka intlungu kweziyobisi kwakhona, ithamo uyandiswa ze esehlisa kwakhona. Ukuze ukuphelisa iimpawu hyperthyroidism, ukuze yabelwe propranolol (ukuya izihlandlo ezine ngosuku ku-40 mg). Kulo mzekelo, iiarhente antithyroid azisetyenziswa.

Subacute thyroiditis sihambisane hypothyroid uqobo awutsali ngaphezu kweenyanga ezintathu. Ibonisa therapy replacement (levothyroxine, 0,10 mg, kanye ngemini eyaneleyo).

Ukusetyenziswa kweziyobisi hormone mayingagqithi iinyanga ezimbini. isifo kwemiphunga evumela ukusetyenziswa unyango mabangapheleli Brufen (okanye Voltaren), Indomethacin kunye aspirin. Chance ethi thyrotoxicosis. Kulo mzekelo kufuneka yabelwe beta-blocker. Kuba unyango antibiotics thyroiditis subacute nje abelwe. Ngaphezu koko, ukuba contraindicated, ekubeni kunokukhokelela ukwehla kwi imeko yesigulane.

I-ALS ulungile. Esi sifo ngokulula zifo. Ngaphezu koko, ukuba nokunyanga ngendlela ngexesha, kwiinyanga ezintathu (okanye nangaphambi) kukho bachache ngokupheleleyo. Noko ke, ukuba esi sifo ngoyaba nokuthuthwa unyango, kuya kuthatha ixesha elide (ukuya kwiminyaka emibini) kwaye zikhule kakuhle kwenye ifomu ezingapheliyo kunye iingxaki.

ukungaphili

Ukwenziwa ithumba kwi nobubovu lengqula, ekwaziyo ligqobha indlu. Xa ukuginyile, ayajika kungena kwisithuba pericardial; Oko kungonakalisa imithambo yegazi; ukuqaliswa ekusulelekeni nezihlunu ingqondo; kuphuhliso nokudumba.