Hyperthyroidism lossis thyrotoxicosis yog ib qho kev soj ntsuam ntawm qhov ua rau ntawm cov thyroid caj pas thiab cov khoom siv ntau ntawm hormone T3 (thyroxine) thiab T4 (triiodothyronine). Vim lub fact tias cov ntshav yog supersaturated nrog cov thyroid hormones, metabolic xyum hauv lub cev yog accelerated.
Hom thiab cov cim qhia ntawm hyperthyroidism
Tias yam tshuaj hyperthyroidism (nrog cuam tshuam ntawm cov thyroid caj pas), theem nrab (txuam nrog cov kev hloov pauv hauv pituitary caj pas) thiab tertiary (tshwm sim los ntawm lub siab ntawm cov hypothalamus).
Cov tsos mob ntawm hyperthyroidism , uas feem ntau tshwm sim rau cov poj niam ntawm cov me nyuam hluas, tsis yog hais. Cov neeg mob tau pom:
- Kev mob ntsws CNS (kev nyuaj siab, kev tsiv siab thiab kev thuam, kev tawm tsam kev ntshai, kev hais lus yoojyim, kev xav tsis zoo ntawm kev xav, kev ntsuas me me);
- cov kab mob ntawm cov hlab plawv (cov kab mob plawv tachycardia, flutter thiab atrial fibrillation, sai mem tes, nce siab (systolic) BP nrog txo diastolic, lub plawv tsis ua hauj lwm);
- tsis pom kev (rau 45% ntawm cov neeg mob muaj qhov nce ntawm qhov muag qhov sib txawv, tsis pub muaj qhov muag ntawm qhov ntsej muag thiab nws txoj kev tawm mus, ib qho yooj yim flashing, qhov muag liab, ob qhov khoom, qhov muag ntawm qhov muag, tearing);
- metabolic ntshawv siab (nyob rau hauv cov neeg mob, poob phaus, tab sis qhov qab los noj mov zoo, muaj kev tawm hws, tshav kub tsis sov).
Hyperthyroidism ntawm cov thyroid caj pas yog cov tsos mob xws li:
- thinning ntawm daim tawv nqaij thiab plaub hau;
- o ntawm cov nqaij mos ntawm qis ceg;
- kev loj hlob ntawm dyspnea;
- teeb meem nyob rau hauv nce toj stairs, taug kev ntev, nqa load;
- muaj zog nqhis dej rau kev tso zis.
Kev kuaj thiab kho cov hyperthyroidism hauv cov poj niam
Thaum kuaj pom, cov ntsiab lus ntawm cov tshuaj hormones T 3 thiab T 4 (saum tus txheej txheem) thiab thyroid hormone (TSH - qis dua qhov kev ntsuas) raug soj ntsuam. Los txiav txim siab seb qhov loj ntawm cov thyroid caj pas thiab qhia cov ntshav siv ultrasound. Localization ntawm nodal tsim yog txiav txim tau los ntawm kev siv cov tomography. Functionality ntawm cov thyroid caj pas yog siv cov xov tooj cua tsom xam cov duab scintigraphy.
Rau kev kho mob hyperthyroidism , kev kho cov kev kho kom zoo yog siv (kev saib xyuas cov tshuaj hormones yog nrog kev pab los ntawm cov tshuaj), tshem tawm cov qog ntawm cov thyroid caj pas los yog ib feem ntawm nws, thiab kev kho mob hauv radioiodine.