Crisis thyrotoxic: zvinokonzera, zviratidzo, kurapwa nokukurumidza uye kurapwa

Zvinetso zvehutano zvakanyanya zvinotanga nezvirwere zvechikamu chiduku mumutsipa. Mazuva ano zvirwere zvisingaperi zvinokonzera kuwedzera muhutano hwetachiona. Nzvimbo yakanyanyisa yezvinetso inotumidzwa sematambudziko ako. Nekugadzirisa uku, chigumisiro chezviratidzo zvemakiriniki chigumisiro chinouraya mu20% emhosva. Panguva yekuratidzwa kwakanyanya kwemamiriro ezvinhu ane ngozi, murwere anoda rubatsiro rwekukurumidza uye kutarisirwa nguva dzose nevashandi vezvoutano.

Matambudziko mukurapa zvirwere zvisingagumi zvechirwere

Pamunhu pane kusimba kwakasimba kubva pamakwikwi, kugadziriswa kwezvinhu zvose, zvakaoma kumedza-zvinogona kuva dambudziko re thyrotoxic. Iko kukurumidza kwechinetso ichiripo kusvikira nhasi: nzira yekushanda yekurapa chirwere chetachiona hachina kukodzera. Mushure mokubviswa kwechirongwa, zvinetso zvinomuka zvinoda kurapwa kwemazuva ose kwehupenyu hwako.

Haasi vose vanachiremba vanokurudzira kushandura kubvongodzwa kubviswa kwetachiona, uye vashoma vadzidzisi vanogona kuitisa basa rakadaro. Chikamu chiduku chikamu chemuviri wecymphatic system. Kana ukabvisa chibatanidza kubva paketani yezvinetso zvakakomba, utachiona huchakwanisa kupindira usina kuiswa mumapapu, bronchi, uye mudumbu.

Chimiro chekuratidzwa kwezvinetso mumunhu ane gorosi yakanyanya kurega chironda chemudumbu. Kugadzwa kwemapiritsi nemimwe mishonga haikwanise kuita kuti kurasikirwa kwechirongwa ichive. Varwere vane zvirwere zvisingaperi vanopinda mungozi yokuwana dambudziko renyu. Nezvakaitika kare zviripo zvemuviri kusvika kune edema yemasukisi e-goiter, varwere uye vanhu vepedyo vanokurudzirwa kuti vazvizive ivo nemitemo yekubatsira kwekutanga panguva yemakiriniki.

Nzira dzekuwana zvinetso

Dambudziko rerorotoxic ndiro chikonzero chezvipingamupinyi zvakasiyana-siyana mumuviri:

1. Mishonga inoguma pamasero ehutachiona.
2. Kupindira kwokupindira mumutsipa.
3. Allergic inopuka, iyo inowanzowanzoitika mukati megore nekuvhuvhu.
4. Zvirwere zve lymphatic system.
5. Mamiriro ezvinhu akaoma anokonzerwa nechirwere chepakati remagetsi. Kune izvozvi kuratidzirwa zvinonetsa. Mhepo inoramba iripo inotungamirira kumatambudziko mumutumbi, chirwere chetachiona chinowedzera mukukura.
6. Kurwara ne: mavairasi, zvipembenene.
7. Migumisiro inoshungurudza yemudhipatimendi wechibereki.
8. Kazhinji, dambudziko rinowanikwa kuvakadzi panguva yekuzvitakura nekuda kwe toxicosis.
9. Sharp kurega kurapwa nemishonga inotapira mishonga yakagadzirirwa kuvhara biosynthesis yehomoni yekemikari.

Chinonyanya kukonzera dambudziko ndechokushayikwa kweododhi mumuviri. Kuwedzerwa kwomuviri kunogona kuitika nekushanda kwekugadzirisa kwekugadzirisa mishonga. Pathology inoitika mushure mekutyora kweproteine metabolism mumuviri womunhu.

Kunze kwekunze mumakirini epakiriniki

Kana paine kuwedzera kwehupenyu huri pasi, zvinogona kuva dambudziko re thyrotoxic. Zviratidzo zvechirwere zvinotanga kuzviratidza pachavo mushure mekutora mishonga yemayodini kana mahomoni e thyroid. Tichaparadzanisa zviratidzo zvikuru, mushure mokunge zvakakosha kuongororwa nekukurumidza ne "endocrinologist". Kana pane zviratidzo zvinopfuura zvitatu zvakaonekwa, zvino munhu anogona kufunga kuti kune chinetso - dambudziko re thyrotoxic.

Zviratidzo zvekunze, izvo iwe unogona kuzvidzivirira pachako nekuvandudzwa kwechirwere ichi:

1. Kupera kwehupenyu hunoitika pakutanga, pakuenzanisa nehutambo hwekare hwehupenyu.
2. Kazhinji inowedzera kupisa, kudarika zvinokwana 100 paminiti.
3. Kune kuwedzerwa kwekuwedzera, kutsamwa kunoitika nekuda kwezvinhu zvishoma.
4. Mufananidzo wacho unowedzera kuwedzererwa.
5. Kuwedzera kusinganzwisisiki kwekushisa kwemuviri kunopfuura 3 degrees.
6. Kune chizoro, kusuruvara, kurutsa.
7. Digestive system disorder.
8. Akashandura kufema kupera.

Maitiro asati asvika

Kana pane dambudziko re thyrotoxic, rubatsiro runofanira kuteverwa pakarepo. Chigumisiro chinouraya chinokwanisika kunze kwekugoverwa kwezviito zvekutanga kutanga kuita kupinda kweiokisi mumapapu uye kusabvisa kuvhara kwezvinhu zvinokosha zvinokonzerwa nemagetsi. Zvinoda kuziva nguva yapfuura, izvo zvinokonzera kuora kwehupenyu.

Tichajekesa matanho makuru kana zviitiko zvikaitika:

• Dana kuti ubatsirwe nokukurumidza.
• Isa murwere pamusana wake, kuisa mupumburu pasi pemutsipa wake.
• Munzvimbo yakazara, unoda kuzarura mahwindo, pane kuita kuti kubuda kwemweya mutsva mumapapu emurwere.
• Usati wasvika vanachiremba, unogona kuzviongorora uchizvimiririra: kuyera kupisa, kushanda, kutonhora. Gadzira kunze kwemamiriro ezvinhu: ganda unyoro, blanching of the face.
• Kuongororwa kwemurwere kunobatsira kusimbisa nguva yekuderera kwehutano hwehutano. Asi munhu wacho anoramba achiziva pane dambudziko rako.

Ndingaita sei kuti ndisunungure utano hwomurwere?

Chikamu chakaoma chechirwere chinosangana nechirwere chetsvo. Nokudaro, kupa mishonga mumamapiritsi hauna maturo. Mishonga iyi inotarisirwa mukati-kati kana kuti kusingagumi sezvinorayirwa nachiremba kana unyanzvi ane ruzivo. Pamba, kazhinji hazvibviri, vanoshandisa unyanzvi hwavo pachavo rubatsiro rwekutanga kune avo vanotambura.

Ngatitoresei matanho makuru ekusimudzira nyika:

• Kana kutonhora kwemuviri kwakanyanya kwazvo, iyo inowanzoonekwa panguva yematambudziko, zvino enda kunotonhora muviri. Izvi zvinononoka matanho emagetsi, kudzivirira zvinokuvadza zvinokonzera mahomoni. Murwere anoiswa mubhati rinotonhorera. Kana kusina zvakadaro, zvipfeko zvose zvinobviswa. Izvo zvinoshandiswa ndezvekushandisa zvinyorwa zvakawanda kumativi akasiyana emuviri. Inoderedza kutonhora kwekubvisa doro remagetsi.
• Murume wacho anotariswa asati ambulensi isvika. Rurimi runogona kudonha mumarara, izvo zvinokonzera kusuruvara.
• Batsira kunwa mvura yakawanda yakakwana sezvinobvira kuitira kuti kuora muviri kwomuviri kusaitike.

Ndezvipi zviito zvinoitwa nevarapi?

Kana pane dambudziko re thyrotoxic, kuchengetedzwa kwekukurumidzira kunosanganisira kutungamirirwa kwezvinodhaka zvinoderedza kushanda kwehomoni yehomoni. Zvinhu izvi zvinoshandiswa zvizere nehutachiona gland mukuputsa muviri. Chigumisiro chekurapa ndiko kuderera kwezvakagadzirwa muropa serum.

Kunze kwekunze kwechirwere kunoparadzanisa chepfu goiter. Zvimwe zvinowanikwa pamusoro penyika yemuviri zvinopa migumisiro yekuongorora kweEECG. Kukanganisa kwakaiswa:

• Atrial fibrillation;
• Sinus tachycardia;
• Kuita zvechisimba kwepraventricular conduction;
• Kuwedzera kwehupamhi hwemazino eQRS neT. complex.

Kugadzirira

Kurapa kwedambudziko rako kunokosha kune chero chikonzero chekuitika kwechiitiko chakaoma. Mhando dzemhando dzinotevera dzinoshandiswa:

• "Mercazolil" inotarisirwa intravenously neyero ye 100 ml.
• Mhinduro ye sodium iodide inotangwa.
• Muchirevo, shandisa mhinduro ye "Lugol" kubva pakuverengwa kwemasoro makumi matatu pazuva.
• Migumisiro yakanaka inozivikanwa mushure mejojo ye "Contrikal."
• Dorosi inoshandiswa kubva kune mhinduro: 5% glucose, sodium chloride, albumin. Wedzera mavitamini B1, B2, nicotinamide.

Nguva yekudzorera yemishonga inoitwa kwevhiki mbiri kana mushure mamiriro ezvinhu akaoma. Pakutanga wakashandisa thyreostatic zvinodhaka, mushure mekunge mazuva anopfuura maviri akagadza iodine-ine zvinhu.

Nzira yekudzivirira sei chirwere?

Ita zvirongwa zvekudzivirira kuti urege kubvisa hurumende huripo - dambudziko rako. Emergency care, iyo algorithm iyo inonyatsorongedzerwa mumirairo yevashandi veku ambulensi, ichange ichinetseka zvikuru, kuchava nemigumisiro isingagadziriswi. Nokudaro, kurapwa kunoitwa vasati vavhiyiwa kuvanhu vane utachiona hwehutano. Mishonga iyi inosarudzwa antithyroid effect, ipai iodine-ine zvinhu.

Kurwisana ne hyperthyroidism inzira yekudzivirira mamiriro ezvinhu akaoma. Vanachiremba vakaona kupararira kwechirwere pakati pevakadzi. Dambudziko pamusana pekurara pabonde rinowanikwa kanomwe kazhinji kakawanda kupfuura mune varume. Kushanda kwenguva refu kunogona kuitika munenge makore ose pasi pesimba rezvimwe zvinhu.