Subacute thyroiditis - Zviratidzo, Treatment

De Kervina thyroiditis chinhu anogumbura chirwere ari thyroid shwanu. The etiology pamusoro vanofungidzirwa nemavhairasi, akadzidza kusvikira zvakaipa. Zvichida nokuti Sub-chenjera, chenjera, chirwere, relapsing. The kupfuura kakawanda kacho chirwere munguva hwoupenyu kubva 20 kusvika 50 makore vakadzi kunoitika kakawanda. Nokuti ose 20 akanyorwa zviitiko thyroiditis chirwere Nhoroondo imwe chete subacute thyroiditis. Kuti iye ichakurukurwa munyaya.

Subacute thyroiditis. zvinokonzera

Muchirwisa colour kubva nemavhairasi zvirwere kana shure. Maererano nokutsvakurudza, chirwere kazhinji kunoitika pashure chirwere pamwe Coxsackie hutachiwana, adenovirus, mumps denda, yokuSpain wanda.

Thyroiditis. zviratidzo

Zvinogona kungoitika chakasimba: fivhiri; marwadzo mutsipa (pakuparadza yakakura, ichibereka munzeve); kurwadziwa yepazasi rushaya; simba uye zvakawanda zvive.

Zvisinei, kazhinji kutanga zvishoma nezvishoma; zvakawanda zvive nyore, mune thyroid kusanzwa, zvishomanana kusagadzikana kana pakuparadza. Kana kuedza kuteura kana mufunge marwadzo musoro. Kurwadziwa kunogona kuonekwa munguva kutsenga. Mugove thyroid shwanu uye kunowedzera ari palpation kunorwadza. kazhinji node nodes hazvina kuchinja (pasina kuwedzera). Kubva kurutivi meso, ganda, kushanda hapana zviratidzo mwoyo. Patient zvichemo kunanga panguva vangadikitira, kushaya hope, marwadzo majoini. Kana chirwere ipfupi chizvarwa TSH - hormone kuti zvinoita thyroid shwanu. The chirwere hunogara kusvika mwedzi mitanhatu.

Subacute thyroiditis. mabatiro

Mabatirwo mishonga subacute thyroiditis. The chakaita zvokugadzirwa glucocorticoid mahormone (dexamethasone, prednisolone, metipred, kenakort) Anonyanyowanika kushandiswa. Kana mamiriro vatanga normalize, Makemikari dose ipfupi zvishoma nezvishoma.

Panguva kutanga kwekupwanyiwa kurapwa kuri symptomatic. Basa asipurini (nokuti marwadzo usimbe MG 600 ose maawa 3,5) kana prednisone (10-20 MG kaviri pazuva). Marwadzo ipfupi pashure wokutanga zvinodhaka kutarisira pasi. Kana marwadzo zvazviri hakuitiki, nechirwere riri kupokana. Pashure vhiki ingestion dose ipfupi ose mazuva vaviri 5 MG. Ya kurapwa ushandiswe nachiremba. Chero zvazvingava, hazvifaniri kuva kupfuura mwedzi. Kana, pashure caffeine zvinodhaka marwadzo inowedzera zvakare, kuti dose ichiwedzerwa uye ashaye zvakare. Kubvisa zviratidzo hyperthyroidism, vangaendeswa propranolol (kanosvika pazuva kusvika 40 MG). Muchiitiko chino, antithyroid vamiririri havana kushandiswa.

Subacute thyroiditis mu hypothyroid danho yemanyorero kwazvinogumira hapana mwedzi kupfuura mitatu. Anoratidza yokutsiva mushonga (levothyroxine, 0,10 MG, kamwe zuva riri yakakwana).

Kushandiswa hormone zvinodhaka havafaniri kupfuudza mwedzi miviri. Lung chirwere rinobvumira kushandiswa pakurapa ndigoisa Brufen (kana Voltaren), Indomethacin uye asipurini. Chance iziviswe thyrotoxicosis. Muchiitiko ichi chinofanira kupiwa Beta-blockers. Nokuti pakurapa subacute thyroiditis mishonga haana basa. Uyezve, vari contraindicated, sezvo vanogona kutungamirira kudzikira mune murwere ezvinhu.

The fungidziro yakanaka. The chirwere nyore rinorapika. Uyezve, kana kurapwa ndiye anosarudza mu nenguva nenzira, mumwedzi mitatu (kana kunyange vasati) pane kunaya zvakakwana. Zvisinei, kana hosha iri kufuratira uye kuramba kurapwa, zvichatora kutora zvikuru kwenguva refu (kusvika makore maviri) uye anogona kuva mumwe chirwere fomu matambudziko.

yematambudziko

Paumbwe imwe mota iri thyroid shwanu, anokwanisa anoputsa. Kana ikavamedza, inoyerera munzvimbo pericardial nzvimbo; Inogona kukuvadza midziyo ropa; pakatanga chirwere kuti munyama uropi; kukura sepsis.