Graves 'disease ivame ezinganeni: Izimbangela, Izimpawu kanye Ukwelashwa

Thyroid ingenye nezindlala ebaluleke kakhulu umzimba, ukusebenza okungalungile okungase kuholele ezinkingeni ezingathí sina. Graves 'disease ivame ubhekwa ngempela isifo eziyinkimbinkimbi ukuthi kungaba yingozi ngaphandle kokwelashwa. Nokho, onalesi sifo yalesi sifo sisihle, uma lapho kuqubuka ukubona udokotela.

incazelo jikelele

Graves 'disease ivame ezinganeni - kuyinto zokugula sokuhlasela kwamasosha omzimba okwenzeka ngenxa ukukhiqizwa ngokweqile kwama-hormone egilo. Kulokhu, amasosha ngumnikazi umzimba umonakalo izicubu, okuholela sithuthukiswe ukusebenza kwawo. Ngokuvamile sifo e izingane iminyaka engu-10 kuya ku-15. Ngesikhathi esifanayo amantombazane goiter kutholakala kakhulu kaningi (izikhathi 7-8).

Lesi sifo kanzima sithinta bonke zomzimba. Kulesi yensimbi kungandisa ngobukhulu kakhulu. Isici lesi sifo ukuthi ikhule ngisho nezinsana.

Izimbangela zesifo

Kungani ngiba Graves 'disease ivame ezinganeni ayikwazi thembeke ukuthola. Nokho, kukhona uhlu izici ukuthi kungaba ukuqala zokugula:

• izifo ezibangelwa amagciwane kanye ezithathelwanayo: angina, sinusitis. Kulokhu, akunandaba ngayiphi indlela yiyona zokugula - oyingozi noma ezingamahlalakhona.
• yofuzo. Graves 'disease ivame ezinganeni ngokuvamile kwenzeka uma abazali abagulayo.
• kwengcindezi enkulu ngokomzwelo nezingxabano sezinzwa, ukucindezeleka, ukucindezeleka.
• Obungapheli okulimala ebuchosheni.
• ukusebenza okungafanele kwesimiso somzimba sokuzivikela ezifweni.
• ukuhlala okweqile elangeni eliza ngqo.
• engayitholi ezinganele iodine ekudleni.
• Ukungenwa amakhaza.
• umsebenzi okuphezulu ngokomzimba.

Futhi, ekubhebhetselisa goiter anobuthi, uphethwe yini kunzima, kungenziwa senziwa pathologies ezifana: sikashukela, vitiligo, izinkinga ukusebenza adrenal.

symptomatology lesi sifo

Uma Kutholwe ngokukhukhumala kwentamo goiter anobuthi ezinganeni, izimpawu kanye nokwelashwa - ulwazi ukuthi odinga ukukwazi nakanjani. Ngokuvamile, isifo libhekene izici ezifana:

• Ukwandisa Usayizi indlala yegilo. Okwakuhlalwa kuzo lapho kusaqalwa yentuthuko isitshalo ukuqaphela lesi sici ngaphandle hardware cishe akunakwenzeka ukufunda.
• Ububomvu, kukhuphuke ukwehlukana umjuluko.
• izinzipho ziyaqothuka, nezinwele.
• Ophthalmopathy. Kulokhu, amehlo abe ngokunamandla convex, ekhala izinyembezi photophobia livela. Izivalo zamehlo zivaliwe hhayi ngokuphelele ngisho ngesikhathi sokulala. Amehlo phakathi ukuthuthukiswa lesi sifo ngokushesha niphele, kungaba khona ukungakhuli sina ezibukwayo. Ngokuvamile izingane goiter ehlasela umzimba ungakwazi ihlonzwe ukuvuvukala conjunctiva.
• Izinkinga esimiso senhliziyo nemithambo yegazi: tachycardia, okuyinto eyenzeka cishe njalo, wezinto ezingaphili umsindo obusebenzayo, kukhuphuke ishayela ingcindezi.
• Ngo amafomu okunzima goiter zingavela izinkinga zokuphefumula.
• Ukwandiswa esesuthi, isiguli ngokushesha ukuncipha. Iphinde singenzeka nohudo, ukucanuzela kwenhliziyo nokuhlanza, ubuhlungu besisu.
• Ukushayisana isimiso sezinzwa: i psycho-ngokomzwelo sphere disorder (tearfulness, uvalo), kanye uhlelo zemisipha. Ingane uyakhathala ngokushesha, yena unalo inkinga yokulala, eziya ziba zimbi inkumbulo nokunaka. Kulokhu isiguli ayikwazi ukuzivumelanisa umphakathi. Ngisho ngesikhathi ngihlolwa ingane emnandi kakhulu, akakwazi ukuhlala endaweni eyodwa.
• Enuresis.
• Ukwanda okungavamile inombolo kwamangqamuzana egazi abomvu.
• Ukwephula fat umzimba emzimbeni.
• Heat ukungabekezelelani.

Hlobo luni isifo - ngokukhukhumala kwentamo goiter anobuthi ezinganeni? Ngakuthola hhayi kakhulu ngokuvamile, kodwa imiphumela ingase ibe mibi. Ngakho-ke, ukubukeka noma yiziphi izinkomba ezisheshe ngasocansini ngalesi sifo emzimbeni, kudingeka uye kudokotela uyofuna icebiso.

ukuhlola Izici

Uma ingane esolwa ngokukhukhumala kwentamo goiter anobuthi, uphethwe ihlanganisa manipulations ezilandelayo:

• Ukuvumela ukuhlolwa laboratory okukuvumela ukuba kutholakale izinga TSH nezinye hormone, kanye nobuhlobo babo omunye nomunye.
• Ukuhlolwa ultrasound indlala yegilo, ezovela ubukhulu kweqiniso we wendlala yabesilisa, ikakhulukazi oyiyo, echogenicity encishisiwe, kukhuphuke ukugeleza kwegazi.
• Scintigraphy ndlala esisetshenziselwa ukunquma degree of bamba iodine. Kodwa kulokhu kubalulekile ukuba acabangele ukuthi le nqubo akuphephile umzimba wengane. Yingakho azihlole Kwenziwa njalo.
• Radioimmunoassay.

Ehlasela umzimba goiter anobuthi ezinganeni, izimbangela zazo usulibonile, emabangeni kamuva kungaba azimisele zibukeke, njengoba insimbi ngalesi sikhathi kuba enkulu kakhulu.

isifo ngezigaba

Zabo ziyisiliva eziningana. Ukwahlukaniswa inikeza division sifo 5 degrees yentuthuko:

• Eyokuqala libhekene ezinye thuthuva ezincane imisebenzi umzimba, kodwa futhi zibukeke indlala ingabonakali. On palpation udokotela angase ukuhlola lesi siqephu yegilo.
• Okwesibili. Iron kancane anda, ngakho-ke kulula ukuba kuphenywe. Ngaphezu kwalokho, isiguli siwuzwe uma singagwinyi.
• Okwesithathu. intamo usayizi iyakhula. Iron kungabonwa kakade nge ukuhlolwa ezibukwayo.
• Okwesine. Ukuma entanyeni kuyahlukahluka njengoba kwezitshalo ekhula ngokushesha.
• Wesihlanu. Leli yizinga nzima kakhulu, okuyinto libhekene usayizi enkulu isivuno. Kakade kulesigaba ngokucacile izinkinga ebonakalayo ophthalmologic.

Kunezinye ngeengaba:

• isigaba Neurohormonal. It libhekene esiningi ngokweqile ubuthi umzimba hormone mpilo, nokwanda okuphawulekayo umdlavuza.
• Vistseropaticheskaya. It libhekene izinguquko ezinzima sokugembula e izitho zangaphakathi.
• Kaheticheskaya. Lesi sigaba iyona ayingozi kakhulu. It libhekene ephelele ukukhathala. Izidumbu musa isebenze kahle, kanye nezinguquko kubo ingase engelapheki. Uma kungekho kokungenela ngokushesha odokotela, ukuthi kuza lokufa.

Ngokuphathelene degree adonsela phansi, bayingcosana kakhulu:

• Easy. Lokhu degree libhekene okwandisa izinga inhliziyo ukuba 80-120 amabhithi / imiz. Kulokhu, isiguli uqala ngokushesha ukunciphisa umzimba.
• Isilinganiso. Izinga inhliziyo iphinde anda amanani ka 100-120 amabhithi / imiz. ngaleyo ndlela isisindo umzimba incipha ngokushesha.
• Heavy. kwenhliziyo rate idlula 120 amabhithi / imiz, kuthiwa kukhona ukusabela engqondo waphawula sokuwohloka izitho zangaphakathi.

Manje uyazi ukuthi ngokukhukhumala kwentamo goiter anobuthi izingane sibangelwa. Ngaphezu kwalokho, isidingo ukubhekana izici ukwelapha lesi egunjini lokuhlolwa kwezifo.

Izici ukwelapha ngokwendabuko

Uma sisheshe ngokukhukhumala kwentamo goiter anobuthi ezinganeni, ukwelashwa kufanele uqale masinyane. Ngokuvamile ukubhekana ne zokugula kusaqalwa yentuthuko kungaba usebenzisa izidakamizwa. Ngokwesibonelo, ingane esiyakuqokwa imikhiqizo uxhumano lokudlulisa ezikuvumela ukumisa noma ukubambezela yonke ukukhiqizwa thyroxine. Futhi nerejista "reserpine" (ngemithamo emincane) kanye ascorbic acid. Ngokwemvelo, lokhu kusho ukwelashwa kufanele kube lingaze futhi eziyinkimbinkimbi.

Ungakhohlwa ukuthi imishanguzo degree omnene yentuthuko kungaba kwenziwe ekhaya. ingane egulayo udinga ukuqinisekisa ukuthi indawo ezolile, lonke esiphezulu. Yena uvinjelwe umsebenzi ngokweqile. Nikeza okunomsoco izingane, ngoba izinga umzimba esikhathini ukwanda isifo. Kungcono ukukufaka ekudleni ubisi kanye iklabishi, ukudla okunothe amaprotheni namafutha. Umkhawulo ukusetshenziswa amazambane kanye neminye imikhiqizo, ukubunjwa okuyinto semali potassium.

Ukwelashwa ukuraga izifundo noma unomphela, lokhu ukuzixazulula endocrinology ekwelapheni. Graves 'disease ivame ezinganeni bakheke ngokushesha kakhulu. Uma ngezinga yentuthuko ngokulinganisela ezinzima, umuthi isetshenziswa ukuba aphathe 'Merkazolil ". Ingane kulesi simo kumele afakwe esibhedlela inyanga engu-1. Uma izidakamizwa unika Dynamics omuhle, umthamo yayo kancane kancane. Kakhulu-ke asivunyelwe ukwenza, njengoba kungase kube crisis thyrotoxic.

Ukuxazulula lenkinga lungasetshenziswa ngemisebe shchitovidki iodine enemisebe, okuyinto kuvimbela overgrowth of goiter nemabhuloki ikhono wendlala ukukhiqiza imali ngokweqile kwama-hormone. Nokho, le ndlela akuphephile umzimba wengane. Umthamo ngemisebe kukhethwa udokotela eceleni ngamunye icala ngabanye.

"Prednisolone" ingasetshenziswa ukuqeda isifo samehlo. Ingane angabelwa kwamanye tireostatiki "tirozol", "propitsil".

ukwelashwa olukhulu

Uma yokwelapha izidakamizwa kuyize noma ingaphumeleli, isivuno isibe likhulu kakhulu futhi ubangela kokucindezelwa entanyeni (ezedlulayo yaleli pheshana zokuphefumula), yegilo indlala yaqala ukubonakala ku ISIZINDA, ophthalmopathy ziqine kakhulu - kudingeka kokungenela kuhlinzwa.

Ukususwa kungenzeka esinqunyiwe noma ephelele. Feza operation ezidingekayo ngemva ukulungiselela kahle. Okungukuthi, odokotela kufanele ukufinyelela isinxephezelo ezithile hyperthyroidism usebenzisa izidakamizwa. ukwelashwa Oku-Preparatory ingahlala izinyanga 2-3. Ngaphambi nangemva kokuhlinzwa isiguli iqondiswa glucocorticoids.

Ngemva kokuhlanganyela olukhulu kunobungozi yezinkinga. Kodwa nge ngokucophelela ukunakekelwa post-op, yena kwehlisa. Umphumela wokugcina le ndlela yokwelashwa kungabonwa kuphela ngemva kwezinyanga ezimbalwa. Phakathi nenkathi yokutakula kungenzeka isiguli ebekiwe imithi, ezokwenza lula ukuzinza komzimba.

amandla Izici

Uma ingane yakho ine ngokukhukhumala kwentamo anobuthi ukwelashwa goiter (ukubuyekezwa yokwelapha izidakamizwa zinhle kuphela kusaqalwa ukuthuthukiswa isifo) kumele kwenziwe ngokuhlanganyela ukulungiswa yokudla. Sicela uqaphele ukuthi imikhiqizo kumele kube njengoba okunama-kilojoule amaningi. Usuku isiguli kufanele zithole 3,400 kcal.

akufanele clog esiswini kakhulu ngesikhathi esisodwa. Yidla kangcono wamaqhuzu izikhathi 4-5 ngosuku. Ngesisekelo Ukudla kukhona imifino, izithelo, okusanhlamvu, ubisi. Kuyadingeka ukuba kukhawulwe ukusetshenziswa inyama, inhlanzi kanye amaqanda. Ingane ngesikhathi ukwelashwa akufanele akhiphe ushokoledi, itiye, futhi ukhokho, kanye inyama.

Izici nokwelashwa amakhambi abantu

Uma ingane itholakala ngokukhukhumala kwentamo goiter anobuthi, ekwelapheni amakhambi abantu ngokuhlanganyela yokwelapha bomdabu nethonya elihle. Ayikwazanga wusizo, zokupheka ezifana:

• Iodine. It ingase ikhishwe ngomlomo noma ukusabalala isithende. Esimweni sokuqala, iconsi izimali kumele ziyoncibilika ingilazi juice neziphuzo kabili ngesonto. Uma unquma smear isithende iodine wengane, khona-ke kufanele kwenziwe kusihlwa. Yiqiniso, ebusuku, kuyinto efiselekayo ukubeka ku kwamasokisi. Uma i-iodine amuncwa umzimba izitobhi, ukwelashwa ungayeka.
• Amakhiwane. Kufanele libe 3 amajikijolo ezinkulu, uthele ingilazi yamanzi abilayo kusihlwa. Ngosuku olulandelayo bayaphinda kudliwa ekuseni, ntambama nakusihlwa. Ukumnika ukuphuza, futhi. Feza yokwelapha anjalo kufanele kube nsukuzonke kuzuzwe nomphumela omuhle.
• Celandine. Izinyembezi eyodwa isitshalo esikhathini izimbali, sinqume futhi usigcwalisa 500 ml ubisi. Ngokulandelayo, ingxube kufanele alethwe ngamathumba. Ngaphakathi izindlela ukuthatha asikho isidingo. Isetshenziselwa gargling. Qaphela ukuthi ukumnika kufanele lizwakale linemfudumalo. Ngaphezu kwalokho, kumelwe sikhumbule ukuthi celandine - isitshalo esinoshevu.

Uma ingane ekubhebhetselisa goiter anobuthi, ekwelapheni amakhambi abantu kungasiza, kodwa awukwazi bafeze engalawuliwe. Qiniseka ukuthi buza udokotela endocrinology. Hhayi umzimba wonke wengane ngokuvamile ukwamukela ukwelashwa okunjalo.

zokugula Prevention

Kungenzeka yini ukuba unqobe ngokuphelele lesi sifo. Ekubhebhetselisa goiter anobuthi ezinganeni iphathwa ngempela ngempumelelo. Kumele sicabangele nendlela yokuzigwema ukuze zingasivimbi ukuthuthukiswa yayo. Zama ukugcina lezi izinyathelo:

• Ukugwema ukucindezeleka kanye uhlobo sezinzwa.
• Ukusebenzisa i-aromatherapy izindlela, ngoba ukusiza ukuba kwehle uvalo.
• Amasosha omzimba kuzovimbela ukuvela kwalesi sifo. Ngenxa yalesi uhambo nezingane emoyeni opholile.
• Ukuthola izakhiwo multivitamin, okuhlanganisa ne-iodine (kuphela kadokotela).
• Ngokuvamile ikhombisa endocrinology ingane uma umndeni wakho kakade wayesegule amacala lesi sifo.

Manje une ulwazi oluphelele ngesihloko: "Diffusion-anobuthi goiter:. Ukuxilongwa kanye nokuvimbela" Khumbula, kuba akudingekile ukuzithiba medicate noma engalawuliwe ukusetshenziswa Iziphungo yamakhambi. Ukuhlolwa ku umzimba wengane ingase ingagcini kahle. Hlala uphilile!