I-Thyrotoxicosis yi-hyperthyroidism-imeko apho umsebenzi we -roid uphazanyiswa ngokuxhamla ngokusebenza kwayo kwama-hormone we-thyroxine T_4 kunye ne-triiodothyronine T_3. Ekudalweni kwala ma hormone akubandakanyi nje i-thyroid gland, kodwa kunye ne-pituitary gland, i-hormone-TSH yayo.
Iimpawu ze thyrotoxicosis ziyahlukahluka ngokuxhomekeka kwinqanaba lee-hormone. Kwakubaluleke kakhulu ukuba kubangele i-thyrotoxicosis:
- I-neodular goiter - kunye nesi sifo kwi-thyroid gland eyakhiweyo i-nodes ezinokuthi zingabonakali kakuhle okanye zingabonakali; baphathwa ngokutshintshwa kwe-hormone zokwenziwa, kunye nakwiimeko ezinzima ngeendlela zokugonywa okanye unyango olusasazwayo; ukuququzelelwa kwe-nodal kuvela ngenxa yomsebenzi omkhulu we-gland, ngoko ke okokuqala kukho konke i-hyperthyroidism, kwaye emva kwonyango - ukucinywa komsebenzi wayo, i-hypothyroidism ibonakala rhoqo.
- Ukusabalalisa i-goiter ye-toxic yinto ebizwa ngokuba yi-Basedova isifo, esinemvelo engenazo; kwi-thyrotoxicosis, i-hormone ye-thyroid yimbi kakhulu, ngenxa yobuninzi bawo, inetyhefu yomzimba kwaye ibangele i-thyrotoxicosis; esi sifo singazihambeli ngokukhawuleza, kodwa siqala, ngokusemthethweni, ngokubanzi, kunye ne-thyrotoxicosis.
- I-Subacute thyroiditis yukuvuvukala kwegciwane le-thyroid, elingaba ne-virtual etiology.
- Ukugqithisa kwe-hormone unyango - ukudla ngokweqile kwama-hormone emzimbeni kunokushukunyiswa ngumsebenzi wengxaki ye-thyroid engenakukhubazeka, kodwa ngokudla ngokugqithiseleyo kwezidakamizwa ezine-hormone.
Iimpawu neempawu ze-hormone kunye ne-thyrotoxicosis ye-thyroid gland
Oogqirha bahlula iintlobo ezimbini ze-thyrotoxicosis kuxhomekeka kwiimitha ze-hormone:
- i-thyrotoxicosis ibonakala ngokucacileyo, oku kubizwa ngokuba "okucacileyo" i-thyrotoxicosis - kunye nenqanaba le-TSH liyancipha, kwaye i-hormone T_4 kunye ne-T_3 yanda; Ukuphakanyiswa kube yinye yeehomoni;
- i-thyrotoxicosis yamagqabantshintshi - kunye nenqanaba le-TSH liyancipha, kwaye i-T_4 kunye ne-T_3 ziqhelekile okanye ziyancipha.
Ukuhla kwe-hormone ye-pituitary gland kubangelwa ukuba eli lilungu lilawula ukusebenza kwegciwane le-thyroid, kuquka ne-TSH. Yaye xa i-pituitary gland ifumana ulwazi lokuba i-thyroid igulane iyasebenza, iyanciphisa ukuhamba kweTSH kwigazi. Xa kukho i- hypothyroidism , i-pituitary gland ngokuchasene nayo, ngoncedo lwe-TSH enkulu, inceda ekusebenzeni kwayo. Ngoko ke, ngokwemizi-hormone emithathu, ikhosi ye-thyrotoxicosis iyanqunywa kwaye ngokuqhelekileyo i-thyroid gland ihlolwa.
Xa kuziwa kwi-thyroiditis yakho, idatha yee hormone ezintathu idinga ezimbini-AT-TPO ne-AT-TG. Olu vavanyo lwe-autoantibodies ze-antithyroid: I-AT-TPO - iintsholongwane kwi-thyreperoxidase, i-AT-TG - iintsholongwane kwi-thyroglobulin. Nge-autoimmune thyroiditis, ngamaxesha amaninzi ukwanda kwezi ngotshe kufunyanwa. Ama-indices e-Anti-indices anceda ukuqinisekisa uhlobo oluthile lwe-thyroid. Nge-thyrotoxicosis, ezi zikhombisi kufuneka zifakwe kwixesha elizeleyo ukuze ziqonde ukuba yintoni isizathu esiyinyani sokuphulwa kweSH.
Iimpawu ze thyrotoxicosis
Iimpawu ze thyrotoxicosis ziyakwazi ukuhluka ngokunyuka nokwehla kwinqanaba lama-hormone, kodwa ngokuxhomekeke kwimbangela yale ngxaki.
Ngokomzekelo, ngesifo sika-Basedova, iimpawu zamehlo kwi-thyrotoxicosis zivakaliswa kakhulu kwiinqanaba zokugqibela: umfundi akafihleli emva kweentloko zeemeko kwiimeko eziqhelekileyo kwaye kukho impembelelo ye-pop-eyed.
Nge-goiter enobuchopho obunobuthi kunye ne-thyrotoxicosis, kukho i-goiter ephawulekayo-ukwanda kwenzeni ye-thyroid, enokuthi ibonakale njengengcambu emqaleni emacaleni okuqala, kwaye ibonakala ngokubonakalayo kwinqaba lokuqala.
I-Thyrotoxicosis kubasetyhini ibonakaliswe yimpawu kwixesha lokuya esikhathini - kukho ukuphulwa, kwaye kunokubakho iingxaki zokukhulelwa.
Ngenxa yokwanda kweemetabolism isigulane sinokudla, kodwa asifumani i-fat - ngokuchaseneyo, kukho ukungabikho komzimba. Ukuba i-thyrotoxicosis ivela ebuntwaneni, ngoko umzimba uyaqulunqwa kunye neengxaki ze-infantilism.
Ngokuqhelekileyo, ngenxa yenkqubo yokukhawuleza i-metabolic, i-hyperthyroidism kwizigulane ezine-hyperthyroidism inobungqina bentsha, kodwa ezi zibonakaliso ezintle zibonakaliso zaso: okokuqala, akunakwenzeka ukuzisebenzisela ukukhangela kwengqondo ngenxa yokunyuka okukhulu kunye nokukhathala okukhawuleza ; Okwesibini, ukuxhatshazwa kwangaphakathi kwemizimba kwenza umntu angonwabi kwaye akakwazi ukusebenza ngokuqhelekileyo, okwesithathu, isisongelo sokukhuseleka kokukhubazeka, kunye nokuhlaselwa kwamathuba aphindaphindiweyo-ukuvakalelwa ngokuthe ngcembe, ukuxhamla, ukuxakeka, kunye nokulahlekelwa yinkcenkceshe kunye nokunye ukulahlekelwa kwengqondo kubangela ukuba umntu unyanzelekile ukuba abuze ngononophelo lwezokwelapha.
Isici esichaphazelekayo se-thyrotoxicosis sisithuthumayo, ukujuluka okugqithiseleyo , ukuvakalelwa kwentsholongwane, ukuvutha kwentliziyo ngokukhawuleza kunye nokuhlala kwindlu egxininisayo kunzima. Ebusika, izigulane ziyakwazi ukugqoka, kwaye zivule iifestile kwigumbi.
Ngenxa yokunyuka komsebenzi weentliziyo, izigulane ezine-thyrotoxicosis zidla ngokubhekiswa kwisebe le-cardiology, kwaye ukuba iingcali azizi malunga nokukhathazeka kwe-endocrine kunye nokunyanga intliziyo okanye inkqubo ye-nervous, ayikho ekhokelela kwiziphumo ezilindelekileyo.
Utshintsho lwama-hormones alubonakali nje kuphela kwimizimba, kodwa nakwiimeko zengqondo-isigulane sithukuthele, siphuthuma, sikhala kwaye siqhagamshelwano oluqhelekileyo njengoko uphuhliso lwe-thyrotoxicosis luya kuba lukhuni. Oku akusiyo uphawu lomntu ombi - emva kokuhlaziywa kwamahomoni, ubuntu bakhe buya kuba bufanayo.