Hopena hyperthyroidism

ʻO ke kiʻekiʻe hyperthyroidism ʻoi aku ka kiʻekiʻe ma mua o ka maʻamau o ka nui o ka hormone thyroid i ke koko a me nā ʻōuli e hōʻike ana i ka hyperthyroidism. Loaʻa ia mai ka lawe ʻana i ka lāʻau nui o ka hormone thyroid.

Hoʻomaopopo pū ʻia ʻo Hyperthyroidism ma ke ʻano he thyroid overactive.

Hoʻopuka ka pona thyroid i nā hormones thyroxine (T4) a me triiodothyronine (T3). I ka hapanui o nā hihia o ka hyperthyroidism, hana ka thyroid gland ponoʻī i nā mea he nui loa o kēia mau hormones.

Hiki ke kumu ʻia ʻo Hyperthyroidism e ka lawe ʻana i ka lāʻau thyroid hormone he nui no hypothyroidism. Kapa ʻia kēia ʻo hyperthyroidism factitious. Ke kū kēia no ka mea he kiʻekiʻe loa ka lāʻau i kuhikuhi ʻia o ka lāʻau lapaʻau hormonone, ua kapa ʻia ʻo iatrogenic, a i ʻole kauka i hoʻokomo ʻia, hyperthyroidism. ʻO kēia maʻamau. I kekahi manawa makemake ʻia kēia (no kekahi mau mea maʻi me ke kaumaha a i ʻole ka maʻi ʻaʻai thyroid), akā hana pinepine kēia no ka mea ʻaʻole i hoʻoponopono ʻia ka mahele ma muli o ke kaina ʻana i nā hoʻokolohua koko.

Hiki ke hana i ka hyperthyroidism ʻoiaʻiʻo ke lawe nui kekahi i kāu hormone thyroid ma ke kumu. ʻAno maʻamau kēia. He poʻe paha kēia:

• ʻO wai nā maʻi noʻonoʻo e like me Munchausen Syndrome
• ʻO wai e hoʻāʻo nei e lilo i ka paona
• ʻO wai e mālama ʻia nei no ke kaumaha a infertility paha
• ʻO wai e makemake e loaʻa kālā mai ka ʻoihana inikua

Hiki paha i nā kamaliʻi ke lawe i nā lāʻau hormone thyroid me ka hewa ʻole.

ʻO nā ʻōuli o ka hyperthyroidism factitious e like me ia o ka hyperthyroidism i hoʻokumu ʻia e kahi maʻi kalena thyroid, koe wale nō:

• ʻAʻohe mea hele. Liʻiliʻi pinepine ka gland thyroid.
• ʻAʻole kūpale nā ​​maka, e like me ka hana ʻana i ka maʻi Graves (ʻo ke ʻano he hyperthyroidism maʻa mau).
• ʻAʻole mānoanoa ka ʻili ma luna o nā kukuna, e like me ka hana ʻana i kekahi manawa i ka poʻe i loaʻa i ka maʻi Graves.

Hoʻohana ʻia nā hoʻokolohua koko e ʻike pono i ka hyperthyroidism ʻoiaʻiʻo:

• T4 manuahi
• Thyroglobulin
• Huina T3
• Huina T4
• TSH

Nā hoʻokolohua ʻē aʻe i hiki ke hana ʻia me ka radioaktif iodine uptake a i ʻole ka thyroid ultrasound.

E haʻi aku kāu mea mālama ola iā ʻoe e hōʻoki i ka lawe ʻana i ka hormone thyroid. Inā pono ʻoe e lawe, e hoʻoliʻiliʻi kāu mea hāʻawi i nā ana.

E nānā hou ʻia ʻoe ma 2 a 4 mau pule e ʻike pono ua hala nā hōʻailona a me nā hōʻailona. Kōkua kēia i ka hōʻoia ʻana i ke kuhi.

ʻO ka poʻe me Munchausen Syndrome e pono i ka olakino olakino noʻonoʻo a me ka ukali.

E hoʻomaʻemaʻe ka hyperthyroidism ponoʻī iā ia iho ke haʻalele ʻoe i ka lawe a hoʻohaʻahaʻa ʻana paha i nā huahana o ka hormone thyroid.

Ke lōʻihi ka lōʻihi o ka hyperthyroidism factitious, hiki ke ulu i nā pilikia like me ka hyperthyroidism i mālama ʻole ʻia a maikaʻi ʻole paha.

• Kuʻi puʻuwai maʻamau (atrial fibrillation)
• Hopohopo
• Paʻi umauma (angina)
• Maʻi hohola
• Loaʻa ka nui o ka iwi (inā koʻikoʻi, osteoporosis)
• Kaumaha emi
• Hoʻoipo
• Pilikia hiamoe

Kāhea aku i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o hyperthyroidism.

Pono e lawe i ka hormone thyroid ma ke kuhikuhi wale a ma lalo o ka nānā ʻana o kahi mea hāʻawi. Pono pinepine nā hoʻokolohua koko maʻamau e kōkua i kāu mea lawelawe e hoʻoponopono i ka mahele āu e lawe nei.

Pono thyrotoxicosis; Thyrotoxicosis factitia; Thyrotoxicosis medicamentosa; ʻO hyperthyroxinemia kūpono

• Kelepaʻi thyroid

ʻO Hollenberg A, Wiersinga WM. Nā maʻi Hyperthyroid. I: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 12.

Ke hana kūʻokoʻa nei ʻo Kopp P. i kāu nodules thyroid a me nā kumu ʻē aʻe o thyrotoxicosis. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 85.