ʻIno thyroid

Kākaʻikahi loa ka ʻino thyroid, akā ʻo ke ʻano hoʻoweliweli ola o ka gland thyroid e ulu ana i nā hihia o ka thyrotoxicosis i hoʻomaʻamaʻa ʻole ʻia (hyperthyroidism, a i ʻole thyroid overactive).

Aia ka glando thyroid i ka ʻāʻī, ma luna pono o kahi e hui ai kou iwi iwi i waenakonu.

Kū ka makani thyroid ma muli o ke koʻikoʻi nui e like me ka trauma, ka puʻuwai puʻuwai, a i ʻole ka maʻi maʻi i ka poʻe me ka hyperthyroidism kaohi ʻole. I nā hihia maʻamau, hiki i ka ʻino thyroid ke kumu ʻia e ka mālama ʻana i ka hyperthyroidism me ka iodine radioactive therapy no ka maʻi Graves. Hiki i kēia ke hana i hoʻokahi pule a ʻoi paha ma hope o ka mālama iodine radioactive.

Kūleʻa nā ʻōuli a komo pū paha i kekahi o kēia mau mea:

• Hoʻoikaika
• Hoʻololi i ka makaʻala (noʻonoʻo)
• Huikau
• Pohā
• Hoʻonui i ka mahana
• Puʻuwai puʻuwai (tachycardia)
• Hoʻomaha ʻole
• Lulu
• Hoʻoulu
• ʻŌpihi maka nunui

Maliʻa paha e manaʻo ka mea mālama ola i ka ʻino thyrotoxic ma muli o:

• ʻO kahi systolic kiʻekiʻe (helu kiʻekiʻe) e heluhelu ana i ke kaomi koko me ka diastolic haʻahaʻa (helu lalo) e heluhelu ana i ke kaomi koko (kaomi kaomi ākea)
• Kuhi kiʻekiʻe naʻau kiʻekiʻe loa
• ʻO kahi moʻolelo o hyperthyroidism
• Hiki i kahi hoʻokolohua o kou ʻāʻī ke ʻike ua hoʻonui ʻia kou gland thyroid (goiter)

Hana ʻia nā hoʻokolohua koko e nānā i nā homone thyroid TSH, T4 a me T3 manuahi.

Hana ʻia nā hoʻokolohua koko ʻē aʻe e nānā i nā hana o ka puʻuwai a me nā puʻupaʻa a e nānā no ka maʻi.

Hoʻoweliweli ke ola o ka ʻino thyroid a koi i ka mālama ulia pōpilikia. I ka manawa pinepine, pono e ʻae ʻia ke kanaka i ka hale mālama mālama nui. Hoʻopili ka mālama ʻana i nā hana kākoʻo, e like me ka hāʻawi ʻana i ka oxygen a me nā wai i ka manawa o ka hanu paʻakikī a i ʻole ka make wai. Hiki ke hoʻopili ʻia i ka mālama ʻana:

• ʻO nā kapa hoʻoluʻu e hoʻihoʻi i ka mahana o ke kino i ka maʻamau
• Ke nānā nei i nā wai kahe i nā poʻe ʻelemakule me ka maʻi puʻuwai a puʻuwai paha
• Nā lāʻau lapaʻau e hoʻokele i ka hoʻonāukiuki
• ʻO ka lāʻau lapaʻau e hoʻolohi i ka helu o ka puʻuwai
• ʻO nā wikamina a me ka glucose

ʻO ka pahuhopu hope loa o ka mālama ʻana e hōʻemi i nā pae o ka thyroid i loko o ke koko. I kekahi manawa, hāʻawi ʻia ka iodine i nā koina kiʻekiʻe e hoʻāʻo a hoʻokūʻiʻi i ka thyroid. Hāʻawi ʻia nā lāʻau ʻē aʻe e hoʻohaʻahaʻa i ke kiʻekiʻe o ka hormone i loko o ke koko. Hāʻawi pinepine ʻia nā lāʻau lapaʻau blocker beta e ka uaua (IV) e hoʻolohi i ka helu o ka puʻuwai, hoʻohaʻahaʻa i ke koko, a ālai i nā hopena o ka nui o ka hormone thyroid.

Hāʻawi ʻia nā antibiotic inā loaʻa ka maʻi.

Hiki ke hana i nā rhythm puʻuwai maʻamau (arrhythmia). Hiki i ka puʻuwai puʻuwai a me ka edema pulmonary ke ulu wikiwiki a kumu i ka make.

He kūlana pilikia kēia. Kāhea iā 911 a i ʻole helu helu pilikia ʻē aʻe inā loaʻa ʻoe i ka hyperthyroidism a ʻike i nā ʻōuli o ka ʻino thyroid.

I mea e pale aku ai i ka ʻino thyroid, pono e mālama ʻia ka hyperthyroidism.

ʻIno Thyrotoxic; Pilikia Thyrotoxic; ʻInoʻino Hyperthyroid; ʻO hyperthyroidism wikiwiki; Pilikia thyroid; Thyrotoxicosis - ka ʻino thyroid

• Kelepaʻi thyroid

ʻO Jonklaas J, ʻo Cooper DS. ʻOhana. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 213.

ʻO Marino M, Vitti P, Chiovato L. maʻi ʻo Graves. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 82.

ʻO Tallini G, Giordano TJ. Kelepaʻi thyroid. I: Goldblum JR, Lamps LW, McKenney JK, Myers JL, eds. ʻO Rosai lāua ʻo Ackerman's Surgical Pathology. 11th hua. Piladelapia, PA: Elsevier; 2018: chap 8.

ʻO Thiessen MEW. Nā maʻi thyroid a me adrenal. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 120.