Hyperthyroidism sax ah

Xajmiga 'hyperthyroidism' waa mid ka sarreeya-caadiga caadiga ah ee heerarka hoormoonka tayroodh ee dhiigga iyo astaamaha soo jeedinaya hyperthyroidism. Waxay ku dhacdaa qaadashada daawada hoormoonka tayroodh ee aad u badan.

Hyperthyroidism waxaa sidoo kale loo yaqaan 'tayroodh firfircoon'

Qanjirka 'thyroid' wuxuu soo saaraa hormoonnada thyroxine (T4) iyo triiodothyronine (T3). Xaaladaha badankood ee hyperthyroidism, qanjirka 'thyroid' laftiisa ayaa soo saara inbadan oo hoormoonadan ah.

Hyperthyroidism sidoo kale waxaa sababi kara qaadashada daawada hoormoonka tayroodh ee loogu talagalay hypothyroidism. Tan waxaa loogu yeeraa 'hyperthyroidism' oo ku shaqeeya xaqiiqda. Marka tani dhacdo sababtoo ah qiyaasta loo qoray ee daawada hoormoonka oo aad u sarreysa, waxaa loo yaqaan 'iatrogenic', ama dhakhtarku kufsaday, hyperthyroidism. Tani waa wax caadi ah. Mararka qaarkood tani waa ula kac (bukaanjiifka qaar ee qaba niyad-jabka ama kansarka tayroodhka), laakiin badanaa tani waxay dhacdaa maxaa yeelay qiyaasta looma habeyn karo iyadoo lagu saleynayo baaritaanka dhiigga ee la socda.

Xaqiiqda 'hyperthyroidism' ayaa sidoo kale dhici karta marka qof u qaato ujeeddo badan hoormoonka tayroodhka. Tani waa wax aan caadi ahayn. Kuwaani waxay noqon karaan dad:

• Kuwa qaba cilladaha maskaxda sida Munchausen syndrome
• Ayaa isku dayaya inay miisaanka lumiyaan
• Kuwaas oo laga daaweynayo niyad jab ama dhalmo la'aan
• Kuwa doonaya inay lacag ka helaan shirkadda caymiska

Carruurtu si kadis ah ayey u qaadan karaan kaniiniyada hormoonka tayroodhka.

Astaamaha cudurka 'hyperthyroidism' oo dhab ah ayaa la mid ah kuwa hyperthyroidism-ka uu keeno cilladda qanjirka 'thyroid', marka laga reebo in:

• Ma jiro goiter. Qanjirka 'thyroid' badanaa wuu yar yahay.
• Indhuhu ma weynaadaan, sida ay ku sameeyaan cudurka Graves (nooca ugu caansan ee hyperthyroidism).
• Maqaarka dusha sare ee dhalaalayaa ma dhumuc weynaado, sida mararka qaarkood loogu sameeyo dadka qaba cudurka Graves.

Tijaabooyinka dhiigga ee loo adeegsado in lagu ogaado hyperthyroidism-ka dhabta ah waxaa ka mid ah:

• Bilaash T4
• Thyroglobulin
• Wadarta T3
• Wadarta T4
• TSH

Tijaabooyinka kale ee laga yaabo in la sameeyo waxaa ka mid ah qaadashada iodine shucaaca ama tayroodhka ultrasound.

Bixiyahaaga daryeelka caafimaad ayaa kuu sheegi doona inaad joojiso qaadashada hormoonka tayroodhka. Haddii aad u baahato inaad qaadatid, bixiyahaagu wuxuu yareynayaa qiyaasta.

Waa in dib lagaa hubiyaa 2 ilaa 4 toddobaad gudahood si aad u hubiso in calaamadaha iyo astaamuhu baxeen. Tani waxay sidoo kale gacan ka geysaneysaa xaqiijinta cudurka.

Dadka qaba cudurka Munchausen syndrome waxay u baahan doonaan daaweyn caafimaad maskaxda iyo dabagal.

Hyperthyroidism Factitious ayaa iskeed iskaga nadiifin doonta markaad joojiso qaadashada ama yareynta qiyaasta hoormoonka tayroodhka.

Marka hyperthyroidism-ka xajmiga ah uu socdo muddo dheer, dhibaatooyinka isku midka ah ee aan la daaweyn ama si xun loola dhaqmin hyperthyroidism ayaa laga yaabaa inay soo baxaan:

• Wadne garaac aan caadi ahayn (fibrillation atrial)
• Walaac
• Laabta xanuun (angina)
• Wadne qabad
• Lumida cufnaanta jirka (haddii ay daran tahay, lafo xanuun)
• Miisaanka oo yaraada
• Madhalaysnimo
• Dhibaatooyinka hurdada

La xiriir daryeel bixiyahaaga haddii aad leedahay astaamaha hyperthyroidism.

Hoormoonka tayroodhka waa in lagu qaataa oo keliya warqad dhakhtar qoro oo uu kormeero bixiyaha. Baadhitaanada dhiigga ee caadiga ah ayaa badanaa loo baahan yahay si looga caawiyo adeeg bixiyahaaga inuu la qabsado qiyaasta aad qaadanayso.

Xanuunka thyrotoxicosis; Cudurka Thyrotoxicosis; Thyrotoxicosis medicamentosa; Hyperthyroxinemia oo saxa ah

• Qanjirka 'thyroid'

Hollenberg A, Wiersinga WM. Ciladaha Hyperthyroid. Gudaha: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Buugga Buugga Endocrinology. 14aad. Philadelphia, PA: Elsevier; 2020: cutubka 12.

Kopp P. qanjirada qanjirada 'thyroid' iyo sababaha kale ee keena tayrotoxicosis. Gudaha: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Dadka waaweyn iyo carruurta. 7aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 85.