Curyaannimo xilliyeedka 'Thyrotoxic'

Curyaannimo xilliyeedka 'Thyrotoxic paralysis' waa xaalad ay ku jiraan dhacdooyin daciifnimo muruq ah oo daran. Waxay ku dhacdaa dadka leh heerar sare oo hoormoon tayroodh ah oo ku jira dhiigooda (hyperthyroidism, thyrotoxicosis).

Tani waa xaalad naadir ah oo ku dhacda kaliya dadka qaba heerarka hoormoonka tayroodh ee sareeya (thyrotoxicosis). Ragga asalkoodu ka soo jeedo Aasiya ama Isbaanishka ayaa badanaa la saameeyaa. Inta badan dadka ku dhaca heerarka hoormoonka tayroodh ee sareeya kuma jiraan halista curyaannimo xilliyeed.

Waxaa jira cillad la mid ah, oo loo yaqaan hypokalemic, ama qoys, curyaannimo xilliyeed. Waa xaalad la iska dhaxlo oo aan la xiriirin heerarka tayroodh ee sarreeya, laakiin waxay leedahay calaamado isku mid ah.

Cunsurrada halista waxaa ka mid ah taariikh qoys oo curyaannimo xilliyeed iyo hyperthyroidism.

Astaamuhu waxay ku lug leeyihiin weerarada daciifnimada muruqyada ama curyaannimada. Weerarradu waxay ku beddelanayaan xilliyada shaqada muruqyada caadiga ah. Weeraradu badanaa waxay bilaabmaan kadib markii ay soo ifbaxeen astaamaha hyperthyroidism. Calaamadaha Hyperthyroid waxay noqon karaan kuwo khiyaano badan.

Inta jeer ee weerarradu way kala duwan yihiin maalin kasta illaa sannad kasta. Dhacdooyinka daciifnimada muruqyada waxay socon karaan dhowr saacadood ama dhowr maalmood.

Daciifnimada ama curyaannimada:

• Yimaado oo tagaa
• Waxay socon kartaa dhowr saacadood illaa dhowr maalmood (dhif)
• Ku badan yahay lugaha marka loo eego gacmaha
• Wuxuu ku badan yahay garbaha iyo miskaha
• Waxaa kiciya cunno culus, karbohaydrayt badan, cunno cusbo badan
• Waxaa kiciya inta lagu jiro nasashada jimicsiga kadib

Calaamadaha kale ee dhifka ah waxaa ka mid noqon kara mid ka mid ah kuwan soo socda:

• Neefsashada oo ku adkaata
• Hadalka oo adkaada
• Dhibaato liqitaan
• Aragtida ayaa isbadalaysa

Dadku way feejigan yihiin inta lagu jiro weerarada waxayna ka jawaabi karaan su'aalaha. Awoodda caadiga ah waxay ku soo noqotaa inta udhaxeysa weerarada. Daciifnimada muruqyada ayaa laga yaabaa inay ku soo kororto waqti ka dib weeraro soo noqnoqda

Astaamaha hyperthyroidism waxaa ka mid ah:

• Dhidid badan
• Qiyaasta garaaca wadnaha
• Daal
• Madax xanuun
• Dulqaad la’aanta kuleylka
• Rabitaanka cuntada oo kordhay
• Hurdo la'aan
• Dhaqdhaqaaqa saxaro badan oo soo noqnoqda
• Dareen dareemid garaaca wadnaha oo xoog badan (wadna garaac)
• Gariir gacanta
• Maqaar diirran oo qoyan
• Miisaanka oo yaraada

Bixiyaha xanaanada caafimaadka ayaa laga yaabaa inuu ka shakiyo curyaannimo xilliyeedka qanjirahaaga oo ku saleysan:

• Heerarka hoormoonka tayroodh ee aan caadiga ahayn
• Taariikh qoys oo cilladaysan
• Heerka potassium ee hooseeya inta lagu jiro weerarada
• Calaamadaha imaada ama taga qaybaha

Cilad-sheegiddu waxay ku lug leedahay in laga takhaluso cilladaha la xiriira potassium-yari.

Bixiyaha ayaa laga yaabaa inuu isku dayo inuu kiciyo weerar adiga oo ku siinaya insulin iyo sonkor (gulukoos, oo yareyneysa heerka potassium) ama hormoonka tayroodhka.

Calaamadaha soo socda ayaa la arki karaa inta lagu jiro weerarka:

• Hoos udhaca ama aan lahayn jawaab celin
• Wadne xanuun
• Kalsiyaaska ku jira dhiigga (heerarka potassium waa caadi inta udhaxeysa weerarada)

Inta udhaxeysa weerarada, baaritaanka waa caadi. Ama, waxaa laga yaabaa inay jiraan astaamaha hyperthyroidism, sida isbeddellada tayroodh ee indhaha, gariir, timo iyo ciddiyo isbeddel.

Tijaabooyinka soo socda ayaa loo isticmaalaa in lagu baaro hyperthyroidism:

• Heerarka hoormoonka tayroodh ee sareeya (T3 ama T4)
• Xaddiga dhiiga ee 'TSH' (tayroodh kiciya hoormoonka) heerarka
• Qaadashada tayroodhka iyo iskaanka

Natiijooyinka kale ee baaritaanka:

• Cudurka korontada ee aan caadiga ahayn (ECG) inta lagu jiro weerarrada
• Farsamo-yaqaan aan caadi ahayn (EMG) inta lagu jiro weerarada
• Kalsiyum ka hooseeya inta lagu jiro weerarada, laakiin waa caadi inta udhaxeysa weerarada

Cad ka-qaadista muruqyada ayaa mararka qaarkood la qaadan karaa.

Potassium sidoo kale waa in la siiyaa inta lagu jiro weerarka, badiyaa afka. Haddii daciifnimadu aad u daran tahay, waxaad u baahan kartaa inaad kahesho bootasiyam xididka (IV). Fiiro gaar ah: Waa in lagaa siiyaa IV oo keliya haddii shaqada kelyahaagu caadi tahay oo lagugu ilaaliyo isbitaalka.

Tabar darrida ku lug leh muruqyada loo isticmaalo neefsashada ama wax liqidda waa xaalad degdeg ah. Dadka waa in loo qaado isbitaal. Xaaladaha daran ee garaaca wadnaha ayaa sidoo kale dhici kara inta lagu jiro weerarada.

Bixiyahaagu wuxuu kugula talin karaa cunno ay ku yartahay karbohaydraytyada iyo cusbada si looga hortago weerarada. Daawooyinka loo yaqaan beta-blockers ayaa yareyn kara tirada iyo darnaanta weerarada halka hyperthyroidism-ka la xakameynayo.

Acetazolamide waxay wax ku ool u tahay kahortagga weerarada dadka qaba curyaannimada xilliyada qoysaska. Badanaa waxtar uma leh curyaannimada xilli-xilliyeed ee 'thyrotoxic'.

Haddii weerarka aan la daaweyn oo muruqyada neefsashada la saameeyo, dhimasho ayaa dhici karta.

Weerarada joogtada ah ee waqtiga ka dib waxay u horseedi karaan daciifnimo muruq. Daciifnimadani way sii socon kartaa xitaa inta u dhexeysa weerarrada haddii aan la daaweyn cudurka 'thyrotoxicosis'.

Curyaannimo xilliyeedka 'Thyrotoxic paralysis' ayaa si fiican uga jawaab celiya daaweynta. Daweynta hyperthyroidism waxay ka hortageysaa weerarada. Xitaa way beddeli kartaa daciifnimada murqaha.

Curyaannimo xilliyeed oo aan la daaweyn waxay u horseedi kartaa:

• Dhibaato neefsasho, hadal, ama wax liqid ah inta lagu jiro weerarada (dhif)
• Wadna garaaca wadnaha inta lagu gudajiro weerarada
• Daciifnimada murqaha oo ka sii daraysa waqtiga

Wac lambarka gurmadka degdegga ah ee deegaanka (sida 911) ama aad qolka gargaarka degdegga ah haddii aad leedahay xilliyo daciifnimo muruqyo ah. Tani waxay si gaar ah muhiim u tahay haddii aad leedahay taariikh qoys oo curyaannimo xilliyeed ama xanuunno tayroodh ah.

Calaamadaha degdegga ah waxaa ka mid ah:

• Dhibaato xagga neefsashada ah, hadalka, ama wax liqidda ah
• Dillaac muruqa oo daciifa awgood

La-talinta hidda-sidaha ayaa lagula talin karaa. Daweynta cilladda qanjirka 'thyroid' waxay ka hortagtaa weerarada daciifnimada.

Curyaannimo xilliyeed - thyrotoxic; Hyperthyroidism - curyaannimo xilliyeed

• 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.

Kerchner GA, Ptacek LJ. Channelopathies: cilladaha episodic iyo korantada ee nidaamka neerfaha. Gudaha: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology ee Tababbarka Caafimaadka. 7aad ed. Philadelphia, PA: Elsevier; 2016: cutubka 99.

Selcen D. Cudurada muruqyada. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: baab 393.