Duufaanta tayroodhka

Duufaanta tayroodhka waa xaalad aad dhif u ah, laakiin xaalad naf-gooye ah oo qanjirka 'thyroid' ah oo ku dhacda xaaladaha 'thyrotoxicosis' aan la daaweyn (hyperthyroidism, ama tayroodh xad dhaaf ah)

Qanjirka 'thyroid' wuxuu ku yaalaa qoorta, wax yar ka sareysa halka ay qoortaadu ku kulmaan dhexda.

Duufaanta tayroodhka waxay ku dhacdaa culeys weyn sida argagax, wadno qabad, ama infekshin ku dhaca dadka qaba cudurka 'hyperthyroidism' aan la xakamayn karin. Marar dhif ah, duufaanta tayroodh waxaa sababi kara daaweynta hyperthyroidism oo leh shucaaca iodine ee shucaaca ee cudurka Graves. Tani waxay dhici kartaa xitaa toddobaad ama in ka badan daaweynta iodine ee shucaaca ka dib.

Calaamadaha waa kuwo daran oo waxaa ka mid noqon kara mid ka mid ah kuwan soo socda:

• Kicin
• Isbedelka feejignaanta (miyirka)
• Jahwareer
• Shuban
• Heerkulka oo kordhay
• Wadnaha oo kacsan (tachycardia)
• Degganaansho la'aan
• Ruxaaya
• Dhidid
• Kubadaha indhaha oo soo baxa

Bixiyaha xanaanada caafimaadka ayaa laga yaabaa inuu ka shakiyo duufaankaaga sunta sunta ah ee ku saleysan:

• Systolic sare (nambarka sare) aqrinta cadaadiska dhiigga oo leh diastolic hoose (lambarka hoose) akhriska cadaadiska dhiigga (cadaadiska garaaca wadnaha oo ballaaran)
• Garaaca wadnaha oo aad u sarreeya
• Taariikhda hyperthyroidism
• Baaritaanka qoortaada ayaa laga yaabaa inuu ogaado in qanjirkaaga qanjirada uu weynaaday (goiter)

Tijaabooyinka dhiigga waxaa loo sameeyaa si loo hubiyo hormoonnada tayroodhka ee TSH, bilaash ah T4 iyo T3.

Baadhitaano kale oo dhiig ah ayaa loo sameeyaa si loo hubiyo shaqooyinka wadnaha iyo kilyaha iyo in laga hubiyo infekshinka.

Duufaanta tayroodhka ayaa naf-gooye ah waxayna u baahan tahay daaweyn degdeg ah. Badanaa, qofku wuxuu u baahan yahay in la dhigo qaybta daryeelka degdegga ah. Daaweynta waxaa ka mid ah tallaabooyin taageero ah, sida bixinta oksijiin iyo dheecaano haddii ay dhacdo neefsasho dhib ama fuuqbax. Daaweynta waxaa ka mid noqon kara:

• Bustayaasha qaboojinta si heerkulka jirka caadi ugu soo celiyo
• La socoshada dheecaan kasta oo xad dhaaf ah oo ku dhaca dadka waayeelka ah ee qaba cudurada wadnaha ama kilyaha
• Daawooyinka lagu maareeyo kacdoonka
• Daawo si loo yareeyo heerka garaaca wadnaha
• Fiitamiinno iyo gulukoos

Ujeeddada ugu dambeysa ee daaweynta waa in la yareeyo heerarka hormoonnada tayroodhka ee dhiigga ku jira. Mararka qaarkood, iodine waxaa lagu siiyaa qadar sare si loo isku dayo loona yaabiyo qanjirka 'thyroid'. Daawooyin kale ayaa la siin karaa si loo yareeyo heerka hoormoonka dhiiga ku jira. Daawooyinka loo yaqaan 'beta betaer' ayaa badanaa la siiyaa xididka (IV) si loo yareeyo heerka garaaca wadnaha, loo yareeyo cadaadiska dhiigga, loona xannibo saamaynta hormoonka tayroodh ee xad dhaafka ah.

Antibiyootigyada waxaa la siiyaa haddii cudurku dhaco.

Wadna garaac aan caadi ahayn (arrhythmias) ayaa dhici kara. Wadnaha oo istaaga iyo barar sambabka ayaa si dhakhso leh u horumari kara una sababi kara dhimasho.

Tani waa xaalad degdeg ah. Wac 911 ama nambar kale oo degdeg ah haddii aad qabtid hyperthyroidism oo aad dareento astaamaha duufaanta tayroodhka.

Si looga hortago duufaanta tayroodhka, hyperthyroidism waa in la daaweeyaa.

Duufaanta Thyrotoxic; Dhibaatada qanjirka '; Duufaanta Hyperthyroid; Hyperthyroidism oo la dedejiyey Dhibaatada qanjirka 'thyroid'; Thyrotoxicosis - duufaanta tayroodhka

• Qanjirka 'thyroid'

Jonklaas J, Cooper DS. Qanjirka 'thyroid'. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 213.

Marino M, Vitti P, Chiovato L. Graves ’cudurka. 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 82.

Tallini G, Giordano TJ. Qanjirka 'thyroid' Gudaha: Goldblum JR, Lamps LW, McKenney JK, Myers JL, eds. Rosai iyo Ackerman's Pathology. 11aad. Philadelphia, PA: Elsevier; 2018: cutubka 8.

Thiessen MEW. Qanjirka 'thyroid' iyo 'adrenal disorders'. Gudaha: Walls RM, Hockberger RS, Gausche-Hill M, eds. Daawada Degdega ah ee Rosen: Fikradaha iyo Tababarka Caafimaadka. 9aad. Philadelphia, PA: Elsevier; 2018: cutubka 120.