Thyrotoxicosis bụ hyperthyroidism - ọnọdụ nke ịrịa ọrụ thyroid na-eme ka ọ ghara ikwekọ na njikọ ya nke na-arụ ọrụ nke hormones thyroxine T_4 na triiodothyronine T_3. Na okike nke ndị homonụ a gụnyere ọ bụghị nanị na thyroid gland, kamakwa pituitary gland, ya hormone - TSH.
Mgbaàmà nke thyrotoxicosis nwere ike ịdịgasị iche na-adabere n'otú ọkwa nke hormonụ a dị. Ọ dịkwa oke mkpa na o mere thyrotoxicosis:
- Nodular goiter - na ọrịa a na thyroid gland guzobere na nke nwere ike ịbụ ogbenye-àgwà ma ọ bụ benign; a na-emeso ha ọgwụ na-agbanwe site n'iji hormones sịntetik, na n'ọnọdụ ndị ka njọ site na usoro ịwa ahụ ma ọ bụ ọgwụ redioaktiv; nodal formations na-ebili n'ihi nnukwu ọrụ nke gland, ya mere, nke mbụ, e nwere hyperthyroidism, na mgbe ọgwụgwọ - suppression nke ya ọrụ, hypothyroidism na-emekarị gosipụtara.
- Onye na-egbu egbu na-egbuke egbuke bụ ọrịa na-adabere na Dabaa, nke nwere ụdị autoimmune; na autoimmune thyrotoxicosis, thyroid hormones bụ ngafe nke, n'ihi na ha nnukwu ego, nsi ahụ na-eme ka gịrotoxicosis; ọrịa a nwere ike ịmalite ịmalite, kama ọ na-amalite, dịka iwu, n'ụzọ siri ike, na thyrotoxicosis.
- Subacute thyroiditis bụ mbufụt nke thyroid gland, nke nwere ike nwere zoro etiology.
- Ndozi ọgwụgwọ hormone - ike iji hormones na ahụ nwere ike ịkpasu iwe site na ọrụ nke thyroid gland nke na-adịghị mma, kama site na oke iji ọgwụ nke hormone-nwere ọgwụ ọjọọ.
Mgbaàmà na indices nke homonụ na thyrotoxicosis nke thyroid gland
Ndị dọkịta na - achọpụta ụdị gị thyrotoxicosis abụọ na - adabere na ọnụọgụ nke hormones:
- igosipụta thyrotoxicosis dị mfe, nke a bụ ihe a na-akpọ "doro anya" thyrotoxicosis - ya na ọkwa nke TSH dị ala, na hormones T_4 na T_3 na-amụba; elu elu nwere ike ịbụ otu n'ime homonụ;
- subclinical thyrotoxicosis - ya na ọkwa nke TSH agbada, T_4 na T_3 bụ ndị nkịtị ma ọ bụ belata.
Mbelata nke hormone nke pituitary gland bụ n'ihi eziokwu a na-achịkwa ọrụ nke thyroid gland, gụnyere, site n'enyemaka nke TSH. Ọ bụrụ na pituitary gland na-enweta ozi na ọrịa thyroid na-arụ ọrụ nke ọma, ọ na-ebelata nsụgharị nke TSH n'ime ọbara. Mgbe e nwere hypothyroidism , pituitary gland na Kama nke ahụ, site n'enyemaka nke nnukwu TSH, na-eme ka a malite ya. Ya mere, dịka hormonụ atọ a, a na-ekpebi ọgwụ gịrotoxicosis na n'ozuzu, a na-enyocha ala gịroid.
Mgbe a bịara na autoimmune thyroiditis, data nke atọ hormones chọrọ abụọ ọzọ - AT-TPO na AT-TG. Nyocha a nke antithyroid autoantibodies: AT-TPO - ọgwụ nje gị na thyreperoxidase, AT-TG - ọgwụ nje gịroglobulin. Na autoimmune thyroiditis, n'ọtụtụ ọnọdụ enwere mmụba na indices ndị a. Mgbochi ndị na-emegide mmadụ na-enyere aka gosipụta njirimara autoimmune nke arụ ọrụ gịroid. Site na thyrotoxicosis, a ga-ewepụta oge ndị a iji ghọta ihe kpatara ezi omume nke ọrụ SCH.
Mgbaàmà nke thyrotoxicosis
Mgbaàmà nke thyrotoxicosis nwere ike iche dị iche na mmụba ma belata na ọkwa homonụ, kamakwa dabere na ihe kpatara nsogbu a.
Dịka ọmụmaatụ, na ọrịa Masterova, e gosipụtara ihe mgbaàmà anya na thyrotoxicosis na njedebe ikpeazụ: nwa akwụkwọ adịghị ezo n'azụ nku anya na ọnọdụ nkịtị na enwere ọkpụkpụ.
Na goiter na-egbuke egbuke na thyrotoxicosis, e nwekwara njedebe mara mma-mmụba nke na-egbuke egbuke, nke a pụrụ iche dị ka ntụpọ na akpịrị na nke mbụ, a na-ahụkwa anya gba ọtọ ka ọ dị elu.
A na-egosipụta thyrotoxicosis na ụmụ nwanyị site na mgbaàmà na oge mgbagwoju anya - enwere mmebi, na enwere ike inwe nsogbu na ime.
N'ihi ụba nke metabolism ahụ onye ọrịa ahụ na-enwe agụụ mgbe nile, ma ọ bụghị abụba - kama nke ahụ, enweghi ibu ahụ. Ọ bụrụ na gịrotoxicosis na-eme n'oge uto, mgbe ahụ, a na-ahụ ahụ na ihe ndị dị na infantilism.
Na n'ozuzu, n'ihi usoro mgbochi accelerated, hyperthyroidism na ndị ọrịa nwere hyperthyroidism nwere ọdịdị na-eto eto, mana ihe mgbaàmà ndị a yiri ka hà nwere ọnụ ahịa ha: nke mbụ, ọ gaghị ekwe omume iji ọgụgụ isi mụbaa n'ihi okebiga ókè na ngwa ngwa ike ọgwụgwụ ; Nke abụọ bụ na nrụrụ anụ ahụ na-eme ka mmadụ ghara inwe obi ụtọ na enweghị ike ịrụ ọrụ nke ọma, nke atọ, egwu nke nkwarụ nkwarụ, na mwakpo oge - mmetụ dị egwu nke ikpo ọkụ, nkwụsị siri ike, dizziness, ọgbụgbọ na mgbe ụfọdụ - enweghị ncheta na-eduga n'eziokwu na a manyere mmadụ ịjụ banyere nlekọta ahụike.
Otu njirimara nke thyrotoxicosis bụ egwu, oké iwe ọkụ , mmetụta nke okpomọkụ, ime ngwa ngwa obi na ịbụ n'ime ụlọ siri ike siri ike. N'oge oyi, ndị ọrịa nwere ike ejiji ngwa ngwa, ma mepee windo n'ime ụlọ ahụ.
N'ihi ịrụ ọrụ nke obi, ndị ọrịa nwere thyrotoxicosis na-ezokarị aka na ngalaba ọrịa obi, ma ọ bụrụ na ndị ọkachamara amaghị banyere ọrịa endocrine nwere ike ime ma na-emeso obi ma ọ bụ usoro ụjọ, ọ naghị eduga na nsonaazụ ndị a tụrụ anya ya.
Mgbanwe ihu igwe na-apụta ọ bụghị nanị na anụ ahụ, kamakwa na ọnọdụ uche - onye ọrịa ahụ na-ewe iwe, ngwa ngwa, na-eti mkpu na nkwurịta okwu nkịtị dị ka mmepe nke thyrotoxicosis na-aghọ ihe a na-apụghị izere ezere. Nke a abụghị ihe ịrịba ama nke àgwà ọjọọ - mgbe ụgwọ nke homonụ, àgwà ya ga-abụ otu.