Kev xeeb tub yog lub sijhawm tshwj xeeb hauv poj niam lub neej. Cov kev hloov pauv tseem ceeb tau tshwm sim hauv lub cev, uas tseem cuam tshuam rau cov kab mob endocrine, vim tias cov tshuaj hormones ncaj qha cuam tshuam rau kev xeeb tub thiab kev loj hlob ntawm tus menyuam hauv plab. Nws yog ib qho tsim nyog yuav tsum tswj hwm lawv qib hauv lub cev ntawm tus poj niam cev xeeb tub, vim tias txawm tias qhov sib txawv me ntsis ntawm lawv cov qauv tuaj yeem ua rau muaj qhov tshwm sim loj. Ib qho ntawm cov teeb meem txaus ntshai hauv kev ua haujlwm ntawm endocrine system yog suav tias yog hyperthyroidism thaum cev xeeb tub. Nws yog dab tsi thiab yuav ua li cas hem niam thiab fetus, peb yuav xav txog hauv kab lus.
YDab tsi yog hyperthyroidism
Hyperthyroidism yog ib yam mob uas tshwm sim los ntawm kev tsim cov thyroid hormones ntau ntxiv. Nrog rau qhov kev kuaj mob no, qib ntawm cov tshuaj hormones T3 thiab T4 nce hauv cov ntshav, vim li ntawd,Cov txheej txheem metabolic tau nrawm. Nws tshwm sim hais tias xws li pathology tshwm sim thaum cev xeeb tub, uas tuaj yeem ua rau muaj kev cuam tshuam loj hauv kev loj hlob ntawm tus menyuam, vim tias cov tshuaj hormones ntau dhau tuaj yeem muab rau nws los ntawm cov placental ncig. Vim qhov tseeb tias hyperthyroidism thaum cev xeeb tub tuaj yeem ua rau muaj kev cuam tshuam loj heev rau tus menyuam hauv plab, nws yog qhov tsim nyog los tswj cov tshuaj hormones keeb kwm yav dhau los ntawm kev npaj cev xeeb tub thiab thaum lub sijhawm yug menyuam.
ua rau ntawm pathology
Kev ua haujlwm ntawm cov thyroid caj pas cuam tshuam rau kev ua haujlwm ntawm lub cev tag nrho. Thaum lub sij hawm yug me nyuam, vim lub ntiaj teb no hormonal hloov, theem ntawm cov tshuaj hormones uas tsim los ntawm nws kuj hloov nyob rau hauv tus ntawm ib co yam uas yuav provoke hyperthyroidism thaum cev xeeb tub. Xav txog qhov feem ntau ntawm lawv.
- Ua ntej tshaj plaws, kev tsim cov T3 thiab T4 nce ntxiv yog cuam tshuam los ntawm cov tshuaj hCG, uas qhia tias muaj kev xeeb tub. Nws kuj tseem muaj cov nyhuv stimulating ntawm cov ntaub so ntswg ntawm cov thyroid caj pas, vim nws txoj haujlwm tau txhim kho.
- Nws tshwm sim tias hyperthyroidism thaum cev xeeb tub tshwm sim vim yog mob toxicosis hnyav, uas yog nrog los ntawm ntuav tsis txaus. Raws li txoj cai, qhov no, pathology ploj tom qab ib ntus.
Cov thyroid hormone abnormalities kuj tshwm sim vim cov kab mob hauv qab no:
- Gaves' disease. Qhov no pathological mob yog qhov ua txhaum ntawm kev loj hlob ntawm hyperthyroidism nyob rau hauv feem ntau. Nws yog tus kab mob autoimmune uasLub cev tsim cov tshuaj tiv thaiv kab mob uas ua rau muaj kev tsim cov thyroid ntau ntxiv.
- qog nqaij hlav ntawm lub caj pas pituitary.
- Toxic adenoma, uas muaj kev ua haujlwm ntau ntxiv ntawm ib tus neeg hauv ib cheeb tsam ntawm cov thyroid caj pas.
- mob qog nqaij hlav ntawm zes qe menyuam lossis hlwb.
- Thyroiditis. Nws tshwm sim vim cov txheej txheem inflammatory tshwm sim hauv cov thyroid caj pas. Feem ntau, qhov ua rau tus kab mob no yog kis kab mob.
- noj tej yam tshuaj, nrog rau cov tshuaj hormones.
- Txoj kev tiv thaiv kab mob.
- Npua skid. Ib qho tsis tshua muaj pathology ntawm lub qe fetal, uas tshwm sim vim tsis txaus stimulation ntawm cov thyroid caj pas los ntawm hCG hormone.
- Kev noj haus tsis zoo.
Kev faib tawm
Qee tus kws tshaj lij paub qhov txawv ntawm cov kab mob hauv qab no:
- Kev hloov pauv hyperthyroidism thaum cev xeeb tub. Qhov no yog ib qho mob ntawm lub cev uas tshwm sim hauv thawj lub lis piam ntawm kev xeeb tub. Cov tsos mob no yog tshwm sim los ntawm qhov tseeb hais tias nyob rau hauv thawj ib nrab ntawm cev xeeb tub, fetal thyroid caj pas tseem tsis tau ua hauj lwm, yog li ntawd lub caj pas niam yuav siv sij hawm nws lub luag hauj lwm. Tib lub sijhawm, T3 thiab T4 tuaj yeem nce 2 zaug. Qhov no yog ib qho mob uas tsis tas yuav kho. Raws li txoj cai, tom qab qee lub sijhawm, qib ntawm cov tshuaj hormones rov zoo li qub. Nws tshwm sim hais tias nyob rau hauv ib co poj niam cov concentration ntawm cov thyroid hormones ntau tshaj li tus qauv, uas yog tso cai thaum cev xeeb tub, thaum TSH txo. Muaj ib qho kev loj hlob ntawm transient gestational hyperthyroidism thaum lub sij hawm cev xeeb tub, uas yog nrog rau tag nrho cov tsos mob tsis kaj siab.
- Acquired hyperthyroidism, ua rau uas yog pathologies ntawm cov thyroid caj pas. Hom kab mob no suav nrog diffuse goiter.
- Tau txais hyperthyroidism, uas tshwm sim nrog kev kho tshuaj hormone tsis raug.
Kev faib tawm niaj hnub txheeb xyuas peb hom kab mob no:
- Primary hyperthyroidism, qhov tseem ceeb ntawm kev ua haujlwm ntawm cov thyroid caj pas.
- Secondary yog tshwm sim los ntawm kev ua haujlwm ntawm lub qog pituitary.
- Tertiary, uas cov txheej txheem pathological tshwm sim hauv hypothalamus.
Primary hyperthyroidism, nyob rau hauv lem, muab faib ua hom hauv qab no:
- Subclinical, thaum cov thyroid-stimulating hormones yog qhov qub thiab TSH qis. Nyob rau hauv rooj plaub no, chav kawm ntawm pathology yuav asymptomatic.
- Manifest. Cov thyroid hormones nce siab thiab TSH qis dua. Cov tsos mob yog yam ntxwv.
- Txhob. Manifested los ntawm psychosis, poob phaus, lub plawv los yog adrenal insufficiency.
Symptoms
Cov tsos mob ntawm hyperthyroidism thaum cev xeeb tub tshwm sim maj mam, thiab pathology tuaj yeem tshwm sim tsis yog thaum lub sijhawm yug menyuam, tab sis kuj ua ntej cev xeeb tub.
Cov tsos mob feem ntau ntawm cov thyroid hormones siab suav nrog:
- Qhov hnyav nce lossis qhov hnyav nce.
- PsychologicalKev nyuaj siab - kev nyuaj siab, ntxhov siab, ntxhov siab vim.
- dhia ntshav siab.
- nce lub cev kub.
- Lub plawv dhia tsis xwm yeem.
- Npaj siab lub plawv dhia.
- Zoo siab.
- tawm hws ntau dhau.
- Heat intolerance.
- ob npaug khoom.
- ua tsis taus pa.
- Ntshai tshee hnyo.
- Stool disorder.
- YEnlarged thyroid.
- Pug-Eyed.
- Tsis muaj zog.
- nqhis dej.
- Muscle qaug zog.
- tso zis ntau zaus.
- Ntaus thiab ntuav.
- Hair loss.
Nyob rau theem siab ntxiv ntawm tus kabmob, cov xwm txheej xws li:
- tawv nqaij qhuav.
- pob muag ntawm daim tawv muag.
- Nkauj hauv qhov muag.
- quav quav.
- Tshuaj mob hauv plab.
- mob siab.
- Tus mob txaus ntshai tshaj plaws yog thyrotoxic ntsoog, uas tuaj yeem hem tsis tau tsuas yog kev noj qab haus huv, tab sis kuj rau lub neej ntawm poj niam thiab menyuam.
Vim tias cov tsos mob ntawm hyperthyroidism thaum cev xeeb tub tuaj yeem yooj yim tsis meej pem nrog cov tsos mob tshwm sim thaum cev xeeb tub, kev kuaj mob ntawm pathology feem ntau tshwm sim lig. Yog li ntawd, tsis txhob hnov qab txog kev teem sijhawm ntawm tus kws kho mob tuaj koom thiab ua txhua yam kev xeem tsim nyog raws sijhawm.
Diagnosis
Txij li thaum hyperthyroidism thaum cev xeeb tub muaj qhov cuam tshuam loj heev rau tus menyuam hauv plab, nws yog ib qho tseem ceeb heev uas yuav tau kuaj xyuas cov kab mob kom raws sijhawm. Qhov no tseem ceeb tshwj xeeb tshaj yog rau cov poj niam uas muaj ua ntej xeeb tubmuaj teeb meem thyroid lossis ib qho ntawm cov tsos mob saum toj no.
Cia peb saib kom ze rau qhov ntsuas ntsuas tau.
- Ua ntej tshaj plaws, koj yuav tsum tau mus ntsib tus kws kho mob endocrinologist uas yuav kuaj xyuas thiab sau cov kab mob anamnesis, qhov uas nws yuav qhia meej txog qhov muaj keeb kwm yav dhau los, thaum ntxov ntawm hormonal tsis txaus, noj zaub mov zoo, thiab ntau dua..
- Tom ntej no, kuaj ntshav venous rau cov thyroid hormones.
- Kev tshuaj ntsuam dav dav ntawm cov zis thiab ntshav, uas tuaj yeem qhia tau tias muaj cov txheej txheem inflammatory hauv lub cev.
- ntshav txhaws.
- kev tshawb nrhiav qhov muag pom kev.
- ECG.
- YThyroid ultrasound.
- Qee zaum yuav xav tau MRI lossis CT.
- Thyroid biopsy.
- Tus me nyuam tus mob yog ntsuas los ntawm Doppler ultrasound.
Kev kho mob
Hyperthyroidism thaum cev xeeb tub yog kho los ntawm tus kws endocrinologist-gynecologist. Nws yog ib qho tseem ceeb heev nyob rau tib lub sij hawm xaiv tus kws tshaj lij uas yuav xaiv cov tshuaj zoo, vim tias ntau ntawm lawv tuaj yeem ua rau muaj kev phom sij loj rau tus menyuam hauv plab.
Tam sim no, cov kws kho mob tshwj xeeb siv cov kev kho mob hauv qab no rau kev kho mob:
- Tshuaj kho mob. Hauv kev kho mob hyperthyroidism, tus kws kho mob tau sau tshuaj hormonal uas tuaj yeem txo qis cov thyroid hormones. Yeej, radioactive iodine yog siv rau qhov no, uas yog heev lom thiab yog txwv tsis pub rausiv thaum cev xeeb tub. Yog li ntawd, lwm txoj kev, cov tshuaj muaj kev nyab xeeb rau lub sijhawm no tau raug sau tseg. Cov no suav nrog cov tshuaj antithyroid - Propylthiouracil, Thiamazole, Metimazole thiab lwm yam. Nws yog ib qho tseem ceeb heev nyob rau tib lub sijhawm uas tus kws kho mob tuaj koom xaiv cov koob tshuaj ntawm tus kheej, vim tias qhov tshuaj tsis raug tuaj yeem ua rau nchuav menyuam lossis ua tsis taus. Feem ntau, cov tshuaj antithyroid raug pom zoo kom noj nyob rau hauv thawj peb lub hlis twg, thiab hauv peb lub hlis twg tom ntej, lawv cov koob tshuaj yuav tsum tau hloov kho, mus txog qhov kev tshem tawm tag nrho ntawm cov tshuaj.
- Cov tshuaj sedatives yog qhov tseeb, uas tiv thaiv kev puas siab puas ntsws, normalize pw tsaug zog thiab pab tiv thaiv kev nyuaj siab. Thaum cev xeeb tub, koj tuaj yeem noj tshuaj ntsuab, tom qab ua kom paub tseeb tias tsis muaj kev fab tshuaj rau cov khoom uas muaj nyob hauv cov khoom xyaw. Piv txwv li, "Persen", "Novo-passit". Tab sis lawv yuav tsum tau pom zoo los ntawm tus kws kho mob.
- Kev phais txoj kev kho mob. Hauv qee qhov xwm txheej, tus kws kho mob yuav txiav txim siab txog qhov xav tau ntawm kev ua haujlwm ntawm kev kho cov kab mob pathology. Qhov no tshwm sim yog tias kev kho mob tsis tuaj yeem ua rau muaj txiaj ntsig zoo, yog tias muaj kev tsis haum tshuaj tshwm sim rau cov tshuaj kws kho mob, nrog rau cov kab mob goiter loj los yog xav tias muaj cov thyroid qog. Tsis tas li ntawd, ib qho kev qhia rau kev phais yuav yog qhov rov qab los ntawm tus kab mob tom qab kawg ntawm kev kho tshuaj. Feem ntau, hom noKev kho mob yog sau tseg tsis pub dhau lub trimester thib ob, thaum qhov kev pheej hmoo ntawm nchuav menyuam tsawg. Thaum lub sijhawm ua haujlwm, ib feem ntawm lub cev yog excised. Nws tsim nyog sau cia tias qhov nchuav menyuam lossis yug ntxov ntxov tuaj yeem tshwm sim los ntawm kev phais.
Kev phom sij rau fetus
Nrog hyperthyroidism thiab cev xeeb tub, qhov tshwm sim rau tus menyuam tuaj yeem loj heev. Thaum tsis kho raws sijhawm, cov xwm txheej txaus ntshai hauv qab no yuav tshwm sim:
- yug ntxov ntxov vim placental abruption.
- tus me nyuam mos.
- Kev txhim kho qeeb.
- YCongenital hyperthyroidism.
- Kev mob ntawm lub paj hlwb ntawm cov xwm txheej pathological.
- Hypotrophy.
- Congenital organ pathologies.
Kev Nyuaj Siab
Qhov tshwm sim ntawm hyperthyroidism thiab cev xeeb tub yam tsis tau kho raws sijhawm tuaj yeem kho tsis tau. Feem ntau ntawm cov no yog cov xeev hauv qab no:
- Kev cev xeeb tub.
- Nyob miscarriage.
- yug ntxov ntxov.
- Severe toxicosis.
- Anemia.
- Placental insufficiency, raws li cov ntshav ntws ntawm lub plab hnyuv siab raum thiab cov placenta cuam tshuam.
- Bleeding.
- Txoj kev tus neeg mob, uas tuaj yeem hem lub neej ntawm niam thiab menyuam.
Qhov txawv ntawm hyperthyroidism thiab hypothyroidism
Hypothyroidism thiab hyperthyroidism thaum cev xeeb tub yog qhov txaus ntshai sib npaug. Qhov txawv yog tias hypothyroidism yog tshwm sim los ntawm cov thyroid hormones qis, uas yog ib qho teeb meem loj rau kev xeeb tub.tus menyuam. Yog tias cev xeeb tub tau tshwm sim, hypothyroidism tuaj yeem ua rau poob ntawm tus menyuam thaum ntxov. Thaum kuaj pom qhov sib txawv no, nws yuav tsum tau txais cov lus qhia ntawm tus kws kho mob sai li sai tau, leej twg yuav tau txais kev kho mob zoo.
Kev Tiv Thaiv
Kev cev xeeb tub nrog hyperthyroidism yuav tsum tau saib xyuas kom zoo. Ntxiv nrog rau kev ua raws li cov kev kho mob uas tus kws kho mob tau sau tseg, nws yuav tsum tau ua kom muaj kev tiv thaiv, tshwj xeeb tshaj yog tias muaj kev cuam tshuam los yog muaj teeb meem nrog cov thyroid caj pas tshwm sim ib ntus.
Ua ntej tshaj plaws, koj yuav tsum tswj hwm iodine hauv lub cev ntawm qib tsim nyog. Tsis tas li ntawd, tsis muaj qhov overabundance lossis nws qhov tsis txaus yuav tsum raug tso cai. Txhawm rau ua qhov no, nws yog ib qho tseem ceeb uas yuav tsum xaiv cov tshuaj uas muaj iodine-muaj tshuaj thiab cov khoom noj khoom haus, suav nrog thaj tsam ntawm qhov chaw nyob thiab huab cua. Cov koob tshuaj yog muab los ntawm tus kws kho mob uas tuaj koom, suav nrog cov txiaj ntsig ntawm kev sim.
Nws tsim nyog txwv tsis pub noj cov zaub mov uas ua rau lub hauv siab hauv nruab siab. Cov no suav nrog chocolate, txuj lom, kas fes thiab tshuaj yej muaj zog.
Kev tiv thaiv yuav tsum pib rau lub hlis ua ntej kev xeeb tub. Hauv qhov no, koj yuav tsum tau kuaj cov tshuaj hormones ib ntus.
Huab cua
Txawm tias nrog kev siv cov kev tiv thaiv kev tiv thaiv, thiab tom qab ntawd tag nrho cov kws kho mob cov lus pom zoo, nws tsis tuaj yeem hais meej meej tias cov kab mob endocrine yuav ua haujlwm li cas yav tom ntej. Yog li ntawd, nws yog ib qho tseem ceeb heev los tswj cov keeb kwm ntawm hormonal los ntawm systematically dhau tag nrho cov kev ntsuam xyuas tsim nyog.
Txawm li cas los xij, nrog sijhawmKev kuaj mob thiab kev kho mob tuaj yeem zam qhov kev hem thawj ntawm kev nchuav menyuam thiab yug ntxov ntxov.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias qee zaum, hauv rau lub hlis tom qab yug me nyuam, muaj cov thyroid teeb meem tshwm sim.
Feem ntau, qhov kev cia siab ntawm cev xeeb tub nrog hyperthyroidism ntawm cov thyroid caj pas yog qhov zoo, tab sis nrog rau cov xwm txheej uas tus mob pathological tau kuaj pom yav dhau los thiab kev kho tsim nyog tau ua tiav.
Zoo kawg
Qhov cuam tshuam ntawm hyperthyroidism ntawm cev xeeb tub yog siab heev. Yog tias tsis kho, cov teeb meem uas tsis tuaj yeem tshwm sim tuaj yeem tshwm sim uas yuav cuam tshuam kev noj qab haus huv thiab lub neej ntawm poj niam thiab menyuam yaus. Kev nkag mus rau tus kws kho mob raws sijhawm thiab kev siv cov kev tiv thaiv kev tiv thaiv yuav tsis tso cai rau hormonal tsis ua haujlwm rau hauv ib qho kab mob sib txawv. Cev xeeb tub nrog hyperthyroidism ntawm cov thyroid caj pas yog qhov ua tau yog tias qhov kev kho mob tsim nyog tau ua tiav kom normalize cov tshuaj hormones.
