Daaweynta Cudurka Qanjirka Dheerka ah iyo Qaadashada Beta Blocker Sida badanaa waa Trick
Wadnahaaga ayaa si dhakhso ah oo qaylo leh u garaacaya. Gacmahaagu wuxuu ku ruxaa xoogaa jilicsan. Waxaad dareemeysaa wareer. Way adag tahay in aad neefsato. Waxaad jebisay dhididka. Waxaad u maleyneysaa inaad dhimaneyso. Adiga ayaa ku xayiray dareen cabsi. Waxaad noqon kartaa weerar argagax.
Ama, waxaad dareemeysaa in wadnahaagu garaacayo garaaca, garaacidda, garaacista, ama garaacista. Waxaad yeelan kartaa is-buuqid wadne.
Weerarada Argagixisada iyo Qalbidda Wadnaha ee Laga soo bilaabo Hyperthyroidism
Dad badan ayaan fahmin in weerarada argagaxa iyo isbeddellada ay noqon karaan astaamaha hyperthyroidism - cudur qanjirka 'travoid' ama ' autoimmune Graves' .
Qaar ka mid ah bukaanada ayaa la xakameynayaa iyagoo leh dhibaatooyin argagax ama dhibaatooyin wadnaha ah marka ay dhab ahaan yihiin hyperthyroid. Marka lagu daaweeyo tayroodhka firfircoon, waxay sii wadaan inay ka xoroobaan calaamadahaas.
Markaad tahay hyperthyroid, jirkaaga wuxuu soo saaraa hoormoon tayroodh badan. Siciradaan hormoonada ah ayaa kor u qaadi kara xaddiga wadnahaaga si aad u sareeya, kor u kaca cadaadiska dhiigga, guud ahaanna jidhkaaga geli. Si kale haddii loo dhigo, hormoonka thyroid-ka ee xad-dhaafka ah ayaa laga yaabaa in uu ka dhexjirto jawaabta jirka ee-ama-baxa adrenaline.
Marka laga soo tago cudurka autism ee 'Graves', ee cudurka Hashimoto , kor u kaca iyo hoos u dhaca dhaqdhaqaaqa thyroid wuxuu mararka qaarkood keeni karaa hormoonka thyroid xad-dhaafka ah si loo sii daayo si khalad ah.
Badeeco isku-dhafan oo sunta ah ayaa sidoo kale keeni karta muddooyinka caadada ah ee hyperthyroidism. Taas bedelkeed, dhacdooyinkan waxay noqon karaan kuwo u horseedaya weeraro argagixiso ama keeno wadne garaac.
Dadka badankooda qaba cudurka thyroid waxay ogaanayaan in si habboon loo daaweeyo (tusaale ahaan, daawooyinka antidiotiko, daaweynta iodine-ga ama sheybaarka), weerarada argagaxisada iyo isbeelashadu waxay noqdaan wax la soo dhaafay.
Taasi waxay tiri, marar badan marka lagu daro daaweynta cudurka thyroid ee dhabta ah, beta blocker (nooca daawada cadaadiska dhiigga) ayaa sidoo kale loo qoraa si loo yareeyo astaamaha sida wadnaha garaaca wadnaha iyo dareenka.
Daaweynta Cadaadiska Argagixisada iyo Wadnaha Wadnaha
Laakiin maxaa dhacaya haddii laguula dhaqmo oo aad wali la kulanto xaaladahan?
Waqtigaas, waxaad u baahan doontaa inaad sahamiso baadhitaan dheeraad ah dhakhtarkaaga.
Mid ka mid ah suurtagalnimada in baaritaan lagu sameeyo waa haddii aad leedahay ama aanad haysanin dheecaan mitraal ah , maqnaansho qalafsan oo wadata in badan oo ka mid ah bukaannada cudurka thyroidka oo soo saari kara calaamadaha sida lafdhabarka, garaaca wadnaha, garaaca wadnaha, madax-xannuun, argagax, iyo calaamadaha kale.
Cudurka 'mitral valve' waxaa lagu ogaan karaa echocardiogram , waxaana jira daweyno, oo ay ka mid yihiin beta blockers , taas oo yareeya calaamadaha.
Wax kale oo aad u tixgelinayso dhakhtarkaagu waa heerkaaga TSH. Marka lagu daaweeyo hyperthyroidism, dadka badankood waxay noqdaan hypothyroid, sababtoo ah iodine radioactive (RAI), daawooyinka antithyroid, ama qalliinka.
Waqtigan, waxaad ku jiri doontaa bedelka hoormoonka tayroodh. Hase yeeshee, haddii aad aad u sarreeysid qiyaasta hormoonka thyroid, bedelkeedaga Qadhi wuxuu ku yaalaa qaybta hoose ee caadiga ah, waxaa laga yaabaa inaad xuduud u noqoto hyperthyroid xayeysiis . Xaaladdan, waxaa haboon in lagala hadlo hoos u dhac ku yaalo qiyaastaada dhakhtarkaaga si aad u aragto haddii taasi cirib tirto calaamadahaaga.
Sidoo kale, haddii aad leedahay mudo ah hyperthyroidism sababtoo ah cudurka Hashimoto ama sunta sunta ah , daaweynta wanaagsan ee xaaladaada ayaa xalin kara calaamadahaaga iyo argagaxaaga.
Ugu dambeyntii, haddii adiga iyo takhtarkaagu aaney go'aan ka gaarin sababo la xiriira xaaladaha calaamadahaaga, waxaa laga yaabaa, inaad xaqiiqo ahaan leedahay, argagax ama walwal walaac, ama nooc ka mid ah qaladaadka kale ee wadnaha. Xaaladahaan, waa in aad sii qiimeyn ku sameyso takhasus wadnaha ah iyo / ama dhakhtarka maskaxda.
Ka sokow dhibaatooyinka wadnaha ama walaaca dhabta ah, sababaha kale ee weerarada argagaxa waxaa ka mid ah:
- Isticmaalka daroogada (kiciyeyaasha sida kafeyn, cocaine amphetamines)
- Hypoglycemia (sonkorta dhiigga yar)
- Daaweynta Daawada
- Xaaladaha qanjirka 'adrenal', oo ay ku jiraan phoochromocytoma
Ereyga
Uu ku qanacsanahay in si habboon loo daaweyn karo hyperthyroidism iyo beta beta, garaaca wadnahaaga iyo weerarada argagaxa waa in la yareeyaa.
Haddii aanad ahayn, fadlan ogeysii dhakhtarkaaga tirtirahaaga. Waxaa laga yaabaa inaad u baahato in laguu qiimeeyo sababaha kale.
Ku adkee adigoo adeegsanaya habkan-adigoo raacaya dabagal dabagal ah iyo qorshe daaweyn oo si ballaaran loo qorsheeyey, waxaad dareemi kartaa fiicnaan.
> Ilo:
> Grais IM, Sera JR. Tirada iyo wadnaha. Am J Med . 2014 Aug; 127 (8): 691-98.
> DS DS. (2016). Graves 'hyperthyroidism ee dadka qaangaarka ah ee aan dadka ahayn: Guudmarka daaweynta. Cooper DS, ed. UpToDate. Waltham, MA: UpToDate Inc.