Thyrotoxicosis yog hyperthyroidism - ib qho mob uas siv cov thyroid ua cuam tshuam rau hauv nws cov khoom xyaw ntawm thyroxine hormones T_4 thiab triiodothyronine T_3. Nyob rau hauv cov creation ntawm cov hormones yog koom tes tsis tsuas yog lub thyroid caj pas, tab sis kuj lub pituitary caj pas, nws cov hormone - TSH.
Cov tsos mob ntawm thyrotoxicosis sib txawv nyob ntawm seb qhov ntau npaum li cas ntawm cov tshuaj hormones no tshaj. Nws kuj yog qhov tseem ceeb uas nws tau ua rau thyrotoxicosis:
- Nodular goiter - nrog rau tus kabmob no nyob rau hauv cov thyroid caj pas ua cov ntshav uas tej zaum tsis zoo los yog ua zoo; lawv raug kho nrog kev hloov cov khoom siv los ntawm kev siv hluavtaws, thiab cov mob hnyav dua los ntawm txoj kev phais lossis kev siv tshuaj tua kab mob; nodal formations tshwm sim vim qhov kev ua si loj ntawm lub caj pas, thiab yog li ntawd ua ntej ntawm tag nrho cov muaj hyperthyroidism, thiab tom qab kev kho mob - kev quab yuam ntawm nws cov kev ua, hypothyroidism feem ntau yog manifested.
- Diffuse toxic goiter yog tus kab mob hu ua Basedova, uas muaj ib qhov kev mob oob khab; nyob rau hauv autoimmune thyrotoxicosis, cov thyroid hormones ntau dhau, vim tias lawv cov nqi loj, tshuaj lom lub cev thiab ua rau thyrotoxicosis; qhov kab mob autoimmune no tom qab tau pib mus raws li asymptomatically, tab sis nws pib, raws li txoj cai, roughly, nrog thyrotoxicosis.
- Subacute thyroiditis yog ib qho kev mob ntawm cov thyroid caj pas, uas tuaj yeem mob viral etiology.
- Overdose of hormone therapy - ntau heev ntawm cov tshuaj hormones hauv lub cev yuav ua rau muaj kev cuam tshuam los ntawm kev siv cov thyroid caj pas uas tsis muaj kev puas tsuaj, tab sis los ntawm ntau yam khoom noj uas muaj tshuaj hormone-muaj.
Cov tsos mob thiab cov cim ntawm cov tshuaj hormones nrog thyrotoxicosis ntawm cov thyroid caj pas
Cov kws kho mob qhia ob hom kev tiv thaiv ntawm thyrotoxicosis nyob ntawm qhov tsis muaj cov tshuaj hormones:
- manifest thyrotoxicosis yog yooj yim txiav txim siab, qhov no yog qhov hu ua "pom tseeb" thyrotoxicosis - nrog nws qib TSH yog qis, thiab cov tshuaj hormones T_4 thiab T_3 nce; siab yuav yog ib qho ntawm cov tshuaj hormones;
- subclinical thyrotoxicosis - nrog nws qib TSH yog qis, thiab T_4 thiab T_3 yog qhov qub lossis tsawg.
Tus thawj hauv cov hnyuv ntawm lub caj pas pituitary yog vim qhov tseeb tias lub cev no tswj kev ua haujlwm ntawm cov thyroid caj pas, nrog rau cov kev pab ntawm TSH. Thiab thaum twg cov pituitary caj pas tau txais cov ntaub ntawv tias cov thyroid caj pas yog overly dhia, nws txo cov ndlwg ntawm TSH mus rau hauv cov ntshav. Thaum muaj hypothyroidism , lub caj pas pituitary ntawm qhov tsis sib xws, nrog kev pab los ntawm ib tug loj npaum li cas TSH, contributes rau nws ua kom. Yog li, raws li peb cov tshuaj hormones no, cov tshuaj tiv thaiv thyrotoxicosis yog txiav txim siab thiab feem ntau ntawm cov thyroid caj pas ntsuas.
Thaum nws tawm los rau autoimmune thyroiditis, cov ntaub ntawv ntawm no peb cov tshuaj hormones yuav tsum tau ntau tshaj ob-AT-TPO thiab AT-TG. Qhov kev luj xyuas ntawm antithyroid autoantibodies: AT-TPO - tshuaj tiv thaiv rau koj txoj kev mob siab, AT-TG - antibodies rau thyroglobulin. Nrog autoimmune thyroiditis, feem ntau muaj qhov nce rau hauv cov kev lag luam no. Antibody indices pab kom paub tseeb tias qhov kev kho mob autoimmune ntawm lub impaired cov thyroid muaj nuj nqi. Nrog thyrotoxicosis, cov kev ntsuas no yuav tsum tau coj los siv rau kev nkag siab txog qhov tseeb qhov tseeb ntawm qhov ua txhaum txoj cai SCH.
Cov tsos mob ntawm thyrotoxicosis
Cov tsos mob ntawm thyrotoxicosis tuaj yeem tsis txawv ntawm qhov nce thiab txo qis ntawm cov tshuaj hormones, tab sis kuj nyob ntawm qhov ua rau muaj kev puas siab ntsws no.
Piv txwv, nrog cov kab mob ntawm tus kab mob hauv tus kab mob thootoxicosis yog qhov tshwm sim nyob rau hauv lub sij hawm kawg: Tus menyuam tsis nkaum qab lub qhov muag daj hauv lub xeev thiab nws muaj qhov tshwm sim pop-eyed.
Nrog diffuse-toxic goiter thiab thyrotoxicosis, nws tseem muaj tus yam ntxwv goiter-nce hauv lub thyroid caj pas, uas muaj peev xwm tau hnov zoo li lub pob hauv lub caj pas hauv thawj theem, thiab yog pom ntxiv rau qhov muag liab qab raws li kev nce.
Thyrotoxicosis nyob rau hauv cov poj niam yog tshwm sim los ntawm cov tsos mob nyob hauv lub cev ntas - muaj kev ua txhaum, thiab tej zaum yuav muaj teeb meem nrog cev xeeb tub.
Vim tias muaj cov kab mob metabolism ntxiv lawm, tus neeg mob tau ua qhov kev noj qab haus huv tas li, tab sis tsis tau muaj roj - ntawm qhov tsis sib xws, tsis muaj lub cev tsis muaj zog. Yog tias thyrotoxicosis tshwm sim hauv kev loj hlob, ces lub cev tsim nrog cov khoom ntawm infantility.
Feem ntau, vim tias txoj kev siv zog ntawm metabolic, hyperthyroidism rau cov neeg mob hyperthyroidism muaj ib tus hluas nkauj zoo li, tab sis cov tsos mob zoo li no muaj lawv cov nqi: thawj, nws tsis muaj peev xwm ua kom zoo dua qhov kev txawj ntse nce siab vim muaj qhov excitability ntev thiab ceev qaug zog ; ob zaug, qhov teeb meem tsis tu ncua ua rau ib tug neeg tsis zoo siab thiab tsis muaj peev xwm ua haujlwm li qub, thirdly, kev tsim kev puas hlwb suppresses, kev kub ntxhov, lub zog palpitation, kiv taub hau, xeev siab thiab qee zaus - tsis nco qab ua rau qhov tseeb tias ib tug neeg raug yuam txog kev kho mob.
Tus cwj pwm ntawm cov thyrotoxicosis yog ib qho sib ntxiv, ntau heev tawm hws , zoo nkaus li cua sov, lub plawv dhia ceev ceev thiab nyob hauv chav tsev tsis zoo. Nyob rau lub caij ntuj no, cov neeg mob tau yooj yim hnav, thiab qhib qhov rais hauv chav.
Vim tias kev ua haujlwm ntawm lub plawv, cov neeg mob thyrotoxicosis feem ntau raug xa mus rau lub chaw kho mob plawv, thiab yog tias cov kws kho mob tsis paub txog kev mob hauv endocrine thiab kho lub plawv lossis lub hlwb, nws tsis ua rau cov kev xav tau.
Hormonal hloov tau pom tias tsis yog nyob hauv lub cev, tab sis kuj nyob rau hauv lub xeev kev puas siab puas ntsws - tus neeg mob yog khaus, ceev-tempered, quaj thiab hauv kev sib txuas lus hauv kev sib txuas lus raws li kev tsim cov thyrotoxicosis ua unbearable. Qhov no tsis yog ib qho cim ntawm tus cwj pwm phem - tom qab them nyiaj ntawm cov tshuaj hormones, nws tus xeeb ceem yuav rov qab ua ib yam.