LUBhyperthyroidism denotes abnormally siab ntau lawmcov tshuaj hormones ntawm lub cev thyroid, lub cev npauj npaim no nyob ntawm lub hauv paus ntawm caj dab, hauv qab Adas lub kua (saib daim duab). Nws tsis yog ib o thyroid, raws li qee zaum ntseeg.

Tus kab mob no feem ntau pib rau cov neeg laus hnub nyoog ntawm 20 thiab 40. Txawm li cas los xij, nws tuaj yeem tshwm sim rau txhua lub hnub nyoog, thiab nws kuj pom nyob rau hauv cov menyuam yaus thiab cov neeg laus. Nws yog tsawg dua li hypothyroidism.

Lub zog ntawm lub caj pas thyroid ntawm lub cev yog qhov tseem ceeb: nws lub luag haujlwm tseem ceeb yog tswj cov metabolism hauv cov hlwb ntawm peb lub cev. Yog li ntawd nws txiav txim siab qhov ceev ntawm "lub cav" ntawm peb lub hlwb thiab lub cev thiab tus nqi ntawm "roj" yuav siv: lipids (rog), proteins thiab carbohydrates (qab zib). Hauv cov neeg hauv hyperthyroidism, lub cav khiav hauv hom nrawm. Tej zaum lawv yuav hnov ​​​​ntxhiab, muaj lub plab zom mov nquag, co thiab poob phaus, piv txwv li.

Ua rau

Lub ntsiab ua rau

• Graves 'tus kab mob (los yog los ntawm Graves). Nws yog tam sim no feem ntau ua rau hyperthyroidism (kwv yees li 90% ntawm cov neeg mob⁷). Qhov no yog ib qho kab mob autoimmune: cov tshuaj tiv thaiv kab mob tshaj tawm cov thyroid tsim cov tshuaj hormones ntau dua. Tus kab mob kuj qee zaum tawm tsam lwm cov ntaub so ntswg, xws li qhov muag. Tus kab mob no cuam tshuam txog kwv yees li 1% ntawm cov pej xeem hauv Canada⁷.
• Cov thyroid nodules. Nodules yog me me uas tsim nyob rau hauv cov thyroid caj pas, nyob ib leeg los yog nyob rau hauv pab pawg (saib peb daim ntawv thyroid Nodule). Tsis yog tag nrho cov nodules tsim cov tshuaj hormones, tab sis cov uas ua (hu ua "toxic") tuaj yeem ua rau hyperthyroidism.
• cov thyroid. Yog tias o tuaj yeem cuam tshuam rau cov thyroid, nws tuaj yeem ua rau cov thyroid ntau ntau hauv cov ntshav. Feem ntau, qhov ua rau mob tsis paub. Nws tuaj yeem kis tau hauv qhov xwm txheej lossis tshwm sim tom qab cev xeeb tub. Feem ntau, thyroiditis ua rau lub sijhawm luv luv hyperthyroidism, nrog rau cov thyroid rov ua haujlwm zoo tom qab ob peb lub hlis, tsis muaj kev cuam tshuam. Cov tshuaj tuaj yeem pab txo cov tsos mob thaum koj tos kom tus kab mob dhau mus. Thyroiditis nce mus rau hypothyroidism nyob ruaj khov li ntawm 1 ntawm 10 tus neeg mob.

Nco ntsoov. Ib txhia pharmaceuticals, zoo li cov neeg nplua nuj iodine tshuaj, tuaj yeem ua rau hyperthyroidism ib ntus. Qhov no yog qhov xwm txheej, piv txwv li, nrog amiodarone, tau sau tseg rau qee qhov xwm txheej ntawm lub plawv arrhythmia, thiab iodinated contrast agents qee zaum txhaj tshuaj thaum kuaj hluav taws xob.

Muaj teeb meem tshwm sim

Covhyperthyroidism ua rau a accelerated metabolism, yog li kev siv nyiaj ntau zog. Nyob rau hauv lub sij hawm ntev, tsis kho hyperthyroidism ua rau muaj kev pheej hmoo ntawm kev mob pob txha vim tias kev nqus ntawm calcium los ntawm cov pob txha raug cuam tshuam. Qhov kev pheej hmoo ntawm kev tsim ib hom mob plawv arrhythmia hu ua atrial fibrillation kuj nce.

Tsis kho loj hyperthyroidism tuaj yeem ua rau thyreotoxic teebmeem. Thaum muaj kev tawm tsam zoo li no, tag nrho cov cim qhia ntawm hyperthyroidism tuaj ua ke thiab nthuav tawm ntawm lawv lub ncov, uas tuaj yeem ua rau muaj teeb meem loj, xws li lub plawv tsis ua haujlwm lossis coma. Tus neeg no tsis meej pem thiab ntxhov siab. Qhov xwm txheej no xav tau kev kho mob sai.

diagnostic

cov Cov tsos mob hyperthyroidism tuaj yeem hloov maj mam, tshwj xeeb tshaj yog rau cov neeg laus. Tsuas yog ib qho xwb ntshav tsom xam (saib lub npov hauv qab no) uas qhia ob qho tib si txo qis hauv TSH cov tshuaj hormones thiab nce hauv cov thyroid hormone ntau ntau (T4 thiab T3) yuav paub meej qhov kev kuaj mob. Qhov pib ntawm cov tsos mob uas tau teev tseg hauv qab no yuav tsum qhia koj mus nrhiav kev kho mob kom tau txais kev kuaj mob tseeb.