Myxedema: zimayambitsa ndi zizindikiro, chithandizo. matenda a chithokomiro

Mabele England - chiwalo chofunika wa endocrine lapansi. Ntchito yake yaikulu ndiyo kukhala mahomoni yeniyeni (triiodothyronine, thyroxine), zomwe kulamulira kagayidwe thupi la munthu kusintha machitidwe onse a thupi. Mu m'nkhani ino, tikambirana matenda monga myxedema. Zimayambitsa ndi zizindikiro nawonso kutchulidwa.

myxedema ndi chiyani?

matenda a chithokomiro chifukwa chitukuko cha syndromes awiri. Ulimi wa mahomoni achuluke - ndi matenda a hyperthyroidism. Komabe, chofunika kwambiri ndi kuchepetsa mahomoni chithokomiro, umatchedwa hypothyroidism.

Myxedema - digiri muyeso wa hypothyroidism. Izi chikhalidwe amakhala ndi kutupa kwa minofu mucous. Chifukwa cha kusowa mahomoni chithokomiro mu zimakhala kudziunjikira zatsalira polysaccharide zimene zimachititsa madzi. Nsalu kwambiri ndizodzazidwa ndi madzi, ndipo akufotokozera mucosal edema.

chifukwa cha myxedema chiyani?

Myxedema angayambe pa m'badwo uliwonse. Akazi matenda kawirikawiri kuposa amuna, pakutchulidwa wa myxedema iwo kawirikawiri zimathera kusintha. Chofunika kwambiri ndi hypothyroidism makanda ndi ana aang'ono. Chifukwa cha liwiro la kagayidwe ndi akusokoneza ndi kukula kwa psyche mwanayo. Ngati hypothyroidism ndi titadziwa (ndi aplasia kapena hypoplasia a prostate) osati ankachitira, pali cretinism - mwapadera retardation maganizo ana.

Mu wamkulu myxedema chifukwa choipa chithokomiro England - hypothyroidism amatchedwa choyambirira. Komabe, ntchito ya pituitary amazilamulira England ndi TSH - chithokomiro-zolimbikitsa timadzi. Choncho, ngati ntchito akawinduka pituitary (chotupa magazi matenda, zoopsa, matenda obadwa nawo) limapezeka hypothyroidism sekondale. chosowa kwambiri Ukachenjede hypothyroidism chifukwa cha kuphwanya ntchito ubongo imene imalamulira kutentha.

Pamene matenda "myxedema" zimayambitsa ndi zizindikiro zogwirizana.

Choncho, chikuchititsa mavuto a myxedema zotsatirazi:

• njira atrophic mu chithokomiro ya;
• kutupa kwa prostate (thyroiditis);
• kutupa;
• zoopsa;
• kuchotsa Prostate zimakhala (opaleshoni zochizira hyperthyroidism);
• cheza kukhudzana;
• mankhwalawa radionuclides ayodini;
• chosowa ayodini chakudya;
• kumwa mankhwala ena (amiodarone, corticosteroids, tireostatiki);
• matenda opatsirana (amayi apakati makamaka);
• mwakayakaya ubongo ndi matenda ena.

Chifukwa chakuti kukhala myxedema. Zimayambitsa ndi zizindikiro ndi zofunika posankha chithandizo.

ndi zizindikiro limodzi ndi myxedema chiyani?

Popeza chithokomiro mahomoni bwanji machitidwe onse a thupi, ndi maonekedwe a myxedema ndi osiyanasiyana.

Mu akusowa kwambiri chifukwa cha chithokomiro mahomoni munthu amapeza khalidwe maonekedwe - ". Myxedema nkhope 'anaumbidwa Nkhope edema, kutupa ambiri anadalitsa zikope, ndi milomo. Khungu ndi wotumbululuka, ali jaundiced, ozizira kukhudza, peel kutali, pali imfa ya nsidze, nsidze ndi tsitsi pa mutu wake. Akusokoneza nkhope minofu - kukumana immobile, ndi osayanjanitsika tione.

mantha dongosolo ndi zimenenso kusintha maganizo. Kayendedwe kukhala uncoordinated, listless. Pali maganizo. mudziwe wosauka anazindikira kuchokera kunja, basi noticeable anachita zinthu kapena osayanjanitsika. Amalembedwa kusinza, yafupika kukumbukira ndi chidwi. Slurred kulankhula ndi braked.

Amalembedwa kusinthasintha magazi, kawirikawiri kunsi. Akusokoneza minofu mtima, amachepetsa kugunda kwa mtima - anapanga "myxedema mtima." Anadabwa ndi m'mimba dongosolo - pali aakulu kudzimbidwa, zipolowe za ntchito galimoto pa mundawo biliary.

Mucosal edema akufotokozera.

Kusagwira kupuma mapapo, chifukwa mu nthawi ya kukhala matenda obanika kutulo. Komanso, kuzungulira mapapo nthawi zambiri amasonkhana madzimadzi kuti inunso amasokoneza kupuma. zodabwitsazi amatchedwa "myxedema poliserozita".

Ngakhale kuchepa kudya, ndi myxedema mtima akufotokozera kunenepa, okwera magazi mafuta anatsimikiza. Utachepa kumva, pali hoarseness, mkhutu m'mphuno kupuma. Nthawi zambiri kukhala magazi m'thupi chifukwa chakuchepa chitsulo kapena kupatsidwa folic acid. Ndiye muyenera m'thupi yemwenso wabwino.

Akazi nthawi zambiri akusokoneza msambo, yafupika chonde ndi libido. Zimachitika nyamakazi, fupa minofu ndi zatha mu calcium, mophweka kupanga fractures. Ana zomwe zikutsalirazi kumbuyo kukula ndi chitukuko poyerekeza ndi anzawo.

Kodi mtundu wa kafukufuku ikuchitika zina?

A m'thupi yemwenso zabwino kale mu maonekedwe wodwala zikutanthauza matenda myxedema. Komabe, kulongosola bwino zimayambitsa matenda, komanso tanthauzo la njira za mankhwala ndi zofunika kuchita maphunziro ambiri a. Matenda a myxedema ambiri sikovuta.

Wakutali chachikulu ndi wothandiza matenda njira. njira Basic angazindikire myxedema, ndi njira mthandizi ntchito kufufuza zomwe zimayambitsa ndi kulongosola mawonekedwe a matenda.

Pakuti kafukufuku akhoza kufika pa adiresi zotsatirazi: Moscow, street wotchedwa Dmitry Ulyanov, 11. Institute of Endocrinology amachita kutsatira matenda:

1. Basic:

• kudzifufuza matenda ndi dokotala, ndi m'thupi yemwenso;
• atayezetsa kwa TSH ndi ufulu thyroxine.

2. Chalk:

• Chithokomiro ultrasound;
• scintigraphy ndi radioisotopes;
• chithokomiro minofu biopsy;
• kudziwika chitetezo yeniyeni kuti chithokomiro maselo.

Kupereka uliwonse wa kafukufuku?

Chikuonetseratu ndi yotchipa m'thupi yemwenso.

Doctor amafufuza, palpates ndi kumvetsera kwa ziwalo (mtima, mapapo). Zizindikiro tafotokozazi akhoza amathandiza kwambiri dokotala mu kufufuza matenda.

Mayeso magazi anapeza kuchepa kwa ufulu thyroxin, koma chizindikiritso lapadera kwambiri TSH mkulu. Kuonetsetsa subclinical hypothyroidism, amene si limodzi ndi zizindikiro zilizonse ndipo wapezeka zambiri mwangozi. Chinawonjezeka mlingo wa TSH ndi loyamba "Alamu belu" poyerekezera ndi chitukuko cha hypothyroidism ndi myxedema makamaka.

ultrasound

Chithokomiro ultrasound amalola zowonera zosiyanasiyana lomenyera Prostate minofu (mfundo, chotupa calcification). Njira imeneyi akuti ndi zovuta kukhazikitsa ndi zimakhalanso zotsika mtengo pamene nkhani zokwanira. Ngati anapeza myxedema, mankhwala ayenera yomweyo.

scintigraphy

Mfundo yaikulu ya scintigraphy radionuclide ndi kumayambiriro isotopes nyukiliya ayodini kudzera m'mitsempha aziona kudzikundikira ake mu chithokomiro minofu, makamaka kugawa ake ndi chilolezo chake. Ngati ultrasound adokotala akhoza kuunikira yekha kapangidwe ka England, izo Akuti ntchito yake scintigraphy. Ngati pali matenda "myxedema", ndiye munthuyo zambiri yodziwika ndi kuchepetsedwa kudzikundikira kukonzekera ayodini m'deralo kapena akakufunsani. mbali Komanso pogwiritsa ntchito njirayi Akuti mankhwala atsopano a matenda osiyanasiyana khansa.

biopsy

A biopsy ya chithokomiro England kumafuna zochepa chabe pamalangizo chidutswa cha nsalu ndi masingano wapadera biopsy. Kenako, pansi pa maphunziro tosaoneka ndi histochemical. Zimenezi zimathandiza kuzindikira zosiyanasiyana matenda pa ma msinkhu ndi kuzindikira chotupa ndondomeko.

Khama la akupha chithokomiro minofu amapeza kufunika kwake pamene palibe chifukwa akuoneka myxedema. Nkofunika kudziwa kuti yachibadwa chithokomiro England sayambitsa mapangidwe mapuloteni zodzitetezera chifukwa wosanjikiza zochepa minofu connective. Koma matenda a kapisozi pa kumakhaladi wowonda, ndi chifuwa minofu kukhudzana ndi maselo mthupi. Choncho oteteza umatulutsa Prostate maselo, amene ziletsa ake ntchito, popanda kusintha kapangidwe.

mankhwalawa myxedema ndi chiyani?

Kulandira ndi m'thupi yemwenso musanayambe mankhwala ndi kuvomerezedwa.

Chithandizo cha myxedema wopepuka ndipo ndi mahomoni mankhwala ndi cholinga M'MALO. Komabe, dziŵani kuti kubwezeretsa ntchito ya England yokha zambiri sizingatheke Choncho, utsogoleli wa mankhwala ndi kuvomerezedwa ndi moyo. Kupititsa patsogolo chikhalidwe zikadzatha masabata 2-3 ntchito njira yapadera.

Asipirini ntchito mankhwala L-thyroxine ( "Levothyroxine", "Eutiroks") ndi analogs zace. Mankhwalawa ndi kupanga okhala m'malo achilengedwe chithokomiro timadzi. Mlingowu anasankha dokotala payekha lililonse.

Tikumbukenso kuti ambiri osokoneza mankhwala kungayambitse wosiyana myxedema - hyperthyroidism, ndi kupanda mlingo adzakhala ziribe mphamvu konse. Kuvomereza mankhwala ena akhoza kusokoneza mayamwidwe, kapena kufulumizitsa kagayidwe a L-thyroxine, kotero muyenera kukaonana ndi akatswiri ena mankhwala kuphatikiza.

Ndingapite thandizo?

Matendawa akhoza amaganiziridwa dokotala pa kufufuza thupi. Komabe, mankhwala a myxedema amanyamula m'thupi yemwenso mu zipatala apadera. Zimakhala m'tawuni kapena endocrinological dipatimenti ya zipatala dera. Kugwira njira zovuta Kupenda odwala kawirikawiri walangizidwa madera kafukufuku m'mizinda ikuluikulu. Chimodzi mwa zinthu zimenezi ndi "Endocrinology Research Center" (Moscow, up. Wotchedwa Dmitry Ulyanov, 11). Institute of Endocrinology choona chodziwika kuti pali akuthandiza pa matenda a myxedema ndi matenda ena a akatswiri woyenera, kuchita zovuta njira yodziwira ndi achire.

Kodi madokotala ananena zawo?

Ambiri, myxedema (zimayambitsa ndi zizindikiro anafotokoza) - kukonzedwa ndithu chikhalidwe. Mankhwala kwathunthu kumatha zizindikiro pamwambapa anafotokoza. Komabe, kulephera kuthana ndi dokotala, ndipo satsatira malangizo zingadzetse mavuto adzaoneni.