Subacute thyroiditis - Zizindikiro, Chithandizo

De Kervina thyroiditis ndi yotupa matenda a chithokomiro England. The etiology ya amaganiziridwa tizilombo, anaphunzira mpaka zoipa. Mwina boma pachimake, pachimake, aakulu, relapsing. Milandu zambiri za matenda mu nthawi zaka kuyambira azaka 20 mpaka 50 mwa akazi kumachitika kawirikawiri. Pakuti yense 20 milandu analemba nkhani matenda thyroiditis umodzi wokha subacute thyroiditis. Kuti iye adzakhala m'nkhani.

Subacute thyroiditis. zimayambitsa

Motsutsa likhale matenda tizilombo kapena pambuyo pawo. Malinga ndi kafukufuku, matenda zambiri zikadzatha matenda ndi Coxsackie HIV, adenovirus, mumps mliri, mavairasi fuluwenza.

Thyroiditis. zizindikiro

Isanayambike kungakhale kovuta: malungo; khosi ululu (Pomeza nakweza mawu ake, wololera khutu); ululu nsagwada m'munsi; kufooka ndi malaise.

Komabe, nthawi zambiri chiyambi cha pang'onopang'ono: malaise zosavuta, m'munda wa chithokomiro kusapeza, pang'ono kusapeza pamene Pomeza. Tikafuna ingapendame kapena mutu wanu kupweteka. ululu akhoza kuoneka pa kutafuna. Cholowa cha chithokomiro England ndipo ukuwonjezeka pa palpation ndi chopweteka. Lymph mfundo amakhala palibe kusintha (palibe kuwonjezeka). Kuchokera mbali ya maso, khungu, ntchito popanda zizindikiro za mtima. madandaulo wodwala makamaka pa thukuta tulo, kupweteka malo. Pamene matenda yafupika m'badwo TSH - ndi timadzi kumene kumapangitsa munthu chithokomiro England. Matendawa ukhoza mpaka miyezi isanu ndi umodzi.

Subacute thyroiditis. chithandizo

Chithandizo cha mankhwala subacute thyroiditis. The mahomoni kupanga glucocorticoid (dexamethasone, prednisolone, metipred, kenakort) ali makamaka ntchito. Pamene boma kuyamba matenda, mahomoni mlingo pang'ono ndi pang'ono yafupika.

Pa siteji yoyamba ya mankhwala ndi symptomatic. Anatumizidwa ndi aspirin (ululu lochedwa 600 mg lililonse maola 3.5) kapena prednisone (10-20 mg ndi kawiri pa tsiku). Ululu yafupika pambuyo utsogoleli mankhwala oyamba. Ngati analgesic zotsatira zimachokeradi, matenda ndi chipeneko. Patapita sabata la ingestion mlingo yafupika aliyense masiku awiri ndi 5 mg. Kutalika kwa mankhwala zotchulidwa dokotala. Mulimonsemo, sitiyenera kukhala kuposa mwezi umodzi. Ngati, pambuyo achire ululu mankhwala ukuwonjezeka kachiwiri, mlingo ndi chinawonjezeka ndi adatchithisira kachiwiri. Kuthetsa zizindikiro za hyperthyroidism, ingaperekedwe propranolol (mpaka kanayi pa tsiku kwa 40 mg). Pankhaniyi, wothandizila antithyroid sizigwiritsidwa ntchito.

Subacute thyroiditis mogwirizana hypothyroid ambiri kumatenga palibe miyezi itatu. Zikusonyeza m'malo mankhwala (levothyroxine, 0,10 mg, kamodzi tsiku ndi chokwanira).

Kugwiritsa ntchito mankhwala m'thupi sayenera upambana miyezi iwiri. matenda a m'mapapo zimathandiza kuti ntchito mankhwala akunjate Brufen (kapena Voltaren), Indomethacin ndi aspirin. Chance kutchulidwa thyrotoxicosis. Pankhaniyi Mugaŵireni kuti beta-blockers. Zochizira mankhwala subacute thyroiditis sanagaŵiridwe. Komanso, iwo contraindicated, popeza chingayambitse kuwonongeka mu alili.

Kuti madokotala ananena zawo zabwino. matenda mosavuta mankhwala. Komanso, ngati mankhwala amasankha m'nthawi yake, miyezi itatu (kapena kale) pali kuchira kwathunthu. Komabe, ngati matenda ndi kunyalanyaza ndipo amakana chithandizo, kudzatenga ndithu nthawi yayitali (zaka ziwiri) ndipo mwina bwino kukhala mu mawonekedwe ena aakulu ndi zosokonezeka.

zosokonezeka

Mapangidwe abscess ndi mu chithokomiro England, amatha kuswa kupyola. Ngati kuwameza, iwo amalowa danga pericardial; Mwina kuwononga ziwiya mwazi; oyamba matenda kwa zimakhala ubongo; chitukuko cha sepsis.