Graves 'lefu: litleleniki tsa nehelano le kalafo

Graves 'lefu - le sa foleng lefu la thyroid tsoelesa, eo e thehiloe mosebetsi lona e kholo, hyperplasia le hypertrophy.

Hyperthyroidism, Graves 'lefu - synonymes lefu "diffuse goiter nang le chefo e." Matšoao a amana tsamaiso ea bogolosegolo la pelo le methapo.

Lefu lena le ile la pele o ile a hlalosa ka ho sa Setaliana ngaka Flajani ka 1802. Ka 1840, e Jeremane optician Basedow tsejoa e meraro le matšoao a khethollang lefu lena: goiter, protrusion tsa thaka tsa le tachycardia.

Diffuse goiter chefo kula hangata basali le lilemo li 20-50 le tsamaiso haholo excitable le labile tšohile. Har'a lisosa tsa lefu le sebaka sa pele ke a hlobaetsang le, kapa le sa foleng ho sithabela. Hangata e le lefu lena e amana ho neuro-ho potoloha ha mali dystonia. Ba bang ba bohlokoa ba ea ntshetsopele ya mahlahana a tšoaetsanoang bapala, overheating letsatsing, tlōlo ea pituitary tšoelesa. Ka linako tse ling ke lefu Graves 'ke hlahang ho yona lefa, e leng se pakoang ke maemo a ho lefu lena ka beng haufi ka hare ho meloko e' maloa.

setshwantsho ea tleleniki

Bakuli ba tletleba ba teneha, ho tšoenyeha, ho lla, ho fufuleloa, boikutlo ba mocheso ka 'mele, ho robala le mofutsana, o lahleheloa ke moriri, tšekamelo ea ho ba le letšollo, boima ba' mele le takatso ea lijo e tloaelehileng kapa tse eketsehileng.

Nakong ea tlhahlobo e hlokomelehang ka tsela e feteletseng fussiness, verbosity, maikutlong lability, thothomela menoana. Letlalong la 'bakuli ba nang le mofuthu, le metsi, mocheso oa' mele hangata eketseha, moriri brittle. molaleng e thatafetseng ka lebaka la ho e atolositsoeng thyroid tsoelesa e. le matšoao, hangata e hlalosoa leihlo: exophthalmos, eketsehile ka makhetlo a khanye ea mahlo, le mahlaseli seoelo.

The Tleliniki e khōlō ea lefu lena le ke liphetoho tsamaisong ea pelo le methapo. E mong oa matšoao a ka sehloohong - tachycardia, maemong a matla ho finyella otla 150 ka motsotso. Tachycardia kamehla e bolokoa e le boemong ba phomotse, 'me esita le a robetse. Haeba e matla ho ka etsa hore atrial fibrillation. Bakuli ba ikutloa pulsation ka molaleng, hlooho, mala. Auscultation ikemiselitse sonority melumo, ho kgatello ya mothapo le methapo, mesebetsing systolic korotla. The ECG ka setseng hypertrophy ventricular. Lipontšo tsa mafu cardiac hore a tsamaee le diffuse chefo goiter, kopana lentsoe "cardiothyrotoxicosis".

Mekhoa ea phekolo ea goiter

Ha fumanoa hore o tšoeroe diffuse goiter nang le chefo e, kalafo lokela ho ikemiseditse ho fokotsa mosebetsi thyroid ke inhibiting le tswakana hormone thyroid. Ea ho phekola mekhoa ea phekolo e sebediswa bongaka le ho buoa.

kalafo lithethefatsi kenyelletsa ditokiseletso taolo thyreostatics eo ketso e ho thibela sebopeho sa thyroid li-hormone fokotseha ea lisireletsi ka thyroid le. Bontša ho kgethwa ha litokisetso iodine litareng e ka 'na ea fokotsa letsoele, nyahamisa le secretion ea li-hormone. Maemong a matla, mefuta e meng ea goiter le ea fokotseha tsoa hong ka mosebetsi adrenal e sebediswa hormone corticosteroid. Ho phaella moo, phekolo bontshang matshwao abetsoe: antiarrhythmics, beta-blockers, glycosides cardiac, sedatives le robetse lipilisi.

Ho buoa kenella e bontšoa ka ketsahalo eo ha phekolo ea lithethefatsi a hloleha ho fihlela ka lebaka khothatsang. opereishene o etsoa hape ha craw kgolo, ho sa feleng atrial fibrillation, nodal le mefuta e tsoakiloeng ba goiter. Bakuli ba lefu Graves 'angoa ke ho e hlokomela endocrinologist dispensary, e leng ho laola boima ba' mele, maqhubu le sekhahla pulse length, khatello ea mali, thyroid boholo, boemo ba li-hormone thyroid le lisireletsi maling.