Cudurka Graves ': bandhigga caafimaad iyo daaweynta

cudurka Graves '- a chronic cudurka qanjirka thyroid, kaas oo ku salaysan yahay ay shaqo hyper, kelyaha iyo hypertrophy.

Tayroodh, cudurka Graves '- micne ah cudurka "waasac dambidhaafkiisu goiter sun ah." Astaamaha la xidhiidha nidaamyada badan wadnaha iyo dareemayaasha.

Cudurku wuxuu markii ugu horaysay la tilmaamay by Talyaani dhakhtar Flajani ee 1802. In 1840, a Jarmal indhaha Basedow cadeeyay inay saddex sifo calaamadaha cudurkaan: goiter, protrusion ah jallo iyo tachycardia.

Waajihi goiter sun xanuunsadaan marar badan haween 20-50 sano jir ah la habdhiska aad excitable iyo Labile. Waxaa ka mid ah sababaha ka mid ah cudur ee ugu horeeyay ee meel yahay ee daran ama joogtada dhaawacyada. Inta badan cudurka ku xiran dystonia neuro-wareegga dhiigga. Qaar ka mid ah muhiimadda ay leedahay horumarinta waxii jeermis ah ciyaaro, kululaado qorraxda, xadgudub ku ah qanjirka pituitary ee. Mararka qaarkood cudurka Graves 'waa asalka ah ee la iska dhaxlo, sida ku cad xaaladaha cudurka ee qaraabada dhow gudahood ab ka yar.

sawir clinical

Bukaan-socodka ka cawdaan caro, welwel, oohin, dhidid, dareenka kulaylka ee jirka, hurdo xumo, luminta timaha, u janjeera in shuban, miisaanka oo yaraada la rabitaanka cuntada caadiga ah ama kor u kacay.

Inta lagu jiro kormeerka xusid mudan xad-dhaaf ah jeclayn, verbosity, dareenka lability, gariir faraha. Maqaarka bukaannada qaba, qoyan heerkulka jirka oo diiran, waxaa inta badan kor u kacay, timaha ay debcaan. qoorta waxaa awgii sabab u ah qanjirka thyroid balaartay. calaamadaha inta badan lagu sharaxo indhaha: exophthalmos, oo dhalaal indhahaaga oo soo kordha ee, a widhwidha dhif.

rugta ugu weyn ee cudurka yihiin isbeddel ah ee nidaamka wadnaha. Mid ka mid ah calaamadaha ugu muhiimsan - tachycardia, xaaladaha daran oo gaarey 150 garaac daqiiqaddiiba. joogto ah Tachycardia waxa lagu kaydiyaa gobolka nasta, iyo xitaa hurdadiisii. Haddii aad u daran wuxuu keeni karaa wadne. Bukaan-socodka dareemaan pulsation ah qoorta, madaxa, caloosha. Auscultation goostay metrik sonority, xooga ee halbowlaha pulmonary, functional gunuusaysaan systolic. ECG waxaa lagu kartaa tagay hypertrophy ventricular. Calaamadaha cudurada wadnaha in la socon goiter sun waajihi, isu geeyo dheer "cardiothyrotoxicosis" ah.

Hababka daaweynta ee goiter

Haddii cudurka waajihi goiter sun ah, daaweynta waa in la golleeyahay in lagu yareeyo hawl thyroid by anada ereygu wuxuu ahaa ee hormoonnada thyroid. In daaweynta daawooyinka caafimaad iyo mid qalliin la isticmaalay.

daaweynta daroogada ka kooban yahay maamulka thyreostatics kuwaas tallaabo waa in la xiri formation of thyroid hormoonnada hoos u of unugyada difaaca jirka ee thyroid ka. Tusaya magacaabidda diyaarinta iodine laga yaabaa inuu yareeyo naasaha, diiqadoodo dheecaan ee hormoonnada. Xaaladaha daran, noocyada goiter la hoos isku mar in shaqo adrenal waxaa loo isticmaalaa hormoonnada tuubooyinka. Waxaa intaa dheer, daaweynta calaamadaha lagu qoro: antiarrhythmics, beta-blockers, glycosides wadnaha, daawada dajiyaha iyo kiniiniga hurdada.

qalliin ayaa la tilmaamay in ay dhacdo in haddii daaweynta daroogada ku guuldareysto in la gaaro natiijo wanaagsan. Hawlgalka ayaa waxaa sidoo kale lagu sameeyaa marka craw badan, wadne-joogto ah, patrilineal iyo noocyo isku dhafan ee goiter. Bukaanka qaba Graves 'cudurka waxaa waajib ah in la endocrinologist dispensary dhawrid, oo waa in gacanta jirka miisaan, soo noqnoqoshada iyo garaaca wadnaha heerka, dhiig karka, thyroid size, heerka thyroid hormoonada iyo unugyada dhiigga.