Ciwon shan inna na lokaci-lokaci

Ciwon shan inna na lokaci-lokaci yanayi ne wanda a cikinsa akwai aukuwa na raunin tsoka mai tsanani. Yana faruwa ne a cikin mutanen da suke da matakan hawan hormone a cikin jinin su (hyperthyroidism, thyrotoxicosis).

Wannan wani yanayi ne mai wuya wanda ke faruwa kawai ga mutanen da ke da matakan hormone masu girma (thyrotoxicosis). Maza 'yan Asiya ko' yan asalin Hispaniyanci sukan fi kamuwa da cutar. Yawancin mutanen da ke haɓaka matakan hawan hormone mai girma ba sa cikin haɗarin gurguntaccen lokaci.

Akwai irin wannan cuta, wanda ake kira hypokalemic, ko na iyali, naƙasasshe lokaci-lokaci. Yanayi ne na gado kuma baya da alaƙa da yawan matakan thyroid, amma yana da alamun bayyanar iri ɗaya.

Dalilai masu haɗari sun haɗa da tarihin dangi na rashin lafiya lokaci-lokaci da hauhawar jini.

Kwayar cututtukan sun haɗa da hare-hare na rauni na jiji ko inna. Hare-haren sun canza tare da lokacin aikin tsoka na al'ada. Sau da yawa ana fara kai hare-hare bayan bayyanar alamun cutar hyperthyroidism. Alamun cututtukan Hyperthyroid na iya zama da dabara.

Yawan kai hare-hare ya bambanta daga kowace rana zuwa shekara. Yanayin raunin tsoka na iya wucewa na fewan awanni ko oran kwanaki.

Rashin rauni ko inna:

• Ya zo ya tafi
• Zai iya wucewa daga fewan awanni kaɗan har zuwa kwanaki da yawa (ba safai ba)
• Ya fi kowa a kafafu fiye da hannaye
• Ya fi kowa a kafadu da kwatangwalo
• Abin nauyi ne, mai yawan carbohydrate, abinci mai gishiri mai nauyi
• Ana haifar dashi yayin hutawa bayan motsa jiki

Sauran alamun bayyanar marasa lafiya na iya haɗawa da ɗayan masu zuwa:

• Rashin numfashi
• Wahalar magana
• Hadiyar wahala
• Gani ya canza

Mutane suna faɗakarwa yayin hare-hare kuma suna iya amsa tambayoyin. Malarfin yau da kullun ya dawo tsakanin hare-hare. Rashin rauni na tsoka na iya haɓaka tsawon lokaci tare da hare-hare akai-akai.

Kwayar cututtukan hyperthyroidism sun hada da:

• Gumi mai yawa
• Saurin bugun zuciya
• Gajiya
• Ciwon kai
• Rashin haƙuri na zafi
• Appetara yawan ci
• Rashin bacci
• Frequentarin yawan hanji
• Jin azancin bugun zuciya mai ƙarfi (bugun zuciya)
• Girgizar hannu
• Dumi, fata mai laushi
• Rage nauyi

Mai ba da sabis na kiwon lafiya na iya zargin cututtukan cututtukan cututtukan cututtukanku na yau da kullun dangane da:

• Matakan hormone na al'ada
• Tarihin iyali na rashin lafiya
• Potassiumananan matakin potassium yayin hare-hare
• Kwayar cututtukan da ke zuwa da tafiya a cikin aukuwa

Ganewar asali ya ƙunshi yanke hukunci game da cuta da ke haɗuwa da ƙarancin potassium.

Mai ba da sabis ɗin na iya ƙoƙarin faɗakar da kai ta hanyar ba ka insulin da sukari (glucose, wanda ke rage matakin potassium) ko hormone na thyroid.

Ana iya ganin alamun nan masu zuwa yayin harin:

• Rage ko a'a
• Ciwon zuciya
• Potassiumananan potassium a cikin jini (matakan potassium daidai ne tsakanin hare-hare)

Tsakanin hare-hare, jarrabawar al'ada ce. Ko kuma, akwai alamun alamun hyperthyroidism, kamar ƙara girman canje-canje a cikin ido, rawar jiki, gashi da ƙusoshin ƙusa.

Ana amfani da gwaje-gwaje masu zuwa don bincikar hyperthyroidism:

• Babban matakan hormone na thyroid (T3 ko T4)
• Serananan magani TSH (thyroid stimulating hormone) matakan
• Taukewar tayroid ɗinka da sikanin

Sauran sakamakon gwajin:

• Cutar rashin wutar lantarki mara kyau (ECG) yayin kai hare-hare
• M electromyogram (EMG) yayin kai hare-hare
• Serananan ƙwayar potassium yayin hare-hare, amma al'ada tsakanin hare-hare

Ana iya ɗaukar biopsy na tsoka a wasu lokuta.

Hakanan ya kamata a ba da sinadarin potassium yayin kai harin, galibi ta bakin. Idan rauni ya yi tsanani, za a iya buƙatar samun potassium daga jijiya (IV). Abin lura: Ya kamata ku sami IV ne kawai idan aikin koda ya zama al'ada kuma ana sa ido a asibiti.

Rashin rauni wanda ya haɗa da tsokoki da aka yi amfani da su don numfashi ko haɗiye gaggawa ne. Dole ne a kai mutane asibiti. Hakanan rashin daidaituwa na bugun zuciya na iya faruwa yayin harin.

Mai ba ku sabis na iya ba da shawarar abinci mai ƙarancin carbohydrates da gishiri don hana kai hare-hare. Magungunan da ake kira beta-blockers na iya rage lamba da kuma tsananin hare-hare yayin da ake shawo kan cutar hawan jini.

Acetazolamide na da tasiri wajen hana kai hare-hare a cikin mutane masu fama da cutar inna ta iyali. Yawanci ba shi da tasiri ga cutar shan inna na lokaci-lokaci.

Idan ba a magance wani hari ba kuma an shafi tsokokin numfashi, mutuwa na iya faruwa.

Hare-hare na tsawon lokaci na iya haifar da rauni ga tsoka. Wannan rauni zai iya ci gaba har ma tsakanin hare-hare idan ba a kula da thyrotoxicosis.

Ciwon shan inna na lokaci-lokaci yana amsar magani sosai. Yin maganin hyperthyroidism zai hana kai hari. Yana iya ma juya rauni na tsoka.

Rashin lafiyar cututtukan cututtukan cututtukan ka na lokaci-lokaci na iya haifar da:

• Wahalar numfashi, magana, ko haɗiye yayin hare-hare (ba safai ba)
• Zuciyar zuciya yayin harin
• Raunin ƙwayoyin cuta wanda ya daɗa muni a tsawon lokaci

Kira lambar gaggawa na cikin gida (kamar su 911) ko ku je ɗakin gaggawa idan kuna da lokacin rauni na tsoka. Wannan yana da mahimmanci musamman idan kuna da tarihin iyali na rashin lafiya lokaci-lokaci ko cututtukan thyroid.

Alamun gaggawa sun haɗa da:

• Wahalar numfashi, magana, ko haɗiyewa
• Faduwa saboda raunin tsoka

Ana iya ba da shawara game da ƙwayoyin halitta. Yin maganin cututtukan thyroid yana hana hare-haren rauni.

Rashin lafiya na lokaci-lokaci - thyrotoxic; Hyperthyroidism - inna lokaci-lokaci

• Glandar thyroid

Hollenberg A, Wiersinga WM. Rashin lafiyar Hyperthyroid A cikin: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Littafin Williams na Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: babi na 12.

Kerchner GA, Ptacek LJ. Channelopathies: rikice-rikice da rikicewar lantarki na tsarin juyayi. A cikin: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology a cikin Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016: babi na 99.

Selcen D. Cututtukan tsoka. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi 393.