Faʻamaoni hyperthyroidism

O le hyperthyroidism faʻamaoni e maualuga atu nai lo le masani ai o le maualuga o le homone homone i le toto ma faʻailoga e taʻu mai ai le hyperthyroidism. E tupu mai i le tele naʻaveina o vailaʻau o le thyroid hormone.

Hyperthyroidism e taʻua foi o le soona galue malosi o le thyroid.

O le thyroid gland e maua ai le homone thyroxine (T4) ma le triiodothyronine (T3). I le tele o tulaga o le hyperthyroidism, o le thyroid gland lava ia e gaosia tele o nei homone.

O le Hyperthyroidism e mafai foi ona mafua mai i le inu tele i lauoneoneoneoneone mo le hypothyroidism. E taʻua lenei mea o le hyperthyroidism faʻamaoni. A tupu lea mea ona ua maualuga tele le fua faʻatulagaina o vailaʻau o le homone, e taʻua o le iatrogenic, poʻo le faʻatosina mai e le fomaʻi, hyperthyroidism. E taatele lea. O nisi taimi e faʻamoemoeina lea (mo nisi tagata mamaʻi e iai le faʻanoanoaga poʻo le kanesa o le tiroida), ae masani ona tupu lenei mea ona e leʻo fetuʻunaʻia le fualaʻau faʻavae i luga o le siakiina o suʻega toto.

E mafai foi ona tupu le hyperthyroidism faʻamaoni pe a soʻona inu e se tasi le tele o le thyroid hormone. E matua taʻatele lenei mea. Atonu o tagata nei:

• O ai e le atoatoa le mafaufau e pei o Munchausen syndrome
• O ai o loʻo taumafai e faʻaalu le pauna
• O ai o loʻo togafitia mo le faʻanoanoa poʻo le le fanau
• O ai e fia maua tupe mai le kamupani inisiua

Tamaiti ono inu fualaʻau tiroida fua.

O faʻailoga o le moni hyperthyroidism e tutusa ma i latou o le hyperthyroidism mafua mai i se faʻafitauli o le thyroid gland, sei vagana ai:

• E leai se goiter. E masani ona laʻitiiti le laulaʻau tiroida.
• O mata e le pupusa, pei ona latou faia i Graves faamaʻi (o le sili ona taatele ituaiga o hyperthyroidism).
• O le paʻu i luga o paʻu e le mafiafia, pei ona faia i isi taimi i tagata e maua faʻamaʻi Graves.

Toto suʻega faʻaaoga e faʻamaonia ai le moni hyperthyroidism aofia ai:

• T4 fua
• Thyroglobulin
• Aofaʻi o le T3
• Aofaʻi T4
• TSH

O isi suʻega e mafai ona faia e aofia ai le radioactive iodine uptake poʻo le thyroid ultrasound.

O le a taʻu atu e lau tausi soifua maloloina ia te oe e taofi le toe tago i lou homone homone. Afai e te manaʻomia e ave, o le a faʻaititia e le tagata o loʻo tuʻuina atu au metotia.

E tatau ona toe siaki i le 2 i le 4 vaiaso ia e mautinoa ai ua uma faʻailoga ma faʻailoga. E fesoasoani foi lea e faʻamaonia ai le faʻamaoniga.

Tagata e maua i le Munchausen syndrome o le a manaʻomia togafitiga o le mafaufau ma le siakiina.

Ole mea moni ole hyperthyroidism o le a faʻamamaina na o oe lava pe a e le toe tagofia pe tuʻu i lalo le metotia o le thyroid hormone.

Afai o le hyperthyroidism faʻamaoni tumau i se taimi umi, o tutusa faʻafitauli e pei o le togafitia pe le lelei ona togafitia hyperthyroidism ono tupu:

• Lē masani fatu fatu (atrial fibrillation)
• Popole
• Tiga o le fatafata (angina)
• Maʻi fatu
• Leiloa o ponaivi ponaivi (pe a ogaoga, osteoporosis)
• Paʻu pauna
• Le fanau
• Faʻafitauli moe

Faʻafesoʻotaʻi lau tautua peʻa iai sau faʻailoga o le hyperthyroidism.

O le thyroid hormone e tatau ona ave naʻo le faʻatonuina ma lalo o le vaʻavaʻaiga a se tautua. E masani ona manaʻomia suʻesuʻega toto e fesoasoani ai i lau tautua e faʻavasega le fualaʻau o loʻo inu.

Tutu faʻapitoa thyrotoxicosis; Thyrotoxicosis factitia; Thyrotoxicosis vailaʻau; Matuia hyperthyroxinemia

• Kelu tiroida

Hollenberg A, Wiersinga WM. Faʻafitauli o le Hyperthyroid. I: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Tusitusiga o Endocrinology. 14th lomiga. Filatelefia, PA: Elsevier; 2020: chap 12.

Kopp P. Faʻatinoina le galue i nodroid nodules ma isi mafuaʻaga o thyrotoxicosis. I totonu: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Matutua ma Tamaiti. 7th ed. Filatelefaia, PA: Elsevier Saunders; 2016: mata 85.