Hyperthyroidism Hauv Miv: Cov Tsos Mob Thiab Kho Mob

2024 Tus sau: Daisy Haig | [email protected]. Kawg hloov kho: 2023-12-17 03:09

Txheeb xyuas thiab kho dua tshiab thaum Lub Peb Hlis 18, 2020, los ntawm Jennifer S. Fryer, DVM

Hyperthyroidism hauv miv yog tus kabmob uas feem ntau ua rau mob qog ua haujlwm nyob rau hauv cov thyroid caj pas. Cov qog no ua rau kev ua haujlwm ntau dhau ntawm cov thyroid hormones hu ua thyroxine. Ib txoj haujlwm tseem ceeb ntawm cov thyroid hormones txaus yog kev tswj hwm tus tsiaj cov metabolism.

Cov miv uas muaj cov thyroid hormone ntau dhau lawm muaj qhov nce ntawm metabolic nce, uas ua rau lawv poob phaus txawm tias muaj lub raum xav noj ntau. Lwm yam tsos mob tuaj yeem suav nrog kev ntxhov siab, ntuav, raws plab, thiab nqhis dej thiab tso zis.

Cov tshuaj no ntau dhau lawm laub miv lub cev rau hauv kev saib xyuas ntau dhau, uas nquag ua rau muaj ntshav siab thiab ib hom mob plawv hu ua hypertrophic cardiomyopathy.

Ntawm no yog txhua yam koj yuav tsum paub txog hyperthyroidism hauv miv yog li koj tuaj yeem pom cov cim thiab coj koj tus miv mus rau kev kho mob kom sai li sai tau.

Feem ntau qhov mob Hyperthyroidism hauv miv npaum li cas?

Tsis muaj ib qho paub tshwm sim hauv keeb kwm rau tus mob hyperthyroidism, tab sis nws kuj pom muaj hauv miv.

Qhov tseeb, hyperthyroidism yog tus kabmob feem ntau ntawm cov keeb kwm kabmob (endocrine) hauv cov neeg miv, feem ntau pom nyob rau hauv nruab nrab hnub nyoog thiab cov laus dua.

Qhov nruab nrab hnub nyoog ntawm kev kuaj mob yog kwv yees li 13 xyoos. Qhov muaj hnub nyoog ntau yog 4-20 xyoo, txawm hais tias pom cov hluas hyperthyroid yog qhov tsawg kawg.

Cov thyroid caj pas ua dab tsi?

Hauv cov miv, cov thyroid caj pas muaj ob ntu, nrog ib qho nyob rau txhua sab ntawm tus neeg mob plab (caj pas), hauv qab hauv qab lub suab (lub suab lub suab).

Cov thyroid caj pas ua rau ntau cov tshuaj hormones (feem ntau yog thyroxine, lossis T4). Cov thyroid cov tshuaj hormones cuam tshuam rau ntau yam ntawm koj tus miv lub cev cov txheej txheem:

• Kev tswj hwm lub cev kub
• Kev txiav txim siab cov rog thiab carbohydrates
• Qhov hnyav nce thiab poob
• Lub plawv dhia thiab lub plawv tso zis
• Kev khiav haujlwm hauv lub cev
• Kev loj hlob thiab lub hlwb nthuav dav hauv cov tsiaj me
• Luam
• Hlab nqaij
• Daim tawv nqaij mob

Cov tsos mob ntawm Hyperthyroidism hauv Kab Mob Cats

Nov yog cov tsos mob loj ntawm hyperthyroidism uas koj yuav tsum tau saib rau hauv koj tus miv:

• Lub cev yuag
• Nce qab los noj mov (ravenous)
• Kev saib tsis taus ntsej muag
• Lub cev tsis zoo
• Ntuav
• Zawv plab
• Haus ntau dua li ib txwm (polydipsia)
• Peeing ntau dua li ib txwm (polyuria)
• Nqus pa sai (tachypnea)
• Ua pa nyuaj (ua tsis taus pa)
• Plawv yws; lub plawv dhia ceev ceev; lub plawv dhia tsis zoo li lub npe hu ua "gallop atherosclerosis"
• Lub cev tsis meej xeeb / nyob tsis tswm
• Kev Ua Paum
• Tsaus cov qog ua kua, uas mloog zoo li muaj qog ntawm caj dab
• Thickened ntsia hlau

Tsawg dua li 10% ntawm cov miv raug mob los ntawm hyperthyroidism ua pov thawj atypical cov cim xws li tsis qab los noj mov, tsis qab los, tsis muaj zog thiab tsis muaj zog.

Dab tsi ua rau cov miv ua kom Hyperthyroid?

Hyperfunctioning cov thyroid nodules (qhov twg cov thyroid nodules ua cov thyroid ntau nyob rau sab nraud ntawm kev tswj hwm lub qog pituitary) ua rau hyperthyroidism. Tab sis dab tsi ua rau lub qog mus haywire?

Muaj ntau lub tswv yim hais txog dab tsi ua rau mob miv los ua hyperthyroid:

• Tsis tshua muaj, mob qog noj ntshav
• Qee qhov lus ceeb toom tau txuas hyperthyroidism hauv miv mus rau qee cov ntses-dej qab zib nyob kas poom zaub mov noj
• Kev tshawb fawb tau taw qhia txog cov nplaim hluavtaws-khaus tshuaj (PBDEs) uas yog siv rau hauv qee qhov rooj tog thiab ntaub pua plag thiab nthuav dav hauv tsev plua plav.
• Kev muaj hnub nyoog nce siab yuav muaj feem ntau

Kev Vets Test rau Feline Hyperthyroidism li cas?

Feem ntau, kev kuaj mob hyperthyroidism yog ncaj: theem ntawm cov thyroid hormones txaus hauv cov hlab ntshav (tag nrho T4 lossis TT4) nrog rau cov tsos mob tshwm sim.

Qee qhov xwm txheej, txawm li cas los xij, koj tus miv lub T4 qib yuav nyob hauv qhov qub, ua rau kev kuaj mob hyperthyroidism nyuaj dua. Nov yog qhov tseeb tshwj xeeb thaum ntxov ntawm tus kab mob no.

Yog tias koj tus miv tab tom qhia txog cov tsos mob ntawm hyperthyroidism tab sis kev kuaj ntshav tsis tau muaj txiaj ntsig, koj yuav tsum rov qab mus rau tus kws kho tsiaj dua kom kuaj ntshav ntxiv lossis xa mus rau kuaj ntsuas cov thyroid scan.

Cov cim ntawm tus mob feline hyperthyroidism tuaj yeem ua ke nrog cov kev mob raum tsis ua haujlwm, mob ntshav qab zib mellitus, kab mob hepatic, thiab mob qog nqaij hlav (tshwj xeeb tshaj yog hnyuv lymphoma).

Cov kab mob no tuaj yeem raug tshem tawm vim yog kev tshawb pom kev sim niaj hnub thiab kev kuaj ntshav lub qog. Tus kws kho tsiaj yuav ua roj teeb ntawm kev ntsuas rau xoom ntawm kev txhim kho kom ntseeg tau.

Kab mob hauv lub raum feem ntau paub nrog hyperthyroidism hauv miv. Cov miv uas raug mob los ntawm ob yam kabmob no yuav tsum tau kho rau ob qho tib si, thiab kev kuaj mob raum nyob rau hauv ib tug miv nrog hyperthyroidism tuaj yeem cuam tshuam tus miv ntawm kev raug mob.

Kev Kho Mob Rau Cov Neeg hyperthyroid

Kev kho tus qauv kub yog radioiodine (I¹³¹) kev kho mob, uas tuaj yeem kho tus mob hyperthyroidism feem ntau. Cov tshuaj noj txhua hnub (methimazole) lossis pub mis nqaij iodine tsawg yog qhov kev xaiv zoo thaum kev siv tshuaj radioiodine tsis yog qhov kev xaiv vim kev saib xyuas nyiaj txiag lossis kev noj qab haus huv ntawm miv.

Radioiodine Therapy (Kev Siv Tshuaj Kho Hluav Taws Xob)

Kev siv tshuaj Radioiodine, lossis kev kho mob I131, siv lub radioactive iodine los tua cov nqaij mob hauv cov thyroid caj pas. Feem ntau cov miv nyob rau kev kho I131 kho tau tus kab mob nrog rau ib txoj kev kho mob.

Qib miv cov thyroid yog saib xyuas tom qab kho tas. Cov teeb meem tsawg yuav tsum tau kho zaum ob. Hypothyroidism tsis yog tshwm sim tom qab kho, tab sis nws tuaj yeem tshwm sim, thiab nws tuaj yeem tswj hwm nrog kev noj tshuaj thyroid txhua hnub.

Kev siv cov xov tooj cua radioiodine tau raug txwv rau qhov chaw kho mob pov tseg, vim qhov kev kho nws tus kheej yog hluav taws xob. Ua raws li lub xeev koj nyob thiab cov lus qhia hauv qhov chaw, koj tus miv yuav tsum tau pw hauv tsev kho mob txij li ob peb hnub mus rau ob peb lub lis piam tom qab tau txais tshuaj kho mob los ntawm lub xov tooj cua, kom tso cai rau cov khoom siv hluav taws xob tso koj tus miv lub cev ua ntej los tsev.

Ceev faj tseem yuav tsum tau ua tom qab coj koj lub tsev miv. Tus kws kho tsiaj yuav muab cov lus qhia tshwj xeeb rau koj kom txo koj txoj kev phom sij rau cov khoom siv hluav taws xob, uas tej zaum yuav suav nrog koj cov khoom siv miv pov tseg rau hauv cov thawv ntim khoom rau lub sijhawm ua ntej yuav muab pov tseg rau hauv thoob khib nyiab.

Qhov kev poob siab tshem tawm cov thyroid caj pas

Kev phais tawm ntawm tus mob qog muaj ntxiv yog lwm txoj kev kho tau. Zoo li kev kho mob I131, kev kho mob phais yog curative, tab sis cov miv no kuj yuav tsum tau soj ntsuam tom qab rau hypo thyroidism.

Kev phais mob tshem tawm cov thyroid caj pas yog qhov ua tau zoo tshaj plaws thaum tsuas yog ib lub qog ua cov thyroid caj pas, vim tias tshem tawm ob qho tib si tuaj yeem ua rau hypothyroidism. Lwm qhov kev tsis sib haum xeeb uas tuaj yeem tshwm sim tom qab kev phais mob tshem tawm ntawm cov thyroid caj pas yog qhov muaj sia nyob ntev ntawm cov thyroid caj pas ntxiv.

Cov Tshuaj Methimazole

Kev muab tshuaj rau koj tus miv hu ua methimazole tej zaum yuav yog hom kev xaiv kho tshaj plaws. Nws muab tshuaj los ntawm qhov ncauj hauv ntsiav tshuaj daim ntawv, lossis nws tuaj yeem raug suav los ntawm cov tshuaj hauv lub tsev muag tshuaj rau hauv qhov hloov pauv uas tuaj yeem siv rau koj lub ntsej muag. Methimazole feem ntau raug muab ua ntej kev kho mob radioiodine lossis kev phais kom ruaj khov koj tus miv cov kev kuaj mob.

Methimazole muaj txiaj ntsig zoo los tswj cov tsos mob ntawm tus mob hyperthyroidism. Txawm li cas los xij, nws tsis zoo kho tus kab mob-koj tus miv yuav tsum tau txais cov tshuaj kho kom tag nws lub neej. Yog tias tus miv tseem hluas thaum kuaj mob (hnub nyoog qis dua 10 xyoo) thiab tsis muaj tus kab mob tseem ceeb, tus nqi ntawm methimazole hauv lub neej tag ntau dua yuav phais lossis radioiodine.

Methimazole muaj cov kev tsis zoo tab sis tseem ceeb hauv qee cov miv, yog li nco ntsoov ua thiab soj ntsuam lub sijhawm teem nrog koj tus kws kho tsiaj.

Iodine-Txwv Tsis Pub Noj Khoom Noj

Kev noj zaub mov noj haus uas txwv tsis pub iodine yog txoj hauv kev tshiab rau kev kho mob ntawm feline hyperthyroidism. Zoo li kev kho mob methimazole, cov kev xaiv no tsis yog curative, thiab koj tus miv yuav xav tau kev kho lub neej.

Cov khoom noj noj haus no yuav tsum tau muab tshwj xeeb. Tus hyperthyroid miv ntawm cov khoom noj no yuav tsum tsis muaj kev nkag los lossis tau txais ib yam tshuaj, lwm yam khoom noj miv, lossis tib neeg cov khoom noj. Lwm tus miv hauv tsev neeg yuav noj cov zaub mov no, tab sis lawv yuav tsum tau muab cov khoom noj miv kom tsim nyog rau lawv lub hnub nyoog thiab kev noj qab haus huv hauv kev txhawm rau kom muaj cov iodine txaus.

Rov Ua Kev Xyuas Rau Hyperthyroid Cats

Thaum pib kho, koj tus kws kho tsiaj yuav tsum tau rov kuaj dua koj tus miv txhua ob rau peb lub lis piam rau thawj peb lub hlis ntawm kev kho mob, nrog rau cov ntshav tiav los kuaj xyuas lawv cov T4. Kev kho yuav raug kho raws li cov txiaj ntsig, xws li hloov cov tshuaj methimazole kom tswj tau T4 cov ntsiab lus nyob hauv qhov tsis zoo.

Yog tias koj tus miv tau muaj kev phais, tshwj xeeb yog tshem tawm cov thyroid caj pas, koj tus kws kho tsiaj yuav xav saib koj tus miv kom rov zoo li qub. Kev txhim kho ntawm cov ntshav cov calcium uas qis thiab / lossis ua rau tuag tes tuag taw ntawm lub suab lub suab thaum lub sijhawm tom qab lub sijhawm txuas ntxiv yog cov teebmeem uas yuav tsum tau saib xyuas thiab kho, yog tias lawv tshwm sim.

Koj tus kws kho mob tseem yuav ntsuas koj cov qog cov thyroid hormones txaus nyob hauv thawj lub lis piam tom qab kev phais mob thiab txhua txhua peb rau rau lub hlis tom qab, txhawm rau txheeb xyuas qhov ua tshwm sim ntawm cov thyroid caj pas tsis txaus.

Qhov chaw:

Ettinger S, Feldman E, Coté E. Cov Phau Ntawv Qhia Veterinary Internal tshuaj, Feline Hyperthyroidism. 8^th tsab. Philadelphia, PA: Saunder; 2016 xyoo.

Nelson RW, Couto CG. Cov Tsiaj Nruab Nrab Tsiaj Me, Feline Hyperthyroidism. 6^th tsab. St. Louis, MO: Elsevier; 2020.