Crisis thyrotoxic: causes, symptoms, emergency treatment and treatment

Severe health problems begin with diseases of a small organ in the neck. Chronic chronic ailments lead to an increase in the thyroid gland. The extreme stage of complications is referred to as the thyrotoxic crisis. With this complication, the result of clinical symptoms is a lethal outcome in 20% of cases. At the time of acute manifestations of dangerous conditions, the patient needs urgent help and constant supervision by medical personnel.

Difficulties in treating chronic organ diseases

At the person there is a strong suffocation from excitements, allergic reactions, it is difficult to swallow - it can be a thyrotoxic crisis. The urgency of the problem remains to this day: an operative way of treating the thyroid gland is not suitable. After removal of the organ, complications arise that require constant medical therapy for the rest of your life.

Not all doctors recommend resorting to surgical removal of the thyroid gland, and few specialists are able to conduct such an operation. A small organ is part of the body's lymphatic system. If you remove the link from the chain of complex processes, the infection will be able to penetrate unimpeded into the lungs, bronchi, and stomach.

A typical manifestation of complications in a person with a distant thyroid gland is a stomach ulcer. The appointment of tablets and other medications is not able to make up for the lost function of the organ. Patients with chronic diseases risk acquiring a thyrotoxic crisis. With the existing predisposition of the body to the edema of the tissues of the goiter, patients and close people are advised to familiarize themselves with the principles of first aid during clinical conditions.

Ways of acquiring complications

The thyrotoxic crisis is the result of various complications in the body:

1. Medication effect on the cells of the thyroid gland.
2. Surgical intervention in the neck.
3. Allergic outbreaks, which often occur in the spring and autumn.
4. Diseases of the lymphatic system.
5. Acute conditions caused by a disorder of the central nervous system. To such manifestations are stresses. A constant voltage leads to malfunctions in the body, the thyroid gland increases in size.
6. Infection with: viruses, parasites.
7. Traumatic consequences of the cervical department.
8. Often, a crisis occurs in women during pregnancy as a result of toxicosis.
9. Sharp withdrawal of treatment with antithyroid drugs intended to inhibit the biosynthesis of thyroid hormones.

The main cause of the crisis is the lack of iodine in the body. The enlargement of the organ can occur with an active process of formation of connective tissue. Pathology occurs after the violation of protein metabolism in the human body.

External manifestations in clinical cases

If there is a worsening of well-being at low loads, it can be a thyrotoxic crisis. Symptoms of the disease begin to manifest themselves brightly after taking medications of iodine or thyroid hormones. We will isolate the main signs, after which it is necessary to be examined urgently by the endocrinologist. If more than three symptoms are detected, then one can assume the presence of a complication - a thyrotoxic crisis.

External manifestations, by which you can independently assess the development of the disease:

1. A decrease in well-being occurs earlier, in comparison with the previous state of the organism.
2. Frequently increases the pulse, exceeding 100 beats per minute.
3. There is an increased excitability, irritation occurs due to every little thing.
4. The picture is supplemented by increased pressure.
5. Unreasonable increase in body temperature more than 3 degrees.
6. There is dizziness, nausea, vomiting.
7. Digestive system disorder.
8. Converged respiration rate.

Procedure before arrival

If there is a thyrotoxic crisis, help should be followed immediately. A lethal outcome is possible without the provision of initial actions facilitating the entry of oxygen into the lungs and excluding the blocking of vital metabolic processes. It is desirable to notice the previous moments, which are sources of deterioration of well-being.

We will outline the main measures in the event of complications:

• Call for emergency help.
• Place the patient on his back, put a roller under his neck.
• In a stuffy room, you need to open windows, than to facilitate the flow of fresh air into the lungs of the patient.
• Before the arrival of doctors, you can independently assess the condition: measure the pulse, pressure, temperature. Fix external conditions: skin moisture, blanching of the face.
• Interrogation of the patient helps to establish the moment of deterioration of state of health. But the person remains in consciousness at a thyrotoxic crisis.

How can I ease the patient's health?

The acute phase of the disease is accompanied by a disorder of the kidneys. Therefore, to give medicines in the form of tablets is meaningless. The drugs are administered intravenously or intramuscularly as prescribed by the doctor or an experienced specialist. At home, there is rarely such a possibility, they apply their own skills of basic assistance to the victims.

Let's single out the main measures for normalizing the state:

• If the body temperature is too high, which is often observed during a crisis, then resort to cooling the body. This slows down metabolic processes, restraining the harmful effects of hormones. The patient is placed in a cool bath. In the absence of such, all clothing is removed. The alternative is to apply several compresses to different parts of the body. Reduces the temperature of rubbing alcohol solutions.
• The man is watched before the ambulance arrives. The tongue can fall into the larynx, which will cause suffocation.
• Help to drink as much pure liquid as possible so that dehydration of the body does not occur.

What actions are carried out by physicians?

If there is a thyrotoxic crisis, emergency care includes the administration of drugs that reduce the action of thyroid hormones. These substances are actively produced by the thyroid gland in violation of the body. The result of treatment is a decrease in their content in the blood serum.

External manifestation of the disease becomes diffuse toxic goiter. Additional information about the state of the body gives the results of the ECG survey. Deviations are set:

• Atrial fibrillation;
• sinus tachycardia;
• Violation of intraventricular conduction;
• An increase in the amplitude of the teeth of the QRS and T. complex.

Preparations

Treatment of a thyrotoxic crisis is necessary for any reason of occurrence of a critical condition. The following types of medicines are used:

• "Mercazolil" is administered intravenously with a dosage of 100 ml.
• A solution of sodium iodide is introduced.
• Orally, give a solution of "Lugol" from the calculation of 30 drops per day.
• Good results are noted after the injection of "Contrikal."
• A dropper is installed from the solutions: 5% glucose, sodium chloride, albumin. Add vitamins B1, B2, nicotinamide.

Restorative period of medicines is carried out at least two weeks after critical conditions. Initially used thyreostatic drugs, only after more than two days appoint iodine-containing substances.

How to prevent disease?

Carry out preventive measures to exclude the critical state of the body - thyrotoxic crisis. Emergency care, the algorithm of which is clearly prescribed in the instructions of the ambulance personnel, will be less painful, there will be irreversible consequences. Thus, treatment is performed before surgery in people with thyroid hyperfunction. The drugs are selected antithyroid effect, prescribe iodine-containing substances.

The fight against hyperthyroidism is a measure of the prevention of critical conditions. The doctors noted the prevalence of the disease among women. Crisis at the weaker sex appears 9 times more often than in men. A prolonged complication can occur at almost any age under the influence of certain factors.