Сестринский уход при заболеваниях щитовидной железы презентация

Цели Исследования 1 2 3 4 5 Проанализировать научную

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СЕСТРИНСКИЙ УХОД ПРИ ЗАБОЛЕВАНИЯХ
ЩИТОВИДНОЙ ЖЕЛЕЗЫ
Выполнила: Рахимова А.Ш. Проверила: Бикбулатова С.Ю.


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Цели Исследования
1
2
3
4
5
Проанализировать научную разработанность темы исследования
Выяснить особенности строения и функции щитовидной

железы

Изучить эндокринные заболевания

Осветить аспекты взаимодействия с пациентом

Определить роль медицинской сестры в уходе и поддержании пациента


Слайд 3

Анатомия щитовидной железы




Две доли, соединенные узким перешейком на уровне 2-3 кольца

трахеи. Боковые доли охватывают трахею.







У взрослого человека железа весит 12-25 гр, каждая доля 2,5- 4 см в длину. Объём до 18 мл у женщин и до 25 мл у мужчин считается нормальным







Железа вырабатывает тироксин и трийодтиронин, контролирующие обмен веществ и энергии, процессы роста, созревания тканей и органов. С-клетки секретируют кальцитонин.




Слайд 4

Tаблица заболеваемости








Взрослые 25,83%
Дети 14,57%
Юноши 30,46%
Девушки 29,14%
Показатели для представителей разных возрастных групп

населения: дети, юноши, девушки, взрослые. По данным 2017 года наблюдается тенденция к увеличению числа заболеваний эндокринной системы среди взрослого населения (6701,8 обращений на 100000 человек).

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Республика Башкортостан






55%
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Инфекционные заболевания
Оперативные вмешательства Черепно-мозговые травмы
Наследственность Психические травмы


Причины гипертиреоза








Слайд 8

Обследование щитовидной железы


Щитовидная железа увеличена, эластической консистенции, безболезненная, подвижная при глотании.
При

пальпации характерное "жужжание" железы из-за увеличенного кровоснабжения.

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Симптомы Тиреотоксикоза
Поражение ССС
Тахикардия Высокое давление Дисгормональная миокардиодис- трофия Недостаточность кровообращения
Поражение ЦНС
Повышенная возбу-

димость
Понижение внимания Плаксивость
Тремор
Потливость

Поражение органов пище- варения
Боли в животе Рвота Неустойчивый стул Пожелтение кожи

Поражение других. желез
Нарушение функции Надпочечников Дисфункция яичников Гинекомастия Нарушение толератности к глюкозе

Глазные симптомы
-Штельвага
-Грефе
-Кохера
- Дальримпля
-Жоффруа и пр.


Слайд 10КТ и МРТ






















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3

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Патогенез Зоба











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Дефицит йода
Снижение синтеза гормонов Т3, Т4
Повышение образования ТТГ гипофиза
стимуляция ЩЖ
Тиреотропная

Компенсаторная

гиперплазия ЩЖ


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Слайд 20
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Слайд 22
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Слайд 32Thank you
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