#18: Hyperthyroidism

3

January 27, 2021

Hey Future Nurses!! Welcome back to The Nursing School Simplified Podcast. 

This week we are continuing our Thyroid Awareness Month series and discussing Hyperthyroidism. 

As we learned last week, the thyroid plays an integral part in our body’s metabolic function. From skin to renal, every organ system is regulated by thyroid function.

In this episode you will learn:

*Etiology

*Signs and Symptoms

*Treatment

*Patient Education

*Complications

Be sure to subscribe to the podcast so you don’t miss an episode including bonus episodes. 

All my best, 

Cynthia, RN CCRN 

10,340 thoughts on “#18: Hyperthyroidism”

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  17. بایسکشوال
    در حالی که افراد بایسکشوال افرادی هستند که با هر جنسیتی که باشند به هر دو
    جنسیت یعنی هم مرد و هم زن گرایش دارند.
    پس این که بعضی افراد فکر می کنند افراد دوجنسه همان افراد بایسکشوال هستند کاملا اشتباه می باشد زیرا بایسکشوال از پایه و اساس با دو جنسه بودن فرق می
    کند. توجه داشته باشید که افراد بایسکشوال از نظر روحی و رفتاری،
    هیچ تضادی با جنسیتی که از خود نشان می دهند ندارند.
    برای مثال یک مرد بایسکشوال، از نظر
    رفتاری کاملا مردانه رفتار می کند و هیچ تمایلی به این که یک زن باشد ندارد.
    با تصور و فکر کردن در مورد آن ، فرد متوجه می شود
    که افرادی از هر دو جنس وجود دارند
    که تمایلات جنسی و عاطفی نسبت به آنها دارند.
    در این حالت ، روانشناسان مقیاس هایی ساخته اند که با
    پر کردن آنها می توان ایده روشنی از گرایش جنسی آنها به دست آورد.

    پس به هیچ‌وجه نباید در هنگام مواجه با افراد بایسکشوال، خصوصیات اخلاقی منفی را فقط بخاطر گرایششان به آن‌ها نسبت
    دهیم. با توجه به اطلاعات کم در
    جوامع مختلف و تابو بودن مسئله گرایش جنسی، افراد باور های غلطی را نسبت به افراد بایسکشوال داشته که لازم به اصلاح آن
    ها است. در این جا برخی باور
    های غلط و اصلاح آن ها را در مورد افراد دوجنسگرا مشاهده می کنید.
    بنابراین در اکثر اوقات با دارو، درمان و روان درمانی
    گرایش جنسی افراد دوجنسگرا قابل درمان و تغییر نیست، حداقل
    تا به الان با علم و پیشرفت تکنولوژی امروز قابل
    رفع نبوده است. البته بسیاری از کسانی که
    فکر می کنند بایسکشوال هستند در واقع تصور
    خودشان است. منند افرادی که
    در سربازخانه بدلیل شرایط با همجنس ارتباط برقرار
    می کنند.
    برخی افراد هیچ تفاوتی بین دوجنس گرایی و اصطلاحات
    دیگری مانند «پان جنس گرایی» یا «دگرباش» نمی بینند.
    تمایلات جنسی برخی افراد سیال است،
    به این معنی که هر از گاهی تغییر می کند.

    ممکن است فکر کنید که تنها در صورتی
    مجاز به شناسایی دوجنس گرا هستید که جذابیت یکسانی برای چندین جنسیت
    داشته باشید.
    در مورد مفهوم دوجنسگرا سردرگمی وجود دارد.برخی افراد 100٪ همجنسگرا یا لزبین
    هستند، به عبارت دیگر از نظر جنسی و عاطفی
    فقط به شرکای همان جنس خود جذب می شوند.
    اما در مورد دوجنسگرا چطور؟ درصد قابل توجهی از افراد در
    هیچ یک از این دسته ها قرار نمی گیرند، زیرا آنها در طول زندگی،
    جذابیت و احساسات جنسی و عاطفی به جنس های
    مختلف تجربه می کنند. یکی از مسائل عمده‌ای که در رابطه با
    دوجنسگرایی به ذهن می‌رسد این است که آیا این وضعیت یک اختلال
    روانی به حساب می‌آید و بنابراین باید به دنبال درمان آن بود
    یا نه؟ پاسخ به این سوال بسیار
    پیچیده است. انجمن روانشناسی آمریکا اعلام کرده است که میل جنسی می‌تواند در
    یک نمودار بین همجنسگرایی مطلق
    تا دگر جنسگرایی مطلق قرار گیرد.
    از طرفی برخی فشار‌های جامعه ممکن است این افراد
    را آشفته سازد و یا عدم وجود آموزش‌های جنسی
    لازم ممکن است سبب شود نوجوان یا جوان فکر کند که وضعیتش غیر عادی است.

    اکثر افراد بر این باورند که افراد بایسکشوال همان افرادی هستند که به
    آن‌ها هم‌جنس‌گرا گفته می‌شود، در حالی که این تصور غلط
    است. [newline]افراد بایسکشوال در واقع دوجنسگرا هستند
    و به هر دو جنس تمایل نشان می‌دهند؛ به عبارت دیگر یک مرد
    بایسکشوال هم نسبت به مردان و هم به
    زنان تمایلات جنسی دارد.
    ممکن است تمایلات به افراد دیگر با جنس‌های
    دیگر هم حضور داشته باشند. اما این به معنی بی ثبات بودن ازدواج آن‌ها یا حتمی
    بودن خیانت در این ازدواج‌ها نیست.

    مانند تمام ازدواج‌های معمولی دیگر، فرد
    تصمیم می‌گیرد تا آخر عمر با یک نفر زندگی مشترکی داشته باشد.

    همه افراد با هر گرایشی قبل از ازدواج تصمیم اینکه رابطه متعهدانه‌ای داشته باشد یا نه را می‌گیرند.

    رنگ های این پرچم از یک نماد دیگر که محصوص افراد دوجنسگرا است تشکیل شده است.
    اشتباه گرفته و یکی می پندارند در حالی که افراد همه جنس گرا به همه افراد فارغ از جنیست
    آن ها علاقه داشته وافراد
    دوجنسگرا به بیش از یک جنس گرایش دارند.

    مطالعات مربوط به افراد دوجنسگرا
    حتی غیر معمول تر از مطالعات با
    افراد همجنسگرا یا لزبین است، بنابراین در مورد این گروه کم مطالعه شده است.

    افراد دوجنسگرا اغلب با گروه های همجنسگرا / لزبین
    کنار می آیند، یا کاملاً از مطالعات خارج می شوند.
    برخی مطالعات حاکی از آن است که یک زن در معرض مقادیر بالای هورمونهای خاصی مانند تستوسترون در رحم احتمالاً
    لزبین یا دوجنسگرا است. مطالعات دیگر نشان می دهد که
    اگر سطح تستوسترون در دوران بارداری پایین باشد، ممکن است یک مرد همجنسگرا باشد.
    دانشمندان در حال حاضر فکر می
    کنند که جهت گیری ممکن است به ژنهایی که
    سایر صفات خاص جنس را کنترل می کنند
    مرتبط باشد.
    افراد زیادی هستند که به دلیل عدم آگاهی با انواع
    گرایش‌های جنسی آشنا نیستند.
    طبق تحقیقات انجام شده با آگاهی رسانی
    بیشتر، هر سال تعداد این افراد بیشتر می‌شود و این خود یک نوع امیدواری
    است برای شناخت تمایلات جنسی در هر فرد.
    جالب است بدانید که طراحی این رنگ‌ها در کنار هم دارای دلیل خاصی است و هر کدام از رنگ‌ها دارای نماد خاصی
    هستند.
    آنها ممکن است یک رابطه دگرجنسگرای ثابت
    همراه با یک رابطه گاه به گاه با شریک جنسی مشابه داشته باشند یا برعکس.
    فقط جاذبه های خود، تجربیات خود و اینکه چگونه ممکن است تحت تأثیر جنسیت قرار می‌گیرید یا را در نظر بگیرید.
    بایسکشوال چیستوقتی بایسکشوال هستید، آیا همیشه بایسکشوال می‌مانید؟ مطمئناً لازم نیست که به همان صورت بمانید.
    تا زمانی که به کسی (از جمله خودتان) صدمه نزنید، به خودتان اجازه دهید بفهمید که دوجنسیتی
    واقعاً برای شما چه معنایی دارد.

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  81. بایسکشوال چیست؟
    در قدم اول بسنجید که آیا احساستان
    نسبت به هم جنس خود به اندازه جنس مخالف است.
    برخی افراد بعد از سنجیدن احساسات
    خود متوجه می‌شوند که همان تمایلی را که به جنس مخالف دارند به دوست و رفیق
    هم جنس خود هم دارند. اگر دارای چنین شرایطی باشید به احتمال زیاد یکی از نشانه‌های بایسکشوال بودن
    را دارید. در گذشته بسیاری از مفاهیم
    برای افراد نامفهوم بود که این مورد به دلایل مختلفی هم مرتبط می‌شد.

    خوشبختانه در حال حاضر به دلیل منابع زیاد و رسانه اطلاعات
    مردم در خصوص موارد مختلف بسیار بیشتر شده است.
    یکی از مفاهیمی که امروزه زیاد به گوش می‌رسد بایسکشوال است که به
    معنای دو جنس گرایی است.
    به همین جهت بهترین راه برای تشخیص دوجنس گرایی این است که به متخصصان این حوزه مراجعه کنید.
    در این نوع از دوجنسگرایی همان طور که از نام
    آن پیداست فرد به صورت تفریحی
    به دوجنس گرایی روی می آورد.
    یعنی به طور نرمال دگرجنس گرا است
    اما در اثر مصرف مواد مخدر یا الکل به صورت تفریحی
    با افراد هم جنس خود هم روابط جنسی برقرار می
    کند. تا به امروز دیدن اسلام برای افراد دو جنس گرا هیچ تصمیم خاصی نگرفته است.
    اما از آنجایی که دین اسلام هم‌جنس‌گرایی را نمی‌پذیرد و به آن جایگاهی
    نمی‌دهد به احتمال زیاد برای افراد دو جنس گرا هم همین جایگاه را
    در نظر می‌گیرد.
    این موضوع، یک یافته مهم است، چرا که بسیاری از پزشکان اغلب سعی می‌کنند با کمک به آنها
    در ایجاد یک گروه همسالان حامی و پذیرنده به افراد بایسکشوال کمک کنند.
    اگر تغییری در حمایت و پذیرش از سمت شریک اصلی زندگیشان وجود نداشته باشد، این مداخله ممکن است بی‌اثر باشد.
    بایسکشوال دورانی معمولا به
    افرادی گفته می شود که به طور کلی به غیر همجنس خود گرایش دارند.
    این افراد می توانند در شرایطی که
    فرد غیر همجنس آن ها در دسترس نباشد به یک همجنس نیز وارد رابطه جنسی و عاطفی شود.
    بایسکشوال چیست ؟ انواع بایسکشوال چیست؟ چه اخلاقیاتی
    را می‌توان به بایسکشوال نسبت داد؟ برخی اختلالات اخلاقی
    در زمینه جنسی وجود دارد که باعث شده تا تمایلات، از سمت تمایل به جنس مخالف خود، به
    سمت‌های دیگر برود. البته موضوعات زیادی در این زمینه دخیل
    هستند که یک فرد، تمایلات
    مخالف با اکثر جوامع داشته باشد.

    برخی افراد هیچ تفاوتی بین دوجنس گرایی و اصطلاحات دیگری مانند «پان جنس گرایی» یا «دگرباش» نمی
    بینند. تمایلات جنسی برخی افراد سیال است، به این معنی که هر از
    گاهی تغییر می کند. ممکن است فکر کنید
    که تنها در صورتی مجاز به شناسایی دوجنس گرا هستید که جذابیت یکسانی برای چندین جنسیت داشته
    باشید.
    احتمالاً شما که در حال مطالعه این مقاله هستید جز افرادی هستید که
    به سطح آگاهی خود اهمیت زیادی می‌دهید.
    برای اینکه اطلاعات بیشتری
    در خصوص بایسکشوال کسب کنید در ادامه با ما باشید که درباره علائم، مشهورترین افراد بایسکشوال، میزان درصد افراد بایسکشوال و …
    صحبت کنیم. به خاطر داشته باشید که
    دو نوع جنسیت داریم، جنسیت اول آن است که دکترها زمان تولد با توجه به اندام جنسی و ویژگی‌های آناتومیکال تعیین می‌کنند و جنسیت دوم آن که
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  88. بایسکشوال چیست + ارزیابی و تست بایسکشوال یا دوجنسگرایی
    بسیاری از روانشناسان معتقدند بروز دوجنسگرایی در
    افراد علت واضح و قطعی ندارد و نمی
    توان عاملی را به صورت حتمی دلیل بروز
    این رفتار در افراد تعیین کرد. افراد در
    جریان بایسکشوالی بودن شرایط و حالات مختلفی دارند که این شرایط سبب پیچیدگی
    در روابط و آشفتگی فرد و اطرافیان او در جریان برقراری ارتباطات نزدیک با آن ها می شود.
    هنوز علت دقیق این گرایش جنسی مشخص نمی
    باشد ، ولی دانشمندان با نظریه پردازی های خود تاثیر ژنتیکی ، هورمونی و محیطی را موثر می دانند و آن را به عنوان یک انتخاب نمی دانند .

    این احتمال وجود دارد که هر فرزند یک پاسخ ایمنی جزئی
    در مادر ایجاد کند، که با هر فرزند پسر افزایش می یابد.
    به نظر می رسد ترتیب جهت تولد برای جهت گیری جنسی زنان اهمیتی ندارد، اما هورمون ها ممکن است مهم باشند.
    درک فعلی این است که دوجنس گرایی ناشی از مکانیسم های مشابه همجنسگرا بودن یا
    لزبین است، درست همانطور که تصور می شود مکانیسم های بیولوژیکی وجود دارد که باعث می شود افراد همجنسگرا می شوند.
    افراد دو جنسگرا نهایتا ممکن است تصمیم بگیرند با یک نفر
    زندگی کنند.
    این تعریف زمانی معنا پیدا می
    کند که به تعاریف همجنس گرایی (جذب به همجنس) و دگرجنس گرایی (جذب به جنس مخالف) فکر کنید.
    این گونه افراد، معمولا علاوه
    بر گرایشات خود به جنس مخالف، گرایشات عاطفی و
    جنسی به همجنس‌شان هم در روحیات خود دارند.

    اما به دلیل ترس از قضاوت شدن و رفتارهای بدی که در جامعه به همراه آن‌ها خواهد بود، از بازگو
    کردن این موضوع وحشت دارند.

    عزیزم چه فرقی داره بایسکشوال یا هتروسکشوال؟ شما اگه پیامی توو گوشی شوهرت می‌دیدی و متوجه
    می‌شدی که با یه زن رابطه داره باز هم ناراحت می‌شدی و این طبیعیه.

    پس بجای اینکه گرایش جنسی شوهرتو نهی کنی بهش کمک
    کن که به تو وفادار بمونه و هیچ زن و مردی نتونه جذبش کنه.
    در طی این دوران، عوامل مختلفی
    نیز در نادیده گرفتن دوجنسگرایان مؤثر
    بود.
    زندگی احساسی بایسکشوال خیلی مزخرفه، واقعا آدم
    ثبات نداره هیچکسم درکش
    نمیکنه.من بیشتر دلم میخواد تنها باشم.
    و البته واقعا هم می دونستم که هم جنسگرا نیستم
    و در بدترین حالت دوجنسگرام.
    پنج ماه پیش بهترین دوستم (که یه دختره) و من کلا ارتباطمون باهم رو قطع
    کردیم.
    افراد پیرامون ما به سه دسته همجنسگرا،
    دگر جنسگرا و دوجنسگرا تقسیم بندی می شوند.
    بدون شک این موضوع را نمی دانید که چیزی
    نزدیک به one hundred درصد افراد پیرامون شما همجنسگرا یا لیزبین هستند.
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    و برخی نیز تصور می‌کردند بایسکشوال بودن حالتی گذراست و فرد با گذشت زمان به یک ثبات خواهد
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    به تنها یک جنسیت مانند افراد دگر جنس
    گرا و همجنس گرا علاقه نداشته و به
    بیش از یک جنس علاقه جنسی و عاطفی دارند.

    معنی دوجنس گرایی لزوما گرایش به دو جنس نبوده بلکه به معنی گرایش به بیش از یک جنس است.
    دوجنسگرایی با دوجنسه ها نیز تفاوت دارند و در بسیاری مواقع افراد آن ها را یکی می پندارند.
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  115. قیمت و خرید انواع پاوربانک شارژر همراه ارزان
    امروزه‌، طرح‌های بسیار پیچیده‌تر
    و جمع‌وجورتری در بازار وجود دارند که با عمر باتری بسیار بالاتر در اختیار شما قرار می‌گیرند.
    اکثر پاور بانک‌های مدرن، می‌توانند قبل از اتمام باتری در کف دست شما قرار گرفته و امکان شارژ گوشی‌های هوشمند را فراهم کنند.
    این موضوع زمانی بیشتر اذیت می‌کند که به پریز
    دیواری هم برای شارژ دستگاه خود دسترسی
    نداشته باشید. در این زمان، یک
    پاور بانک می‌تواند انتخاب خوبی برای رهایی از این مشکل
    بزرگ باشد.
    باتری های مبتنی بر لیتیوم در
    صورت رها شدن در طبیعت می‌توانند به شدت به محیط زیست
    آسیب وارد کنند. در ایران مدتی است که امکان بازیافت این باتری ها فراهم شده و
    کافی است این باتری‌ها را به مدیریت امور پسماندهای شهرداری تحویل دهید.
    در بسیاری از شهرها، غرفه های بازیافت زباله شهرداری، بدون دریافت هیچ هزینه‌ای، باتری‌های مستعمل را از شما تحویل گرفته و به مراکز
    بازیافت تخصصی ارسال می‌کنند.
    لطفاً این موضوع را جدی بگیرید و حتماً
    باتری‌ها و پاوربانک‌های خراب را از خود و محیط زیست دور نگه دارید.

    همکاران ما در تیم محصولات
    و دیگر کاربران زومیت آماده پاسخگویی به شما هستند.

    پاور بانک شیائومی، پاور بانک سامسونگ، پاور بانک انکر از جمله محبوب‌ترین‌های بازار
    کشورمان هستند. وزن و ابعاد پاور بانک به دلیل اینکه باید همیشه همراه کاربر باشد
    از اهمیت بالایی برخوردار است.
    اگر از پاور بانک استفاده چندان زیادی ندارید و چندین
    دستگاه را با آن شارژ نمی‌کنید نیازی ندارد که از محصولاتی با ظرفیت بالا استفاده کنید زیرا این کار هم وزن و هم ابعاد
    پاور بانک را به میزان زیادی افزایش
    خواهد داد.
    داتیس مارت نمایندگی شرکت آونگ در استان کرمان با پخش پاوربانک ای دیتا در تهران و
    تمامی شهرستان ها با قیمت پایین و گارانتی
    18 ماهه همچنین ارسال رایگان،
    به شما بهترین پیشنهاد را برای خرید پاوربانک
    میدهد. خروجی ولتاژ و جریان پاوربانک‌های هوشمند،
    متناسب با نیاز باتری دستگاه قابل تنظیم است و با توجه به نوع دستگاه، قادر به تأمین شدت جریان مناسب باتری
    است. ایمنی این پاوربانک‌ها در سطح بالاتری نسبت به مدل‌های ارزان‌تر خود قرار
    دارد. بهترین پاوربانک‌ها به آسانی قابل‌حمل هستند و به شما اجازه می‌دهند
    تا وقتی تمام روز بیرون از خانه هستید آن‌ها را به همراه داشته باشید.
    پاوربانک با ظرفیت بالا می‌تواند تلفن‌های هوشمند کاملاً خالی را سه تا چهار
    بار شارژ کند و این در حالی است که هیچ پریز برقی در دسترس نیست
    و همزمان به دستگاه‌تان
    دسترسی کامل دارید.
    امروزه طراحی های بسیار پیچیده و جمع و جور با عمر باتری بسیار برتر وجود دارد.
    اکثر پاوربانک های مدرن می توانند در کف دست
    شما قرار بگیرند و چندین بار
    گوشی هوشمند شما را قبل از تمام شدن شارژ شارژ کنند.
    پاور بانک دارای مزایای متعددی بوده و ارزش پرداخت قیمت پاور بانک را خواهد داشت.
    این دستگاه‌ها به سادگی قابل حمل بوده و می‌توانید در
    کف دست یا کیف دستی خود از آن مراقبت کنید.
    آن‌ها به راحتی به هر جایی قابل حمل هستند و دیگر نیازی
    هم به نگرانی از بابت اشغال فضای زیاد در کیف
    خود نخواهید داشت، چرا که از سال ۲۰۰۱
    تا کنون، ابعاد آن‌ها به شدت
    کوچک‌تر شده و عمر باتری بالاتری را هم
    ارائه می‌دهند.
    جهت مقایسه قیمت پاور بانک در انواع
    برند موجود در بازار شارژر
    همراه، روی نام برند مورد نظرتان
    کلیک نمایید. پاوربانک‌ در واقع باتری‌هایی هستند که با ذخیره انرژی
    الکتریکی در مدار خود، به شما
    امکان استفاده از این انرژی الکتریکی جهت شارژ گوشی
    و گجت‌های هوشمندتان، با استفاده از یک کابل را می‌دهند.
    پاوربانک‌ها دارای ظرفیت و سایز
    و شکل‌های متفاوتی هستند و با توجه به ظرفیتشان
    و ظرفیت باتری گجت هوشمند می‌توانند پس از شارژ کامل، به تعداد دفعات مشخصی، گوشی و یا سایر
    گجت‌های هوشمند را شارژ کنند. همه ما با برند سامسونگ و
    محصولات با کیفیت این شرکت کره‌ای آشنا
    هستیم و می‌دانیم که این کمپانی در
    زمینه‌های مختلف، محصولات مختلفی
    را روانه بازار می‌کند. در همین راستا دسته‌بندی پاوربانک‌‌ها یکی
    از بهترین‌ محصولات این شرکت است
    و افراد مختلفی برای خرید پاور بانک به
    سراغ گزینه‌های سامسونگ می‌روند.

    بطور معمول این محصول از یک درگاه
    میکرو یو اس بی برای شارژ باطری تعبیه شده دستگاه بهره مند است که به
    نوعی نقش دروازه برای ذخیره انرژی الکتریکی را بر عهده دارد.
    البته در مدل‌های جدیدتر، پاوربانک‌ها به جای استفاده
    از پورت میکرو یو اس بی، درگاه تایپ سی بهره‌مند
    دارند. حال پاوربانک‌ها برای انتقال انرژی الکتریکی به گوشی‌های موبایل، گجت‌ها
    و …
    در انتخاب پاور بانک ها تنها
    ارزش خرید و سهولت استفاده برای کاربران را لحاظ کرده‌ایم و تنها برندهای مطرح و شناخته
    شده بازار را در نظر گرفته‌ایم.
    بهترین نوع پاوربانک دارای یک میلی آمپر ساعت است
    که بالاتر از دستگاهی است که می خواهید شارژ کنید.
    هرچه باتری روی تلفن یا سایر دستگاه های الکترونیکی شما بزرگتر باشد، برای شارژ کردن
    آن به انرژی بیشتری از پاوربانک خود احتیاج دارید.
    این شرکت در سال 2011 و در شهر شنزن چین فعالیت رسمی خود
    را با تولید لوازم جانبی گوشی‌های موبایل آغاز کرد و در مدت 9
    سال حضور فعالانه، توانسته تولیدات خود را
    به one hundred eighty کشور جهان از جمله ایران صدر کند.

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