So wote nka sɛ wo koma rebɔ ntɛmntɛm a ntease biara nnim? So wo ho fifiri wɔ ade ketewaa bi mpo mu? So wo mu duru so tew bere a wudidi yiye mpo no? So ɛtɔ mmere bi a wote nka sɛ wo ho atɔ wo na wo ho yeraw wo kɛse? Sɛ saa nneɛma yi abu so wɔ wo mu a, ebia nea enti a ɛte saa ne sɛ ntini ketewaa bi a ɛte sɛ ntontom wɔ wo nipadua mu, thyroid ntini no, reyɛ adwumaden dodo kakra. Ɛnnɛ yɛrebɛka Graves Yareɛ ho asɛm, tebea bi a ɛde saa tebea yi ba, nanso sɛ wɔsa no yie a, wɔbɛtumi adi so yie.
Sɛ yɛbɛka no tiawa a, dɛn ne Graves Yare?
Sɛ yɛbɛka no tiawa a, Graves yare no yɛ yare a mfomso ketewaa bi a ɛwɔ yɛn nipadua mu tumi a ɛko tia nyarewa mu na ɛde ba. Yɛfrɛ eyi yare a nipadua no tumi ko tia nyarewa . Mpɛn pii no, yɛn nipadua mu tumi a ɛko tia nyarewa no ko tia mmoawa a wɔde nyarewa ba. Nanso wɔ saa yare yi mu no, yɛn ankasa nipadua mu tumi a ɛko tia nyarewa no di mfomso tow hyɛ yɛn ankasa thyroid ntini a ɛwɔ yɛn kɔn mu no so.
Saa ntua yi kanyan thyroid gland no na ɛma ɛyɛ thyroid hormone pii dodo. Wɔfrɛ saa tebea yi hyperthyroidism . Ɛte sɛ kar a wɔamia accelerator pedal no so, na ɛma yɛn nipadua mu nneɛma a ɛsakra no yɛ ntɛmntɛm. Graves yare no ne ade titiriw a ɛde hyperthyroidism ba. Ebetumi nso afi awosu mu. Ɛnyɛ thyroid gland nko na ebetumi aka, na mmom ebetumi aka yɛn aniwa ne yɛn honam ani nso.
Dɛn ne yare yi ho sɛnkyerɛnne a ɛtaa ba?
Esiane sɛ Graves yare no ma wo nipadua no mu nneɛma yɛ ntɛmntɛm nti, ebia wubehu sɛnkyerɛnne ahorow. Ebia nnipa binom benya saa sɛnkyerɛnne ahorow yi mu biako anaa abien pɛ, bere a afoforo nso betumi anya nneɛma a wɔakyerɛw wɔ saa nsɛm yi mu no pii. Saa sɛnkyerɛnne ahorow yi mpue prɛko pɛ, na mmom ɛkɔ so nkakrankakra wɔ adapɛn anaa asram pii mu.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Koma a ɛbɔ ntɛmntɛm (Tachycardia) . | Sɛ wote nka sɛ wo koma rebɔ a ntease biara nnim. |
| Ɔhyew a wontumi nnyina ano ne fifiri a ɛboro so | Wote ɔhyew ne fifiri nka bere nyinaa, ɛwom mpo sɛ ɛyɛ ade a ɛfata ma afoforo de. |
| Mu duru a ɛso tew | Ɛda adi sɛ nipadua mu duru so tew ɛmfa ho sɛ wodidi yiye no. |
| Wosow a ɛwosow | Nsa mu wosow a ɛyɛ anifere. |
| Dadwen ne ahomegye a enni hɔ bere nyinaa | Bere nyinaa a ɔte nka sɛ ne ho yeraw no na ne ho nyɛ no dɛ. |
| Nsakrae a ɛba aduan a wɔyam no mu | Mpɛn pii a wɔde dwensɔtwaa gu ne mu anaasɛ ɛho hia sɛ wɔkɔ aguaree mpɛn pii sen sɛnea ɔtaa yɛ. |
| Kɔn mu a ɛho ahonhon (Goiter) . | Kɔn no anim a ɛho ahonhon esiane thyroid ntini a ayɛ kɛse nti. |
| Dae a wontumi nna ne ti nhwi a ɛtɔ | Ɛyɛ den sɛ wobɛda anadwo ne ti nhwi a ɛtɔ. |
| Nsakrae a ɛba ɔsram biara brayɛ mu wɔ mmea mu | Mogya a ɛba brayɛ mu a ɛso tew, brayɛ a ɛnkɔ so daa anaasɛ egyae. |
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwehwɛ afotu a worenhaw wo ho wɔ ho.
Ɔkwan bɛn so na eyi ka aniwa ne honam ani?
Ɛwom sɛ ɛnyɛ obiara a ɔwɔ Graves yare no de, nanso nnipa baasa biara mu bɛyɛ biako benya aniwa mu haw. Wɔfrɛ saa tebea yi Graves’ orbitopathy anaaThyroid Aniwa Yare.
- Aniwa a ɛrehuruhuruw
- Anisoadehu abien
- Nkate a ɛyɛ gritty, gritty a ɛwɔ aniwa mu
- Ɛyɛ den sɛ wobɛhwɛ hann (Photophobia) .
- Nhyɛso anaa ɛyaw a wɔte nka wɔ aniwa no mu
Bio nso, nnipa kakraa bi pɛ (bɛyɛ 4%) betumi anya tebea bi a ɛma wɔn nan ho were no bɛyɛ den, ayɛ kurukuruwa, na ne kɔla asakra. Wɔfrɛ eyi pretibial myxedema .
Dɛn nti na Graves yare no ba?
Sɛnea yɛadi kan aka ho asɛm no, ade titiriw nti a ɛte saa ne yɛn ankasa nipadua mu ahoɔden a ɛko tia nyarewa no a entumi nyɛ adwuma yiye. Yɛn nipadua no yɛ aduru bi a ɛko tia nyarewa a wɔfrɛ no Thyroid-Stimulating Immunoglobulin (TSI) . Saa TSI antibody yi bata thyroid ntini no nkwammoaa ho na ɛde sɛnkyerɛnne a ɛnteɛ kɔ ntini no mu sɛ "ɛnyɛ hormone pii, nyɛ pii."
Nyansahufo nnya nhuu nea enti a nipadua no mu tumi a ɛko tia nyarewa no ntumi nyɛ adwuma yiye wɔ saa kwan yi so no, nanso wogye di sɛ nneɛma atitiriw abien na ɛde eyi ba.
1. Awosu: Sɛ obi wɔ w’abusua mu wɔ Graves yare anaa thyroid nyarewa afoforo a, asiane kɛse wom sɛ wubenya saa yare yi.
2. Nneɛma a Atwa Yɛn Ho Ahyia: Adwennwen a ɛboro so, nyinsɛn ne awo akyi, ne mmoawa bi a wɔde nyarewa ba betumi ayɛ ‘ade a ɛkanyan’, kyerɛ sɛ, nea wɔde piapia mfiase no, ma yare yi fi ase.
Dɛn ne tebea horow a asiane wom a sɛ wɔansa a, ebetumi aba?
Graves yare no yɛ aduruyɛ mu tebea a ɛsɛ sɛ wɔde kɔ ayaresabea ntɛm ara . Sɛ wɔansa anaasɛ wɔanhwɛ so yiye a, ebetumi de nsɛnnennen a emu yɛ den aba.
- Komayare: Asiane a ɛwɔ hɔ sɛ obi benya tebea horow a emu yɛ den te sɛ koma a ɛbɔ a ɛnteɛ ( Atrial Fibrillation - Afib ), komayare, ne ɔyare a ɛma obi hwe ase no kɔ soro.
- Nnompe mu yare: Esiane nkɛntɛnso a calcium dodow a ɛwɔ nipadua no mu nya nti, nnompe yɛ mmerɛw na ɛyɛ mmerɛw sɛ ebebubu.
- Thyroid Storm: Eyi yɛ tebea a egye ntɛmpɛ a ɛntaa nsi nanso ebetumi de obi nkwa to asiane mu . Wɔ saa tebea yi mu no, thyroid gland no yi hormone pii kɔ mogya no mu wɔ bere tiaa bi mu. Nsɛnkyerɛnne no bi ne atiridiinini a ano yɛ den, koma bɔ ntɛmntɛm, ne adwene a ɛyɛ basaa. Wɔ tebea a ɛte saa mu no, ɛsɛ sɛ wokɔ ayaresabea bi Dwumadibea a Ɛhwɛ Nneɛma a Egye Ntɛmpɛ So (ETU) ntɛm ara.
- Ɔhaw ahorow a ɛba wɔ nyinsɛn mu: Sɛ wɔansa bere a wɔyem a, ebetumi aka ɛna no ne akokoaa a ɔwɔ awotwaa no mu no nyinaa. Asiane ahorow te sɛ nyinsɛn a wotu gu, awo a ɛba ntɛm, ne awo mu duru a ɛba fam wɔ hɔ.
Ɔkwan bɛn so na oduruyɛfo tumi hu yare yi pɛpɛɛpɛ?
Sɛ wokɔ oduruyɛfo nkyɛn a, obebisa wo yare no ho sɛnkyerɛnne, w’abusua aduruyɛ ho abakɔsɛm, na wayɛ wo nipadua mu nhwehwɛmu. Afei ebia wɔbɛkamfo nhwehwɛmu pii akyerɛ de akyerɛ sɛ wɔahu yare no.
- Thyroid Mogya mu Nhwehwɛmu: Saa nhwehwɛmu yi kyerɛ thyroid hormone (T4, T3) ne TSH (thyroid stimulating hormone) dodow a ɛwɔ mogya no mu. Wɔ Graves yare mu no, thyroid hormone dodow kɔ soro na TSH dodow nso sua koraa.
- Thyroid Antibody Tests: Ɛhwɛ sɛ antibodies wɔ mogya no mu te sɛ TSI a ɛde Graves yareɛ ba no.
- Thyroid a wɔfa ne scan: Wɔde radioactive iodine kakraa bi ma ɔyarefo no ma ɔnom, na wɔyɛ scan de hwɛ sɛnea thyroid gland no twetwe iodine no dodow. Wɔ Graves yare mu no, ntini no twetwe iodine pii.
- Doppler Ultrasound: Sɛ wonyinsɛn anaa worema nufu a, wɔmfa radioactive iodine nhwehwɛmu nyɛ. Wɔ tebea horow a ɛtete saa mu no, saa scan yi betumi asusuw mogya a ɛkɔ thyroid ntini no mu na ama woanya yare no ho adwene.
Dɛn ne ayaresa a wɔde sa Graves yare no?
Ɛwom sɛ Graves yare no yɛ nkwa nna nyinaa (enni sabea) de, nanso ayaresa betumi aboa ma wɔasiw hormone dodow so. Ɛtɔ da bi a, yare no tumi kɔ bere tiaa mu yareɛ mu wɔ ayaresa akyi.
| Ɔkwan a wɔfa so sa yare | Dɛn na ɛto so? |
|---|---|
| Beta-blockers a wɔde siw ano | Eyinom mma thyroid hormone so tew, nanso wodi sɛnkyerɛnne ahorow te sɛ koma bɔ ntɛmntɛm, wosow, ne dadwen so ntɛm. Wɔde di dwuma de ma ahotɔ kosi sɛ ayaresa afoforo befi ase adi dwuma. |
| Nnuru a Wɔde Ko Tia thyroid | Nnuru te sɛ Methimazole ne Propylthiouracil siw hormone ahorow a thyroid ntini no yɛ no ano. |
| Radioiodine Ayaresa a Wɔde Yɛ Ayaresa | Wɔma wo nsu anaa capsule a radioactive iodine wom sɛ wobɛnom. Saa iodine yi na thyroid nkwammoaa no twetwe na ɛde nkakrankakra sɛe wɔn, na ɛtew hormone a wɔyɛ no so. |
| Sɛɛgyiri | Thyroidectomy yɛ oprehyɛn a woyi thyroid ntini no nyinaa anaa ne fã bi fi hɔ. |
Bere a wɔayɛ radioactive iodine ayaresa ne oprehyɛn akyi no, thyroid hormone a enni nipadua mu a wɔsan frɛ no hypothyroidism taa ba. Afei ɛsɛ sɛ wonom thyroid hormone nnuru wo nkwa nna nyinaa. Nanso, ɛnyɛ den koraa sɛ wobedi hypothyroidism ho dwuma sen hyperthyroidism.
Nea ɛho hia ne sɛ saa ayaresa ahorow yi mu biara wɔ mfaso ne ɔhaw ahorow. Ɛho hia sɛ wo ne wo duruyɛfo susuw ayaresa a eye ma wo ho.
Nkrasɛm a Wɔde Kɔ Fie
- Graves yare yɛ yare a nipadua no tumi ko tia nyarewa a wobetumi adi so yiye denam ayaresa so, enti nsuro a ɛho nhia.
- Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ koma a ɛbɔ, wo mu duru a ɛso tew, fifiri a ɛboro so, anaa dadwen a ntease biara nnim a, mmu w’ani ngu so.
- Sɛ wɔansa yare yi a, ebetumi de nsɛnnennen a emu yɛ den aba koma ne nnompe so.
- Hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa na wapaw ayaresa a eye sen biara ama wo.
- Sɛ wohu yare no wie a, ɛho hia paa sɛ wodi oduruyɛfo no akwankyerɛ so pɛpɛɛpɛ na wɔkɔ ayaresabea bere ano.
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