Ke manaʻo nei ʻoe e like me ka wikiwiki o kou puʻuwai me ke kumu ʻole? Ke hou nei ʻoe i ka hou ʻana i kahi mea liʻiliʻi loa? Ke emi nei kou kaumaha ʻoiai ke ʻai maikaʻi nei ʻoe? Ke manaʻo nei ʻoe i kekahi manawa he hopohopo nui a hopohopo? Inā he mea maʻamau kēia mau mea iā ʻoe, ʻo ke kumu paha he hana nui iki kahi ʻōpū liʻiliʻi i loko o kou kino, ʻo ia hoʻi ka ʻōpū thyroid. I kēia lā e kamaʻilio mākou e pili ana i ka maʻi Graves, kahi maʻi e hoʻoulu ai i kēia maʻi, akā hiki ke hoʻomalu maikaʻi ʻia inā mālama pono ʻia.
He aha ka maʻi ʻo Graves, ma ka ʻōlelo maʻalahi?
I ka ʻōlelo maʻalahi, ʻo ka maʻi Graves kahi maʻi i hoʻokumu ʻia e kahi hewa liʻiliʻi i loko o ka ʻōnaehana pale o ko mākou kino. Kāhea mākou i kēia he maʻi autoimmune . ʻO ka maʻamau, hakakā kā mākou ʻōnaehana pale i nā germs e hoʻoulu ai i ka maʻi. Akā i loko o kēia maʻi, hoʻouka hewa kā mākou ʻōnaehana pale ponoʻī i kā mākou thyroid gland i loko o ko mākou ʻāʻī.
Hoʻoulu kēia hoʻouka kaua i ka ʻōpū thyroid a hoʻoulu iā ia e hana i ka nui o ka hormone thyroid. Ua kapa ʻia kēia ʻano he hyperthyroidism . Ua like ia me ke kaʻa me ka pedal accelerator i kaomi ʻia i lalo, e hoʻoulu ai i kā mākou metabolism e wikiwiki. ʻO ka maʻi Graves ke kumu nui o ka hyperthyroidism. Hiki ke hoʻoilina pū kekahi. Hiki iā ia ke hoʻopilikia ʻaʻole wale i ka ʻōpū thyroid, akā i ko mākou mau maka a me ka ʻili.
He aha nā hōʻailona maʻamau o kēia maʻi?
Ma muli o ka maʻi Graves e hoʻonui ai i ka metabolism o kou kino, hiki iā ʻoe ke ʻike i nā ʻano hōʻailona like ʻole. Loaʻa paha i kekahi poʻe hoʻokahi a ʻelua paha o kēia mau hōʻailona, aʻo kekahi poʻe e ʻike paha i nā mea he nui ma kēia papa inoa. ʻAʻole ʻike ʻia kēia mau hōʻailona i ka manawa hoʻokahi, akā e ulu mālie ana i nā pule a i ʻole nā mahina.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Ka wikiwiki o ka puʻuwai (Tachycardia) | Manaʻo e kuʻi ana kou puʻuwai me ke kumu ʻole. |
| ʻAʻole hiki ke hoʻomanawanui i ka wela a me ka hou nui | Ke wela a hou mau nei ʻoe, ʻoiai he mea maʻamau ia no kekahi poʻe. |
| Ka emi ʻana o ke kaumaha | Ua emi maopopo ke kaumaha o ke kino ʻoiai ke ʻai maikaʻi nei. |
| Haʻalulu | He haʻalulu mālie ma nā lima. |
| Hopohopo mau a me ka hoʻomaha ʻole | Ke hopohopo mau nei a me ka hoʻomaha ʻole. |
| Nā loli i ka ʻōnaehana hoʻoheheʻe | Ka neʻe pinepine ʻana o ka ʻōpū a i ʻole ka pono e hele i ka lua i nā manawa he nui ma mua o ka maʻamau. |
| Ka pehu ʻana o ka ʻāʻī (Goiter) | pehu ʻaʻano Ke ʻano o ka pehu ʻana o ke alo o ka ʻāʻī ma muli o ka hoʻonui ʻia ʻana o ka ʻōpū thyroid. |
| ʻO ka hiamoe ʻole a me ka pohō lauoho | Ka paʻakikī e hiamoe i ka pō a me ka nalowale o ka lauoho. |
| Nā loli i ke kaʻina hana menstrual o kēlā me kēia mahina i nā wahine | Ua emi ke kahe ʻana o ke koko i loko o ka menstruation, ka pōʻaiapuni menstrual i kū ʻole a i ʻole ka pau ʻana. |
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka no ka ʻōlelo aʻo me ka hopohopo ʻole.
Pehea ka hopena o kēia i nā maka a me ka ʻili?
ʻOiai ʻaʻole nā kānaka āpau me ka maʻi Graves, ma kahi o hoʻokahi i loko o ʻekolu mau kānaka e loaʻa i nā pilikia maka. Ua kapa ʻia kēia kūlana ʻo Graves' orbitopathy a i ʻoleKa Maʻi Maka Thyroid.
- Nā maka ʻōhū
- ʻIke pālua
- He manaʻo ʻinoʻino, ʻinoʻino i nā maka
- Ka paʻakikī i ka nānā ʻana i ka mālamalama (Photophobia)
- Ke manaʻo o ke kaomi a i ʻole ka ʻeha i loko o nā maka
Eia kekahi, he kakaikahi loa ka poʻe (ma kahi o 4%) e loaʻa paha i kahi kūlana e mānoanoa ai ka ʻili ma ko lākou mau wāwae, puʻupuʻu, a ʻeleʻele. Ua kapa ʻia kēia he pretibial myxedema .
No ke aha e kū mai ai ka maʻi ʻo Graves?
E like me kā mākou i kūkākūkā ai ma mua, ʻo ke kumu nui o kēia he hana hewa i loko o kā mākou ʻōnaehana pale ponoʻī. Hoʻopuka ko mākou kino i kahi antibody i kapa ʻia ʻo Thyroid-Stimulating Immunoglobulin (TSI) . Hoʻopili kēia antibody TSI i nā pūnaewele o ka thyroid gland a hoʻouna i ka hōʻailona hewa i ka gland e "hana i nā hormones hou aku, hana hou aku."
ʻAʻole i ʻike nā kānaka ʻepekema i ke kumu pololei o ka hana hewa ʻana o ka ʻōnaehana pale ma kēia ʻano, akā ua manaʻoʻiʻo ʻia he ʻelua mau kumu nui e kōkua i kēia.
1. Genetics: Inā loaʻa i kekahi o kou ʻohana ka maʻi ʻo Graves a i ʻole nā maʻi thyroid ʻē aʻe, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o kēia maʻi.
2. Nā Kumu Kaiapuni: ʻO ke kaumaha nui, ka hāpai ʻana a me ka postpartum, a me kekahi mau maʻi viral hiki ke lilo i 'mea hoʻoulu', ʻo ia hoʻi, kahi paʻi mua, no ka hoʻomaka ʻana o kēia maʻi.
He aha nā kūlana weliweli e hiki ke kū mai inā ʻaʻole mālama ʻia?
He maʻi olakino ka maʻi Graves e pono ai ke kōkua koke ʻana o ke kauka . Inā ʻaʻole mālama ʻia a mālama pono ʻole ʻia paha, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi.
- Maʻi puʻuwai: Hoʻonui ʻia ka pilikia o ka loaʻa ʻana o nā maʻi koʻikoʻi e like me ka puʻuwai kūpono ʻole ( Atrial Fibrillation - Afib ), ka hōʻeha puʻuwai, a me ka hahau ʻana.
- Osteoporosis: Ma muli o nā hopena o nā pae calcium i loko o ke kino, lilo nā iwi i nāwaliwali a maʻalahi hoʻi e haki.
- ʻO ka ʻino thyroid: He pilikia kakaikahi kēia akā hiki ke hoʻoweliweli i ke ola . Ma kēia kūlana, hoʻokuʻu ka ʻōpū thyroid i ka nui o nā hormones i loko o ke koko i kahi manawa pōkole loa. ʻO nā hōʻailona e komo pū me ke kuni nui, ka puʻuwai wikiwiki, a me ka huikau. Ma ia kūlana, pono ʻoe e hele koke i ka Emergency Department (ETU) o kahi haukapila.
- Nā pilikia i ka wā hāpai: Inā ʻaʻole mālama ʻia i ka wā hāpai, hiki ke hoʻopilikia i ka makuahine a me ke pēpē i loko o ka ʻōpū. Aia nā pilikia e like me ka hāʻule ʻana o ka hāpai keiki, ka hānau mua ʻana, a me ke kaumaha hānau haʻahaʻa.
Pehea e ʻike pololei ai ke kauka i kēia maʻi?
Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia e pili ana i kāu mau hōʻailona, kou mōʻaukala olakino ʻohana, a hana i kahi hoʻokolokolo kino. A laila e paipai paha lākou i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.
- Nā Hoʻāʻo Koko Thyroid: Ke ana kēia mau hoʻāʻo i nā pae o nā hormones thyroid (T4, T3) a me TSH (hormone hoʻoulu thyroid) i loko o ke koko. I ka maʻi Graves, kiʻekiʻe nā pae hormone thyroid a haʻahaʻa loa nā pae TSH.
- Nā Hoʻāʻo Antibody Thyroid: Nānā i nā antibodies i loko o ke koko, e like me TSI, ka mea e hoʻoulu ai i ka maʻi Graves.
- Ka lawe ʻana a me ke nānā ʻana i ka thyroid: Hāʻawi ʻia kahi liʻiliʻi o ka iodine radioactive i ka mea maʻi e inu, a hana ʻia kahi scan e ʻike i ka nui o ka iodine i omo ʻia e ka thyroid gland. I ka maʻi Graves, omo nui ka gland i ka iodine.
- ʻO Doppler Ultrasound: Inā hāpai ʻoe a hānai waiū paha, ʻaʻole ʻōlelo ʻia ka hoʻāʻo iodine radioactive. I ia mau hihia, hiki i kēia scan ke ana i ke kahe o ke koko i ka thyroid gland a hāʻawi i kahi manaʻo o ka maʻi.
He aha nā lāʻau lapaʻau no ka maʻi ʻo Graves?
ʻOiai he maʻi mau loa ka maʻi Graves, hiki i ka lāʻau lapaʻau ke kōkua i ka kaohi ʻana i nā pae hormone. I kekahi manawa, hiki i ka maʻi ke hoʻomaha iki ma hope o ka lāʻau lapaʻau.
| ʻAno lapaʻau | He aha ka mea e hana ʻia ai? |
|---|---|
| Nā mea pale beta | ʻAʻole kēia e hōʻemi i nā hormones thyroid, akā hoʻomalu koke lākou i nā hōʻailona e like me ka puʻuwai wikiwiki, ka haʻalulu, a me ka hopohopo. Hoʻohana ʻia lākou e hāʻawi i ka hōʻoluʻolu a hiki i ka hopena o nā lāʻau ʻē aʻe. |
| Nā lāʻau lapaʻau antithyroid | ʻO nā lāʻau lapaʻau e like me Methimazole a me Propylthiouracil e kāohi i ka hana ʻana o nā hormones e ka thyroid gland. |
| Lapaʻau Radioiodine | Hāʻawi ʻia ʻoe i kahi wai a i ʻole capsule i loaʻa ka iodine radioactive e inu. Hoʻopili ʻia kēia iodine e nā hunaola thyroid a luku mālie iā lākou, e hōʻemi ana i ka hana ʻana o ka hormone. |
| ʻoki kino | ʻO ka Thyroidectomy kahi hana ʻoki e wehe ai i nā ʻāpana a pau o ka thyroid gland. |
Ma hope o ka mālama ʻana me ka iodine radioactive a me ke ʻoki ʻana, loaʻa pinepine kahi hemahema o ka hormone thyroid, i ʻike ʻia hoʻi ʻo hypothyroidism . A laila pono ʻoe e lawe i nā pila hormone thyroid no ke koena o kou ola. Eia nō naʻe, ʻoi aku ka maʻalahi o ka mālama ʻana i ka hypothyroidism ma mua o ka hyperthyroidism.
ʻO ka mea nui, he pono a he maikaʻi ʻole kēlā me kēia o kēia mau koho lapaʻau. He mea nui e kūkākūkā me kāu kauka i ke koho lapaʻau kūpono loa iā ʻoe.
Leka Lawe-Home
- He maʻi autoimmune ka maʻi Graves hiki ke kaohi maikaʻi ʻia me ka lāʻau lapaʻau, no laila mai makaʻu pono ʻole.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka palpitations o ka puʻuwai, ka pohō kaumaha, ka hou nui, a i ʻole ka hopohopo no ke kumu ʻole, mai hoʻowahāwahā iā lākou.
- Inā ʻaʻole mālama ʻia kēia maʻi, hiki iā ia ke hana i nā pilikia koʻikoʻi e hoʻopilikia ana i ka puʻuwai a me nā iwi.
- E kamaʻilio me kāu kauka e koho i ka lāʻau lapaʻau maikaʻi loa nāu.
- Ke ʻike ʻia ka maʻi, he mea nui loa e hahai pololei i nā ʻōlelo a ke kauka a e hele i nā keʻena lapaʻau i ka manawa kūpono.
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