Ke luhi nei ʻoe a me ke ʻano ʻē i kēia mau lā? Ke hopohopo nei ʻoe no nā mea liʻiliʻi loa, ke manaʻo nei ʻoe e holo wikiwiki ana kou puʻuwai, a ʻaʻole hiki ke hiamoe i ka pō? Inā ʻoe e emi ana ke kaumaha ʻoiai ke ʻai maikaʻi nei, ke manaʻo nei paha ʻoe he hana nui a kaumaha paha ia. ʻOiaʻiʻo, ʻo ia paha ke kumu. Akā hiki i kēia mau hōʻailona ke kumu o kahi pilikia me kou kelepa thyroid, e like me kahi pulelehua liʻiliʻi ma kou ʻāʻī. I kēia lā e kamaʻilio mākou e pili ana i kekahi o ia ʻano maʻi, ʻo ka maʻi Graves. Mai hopohopo, he maʻi hiki ke hoʻokele ʻia kēia inā maopopo iā ʻoe.
I ka ʻōlelo maʻalahi, he aha ka maʻi ʻo Graves?
E noʻonoʻo he pūʻali koa kāu e pale ana i kou ʻāina. ʻO ka hana a kēia pūʻali koa, ʻo ia ka pale ʻana i ka ʻāina mai nā ʻenemi o waho. Loaʻa i ko mākou kino kahi ʻōnaehana pale like, a mākou e kapa nei he ʻōnaehana pale . Akā i kekahi manawa hana hewa kēia ʻōnaehana pale. Ma kahi o kahi ʻenemi o waho, hoʻomaka lākou e hoʻouka i kahi ʻōkana maikaʻi a olakino i loko o ko mākou kino ponoʻī.
ʻO ka maʻi ʻo Graves kekahi o ia ʻano maʻi. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hoʻouka hewa ʻana o kā mākou ʻōnaehana pale i ko mākou kelepa thyroid ponoʻī. ʻO kēia hoʻouka ʻana ke kumu o ka hana nui ʻana o ka kelepa thyroid a me ka hana nui ʻana. ʻOi aku ka nui o ka hormone thyroid i hana ʻia ma mua o ka mea e pono ai ke kino. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano he hyperthyroidism , a i ʻole ka thyroid overactive. ʻO ka maʻi ʻo Graves ke kumu nui o kēia ʻano.
ʻOiai he kūlana mau loa kēia no ke ola holoʻokoʻa, me ka mālama kūpono, hiki ke kaohi maikaʻi ʻia a hiki iā ʻoe ke ola i kahi ola maʻamau.
Ua kamaʻāina anei kēia mau hōʻailona iā ʻoe?
ʻO ka maʻi ʻo Graves ke kumu o ka metabolism o ko mākou kino, ʻo ia hoʻi ka wikiwiki o ka hana ʻana a me ka hoʻohana ʻana i ka ikehu, e hoʻonui nui ʻia. Ua like ia me ke hehi mau ʻana ma luna o ka mea hoʻolalelale o ke kaʻa. Hiki i kēia ke hana i nā ʻano hōʻailona like ʻole. Hiki i kekahi poʻe ke ʻike i hoʻokahi a ʻelua paha o kēia mau hōʻailona, aʻo kekahi poʻe e ʻike paha i nā hōʻailona he nui i ka manawa hoʻokahi.
E nānā i ka papa ma lalo no ke ʻano o kēia mau ʻano.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Ka emi ʻana o ke kaumaha | Ke wīwī nei ʻoiai ʻoe e ʻai maikaʻi ana a makemake nui i ka ʻai. |
| Ka wikiwiki o ka puʻuwai (Tachycardia) | Me he mea lā e kuʻi wikiwiki ana kou puʻuwai, e kuʻi ana, ʻoiai ʻoe e kū wale ana ma laila. |
| ʻAʻole hiki ke hoʻomanawanui i ka wela a me ka hou nui | Ke wela nui nei a me ka hou mau ʻana, ʻoiai i loko o kahi ʻano maʻamau no nā poʻe ʻē aʻe. |
| Hopohopo a me ka hoʻomaha ʻole | Manaʻo hopohopo, hoʻomaha ʻole, a huhū koke me ke kumu ʻole. |
| Haʻalulu | He haʻalulu mālie ma nā lima. |
| ʻAʻole hiki ke hiamoe | ʻO ka pilikia o ka hiki ʻole ke hiamoe i ka pō. |
| Ka pehu ʻana o ka ʻāʻī (Goiter) | ʻO ka pehu ʻana a me ka hoʻonui ʻana o ke kelepa thyroid ma ke alo o ka ʻāʻī. |
| Nā loli i ka ʻōnaehana hoʻoheheʻe | Ka neʻe pinepine ʻana o ka ʻōpū (diarrhea) a i ʻole ka pono e hele i ka lua i nā manawa he nui i ka lā. |
| Nā loli i ke kaʻina hana menstrual i nā wahine | Ua emi ke kahe ʻana o ke koko i loko o ka menstruation a i ʻole ka pau ʻana o ka menstruation. |
Hiki ke hoʻopilikia ʻia nā maka a me ka ʻili?
ʻAe, hiki i ka maʻi Graves ke hoʻopilikia ʻaʻole wale i ka thyroid gland, akā i kekahi manawa i nā maka a me ka ʻili pū kekahi.
Nā hopena ma nā maka (Graves' Orbitopathy)
Ma kahi o hoʻokahi o ʻekolu poʻe me ka maʻi Graves e loaʻa paha kēia maʻi. Ua kapa ʻia hoʻi ʻo ia he maʻi maka Thyroid . ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hoʻouka ʻana o ka ʻōnaehana pale i nā ʻiʻo a me nā ʻiʻo a puni nā maka. No laila,
- Nā maka ʻōhū: Ke nānā aku nei nā maka he nui a ʻōhū.
- Ke manaʻo nei i ka ʻeha a i ʻole ke kaomi i loko o nā maka.
- Ka maneʻo, me he mea lā he one ma nā maka.
- ʻIke pālua.
- Ka paʻakikī ke ʻike ʻana i waho i ka mālamalama ʻālohilohi (Photophobia).
Nā hopena ʻili (Graves' Dermopathy)
He ʻano maʻi laha ʻole kēia. Pili ia i ka mānoanoa o ka ʻili ma nā wāwae, ʻoi aku hoʻi nā ʻūhā, a me ka lilo ʻana i ʻulaʻula a poni paha me nā puʻupuʻu. Ua kapa ʻia hoʻi ʻo Pretibial Myxedema .
No ke aha mākou e loaʻa ai i 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. Ma muli o kēia hana hewa, hana ke kino i kahi ʻano antibody i kapa ʻia ʻo Thyroid-Stimulating Immunoglobulin (TSI) . Hoʻopili kēia mau antibodies TSI i nā cell o ka thyroid gland a hoʻouna i ka hōʻailona hewa i ka gland e "hana i nā hormones hou aʻe, hana hou aku."
ʻAʻole maopopo loa i nā kānaka ʻepekema ke kumu o ka hana hewa ʻana o ka ʻōnaehana pale ma kēia ʻano, akā manaʻoʻiʻo lākou he nui nā kumu e kōkua ai i kēia.
- Nā Kumu Hoʻoilina: Ua ʻike ʻia e ka noiʻi he 79% o ka maʻi Graves i hoʻokumu ʻia e ko kākou mau genes. ʻO ke ʻano kēia, inā loaʻa i kekahi o kou ʻohana (makuahine, makuakāne, kaikaina) ka maʻi thyroid a i ʻole nā maʻi autoimmune ʻē aʻe, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o ka maʻi.
- Nā Kumu Kaiapuni: ʻO ke koena 21% o ka pilikia e hele mai ana mai nā kumu kaiapuni. ʻO ia hoʻi,
- Kaumaha: ʻO ke kaumaha koʻikoʻi a lōʻihi ke kumu o nā maʻi autoimmune e like me kēia.
- Ka hāpai ʻana a me ka hānau keiki ʻana: Hiki ke loaʻa kēia ʻano me nā loli hormonal i ke kino i ka wā hāpai a ma hope o ka hānau keiki ʻana.
- Nā maʻi viral a me nā maʻi: Hiki ke loaʻa kēia maʻi ma hope o kekahi mau maʻi viral, ʻoiai ke hana ʻokoʻa nei ka ʻōnaehana pale.
- Puhipaka: ʻOi aku ka nui o ka pilikia o ka poʻe puhipaka i ka loaʻa ʻana o ka maʻi ʻo Graves. ʻAʻole wale ia, inā loaʻa i ka mea puhipaka kēia maʻi, hiki ke koʻikoʻi loa nā hopena ma nā maka (Graves' Orbitopathy).
He aha nā kūlana weliweli e hiki ke kū mai inā ʻaʻole mālama ʻia?
He maʻi olakino ka maʻi ʻo Graves e pono ai ke kōkua koke ʻia e ke kauka. Inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi.
- Maʻi puʻuwai: ʻO ka hoʻonui ʻia o nā hormones thyroid e kau i ka nui o ke kaumaha ma ka puʻuwai. Hiki i kēia ke alakaʻi i ka atrial fibrillation (Afib), kahi kūlana kahi e paʻi ai ka puʻuwai i ke ʻano kūpono ʻole. Hoʻonui kēia i ka pilikia o ka hōʻeha puʻuwai a me ka hahau.
- Osteoporosis: ʻO ke kiʻekiʻe o ka hormone thyroid e hoʻemi ai i ka nui o ka calcium i loko o nā iwi, e hoʻomāmā ai iā lākou a maʻalahi hoʻi e haki.
- ʻO ka ʻino thyroid: He pilikia weliweli loa kēia a he mea hoʻoweliweli paha i ke ola. ʻO ka mea e hana ʻia, hoʻokuʻu koke ke kino i ka nui o nā hormones thyroid. ʻO nā hōʻailona e komo pū me ke kuni nui, ka puʻuwai wikiwiki, ka hou ʻana, ka huikau, a me ka luaʻi ʻana. Inā loaʻa kēia mau hōʻailona, pono ʻoe e lawe koke ʻia i ka Emergency Treatment Unit (ETU) o ka haukapila.
- Nā pilikia i ka wā hāpai: Inā ʻaʻole i kāohi ʻia ka maʻi Graves i ka wā hāpai, hiki iā ia ke hana i nā pilikia no ka makuahine a me ka pēpē. Hiki iā ia ke alakaʻi i ka hāʻule ʻana o ka hāpai keiki, ke kaumaha hānau haʻahaʻa, ka hānau mua ʻana, a me ke koko kiʻekiʻe i ka makuahine (preeclampsia).
Pehea e ʻike ai ke kauka i kēia maʻi?
Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike i ke kauka. E nānā pono ʻo ia i kāu mau hōʻailona a me ka mōʻaukala olakino ʻohana. A laila, e kauoha lākou i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona.
- Nā Hoʻāʻo Koko Thyroid: Nānā kēia i nā pae o nā hormones thyroid (T3, T4) a me TSH (hormone hoʻoulu thyroid) i loko o kou koko. I ka maʻi Graves, piʻi pinepine nā pae hormone thyroid a haʻahaʻa loa nā pae TSH.
- Nā Hoʻāʻo Koko Antibody: Hiki i kēia hoʻāʻo ke hōʻoia inā loaʻa iā ʻoe nā antibodies TSI a mākou i kamaʻilio ai ma mua i loko o kou koko.
- Ka Hoʻohana ʻana i ka Thyroid a me ka Scan: Ma kēia hoʻāʻo, hāʻawi ʻia kahi liʻiliʻi o ka iodine radioactive iā ʻoe ma ke ʻano he pila. Hoʻopili ka ʻōpū thyroid o kekahi kanaka me ka maʻi Graves i kahi nui o kēia iodine. Hiki ke ʻike ʻia kēia me ka scan.
- ʻO Doppler Ultrasound: Hana ʻia kēia scan no ka mea ʻaʻole hiki i nā makuahine hāpai a hānai waiū paha ke loaʻa ka iodine radioactive. Ana ia i ka wikiwiki o ke kahe ʻana o ke koko i ka thyroid gland. Kiʻekiʻe loa kēia wikiwiki i ka maʻi Graves.
He aha nā lāʻau lapaʻau?
He maʻi hiki ke hoʻokele ʻia ka maʻi ʻo Graves. Nui nā lāʻau lapaʻau i loaʻa. Pono ʻoe e kūkākūkā me kāu kauka i ka lāʻau lapaʻau kūpono loa iā ʻoe.
| ʻAno lapaʻau | He aha ka mea e hana ʻia? | He aha e ʻike ai |
|---|---|---|
| Nā mea pale beta | ʻAʻole hoʻohaʻahaʻa kēia mau lāʻau lapaʻau i nā pae hormone thyroid, akā hoʻokele koke lākou i nā hōʻailona e like me ka puʻuwai wikiwiki, nā lima haʻalulu, a me ka hopohopo. | Hāʻawi mua ʻia ia e kāohi i nā hōʻailona a hiki i ka holomua ʻana o nā lāʻau ʻē aʻe. |
| Nā lāʻau lapaʻau antithyroid | Hoʻopili kēia mau lāʻau lapaʻau (e like me Methimazole, Propylthiouracil) i ka hana ʻana o nā hormones e ka thyroid gland. | Pono paha ʻoe e lawe i kēia mau lāʻau lapaʻau no nā mahina a i ʻole nā makahiki. Hiki i kekahi poʻe ke hoʻomaha iki. |
| Lapaʻau Radioiodine | ʻO ka iodine radioactive, i hāʻawi ʻia ma ke ʻano he capsule a wai paha, e luku mālie i nā pūnaewele i loko o ka ʻōpū thyroid, e hoʻēmi ana i ka ʻōpū. | Ma hope o kēia lāʻau lapaʻau, kū pinepine ka hypothyroidism, e koi ana i ka lāʻau thyroxine no ke ola holoʻokoʻa. |
| ʻO ke ʻoki kino (Tyroidectomy) | Hoʻopau ke ʻoki kino i kahi hapa a i ʻole ka hapa āpau o ka kelepa thyroid. | Inā ua wehe loa ʻia ke kelepa, pono ʻoe e lawe i nā lāʻau thyroxine no ke koena o kou ola. He koho maikaʻi kēia no ka poʻe i pilikia i ka hanu ʻana ma muli o kahi kelepa nui (goiter). |
Manaʻo paha ʻoe he maʻi nō hoʻi ka hypothyroidism ma hope o ka mālama ʻana. ʻAe, he maʻi ia. Akā, ʻoi aku ka maʻalahi o ka kaohi ʻana ma mua o ka hyperthyroidism, a ʻoi aku ka liʻiliʻi o nā pilikia olakino lōʻihi.
Leka Lawe-Home
- ʻAʻole ia he mea e makaʻu ai i ka maʻi ʻo Graves, akā he maʻi ia e hiki ke mālama ʻia a hiki ke kaohi ʻia.
- Inā ʻike ʻoe i nā hōʻailona e like me ka pohō kaumaha i wehewehe ʻole ʻia, ka puʻuwai wikiwiki, nā lima haʻalulu, ka hou nui, a me ka hoʻomaha ʻole, e ʻike pono i ke kauka.
- Inā loaʻa kekahi o kou ʻohana i ka maʻi thyroid, aia pū kekahi ʻoe i ka pilikia, no laila e makaʻala.
- Ke hoʻomaka ka lāʻau lapaʻau, he mea nui loa e lawe i ka lāʻau lapaʻau e like me ke kauoha a ke kauka a e hele i nā manawa hoʻopaʻa.
- Inā loaʻa iā ʻoe nā hōʻailona o kahi 'ʻino thyroid' e like me ke kuni nui, ka puʻuwai wikiwiki, a me ka huikau, he pilikia ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo