Koj puas xav tias koj lub plawv dhia ceev dua yam tsis muaj laj thawj? Koj puas hws txawm tias me me xwb los xij? Koj puas poob phaus txawm tias koj noj zaub mov zoo los xij? Koj puas qee zaum xav tias tsis so thiab ntxhov siab heev? Yog tias tej yam no yog rau koj, qhov laj thawj tej zaum yuav yog vim muaj ib lub qog me me zoo li npauj npaim hauv koj lub cev, lub qog thyroid, ua haujlwm hnyav dhau me ntsis. Hnub no peb yuav tham txog Graves' Disease, ib yam mob uas ua rau muaj tus mob no, tab sis tuaj yeem tswj tau zoo yog tias kho kom zoo.
Kab mob Graves yog dab tsi, hais yooj yim xwb?
Hais yooj yim xwb, tus kab mob Graves yog ib yam kab mob uas tshwm sim los ntawm qhov yuam kev me me hauv peb lub cev tiv thaiv kab mob. Peb hu qhov no ua tus kab mob autoimmune . Feem ntau, peb lub cev tiv thaiv kab mob tawm tsam cov kab mob uas ua rau muaj kab mob. Tab sis hauv tus kab mob no, peb lub cev tiv thaiv kab mob ua yuam kev tawm tsam peb lub qog thyroid hauv peb lub caj dab.
Qhov kev tawm tsam no ua rau lub qog thyroid ua haujlwm thiab ua rau nws tsim cov tshuaj hormones thyroid ntau dhau. Qhov mob no hu ua hyperthyroidism . Nws zoo li lub tsheb uas lub pedal accelerator nias rau hauv qab, ua rau peb lub cev zom zaub mov sai dua. Kab mob Graves yog qhov ua rau muaj hyperthyroidism. Nws kuj tuaj yeem yog los ntawm noob caj noob ces. Nws tuaj yeem cuam tshuam tsis yog rau lub qog thyroid xwb, tab sis kuj rau peb lub qhov muag thiab daim tawv nqaij.
Cov tsos mob ntawm tus kab mob no feem ntau yog dab tsi?
Vim tias tus kab mob Graves ua rau koj lub cev zom zaub mov sai dua, koj yuav muaj ntau yam tsos mob. Ib txhia neeg tsuas muaj ib lossis ob qho ntawm cov tsos mob no, thaum lwm tus yuav muaj ntau yam ntawm daim ntawv teev npe no. Cov tsos mob no tsis tshwm sim tag nrho ib zaug, tab sis maj mam tshwm sim dhau lub lis piam lossis lub hlis.
| Cov tsos mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Lub plawv dhia ceev ceev (Tachycardia) | Xav tias koj lub plawv dhia tsis muaj laj thawj. |
| Kev tsis haum rau huab cua sov thiab kev tawm hws ntau dhau | Koj yeej ib txwm xav tias kub thiab tawm hws, txawm tias qhov no yog ib txwm muaj rau lwm tus los xij. |
| Kev poob phaus | Txawm tias noj zaub mov zoo los qhov hnyav ntawm lub cev tseem poob qis dua. |
| Kev tshee hnyo | Ib qho kev co me me hauv tes. |
| Kev ntxhov siab tas li thiab tsis so | Txhua lub sijhawm muaj kev ntxhov siab thiab tsis xis nyob. |
| Kev hloov pauv hauv lub cev zom zaub mov | Tso zis ntau zaus lossis yuav tsum mus chav dej ntau zaus dua li niaj zaus. |
| Kev o ntawm lub caj dab (Goiter) | Qhov tsos ntawm pem hauv ntej ntawm lub caj dab o vim yog lub qog thyroid loj hlob. |
| Tsis tsaug zog thiab plaub hau poob | Nyuaj siab pw tsaug zog thaum hmo ntuj thiab plaub hau poob. |
| Kev hloov pauv ntawm lub voj voog txhua hli ntawm cov poj niam | Kev ntshav qis dua, kev hli tsis xwm yeem lossis nres. |
Yog koj muaj ib lossis ntau yam ntawm cov tsos mob no, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob kom tau txais kev qhia yam tsis tas txhawj txog nws.
Qhov no cuam tshuam li cas rau lub qhov muag thiab daim tawv nqaij?
Txawm hais tias tsis yog txhua tus neeg uas muaj tus kab mob Graves, kwv yees li ib ntawm peb tus neeg yuav muaj teeb meem qhov muag. Tus mob no hu ua Graves' orbitopathy lossisKab Mob Qhov Muag Thyroid.
- Qhov muag loj
- pom ob sab
- Muaj av nplaum, av nplaum hauv qhov muag
- Teeb meem saib lub teeb (Photophobia)
- Kev hnov mob lossis mob hauv qhov muag
Ntxiv mus, muaj cov neeg tsawg heev (kwv yees li 4%) yuav muaj tus mob uas daim tawv nqaij ntawm lawv ob txhais ceg tuab zuj zus, ua pob, thiab hloov xim. Qhov no hu ua pretibial myxedema .
Vim li cas tus kab mob Graves thiaj tshwm sim?
Raws li peb tau tham ua ntej lawm, qhov laj thawj tseem ceeb rau qhov no yog qhov tsis ua haujlwm ntawm peb lub cev tiv thaiv kab mob. Peb lub cev tsim cov tshuaj tiv thaiv hu ua Thyroid-Stimulating Immunoglobulin (TSI) . Cov tshuaj tiv thaiv TSI no txuas rau cov hlwb ntawm lub qog thyroid thiab xa cov cim tsis raug mus rau lub qog kom "ua ntau cov tshuaj hormones, ua ntau dua."
Cov kws tshawb fawb tseem tsis tau tshawb pom qhov laj thawj tseeb tias vim li cas lub cev tiv thaiv kab mob thiaj ua haujlwm tsis zoo li no, tab sis ntseeg tias muaj ob yam tseem ceeb ua rau qhov no.
1. Kev xeeb tub los ntawm noob caj noob ces: Yog tias ib tug neeg hauv koj tsev neeg muaj tus kab mob Graves lossis lwm yam kab mob thyroid, koj muaj feem yuav mob tus kab mob no ntau dua.
2. Tej Yam Ib Puag Ncig: Kev ntxhov siab ntau dhau, cev xeeb tub thiab tom qab yug me nyuam, thiab qee yam kab mob viral tuaj yeem yog 'qhov ua rau', uas yog, thawj qhov thawb, rau qhov pib ntawm tus kab mob no.
Yog tsis kho ces yuav muaj tej yam txaus ntshai dab tsi tshwm sim?
Kab mob Graves yog ib yam mob uas yuav tsum tau kho mob tam sim ntawd . Yog tias tsis kho lossis tsis tswj kom zoo, nws tuaj yeem ua rau muaj teeb meem loj heev.
- Kab mob plawv: Qhov kev pheej hmoo ntawm kev mob hnyav xws li lub plawv dhia tsis xwm yeem ( Atrial Fibrillation - Afib ), mob plawv nres, thiab mob hlwb nce ntxiv.
- Kab mob pob txha tawg: Vim yog cov teebmeem ntawm cov calcium hauv lub cev, cov pob txha ua rau tsis muaj zog thiab yooj yim tawg.
- Mob Thyroid Storm: Qhov no yog ib qho xwm txheej ceev uas tsis tshua muaj tab sis muaj peev xwm ua rau tuag taus . Hauv qhov xwm txheej no, cov qog thyroid tso tawm ntau cov tshuaj hormones rau hauv cov ntshav hauv lub sijhawm luv luv. Cov tsos mob suav nrog kub taub hau heev, lub plawv dhia ceev, thiab tsis meej pem. Hauv qhov xwm txheej zoo li no, koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Teeb meem thaum cev xeeb tub: Yog tias tsis kho thaum cev xeeb tub, nws tuaj yeem cuam tshuam rau leej niam thiab tus menyuam hauv plab. Muaj kev pheej hmoo xws li kev poob qis, yug ntxov, thiab qhov hnyav yug me nyuam qis.
Tus kws kho mob yuav kuaj mob no li cas kom meej?
Thaum koj mus ntsib kws kho mob, nws yuav nug txog koj cov tsos mob, koj tsev neeg keeb kwm kev mob nkeeg, thiab kuaj lub cev. Tom qab ntawd lawv yuav pom zoo kom kuaj ntau zaus kom paub tseeb tias koj mob.
- Kev Kuaj Ntshav Thyroid: Cov kev kuaj no ntsuas cov theem ntawm cov tshuaj hormones thyroid (T4, T3) thiab TSH (thyroid stimulating hormone) hauv cov ntshav. Hauv Graves' kab mob, cov theem ntawm cov tshuaj hormones thyroid siab thiab cov theem TSH qis heev.
- Kev Kuaj Mob Thyroid Antibody: Kuaj seb puas muaj cov tshuaj antibody hauv cov ntshav, xws li TSI, uas ua rau muaj tus kab mob Graves.
- Kev nqus thiab kev soj ntsuam cov thyroid: Muab me ntsis cov tshuaj iodine uas muaj zog radioactive rau tus neeg mob haus, thiab ua kev soj ntsuam kom pom tias cov thyroid gland nqus tau cov iodine ntau npaum li cas. Hauv tus kab mob Graves, cov thyroid gland nqus tau cov iodine ntau dhau.
- Doppler Ultrasound: Yog tias koj cev xeeb tub lossis pub niam mis, kev kuaj mob radioactive iodine tsis pom zoo. Hauv cov xwm txheej zoo li no, qhov kev ntsuas no tuaj yeem ntsuas cov ntshav ntws mus rau lub qog thyroid thiab muab lub tswv yim ntawm tus kab mob.
Cov kev kho mob rau tus kab mob Graves yog dab tsi?
Txawm hais tias tus kab mob Graves yog ib yam mob uas yuav mob mus tas li (mob ntev), kev kho mob tuaj yeem pab tswj cov tshuaj hormones. Qee zaum, tus kab mob tuaj yeem ploj mus ib ntus tom qab kho mob.
| Txoj kev kho mob | Ua li cas rau nws? |
|---|---|
| Cov tshuaj beta-blockers | Cov no tsis txo cov tshuaj hormones thyroid, tab sis lawv tswj tau cov tsos mob xws li lub plawv dhia ceev ceev, tshee hnyo, thiab ntxhov siab sai sai. Lawv siv los pab kom txog thaum lwm yam kev kho mob pib ua haujlwm. |
| Cov Tshuaj Antithyroid | Cov tshuaj xws li Methimazole thiab Propylthiouracil tiv thaiv kev tsim cov tshuaj hormones los ntawm cov qog thyroid. |
| Kev Kho Mob Radioiodine | Koj yuav tau haus ib yam kua los yog ib lub tshuaj ntsiav uas muaj cov tshuaj iodine radioactive. Cov tshuaj iodine no raug cov thyroid cells nqus thiab maj mam rhuav tshem lawv, ua rau cov tshuaj hormones tsawg zuj zus. |
| Kev phais mob | Kev phais mob thyroidectomy yog ib txoj kev phais uas tshem tawm tag nrho lossis ib feem ntawm cov thyroid caj pas. |
Tom qab kev kho mob radioactive iodine thiab phais mob, feem ntau muaj qhov tsis txaus cov tshuaj hormones thyroid, tseem hu ua hypothyroidism, tshwm sim. Tom qab ntawd koj yuav tsum noj cov tshuaj hormones thyroid rau tas koj lub neej. Txawm li cas los xij, hypothyroidism yooj yim dua rau kev tswj hwm dua li hyperthyroidism.
Qhov tseem ceeb yog tias txhua txoj kev kho mob no muaj nws qhov zoo thiab qhov tsis zoo. Nws yog ib qho tseem ceeb uas yuav tsum tham nrog koj tus kws kho mob seb txoj kev kho mob twg zoo tshaj plaws rau koj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Graves yog ib yam kab mob autoimmune uas tuaj yeem tswj tau zoo nrog kev kho mob, yog li tsis txhob ntshai tsis tsim nyog.
- Yog tias koj muaj cov tsos mob xws li lub plawv dhia ceev ceev, poob phaus, tawm hws ntau dhau, lossis ntxhov siab yam tsis muaj laj thawj, tsis txhob tsis quav ntsej lawv.
- Yog tias tus kab mob no tsis raug kho, nws tuaj yeem ua rau muaj teeb meem loj heev uas cuam tshuam rau lub plawv thiab pob txha.
- Nco ntsoov nrog koj tus kws kho mob tham kom xaiv txoj kev kho mob zoo tshaj plaws rau koj.
- Thaum kuaj pom tias muaj tus kab mob lawm, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li tus kws kho mob cov lus qhia kom meej thiab mus rau cov chaw kho mob raws sijhawm.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus