Niaj hnub no koj puas nkees thiab tsis zoo li qub? Koj puas ntxhov siab txog tej yam me me, koj puas xav tias koj lub plawv dhia ceev, thiab pw tsis tsaug zog hmo ntuj? Yog tias koj poob phaus txawm tias koj noj zaub mov zoo los xij, tej zaum koj yuav xav tias nws yog vim koj ua haujlwm ntau dhau lossis ntxhov siab. Tau kawg, qhov ntawd yuav yog qhov ua rau. Tab sis cov tsos mob no kuj tseem yuav yog vim muaj teeb meem nrog koj lub qog thyroid, uas zoo li tus npauj npaim me me hauv koj lub caj dab. Hnub no peb yuav tham txog ib qho mob zoo li no, Graves' Disease. Tsis txhob txhawj, qhov no yog ib qho kab mob uas koj tswj tau yog tias koj nkag siab zoo.
Hais yooj yim xwb, kab mob Graves yog dab tsi?
Xav txog tias koj muaj ib pab tub rog tiv thaiv koj lub teb chaws. Txoj hauj lwm ntawm pab tub rog no yog los tiv thaiv lub teb chaws ntawm cov yeeb ncuab sab nraud. Peb lub cev kuj muaj ib lub cev tiv thaiv zoo sib xws, uas peb hu ua lub cev tiv thaiv kab mob . Tab sis qee zaum lub cev tiv thaiv no ua yuam kev. Hloov chaw ntawm tus yeeb ncuab sab nraud, lawv pib tawm tsam ib qho khoom zoo, noj qab haus huv hauv peb lub cev.
Kab mob Graves yog ib qho mob zoo li no. Qhov uas tshwm sim ntawm no yog tias peb lub cev tiv thaiv kab mob ua yuam kev tawm tsam peb tus kheej lub qog thyroid . Qhov kev tawm tsam no ua rau lub qog thyroid ua haujlwm ntau dhau thiab ua haujlwm ntau dhau. Qhov ntau ntawm cov tshuaj thyroid uas nws tsim tawm ntau dua li lub cev xav tau. Hauv kev kho mob, peb hu qhov mob no ua hyperthyroidism , lossis overactive thyroid. Kab mob Graves yog qhov ua rau muaj qhov mob no.
Txawm hais tias qhov no yog ib qho mob uas yuav kav ntev mus ib txhis, yog tias koj kho tau zoo, koj tuaj yeem tswj tau nws zoo thiab koj tuaj yeem ua neej nyob li qub.
Koj puas paub cov tsos mob no?
Kab mob Graves ua rau peb lub cev metabolism, uas yog tus nqi uas lub zog tsim thiab siv, nce ntxiv ntau heev. Nws zoo li kev taug kev ntawm lub accelerator ntawm lub tsheb txhua lub sijhawm. Qhov no tuaj yeem ua rau muaj ntau yam tsos mob. Ib txhia neeg tsuas yog yuav muaj ib lossis ob qho ntawm cov tsos mob no, thaum lwm tus yuav muaj ntau yam ntawm cov tsos mob no ib zaug.
Saib lub rooj hauv qab no kom paub seb cov yam ntxwv no yog dab tsi.
| Cov tsos mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Kev poob phaus | Txawm hais tias koj noj zaub mov zoo thiab muaj kev ntshaw los, koj yuav nyias nyias. |
| Lub plawv dhia ceev ceev (Tachycardia) | Nws zoo li koj lub plawv dhia ceev, ntaus nrawm, txawm tias koj tsuas sawv ntawd xwb los xij. |
| Kev tsis haum rau huab cua sov thiab kev tawm hws ntau dhau | Kub dhau thiab tawm hws tas li, txawm tias nyob hauv ib puag ncig uas ib txwm muaj rau lwm tus los xij. |
| Kev ntxhov siab thiab kev tsis so | Xav tias ntxhov siab, tsis nyob twj ywm, thiab yooj yim npau taws yam tsis muaj laj thawj. |
| Kev tshee hnyo | Ib qho kev co me me hauv tes. |
| Tsis tsaug zog | Qhov teeb meem ntawm kev tsis tuaj yeem pw tsaug zog thaum hmo ntuj. |
| Kev o ntawm lub caj dab (Goiter) | Kev o thiab loj hlob ntawm cov qog thyroid nyob rau pem hauv ntej ntawm lub caj dab. |
| Kev hloov pauv hauv lub cev zom zaub mov | Tso zis ntau zaus (raws plab) lossis yuav tsum mus chav dej ntau zaus hauv ib hnub. |
| Kev hloov pauv ntawm lub voj voog ntawm cov poj niam | Kev ntshav qis dua lossis kev coj khaub ncaws tsis tu ncua/tsis tu ncua. |
Qhov muag thiab daim tawv nqaij puas tuaj yeem raug kev cuam tshuam thiab?
Yog lawm, Graves' Kab Mob tsis yog tsuas yog cuam tshuam rau cov thyroid caj pas xwb, tab sis qee zaum kuj cuam tshuam rau lub qhov muag thiab daim tawv nqaij thiab.
Cov teebmeem rau lub qhov muag (Graves' Orbitopathy)
Kwv yees li ib ntawm peb tus neeg uas muaj Graves' Disease yuav muaj tus mob no. Nws tseem hu ua Thyroid Eye Disease . Qhov tshwm sim ntawm no yog tias lub cev tiv thaiv kab mob tawm tsam cov leeg thiab cov ntaub so ntswg nyob ib puag ncig lub qhov muag. Yog li ntawd,
- Qhov muag loj thiab o: Qhov muag zoo li loj thiab o.
- Hnov mob los yog muaj kev nyuaj siab hauv qhov muag.
- Khaus, zoo li muaj xuab zeb hauv qhov muag.
- Pom ob zaug.
- Pom tsis meej sab nraum zoov thaum muaj teeb ci ntsa iab (Photophobia).
Cov teebmeem ntawm daim tawv nqaij (Graves' Dermopathy)
Qhov no yog ib qho mob tsis tshua muaj. Nws cuam tshuam txog daim tawv nqaij ntawm ob txhais ceg, tshwj xeeb tshaj yog cov ceg tawv, thiab hloov mus ua xim liab lossis ntshav nrog rau cov pob. Nws tseem hu ua Pretibial Myxedema .
Vim li cas peb thiaj li muaj tus kab mob Graves?
Raws li peb tau tham ua ntej lawm, qhov laj thawj tseem ceeb rau qhov no yog qhov ua tsis tau zoo hauv peb lub cev tiv thaiv kab mob. Vim yog qhov ua tsis tau zoo no, lub cev tsim ib hom tshuaj tiv thaiv kab mob hu ua Thyroid-Stimulating Immunoglobulin (TSI) . Cov tshuaj tiv thaiv kab mob 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 paub tseeb 100% tias vim li cas lub cev tiv thaiv kab mob thiaj ua haujlwm tsis zoo li no, tab sis lawv ntseeg tias muaj ntau yam ua rau qhov no.
- Cov Yam Ntxim Saib Xyuas Txog Gene: Kev tshawb fawb tau pom tias 79% ntawm Graves' Disease yog los ntawm peb cov noob caj noob ces. Qhov no txhais tau tias yog tias ib tug neeg hauv koj tsev neeg (niam, txiv, kwv tij neej tsa) muaj tus kab mob thyroid lossis lwm yam kab mob autoimmune, koj muaj feem yuav mob ntau dua.
- Tej Yam Ib Puag Ncig: 21% ntawm kev pheej hmoo uas tseem tshuav yog los ntawm tej yam ib puag ncig. Ntawd yog,
- Kev Nyuaj Siab: Kev ntxhov siab mus sij hawm ntev, kev ntxhov siab hnyav tuaj yeem ua rau muaj cov kab mob autoimmune zoo li no.
- Cev Xeeb Tub thiab Yug Me Nyuam: Qhov mob no tuaj yeem tshwm sim nrog kev hloov pauv hormonal hauv lub cev thaum cev xeeb tub thiab tom qab yug me nyuam.
- Cov kab mob thiab kev kis kab mob: Cov kab mob no tuaj yeem tshwm sim tom qab qee cov kab mob viral, vim tias lub cev tiv thaiv kab mob ua haujlwm txawv.
- Haus Luam Yeeb: Cov neeg uas haus luam yeeb muaj feem yuav mob Graves' Disease ntau dua. Tsis yog li ntawd xwb, yog tias tus neeg haus luam yeeb muaj tus kab mob no, cov teebmeem rau lub qhov muag (Graves' Orbitopathy) tuaj yeem hnyav heev.
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, nws tuaj yeem ua rau muaj teeb meem loj heev.
- Kab mob plawv: Cov tshuaj hormones thyroid ntau ntxiv ua rau lub plawv ntxhov siab heev. Qhov no tuaj yeem ua rau atrial fibrillation (Afib), uas yog ib qho mob uas lub plawv dhia tsis xwm yeem. Qhov no ua rau muaj kev pheej hmoo ntawm kev mob plawv thiab mob hlwb.
- Kab mob pob txha: Cov tshuaj hormones thyroid siab ua rau cov calcium hauv cov pob txha txo qis, ua rau lawv nyias dua thiab yooj yim tawg.
- Cua daj cua dub ntawm lub thyroid: Qhov no yog ib qho xwm txheej ceev uas txaus ntshai heev thiab muaj peev xwm ua rau tuag taus. Qhov uas tshwm sim yog tias lub cev tso tawm cov tshuaj hormones thyroid ntau heev. Cov tsos mob suav nrog kub taub hau, lub plawv dhia ceev, tawm hws, tsis meej pem, thiab ntuav. Yog tias cov tsos mob no tshwm sim, koj yuav tsum raug coj mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Teeb meem thaum cev xeeb tub: Yog tias tus kab mob Graves tsis raug tswj thaum cev xeeb tub, nws tuaj yeem ua rau muaj teeb meem rau leej niam thiab tus menyuam. Nws tuaj yeem ua rau poob cev xeeb tub, yug me nyuam qis, yug ntxov, thiab ntshav siab hauv leej niam (preeclampsia).
Tus kws kho mob kuaj mob li cas?
Yog koj muaj cov tsos mob uas tau hais los saum toj no, thawj qhov koj yuav tsum ua yog mus ntsib kws kho mob. Nws yuav saib xyuas koj cov tsos mob thiab keeb kwm kev kho mob hauv tsev neeg kom meej. Tom qab ntawd, lawv yuav xaj qee qhov kev kuaj mob kom paub tseeb tias koj muaj mob.
- Kev Kuaj Ntshav Thyroid: Cov no kuaj xyuas cov theem ntawm cov tshuaj hormones thyroid (T3, T4) thiab TSH (thyroid-stimulating hormone) hauv koj cov ntshav. Hauv Graves' Disease, cov theem ntawm cov tshuaj hormones thyroid feem ntau siab thiab cov theem TSH qis heev.
- Kev Kuaj Ntshav Antibody: Qhov kev kuaj no tuaj yeem lees paub seb koj puas muaj cov tshuaj tiv thaiv TSI uas peb tau tham txog ua ntej hauv koj cov ntshav.
- Kev Nqus thiab Kev Ntsuas Thyroid: Hauv qhov kev kuaj no, koj yuav muab me ntsis tshuaj iodine uas muaj zog radioactive rau hauv daim ntawv ntawm ib lub tshuaj. Lub qog thyroid ntawm ib tus neeg uas muaj Graves' Disease nqus tau ntau cov iodine no. Qhov no tuaj yeem pom los ntawm kev ntsuas.
- Doppler Ultrasound: Qhov kev ntsuas no yog ua vim tias cov niam cev xeeb tub lossis cov niam pub niam mis tsis tuaj yeem tau txais cov tshuaj iodine radioactive. Nws ntsuas qhov ceev ntawm cov ntshav ntws mus rau lub qog thyroid. Qhov ceev no siab heev hauv Graves' Kab Mob.
Cov kev kho mob yog dab tsi?
Kab mob Graves yog ib yam mob uas koj tswj tau. Muaj ntau txoj kev kho mob. Koj yuav tsum tham nrog koj tus kws kho mob seb txoj kev kho mob twg zoo tshaj plaws rau koj.
| Txoj kev kho mob | Muaj dab tsi tshwm sim? | Yuav tsum paub dab tsi |
|---|---|---|
| Cov tshuaj beta-blockers | Cov tshuaj no tsis txo cov tshuaj hormones hauv cov thyroid, tab sis lawv tswj cov tsos mob sai sai xws li lub plawv dhia ceev ceev, tes tshee hnyo, thiab kev ntxhov siab. | Nws feem ntau yog muab los tswj cov tsos mob kom txog thaum lwm yam kev kho mob zoo. |
| Cov Tshuaj Antithyroid | Cov tshuaj no (piv txwv li Methimazole, Propylthiouracil) thaiv cov tshuaj hormones los ntawm cov qog thyroid. | Tej zaum koj yuav tau noj cov tshuaj no rau ntau lub hlis lossis ntau xyoo. Tej zaum ib txhia neeg yuav zoo siab dua. |
| Kev Kho Mob Radioiodine | Cov tshuaj radioactive iodine, uas muab ua ib lub tshuaj ntsiav lossis kua, maj mam rhuav tshem cov hlwb hauv cov qog thyroid, ua rau cov qog me dua. | Tom qab kev kho mob no, hypothyroidism feem ntau tshwm sim, xav tau kev kho mob thyroxine tas mus li. |
| Kev Phais Mob (Kev Tshem Tawm Cov Thyroid) | Kev phais mob yuav tshem ib feem lossis tag nrho cov qog thyroid tawm. | Yog tias cov qog nqaij hlav raug tshem tawm tag, koj yuav tsum tau noj cov tshuaj thyroxine mus tas koj lub neej. Qhov no yog ib qho kev xaiv zoo rau cov neeg uas muaj teeb meem ua pa vim yog cov qog nqaij hlav loj (goiter). |
Tej zaum koj yuav xav tias hypothyroidism, tom qab kho mob, kuj yog ib yam kab mob. Yog lawm, nws yog ib yam kab mob. Tab sis nws yooj yim dua los tswj dua li hyperthyroidism, thiab muaj tsawg dua cov teeb meem kev noj qab haus huv mus sij hawm ntev.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Graves tsis yog ib yam dab tsi uas yuav tsum ntshai, tab sis nws yog ib yam mob uas kho tau thiab tswj tau.
- Yog koj muaj cov tsos mob xws li poob phaus yam tsis paub, lub plawv dhia ceev ceev, tes tshee hnyo, tawm hws ntau dhau, thiab tsis so, nco ntsoov mus ntsib kws kho mob.
- Yog tias ib tug neeg hauv koj tsev neeg muaj tus kab mob thyroid, koj kuj muaj feem yuav muaj tus kab mob no thiab, yog li ntawd ceev faj.
- Thaum pib kho mob lawm, nws yog ib qho tseem ceeb heev uas yuav tsum noj tshuaj raws li tus kws kho mob tau hais thiab mus ntsib kws kho mob tom qab.
- Yog koj muaj cov tsos mob ntawm 'thyroid storm' xws li kub taub hau heev, lub plawv dhia ceev ceev, thiab tsis meej pem, qhov ntawd yog qhov xwm txheej ceev. Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
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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