Puas yog cov qog thyroid cuam tshuam rau koj lub qhov muag? Cia peb kawm txhua yam txog Kab Mob Qhov Muag Thyroid!

Koj puas tau hnov ​​​​tias cov teeb meem thyroid tuaj yeem cuam tshuam rau koj lub qhov muag? Qee zaum, ib yam kab mob tuaj yeem txuas nrog lwm yam hauv txoj kev uas peb tsis paub txog. Qhov ntawd yog qhov kab mob qhov muag thyroid, lossis raws li nws hu ua ntawm cov kws kho mob, hu ua (Thyroid Eye Disease - TED). Qhov no yog thaum cov nqaij mos mos nyob ib puag ncig koj lub qhov muag o. Qhov no tuaj yeem ua rau tsis xis nyob thiab mob hauv koj lub qhov muag. Qhov mob no feem ntau pom muaj nyob rau hauv cov neeg uas muaj cov kab mob autoimmune uas tawm tsam lub qog thyroid. Qhov no yog qhov tshwj xeeb tshaj yog rau cov neeg uas muaj kab mob hu ua (Graves' kab mob). Yog vim li cas cov kws kho mob qee zaum hu nws tias Graves' Eye Disease.

Kab mob qhov muag thyroid (TED) yog dab tsi tiag?

Hais yooj yim xwb, Kab mob Thyroid Eye Disease (TED) yog ib yam mob uas cuam tshuam rau cov nqaij nyob ib puag ncig koj lub qhov muag, ua rau lawv o. Nws yog ib yam kab mob autoimmune, txhais tau tias koj lub cev tiv thaiv kab mob tawm tsam cov qog thyroid thiab cov nqaij nyob ib puag ncig koj lub qhov muag tsis raug.

Xav txog nws zoo li peb lub cev tiv thaiv kab mob zoo li ib pab tub rog uas tiv thaiv peb lub teb chaws. Tab sis qee zaum cov tub rog no ua yuam kev thiab tawm tsam nws cov neeg. Qhov ntawd yog qhov tshwm sim hauv cov kab mob autoimmune.

TED tsis yog ib yam mob uas tuaj thiab mus. Nws muaj ntau theem sib txawv. Qhov o thiab tsis xis nyob tuaj yeem tuaj thiab mus rau ob xyoos lossis ntau dua. Cov tsos mob sib txawv ntawm ib tus neeg mus rau ib tus neeg; qee tus neeg yuav muaj me ntsis xwb, thaum lwm tus yuav muaj cov tsos mob hnyav. Rau feem ntau ntawm cov neeg, nws tsis loj heev. Txawm li cas los xij, yog tias nws hnyav zuj zus, nws tuaj yeem ua rau lub qhov muag puas tsuaj mus tas li, hloov pauv qhov tsos, thiab tsis pom kev.

Tej zaum koj yuav tau hnov ​​​​​​cov kws kho mob siv lwm lub npe rau qhov mob no. Cov npe no suav nrog:

• Kev mob qhov muag ntawm lub thyroid
• Kev mob thyroid orbitopathy
• Kev mob qhov muag Graves
• Kab mob Graves' orbitopathy

Cov no tsuas yog cov npe sib txawv rau tib yam mob, yog li tsis txhob txhawj.

Cov tsos mob ntawm tus kab mob qhov muag thyroid (TED) yog dab tsi?

Tam sim no cia peb saib seb koj yuav paub qhov mob no li cas. Saib seb koj puas muaj ib lossis ntau yam ntawm cov tsos mob no:

• Proptosis: Lub qhov muag zoo li loj dua thiab tawm los.
• Qhov muag khaus, kub hnyiab: Nws tsuas yog xav tias tsis xis nyob, zoo li muaj qee yam tsis raug nrog koj ob lub qhov muag.
• Qhov muag o thiab liab (Blepharitis): Cov npoo ntawm qhov muag yuav o thiab liab.
• Qhov muag qhuav lossis kua muag ntau zaus: Ib txhia neeg muaj qhov muag qhuav, thaum lwm tus tsuas yog kua muag xwb.
• Ntsais muag ntau zaus: Ntsais muag ntau zaus, tsis tuaj yeem tswj tau.
• Kev rhiab heev rau lub teeb (Photophobia): Ob lub qhov muag xiav, txawm tias thaum lub hnub tawm los yog lub teeb qhib lawm los xij, ua rau nws nyuaj rau pom.
• Mob qhov muag thiab mob taub hau:Tej zaum nws yuav mob nrog rau qhov mob ib ncig ntawm lub qhov muag, tej zaum yuav mob taub hau.
• Nyuaj txav lub qhov muag: Nws zoo li nws nyuaj rau txav lub qhov muag thaum saib saum toj, hauv qab, lossis rau sab.
• Diplopia: Pom ib yam li ob yam.

Cov tsos mob no feem ntau cuam tshuam rau ob lub qhov muag, tab sis qee zaum cov tsos mob no tuaj yeem pom hauv ib lub qhov muag xwb.

Cov teeb meem ntawm tus kab mob Graves' Eye yog dab tsi?

Tom qab theem mob thyroid qhov muag tas lawm, qhov kev hloov pauv ntawm qhov tsos thiab kev pom ntawm lub qhov muag yuav zoo dua. Tab sis qhov no tsis yog ib txwm tshwm sim. Qee zaum, cov nqaij nyob ib puag ncig lub qhov muag yuav ua rau muaj qhov txhab thiab yuav tsis rov qab zoo li qub. Tsis tas li ntawd, qee qhov ntawm lub qhov muag uas cuam tshuam rau kev pom kev yuav raug puas tsuaj mus tas li. Tab sis tsis txhob txhawj, cov no tuaj yeem kho tau los ntawm kev phais.

Tej zaum yuav muaj kev hloov pauv mus tas li ntawm qhov tsos:

• Kev rub rov qab ntawm daim tawv muag
• Qhov muag tawm los
• Qhov muag loj
• Qhov muag liab

Tej zaum yuav muaj kev hloov pauv tas mus li hauv kev pom kev:

• Pom tsis meej
• pom ob sab
• Kev poob qhov muag loj heev - Qhov no tsis tshua muaj, tab sis zoo kom paub.

Vim li cas peb thiaj li muaj tus kab mob qhov muag thyroid (TED)?

Raws li peb tau hais ua ntej lawm, nws yog ib yam kab mob autoimmune. Qhov no txhais tau tias koj lub cev lub cev tiv thaiv kab mob tawm tsam koj lub qog thyroid thiab cov nqaij nyob ib puag ncig koj lub qhov muag. Kab mob Graves yog qhov ua rau feem ntau tshwm sim. Tab sis nws kuj tuaj yeem tshwm sim rau cov neeg uas muaj lwm yam kab mob autoimmune thyroid, xws li kab mob Hashimoto. Qhov xav tsis thoob, qee zaum cov neeg uas tsis muaj teeb meem thyroid thiab cov qib thyroid hormone ib txwm muaj peev xwm tsim TED.

Hauv cov kab mob no, qee cov tshuaj tiv thaiv kab mob uas koj lub cev tiv thaiv kab mob tsim tawm ua haujlwm zoo li cov tshuaj hormones thyroid thiab txuas rau cov receptors thyroid hormone. Cov receptors no feem ntau pom muaj nyob rau hauv lub qog thyroid, tab sis qee qhov kuj pom muaj nyob rau hauv cov nqaij tom qab lub qhov muag. Yog li, cov tshuaj tiv thaiv kab mob tib yam uas cuam tshuam rau lub thyroid kuj cuam tshuam rau lub qhov muag.

Leej twg muaj feem yuav tsim tau (TED) tshaj?

Muaj ib txhia neeg yuav muaj tus mob no ntau dua. Saib seb koj puas poob rau hauv ib pawg ntawm cov no:

• Yog koj yog ib tug poj niam: Cov poj niam muaj feem yuav mob Graves' kab mob thiab Graves' qhov muag kab mob li tsib npaug ntau dua li cov txiv neej. (Txawm li cas los xij, yog tias ib tug txiv neej mob, nws yuav mob hnyav dua.)
• Yog tias koj cov tshuaj hormones hauv koj cov thyroid tsis zoo li qub:Ob qho tib si nce (hyperthyroidism) thiab txo qis (hypothyroidism) cov tshuaj hormones thyroid tuaj yeem pab txhawb rau TED. Cov tshuaj hormones no, zoo li cov tshuaj tiv thaiv kab mob uas peb tau tham ua ntej, txhawb cov receptors hauv cov ntaub so ntswg ntawm lub qhov muag.
• Yog tias koj tau txais kev kho mob radioiodine (RAI therapy): RAI therapy yog ib txoj kev kho mob tseem ceeb rau hyperthyroidism. Txawm li cas los xij, nws tuaj yeem ua rau lossis ua rau TED hnyav dua.
• Yog koj haus luam yeeb: Qhov no tseem ceeb heev. Cov neeg uas haus luam yeeb thiab raug pa luam yeeb ntawm lwm tus muaj feem yuav mob thyroid qhov muag ntau dua. Tsis tas li ntawd, cov tsos mob yuav hnyav dua thiab kav ntev dua rau cov neeg haus luam yeeb. Yog tias koj muaj TED, qhov zoo tshaj plaws uas koj tuaj yeem ua rau koj tus kheej yog tso kev haus luam yeeb.

Kuv yuav ua li cas thiaj paub seb puas muaj kws kho mob (TED)?

Koj tus kws kho mob tuaj yeem kuaj mob no los ntawm kev kuaj lub qhov muag thiab ua tib zoo saib koj lub qhov muag thiab ob lub qhov muag.

Yog tias muaj kev ua xyem xyav li no, lawv yuav xaj ntau qhov kev kuaj ntshav los xyuas koj cov thyroid hormone thiab seb puas muaj ntau dhau lossis tsawg dhau ntawm cov tshuaj tiv thaiv kab mob hauv koj cov ntshav.

Tsis tas li ntawd xwb, tus kws kho mob yuav thov kom muaj ntau yam kev kuaj ntxiv:

• Kev kuaj mob ultrasound ntawm lub qhov muag
• Kev kuaj mob CT Scan (Computed Tomography - CT)
• Kev kuaj MRI (Magnetic Resonance Imaging - MRI)

Cov kev kuaj no tuaj yeem txiav txim siab tau meej tias cov nqaij nyob ib puag ncig lub qhov muag o npaum li cas thiab seb puas muaj kev nyuaj siab rau cov hlab ntsha.

Cov kev kho mob rau (TED) yog dab tsi?

Hom kev kho mob uas koj xav tau yuav nyob ntawm theem ntawm tus kab mob thiab nws qhov hnyav. (TED) Thaum lub sijhawm ua haujlwm, muaj cov kev kho mob uas tuaj yeem pab txo cov tsos mob. Cov no yuav suav nrog cov tshuaj kho mob hauv tsev, cov tshuaj uas yuav tsis tas yuav muaj ntawv yuav tshuaj, lossis cov tshuaj uas tau sau ntawv yuav. Tom qab theem ua haujlwm tas lawm, koj yuav tsum tau phais kom rov qab zoo li qub lossis kho koj qhov muag pom kev.

Kev kho mob kom txo cov tsos mob

Cov kev kho mob no yuav pab tau thaum TED ua haujlwm:

• Cov tshuaj qhov muag: Muaj ntau hom tshuaj qhov muag sib txawv los pab txo qhov muag qhuav, liab, lossis mob.
• Cov tshuaj Selenium: Kev tsis txaus Selenium tau pom tias ua rau cov tsos mob ntawm TED nce ntxiv, yog li koj tus kws kho mob yuav pom zoo cov no.
• Cov tsom iav Scleral: Cov no zoo ib yam li cov tsom iav sib cuag, tab sis lawv npog thaj chaw loj dua ntawm lub qhov muag, muab kev tiv thaiv ntxiv. Lawv kuj tseem siv tau los muab tshuaj.
• Cov khoom pab pom kev:Yog koj pom ob sab, koj tus kws kho mob yuav pom zoo kom siv daim ntaub thaiv qhov muag lossis hnav tsom iav uas muaj cov prisms tshwj xeeb.
• Cov Tshuaj (Thionamides): Yog tias koj muaj (hyperthyroidism) (vim yog Graves' kab mob), cov tshuaj xws li (methimazole) thiab (propylthiouracil) yuav raug muab los txo cov tshuaj hormones thyroid.
• Cov tshuaj Corticosteroids: Yog tias koj cov tsos mob hnyav heev, koj tus kws kho mob yuav sau ntawv kom siv cov tshuaj corticosteroids rau lub sijhawm luv luv kom txo qhov o. Cov tshuaj no tuaj yeem muab ua cov tshuaj noj lossis txhaj rau hauv cov leeg ntshav (IV).
• (Teprotumumab - Tepezza®): Qhov no yog thawj cov tshuaj tshwj xeeb uas tau pom zoo hauv Tebchaws Meskas xyoo 2020 los kho (TED). Qhov no yog cov tshuaj tshiab hauv ib pawg hu ua (biologics) uas txo qhov o. Ntau cov tshuaj zoo li no tab tom raug tsim tam sim no.
• Kev Kho Mob Hluav Taws Xob: Xav txog kev kho mob hluav taws xob kom rhuav tshem cov hlwb tiv thaiv kab mob uas tseem ua haujlwm tom qab lub qhov muag thiab txo qhov o. Koj tus kws kho qhov muag yuav xa koj mus rau tus kws kho mob hluav taws xob.

Nco ntsoov tias, yog tias cov kev kho mob no tsis ua haujlwm rau koj, koj pab neeg kho mob yuav muab lwm txoj kev kho mob. Kev phais mob tsis tshua tsim nyog thaum lub sijhawm mob Graves' qhov muag. Feem ntau, kev phais mob raug txiav txim siab tom qab koj tus mob tau ruaj khov. Tsuas yog thaum ntawd peb thiaj li paub tseeb tias qhov kev hloov pauv ntawm qhov tsos thiab kev pom kev yuav mus tas li.

Kev phais rau (TED)

Qee zaum, kev phais yuav tsum tau ua:

• Kev phais mob kom lub qhov muag tsis txhob nruj: Tsis tshua muaj, qhov kev phais mob no yuav tsum tau ua yog tias qhov o ua rau muaj kev nyem rau ntawm cov hlab ntsha qhov muag. Tus kws phais yuav tshem ib daim pob txha tawm kom txo qhov kev nyem. Qhov no kuj ua los txo qhov o ntawm lub qhov muag tom qab tus kab mob ploj mus lawm.
• Kev phais tshem cov thyroid: Kev kho mob rau qhov mob hyperthyroidism hnyav. Yog tias cov tshuaj tsis tswj tau cov tshuaj hormones thyroid, tej zaum yuav tsum tau tshem cov thyroid caj pas tawm.
• Phais Qhov Muag: Yog tias koj qhov muag poob rau hauv, qhov kev phais no yog ua los kho kom lawv rov qab zoo li qub. Qhov no tsis yog tsuas yog txo qhov tsis xis nyob ntawm qhov muag xwb, tab sis kuj ua rau qhov zoo nkauj dua thiab tiv thaiv qhov muag ntawm kev raug tshav ntuj.
• Kev phais mob leeg ntawm lub qhov muag: Qhov kev phais mob no yuav tsim nyog yog tias cov leeg uas txav lub qhov muag muaj qhov txhab thiab muaj teeb meem txav lub qhov muag, lossis yog tias lub qhov muag tsis sib luag thiab koj pom ob qho kev taw qhia sib txawv.
• Kev phais qhov muag: Qhov no suav nrog kev kho dua tshiab ntawm cov nqaij mos thiab/lossis cov pob txha nyob ib puag ncig lub qhov muag. Nws tuaj yeem daws cov teeb meem zoo nkauj xws li qhov muag tawm thiab cov hnab hauv qab lub qhov muag.
• Kev hloov pauv ntawm lub qhov muag:Yog tias lub qhov muag puas tsuaj loj heev vim yog raug rau lub qhov muag thaum lub sijhawm muaj tus kab mob no, kev hloov lub qhov muag yuav raug txiav txim siab los txhim kho qhov muag pom kev.

(TED) Qhov xwm txheej zoo li cas?

Rau cov neeg feem coob, TED tsis hnyav heev, yog li ntawd feem ntau qhov kev cia siab zoo. Cov neeg feem coob muaj cov tsos mob me me, uas feem ntau ploj mus ntawm lawv tus kheej. Txawm li cas los xij, cov tsos mob tuaj yeem hnyav dua rau cov neeg hnub nyoog tshaj 50 xyoo. Yog tias koj muaj TED hnyav, koj yuav xav tau kev kho mob ua ke los tswj nws. Qee tus neeg tuaj yeem tsim kev hloov pauv mus tas li rau lawv lub qhov muag, uas yuav xav tau kev phais.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj muaj kab mob qhov muag ntawm lub thyroid, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj pab neeg saib xyuas kev noj qab haus huv paub yog tias koj cov tsos mob hnyav zuj zus. Koj kuj yuav tsum qhia rau lawv yog tias koj pom muaj kev hloov pauv hauv koj qhov muag pom. Qee qhov kev hloov pauv yuav xav tau kev kho mob ceev. Hu rau koj tus kws kho mob tam sim ntawd yog tias koj pom ib qho ntawm cov hauv qab no:

• Yog tias koj qhov pom kev zoo li nqaim zuj zus, lossis yog tias koj tsis pom kev mus rau ib qho kev taw qhia.
• Yog tias cov xim zoo li txawv ntawm qhov lawv yuav tsum tau ua.
• Yog tias koj cia li mob qhov muag heev.

Kab mob Graves' qhov muag tuaj yeem cuam tshuam rau koj lub neej zoo. Muaj ntau tus neeg tsis muaj cov tsos mob hnyav, tab sis nws tuaj yeem ua rau lawv nyuaj siab heev thaum lawv muaj. Qhov o ntawm koj lub qhov muag tuaj yeem cuam tshuam rau koj qhov kev nplij siab, kev pom kev, thiab qhov tsos. Nws yuav tsum tau ib pab pawg kws kho mob los pab koj daws txhua yam no. Nws tseem ceeb heev kom muaj kev txhawb nqa hauv koj lub neej tus kheej. Yog tias koj tsis tau txais kev txhawb nqa uas koj xav tau, nug koj pab neeg kho mob. Lawv yuav tuaj yeem qhia koj txog cov peev txheej uas tuaj yeem pab koj nrog koj txoj kev noj qab haus huv ntawm lub hlwb.

Tej yam tseem ceeb uas yuav tsum nco ntsoov (Cov Lus Qhia Coj Mus Tsev)

Zoo, yog li cia peb sau qee yam uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog:

• Kab mob qhov muag thyroid (TED) yog ib yam mob uas cuam tshuam rau lub qhov muag uas cuam tshuam nrog cov teeb meem nrog cov qog thyroid.
• Ceev faj txog cov tsos mob xws li qhov muag o, qhov muag liab, o, thiab pom ob sab.
• Yog koj haus luam yeeb, tso tseg kiag. Qhov no yog qhov kev pab loj tshaj plaws uas koj ua tau.
• Yog tias cov tsos mob hnyav heev lossis yog tias koj pom kev hloov pauv ntawm qhov muag , nrhiav kev pab kho mob tam sim ntawd.
• Rau cov neeg feem coob, qhov mob no tsis loj heev, thiab muaj ntau yam kev kho mob. Yog li ntawd, tsis txhob ntshai, tab sis nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob kom zoo.
• Koj txoj kev noj qab haus huv ntawm lub hlwb kuj tseem ceeb heev rau lub sijhawm no. Tsis txhob yig nrhiav kev pab rau qhov ntawd thiab yog tias koj xav tau.

Vam tias cov ntaub ntawv no yuav pab tau koj. Nyob zoo!

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