I thinlung chu chhan awm lovin a thawk chak zawkin i hria em? Tlemte pawhin i thawmhnaw i hah em? Chaw ei that lai pawhin i thau a tlahniam em? A châng chuan rilru hahdam lo leh lungkhamna nasa tak i nei em? Heng thilte hi i tan a awm fo a nih chuan a chhan chu i taksaa hnim hring ang maia te tak te, thyroid gland hian hna a thawk nasa lutuk deuh vang a ni thei. Vawiin hian Graves’ Disease chungchang kan sawi dawn a, he natna hi a thlentu, mahse uluk taka enkawl a nih chuan uluk taka thunun theih a ni.
Graves-a natna hi eng nge ni, a awlsam zawngin?
A awlsam zawngin sawi ila, Graves natna hi kan taksa hriselna lama tihsual tenau tak avanga lo awm a ni. Hei hi autoimmune disease kan ti a . A tlangpuiin kan immune system hian natna thlentu hrik te chu a do thin. Mahse he natnaah hian keimahni immune system hian kan kawr chhunga kan thyroid gland ngei hi a rawn bei sual a ni.
He attack hian thyroid gland a tichak a, thyroid hormone a siam tam lutuk a ni. Hetiang dinhmun hi hyperthyroidism an ti a . Car accelerator pedal press down ang mai a ni a, chu chuan kan metabolism a ti chak hle. Graves natna hi hyperthyroidism thlentu ber a ni. Thlawhna atanga lo chhuak pawh a ni thei bawk. Thyroid gland chauh ni lovin, kan mit leh vun a nghawng thei a ni.
He natna lanchhuahna langsar zualte chu engte nge ni?
Graves natna hian i taksa metabolism a ti chak avangin symptom chi hrang hrang i nei thei a ni. Mi thenkhat chuan heng symptoms zinga pakhat emaw pahnih emaw chauh an nei thei a, thenkhat erawh chuan he list-a thil tam tak hi an tawng thei thung. Heng symptoms te hi vawi khatah a lang vek lo va, kar emaw thla emaw chhungin zawi zawiin a lo lang chhuak thin.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Lung natna chak tak (Tachycardia) . | I thinlung chu chhan awm lovin a na ang maia inhriatna. |
| Heat intolerance leh thawk hah lutuk | Midang tan chuan thil pangngai tak ni mahse, i lum a, i thawmhnaw a chhuak fo thin. |
| Rihna tihtlem | Chaw ei tha mahse taksa rihna a tlahniam tih a chiang hle. |
| Tremor a ni | Kut ah chuan a khur fiah lo hle. |
| Lungkhamna leh rilru hahdam lo reng reng | Lungngaihna leh rilru hahdam lohna nei reng. |
| Chaw ei leh in lama inthlak danglamna | Bowel movement tam emaw, a tlangpui aia tam bathroom kal ngai emaw. |
| Kawr a hring (Goiter) . | Thyroid gland lian vanga kawr hmalam a lo hring chhuak. |
| Mut theih lohna leh sam tlakchhamna | Zana mut harsa leh sam tlakchham. |
| Hmeichhia thla tin thlasik hun inthlak danglamna | Menstrual bleeding tlahniam, menstrual cycle mumal lo emaw tihtawp emaw. |
Heng symptoms pakhat emaw a aia tam emaw i neih chuan ngaihtuah buai lova doctor pan a, thurawn lak a tha ber.
Hei hian engtin nge mit leh vun a nghawng?
Graves natna vei zawng zawng ni lo mah se, mi pathum zinga pakhat vel chuan mit lama harsatna an nei ang. Hetiang dinhmun hi Graves’ orbitopathy emawThyroid Mit Natna.
- Mit bulging tak tak
- Double vision hmuh theihna
- Mitmengah chuan gritty, gritty feeling a awm
- Eng en harsa (Photophobia) .
- Mit chhunga pressure emaw natna emaw hriatna
Chu bâkah, mi tlemte chauh (4% vêl) chuan an ke vun chu a hrual a, a hrual a, a rawng a danglam thei bawk. Hei hi pretibial myxedema an ti a .
Engvangin nge Graves natna hi a lo awm?
Kan sawi tawh ang khan hei hi a chhan ber chu kan taksa hriselna (immune system) a tha lo vang a ni. Kan taksa hian antibody Thyroid-Stimulating Immunoglobulin (TSI) tih a siam chhuak a. He TSI antibody hian thyroid gland cell-ah a inzawm a, gland hnenah signal dik lo a thawn a, "hormone tam zawk siam la, tam zawk siam rawh."
Hetianga immune system a tihsual chhan dik tak hi scientist-te chuan an la hmuchhuak lo a, mahse thil pawimawh pahnih hian hei hi a thlen niin an ngai.
1. Genetics: I chhungkuaa mi tu emaw chuan Graves natna emaw, thyroid natna dang emaw a neih chuan he natna hi i vei theihna a sang zawk a ni.
2. Environmental Factors: Stress lutuk, naupai leh nau neih hnu, leh virus infection thenkhat te hi he natna lo awm tanna tur hian ‘trigger’, chu chu a tir lama nawrna a ni thei.
Enkawl loh chuan eng dinhmun hlauhawm nge thleng thei?
Graves natna hi damdawi lam natna a ni a, damdawi lam pan vat a ngai a ni . Enkawl loh emaw, enkawl dik loh emaw chuan harsatna lian tak a thlen thei a ni.
- Lung natna: Lung natna (Heart disease) mumal lo ( Atrial Fibrillation - Afib ), thinlung natna, leh stroke te ang chi natna khirh tak tak neih theihna a sang hle.
- Osteoporosis: Taksa chhunga calcium level-in nghawng a neih avangin ruh a chak lo va, a chhe awlsam hle.
- Thyroid Storm: Hei hi thil awm lo mahse nunna atana hlauhawm thei emergency a ni . Hetiang dinhmunah hian thyroid gland hian hun rei lote chhungin thisenah hormone tam tak a chhuah tir thin. A lan chhuah dan chu khawsik sang, thinlung thawk chak, leh buaina te a ni. Chutiang dinhmunah chuan damdawi in pakhat Emergency Department (ETU) ah i kal nghal tur a ni.
- Naupai laia harsatna: Naupai laia enkawl loh chuan nu leh pum chhunga naute pawh a nghawng thei a ni. Nau pai, nau piang hma, nau piang rit lo te ang chi hlauhawm tak tak a awm.
Engtin nge doctor hian he natna hi dik taka a hriat theih ang?
Doctor i pan chuan i natna lan chhuah dan te, i chhungkaw damdawi lam chanchin te a zawt ang a, taksa enfiahna a nei ang. Chumi hnuah chuan test eng emaw zat neih an rawt thei a, chu chuan a natna hmuhchhuah chu a finfiah thei a ni.
- Thyroid Blood Test: Heng test te hian thisen a thyroid hormone (T4, T3) leh TSH (thyroid stimulating hormone) awm zat a teh thin. Graves natnaah chuan thyroid hormone level a sang a, TSH level a hniam hle bawk.
- Thyroid Antibody Test: Thisenah antibody awm leh awm loh a enfiah thin a, chu chu Graves natna thlentu TSI ang chi hi a ni.
- Thyroid uptake leh scan: Damlo chu radioactive iodine tlem te te in turin pek a ni a, scan hmangin thyroid gland hian iodine engzat nge a hip lut tih hriat a ni. Graves natnaah chuan gland hian iodine a hip tam lutuk a.
- Doppler Ultrasound: Naupai emaw, nau hnute pe emaw i nih chuan radioactive iodine test hi a tha lo. Chutiang hunah chuan he scan hian thyroid gland-a thisen kal dan a teh thei a, natna awm dan tur ngaihtuahna a pe thei bawk.
Graves natna enkawl dan tur chu engte nge ni?
Graves natna hi dam chhung (chronic) natna ni mahse, enkawlna hian hormone level control a pui thei a ni. A châng chuan, natna hi enkawl hnuah hun eng emaw chen a remission-ah a kal thei bawk.
| Enkawl dan tur | Eng thil nge thleng? |
|---|---|
| Beta-blockers te pawh a awm | Chûngte chuan thyroid hormone a ti tlem lo va, mahse, thinlung thawk chak, khur leh lungkhamna ang chi symptoms te chu a control nghal vat a ni. Damdawi dangin a hman theih hma loh chuan hahdamna pe turin an hmang thin. |
| Antithyroid Damdawi hman tur | Damdawi Methimazole leh Propylthiouracil te hian thyroid gland atanga hormone siam chhuah a titawp a. |
| Radioiodine hmanga enkawl a ni | Radioactive iodine awmna liquid emaw capsule emaw in tur i pe a. He iodine hi thyroid cell-in a hip lut a, zawi zawiin a tichhia a, hormone siamchhuah a ti tlem a ni. |
| Inzai | Thyroidectomy hi surgical procedure a ni a, thyroid gland zawng zawng emaw, a then emaw chu paih vek a ni. |
Radioactive iodine hmanga enkawl leh operation hnuah thyroid hormone tlakchhamna, hypothyroidism tia hriat bawk hi a awm fo thin. Chumi hnuah chuan i dam chhung zawng thyroid hormone pill i ei a ngai dawn a ni. Mahse, hyperthyroidism aiin hypothyroidism hi enkawl a awlsam zawk hle.
A pawimawh ber chu heng enkawlna kawng hrang hrangte hian a thatna leh that lohna a nei vek a ni. I doctor nen eng treatment option nge i tan a tha ber tih sawiho a pawimawh.
Take-Home Thuchah a ni
- Graves natna hi autoimmune natna a ni a, enkawlna hmangin a control tha hle a, chuvangin a tul lovah hlau suh.
- Lung natna, taksa rihna tlahniam, thawk hah lutuk, leh chhan awm lova lungkhamna ang chi symptom i neih chuan ngaihthah suh.
- He natna hi enkawl a nih loh chuan lung leh ruh tichhe thei harsatna lian tak a awm thei a ni.
- I tan damdawi tha ber thlang turin i doctor nen inbia ngei ang che.
- Natna hi hriat chian a nih veleh doctor thupek dik taka zawm a, a hun taka clinic-a kal a pawimawh hle.
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