I mit a hring a, a bulh em? Thyroid Mit Natna chungchang zir rawh

Mi thenkhat mit chu a lian deuh a, a bul chhuak ang maiin a lian zawk tih i hmu ngai em? Nge mit a hring a, a sen em ni? Nangmah ngei pawhin hetiang thil hi i hre mai thei. Dik tak chuan hei hi pawn lam atanga lang cosmetic problem aiin thil thuk zawk a ni thei. Hei hi i taksaa thyroid gland-a harsatna awm vang a ni thei tih i hria em? Vawiin hian mi tam tak rilru hahdam lo, mahse uluk taka enkawl theih he dinhmun hi kan sawi dawn a ni. Thyroid Mit Natna (TED) a awm.

A awlsam zawngin, Thyroid Eye Disease (TED) hi eng nge ni?

Thyroid Eye Disease (TED) hi i mit vel tissue, muscle leh fat cells te chu a inflamed a, a hring chhuak thin a ni. Hei hi i taksa ngeia immune system-a harsatna awm vang a ni. A awlsam zawngin, kan taksa natna laka humhimtu "sipai" ang maia awm, immune system hian a tihsualin a cell hrisel tak takte chu a rawn bei tan ta a ni. Hei hi autoimmune disease an ti a.

TED-ah chuan immune system hian i thyroid gland bakah i mit chhehvel tissue te a bei thin. Hetiang dinhmun hi Graves natna vei zingah a lang tam ber a, he natna hi thyroid gland a thawk nasa lutuk a ni. Chuvang chuan doctor ten Graves’ Eye Disease an ti fo thin.

He natna hi dam chhung zawnga autoimmune condition ni mahse, mit chunga nghawng (TED) hi active phase-a hun engemaw chen hnuah a reh tlangpui. He active phase hi kum hnih thleng a daih thei. Hetih lai hian symptoms a wax thei a, a tlahniam thei bawk. Mi tam zawk chu a tuar nasa lo hle a, mahse thenkhat tan chuan a nasat chuan mit leh mit hmuhna a tichhe reng thei a ni.

He natna lan chhuah dan engte nge ni?

TED natna lan chhuah dan hi mi hrang hrangah a inang lo thei a, mahse a lan chhuah dan tlangpui thenkhat a awm. Hengte hian mit pahnih a nghawng tlangpui a, a chang chuan mit pakhat chauh a nghawng thei bawk.

He natna hi a nasat chuan eng harsatna nge thleng thei?

Vanneihthlak takin mi tam zawk chuan harsatna lian tham an nei lo. Natna active phase a zawh hnuah mit hmel leh hmuh dan chu eng emaw chen chu a pangngaiin a lo kir leh thei a ni. Mahse, a then phei chuan mit vel tissue-ah hliam a awm thei a, chu chuan inthlak danglamna nghet tak a thlen thei a ni.

Hmuh dan inthlak danglamna awm reng

• Mitmeng hnunglam: Mitmeng chu chunglam hawia hrual a ni a, mit chu a lianin a hlauthawng hmel hle.
• Mit chhuak chhuak:Mit hmaa hmalam pan chu a awm reng thei.
• Mit baggy: Mit vel a hring hi a awm reng thei.

Mit hmuhna lama inthlak danglamna awm reng

• Vision a fiah lo
• Double vision hmuh theihna
• A nasat chuan mit hmuhna hloh vek: Hei hi a tlem hle. Hei hi mit hnunglam tissue a lo hring chhuak a, optic nerve a press chuan a thleng thin. Hei hi emergency a ni.

Engvangin nge hetiang hi a lo awm? Risk factors te chu engte nge ni?

Kan sawi tawh ang khan hei hi a chhan ber chu autoimmune process a ni. I in chhungah chabi i nei ang tih han ngaihtuah teh. Chabi dik tak i dah chuan kawngkhar chu a inhawng a. Tunah chuan rukru pakhat a lo kal a, chu chabi nena inang chabi lem a dah a, kawngkhar chu a hawng ang tih han ngaihtuah teh. Kan taksa immune system siamtu thil thenkhat (antibodies) te hi thyroid hormone ang bawkin an che a, thyroid gland leh mit hnung lama tissue-a receptor te nen an inzawm tlat a ni. Hei vang hian thyroid gland nghawngtu hian mit a nghawng bawk.

Hetiang dinhmun thlentu risk factor engemaw zat a awm a:

• Hmeichhia nih: Hmeichhia hi mipa aiin a let nga velin he natna hi an vei tam zawk. Mahse, mipain a neih tak tak chuan a nasat deuh a rinawm.
• Thyroid hormone level pangngai lo: Thyroid hormone level sang (hyperthyroidism) emaw tlahniam (hypothyroidism) emaw hian hei hi a nghawng thei a ni.
• Radioiodine therapy: Hei hi Graves natna enkawlna ber a ni. Mahse, mi thenkhatah chuan he enkawlna hian a ti na zual thei a, TED thar a thlen thei bawk.
• Meizial zuk: Hei hi risk factor pawimawh ber leh i thunun theih tur a ni. Meizial zu leh secondhand smoke vei te chu TED vei an hlauhawm zawk. Tin, meizuktuin he natna hi a neih chuan a natna lan chhuah dan a na zawk a, a rei zawk bawk.

He natna hi Doctor hian engtin nge a hriat chian?

I doctor chuan i mit enfiah (physical eye exam) hmangin he natna hi a hre thei tlangpui. I mitmeng leh mitmeng awmna ang chi thilte chu uluk takin an enfiah ang.

Chu bakah, a hnuaia test te hi a diagnosis tih finfiah nan leh thyroid function enfiah nan order theih a ni bawk:

• Thisen test dan: 1.1.Thyroid hormone level (TSH, T3, T4) leh thyroid gland laka antibody level test.
• Mit ultrasound, CT, MRI scan: Heng scan atang hian mit hnung lama taksa ruh leh tissue dangte chu engtiang chiahin nge a hring tih chiang takin a hmu thei a ni.

Hei hi eng enkawlna nge ni?

Enkawlna i mamawh chi chu i natna stage leh nasat danah a innghat ang. Natna hi a active lai hian a symptoms control nan supportive treatment an hmang thin. Natna a reh tawh chuan mit leh pianphung siam that leh nan operation neih a ngai mai thei.

Natna active lai hian supportive care

A tul chuan operation tih tur a ni

Natna active phase a tawp a, a dinhmun a nghet tawh hnuah surgery an ti fo thin. Chumi hnuah chauh chuan hmel leh mit hmuhna lama inthlak danglamna nghet tak eng nge lo awm tih hriat theih a ni.

• Orbital decompression surgery: Mit hnunglam pressure a sang lutuk a, optic nerve tihchhiat theihna a awm chuan mit vel ruh hmun tlemte chu lakchhuah a ni a, chu chuan hmun a siam a ni. He surgery hi mit atanga chhuak tur tihtlem nan an ti bawk.
• Eyelid surgery: He surgery hi mitmeng tla tawh chu siam that leh nan tih a ni.
• Mit ruh surgery: Double vision hi a awm reng a nih chuan mit chetna chu normal alignment-a awm leh turin mit ruh surgery neih a ni.
• Thyroidectomy: Damdawi in thyroid hormone level a control theih loh chuan thyroid gland chu operation hmanga lakchhuah a ngai mai thei.

Engtikah nge i doctor hmuh nghal tur

TED vei i nih angin i natna lan chhuah dan hriat reng a pawimawh. A bik takin i mit hmuh danah inthlak danglamna i hmuh chuan i medical team te hriattir nghal tur a ni.

• I field of vision a tlahniam a, a sir lehlamah i hmu thei lo ang tih i hriat chuan.
• A rawng a danglam tawh a nih chuan (e.g., sen chu faded pink ang mai a ni).
• Mit na tak i neih thut chuan.

Hetiang dinhmun hian i nunah nghawng lian tak a nei thei a ni. Mit na, nuam lo, leh i hmel danglamna avang hian rilru lama harsatna i nei thei bawk. Chuvangin i medical team te nen zalen taka inbiakna neih a pawimawh a, chhungte leh thiante hnen atanga tanpuina dil a pawimawh. I mamawh puihna i dawng lo nia i hriat chuan i doctor nen sawiho rawh. I rilru hahdamna tur atana i mamawh tur resources te chu an pe thei ang che.