Thyroid gland hian i mit a nghawng em? Thyroid Eye Disease chungchang zawng zawng i zir vek ang u!

Thyroid harsatna hian i mit a nghawng thei tih i hre ngai em? A châng chuan, natna pakhat chu natna dang nên kan hriat loh pawhin a thlunzawm thei a ni. Chu chu thyroid mit natna, a nih loh leh doctor-te’n an tih ang chi (Thyroid Eye Disease - TED) an tih chu a ni. Hei hi i mit chhehvela tissue nalh tak takte a lo hring chhuah lai a ni. Hei hian i mit a ti na thei a, a ti na thei bawk. Hetiang dinhmun hi autoimmune natna nei, thyroid gland beitute zingah hmuh tur a awm fo. Hei hi (Graves’ disease) an tih natna nei te tan chuan a hluar hle. Chuvang chuan doctor ten Graves’ Eye Disease an ti fo thin.

Thyroid mit natna (TED) hi eng nge ni tak tak?

A awlsam zawngin sawi ila, Thyroid Eye Disease (TED) hi i mit chhehvel tissue te a nghawng a, a hring chhuak thin. Autoimmune disease a ni a, chu chu i taksa ngeia immune system hian thyroid gland bakah i mit vel tissue te chu a bei sual tihna a ni.

Kan immune system hi kan ram humhimtu sipai ang maiin han ngaihtuah teh. Mahse a chang chuan he sipai hian tihsual a nei a, mahni mite an bei thin. Chu chu autoimmune natnaah pawh a thleng thin.

TED hi condition lo awm leh awm lo a ni lo. Stage hrang hrang a nei a. A hring leh a natna chu kum hnih emaw a aia rei emaw chhung chu a lo thleng thei a, a awm lo thei bawk. Mi tin hian natna lan chhuah dan a inang lo va; mi thenkhat chuan an tawng tlem hle a, thenkhat erawh chuan symptom na tak tak an nei thei thung. Mi tam zawk tan chuan thil pawi tak a ni lo. Mahse, a nasat chuan mit a tichhe reng thei a, a hmel a tidanglam thei a, mit a tichhe thei bawk.

He natna hi doctor-te’n hming dang an hman i hre tawh mai thei. Heng hmingte zingah hian:

• Thyroid mit lam natna
• Thyroid orbitopathy a awm thei
• Graves-a mit lam natna (ophthalmopathy) a ni
• Graves-a orbitopathy a ni

Heng zawng zawng hi dinhmun inang hming hrang hrang mai a ni a, chuvangin lungngai suh.

Thyroid mit natna (TED) natna lan chhuah dante chu engte nge ni?

Tunah chuan he dinhmun hi engtin nge i hriat theih ang tih i en ang. Heng symptoms zinga pakhat emaw a aia tam emaw i neih leh neih loh en rawh:

• Proptosis: Mit chu a lianin a rawn chhuak niin a lang.
• Mit na tak, kang: A nuam lo mai mai a, i mit ah thil dik lo a awm ang maiin.
• Mitmeng a hring leh a sen (Blepharitis): Mit hmul kilte chu a hring leh sen a ni thei.
• Mit a vawt emaw, mittui tlak fo emaw: Mi thenkhat chuan mit vawt an nei a, thenkhat erawh chuan mittui tla mai mai a ni.
• Frequent blinking: Mit mit khap fo, thunun theih loh.
• Sensitivity to light (Photophobia): Mit chu a sen a, ni a chhuah emaw, light a eng emaw pawhin, hmuh a harsa hle.
• Mit na leh lu na:Mit vel natna nen a lo thleng thei a, lu na pawh a ni thei.
• Mit sawn harsa: Chunglam, hnuai lam emaw, sir lam emaw en chuan mit sawn harsa ang maiin a lang.
• Diplopia: Thil pakhat chu pahnih anga hmuh.

Heng symptoms te hian mit pahnih a nghawng tlangpui a, mahse a chang chuan heng symptoms te hi mit pakhatah chauh hmuh theih a ni.

Graves’ Eye Disease hian eng harsatna nge a thlen?

Thyroid mit natna active phase a zawh hnuah mit hmel leh mit hmuh dan a inthlak danglam thei a ni. Mahse hei hi a thleng ngai lo. A châng chuan mit vêla tissue-te chu a hliam a, a pangngaiin a kir leh tawh lo thei bawk. Tin, mit hmuhna tichhe thei hmun thenkhat chu a chhe vek thei bawk. Mahse, lungngai suh, heng thilte hi surgery hmanga enkawl theih a ni.

A lan danah hian a awm reng thei ang:

• Mitmeng hnunglam hawi
• Mit chhuak chhuak
• Baggy mitmeng a ni
• Mit sen a ni

Mit hmuhna lama inthlak danglamna nghet tak a awm thei:

• Vision a fiah lo
• Double vision hmuh theihna
• Mit chak lohna nasa tak - Hei hi a tlem hle a, mahse hriat a tha.

Engvangin nge thyroid mit natna (TED) kan neih?

Kan sawi tawh ang khan autoimmune disease a ni. Hei hian i taksa ngeia immune system hian i thyroid gland leh i mit chhehvel tissue te chu a bei tihna a ni. Graves natna hi a chhan ber a ni. Mahse autoimmune thyroid natna dang, Hashimoto natna nei te tan pawh a awm thei bawk. Mak tak maiin, a chang chuan thyroid lama harsatna nei lo leh thyroid hormone level pangngai nei te chuan TED an nei thei thin.

Heng natnaah hian i immune system siam antibody thenkhat chu thyroid hormone angin hna an thawk a, thyroid hormone receptor-ah an inzawm a ni. Heng receptor te hi thyroid gland ah an awm tam ber a, mahse thenkhat chu mit hnunglam tissue ah te pawh an awm bawk. Chuvangin, thyroid tichhe thei antibodies ang tho hian mit a nghawng bawk.

Tute nge vei (TED) vei theihna hlauhawm ber?

Mi thenkhat chuan he natna hi an nei tam zawk. Heng zinga pakhatah hian i tlu em tih en rawh:

• Hmeichhia i nih chuan: Hmeichhia hian mipa aiin Graves natna leh Graves mit natna hi a let nga velin an vei tam zawk. (Amaherawhchu, mipain a neih tak tak chuan a nasat zawk a rinawm.)
• I thyroid hormone level a dik lo a nih chuan:Thyroid hormone level sang (hyperthyroidism) leh tlahniam (hypothyroidism) te hian TED a thlen thei a ni. Heng hormone te hian a hmaa kan sawi tawh antibodies te ang bawkin mit tissue-a receptor te chu an tichak a ni.
• Radioiodine therapy (RAI therapy) i lo ei tawh a nih chuan: RAI therapy hi hyperthyroidism enkawlna bulpui ber a ni. Mahse, TED-ah a thawhhlawk thei a, a tichhe thei bawk.
• Meizial i zuk chuan: Hei hi a pawimawh hle. Meizial zu leh secondhand smoke vei te hi thyroid mit natna vei theihna a sang hle. Tin, meizu mite zingah hian symptoms hi a na zawk a, a rei zawk bawk. TED i neih chuan i tan i tih theih tha ber chu meizuk bansan hi a ni.

Doctor (TED) an awm leh awm loh engtin nge ka hriat theih ang?

I doctor chuan he natna hi taksa mit enfiahna leh i mitmeng leh mit uluk taka enfiahna hmangin a hriat theih a ni.

Chutiang rinhlelhna a lo awm chuan i thyroid hormone level leh chutiang antibodies chu i thisenah a tam lutuk emaw, a tlem lutuk emaw enfiah turin thisen test vawi engemaw zat an ti ang.

Chu bakah, doctor chuan test dang engemaw zat a dil thei bawk:

• Mit chu ultrasound hmanga enfiah a ni
• CT Scan (Computed Tomography - CT) hmanga enfiah a ni
• MRI (Magnetic Resonance Imaging - MRI) hmanga enfiah a ni

Heng test te hian mit vel tissue te chu engtiang chiahin nge a hring tih leh nerve te chungah pressure a awm em tih chiang takin a hriat theih a ni.

(TED) enkawlna tur engte nge ni?

Enkawlna i mamawh chi chu natna stage leh a nasat danah a innghat ang. (TED) Active phase chhung hian symptoms tihziaawmna tur enkawlna a awm a. Chûng zîngah chuan in lama damdawi, over-the-counter damdawi, a nih loh leh prescription damdawi te pawh a tel thei. Active phase a zawh hnuah i hmel lan dan siam that emaw, i mit hmuhna siamthat emaw nan operation i mamawh mai thei.

Symptoms tihziaawmna tura enkawlna

TED a active lai hian heng enkawlnate hian a pui thei a ni:

• Eye drops: Mit vawt, sen emaw, mit na emaw tihziaawm nan mittui tlakna chi hrang hrang a awm a.
• Selenium supplement: Selenium tlakchhamna hian TED symptoms a tipung tih hmuhchhuah a ni a, chuvangin i doctor chuan hengte hi a rawn rawt mai thei.
• Scleral lens: Hengte hi contact lens nen a inang a, mahse mit hmun zau zawk a khuh a, venhimna dang a pe bawk. Damdawi pekna atan pawh hman theih a ni.
• Vision aids te chu: 1.1.Double vision i neih chuan i doctor chuan mit patch emaw, special prism nei glasses vuah emaw a rawt thei ang.
• (Thionamides) Damdawi: (hyperthyroidism) (Graves natna avanga) i neih chuan thyroid hormone level tihhniam nan damdawi (methimazole) leh (propylthiouracil) te pek theih a ni.
• Corticosteroids: I natna lan chhuah dan a nasat chuan i doctor chuan hun rei lote chhung atan corticosteroids a pe thei a, chu chuan i hliam a tihziaawm thei a ni. Chungte chu ka ei pill angin emaw, vein (IV)-a injection angin emaw pek theih a ni.
• (Teprotumumab - Tepezza®): Hei hi kum 2020-a United States-a (TED) enkawl tura phalna pek hmasak ber a ni. Hei hi (biologics) tih class-a damdawi thar, inflammation tihziaawmna a ni. Tunah hian hetiang damdawi tam zawk siam chhuah a ni ta.
• Radiation therapy: Mit hnung lama active immune cells tihchhiat leh swelling tihziaawmna turin radiation therapy ngaihtuah rawh. I mit doctor chuan radiation oncologist hnenah a refer thei che a ni.

Heng enkawlnate hian i tan a thawk tha lo a nih chuan i medical team chuan enkawlna dang an pe ang tih hre reng ang che. Graves-a mit natna active stage-ah hian operation neih a ngai tlem hle. A tam zawkah chuan i dinhmun a lo nghet tawh hnuah operation tih hi ngaihtuah a ni. Chumi hnuah chauh chuan hmel leh mit hmuhna lama inthlak danglamna chu eng nge awm reng dawn tih chiang takin kan hre thei ang.

(TED) tan surgery neih a ni.

Thil engemaw takah chuan operation neih a ngai mai thei:

• Orbital decompression surgery: A tlem hle a, he surgery hi swelling hian optic nerve-ah pressure a siam a nih chuan a ngai thin. Surgeon chuan ruh pakhat chu a la chhuak a, chu chuan pressure a tiziaawm a ni. Hei hi natna a reh hnua mit bulging tihziaawm nan an ti bawk.
• Thyroidectomy: Hyperthyroidism na tak enkawlna a ni. Damdawi in thyroid hormone level a control theih loh chuan thyroid gland hi lakchhuah a ngai mai thei.
• Mitmeng surgery: I mitmeng chu a tla lut tawh a nih chuan he surgery hi a pianphung hmasa lama awm leh turin tih a ni. Hei hian mit hrehawmna a tiziaawm mai bakah, a hmel a titha a, mit chu exposure laka a veng bawk.
• Mit ruh surgery: Mit tichaktu thau te chu hliam a awm a, mit tihchet harsat a nih chuan emaw, mit a inrem lo a, kawng hrang hrang pahnih i hmuh chuan he surgery hi a ngai mai thei.
• Oculoplastic surgery: Hei hian mit vel a soft tissue leh/ emaw ruh te siam thar lehna a ni. Mit chhuak leh mit hnuaia bag awm ang chi cosmetic problem te a tifel thei a ni.
• Mit (corneal transplant) tih hi: 1.1.Natna active phase-a mit a inhriat avanga mit (cornea) a chhe nasa hle a nih chuan mit hmuhna tichak turin mit (corneal transplant) ngaihtuah theih a ni.

(TED) Thil awmdan tur chu eng nge ni?

Mi tam zawk tan chuan TED hi a na vak lo va, chuvangin a hmalam hun chu a tha tlangpui. Mi tam zawk chuan symptoms na lo tak tak an nei a, chu chu anmahni chauhin a bo fo thin. Mahse, kum 50 chunglam tan chuan a natna lan chhuah dan hi a na zawk thei a, TED na tak i neih chuan enkawl nan enkawlna hrang hrang i mamawh mai thei. Mi thenkhat chuan an mit ah inthlak danglamna nghet tak an nei thei a, chu chu zai a ngai thei bawk.

Engtikah nge Doctor ka hmuh ang?

Thyroid mit natna i neih chuan i natna lan chhuah dan a zual chuan i healthcare team hriattir a pawimawh. I mit hmuh danah inthlak danglamna i hmuh chuan i hrilh tur a ni bawk. Hrilhfiahna ṭhenkhatah chuan emergency treatment a ngai mai thei. A hnuaia thilte hi i hriat chuan i doctor ko nghal rawh:

• I field of vision a zim deuh niin a lang a nih chuan, a nih loh leh kawng khatah i vision hloh a nih chuan.
• A rawng te chu a awm tur aia danglamin a lang a nih chuan.
• Mit na tak i neih thut chuan.

Graves-a mit natna hian i nunphung a nghawng thei tak zet a ni. Mi tam tak chuan symptom na tak tak an nei lo a, mahse an neih chuan a lungchhiatthlak hle thei. I mit vel a hring hian i thlamuanna, i mit hmuhna leh i hmel lan dan a nghawng thei a ni. Heng zawng zawng hmachhawn tur hian doctor team a ngai a ni. Mimal nunah pawh support neih a pawimawh bawk. I mamawh support i dawng lo a nih chuan i medical team te zawt rawh. I rilru hriselna atana pui thei tur resources te an hrilh thei che a ni.

Thil pawimawh hriat reng tur (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang khan i hriat reng tur thenkhat chu khaikhawm ila:

• Thyroid eye disease (TED) hi thyroid gland-a harsatna awm thei nena inzawm mit tichhe thei a ni.
• Mit bulging, sen, swelling, leh double vision ang chi symptoms te chu fimkhur rawh.
• Meizial i zuk chuan bansan ngei ang. Hei hi i tanpui theihna lian ber a ni.
• Symptoms a nasat chuan emaw, mit hmuhna a danglam tih i hriat chuan , doctor thurawn zawng nghal rawh.
• Mi tam zawk tan chuan he natna hi a na lo hle a, enkawlna chi hrang hrang a awm bawk. Chuvangin hlauthawng suh, mahse damdawi lam panna mumal neih a pawimawh hle.
• Hemi hun chhung hian i rilru hriselna pawh a pawimawh hle. Chumi atan pawh chuan tanpuina zawng hreh suh, i mamawh chuan.

He thu hi i tan a tangkai ngei ka beisei. Hrisel takin awm rawh!

` Thyroid mit natna, Graves-a natna, mit hring, mit sen, mit hmuhna lama harsatna, thyroid, hormone