Kei te whakaaro koe i ētahi wā kei te hē tetahi mea o tō tinana, ā, kāore koe i te pai? Kei te whakaaro koe kei te tere rawa te mahi a tō tinana, kei te manukanuka koe, ā, kei te uaua ki te arotahi i tō hinengaro? Mena koinā, tera pea kei te kaha rawa te mahi a tō repe tairoi. I tēnei rā, me kōrero tātou mō tēnei āhuatanga e kiia nei ko te hyperthyroidism.

He aha te hyperthyroidism? Kia mārama tātou!

Ki te kī ngāwari, ko te hyperthyroidism te wā ka nui rawa te mahi a te repe tairoiti i roto i tō kaki, ā, ka nui rawa te homoni tairoiti e whakaputa ana. He repe iti te repe tairoiti, he āhua pūrerehua kei mua o tō kaki. Ahakoa he iti, he nui tana mahi. He mea nui ngā homoni tairoiti mō te whakahaere i ngā mea maha i roto i ō tātou tinana, inā koa te tere o te whakamahinga o te pūngao e tō tātou tinana, te pākia rānei.

E rua ngā momo matua o ngā homoni tairoiti, ko te `triiodothyronine (T3)` me te `thyroxine (T4)`. Kei reira anō te `hormone whakaoho-tairoiti (TSH)`, e ahu mai ana i te repe pituitary e kī ana ki te tairoiti kia hanga homoni. Ināianei, i roto i te hyperthyroidism, ko te mea ka tupu ko te kohikohinga o ēnei homoni `(T3)` me `(T4)` i roto i te toto i te mea e tika ana. Kātahi ka tere haere te maha o ngā mea i roto i te tinana, pērā i te tereina e tere haere ana. Tērā pea ka rite koe ki te "tino tere" tō tinana katoa. Tērā pea ka rite koe ki te mea ehara koe i a koe anō. Nō reira he mea tino nui kia mōhio koe ki tēnei me te toro atu ki te tākuta mēnā he tohu kei a koe.

He pēhea te noa o tēnei āhuatanga?

Ehara i te mea tino noa te hyperthyroidism. Hei tauira, i tētahi whenua pērā i Amerika, e kiia ana ko te 1.3% anake o te taupori he mate pēnei. Engari, ka pā ki te katoa, nō reira he mea pai kia mōhio ki tēnei.

He aha ngā tohu o te hyperthyroidism? Tirohia mēnā kei a koe anō ēnei!

Nā te mea ka pā te hyperthyroidism ki te tinana katoa, tera pea he maha atu i te kotahi ngā tohu. Tērā pea he torutoru noa iho ēnei tohu kei ētahi tāngata, engari he maha tonu ngā tohu kei ētahi i te wā kotahi. Tirohia mēnā kei a koe tētahi o ēnei:

• Te tere o te manawa (Tachycardia) me/ranei te tere o te pā. He rite ki te pahu e patupatu ana i roto i te uma.
• Te pikinga o te toto toto .
• Te āhua e wiri ana ō ringaringa (`(Te wiri o te ringa)`). Me te mea kei te wiri koe ahakoa kei te pupuri koe i tētahi kapu tī.
• Te manukanuka tonu, te kore okioki, me/ranei te ngawari ki te riri .
• Te hekenga o te taumaha ahakoa te pai o te hiahia kai , ahakoa pea he nui ake tāu kai.
• Te pupuhi pinepine, te kore rāneiHe āhuatanga pērā i te mate korere .
• Te werawera nui me te kore e manawanui ki te wera nui.
• He raina makawe kāore i te pumau, pērā i te ngaronga o te makawe , te wehenga rānei o ngā pito makawe.
• Te kore moe (te kore e taea te moe i te pō).
• Ko ngā huringa o te huringa paheketanga o te wahine, hei tauira, te hekenga o te nui o te toto e rere ana i roto i te marama, te mutu katoa rānei o te paheketanga .
• Te pupuhi o te taha mua o te kaki, e kiia nei ko te goiter .
• Ngā kanohi pupuhi, ngā kanohi pūwero rānei (`(Te mate kanohi tairoi)`).

Ka tīmata ohorere pea ēnei tohu, ka puta mārire rānei i roto i te wā. Ko te mea nui ko te toro atu ki te tākuta mēnā kei a koe tētahi, ētahi rānei o ēnei tohu.

He aha te take e puta ai te hyperthyroidism? He aha ngā take?

He maha ngā take o te hyperthyroidism. Me titiro tātou ki ngā mea matua:

• Te mate a Kerei: Koinei te tino take o te hyperthyroidism. He mate pūnaha ārai mate te mate a Kerei. Ki te kī ngāwari, ka whakaekea e te pūnaha ārai mate o tō tātou tinana tō tātou ake repe tairoi, ka nui rawa te homoni e whakaputaina ana e ia. Mena he mate tairoi, he mate pūnaha ārai mate rānei tō tētahi o tō whānau, he nui ake te tūponotanga ka pāngia koe e tēnei mate.

• Ngā pona tairoiti: He pūpū, he tautau rānei o ngā pūtau e puta mai ana i roto i te repe tairoiti. I ētahi wā ka nui rawa te homoni tairoiti e puta mai i ēnei pūpū. Ka kiia hoki tēnei e ngā tākuta he goiter multinodular paitini (TMNG). Engari kaua e manukanuka, he onge noa iho te mate pukupuku o ēnei pūpū tairoiti.

• Te mate tairoidi: He mumura, he pupuhi rānei tēnei o te repe tairoidi. Ka taea e tēnei te puta he hyperthyroidism rangitahi. I muri i tēnei wā o te nui rawa o te whakaputanga, ka puta pea te hypothyroidism (te iti o te whakaputanga o ngā homoni tairoidi). Kia mutu te mumura, ka hoki pea ngā taumata homoni ki te āhua noa.

• Te nui rawa o te iodine e uru ana ki te tinana:Ki te nui rawa te iodine e kainga ana e tātou, mai i ētahi rongoā rānei, ka taea e ia te whakaoho i te repe tairoiti kia nui rawa te homoni. Nā te mea he kohuke nui te iodine mō te hanga o ngā homoni tairoiti. I ētahi wā ka puta tēnei āhuatanga ina whiwhi koe i te rongoā ārai iodine IV (he tae e whakamahia ana mō ngā hihi-X motuhake) ina tango rānei koe i ngā rongoā pēnei i te Amiodarone (he rongoā mō te ngākau).

• Te adenoma pituitary e tuku ana i te TSH / Thyrotropinoma: He tino onge tēnei āhuatanga. Ka nui rawa te homoni whakaoho-tairoi (TSH) e puta mai ana i tētahi pukupuku iti i roto i te repe pituitary i roto i tō tātou roro. Kātahi ka akiakihia te repe tairoi kia whakaputa i ētahi atu homoni.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te hyperthyroidism?

He nui ake te tūponotanga o ētahi tāngata ki te pāngia e tēnei mate i ētahi atu. Ko ētahi o ngā tino take mōrearea e pā ana ki tēnei mate ko:

• He mate tairoi, he mate pūnaha ārai mate rānei tō tētahi o tō whānau .
• Te momi hikareti.
• Te hapūtanga (ina koa ko te mate tairoi muri i te whānautanga, he mate e pā ana i muri i te whānautanga).

Me pēhea te tātaritanga a te tākuta i tēnei?

Ka whai te tākuta i ētahi mahi hei whakatau mēnā he hyperthyroidism tōu:

1. Whakamātautau tinana: Tuatahi, ka tirotirohia koe e te tākuta kia kite ai mēnā he tohu tōu o te hyperthyroidism. Hei tauira, kei te pupuhi tō repe tairoi, kei te piki haere te tere o tō manawa, ā, kei te mahana, kei te mākūkū hoki tō kiri?

2. Ngā whakamātautau toto tairoi: Ka tirohia e ēnei ngā taumata o ngā homoni tairoi i roto i ō toto. He nui ake ngā taumata o ngā homoni `(T3)` me `(T4)` i te mea noa i te tangata e pāngia ana e te hyperthyroidism. Ko te taumata o te ``Hōmona Whakaoho Tairoi (TSH)`` he maha ngā wā (engari kāore i te katoa) he iti iho i te mea noa.

3. Whakamātautau toto mō te paturopi tairoi: Mā tēnei ka āwhina ki te whakatau mēnā ko te mate a Graves te take.

4. Ngā whakamātautau whakaahua: Ka taea te whakahaere i ngā whakamātautau whakaahua o tō repe tairoiti hei whakatau i te pūtake o te hyperthyroidism. Kei roto i ēnei ko te whakamātautau me te matawai i te tango i te iodine radioactive (RAIU), me te ultrasound tairoiti. Ma tō tākuta koe e whakamārama i ēnei whakamātautau, ā, ka tūtohu ko tēhea te mea e tika ana māu.

He aha ngā maimoatanga mō te hyperthyroidism?

Ko te rongo pai, he mate ka taea te rongoā i te hyperthyroidism. I runga i te pūtake o tō mate, tera pea he pai ake ētahi maimoatanga mōu i ētahi atu. Ka matapakihia e tō tākuta ia o ēnei kōwhiringa maimoatanga me koe, ā, ka āwhina i a koe ki te whiriwhiri i te mahere maimoatanga pai rawa atu māu.

• Ngā rongoā ārai-tiroiora: Ka whakaitihia e te Methimazole (Tapazole®) me te Propylthiouracil (PTU) te kaha o tō repe tairoi ki te hanga homoni. Ko ēnei rongoā te rongoā tino noa mō te hyperthyroidism. I te nuinga o te wā ka taea te whakahaere i te mahi tairoi i roto i ngā marama e rua ki te toru. Tērā pea ka tīmata te pai haere o ō tohu i roto i ētahi rā, i ētahi wiki rānei.

• Te maimoatanga i te iodine radioactive (RAI): Ko te tango i tētahi kāpū, i tētahi wai rānei kei roto te iodine radioactive mā te waha. Ka haere tika te iodine radioactive ki ō pūtau tairoi ka whakangaro i a rātou. Ko te tikanga ka whakangaromia e te maimoatanga RAI te repe tairoi mō ake tonu atu, ā, ka ora ai te hyperthyroidism. Heoi, he maha ngā tāngata e whiwhi ana i tēnei maimoatanga me tango i te rongoā homoni tairoi (Levothyroxine) mō te toenga o ō rātou oranga kia mau tonu ai ngā taumata homoni.

• Pokanga (`(Thyroidectomy)`): Ka taea e te taote pokanga te tango i te katoa, i tetahi wāhanga rānei o tō repe tairoiti. Ka taea e tēnei te whakatika i te hyperthyroidism, engari he maha ngā wā ka puta ko te ``Hypothyroidism`` (he iti ngā taumata homoni tairoiti). Kātahi ka hiahia koe ki te tango i te rongoā homoni tairoiti mō te toenga o tō oranga.

• Ngā ārai-beta: Ka taea e ēnei rongoā te āwhina i te whakahaere i ngā tohu o te hyperthyroidism, pērā i te tere o te manawa, te kore okiokinga, me te wiri. Engari kāore e whakarerekē i ngā taumata o ngā homoni i roto i te toto. Tērā pea ka hoatu e tō tākuta ēnei ārai-beta ki a koe me ētahi atu maimoatanga.

He pānga taha me ngā mōrearea anō tō ia maimoatanga. Mā tō tākuta ēnei e whakamārama ki a koe. Kaua e wehi ki te pātai.

He aha te āhua o te oranga mō te tangata e pāngia ana e te hyperthyroidism? (Te āhua o te oranga)

He mate ka taea te rongoā i te hyperthyroidism. He pai te nuinga o te tangata ki te rongoā. Ko ētahi maimoatanga me whakamahi rongoā mō te wā roa, engari ka taea e ia te pupuri i ngā taumata o te homoni tairoi ki te taumata hauora.

Heoi, ki te kore e rongoatia te hyperthyroidism i puta mai i te mate a Graves, ka kino haere i roto i te wā, ā, ka arahi atu ki ngā raruraru pēnei i te ophthalmopathy a Graves. Mena kei a koe te mate a Graves, pātai atu ki tō tākuta me pēhea te whakahaere pai i a ia.

He aha te mea ka puta mēnā kāore e rongoatia? He mea morearea?

Ki te kore e rongoatia, ki te kore rānei e rongoatia tika, ka pā mai ngā raruraru maha nā te hyperthyroidism. Ko ētahi o ēnei:

• Te fibrillation atrial (Afib) (te manawa pākiki koretake)
• Te ngoikore o te ngākau (mate ngākau)
• Te kore tamariki
• 'Te whiu ischemic' (pararutiki)
• Te osteoporosis (te angiangi o ngā wheua)

He raruraru onge engari he mate pea te hyperthyroidism ko te thyroid storm (e kiia ana ko te thyroid crisis, ko te thyrotoxic crisis rānei). Koinei te wā e whakaputa ai tō repe thyroid i te nui o te homoni thyroid ki roto i ō toto i roto i te wā poto rawa. He āhuatanga ohorere hauora tēnei. Ka taea e te hyperthyroidism kāore i te rongoatia, i te kore rānei i te rongoatia pai te whakaputa i te thyroid storm. Ka taea te whakanui ake i tēnei āhuatanga e ngā āhuatanga taumaha pēnei i ngā mate, ngā whara, me ngā pokanga.

Āhea ahau me toro atu ki te tākuta?

Ki te mea kei a koe ngā tohu o te hyperthyroidism, he mea nui kia kite koe i tētahi tākuta kia arotakehia tō āhua, kia whiwhi ai hoki i te maimoatanga e tika ana.

Mena kua mōhio kē koe kei a koe tēnei mate, me toro atu koe ki tō tākuta i ia wā, kia mōhio ai koe kei te tika te haere o tō maimoatanga.

Ki te pāngia koe e ngā tohu o te "āwhā tairoi", pērā i te kirika nui me te tere o te manawa o te ngakau, haere ki te hōhipera tata tonu.

Ka piki ake te taumaha i tēnei āhuatanga?

Kāore te hyperthyroidism e whakapiki i te taumaha. Inaa, ka heke te taumaha o ētahi tāngata ahakoa he pai te hiahia kai. Nā te mea ka whakanui ake te hyperthyroidism i te tere o te pākia o te tinana, ka nui ake ngā kaora e whakamahia ana e ia i te mea noa mō te pūngao.

Ka taea e te Hypothyroidism (te iti o te hanga o ngā homoni tairoi) te whakaheke i te tere o te pākia o te tinana me te whakanui i te taumaha.

Ka taea te whakawhanake i te hyperthyroidism i te wa e hapu ana?

Ae, ka puta pea tēnei āhuatanga i te wā e hapu ana. I ngā wāhanga tōmua o te haputanga, me nui ake ngā homoni tairoi e hangaia ana e tō tinana i te mea noa hei āwhina i te tipu o tō pēpi. Ehara i te mea he raruraru te taumata homoni tairoi teitei ake i te mea noa, engari ki te tino teitei te taumata, me whakawhanake e tō tākuta he mahere maimoatanga. Nā te mea ka pāngia koe e ngā taumata homoni tairoi teitei, tae atu ki tō pēpi.

He uaua te tautuhi i te hyperthyroidism i te wā e hapū ana, nā te mea ka hunaia pea te mate e te pikinga noa o ngā taumata homoni tairoi me ētahi atu tohu o te hapūtanga.

He aha ngā kai me karo e koe mēnā he hyperthyroidism tōu?

I ētahi wā, mā te kai nui rawa i ngā kai he nui te iodine, me te kai rānei i ngā kai kua tāpirihia te iodine, ka pā mai te hyperthyroidism, ka kino ake rānei te āhua o te mate.

Mena he hyperthyroidism tōu, ka tūtohu pea tō tākuta kia hurihia tō kai. Me kōrero tonu ki te tākuta, ki te tohunga kai rānei i mua i te whakarerekētanga nui i tō kai. Kia maumahara, kāore e taea te whakaora i te hyperthyroidism mā te kai anake. Tērā pea me rongoā koe e te rata.

Mena ka tūtohu tō tākuta i tētahi kai iti-iodine, karohia ēnei kai:

• Ika
• Rimu (`(Rimu)` me `(Rimu)`)
• Ngā pāpaka me ngā kōura
• Sushi
• Kōura
• Te rēmana me te alginate
• Ngā hua miraka pērā i te miraka me te tiihi
• Toene hua manu
• Tote iodized

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mea noa te pōuri nui ina whiwhi koe i tētahi tātaritanga hou. Engari ko te rongo pai ko te hyperthyroidism he mate ka taea te rongoā. Mena kei te pāngia koe e ngā tohu pēnei i te kaha rawa o tō tinana, kei te wiri koe, kei te uaua rānei koe ki te arotahi, he mea nui kia kite i te tākuta. Ka taea e tō tākuta te whakahaere i ētahi whakamātautau māmā me te taunaki i te maimoatanga tika hei āwhina i tō tinana kia hoki ki te taurite. Kaua e manukanuka, ka taea e koe te noho hauora!