Kua rongo koe i te ahua kei te neke haere tetahi mea i roto i tō tinana, e waiho ana koe kia pōrearea? Kei te ahua kei te tere rawa te oma o tō pūnaha, e mea ana kia manukanuka koe, kia kore e marino, kia kore rānei e taea e koe te arotahi? Mena koinā, tera pea kei te kaha rawa te mahi a tō repe tairoi. Me kōrero tātou mō tētahi mate e kiia nei ko te hyperthyroidism.
He aha te Hyperthyroidism? Kia Māmā noa iho!
Ki te whakarapopoto, ka puta te hyperthyroidism ina kaha 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 tō tairoiti, he āhua pūrerehua kei mua o tō kaki. Ahakoa he iti, he mahi nui tāna i roto i tō tinana. He mea nui ngā homoni tairoiti mō te whakahaere i ngā mahi maha a tō tinana, inā koa tō pākia o te tinana - te tere o te whakamahinga o te pūngao e tō tinana.
E rua ngā homoni matua o te tairoiti: te triiodothyronine (T3) me te thyroxine (T4). Kei reira anō te homoni whakaoho tairoiti (TSH), e tukuna ana e tō repe pituitary hei tohu i tō tairoiti kia whakaputa i ēnei homoni. I roto i te hyperthyroidism, ka uru te nui rawa o te T3 me te T4 ki roto i tō toto. Ka tere ake ngā mahi a tō tinana, ka rite koe ki te mea kua panaia tō pūnaha katoa ki te tere nui, pērā i te tereina e tere haere ana. Tērā pea ka rite koe ki te mea kāore koe i te tino rite. Ko te mōhio ki ēnei tohu me te kōrero ki te tākuta he taahiraa tuatahi nui.
He Pēhea te Noa o Tēnei Āhuatanga?
Ehara i te mea tino noa te hyperthyroidism. Hei tauira, e pāngia ana e te 1.3% o te taupori i ngā whenua pēnei i te Hononga o Amerika. Heoi, nā te mea ka pā nui ki tō oranga o ia rā, he mea nui kia mārama te katoa ki ōna tohu me ōna āhuatanga.
He aha ngā tohu o te mate taiaki toto nui? Tirohia mēnā kei a koe ētahi o ēnei!
Nā te mea ka pāngia tō pūnaha pākia katoa e te hyperthyroidism, ka horapa haere ōna tohu. He iti noa ngā tohu ngawari ka pā ki ētahi tāngata, ko ētahi ia ka pāngia e ngā tohu maha i te wā kotahi. Tirohia mēnā ka kitea e koe tētahi o ēnei:
- He tere o te manawa o te ngakau (tachycardia) me/ranei he kare e pā ana ki te uma (palpitations)—me te mea he pahu e patupatu ana i roto i tō uma.
- Te pikinga o te toto toto .
- Te wiri o ō ringaringa , ka kite pea koe i te wiri o ō ringaringa ahakoa e mahi ana koe i ngā mahi māmā pēnei i te pupuri i tētahi kapu tī.
- Te manukanuka tonu, te kore okioki, me/ranei te ngawari ki te riri .
- Te hekenga taumaha kāore i te mārama , ahakoa kua piki ake tō hiahia kai , ā, kei te kai nui atu koe i te tikanga.
- Te nekeneke pinepine o te puku , te tūtae rānei e kore e rere pai ana ( te mate korere ).
- Te nui haere o te werawera , me te tino aro nui, te kore rānei e manawanui ki te wera.
- Te ngaro o te makawe , te makawe angiangi, pakarukaru rānei.
- Te uaua ki te moe ( te kore moe ), ka huripokitia koe i te pō.
- Ngā huringa o te huringa paheketanga mō ngā wāhine, pērā i te hekenga māmā o te rere o te toto, te mutu rawa rānei o te paheketanga .
- Te pupuhi i te taha mua o tō kaki, he pona tairoi pea, he pona nui ake rānei ( goiter ).
- Ngā kanohi pupuhi, pupuhi, pūwero rānei (mate kanohi tairoi).
Ka puta ohorere mai ēnei tohu, ka puta mārire rānei i roto i te wā.Ko te mea nui, ki te kite koe i tētahi, i ētahi rānei o ēnei tohu whakatūpato, he mea nui kia kōrero koe ki tētahi tohunga hauora hei āwhina i a koe.
He aha ngā take o te hyperthyroidism?
He maha ngā tino take o te hyperthyroidism. Me titiro tātou ki ngā tino take e puta ai tēnei:
- Te mate a Kerei: Koinei te tino take o te hyperthyroidism. He mate pūnaha ārai mate te mate a Kerei. I roto i ngā kupu ngāwari, ka whakaekea e tō pūnaha ārai mate tō repe tairoi, ka nui rawa te whakaohooho, ka akiaki i a ia ki te whakaputa i ngā homoni nui rawa. Mena he hītori whānau tōu mō ngā mate tairoi, ētahi atu mate pūnaha ārai mate rānei, tera pea ka nui ake tō mōrearea.
- Ngā pona tairoiti: He puku ēnei, he tipu rerekē rānei o ngā pūtau i roto i tō repe tairoiti. I ētahi wā, ka mahi motuhake ēnei pona, ka whakaputa i te homoni tairoiti tāpiri. Ka kiia tēnei e ngā tākuta he goiter multinodular paitini (TMNG). He waimarie, he onge noa iho te mate pukupuku o ēnei pona tairoiti.
- Te mate tairoidi: E pā ana tēnei ki te mumura o te repe tairoidi. Ka taea e ia te turuturu i te homoni tairoidi kua rongoatia, ka arahi ki te hyperthyroidism rangitahi. I muri i tēnei wāhanga o te taikaha o te homoni, ka pāngia pea koe e te hypothyroidism rangitahi (he tairoi ngoikore te mahi) i mua i te whakaoranga katoa o tō tairoi me te hokinga o ngā taumata homoni ki te noa.
- Te nui rawa o te iodine: Ka whakamahia e tō repe tairoiti te iodine mai i tō kai hei hanga homoni. Mā te kai nui rawa o te iodine (mā te kai, mā ngā rongoā rānei) ka puta te nui rawa o ngā homoni i roto i tō tairoiti. Ka puta pea tēnei i muri i te whiwhinga o te werohanga iodine IV (he tae e whakamahia ana i roto i ētahi matawai whakaahua) i te wā rānei e tango ana i ngā rongoā pēnei i te amiodarone (e whakamahia ana hei rongoā i ngā mate manawa o te ngākau).
- Te adenoma pituitary e huna ana i te TSH (thyrotropinoma): He tino onge tēnei take. Ka taea e te pukupuku pai i roto i te repe pituitary (kei te pūtake o tō roro) te huna i te nui rawa o te TSH, ka kī tonu i tō tairoi kia nui rawa ngā homoni.
Ko wai kei te mōrearea nui ake ki te whakawhanake i te hyperthyroidism?
Ahakoa ka pāngia te tangata e te hyperthyroidism, ka taea e ētahi āhuatanga mōrearea te whakanui ake i te tūponotanga o tēnei mate. Ko ētahi o ēnei ko:
- He hītori whānau tō te mate tairoi , te mate pūnaha ārai mate rānei.
- Te momi hikareti.
- Te hapūtanga (ina koa mō te mate pukupuku o te tairoi muri i te whānautanga, ka puta pea i muri i te whānautanga).
Me pēhea te tātaritanga o te hyperthyroidism?
Hei whakaū mēnā he hyperthyroidism tōu, ka whakahaerehia e tō tākuta he aromatawai whānui, e whai ake nei i ētahi mahi:
1. Whakamātautau Tinana: Ka tirohia e tō tākuta ngā tohu ā-tinana o te repe tairoi e kaha rawa ana te mahi, pērā i te repe tairoi e nui haere ana, te tere o te manawa, te wiri o ō ringaringa, te kiri mahana, makuku rānei.
2. Ngā Whakamātautau Toto Tairoiro: Ka ine ēnei i ngā taumata o ngā homoni tairoiro i roto i ō toto. I roto i te hyperthyroidism, he teitei ake ngā taumata T3 me te T4 i te mea noa, engari ko te taumata o tō homoni whakaoho tairoiro (TSH) he iti rawa (ahakoa kāore i te katoa).
3. Whakamātautau Paturopi Tairoiro: Mā tēnei whakamātautau toto ka taea e koe te tautuhi mēnā ko te mate a Graves te tino take o tō mate.
4. Ngā Whakamātautau Whakaahua: He maha ngā tikanga whakaahua hei āwhina i te tautuhi i te tino pūtake o te hyperthyroidism. Tērā pea kei roto i ēnei ko te whakamātautau me te matawai i te tangohanga iodine radioactive (RAIU), te ultrasound rānei o te tairoi. Mā tō tākuta ēnei whakamātautau e whakamārama, ā, ka tūtohu i te kōwhiringa pai rawa atu mō tō āhuatanga.
He aha ngā maimoatanga mō te hyperthyroidism?
Ko te rongo pai, he tino ngāwari te rongoā i te hyperthyroidism. Ko te huarahi pai rawa atu māu ka whakawhirinaki ki te take matua, tō tau, me tō hauora whānui. Ka matapakihia e tō tākuta ēnei kōwhiringa ki a koe hei hanga i tētahi mahere maimoatanga whaiaro.
- Ngā Rongoā Ārai Tairoiro: Ka ārai ngā rongoā pēnei i te methimazole (Tapazole®) me te propylthiouracil (PTU) i te kaha o tō tairoiro ki te whakaputa i ngā homoni hou. Koinei te nuinga o te wā te rārangi tuatahi o te parepare. Ka taea e rātou te kawe i ō taumata homoni tairoiro ki tētahi awhe haumaru i roto i ētahi wiki ki ētahi marama rānei, hei āwhina i te memeha haere o ō tohu.
- Te Whakaora Iodine Irahiko (RAI): Ko te tango i te iodine irahiko mā te waha hei kāpū, hei wai rānei. Ka tangohia te iodine e ngā pūtau tairoi hohe, ka whakangaromia haeretia. Ahakoa he rongoā whai hua, pumau hoki tēnei mō te hyperthyroidism, ka arahi pea ki te kore mahi o te tairoi. Nō reira, me tango pea koe i te rongoā whakakapinga homoni tairoi (levothyroxine) i ia rā mō te toenga o tō oranga kia mau tonu ai te taurite o ngā homoni.
- Pokanga (Thyroidectomy): I ētahi wā, ka tangohia pea e te taote pokanga te katoa, te wāhanga rānei o tō repe tairoiti. Ahakoa ka ea te hyperthyroidism i tēnei, ko te tikanga ka puta ko te hypothyroidism, ko te tikanga me whai rongoā whakakapinga homoni tairoiti koe mō te wā katoa.
- Ngā Ārai-Pēta: Ahakoa kāore ēnei rongoā e whakarerekē i ngā taumata o ō homoni tairoi, ka tere tonu tā rātou mahi ki te whakaora i ngā tohu whakararuraru pēnei i te tere o te manawa, te wiri, me te manukanuka i te wā e whai hua ana ō maimoatanga kē atu.
He painga, he pānga taha, he mōrearea hoki ō ia o ēnei whiringa maimoatanga. Mā tō tākuta koe e āwhina i roto i ēnei whiringa. Kaua e mangere ki te pātai.
He aha te tirohanga roa mō te tangata e pāngia ana e te hyperthyroidism? (Te matapae)
He tino ngāwari te whakahaere i te mate hyperthyroidism. Mēnā he tika te maimoatanga, ka ora tonu te nuinga o te tangata i te ora hauora, i te ora kaha. Ahakoa me tango e koe he rongoā i ia rā mō te wā roa, ka taea e koe te pupuri i ngā taumata homoni noa, pumau.
Heoi, ki te kore e rongoatia, ka taea e te mate a Graves (te tino take o te hyperthyroidism) te arahi ki ngā raruraru pēnei i te ophthalmopathy a Graves (te mate kanohi tairoi). Mena kua tautuhia koe kei te mate a Graves, mahi tahi me tō kaiwhakarato hauora ki te whakahaere pai i taua raruraru.
He aha ngā mea ka puta mēnā kāore te mate hyperthyroidism e rongoatia? He mea mōrearea?
Āe, mā te kore aro, te kore rānei e rongoā tika i te hyperthyroidism ka arahi pea ki ngā raruraru hauora nui i roto i te wā, tae atu ki:
- Te fibrillation atrial (Afib), he tere, he auau hoki te tere o te manawa
- Te ngoikore o te ngākau
- Te kore tamariki, te koretake rānei o te paheketanga
- Te whiu ischemic
- Osteoporosis (ngoikore, pakarukaru ngā wheua)
He raruraru onge engari he morearea ki te ora o te hyperthyroidism kāore i rongoātia ko te awha tairoi (e mōhiotia ana ko te raruraru tairoi, ko te raruraru thyrotoxic rānei). I te wā o te awha tairoi, ka tukuna ohoreretia e tō tairoi he nui o ngā homoni tairoi ki roto i ō toto i roto i te wā poto. He āhuatanga ohorere hauora tēnei. I te nuinga o te wā ka puta mai i te ahotea tinana nui - pērā i te mate kino, te whara, te pokanga rānei - i roto i te tangata he hyperthyroidism kāore i rongoātia, he kore rānei i whakahaeretia pai.
Āhea koe me toro atu ki tētahi tākuta?
Mena kei te pāngia koe e ētahi tohu o te hyperthyroidism, he mea tino nui kia whakaritea he wā hui ki tō tākuta kia tika ai te tātaritanga me te maimoatanga.
Mena kua tāpaetia kētia tō mate, me tirotirohia koe i ia wā, i ia wā, me whakamātautau toto hoki hei aroturuki i ngā taumata o ō homoni, hei whakarite hoki kei te whai hua te mahi a tō maimoatanga.
Ki te pāngia koe e ngā tohu o te tupuhi tairoi—pērā i te kirika tino nui, te tere o te manawa, te pōhēhē, te ohorere nui rānei—waea atu ki te 911 (ki tō ratonga ohorere rānei) me rapu awhina hauora tonu atu rānei i te rūma ohorere o te hōhipera tata rawa atu.
Ka hua ake te taumaha i tēnei āhuatanga?
I te nuinga o te wā, kāore te hyperthyroidism e hua ake ai te taumaha. Inaa, he maha ngā tāngata ka pāngia e te hekenga taumaha ahakoa te nui o te hiahia kai. Ka puta tēnei nā te mea ka tere ake te tere o te pākia o tō tinana e ngā homoni tairoi, ka tere ake te tahu i ngā kaora i tō tinana i te mea noa.
I tētahi atu taha, ka whakaroa te mahi a te tairoi ngoikore (hypothyroidism) i tō pākia o te tinana, ā, koinei te take e piki ai te taumaha.
Ka taea e koe te whakawhanake i te hyperthyroidism i te wa e hapu ana?
Ae, ka puta pea te hyperthyroidism i te wā e hapu ana. I te toru marama tuatahi o te haputanga, ka whakaputa noa tō tinana i ngā taumata teitei ake o ngā homoni tairoi hei tautoko i te whanaketanga o tō pēpi. Ahakoa he mea noa te pikinga iti, me aro turuki me te whakahaere tata mai i tō kaiwhakarato hauora ngā taumata homoni tairoi tino teitei. Ka pāngia pea koe e ngā taumata tairoi kāore i te whakahaeretia mō te hauora me tō pēpi e tipu haere ana.
He uaua te tautuhi i te hyperthyroidism i te wā e hapū ana, nā te mea ko ngā tohu noa o te hapūtanga, pērā i te ngenge, te kore e manawanui ki te wera, me te tere o te ngakau, ka rite ki ngā tohu o te tairoi e kaha rawa ana te mahi.
He aha ngā kai me karo e koe mēnā he hyperthyroidism tōu?
I ētahi wā, mā te kai i ngā kai he nui te iodine, ngā kai rānei e tāpirihia ana te iodine, ka taea te whakaoho, te kino rānei i te hyperthyroidism.
Mena he hyperthyroidism tōu, ka tūtohu pea tō tākuta kia whakarerekētia tō kai. Me kōrero tonu ki tō tākuta, ki tētahi tohunga kai rānei kua rēhitatia i mua i te whakarerekē i te kai. Kia maumahara kāore e taea e te kai anake te whakaora i te hyperthyroidism; me whai maimoatanga hauora i te nuinga o te wā.
Mena ka tūtohu tō tākuta i tētahi kai iti-iodine, me whakawhāiti, me karo rānei koe i ēnei kai e whai ake nei:
- Ika
- Rimu me te rimu
- Ngā pāpaka me ngā kōura
- Sushi
- Kōura
- Ngā rimurimu me ngā alginate
- Ngā hua miraka, pērā i te miraka me te tiihi
- Ngā toene hua manu
- Tote iodized
Te Karere Kawe-ki-te-Kāinga
Ahakoa te kitenga i tētahi mate, ka ahua taumaha pea i te tīmatanga. Engari kia maumahara, he tino ngāwari te whakahaere i te hyperthyroidism, ā, ka taea te rongoā. Ki te mea kei te tino tere haere tō tinana, kei te pāngia rānei koe e te manukanuka, te wiri, te tere haere rānei o ngā whakaaro, whakapā atu ki te tākuta. Mā ētahi whakamātautau māmā noa iho, ka taea e tō kaiwhakarato hauora te āwhina i tō tinana kia taurite. Mā te manawa hōhonu—mā te tiaki tika, ka taea e koe te whakaora i tō hauora me te āhua anō ki a koe anō!
