Kua tere rawa te āhua o ngā mea katoa i ēnei rā ? Kei te mataku koe, kei te tere te pao o tō ngākau, kei te heke tō taumaha ahakoa te nui o tāu kai, kei te werawera nui rānei koe? Tērā pea kei te whakaaro koe he wāhanga noa iho tēnei o tō oranga pukumahi. Engari he raruraru pea tēnei ki tō repe tairoi, he repe iti engari he mea nui i roto i tō tinana. Me kōrero tātou mō tēnei i tēnei rā.
He aha tēnei mate hyperthyroidism?
He whakarāpopototanga noa iho, ko te hyperthyroidism he āhuatanga e puta ai te repe tairoi, he rite te āhua ki te pūrerehua, kei te pūtake o tō kaki, he nui ake ngā homoni tairoi e whakaputa ana i te mea e tika ana. Pērā i ngā tukanga katoa o roto i tō tātou tinana, me noho ēnei homoni ki tētahi taumata kia pai ai te mahi. Nō reira, ina piki ake ēnei homoni, ka tīmata te pūnaha o tō tātou tinana katoa ki te pōrearea. He rite ki tētahi motuka e pēhia tonutia ana te pētera whakatere. He tere rawa te mahi a ngā mea katoa.
Kāore tēnei mate e ora ake i a ia anō. Me whiwhi maimoatanga hauora. Nō reira, he mea nui kia mōhio koe ki tēnei.
He aha te rerekētanga i waenga i te Hyperthyroidism me te Hypothyroidism?
Ahakoa he rite te tangi o ēnei kupu e rua, he rerekē rawa ngā āhuatanga e rua. Kaua e whakapoauau.
| Tūnga mate | Te tikanga noa iho |
|---|---|
| Te mate taiaki toto nui | He nui rawa te homoni e whakaputaina ana e te repe tairoiti (He nui rawa te kaha). |
| Te mate pūkahukahu | Kāore e ranea te whakaputanga o ngā homoni e te repe tairoi (Kāore i te tino kaha). |
He rerekē ngā tohu me ngā maimoatanga mō ēnei āhuatanga e rua.
He aha ngā tohu o te hyperthyroidism?
Ina piki ake ngā homoni tairoi, ka tino piki ake te tere o te hurihanga o te kai hei pūngao i roto i te tinana. Ka puta pea ngā tohu maha i tēnei.
He maha ngā wā ka puta ohorere mai ēnei tohu, nō reira ka whakaaro pea ētahi he mate kē atu, he ahotea rānei te take.
Tirohia mēnā kei a koe tētahi, ētahi rānei o ngā āhuatanga e whai ake nei.
| Momo tohu | Ngā mea ka taea te rongo |
|---|---|
| Ngā huringa hinengaro me ngā whanonga | - Te āwangawanga me te kore okiokinga tonu. - Te riri mō ngā mea iti noa iho. - Te kore moe, te uaua rānei ki te moe. - Ngā panonitanga ohorere o te wairua (ngā panonitanga o te wairua). |
| Ngā huringa ā-tinana | - Te hekenga taumaha ohorere, me te kore e nui te kaha. - Te tere o te manawa, te koretake rānei o te manawa. - Te werawera tonu, me te werawera tonu. - Te pikinga ake o te hiahia kai. - Te wiri o ngā ringa me ngā maihao. - Te pikinga ake o te auau o te nekenekehanga o te puku. - He pupuhi (goiter) i te taha mua o te kaki. - Te angiangi o te kiri me te ngaro o te makawe. - Te ngoikore o te uaua. |
| Ngā āhuatanga motuhake ki ngā wāhine | - Ngā panonitanga o te huringa paheketanga o ia marama (hei tauira, te hekenga o te maha o ngā rā, te hekenga o te toto). |
| Ngā tohu e pā ana ki ngā kanohi | - Te āhua nei kei te pūwero ngā kanohi. - Te mamae, te pēhanga rānei i roto i ngā kanohi. - Te whero o ngā kanohi. |
I te tīmatanga, tērā pea ka rongo koe he nui tō kaha nā te mea he nui tō pākia o te tinana. Engari i roto i te wā, ka pāngia tō tinana e tēnei tere nui o te pākia o te tinana, ā, ka tīmata koe ki te ngenge.
Ā, me pēhea te hunga kaumātua?
Mō te hunga kaumātua, kāore pea ēnei tohu e tino kitea. Tērā pea ka kitea noa iho ngā tohu ngawari, pērā i te piki haere o te tere o te manawa me te aro ki te wera.
He aha ngā take o te hyperthyroidism?
He maha ngā take matua mō tēnei.
1. Te Mate o Graves: Koinei te tino take o te hyperthyroidism. He mate tēnei o te pūnaha ārai mate. I te nuinga o te wā, ka whawhai tō tātou pūnaha ārai mate ki ngā huakita me ngā huaketo e uru ana ki te tinana. Heoi, i roto i te tangata e pangia ana e te mate o Graves, ka whakaekea e te pūnaha ārai mate tōna ake repe tairoi. Ka nui rawa te whakaohooho o te repe tairoi, ka nui rawa te homoni e puta mai ana. Ka pā mai tēnei i roto i ngā whānau.
2. Ngā Pona Tairoiro: Ko ngā pona iti (ngā pona) e puta mai ana i roto i te repe tairoiro ka kaha rawa te mahi, ā, ka nui rawa te homoni e puta mai ana. He mea noa tēnei āhuatanga i waenga i te hunga kaumātua.
3. Te mate tairoidi: He mumura tēnei o te repe tairoidi. Ina tupu tēnei, ka turuturu ohorere ngā homoni kua rongoatia i roto i te repe ki roto i te toto. Ka puta he āhuatanga rangitahi e kiia nei ko te hyperthyroidism. He maha ngā wā ka puta tēnei i muri i te whānautanga, i muri i te mate huaketo, i te nui rawa rānei o te rongoā tairoidi.
4. Te nui rawa o te iodine e kainga ana: Mena ka nui rawa te iodine e whiwhi ana te tinana mai i ētahi rongoā, i ētahi tāpiringa kai rānei, ka whakaohokia pea te repe tairoi. Nā te mea he mea nui te iodine mō te hanga o ngā homoni tairoi.
Ngā pānga ki ngā kanohi (Te mate kanohi tairoi)
Tata ki te 30% o te hunga e pāngia ana e te mate a Graves ka pāngia e te mate e kiia nei ko te Mate Kanohi Tairoiro (TED) , ka pā ki ngā uaua me ngā kiko huri noa i ngā kanohi, ā, ka whakararuraru hoki i te tirohanga.
Ko ngā āhuatanga matua ko:
- Ngā kanohi pupuhi
- He rite ki te onepu i roto i ngā kanohi
- Te mamae me te pēhanga o te kanohi
- Te pupuhi o ngā kamo
- Tirohanga takirua
- Te aro ki te mārama
Mena kei a koe ēnei tohu, he mea nui kia toro atu koe ki te tākuta tonu, kia tirohia hoki ō kanohi.
Me pēhea te tautuhi i tēnei mate?
Ina haere koe ki te tākuta, ka pātai ia mō ō tohumate, ka tirotiro hoki i a koe. Ka aro nui rātou ki ngā mea pēnei i te kaki pupuhi, te tere o te ngakau, me te wiri o ngā ringa. Kātahi, ka mahia pea e rātou ēnei whakamātautau e whai ake nei:
- Paewhiri Tairoiro: He whakamātautau toto tēnei e ine ana i ngā taumata o ngā homoni tairoiro (T3, T4) me te homoni whakaoho tairoiro (TSH) i roto i ō toto. I roto i te hyperthyroidism, he teitei ake ngā taumata T3 me te T4, ā, he tino iti ngā taumata TSH.
- Matawai Tairoiti:Ka werohia he iti noa iho, he nui hoki o te iodine radioactive ki roto i te tinana, ā, ka tangohia e te kāmera motuhake ngā whakaahua o te repe tairoi. Ka āwhina tēnei ki te kite i ngā mea pēnei i ngā pona.
- Matawai Ultrasound: Ka tangohia he whakaahua mārama o te repe tairoi mā te whakamahi i ngā ngaru oro.
- Whakamātautau Whakauru Iodine Irahiko: Ka horomia e koe he iti noa te iodine irahiko hei pire. Kātahi, i muri i ētahi haora, ka inehia e tētahi taputapu motuhake te nui o te iodine kua tangohia e tō repe tairoi. Mena he nui te nui i tangohia, he nui ake te tūponotanga kei a koe te mate a Graves.
He aha ngā maimoatanga?
Kaua e manukanuka, he mate ngāwari te whakahaere i te hyperthyroidism. Mā tō tākuta e whiriwhiri te maimoatanga tino tika māu i runga i tō tau, tō hauora, me te take o tō mate.
E toru ngā tikanga maimoatanga matua:
1. Iodine Irahiko: Koinei te maimoatanga e whakamahia whānuitia ana. I roto i tēnei, ka hoatu he pire iti, he wai rānei kei roto te iodine irahiko hei inu. Ka mimitihia tēnei iodine e ngā pūtau kaha rawa o te repe tairoiti, ā, ka whakangaromia. Ka whakaitihia te repe, ka heke hoki ngā taumata homoni. I muri i tēnei maimoatanga, tera pea ka heke te mahi a te tairoiti (Hypothyroidism). Heoi, ka taea te whakahaere ngāwari i tēnei mā te tango i tētahi pire homoni iti i ia rā.
2. Ngā Rongoā Ārai-Tairoiro: Ka mahi ēnei rongoā mā te aukati i te repe tairoiro ki te whakaputa homoni. Tērā pea ka tīmata te pai haere o ngā tohu i roto i ētahi marama. Heoi anō, me haere tonu pea te tango i ēnei rongoā mō te iti rawa i te tau. He kōwhiringa haumaru tēnei i te wā e hapu ana, e whāngai ana hoki i te u.
3. Pokanga (Thyroidectomy): Mena kāore e whai hua ētahi atu maimoatanga, ka whakatau pea tō tākuta ki te tango i tētahi wāhanga, i te katoa rānei o tō repe tairoi mā te pokanga. Whai muri i te pokanga, me tango e koe he pire i ia rā kia whiwhi ai koe i te nui o ngā homoni e tika ana mō tō tinana.
Āhuatanga ohorere: Te mate kino o te tairoto / te tupuhi tairoto
I ētahi wā, ki te kore e rongoatia, ki te kore rānei e pāngia e tētahi āhuatanga pēnei i te mate pāwera, ka tukuna ohoreretia e te repe tairoi te nui rawa o te homoni ki roto i te toto. He āhuatanga ohorere tēnei e morearea ana ki te ora. Ki te pāngia koe e ngā tohu pēnei i te kirika tino teitei (neke atu i te 104 F), te tere o te ngakau neke atu i te 140 ngā pao i te meneti, te pōhēhē rānei , haere tonu ki te rūma ohorere o te hōhipera (ETU).
Me pēhea te āhua o te kai?
I te wā e rongoatia ana, he mea nui kia aro nui ki tō kai.
| Ngā mea e tika ana mō te kai | Ngā mea hei whakaiti i te nui e taea ana |
|---|---|
| - Ngā hua me ngā huawhenua hou - Ngā witi katoa - Nati, Kākano - Mīti me te ika kikokore | - Ngā kai he nui te iodine: te tote iodized, te rimu, ngā kaimoana (kōura, pāpaka, kōura), te miraka me ngā hua miraka, ngā toene hua manu. - Ngā kai tukatuka, ngā inu reka. |
He pai ake te kōrero ki tō tākuta, ki tō tohunga kai rānei mō tēnei mea, me te waihanga i tētahi mahere kai e tika ana māu.
Karere Tangohia ki te Kāinga
- Ko te hyperthyroidism te wā e nui rawa ai te homoni e whakaputaina ana e te repe thyroid, ka "tere ake" ngā mahi katoa o te tinana.
- Mena kei a koe ngā tohu pēnei i te hekenga ohorere o te taumaha, te manukanuka, te tere o te ngakau, me te werawera, kaua e warewarehia.
- Ko te nuinga o te wā ka puta mai tēnei i tētahi raruraru pūnaha ārai mate e kiia nei ko te mate a Graves.
- Kaua e manukanuka. Ka taea te whakahaere pai i tēnei āhuatanga mā te rongoā, te maimoatanga ki te iodine radioactive, te pokanga rānei.
- Ki te whakaaro koe kei a koe tētahi o ēnei tohu, me toro atu ki tō tākuta mō ētahi tohutohu. Ko te wawe o te tautuhi i te mate, ko te māmā ake o te rongoā.
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