Kei te pēhia tō ngākau e te tere haere, kāore he take? Kei te werawera koe ahakoa he iti noa iho? Kei te heke tō taumaha ahakoa kei te kai pai koe? Kei te pōuri koe, kei te manukanuka hoki i ētahi wā? Mena he mea noa ēnei ki a koe, ko te take pea he nui rawa te mahi a te repe iti āhua pūrerehua i roto i tō tinana, te repe tairoi. I tēnei rā ka kōrero tātou mō te Mate Kerei, he mate e puta ai tēnei mate, engari ka taea te whakahaere pai mēnā ka rongoatia tika.
He aha te Mate a Graves, i te whakarapopototanga?
Ki te kī ngāwari, ko te mate a Graves he mate e puta mai ana i tētahi hapa iti i roto i te pūnaha ārai mate o tō tātou tinana. Ka kiia tēnei he mate ārai mate . I te nuinga o te wā, ka whawhai tō tātou pūnaha ārai mate ki ngā iroriki e puta ai te mate. Engari i roto i tēnei mate, ka whakaekea hētia e tō tātou ake pūnaha ārai mate tō tātou ake repe tairoi i roto i tō tātou kaki.
Ka whakaoho tēnei whakaeke i te repe tairoiti, ā, ka nui rawa te homoni tairoiti e puta mai ana. Ka kiia tēnei āhuatanga he hyperthyroidism . He rite ki tētahi motuka kua pēhia te pētera whakatere, ka tere ake te pākia o te tinana. Ko te mate a Graves te tino take o te hyperthyroidism. Ka taea hoki te tuku iho. Kāore e pā ki te repe tairoiti anake, engari ki ō tātou kanohi me te kiri hoki.
He aha ngā tohu tino kitea o tēnei mate?
Nā te mea ka tere ake te pākia o te tinana e te mate a Graves, ka pāngia pea koe e ngā momo tohu. Tērā pea ka pāngia ētahi tāngata e te kotahi, e rua rānei o ēnei tohu, ko ētahi ia ka pāngia e te maha o ngā mea kei runga i tēnei rārangi. Kāore ēnei tohu e puta katoa i te wā kotahi, engari ka whanake haere i roto i ngā wiki, i ngā marama rānei.
| Tohu | He whakamārama māmā |
|---|---|
| Te tere o te manawa (Tachycardia) | Te āhua nei kei te pā te ngākau, kāore he take. |
| Te ātete ki te wera me te wera nui | Ka werawera tonu koe, ka werawera hoki, ahakoa he mea noa tēnei mō ētahi atu. |
| Te whakahekenga taumaha | Ahakoa te kai pai, kua tino heke te taumaha o te tinana. |
| Wiri | He wiri ngawari i roto i ngā ringaringa. |
| Te manukanuka me te kore okiokinga tonu | Te āwangawanga tonu, te kore okiokinga. |
| Ngā huringa o te pūnaha nakunaku | Te nekeneke pinepine o te puku, te hiahia rānei kia haere ki te wharepaku i ngā wā katoa atu i te tikanga. |
| Te pupuhi o te kaki (Goiter) | Te āhua pupuhi o te taha mua o te kaki nā te nui haere o te repe tairoi. |
| Te kore moe me te ngaro o te makawe | Te uaua ki te moe i te pō me te ngaro o te makawe. |
| Ngā huringa o te huringa paheketanga o ia marama i roto i ngā wāhine | Te hekenga o te toto o te paheketanga, te huringa paheketanga koretake, te mutunga rānei. |
Mena kei a koe tētahi, ētahi rānei o ēnei tohu, he pai ake te toro atu ki te tākuta mō ētahi tohutohu, kaua e manukanuka.
He aha te pānga o tēnei ki ngā kanohi me te kiri?
Ahakoa ehara i te katoa e pāngia ana e te mate a Graves, tata ki te kotahi i roto i te toru o ngā tāngata ka pāngia e ngā raruraru kanohi. Ka kiia tēnei āhuatanga ko te orbitopathy a Graves, arā,Te mate o te kanohi tairoi.
- Ngā kanohi pupuhi
- Tirohanga takirua
- He kare ā-kirikiri, he kare ā-kirikiri i roto i ngā kanohi
- Te uaua ki te titiro ki te mārama (Photophobia)
- Te ahua o te pēhanga, te mamae rānei i roto i ngā kanohi
Hei tāpiritanga, he tokoiti noa iho ngā tāngata (tata ki te 4%) ka pāngia e te mate ka matotoru, ka pupuhi, ka memeha te kiri o ō rātou waewae. Ka kiia tēnei ko te pretibial myxedema .
He aha te take ka puta ai te mate a Graves?
E ai ki tā tātou i kōrero ai i mua ake nei, ko te take matua o tēnei he hapa i roto i tō tātou ake pūnaha ārai mate. Ka whakaputahia e tō tātou tinana he paturopi e kiia nei ko te Thyroid-Stimulating Immunoglobulin (TSI) . Ka piri tēnei paturopi TSI ki ngā pūtau o te repe tairoi, ka tukuna te tohu hē ki te repe kia "hangaia he homoni, kia nui ake."
Kāore anō kia kitea e ngā kaipūtaiao te tino take e kore ai e pai te pūnaha ārai mate i tēnei ara, engari e whakaponohia ana e rua ngā āhuatanga matua e whai wāhi ana ki tēnei.
1. Ira: Mena kei te pāngia tētahi o tō whānau e te mate a Graves, e ētahi atu mate tairoi rānei, he nui ake tō tūponotanga ki te pāngia e tēnei mate.
2. Ngā Āhuatanga Taiao: Ko te ahotea nui, te haputanga me te whānautanga i muri i te whānautanga, me ētahi mate huaketo ka noho hei 'tino take', arā, he pana tuatahi, mō te tīmatanga o tēnei mate.
He aha ngā āhuatanga morearea ka puta mai mēnā kāore e rongoatia?
He mate hauora te mate a Graves e hiahia ana kia arohia tonutia e te rata . Mēnā ka kore e rongoatia, ka kore rānei e whakahaerea tika, ka ara ake pea he raruraru nui.
- Mate manawa: Ka piki ake te mōrearea o te whakawhanake i ngā āhuatanga kino pēnei i te pā o te ngakau koretake ( Atrial Fibrillation - Afib ), te whakaeke ngakau, me te whiu.
- Te Osteoporosis: Nā ngā pānga o ngā taumata konupūmā i roto i te tinana, ka ngoikore ngā wheua, ā, ka ngawari te whati.
- Te Āwhā o te Tairoiti: He āhuatanga onge tēnei engari he mea morearea pea ki te ora . I roto i tēnei āhuatanga, ka tukuna e te repe tairoiti he nui o ngā homoni ki roto i te toto i roto i te wā poto rawa. Ko ngā tohu ko te kirika nui, te tere o te ngakau, me te pōhēhē. I roto i tēnei āhuatanga, me haere tonu koe ki te Tari Ohorere (ETU) o te hōhipera.
- Ngā raruraru i te wā e hapu ana: Ki te kore e rongoatia i te wā e hapu ana, ka pā ki te whaea me te pēpi i roto i te kōpū. Tērā ētahi mōrearea pēnei i te materoto, te whānautanga wawe, me te taumaha iti i te whānautanga.
Me pēhea te tātaritanga tika a te tākuta i tēnei mate?
Ina haere koe ki te tākuta, ka pātai atu ia mō ō tohumate, tō hītori hauora whānau, ā, ka whakahaere i tētahi whakamātautau tinana. Kātahi ka tūtohu pea ia i ētahi whakamātautau hei whakaū i te mate.
- Ngā Whakamātautau Toto o te Tairoiro: Ka ine ēnei whakamātautau i ngā taumata o ngā homoni tairoiro (T4, T3) me te TSH (homoni whakaoho tairoiro) i roto i te toto. I roto i te mate a Graves, ka teitei ake ngā taumata o te homoni tairoiro, ā, he tino iti ngā taumata o te TSH.
- Ngā Whakamātautau Paturopi Tairoiro: Ka tirohia mēnā he paturopi kei roto i te toto, pērā i te TSI, e hua ai te mate a Graves.
- Te tango me te matawai i te taiora: Ka hoatu he iti noa te iodine irirangi ki te tūroro hei inu, ā, ka mahia he matawai hei tirotiro i te nui o te iodine e mimitihia ana e te repe taiora. I roto i te mate a Graves, ka nui rawa te iodine e mimitihia ana e te repe.
- Te Uiraoro Doppler: Mena kei te hapu koe, kei te whāngai u rānei, kāore i te tūtohutia te whakamātautau iodine radioactive. I roto i ēnei āhuatanga, ka taea e tēnei matawai te ine i te rere o te toto ki te repe tairoi me te whakaatu i te mate.
He aha ngā maimoatanga mō te mate a Graves?
Ahakoa he mate pumau (mo te wa katoa) te mate a Graves, ka taea e te maimoatanga te awhina i te whakahaere i nga taumata homoni. I etahi wa, ka taea e te mate te whakamutu i te wa poto i muri i te maimoatanga.
| Tikanga maimoatanga | Ka ahatia? |
|---|---|
| Ngā aukati-beta | Kāore ēnei e whakaiti i ngā homoni tairoi, engari ka tere te whakahaere i ngā tohu pēnei i te tere o te ngakau, te wiri, me te manukanuka. Ka whakamahia ēnei hei whakaora i te mamae tae noa ki te whai huatanga o ētahi atu maimoatanga. |
| Ngā Rongoā Antithyroid | Ka aukatihia e ngā rongoā pēnei i te Methimazole me te Propylthiouracil te hanga o ngā homoni e te repe tairoi. |
| Te Whakaora Radioiodine | Ka hoatu he wai, he kāpū rānei kei roto te iodine irirangi hei inu māu. Ka mimitihia tēnei iodine e ngā pūtau tairoi, ā, ka whakangaromia haeretia, ka whakaitihia te hanga homoni. |
| Pokanga | Ko te tākihi thyroidectomy he tikanga pokanga e tango ana i te repe thyroid katoa, i tetahi wāhanga rānei. |
I muri i te maimoatanga me te pokanga ki te iodine radioactive, ka puta pinepine te ngoikore o te homoni tairoi, e mōhiotia ana ko te hypothyroidism . Kātahi ka tangohia e koe ngā pire homoni tairoi mō te toenga o tō oranga. Heoi, he māmā ake te whakahaere i te hypothyroidism i te hyperthyroidism.
Ko te mea nui, he pai, he huakore hoki ia o ēnei whiringa maimoatanga. He mea nui kia kōrero tahi koe me tō tākuta mō te whiringa maimoatanga e pai ana mōu.
Karere Tangohia ki te Kāinga
- He mate pūnaha ārai mate te mate a Kerei ka taea te whakahaere pai mā te rongoā, nō reira kaua e mataku noa.
- Ki te pā mai ngā tohu pēnei i te tere o te manawa, te ngaronga o te taumaha, te werawera nui, me te manukanuka kāore he take, kaua e warewaretia.
- Ki te kore tēnei mate e rongoātia, ka pā mai pea ngā raruraru nui e pā ana ki te ngākau me ngā wheua.
- Kia mahara ki te kōrero ki tō tākuta kia whiriwhiria e ia te maimoatanga pai rawa atu māu.
- Kia tautuhia te mate, he mea tino nui kia tino whai i ngā tohutohu a te tākuta, kia haere hoki ki te whare hauora i te wā tika.
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