Kei te ngenge koe, kei te pōuri hoki i ēnei rā? Kei te manukanuka koe mō ngā mea iti rawa, kei te tere te tere o tō ngākau, ā, kāore e taea te moe i te pō? Mena kei te heke tō taumaha ahakoa te kai pai, tera pea kei te whakaaro koe nā te nui rawa o te mahi, nā te ahotea rānei. Ae, koinei pea te take. Engari tera pea ēnei tohu nā te raruraru o tō repe tairoi, he rite ki te pūrerehua iti i roto i tō kaki. I tēnei rā ka kōrero tātou mō tētahi o aua mate, arā, ko te Mate a Kerei. Kaua e manukanuka, he mate ngāwari tēnei ki te whakahaere mena ka mārama koe.
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He aha te mate a Graves?
Whakaarohia kei a koe tētahi ope taua e tiaki ana i tō whenua. Ko te mahi a tēnei ope taua he tiaki i te whenua mai i ngā hoariri o waho. He rite anō te pūnaha parepare o tō tātou tinana, e kiia nei ko te pūnaha ārai mate . Engari i ētahi wā ka hē tēnei pūnaha parepare. Engari kaua ko te hoariri o waho, ka tīmata rātou ki te whakaeke i tētahi okana pai, hauora o roto i tō tātou ake tinana.
Ko te Mate a Kerei tētahi o aua mate. Ko te mea e tupu ana i konei ko te whakaeke hē a tō tātou pūnaha ārai mate i tō tātou ake repe tairoiti . Mā tēnei whakaeke ka nui rawa te mahi a te repe tairoiti, ka nui rawa hoki te mahi. Ko te nui o te homoni tairoiti e whakaputaina ana e ia he nui rawa atu i te mea e hiahiatia ana e te tinana. I roto i te rongoā, ka kiia tēnei mate ko te hyperthyroidism , ko te tairoiti kaha rawa rānei. Ko te Mate a Kerei te tino take o tēnei mate.
Ahakoa he mate pumau tēnei mō te wā katoa, mā te maimoatanga tika, ka taea te whakahaere pai, ā, ka taea e koe te noho i te oranga noa.
E mōhio ana koe ki ēnei tohu?
Ka nui haere te tere o te whakaputa me te whakamahi i te pūngao i roto i te tinana nā te mate a Graves. He rite ki te takahi tonu i te whakateretere o te motuka. Ka puta he maha ngā tohu. Tērā pea ka pāngia ētahi e te kotahi, e rua rānei o ēnei tohu, ko ētahi ia ka pāngia e te maha o ēnei tohu i te wā kotahi.
Tirohia te ripanga i raro nei hei kite i ēnei āhuatanga.
| Tohu | He whakamārama māmā |
|---|---|
| Te whakahekenga taumaha | Te hiroki haere ahakoa e kai pai ana koe, ā, kei a koe te hiahia kai. |
| Te tere o te manawa (Tachycardia) | Me te mea kei te tere te patu o tō ngākau, kei te pāorooro, ahakoa kei te tū noa koe i reira. |
| Te ātete ki te wera me te wera nui | Te werawera rawa, me te werawera tonu, ahakoa i roto i te taiao e noa ana ki ētahi atu. |
| Te manukanuka me te kore okiokinga | Te āwangawanga, te noho pōuri, me te riri wawe, kāore he take. |
| Wiri | He wiri ngawari i roto i ngā ringaringa. |
| Te kore moe | Te raruraru o te kore e taea te moe i te pō. |
| Te pupuhi o te kaki (Goiter) | He pupuhi me te whakanui o te repe tairoiti i te taha mua o te kaki. |
| Ngā huringa o te pūnaha nakunaku | Te nekeneke pinepine o te puku (korere) me te hiahia rānei ki te haere ki te wharepaku i ngā wā maha i te rā. |
| Ngā huringa o te huringa paheketanga i roto i ngā wāhine | Te hekenga o te toto o te paheketanga, te paheketanga koretake/mutu rānei. |
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Check Availability →Ka pāngia anō hoki ngā kanohi me te kiri?
Ae, kāore e taea e te mate a Graves te pā ki te repe tairoi anake, engari i ētahi wā ko ngā kanohi me te kiri anō hoki.
Ngā pānga ki ngā kanohi (Graves' Orbitopathy)
Tata ki te kotahi i roto i te toru o ngā tāngata e pāngia ana e te mate a Graves ka pāngia pea e tēnei āhuatanga. Ka kiia hoki ko te mate kanohi tairoi . Ko te mea e tupu ana i konei ko te whakaekenga a te pūnaha ārai mate i ngā uaua me ngā kiko huri noa i ngā kanohi. Nō reira,
- Ngā kanohi pupuhi: He nui, he pupuhi hoki te āhua o ngā kanohi.
- Te mamae, te pēhanga rānei i roto i ngā kanohi.
- Te mākūkū me te mea he onepu kei roto i ngā kanohi.
- Tirohanga takirua.
- Te uaua ki te titiro ki waho i te māramatanga kanapa (photophobia).
Ngā pānga kiri (Graves' Dermopathy)
He mate onge tēnei. Kei roto i tēnei ko te matotoru o te kiri o ngā waewae, inā koa ngā paparinga, ā, ka whero, ka papura rānei te tae me ngā puku. E kiia ana hoki ko te Pretibial Myxedema .
He aha tātou ka pāngia ai e 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. Nā tēnei hapa, ka whakaputa te tinana i tētahi momo paturopi e kiia nei ko te Thyroid-Stimulating Immunoglobulin (TSI) . Ka piri ēnei 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 tino mārama ngā kaipūtaiao he aha te take e kore ai e pai te pūnaha ārai mate pēnei, engari e whakapono ana rātou he maha ngā āhuatanga e whai wāhi ana ki tēnei.
- Ngā Take Ira: Kua kitea e ngā rangahau e 79% o te Mate Kerei e puta mai ana i ō tātou ira. Ko te tikanga tēnei, mēnā he mate tairoi, he mate pūnaha ārai mate rānei tō tētahi o tō whānau (whaea, pāpā, tuākana/teina), ka nui ake tō tūponotanga ki te pāngia e te mate.
- Ngā Āhuatanga Taiao: Ko te toenga 21% o te mōrearea i ahu mai i ngā āhuatanga taiao. Arā,
- Taumahatanga: Ka taea e te taumahatanga roa, te taumahatanga nui te take o ngā mate pūnaha ārai mate pēnei.
- Te haputanga me te whānautanga: Ka puta pea tēnei āhuatanga me ngā huringa homoni i roto i te tinana i te wā e hapu ana, me muri hoki i te whānautanga.
- Ngā huaketo me ngā mate urutā: Ka puta pea tēnei mate i muri i ētahi mate urutā, nā te mea he rerekē te mahi a te pūnaha ārai mate.
- Te kai hikareti: He nui ake te mōrearea o te hunga kai hikareti ki te pāngia e te mate a Graves. Haunga tēnā, ki te pāngia te kai hikareti e tēnei mate, ka tino kino ngā pānga ki ngā kanohi (Graves' Orbitopathy).
He aha ngā āhuatanga morearea ka puta mai mēnā kāore e rongoatia?
He mate hauora te mate a Graves e hiahia ana kia arohia wawetia e te rata. Ki te kore e rongoatia, ka arahi pea ki ngā raruraru nui.
- Mate ngākau: Ka nui te taumahatanga o te ngākau i te nui haere o ngā homoni tairoi. Ka taea e tēnei te arahi ki te atrial fibrillation (Afib), he āhuatanga e pāorooro koretake ai te ngākau. Ka piki ake te mōrearea o te mate ngākau me te whiu.
- Osteoporosis: Ka heke te nui o te konupūmā i roto i ngā wheua nā te nui o te homoni tairoi, ka angiangi ake, ka ngawari hoki te whati.
- Te Āwhā o te Tairoiti: He āhuatanga tino morearea tēnei, ā, ka mate pea. Ko te mea ka tupu, ka tukuna ohoreretia e te tinana he nui rawa o ngā homoni tairoiti. Ko ngā tohu ko te kirika nui, te tere o te manawa, te werawera, te pōhēhē, me te ruaki. Mēnā ka puta ēnei tohu, me haria tonu koe ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
- Ngā raruraru i te wā e hapu ana: Ki te kore e whakahaerea te mate a Graves i te wā e hapu ana, ka pā he raruraru ki te whaea me te pēpi. Ka taea e ia te arahi ki te materoto, te taumaha iti i te whānautanga, te whānautanga wawe, me te toto toto tiketike i roto i te whaea (preeclampsia).
Me pēhea te tautuhi a te tākuta i tēnei mate?
Mena kei a koe ngā tohu kua whakahuatia ake nei, ko te mea tuatahi me mahi e koe ko te toro atu ki te tākuta. Ka tirohia e ia ō tohu me tō hītori hauora whānau. Kātahi ka whakaritea e ia ētahi whakamātautau hei whakaū i te mate.
- Ngā Whakamātautau Toto Tairoiro: Ka tirohia e ēnei ngā taumata o ngā homoni tairoiro (T3, T4) me te TSH (homoni whakaoho tairoiro) i roto i ō toto. I roto i te Mate Kerei, he nui ake ngā taumata o te homoni tairoiro, ā, he tino iti ngā taumata TSH.
- Ngā Whakamātautau Toto Paturopi: Ka taea e tēnei whakamātautau te whakaū mēnā kei roto i ō toto ngā paturopi TSI i kōrerotia e tātou i mua ake nei.
- Te Whakaurunga me te Matawai i te Tairoiro: I tēnei whakamātautau, ka hoatu he iti noa te iodine irirangi ki a koe hei pire. Ka mimitihia e te repe tairoiro o te tangata whai mate Graves te nui o tēnei iodine. Ka kitea tēnei mā te matawai.
- Doppler Ultrasound: Ka mahia tēnei matawai nā te mea kāore e taea e ngā whaea hāpu, ngā whaea whāngai u rānei te whiwhi i te iodine radioactive. Ka ine i te tere o te rere o te toto ki te repe tairoi. He tino tere tēnei i roto i te mate a Graves.
He aha ngā maimoatanga?
He mate ngāwari te whakahaere i te mate a Graves. He maha ngā maimoatanga e wātea ana. Me kōrero koe ki tō tākuta ko tēhea te maimoatanga e pai ana mōu.
| Tikanga maimoatanga | Ka aha te mea ka tupu? | Ngā mea hei mōhio |
|---|---|---|
| Ngā aukati-beta | Kāore ēnei rongoā e whakaheke i ngā taumata o ngā homoni tairoi, engari ka tere te whakahaere i ngā tohu pēnei i te tere o te manawa o te ngakau, te wiri o ngā ringa, me te manukanuka. | Ko te nuinga o te wā ka hoatu hei whakahaere i ngā tohumate kia whai hua rā anō ētahi atu maimoatanga. |
| Ngā Rongoā Antithyroid | Ka aukatihia e ēnei rongoā (hei tauira, Methimazole, Propylthiouracil) te hanga o ngā homoni e te repe tairoi. | Me tango pea ēnei rongoā mō ngā marama, mō ngā tau rānei. Tērā pea ka hoki anō ētahi tāngata ki te wā e māhorahora ai. |
| Te Whakaora Radioiodine | Ka whakangaromia mārire e te iodine radioactive, e hoatu ana hei kāpū, hei wai rānei, ngā pūtau i roto i te repe tairoiti, ka whakaititia te repe. | I muri i tēnei maimoatanga, ka puta pinepine te hypothyroidism, e hiahiatia ana te rongoā thyroxine mō te wā katoa. |
| Pokanga (Taeroto) | Ka tangohia e te pokanga tetahi wāhanga, te katoa rānei o te repe tairoiti. | Ki te tangohia katoatia te repe, me tango e koe ngā pire thyroxine mō te toenga o tō oranga. He kōwhiringa pai tēnei mō te hunga e uaua ana ki te manawa nā te nui haere o te repe (goiter). |
Tērā pea ka whakaaro koe he mate anō hoki te hypothyroidism i muri i te maimoatanga. Ae, he mate tonu. Engari he māmā ake te whakahaere i tēnei i te hyperthyroidism, ā, he iti ake ngā raruraru hauora mō te wā roa.
Karere Tangohia ki te Kāinga
- Ehara te mate a Graves i te mea hei wehi, engari he mate ka taea te rongoā, ā, ka taea hoki te whakahaere.
- Ki te pāngia koe e ngā tohu pēnei i te whakahekenga taumaha kāore i te mārama, te tere o te pao o te ngakau, te wiri o ngā ringa, te werawera nui, me te kore okiokinga, me toro atu ki te tākuta.
- Mena he mate tairoi tō tetahi o tō whānau, kei roto anō hoki koe i te mōrearea, nō reira kia tūpato.
- Kia tīmata te maimoatanga, he mea tino nui kia tangohia te rongoā e ai ki te tohutohu a te tākuta, me te haere ki ngā wā tirotiro anō.
- Ki te puta mai ngā tohu o te 'āwhā tairoi' pērā i te kirika nui, te tere o te ngakau, me te pōhēhē, he āhuatanga ohorere tēnei. Haere tonu ki te Tari Ohorere o te hōhipera (ETU).
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