Kei te mahi ā-roto tō tinana ki a koe? Me ako tātou mō te Mate o Graves!

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.

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.

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.

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.