Kei te pēnei anō hoki koe me te mea kei te heke noa tō taumaha i ēnei rā? Ahakoa te nui o tāu kai, kāore e taea te piki ake tō taumaha? Kei a koe ngā tohu pēnei i te tere o te manawa, te riri ki ngā mea iti, me te werawera tonu? Tērā pea kei te whakaaro koe nā te ahotea kei a koe i ēnei rā. Engari he tohu pea ēnei o te mate e kiia nei ko te 'Hyperthyroidism'. Me kōrero ngāwari tātou mō tēnei, i roto i te huarahi e mārama ai koe.
He aha tēnei mate hyperthyroidism?
Ki te whakarapopototanga, ko te hyperthyroidism te wā e kaha rawa ai te mahi a te repe tairoi āhua pūrerehua i roto i tō tātou kaki, ā, ka nui rawa te homoni tairoi e whakaputaina ana. Ka kiia hoki tēnei ko te 'tairoi kaha rawa'.
Whakaarohia tō tātou tinana he motuka. Ko te whakateretere e whakahaere ana i te tere o te miihini (metabolism) o tēnei motuka ko te homoni tairoi. I te nuinga o te wā, ka whakahaerehia te mahi a tēnei whakateretere i roto i te āhua whakahaere. Engari i roto i te hyperthyroidism, me te mea kua takahia e tetahi tēnei whakateretere. Kātahi ka tīmata ngā tukanga katoa o te tinana, mai i te manawa o te ngakau ki te nakunaku o te kai, i te tere tere. Koinei te take e ngenge ai koe, e kore hoki e okioki.
Ko ngā homoni matua e whakahaere ana i te pākia o te tinana, arā, te tere o te hurihanga o te kai e kainga ana e tātou hei pūngao, ko te thyroxine (T4) me te triiodothyronine (T3) . Ka whakahaua te repe tairoiti kia whakaputa i ēnei homoni e te homoni e kiia nei ko te TSH (Thyroid Stimulating Hormone), e ahu mai ana i te repe pituitary i roto i te roro. I roto i te hyperthyroidism, ka nui rawa te whakaputanga o ēnei homoni T3 me te T4.
He aha ngā tohu noa o te hyperthyroidism?
Nā te mea ka pāngia te tinana katoa e te hyperthyroidism, he maha ngā tohu. Tērā pea he torutoru noa iho ēnei tohu, he maha rānei i te wā kotahi. Tērā pea ka tīmata ohorere ēnei tohu, ka puta mārire rānei i roto i te wā.
Hei whakamāmā ake i te mārama, me titiro tātou ki ēnei āhuatanga i roto i tētahi ripanga.
| Tohu | He whakamārama māmā |
|---|---|
| Te tere o te manawa (tachycardia) | Ahakoa kei te tū noa koe, e pē ana te ngākau. I ētahi wā ka rongo koe i te pā o tō uma mai i waho. |
| Te whakahekenga taumaha | Ahakoa e noho noa ana te hiahia kai, e nui ake rānei, ka heke noa iho te taumaha o te tinana. |
| Te kore okiokinga me te pukuriri | Ka pōuri au, ka noho pōuri noa iho. Ka tere taku riri ahakoa mō ngā mea iti rawa. |
| Ngā wiri | He wiri ngawari te āhua, inā koa i ngā ringaringa. |
| Te werawera nui | Ka werawera koe, ka werawera tonu, ahakoa he noa te pāmahana o ētahi atu. |
| Te kore moe | Ka iti haere te moe i te pō nā te koretake o te hinengaro. |
| Ngā huringa o te pūnaha nakunaku | Te mate korere, te hiahia pinepine rānei ki te haere ki te wharepaku. |
| Te ngaro o te makawe | Te angiangi, te ngoikore, me te marere o te makawe nui atu i te tikanga. |
| Ngā huringa o ngā huringa paheketanga o ngā wāhine | Kua whakaitihia, kua mutu rānei te toto o te paheketanga. |
| Te pupuhi o te kaki (goiter) | Ka kitea te pupuhi i te taha mua o te kaki nā te nui haere o te repe tairoi. |
| Ngā kanohi e pūwero ana | Ngā kanohi pupuhi, e pupū ake ana rānei. He mea tino noa tēnei mō te mate a Graves. |
Mena kei a koe tētahi, ētahi rānei o ēnei tohu, he mea tino nui kia toro atu koe ki te tākuta mō ētahi tohutohu, me te kore e warewarehia.
He aha te take e puta ai te hyperthyroidism? He aha ngā take?
He maha ngā tino take o te hyperthyroidism.
- Te mate a Kerei: Koinei te tino take. Ki te kī māmā noa, ka hē te pūnaha ārai mate o tō tātou tinana, ka tukuna he tohu hē ki te repe tairoi kia 'hanga i ētahi atu homoni'. He mate pūnaha ārai mate tēnei. Mēnā he mate tairoi, he mate pūnaha ārai mate rānei tō tētahi o tō whānau, he nui ake tō tūponotanga ki te pāngia e tēnei mate.
- Ngā pona tairoiti: He puku iti e puta ana i te repe tairoiti. Ka tīmata ētahi o ēnei puku ki te whakaputa i ngā homoni. Kāore pea ēnei puku e mate pukupuku.
- Te mate tairoidi: Te mumura, te pupuhi rānei o te repe tairoidi. Ka taea e tēnei te meinga kia turuturu ohorere ngā homoni kua rongoatia i roto i te repe ki roto i te toto, ka puta ai te hyperthyroidism mō te wā poto. Kia memeha te mate, ka kore pea te repe e mahi, ka puta ai te hypothyroidism.
- Te nui rawa o te kai i te iodine: He mea nui te iodine mō te hanga i ngā homoni tairoi. Heoi, mā te kai nui rawa i ētahi rongoā, i ētahi kai rānei (pērā i ngā kaimoana) kei roto te iodine ka taea te whakaoho i te repe kia nui rawa te homoni.
- Adenoma pituitary: He tino onge tēnei take. He nui rawa te TSH e puta mai ana i tētahi pukupuku iti e tupu ana i roto i te repe pituitary i roto i te roro, ā, ka akiaki i te repe thyroid kia haere tonu te hanga homoni.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina haere koe ki te tākuta, ka whai rātou i ētahi mahi hei whakatau i te mate.
1. Whakamātautau tinana: Tuatahi, ka tirohia koe e te tākuta. Ka rapua e rātou ngā mea pēnei i te pupuhi o te repe tairoi i roto i tō kaki, te tere o te manawa, te wiri o ngā ringa, me te kiri mākū.
2. Ngā whakamātautau toto tairoi: Koinei te whakamātautau tino nui, tino tika hoki. Ka tirohia ngā taumata o ngā homoni T3, T4, me te TSH i roto i ō toto. Ko te tangata e pāngia ana e te hyperthyroidism he nui ngā taumata T3 me te T4, engari he iti ngā taumata TSH .
3.Whakamātautau toto mō te paturopi tairoi: Mā tēnei whakamātautau ka taea te whakatau mēnā ko te mate a Graves te take o tēnei mate.
4. Ētahi atu whakamātautau: Ki te tika, ka tono pea tō tākuta kia mahi koe i tētahi mea pēnei i te ultrasound thyroid, i te whakamātautau tango iodine radioactive (RAIU) rānei. Kaua e manukanuka, mā tō tākuta e whakamārama ngā mea katoa ki a koe.
He aha ngā maimoatanga mō te hyperthyroidism?
Ko te mea pai rawa atu, he mate ka taea te rongoā, ā, ka taea hoki te whakahaere i te hyperthyroidism. Mā tō tākuta e whakatau te maimoatanga pai rawa atu māu i runga i te take me te āhua o tō mate.
| Tikanga maimoatanga | Me pēhea te mahi me ngā mea hei mōhio |
|---|---|
| Ngā rongoā antithyroid (ngā rongoā e aukati ana i te hanga o ngā homoni tairoi) | Ko te mahi a ēnei rongoā (hei tauira, Methimazole, Propylthiouracil) mā te whakaiti i te hanga o ngā homoni tairoi. He maha ngā wā ka taea te whakahaere i te mate i roto i ngā marama e rua ki te toru. Koinei te rongoā e whakamahia whānuitia ana. |
| Te rongoā iodine radioactive (RAI) | Ko te tikanga o tēnei ko te hoatu i tētahi kāpū, i tētahi wai rānei kei roto ko te iodine radioactive hei inu. Ka haere tika atu tēnei iodine ki te repe tairoiti, ā, ka whakangaro i ngā pūtau o reira. Ka tino whakaora tēnei i te hyperthyroidism. Heoi, i te nuinga o te wā, ka kore e mahi tonu te repe, nō reira me tango e koe ngā pire homoni tairoiti (levothyroxine) mō te toenga o tō oranga. |
| Pokanga | Ka taea hoki e te pokanga hei tango i te repe tairoiti katoa, i tetahi wāhanga rānei (thyroidectomy) te whakaora i te hyperthyroidism, engari me tango e koe ngā pire homoni tairoiti mō te toenga o tō oranga. |
| Ngā aukati-beta | Kāore ēnei rongoā e whakaiti i ngā taumata homoni. Engari ka āwhina i te whakahaere i ngā tohu pēnei i te tere o te manawa, te wiri, me te kore okiokinga. Ka hoatu ngātahitia ēnei me ētahi atu maimoatanga. |
Ka aha mēnā ka kore e rongoatia?
He mea tino nui tēnei. Mēnā kāore te hyperthyroidism e rongoatia, ka ara ake pea he raruraru nui.
- Mate ngakau: Ngā āhuatanga pēnei i te atrial fibrillation (Afib) me te congestive heart failure.
- Te kore tamariki
- Te whiu (te whiu ischemic)
- Osteoporosis: Ka ngoikore ngā wheua, ka whati ngāwari, ahakoa he hinganga iti noa iho.
Ko te raruraru tino mōrearea, ā, ka mate pea koe i tēnei ko te 'Thyroid Storm' . Koinei te wā ka puta he pupū ohorere o ngā homoni tairoi ki roto i te tinana. Ko ngā tohu ko te kirika nui me te tere o te ngakau. He āhuatanga ohorere hauora tēnei. Ki te pāngia koe e ēnei tohu, me haere tonu koe ki te Tari Ohorere o te hōhipera (ETU).
Me tūpato koe ki te kai me te inu?
I ētahi wā, mā te kai nui rawa i ngā kai he nui te iodine (kaimoana, rimu, pāpaka, kōura, tote iodine) ka kino ake tēnei mate. Nō reira, ka tūtohu pea tō tākuta i tētahi kai iti te iodine.
Engari kia maumahara, kāore e taea te whakaora i tēnei mate mā te whakahaere i tāu kai anake. Me tino hiahiatia he maimoatanga hauora. Me kōrero ki tō tākuta i mua i te hanga i tētahi huringa nui ki tāu kai.
He taumahatanga pea te whiwhinga i tētahi tātaritanga hou. Engari ko te rongo pai ko te hyperthyroidism he mate ka taea te rongoā me te whakahaere. Ki te mea kei te tere rawa te oma o tō tinana, kia kite koe i tētahi tākuta. Ka taea e ia te whakahaere i ngā whakamātautau e tika ana, me te hoatu ki a koe te maimoatanga e hiahiatia ana e koe hei whakahoki i tō tinana ki te taurite.
Karere Tangohia ki te Kāinga
- He repe tairoiti nui rawa te mahi a te hyperthyroidism. Ka puta pea ngā tohu pēnei i te whakaheke taumaha, te tere o te ngakau, me te werawera nui.
- Ki te pā mai ēnei tohu ki a koe, kaua e warewarehia, engari me toro atu ki te tākuta tonu. Ka taea tēnei te kite mā te whakamātautau toto noa iho.
- He mate tēnei ka taea te rongoā me te whakahaere pai. Nō reira kaua e mataku. Me whai i ngā tohutohu a te tākuta kia tika.
- Ki te kore e rongoatia, ka arahi pea ki ngā raruraru nui pēnei i te mate ngakau. Nō reira, he mea tino nui kia whiwhi i te maimoatanga tika i te wā tika.
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