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He aha tēnei (Pretibial Myxedema)? Kia mārama tātou!
I ētahi wā, ko te Pretibial Myxedema, e kiia ana ko te Graves' Dermopathy, he momo mate Graves', he mate e pā ana ki tō tātou kiri. Ka puta mai i te kohikohinga o ngā warowaihā me ngā huka, arā, ko ngā glycosaminoglycans, ko ngā mucopolysaccharides rānei, i roto i ngā paparanga hohonu o tō tātou kiri. Ka kohikohia ēnei i ngā waewae o raro, i raro i ngā turi. Koinei te wā e pupuhi ai ngā waewae, ka pupuhi te kiri, ka unahi te kiri (ngā papaka unahi). He aha te tikanga o ngā kupu "Pretibial" me "Myxedema"?- "Pretibial": E pā ana tēnei ki te wheua nui kei te taha o tō tātou waewae i raro i te turi, te mua o te (tibia). Ki te kīia i te reo Sinhala, he rite ki te "i mua i te wheua hope".
- "Myxedema": Ko te tikanga o tēnei ko te pupuhi o te kiko i raro i te kiri.
Ko wai te mea tino pāngia e tēnei āhuatanga?
(Pretibial Myxedema) Ahakoa ka taea e te tangata te pāngia e tēnei mate, he nui ake te tūponotanga ka pāngia ētahi tāngata. Ko rātou ēnei:- Ngā tāngata e pāngia ana e te mate a Graves: Koinei te āwangawanga matua.
- Ngā tāngata whai raruraru tairoi: Ko te tikanga o tēnei ko ngā āhuatanga pēnei i te (Hypothyroidism) (he iti te homoni tairoi) me te ( Hyperthyroidism ) rānei (he nui te homoni tairoi ).
- Ngā tāngata whai mate kanohi kino: He maha hoki ngā wā e pā ana tēnei ki te mate o Graves.
- Ngā tāngata i waenga i te 40 me te 60 tau te pakeke.
- Ngā wāhine: He nui ake te kitea o tēnei mate i roto i ngā wāhine i ngā tāne.
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Check Availability →He aha ngā momo matua o te Pretibial Myxedema?
E whā ngā momo matua o tēnei mate. Tērā pea ka rerekē ngā tohu: 1. Marara: Koinei te momo tino noa. Ko tōna āhua he pupuhi kore-rua e kore e pupuhi ina pēhia te kiri ki te kiri. 2. Pāreti:Haunga te pupuhi, kei reira anō ngā papa matotoru, teitei, me te kiripaka i runga i te mata o te kiri. 3. Pona: Haunga te pupuhi, kei reira anō ngā pona mārō i raro i te kiri. 4. Te mate kiriuhi: Koinei te momo tino onge. I roto i tēnei momo, ka kohia te wai lymphatic i raro i te kiri, ka puta he āhua taratara, he rite ki te pōro.He aha ngā tohu o te (Pretibial Myxedema)? Kia mōhio tātou ki a rātou!
Mena kei a koe tēnei āhuatanga, ka pāngia pea koe e tētahi, e ētahi rānei o ēnei tohu:- Pupuhi: He nui ake te kiri o tō waewae, he pupuhi ake i tō te rā o mua.
- Ngā puku mārō i raro i te kiri: Ka taea te rongo i ēnei ina pā atu koe ki tō ringa.
- Ka matotoru ētahi wāhi o te kiri, ka rite ki ngā papaka: ki ngā unahi ika.
- Ka pīataata te kiri me ngā pūkahukahu, ka rite ki te ware pi: Tērā pea he rite ki te kiri karaka .
- Ka rerekē te tae o te kiri : mai i te kōwhai me te karaka ki te parauri, te whero, me te papura.
- Ka nui haere te werawera , ka nui rawa rānei te tupu o ngā huruhuru i ngā wāhi e pāngia ana.
- Ka mamae te kiri, ka mākūkū rānei.
Kei hea te tinana e tino pāngia ai e ēnei tohu?
Ko ngā tohu tino kitea o te Pretibial Myxedema ko:- I runga i ngā waewae i raro i ngā turi.
- I runga i ngā kapu o ngā waewae.
- Ngā uaua o te waewae i te rohe o te uaua.
He aha tātou ka pāngia ai e te (Pretibial Myxedema)? He aha ngā take?
Ahakoa kāore anō kia tino mārama te pūtake o tēnei, he maha ngā āhuatanga kua puta mai i ngā rangahau. Ko te take matua mō tēnei ko te kohikohinga o ngā matū huka (glycosaminoglycans, mucopolysaccharides rānei) i kōrerotia e tātou i mua ake nei i roto i ngā paparanga (dermis) me (hypodermis) o te kiri. Engari he aha i kohikohi ai pērā? 1. He tukanga pūnaha ārai mate (Autoimmune response): I roto i ngā kupu māmā, ka tīmata te pūnaha ārai mate o tō tātou tinana ki te mahi ki a tātou. I roto i tēnei, ka tohu tō tātou pūnaha ārai mate ki ō tātou pūtau kia whakaputa (antibodies) hei ārai i ngā homoni tairoi. Mā ēnei (antibodies) ka puta he matū e kiia nei ko (glycosaminoglycans) i te nui rawa. 2. Te whakahohenga o ngā pūtau (T lymphocyte): Ko (T lymphocytes) he momo pūtau motuhake i roto i tō tātou pūnaha ārai mate. Ka haere ēnei pūtau ki roto i te kiko kiri ka tukuna ngā pūmua karere e kiia nei ko (cytokines). Mā ēnei cytokines ka puta he nui rawa o ngā glycosaminoglycans ki ngā pūtau. 3. Te urupare whara:Whakaarohia kua whara tō waewae o raro, i te rohe pretibial. Mena he hypothyroidism tōu, ka taea e ngā pūtau ārai mate me ngā pūmua te kohikohi ki te wāhi i whara ai. Nā te mea ko ngā homoni tairoi te kaiwhakahaere o te kohikohinga o ēnei matū ki roto i ngā kiko. Ina kore ngā homoni, ka ngaro taua mana whakahaere.Me pēhea te tātaritanga a te tākuta i te Pretibial Myxedema?
Ina kite koe i tētahi tākuta, ka pātai tuatahi ia ki a koe mō ō tohu me ētahi atu mate hauora kei a koe ((hītori hauora)). Kātahi ka tirotirohia koe e rātou ((whakamātautau tinana)). Hei whakaū mēnā he (Pretibial Myxedema) tēnei, ka mahia pea e te tākuta ēnei whakamātautau e whai ake nei:- Whakamātautau toto: Tirohia ngā taumata o te homoni tairoi .
- Kohikohi kiri: Ka taea te whakamahi i tēnei hei whakatau mēnā kei te kitea te mate me te ine i ngā taumata o te glycosaminoglycans i roto i te kiri.
He rongoā kei reira mō tēnei? He aha ngā mea ka taea te mahi?
I te nuinga o te wā, he āhua noa iho ngā tohu o te Pretibial Myxedema, nō reira kāore e hiahiatia he maimoatanga i ngā wā katoa. Arā, kāore e pā kino nui ki a koe . Heoi, ki te kore koe e pai ki te āhua, ki te pāngia rānei koe e ētahi atu tohu (te mākūkū, te mamae), kei reira ngā maimoatanga e wātea ana.- Te mau i ngā tōkena pēhi, i ngā tōkena rānei: Ka taea e tēnei te whakaiti i te pupuhi.
- Ngā kirimi, ngā hinu rānei hei pani ki te kiri: Ārai i te mākūkū me te pupuhi.
- Ngā rongoā me ngā werohanga ā-waha, ā-pākihi hoki: Hei whakaiti i ngā puku i raro i te kiri, hei whakaiti rānei i ngā huringa o te āhua.
- Te rongoā i te mate a Graves, te mate tairoi rānei: Koinei te mea tino nui . Ina rongoātia te take matua, ka pai ake ngā tohu o te Pretibial Myxedema.
- Plasmapheresis: He maimoatanga uaua ake tēnei. Ko te tango i te wāhanga wai o te toto (plasma), te whakakapi i ngā toto whero me ngā toto mā me ngā pereti toto ki roto i tētahi wai hou, kātahi ka whakahokia mai ki roto i te tinana. Ehara tēnei i te mea ka taea e te katoa te mahi.
He mea nui: Ahakoa ka taea e te pokanga te tango i ngā pona i raro i te kiri, kāore i te tūtohutia i te nuinga o te wā. Nā te mea, i te mea ka ora te kiri i muri i te pokanga, ka nui ake te tūponotanga ka hoki mai ngā pona ki te wāhi i whara ai. Nā te mea ka whakaarohia e te tinana te wāhi i pokanga hei "marutanga".
He aha ngā rongoā e hoatu ana mō te Pretibial Myxedema?
Tērā pea ka hoatu e tō tākuta he rongoā hei whakaiti i ngā tohu o tēnei mate:- (Ngā rongoā corticosteroid):He rongoā ā-papa ēnei hei whakaiti i te pupuhi, te mumura, me te mākati.
- (Pentoxifylline): He rongoā ā-waha tēnei hei whakapai ake i te rere o te toto i roto i ngā waewae.
- (Octreotide): He werohanga tēnei. Ka taea e ia te whakaiti i te rahi o ngā puku i raro i te kiri.
- (Rituximab): He werohanga ā-uaua anō hoki tēnei. Ka āwhina i ngā paturopi o te tinana kia mahi tika.
- Immunoglobulin intravenous (IVIG): He rongoā anō hoki tēnei e tukuna ana ki roto i te uaua. Ka whakapai ake i te mahi a ngā paturopi i roto i te pūnaha ārai mate.
Kia pēhea te tere o taku ora ake i muri i te maimoatanga?
Ka rerekē te roa o te wā e pāngia ai koe e ngā tohu o te Pretibial Myxedema i runga i te kaha o tō mate. Mēnā ka rongoatia, ka pai ake pea ngā tohu i roto i ētahi wiki ki ētahi marama. Mēnā kāore he maimoatanga, ka roa pea ētahi tau ka memeha haere te mate. Engari kia mahara, ki te whara ō waewae o raro, ka hoki anō te mate.He huarahi hei ārai i tēnei (Pretibial Myxedema) kei puta?
Kāore he huarahi hei ārai katoa i tēnei mea, engari ka taea e koe te mahi i ēnei hei whakaiti i tō mōrearea:- Kaua e whakamahia ngā hua tupeka.
- Mena kei a koe ngā āhuatanga e pā ana ki te mahi a tō tairoi, me whiwhi koe i te rongoā tika.
- Mauria he tōkena pēhi, he tōkena rānei ki ō waewae.
A, mehemea kei a au anō tēnei mate? He mea hei wehi māku?
He pai te āhua o te mate mō te hunga e pāngia ana e te Pretibial Myxedema. Mena ko tō āhua anake te pānga o ō tohu, kāore pea koe e hiahia ki te rongoā. Mena he mate ngawari tō mate, ka memeha noa iho. Mena he kino rawa atu tō mate, he pai te āhua o te mate, engari ka roa pea ētahi tau ki te ora katoa.Me haere ahau ki te tākuta?
Ahakoa kua ora te Pretibial Myxedema, ka hoki anō pea te whara o tō waewae o raro. Nō reira, ki te mea kua memeha haere ō tohu, kātahi ka hoki anō, kōrero ki tō tākuta. Waihoki, ki te mamae koe, ki te mākūkū rawa rānei, me toro atu ki te tākuta.He aha ngā pātai me pātai atu e au ki te tākuta?
He mea pai kia rite mai ētahi pātai pēnei i a koe ina haere koe ki te tākuta:- Ka taea e au te whakamahi i ngā tōkena kōpeketanga hei āwhina i te Pretibial Myxedema?
- Me rongoā ahau mō te Pretibial Myxedema?
- He mate tairoi kei raro i te maru o aku tohumate?
- Me pēhea taku tiaki i tōku kiri e pāngia ana e te Pretibial Myxedema?
He aha te rerekētanga i waenga i te (Pretibial Myxedema) me te (Erythema Nodosum)?
E pāngia ana tō tātou kiri e ēnei āhuatanga e rua, inā koa te kiri o ō tātou waewae i raro i ngā turi. Heoi anō, he rerekē ngā tohu:- (Pretibial Myxedema): Ka pupuhi, ka matotoru, ka pīataata, ka rite ki te korara ngā papa kiri.
- (Erythema Nodosum): Ka pupuhi, ka puta hoki ngā puku iti, mamae i runga i te kiri.
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