Kua pupuhi ō waewae, ā, kua pākiki te kiri? Me ako tātou mō tēnei (Pretibial Myxedema)!

Kua kite koe i te kiri o ō waewae, inā koa i raro i ngā turi, ka pupuhi, ka matotoru, ā, ka rerekē te tae i ētahi wā? He rite rānei ki te kiri karaka i ētahi wāhi? Mena kei a koe ēnei tohu, tera pea he mate kei a koe e kiia nei ko te Pretibial Myxedema, ā, ka kōrerohia e tātou i tēnei rā.

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.

Whakaarohia, kua roa tō hoa noho, a Whaea Susila, e pāngia ana e ngā mate tairoi. Kātahi ka kite ia kua pupuhi te rohe i raro i ngā turi o ōna waewae, he whero paku te kiri, ā, he rite ki ngā puku iti ina pāngia. I te tuatahi, i whakaaro ia he mea pea nā te kaha o te tinana. Engari i tana whakaaturanga ki te tākuta ka mōhio ia he Pretibial Myxedema pea.

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.

I te tīmatanga, ka tīmata pea te mate hei puku mārō i runga i te kiri. Tērā pea ka nui haere tēnei puku i roto i te wā, ka hanumi rānei ki ētahi atu puku.

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.

I ētahi wā ka puta ngā panoni o te kanohi i te mate a Graves, i te mate tairoi rānei, engari he take motuhake tēnā.

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.

I mua i te tīmatanga o tētahi rongoā hou, kia mōhio koe ki te kōrero ki tō tākuta mō ōna pānga taha, te roa o te wā me tango e koe, me te mea ka pā he raruraru ki ētahi atu rongoā e tangohia ana e koe i tēnei wā.

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.

Hei whakamutunga, ngā mea hei maumahara

Ko te Pretibial Myxedema he mate kāore e hiahiatia he rongoā. I te nuinga o te wā, ka memeha noa iho. Heoi, ki te mea ka raru koe i ngā panonitanga o te āhua, kei reira ngā maimoatanga e wātea ana. Mā te mau i ngā tōkena pēhi ka āwhina i te whakaiti i te pupuhi me te whakamarie i a koe. Ki te mamae koe, ki te mākūkū nui rānei i ō waewae o raro, kia mōhio koe ki te kōrero ki te tākuta. Waihoki, he maha ngā wā ka honoa tēnei mate ki te Mate Graves me ngā raruraru tairoi, nō reira he mea nui kia mōhio koe ki ēnei mea.

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