Kei te ngenge koe i ētahi wā, ā, kāore he ora? Ahakoa te nui o te moe e moe ana koe, kāore e ngaro taua ngenge? Kāore rānei, ka ngaro whakarere tō taumaha, ka piki rānei, me te kore e huri i tō kai? Tērā pea ka riri noa koe, ka manukanuka hoki. I mōhio koe ko te tino take o ēnei mea he repe iti āhua pūrerehua i roto i tō kaki? I tēnei rā, ka kōrero tātou mō te repe tairoi me ngā whakamātautau e tirotiro ana i tana mahi.
He kupu ngāwari noa iho, he aha tēnei repe tairoi?
Whakaarohia te repe tairoiro hei pokapū whakahau o tō tinana. He rite ki te pūnaha e whakahaere ana i te miihini o te motuka. Kei mua o tō kaki, i raro noa i tō wheua kaki. He rite tōna āhua ki te pūrerehua e whera ana i ōna parirau.
Ko te mahi nui rawa atu a tēnei repe iti nei ko te whakaputa i ngā homoni e whakahaere ana i te whakamahinga o te pūngao e tō tinana, arā, tō pākia o te tinana. He maha ngā mea e pā ana ki ēnei homoni, tae atu ki te tere o te manawa, te pāmahana o te tinana, te nakunaku, me te mahi a te roro. Nō reira, ahakoa he iti noa te panonitanga o tēnei repe, ka pā pea ki tō tinana katoa.
He aha tātou me whakamātautau ai i te tairoi?
He maha ngā take matua e tono ai tō tākuta i tētahi whakamātautau tairoi. Ka taea e ēnei whakamātautau te āwhina ki te whakatau mēnā he panoni te mahi tairoi te take, inā koa mēnā kei a koe ēnei tohu e whai ake nei:
- Te ngenge tonu me te hiamoe.
- Te piki, te heke rānei o te taumaha, kahore he take.
- Te āhua o te kore okiokinga, te riri, te manukanuka rānei.
- Kiri maroke, makawe ngaro.
- Te werawera nui, te kore rānei e taea te aro atu ki te makariri.
- Te mamae o ngā uaua me te ngoikore.
- Ngā rerekētanga o te huringa paheketanga i roto i ngā wāhine.
Ka taea e ēnei whakamātautau te tautuhi i ētahi āhuatanga, ko te nuinga e pā ana ki te repe tairoi.
| Āhuatanga hauora | Hei whakarāpopototanga... |
|---|---|
| Te mate pūkahukahu | Kāore e ranea ngā homoni e whakaputaina ana e te repe tairoiti. Ka kiia hoki tēnei ko te "tairoiti ngoikore". |
| Te mate taiaki toto nui | He nui ake ngā homoni e whakaputaina ana e te repe tairoiti i te mea e tika ana. Ka kiia hoki tēnei ko te "tairoiti kaha rawa". |
| Te mate tairoidi | Te pupuhi, te mumura rānei o te repe tairoiti. |
| Te mate o Graves | Ko te hyperthyroidism he mate e puta mai ana i te whakaekenga me te whakaohooho a te pūnaha ārai mate o te tinana i te repe tairoi. |
| Te mate a Hashimoto | He āhuatanga e whakaekea ai, e pakaru ai hoki te repe tairoiti e te pūnaha ārai mate, ā, ka mutu, ka puta te mate hypothyroidism. |
E rua ngā momo matua o ngā whakamātautau tairoi:
Ka taea te wehewehe i ngā whakamātautau e mahia ana hei tirotiro i te repe tairoi kia rua ngā wāhanga matua.
1. Ngā whakamātautau toto tairoi: Ka ine ēnei i ngā taumata o ngā homoni tairoi i roto i ō toto, me ngā paturopi hoki.
2. Ngā whakamātautau whakaahua o te tairoi: Ka whakamahia ēnei hei tirotiro i te āhua, te rahi, me te aroaro o ngā pona i roto i te repe tairoi.
Nā, kia kōrero tātou mō ia momo me ētahi atu taipitopito.
Me pēhea te mahi a ngā whakamātautau toto?
He tikanga tino māmā tēnei. Ka tangohia he toto iti mai i tō ringa, pērā i te tikanga, ka tukuna ki te taiwhanga hei whakamātautau. Kāore koe e mamae i te wā o tēnei tikanga. Kāore koe e hiahia ki te kai, ki te inu rānei i tētahi mea motuhake i mua i te whakamātautau. Heoi, ki te hoatu e tō tākuta he tohutohu motuhake ki a koe, me whai koe i aua tohutohu.
| Ingoa o te whakamātautau | He aha tāu e kite nei i roto i tēnei? |
|---|---|
| Whakamātautau TSH | Ko te TSH he whakarāpopototanga mō te Thyroid-Stimulating Hormone. Ka hangaia e te repe pituitary i roto i tō roro. Ko tēnei homoni TSH te mea e kī ana ki te repe thyroid kia "hanga homoni." I te nuinga o te wā, ka tirohia tuatahitia e te tākuta tēnei taumata TSH. |
| Whakamātautau T4 | Ko te T4, thyroxine rānei, tētahi o ngā homoni matua e whakaputaina ana e te repe tairoiti. Mā tēnei ka ine i te nui o tēnei homoni kei roto i te toto. |
| Whakamātautau T3 | Ko te T3, te triiodothyronine rānei, tētahi atu homoni matua e hangaia ana e te repe tairoiti. Mā tēnei whakamātautau ka ine i tōna taumata i roto i te toto. |
| Ngā Whakamātautau Paturopi Tairoi | I ētahi wā ka tīmata te pūnaha ārai mate o tō tātou tinana ki te whakaeke i tō tātou repe tairoi. Kātahi ka kitea ēnei paturopi i roto i te toto. Mā tēnei whakamātautau ka āwhina i te kite i ngā mate pēnei i te mate a Graves me te mate a Hashimoto. |
He pēhea te mahi a ngā whakamātautau whakaahua?
I muri i ngā whakamātautau toto, ki te hiahia tō tākuta i ētahi atu kōrero mō te āhua o te repe tairoiti, pēnei i tōna rahi, tōna āhua, me te mea he pona kei roto, ka tukuna pea koe e ia mō tētahi whakamātautau whakaahua.
- Te Whakamātautau Ira-o-te-Tairoiro: He rite tēnei ki te matawai i te whaea hapū. Kāore he mamae. Ka whakamahia ngā ngaru oro hei hanga i tētahi whakaahua mārama o te repe tairoiro. He mea tino nui tēnei kia kitea ai mēnā he pona kei te kaki, me tōna āhua.
- Matawai Tairoiti:Ko te tikanga o tēnei ko te tirotiro i te rahi me te tūranga o te repe tairoiti. I ētahi wā, me werowero pea koe i tētahi rauemi ārai ira, he matū hei whakamārama ake i ngā whakaahua, ki roto i tō tinana. Ka mahia tēnei mā te hoatu i tētahi pire iti kei roto ko te iodine radioactive, mā te hoatu rānei hei werowero. Kaua e wehi i te kupu 'radioactive', nā te mea he iti noa iho te nui, he haumaru hoki e whakamahia ana. Ina tāpirihia tēnei iodine ki te repe tairoiti, ka kitea mārama te repe i runga i te matawai.
- Whakamātautau Whakaurunga Tairoiro: Ka ine tēnei whakamātautau i te pai o te mahi a tō repe tairoiro. Ka hoatu hoki he wai, he kāpū rānei kei roto te iodine irirangi hei inu māu. Kātahi, i muri i ētahi haora, i te nuinga o te wā i muri i ngā haora 24, ka whakatakotoria he taputapu iti e kiia nei ko te probe gamma ki mua o tō kaki hei ine i te nui o te iodine kua tangohia e tō repe tairoiro.
- Mena kua mimitia e te repe te nui o te iodine , he tohu pea tēnei nō te hyperthyroidism.
- Mena he iti rawa te iodine e mimitihia ana e te repe, he tohu pea tēnei nō te hypothyroidism.
I mua i ēnei whakamātautau whakaahua, ka tonoa pea koe kia kaua e kai, e inu rānei mō ētahi haora. Ka tonoa pea hoki koe kia kaua e kai i ngā kai he nui te iodine, pērā i te rimu, mō ētahi rā. Mā tō tākuta koe e tohutohu i mua i tēnei.
Ngā hua o te whakamātautau, ā, he aha te mea ka tupu i muri mai?
I roto i ngā rā torutoru ka tae atu ō pūrongo whakamātautau ki a koe. Kātahi ka arotakehia e tō tākuta ngā pūrongo, ā, ka kōrero atu ki a koe hei whakamārama i aua pūrongo.
Hei tauira, ngā taumata TSH:
- Mena he teitei ake tō taumata TSH i te mea noa, ko te tikanga kāore tō repe tairoiti e whakaputa ana i ngā homoni e tika ana. He āhuatanga pea tēnei e kiia nei ko te hypothyroidism. Nā te mea kāore te repe tairoiti e mahi tika ana, ka ngana tonu te roro ki te tuku karere TSH e kī ana kia "mahi, mahi."
- Mena he iti iho tō taumata TSH i te mea noa, ko te tikanga kei te nui rawa te homoni e hangaia ana e tō repe tairoi. He āhuatanga pea tēnei e kiia nei ko te hyperthyroidism. Nā te kaha rawa o te mahi a te repe, ka mutu te tuku karere TSH a te roro.
Ko te mea nui: Kaua e whakawā i tētahi mate mā te titiro ki ngā tau kei runga i tō pūrongo whakamātautau, me te whakarite ki ngā mea ka kitea e koe i te ipurangi. Ko tō tākuta anake ka taea te tātari tika i ēnei hua me te hono atu ki ō tohumate kia tae mai ai ki tētahi whakatau tika.
I ētahi wā, kāore pea e taea e te whakamātautau kotahi te homai i tētahi pikitia katoa. Mēnā koinei te āhua, ka tono pea tō tākuta i ētahi atu whakamātautau. Mēnā ka kitea he mea pēnei i te puku i roto i te matawai, ka mahia pea he koiora (FNA - fine needle aspiration) hei whakatau mēnā he mate pukupuku.
Karere Tangohia ki te Kāinga
- He repe tino nui te tairoi i roto i tō kaki e whakahaere ana i te pūngao o te tinana.
- Ko te ngenge tonu, te whakarerekētanga o te taumaha, me te kore okiokinga he tohu ēnei o te mate tairoi.
- Kāore he mea e wehi ai ngā whakamātautau tairoi. He whakamātautau māmā noa iho ēnei, arā, he tauira toto, he matawai kore mamae rānei.
- Kia whiwhi koe i ngā hua o tō whakamātautau, kaua e whakatau i a koe anō. Kōrero tonu ki tō tākuta mō tēnei mea, ā, whai i ana tohutohu.
- Ka taea te rongoā me te whakahaere i te nuinga o ngā mate tairoi, nō reira, ki te pā mai ngā tohu, kaua e whakaroa ki te rapu tohutohu hauora.
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