Kua kite koe i tētahi wā kua nui ake ngā kanohi o ētahi tāngata, me te mea kei te pupuhi? He pupuhi, he whero rānei ngā kanohi? Tērā pea kei te pāngia koe e tētahi āhuatanga pēnei. Inaa, he mea hohonu ake tēnei i te raruraru āhua e puta mai ana i waho. I mōhio koe ka puta pea tēnei i tētahi raruraru o te repe tairoiti i roto i tō tinana? I tēnei rā kei te kōrero tātou mō tēnei āhuatanga e whakararuraru ana i te tini o te tangata, engari ka taea te whakahaere tika. Te Mate Kanohi Tairoiti (TED).
He aha te Mate Kanohi Tairoiro (TED)?
Ko te Mate Kanohi Tairoiro (TED) he āhuatanga e mumura ai, e pupuhi ai ngā kiko e karapoti ana i ō kanohi, pērā i ngā uaua me ngā pūtau ngako. Nā te raruraru o te pūnaha ārai mate o tō tinana tēnei. He māmā noa iho, ko te pūnaha ārai mate, he rite ki te "ope" e tiaki ana i tō tātou tinana mai i te mate, ka tīmata hē ki te whakaeke i ōna ake pūtau hauora. Ka kiia tēnei he mate ārai mate.
I roto i te TED, ka whakaekea e te pūnaha ārai mate tō repe tairoi me ngā kiko e karapoti ana i ō kanohi. Ko te nuinga o te wā ka kitea tēnei āhuatanga i roto i te hunga e pāngia ana e te mate a Graves, he āhuatanga e kaha rawa ana te mahi a te repe tairoi. Koia te take e kiia ai e ngā tākuta ko te Mate Kanohi a Graves i ētahi wā.
Ahakoa he mate ārai mate tēnei mō te wā katoa, ka memeha haere ngā pānga ki ngā kanohi (TED) i muri i tētahi wā i te wāhanga hohe. Ka roa pea tēnei wāhanga hohe mō te rua tau. I tēnei wā, ka memeha haere pea ngā tohu. Kāore te nuinga o te tangata e tino pāngia, engari mō ētahi, ki te nui rawa, ka pāngia pea te tirohanga me te tirohanga tuturu.
He aha ngā tohu o tēnei mate?
Ka rerekē pea ngā tohu o te TED i ia tangata, i ia tangata, engari he maha ngā tohu noa. I te nuinga o te wā ka pāngia ngā kanohi e rua, engari i ētahi wā ka pāngia te kanohi kotahi anake.
| Tohu | He whakamārama māmā |
|---|---|
| Te pupū o ngā kanohi (Proptosis) | Koinei te tohu matua e kitea ana e te nuinga o te tangata. Ka pupuhi ngā kiko i muri i ngā kanohi, ka pupuhi te karu o te kanohi. |
| Te mamae o te kanohi me te mākūkū | Tērā pea ka rongo tonu koe i te kirikiri i roto i ō kanohi, i te kare o te kirikiri, i te kare rānei o te mākūkū. |
| Te pupuhi me te whero o ngā kamo (Blepharitis) | Tērā pea ka pupuhi, ka whero hoki te wāhi huri noa i ngā kanohi, inā koa ko ngā kamo o runga me o raro. |
| Ngā kanohi maroke, ngā roimata nui rānei | Tērā pea ka maroke ngā kanohi nā te mea kāore e kati tika ana. Hei whakautu, ka nui ake pea ngā roimata e puta mai i te tinana. |
| Te aro nui ki te mārama (Photophobia) | Ahakoa te whitinga o te rā, me te mea kei te kikorangi haere ōku kanohi, e mura ana hoki ngā rama. He uaua ki te pupuri i ōku kanohi kia tuwhera. |
| Mamae kanohi me te ānini | Ina nekehia ō kanohi, tera pea ka rongo koe i te mamae rite ki te pēhanga i muri i ō kanohi. |
| Tirohanga Takirua/Matapōkere | I te pupuhi o ngā uaua o ngā kanohi, ka kore e taurite ngā nekehanga o ngā kanohi e rua, ka puta te āhua o te mea kotahi me he mea e rua. |
He aha ngā raruraru ka pā mai mēnā ka kino rawa atu tēnei āhuatanga?
Waimarie, kāore te nuinga o te tangata e pāngia e ngā raruraru nui. Kia mutu te wāhanga kaha o te mate, ka hoki pea te āhua me te tirohanga o ngā kanohi ki te āhua noa i tētahi wāhi. Heoi, i ētahi wā, ka puta he whara o ngā kiko huri noa i ngā kanohi, ka puta ai ngā huringa tuturu.
Ngā huringa tuturu o te āhua
- Te hoki whakamuri o te kamo: Ka kumea ake ngā kamo ki runga, ka āhua nunui, ka mataku hoki ngā kanohi.
- Ngā kanohi e pūwero ana:Ko te mea e panaia ana ki mua i ngā kanohi, tera pea he mea pumau.
- Kanohi pūkahukahu: Ka roa pea te pupuhi huri noa i ngā kanohi.
Ngā huringa tuturu o te tirohanga
- Te tirohanga pōuri
- Tirohanga takirua
- I ngā wā tino kino, ka ngaro katoa te tirohanga: He tino onge tēnei. Ka puta tēnei ina pupuhi te kiko i muri i te kanohi, ka pēhi i te io whatu. He āhuatanga ohorere tēnei.
He aha tēnei e tupu ai? He aha ngā āhuatanga mōrearea?
E ai ki tā mātou i kōrero ai i mua, ko te take matua mō tēnei he tukanga ārai mate. Whakaarohia he kī kei roto i tō whare. Ina whakaurua e koe te kī tika ki roto, ka tuwhera te tatau. Inaianei whakaarohia ka haere mai tetahi tahae ka whakauru i tētahi kī rūpahu he rite tonu ki taua kī, ā, ka whakatuwhera i te tatau. Ko ētahi o ngā mea e hanga ana i te pūnaha ārai mate o tō tātou tinana (ngā paturopi) ka rite te whanonga ki ngā homoni tairoi, ā, ka piri ki ngā kaiwhakawhiwhi i roto i te repe tairoi me ngā kiko i muri i ngā kanohi. Koia te take e pā ana ki te repe tairoi ka pā hoki ki ngā kanohi.
He maha ngā āhuatanga mōrearea ka whai wāhi ki tēnei āhuatanga:
- He wahine: E rima ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e tēnei mate i ngā tāne. Heoi, ki te pāngia te tāne e tēnei mate, he nui ake te tūponotanga ka paku kino ake.
- Ngā taumata homoni tairoi rerekē: Ka pāngia tēnei e te pikinga (hyperthyroidism) me te hekenga (hypothyroidism).
- Te rongoā radioiodine: Koinei te rongoā matua mō te mate a Graves. Heoi, mō ētahi tāngata, ka kino ake pea tēnei rongoā, ka puta rānei he TED hou.
- Te Momi hikareti: Koinei te tūponotanga nui rawa atu, ā, ka taea e koe te whakahaere. Ko te hunga e momi hikareti ana, e pāngia ana e te auahi tuarua, he nui ake te tūponotanga ki te whakawhanake i te TED. Waihoki, ki te pāngia te kai momi hikareti e te mate, ka nui ake te tūponotanga ka kino ake ngā tohu, ā, ka roa ake te mau.
Mena kei a koe te TED, ko te mea pai rawa atu māu ko te whakamutu i te kai paipa tonu mena kei te kai paipa koe.
Me pēhea te tautuhi a te tākuta i tēnei mate?
Mā te tirotiro i ō kanohi (whakamātautau kanohi ā-tinana) ka taea e tō tākuta te mōhio ki tēnei āhuatanga. Ka āta tirohia e rātou ngā mea pēnei i te tūnga o ō kamo me ō karu.
Hei tāpiritanga, ka tonoa pea ngā whakamātautau e whai ake nei hei whakaū i te mate me te tirotiro i te mahi a te tairoi:
- Ngā whakamātautau toto:Te whakamātautau i ngā taumata o ngā homoni tairoi (TSH, T3, T4) me ngā taumata o ngā paturopi e ārai ana i te repe tairoi.
- Ngā matawai kanohi mā te whakamahi i te ultrasound, CT, MRI rānei: Ka kitea māramatia e ēnei matawai te pupuhi o ngā uaua me ētahi atu kiko kei muri i ngā kanohi.
He aha ngā maimoatanga mō tēnei?
Ko te momo maimoatanga e hiahiatia ana e koe ka whakawhirinaki ki te taumata me te kaha o tō mate. I te wā e kaha ana te mate, ka whakamahia ngā maimoatanga tautoko hei whakahaere i ngā tohu. Kia memeha haere te mate, tera pea ka hiahiatia he pokanga hei whakaora i te tirohanga me te āhua.
Te tiaki tautoko i te wā e kaha ana te mate
| Tikanga maimoatanga | Ka ahatia? |
|---|---|
| Ngā pata kanohi | He whakaora i ngā kanohi maroke, whero, me te mamae. |
| Ngā tāpiringa selenium | I te mea ka kino ake ngā tohu i te korenga o te selenium, mā te tango i ēnei tāpiringa i raro i te tohutohu a te tākuta ka taea te whakaora. |
| Ngā mōhiti karaihe | Ka taea te mau i ēnei mōhiti motuhake hei rongoā rangitahi mō te tirohanga rua. |
| Ngā rongoā e whakahaere ana i ngā homoni tairoi | Mena he nui ngā taumata homoni tairoi i roto i tō tinana nā te mate a Graves, ka hoatu he rongoā ki a koe pērā i te Methimazole me te Propylthiouracil hei whakahaere i taua mea. |
| Ngā corticosteroids | Mena he kino rawa ngā tohu, ka tohua pea e tō tākuta tēnei rongoā (hei tauira, Prednisolone) mō te wā poto hei whakaiti tere i te pupuhi me te mumura. |
| Te rongoā irahiko | Ka tukuna he horopeta iti o te irahiko ki muri i ngā kanohi, ka whakangaro i ngā pūtau ārai mate hohe i reira, ka whakaiti hoki i te pupuhi. |
Pokanga mēnā e tika ana
I te nuinga o te wā ka mahia te pokanga i muri i te mutunga o te wāhanga kaha o te mate, ā, kua tau te āhua. Ko reira anake ka taea te whakatau ko ēhea ngā huringa tuturu o te āhua me te tirohanga kua puta.
- Pokanga whakaiti pēhanga o te orbital: Mena he nui rawa te pēhanga i muri i te kanohi, ā, he tūponotanga kei pakaru te io whatu, ka tangohia he wāhanga iti o te wheua huri noa i te kanohi hei hanga wāhi. Ka mahia hoki tēnei pokanga hei whakaiti i te putanga mai o te kanohi.
- Pokanga kamo: Ka mahia tēnei pokanga hei whakaora i te kamo e takoto kau ana.
- Pokanga uaua kanohi: Mena he pumau te tirohanga takirua, ka mahia he pokanga ki ngā uaua kanohi hei whakahoki i te nekehanga o te kanohi ki te tūnga noa.
- Tātarihia te repe tairoiti: Mena kāore e taea e te rongoā te whakahaere i ngā taumata o ngā homoni tairoiti, me tango pea te repe tairoiti mā te pokanga.
Āhea te wā e tika ai kia kite tonu i tō tākuta
Hei tangata whai TED, he mea nui kia noho mataara koe ki ō tohumate. Ina koa mēnā ka kite koe i ētahi huringa o tō tirohanga, me whakamōhio tonu koe ki tō rōpū hauora.
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei, me toro atu ki te tākuta tonu, me haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera i runga i te wā tonu.
- Ki te mea kua iti haere te tirohanga, ā, kāore e taea e koe te kite i tētahi taha, i tētahi taha.
- Mena kua rerekē te tae (hei tauira, he rite te whero ki te māwhero kua memeha).
- Ki te pāngia koe e te mamae nui o ngā kanohi.
Ka pā nui pea tēnei āhuatanga ki tō oranga. Tērā pea ka pāngia koe e te mamae o te kare ā-roto nā te mamae o ngā kanohi, te kore whakamarie, me ngā panonitanga o tō āhua. Nō reira, he mea nui kia kōrero noa koe ki tō rōpū hauora, kia rapu tautoko mai i te whānau me ngā hoa. Ki te mea kei te whakaaro koe kāore koe e whiwhi ana i te tautoko e hiahiatia ana e koe, kōrero ki tō tākuta mō tēnei mea. Ka taea e rātou te whakarato i ngā rauemi e hiahiatia ana e koe hei tautoko i tō oranga hinengaro.
Karere Tangohia ki te Kāinga
- Ko te Mate Kanohi Tairoiro (TED) he mate pūnaha ārai mate e pā ana ki ngā raruraru tairoiro, inā koa te mate a Graves.
- Ko ngā tohu noa ko te pupuhi o ngā kanohi, te pupuhi huri noa i ngā kanohi, te mamae, me te tirohanga takirua.
- Ka nui ake te kino o tēnei mate i te kai hikareti. Ko te mea pai rawa atu ka taea e koe ko te whakamutu rawa i te kai hikareti.
- He maha ngā maimoatanga mō tēnei, tae atu ki ngā rongoā, te rongoā irahiko, me te pokanga. Mā tō tākuta e whakatau ko tēhea maimoatanga te mea pai mōu.
- Ki te pā mai he panoni ohorere ki tō tirohanga (te hekenga o te whānuitanga tirohanga, te panoni o te tae) , rapua tonutia he tohutohu hauora.











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