Ka pāngia ō kanohi e te repe tairoiti? Kia ako tātou i ngā mea katoa e pā ana ki te mate kanohi tairoiti!

Kua rongo koe i tētahi wā ka pāngia ō kanohi e ngā raruraru tairoi? I ētahi wā, ka honoa tētahi mate ki tētahi atu i ngā huarahi kāore tātou e mōhio. Koinei te ingoa o te mate tairoi, te mate kanohi tairoi rānei i waenga i ngā tākuta (Mate Kanohi Tairoi - TED). Koinei te wā e pupuhi ai ngā kiko ngawari e karapoti ana i ō kanohi. Ka pāngia ō kanohi e te kore whakamarie me te mamae. He maha ngā wā ka kitea tēnei āhuatanga i roto i te hunga whai mate pūnaha ārai mate e whakaeke ana i te repe tairoi. He mea noa tēnei i roto i te hunga whai mate e kiia nei ko te (mate a Graves). Koia te take e kiia ai e ngā tākuta ko te Mate Kanohi a Graves.

He aha rawa te mate kanohi tairoi (TED)?

Ki te whakarapopototanga, ko te Mate Kanohi Tairoiro (TED) he mate e pā ana ki ngā kiko e karapoti ana i ō kanohi, ka pupuhi ai. He mate pūnaha ārai mate tēnei, arā, ka whakaekea hētia e te pūnaha ārai mate o tō tinana te repe tairoiro me ngā kiko e karapoti ana i ō kanohi.

Whakaarohia he rite tō tātou pūnaha ārai mate ki tētahi ope taua e tiaki ana i tō tātou whenua. Engari i ētahi wā ka hē tēnei ope taua, ka whakaeke i ōna ake iwi. Koinei te mea e tupu ana i roto i ngā mate pūnaha ārai mate.

Ehara te TED i te mate e haere mai ana, e haere atu ana. He rerekē ngā wāhanga. Ka taea e te pupuhi me te kore whakamarie te haere mai, te haere atu mō ngā tau e rua, neke atu rānei. He rerekē ngā tohu i ia tangata, i ia tangata; he iti noa iho pea ngā tohu e pā ki ētahi, ko ētahi ia he kino rawa atu. Mō te nuinga o te tangata, ehara i te mea kino. Heoi, ki te kino rawa atu, ka taea e ia te whara tuturu i ngā kanohi, te huri i te āhua, me te ngaro o te tirohanga.

Tērā pea kua rongo koe i ngā tākuta e whakamahi ana i ētahi atu ingoa mō tēnei mate. Kei roto i ēnei ingoa:

• Te ophthalmopathy o te tairoi
• Te orbitopathy o te tairoi
• Te ophthalmopathy o Graves
• Te orbitopathy o Graves

He ingoa rerekē ēnei mō te āhua kotahi, nō reira kaua e manukanuka.

He aha ngā tohu o te mate kanohi tairoi (TED)?

Nā, kia tirohia me pēhea e taea ai e koe te mōhio ki tēnei mate. Tirohia mēnā kei a koe tētahi, ētahi rānei o ēnei tohu:

• Proptosis: Te āhua nei kua rahi haere ngā kanohi, kua pūwero hoki.
• Ngā kanohi mākūkū, werawera: Kāore e pai te āhua, me te mea kei te hē tetahi mea o ō kanohi.
• Te pupuhi me te whero o ngā kamo (Blepharitis): Ka pupuhi pea ngā taha o ngā kamo, ka whero hoki.
• Ngā kanohi maroke, ngā roimata pinepine rānei: Ka maroke ngā kanohi o ētahi tāngata, ko ētahi ka roimata noa iho.
• Te kimo pinepine: Te kimo pinepine o ngā kanohi, kāore e taea te whakahaere.
• Te aro ki te mārama (Te mataku ki te mārama): Ka kikorangi ngā kanohi, ahakoa kua whiti te rā, kua kā rānei ngā rama, ā, ka uaua te kite.
• Mamae kanohi me te ānini:Tērā pea ka puta he mamae i te taha o ngā kanohi, he ānini pea.
• Te uaua ki te neke i ngā kanohi: He uaua ki te neke i ngā kanohi ina titiro ake, ina titiro iho, ina titiro rānei ki ngā taha.
• Diplopia: Te kite i te mea kotahi hei mea e rua.

I te nuinga o te wā ka pāngia ngā kanohi e rua e ēnei tohu, engari i ētahi wā ka kitea ēnei tohu i te kanohi kotahi anake.

He aha ngā āhuatanga kino o te mate kanohi o Graves?

Kia mutu te wāhanga kaha o te mate kanohi tairoi, ka pai ake pea ngā panonitanga o te āhua me te tirohanga o ngā kanohi. Engari kāore tēnei e tupu i ngā wā katoa. I ētahi wā, ka pakaru pea ngā kiko e karapoti ana i ngā kanohi, ā, kāore pea e hoki ki te āhua noa. Waihoki, ko ētahi wāhanga o te kanohi e pā kino ana ki te tirohanga ka pakaru tonu. Kaua e manukanuka, ka taea te rongoā i ēnei mea mā te pokanga.

Ngā huringa pumau pea o te āhua:

• Te whakahokinga o te kamo
• Ngā kanohi e pūwero ana
• Ngā kanohi pūkohu
• Ngā kanohi whero

Tērā pea ka puta ngā huringa pumau o te tirohanga:

• Te tirohanga pōuri
• Tirohanga takirua
• Te ngaronga nui o te tirohanga - He tino onge tēnei, engari he mea pai kia mōhio koe.

He aha tātou ka pāngia ai e te mate kanohi tairoi (TED)?

E ai ki tā mātou i kōrero ai i mua ake nei, he mate pūnaha ārai mate tēnei. Ko te tikanga ka whakaekea e te pūnaha ārai mate o tō tinana tō repe tairoi me ngā kiko e karapoti ana i ō kanohi. Ko te mate a Graves te tino take. Engari ka pā anō hoki ki te hunga whai mate pūnaha tairoi ārai mate, pērā i te mate a Hashimoto. He mea whakamiharo, i ētahi wā ka pāngia te hunga kāore he raruraru tairoi, ā, he noa ngā taumata homoni tairoi.

I roto i ēnei mate, ka mahi ētahi paturopi i hangaia e tō pūnaha ārai mate pērā i ngā homoni tairoi, ā, ka piri ki ngā kaiwhakawhiwhi homoni tairoi. Ko te nuinga o ēnei kaiwhakawhiwhi ka kitea i roto i te repe tairoi, engari ko ētahi ka kitea anō hoki i roto i ngā kiko i muri i ngā kanohi. Nō reira, ko ngā paturopi e pā ana ki te tairoi ka pā anō hoki ki ngā kanohi.

Ko wai te hunga tino mōrearea ki te whakawhanake (TED)?

He nui ake te tūponotanga o ētahi tāngata ki te pāngia e tēnei mate. Tirohia mēnā kei roto koe i tētahi o ēnei kāwai:

• Mena he wahine koe: E rima ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e te mate a Graves me te mate kanohi a Graves i ngā tāne. (Heoi, ki te pāngia te tāne e te mate, he nui ake te tūponotanga ka kino rawa atu.)
• Mena he rerekē ngā taumata o tō homoni tairoi:Ka taea e te pikinga (hyperthyroidism) me te hekenga (hypothyroidism) o ngā taumata o ngā homoni tairoi te whai wāhi ki te TED. Ka whakaoho ēnei homoni, pērā i ngā paturopi i kōrerotia i mua ake nei, i ngā kaiwhakawhiwhi i roto i ngā kiko o ngā kanohi.
• Mena kua whiwhi koe i te rongoā radioiodine (rongoā RAI): Ko te rongoā RAI te maimoatanga matua mō te hyperthyroidism. Heoi, ka taea e ia te whai wāhi atu ki te TED, te kino atu rānei.
• Ki te kaipaipa koe: He mea tino nui tēnei. Ko te hunga e kaipaipa ana, e pāngia ana e te auahi tuarua, he nui ake te tūponotanga ki te pāngia e te mate kanohi tairoi. Waihoki, he nui ake te tūponotanga ka kino ake ngā tohu, ā, ka roa ake te mau o aua tohu i roto i ngā kaipaipa. Ki te mea he TED tōu, ko te mea pai rawa atu māu ko te whakamutu i te kaipaipa.

Me pēhea taku mōhio mēnā he tākuta kei reira (TED)?

Ka taea e tō tākuta te tātaritanga i tēnei mate mā te whakahaere i tētahi whakamātautau kanohi ā-tinana me te āta tirotiro i ō kamo me ō kanohi.

Mena ka ara ake taua whakapae, ka tonoa e rātou kia maha ngā whakamātautau toto hei tirotiro i ngā taumata o ō homoni tairoi, me te tirotiro mēnā he nui rawa, he iti rawa rānei aua paturopi i roto i ō toto.

Hei tāpiri, ka tono pea te tākuta i ētahi atu whakamātautau:

• Te whakamātautau ultrasound o ngā kanohi
• Whakamātautau Matawai CT (Tomography Rorohiko - CT)
• Whakamātautau MRI (Whakaahua Āhua Aukume - MRI)

Ka taea e ēnei whakamātautau te whakatau i te pupuhi o ngā kiko huri noa i ngā kanohi, me te pēhanga rānei ki ngā io.

He aha ngā maimoatanga mō (TED)?

Ko te momo maimoatanga e hiahiatia ana e koe ka whakawhirinaki ki te wāhanga o te mate me tōna kaha. (TED) I te wā e kaha ana te mate, kei reira ngā maimoatanga hei āwhina i te whakamamae i ngā tohu. Kei roto pea i ēnei ko ngā rongoā kāinga, ngā rongoā ka taea te hoko kore utu, ngā rongoā rānei kua tohua e te tākuta. Kia mutu te wāhanga kaha, me mahi pokanga pea koe hei whakaora i tō āhua, hei whakatika rānei i tō tirohanga.

Te maimoatanga hei whakaora i ngā tohu

Tērā pea ka āwhina ēnei maimoatanga ina kaha te TED:

• Ngā pata kanohi: He rerekē ngā momo pata kanohi hei whakaora i ngā kanohi maroke, whero, mamae rānei.
• Ngā tāpiringa selenium: Kua kitea te korenga o te selenium ka whakanui ake i ngā tohu o te TED, nō reira ka tūtohu pea tō tākuta i ēnei.
• Ngā karāhe kanohi: He rite ēnei ki ngā karāhe kanohi, engari he nui ake te wāhi e kapi ana i te kanohi, ā, he nui ake te tiaki. Ka taea hoki te whakamahi hei hoatu rongoā.
• Ngā āwhina tirohanga:Mena he tirohanga takirua tōu, ka tūtohu pea tō tākuta kia whakamahia he pātaki kanohi, kia mau rānei i ngā mōhiti he porotiti motuhake.
• Ngā Rongoā (Thionamides): Mena kei a koe te (hyperthyroidism) (nā te mate a Graves), ka hoatu pea he rongoā pēnei i te (methimazole) me te (propylthiouracil) hei whakaiti i ngā taumata o te homoni tairoi.
• Corticosteroids: Mena he kino rawa ō tohu, ka tohua pea e tō tākuta he corticosteroids mō te wā poto hei whakaiti i te pupuhi. Ka taea ēnei te hoatu hei pire, hei werohanga rānei ki roto i te uaua (IV).
• (Teprotumumab - Tepezza®): Koinei te rongoā motuhake tuatahi i whakaaetia i te United States i te tau 2020 hei rongoā (TED). He rongoā hou tēnei i roto i tētahi akomanga e kiia nei ko (biologics) e whakaiti ana i te mumura. Kei te whakawhanakehia ētahi atu rongoā pēnei.
• Whakaora irahiko: Whakaarohia te rongoā irahiko hei whakangaro i ngā pūtau ārai mate hohe i muri i ngā kanohi, hei whakaiti hoki i te pupuhi. Tērā pea ka tukuna koe e tō tākuta kanohi ki tētahi tohunga mate pukupuku irahiko.

Kia maumahara, ki te kore ēnei maimoatanga e whai hua māu, ka tukuna atu e tō tīma hauora ētahi atu whiringa maimoatanga. Kāore e hiahiatia he pokanga i te wā e kaha ana te mate kanohi o Graves. I te nuinga o te wā, ka whakaarohia te pokanga i muri i te pumau o tō āhua. Ko reira anake ka taea ai e mātou te tino mōhio he aha ngā huringa o te āhua me te tirohanga ka pumau.

Pokanga mō (TED)

I ētahi wā, ka hiahiatia pea te pokanga:

• Pokanga whakaiti pēhanga o te orbital: He tino onge te mahi i tēnei pokanga mēnā kei te pupuhi te io whatu. Ka tangohia e te taote pokanga tētahi wahi wheua hei whakamama i te pēhanga. Ka mahia hoki tēnei hei whakaiti i te pupuhi o te kanohi i muri i te memeha haere o te mate.
• Tātarihia te taiora: He maimoatanga mō te hyperthyroidism kino. Mēnā kāore e taea e te rongoā te whakahaere i ngā taumata o ngā homoni tairoi, me tango pea te repe tairoi.
• Pokanga kamo: Mena kua taka ō kamo ki roto, ka mahia tēnei pokanga hei whakahoki i a rātou ki tōna āhua taketake. Ehara i te mea ka whakamamae noa i te mamae o te kanohi, engari ka whakapai ake hoki i te āhua me te tiaki i te kanohi mai i te pānga.
• Pokanga uaua kanohi: Tērā pea ka hiahiatia tēnei pokanga mēnā he whara ngā uaua e neke ana i ngā kanohi, ā, he uaua ki te neke i ngā kanohi, mēnā rānei he hē te tūnga o ngā kanohi, ā, e rua ngā taha e kite ana koe.
• Pokanga kanohi: Kei roto i tēnei ko te hanga anō i ngā kiko ngohengohe me/ngā wheua rānei e karapoti ana i ngā kanohi. Ka taea e ia te whakatika i ngā raruraru whakapaipai pēnei i ngā kanohi e pupū ake ana me ngā pēke i raro i ngā kanohi.
• Te whakawhitinga o te kornea:Mena kua tino pakaru te kornea nā te pānga ki te kanohi i te wā e kaha ana te mate, tera pea ka whakaarohia he whakawhitinga kornea hei whakapai ake i te tirohanga.

(TED) He aha te tirohanga mō te āhuatanga?

Mō te nuinga o te tangata, kāore te TED i te tino kino, nō reira he pai te tirohanga. He ngawari ngā tohu o te nuinga o te tangata, ā, ka memeha noa iho. Heoi, ka kaha ake ngā tohu i roto i te hunga neke atu i te 50 tau te pakeke. Mena he kino te TED kei a koe, me whakamahi pea koe i ngā maimoatanga hei whakahaere. Ka pāngia pea ētahi e ngā panoni tuturu ki ō rātou kanohi, ā, me pokanga pea.

Āhea ahau me toro atu ki te tākuta?

Mena he mate kanohi tairoi tōu, he mea nui kia whakamōhio atu koe ki tō rōpū hauora mēnā ka kino haere ō tohu. Me whakamōhio atu hoki koe ki a rātou mēnā ka kite koe i ētahi huringa o tō tirohanga. Tērā pea ka hiahiatia he maimoatanga ohorere mō ētahi huringa. Waea atu ki tō tākuta tonu mēnā ka kite koe i tētahi o ēnei e whai ake nei:

• Mena kei te ahua whaiti haere tō tirohanga, kei te ngaro rānei tō tirohanga i tētahi taha.
• Mena he rerekē te āhua o ngā tae i tō te mea e tika ana.
• Ki te pāngia koe e te mamae nui o ngā kanohi.

Ka pā kino te mate kanohi o Graves ki tō kounga o te oranga. He tokomaha te hunga kāore he tohu kino, engari he tino mamae ina pāngia rātou. Ka pā kino te pupuhi huri noa i ngā kanohi ki tō whakamarie, ki tō tirohanga, me tō āhua. Me whai rōpū tākuta hei āwhina i a koe ki te whakatau i ēnei mea katoa. He mea nui anō hoki kia whiwhi tautoko i roto i tō oranga whaiaro. Ki te kore koe e whiwhi i te tautoko e hiahiatia ana e koe, pātai atu ki tō rōpū hauora. Tērā pea ka taea e rātou te kōrero ki a koe mō ngā rauemi hei āwhina i a koe ki tō hauora hinengaro.

Ngā mea nui hei maumahara (Karere hei kawe ki te kāinga)

Āe, me whakarāpopoto e tātou ētahi o ngā mea hei maumahara māu mai i ngā mea kua kōrerohia e tātou:

• Ko te mate kanohi tairoi (TED) he mate e pā ana ki ngā kanohi e pā ana ki ngā raruraru o te repe tairoi.
• Kia tūpato ki ngā tohu pēnei i te pupuhi o ngā kanohi, te whero, te pupuhi, me te tirohanga takirua.
• Ki te mea he kaipaipa koe, kati rawa. Koinei te āwhina nui rawa atu ka taea e koe.
• Mena he kino ngā tohu, he rerekē rānei te tirohanga , rapua tonutia he tohutohu hauora.
• Ki te nuinga o te tangata, ehara tēnei mate i te mea kino, ā, he maha ngā maimoatanga e wātea ana. Nō reira kaua e mataku, engari he mea nui kia rapu awhina hauora tika.
• He mea tino nui hoki tō hauora hinengaro i tēnei wā. Kaua e mangere ki te rapu āwhina mō tēnā mea mēnā e hiahiatia ana.

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tonu!

` Te mate kanohi tairoiti, te mate a Graves, te pupuhi o te kanohi, te whero o te kanohi, ngā raruraru tirohanga, te tairoiti, ngā homoni