Kei te rite koe ki te oma marathon i roto i a koe i ētahi wā? Kei te tino mataku koe, kei te werawera nui koe, kei te tere haere tō ngākau... ā, kei te heke tō taumaha ahakoa te nui o tāu kai? Mena he mea noa ēnei ki a koe, he mea nui kia mōhio koe ki te mate e kōrerohia ana e tātou i tēnei rā. Ko te ingoa o tēnei ko te Thyrotoxicosis. Ahakoa he ahua rerekē te ingoa, kāore he mea e wehi ai. Me kōrero noa iho tātou.
He aha te tikanga o te thyrotoxicosis?
Ki te kī ngāwari, ko te thyrotoxicosis te wā e nui rawa ai te homoni tairoi i roto i tō tinana.
Tērā pea kei te whakaaro koe he aha tēnei homoni tairoi. Ka whakaputaina e tētahi repe iti āhua pūrerehua kei mua o tō tātou kaki, arā, te repe tairoi. Ko te mahi matua o tēnei homoni ko te whakahaere i te pākia o te tinana. Arā, ka whakahaere i te tere o te hurihanga o te kai e kainga ana e tātou hei pūngao.
Whakaarohia tō tātou tinana he mīhini i roto i te motuka. He rite te homoni tairoiti ki te whakateretere o taua motuka. Ki te tika te nui, ka oma pai te mīhini, ā, ka tere tika. Engari i roto i te Thyrotoxicosis, me te mea kei te pēhia tonutia te whakateretere. Ka ahatia? Ka tere rawa te oma o te mīhini, ka wera, ā, ka tahuna he nui rawa te wahie. Waihoki, ina piki ake ngā taumata o te homoni tairoiti, ka tere ake te oma o ngā tukanga katoa i roto i tō tātou tinana. Ka tere ake te pao o tō ngākau, ka hiroki tō tinana, ā, ka manukanuka koe. Tērā pea ka kore koe e taea te whakahaere.
He mate mōrearea tēnei āhuatanga?
Ahakoa kei roto i te ingoa te kupu "paitini", ehara i te mea he mate morearea te thyrotoxicosis i ngā wā katoa. Heoi, ki te tino kino, ka morearea pea te ora. I roto i ngā kupu hauora, ka kiia tēnei he awha tairoi . Heoi, he tino onge tēnei mate.
Ko te tino take o te tupuhi tairoi he pānga ohorere o te ahotea nui. Hei tauira, he pokanga nui, he mate kino, me ētahi atu. Waihoki, ki te mea kei te tango koe i te rongoā tairoi, ka puta pea tēnei mate kino mēnā ka mutu ohorere koe i te tango.
Nō reira, kia maumahara, he mea tino nui te whiwhi maimoatanga mō te Thyrotoxicosis noa i te wā e taea ai. Ki te kore e rongoatia, ka arahi pea ki ētahi atu raruraru hauora.
He aha ngā tohu o te mate thyrotoxicosis?
Ka rerekē ngā tohu o tēnei mate i runga i te nui o te pikinga o ngā taumata homoni tairoi. Mēnā he tino teitei ngā taumata homoni, he tino kino hoki ngā tohu. Kia tirohia tātou he aha ēnei tohu.
| Tohu | Whakaahuatanga |
|---|---|
| Te ngaronga taumaha mō te kore take | Ahakoa he kai noa iho, he kai pai ake rānei, ka heke tō taumaha. Nā te tere ake o tō pūnaha pākia, ka tere te huri i te kai e kainga ana e koe hei pūngao, ā, ka pau katoa. |
| Ngā tere o te ngakau | Ka taea e te ngākau te patu tere atu i te 100 ngā wā i te meneti. Ka kiia tēnei ko te (Tachycardia) . I ētahi wā ka taea hoki e te ngākau te koretake (Arrhythmia) . |
| Te wiri o te ringa | Tērā pea ka puta he wiri ngawari, inā koa i ngā ringaringa. |
| Te kore okiokinga hinengaro | Nui atu tōku manukanuka, kāore e taea e au te tu atu. Ka riri ahau, ka mataku hoki mō ngā mea iti rawa. |
| Te ātete ki te wera | Ina rongo ētahi i te wera noa, ka tino wera rawa koe. Ka werawera tonu koe. |
| Ngā huringa o te paheketanga o ia marama | Tērā pea ka pāngia ngā wāhine e te koretake o te paheketanga, te poto ake o ngā rā, te mutu rawa rānei. |
| Āhua kino: Te Pūngao Tairoiro - Haere ki te hōhipera tonu! | |
| Ngā tohu tino kino | Ka piki ake te tere o te manawa ki te neke atu i te 140 ngā pao i te meneti. Tērā pea ka puta he kirika nui, he koretake te manawa, he pōhēhē, me te ngaro o te māramatanga. He āhuatanga ohorere hauora tēnei. Me haere tonu koe ki te Tari Ohorere o te hōhipera (ETU). |
Ki te pā mai ētahi o ēnei tohu ki a koe, kaua e warewaretia. Kia mahara ki te toro atu ki tō tākuta.
He aha te take ka puta ai te mate thyrotoxic?
He maha ngā take mō tēnei. Me titiro tātou ki ngā mea matua.
- Te mate taikaha nui: Koinei te tino take o te mate taikaha nui. Ko te mate taikaha nui te take ka nui rawa te mahi a tō repe taikaha, ā, ka nui rawa ngā homoni e whakaputaina ana. He maha ngā take mō tēnei.
- Te mate a Kerei: He mate pūnaha ārai mate tēnei. Ko te tikanga ka whakaekea e te pūnaha ārai mate o tō tātou tinana tō tātou ake repe tairoi, ka whakaoho i a ia kia whakaputa i ētahi atu homoni.
- Ngā pona tairoiti: I ētahi wā, ka tīmata ētahi pona e puta mai ana i roto i te repe tairoiti ki te whakaputa i ngā homoni.
- Te mate tairoidi: Koinei te wā ka pupuhi te repe tairoidi . Ka puta pea i ngā mate maha, i ētahi rongoā (hei tauira, te lithium, te interferon), i ngā raruraru rānei o te pūnaha ārai mate. Ina pupuhi te repe, ka turuturu ngā homoni kua rongoatia ki roto ki te toto. Ka piki ake ngā taumata homoni mō tētahi wā poto. Ka pā anō hoki tēnei āhuatanga ki ngā whaea i muri i te whānautanga (mate tairoidi i muri i te whānautanga).
- Te nui rawa o te rongoā tairoi: Mena kei te rongoatia koe mō te hypothyroidism (he ngoikore o te homoni tairoi), ko te nui atu o ngā pire levothyroxine i te mea kua tohua e tō tākuta ka arahi pea ki te thyrotoxicosis. Ka taea tēnei te tupu mā te kore mōhio, mā te mōhio rānei.
- Te horomitanga o te homoni mai i te kai: He tino onge tēnei mate. Ka puta pea tēnei mate mēnā ka kai koe i te mīti kau, kei roto nei te kiko tairoi mai i te kaki o te kau kau. Ka kiia hoki tēnei ko te "hamburger thyrotoxicosis".
Ko wai te mea tino mōrearea ki tēnei mate?
He maha ngā āhuatanga mōrearea e pā ana ki te whakawhanaketanga o te thyrotoxicosis:
- He hītori whānau tō te mate tairoi: Ka taea e ngā mate pēnei i te mate a Graves te horapa i roto i ngā whānau.
- Te wahinetanga: He nui ake te tūponotanga ka pāngia ngā wāhine e te mate tairoi i ngā tāne.
- Neke atu i te 60 tau te pakeke.
- Kei a koe ētahi atu mate pūnaha ārai mate:Hei tauira, ngā mate pēnei i te mate huka Momo 1, te mate rānei a Addison.
- Kua roa te wā mai i taku whānautanga tamariki.
- Kei te kāinga te rongoā tairoi (levothyroxine): Tērā pea ka horomia tēnei rongoā e tetahi i roto i te whare. Nō reira, he mea nui kia tiakina tonutia te rongoā.
Me pēhea te kitenga a te tākuta i tēnei?
Ina haere koe ki te tākuta, ka mahi ia i ētahi mahi hei whakaū i tēnei mate.
1. Whakamātautau tinana: Tuatahi, ka pātai atu rātou ki a koe mō ō tohumate, ka tirotirohia hoki koe. Ka tirohia e rātou ngā mea pēnei i te tere o te manawa me te wiri o ngā ringa.
2. Ngā whakamātautau toto tairoiti: Koinei te whakamātautau tino nui. Ka whakamātauria ō toto mō ngā taumata o te homoni tairoiti (T3 me te T4) me ngā taumata TSH (Homoni Whakaoho Tairoiti). I roto i te thyrotoxicosis, he nui ake ngā taumata T3 me te T4 i te mea noa, ā, he tino iti, he kore rānei e kitea ngā taumata TSH.
Ki te kī māmā noa, ko te TSH te tohu mai i te roro ki te repe tairoi kia 'mahi'. Nā te mea kua nui rawa ngā homoni o te tinana, ka mutu te tuku tohu a te roro. Koia te take e heke ai te taumata TSH.
3. Ngā whakamātautau whakaahua: I ētahi wā ka mahia pea ngā whakamātautau whakaahua hei āwhina i te whakatau i te tino take. Kei roto pea i tēnei ko te matawai irahiko o te tairoi, te whakamātautau tango iodine radioactive (RAIU) rānei. Mā tō tākuta ēnei e whakamārama ki a koe.
Me pēhea te rongoā?
Ko te maimoatanga mō te thyrotoxicosis e whakawhirinaki ana ki te take. Mā tō tākuta e whakatau te take, ā, ka tūtohu i te maimoatanga e pai ana mōu.
| Tikanga Maimoatanga | Ka ahatia? |
|---|---|
| Ngā rongoā ārai-tairoiti | Ka aukatihia te repe tairoiti e ngā rongoā pēnei i te methimazole me te propylthiouracil (PTU). He maha ngā take o te hyperthyroidism ka taea te rongoā ki ēnei rongoā. |
| Te rongoā iodine radioactive (RAI) | Mā te whakangaro i ngā pūtau tairoiti e kaha rawa ana te mahi ka mahi tēnei. Heoi, i muri i tēnei maimoatanga, ka noho kore mahi tonu te repe tairoiti. Kātahi ka tangohia e koe ngā pire homoni tairoiti (levothyroxine) mō te toenga o tō oranga. |
| Pokanga (Pokanga - Tātaritanga o te Tairoid) | I ētahi wā, ka tūtohu pea tō tākuta kia pokangahia hei tango i te repe tairoiti. Ka taea hoki e tēnei te hua o te hypothyroidism pumau, me te hiahia kia tangohia e koe ngā pire homoni mō te toenga o tō oranga. |
| Ngā aukati-beta | Ka whakahaere noa iho ēnei rongoā i ngā tohumate. Ka āwhina rātou ki te whakahaere i ngā mea pēnei i te tere o te manawa, te kore okiokinga, me te wiri i roto i te wā poto. Engari kāore e whakarerekē i ngā taumata o ngā homoni i roto i te toto. |
| Ngā Glucocorticoids | Mena he mate tairoiti tōu, ka taea e ēnei rongoā te āwhina ki te whakaiti i te pupuhi me te mamae. |
He aha ngā raruraru ka puta mai mēnā kāore e rongoatia?
Ki te kore e rongoatia, ka pā mai he raruraru nui ki te thyrotoxicosis, inā koa te hyperthyroidism.
- Te fibrillation atrial (Afib): He tere, he koretake hoki te pā o te ngakau.
- Te ngoikore o te ngākau (te ngoikore o te ngākau).
- Te whiu (te whiu ischemic).
- Osteoporosis: He āhuatanga e angiangi ai ngā wheua, ā, ka ngawari te whati.
- Te ngoikore o te uaua.
Ki te kore e rongoatia wawetia te mate tairoi, ka arahi pea ki te haurangi, te ngoikore o te ngākau, tae atu ki te mate. Nō reira kaua e warewarehia ngā tohu.
Karere Tangohia ki te Kāinga
- Ko te thyrotoxicosis he pikinga nui rawa o ngā taumata o ngā homoni tairoi i roto i te tinana, ka tere ake ai ngā tukanga katoa o te tinana.
- Mena kei a koe ngā tohu pēnei i te whakahekenga taumaha kāore i te mārama, te tere o te ngakau, te kore e marino, me te kore e manawanui ki te wera, me toro atu ki te tākuta.
- Ka taea te rongoā me te whakahaere i tēnei mate. Kāore he take e mataku ai.
- Ki te kore e rongoatia, ka puta pea ngā raruraru nui pērā i te mate ngakau me te whiu.
- He āhuatanga ohorere hauora tino kino te tupuhi tairoi. Mēnā ka pāngia koe e ngā tohu pēnei i te kirika nui me te pōhēhē, haere tonu ki te wāhanga ohorere o te hōhipera (ETU).
- Mena kei te tango koe i te rongoā tairoi, me tango noa te horopeta kua tohua e tō tākuta. Puritia te rongoā kia haumaru, kia kore e taea e ngā tamariki te toro atu.
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