Kodi mumamva ngati mtima wanu ukugunda mofulumira popanda chifukwa? Kodi mumatuluka thukuta ngakhale pang'ono? Kodi mumachepa thupi ngakhale mutadya bwino? Kodi nthawi zina mumamva kusakhazikika komanso kuda nkhawa? Ngati zinthuzi ndizofala kwa inu, chifukwa chake chingakhale chakuti kachiwalo kakang'ono kooneka ngati gulugufe m'thupi lanu, chithokomiro, kakugwira ntchito molimbika pang'ono. Lero tikambirana za Matenda a Graves, matenda omwe amayambitsa vutoli, koma amatha kulamulidwa bwino ngati atachiritsidwa bwino.
Kodi matenda a Graves ndi chiyani, mwachidule?
Mwachidule, matenda a Graves ndi matenda omwe amayamba chifukwa cha kulakwitsa pang'ono m'thupi lathu. Timatcha izi kuti matenda odziteteza okha . Nthawi zambiri, chitetezo chathu chamthupi chimalimbana ndi majeremusi omwe amayambitsa matenda. Koma mu matendawa, chitetezo chathu chamthupi chimawononga molakwika chithokomiro chathu chomwe chili m'khosi mwathu.
Kuukira kumeneku kumalimbikitsa chithokomiro ndipo kumapangitsa kuti chipange mahomoni ambiri a chithokomiro. Matendawa amatchedwa hyperthyroidism . Ali ngati galimoto yokhala ndi pedal yotsatsira yomwe imakanikiza pansi, zomwe zimapangitsa kuti kagayidwe kathu ka thupi kachepe. Matenda a Graves ndiye omwe amachititsa hyperthyroidism. Akhozanso kukhala obadwa nawo. Angakhudze osati chithokomiro chokha, komanso maso ndi khungu lathu.
Kodi zizindikiro zofala kwambiri za matendawa ndi ziti?
Popeza matenda a Graves amachititsa kuti kagayidwe ka thupi kachepe msanga, mungakumane ndi zizindikiro zosiyanasiyana. Anthu ena akhoza kukhala ndi chimodzi kapena ziwiri mwa zizindikirozi, pomwe ena angakumane ndi zinthu zambiri zomwe zili pamndandandawu. Zizindikirozi sizimawonekera nthawi imodzi, koma pang'onopang'ono zimakula pakatha milungu kapena miyezi.
| Chizindikiro | Kufotokozera kosavuta |
|---|---|
| Kugunda kwa mtima mwachangu (Tachycardia) | Kumva ngati mtima wako ukugunda popanda chifukwa. |
| Kusalekerera kutentha ndi thukuta kwambiri | Umamva kutentha komanso thukuta nthawi zonse, ngakhale kuti ndi zachilendo kwa ena. |
| Kuchepetsa thupi | Kulemera kwa thupi kumachepa ngakhale munthu akudya bwino. |
| Kugwedezeka | Kugwedezeka pang'ono m'manja. |
| Nkhawa yosalekeza komanso kusakhazikika | Kumva nkhawa komanso kusakhazikika nthawi zonse. |
| Kusintha kwa m'mimba | Kuyenda m'mimba pafupipafupi kapena kufunikira kupita kuchimbudzi pafupipafupi kuposa masiku onse. |
| Kutupa kwa khosi (Goiter) | Kutupa kwa khosi kutsogolo chifukwa cha kukula kwa chithokomiro. |
| Kusowa tulo ndi kutayika kwa tsitsi | Kuvutika kugona usiku komanso kutayika tsitsi. |
| Kusintha kwa mwezi kwa akazi | Kuchepa kwa magazi m'mimba, kusakhazikika kwa nthawi ya msambo kapena kuima kwa nthawi ya msambo. |
Ngati muli ndi chimodzi mwa zizindikiro izi kapena zingapo, ndi bwino kupita kwa dokotala kuti akupatseni upangiri popanda kuda nkhawa.
Kodi izi zimakhudza bwanji maso ndi khungu?
Ngakhale kuti si aliyense amene ali ndi matenda a Graves, pafupifupi munthu mmodzi pa anthu atatu aliwonse amakhala ndi vuto la maso. Matendawa amatchedwa Graves' orbitopathy kapenaMatenda a Maso a Chithokomiro.
- Maso otupa
- Masomphenya awiri
- Kumva ngati pali ming'alu m'maso
- Kuvuta kuyang'ana kuwala (Photophobia)
- Kumva kupsinjika kapena kupweteka m'maso
Kuphatikiza apo, anthu ochepa kwambiri (pafupifupi 4%) amatha kukhala ndi vuto lomwe khungu la miyendo yawo limakhuthala, limatupa, komanso limasintha mtundu. Izi zimatchedwa pretibial myxedema .
Nchifukwa chiyani matenda a Graves amapezeka?
Monga tafotokozera kale, chifukwa chachikulu cha izi ndi vuto la chitetezo chamthupi chathu. Thupi lathu limapanga antibody yotchedwa Thyroid-Stimulating Immunoglobulin (TSI) . Antibody iyi ya TSI imamatira ku maselo a chithokomiro ndipo imatumiza chizindikiro cholakwika ku chithokomiro kuti "chipange mahomoni ambiri, chipange ambiri."
Asayansi sanapezebe chifukwa chenicheni chomwe chitetezo cha mthupi chimalephera kuchita bwino motere, koma akukhulupirira kuti pali zinthu ziwiri zazikulu zomwe zimapangitsa izi.
1. Majini: Ngati wina m'banja mwanu ali ndi matenda a Graves kapena matenda ena a chithokomiro, muli pachiwopsezo chachikulu chotenga matendawa.
2. Zinthu Zokhudza Zachilengedwe: Kupsinjika maganizo kwambiri, mimba ndi nthawi yobereka, ndi matenda ena opatsirana ndi mavairasi kungakhale 'chiyambi', kutanthauza kuti, kuyambitsa matendawa.
Kodi ndi zinthu ziti zoopsa zomwe zingachitike ngati sizikuchiritsidwa?
Matenda a Graves ndi matenda omwe amafunika chithandizo chamankhwala mwachangu . Ngati sachiritsidwa kapena sathandizidwa bwino, angayambitse mavuto aakulu.
- Matenda a mtima: Chiwopsezo chokhala ndi matenda aakulu monga kugunda kwa mtima kosakhazikika ( Atrial Fibrillation - Afib ), matenda a mtima, ndi sitiroko zimawonjezeka.
- Matenda a Osteoporosis: Chifukwa cha kuchuluka kwa calcium m'thupi, mafupa amafooka ndipo amasweka mosavuta.
- Mphepo ya chithokomiro: Iyi ndi ngozi yosowa koma yomwe ingawopseze moyo . Pa vutoli, chithokomiro chimatulutsa mahomoni ambiri m'magazi nthawi yochepa kwambiri. Zizindikiro zake ndi monga kutentha thupi kwambiri, kugunda kwa mtima mofulumira, komanso kusokonezeka. Mu mkhalidwe wotere, muyenera kupita kuchipatala cha Emergency Department (ETU) nthawi yomweyo.
- Mavuto panthawi ya mimba: Ngati sanalandire chithandizo panthawi ya mimba, zingakhudze mayi ndi mwana yemwe ali m'mimba. Pali zoopsa monga kutaya mimba, kubereka msanga, komanso kubadwa ndi kulemera kochepa.
Kodi dokotala amazindikira bwanji matendawa molondola?
Mukapita kukaonana ndi dokotala, adzakufunsani za zizindikiro zanu, mbiri ya matenda a m'banja mwanu, ndikukupimitseni thupi. Kenako angakulangizeni mayeso angapo kuti atsimikizire matendawa.
- Kuyesa Magazi a Chithokomiro: Kuyesa kumeneku kumayesa kuchuluka kwa mahomoni a chithokomiro (T4, T3) ndi TSH (hormone yolimbikitsa chithokomiro) m'magazi. Mu matenda a Graves, kuchuluka kwa mahomoni a chithokomiro kumakhala kokwera ndipo kuchuluka kwa TSH kumakhala kochepa kwambiri.
- Kuyesa kwa Antibody ya Chithokomiro: Kufufuza ma antibodies m'magazi, monga TSI, omwe amayambitsa matenda a Graves.
- Kutengedwa ndi kujambulidwa kwa chithokomiro: Wodwala amapatsidwa ayodini wochepa wa radioactive kuti amwe, ndipo amajambulidwa kuti awone kuchuluka kwa ayodini komwe kumatengedwa ndi chithokomiro. Mu matenda a Graves, chithokomiro chimamwa ayodini wochuluka.
- Doppler Ultrasound: Ngati muli ndi pakati kapena mukuyamwitsa, mayeso a ayodini owopsa sakuvomerezedwa. Pazochitika zotere, scan iyi imatha kuyeza kuyenda kwa magazi kupita ku chithokomiro ndikupereka chithunzi cha matendawa.
Kodi mankhwala a matenda a Graves ndi otani?
Ngakhale kuti matenda a Graves ndi matenda osatha omwe amakhalapo kwa moyo wonse, chithandizo chingathandize kuchepetsa kuchuluka kwa mahomoni m'thupi. Nthawi zina, matendawa amatha kuchira kwakanthawi atatha kulandira chithandizo.
| Njira yochizira | Kodi chimachitika ndi chiyani? |
|---|---|
| Beta-blockers | Izi sizichepetsa mahomoni a chithokomiro, koma zimawongolera mwachangu zizindikiro monga kugunda kwa mtima mofulumira, kunjenjemera, ndi nkhawa. Zimagwiritsidwa ntchito popereka mpumulo mpaka mankhwala ena atayamba kugwira ntchito. |
| Mankhwala Oletsa Chithokomiro | Mankhwala monga Methimazole ndi Propylthiouracil amaletsa kupanga mahomoni ndi chithokomiro. |
| Chithandizo cha Radioiodine | Mumapatsidwa madzi kapena kapisozi yokhala ndi ayodini wowopsa kuti mumwe. Ayodini iyi imayamwa ndi maselo a chithokomiro ndipo pang'onopang'ono imawononga maselowo, zomwe zimachepetsa kupanga mahomoni. |
| Opaleshoni | Kuchotsa chithokomiro ndi opaleshoni yomwe imachotsa chithokomiro chonse kapena gawo lake. |
Pambuyo pa chithandizo ndi opaleshoni ya ayodini ya radioactive, kusowa kwa mahomoni a chithokomiro, komwe kumadziwikanso kuti hypothyroidism, nthawi zambiri kumachitika. Kenako muyenera kumwa mapiritsi a mahomoni a chithokomiro moyo wanu wonse. Komabe, hypothyroidism ndi yosavuta kuthana nayo kuposa hyperthyroidism.
Chofunika kwambiri ndichakuti njira iliyonse yochiritsirayi ili ndi zabwino ndi zoyipa zake. Ndikofunikira kukambirana ndi dokotala wanu njira yochiritsira yomwe ili yoyenera kwa inu.
Uthenga Wopita Nawo Kunyumba
- Matenda a Graves ndi matenda omwe amayambitsa chitetezo chamthupi chomwe chimatha kuthetsedwa bwino ndi chithandizo, choncho musachite mantha mosayenera.
- Ngati muli ndi zizindikiro monga kugunda kwa mtima, kuchepa thupi, thukuta kwambiri, komanso nkhawa popanda chifukwa, musanyalanyaze.
- Ngati matendawa sachiritsidwa, mavuto aakulu omwe angakhudze mtima ndi mafupa angachitike.
- Onetsetsani kuti mwalankhula ndi dokotala wanu kuti akusankhireni chithandizo chabwino kwambiri.
- Matendawa akapezeka, ndikofunikira kwambiri kutsatira malangizo a dokotala molondola komanso kupita kuzipatala nthawi yake.
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