Kodi thupi lanu likugwira ntchito motsutsana nanu kuchokera mkati? Tiyeni tiphunzire za Matenda a Manda!

Kodi mukumva kutopa komanso kusakhazikika bwino masiku ano? Kodi mukuda nkhawa ndi zinthu zazing'ono, kodi mukumva ngati mtima wanu ukuthamanga, ndipo simungathe kugona usiku? Ngati mukuchepetsa thupi ngakhale mukudya bwino, mwina mukuganiza kuti zonsezi zikuchitika chifukwa chogwira ntchito mopitirira muyeso kapena kupsinjika maganizo. Inde, chimenecho chingakhale chifukwa chake. Koma zizindikirozi zitha kukhalanso chifukwa cha vuto la chithokomiro chanu, chomwe chili ngati gulugufe kakang'ono m'khosi mwanu. Lero tikambirana za vuto limodzi lotere, Matenda a Manda. Musadandaule, uwu ndi matenda omwe mungawathetse ngati muwamvetsa bwino.

Mwachidule, kodi matenda a Graves ndi chiyani?

Tangoganizani kuti muli ndi gulu lankhondo lomwe likuteteza dziko lanu. Ntchito ya gululi ndikuteteza dzikolo kwa adani akunja. Thupi lathu lilinso ndi chitetezo chofanana, chomwe timachitcha chitetezo chamthupi . Koma nthawi zina chitetezochi chimalakwitsa. M'malo mwa mdani wakunja, amayamba kuukira chiwalo chabwino komanso chathanzi m'thupi lathu.

Matenda a Graves ndi amodzi mwa matenda amenewa. Chomwe chimachitika apa ndi chakuti chitetezo chathu cha mthupi chimaukira molakwika chithokomiro chathu cha thyroid . Kuukira kumeneku kumapangitsa kuti chithokomiro chizigwira ntchito mopitirira muyeso komanso kugwira ntchito mopitirira muyeso. Kuchuluka kwa mahomoni a chithokomiro omwe amapanga ndi kwakukulu kwambiri kuposa momwe thupi limafunira. Mu zamankhwala, timatcha vutoli hyperthyroidism , kapena chithokomiro chogwira ntchito mopitirira muyeso. Matenda a Graves ndiye chifukwa chachikulu cha vutoli.

Kodi zizindikiro izi mukuzidziwa bwino?

Matenda a Manda amachititsa kuti kagayidwe ka thupi m'thupi lathu, komwe ndi kuchuluka kwa mphamvu zomwe zimapangidwa ndikugwiritsidwa ntchito, kachuluke kwambiri. Zili ngati kuponda pa accelerator ya galimoto nthawi zonse. Izi zingayambitse zizindikiro zosiyanasiyana. Anthu ena angakumane ndi chimodzi kapena ziwiri mwa zizindikirozi, pomwe ena angakumane ndi zizindikiro zambiri nthawi imodzi.

Onani tebulo ili m'munsimu kuti mudziwe makhalidwe awa.

Kodi maso ndi khungu zingakhudzidwenso?

Inde, Matenda a Graves angakhudze osati chithokomiro chokha, komanso nthawi zina maso ndi khungu.

Zotsatirapo pa maso (Graves' Orbitopathy)

Pafupifupi munthu m'modzi mwa anthu atatu aliwonse omwe ali ndi matenda a Graves' Disease akhoza kukhala ndi vutoli. Limatchedwanso Matenda a Maso a Chithokomiro . Chomwe chimachitika apa ndi chakuti chitetezo cha mthupi chimaukira minofu ndi minofu yozungulira maso. Chifukwa chake,

• Maso otupa: Maso amaoneka aakulu komanso otupa.
• Kumva kupweteka kapena kupsinjika m'maso.
• Kuyabwa ngati kuti m'maso muli mchenga.
• Kuona kawiri.
• Kuvutika kuona panja mu kuwala kowala (Photophobia).

Zotsatira za khungu (Graves' Dermopathy)

Vutoli ndi losowa kwambiri. Limakhudza kukhuthala kwa khungu la miyendo, makamaka miyendo, ndikukhala ndi utoto wofiira kapena wofiirira wokhala ndi ziphuphu. Limatchedwanso Pretibial Myxedema .

Nchifukwa chiyani timadwala matenda a Graves?

Monga tafotokozera kale, chifukwa chachikulu cha izi ndi kulephera kwa chitetezo chamthupi chathu. Chifukwa cha kulephera kumeneku, thupi limapanga mtundu wa antibody wotchedwa Thyroid-Stimulating Immunoglobulin (TSI) . Ma antibodies a TSI awa amamangirira ku maselo a chithokomiro ndipo amatumiza chizindikiro cholakwika ku chithokomiro kuti "chipange mahomoni ambiri, chipange ambiri."

Asayansi sakudziwabe 100% chifukwa chake chitetezo cha mthupi chimalephera kuchita bwino motere, koma amakhulupirira kuti pali zinthu zingapo zomwe zimapangitsa izi.

• Zinthu Zokhudza Majini: Kafukufuku wapeza kuti 79% ya Matenda a Graves amayamba chifukwa cha majini athu. Izi zikutanthauza kuti ngati wina m'banja mwanu (amayi, abambo, abale) ali ndi matenda a chithokomiro kapena matenda ena odziteteza ku matenda enaake, muli pachiwopsezo chachikulu chotenga matendawa.
• Zinthu Zachilengedwe: Zoopsa zotsala 21% zimachokera ku zinthu zachilengedwe. Ndiko kuti,
• Kupsinjika Maganizo: Kupsinjika maganizo kwa nthawi yayitali komanso kwakukulu kungakhale chifukwa cha matenda odziteteza ku matenda ena monga awa.
• Mimba ndi Kubereka: Vutoli limatha kuchitika ndi kusintha kwa mahomoni m'thupi panthawi ya mimba komanso atabereka.
• Mavairasi ndi matenda: Matendawa amatha kuchitika pambuyo pa matenda enaake a mavairasi, chifukwa chitetezo cha mthupi chimagwira ntchito mosiyana.
• Kusuta: Anthu omwe amasuta ali pachiwopsezo chachikulu chotenga matenda a Graves' Disease. Sikuti kokha, ngati wosuta atenga matendawa, zotsatira zake pa maso (Graves' Orbitopathy) zimatha kukhala zoopsa kwambiri.

Kodi ndi zinthu ziti zoopsa zomwe zingachitike ngati sizikuchiritsidwa?

Matenda a Graves ndi matenda omwe amafunika chithandizo chamankhwala mwachangu. Ngati sachiritsidwa, angayambitse mavuto aakulu.

• Matenda a Mtima: Kuwonjezeka kwa mahomoni a chithokomiro kumaika mtima pamavuto ambiri. Izi zingayambitse matenda a mtima otchedwa atrial fibrillation (Afib), omwe mtima umagunda molakwika. Izi zimawonjezera chiopsezo cha matenda a mtima ndi sitiroko.
• Matenda a Osteoporosis: Kuchuluka kwa mahomoni a chithokomiro kumayambitsa kuchepa kwa calcium m'mafupa, zomwe zimapangitsa kuti mafupawo azichepa komanso kusweka mosavuta.
• Mphepo ya chithokomiro: Iyi ndi ngozi yoopsa kwambiri komanso yowopsa. Chomwe chimachitika ndichakuti thupi mwadzidzidzi limatulutsa mahomoni ambiri a chithokomiro. Zizindikiro zake ndi monga kutentha thupi kwambiri, kugunda kwa mtima mofulumira, thukuta, kusokonezeka, ndi kusanza. Ngati zizindikirozi zichitika, muyenera kupita kuchipatala nthawi yomweyo.
• Mavuto panthawi ya mimba: Ngati matenda a Graves sakulamuliridwa panthawi ya mimba, angayambitse mavuto kwa mayi ndi mwana. Angayambitse kutaya mimba, kubadwa ndi kulemera kochepa, kubadwa msanga, komanso kuthamanga kwa magazi kwa mayi (preeclampsia).

Kodi dokotala amazindikira bwanji matendawa?

Ngati muli ndi zizindikiro zomwe zatchulidwa pamwambapa, chinthu choyamba chomwe muyenera kuchita ndikuwonana ndi dokotala. Iye adzafufuza mwatsatanetsatane zizindikiro zanu komanso mbiri ya matenda a m'banja mwanu. Kenako, adzayitanitsa mayeso ena kuti atsimikizire matendawa.

• Mayeso a Magazi a Chithokomiro: Izi zimayang'ana kuchuluka kwa mahomoni a chithokomiro (T3, T4) ndi TSH (hormone yolimbikitsa chithokomiro) m'magazi mwanu. Mu Matenda a Graves, kuchuluka kwa mahomoni a chithokomiro nthawi zambiri kumakhala kokwera ndipo kuchuluka kwa TSH kumakhala kochepa kwambiri.
• Kuyesa Magazi a Antibody: Kuyesa kumeneku kungatsimikizire ngati muli ndi ma antibodies a TSI omwe tidakambirana kale m'magazi anu.
• Kutengedwa ndi Kujambula kwa Chithokomiro: Mu mayeso awa, mumapatsidwa ayodini wochepa wa radioactive mu mawonekedwe a piritsi. Chithokomiro cha munthu amene ali ndi matenda a Graves chimayamwa ayodini wambiri. Izi zitha kuoneka ndi kujambulidwa.
• Doppler Ultrasound: Kujambula kumeneku kumachitika chifukwa amayi apakati kapena oyamwitsa sangalandire ayodini wochuluka. Kumayesa liwiro la kuyenda kwa magazi kupita ku chithokomiro. Liwiroli ndi lalikulu kwambiri mu matenda a Graves.

Kodi mankhwala ake ndi otani?

Matenda a Graves ndi matenda omwe munthu angathe kuwathetsa. Pali njira zingapo zochiritsira. Muyenera kukambirana ndi dokotala wanu za chithandizo chomwe chili chabwino kwa inu.