Kodi maso anu akutupa komanso akutupa? Tiyeni tiphunzire za Matenda a Maso a Chithokomiro

Kodi munayamba mwaonapo kuti maso a anthu ena ndi aakulu pang'ono, ngati kuti akutuluka? Kapena masowo akutupa komanso ofiira? Mwina inunso mukumva chonchi. Ndipotu, izi zitha kukhala vuto lalikulu kuposa vuto lokongoletsa lomwe limawonekera kunja. Kodi mukudziwa kuti izi zitha kuchitika chifukwa cha vuto la chithokomiro m'thupi lanu? Lero tikulankhula za vutoli lomwe limapangitsa anthu ambiri kukhala osasangalala, koma lingathe kuthandizidwa bwino. Matenda a Chithokomiro (TED).

Mwachidule, kodi matenda a maso a chithokomiro (TED) ndi chiyani?

Matenda a Maso a Chithokomiro (TED) ndi matenda omwe minofu yozungulira maso anu, monga minofu ndi maselo amafuta, imatupa ndi kutupa. Izi zimachitika chifukwa cha vuto la chitetezo cha mthupi la thupi lanu. Mwachidule, chitetezo cha mthupi, chomwe chili ngati "gulu lankhondo" lomwe limateteza thupi lathu ku matenda, molakwika chimayamba kuukira maselo ake athanzi. Izi zimatchedwa matenda a autoimmune.

Mu TED, chitetezo chamthupi chimaukira chithokomiro chanu cha thyroid komanso minofu yozungulira maso anu. Vutoli nthawi zambiri limapezeka mwa anthu omwe ali ndi matenda a Graves, vuto lomwe chithokomiro chimagwira ntchito mopitirira muyeso. Ichi ndichifukwa chake madokotala nthawi zina amatcha matenda a Graves.

Ngakhale kuti matendawa ndi matenda omwe amachitika kwa moyo wonse, zotsatira zake pa maso (TED) nthawi zambiri zimatha pakapita nthawi mu gawo logwira ntchito. Gawo logwira ntchitoli limatha kukhala kwa zaka ziwiri. Panthawiyi, zizindikiro zimatha kuzizira ndi kutsika. Anthu ambiri sakhudzidwa kwambiri, koma kwa ena, ngati ndi aakulu kwambiri, kuwonongeka kosatha kwa masomphenya ndi masomphenya kungachitike.

Kodi zizindikiro za matendawa ndi ziti?

Zizindikiro za TED zimatha kusiyana malinga ndi munthu, koma pali zizindikiro zina zomwe zimafala. Izi nthawi zambiri zimakhudza maso onse awiri, koma nthawi zina diso limodzi lokha ndi lomwe lingakhudzidwe.

Kodi ndi mavuto otani omwe angabwere ngati vutoli litakula kwambiri?

Mwamwayi, anthu ambiri samakhala ndi mavuto aakulu. Matendawa akatha, mawonekedwe ndi masomphenya amatha kubwerera mwakale. Komabe, nthawi zina, ziphuphu m'maselo ozungulira maso zimatha kuchitika, zomwe zimapangitsa kuti pakhale kusintha kosatha.

Kusintha kosatha kwa mawonekedwe

• Kubweza zikope: Zikope zimakokedwa mmwamba, zomwe zimapangitsa maso kuwoneka aakulu komanso owopsa.
• Maso otuluka:Chomwe chimakankhira patsogolo pamaso pa anthu chikhoza kukhala chosatha.
• Maso otuwa: Kutupa mozungulira maso kungakhale kosatha.

Kusintha kosatha kwa masomphenya

• Maso osawoneka bwino
• Masomphenya awiri
• Pa milandu yoopsa, kutayika kwathunthu kwa masomphenya: Izi zimachitika kawirikawiri. Izi zimachitika pamene minofu yomwe ili kumbuyo kwa diso ikukula ndikukankhira mitsempha ya maso. Izi ndi zadzidzidzi.

N’chifukwa chiyani izi zimachitika? Kodi zinthu zomwe zimayambitsa vutoli ndi ziti?

Monga tanenera kale, chifukwa chachikulu cha izi ndi njira yodziyimira payokha. Tangoganizani kuti muli ndi kiyi m'nyumba mwanu. Mukayika kiyi yoyenera, chitseko chimatseguka. Tsopano tangoganizani kuti wakuba akubwera ndikuyika kiyi yabodza yomwe ili yofanana ndi kiyiyo ndikutsegula chitseko. Zina mwa zinthu zomwe zimapanga chitetezo cha mthupi lathu (ma antibodies) zimachita mofanana ndi mahomoni a chithokomiro ndipo zimamatira ku ma receptors mu chithokomiro ndi minofu yomwe ili kumbuyo kwa maso. Ichi ndichifukwa chake zomwe zimakhudza chithokomiro zimakhudzanso maso.

Pali zinthu zingapo zomwe zingayambitse vutoli:

• Kukhala mkazi: Akazi ali ndi mwayi wopeza matendawa nthawi zisanu kuposa amuna. Komabe, ngati mwamuna atenga matendawa, nthawi zambiri amakhala oopsa pang'ono.
• Kuchuluka kwa mahomoni a chithokomiro: Kuchuluka kwa mahomoni a chithokomiro (hyperthyroidism) kapena kuchepa (hypothyroidism) kungakhudze izi.
• Chithandizo cha radioiodine: Ichi ndiye chithandizo chachikulu cha matenda a Graves. Komabe, mwa anthu ena, chithandizochi chikhoza kuipiraipira kapena kuyambitsa TED yatsopano.
• Kusuta: Ichi ndi chinthu chofunikira kwambiri chomwe chingayambitse mavuto ndipo mungathe kuchiletsa. Anthu omwe amasuta fodya komanso omwe amasuta fodya ndi omwe amasuta fodya ali pachiwopsezo chachikulu chotenga matenda a TED. Komanso, ngati munthu wosuta fodya atadwala matendawa, zizindikiro zake zimakhala zazikulu komanso zokhalitsa.

Kodi dokotala amazindikira bwanji matendawa?

Dokotala wanu nthawi zambiri amatha kudziwa za vutoli mwa kuyang'ana maso anu (kuyezetsa maso kwanu). Adzayang'ana mosamala zinthu monga malo a zikope zanu ndi maso anu.

Kuphatikiza apo, mayeso otsatirawa akhoza kuyitanidwa kuti atsimikizire matendawa ndikuwona momwe chithokomiro chikugwira ntchito:

• Mayeso a magazi:Kuyesa kuchuluka kwa mahomoni a chithokomiro (TSH, T3, T4) ndi kuchuluka kwa ma antibodies motsutsana ndi chithokomiro.
• Kujambula maso pogwiritsa ntchito Ultrasound, CT, kapena MRI: Kujambula kumeneku kumatha kuona bwino momwe minofu ndi minofu ina yomwe ili kumbuyo kwa maso ilili yotupa.

Kodi mankhwala ochizira izi ndi otani?

Mtundu wa chithandizo chomwe mukufuna chidzadalira gawo ndi kuopsa kwa matenda anu. Pamene matendawa akugwira ntchito, mankhwala othandizira amagwiritsidwa ntchito poletsa zizindikiro. Matendawa akatha, opaleshoni ingafunike kuti mubwezeretse masomphenya ndi maonekedwe.

Chithandizo chothandizira panthawi ya matenda opatsirana

Opaleshoni ngati pakufunika

Opaleshoni nthawi zambiri imachitika pambuyo poti gawo logwira ntchito la matendawa latha ndipo vutoli lakhazikika. Pokhapokha ndi pomwe pangapezeke kusintha kosatha kwa mawonekedwe ndi masomphenya komwe kwachitika.

• Opaleshoni yochotsa kupanikizika kwa diso: Ngati kupanikizika kumbuyo kwa diso kuli kwakukulu kwambiri ndipo pali chiopsezo cha kuwonongeka kwa mitsempha ya maso, gawo laling'ono la fupa lozungulira diso limachotsedwa kuti pakhale malo. Opaleshoniyi imachitikanso kuti ichepetse kutuluka kwa diso.
• Opaleshoni ya diso: Opaleshoni iyi imachitika kuti ibwezeretse chikope chomwe chagwa.
• Opaleshoni ya minofu ya maso: Ngati maso awiri ndi osatha, opaleshoni imachitidwa pa minofu ya maso kuti ibwezeretse kayendedwe ka maso kuti kakhale bwino.
• Kuchotsa chithokomiro: Ngati mankhwala sangathe kulamulira kuchuluka kwa mahomoni a chithokomiro, chithokomiro chingafunike kuchotsedwa opaleshoni.

Nthawi yoti muwone dokotala wanu nthawi yomweyo

Monga munthu amene ali ndi TED, ndikofunikira kudziwa zizindikiro zanu. Makamaka ngati muwona kusintha kulikonse m'masomphenya anu, muyenera kudziwitsa gulu lanu lachipatala nthawi yomweyo.

• Ngati mukuona kuti gawo lanu la maso lachepa ndipo simungathe kuwona mbali zonse ziwiri.
• Ngati mtundu wasintha (monga, wofiira umaoneka ngati pinki wofooka).
• Ngati mwadzidzidzi mukumva kupweteka kwambiri m'maso.

Vutoli likhoza kukhudza kwambiri moyo wanu. Mungamvenso kuvutika maganizo chifukwa cha kupweteka kwa maso, kusasangalala, komanso kusintha kwa maonekedwe anu. Chifukwa chake, ndikofunikira kulankhula momasuka ndi gulu lanu lachipatala ndikupempha thandizo kwa abale ndi abwenzi. Ngati mukuona kuti simukupeza thandizo lomwe mukufuna, lankhulani ndi dokotala wanu za vutoli. Adzatha kukupatsani zinthu zomwe mukufunikira kuti muthandize thanzi lanu la maganizo.