Unonzwa sekuti moyo wako uri kurova nekukurumidza pasina chikonzero here? Unodikitira here kunyangwe pachinhu chidiki diki? Unodzikira uremu here kunyangwe uchidya zvakanaka? Dzimwe nguva unonzwa kusagadzikana uye uchinetseka here? Kana zvinhu izvi zvakajairika kwauri, chikonzero chingave chekuti gland diki rakaita seshavishavi mumuviri wako, gland re thyroid, riri kushanda zvakanyanya. Nhasi tichataura nezveGraves' Disease, chirwere chinokonzera chirwere ichi, asi chinogona kudzorwa zvakanaka kana chikarapwa nemazvo.
Chii chinonzi chirwere cheGraves, muchidimbu?
Zvichitaurwa zviri nyore, chirwere cheGraves chirwere chinokonzerwa nekukanganisa kudiki kuri kuitika mumuviri wedu. Tinoti ichi chirwere che autoimmune . Kazhinji, muviri wedu unorwisa utachiona hunokonzera chirwere. Asi muchirwere ichi, muviri wedu unorwisa gland redu re thyroid riri mumutsipa wedu zvisirizvo.
Kurwiswa uku kunokurudzira gland re thyroid uye kunoita kuti rigadzire hormone ye thyroid yakawandisa. Chirwere ichi chinonzi hyperthyroidism . Zvakafanana nemota ine accelerator pedal yakadzvanywa pasi, zvichiita kuti metabolism yedu ikurumidze. Chirwere cheGraves ndicho chinokonzera hyperthyroidism. Chinogonawo kuva nhaka. Chinogona kukanganisa kwete gland re thyroid chete, asiwo maziso edu neganda.
Ndezvipi zviratidzo zvinowanzoonekwa zvechirwere ichi?
Nekuti chirwere cheGraves chinoita kuti kugaya kwemuviri wako kukurumidze, unogona kusangana nezviratidzo zvakasiyana-siyana. Vamwe vanhu vanogona kunge vaine chimwe chete kana zviviri zvezviratidzo izvi, nepo vamwe vanogona kusangana nezvinhu zvakawanda pane izvi. Zviratidzo izvi hazvionekwi zvese panguva imwe chete, asi zvinokura zvishoma nezvishoma mukati memavhiki kana mwedzi.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kurova kwemoyo nekukurumidza (Tachycardia) | Kunzwa sekuti moyo wako uri kurova pasina chikonzero. |
| Kusashivirira kupisa uye kudikitira zvakanyanya | Unogara uchinzwa kupisa uye kudikitira, kunyangwe zviri zvakajairika kune vamwe. |
| Kuderedza huremu | Huremu hwemuviri hunodzikira zviri pachena kunyangwe uchidya zvakanaka. |
| Kudedera | Kudedera kusinganzwisisike mumaoko. |
| Kunetseka nguva dzose uye kusagadzikana | Kugara uchinetseka uye usingazorori. |
| Kuchinja mugadziriro yekugaya chikafu | Kufamba-famba uchibuda tsvina kana kuda kuenda kuchimbuzi kakawanda kupfuura zvakajairika. |
| Kuzvimba kwemutsipa (Goiter) | Kuzvimba kwemutsipa wepamberi nekuda kwekukura kwegland re thyroid. |
| Kushaya hope uye kurasikirwa nebvudzi | Kunetseka kurara husiku uye kurasikirwa nebvudzi. |
| Kuchinja kwekuenda kumwedzi kwemwedzi muvakadzi | Kuderera kweropa rinobuda panguva yekuenda kumwedzi, kusarongeka kwekuenda kumwedzi kana kumira kwekuenda kumwedzi. |
Kana uine chimwe chezviratidzo izvi kana kupfuura, zvakanaka kuti ubvunze chiremba kuti akupe mazano usingazvinetse nazvo.
Izvi zvinokanganisa sei maziso neganda?
Kunyange hazvo vasiri vese vane chirwere cheGraves, munhu mumwe chete pavanhu vatatu achava nematambudziko emaziso. Chirwere ichi chinonzi Graves' orbitopathy kana kutiChirwere cheMaziso cheGyroid.
- Maziso akatumbuka
- Kuona kaviri
- Kunzwa kwehuku, ganda mumaziso
- Kuomerwa nekutarisa chiedza (Photophobia)
- Kunzwa kumanikidzwa kana kurwadziwa mumaziso
Pamusoro pezvo, vanhu vashoma kwazvo (vanenge 4%) vanogona kuva nemamiriro ezvinhu anoita kuti ganda remakumbo avo riite gobvu, riite mapundu, uye rive ruvara rutsvuku. Izvi zvinonzi pretibial myxedema .
Sei chirwere cheGraves chichiitika?
Sezvatakambokurukura, chikonzero chikuru cheizvi kusashanda zvakanaka kwemuviri wedu wekudzivirira chirwere. Muviri wedu unogadzira antibody inonzi Thyroid-Stimulating Immunoglobulin (TSI) . Iyi TSI antibody inonamatira kumasero egland re thyroid uye inotumira chiratidzo chisina kunaka kugland kuti "igadzire mahormone akawanda, igadzire akawanda."
Masayendisiti haasati awana chikonzero chaicho chinoita kuti masoja emuviri asashande zvakanaka nenzira iyi, asi zvinofungidzirwa kuti zvinhu zviviri zvikuru zvinokonzera izvi.
1. Majini: Kana mumwe munhu mumhuri yako aine chirwere cheGraves kana zvimwe zvirwere zvethyroid, uri panjodzi huru yekubata chirwere ichi.
2. Zvinhu Zvinokonzera Kushushikana: Kushushikana kwakanyanya, pamuviri uye mushure mekusununguka, uye zvimwe zvirwere zvehutachiona zvinogona kuva 'chikonzero', kureva kuti, kutanga, kwechirwere ichi.
Ndezvipi zvirwere zvine njodzi zvinogona kuitika kana zvikasarapwa?
Chirwere cheGraves chirwere chinoda kurapwa nekukurumidza . Kana chikasarapwa kana kusarapwa nemazvo, chinogona kukonzera matambudziko akakomba.
- Chirwere chemwoyo: Njodzi yekubatwa nezvirwere zvakakomba zvakaita sekurova kwemoyo kusina kurongeka ( Atrial Fibrillation - Afib ), kurwara nemoyo, uye sitiroko zvinowedzera.
- Osteoporosis: Nekuda kwemigumisiro yehuwandu hwecalcium mumuviri, mapfupa anoshaya simba uye anotyoka nyore nyore.
- Dutu reThroid: Iyi idambudziko risingawanzoitiki asi rinogona kuisa hupenyu panjodzi . Mumamiriro ezvinhu aya, thyroid gland inoburitsa huwandu hwakawanda hwemahormone muropa munguva pfupi. Zviratidzo zvinosanganisira fivha yakanyanya, kurova kwemoyo nekukurumidza, uye kuvhiringidzika. Mumamiriro ezvinhu akadaro, unofanira kuenda kuEmergency Department (ETU) yechipatara nekukasika.
- Matambudziko panguva yekuzvitakura: Kana zvikasarapwa panguva yekuzvitakura, zvinogona kukanganisa amai nemwana ari mudumbu. Kune njodzi dzakadai sekubvisa pamuviri, kuberekwa nguva isati yakwana, uye kuzvarwa kwemwana ane huremu hushoma.
Chiremba anonyatsoongorora sei chirwere ichi?
Paunoenda kunoona chiremba, iye achakubvunza nezvezviratidzo zvako, nhoroondo yezveutano hwemhuri yako, uye achakuongororwa muviri. Vanogona kukukurudzira kuti uongorore zvimwe zviratidzo kuti uzive kuti une chirwere ichi here.
- Kuongororwa kweropa reThyroid: Kuongororwa uku kunoyera huwandu hwemahormone ethyroid (T4, T3) uye TSH (hormone inosimudzira thyroid) muropa. Muchirwere cheGraves, huwandu hwemahormone ethyroid hunokwira uye huwandu hweTSH hushoma kwazvo.
- Kuongororwa kweAntibody yeGyroid: Kunoongorora maantibodies ari muropa, akadai seTSI, anokonzera chirwere cheGraves.
- Kutorwa kwe thyroid nekuskena: Murwere anopiwa iodine ine radioactive shoma kuti anwe, uye scan inoitirwa kuona kuti iodine yakawanda sei inotorwa ne thyroid gland. Muchirwere cheGraves, gland rinotora iodine yakawandisa.
- Doppler Ultrasound: Kana uine pamuviri kana kuti uchiyamwisa, bvunzo yeradioactive iodine haikurudzirwi. Muzviitiko zvakadaro, scan iyi inogona kuyera kuyerera kweropa kuenda kugland re thyroid uye kupa pfungwa yechirwere chacho.
Ndeipi mishonga yekurapa chirwere cheGraves?
Kunyange hazvo chirwere cheGraves chiri chirwere chisingaperi (chisingaperi), kurapwa kunogona kubatsira kudzora huwandu hwemahormone. Dzimwe nguva, chirwere ichi chinogona kupera kwenguva pfupi mushure mekurapwa.
| Nzira yekurapa | Chii chinoitika kwairi? |
|---|---|
| Beta-blockers | Izvi hazvideredzi mahormone ethyroid, asi zvinokurumidza kudzora zviratidzo zvakaita sekurova kwemoyo nekukurumidza, kudedera, uye kuzvidya mwoyo. Zvinoshandiswa kupa zororo kusvika mamwe marapirwo ashanda. |
| Mishonga yeAntithyroid | Mishonga yakaita seMethimazole nePropylthiouracil inodzivirira kugadzirwa kwemahormone negland re thyroid. |
| Kurapa neRadioiodine | Unopiwa mvura kana kapisiyumu ine iodine ine radioactive kuti unwe. Iodine iyi inotorwa nemasero ethyroid uye inoaparadza zvishoma nezvishoma, zvichiita kuti kugadzirwa kwemahormone kuderera. |
| Kuvhiya | Kuvhiyiwa kwegland re thyroid (thyroidectomy) inzira yekuvhiya inobvisa gland rese kana kuti chikamu charo. |
Mushure mekurapwa nekuvhiyiwa ne radioactive iodine, kushaya mahormone ethyroid, anozivikanwawo se hypothyroidism, kunowanzoitika. Uchazofanira kunwa mapiritsi emahormone ethyroid kweupenyu hwako hwese. Zvisinei, hypothyroidism iri nyore kudzora pane hyperthyroidism.
Chinhu chakakosha ndechekuti imwe neimwe yenzira idzi dzekurapa ine zvayakanakira nezvayakaipira. Zvakakosha kukurukura nachiremba wako kuti ndeipi nzira yekurapa yakakunakira.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheGraves chirwere chinokonzerwa ne autoimmune chinogona kudzorwa zvakanaka nekurapwa, saka usatya zvisina kufanira.
- Kana uine zviratidzo zvakaita sekurova kwemoyo, kudzikira kwehuremu, kudikitira zvakanyanya, uye kuzvidya mwoyo pasina chikonzero, usazviregeredza.
- Kana chirwere ichi chikasarapwa, matambudziko akakomba anokanganisa mwoyo nemapfupa anogona kuitika.
- Iva nechokwadi chekutaura nachiremba wako kuti akusarudzire mushonga wakanakira iwe.
- Kana chirwere chaonekwa, zvakakosha kutevedzera mirairo yachiremba nemazvo uye kuenda kumakiriniki nenguva.
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