Mazuva ano uri kunzwa kuneta uye kusagadzikana here? Une hanya nezvinhu zvidiki here, unonzwa sekuti moyo wako uri kurova, uye haugone kurara husiku here? Kana uri kudzikira uremu kunyangwe uchidya zvakanaka, ungangove uchifunga kuti zvese izvi zvinokonzerwa nekushanda zvakanyanya kana kushushikana. Ehe, izvo zvinogona kunge zviri izvo zvinokonzera. Asi zviratidzo izvi zvinogonawo kunge zvichikonzerwa nedambudziko regland rako re thyroid, iro rakaita seshavishavi diki riri mumutsipa mako. Nhasi tichataura nezvechimwe chirwere chakadai, Graves' Disease. Usanetseke, ichi chirwere chinorapika kana uchinzwisisa zvakanaka.
Zvichitaurwa zviri nyore, chii chinonzi Graves' Disease?
Fungidzira kuti une uto riri kuchengetedza nyika yako. Basa reuto iri nderekudzivirira nyika kubva kuvavengi vekunze. Muviri wedu unewo uto rekudzivirira rakafanana, ratinoti uto rekudzivirira muviri . Asi dzimwe nguva uto iri rekudzivirira rinoita chikanganiso. Panzvimbo pemuvengi wekunze, vanotanga kurwisa nhengo yakanaka, ine hutano mumuviri wedu.
Chirwere cheGraves chimwe chezvirwere zvakadaro. Chinoitika pano ndechekuti masoja edu emuviri anorwisa gland redu re thyroid nemaune. Kurwiswa uku kunoita kuti gland re thyroid rishande zvakanyanya uye rishande zvakanyanya. Huwandu hwehormone ye thyroid yainoburitsa hwakakwira kupfuura hunodiwa nemuviri. Mukurapa, tinodana chirwere ichi kuti hyperthyroidism , kana kuti overactive thyroid. Chirwere cheGraves ndicho chinokonzera chirwere ichi.
Kunyangwe ichi chiri chirwere chisingaperi (chisingaperi) kweupenyu hwese, kana ukachirapa zvakanaka, chinogona kudzorwa zvakanaka uye unogona kurarama hupenyu hwakajairika.
Zviratidzo izvi unozviziva here?
Chirwere cheGraves chinokonzera kuti metabolism yemuviri wedu, inova ndiyo mwero wesimba rinogadzirwa uye rinoshandiswa, iwedzere zvakanyanya. Zvakafanana nekutsika accelerator yemotokari nguva dzese. Izvi zvinogona kukonzera zviratidzo zvakasiyana-siyana. Vamwe vanhu vanogona kungoona chimwe chete kana zviviri zvezviratidzo izvi, nepo vamwe vanogona kuona zviratidzo izvi zvakawanda panguva imwe chete.
Ona tafura iri pazasi kuti uone kuti zvinhu izvi zvinorevei.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kuderedza huremu | Kuonda kunyangwe uchidya zvakanaka uye uine chido chekudya. |
| Kurova kwemoyo nekukurumidza (Tachycardia) | Zvinonzwa sekuti moyo wako uri kurova nekukurumidza, uchirova, kunyangwe paunenge wakangomira ipapo. |
| Kusashivirira kupisa uye kudikitira zvakanyanya | Kunzwa kupisa zvakanyanya uye kugara uchiita ziya, kunyangwe uri munzvimbo yakajairika kune vamwe. |
| Kunetseka uye kusagadzikana | Kunzwa kuzvidya mwoyo, kusagadzikana, uye kutsamwira nyore nyore pasina chikonzero. |
| Kudedera | Kudedera kusinganzwisisike mumaoko. |
| Kushaya hope | Dambudziko rekusakwanisa kurara husiku. |
| Kuzvimba kwemutsipa (Goiter) | Kuzvimba uye kukura kwegland re thyroid pamberi pemutsipa. |
| Kuchinja mugadziriro yekugaya chikafu | Kufamba-famba uchibuda tsvina (manyoka) kana kuda kuenda kuchimbuzi kakawanda pazuva. |
| Kuchinja kwekuenda kumwedzi kuvakadzi | Kuderera kweropa rinobuda panguva yekuenda kumwedzi kana kuti kunonoka/kumira kuenda kumwedzi. |
Maziso neganda zvinogonawo kukanganiswa here?
Ehe, chirwere cheGraves chinogona kukanganisa kwete thyroid gland chete, asi dzimwe nguva maziso neganda zvakare.
Mhedzisiro pamaziso (Graves' Orbitopathy)
Munhu mumwe chete pavanhu vatatu vane chirwere cheGraves' Disease anogona kuva nechirwere ichi. Chinonziwo Thyroid Eye Disease . Chinoitika pano ndechekuti masoja emuviri anorwisa tsandanyama nematishu akakomberedza maziso. Saka,
- Maziso anobuda: Maziso anooneka akakura uye akabuda.
- Kunzwa kurwadziwa kana kumanikidzwa mumaziso.
- Kukwenya sekunge kune jecha mumaziso.
- Kuona kaviri.
- Kuomerwa nekuona panze muchiedza chakajeka (Photophobia).
Migumisiro yeganda (Graves' Dermopathy)
Ichi chirwere chisingawanzoitiki. Chinosanganisira kukora kweganda remakumbo, kunyanya makumbo, uye kuva neruvara rutsvuku kana rwepepuru rine mapundu. Chinonziwo Pretibial Myxedema .
Sei tichibatwa nechirwere cheGraves?
Sezvatakambokurukura, chikonzero chikuru cheizvi kusashanda zvakanaka kwemuviri wedu wekudzivirira chirwere. Nekuda kwekusashanda zvakanaka uku, muviri unogadzira rudzi rweantibody inonzi Thyroid-Stimulating Immunoglobulin (TSI) . Aya maTSI antibodies anonamatira kumasero ethyroid gland uye anotumira chiratidzo chisina kunaka kugland kuti "igadzire mahormone akawanda, igadzire akawanda."
Masayendisiti haasati ava nechokwadi che100% chekuti sei masoja emuviri asingashande zvakanaka nenzira iyi, asi vanotenda kuti pane zvinhu zvakawanda zvinokonzera izvi.
- Zvinhu Zvinokonzera Majini: Ongororo yakawana kuti 79% yeGraves' Disease inokonzerwa nemajini edu. Izvi zvinoreva kuti kana mumwe munhu mumhuri yako (amai, baba, vanun'una vako) aine chirwere chethyroid kana zvimwe zvirwere zvinodzivirira muviri, uri panjodzi huru yekubata chirwere ichi.
- Zvinhu Zvinokonzera Njodzi: 21% yasara yenjodzi inobva kuzvinhu zvinokonzeresa nharaunda. Kureva kuti,
- Kushushikana: Kushushikana kwenguva refu, kwakanyanya kunogona kukonzera zvirwere zve autoimmune zvakaita seizvi.
- Kubata pamuviri nekusununguka: Dambudziko iri rinogona kuitika nekuchinja kwemahormone mumuviri panguva yekuzvitakura uye mushure mekusununguka.
- Mavhairasi nehutachiona: Chirwere ichi chinogona kuitika mushure mehutachiona hwakasiyana, sezvo masoja emuviri achishanda zvakasiyana.
- Kusvuta: Vanhu vanosvuta vari panjodzi huru yekubatwa nechirwere cheGraves. Kwete izvozvo chete, kana munhu anosvuta akabatwa nechirwere ichi, migumisiro yacho pamaziso (Graves' Orbitopathy) inogona kuva yakanyanya kuipa.
Ndezvipi zvirwere zvine njodzi zvinogona kuitika kana zvikasarapwa?
Chirwere cheGraves chirwere chinoda kurapwa nekukurumidza. Kana chikasarapwa, chinogona kukonzera matambudziko akakomba.
- Chirwere chemwoyo: Kuwedzera kwemahormone ethyroid kunoisa mwoyo mudambudziko guru. Izvi zvinogona kukonzera atrial fibrillation (Afib), chirwere chinoita kuti mwoyo urove zvisina kurongeka. Izvi zvinowedzera njodzi yekurwara nemwoyo uye sitiroko.
- Osteoporosis: Kuwanda kwemahormone ethyroid kunokonzera kudzikira kwecalcium mumapfupa, zvichiita kuti atete uye apwanyike zviri nyore.
- Dutu reThroid: Iyi injodzi ine njodzi uye inogona kutyisidzira hupenyu. Chinoitika ndechekuti muviri unongoerekana waburitsa huwandu hwakawanda hwemahormone ethyroid. Zviratidzo zvinosanganisira fivha yakanyanya, kurova kwemoyo nekukurumidza, kudikitira, kuvhiringidzika, uye kurutsa. Kana zviratidzo izvi zvikaitika, unofanira kuendeswa kuEmergency Treatment Unit (ETU) yechipatara nekukasika.
- Matambudziko panguva yekuzvitakura: Kana chirwere cheGraves chikasadzorwa panguva yekuzvitakura, chinogona kukonzera matambudziko kuna amai nemwana. Chinogona kukonzera kupererwa nepamuviri, huremu hushoma, kusununguka nguva isati yakwana, uye BP yakakwira kuna amai (preeclampsia).
Chiremba anoongorora sei chirwere ichi?
Kana uine zviratidzo zvataurwa pamusoro apa, chinhu chekutanga chaunofanira kuita kuona chiremba. Iye achanyatsoongorora zviratidzo zvako uye nhoroondo yezveutano hwemhuri yako. Zvadaro, vacharaira mimwe miedzo yekusimbisa chirwere chacho.
- Kuongororwa kweropa reThyroid: Izvi zvinoongorora huwandu hwemahormone ethyroid (T3, T4) uye TSH (hormone inosimudzira thyroid) muropa rako. MuGraves' Disease, huwandu hwemahormone ethyroid hunowanzo kukwira uye huwandu hweTSH hunenge hwakaderera zvikuru.
- Kuongororwa kweRopa reAntibody: Kuongororwa uku kunogona kusimbisa kana une maTSI antibodies atakataura nezvawo kare muropa rako.
- Kutorwa uye Kuskenwa kweGyroid: Muongororo iyi, munopiwa iodine ine radioactive shoma muchimiro chepiritsi. Gland reGyroid remunhu ane Graves' Disease rinotora iodine yakawanda iyi. Izvi zvinogona kuonekwa nescan.
- Doppler Ultrasound: Kuongororwa uku kunoitwa nekuti vanaamai vane pamuviri kana vanoyamwisa havagone kugamuchira iodine ine radioactive. Inoyera kumhanya kweropa kuenda kugland re thyroid. Kumhanya uku kwakanyanya muGraves' Disease.
Ndezvipi zviri kurapwa?
Chirwere cheGraves chirwere chinorapika. Kune nzira dzakasiyana-siyana dzekurapa dziripo. Unofanira kukurukura nachiremba wako kuti ndeipi nzira yekurapa yakakunakira.
| Nzira yekurapa | Chii chinoitika? | Zvekuziva |
|---|---|---|
| Beta-blockers | Mishonga iyi haideredzi huwandu hwemahormone ethyroid, asi inokurumidza kudzora zviratidzo zvakaita sekurova kwemoyo nekukurumidza, maoko anodedera, uye kuzvidya mwoyo. | Inonyanya kupiwa kudzora zviratidzo kusvika mamwe marapirwo ashanda. |
| Mishonga yeAntithyroid | Mishonga iyi (semuenzaniso Methimazole, Propylthiouracil) inodzivisa kugadzirwa kwemahormone negland re thyroid. | Ungangoda kutora mishonga iyi kwemwedzi kana makore. Vamwe vanhu vanogona kutozopedzisira vasisina simba. |
| Kurapa neRadioiodine | Iyo iodine ine radioactive, inopiwa sekapusule kana mvura, inoparadza masero ari mugland re thyroid zvishoma nezvishoma, zvichiita kuti gland iome. | Mushure mekurapwa uku, hypothyroidism inowanzoitika, ichida kurapwa kwe thyroxine kwehupenyu hwese. |
| Kuvhiyiwa (Kuvhiyiwa kweThyroid) | Kuvhiyiwa kunobvisa chikamu chegland re thyroid kana kuti gland rese. | Kana gland racho rikabviswa zvachose, uchafanira kunwa mapiritsi ethyroxine kweupenyu hwako hwese. Iyi isarudzo yakanaka kune vanhu vane dambudziko rekufema nekuda kwegland rakakura (goiter). |
Ungafunga kuti hypothyroidism, mushure mekurapwa, chirwerewo. Ehe, chirwere. Asi zviri nyore kudzora pane hyperthyroidism, uye matambudziko ehutano enguva refu haawanzoitiki.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheGraves hachisi chinhu chekutya, asi chirwere chinorapika uye chinogona kudzorwa.
- Kana ukaona zviratidzo zvakaita sekuderera kwehuremu zvisina tsarukano, kurova kwemoyo nekukurumidza, maoko anodedera, kudikitira zvakanyanya, uye kusagadzikana, iva nechokwadi chekuona chiremba.
- Kana mumwe munhu mumhuri mako aine chirwere chethyroid, iwewo uri panjodzi, saka chenjerera.
- Kana kurapwa kwatanga, zvakakosha kuti utore mushonga sezvakarairwa nachiremba uye uende kunoongororwazve.
- Kana ukaona zviratidzo zve "thyroid storm" zvakaita sefivha yakanyanya, kurova kwemoyo nekukurumidza, uye kuvhiringidzika, idambudziko. Enda kuchipatara Emergency Department (ETU) nekukasika.
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