Wakamboona here kuti maziso evamwe vanhu akakura zvishoma, sekunge ari kubuda? Kana kuti maziso akazvimba uye akatsvuka here? Pamwe unonzwa chimwe chinhu chakadai iwe pachako. Kutaura zvazviri, ichi chinogona kunge chiri chimwe chinhu chakadzama kupfuura dambudziko rerunako rinoonekwa kunze. Waizviziva here kuti izvi zvinogona kukonzerwa nedambudziko regland re thyroid mumuviri wako? Nhasi tiri kutaura nezvechirwere ichi chinoita kuti vanhu vazhinji vasanzwa zvakanaka, asi chinogona kurapwa nemazvo. Chirwere cheziso che thyroid (TED).
Zvichitaurwa zviri nyore, chii chinonzi Thyroid Eye Disease (TED)?
Chirwere cheThyroid Eye (TED) chirwere apo nyama dzakakomberedza maziso ako, dzakadai semhasuru nemasero emafuta, dzinozvimba uye dzinozvimba. Izvi zvinokonzerwa nedambudziko remasoja emuviri wako. Zvichitaurwa zviri nyore, masoja emuviri, ayo akaita se "uto" rinodzivirira muviri wedu kubva kuzvirwere, anotanga kurwisa masero awo ane hutano. Izvi zvinonzi chirwere che autoimmune.
MuTED, masoja emuviri anorwisa gland rako re thyroid pamwe chete nenyama dzakakomberedza maziso ako. Dambudziko iri rinowanzoonekwa muvanhu vane chirwere cheGraves, chirwere chinoita kuti gland re thyroid rishande zvakanyanya. Ndosaka vanachiremba dzimwe nguva vachiti chirwere cheGraves' Eye Disease.
Kunyangwe chirwere ichi chiri chirwere che autoimmune chinogara kwenguva refu, migumisiro pamaziso (TED) inowanzopera mushure menguva yakati rebei muchikamu che active. Chikamu ichi che active chinogona kugara kwemakore maviri. Munguva iyi, zviratidzo zvinogona kudonha uye kudzikira. Vanhu vazhinji havanyanyi kubatwa zvakanyanya, asi kune vamwe, kana zvakanyanya, kukuvara kwechigarire kwekuona nekuona kunogona kuitika.
Ndezvipi zviratidzo zvechirwere ichi?
Zviratidzo zveTED zvinogona kusiyana kubva pamunhu kuenda kune mumwe, asi pane zvimwe zviratidzo zvakajairika. Izvi zvinowanzobata maziso ese ari maviri, asi dzimwe nguva ziso rimwe chete ndiro rinogona kukanganiswa.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kubuda kwemaziso (Proptosis) | Ichi ndicho chiratidzo chikuru chinowanikwa nevanhu vazhinji. Nyama dziri kumashure kwemaziso dzinozvimba, zvichiita kuti bhora reziso ribude. |
| Kusagadzikana kwemaziso uye kuvaviwa | Unogona kugara uchinzwa zvinhu zvakaita sejecha mumaziso ako, kunzwa sekuti une ganda rakakora, kana kunzwa sekunge uri kukwenya. |
| Kuzvimba uye kutsvuka kwemaziso (Blepharitis) | Nzvimbo yakakomberedza maziso, kunyanya maziso ekumusoro neepasi, inogona kunge yakazvimba uye yakatsvuka. |
| Maziso akaoma kana kubvaruka zvakanyanya | Maziso anogona kunzwa akaoma nekuti haasi kuvharika zvakanaka. Izvi zvinoita kuti muviri utange kuburitsa misodzi yakawanda. |
| Kunzwa chiedza (Photophobia) | Zvinoita sekuti maziso angu ari kuita bhuruu kunyangwe zuva radzima uye mwenje yakabatidzwa. Zvakaoma kuramba ndakavhura maziso angu. |
| Kurwadziwa kweziso nemusoro | Paunofambisa maziso ako, unogona kunzwa kurwadziwa kwakafanana nekumanikidzwa kumashure kwemaziso ako. |
| Kuona Kaviri/Diplopia | Sezvo tsandanyama dziri mumaziso dzichizvimba, mafambiro emaziso maviri anova asina kurongeka, zvichiita kuti chimwe chinhu chiite sechiri zviviri. |
Ndezvipi zvinetso zvinogona kuitika kana chirwere ichi chikanyanya kuipa?
Nerombo rakanaka, vanhu vazhinji havaiti matambudziko akakomba. Kana chirwere chapera, chitarisiko nemaonero emaziso zvinogona kudzokera pakare kusvika pamwero wakati. Zvisinei, mune dzimwe nguva, mavanga enyama dzakakomberedza maziso anogona kuitika, zvichikonzera shanduko dzisingaperi.
Kuchinja kwechitarisiko zvachose
- Kudzoreredza tsiye: Maziso anodhonzwa mudenga, zvichiita kuti maziso aratidzike seakakura uye achitya.
- Maziso akabudikira:Iyo inosundidzirwa mberi pamberi pemaziso inogona kuva inogara iripo.
- Maziso akarembera: Kuzvimba kwakakomberedza maziso kunogona kugara kwenguva refu.
Kuchinja kusingaperi mukuona
- Kuona kusina kujeka
- Kuona kaviri
- Muzviitiko zvakakomba, kurasikirwa zvachose kwekuona: Izvi hazviwanzoitiki. Izvi zvinoitika kana nyama iri shure kweziso ichizvimba yodzvanya tsinga yemaziso. Izvi zvinokonzeresa emergency.
Sei izvi zvichiitika? Ndezvipi zvinhu zvinokonzera njodzi?
Sezvatakambotaura, chikonzero chikuru cheizvi inyaya ye autoimmune process. Fungidzira kuti une kiyi mumba mako. Paunoisa kiyi chaiyo mukati mayo, gonhi rinovhurika. Zvino fungidzira kuti mbavha inouya yoisa kiyi yenhema yakafanana nekiyi iyoyo yovhura gonhi. Zvimwe zvezvinhu zvinoumba masoja emuviri wedu (antibodies) zvinoita semahormone e thyroid uye zvinonamatira kuma receptors mu thyroid gland nematishu ari kumashure kwemaziso. Ndokusaka zvinokanganisa thyroid gland zvichikanganisawo maziso.
Kune zvinhu zvakawanda zvinogona kukonzera dambudziko iri:
- Kuva mukadzi: Vakadzi vane mukana wekuwana chirwere ichi kanenge kashanu kupfuura varume. Zvisinei, kana murume akachiwana, mukana wekuti chiwedzere kuipa.
- Mahormone ethyroid asina kujairika: Mahormone ethyroid akawedzera (hyperthyroidism) kana kuderera (hypothyroidism) anogona kukanganisa izvi.
- Kurapa neRadioiodine: Uku ndiko kurapwa kukuru kwechirwere cheGraves. Zvisinei, mune vamwe vanhu, kurapwa uku kunogona kuipa kana kukonzera TED itsva.
- Kusvuta: Ichi ndicho chinhu chinonyanya kukosha uye chaunogona kudzora. Vanhu vanosvuta uye vanosvuta fodya yemumwe munhu vari panjodzi huru yekubatwa nechirwere cheTED. Uyewo, kana munhu anosvuta akabatwa nechirwere ichi, zviratidzo zvacho zvinogona kunge zvakanyanya uye zvinogara kwenguva refu.
Kana uine TED, chinhu chakanakisa chaunogona kuzviitira ndechekurega kusvuta nekukasika kana ukasvuta.
Chiremba anoongorora sei chirwere ichi?
Chiremba wako anogona kuwana ruzivo rwechirwere ichi nekuongorora maziso ako (kuongororwa kwemaziso). Vanonyatsoongorora zvinhu zvakaita senzvimbo yemaziso ako nemaziso ako.
Pamusoro pezvo, bvunzo dzinotevera dzinogona kurairwa kuti dzisimbise kuongororwa uye dziongorore mashandiro e thyroid:
- Kuongororwa kweropa:Kuyedza huwandu hwemahormone ethyroid (TSH, T3, T4) uye huwandu hwemasoja ekudzivirira chirwere ichi.
- Kuongororwa kwemaziso neUltrasound, CT, kana MRI: Kuongororwa uku kunogona kuona zvakajeka kuti tsandanyama nedzimwe nyama dziri shure kwemaziso dzakazvimba sei.
Ndezvipi zvinorapwa izvi?
Rudzi rwekurapwa kwaunoda runoenderana nedanho uye kuoma kwechirwere chako. Paunenge uchirwara, mishonga inotsigira inoshandiswa kudzora zviratidzo. Kana chirwere chapera, kuvhiyiwa kunogona kudiwa kuti munhu adzorere kuona uye chitarisiko.
Kutarisira rutsigiro panguva yechirwere chinoshanda
| Nzira yekurapa | Chii chinoitika kwairi? |
|---|---|
| Madonhwe Emaziso | Inopa zororo kubva pamaziso akaoma, matsvuku, uye anorwadza. |
| Zvinowedzera selenium | Sezvo kushomeka kwe selenium kuchigona kuwedzera zviratidzo, kutora mishonga iyi uchirairwa nachiremba kunogona kubatsira. |
| Magirazi emaziso ePrism | Magirazi aya akakosha anogona kupfekwa semhinduro yenguva pfupi yekuona kaviri. |
| Mishonga inodzora mahormone ethyroid | Kana uine hormone yakawanda yethyroid nekuda kwechirwere cheGraves, uchapihwa mishonga yakaita seMethimazole nePropylthiouracil kuti uidzore. |
| Corticosteroids | Kana zviratidzo zvacho zvakanyanya, chiremba wako anogona kukupa mushonga uyu (semuenzaniso, Prednisolone) kwenguva pfupi kuti uderedze kuzvimba nekukurumidza. |
| Kurapa nemwaranzi | Mwaranzi shoma inotungamirwa kumashure kwemaziso, ichiparadza masero ekudzivirira muviri anoshanda ipapo uye ichideredza kuzvimba. |
Kuvhiyiwa kana zvichidikanwa
Kuvhiyiwa kunowanzoitwa mushure mekunge chirwere chapera uye mamiriro acho agadzikana. Ndipo chete panogona kuzivikanwa kuti ndedzipi shanduko dzinogara dziripo muchitarisiko nekuona.
- Kuvhiyiwa kwekubvisa kumanikidzwa kwemaziso: Kana kumanikidzwa kuri shure kweziso kwakanyanya uye paine njodzi yekukuvara kwetsinga yemaziso, chikamu chidiki chepfupa rakatenderedza ziso chinobviswa kuti pave nenzvimbo. Kuvhiyiwa uku kunoitwawo kuderedza kubuda kweziso.
- Kuvhiyiwa kwemaziso: Kuvhiyiwa uku kunoitwa kuti pave nekudzoreredza maziso akarembera.
- Kuvhiyiwa kwetsandanyama dzemaziso: Kana kuona kaviri kuchigara kwenguva refu, kuvhiyiwa kunoitwa patsandanyama dzemaziso kuti maziso adzokere pakufamba kwakajairika.
- Kuvhiyiwa kweGyroid: Kana mishonga ikasakwanisa kudzora huwandu hwemahormone egland, gland regland rinogona kuvhiyiwa nekuvhiyiwa.
Nguva yekuona chiremba wako nekukasika
Semunhu ane TED, zvakakosha kugara uchiziva zviratidzo zvako. Kunyanya kana ukaona shanduko mukuona kwako, unofanira kuzivisa timu yako yezvekurapa nekukasika.
Kana ukaona chimwe chezviratidzo zvinotevera, enda kuna chiremba nekukasika kana kuenda kuchipatara cheEmergency Department (ETU) nekukurumidza.
- Kana uchinzwa sekunge nzvimbo yako yekuona yaderera uye haugone kuona kumativi ese.
- Kana ruvara rwachinja (semuenzaniso, rutsvuku runoita seruvara rwepingi rwakanyangarika).
- Kana ukanzwa kurwadziwa kwakanyanya kwemaziso kamwe kamwe.
Dambudziko iri rinogona kukanganisa zvikuru hupenyu hwako. Unogonawo kunzwa kushungurudzika mupfungwa nekuda kwekurwadziwa kwemaziso, kusagadzikana, uye kuchinja kwechitarisiko chako. Saka, zvakakosha kutaura pachena nechikwata chako chekurapa uye kutsvaga rutsigiro kubva kumhuri neshamwari. Kana uchinzwa sekuti hausi kuwana rutsigiro rwaunoda, taura nachiremba wako nezvazvo. Vachakwanisa kukupa zvinhu zvaunoda kuti utsigire hutano hwako hwepfungwa.
Mharidzo Yekuenda Nayo Kumba
- Chirwere cheGyroid Eye (TED) chirwere chinokonzerwa ne autoimmune chinokonzerwa nematambudziko e thyroid, kunyanya chirwere cheGraves.
- Zviratidzo zvinowanzoonekwa zvinosanganisira maziso akafunuka, kuzvimba kutenderedza maziso, kurwadziwa, uye kuona kaviri.
- Kusvuta kunoita kuti chirwere ichi chiwedzere kuipa. Chinhu chakanakisa chaungaita ndechekurega kusvuta zvachose.
- Kune nzira dzakasiyana-siyana dzekurapa izvi, dzinosanganisira mishonga, radiation therapy, uye kuvhiyiwa. Chiremba wako ndiye achasarudza kuti ndeipi nzira yekurapa yakakunakira.
- Kana ukaona shanduko dzakangoerekana dzaitika mukuona kwako (kuderera kwemaonero, kuchinja kwemavara) , tsvaga rubatsiro rwechiremba nekukasika.
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