Ngaba uziva ngathi intliziyo yakho ibetha ngokukhawuleza ngaphandle kwesizathu? Ngaba uyabila nokuba yintoni na? Ngaba unciphisa umzimba nokuba utya kakuhle? Ngaba ngamanye amaxesha uziva ungaphumli kwaye uxhalabile? Ukuba ezi zinto ziqhelekile kuwe, isizathu sisenokuba yindlala encinci efana nebhabhathane emzimbeni wakho, indlala yegilo, esebenza nzima kakhulu. Namhlanje siza kuthetha ngeSifo seGraves, imeko ebangela le meko, kodwa inokulawulwa kakuhle ukuba inyangwa ngokufanelekileyo.
Ngokufutshane, yintoni isifo samaGraves?
Ngamafutshane, isifo sikaGraves sisifo esibangelwa yimpazamo encinci kwinkqubo yomzimba yethu yokuzikhusela. Esi sisifo esibizwa ngokuba sisifo sokuzikhusela komzimba . Ngokwesiqhelo, inkqubo yethu yokuzikhusela komzimba ilwa neentsholongwane ezibangela izifo. Kodwa kwesi sifo, inkqubo yethu yokuzikhusela yomzimba ihlasela ngempazamo i-thyroid gland yethu entanyeni yethu.
Olu hlaselo luvuselela i-thyroid gland kwaye lubangele ukuba ivelise i-thyroid hormone eninzi kakhulu. Le meko ibizwa ngokuba yi -hyperthyroidism . Ifana nemoto ene-accelerator pedal ecinezelwe phantsi, nto leyo ebangela ukuba imetabolism yethu ikhawuleze. Isifo se-Graves sisona sibangela i-hyperthyroidism. Sinokuba sisifo sofuzo. Sinokuchaphazela kungekuphela nje i-thyroid gland, kodwa namehlo ethu kunye nolusu.
Ziziphi iimpawu eziqhelekileyo zesi sifo?
Ngenxa yokuba isifo sikaGraves sibangela ukuba imetabolism yomzimba wakho ikhawuleze, unokufumana iimpawu ezahlukeneyo. Abanye abantu banokuba neempawu enye okanye ezimbini kwezi, ngelixa abanye banokubona ezininzi zezinto ezikolu luhlu. Ezi mpawu azibonakali ngaxeshanye, kodwa zikhula kancinci kancinci emva kweeveki okanye iinyanga.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukubetha kwentliziyo ngokukhawuleza (iTachycardia) | Ukuziva ngathi intliziyo yakho ibetha ngamandla ngaphandle kwesizathu. |
| Ukunganyamezelani nobushushu kunye nokubila kakhulu | Uhlala uziva ushushu kwaye ubila, nangona kuyinto eqhelekileyo kwabanye. |
| Ukuhla ukusinda | Ubunzima bomzimba buyancipha ngokucacileyo nangona umntu esitya kakuhle. |
| Uloyiko | Ukungcangcazela okuncinci ezandleni. |
| Ixhala elihlala lihleli kunye nokungazoli | Ndihlala ndiziva ndixhalabile kwaye ndingaphumli. |
| Utshintsho kwinkqubo yokugaya ukutya | Ukuhamba rhoqo kwamathumbu okanye ukufuna ukuya kwigumbi lokuhlambela rhoqo kunesiqhelo. |
| Ukudumba kwentamo (iGoiter) | Ukubonakala kokudumba komphambili wentamo ngenxa yokwanda kwendlala yegilo. |
| Ukungalali kunye nokulahleka kweenwele | Ubunzima bokulala ebusuku kunye nokulahlekelwa ziinwele. |
| Utshintsho kumjikelo wenyanga wokuya exesheni kwabasetyhini | Ukopha okunciphileyo kokuya exesheni, umjikelo wokuya exesheni ongaqhelekanga okanye oyekileyo. |
Ukuba unenye okanye ngaphezulu kwezi mpawu, kungcono ukubona ugqirha ukuze akunike iingcebiso ngaphandle kokukhathazeka ngazo.
Oku kuyichaphazela njani amehlo nolusu?
Nangona ingenguye wonke umntu onesifo sikaGraves, malunga nomntu omnye kwabathathu uya kuba neengxaki zamehlo. Le meko ibizwa ngokuba yiGraves' orbitopathy okanyeIsifo samehlo se-thyroid.
- Amehlo avuvukileyo
- Umbono ophindwe kabini
- Ukuziva ukrakra emehlweni
- Ubunzima bokujonga ukukhanya (i-Photophobia)
- Ukuziva uxinzelelo okanye intlungu ngaphakathi kwamehlo
Ukongeza, inani elincinci kakhulu labantu (malunga ne-4%) linokuba nemeko apho ulusu lwemilenze yabo luba lukhuni, lube namaqhubu, kwaye lube nombala otshintshayo. Oku kubizwa ngokuba yi -pretibial myxedema .
Kutheni isifo sikaGraves senzeka?
Njengoko besitshilo ngaphambili, esona sizathu soku kukungasebenzi kakuhle kwenkqubo yethu yokuzikhusela. Umzimba wethu uvelisa i-antibody ebizwa ngokuba yi-Thyroid-Stimulating Immunoglobulin (TSI) . Le antibody ye-TSI inamathela kwiiseli ze-thyroid gland kwaye ithumela umyalezo ongalunganga kwi-gland ukuze "yenze iihomoni ezingaphezulu, yenze ezingaphezulu."
Izazinzulu azikafumani sizathu sokuba inkqubo yomzimba yokuzikhusela isebenze kakubi ngolu hlobo, kodwa kukholelwa ukuba zimbini izinto eziphambili ezinegalelo koku.
1. I-genetics: Ukuba umntu kusapho lwakho unesifo sikaGraves okanye ezinye izifo ze-thyroid, usemngciphekweni omkhulu wokufumana esi sifo.
2. Izinto Ezibangela Imeko-bume: Uxinzelelo olugqithisileyo, ukukhulelwa kunye nokubeleka emva kokuzalwa, kunye nezinye izifo ezibangelwa yintsholongwane zinokuba 'yimbangela', oko kukuthi, ukuqalisa kwesi sifo.
Zeziphi iimeko eziyingozi ezinokubakho ukuba azinyangwa?
Isifo sikaGraves sisifo esifuna unyango olukhawulezileyo . Ukuba asinyangwa okanye asiphathwanga kakuhle, sinokukhokelela kwiingxaki ezinkulu.
- Isifo sentliziyo: Umngcipheko wokuba neemeko ezinzulu ezifana nokubetha kwentliziyo okungahambelaniyo ( i-Atrial Fibrillation - Afib ), ukuhlaselwa yintliziyo, kunye nestroke uyanda.
- I-Osteoporosis: Ngenxa yeziphumo zamanqanaba e-calcium emzimbeni, amathambo aba buthathaka kwaye aphuke lula.
- Ingxaki yeThyroid: Le yimeko engxamisekileyo engaqhelekanga kodwa enokuba yingozi ebomini . Kule meko, i-thyroid gland ikhupha inani elikhulu leehomoni egazini ngexesha elifutshane kakhulu. Iimpawu ziquka umkhuhlane ophezulu, ukubetha kwentliziyo ngokukhawuleza, kunye nokudideka. Kwimeko enjalo, kufuneka uye kwiSebe leNgxamiseko (ETU) lesibhedlele ngoko nangoko.
- Iingxaki ngexesha lokukhulelwa: Ukuba ayinyangwa ngexesha lokukhulelwa, inokuchaphazela umama nomntwana osesiswini. Kukho iingozi ezifana nokuphuphuma kwesisu, ukuzalwa ngaphambi kwexesha, kunye nokuzalwa komntwana obunzima obuphantsi.
Ugqirha uluchonga njani ngokuchanekileyo olu sifo?
Xa usiya kugqirha, uza kukubuza ngeempawu zakho, imbali yempilo yosapho lwakho, aze enze uvavanyo lomzimba. Emva koko banokucebisa iimvavanyo ezininzi ukuqinisekisa ukuba unesifo.
- Uvavanyo lweGazi leThyroid: Olu vavanyo lulinganisa amanqanaba eehomoni ze-thyroid (T4, T3) kunye ne-TSH (ihomoni evuselela i-thyroid) egazini. Kwisifo sikaGraves, amanqanaba ehomoni ye-thyroid ayanda kwaye amanqanaba e-TSH aphantsi kakhulu.
- Uvavanyo lwe-Thyroid Antibody: Uhlola ii-antibodies egazini, ezifana ne-TSI, ebangela isifo sikaGraves.
- Ukufunxwa nokuskenwa kwe-thyroid: Isigulane sinikwa i-iodine encinci ye-radioactive ukuba siyisele, kwaye kwenziwa iskeni ukuze kubonwe ukuba ingakanani i-iodine efunxwa yi-thyroid gland. Kwisifo sikaGraves, i-gland ifunxwa i-iodine eninzi kakhulu.
- I-Doppler Ultrasound: Ukuba ukhulelwe okanye uncancisa, uvavanyo lwe-iodine olusebenzisa i-radioactive alukhuthazwa. Kwiimeko ezinjalo, olu vavanyo lunokulinganisa ukuhamba kwegazi ukuya kwi-thyroid gland kwaye lunike umbono wesifo.
Ziziphi iindlela zonyango zesifo sikaGraves?
Nangona isifo sikaGraves sisifo esihlala ixesha elide (esingapheliyo), unyango lunokunceda ekulawuleni amanqanaba eehomoni. Ngamanye amaxesha, esi sifo sinokuphela okwethutyana emva konyango.
| Indlela yonyango | Kwenzeka ntoni kuyo? |
|---|---|
| Ii-Beta-blockers | Ezi azinciphisi iihomoni ze-thyroid, kodwa zilawula ngokukhawuleza iimpawu ezifana nokubetha kwentliziyo ngokukhawuleza, ukungcangcazela, kunye nokuxhalaba. Zisetyenziselwa ukubonelela ngesiqabu de kubekho ezinye iindlela zonyango ezisebenzayo. |
| Amayeza e-Antithyroid | Amayeza afana neMethimazole kunye nePropylthiouracil athintela ukuveliswa kweehomoni yi-thyroid gland. |
| Unyango lweRadioiodine | Unikwa ulwelo okanye ikhaphukhaphu ene-radioactive iodine ukuba uyisele. Le iodine ifunxwa ziiseli ze-thyroid kwaye izitshabalalise kancinci kancinci, nto leyo enciphisa ukuveliswa kweehomoni. |
| Utyando | I-thyroidectomy yinkqubo yotyando esusa yonke okanye inxalenye ye-thyroid gland. |
Emva konyango kunye notyando lwe-iodine ene-radioactive, ukungabikho kwehomoni ye-thyroid, okwaziwa ngokuba yi -hypothyroidism, kuhlala kuvela. Emva koko kuya kufuneka uthathe iipilisi zehomoni ye-thyroid ubomi bakho bonke. Nangona kunjalo, i-hypothyroidism kulula kakhulu ukuyilawula kune-hyperthyroidism.
Into ebalulekileyo kukuba nganye kwezi ndlela zonyango ineengenelo kunye neengozi zayo. Kubalulekile ukuxoxa nogqirha wakho ukuba loluphi unyango olulungele wena.
Umyalezo Wokuya Ekhaya
- Isifo sikaGraves sisifo esihlasela amasosha omzimba esinokulawulwa kakuhle ngonyango, ngoko ke ungoyiki ngokungeyomfuneko.
- Ukuba uneempawu ezifana nokubetha kwentliziyo, ukwehla kobunzima, ukubila kakhulu, kunye nokuxhalaba ngaphandle kwesizathu, musa ukuzityeshela.
- Ukuba esi sifo asinyangwa, iingxaki ezinkulu ezichaphazela intliziyo namathambo zinokubakho.
- Qiniseka ukuba uthetha nogqirha wakho ukuze akukhethele unyango olulungele wena.
- Xa isifo sifunyenwe, kubaluleke kakhulu ukulandela imiyalelo kagqirha ngokuchanekileyo nokuya kwiikliniki ngexesha.
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