Maʻi Kupapaʻu
Anter
- He aha nā hōʻailona o ka maʻi Graves?
- He aha nā kumu o ka maʻi Graves?
- ʻO wai ka mea e hopohopo nei no ka maʻi Graves?
- Pehea e kuhikuhi ʻia ai ka maʻi ʻo Graves?
- Pehea e mālama ai i ka maʻi ʻo Graves?
- Nā Lāʻau Anati-Thyroid
- ʻO Radioiodine Therapy
- ʻOki kino thyroid
He aha ka maʻi ʻo Graves?
ʻO ka maʻi ʻo Graves kahi maʻi autoimmune. Hoʻokumu ia i kou kelu thyroid e hana i ka nui o ka hormone thyroid i loko o ke kino. ʻIke ʻia kēia ʻano he hyperthyroidism. ʻO ka maʻi maʻi Graves kekahi o nā ʻano maʻamau o hyperthyroidism.
I ka maʻi ʻo Graves, hana kāu ʻōnaehana pale pale i nā mea ʻino i ʻike ʻia ma ke ʻano he immunoglobulins hoʻowalewale thyroid. Hoʻopili kēia mau antibodies i nā hunaola thyroid olakino. Hiki iā lākou ke hoʻokumu i kāu thyroid e hana i ka nui o ka hormone thyroid.
Hoʻopili nā homone thyroid i nā ʻano he nui o kou kino. Hiki i kēia ke hoʻopili i kāu ʻōnaehana ʻōnaehana, hoʻomohala ʻana o ka lolo, ka mahana o ke kino, a me nā mea nui ʻē aʻe.
Inā haʻalele ʻole ʻia, hiki i ka hyperthyroidism ke kumu o ka pohō o ke kaumaha, ke kuleana o ka naʻau (ka uē ʻana, ka ʻakaʻaka ʻana, a me nā hōʻike ʻano ʻona ʻē aʻe), kaumaha, a me ka luhi o ka noʻonoʻo a me ke kino.
He aha nā hōʻailona o ka maʻi Graves?
Māhele nā maʻi o Graves a me hyperthyroidism i nā ʻano like like ʻole. Pākuʻi ʻia paha kēia mau ʻōuli:
- haʻalulu lima
- Kaumaha emi
- wikiwiki o ka puʻuwai (tachycardia)
- hoʻomanawanui ʻole i ka wela
- luhi
- hopohopo
- ukiuki
- nāwaliwali o nā mākala
- goiter (hoʻāhu i ka thyroid gland)
- diarrhea a hoʻonui i ke alapine o ka ʻōpū
- paʻakikī i ka hiamoe
ʻO kahi pākēneka liʻiliʻi o ka poʻe me ka maʻi ʻo Graves e ʻike i ka ʻulaʻula, ʻili manoanoa a puni ka wahi shin. ʻO kēia kahi kūlana i kapa ʻia ʻo Graves 'dermopathy.
ʻO kekahi hōʻailona āu e ʻike ai paha ʻike ʻia ʻo Graves 'ophthalmopathy. Kū kēia i ka manawa e hoʻonui ʻia paha kou mau maka ma muli o ka hopena o kou maka maka i hope. Ke kū kēia, e hoʻomaka paha kou mau maka e ʻōhū mai kou mau maka maka. Ua kuhi ka National Institute of Diabetes and Digestive and Kidney Diseases a hiki i ka 30 pākēneka o ka poʻe e hoʻomohala i ka maʻi ʻo Graves e loaʻa i kahi hihia maʻalahi o ka Graves 'ophthalmopathy. Aia a 5 pakeneka e loaʻa iā Graves 'ophthalmopathy koʻikoʻi.
He aha nā kumu o ka maʻi Graves?
I nā maʻi autoimmune e like me ka maʻi ʻo Graves, hoʻomaka ka ʻōnaehana pale kaua e kūʻē i nā kino olakino a me nā hunaola i kou kino. Hoʻopuka maʻamau kāu ʻōnaehana pale pale i nā protein i ʻike ʻia he antibodies i mea e kaua aku ai i nā mea komo haole e like me nā virus a me nā bacteria. Hana kūikawā ʻia kēia mau mea ʻino e pale i ka mea hoʻouka kikoʻī. I ka maʻi ʻo Graves, hana kuhi hewa kāu ʻōnaehana pale pale i kapa ʻia i nā immunoglobulins i hoʻowalewale ʻia e ka thyroid.
ʻOiai ʻike ka ʻepekema hiki i nā kānaka ke hoʻoilina i ka hiki ke hana i nā mea pale kūʻē e kūʻē i kā lākou mau keola olakino ponoʻī, ʻaʻohe o lākou ala e hoʻoholo ai i nā kumu o ka maʻi ʻo Graves a i ʻole nāna e hoʻomōhala.
ʻO wai ka mea e hopohopo nei no ka maʻi Graves?
Manaʻo ka poʻe loea hiki i kēia mau mea ke hoʻopili i kāu makaʻu i ka hoʻomohala ʻana i nā maʻi ʻo Graves:
- hoʻoilina
- hoʻoluhi
- makahiki
- kāne kāne
ʻIke pinepine ʻia ka maʻi i ka poʻe ma mua o 40. Hoʻonui pū ʻia kāu makaʻikaʻi inā loaʻa nā lālā o ka ʻohana i ka maʻi Graves. Hoʻokumu nā wahine iā ia ʻehiku a ʻewalu mau manawa ʻoi aku ka nui ma mua o nā kāne.
ʻO ka loaʻa ʻana o kahi maʻi autoimmune ʻē aʻe e hoʻonui ai i kou makaʻu no ka hoʻomohala ʻana i ka maʻi o Grave. ʻO Rheumatoid arthritis, diabetes mellitus, a me Crohn's disease he mau laʻana o ia mau maʻi autoimmune.
Pehea e kuhikuhi ʻia ai ka maʻi ʻo Graves?
Hiki i kāu kauka ke noi i nā hoʻokolohua hoʻokolohua inā manaʻo lākou he maʻi Graves kāu. Inā loaʻa i kekahi o kou ʻohana ka maʻi ʻo Graves, hiki i kāu kauka ke hōʻemi i ka hōʻailona ma ke kumu o kāu mōʻaukala a me ka hoʻokolokolo kino. Pono e hōʻoia ʻia kēia e nā hoʻokolohua koko thyroid. ʻO ke kauka i loea i nā maʻi e pili ana i nā homone, i ʻike ʻia he endocrinologist, e lawelawe paha i kāu mau hoʻokolohua a me kāu hōʻailona.
Koi paha kāu kauka i kekahi o kēia mau hoʻokolohua:
- hoʻāʻo koko
- hoʻoheno thyroid
- hōʻike hoʻāʻo iodine radioactive
- hoʻowalewale hoʻokolohua hoʻowalewale thyroid (TSH)
- thyroid stimulate immunoglobulin (TSI) hōʻike
Hiki i nā hopena i hoʻohui ʻia o kēia mau mea ke kōkua i kāu kauka e aʻo inā loaʻa ʻoe i ka maʻi ʻo Graves a i ʻole kekahi ʻano o ka maʻi thyroid.
Pehea e mālama ai i ka maʻi ʻo Graves?
ʻEkolu mau koho lapaʻau i loaʻa no nā poʻe me nā maʻi Graves:
- lāʻau anti-thyroid
- radioactive iodine (RAI) ʻoihana
- ʻoki kino thyroid
E ʻōlelo paha kāu kauka e hoʻohana i hoʻokahi a ʻoi paha o kēia mau koho e mālama ai i kāu maʻi.
Nā Lāʻau Anati-Thyroid
Hiki ke kuhikuhi ʻia nā lāʻau anti-thyroid, e like me propylthiouracil a i ʻole methimazole. Hoʻohana ʻia paha nā beta-blockers e kōkua i ka hōʻemi ʻana i nā hopena o kāu mau hōʻailona a hiki i ka hoʻomaka ʻana o ka mālama ʻana i nā lāʻau ʻē aʻe.
ʻO Radioiodine Therapy
ʻO ka radioactive iodine therapy kekahi o nā lāʻau maʻamau no ka maʻi o Graves. Koi ʻia kēia lapaʻau iā ʻoe e lawe i nā koina o radioactive iodine-131. Koi pinepine kēia iā ʻoe e ale i nā mea liʻiliʻi i ka pepa pila. E kamaʻilio pū kāu kauka iā ʻoe e pili ana i nā akahele āu e pono ai e lawe me kēia therapy.
ʻOki kino thyroid
ʻOiai he koho ke kāʻoka thyroid, hoʻohana pinepine ʻia ia me ka liʻiliʻi. Koi paha kāu kauka i ke ʻoki ʻana inā ʻaʻole i hana pono nā hana ma mua, inā kuhi ʻia ka maʻi ʻaʻai thyroid, a inā he wahine hāpai ʻoe i hiki ʻole ke lawe i nā lāʻau anti-thyroid.
Inā pono ke kahakaha, hiki i kāu kauka ke wehe i kāu gland thyroid āpau e hoʻopau ai i ka makaʻu o ka hoʻi ʻana i ka hyperthyroidism. Pono ʻoe i ka thyroid hormone replacement therapy ma kahi hoʻomau inā ʻoe e koho no ke ʻoki. E kamaʻilio me kāu kauka e aʻo hou e pili ana i nā pono a me nā pilikia o nā koho lapaʻau like ʻole.