Maʻi ʻo Graves: he aha ia, nā hōʻailona nui a me ka mālama ʻana

Anter

• Nā hōʻailona nui
• Pehea e hōʻoia ai i ke kuhi
• Pehea e hana ai i ka lāʻau
• Mālama hāpai hāpai

ʻO ka maʻi ʻo Graves kahi maʻi thyroid i hōʻike ʻia e ka nui o nā hormones mai kēia gland i loko o ke kino, e hana ana i ka hyperthyroidism. He maʻi autoimmune ia, ʻo ia hoʻi ka hopena o nā kinakino ponoʻī o ke kino e hoʻouka nei i ka thyroid a hoʻololi i kāna hana.

ʻO kēia maʻi ke kumu nui o hyperthyroidism, a pili i nā wahine he nui ma mua o nā kāne, ʻo ka hapanui ma waena o 20 a 50 mau makahiki, ʻoiai hiki ke hōʻike ʻia i kēlā me kēia makahiki.

Mālama ʻia ka maʻi o Graves a hiki ke hoʻomalu maikaʻi ʻia ma o ka hoʻohana ʻana i nā lāʻau, radioactive iodine therapies a i ʻole ka thyroid surgery. ʻO ka maʻamau, ʻaʻole ʻōlelo ʻia aia he lāʻau no ka maʻi ʻo Graves, akā naʻe, hiki ke hele i ka maʻi i loko o ke kala ʻana, me ka hiamoe "no nā makahiki he nui a i ʻole ke ola holoʻokoʻa.

Nā hōʻailona nui

Hōʻike ʻia nā ʻōuli i hōʻike ʻia i ka maʻi ʻo Graves ma muli o ke koʻikoʻi a me ka lōʻihi o ka maʻi, a i ka makahiki a me ka noʻonoʻo o ka mea hoʻomanawanui i ka ʻoi aku o nā hormoni, e ʻike mau ʻia.

• Hyperactivity, hopohopo a me ka huhū;
• Ka wela a nui a me ka hou;
• Palpitations puʻuwai;
• Ka emi o ke kaumaha, ʻoiai me ka hoʻonui ʻana i ka makemake;
• Pohā;
• Mimi nui loa;
• Menstruation maʻamau a me ka nalo ʻana o ka libido;
• Tremor, me ka pulu a me ka ʻili pumehana;
• ʻO Goiter, ʻo ia ka hoʻonui ʻana o ka thyroid, e hoʻoulu ana i ka ʻāpana haʻahaʻa o ka puʻu;
• Nāwaliwali o ka ʻiʻo;
• ʻO Gynecomastia, kahi ulu o nā umauma i nā kāne;
• Hoʻololi i nā maka, e like me ka maka i puka, maka, maka wai a me ka hihiʻo lua;
• ʻO nā ʻili ʻili e like me ka ʻulaʻula e waiho ana i nā wahi o ke kino, i ʻike ʻia ʻo Graves 'dermopathy a i ʻole myxedema pre-tibial.

I ka poʻe ʻelemakule, ʻoi aku ka maʻalea o nā hōʻailona a me nā hōʻailona, ​​a ʻike ʻia paha me ka luhi nui a me ka pohō kaumaha, i hiki ke huikau ʻia me nā maʻi ʻē aʻe.

ʻOiai ʻo ka maʻi ʻo Graves ke kumu nui o hyperthyroidism, he mea nui e makaʻala i ka hana ʻia ʻana o nā hormones thyroid ma muli o nā pilikia ʻē aʻe, no laila e ʻike pehea e ʻike ai i nā ʻōuli o hyperthyroidism a me nā kumu nui.

Pehea e hōʻoia ai i ke kuhi

Hana ʻia ke kuhi o ka maʻi ʻo Graves ma o ka loiloi ʻia o nā ʻōuli i hōʻike ʻia, nā hoʻokolohua koko e ana i ka nui o nā hormone thyroid, e like me TSH a me T4, a me nā hoʻokolohua immunology, e ʻike ai inā aia he mau antibodies i ke koko e kūʻē ana i ka thyroid.

Eia hou, hiki i ke kauka ke kauoha i nā hoʻokolohua e like me ka thyroid scintigraphy, tomography i helu ʻia a i ʻole ke kiʻi resonance ʻumeʻume, e like me ka nānā ʻana i ka hana o nā meaola ʻē aʻe, e like me nā maka a me ka puʻuwai. Eia pehea e hoʻomākaukau ai no ka scintigraphy thyroid.

Pehea e hana ai i ka lāʻau

Hōʻike ʻia ka mālama ʻana i ka maʻi o Graves e ka endocrinologist, alakaʻi ʻia e like me ke kūlana olakino o kēlā me kēia kanaka. Hiki ke hana ʻia ma nā ʻano 3:

1. Hoʻohana o nā lāʻau antithyroid, e like me Metimazole a i ʻole Propiltiouracil, kahi e hoʻēmi ai i ka hana ʻana o nā hormone thyroid a me nā mea ʻino e hoʻouka i kēia gland;
2. Hoʻohana o ka iodine radioactive, ʻo ia ke kumu o ka luku ʻia o nā hunaola thyroid, a ʻo ka hopena e hōʻemi ana i kāna hana ʻana o nā homone;
3. ʻOki kino, ka mea e hoʻoneʻe i kahi hapa o ka thyroid e hoʻemi i kāna hana hormone, hana wale ʻia i nā mea maʻi me ka maʻi kūpaʻa lāʻau, nā wahine hāpai, ka maʻi kanesa a ke nui a nui ka thyroid a loaʻa nā ʻōuli e like me ka paʻakikī i ka ʻai ʻana a me ka ʻōlelo ʻana, no ka laʻana .

ʻO nā lāʻau e kaohi i ka puʻuwai puʻuwai, e like me Propranolol a i ʻole Atenolol hiki ke lilo i mea pono e kaohi i nā palpitations, nā haʻalulu a me nā tachycardia.

Hoʻohui, pono paha nā mea maʻi me nā ʻōuli maka koʻikoʻi e hoʻohana i nā kulu maka a me nā hamo e hōʻoluʻolu ai i ka makaʻu a me ka hoʻoulu ʻana i nā maka, a he mea pono nō hoʻi e hōʻoki i ka puhipaka a komo i nā aniani aniani me ka pale o ka ʻaoʻao.

E ʻike pehea e hiki ai i ka meaʻai ke kōkua i ke wikiō aʻe.

ʻAʻole ia e ʻōlelo pinepine ʻia e pili ana i ka hoʻōla ʻana i nā maʻi nui, akā hiki ke kala ʻia ka maʻi i kekahi mau kānaka a i ʻole ma hope o kekahi mau mahina a mau makahiki paha o ka mālama ʻana, akā aia mau ka manawa e hoʻi ai ka maʻi.

Mālama hāpai hāpai

I ka wā o ka hāpai ʻana, pono e mālama ʻia kēia maʻi me nā kahena liʻiliʻi o ka lāʻau a, inā hiki, hoʻopau i ka hoʻohana ʻana o nā lāʻau i ka trimester hope loa, no ka mea ʻoi aku ka maikaʻi o nā pae o nā antibodies i ka hopena o ka hāpai ʻana.

Eia nō naʻe, pono ka nānā nui i ka maʻi i kēia wā o ke ola no ka mea, ke kiʻekiʻe, hiki i nā homone thyroid a me nā lāʻau keʻa i ka placenta a hoʻoweliweli i ka fetus.