Matenda a Manda

Zamkati

• Kodi Zizindikiro Za Matenda A manda Ndi Ziti?
• Nchiyani Chimayambitsa Matenda A Manda?
• Ndani Ali pachiwopsezo cha Matenda A manda?
• Kodi Matenda a Manda Amadziwika Bwanji?
• Kodi Matenda A manda Amachiritsidwa Motani?
• Mankhwala Osokoneza Chithokomiro
• Thandizo la Radioiodine
• Opaleshoni ya Chithokomiro

Kodi Matenda A manda Ndi Chiyani?

Matenda a manda ndimatenda amthupi okha. Zimayambitsa matenda anu a chithokomiro kuti apange mahomoni ambiri a chithokomiro m'thupi. Matendawa amadziwika kuti hyperthyroidism. Matenda a Manda ndi imodzi mwa mitundu yofala kwambiri ya hyperthyroidism.

Mu matenda a Graves, chitetezo chanu cha mthupi chimapanga ma antibodies omwe amadziwika kuti ma immunoglobulins a chithokomiro. Ma antibodies awa amalumikizana ndi maselo athanzi a chithokomiro. Amatha kuyambitsa chithokomiro chanu kuti apange mahomoni ambiri a chithokomiro.

Mahomoni a chithokomiro amakhudza mbali zambiri za thupi lanu. Izi zitha kuphatikizira dongosolo lamanjenje anu, kukula kwaubongo, kutentha thupi, ndi zinthu zina zofunika.

Ngati sanalandire chithandizo, hyperthyroidism imatha kuchepa thupi, kudzimva kukhala wamankhwala (kulira kosalamulirika, kuseka, kapena kuwonetsa zina), kukhumudwa, komanso kutopa kwamaganizidwe kapena thupi.

Kodi Zizindikiro Za Matenda A manda Ndi Ziti?

Matenda a Graves ndi hyperthyroidism amagawana zambiri zofananira. Zizindikirozi zitha kuphatikiza:

• kunjenjemera kwa manja
• kuonda
• kuthamanga kwa mtima (tachycardia)
• tsankho kutentha
• kutopa
• manjenje
• kupsa mtima
• kufooka kwa minofu
• goiter (kutupa mu chithokomiro)
• kutsekula m'mimba kapena kuwonjezeka kwafupipafupi m'matumbo
• kuvuta kugona

Chiwerengero chochepa cha anthu omwe ali ndi matenda a Manda adzakumana ndi khungu lofiira, lolimba kuzungulira dera la shin. Ichi ndi chikhalidwe chotchedwa Graves 'dermopathy.

Chizindikiro china chomwe mungakhale nacho chimadziwika kuti Graves 'ophthalmopathy. Izi zimachitika pomwe maso anu angawoneke wokulira chifukwa chakubwezeretsanso zikope zanu. Izi zikachitika, maso anu amatha kuyamba kutuluka m'maso anu. National Institute of Diabetes and Digestive and Kidney Diseases akuti mpaka 30 peresenti ya anthu omwe amadwala matenda a Graves adzalandira vuto lochepa la ophthalmopathy a Graves. Mpaka 5% adzadwala ophthalmopathy yoopsa ya Graves.

Nchiyani Chimayambitsa Matenda A Manda?

Mu zovuta zamthupi mokha monga matenda a Graves, chitetezo chamthupi chimayamba kulimbana ndimatenda athanzi ndi maselo mthupi lanu. Chitetezo chanu chamthupi nthawi zambiri chimapanga mapuloteni omwe amadziwika kuti ma antibodies kuti athane ndi adani akunja monga ma virus ndi bacteria. Ma antibodies awa amapangidwa makamaka kuti akwaniritse wowombayo. Mu matenda a Graves, chitetezo chanu cha mthupi molakwika chimapanga ma antibodies otchedwa chithokomiro-opatsitsa ma immunoglobulins omwe amalimbana ndi khungu lanu lamtundu wathanzi.

Ngakhale asayansi amadziwa kuti anthu akhoza kulandira mphamvu zopanga ma antibodies motsutsana ndi maselo awo athanzi, alibe njira yodziwira chomwe chimayambitsa matenda a Graves kapena yemwe angayambitse.

Ndani Ali pachiwopsezo cha Matenda A manda?

Akatswiri akukhulupirira kuti izi zingakhudze chiopsezo chanu chokhala ndi matenda a Graves:

• cholowa
• nkhawa
• zaka
• jenda

Matendawa amapezeka mwa anthu ochepera zaka 40. Chiwopsezo chanu chimakulanso kwambiri ngati abale anu ali ndi matenda a Manda. Amayi amakula kanayi mpaka kasanu ndi kawiri kuposa amuna.

Kukhala ndi matenda ena amadzimadzi kumawonjezera chiopsezo chanu chokhala ndi matenda a Grave. Matenda a nyamakazi, matenda a shuga, ndi matenda a Crohn ndi zitsanzo za matenda oterewa.

Kodi Matenda a Manda Amadziwika Bwanji?

Dokotala wanu atha kufunsa mayeso a labotale ngati akuganiza kuti muli ndi matenda a Graves. Ngati aliyense m'banja mwanu adadwala matenda a Graves, dokotala wanu amatha kuchepetsa matendawa chifukwa cha mbiri yanu yachipatala komanso kuwunika kwakuthupi. Izi zidzafunikirabe kutsimikiziridwa ndi kuyesa magazi kwa chithokomiro. Dokotala yemwe amadziwika bwino ndi matenda okhudzana ndi mahomoni, omwe amadziwika kuti endocrinologist, amatha kuthana ndi mayeso anu ndi matenda anu.

Dokotala wanu amathanso kufunsa mayeso ena awa:

• kuyesa magazi
• chithokomiro
• Mayeso okhudzidwa ndi ayodini
• Mayeso okhudzana ndi chithokomiro (TSH)
• Mayeso a chithokomiro olimbikitsa immunoglobulin (TSI)

Zotsatira zonse pamodzi zingathandize dokotala kudziwa ngati muli ndi matenda a Graves kapena mtundu wina wamatenda amtundu wa chithokomiro.

Kodi Matenda A manda Amachiritsidwa Motani?

Njira zitatu zochiritsira zilipo kwa anthu omwe ali ndi matenda a Manda:

• mankhwala oletsa chithokomiro
• Mankhwala a radioactive iodine (RAI)
• opaleshoni ya chithokomiro

Dokotala wanu angakuuzeni kuti mugwiritse ntchito imodzi mwanjira zingapo kuti muchiritse matenda anu.

Mankhwala Osokoneza Chithokomiro

Mankhwala olimbana ndi chithokomiro, monga propylthiouracil kapena methimazole, atha kuperekedwa. Beta-blockers atha kugwiritsidwanso ntchito kuthandizira kuchepetsa zovuta zamankhwala anu mpaka mankhwala ena atayamba kugwira ntchito.

Thandizo la Radioiodine

Mankhwala a ayodini okhudzana ndi radioactive ndi imodzi mwamankhwala odziwika kwambiri a matenda a Graves. Mankhwalawa amafunika kuti muzimwa mankhwala a ayodini-131. Izi nthawi zambiri zimafuna kuti mumenye pang'ono mapiritsi. Dokotala wanu amalankhula nanu za zomwe mungachite kuti muthandizidwe ndi mankhwalawa.

Opaleshoni ya Chithokomiro

Ngakhale opaleshoni ya chithokomiro ndichosankha, imagwiritsidwa ntchito kangapo. Dokotala wanu angakulimbikitseni kuchitidwa opaleshoni ngati mankhwala am'mbuyomu sanagwire bwino ntchito, ngati mukuganiza kuti khansa ya chithokomiro, kapena ngati ndinu mayi wapakati yemwe sangathe kumwa mankhwala a chithokomiro.

Ngati opaleshoni ikufunika, dokotala wanu akhoza kuchotsa vuto lanu lonse la chithokomiro kuti athetse chiopsezo cha hyperthyroidism kubwerera. Mudzafunika chithandizo chamankhwala chithokomiro nthawi zonse ngati mungafune kuchitidwa opaleshoni. Lankhulani ndi dokotala kuti mudziwe zambiri za maubwino ndi zoopsa za njira zosiyanasiyana zamankhwala.