Momwe Matenda A Manda Amakhudzira Maso

Zamkati

• Matenda a Manda ndi chiyani?
• Kodi zizindikiro za ophthalmopathy ya Graves ndi ziti?
• Nchiyani chimayambitsa ophthalmopathy a Manda?
• Kodi matenda a maso a Graves amapezeka bwanji?
• Kodi Graves 'ophthalmopathy amathandizidwa bwanji?
• Maganizo ake ndi otani?

Matenda a Manda ndi chiyani?

Matenda a Graves ndimatenda amthupi omwe amachititsa kuti chithokomiro chanu chikhale ndi mahomoni ambiri kuposa momwe amayenera kuchitira. Chithokomiro chopitilira muyeso chimatchedwa hyperthyroidism.

Zina mwazizindikiro za matenda a Graves ndi kugunda kwamtima kosazolowereka, kuwonda, ndi kukulitsa chithokomiro (goiter).

Nthawi zina, chitetezo chamthupi chimagunda minofu ndi minofu mozungulira maso. Ichi ndi chikhalidwe chotchedwa matenda amaso a chithokomiro kapena Graves 'ophthalmopathy (GO). Kutupa kumapangitsa kuti maso azikhala owuma, owuma komanso osakwiya.

Matendawa amathanso kupangitsa kuti maso anu aziwoneka otupa.

Matenda a maso a manda amakhudza pakati pa 25 ndi 50 peresenti ya anthu omwe ali ndi matenda a Manda.Hiromatsu Y, et al. (2014). Ophthalmopathy a Manda: Epidemiology ndi mbiri yachilengedwe. KODI:
10.2169 / internalmedicine.53.1518 Zitha kukhalanso mwa anthu omwe alibe matenda a Manda.

Pitilizani kuwerenga kuti mudziwe zambiri zamatenda am'maso a Manda, chithandizo chamankhwala, ndi zomwe mungachite kuti muchepetse matenda.

Kodi zizindikiro za ophthalmopathy ya Graves ndi ziti?

Nthawi zambiri, matenda amaso a Manda amakhudza maso onse. Pafupifupi 15 peresenti ya nthawiyo, diso limodzi lokha limakhudzidwa.Hiromatsu Y, et al. (2014). Ophthalmopathy a Manda: Epidemiology ndi mbiri yachilengedwe. KODI:
10.2169 / internalmedicine.53.1518 Palibe kulumikizana pakati pazizindikiro zamaso anu ndi kuuma kwa hyperthyroidism yanu.

Zizindikiro za GO zitha kuphatikiza:

• maso owuma, grittiness, kukwiya
• kupanikizika kwa diso ndi kupweteka
• kufiira ndi kutupa
• kuchotsa zikope
• Kutuluka kwa maso, kotchedwanso proptosis kapena exophthalmos
• kuzindikira kwa kuwala
• masomphenya awiri

Pazovuta zazikulu, mutha kukhala ndi vuto kusuntha kapena kutseka maso anu, zilonda zam'mimba, komanso kupsinjika kwa mitsempha ya optic. GO kumatha kubweretsa kutayika kwa masomphenya, koma izi ndizochepa.

Zizindikiro nthawi zambiri zimayamba nthawi yofananira ndi zizindikilo zina zamatenda a Manda, koma anthu ena amakhala ndi zisonyezo zamaso poyamba. Kawirikawiri GO amapita patali atalandira chithandizo cha matenda a Graves. Ndizotheka kupanga GO popanda kukhala ndi hyperthyroidism.

Nchiyani chimayambitsa ophthalmopathy a Manda?

Choyambitsa chenichenicho sichidziwika, koma atha kukhala osakanikirana ndi majini komanso chilengedwe.

Kutupa kozungulira diso kumachitika chifukwa chodzitchinjiriza. Zizindikiro zake zimabwera chifukwa chotupa kuzungulira diso ndikuchotsa zikope.

Matenda amaso a manda nthawi zambiri amapezeka molumikizana ndi hyperthyroidism, koma osati nthawi zonse. Zitha kuchitika pamene chithokomiro chanu sichikugwira ntchito pano.

Zowopsa pa GO zikuphatikiza:

• zisonkhezero za chibadwa
• kusuta
• mankhwala a ayodini a hyperthyroidism

Mutha kukhala ndi matenda amanda nthawi iliyonse, koma anthu ambiri ali azaka zapakati pa 30 ndi 60 akapezeka. Matenda a manda amakhudza pafupifupi 3 peresenti ya akazi ndi 0,5 peresenti ya amuna.Matenda a manda. (2017).
niddk.nih.gov/health-information/endocrine-diseases/graves-disease

Kodi matenda a maso a Graves amapezeka bwanji?

Mukadziwa kale kuti muli ndi matenda a Manda, dokotala wanu amatha kukupatsani matendawa atakuyang'anirani.

Apo ayi, dokotala wanu angayambe mwa kuyang'anitsitsa maso anu ndikuyang'ana khosi lanu kuti muwone ngati chithokomiro chanu chakula.

Kenako, magazi anu amatha kufufuzidwa ngati ali ndi timadzi tomwe timayambitsa matenda a chithokomiro (TSH). TSH, timadzi timene timatuluka m'matumbo, timathandiza kuti chithokomiro chikhale ndi mahomoni. Ngati muli ndi matenda a Graves, mlingo wanu wa TSH udzakhala wochepa, koma mudzakhala ndi mahomoni ambiri a chithokomiro.

Magazi anu amathanso kuyezedwa ndi ma antibodies a Graves. Kuyesaku sikofunikira kuti matendawa athe, koma atha kuchitidwa mulimonsemo. Ngati zikuwoneka kuti alibe, dokotala wanu akhoza kuyamba kufunafuna matenda ena.

Kujambula mayeso monga ultrasound, CT scan, kapena MRI kumatha kuyang'anitsitsa chithokomiro.

Simungathe kupanga mahomoni a chithokomiro popanda ayodini. Ndicho chifukwa chake dokotala wanu angafune kuchita njira yotchedwa radioactive iodine uptake. Pachiyeso ichi, mutenga ayodini yowonongeka ndikulola thupi lanu kuyamwa. Pambuyo pake, kamera yapadera yojambulira ingakuthandizeni kudziwa momwe chithokomiro chanu chimagwiritsira ntchito ayodini.

Mwa 20 peresenti ya anthu omwe ali ndi hyperthyroidism, zizindikilo zamaso zimawoneka zisanachitike.Hiromatsu Y, et al. (2014). Ophthalmopathy a Manda: Epidemiology ndi mbiri yachilengedwe. KODI:
10.2169 / internalmedicine.53.1518

Kodi Graves 'ophthalmopathy amathandizidwa bwanji?

Kuchiza matenda a Manda kumaphatikizapo njira zina zochiritsira kuti mahomoni azikhala ochepa. Matenda am'maso a Manda amafunikira chithandizo chake, popeza kuchiza matenda a Manda sikuthandiza nthawi zonse ndi zizindikilo zamaso.

Pali nthawi yotupa yogwira momwe zizindikiro zimaipiraipira. Izi zitha kukhala miyezi isanu ndi umodzi kapena kuposerapo. Ndiye pali gawo losagwira ntchito momwe zizindikiritso zimakhazikika kapena zimayamba kusintha.

Pali zinthu zingapo zomwe mungachite nokha kuti muchepetse zizindikilo, monga:

• Maso akutsikira kuti mafuta ndi kuchotsa maso owuma, okwiyitsidwa. Gwiritsani ntchito madontho amaso omwe mulibe zochotsa zofiira kapena zotetezera. Mafuta opaka mafuta amathanso kukhala othandiza nthawi yogona ngati zikope zanu sizikutseka konse. Funsani dokotala wanu kuti ndi zinthu ziti zomwe zingakuthandizeni popanda kukwiyitsa maso anu.
• Compress yozizira kuti muchepetse kukwiya kwakanthawi. Izi zingakhale zolimbikitsa makamaka musanagone kapena mukadzuka m'mawa.
• Magalasi kuthandiza kuteteza ku kuwala kuwala. Magalasi amathanso kukutetezani ku mphepo kapena mphepo yochokera kwa mafani, kutentha kwachangu, komanso mpweya wabwino. Magalasi ozungulira amatha kukhala othandiza panja.
• Magalasi opangira mankhwala ndi ma prism angathandize kukonza masomphenya awiri. Sagwira ntchito kwa aliyense, komabe.
• Gonani mutakweza mutu kuti muchepetse kutupa komanso kuti muchepetse kupanikizika m'maso.
• Corticosteroids monga hydrocortisone kapena prednisone zitha kuthandiza kuchepetsa kutupa. Funsani dokotala ngati mukuyenera kugwiritsa ntchito corticosteroids.
• Osasuta, monga kusuta kungapangitse zinthu kuipiraipira. Mukasuta, funsani dokotala wanu za mapulogalamu osuta. Muyeneranso kupewa kupewa utsi wa fodya, fumbi, ndi zinthu zina zomwe zingakhumudwitse maso anu.

Onetsetsani kuti muuze dokotala ngati palibe chomwe chikugwira ntchito ndipo mukupitiliza kukhala ndi masomphenya awiri, kuchepa kwa masomphenya, kapena mavuto ena. Pali njira zina zopangira opaleshoni zomwe zingathandize, kuphatikizapo:

• Opaleshoni yochotsa matenda ozungulira kukulitsa chikwama cha diso kuti diso likhale bwino. Izi zimaphatikizapo kuchotsa fupa pakati pa thumba ndi diso kuti apange malo otupa.
• Opaleshoni ya khungu kubwezeretsa zikope kumalo achilengedwe.
• Opaleshoni ya minofu yamaso kukonza masomphenya awiri. Izi zimaphatikizapo kudula minofu yomwe imakhudzidwa ndi minofu yofiira ndikuyikonzanso mmbuyo.

Njirazi zitha kuthandiza kusintha masomphenya kapena mawonekedwe amaso anu.

Nthawi zambiri, mankhwala a radiation, kapena orbital radiotherapy, amagwiritsidwa ntchito pochepetsa kutupa paminyewa ndi minofu kuzungulira maso. Izi zimachitika pakadutsa masiku angapo.

Ngati zizindikiro za diso lanu sizikugwirizana ndi matenda a Manda, mankhwala ena atha kukhala oyenera.

Maganizo ake ndi otani?

Palibe njira yothetsera matenda a Manda kapena matenda a maso a Manda. Koma ngati muli ndi matenda a Manda ndi utsi, muli ndi mwayi wochulukitsa kasanu kuti mukhale ndi matenda amaso kuposa omwe samasuta.Draman MS, ndi al. (2017). TEAMeD-5: Kupititsa patsogolo zotsatira mu matenda amaso a chithokomiro.
endocrinology.org/endocrinologist/125-autumn17/feature/teamed-5-improving-outcomes-in-thyoid-eye-disease/ Matenda amaso amakhala ovuta kwambiri kwa osuta.

Mukalandira matenda a Manda, funsani dokotala kuti akuwonetseni mavuto amaso. GO ndikovuta kwambiri kuwopseza masomphenya pafupifupi 3 mpaka 5% ya nthawiyo.Hiromatsu Y, et al. (2014). Ophthalmopathy a Manda: Epidemiology ndi mbiri yachilengedwe. KODI:
10.2169 / internalmedicine.53.1518

Zizindikiro zamaso nthawi zambiri zimakhazikika pakatha miyezi isanu ndi umodzi. Amatha kuyamba kusintha nthawi yomweyo kapena amakhazikika kwa chaka chimodzi kapena ziwiri asanayambe kusintha.

Matenda a m'manda amatha kuchiritsidwa bwino, ndipo zizindikilo nthawi zambiri zimawongolera ngakhale popanda chithandizo.