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ʻO ka maʻi Graves kahi kūlana autoimmune kahi e hoʻouka ai kou ʻōnaehana pale kino i kou gland thyroid, e hoʻoulu ai i ka hana nui ʻana o ka hormone thyroid. ʻO kēia nui o ka hormone e alakaʻi ai i ka hyperthyroidism, kahi e wikiwiki ai nā hana o kou kino.
E noʻonoʻo i kou thyroid e like me ke kikowaena hoʻomalu ʻenekini o kou kino. I ka wā e hoʻopilikia ai ka maʻi Graves iā ia, e hoʻomaka ka ʻenekini e holo wikiwiki loa, e hoʻopilikia ana i nā mea a pau mai kou puʻuwai a hiki i kou ikehu. Ua loaʻa i kēia kūlana kona inoa mai ka Dkt. Robert Graves, nāna i wehewehe mua iā ia i ka makahiki 1835.
ʻO ka maʻi Graves ka kumu maʻamau loa o ka hyperthyroidism, e hoʻopilikia ana i kahi 1 i 200 mau kānaka. ʻOiai hiki ke manaʻo ʻia he mea kaumaha i ka wā mua o kou ʻike ʻana, ʻo ka ʻoiaʻiʻo maikaʻi, hiki ke mālama ʻia me ka mālama lapaʻau kūpono.
Ke ulu nei nā hōʻailona o ka maʻi Graves no ka mea, ke holo nei kou kino ma ka overdrive. Hiki iā ʻoe ke ʻike i kēia mau loli mālie a i ʻole paha e ʻike koke ʻia.
Eia nā hōʻailona maʻamau loa āu e ʻike ai:
ʻO kekahi poʻe me ka maʻi Graves e loaʻa pū kekahi mau pilikia maka, i ʻike ʻia ʻo Grave's ophthalmopathy. Hiki i kou mau maka ke maloʻo, ʻāʻī, a i ʻole ke ʻano maʻalahi i ka mālamalama. I nā hihia ʻike ʻia, hiki i kou mau maka ke ʻike ʻia e puʻu i mua a i ʻole paha e pilikia ʻoe i ka neʻe ʻana iā lākou maʻamau.
ʻAʻole pinepine, hiki iā ʻoe ke ʻike i ka ʻili mānoanoa, ʻulaʻula ma kou mau ʻūhā a i ʻole nā luna o kou mau wāwae. ʻO kēia kūlana, i kapa ʻia ʻo pretibial myxedema, e hoʻopilikia ana i kahi 1-2% wale nō o nā kānaka me ka maʻi Graves akā hiki ke hopohopo i ka wā e loaʻa ai.
Ke hana nei ka maʻi Graves i ka wā e hana ai kou ʻōnaehana pale kino i nā antibodies e hoʻohālikelike i kahi hormone i kapa ʻia ʻo TSH (thyroid-stimulating hormone). ʻO kēia mau antibodies kolohe, i kapa ʻia ʻo thyroid-stimulating immunoglobulins, e hoʻopunipuni i kou thyroid e manaʻo ai e pono e hana nui.
ʻAʻole maopopo loa ka mea hoʻoulu i kēia hui ʻana o ka ʻōnaehana pale kino, akā manaʻo nā mea noiʻi he hui pū ʻana paha ia o ka predisposition genetic a me nā kumu kūlohelohe. Ke hoʻouka nei kou mau gene i ka pū, akā he mea i kou kūlohelohe e huki i ka trigger.
He mau kumu e hiki ke hoʻokomo i ka ulu ʻana o ka maʻi Graves:
Ua ʻōlelo ʻia, nui nā kānaka e loaʻa i ka maʻi Graves me ka ʻole o ka mea hoʻoulu maopopo. I kekahi manawa, e hoʻoholo wale kāu ʻōnaehana pale kino e hana hewa, a ʻaʻole ia he mea āu i hiki ke pale a i ʻole wānana.
Pono ʻoe e ʻike i ke kauka inā ʻoe e ʻike ana i nā hōʻailona o ka hyperthyroidism, ʻoi aku hoʻi inā e hoʻopilikia ana lākou i kou ola i kēlā me kēia lā. Mai kali i ka wā e lilo ai nā hōʻailona i mea kaumaha ma mua o ka ʻimi ʻana i ke kōkua.
E hoʻonohonoho i kahi manawa koke inā ʻoe e ʻike i ka puʻuwai wikiwiki, ka pau ʻana o ke kaumaha, ka hopohopo mau, a i ʻole ka haʻalulu. Hiki i kēia mau hōʻailona ke hoʻopilikia nui i kou ola a hiki ke hōʻike i ka nui loa o kou pae hormone thyroid.
E ʻimi i ka mālama lapaʻau koke inā ʻoe e ʻike i ka ʻeha umauma, ka hanu pōkole nui, a i ʻole ka puʻuwai ma mua o 100 mau pā i kēlā me kēia minuke i ka wā hoʻomaha. Hiki i kēia ke hōʻailona o ka thyroid storm, kahi pilikia koʻikoʻi akā maʻamau ʻole e pono ai ka mālama pilikia. ʻO ka mea pōmaikaʻi, ʻike ʻia kēia ma kahi o 1% wale nō o nā kānaka me ka hyperthyroidism.
Inā ʻoe e ʻike i nā loli i kou ʻike, ʻeha maka, a i ʻole kou mau maka e ʻike ʻia e puʻu, e kelepona i kahi loea maka a i ʻole kāu kauka koke. Pono nā pilikia maka mai ka maʻi Graves i ka mālama kūikawā e pale aku i ka poino mau loa.
Ke hoʻomaopopo ʻia kou mau mea pilikia, hiki iā ʻoe ke mālama pono i nā hōʻailona a me ka lawe ʻana i nā hana palekana i ka hiki. ʻO kekahi mau mea āu e hiki ʻole ke kaohi, ʻoiai hiki iā ʻoe ke hoʻopilikia i nā mea ʻē aʻe ma o nā koho ola.
Eia nā mea pilikia nui loa no ka ulu ʻana o ka maʻi Graves:
ʻOiai ʻaʻole hiki iā ʻoe ke hoʻololi i kou mau genetics a i ʻole ke kāne, hiki iā ʻoe ke hoʻemi i kekahi mau mea pilikia. ʻO ka haʻalele ʻana i ka puhipaka, ka mālama ʻana i ke kaumaha ma o nā ʻano hoʻoponopono olakino, a me ka pale ʻana i ka iodine nui e kōkua i ka hoʻemi ʻana i kou manawa e loaʻa ai ka kūlana.
Ke waiho ʻole ʻia, hiki i ka maʻi Graves ke alakaʻi i nā pilikia koʻikoʻi e hoʻopilikia ana i nā ʻōnaehana kino he nui. ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka mālama pono e pale aku i ka nui o kēia mau pilikia mai ka ulu ʻana.
ʻO nā pilikia maʻamau loa e komo pū ana:
ʻO ka pilikia koʻikoʻi loa akā maʻamau ʻole ka thyroid storm, kahi e lilo ai kou pae hormone i mea weliweli loa. ʻO kēia pilikia lapaʻau e hoʻoulu ai i ka wela nui, ka puʻuwai wikiwiki, ka delirium, a hiki ke make inā ʻaʻohe mālama koke. ʻO ka mea pōmaikaʻi, ʻike ʻia kēia ma kahi o 1% wale nō o nā kānaka me ka hyperthyroidism.
Hiki i ka hapai ke hōʻike i nā pilikia kūikawā inā loaʻa iā ʻoe ka maʻi Graves. Ke hoʻonui nei ka hyperthyroidism i ka pilikia o ka miscarriage, ka hānau mua, a me ke kaumaha hānau haʻahaʻa. Eia naʻe, me ka mālama lapaʻau kūpono, nui nā wahine me ka maʻi Graves e hiki ke loaʻa nā hapai olakino.
ʻO ka ʻike ʻana i ka maʻi Graves e komo pū ana i nā hoʻokolohua he nui e hana pū ana e pena i kahi kiʻi piha o kāu hana thyroid. E hoʻomaka kāu kauka me kou mau hōʻailona a me ka mōʻaukala lapaʻau, a laila e hōʻoia i ka ʻike ʻana me nā hoʻokolohua koko.
ʻO nā hoʻokolohua koko nui e komo pū ana i ka ana ʻana i kou pae hormone thyroid (T3 a me T4) a me ka thyroid-stimulating hormone (TSH). I ka maʻi Graves, e kiʻekiʻe kou pae T3 a me T4 ʻoiai e haʻahaʻa loa kāu TSH, ʻoiai ke ho'āʻo nei kou kino e hoʻolohi i ka thyroid overactive.
E ho'āʻo pū kāu kauka no nā thyroid-stimulating immunoglobulins (TSI) a i ʻole nā antibodies TSH receptor. Aia kēia mau antibodies kūikawā ma kahi o 95% o nā kānaka me ka maʻi Graves a kōkua i ka hoʻokaʻawale ʻana mai nā kumu ʻē aʻe o ka hyperthyroidism.
Hiki i nā hoʻokolohua hou ke komo pū i kahi hoʻokolohua lawe ʻana i ka iodine radioactive, kahi āu e ʻai ai i kahi liʻiliʻi o ka iodine radioactive a laila e kānana ʻia kāu thyroid. I ka maʻi Graves, e lawe nui kāu thyroid i ka iodine ma mua o ka maʻamau, e hōʻike ana i ka hana nui ʻana ma ka scan.
Inā loaʻa iā ʻoe nā hōʻailona maka, hiki i kāu kauka ke hoʻouna iā ʻoe i kahi ophthalmologist no nā hoʻokolohua maka kūikawā, me nā scan CT a i ʻole MRI e loiloi i nā ʻiʻo a me nā pūnaewele a puni kou mau maka.
Ke nānā nei ka lapaʻau no ka maʻi Graves i ka hoʻemi ʻana i ka nui o ka hormone thyroid āu e hana ai a me ka mālama ʻana i kou mau hōʻailona. Loaʻa iā ʻoe nā koho lapaʻau maikaʻi, a e kōkua kāu kauka iā ʻoe e koho i ke ala maikaʻi loa ma muli o kou makahiki, nā hōʻailona, a me nā makemake pilikino.
ʻO nā ala lapaʻau nui ʻekolu:
ʻO nā lāʻau anti-thyroid pinepine ka koho mua, ʻoi aku hoʻi no nā poʻe ʻōpio a i ʻole nā mea makemake e mālama i kā lākou hana thyroid. ʻO ka maʻamau, e hoʻomaka ana kēia mau lāʻau e hana i loko o kekahi mau pule, a hiki iā ʻoe ke noho ma luna o lākou no 1-2 mau makahiki a i ʻoi aku paha.
ʻO ka radioactive iodine therapy kahi koho maʻamau no nā mākua, ʻoi aku hoʻi nā mea ma mua o 30. Ua lawe ʻia ma ke ʻano he pīlī a wai paha, a ke hoʻopili pololei nei ka iodine radioactive i kou mau sela thyroid. ʻO ka hapanui o nā kānaka e pono ai hoʻokahi mālama wale nō, akā e alakaʻi pinepine ana i ka hypothyroidism ma hope, e pono ai ka hoʻololi hormone thyroid i ke ola.
Hiki ke ʻōlelo ʻia ka ʻoki kino inā loaʻa iā ʻoe ka thyroid nui loa, ka maʻi maka nui, a i ʻole ʻaʻole hiki iā ʻoe ke ʻae i nā mālama ʻē aʻe. Ke hāʻawi nei ia i nā hopena wikiwiki akā pono ia i ka anesthesia laulā a lawe mai i nā pilikia ʻoki maʻamau.
Hiki i kāu kauka ke kuhikuhi pū i nā beta-blockers e kōkua i ka mālama ʻana i nā hōʻailona e like me ka puʻuwai wikiwiki, ka haʻalulu, a me ka hopohopo i ka wā e hoʻomaka ai kāu mālama nui. ʻAʻole kēia e mālama i ke kūlana kumu akā hiki ke hoʻoluʻolu nui iā ʻoe.
ʻOiai he mea nui ka mālama lapaʻau, nui nā mea āu e hiki ke hana ma ka home e kākoʻo i kou olakino a mālama i nā hōʻailona. Ke hana nei kēia mau hoʻolālā mālama ponoʻī me kāu mālama i kuhikuhi ʻia e kōkua iā ʻoe e ʻoluʻolu.
E nānā i ka mālama ʻana i ke kaumaha ʻoiai hiki i ke kaumaha ke hoʻopilikia i kou mau hōʻailona a hoʻoulu paha i nā flare-ups. E ho'āʻo i nā ʻano hoʻomaha e like me ka hanu hohonu, ka noʻonoʻo, a i ʻole ka yoga māmā. Hiki i ka hoʻoikaika kino maʻamau ke kōkua pū, akā e hoʻomaka mālie no ka mea hiki ke hana nui kāu puʻuwai ma mua o ka maʻamau.
E makaʻala i kāu ʻai a me nā ʻano ʻai. Hiki iā ʻoe ke pono i nā calorie hou aku ma muli o kou metabolism nui, no laila mai kaupalena i kāu ʻai ʻana ke ʻole kāu kauka e ʻōlelo kūikawā. E komo i nā meaʻai momona calcium e kākoʻo i ke olakino o nā iwi, a e noʻonoʻo e kaupalena i ka caffeine no ka mea hiki ke hoʻopilikia i ka hopohopo a me nā palpitations puʻuwai.
Inā ʻoe e puhipaka, ʻo ka haʻalele ʻana kekahi o nā mea nui loa āu e hiki ke hana. Ke hoʻonui nui nei ka puhipaka i nā pilikia maka a hiki ke hoʻopilikia i ka pono o ka mālama ʻana. E noi i kāu kauka e pili ana i nā papahana haʻalele puhipaka a i ʻole nā lāʻau lapaʻau e hiki ke kōkua.
No ka ʻoluʻolu o nā maka, e hoʻohana i nā waimaka artificial e mālama i kou mau maka i ka pulu, e kau i nā aniani e pale aku i ka mālamalama, a e hiamoe me kou poʻo i hāpai ʻia e hoʻemi i ka pehu o nā maka. Inā loaʻa iā ʻoe ka ʻike pālua, hiki i kahi pā maka a i ʻole nā aniani kūikawā ke kōkua a hiki i ka hoʻomaikaʻi ʻana o ke kūlana.
E mālama i kahi diary hōʻailona e hahai i kou manaʻo a e kaʻana like i kēia ʻike me kāu hui mālama ola. Ke kōkua nei kēia iā lākou e hoʻoponopono i kāu mālama e like me ka pono a hāʻawi iā ʻoe i ka manaʻo o ka holomua ma mua o ka manawa.
Ke hoʻomākaukau nei no kāu manawa e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mea nui loa mai kāu kipa a ʻaʻole e poina i ka ʻike nui. E hoʻomaka ma ka kākau ʻana i kou mau hōʻailona a pau, ʻoiai inā ʻike ʻole ʻia lākou i kāu thyroid.
E hana i kahi papa inoa o nā lāʻau lapaʻau, nā huaora, a me nā mea hoʻohui āu e lawe nei, me nā doses. Hiki i kekahi mau lāʻau lapaʻau a me nā mea hoʻohui ke hoʻopilikia i ka hana thyroid a i ʻole ke launa pū me nā mālama thyroid, no laila he mea nui kēia ʻike no kāu kauka.
E hoʻomākaukau i kahi mōʻaukala lapaʻau ʻohana, ʻoi aku ka hoʻomaopopo ʻana i nā hoahānau me ka maʻi thyroid, nā kūlana autoimmune, a i ʻole nā maʻi endocrine ʻē aʻe. Ke kōkua nei kēia ʻike genetic i kāu kauka e hoʻomaopopo i kou mau mea pilikia a hoʻolālā i ka nānā kūpono.
E kākau i nā nīnau āu e makemake ai e nīnau, e like me kahi koho mālama e maikaʻi loa no ʻoe, nā hopena ʻaoʻao e manaʻo ai, a i ʻole pehea ka pinepine āu e pono ai i ka nānā ʻana. Mai kānalua e nīnau e pili ana i nā hoʻololi ola a i ʻole ka wā āu e hoʻomaka ai e ʻoluʻolu.
E noʻonoʻo e lawe mai i kahi hoaaloha a i ʻole ʻohana hilinaʻi i ka manawa. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui a hāʻawi i ke kākoʻo manaʻo, ʻoi aku hoʻi inā ʻoe e hopohopo e pili ana i kāu ʻike a i ʻole nā koho mālama.
ʻO ka maʻi Graves kahi kūlana hiki ke mālama ʻia e pane maikaʻi ana i ka mālama ʻana i ka wā e hopu koke ʻia a mālama pono ʻia. ʻOiai hiki ke manaʻo ʻia he mea kaumaha ka ʻike ʻana i ka wā mua, e hoʻomanaʻo he miliona o nā kānaka e ola ana i nā ola piha, olakino me kēia kūlana.
ʻO ka mea nui loa, ʻo ka hana pili loa me kāu hui mālama ola a hoʻopaʻa i kāu hoʻolālā mālama. ʻO ka hapanui o nā kānaka e hoʻomaka e ʻoluʻolu nui i loko o kekahi mau pule a mau mahina paha ma hope o ka hoʻomaka ʻana o ka mālama ʻana, a nui ka poʻe e loaʻa ka remission piha me ka mālama kūpono.
Mai ʻae i ka maʻi Graves e hoʻomaopopo i kou ola a i ʻole e kaupalena i kou mau pahuhopu. Me ka mālama kūpono a me ka mālama ponoʻī, hiki iā ʻoe ke hoʻomau i ka hana ʻana i nā hana āu e aloha ai a mālama i kou ola. E noʻonoʻo pono e pili ana i kou kūlana, akā e hilinaʻi pū i nā mālama i hōʻoia ʻia e loaʻa e kōkua iā ʻoe e ʻoluʻolu e like me ʻoe iho hou.
ʻOiai ʻaʻohe lāʻau mau loa e hōʻoiaʻiʻo ai ʻaʻole e hoʻi hou mai ke kūlana, nui nā kānaka e loaʻa ka remission lōʻihi me ka mālama ʻana. Hiki i nā lāʻau anti-thyroid ke alakaʻi i ka remission ma kahi o 30-50% o nā kānaka ma hope o 1-2 mau makahiki o ka mālama ʻana. Ke kaohi maikaʻi nei ka radioactive iodine a me ka ʻoki kino i ke kūlana akā pono pinepine ka hoʻololi hormone thyroid i ke ola.
He mea maʻamau ke loaʻa ʻana o ke kaumaha i ka wā e hoʻi ai kāu metabolism i ka maʻamau a hiki ke hoʻonui ʻia kāu makemake i ka ʻai no kekahi manawa. Eia naʻe, ʻaʻole kēia manaʻo e lilo ʻoe i mea kaumaha. ʻO ka hapanui o nā kānaka e kūpaʻa i kahi kaumaha olakino me ka ʻai kūpono a me ka hoʻoikaika kino. E kamaʻilio me kāu kauka e pili ana i ka ʻōlelo aʻo meaʻai inā ʻoe e hopohopo e pili ana i ka mālama ʻana i kou kaumaha i ka wā mālama.
ʻAe, nui nā wahine me ka maʻi Graves e loaʻa nā hapai holomua, akā pono ia i ka mālama lapaʻau akahele. Hiki i ka hyperthyroidism i kaohi ʻole ʻia ke hoʻopilikia i ka hānau a me nā hopena hapai, no laila he mea nui ia e hana pū me kāu kauka e hoʻomaikaʻi i kou pae thyroid ma mua o ka ho'āʻo ʻana e hapai. ʻOi aku ka palekana o kekahi mau lāʻau lapaʻau i ka wā hapai ma mua o nā mea ʻē aʻe, no laila pono paha e hoʻoponopono ʻia ka mālama ʻana.
ʻO ka hapanui o nā kānaka e hoʻomaka e ʻike i ka hoʻomaikaʻi ʻana i nā hōʻailona e like me ka puʻuwai wikiwiki, ka hopohopo, a me ka haʻalulu i loko o 2-4 mau pule ma hope o ka hoʻomaka ʻana o nā lāʻau anti-thyroid. ʻO ka maʻamau, e lawe ana i ka 6-12 mau pule e hoʻomaʻamaʻa piha i nā pae hormone thyroid. Eia naʻe, hiki i kekahi mau hōʻailona e like me nā loli maka a i ʻole nā ʻiʻo nāwaliwali ke lawe i ka manawa lōʻihi e hoʻomaikaʻi a pono paha i nā mālama hou aku.
Loaʻa i ka maʻi Graves kahi ʻāpana genetic, akā ʻaʻole ia i hoʻoilina pololei e like me ka kala maka. Ke hoʻonui nei ka loaʻa ʻana o kahi lālā ʻohana me ka maʻi Graves a i ʻole nā kūlana thyroid autoimmune ʻē aʻe i kou pilikia, akā ʻaʻole ka hapanui o nā kānaka me kēia mau mōʻaukala ʻohana e loaʻa i ke kūlana. Ke pāʻani nei nā kumu kūlohelohe a me nā mea hoʻoulu i nā kuleana nui i ka ulu ʻana o ka maʻi.