He aha te Mate o Graves? Tohutohu, Take, me te Maimoatanga

He aha te Mate o Graves?

Ko te mate o Graves he āhuatanga autoimmune e whakaeke kino ana tō pūnaha ārai mate i tō kōpū tairoiti, ā, ka nui rawa te hanga i te homoni tairoiti. Ko te nui rawa o te hanga ka ārai ki te hyperthyroidism, ā, ka tere haere ngā mahi o tō tinana.

Whakaarohia tō tairoiti hei pokapū whakahaere miihini o tō tinana. Ki te pā te mate o Graves ki reira, ka tīmata te miihini ki te rere tere rawa, ā, ka pā ki ngā mea katoa, mai i tō tere ngākau ki ō taumata kaha. I huaina te āhuatanga i muri i a Tākuta Robert Graves, nāna i whakaahua tuatahi i te tau 1835.

Ko te mate o Graves te take tino nui o te hyperthyroidism, ā, e pā ana ki te 1 i roto i ngā tāngata 200. Ahakoa ka raru pea i te wā e whakamāramahia ana koe, ko te rongo pai ko te ārai pai ki te tiaki hauora tika.

He aha ngā tohu o te Mate o Graves?

Ka puta ngā tohu o te mate o Graves nā te mea kei te rere tere tō tinana. Āta tirohia ēnei huringa, ā, pea ka kitea e koe ngā huringa i te wā roa, ā, pea ka puta mai ngā huringa i te wā poto.

Ko ēnei ngā tohu tino noa ka pā pea ki a koe:

• Te tere rereke rānei o te ngākau e taea te kite ahakoa i te okiokinga
• Te ngaro o te taumaha kaore he take ahakoa te kai noa rānei te nui atu o te kai
• Te nui o te hiahia kai kaore e taea te makona
• Te manukanuka, te awangawanga, te wiri rānei
• Te wiri o ngā ringa e kitea ana ina ngana koe ki te pupuri i tetahi mea pumau
• Te nui o te werawera me te wera i te wā e māhaere ana ētahi
• Ngā huringa i tō huringa marama, ā, he iti ake te maha o ngā wā
• Te maha o ngā nekehanga o te kopu, te ruaki rānei
• Te uaua ki te moe, te moe roa rānei
• Te ngoikore o ngā uaua, inā te nuinga i ō ringa me ō huha
• Te ngenge ahakoa te kare i te ata noho

Ko ētahi atu o ngā tāngata e pā ana ki te mate o Graves, ka whanake i ngā raruraru kanohi, e kiia ana ko te ophthalmopathy o Graves. Pea ka maroke, ka oneone, ka pāngia rānei e te mārama ō kanohi. I ngā take e kitea ana, pea ka puta mai ō kanohi ki mua, kāore rānei e taea te neke noa.

Kaore i te noa, pea ka kite koe i te kiri mātotoru, whero i ō waewae rānei i runga i ō waewae. Ko tēnei āhuatanga, e kiia ana ko te pretibial myxedema, e pā ana ki te 1-2% anake o ngā tāngata e pā ana ki te mate o Graves, engari ka awangawanga ina puta mai.

He aha ngā take o te Mate o Graves?

Ka puta te mate o Graves ina hanga e tō pūnaha ārai mate ngā antibodies e rite ana ki te homoni e kiia nei ko te TSH (homoni whakaohooho tairoiti). Ko ēnei antibodies morehu, e kiia ana ko ngā immunoglobulins whakaohooho tairoiti, ka tinihanga i tō tairoiti ki te whakaaro me mahi tonu.

Kāore i tino mōhiotia te take o tēnei whakauru pūnaha ārai mate, engari e whakapono ana ngā kairangahau he whakakotahitanga pea o te whakawhānautanga ira me ngā take taiao. Ko ō ira te whakauru i te pu, engari ko tetahi mea i roto i tō taiao te toia te pu.

He maha ngā take ka āwhina ki te whanaketanga o te mate o Graves:

• Te ahotea nui o te hinengaro, te tinana rānei, penei i te mate, te pokanga, ngā huringa nui o te ora rānei
• Ngā mate, inā ngā mate huaketo ka raru pea tō pūnaha ārai mate
• Te hapu, e whakarereke ana i tō pūnaha ārai mate
• Te kai hikareti, e nui haere ana tō raru, ā, ka kaha ake ngā tohu kanohi
• Te nui o te waikawa iodine mā te kai, ngā rongoā rānei

I kōrerotia atu, he maha ngā tāngata e whanake ana i te mate o Graves kaore he take mārama. I etahi wā, ka whakatau noa tō pūnaha ārai mate ki te mahi he, ā, kāore tēnā i te mea ka taea e koe te ārai, te whakatau rānei.

Nōhea te haere ki te tākuta mō te Mate o Graves?

Me haere koe ki te tākuta ki te pā ana ki a koe etahi tohu o te hyperthyroidism, inā te nuinga ina pā ana ki tō oranga o ia rā. Kaua e tatari kia kaha ngā tohu i mua i te rapu awhina.

Whakarite he whakatau i te wā poto ki te kite koe i te tere o te ngākau, te ngaro o te taumaha kaore he take, te awangawanga tonu, te wiri rānei. Ka pā nui ēnei tohu ki tō kounga ora, ā, ka tohu pea kei te nui rawa ō taumata homoni tairoiti.

Rapua te awhina hauora i te wā poto ki te pā ana ki a koe te mamae o te uma, te uaua nui ki te manawa, te tere o te ngākau neke atu i te 100 i te meneti i te okiokinga rānei. Ko ēnei pea ngā tohu o te āhuatanga o te tairoiti, he raruraru onge engari he kino e hiahia ana ki te maimoatanga tere.

Ki te kite koe i ngā huringa i tō tirohanga, te mamae o te kanohi, te puta mai rānei o ō kanohi, whakapā atu ki te tohunga kanohi, ki tō tākuta rānei i te wā poto. E hiahia ana ngā raruraru kanohi mai i te mate o Graves ki te tiaki motuhake hei ārai i te kino pumau.

He aha ngā take morearea mō te Mate o Graves?

Ko te mārama ki ō take morearea ka āwhina i a koe ki te tūpato ki ngā tohu, ki te tango rānei i ngā mahi ārai i te wā e taea ai. Ko ētahi take kaore e taea e koe te whakahaere, ko ētahi atu ka taea e koe te whakahaere mā ngā whiringa oranga.

Ko ēnei ngā take morearea matua mō te whanaketanga o te mate o Graves:

• Ko te wahine – e 7-8 wā te nui o te tupono o ngā wāhine ki te whanake i te āhuatanga i ngā tāne
• Te tau i waenga i te 30-50 tau, ahakoa ka puta i tetahi tau
• Te hītori whānau o te mate tairoiti, ngā āhuatanga autoimmune rānei
• Te whai i ngā mate autoimmune penei i te mate huka momo 1, te mate rewiti rheumatoid rānei
• Te kai hikareti, e rua te nui o tō raru, ā, ka kaha ake ngā raruraru kanohi
• Ngā taumata nui o te ahotea, o te hinengaro, o te tinana rānei
• Te hapu tata nei, te whānau rānei i roto i te tau kua hipa
• Te nui o te kai iodine mā te kai, ngā rongoā rānei

Ahakoa kaore e taea e koe te whakarereke i ō ira, i tō ira tangata rānei, ka taea e koe te whakaiti i ētahi take morearea. Ko te mutu i te kai hikareti, te whakahaere i te ahotea mā ngā rautaki whakaora hauora, te karo rānei i te nui o te iodine ka āwhina ki te whakaiti i ō tupono ki te whanake i te āhuatanga.

He aha ngā raruraru pea o te Mate o Graves?

Ki te kore e maimoatia, ka ārai te mate o Graves ki ngā raruraru kino e pā ana ki ngā pūnaha whekau maha. Ko te rongo pai ko te maimoatanga tika te ārai i te nuinga o ēnei raruraru mai i te whanaketanga.

Ko ngā raruraru tino noa e whai ake nei:

• Ngā raruraru ngākau, tae atu ki ngā tere rereke, te kore o te ngākau, te nui haere rānei o te mate waewae
• Ngā wheua pakaru (osteoporosis) nā te ngaro o te kāratiuma
• Ngā raruraru kanohi mai i te maroke ki ngā huringa tirohanga, te tirohanga rua rānei
• Ngā huringa kiri, inā ngā wahi mātotoru, whero i ō waewae rānei
• Ngā raruraru huaora me ngā raruraru i te wā hapu

Ko te raruraru tino kino engari he onge ko te āhuatanga o te tairoiti, kei te nui rawa ō taumata homoni. Ko tēnei āhuatanga hauora kino te take o te wera nui, te tere o te ngākau, te ngaro o te hinengaro, ā, ka mate pea kaore he maimoatanga tere. I te waimarie, ka puta tēnei i raro i te 1% o ngā tāngata e pā ana ki te hyperthyroidism.

Ka whakaatu mai te hapu i ngā wero motuhake ki te whai koe i te mate o Graves. Ko te hyperthyroidism kaore i te whakahaere e nui haere ana te raru o te ngaro o te kopu, te whānau wawe, te iti o te taumaha whānau rānei. Engari, mā te whakahaere hauora tika, ka taea e te nuinga o ngā wāhine e pā ana ki te mate o Graves te whai i ngā haputanga hauora.

Me pēhea te whakamārama i te Mate o Graves?

Ko te whakamārama i te mate o Graves e whai ana i ngā whakamātautau maha e mahi tahi ana hei whakaatu i te whakaahua o te mahi o tō tairoiti. Ka tīmata tō tākuta mā ō tohu me tō hītori hauora, ka whakamāramahia te whakamārama mā ngā whakamātautau toto.

Ko ngā whakamātautau toto matua ko te ine i ō taumata homoni tairoiti (T3 me T4) me te homoni whakaohooho tairoiti (TSH). I te mate o Graves, ka nui ō taumata T3 me T4, ka iti rawa tō TSH, i te mea kei te ngana tō tinana ki te whakaiti i te tairoiti e mahi nui ana.

Ka whakamātautau hoki tō tākuta mō ngā immunoglobulins whakaohooho tairoiti (TSI) ngā antibodies kaiwhiwhi TSH rānei. Kei te noho ēnei antibodies motuhake i roto i te 95% o ngā tāngata e pā ana ki te mate o Graves, ā, ka āwhina ki te wehewehe mai i ētahi atu take o te hyperthyroidism.

Pea ka whai atu ngā whakamātautau ki te whakamātautau tango iodine pāpāho, kei reira koe e horomia ana he iti o te iodine pāpāho, ka tirotirohia tō tairoiti. I te mate o Graves, ka nui ake te tango iodine o tō tairoiti i te noa, ka puta mai hei mahi nui ake i te tirohanga.

Ki te whai koe i ngā tohu kanohi, pea ka tono atu tō tākuta ki te tohunga kanohi mō ngā whakamātautau kanohi motuhake, tae atu ki ngā whakamātautau CT, MRI rānei hei aromatawai i ngā uaua me ngā kiko o ō kanohi.

He aha te maimoatanga mō te Mate o Graves?

Ko te maimoatanga mō te mate o Graves e aro ana ki te whakaiti i te nui o te homoni tairoiti e hanga ana e tō tinana, ki te whakahaere rānei i ō tohu. He maha ngā whiringa maimoatanga whai hua, ā, ka āwhina tō tākuta i a koe ki te whiriwhiri i te huarahi pai e rite ana ki tō tau, ō tohu, me ō hiahia whaiaro.

Ko ngā huarahi maimoatanga matua e toru e whai ake nei:

1. Ngā rongoā anti-tiroiti penei i te methimazole, te propylthiouracil rānei, e ārai ana i tō tairoiti ki te hanga i te homoni nui rawa
2. Te maimoatanga iodine pāpāho, e whakaiti tonu ana i te mahi tairoiti mā te whakangaro i ngā pūtau tairoiti e mahi nui ana
3. Te pokanga tairoiti, kei reira tetahi wāhanga rānei o tō kōpū tairoiti e tangohia ana

Ko ngā rongoā anti-tiroiti te whiringa tuatahi, inā te nuinga mō ngā tāngata kōhungahunga, ngā tāngata e hiahia ana ki te tiaki i te mahi o tō rātou tairoiti rānei. Ka tīmata te mahi o ēnei rongoā i roto i ngā wiki torutoru, ā, pea ka noho koe ki runga i a rātou mō te 1-2 tau neke atu rānei.

Ko te maimoatanga iodine pāpāho he whiringa noa mō ngā pakeke, inā te nuinga o ngā tāngata neke atu i te 30. Ka tangohia hei pūnaha rānei, wai rānei, ā, ko te iodine pāpāho e āta whakaaro ana ki ō pūtau tairoiti. Ko te nuinga o ngā tāngata e hiahia ana ki tetahi maimoatanga anake, engari ka ārai pea ki te hypothyroidism i muri mai, e hiahia ana ki te whakakapi homoni tairoiti mō te ora.

Pea ka tūtohutia te pokanga ki te whai koe i te tairoiti nui rawa, te mate kanohi kino rawa rānei, kāore rānei e taea te whakamanawanui ki ētahi atu maimoatanga. Ka whakarato i ngā hua tere, engari e hiahia ana ki te mate moe whānui, ā, e mau ana i ngā morearea pokanga noa.

Pea ka tūtohutia e tō tākuta ngā beta-blockers hei āwhina i te whakahaere i ngā tohu penei i te tere o te ngākau, te wiri, te awangawanga rānei i te wā e mahi ana tō maimoatanga matua. Kāore ēnei e maimoatia te āhuatanga taketake, engari ka taea te whakamāha i a koe.

Me pēhea te whakahaere i te Mate o Graves i te kāinga?

Ahakoa he mea nui te maimoatanga hauora, he maha ngā mea ka taea e koe te mahi i te kāinga hei tautoko i tō hauora, ki te whakahaere rānei i ngā tohu. Ka mahi ēnei rautaki tiaki whaiaro me tō maimoatanga i whakaritea hei āwhina i a koe ki te pai ake te ahua.

Arotake ki te whakahaere ahotea i te mea ka kaha ake ngā tohu, ka pāngia rānei e ngā whakakā. Whakamātautau i ngā tikanga whakangā, penei i te manawa hohonu, te whakaaroaro, te yoga ngawari rānei. Ka āwhina hoki te whakakori tinana, engari tīmata i te wā ngawari i te mea pea kei te mahi nui atu tō ngākau i te noa.

Tātai ki tō kai me ō tauira kai. Pea ka hiahia koe ki te nui atu o ngā kalori i te noa nā tō tere o te whakaheke, na kaua e ārai i tō kai ki te kore e tūtohu motuhake tō tākuta. Whakauruhia ngā kai e nui ana te kāratiuma hei tautoko i te hauora o ngā wheua, ā, whakaarohia te whakaiti i te caffeine i te mea ka kaha ake te awangawanga me te wiri o te ngākau.

Ki te kai hikareti koe, ko te mutu tetahi o ngā mea tino nui ka taea e koe te mahi. Ka kaha ake te kino o te kai hikareti i ngā raruraru kanohi, ā, ka raru pea te whai hua o te maimoatanga. Pātai atu ki tō tākuta mō ngā kaupapa mutu kai hikareti, ngā rongoā rānei e taea te āwhina.

Mō te whakamarie kanohi, whakamahia ngā roimata mahi hei pupuri i te makuku o ō kanohi, kakahuhia ngā karāhe hei tiaki i te pānga o te mārama, moehia tō ulu ki runga hei whakaiti i te pupuhi o te kanohi. Ki te whai koe i te tirohanga rua, pea ka āwhina te kākahu kanohi, ngā karāhe motuhake rānei kia pai ake te āhuatanga.

Pupurihia he tātai tohu hei pupuri i te ahua o tō ahua, ā, tuhia ēnei korero ki tō rōpū hauora. Ka āwhina tēnei i a rātou ki te whakarite i tō maimoatanga i te wā e hiahiatia ana, ā, ka hoatu ki a koe te whakaaro o te whakahaere i te wā.

Me pēhea te whakarite mō tō whakatau tākuta?

Ko te whakarite mō tō whakatau ka āwhina i te whakarite ka whiwhi koe i te nuinga o tō haerenga, kāore hoki e wareware i ngā korero nui. Tīmata mā te tuhituhi i ō tohu katoa, ahakoa kaore pea e hono atu ki tō tairoiti.

Hanga he rārangi o ngā rongoā, ngā huaora, me ngā tāpiringa katoa e tangohia ana e koe, tae atu ki ngā rāpoi. Ka taea e ētahi rongoā me ngā tāpiringa te pā ki te mahi tairoiti, te mahi tahi rānei me ngā maimoatanga tairoiti, na he mea nui tēnei korero mō tō tākuta.

Whakaritehia he hītori hauora whānau, inā te tohu i ngā whānau e whai ana i te mate tairoiti, ngā āhuatanga autoimmune rānei, ngā mate endocrine rānei. Ka āwhina tēnei korero ira ki tō tākuta ki te mārama ki ō take morearea, ki te whakarite rānei i te tirotiro tika.

Tuhituhia ngā pātai e hiahia ana koe ki te ui, penei i te whiringa maimoatanga pea te pai mōu, ngā pānga taha e tumanakohia ana, te maha rānei o te tirotiro e hiahia ana koe. Kaua e whakaroa ki te pātai mō ngā whakarereketanga oranga, te wā rānei ka tīmata ai koe ki te pai ake te ahua.

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, whānau rānei ki te whakatau. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā korero nui, ki te whakarato rānei i te tautoko o te hinengaro, inā te nuinga ki te manukanuka koe mō tō whakamārama, ngā whiringa maimoatanga rānei.

He aha te mea nui mō te Mate o Graves?

Ko te mate o Graves he āhuatanga e taea te whakahaere e whakautu pai ana ki te maimoatanga ina kitea wawe, ā, whakahaere tika. Ahakoa ka raru pea te whakamārama i te tīmatanga, kia mahara kei te noho te miriona o ngā tāngata i te ora, hauora ki tenei āhuatanga.

Ko te mea tino nui ko te mahi tata me tō rōpū hauora, te pupuri rānei i tō mahere maimoatanga. Ka tīmata te nuinga o ngā tāngata ki te pai ake te ahua i roto i ngā wiki torutoru ki ngā marama i muri i te tīmatanga o te maimoatanga, ā, ka taea e te tokomaha te whakaora katoa me te tiaki tika.

Kaua e tuku i te mate o Graves ki te whakatau i tō oranga, ki te ārai rānei i ō whāinga. Mā te maimoatanga tika me te tiaki whaiaro, ka taea e koe te haere tonu ki te mahi i ngā mahi e aroha ana koe, ki te pupuri rānei i tō kounga ora. Kia mōhio koe mō tō āhuatanga, engari whakawhirinaki hoki ki ngā maimoatanga kua whakamātautauhia e wātea ana hei āwhina i a koe ki te ahua rite ki a koe anō.

Ngā pātai e ui pinepinetia ana mō te Mate o Graves

Ka taea te whakaora katoa i te mate o Graves?

Ahakoa kāore he rongoā pumau e whakamana ana kaore e hoki mai te āhuatanga, ka taea e te tokomaha te whakaora roa me te maimoatanga. Ka ārai pea ngā rongoā anti-tiroiti ki te whakaora i te 30-50% o ngā tāngata i muri i te 1-2 tau o te maimoatanga. Ka whakahaere tika te iodine pāpāho me te pokanga i te āhuatanga, engari e hiahia ana ki te whakakapi homoni tairoiti mō te ora.

Ka nui haere tō taumaha i muri i te maimoatanga mō te mate o Graves?

He noa te nui o te taumaha i te wā e hoki ana tō tere whakaheke ki te noa, ā, pea ka nui tonu tō hiahia kai mō tētahi wā. Engari, kāore tēnā e tikanga ka nui koe. Ka pumau te nuinga o ngā tāngata i te taumaha hauora me te kai tika me te whakakori tinana. Kōrero atu ki tō tākuta mō te tohutohu kai ki te awangawanga koe mō te whakahaere i tō taumaha i te wā maimoatanga.

Ka taea e au te hapu ki te whai ahau i te mate o Graves?

Ae, he maha ngā wāhine e pā ana ki te mate o Graves e whai ana i ngā haputanga angitu, engari e hiahia ana ki te whakahaere hauora atawhai. Ka pā pea te hyperthyroidism kaore i te whakahaere ki te huaora me ngā hua haputanga, na he mea nui te mahi tahi me tō tākuta hei whakapai ake i ō taumata tairoiti i mua i te ngana ki te whānau. He rongoā haumaru ake i te wā hapu i ētahi atu, na pea ka hiahia te whakarite maimoatanga.

E hia te roa te wā ki te pai ake te ahua i muri i te tīmatanga o te maimoatanga?

Ka tīmata te nuinga o ngā tāngata ki te kite i te whakapainga i ngā tohu penei i te tere o te ngākau, te awangawanga, te wiri rānei i roto i ngā wiki 2-4 i muri i te tīmatanga o ngā rongoā anti-tiroiti. Ko te noa o ngā taumata homoni tairoiti e hiahia ana ki te 6-12 wiki. Engari, pea ka roa ake te whakapainga o ētahi tohu penei i ngā huringa kanohi, te ngoikore o ngā uaua rānei, ā, pea ka hiahia ki ētahi atu maimoatanga.

He ira te mate o Graves?

He waahanga ira te mate o Graves, engari kāore i te whakawhiwhia tika penei i te tae o te kanohi. Ko te whai i tētahi mema whānau e whai ana i te mate o Graves, ngā āhuatanga autoimmune tairoiti rānei e nui haere ana tō raru, engari ko te nuinga o ngā tāngata e whai ana i ēnei hītori whānau kāore e whanake i te āhuatanga. He mea nui hoki ngā take taiao me ngā whakakā i te whanaketanga o te mate.