Isifo Samathuna

-Delile

• Ziyini Izimpawu Zesifo Samathuna?
• Yini Ebangela Isifo Samathuna?
• Ngubani Osengozini Yezifo Zamathuna?
• Sitholwa Kanjani Isifo Samathuna?
• Selashwa Kanjani Isifo Samathuna?
• Imithi Elwa Nendlala Yendlala
• Ukwelashwa Kwemisakazo
• Ukuhlinzwa Kwendlala Yendlala

Siyini Isifo Samathuna?

Isifo se-Graves yisifo sokuzimela komzimba. Kubangela ukuthi indlala yakho yegilo idale i-hormone yegilo eningi kakhulu emzimbeni. Lesi simo saziwa njenge-hyperthyroidism. Isifo samathuna singenye yezindlela ezivame kakhulu ze-hyperthyroidism.

Esifo se-Graves, amasosha akho omzimba akha ama-antibody aziwa ngokuthi ama-immunoglobulin ashukumisa i-thyroid. La masosha omzimba abese enamathisela kumaseli wegilo anempilo. Zingadala ukuthi i-thyroid yakho idale i-hormone yegilo eningi kakhulu.

Amahomoni wegilo athinta izici eziningi zomzimba wakho. Lokhu kungafaka phakathi ukusebenza kwesistimu yakho yezinzwa, ukukhula kwengqondo, ukushisa komzimba nezinye izinto ezibalulekile.

Uma ishiywe ingalashwa, i-hyperthyroidism ingadala ukwehla kwesisindo, isikweletu ngokomzwelo (ukukhala okungalawuleki, ukuhleka, noma okunye ukukhombisa okungokomzwelo), ukudangala, nokukhathala kwengqondo noma komzimba.

Ziyini Izimpawu Zesifo Samathuna?

Isifo seGraves ne-hyperthyroidism sabelana ngezimpawu eziningi ezifanayo. Lezi zimpawu zingafaka:

• ukuthuthumela kwesandla
• ukuncipha komzimba
• ukushaya kwenhliziyo okusheshayo (tachycardia)
• ukungabekezelelani ekushiseni
• ukukhathala
• uvalo
• ukucasuka
• ubuthakathaka bemisipha
• i-goiter (ukuvuvukala endlala yegilo)
• isifo sohudo noma imvamisa eyandayo ekuhambeni kwamathumbu
• ubunzima bokulala

Amaphesenti amancane abantu abanesifo se-Graves 'azothola isikhumba esibomvu, esiqine eduze kwendawo ye-shin. Lesi yisimo esibizwa nge-Graves ’dermopathy.

Esinye isibonakaliso ongase uhlangane naso saziwa ngokuthi yi-Graves ’ophthalmopathy. Lokhu kwenzeka lapho amehlo akho engabonakala ekhulisiwe ngenxa yokuhoxa kwamajwabu amehlo akho. Uma lokhu kwenzeka, amehlo akho angaqala ukuphuma ebusweni bakho. INational Institute of Diabetes and Digestive and Kidney Diseases ilinganisela ukuthi abantu abangafika kumaphesenti angama-30 ababa nesifo i-Graves bazothola icala elincane le-Graves ’ophthalmopathy. Kuze kufike kumaphesenti ama-5 azothola i-ophthalmopathy enzima ye-Graves.

Yini Ebangela Isifo Samathuna?

Ekuphazamisekeni komzimba njenge-Graves ’disease, amasosha omzimba aqala ukulwa nezicubu namaseli anempilo emzimbeni wakho. Amasosha omzimba wakho avame ukukhiqiza amaprotheni aziwa njengama-antibody ukuze alwe nabahlaseli bangaphandle njengamagciwane namagciwane. La ma-antibody akhiqizwa ngokukhethekile ukukhomba umhlaseli othize. E-Graves ’disease, izivikeli mzimba zakho ngephutha zikhiqiza amasosha omzimba abizwa ngama-immunoglobulin ashukumisa i-thyroid akhomba amangqamuzana akho egilo anempilo.

Yize ososayensi bazi ukuthi abantu bangazuza njengefa ikhono lokwenza ama-antibody ngokumelene namaseli abo aphilile, abanayo indlela yokuthola ukuthi yini ebanga isifo se-Graves noma ngubani ozosibamba.

Ngubani Osengozini Yezifo Zamathuna?

Ochwepheshe bakholelwa ukuthi lezi zinto zingathinta ubungozi bakho bokuhlaselwa yisifo se-Graves:

• ifa
• ukucindezeleka
• ubudala
• ubulili

Lesi sifo sijwayele ukutholakala kubantu abangaphansi kweminyaka engama-40. Ingozi yakho ibuye inyuke kakhulu uma amalungu omndeni enesifo se-Graves. Abesifazane bayithuthukisa kaninginingi kasikhombisa kuya kweziyisishiyagalombili kunamadoda.

Ukuba nesinye isifo sokuzivikela komzimba kwandisa ubungozi bokuthuthukisa isifo se-Grave. I-rheumatoid arthritis, isifo sikashukela, nesifo sikaCrohn yizibonelo zezifo ezinjalo ezizimele.

Sitholwa Kanjani Isifo Samathuna?

Udokotela wakho angacela ukuhlolwa kwelabhoratri uma esola ukuthi unesifo se-Graves. Uma noma ngubani emndenini wakho enesifo se-Graves, udokotela wakho angakwazi ukunciphisa ukuxilongwa ngesisekelo somlando wakho wezokwelapha nokuhlolwa komzimba. Lokhu kusazodinga ukuqinisekiswa ngokuhlolwa kwegazi le-thyroid. Udokotela onguchwepheshe wezifo ezihlobene namahomoni, owaziwa ngokuthi i-endocrinologist, angaphatha izivivinyo zakho nokuxilongwa kwakho.

Udokotela wakho futhi angacela ezinye zalezi zivivinyo ezilandelayo:

• ukuhlolwa kwegazi
• ukuskena kwe-thyroid
• ukuhlolwa kwe-iodine kwe-radioactive
• ukuhlolwa kwe-thyroid stimulating hormone (TSH)
• ukuhlolwa kwe-thyroid okuvuselela i-immunoglobulin (TSI)

Imiphumela ehlangene yalezi ingasiza udokotela wakho ukuthi afunde uma unesifo se-Graves noma olunye uhlobo lwesifo se-thyroid.

Selashwa Kanjani Isifo Samathuna?

Izinketho zokwelashwa ezintathu ziyatholakala kubantu abanesifo se-Graves:

• imishanguzo elwa nendlala yegilo
• ukwelashwa ngemisebe ye-iodine (RAI)
• ukuhlinzwa kwegilo

Udokotela wakho angase asikisele ukuthi usebenzise eyodwa noma ngaphezulu yalezi zinketho ukuphatha isifo sakho.

Imithi Elwa Nendlala Yendlala

Imithi elwa namagciwane, njenge-propylthiouracil noma i-methimazole, ingahle inikezwe. Ama-beta blockers nawo angasetshenziswa ukusiza ukunciphisa imiphumela yezimpawu zakho kuze kube yilapho ezinye izindlela zokwelashwa ziqala ukusebenza.

Ukwelashwa Kwemisakazo

Ukwelashwa kwe-iodine enemisebe ngeminye yezindlela zokwelapha ezivame kakhulu zesifo se-Graves. Lokhu kwelashwa kudinga ukuthi uthathe imithamo ye-iodine-131 enemisebe. Lokhu ngokuvamile kudinga ukuthi ugwinye amanani amancane efomini lephilisi. Udokotela wakho uzokhuluma nawe nganoma iziphi izinyathelo okufanele uzithathe ngalokhu kwelashwa.

Ukuhlinzwa Kwendlala Yendlala

Yize ukuhlinzwa kwe-thyroid kuyindlela yokukhetha, kusetshenziswa kaningi. Udokotela wakho angancoma ukuhlinzwa uma ukwelashwa kwangaphambilini kungazange kusebenze kahle, uma kusolwa umdlavuza we-thyroid, noma uma ungowesifazane okhulelwe ongakwazi ukusebenzisa imishanguzo elwa negilo.

Uma kudingeka ukuhlinzwa, udokotela wakho angasusa yonke indlala yakho yegilo ukuze aqede ubungozi bokubuyela emuva kwe-hyperthyroidism. Uzodinga ukwelashwa ngokushintshwa kwehomoni ye-thyroid njalo uma ukhetha ukuhlinzwa. Khuluma nodokotela wakho ukuze ufunde kabanzi mayelana nezinzuzo nobungozi bezindlela ezahlukahlukene zokwelashwa.