Isifo samathuna: siyini, izimpawu eziyinhloko nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani
• Ukwelashwa Kokukhulelwa

Isifo seGraves yisifo se-thyroid esibonakala ngokweqile kwamahomoni avela kule ndlala emzimbeni, okwenza i-hyperthyroidism. Kuyisifo esizimele, okusho ukuthi amasosha omzimba uqobo agcina ehlasele igilo futhi aguqula ukusebenza kwawo.

Lesi sifo siyimbangela eyinhloko ye-hyperthyroidism, futhi sihlasela abesifazane abaningi kunabesilisa, ikakhulukazi phakathi kweminyaka engama-20 nengama-50 ubudala, yize singabonakala noma kunini.

Isifo se-Graves siyelashwa futhi singalawulwa kahle ngokusebenzisa izidakamizwa, izindlela zokwelapha ze-iodine noma i-thyroid. Ngokuvamile, akushiwo ukuthi likhona ikhambi lesifo samathuna, noma kunjalo, kungenzeka ukuthi lesi sifo singene ekuxolelweni, sihlale "silele" iminyaka eminingi noma impilo yonke.

Izimpawu eziyinhloko

Izimpawu ezethulwe yisifo se-Graves zixhomeke ebukhulwini besikhathi sesifo, nasenkathini yobudala nokuzwela kwesiguli ngokweqile kwamahomoni, okuvame ukuvela:

• Ukungasebenzi kahle, ukwethuka nokucasuka;
• Ukushisa nokujuluka okweqile;
• Ukushaya kwenhliziyo;
• Ukwehla kwesisindo, noma ngabe unesifiso sokudla esengeziwe;
• Uhudo;
• Umchamo oweqile;
• Ukuya esikhathini ngokungajwayelekile nokulahleka kwe-libido;
• Ukuqhaqhazela, ngesikhumba esimanzi nesifudumele;
• I-Goiter, okungukukhulisa i-thyroid, okwenza ukuvuvukala engxenyeni engezansi yomphimbo;
• Ubuthakathaka bemisipha;
• IGynecomastia, okuwukukhula kwamabele emadodeni;
• Izinguquko emehlweni, njengokuphuma kwamehlo, ukulunywa, amehlo anamanzi nokubona okuphindiwe;
• Izilonda zesikhumba ezinjenge-plaque ezibomvana ezibekwe ezifundeni zomzimba, ezaziwa nangokuthi i-Graves 'dermopathy noma i-pre-tibial myxedema.

Kwasebekhulile, izimpawu nezimpawu zingacashile, futhi zingabonakala ngokukhathala ngokweqile nokuncipha, okungadidaniswa nezinye izifo.

Yize isifo se-Graves siyimbangela enkulu ye-hyperthyroidism, kubalulekile ukuthi wazi ukuthi ukukhiqizwa ngokweqile kwamahomoni wegilo kungabangelwa ezinye izinkinga, ngakho-ke bheka ukuthi ungazibona kanjani izimpawu ze-hyperthyroidism kanye nezimbangela ezinkulu.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuxilongwa kwesifo samathuna kwenziwa ngokuhlolwa kwezimpawu eziveziwe, ukuhlolwa kwegazi ukukala inani lamahomoni wegilo, njenge-TSH ne-T4, kanye nokuhlolwa kwe-immunology, ukubona ukuthi ngabe kukhona yini amasosha omzimba egazini alwa negilo.

Ngaphezu kwalokho, udokotela anga-oda izivivinyo ezifana ne-thyroid scintigraphy, i-computed tomography noma i-magnetic resonance imaging, kufaka phakathi ukuhlola ukusebenza kwezinye izitho, ezinjengamehlo nenhliziyo. Nakhu ukuthi ungalungiselela kanjani i-scintigraphy yegilo.

Yelashwa kanjani

Ukwelashwa kwesifo se-Graves kuboniswa yi-endocrinologist, eqondiswa ngokuya ngesimo somtholampilo somuntu ngamunye. Kungenziwa ngezindlela ezi-3:

1. Ukusetshenziswa kwezidakamizwa ze-antithyroid, njenge-Metimazole noma i-Propiltiouracil, ezokwehlisa ukukhiqizwa kwamahomoni wegilo kanye namasosha omzimba ahlasela le ndlala;
2. Ukusetshenziswa kwe-iodine enemisebe, okubangela ukubhujiswa kwamaseli wegilo, okugcina kunciphise ukukhiqizwa kwawo kwamahomoni;
3. Ukuhlinzwa, esusa ingxenye yegilo ukwehlisa ukukhiqizwa kwamahomoni, okwenziwa kuphela ezigulini ezinesifo esingazweli emithini, abesifazane abakhulelwe, umdlavuza osolwayo nalapho igilo likhulu kakhulu futhi linezimpawu ezinjengobunzima bokudla nokukhuluma, ngokwesibonelo .

Imithi elawula ukushaya kwenhliziyo, njengePropranolol noma i-Atenolol ingasiza ekulawuleni ukushaya kwenhliziyo, ukundindizela kanye ne-tachycardia.

Ngaphezu kwalokho, iziguli ezinezimpawu zamehlo ezinzima zingadinga ukusebenzisa amaconsi wamehlo nezithambisi ukuqeda ukungakhululeki nokuthambisa amehlo, futhi kuyadingeka nokuyeka ukubhema nokugqoka izibuko zelanga ezinokuvikela eceleni.

Bona ukuthi ukudla kungasiza kanjani kuvidiyo elandelayo:

Akushiwo kaningi ngokwelashwa kokugula okungathi sína, kepha kungahle kube khona ukuthethelelwa kwesifo okuzenzekelayo kwabanye abantu noma ngemuva kwezinyanga ezimbalwa noma iminyaka yokwelashwa, kepha kuhlale kunethuba lokuthi lesi sifo sizobuya.

Ukwelashwa Kokukhulelwa

Ngesikhathi sokukhulelwa, lesi sifo kufanele siphathwe ngemithamo emincane yemithi futhi, uma kungenzeka, yeka ukusetshenziswa kwemithi ku-trimester edlule, ngoba amazinga ama-antibodies athambekele ekuthuthukiseni ekugcineni kokukhulelwa.

Kodwa-ke, ukunakekelwa okukhethekile kuyadingeka kulesi sifo ngalesi sigaba sempilo ngoba, uma emazingeni aphezulu, ama-hormone e-thyroid nemithi iyakwazi ukuwela i-placenta futhi ibangele ubuthi embungwini.