Kubata kunoita Chirwere cheMakuva Chirwere Chemaziso

Zvemukati

• Chii chinonzi Makuva ’chirwere?
• Ndezvipi zviratidzo zveMakuva 'ophthalmopathy?
• Chii chinokonzera Graves 'ophthalmopathy?
• Makuva 'ophthalmopathy anoonekwa sei?
• Anorapwa sei Graves 'ophthalmopathy?
• Ndeapi maonero?

Chii chinonzi Makuva ’chirwere?

Chirwere cheGraves chirwere che autoimmune chinokonzeresa kuti gland yako yegonyeti ibudise mahormone akawanda kupfuura aanofanira. Utachiona hwakanyanyisa hunonzi hyperthyroidism.

Pakati pezviratidzo zvinogona kuvepo zvehosha yeGraves pane kurova kwemoyo zvisina kujairika, kuonda, uye hosha yegland yakakwidziridzwa (goiter).

Dzimwe nguva, immune system inorwisa nyama uye mhasuru dzakakomberedza maziso. Ichi chiitiko chinonzi chirwere chetachiona chetachiona kana Graves 'ophthalmopathy (GO). Kuzvimba kunoita kuti maziso anzwe kugwinha, kuoma, uye kutsamwa.

Aya mamiriro anogona zvakare kuita kuti maziso ako aite seanobuda kunze.

Chirwere chemaziso cheGraves chinokanganisa pakati pe25 uye 50 muzana yevanhu vane chirwere cheMakuva.Hiromatsu Y, et al. (2014). Graves 'ophthalmopathy: Epidemiology uye nhoroondo yechisikigo. DOI:
10.2169 / internalmedicine.53.1518 Izvo zvinogona zvakare kuitika kune vanhu vasina Graves 'chirwere.

Enderera kuverenga kuti udzidze zvakawanda nezve Graves 'chirwere cheziso, kurapwa kwekurapa, uye zvaunogona kuita kudzikamisa zviratidzo.

Ndezvipi zviratidzo zveMakuva 'ophthalmopathy?

Kazhinji yenguva, chirwere chemaziso cheGraves chinokanganisa maziso ese. Inenge 15 muzana yenguva, ziso rimwe chete rinosanganisirwa.Hiromatsu Y, et al. (2014). Graves 'ophthalmopathy: Epidemiology uye nhoroondo yechisikigo. DOI:
10.2169 / internalmedicine.53.1518 Iko hakuna kuwirirana pakati pezviratidzo zveziso rako uye kuomarara kweiyo hyperthyroidism.

Zviratidzo zveGo zvinogona kusanganisira:

• maziso akaoma, grittiness, kutsamwa
• kumanikidza kwemaziso uye kurwadziwa
• kutsvuka uye kuzvimba
• kudzorera maziso
• kubhururuka kwemeso, kunonziwo proptosis kana exophthalmos
• chiedza chekunzwa
• kuona kaviri

Muzviitiko zvakakomba, iwe unogona kunetseka kufamba kana kuvhara maziso ako, ulceration yeiyo cornea, uye kumanikidza kweiyo optic nerve. GO kunogona kutungamira pakurasikirwa kwemaonero, asi izvi hazviwanzo.

Zviratidzo zvinowanzotanga kutenderedza nguva yakafanana nezvimwe zviratidzo zvechirwere cheMakuva, asi vamwe vanhu vanotanga zviratidzo zvemaziso kutanga. Kazhinji kacho GO inokura kwenguva refu mushure mekurapwa kwechirwere cheMakuva. Izvo zvakare zvinokwanisika kukudziridza GO usina hyperthyroidism.

Chii chinokonzera Graves 'ophthalmopathy?

Chikonzero chaicho hachina kujeka, asi zvinogona kunge zviri kusangana kwemajini uye ezvemamiriro ekunze.

Iko kuzvimba kwakakomberedza ziso kunokonzerwa ne autoimmune mhinduro. Zviratidzo zvinokonzerwa nekuzvimba kwakatenderedza ziso uye kudzoreredza kwemaziso.

Chirwere chemaziso cheGraves chinowanzoitika pamwe chete ne hyperthyroidism, asi kwete nguva dzose. Izvo zvinogona kuitika kana yako thyroid isiri kuita zvakanyanya parizvino.

Njodzi zvinhu zveGo zvinosanganisira:

• maitiro ezvisikwa
• kusvuta
• iodine kurapwa kwehyperthyroidism

Unogona kukura Graves 'chirwere chero zera, asi vanhu vazhinji vari pakati pemakore makumi matatu uye makumi matanhatu pakuongororwa. Chirwere cheGraves chinokanganisa zvikamu zvitatu kubva muzana zvevakadzi ne0,5 muzana yevarume.Chirwere chemakuva. (2017).
niddk.nih.gov/health-information/endocrine-diseases/graves-disease

Makuva 'ophthalmopathy anoonekwa sei?

Paunenge uchitoziva kuti une chirwere cheMakuva, chiremba wako anogona kuita kuongororwa mushure mekuongorora maziso ako.

Kana zvisina kudaro, chiremba wako angangotanga nekutarisa zvakanyanya pameso ako uye kutarisa mutsipa wako kuti uone kana utachiona hwako hwakawedzera.

Ipapo, ropa rako rinogona kuongororwa kuti riwane utachiona hunokurudzira mahormone (TSH). TSH, kemikari inogadzirwa mupituitary gland, inokurudzira utachiona kuburitsa mahormone. Kana iwe uine chirwere cheMakuva, yako TSH nhanho ichave yakaderera, asi iwe unenge uine huwandu hwakakwira hwehomoni mahormone.

Ropa rako rinokwanisa zvakare kuyerwa nema antibodies emakuva. Muedzo uyu haudiwe kuti utore chirwere, asi zvinogona kuitwa zvakadaro. Kana zvikazoonekwa zvisina kunaka, chiremba wako anogona kutanga kutsvaga kumwe kuongororwa.

Kufungidzira bvunzo senge Ultrasound, CT scan, kana MRI inogona kupa yakatarwa kutarisa iyo yegland gland.

Iwe haugone kuburitsa utachiona mahormone pasina ayodini. Ndosaka chiremba wako angangoda kuita nzira inonzi radioactive iodine uptake. Kune bvunzo iyi, iwe unotora imwe radioactive iodine uye wotendera muviri wako kuutora. Gare gare, yakakosha yekuvhenekera kamera inogona kubatsira kuona kuti utachiona hwako hunotora sei ayodini.

Mune makumi maviri muzana yevanhu vane hyperthyroidism, zviratidzo zvemaziso zvinoonekwa pamberi pezvimwe zviratidzo.Hiromatsu Y, et al. (2014). Graves 'ophthalmopathy: Epidemiology uye nhoroondo yechisikigo. DOI:
10.2169 / internalmedicine.53.1518

Anorapwa sei Graves 'ophthalmopathy?

Kurapa chirwere cheMakuva kunosanganisira mamwe marapirwo ekuchengetedza huwandu hwehomoni mukati meyakajairika renji. Chirwere chemaziso cheGraves chinoda kurapwa kwacho, nekuti kurapa chirwere cheMakuva hakuwanzobatsira nezviratidzo zvemaziso.

Pane nguva yekushanda kuzvimba umo zviratidzo zvinowedzera. Izvi zvinogona kutora kusvika kumwedzi mitanhatu kana zvakadaro. Ikozve kune chikamu chisina basa umo zviratidzo zvinodzikamisa kana kutanga kuvandudza.

Pane zvinhu zvakati wandei zvaunogona kuita uri wega kugadzirisa zviratidzo, senge:

• Maziso anodonha kuzodza uye kubvisa maziso akaomeswa, akatsamwa. Shandisa madonhwe eziso asina zvitsvuku zvinobvisa kana zvinodzivirira. Mafuta ekuzora mafuta anogona zvakare kubatsira panguva yekurara kana maziso ako asingavharike nzira yese. Kumbira chiremba wako kuti ndezvipi zvigadzirwa zvinonyanya kubatsira pasina kutsamwisa maziso ako kumberi.
• Kutonhorera compress kuti ubvise kutsamwa kwenguva pfupi. Izvi zvinogona kunyaradza zvakanyanya usati warara kana paunotanga kumuka mangwanani.
• Magirazi ezuva kubatsira kudzivirira kubva kunzwisisika kwechiedza. Magirazi anokwanisawo kukudzivirira kubva kumhepo kana mhepo kubva kumafeni, kupisa kwakananga, uye kutonhodza kwemhepo. Magirazi akaputirwa anogona kubatsira kunze.
• Magirazi ekunyora nema prism anogona kubatsira kugadzirisa kuona kaviri. Izvo hazvishande kune wese munhu, zvakadaro.
• Rara musoro wako wakasimudzwa kuderedza kuzvimba uye kubvisa kumanikidza pameso.
• Corticosteroids senge hydrocortisone kana prednisone inogona kubatsira kudzora kuzvimba. Kumbira chiremba wako kana uchifanira kushandisa corticosteroids.
• Usapute, sezvo kusvuta kunogona kuita kuti zvinhu zviwedzere. Ukasvuta, bvunza chiremba wako nezve mapurogiramu ekurega kusvuta. Iwe unofanirwa zvakare kuyedza kudzivirira yechipiri-fosi fodya, guruva, uye zvimwe zvinhu zvinogona kutsamwisa maziso ako.

Ive neshuwa yekuudza chiremba wako kana pasina chiri kushanda uye iwe uchiramba uine maonero maviri, kuderera kwemaonero, kana mamwe matambudziko. Pane kumwe kupindira kwekuvhiya uko kunogona kubatsira, kusanganisira:

• Orbital kudzvinyirira kuvhiya kuwedzera socket ziso kuitira kuti ziso rigare panzvimbo iri nani. Izvi zvinosanganisira kubvisa pfupa pakati peziso reziso uye zvitadzo kugadzira nzvimbo yekuzvimba nyama.
• Kuvhiya kweziso kudzorera mafungiro kune imwe nzvimbo yakasikwa.
• Kuvhiya kwetsandanyama yemaziso kugadzirisa maonero maviri. Izvi zvinosanganisira kucheka tsandanyama inobatwa nemavanga uye kuiswazve kumashure.

Maitiro aya anogona kubatsira kuvandudza kuona kana kuoneka kwemaziso ako.

Kazhinji, radiation radiation, kana orbital radiotherapy, inoshandiswa kudzora kuzvimba pamhasuru nematukisi akakomberedza maziso. Izvi zvinoitwa mukati memazuva akati wandei.

Kana zviratidzo zveziso rako zvisina hukama nechirwere cheMakuva, kumwe kurapa kunogona kukodzera.

Ndeapi maonero?

Iko hakuna nzira yekudzivirira zvachose chirwere cheMakuva kana chirwere chemaziso cheGraves. Asi kana iwe uine chirwere cheGraves uye utsi, iwe uri kashanu mukana wekukura chirwere cheziso kupfuura vasingaputi.Draman MS, et al. (2017). TEAMeD-5: Kuvandudza mhedzisiro muchirwere chetachiona chetachiona.
endocrinology.org/endocrinologist/125-autumn17/feature/teamed-5-improving-outcomes-in-thyoid-eye-disease/ Chirwere chemaziso chinowanzo kuve chakanyanya kune vanoputa.

Kana iwe ukatambira kuongororwa kwechirwere cheMakuva, bvunza chiremba wako kuti akuratidze iwe kune matambudziko emaziso. GO kwakakomba zvakakwana kutyisidzira kuona nezve 3 kusvika 5 muzana yenguva.Hiromatsu Y, et al. (2014). Graves 'ophthalmopathy: Epidemiology uye nhoroondo yechisikigo. DOI:
10.2169 / internalmedicine.53.1518

Zviratidzo zvemaziso zvinowanzo gadzikana mushure memwedzi inenge mitanhatu. Vanogona kutanga kugadzirisa ipapo ipapo kana kuramba vakagadzikana kwegore kana maviri vasati vatanga kugadzirisa.

Chirwere chemaziso cheGraves chinogona kurapwa zvinobudirira, uye zviratidzo zvinowanzovandudza kunyange pasina kurapwa.