Chirwere chemakuva: chii chiri, chikuru zviratidzo uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• Maitiro ekusimbisa kuongororwa
• Kurapwa kunoitwa sei
• Kubata Pamuviri

Chirwere cheGraves chirwere chetachiona chinozivikanwa nekuwandisa kwemahormone kubva mudumbu iri mumuviri, zvichikonzera hyperthyroidism. Ichi chirwere chinodzivirira muviri, zvinoreva kuti masoja emuviri anopedzisira arwisa utachiona nekuchinja mashandiro awo.

Chirwere ichi ndicho chinonyanya kukonzera hyperthyroidism, uye chinobata vakadzi vazhinji kupfuura varume, kunyanya vari pakati pemakore makumi maviri kusvika makumi mashanu ekuberekwa, kunyangwe ichigona kuoneka chero pazera.

Chirwere cheMakuva chinorapwa uye chinogona kudzorwa zvakanaka kuburikidza nekushandisa zvinodhaka, radioactive iodine Therapies kana utachiona kuvhiya. Kazhinji, hazvitaurwe kuti pane mushonga wechirwere cheMakuva, zvisinei, zvinokwanisika kuti chirwere ichi chizoenda mukuregererwa, kugara "wakarara" kwemakore mazhinji kana kwehupenyu hwese.

Zviratidzo zvikuru

Zviratidzo zvinoratidzwa muchirwere cheGraves zvinoenderana nekukura uye kwenguva yechirwere, uye pazera uye kunzwisisika kwemurwere kusvika pakuwandisa kwemahormone, anowanzoonekwa:

• Kusagadzikana, kutya uye kusagadzikana;
• Kupisa kwakanyanya uye ziya;
• Moyo palpitations;
• Kurera huremu, kunyangwe nekuwedzera kudya;
• Manyoka;
• Wakawanda weti;
• Kumwedzi kuenda kumwedzi uye kurasikirwa kwe libido;
• Kudengenyeka, neganda rinodziya uye rinodziya;
• Goiter, ndiko kuwedzera kwehutachiona, zvichikonzera kuzvimba muzasi pehuro;
• Tsvina kushaya simba;
• Gynecomastia, ndiko kukura kwemazamu muvarume;
• Shanduko mumaziso, senge kubuda maziso, kuchenesa, maziso emvura uye kuona kwakapetwa;
• Pink plaque-kunge ganda maronda ari munzvimbo dzemuviri, inozivikanwawo seMakuva 'dermopathy kana pre-tibial myxedema.

Muvanhu vakura, zviratidzo nezviratidzo zvinogona kuve zvakanyanyisa, uye zvinogona kuratidza nekuneta zvakanyanya uye kuonda, izvo zvinogona kuvhiringidzwa nezvimwe zvirwere.

Kunyangwe hosha yemakuva iri iyo honzeri huru yehyperthyroidism, zvakakosha kuti uzive kuti kuwanda kwehomoni yehormone kunogona kukonzerwa nemamwe matambudziko, saka tarisa maitiro ekuziva zviratidzo zvehyperthyroidism uye zvikonzero zvikuru.

Maitiro ekusimbisa kuongororwa

Kuongororwa kwechirwere cheGraves kunoitwa kuburikidza nekuongororwa kwezviratidzo zvinounzwa, kuongororwa kweropa kuyera huwandu hwehomoni yehutachiona, senge TSH uye T4, uye bvunzo dze immunology, kuona kana paine masoja ekudzivirira muropa anorwisa utachiona

Uye zvakare, chiremba anogona kuraira bvunzo senge utachiona scintigraphy, computed tomography kana magnetic resonance imaging, kusanganisira kuongorora mashandiro edzimwe nhengo, senge maziso nemoyo. Heano maitiro ekugadzirira thyroid scintigraphy.

Kurapwa kunoitwa sei

Kurapa kwechirwere cheGraves kunoratidzwa neye endocrinologist, inotungamirwa zvinoenderana neclinic mamiriro emunhu wese. Izvo zvinogona kuitwa nenzira nhatu:

1. Kushandisa antithyroid zvinodhaka, senge Metimazole kana Propiltiouracil, iyo inoderedza kugadzirwa kwehormone mahormone nema antibodies anorwisa iyi gland;
2. Kushandisa iodine ine radioactive, iyo inokonzeresa kuparadzwa kwetachiona maseru, ayo anoguma achideredza kugadzirwa kwayo kwehomoni;
3. Kuvhiya, iyo inobvisa chikamu chetachiona kudzikisa kugadzirwa kwayo kwehomoni, ichiitwa chete kuvarwere vane chirwere chinoramba nemishonga, vakadzi vane nhumbu, vanofungidzirwa gomarara uye kana utachiona hwanyanya uye hune zviratidzo zvakaita sekuomerwa pakudya nekutaura, semuenzaniso. .

Mishonga inodzora kurova kwemoyo, senge Propranolol kana Atenolol inogona kubatsira kudzora palpitations, kudedera uye tachycardia.

Uye zvakare, varwere vane zviratidzo zvakakomba zvemaziso vangangoda kushandisa madonhwe eziso uye mafuta ekuzorodza kusagadzikana uye kunyorovesa maziso, uye zvinodikanwa zvakare kumisa kuputa uye kupfeka magirazi ezuva ane dziviriro yedivi.

Ona kuti chikafu chingabatsira sei muvhidhiyo inotevera:

Hazviwanzo kutaurwa nezvekurapa chirwere chakakomba, asi panogona kuve nekuregererwa kwepachivande kwechirwere mune vamwe vanhu kana mushure memwedzi mishoma kana makore ekurapwa, asi panongogara paine mukana wekuti chirwere chinodzoka.

Kubata Pamuviri

Panguva yekuzvitakura, chirwere ichi chinofanirwa kurapwa neashoma madosi emushonga uye, kana zvichibvira, rega kushandiswa kwemishonga mune yekupedzisira trimester, sezvo iwo masosi ezvirwere anowanzoita nani pakupera kwepamuviri.

Nekudaro, kutarisisa kwakakosha kunodiwa kuchirwere panguva ino yehupenyu nekuti, kana ari pamwero wakakwira, mahormone etachiona uye mishonga inokwanisa kuyambuka rukuvhute uye kukonzera huturu kumucheche