Isifo Samangcwaba

Umxholo

• Ziintoni Iimpawu Zesifo Samangcwaba?
• Yintoni Ebangela Isifo Samangcwaba?
• Ngubani Osemngciphekweni Wesifo Samangcwaba?
• Sichongwa Njani Isifo Samangcwaba?
• Sinyangwa Njani Isifo Samangcwaba?
• Iziyobisi ezichasene ne-Thyroid
• Unyango lweRadiyoodine
• Utyando lwe-thyroid

Yintoni Isifo Samangcwaba?

Isifo se-Graves sisifo sokuzimela komzimba. Ibangela ukuba i-thyroid gland yakho idale i-hormone eninzi emzimbeni. Le meko yaziwa ngokuba yihyperthyroidism. Isifo se-Graves ngenye yeendlela eziqhelekileyo ze-hyperthyroidism.

Kwisifo se-Graves, amajoni akho omzimba enza izilwa-buhlungu ezaziwa njenge-thyroid-stimulating immunoglobulins. Ezi antibodies emva koko zincamathele kwiiseli ze-thyroid ezinempilo. Banokubangela ukuba i-thyroid yakho idale i-hormone ye-thyroid.

Iihomoni ze-thyroid zichaphazela iinkalo ezininzi zomzimba wakho. Oku kunokubandakanya ukusebenza kwenkqubo yemithambo-luvo, ukukhula kwengqondo, iqondo lobushushu emzimbeni, kunye nezinye izinto ezibalulekileyo.

Ukuba ayishiywanga inganyangwa, i-hyperthyroidism inokubangela ukunciphisa umzimba, uxanduva lweemvakalelo (ukukhala okungalawulekiyo, ukuhleka, okanye ezinye izinto ezibonisa iimvakalelo), uxinzelelo kunye nokudinwa kwengqondo okanye komzimba.

Ziintoni Iimpawu Zesifo Samangcwaba?

Isifo se-Graves kunye ne-hyperthyroidism yabelana ngeempawu ezifanayo. Ezi mpawu zinokubandakanya:

• ukungcangcazela kwezandla
• ukuhla ukusinda
• izinga lentliziyo elikhawulezayo (tachycardia)
• ukunyamezelana nobushushu
• ukudinwa
• uvalo
• ukucaphuka
• ubuthathaka bemisipha
• i-goiter (ukudumba kwi-thyroid gland)
• urhudo okanye ukwanda kokuhamba kwamathumbu
• ubunzima bokulala

Ipesenti encinci yabantu abanesifo seMangcwaba bayakufumana isikhumba esibomvu, esijiyileyo sijikeleze indawo ye-shin. Le yimeko ebizwa ngokuba yiGraves 'dermopathy.

Olunye uphawu onokuthi ulufumane lwaziwa njenge-Graves ’ophthalmopathy. Oku kwenzeka xa amehlo akho enokubonakala ngathi andisiwe ngenxa yokurhoxa kweenkophe zakho. Xa oku kusenzeka, amehlo akho anokuqalisa ukukhupha kwiziseko zamehlo akho. I-National Institute of Diabetes kunye neDigestive kunye neZifo zeZintso ziqikelela ukuba ukuya kuthi ga kwiipesenti ezingama-30 zabantu abaphuhlisa isifo se-Graves bazakufumana imeko encinci ye-Graves 'ophthalmopathy. Ukuya kuthi ga kwiipesenti ezi-5 uya kufumana i-ophthalmopathy yamangcwaba.

Yintoni Ebangela Isifo Samangcwaba?

Kwiziphazamiso ezizimele njengesi sifo se-Graves, amajoni omzimba aqala ukulwa nezihlunu ezisempilweni kunye neeseli emzimbeni wakho. Amajoni akho omzimba ahlala evelisa iiproteni ezaziwa njenge-antibodies ukuze zilwe nabahlaseli bamanye amazwe njengeentsholongwane kunye neebhaktiriya. Ezi ntsholongwane ziveliswa ngokukodwa ukujolisa kumhlaseli othile. Kwisifo se-Graves, amajoni akho omzimba avelisa ngempazamo ii-antibodies ezibizwa ngokuba yi-thyroid-stimulating immunoglobulins ezijolise kwiiseli zakho ze-thyroid.

Nangona izazinzulu zisazi ukuba abantu banokufumana amandla okwenza ii-antibodies ngokuchasene neeseli zabo ezisempilweni, abanandlela yakuchonga ukuba yintoni ebangela isifo se-Graves okanye ngubani oza kusivelisa.

Ngubani Osemngciphekweni Wesifo Samangcwaba?

Iingcali zikholelwa ekubeni ezi zinto zinokuchaphazela umngcipheko wokuhlaselwa sisifo se-Graves:

• amafa
• uxinzelelo
• ubudala
• isini

Esi sifo sifumaneka kubantu abangaphantsi kweminyaka engama-40. Umngcipheko wakho nawo unyuka ngokubonakalayo xa amalungu osapho enezifo zamangcwaba. Abasetyhini bayiphuhlisa amaxesha asixhenxe ukuya esibhozo rhoqo kunamadoda.

Ukuba nesinye isifo sokuzimela komzimba kwandisa umngcipheko wokuphuhlisa isifo seGrave. I-rheumatoid arthritis, isifo seswekile, kunye nesifo sikaCrohn yimizekelo yezifo ezingena emzimbeni.

Sichongwa Njani Isifo Samangcwaba?

Ugqirha wakho angacela iimvavanyo zaselebhu ukuba ukrokrela ukuba unesifo seMangcwaba. Ukuba nabani na kusapho lwakho ebenesifo se-Graves, ugqirha wakho unokukwazi ukunciphisa ukuxilongwa ngokusekelwe kwimbali yakho yonyango kunye nokuhlolwa komzimba. Oku kuyakufuneka kuqinisekiswe kuvavanyo lwegazi lwe-thyroid. Ugqirha ogxile kwizifo ezinxulumene neehomoni, ezaziwa njenge-endocrinologist, unokujongana neemvavanyo zakho kunye noxilongo.

Ugqirha wakho unokucela ezinye zeemvavanyo zilandelayo:

• iimvavanyo zegazi
• Ukuskena idlala lengqula
• Uvavanyo lokuthatha iodine
• Uvavanyo lwehomoni ekhuthaza i-hormone (TSH)
• Uvavanyo lwe-thyroid olukhuthaza uvavanyo lwe-immunoglobulin (TSI)

Iziphumo ezidibeneyo zezi zinokunceda ugqirha wakho ukuba afunde ukuba unesifo se-Graves okanye olunye uhlobo lwesifo se-thyroid.

Sinyangwa Njani Isifo Samangcwaba?

Zintathu iindlela zokonyango ezikhoyo kubantu abanesifo seMangcwaba:

• iziyobisi ezichasene ne-thyroid
• Unyango lwe-iodine (RAI)
• utyando lwe-thyroid

Ugqirha wakho unokucebisa ukuba usebenzise enye okanye ezingaphezulu kwezi zikhetho ukunyanga isifo sakho.

Iziyobisi ezichasene ne-Thyroid

Amachiza e-anti-thyroid, anje ngeprophylthiouracil okanye i-methimazole, anokumiselwa. I-Beta-blockers inokusetyenziselwa ukunceda ukunciphisa iziphumo zeempawu zakho de kube lunye unyango luqala ukusebenza.

Unyango lweRadiyoodine

Unyango lwe-iodine ye-radioactive lolunye lwezonyango oluqhelekileyo lwesifo se-Graves. Olu nyango lufuna ukuba uthathe iidosi ze-iodine-131. Oku kuhlala kufuna ukuba uginye amancinci kwifom yeepilisi. Ugqirha wakho uya kuthetha nawe malunga naluphi na ulumkiso omele ukuluthatha nolu nyango.

Utyando lwe-thyroid

Nangona utyando lwe-thyroid lukhetho, lusetyenziswa rhoqo. Ugqirha wakho unokucebisa utyando ukuba unyango lwangaphambili alukhange lusebenze ngokuchanekileyo, ukuba umhlaza we-thyroid uyakrokrelwa, okanye ukuba ungumfazi okhulelweyo ongenakho ukuthatha iziyobisi ezichasene ne-thyroid.

Ukuba utyando luyimfuneko, ugqirha wakho angasusa yonke i-thyroid gland ukuphelisa umngcipheko wokubuyela kwe-hyperthyroidism. Uya kudinga unyango lwe-thyroid endaweni yonyango rhoqo ukuba ukhetha utyando. Thetha nogqirha wakho ukuze ufunde okungakumbi malunga nezibonelelo kunye nomngcipheko weendlela ezahlukeneyo zokhetho.