Menene cutar Graves?

Menene cutar Graves?

Ciwon kaburbura yana da alaƙa da hyperthyroidism, wanda zai iya samun ƙarin tasiri ko ƙarancin tasiri akan aikin jiki: na zuciya, na numfashi, tsoka, da sauransu.

Ma'anar cutar kabari

Ciwon kabari, wanda kuma ake kira goiter exophthalmic, yana da alaƙa da hyperthyroidism.

Hyperthyroidism an bayyana shi da kansa ta hanyar samarwa da yawa (fiye da abin da jiki ke buƙata) na hormones thyroid, wanda thyroid ya samar. Na ƙarshen shine glandon endocrine, yana samar da hormones masu mahimmanci a cikin tsarin ayyuka daban -daban na jiki. Yana nan a gefen gaban wuya, a ƙarƙashin makoshi.

Thyroid yana samar da manyan homonu guda biyu: triiodothyronine (T3) da thyroxine (T4). Ana samar da na farko daga na biyun. Triiodothyronine kuma shine sinadarin hormone da yafi shiga cikin haɓaka ƙwayoyin jikin mutum da yawa. Wadannan hormones suna yawo ta cikin jiki ta hanyar tsarin jini. Sannan ana rarraba su zuwa ga kyallen kyallen takarda da sel.

Hormones na thyroid suna da hannu a cikin metabolism (saitin halayen biochemical wanda ke ba wa jiki damar kula da daidaiton ma'auni). Hakanan suna shiga cikin ci gaban kwakwalwa, suna ba da damar mafi kyawun aikin numfashi, zuciya ko tsarin juyayi. Waɗannan hormones kuma suna daidaita zafin jiki, sautin tsoka, hawan haila, nauyi har ma da matakan cholesterol. A cikin wannan ma'anar, hyperthyroidism yana haifar da dysfunctions, fiye ko importantasa da mahimmanci, a cikin tsarin waɗannan ayyuka daban -daban na ƙwayoyin.

Waɗannan homonin thyroid ɗin da kansu suna sarrafa su ta wani hormone: thereotropic hormone (TSH). Ana samar da ƙarshen ta hanyar glandon pituitary (glandar endocrine da ke cikin kwakwalwa). Lokacin da matakin hormone na thyroid yayi ƙasa sosai a cikin jini, pituitary gland yana sakin ƙarin TSH. Sabanin haka, a cikin mahallin babban matakin hormone thyroid, ƙwayar endocrine ta kwakwalwa tana amsa wannan sabon abu, ta raguwar sakin TSH.

A cikin mahallin ciki, dahyperthyroidism na iya haifar da mummunan sakamako ga uwa da yaro. Yana iya haifar da zubar da ciki ba tare da ɓata lokaci ba, haihuwa da wuri, ɓarna a cikin tayi ko ma rashin aikin yi a cikin yaron. A cikin wannan ma'anar, dole ne a aiwatar da sa ido sosai ga waɗannan mata masu juna biyu marasa lafiya.

Sanadin cutar Kabari

Cutar Graves shine hyperthyroidism na autoimmune. Ko kuma wata cuta da ta haifar da raunin tsarin garkuwar jiki. Wannan yafi faruwa ne saboda zagayawar garkuwar jiki (kwayoyin garkuwar jiki) da ke iya tayar da jijiyoyin jini. Ana kiran waɗannan garkuwar: anti-TSH receptors, in ba haka ba ana kiranta: TRAK.

Sannan ana tabbatar da ganewar wannan cutar yayin da gwajin rigakafin TRAK ya tabbata.

Maganin warkar da wannan cuta ya dogara kai tsaye kan matakin garkuwar jikin TRAK da aka auna cikin jini.

Sauran ƙwayoyin rigakafi na iya zama batun ci gaban cutar Graves. Waɗannan damuwa tsakanin 30% da 50% na lokuta masu haƙuri.

Wanene ya kamu da cutar Graves?

Cutar kaburbura na iya shafar kowane mutum. Bugu da kari, 'yan mata tsakanin shekaru 20 zuwa 30 sun fi damuwa da cutar.

Alamomin cutar kabari

Hyperthyroidism, wanda ke da alaƙa kai tsaye da cutar Graves, na iya haifar da wasu alamu da alamu. Musamman:

  • thermophobia, ko dai zafi, hannayen gumi, ko yawan zufa
  • zawo
  • asarar nauyi a bayyane, kuma ba tare da wani dalili ba
  • jin juyayi
  • ƙara yawan bugun zuciya samarin
  • gazawar numfashi, dyspnea
  • daga 'hauhawar jini
  • rauni na tsoka
  • gajiya mai tsanani

Sakamakon haka yana da tasiri dangane da waɗannan alamomin da mai haƙuri ke ji. Za'a iya ƙara waɗannan bayanan ta hanyar yin duban dan tayi na goiter, ko ma ta yin scintigraphy.

A saitin exophthalmos na Basedowian, ana iya gano wasu alamun asibiti: idanu masu ƙonewa, kumburin fatar ido, idanu masu kuka, ƙara kuzari ga haske (photophobia), ciwon ido, da sauransu. Sannan na'urar daukar hotan takardu na iya tabbatarwa ko musanta ainihin ganewar asali.

Magunguna don cutar Qabari

Sakamakon farko shine na asibiti da na gani. Mataki na gaba shine aikin ƙarin gwajin likita (na'urar daukar hotan takardu, duban dan tayi, da sauransu) da kuma nazarin halittu. Waɗannan suna haifar da nazarin matakin TSH a cikin jini, kazalika da hormones thyroid T3 da T4. Waɗannan nazarin nazarin halittu sun sa ya yiwu, musamman, don tantance tsananin cutar.

Da farko, magani magani ne. Yana haifar da takardar sayan magani na Neomercazole (NMZ), sama da tsawon watanni 18. Wannan magani yana canzawa dangane da matakin T3 da T4 a cikin jini kuma dole ne a sanya ido, sau ɗaya a mako. Wannan magani na iya haifar da illa, kamar zazzabi ko ci gaban ciwon makogwaro.

Mataki na biyu, a cikin mafi munin yanayi, magani shine tiyata. Wannan aikin tiyata yana kunshe da aikin tiyata.

Dangane da Exophthalmos na Basedowian, ana bi da wannan tare da corticosteroids a cikin mahallin kumburin ido.

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