Li Cas Mob Graves cuam tshuam lub qhov muag

Zoo Siab

• Graves 'tus kab mob yog dab tsi?
• Cov tsos mob ntawm Graves 'ophthalmopathy zoo li cas?
• Dab tsi ua rau Graves 'ophthalmopathy?
• Yuav kuaj li cas thiaj paub pom pom tus mob Graves 'ophthalmopathy?
• Yuav kho tus mob Graves 'ophthalmopathy li cas?
• Qhov tshwm sim yog dab tsi?

Graves 'tus kab mob yog dab tsi?

Graves 'kab mob yog kev kho mob autoimmune uas ua rau koj lub qog ua haujlwm cov qog ntau tshaj qhov nws yuav tsum tau. Kev mob qog thyroid yog hu ua hyperthyroidism.

Ntawm cov kev mob tshwm sim ntawm Graves 'tus mob yog lub plawv dhia tsis xwm yeem, poob phaus, thiab lub qog ua cov thyroid caj pas (goiter).

Qee zaum, lub cev tiv thaiv kab mob ua rau cov nqaij thiab cov leeg nyob ib ncig ntawm lub qhov muag. Qhov no yog ib qho mob hu ua thyroid qhov muag kab mob los yog Graves 'ophthalmopathy (GO). Cov mob o ua rau lub qhov muag ziab, ziab, thiab khaus.

Qhov xwm txheej no tseem tuaj yeem ua rau koj ob lub qhov muag zoo li mob hnyav.

Graves 'tus kab mob qhov muag cuam tshuam ntawm 25 thiab 50 feem pua ​​ntawm cov neeg uas muaj Graves' mob.Hiromatsu Y, li al. (2014). Graves 'ophthalmopathy: Thoob rau lub cev thiab keeb kwm ntuj. DOI:
10.2169 / internalmedicine.53.1518 Nws kuj tseem tuaj yeem tshwm sim hauv cov neeg uas tsis muaj Graves 'kab mob.

Txuas ntxiv nyeem ntawv kom paub ntau ntxiv txog Graves cov kab mob qhov muag, kev kho mob, thiab koj tuaj yeem ua dab tsi los txo cov tsos mob.

Cov tsos mob ntawm Graves 'ophthalmopathy zoo li cas?

Feem ntau, Graves 'kab mob qhov muag cuam tshuam rau ob lub qhov muag. Kwv yees li 15 feem pua ​​ntawm lub sijhawm, tsuas muaj ib lub qhov muag koom nrog.Hiromatsu Y, li al. (2014). Graves 'ophthalmopathy: Thoob rau lub cev thiab keeb kwm ntuj. DOI:
10.2169 / internalmedicine.53.1518 Tsis muaj qhov sib txuas ntawm koj cov tsos mob ntawm lub qhov muag thiab qhov mob ntawm koj cov hyperthyroidism.

Cov tsos mob ntawm GO yuav suav nrog:

• qhov muag qhuav, grittiness, voos
• qhov muag siab thiab qhov mob
• liab thiab o
• rov tshem tawv muag
• bulging ntawm lub qhov muag, tseem hu ua proptosis lossis exophthalmos
• lub teeb rhiab
• ob lub zeem muag

Thaum muaj mob hnyav, koj yuav muaj teeb meem txav lossis kaw koj lub qhov muag, ua kom mob ntawm lub qhov muag, thiab lub ntsej muag ntawm lub qhov muag qhov muag. Mus yuav ua rau kom tsis pom kev, tab sis qhov no tsis tshua muaj tshwm sim.

Cov tsos mob feem ntau pib puag ncig lub sijhawm zoo li lwm yam tsos mob ntawm Graves 'tus kab mob, tab sis qee tus neeg pib tshwm sim qhov muag pom ua ntej. Tsis tshua muaj GO txhim kho ntev ntev tom qab kho Graves 'kab mob. Nws kuj tseem muaj peev xwm tsim GO yam tsis muaj hyperthyroidism.

Dab tsi ua rau Graves 'ophthalmopathy?

Qhov tseeb tsis meej, tab sis nws yuav yog kev sib txuam ntawm caj ces thiab ib puag ncig.

Cov mob ib ncig ntawm lub qhov muag yog vim muaj lub teeb meem autoimmune. Cov tsos mob tshwm sim yog vim o ntawm lub qhov muag thiab thim rov qab daim tawv muag.

Graves 'kab mob qhov muag feem ntau tshwm sim ua ke nrog hyperthyroidism, tab sis tsis tas li. Nws tuaj yeem tshwm sim thaum koj lub qog tam sim no tsis yog neeg nyiam.

Kev phom sij rau GO suav nrog:

• kev cuam tshuam ntawm caj ces
• haus luam yeeb
• iodine kho rau hyperthyroidism

Koj tuaj yeem tsim tus mob Graves kab mob thaum muaj hnub nyoog li cas, tab sis feem coob ntawm cov neeg muaj hnub nyoog 30 thiab 60 thaum kuaj pom. Graves 'kab mob cuam tshuam txog li ntawm 3 feem pua ​​ntawm cov poj niam thiab 0.5 feem pua ​​ntawm cov txiv neej.Graves 'tus kab mob. (2017).
niddk.nih.gov/health-information/endocrine-diseases/graves-disease

Yuav kuaj li cas thiaj paub pom pom tus mob Graves 'ophthalmopathy?

Thaum koj twb paub koj muaj tus mob Graves ', koj tus kws kho mob tuaj yeem ua qhov kev kuaj mob tom qab kuaj xyuas koj ob lub qhov muag.

Txwv tsis pub, koj tus kws kho mob yuav pib tshwm sim los ntawm kev saib ze koj lub qhov muag thiab tshuaj xyuas koj lub caj dab kom pom tias koj cov thyroid loj dua.

Tom qab ntawd, koj cov ntshav tuaj yeem tshawb xyuas cov thyroid stimulating hormone (TSH). TSH, yam tshuaj ua tsim nyob rau hauv lub caj pas pituitary, ua rau lub qog ua cov tshuaj hormones. Yog tias koj muaj mob Graves ', koj qib TSH yuav tsawg, tab sis koj yuav muaj cov thyroid hormones txaus siab.

Koj cov ntshav kuj tuaj yeem kuaj kab mob Graves 'cov tshuaj tiv thaiv. Qhov kev kuaj no tsis xav tau los ua qhov kev kuaj mob, tab sis nws tuaj yeem ua txhua yam. Yog tias nws hloov mus rau qhov tsis zoo, koj tus kws kho mob tuaj yeem pib nrhiav lwm yam kev kuaj mob.

Kev ntsuam xyuas cov duab xws li ultrasound, CT scan, lossis MRI tuaj yeem muab cov ncauj lus kom ntxaws ntawm cov thyroid caj pas.

Koj tsis tuaj yeem tsim cov thyroid hormones tsis muaj iodine. Yog li ntawv koj tus kws kho mob yuav xav ua qhov txheej txheem hu ua radioactive iodine uptake. Rau qhov kev ntsuas no, koj yuav tsum nqa qee lub iodine hluav taws xob thiab tso koj lub cev nqus nws. Tom qab ntawd, lub koob yees duab thaij duab tshwj xeeb tuaj yeem pab txiav txim siab seb koj lub qog ua li cas nyob rau iodine.

Hauv 20 feem pua ​​ntawm cov neeg mob hyperthyroidism, cov tsos mob ntawm lub qhov muag tshwm ua ntej muaj lwm yam tsos mob.Hiromatsu Y, li al. (2014). Graves 'ophthalmopathy: Thoob rau lub cev thiab keeb kwm ntuj. DOI:
10.2169 / internalmedicine.53.1518

Yuav kho tus mob Graves 'ophthalmopathy li cas?

Kho Graves 'kab mob koom nrog qee cov kev kho mob txhawm rau ua kom cov tshuaj hormones nyob rau qhov ib txwm nyob. Graves 'tus kab mob qhov muag yuav tsum muaj kev kho nws tus kheej, vim kev kho tus mob Graves' tus kab mob tsis tas yuav pab kho cov tsos mob ntawm lub qhov muag.

Nws muaj lub sijhawm ua mob huam ua mob uas cov tsos mob zuj zus. Qhov no tuaj yeem ntev txog rau lub hlis lossis ntev dua. Tom qab ntawd muaj qhov ntu tsis voos uas cov tsos mob tswj lossis pib txhim kho.

Muaj qee yam qee yam uas koj tuaj yeem ua los ntawm koj tus kheej kom yooj yim cov tsos mob, xws li:

• Qhov muag tee kom ntub thiab nplij qhuav, khaus qhov muag. Siv cov tee qhov muag uas tsis muaj cov xim liab cov tawv nqaij lossis cov tshuaj txuag. Cov nplawm lub cev siv tau tuaj yeem pab tau zoo thaum lub sijhawm pw yog tias koj daim tawv muag tsis txhob kaw. Nug koj tus kws kho mob uas cov khoom lag luam feem ntau yuav pab tau yam tsis ua rau koj lub qhov muag txuas ntxiv.
• Txias compress mus ib ntus daws kev voos. Qhov no yuav tshwj xeeb zoo ua ntej koj yuav mus pw lossis thaum koj sawv thaum sawv ntxov.
• Cov looj tsom iav dub los pab tiv thaiv lub teeb taws rhiab. Cov tsom iav kuj tuaj yeem tiv thaiv koj los ntawm cua lossis cua los ntawm kiv cua, cua sov ncaj qha, thiab cua txias. Qhwv tsom iav yuav pab tau ntau dua sab nraud.
• Cov tshuaj tsom iav nrog prisms yuav pab kho ob lub zeem muag. Lawv tsis ua haujlwm rau txhua tus, txawm hais tias.
• Pw nrog koj lub taub hau tsa kom txo qis o thiab daws lub siab ntawm lub qhov muag.
• Corticosteroids xws li hydrocortisone lossis prednisone tuaj yeem pab txo qhov o. Nug koj tus kws kho mob yog tias koj yuav tsum siv tshuaj corticosteroids.
• Tsis txhob haus luam yeeb, kev haus luam yeeb tuaj yeem tsim teebmeem loj ntxiv. Yog koj haus luam yeeb, nug koj tus kws kho mob txog cov haujlwm txiav luam yeeb. Koj yuav tsum ua kom tsis txhob muaj cov pa luam yeeb, cov plua plav thiab lwm yam uas tuaj yeem ua rau koj lub qhov muag.

Nco ntsoov qhia koj tus kws kho mob yog tias tsis muaj dab tsi ua haujlwm thiab koj tseem muaj ob lub zeem muag, tsis pom kev, lossis lwm yam teeb meem. Muaj qee qhov kev phais mob uas tuaj yeem pab tau, suav nrog:

• Orbital decompression phais kom ntug qhov muag kom pom kev kom lub qhov muag tuaj yeem zaum hauv qhov chaw zoo dua. Qhov no suav nrog tshem tawm pob txha ntawm lub qhov muag pob txha thiab cov pob txha caj dab kom tsim chaw rau o o.
• Qhov muag phais rov qab los rau daim tawv muag rau lub ntsej muag ntau dua.
• Kev phais qhov muag cov leeg txhawm rau kho ob lub zeem muag. Qhov no suav nrog txiav cov leeg nqaij cuam tshuam los ntawm caws pliav thiab rov txuas ntxiv nws rov qab.

Cov txheej txheem no tuaj yeem pab txhim kho qhov muag lossis pom ntawm koj lub qhov muag.

Tsis tshua muaj, kev siv hluav taws xob kho, lossis orbital radiotherapy, yog siv los txo qhov o ntawm cov leeg thiab cov nqaij mos ntawm lub qhov muag. Qhov no ua tiav ntawm ob peb hnub.

Yog tias koj lub qhov muag tsis cuam tshuam txog Graves tus kab mob, lwm yam kev kho mob yuav tsim nyog dua.

Qhov tshwm sim yog dab tsi?

Nws tsis muaj txoj hauv kev los tiv thaiv Graves 'kab mob lossis Graves' qhov muag kab mob. Tab sis yog tias koj muaj kab mob Graves 'thiab haus luam yeeb, koj yuav muaj 5 zaug feem ntau yuav tsim kab mob qhov muag dua li cov tsis haus luam yeeb.Draman MS, li al. (2017). TEAMeD-5: Txhim kho cov txiaj ntsig hauv kev muaj kab mob hauv lub qog.
endocrinology.org/endocrinologist/125-tshajtau 17/features/teamed-5-tsis txhim kho- cov tshwm sim-m-thyoid-eye-disease/ Cov kab mob qhov muag nyhav dua rau cov neeg haus luam yeeb.

Yog tias koj tau kuaj pom Graves tus kab mob, nug koj tus kws kho mob kom kuaj koj qhov teeb meem qhov muag. Mus yog qhov nyuaj txaus ntshai rau kev hem thawj txog li 3 txog 5 feem pua ​​ntawm lub sijhawm.Hiromatsu Y, li al. (2014). Graves 'ophthalmopathy: Thoob rau lub cev thiab keeb kwm ntuj. DOI:
10.2169 / internalmedicine.53.1518

Cov tsos mob ntawm lub qhov muag feem ntau nyob ruaj khov tom qab li rau lub hlis. Lawv yuav pib txhim kho tam sim ntawd lossis nyob ruaj khov li ib xyoos lossis ob xyoos ua ntej lawv pib txhim kho.

Muaj mob ntawm qhov muag ntxig tuaj yeem kho tau zoo, thiab cov tsos mob feem ntau txhim kho txawm tias tsis muaj kev kho.