Graves 'kab mob: nws yog dab tsi, cov cim tseem ceeb thiab kev kho mob

Zoo Siab

• Cov tsos mob tseem ceeb
• Yuav ua li cas kom paub meej tias kuaj mob
• Yuav kho tus mob li cas
• Cev xeeb tub kho

Graves 'kab mob yog cov kabmob ua cov thyroid uas yog los ntawm kev tshaj tawm cov qog ntawm cov qog hauv lub cev, ua rau mob hyperthyroidism. Nws yog tus kabmob autoimmune, uas txhais tau hais tias lub cev tiv thaiv kabmob los tiv thaiv lub qog thiab hloov nws txoj haujlwm.

Tus kab mob no yog qhov tseem ceeb ntawm hyperthyroidism, thiab cuam tshuam rau ntau tus poj niam ntau dua li tus txiv neej, feem ntau ntawm 20 thiab 50 xyoo, txawm hais tias nws tuaj yeem tshwm sim thaum muaj hnub nyoog li cas.

Cov kab mob Graves yog kho tau thiab tuaj yeem tswj tau zoo los ntawm kev siv tshuaj, tshuaj tua hluav taws xob los ntawm kev kho cov iodine lossis kev phais mob thyroid. Feem ntau, nws tsis tau hais tias muaj kev kho tus mob rau Graves 'tus kab mob, txawm li cas los xij, nws muaj peev xwm hais tias tus kab mob yuav nkag mus rau hauv kev so, nyob "pw tsaug zog" tau ntau xyoo lossis tas lub neej.

Cov tsos mob tseem ceeb

Cov tsos mob tau nthuav tawm hauv Graves 'kab mob nyob ntawm qhov mob hnyav thiab lub sijhawm, thiab nyob rau lub hnub nyoog thiab qhov mob ntawm tus neeg mob mus rau ntau dhau ntawm cov tshuaj hormones, feem ntau tshwm sim:

• Hyperactivity, nervousness thiab chim siab;
• Tshav kub ntau dhau thiab hws;
• Lub plawv palpitations;
• Lub cev hnyav dua qub, txawm tias muaj qhov nce ntxiv;
• Zawv plab;
• Tso zis ntau dhau;
• Kev coj khaub ncaws tsis xwm yeem thiab poob ntawm libido;
• Lom zem heev, nrog cov tawv nqaij ntxooj thiab sov so;
• Goiter, uas yog qhov ua kom loj dua ntawm cov thyroid, ua rau muaj kev o nyob hauv qab caj pas;
• Mob leeg tsis muaj zog;
• Gynecomastia, uas yog kev loj hlob ntawm lub mis hauv txiv neej;
• Hloov pauv hauv lub qhov muag, xws li tiv thaiv lub qhov muag, khaus, dej ob lub qhov muag thiab pom ob lub zeem muag;
• Paj yeeb cov tawv nqaij zoo li daim tawv nqaij muaj nyob hauv thaj tsam ntawm lub cev, tseem hu ua Graves 'dermopathy lossis pre-tibial myxedema.

Hauv cov neeg laus, cov phiajcim thiab cov tsos mob tej zaum yuav hloov maj mam dua, thiab tuaj yeem ua rau nkees nkees dhau thiab hnyav dua, uas tuaj yeem tsis meej pem nrog lwm yam kabmob.

Txawm hais tias Graves 'kab mob yog qhov tseem ceeb ua rau hyperthyroidism, nws yog ib qho tseem ceeb kom paub tias kev ua haujlwm ntawm cov thyroid cov tshuaj hormones ntau dua tuaj yeem tshwm sim los ntawm lwm cov teeb meem, yog li saib yuav ua li cas paub cov tsos mob ntawm hyperthyroidism thiab cov laj thawj tseem ceeb.

Yuav ua li cas kom paub meej tias kuaj mob

Kev kuaj mob ntawm Graves 'kab mob yog tsim los ntawm kev ntsuam xyuas cov tsos mob tau nthuav tawm, kuaj ntshav mus ntsuas qhov ntsuas cov thyroid hormones txaus, xws li TSH thiab T4, thiab kev tshuaj tiv thaiv kab mob, kom pom tias muaj cov tshuaj tiv thaiv cov ntshav tawm tsam cov thyroid.

Tsis tas li, tus kws kho mob tuaj yeem hais kom kuaj xws li lub qog scintigraphy, suav tomography lossis lub ntsej muag txhav duab, nrog rau txhawm rau ntsuas kev ua haujlwm ntawm lwm yam kabmob, xws li lub qhov muag thiab lub siab. Nov yog yuav npaj li cas rau cov thyroid scintigraphy.

Yuav kho tus mob li cas

Kev kho mob ntawm Graves 'kab mob yog qhia los ntawm tus kws kho mob endocrinologist, tau coj raws li qhov kev kuaj mob ntawm txhua tus neeg. Nws tuaj yeem ua 3 txoj kev:

1. Siv cov tshuaj antithyroid, xws li Metimazole lossis Propiltiouracil, uas yuav txo qis cov thyroid hormones thiab cov tshuaj tiv thaiv kabmob uas tawm tsam cov qog no;
2. Kev siv tshuaj hluav taws xob iodine, uas ua rau kev rhuav tshem cov thyroid cov hlwb, uas xaus rau kev txo qis ntau lawm nws cov tshuaj hormones;
3. Kev phais mob, uas tshem tawm ib feem ntawm cov thyroid kom txo tau nws cov tshuaj hormones ntau lawm, ua tsuas yog ua rau cov neeg mob uas muaj tshuaj tiv thaiv kab mob, poj niam cev xeeb tub, xav tias muaj mob qog nqaij hlav thiab thaum lub qog hnyav heev thiab muaj cov tsos mob xws li muaj teeb meem noj mov thiab hais lus, piv txwv Cov.

Cov tshuaj uas tswj lub plawv dhia mob, xws li Propranolol lossis Atenolol tuaj yeem pab tswj kev mob siab, tshee tshee thiab tachycardia.

Tsis tas li ntawd, cov neeg mob uas muaj mob qhov muag loj yuav tau siv cov tshuaj pleev qhov muag thiab tshuaj pleev kom daws qhov tsis xis nyob thiab ua kom lub qhov muag noo, thiab nws tseem yuav tsum tau txiav luam yeeb thiab hnav tsom iav nrog kev tiv thaiv sab.

Saib seb cov zaub mov yuav pab tau li cas hauv cov yeeb yaj kiab hauv qab no:

Feem ntau nws tsis tau hais txog kev kho tus mob hnyav, tab sis tej zaum yuav muaj kev kho tus kab mob no nyob rau qee tus neeg lossis tom qab ob peb hlis lossis ntau xyoo kho, tab sis yeej muaj lub caij nyoog tias tus kab mob yuav rov qab los.

Cev xeeb tub kho

Thaum cev xeeb tub, tus kab mob no yuav tsum tau kho nrog qhov tsawg kawg ntawm kev noj tshuaj thiab, yog tias ua tau, tsum tsis pub siv cov tshuaj nyob rau peb lub hlis dhau los, txij li theem ntawm cov tshuaj tiv thaiv zoo li yuav zoo dua thaum kawg cev xeeb tub.

Txawm li cas los xij, kev saib xyuas tshwj xeeb yog xav tau rau tus kab mob thaum lub sijhawm no ntawm lub neej vim tias, thaum theem siab, cov thyroid hormones thiab tshuaj muaj peev xwm hla tus hno thiab ua rau muaj kev mob rau cov menyuam hauv plab.