Pili ka maʻi 'Graves i ka hyperthyroidism, hiki ke loaʻa i nā hopena nui a liʻiliʻi paha i ka hana o ke kino: ka maʻi maʻi, ka hanu, ka muscular, a me nā mea ʻē aʻe.

ʻO ka maʻi ʻo Graves, i kapa ʻia hoʻi he goiter exophthalmic, ʻano ʻia e ka hyperthyroidism.

Hoʻomaopopo pono ʻia ʻo Hyperthyroidism e ka nui o ka hana (ʻoi aku ma mua o ka mea e pono ai ke kino) o nā homone thyroid, hana ʻia e ka thyroid. ʻO ka hope kahi gland endocrine, e hana ana i nā hormoni pono i ka hoʻoponopono ʻana i nā hana like ʻole o ke kino. Aia ia ma ka ʻaoʻao mua o ka ʻāʻī, ma lalo o ka larynx.

Hana ka thyroid i ʻelua mau hormones nui: triiodothyronine (T3) a me thyroxine (T4). Hana ʻia ka mea mua mai ka lua. ʻO Triiodothyronine pū kekahi ka hormone i pili nui i ka hoʻomohala ʻana i nā kino o ke kino. Hoʻopili kēia mau hormoni i loko o ke kino ma o ka ʻōnaehana koko. Hoʻokahele ʻia lākou i nā mākia māka a me nā hunaola.

Pili nā hormones thyroid i ka metabolism (kahi o nā hopena biochemical e ʻae ai i ke kino e mālama i kahi kūlana o ke kaulike). Hoʻokomo pū lākou i ka hoʻomohala ʻana o ka lolo, ʻae i ka hana maikaʻi loa o ka hanu, ka puʻuwai a i ʻole ka ʻōnaehana. Hoʻoponopono kēia mau hormones i ke ana wela o ke kino, ke kani o nā mākala, nā pōʻai menstrual, ke kaupaona a me nā pae kolesterol. I kēia ʻano, hyperthyroidism a laila ke kumu o nā disfungsi, ʻoi aku a ʻoi aku paha o ka mea nui, i loko o ke kiʻina o kēia mau ʻano hana o ka meaola.

Hoʻoponopono ʻia kēia mau homone thyroid e kekahi hōmona ʻē aʻe: ka thyreotropic hormone (TSH). Hana ʻia ka hope e ka pituitary gland (endocrine gland i loaʻa i ka lolo). Ke haʻahaʻa loa ka pae o ka hormone thyroid i ke koko, hoʻokuʻu ka pituitary gland i kahi TSH. Kūlike ʻole, i loko o ka pōʻaiapili o kahi pae hormone thyroid kiʻekiʻe loa, pane ka endocrine gland o ka lolo i kēia hanana, e ka hōʻemi o ka hoʻokuʻu o TSH.

I ka pōʻaiapili o ka hāpai keiki, kapālahalaha hiki ke alakaʻi i nā hopena koʻikoʻi hou aʻe no ka makuahine a me ke keiki. Hiki iā ia ke alakaʻi i ka ʻōpū maʻa wale, ka lawe manawa ʻole, hana hewa i ka fetus a i ʻole nā ​​maʻi hana i ke keiki. I kēia ʻano, pono e mālama pono ʻia kēia mau wahine hāpai hāpai.

ʻO ka maʻi ʻo Graves kahi hyperthyroidism autoimmune. A i ʻole he pathology i hoʻokumu ʻia e ka hemahema o ka ʻōnaehana pale. ʻO ke kumu nui kēia no ka holo o nā antibodies (nā mole o ka ʻōnaehana pale) hiki ke hoʻoulu i ka thyroid. Kapa ʻia kēia mau mea ʻino: anti-TSH receptor, i kapa ʻia ʻo TRAK.

Hoʻopaʻa ka hōʻoia o kēia maʻi pilikino ke maikaʻi ka hōʻike TRAK antibody test.

Pili pono ka mālama ʻana o kēia maʻi i ka pae o TRAK i loaʻa i nā mea ʻino i ana ʻia i ke koko.

Hiki i nā mea ʻino ʻē aʻe ke lilo i kumuhana o ka ulu ʻana o ka maʻi Graves. ʻO kēia hopohopo ma waena o 30% a me 50% o nā maʻi hoʻomanawanui.

Hiki i ka maʻi 'Graves ke hoʻopili i kekahi kanaka. Eia hou, ʻoi aku ka hopohopo o nā wahine ʻōpio ma waena o 20 a 30 paha e ka maʻi.

ʻO Hyperthyroidism, pili pono i ka maʻi ʻo Graves, hiki ke hana i kekahi mau hōʻailona a me nā ʻōuli. ʻAno nui:

• thermophobia, wela paha, sweaty mau lima, a i ʻole sweating nui
• diarrhea
• ʻike ʻia ke kaupaona ʻana, a no ke kumu kumu ʻole
• he ʻano hopohopo
• hoʻonui ʻia ka helu o ka puʻuwai kālīkīkī
• hanu ole, dyspnea
• o ka 'hypertension
• ka nawaliwali o ke kino
• ka luhi mau loa

A laila maikaʻi ke kuhi e pili ana i kēia mau ʻōuli i manaʻo ʻia e ka mea maʻi. Hiki ke hoʻonui ʻia kēia mau ʻikepili e ka hana ʻana i kahi ultrasound o ka goiter, a i ʻole ma ka hana ʻana i kahi scintigraphy.

I ke kau ʻana o ka Exophthalmos ma kaowowowal, ʻike ʻia nā ʻōuli ʻino ʻē aʻe: nā maka kuni, ka pehu ʻana o nā lihilihi, nā maka uē, hoʻonui i ka ʻike i ka mālam (photophobia), ʻeha o ka maka, a me nā mea ʻē aʻe. Hiki i ka scanner ke hōʻoia a hōʻole paha i ka ʻike ʻike mua.

ʻO ka hōʻailona mua ka maʻi a me ka ʻike. ʻO ka pae aʻe ka hana o nā hoʻokolohua olakino hou aʻe (scanner, ultrasound, a pēlā aku) a me nā hoʻokolohua lilolo. ʻO kēia ka hopena i ke kālailai ʻana i ka pae o TSH i loko o ke koko, a ʻo nā thyroid hormones T3 a me T4. Hiki i kēia mau anamanaʻo olaola ke hiki, ke kikoʻī, e loiloi i ke koʻikoʻi o ka maʻi.

I ka mua, he lāʻau lapaʻau ka lāʻau. Loaʻa nā hopena i ke kuhikuhi a Neomercazole (NMZ), ma kahi o 18 mau mahina. Hoʻololi kēia lapaʻau ma muli o ka pae o T3 a me T4 i loko o ke koko a pono e nānā ʻia, hoʻokahi manawa i ka pule. Hiki i kēia lāʻau ke kumu i nā hopena ʻaoʻao, e like me ke kuni a i ʻole ka hoʻomohala ʻana o ka ʻāʻī ʻeha.

ʻO ka mahele ʻelua, i nā hihia ʻoi loa, a laila ʻokiʻoki ke ʻano. Aia kēia hana ʻoki lāʻau i kahi thyroidectomy.

E like me ka exophthalmos ma basisowian, mālama ʻia kēia me nā corticosteroids i loko o ka pōʻaiapili o ka mumū o ka maka.