Kaya ndi dokotala wa banja, katswiri wamagetsi, katswiri wa mankhwala, kapena mankhwala amchere, mwina simungapeze zambiri molondola zokhudza chithokomiro chanu. Pano pali nthano zisanu ndi ziwiri zomwe zimakhala zofala kwambiri zomwe mumakonda kumva, kuphatikizapo nkhani yeniyeni yomwe muyenera kudziwa.
1. Mipata Yanu Ndi Yachibadwa
Choyamba, kodi "chizolowezi" chimatanthauza chiyani? Zaka khumi zapitazo, chipatalachi chinapitirira muyezo womwe .5 mpaka 5.0 pa kafukufuku wamagazi wa Throse (TSH).
Ngati TSH yanu inali pansi .5, munali hyperthyroid / overactive. Ngati TSH yanu ili pamwamba pa 5.0, munali hypothyroid / underactive. Mu 2002, bungwe la American Association of Clinical Endocrinologists ndi National Academy of Clinical Practice Guidelines, linalimbikitsa kuti machitidwe onsewo azikonzedwanso ku .3 mpaka 3.0. Kenaka, patatha zaka zingapo, iwo anasiya malangizowo. Mukhoza kukhala ndi chiwerengero cha TSH mu malo omwe "mwachibadwa" akuwonekera, koma ngati muli pamapeto apamwamba, madokotala ena samakhulupirira kuti zimakhala zachilendo kwa inu. Dokotala akamakuuzani kuti ndinu "wamba," funsani kuti "ndiyomwe" akugwiritsa ntchito kuti atsimikizire.
2. Ngati muli ndi vuto la chithokomiro, Tengani Iodine kapena Kelp
Akatswiri a zaumoyo omwe sadziwa kwenikweni chithokomiro nthawi zambiri amakuuzani mwamsanga kuti "vuto la chithokomiro limatanthauza kuti mukusowa ayodini" kapena mankhwala a ayodini kapena zowonjezeretsa, monga kelp, bladderwrack ndi bugleweed.
Ngati mulididi ayodini, ayodini ikhoza kuthandizira chithokomiro chanu. Kafukufuku wasonyeza kuti kusowa kwa ayodini kumakula kwenikweni ku US, ndipo pafupifupi 12 peresenti ya anthu a ku United States tsopano ali osowa kwa ayodini, kuchokera pansi pa 3 peresenti kumayambiriro kwa zaka za m'ma 1970. Choncho, kwa anthu ena, kusowa kwa ayodini kungakhale kovuta pa vuto lawo la chithokomiro .
Koma kwa anthu ena, ayodini kapena mankhwala omwe amapezeka ndi ayodini amachititsa kuti vuto la chithokomiro likhale loipa kwambiri monga matenda a Hashimoto ndi Graves , ndipo amachititsa kuti chithokomiro chiwonjezeke. Musanayambe ayodini, ganizirani kukhala ndi ayodini yamakina kuti muwone ngati muli ndi vuto lenileni, ndipo mvetserani zizindikiro zomwe zimayamba mutayamba kumwa ayodini.
3. Muli ndi Matenda a Manda / Hyperthyroidism ndipo Ndikusowa Mavitamini a Iodin (RAI) Kuchiza
Pankhani ya matenda a chithokomiro, matenda a Hashimoto, omwe amachititsa kuti hypothyroidism, ndizofala kwambiri kuposa matenda a Graves, omwe amachititsa hyperthyroidism. Komabe, pazigawo zina za matenda a Hashimoto , makamaka makamaka nthawi yoyamba, chithokomiro chomwe chili pokhapokha chitayika, chimatha kuyamba kugwira ntchito ndipo chimakhala chopanda mphamvu, zomwe zimapangitsa munthu kukhala ndi hyperthyroid. Nthawi zina, ndizomwe zizindikiro za hyperthyroidism zapanthawi zochepa-zopanda mtima , zizindikiro za mtima , kuthamanga mwamsanga, kutaya thupi, kutsegula m'mimba, kusowa tulo-kumene kumabweretsa wodwala wa Hashimoto kwa dokotala.
Mwatsoka, madokotala ena amapereka mayeso a TSH, onani otsika TSH omwe ali ofanana ndi hyperthyroidism, ndipo amalangiza mankhwala ochotsera iodin -kawirikawiri mankhwala osatha omwe amachititsa kuti chithokomiro chanu chisokoneze, ndikukupangitsani hypothyroid kuti mukhale ndi moyo.
Vuto ndiloti m'mayeserowa, si Matenda a Manda , ndipo hyperthyroidism ndi yachidule, chikhalidwe chotchedwa "Hashitoxicosis." Pankhaniyi, mungakhale ndi nthawi yochepa ya hyperthyroidism, koma mukhale njira yanu kukhala hypothyroid. Nthawi zina, pokhapokha ngati hyperthyroidism ikuwopsyeza moyo ndipo sungalephereke kugwiritsa ntchito mankhwala osokoneza bongo, chithandizo chowopsa cha ma radiation ndi chithandizo chopanda ntchito.
Mukauzidwa kuti muli ndi matenda a Graves kapena hyperthyroidism, ndipo mwathamangitsidwa kuti mukhale ndi RAI, mukulimbikitsanso kuyesa magazi poyambitsa ma antibodies omwe amatsimikizira matenda a Graves, komanso zojambula zojambula.
Mukufuna dokotala wanu asonyeze kuti muli ndi Manda / hyperthyroidism, ndipo simangokhala ndi Hashitoxicosis yachangu.
4. Kutentha Kwambiri Kwa Thupi Kumatha Kusanthula Hypothyroidism
Pano pali vuto pamene kutentha kwa thupi kosasintha, kwasintha kukhala "kukula kofanana" chida chosowa chimene sichigwira ntchito. Zimadziwika kuti mankhwala otentha a chithokomiro amachititsa kuti thupi liziyenda bwino. Ndipo ngakhale kutentha kwa thupi, kapena kutentha kwa thupi, ndi chizindikiro chodziwika ndi mankhwala chovomerezeka cha hypothyroidism , akatswiri ena amakhulupirira kuti kutentha kwa thupi ndi chida chosazindikira cholephera. Pamapeto pake Broda Barnes, MD adadziwitsa anthu za kugwiritsira ntchito mankhwala a basilla (underarm) a basal body (BBT) monga chida ndi chidziwitso cha hypothyroidism. Ndi njira yothandizira komanso yowunika njira yomwe ikugwiritsidwanso ntchito ndi ena othandizira ena.
Kuti muyese BBT yanu, mugwiritseni ntchito yapadera ya BBT thermometer. Mukangomuka, mutakhala ndi kayendetsedwe kazing'ono, ikani thermometer mumtundu wanu, pafupi ndi khungu, ndipo muzisiye kwa mphindi khumi. Lembani kuwerenga kwa masiku atatu kapena asanu otsatizana. Azimayi amene ali ndi msinkhu wawo sayenera kuyesa masiku asanu oyambirira a nthawi yawo koma akhoza kuyamba tsiku lachisanu. Amuna, ndi atsikana ndi amayi omwe sali kusamba akhoza kuyesa nthawi iliyonse ya mwezi.
Ngati a BBT ali pansi pa 97.6 Fahrenheit, ena othandizira angaganizire kuti ali ndi chithokomiro chosagwira ntchito kapena kuti sangathenso kutulutsa mahomoni. A BBT pakati pa 97.8 ndi 98.2 amaonedwa kuti ndi abwino. Kutentha kuchokera ku 97.6 mpaka 98.0 madigiri Fahrenheit kumatengedwa ngati umboni wa zotheka hypothyroidism, ndipo kutentha zosakwana 97.6 madigiri kungakhale kosonyeza kuti hypothyroidism. Komabe, akatswiri ena amaganiza kuti kutentha kulikonse pansi pa madigiri 98 kumatanthauza hypothyroidism.
Kugwiritsira ntchito kutentha kwa thupi kumayesetsero, komabe, ngakhale olemba omwe amagwiritsa ntchito mayeso akuchenjeza kuti ayenera kukhala mbali ya njira yonse, osati kudalira kokha.
5. Chithandizo Chokha Chokha cha Hyphyothyism Ndi Synthroid
Mwina chimodzi mwazolakwika zomwe madokotala amachibwereza nthawi zambiri ndi Synthroid ndiyo njira yokhayo yothandizira matenda a hypothyroidism. Kwenikweni, Synthroid ndi dzina lachidziwitso cha "levothyroxine" -chizindikiro cha chithokomiro cha thyroxine, chomwe chimatchedwanso T4.
Synthroid imakhala mankhwala otchuka kwambiri a mankhwala a levothyroxine , makamaka chifukwa cha malonda ake. Synthroid, komabe, nthawi zambiri imakhala yotsika mtengo kwambiri levothyroxine. Mankhwala ena, omwe amaganiziridwa mofanana ndi odokotala ambiri, ndipo pafupifupi nthawi zonse mtengo wotsika mtengo, amagwiritsa ntchito Levoxyl ndi Unithroid. Odwala ena amapeza kuti amayankha bwino mtundu wina osati makamaka Synthroid chifukwa cha mtundu womwe chizindikirocho chimasungunuka ndipo chimachotsedwa, kapena kuti fillers ndi dzira zomwe zimagwiritsidwa ntchito ndi ojambula osiyanasiyana.
Kuwonjezera pa mankhwala a levothyroxine , palinso liothyronine-dzina lachibadwa la T3 hormone. Dzinali ndi Cytomel. Kuonjezera T3 ku levothyroxine wapezeka kuti athandize odwala chithokomiro kuti athetse zizindikiro bwino kuposa levothyroxine (T4) wokha.
Pomaliza, pali gulu la mankhwala osokoneza bongo omwe amadziwika kuti ali ndi kachilomboka . Musati mulakwitse izi ndi chithokomiro chokwanira chokwanira-izo siziri zofanana. Zolemba zachilengedwe zimatchulidwa chithokomiro-chinthu chachikulu chotchedwa Armor Thyroid , komanso chimapezeka ndi Chithokomiro, Chithokomiro WP, ndi generic ya Acella-imapangidwa kuchokera ku chithokomiro chowuma cha nkhumba. Zimaphatikizapo T4 ndi T3 zachilengedwe , kuphatikizapo mahomoni ena omwe amadziwika pang'ono kuphatikizapo T2 , T1. Akatswiri ena, komanso makamaka akatswiri a zaumoyo, ogwirizana ndi aumoyo, amapeza kuti chithokomiro chachilengedwe ndi chabwino kwa odwala ena.
> Zotsatira:
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.