Zinsinsi Zamakono
Ndi nkhani yamba. Pambuyo pokhala ndi mwana, zimakuvutani kuti mutaya thupi, ngakhale kuti mukudya kwambiri kapena kuchita masewera olimbitsa thupi. Kapena mukuganiza kuti mukugona mokwanira, koma mumadzuka mutatha maola asanu ndi atatu kapena oposa atagona mokwanira ndipo mumakoka patsiku kumverera ngati kupuma ndi chinthu chokhacho m'maganizo mwanu. Kapena, mosiyana, mungakhale mukudandaula chifukwa chopanda chifukwa chomveka, kutaya thupi, usiku wonse ndi kusowa tulo ndi kugona mtima, ndi kuzindikira kuti mukusowa tsitsi.
Kwa ambiri a inu, dokotala anganene kuti zizindikirozo zimasonyeza kuvutika maganizo, osati kugona mokwanira, kusowa kochita masewera olimbitsa thupi, matenda oyamba, kapena mavuto okhaokha.
Chowonadi ndi chakuti zizindikiro monga kutopa, nkhaŵa, kupweteka kosawerengeka kapena kuperewera, tsitsi, kutaya mtima, ndi kupopera kukhoza kungasonyeze kuti muli ndi chithokomiro chosadziwika. Mzimayi amatha kukhala ndi mwayi umodzi wokhala ndi vuto la chithokomiro pa nthawi yake yonse. Ngozi imeneyi imakula ndi ukalamba komanso kwa iwo omwe ali ndi mbiri ya banja la mavuto a chithokomiro. Ambiri mwa amayi omwe ali ndi matenda a chithokomiro amapezeka osadziwika.
Chithokomiro ndi injini ya thupi yathu, kuyang'anira kugwiritsa ntchito mphamvu ndi zakudya. Chithokomiro chooneka ngati gulugufe, chithokomiro chili m'khosi pambuyo pa mapulogalamu a Adam ndipo chimapanga mahomoni ofunika kwambiri - triiodothyronine (T3) ndi thyroxine (T4) - yomwe imapangitsa kuti thupi likhale ndi mphamvu komanso zimathandiza thupi lathu kugwiritsira ntchito mphamvu ndi calories.
Zizindikiro za Hypothyroidism
Kodi mungadziwe bwanji ngati muli ndi hypothyroidism , vuto lalikulu la matenda a chithokomiro? Zizindikiro zanu zingaphatikizepo kupsinjika maganizo, kukumbukira, kutopa, kupindula kulemera, mawu owala, makutu otsekemera kwambiri, kudzimbidwa, kusalana ndi ozizira, tsitsi lofewa, tsitsi, khungu louma, kuchepa kwa libido, kumeta manja ndi mapazi, nthawi zolemetsa kapena zosavomerezeka, ndi kusabereka kapena kutaya pathupi kobwerezabwereza.
Mankhwala osagwidwa ndi matendawa amachititsa kuti zikhalidwe zambiri zikhale ndi zizindikiro kwa amayi, kuphatikizapo:
- Kutaya mimba komanso kutaya mimba mobwerezabwereza
- matenda a mtima ndi mitsempha yambiri
- mkulu wa cholesterol
- zovuta kulemetsa
- zizindikiro zoopsa za menopausal
- matenda a fibromyalgia ndi matenda otopa
- Matenda a carpal ndi tendinitis
- kugonana kochepa
- mitral valve prolapse
Ngati dokotala akuganiza kuti hypothyroidism, iyeyo adzayesa kuyesa kutentha kwa hormone (TSH). Ma laboratories ambiri a ku America ali ndi chiwerengero chapafupi kuchokera kufupi .5 mpaka 5. Mbali ya TSH pamwamba pa 5 imawoneka ngati hypothyroidism.
Kawirikawiri madokotala amapereka mankhwala a T4 hormone levothyroxine kuti apeze hypothyroidism. Mankhwala otchuka amaphatikizapo Levoxyl ndi Synthroid. Kafukufuku wambiri wasonyeza kuti ambiri mwa odwala amamva bwino pamagulu osiyanasiyana. Pachiyambi cha phunzirolo , madokotala ambiri akuwonjezeranso kupanga T3 (liothyronine) . Madokotala ena amafuna kuti masoka a chithokomiro azisamalidwa ngati Zida kapena Naturethroid, mankhwala omwe amakhala ndi mahomoni onse.
Hyperthyroidism
Chithokomiro chingakhalenso chonchi - hyperthyroid - kutulutsa mahomoni ambiri a chithokomiro. Wochita masewera othamanga ku Olympic Gail Devers anachitira umboni pamaso pa Congress ponena za mlandu wake wa Graves 'matenda, zomwe zimangokhalapo zomwe zingayambitse hyperthyroidism.
Mlanduwu, adokotala atalephera kuzindikira zizindikiro za matenda a Graves, monga mpikisano wothamanga wa olimpiki wa golidi wa golidi wapita ku 125 kufika pa mapaundi 87 okha, adatopa kutopa, anataya pafupifupi tsitsi lonse, ndipo adamva zizindikiro zina kuphatikizapo kuthamanga kwa mtima mwamsanga, ndi khungu louma. Zaka ziwiri zisanachitike, Otsutsa anapeza kuti amachizidwa.
Zizindikiro zambiri za hyperthyroidism zimaphatikizapo kutaya kwa msinkhu, kusowa tulo, nkhawa, kukwiya, kupwetekedwa mtima, kupweteka kwa mtima, kusagwirizana ndi kutentha, kutuluka thukuta, kutentha, kutsekula m'mimba, kupsinjika maganizo, kufooka, maso, masomphenya, kusintha kwa nthawi, komanso kusabereka.
Dokotala wanu nthawi zambiri amayendetsa mayeso a magazi a TSH ndipo amayang'ana pansi, kuchokera pansipa .5 mpaka pafupifupi, osadziwika, mazinga a TSH kuti apeze hyperthyroidism. Zizindikiro zathu za Hyperthyroidism Mndandanda uli ndi mndandanda wa zizindikiro.
Ngati muli ndi vuto lalikulu la hyperthyroidism, dokotala wanu angayambe kumwa mankhwala osokoneza bongo monga methimazole (Tapazole) kapena propylthiouracil (PTU), monga mankhwalawa amapereka mpata wokhululukira. Kuti athandizidwe kwambiri a hyperthyroidism, madokotala amasankha chithandizo cha iodine chodziwika bwino, chotchedwa RAI. Kuthana ndi kachilombo ka HIV, RAI imathetsa kuwononga mphamvu kwa mahomoni koma kawirikawiri kumabweretsa matenda a hypothyroidism. Kuchita opaleshoni, yotchedwa thyroidectomy, kumachitika kokha pamene simungathe kulekerera mankhwala osokoneza bongo, kapena kuti siofunikira kwa RAI. Zowonongeka bwino za matenda a hyperthyroidism, chithandizo ndi zosankha zikupezeka mu Graves 'Disease / Hyperthyroidism FAQ.
Matenda a Chithokomiro
Nthaŵi zina, zizindikiro zimaphatikizana ndi mitsempha ya chithokomiro yokayikitsa. Manodoma amadziwidwa ndi ultrasound scan ndi kuyesa magazi, ndipo nthawi zina ndi mankhwala osokoneza bongo otchedwa aspirent aspiration (FNA). Mankhwala ambiri amakhala abwino, ndipo ena amachiritsidwa ndi levothyroxine. Ngati khansara sichikhoza kutayika, kapena chithokomiro chanu chimalepheretsa kupuma kapena kumeza, dokotala wanu angakulimbikitseni opaleshoni.
Mawu Ochokera
Pali zinthu zingapo zimene mungachite kuti muchepetse vuto la chithokomiro.
Khalani Osamala Pamaso Ochuluka Kwambiri: Pali umboni wakuti mavitamini ochulukirapo, omwe amapezeka mumagulu otchuka a soy ndi mankhwala owonjezera, angayambitse hypothyroidism, goiter kapena mitsempha. Kupita pamwamba pa zowonjezera ma soya ndi powders kungayambitse mavuto aakulu a chithokomiro kapena kuwonjezeka. Komanso, kumbukirani kuti kudya kwa soya nthawi yaitali kungapangitse mwana wanu kukhala pachiopsezo kwambiri kuti azikhala ndi chithokomiro chokha, chifukwa cha kuwonjezera pa mavitamini a antithyroid.
Imwani madzi Opanda Fluoride : Fluoride m'madzi, komanso mankhwala omwe amachititsa mafuta omwe amadziwika kuti perchlorate , ndi mankhwala ena omwe ali ndi poizoni ndi zina mwa zinthu zambiri m'madzi zomwe zingayambitse kapena kuwononga mavuto a chithokomiro. Taganizirani kumwa mowa wosasunthika, kuyeretsedwa, kapena fluoride.
Pamene Idzafika ku Iodini, Ganizirani Kulimbitsa Thupi: Iodin yaing'ono, vuto lowonjezeka ku United States, limayambitsa chiopsezo cha hypothyroidism kapena goiter, koma kudya kwambiri kwa iodin, kuphatikizapo kelp kapena bladderwrack, kungakhudze chithokomiro.
Kusiyiratu Kusuta: Kusuta kungawononge chithokomiro , ndipo kumapangitsa kuti chithokomiro chikhalepo. . . chifukwa china chosiya kapena kusayamba kusuta.
Kuchepetsa Kupanikizika Kwako: Kuthetsa nkhawa pogwiritsa ntchito njira zothandiza monga zozizira, yoga, ndi malingaliro a thupi zingathandize kuthana ndi mavuto ena omwe ali ngati chithokomiro.
> Zotsatira:
> Braverman, MD, Lewis E., ndi Robert D. Utiger, MD. Werner ndi Ingbar's The Thyroid: Mawu Ofunika ndi Otsogolera. 10th ed., Philadelphia: Lippincott Williams & Wilkins (LWW), 2013.
> De Groot, Leslie, MD, Woyang'anira Matenda a Chithokomiro , Buku la Online. Online