Ngati mulibe chithokomiro mungaganize kuti palibe chidziwitso choyenera kwa inu. Mukhoza kupeza zambiri zokhudza hyper ndi hypothyroidism, koma palibe chifukwa chokhala ndi vuto la chithokomiro. Uku ndiko kusamvetsetsana, chifukwa ngati mulibe chithokomiro, kapena chikho chanu sichikhoza kupanga mahomoni okwanira a chithokomiro , mulidi hypothyroid ndipo zambiri zokhudzana ndi hypothyroidism zimakukhudzani.
Chifukwa Chimene Anthu Ena Alibe Chithokomiro
Nchifukwa chiyani anthu ena akusowa chithokomiro?
- Anthu ochepa okha amabadwa popanda chithokomiro kapena chithokomiro chosawonongeka, chomwe chimatchedwa congenital hypothyroidism .
- Chithandizo cha khansa ya chithokomiro kawirikawiri amachotsa opaleshoni yonse kapena gawo la chithokomiro.
- Anthu ena omwe ali ndi chithokomiro amachititsa kuti chithokomiro chisamveke (kutsekemera kwa chithokomiro) chomwe chiri chosafunikira kapena chosakhudza kupuma kapena kumeza, khungu la chithokomiro linachotsedwa opaleshoni.
- Anthu ena omwe ali ndi matenda a Graves kapena hyperthyroidism ali ndi chithokomiro chawo chochotsedwa opaleshoni.
Ngati mulibe chithokomiro konse, kapena muli ndi chithokomiro chosagwira ntchito, matenda anu tsopano ndi hypothyroidism, mosasamala kanthu za matenda kapena chithandizo chomwe chinayambitsa vutoli.
Tizilombo toyambitsa matenda / Hypothyroidism
Kuwonjezera pa iwo omwe anabadwa popanda chithokomiro, kapena amene adachotsedwa opaleshoni, palinso zifukwa zina za hypothyroidism.
Izi zikuphatikizapo:
- Chithandizo cha mankhwala a iodin (RAI) pa matenda a Graves kapena hyperthyroidism amadziwikanso ngati mankhwala opatsirana. RAI mwina imasokoneza kwambiri kapena imatha kuwononga mphamvu ya gland yopangira hormone ya chithokomiro, kukusiyani hypothyroid.
- Matenda a Hashimoto, omwe amadziwika bwino ndi omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa nthawi.
- Mankhwala, monga lithiamu, omwe amachititsa kuti chithokomiro chanu chitha kupanga hormone ya chithokomiro.
Kuganizira Kwambiri Anthu Osakhala ndi Chithokomiro
Ngakhale kuti chidziwitso cha hypothyroidism chimagwira ntchito kwa omwe alibe chithokomiro, pali zinthu zina zapadera kwa anthu omwe alibe chithokomiro.
Zakudya
Ngati munabadwa mulibe chithokomiro, chithokomiro chanu chachitidwa opaleshoni, kapena muli ndi ndalama zokwanira zowonjezera kapena zapafupi ndi RAI, simukuyenera kudera nkhawa zakudya za goitrogenic (mwachitsanzo, ziphuphu, broccoli, kale, etc.) ndi kuthekera kwawo kusokoneza ntchito yanu ya chithokomiro. Muyenera, komabe, muyenera kusamala kuti musadye zakudya za soya, monga kudya kwambiri kwa soya kungakhudze momwe mungathe kutengera mankhwala anu a mavitamini.
Maintenance Level TSH
Anthu omwe alibe chithokomiro chogwira ntchito angapeze kuti mukusinthasintha kambiri pa chithokomiro komanso mwakhama kwambiri kuti mukhale ndi mlingo woyenera wa TSH pa mlingo woyenera wa mankhwala , poyerekeza ndi odwala omwe ali ndi vutoli. (Odwala omwe ali ndi vutoli amapeza kuti nthawi zina amapanga mahomoni a chithokomiro, ndipo amatha kuwonjezereka kapena kuchepetsa kugwira ntchito kwake, zomwe zimapangitsa kuti kukhale kovuta kuti muyambe kuyendera ma chithokomiro.)
Mankhwala Odwala Matenda a Chithokomiro
Ngati muli ndi matenda a khansa ya chithokomiro yomwe yatulutsa chithokomiro chanu, mumakhala mwapadera chifukwa chakuti mumapatsidwa mankhwala osokoneza bongo omwe amachititsa kuti mukhale ndi mankhwala osokoneza bongo . Kupepesa kumatanthauza kutenga mankhwala okwanira kuti chitetezo chanu choyambitsa hormone (TSH) chikhale chochepa kwambiri kapena chosadziwika. Izi zimatengedwa ngati "hyperthyroid" ndi maholo ambiri a labata , koma kuponderezedwa n'kofunikira kuti tipewe matenda a khansa kwa odwala ena.
Choncho, ngakhale mutatha kunena kuti ndinu "hyperthyroid," vuto lanu losakhala ndi chithokomiro limatanthauza kuti mulidi hypothyroid, ndipo malangizo ambiri okhudza hypothyroidism akugwiritsanso ntchito kwa inu.
Mawu Ochokera
Ngati mulibe chithokomiro, zokhudzana ndi hypothyroidism zimagwira ntchito kwa inu. Zirizonse zomwe zimayambitsa hypothyroidism, ngati muli ndi zizindikiro za chithokomiro, mwina simungalandire chithandizo chabwino cha matenda anu. Muyenera kugwira ntchito mwakhama ndi dokotala wanu kuti mupeze chithandizo chabwino. Izi zingaphatikizepo:
- Kuyesa mtundu wina wa levothyroxine.
- Kuchulukitsa mlingo, kuti TSH yanu ikhale yochepa. Mwachitsanzo, odwala ena amafotokoza kuti akumva bwino kwambiri pamene ma TSH ali pakati pa 1 ndi 2. (Kumbukirani, kuti odwala khansa ya chithokomiro nthawi zambiri amafunika kutsatira njira zochepetsera khansa).
- Kuwonjezera mankhwala a T3 (mwachitsanzo, Cytomel, kapena kuwonjezeka T3), kwa levothyroxine yanu, yotchedwa mankhwala othandizira, kapena mankhwala a T4 / T3.
- Kupititsa ku mankhwala achilengedwe omwe amadziwika ndi chithokomiro , monga Chida Chachilengedwe kapena Zida
- Kuwonjezera mankhwala anu ndi njira zina, zakudya zamagulu ndi malingaliro kuti muthe kusintha thanzi labwino ndi kuchepetsa zizindikiro.
> Zotsatira:
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.
Garber, J, Cobin, R, Gharib, H, et. al. Malangizo Okhudza Zipatala za Hypothyroidism M'zochitika Zakale: Ambiri amathandizidwa ndi American Association of Clinical Endocrinologists ndi American Thyroid Association. " Chitetezo cha Endocrine. Mph. 18 No. 6 Novemba / December 2012.