Kuwona Zotsutsana Zotsutsa Za Kutopa kwa Adrenal
Maziko a Hormone (gawo la Endocrine Society) anamasulira "pepala lothandizira" lomwe linadzitanidwa, lotchedwa "Nthano ndi Zoona." Mmodzi mwa mapepala awo amatchedwa "Adrenal Fatigue" ndipo amachititsa kuti pakhale vutoli, akuti, "Kutopa kwa Adrenal si matenda enieni. Palibe sayansi yotsimikiziranso mfundo yakuti maganizo, maganizo, kapena thupi kupsinjika maganizo kumatulutsa zilonda za adrenal ndipo zimayambitsa zizindikiro zambiri. " (Mutha kuwerenga zonse "pepala" monga PDF: Nthano Zowonadi: Kutopa kwa Adrenal.)
Ngati mukukhala ndi zozizira kuzinthu zovomerezeka zaumwini kuchokera ku mabungwe azachipatala akutsindika kuti fibromyalgia kapena matenda otopa matenda sali "enieni" matenda, kapena ngakhale kukumbukira madokotala amene posachedwapa anatsutsa kuti zakudya zokometsera, osati H. pylori mabakiteriya , chifukwa cha zilonda, ndiye kuti simuli nokha.
Richard Shames, MD, amene anamaliza maphunziro a Harvard ndi University of Pennsylvania, ndipo adaphunzitsidwa kwambiri ndi National Institutes of Health, ndipo ndi katswiri wodziwika bwino ndi dokotala wodziwika payekha kwa zaka zopitirira makumi atatu. Ndinamupempha kuti afotokoze za kutsutsana.
Richard Shames, MD: Sindigwirizana ndi zomwe Hormone Foundation imanena za kutopa kwa adrenal. Mfundo yawo yaikulu ndi yakuti "kutopa kwachilendo" sikuli kwenikweni matenda osanthula ndipo sikutsimikiziridwa ndi sayansi ya zamankhwala. Ichi ndi kwa ine mwina ndichinyengo chokha-choonadi, kapena ndondomeko yandale yosadziwika ya ndale.
Dokotala aliyense woyenera mchere wake amadziwa kuti mawu akuti "kutopa kwa adrenal" amatanthauzira kuchepa kwa adrenal. Lipoti la Foundation la Hormone limavomereza mosavuta kuti adrenal insufficiency ndi weniweni matenda. Kwa ine, zikuwoneka kuti akukana kuti mwina anthu ena angakhale ndi mtundu wofatsa wa matenda enieni .
Izi ndizofupikitsa komanso zimakhala zovuta kwambiri.
Q: Mmodzi mwa nkhani zomwe "pepala lokonzekera" likulongosola ndikuti palibe mayeso omwe angathe kuzindikira kutopa kwa adrenal.
Richard Shames, MD: Ngati pakadali pano sitingakwanitse kuyesa magazi, ndiye kuti sitingayambe kukambirana. Mayesero amagazi omwe alipo tsopano amadziwa bwino mitundu yambiri yosavomerezeka, yomwe imatchedwa Addison's disease. Iwo sali bwino pomvetsa mawonekedwe ovuta. Anthu ena omwe ali ndi ulamuliro, omwe chilichonse chiri chakuda kapena choyera-opanda nsalu-imakhala ndikuyesedwa kuti adziwonetsere poyera kuti matenda ochepa a adrenal ndi "osati matenda enieni."
Q: Zikuwoneka kuti pali kufanana kwa odwala omwe ali ndi borderline hypothyroidism. Mchitidwe waukulu wa TSH umati iwo ndi "ozolowereka," koma madokotala ambiri tsopano akuzindikira kuti masitepe omwe ali otchedwa "zachibadwa" otchulidwa angakhale kwenikweni akuwonetsa vuto la chithokomiro.
Richard Shames, MD: Mwamtheradi. Chithokomiro chochepa ndi chonchi chofanana ndi kuchepa kwa adrenal. Mayesero amagazi amodzi nthawi zambiri samangokhala osamalitsa kuti asonyeze zotsatira zosalongosoka kwa anthu onse omwe alidi ndi mtundu wofatsa wa hypothyroidism. Zaka khumi ndi zisanu ndi zisanu zapitazo ambiri okhulupirira zachipatala ankakana "mild hypothyroidism" monga chowonadi chenicheni.
Izi zikufanana kwambiri ndi kukana kwamakono kosavomerezeka kwa adrenal. Zinatengera zaka zowonjezera umboni wa sayansi, koma tsopano akatswiri ambiri a sayansi yamakono akuti, "Madokotala ndi odwala amafunika kuti adziŵe bwino zenizeni zenizeni zenizeni zenizeni zosagwiritsidwa ntchito mosavuta kapena borderline hypothyroidism."
Q: Kodi bungwe la zamankhwala lidzasunthira kumbali imeneyo?
Richard Shames, MD: Inde, ndithudi. Chophimba cha pakali pano ndi chimodzimodzi chosakhala nkhani, chozikidwa mofanana ndi chosagwirizana. Choncho, pamene mayeso a magazi amakula bwino, ndipo / kapena pamene mayeso a ma saliva amavomerezedwa kwambiri m'kati mwawo, kutopa kwakukulu kudzawoneka ngati matenda enieni omwe alidi: "kuchepa kwa adrenal.
Mwa kuyankhula kwina, mtundu wofatsa wa matenda opatsirana, machitidwe omwe amapezeka m'magazi amapezeka nthawi zambiri.
Q: Mpakana chidziwitsocho chitamveka bwino ndikuvomerezedwa bwino, chiani chichitike?
Richard Shames, MD: Choyamba, zingathandize kuyamba kuyitcha kuti adrenal, zomwe ndizo, komanso zomwe "zenizeni" zowunikira kale zilipo. (Chikhalire chachikulu cha ICD-9 cha ichi ndi 255.4) Makhalidwe ochepa a chikhalidwe chenichenicho amatha kupezeka mwa kuphatikiza mbiri yabwino ya zachipatala, pamodzi ndi kafukufuku weniweni, kuphatikizapo kuphatikiza mwazidzidzidwe mwazi osankhidwa bwino, mkodzo, ndi kuyesa mankhwala. ayenera kuchita izi tsopano.
Q: Nanga bwanji za zomwe Hormone Foundation / Endocrine Society inanena kuti "... kuyesa kwa kutopa kwa adrenal sikugwirizana ndi sayansi kapena kulimbikitsidwa ndi maphunziro abwino a sayansi ..."
Richard Shames, MD: Pali zowerengeka zodabwitsa za maphunziro ndi sayansi zomwe zasindikizidwa ndi akatswiri ofufuza zachipatala ndi aprofesa, omwe amatsutsa izi zowonongeka ponena za kutopa kwa adrenal. Panopa ndimagwiritsa ntchito ndemanga yowonjezerapo, ndikugawana ndi owerenga anu, zomwe zidzatanthauzira mwachidule zomwe madokotala ena ambiri ndikuwona ngati choonadi chozama pa nkhaniyi, mosiyana ndi zomwe a Endocrine Society amavomereza mosakayikira nkhani yofunikira .