Hypothyroidism ndi matenda a hyperthyroidism ndi mankhwala
Zotsatira zaposachedwa za mbiri yodziwika bwino pa matenda a chithokomiro zakhala zikulimbikitsa mauthenga awiri ofunika kwambiri:
- Anthu ambiri ayenera kuyesedwa ndi matenda a chithokomiro, chifukwa pali mamilioni a anthu ku US omwe sazindikiridwa.
- akapeza kuti, matenda a chithokomiro ndi osavuta kuchiza.
Malingaliro ameneŵa adatulutsidwa posachedwa m'nkhani ya Associated Press (AP) ya April 10, 2000, "Akatswiri Amatsutsa Chithokomiro cha Chithokomiro," komanso magazini ya Parade ya Dr. Isadore Rosenfeld, ya April 2, 2000, yakuti " Kodi Zingakhale Zosowa Zanu ?"
Mu Parade, Dr. Rosenfeld akuti, "Zonse zomwe muyenera kuchita kuti mukhale ndi hypothyroidism m'malo mwa hormone yosowa.
Ndisavuta - piritsi patsiku. "M'kalata ya AP, Lauran Neergaard akuti," Matenda a chithokomiro amachiritsidwa mosavuta, ndi mapiritsi a tsiku ndi tsiku kapena, chifukwa cha hyperthyroidism, nthawi zina amachotsa chifuwacho. "
"Mapiritsi a tsiku ndi tsiku" omwe olemba awa akukamba ndi levothyroxine (mayina a dzina: Synthroid, Levoxyl, Levothyroid), omwe amatulutsa mahomoni otchedwa thyroid, omwe ali ndi mavitamini otchedwa T4 (Thyroxine). Levothyroxine amaonedwa ngati mankhwala ochiritsira a hypothyroidism ku US
Kuyesera kuonetsa kuoneka kwa zizindikiro za chithokomiro komanso kuwonjezera kuyesedwa kwa chithokomiro ku US kuyenera kuimbidwa mwamba. Ndikofunika kwambiri, kupatsidwa zochitika zatsopano zomwe anthu pafupifupi 10 miliyoni amapezeka ndi chithokomiro - osati mamiliyoni asanu monga momwe amaganizira poyamba. Zotsatirazi zinakambidwa m'nkhani yatsopanoyi pa webusaitiyi.
Pulogalamuyi yapadziko lonse yochezera anthu kuti awonjezere chiwerengero cha anthu omwe amawadziwa ndi kuwapeza ndi matenda a chithokomiro ku US, ndiye kuti akusunga odwala ena.
Pulojekitiyi imatsutsana kwambiri ndi zovuta za chithandizo cha matenda a chithokomiro komanso mavuto omwe odwala ambiri amakumana nawo pokhala ndi hypothyroidism - matenda osokonekera a chithokomiro - omwe amayamba chifukwa cha matenda a chithokomiro komanso chithandizo cha chithokomiro . Iyi inali nkhani ya Kuyankha kwa Odwala kwa AP Audio Release Press komwe ndinapereka zifukwa m'malo mwa hypothyroidism odwala.
Olemba awa akupitiriza kunena kuti kulimbana ndi chithokomiro chosavuta kumangotengera njira zakale za kuganiza, koma zimatsutsana ndi mabungwe akuluakulu azachipatala omwe ali ndi matenda a chithokomiro, komanso zofufuza zaposachedwapa. . . makamaka makamaka ndi odwala okha.
Kodi Hypeothyroidism Imatha Kugwiritsira Ntchito Piritsi Ling'ono Limodzi?
Maziko a odwala ndi makanema azachipatala samaganiza choncho.
Kafukufuku wochokera ku bungwe la matenda a chithokomiro, omwe tsopano ndi ofooka kwambiri, akupeza kuti pakati pa odwala omwe anali hypothyroid chifukwa cha chithandizo cha Matenda a Graves, ambiri sanamve bwino ngakhale kuti tsiku lililonse amadwala mapiritsi a mpweya.
Kafukufuku wopweteka kwambiri anafotokozedwa mu nyuzipepala ya New England Journal ya Medicine mu February 11, 1999, ndipo anapeza kuti mankhwala a levothyroxine okha sali okwanira kwa odwala ambiri, ndipo anapeza kuti, ambiri mwa odwala omwe akuphunzira nawo, "mankhwala ndi thyroxine kuphatikizapo triiodothyronine kunathandiza kuti anthu ambiri [hypothyroid] akhale ndi moyo wabwino. " Triiodothyronine nthawi zambiri amatchulidwa ndi T3 , ndipo dzina lina lachitsulo, Cytomel, likupezeka ku US Ma pharmacies ena ophatikizako amaperekanso kachiwiri ka T3.
Kodi Hyperthyroidism Ndi Yosavuta Kuchitira?
Chithandizo chachikulu cha hyperthyroidism ku US sikuti , monga momwe tafotokozera m'nkhani ya AP, kuchotsa vutoli, koma, ndi mankhwala omwe amadziwika ngati ayodini yothamanga kwambiri, kapena RAI. Chithokomiro sichitha kufotokozedwa ngati mankhwala ophweka, komanso RAI sichitha kuonedwa ngati yosavuta. RAI imaphatikizapo kuyamwa kwa madzi otulutsa ayodini amadzimadzi , ndipo nthawi zina, amatsatiridwa ndi tsiku lokhalokha lokhalokha kwa anthu ena kuti apewe kusokonezeka kwa mpweya wa ena. RAI imafooketsa mphamvu ya chithokomiro kuti ikhale ndi mahomoni. Pambuyo pake, anthu ambiri omwe analandira RAI amakhala hypothyroid, ndipo amafunika kuti mankhwala a chithokomiro akhale ndi mankhwala ena onse.
Ndipo, monga tanena kale, malinga ndi Thyroid Foundation ya America, ambiri mwa odwalawa, amadandaula za kupitirizabe zizindikiro.
Chithandizo cha RAI chimaonjezeranso ngozi ya matenda a maso a chithokomiro komanso kuwonjezereka kwa matendawa.
Odwala Ayankhulana
Intaneti ikusintha kwambiri zomwe odwala amadziwa zokhudza matenda a chithokomiro, komanso momwe amalankhulira ndi madokotala awo. Kusinthanitsa kwadzidzidzi pakati pa odwala chithokomiro kwachititsa kuti anthu adziŵe matenda, zosankha, ndi njira zina kuti athe kupeza chithandizo ndi mankhwala. Izi zathandizanso odwala mpata wodziwa kuti si okhawo amene akuvutika ndi zizindikiro zowonjezereka, ndikupeza kuti madokotala amene amanena kuti mapiritsi ang'onoang'ono ndi mankhwala osavuta sakudziwa zatsopano komanso kufufuza kumene kulipo .
Kupewa RAI kwa hyperthyroidism ndi chiwerengero chowonjezeka cha odwala akuyesera kuchita, pogwiritsira ntchito njira zowonjezera ndi zakudya, mankhwala a ku China, ndi mankhwala ena, omwe amathandizidwa ndi luso losavuta loyankhulana loperekedwa ndi intaneti. Mmodzi wa otsutsa kwambiri a RAI ndi wodwala komanso wofufuza, John Johnson, adathamangitsira mndandanda wa mayankho okhudzana ndi zakudya za hyperthyroidism kwa zaka zingapo. Johnson anakhazikitsa malo - http://www.ithyroid.com - odzipereka ku chithandizo chamankhwala a chithokomiro , komanso kuthandiza odwala kupeŵa chithandizo cha RAI ku matenda a Graves ndikuyendetsa hyperthyroidism pogwiritsa ntchito zakudya ndi zakudya zina. Johnson pa webusaiti yake:
"Madokotala ambiri ku US akukakamiza RAI kwambiri ndikuyesa odwala awo kuti alowe mu ASAP. Madokotala ambiri ku Ulaya samakakamiza RAI koma amakondwera kukonza mankhwala osokoneza bongo (ATDs) chifukwa cha kuchuluka kwa" mwadzidzidzi " kuthekera kuti RAI imayambitsa kuwononga thupi kwamuyaya ndipo ikhoza kuwonjezera chiopsezo cha khansa. "
Ponena za hypothyroidism, pali odwala omwe ali otopa ndi kuuzidwa kuti ndi ovuta bwanji kupirira matenda awo, komanso momwe amafunira kutengera mozama.
Pa Mawotchi a Chithokomiro, pali zolemba tsiku ndi tsiku kuchokera kwa odwala ambirimbiri omwe amakhumudwa chifukwa chakuti madokotala sawalingalira mozama, kapena kuchotsa zizindikiro zomwe zimapitilira kuchipatala ngati zosagwirizana ndi matenda a chithokomiro.
Kufalitsa kwaposachedwa kwawailesi kwapatsanso odwala kuti alankhule. Kujambula kawirikawiri "TheRose" kunanena izi ponena za momwe kachilombo ka chithokomiro chikuwonekera:
"Pamene amayi akudandaula za zolakwika za nkhani zoterozo, ndikufotokozera zomwe takumana nazo monga umboni, zalembedwa chifukwa timaganiziridwa kuti ndi" moody "(chabwino) chifukwa cha zifukwa zogonana! Popeza sitinaganizidwe mozama, uthenga wathu si Zomwe zilipo, anthu ambiri amawona kuti amayenera kuwonedwa ngati amphamvu, odwala, amuna, ndi ena ndi ena otero (Ah, ziwonetsero!), kotero iwo samadandaula, ndipo zimasokoneza chithunzichi Matenda a chithokomiro kwambiri!
Chojambula china, Judy akulemba kuti:
"NDIDAKONDA kukwanitsa kuuza munthu wina aliyense, zinthu zomwe timakumana nazo tsiku ndi tsiku komanso osakumananso ndi mawonekedwe osalongosola kapena mutu wa mutu. Mlamu wanga, yemwe amapezeka kuti ndi bwenzi langa lapamtima , sindikuwoneka kuti ndikumvetsa. Ndikumva kuti izi zimachokera kwa zaka zambiri za anthu omwe amamva za matenda a chithokomiro komanso "mapiritsi aang'ono" nthano, ndipo kuganiza bwino ndi chinthu chomwe chingathe kulamulidwa. kuimirira kutsogolo kwa gulu la anthu ndikuwauza kuti, "matendawa asintha ndikusintha osati moyo wanga wokha, koma miyoyo ya aliyense yemwe adadziwa kale ndi kukonda INEYO WANGA" O bwino, tikhoza kupezabe izo zikuwoneka. "
Ndipo Brandy Horne, mu kalata yomwe adalembera Oprah kuti adakhala nawo pamsonkhano, analemba momveka bwino kuti:
"... Anthu ambiri sawona izi ngati ntchito yaikulu kuyambira pali hormoni ya chithokomiro imene munthu angathe kutenga m'malo mwa thupi lomwe silingathe kubereka.Koma ine ndikutsimikizira kuti mankhwalawa sangathe kuchita zomwe thupi lingathe kuchita mwachibadwa Ndili ndi zaka 26 zokha ndipo ndikukwatira chaka cha Julayi, koma matendawa asokoneza chimwemwe chonse panthawi ino. Chitetezo cha mthupi langa sichigwira ntchito bwino, ndipo nthawi zonse ndimatopa komanso ndikuvutika maganizo. Tsiku lililonse ndi "chizindikiro" chatsopano. Pamene ndinayandikira madokotala anga za zizindikiro zanga zimangonena kuti "Ziyenera kukhala zina." Komabe, Ndiuzeni kapena muwonetsere kuti ndi chinthu chinanso, ndipo sindiri ndekha. Ndayankhula ndi odwala ambiri pa chithokomiro cha matenda a chithokomiro komanso madandaulo omwewo akuchitika. Matendawa amakhudza moyo wa munthu aliyense. Tenga mapiritsi ndipo zonse ziri bwino. Komabe, tanthauzo nyerere ya anthu ikusowa zambiri. Ndipo popeza kuti mankhwalawa amatenga zaka zambiri, palibe amene akufuna kuti azikhala bwino. Palibenso kafukufuku amene akuchitika pa matendawa omwe amakhudza mamiliyoni 13 m'dziko muno. Ndi chachiwiri kokha ku matenda a shuga a matenda a endocrine. Komabe, matenda a shuga ndi matenda ena ambiri "odziwika" amaphunzira ndikusanthula. Bwanji ngati anthu atangonena kwa onse omwe ali ndi matenda a shuga "muli ndi mapiritsi-mutenge nawo ndipo mutseke." Ndimadana nazo kuti ndili ndi matenda osakondwa omwe aphatikizidwa "athandizidwa." Chabwino sichikusinthidwa kwa ine ndi ena ambiri. Choncho, ndikuganiza kuti chinsinsi chothandizira ife tonse tikusowa ndicho kupeza chidwi chomwe chimaperekedwa ku matendawa omwe sagwidwa ndi matendawa ndipo nthawi zambiri samamvetsetsa komanso sakudziwa. "
Ndili ngati chithunzithunzi cha chithokomiro pano komanso ngati wothandizira odwala chithandizo cha chithokomiro, ndimalandira ma email ambiri ma sabata kuchokera kwa odwala hypothyroid ku US komanso padziko lonse lapansi omwe akulandira mankhwala omwe amatchedwa "mapiritsi a patsiku" odwala, komanso adakali ndi zizindikiro - anthu omwe amamverera kuti ali ndi mlandu wodwalayo.
Zambiri zotsatila zofanana ndi Tizilombo Forum .
Chowonadi ndi chakuti, pali mitundu yambiri yambiri yomwe imakhudza mankhwala kusiyana ndi "mapiritsi patsiku" ndi zina zomwe mungasankhe, kuphatikizapo mankhwala otulutsidwa nthawi ndi otulutsidwa, mahomoni ena omwe amatha kutulutsa mavitamini ndi mankhwala osokoneza bongo, komanso mankhwala ena osiyanasiyana, makamaka pofuna kuthetsa zizindikiro zambiri zomwe nthawi zambiri zimatsalira PAMBIRI mankhwala - kwa odwala ambiri. Lingaliro limene munthu akadwala atapezeka, "mapiritsi limodzi patsiku" adzathetsa mavuto a chithokomiro omwe amathandiza opanga mapiritsi aang'ono, koma osati odwala. Ndizochititsa manyazi kuti "mapiritsi osavuta patsiku" akulimbikitsidwabe monga momwe bungwe lachipatala lingaganizire bwino, pamene akatswiri ambiri odziwa za matenda a chithokomiro amadziwa kuti matenda a chithokomiro ndi ovuta, osiyana siyana omwe amafuna njira zosiyanasiyana kuti athetsere .