Oprah Winfrey wapambana akuvutika ndi kulemera kwa zaka zambiri, ndipo zotsalira zake zakhala zikugwedezeka pamutu. Pogwiritsa ntchito njira ina yolemera yolemera m'ma 2000, Oprah adalengeza kuti anadwala matenda a chithokomiro. Kenaka, mutuwu, ngakhale Oprah mwiniwake, adalengeza kuti "adachiritsidwa." Pa webusaiti yake, analemba kuti:
Pamene ndinanena kuti ndinachiritsidwa, ndimatanthauza kuti ndilibenso vuto la chithokomiro chifukwa chakuti chithokomiro changa chimakhala chokwanira tsopano ndipo madokotala anga andichotsa mankhwala enaake a chithokomiro.
Ozengereza Dr. Oz nayenso anayesera kufotokozera nkhaniyi, ndikuuza oprah kuti:
Chabwino, kuti mukhale omveka, mavuto anu a chithokomiro si mavuto omwe nthawi zambiri amakumana nawo. Ndipo ndikutanthauza kuti ngakhale kuti matendawa ndi ofala, pali zinthu ziwiri zomwe zingatheke ndi chithokomiro chanu. Ikhoza kusokoneza, ndiyo hypothyroidism, kapena ikhoza kupitirira, hyperthyroidism. Koma vuto lanu, Oprah, ndipo ndinu wapadera kwambiri, kodi mukukhala ndi phwando lachidwero mu chithokomiro chanu. Inu munali ndi mulu wa zinthu zosiyana zikuchitika mwakamodzi. Ndipo kotero muli ndi matenda awiriwa: Mmodzi anali kukopa chithokomiro ndi ma antibodies; winayo anali kwenikweni akulimbana ndi chithokomiro. Ndipo kotero pamene awiriwo akuyendayenda, iwo akhoza kukubweretsani inu mu malo amtendere-zomwe, zogometsa, ndi kumene inu muli pakali pano.
Chotsani ngati matope, pomwe? Oprah adanena kuti ma chithokomiro ake adabwerera "mmalo mwake." Koma kachiwiri, zokambirana za vuto lake la chithokomiro zikuwoneka kuti zikufunsa mafunso ambiri kuposa momwe anayankhira.
Kodi "phwando lachibale" la chithokomiro? Zoonadi? Kodi ndizo zabwino kwambiri zomwe tinganene pa matenda osokoneza bongo?
Oprah mwiniwakeyo adanena kuti anali ndi nthawi pamene chithokomiro chake chinali chopitirira muyeso (hyperthyroidism), kenaka chitatha (hypothyroidism). Ndipo Dr. Oz 'kufotokozera za ma antibodies anawuza Oprah kuti akhale ndi Hashitoxicosis, vuto limene muli ndi ma antibodies omwe amatsutsa matenda a Hashimoto ndi Graves.
Mankhwalawa amachititsa kuti chithokomiro chikhale ndi mahomoni ochulukirapo, ndipo panthawi imodzimodziyo, amachititsa kuti chithokomiro chiwonongeke ndikuyesera kuchiwononga.
Dr. Oz adanena kuti ma antibodies "adayendetsa," ndipo Oprah adafika "malo amtendere." Ndipo Oprah mwiniwakeyo adamuuza kuti "ma chithokomiro ali osiyana kwambiri tsopano ndipo madokotala anga andichotsa mankhwala alionse a chithokomiro."
Kodi chinachitika chiani? Oprah ayenera kuti adapezeka mumkhalidwe umene amayi mamiliyoni ambiri amakumana nawo chaka chilichonse. Anali wolemera kwambiri, atatopa, akudzikuza, komanso ankachita mantha, koma anali kuuzidwa kuti mazira ake a chithokomiro anali "oyenera." Anasanduka labu la mtengo, ndipo akukhulupirira kuti machitidwe "ochibadwa" amachititsa kuti vuto lililonse la chithokomiro lisamulepheretsere thanzi lake komanso kuchepa kwake. Oprah sanafunse mafunso abwino, ndipo adalephera kufunsa ndi akatswiri ndi madokotala omwe amadziwa matenda a chithokomiro.
Mavuto a Ms. Winfrey ndi kulemera kwake, ndi matenda a chithokomiro anapitiriza. Monga adaonera pa webusaiti yake,
Zomwe ndaphunzira chaka chino ndikuti vuto langa lolemetsa silikudya pang'ono kapena kugwira ntchito molimbika, kapena ngakhale chithunzithunzi chosagwira ntchito. Ndizofuna kuti moyo wanga ukhale wosayenerera, ndi ntchito yambiri, osati masewera okwanira, osati nthawi yokwanira yochepetsera. Ndimalola kuti chitsime chiume.
Pali nzeru zambiri pakufufuza bwino pazinthu zambiri. Kwa amayi, monga Ms. Winfrey, ndi ena omwe amadzipeza kuti ali ndi zowonongeka ndi zotsitsimutsidwa pazokambirana za chithokomiro, apa pali malangizo ena:
1. Dziwani ngati muli ndi makina opanga chithokomiro.
Chifukwa ngati mutero, ngakhale ma chithokomiro ena ali osiyana, mukhoza kukhala ndi zizindikiro, kuphatikizapo kulemera kapena kulemetsa. Ndipotu, kafukufuku wina wasonyeza kuti odwala omwe apititsa patsogolo tizilombo toyambitsa matenda, koma tizilombo toyambitsa matenda, tizilombo toyambitsa matenda timatha kuchepetsa kapena kuimitsa kukwera kwa ma antibodies, kuthandiza kuteteza kupita patsogolo kuti tizilombo toyambitsa matenda, komanso kuthandizira kuthetsa zizindikiro.
2. Pezani zomwe madotolo anu amatanthauza ndi "ma chithokomiro anu onse ali osiyana."
Pali kutsutsana pakati pa madokotala odziwika kuti ndi chiyani chomwe chimatchedwa "zachilendo." Kuchokera m'chaka cha 2003, madokotala ena adalimbikitsa kuti TSH (chithokomiro choyambitsa hormone) chikhale chachiwiri cha .3 mpaka 3.0 kuti chigwiritsidwe ntchito pozindikira ndi kusamalira mavuto a chithokomiro . Ndipo madokotala ena amawombera chiwerengero cha TSH pakati pa 1.0 ndi 2.0 kuti athetse zizindikiro za odwala. Komabe, reference reference amafika pa 5.0 kapena apamwamba ku ma laboratories ena.
Zoona zowopsya: Anthu omwe agwera mu "limbo" pakati pa 3.0 ndi 5.5 ali ndi mwayi wochuluka wouzidwa kuti iwo ndi ochilendo monga momwe amachitira kuti adziwe bwino ndi kuchiritsidwa!
Kuuzidwa kuti miyeso yanu ndi "yachibadwa," choncho, ndithudi, sikokwanira zambiri kwa mkazi aliyense. Pezani nambala yeniyeni, ndi momwe dokotala akugwiritsira ntchito kuti adziwe zomwe zili zachibadwa.
3. Dziwani ngati Free T4 ndi Free T3 zatsimikizidwa.
TSH ndi hormone ya pituitary, koma T4 ndi T3 ndi mahomoni enieni a chithokomiro, ndipo T4 yaulere ndi ma test T3 omasuka amayeza kuchuluka kwa mahomoni omwe amazungulira ndi kupezeka m'magazi. Mu anthu ena, makamaka omwe ali ndi ma antibodies apamwamba, TSH ikhoza kukhala yachibadwa, koma T4 yaulere ndi T3 yaulere ali otsika kapena malire. Izi zikhoza kuwonetsa vuto lodabisa limene limafuna chithandizo. TSH yekha sikokwanira kuti aone bwinobwino chithokomiro.
4. Dziwani ngati mukuvutika ndi kutopa kwa adrenal.
Oprah adati adasiya mankhwala onse chifukwa sankafuna kuti amve bwanji. Mwachiwonekere, ngati atapindula ndi mankhwala a chithokomiro, ayenera kuti anapitilirabe, koma kuphatikiza kwa mankhwala okhudza kuthamanga kwa magazi, kupweteka kwa magazi ndi matenda a chithokomiro kumamupangitsa kuti azivutika kwambiri. Ngakhale kuti mwina adayankha mankhwala ena, timadziwanso kuti, odwala ena omwe ali ndi vuto lotha kutopa, chithandizo cha chithokomiro chimapangitsa kuti azivutika kwambiri . Odwalawa amayamba bwino pamene amayamba ndi thandizo lachilendo (kaya zakudya zowonjezera kapena zakudya zina, kapena mankhwala ovomerezeka a hydrocortisone, kapena onse awiri), kenaka akuyambitsa mankhwala a chithokomiro.
Mawu ochokera
Chifukwa cha iye, tiyeni tiyembekezere kuti mavitamini a Oprah ndi achilendo, ndipo amakhalabe oyenera, ndikuti saga yake yothetsera vuto la chithokomiro sichidzabwereranso. Koma, kupatsidwa ziŵerengero, sizingatheke. Chovuta kwambiri ndi chakuti ulendo wa chithokomiro wa Oprah uli pafupi, ndipo odwala ambiri a chithokomiro, amazindikira kuti akufunikira kuphunzira momwe angathere, kufunafuna akatswiri odziwa bwino komanso okhudzidwa, ndi kukhala ake Limbikitsani ubwino wa chithokomiro.