Odwala chithokomiro ambiri amayembekeza kuti amve zizindikiro za hypothyroid nthawi yozizira. Zizindikiro zotero monga kutopa, kudzimbidwa, tsitsi, ndi khungu louma-lomwe lingatheke bwino pakapita miyezi yotentha-kubwerera kapena kuwonjezeka pamene kutentha kunja. Komanso, anthu omwe ali ndi hypothyroidism nthawi zonse amanena kuti kuwonjezeka kwa kulemera (kapena kuvutika kwambiri kutaya thupi) m'miyezi yozizira, nayonso.
Poyankha, odwala ena ndi madokotala amapanga patsogolo , kukonzekera kuchuluka kwa mankhwala a chithokomiro monga mankhwala otentha monga kutentha kutentha. Mofananamo, ngati nyengo yofunda imayamba, akhoza kupanga kuchepa kwa mankhwala a chithokomiro kuti akhalebe ndi chithokomiro chokhazikika komanso mosamala kwambiri.
Zimene Kafukufuku Amatiuza
Kafukufuku waposachedwapa wotchedwa Thyroid akutsimikizira kuti pali kusiyana pakati pa nyengo ndi chithokomiro. Komanso, izi zingakhudzire kwambiri chithandizo cha mankhwala a hypothyroidism .
Phunzirolo, lomwe linachitidwa ku yunivesite ya Ben Gurion ku Israel, linayesa pafupifupi 250,000 omwe amachititsa mayesero omwe amachititsa kuti anthu azisaka 40,000 azisokonezeka. Izi zikuyerekeza ndi kuwerenga 2.2 miliyoni TSH kuyesedwa kuchokera pafupifupi 900,000 anthu okhala ndi chithokomiro choyenera.
Kuwunika kumeneku kunachitika pakati pa January 2013 ndi March 2017 ndipo kafukufuku anapeza zotsatira zosangalatsa:
- Azimayi khumi ndi awiri ndi makumi asanu ndi atatu mphambu khumi ndi awiri (33) aliwonse amaphunzira anali ndi TSH m'munsi mwa zolembera ndipo asanu ndi anayi mpaka 17 peresenti anali ndi zaka zochepa pamwezi uliwonse.
- Amuna makumi awiri ndi atatu mphambu makumi asanu ndi atatu mphambu makumi asanu ndi anayi (43) aliwonse ali ndi magawo pamwamba pa zolembera zowerengera ndipo asanu ndi awiri mpaka 23 peresenti anali ndi magulu pansi pa zowerengera za mwezi uliwonse.
- Zotsatira za mlingo wa mwezi wa TSH zinali zazikulu kwambiri m'miyezi yozizira (November mpaka February) poyerekeza ndi miyezi ya chilimwe (June mpaka September) kwa amuna ndi akazi, kaya anali hypothyroid kapena anali ndi chithokomiro choyenera.
- Azimayi, ambiri, akuwonjezeka kwambiri mu ma TSH m'nyengo yozizira komanso kuchepa kwazing'ono m'magulu a TSH m'chilimwe, poyerekeza ndi amuna omwe adaphunzira.
- Mwa amuna opitirira 65, komabe, kuchuluka kwa iwo omwe anali pamwamba pa zolembera zamakono kunali kwakukulu kwambiri m'nyengo yozizira poyerekeza ndi chilimwe.
Chofunika kwambiri kwa anthu omwe ali ndi hypothyroidism, ochita kafukufukuwo anapeza kuti ambiri mwa odwala hypothyroid omwe amawona kuti anali opambana kwambiri .
Makamaka, chiwerengero chapamwamba cha anthu omwe anaphunzira omwe akuchiritsidwa ndi hypothyroidism anali ndi TSH maulendo pamwamba pa zolembera zochitika chaka chonse. Ndipo, magulu a TSH a mamembala omwe anali hypothyroid adakula kwambiri m'nyengo yozizira kusiyana ndi gulu lomwe liri ndi kachilombo kachitidwe kake.
Kodi Izi Zimatanthauza Bwanji Odwala Chithokomiro?
Chithokomiro chimayesetsa kusunga malo otchedwa homeostasis (balance) pogwiritsa ntchito kutulutsa mahomoni a chithokomiro, ziribe kanthu zomwe zimachokera kunja. Mofananamo, thupi limalimbikitsa kutentha kwa mkati mwa 98.6 ° Fahrenheit, ngakhale kutentha kunja.
Koma, chithokomiro chimaganizira kusintha kwa kutentha. Zimayambitsa kupanga mahomoni pamwamba ndi pansi chifukwa cha kusintha kwakukulu kwa kutentha kapena kutentha kwa nyengo yotentha kapena yozizira.
Makamaka, kafukufuku amasonyeza kuti nyengo yozizira ndi nyengo-kapena kutentha kwa nyengo yoziziritsa-imatha kuchepetsa mahomoni a chithokomiro ndikuwonjezera mazinga a TSH. Mofananamo, nyengo yozizira ndi nyengo-kapena kutentha nthawi zonse kutentha-zimatha kuchulukitsa mahomoni a chithokomiro ndi kuchepetsa miyeso ya TSH.
Mawu Ochokera
Kwa anthu omwe ali ndi hypothyroidism, kuwonjezeka kwa nyengo kozizira m'masamba a TSH kungaperekedwe ndi kuwonjezereka kwa hypothyroidism zizindikiro.
Zotsatira za nyengo yozizira zingakhale zotetezedwa ndi kusintha kwa mayeza a chithokomiro m'malo mwake.
Ngati mumakhala kumadera ozizira ozizira, akusunthira ku nyengo yozizira, kapena kuyembekezera nthawi yochulukirapo m'deralo lomwe liri ndi temperature yozizira kwambiri, yerekezerani kukambirana za chithandizo chanu cha chithokomiro ndi wothandizira zaumoyo wanu.
Poyamba, mungafunike kukonza ndondomeko yowonongeka yambiri ya chithokomiro musanayambe kapena kusuntha kutentha kotentha. Izi zikhazikitsa maziko anu oyambirira. Kenaka, maguluwa ayambiranso kufufuza masabata asanu ndi limodzi kapena asanu ndi atatu mutangoyamba kumene kuzizira. Izi zidzatsimikiziranso ngati mukufunikira kusintha kwa mlingo wanu wa mankhwala otentha a hormone m'malo mwake.
Ngati mukuwonjezera mlingo wanu poyankha kutentha kwazizira, musaiwale kukonzekera patsogolo ndi dokotala wanu. Onaninso momwe mungayendere ndi / kapena kuchepetsa mlingo wanu kuchepa pamene nyengo yofunda imabwerera kapena mukabwerera kumadera otentha.
> Zotsatira:
> Arbelle, JE et al. "Kusiyanasiyana kwapakati pa Matenda a Chithokomiro Chotsatira pa Zotsatira za TSH kuchokera kwa Hyperothyroid-Treated and Healthy Individual Over Time." Chithokomiro. October 2017, 27 (S1): A-166-A-188.
> Hoermann, R. ndi. al. "Homeostatic Control ya Chithokomiro-Pituitary Axis: Zomwe Zilipo Podziwa Matenda ndi Chithandizo." Front Endocrinol. 2015; 6: 177.
Maslov, LN, et. al. "Ntchito ya chithokomiro imakhala yozizira." Ross Fiziol Zh Ndi IM Sechenova. 2014 Jun; 100 (6): 670-83.