Zowopsa Zopangitsa-ndi-Zotsatira za Kuwala
Palibe chiwalo chimodzi chokha cha thupi kumene kusuta fodya kuli kochepa kuposa kovulaza. Pamene nthawi zambiri timaganizira za zotsatira za kusuta pamapapo, mtima, ndi khungu, chithokomiro chimatha kupwetekedwa kwambiri ndi ntchito yosavuta.
Izi ndi zowona makamaka kwa anthu omwe ali ndi matenda a chithokomiro omwe amasuta amakhala ndi chiyanjano-ndi-zotsatira: mbali imodzi, kuonjezera chiopsezo cha matenda monga Matenda a Manda pamene akuipitsa zizindikiro zokhudzana ndi hypothyroidism ndi matenda a Hashimoto.
Kusuta ndi Kuwonongeka kwa Chithokomiro
Utsi wa fodya uli ndi zinthu zomwe zimakhudza ntchito ya chithokomiro ndi gland lokha. Chimodzi mwa zigawozi ndi cyanide yomwe, pamene akusuta, imasanduka anti-chithokomiro chotchedwa thiocyanate. Thiocyanate imadziwika kuti imateteza kuyamwa kwa ayodini mu chithokomiro chomwe chimachepetsanso kupanga mahomoni omwe amayenera kuteteza chiwindi, minofu, ndi ziwalo zina zamagulu.
Pomwe munthu ali ndi matenda a hypothyroidism (otsika chithokomiro), izi zimangowonjezera zizindikiro (kutopa, kupindula, kutengeka maganizo) ndi kubwezeretsa zambiri zomwe zimaperekedwa kuchipatala. Kutupa kosalekeza kungapangitsenso kukula kwa chigoba chomwecho, chomwe chimakhudza kwambiri anthu okhala ndi Graves 'kapena matenda a Hashimoto:
- Matenda a Grave , mawonekedwe a hyperthyroidism omwe amadziwika ndi kukulitsa chithokomiro ( goiter ), amapezeka kaŵirikaŵiri pamasuta kuposa osasuta. Komanso, anthu omwe ali ndi matendawa, kusuta kumayambitsanso kuwonjezereka kwa matenda, kuwonongeka kwa zizindikiro, ndi kuchitapo kanthu kosauka pa chithandizo cha chithokomiro.
- Ubale pakati pa kusuta ndi matenda a Hashimoto, matenda osokoneza bongo omwe amagwirizana ndi hypothyroidism, sali omveka bwino. Kodi mukudziwa chiyani, kuti kusuta kumawoneka kuti kumapangitsa kuti chithokomiro chichepetse ndikupangitsanso kuti anthu azikhala ndi vutoli?
Kusuta ndi Mavuto a Diso
Imodzi mwa zotsatira zovuta kwambiri za kusuta ndiyo yomwe imakhudza kwambiri masomphenya, makamaka mwa anthu omwe ali ndi matenda a umoyo wa Graves (matenda omwe amadziwika ndi kutupa, maso opunduka).
Kafukufuku wina womwe unachitika mu 2014 unamveka kuti anthu omwe amasuta fodya ndi Matenda a Graves amatha kuwonongeka mofulumira, kuphatikizapo kukula kwa masomphenya awiri, kuwongolera kwa kayendetsedwe ka maso, ndi kuwonongeka kwa mitsempha yosasinthika.
Zambiri zokhudzana ndi matenda a mafupa a m'manda (mwachizoloŵezi ndi steroids ndi radioiodine) zikuwoneka kuti ndi osuta mobwerezabwereza kuposa osuta fodya.
Kusuta ndi Khansara ya Chithokomiro
Khansara ya chithokomiro lero ndi khansa yachisanu ndi chitatu yowopsa kwambiri ya amayi. Ngakhale zingakhale zomveka kuganiza kuti kusuta ndi chinthu choopsa, monga khansara ya m'mapapo ndi mmero, maphunziro omwe alipo tsopano akhala akutsutsana kwambiri.
Kafukufuku wina amene anatulutsidwa mu 2012 anati, pakati pa 331 amayi omwe anali ndi matenda a khansa, omwe anali ndi khansara, panalibe kusiyana kwakukulu pakati pa amayi omwe amasuta kapena osasuta. Ndipotu, kafukufukuyu ananena kuti anthu osuta fodya amachepetsa kuchepetsa matenda a khansa, zomwe ofufuzawo adavomerezazo zinali "zosokoneza."
Kafukufuku wina kuyambira kale anawonetsa zotsatira, ngakhale zowonjezera (khansa) okhwima kusiyana ndi khansa yosayenerera (yachinyamata). Momwemo, ndizotheka kusuta kungakhudzire kwambiri chilakolako chotukuka kusiyana ndi chomwe chiripo.
Mawu Ochokera
Zonse zomwe zimapindula ndudu za fodya zimapereka malipiro poyerekeza ndi phindu la kusiya. Pamapeto pake, palibe kuganizira kuti kusuta kumangowonjezera zizindikiro za chithokomiro, kufulumizitsa kukula kwa matenda anu, ndikupangitsa kuti chithandizo chanu cha chithokomiro chisagwire bwino ntchito. Ndipo, pamene ena angaganize kuti ndi bwino kusuta muli ndi khansa ya chithokomiro ("chifukwa sichikhoza kuipitsa"), ganiziraninso.
Kusuta sikungakhudze chotupa chomwecho, koma chikhoza kuonjezera chiopsezo cha masastasis, kufalitsa khansa kupitirira malo a chotupa ku mbali zina za thupi.
Mapulani ambiri a inshuwalansi masiku ano amapereka kusuta fodya kumapeto kwa mankhwala monga gawo la phindu lawo pachaka. Ngati muli ndi vuto kutsutsa chizolowezi, lankhulani ndi dokotala wanu za mankhwala omwe angakuthandizeni.
> Zotsatira:
> Kabat, G ;; Kim, M .; Wactawski-Wende, J .; ndi Rohan, T. "Kusuta, ndi kumwa mowa poyerekezera ndi chiopsezo cha khansa ya chithokomiro m'mayi omwe amachititsa anthu amantha." Kansa Epidemiol. 2012; 36: 335-40.
> Sawinka-Gutaj, N .; Gutaj, P .; Sowinski, J ;; et al. "Kusokonekera kwa kusuta fodya pa chithokomiro - chosinthika." Endo Pol. 2014; 65 (1): 54-62.