Phunziro la ku Italy limapangitsa kuwonjezeka kwa nkhawa
Anthu ambiri akhala akundifunsa za maphunziro a ku Italy omwe amayang'ana khansa ya levothyroxine ndi khansa ya m'mapapo.
Zimene akuphunzira ku Italy zikusonyeza kuti levothyroxine imapangitsa kuti munthu azikhala ndi nkhawa yeniyeni-njira yomwe imapangitsa thupi kuti lisokoneze ndi kukonzanso kuwonongeka. Kupanikizika kwa oxidative ndilo vuto la matenda, ndipo pakadali pano, iwo adapeza chiopsezo chochepa cha khansa yamapapo yomwe ingakhale-koma sichiwonetsedwa kuti ndi-chifukwa cha nkhawa ya oxidative ya levothyroxine.
Mapapu amafuna hormone ya chithokomiro kuti igwire bwino. Hypothyroidism imagwirizanitsidwa ndi zovuta zosiyanasiyana m'ziwalo, ziphuphu, ndi ziphuphu. Komabe, ochita kafukufukuwo adanena kuti sangathe kunyalanyaza lingaliro lakuti hypothyroidism yokhayo ingathandize kuti chiwopsezo cha khansa ya m'mapapo chiwonjezeke, osati kuti levothyroxine imagwiritsidwa ntchito kuchipatala.
Ndinapempha dokotala wina wa ku Harvard, dzina lake Richard Shames, MD, yemwe analemba mabuku ambiri pa matenda a chithokomiro, kuphatikizapo Chithokomiro chaposachedwapa, kuti atchulepo phunziroli.
Nditawerenga mosamalitsa nkhani yoyambirira yopenda ku Italy, sindikukondwera .Choyamba, sindinakondwere ndi pepala loyambirira la ku Italy. Ichi chinali chophweka kwambiri komanso chosagwirizanitsa mafupa onse a levothyroxine ogulitsidwa ku Italy ndi chiwerengero cha akazi ku Italy omwe ali ndi khansara yamapapo. Kugwirizana kwakukulu koteroko sikulibe kanthu ndi "chifukwa." Olembawo amasonyeza kuti mgwirizanowu uli ndi vuto la khansa ya m'mapapo, koma kafukufukuyu sali wowonetsera.
Blogger imasonyeza kuti odwala ayenera kusankha njira yowonjezera yakuchizira, kapena kugwiritsa ntchito mankhwala ena osati levothyroxine.
Ndi kafukufuku wochepa, sitidziwa ngati izi zingayambitsenso 'khansara, mwina kuchokera ku vuto lomwelo lakumangirira kwa okosijeni kapena chifukwa china chosadziwika.
Kafukufukuyu akugogomezera "kupsinjika kwa okosijeni." Choyamba, sizikudziwikiratu kuti mankhwala ochizira kwambiri omwe ali ndi levothyroxine ndiwo omwe amachititsa kuti azikhala ndi nkhawa. Chachiwiri, sizikudziwikanso kuti kupsyinjika kwa okosijeni ndiko chifukwa chachikulu cha khansara yamapapo. Chachitatu, zikuwonekeratu kuti kupeĊµa chithandizo cha levothyroxine kudzakuthandizani kupewa khansa ya m'mapapo yosayembekezeka kwambiri.
Kwenikweni, zokambirana za khansazi zimayikidwa bwino pamoto wammbuyo mpaka kafukufuku wochuluka ndi wabwino akupezeka.
Momwe ndingavomereze ndi lingaliro losagwiritsa ntchito levothyroxine pokha, sindingagwiritse ntchito zotsatilazo ngati zongoganizira zogwirizana nazo. Komanso ndimakhulupirira kuti anthu ambiri amakhulupirira kuti ngati "levothyroxine imayambitsa khansa ya m'mapapo" imagwiritsidwa ntchito ngati njira yowopsya, kapena ngati chifukwa chosankhira chithandizo cha chithokomiro chochepa.
Ndikugwirizana ndi nkhawa za Dr. Shames zokhudzana ndi kafukufuku. Ndinkafunanso kuzindikira zinthu zambiri zokhudza nkhani ya GreenMedInfo yomwe inakhudza nkhaniyi makamaka, mawu awa ochokera ku Sayer Ji:
Zoona zake n'zakuti nthawi zambiri matenda a hypothyroidism amapezeka m'magawuni omwe ali ndi vuto loperewera kwa zakudya ndi mankhwala, kapena amene akungodutsa kanthawi kochepa pa chithokomiro potsatira kusintha kwa chilengedwe, monga masoka achilengedwe dontho limene limapezeka mwa amayi atabadwa. Ngakhale kugwidwa kovuta kwa nkhawa ndi kugonjetsedwa kwa adrenal kusakwanira kungachititse kuti mankhwala a chithokomiro asamagwire ntchito.
Nthenda ya Hashimoto, yomwe imayambitsa matenda a hypothyroidism kudziko lakumadzulo, ndiyo matenda omwe amachititsa kuti anthu ambiri azidwala. "Kufooka kwa zakudya ndi mankhwala oopsa" -kuphatikizapo kusintha kwapadera, kupsinjika maganizo, ndi kuwonongeka kwapadera-ndizo zingapo chabe zomwe zimakhudzidwa ndi chitukuko cha Hashimoto ndi hypothyroidism.
Ji akufunsanso kuti: "Chifukwa chiyani kutchula kuti kusowa kwa mchere kumapangitsa kuti T4 ikhale ndi matenda a monolithic monga" hypothyroidism? "Bwanji osangotchula kuti selenium yosowa? Kapena, ngati fluoride, mercury, kapena mankhwala ena alionse osowa m'thupi Kuchulukitsa mankhwala otchedwa selenium-dependent glutathione kumayambitsa "chithokomiro chochepa," bwanji kuitanitsa mankhwala poizoni "hypothyroidism"?
Odwala Chithokomiro ndi madokotala amadziwa kuti kuchepa kwa mchere ndi chimodzi mwa zinthu zambiri mu hypothyroidism. Hyspothyroidism sizingatchulidwe ngati "selenium-matenda osowa." Kuwonjezera selenium, pamene kungathandize kuchepetsa matenda a antibodies kwa odwala ena, sikuchiza matenda ambiri a hypothyroidism-mankhwalawa ndi mankhwala a chithokomiro.
Koma za mankhwala ndi poizoni, ngakhale pali umboni wina woti angayambitse matenda a chithokomiro pamagulu a odwala, kuchotsa poizoni sikungokhala "mankhwala" kapena "mankhwala" chifukwa cha matenda a chithokomiro.
Ndimagwirizana ndi Ji kuti dziko la zamankhwala silikuchita mwakhama kufufuza zomwe zimachititsa kuti zakudya zisawonongeke komanso zowonongeka poyendetsa galimoto komanso makamaka hypothyroidism, komanso kuti levothyroxine ikhoza kuyambitsa matenda oopsa.
Koma monga Dr Shames, ndikukhulupirira kuti msanga sada nkhawa kuti "levothyroxine imayambitsa khansara ya mapapo" -kuphunzira uku sikupereka umboni wokwanira wochititsa kuti alamu ayambe kudwala.
Izi zati, ndizochita thanzi labwino, makamaka makamaka kwa odwala chithokomiro kutenga levothyroxine, kuonetsetsa kuti akudya zakudya zopatsa thanzi. Izi zikutanthauza kuti zakudya zambiri zowonjezera mavitamini ndi ndiwo zamasamba, zomwe zimagwirizanitsidwa ndi kuchepetsa chiopsezo cha khansa, kuphatikizapo khansa ya m'mapapo, ndipo amadziwika kuti amatsutsidwa ndi vuto lopanda matenda.
Chitsime:
Cornelli, Umberto et. al. "Levothyroxine ndi khansa ya m'mapapo mwa akazi: kufunika kwa kupsyinjika kwa zowonjezera," Biological Reproductive and Endocrinology , 2013, 11:75 chiku: 10.1186 / 1477-7827-11-75.