Mayankhowo Angasinthe Thanzi Lanu ndi Moyo Wanu
Odwala ambiri a chithokomiro amadziwa zambiri za kafukufuku, mankhwala, zakudya zowonjezera, ndi zakudya. Koma ngakhale wodwala wodalirika sangathe kudzifunsa mafunso ena ofunika pa matenda a chithokomiro omwe angathe kutithandiza kuti tizimva bwino ndikukhala moyo wabwino.
1. Kodi Muli ndi Mankhwala Oyenera Kwa Inu?
Odwala ambiri a chithokomiro-kaya muli ndi chithokomiro chowopsa (RAI) cha hyperthyroidism, opaleshoni yakuchotsa khansara ya chithokomiro kapena mitsempha, kapena imachepetsanso chifukwa cha matenda omwe amachititsa kuti munthu adwale matendawa.
Izi zikutanthauza kuti mumayenera kutenga mankhwala osokoneza bongo . Kawirikawiri madokotala ambiri amapereka mankhwala a levothyroxine, omwe amachititsa thyroxine, ma hormone T4. (Mayina omwe amagwiritsidwa ntchito amodzi ndi monga Synthroid, Levoxyl, ndi Unithroid ndi Tirosint .)
Kafukufuku wasonyeza kuti ambiri mwa odwala hypothyroid amakonda makamaka mankhwala othandizira a T4 ndi T3 , omwe amachititsa mahomoni otulutsa chithokomiro. Izi zikhoza kupyolera mwa kuwonjezera mawonekedwe opangira mankhwala a T4 / T3 . Mawu achiyero kwa mankhwala a T3 ndi liothyronine, ndipo chizindikiro ndi Cytomel. T3 imapezekanso ndi mankhwala kuchokera ku ma pharmacies ophatikizidwa mu mawonekedwe otulutsidwa nthawi. Chinthu chinanso chimene chimachitidwa ndi chithokomiro (NDT), chithokomiro chowuma cha nkhumba, chomwe chimatchedwanso chithokomiro cha porcine. Mafakitale omwe amapezeka kawirikawiri ndi Zachilengedwe, Chithokomiro cha Withokomiro, ndi Zida Zankhondo. Palinso NDT yowonjezera yopangidwa ndi Acella.
Palibe mankhwala abwino kwa aliyense.
Mankhwala opanga chithokomiro abwino kwambiri m'malo mwa mankhwalawa ndi omwe amatha kuteteza matenda anu bwinobwino. Koma muyenera kuganizira ngati mungapindule ndi kuwonjezera kwa T3 kapena chithokomiro chodziwika bwino .
2. Kodi muli pa mlingo woyenera wa mankhwala?
Osati kokha kuti mukhale ndi mankhwala abwino kwa inu, koma ndikofunika kuti musangodzipangidwira pamagulu omwe akugwera / kutchulidwa, koma mmalo mwake, kuti miyezo yanu ndi "yabwino." Kawirikawiri, ma chithokomiro abwino kwambiri amakhala:
- TSH pansipa 2.5
- T4 yaulere mu hafu yapamwamba ya zolembera (zingakhale zochepa ngati muli pa mankhwala ozunguza mankhwala a T4 / T3)
- T3 yaulere mu hafu yapamwamba, kapena ngakhale pamwamba 25 pa percentile, ya malo otchulidwa
Ngati mwakweza mazinga a TSH, kapena T4 omasuka ndi / kapena ma T3 omasuka pamene mukuchiritsidwa, ndipo mukadali ndi zizindikiro za hypothyroidism, mukhoza kukhala ndi njira yowonjezeramo mankhwala anu.
Werengani nkhani zotsatizanazi zomwe zikuwonetsa malingaliro osiyana siyana omwe amagwiritsidwa ntchito ndi odwala omwe amagwiritsa ntchito mankhwalawa .
3. Kodi Muyenera Kusintha Zakudya Zanu?
Odwala ena a chithokomiro amakumana ndi zovuta kuti azikhala ovomerezeka pa mlingo wawo wa mankhwala otchedwa hormone m'malo mwake. Ena sangathe kulemera. Anthu ena amakhala ndi zowawa komanso zopweteka zomwe zimapitirirabe ngakhale chithandizo. Ndipo komabe, ena amakumana nthawi zonse akuwombera ndi khungu. Ngakhale ngati mankhwala anu ali opangidwa bwino, ngati mupitiriza kukhala ndi zizindikiro zamtundu uwu, zakudya zanu zingakhale zolakwa.
Mwachitsanzo:
- Ngati mumadya masamba ambiri a goitrogenic, angakupangitseni kuti mukhale ndi hypothyroid .
- Ngati mumadya soy kwambiri, zingakupangitseni kuti mukhale ndi hypothyroid, kapena musokoneze mankhwala anu a chithokomiro .
- Ngati muli ndi mphamvu zokhudzana ndi gluten, kudya kwambiri kumayambitsa kutopa, mgwirizano, ululu, kupweteka, khungu, komanso kulemetsa .
- Ngati mumakhala ndi mphamvu ku FODMAPs, kudya zakudya zowonjezera izi zingakupangitseni kuti mukhale osokonezeka ndipo mumayambitsa chisokonezo chamagazi
- Ngati simungathe kulemera, mungafunikire kusinthana ndi zakudya zochepa zomwe zimagwiritsidwa ntchito m'magazi
4. Kodi Mukugona Tuloti?
Mutha kupeza, ngakhale ndi chithandizo chabwino cha chithokomiro, kuti mukumva kuti mukutopa . Chifukwa chofala kwambiri ndi chimodzi chodziwika bwino: kusowa kokwanira, kugona kwabwino. Ngati muli ndi kutopa, onetsetsani kuti mukugwira ntchito ndi dokotala wanu, ndipo muzichita ukhondo wabwino, kuti mukhale ndi maola oposa asanu ndi awiri kapena asanu usiku uliwonse.
Izi ndi zofunika kwambiri ngati mukuyesera kuchepetsa thupi, kapena mwapezeka kuti muli ndi kusiyana kofanana.
Kuphatikiza pa kupeza tulo tambiri, apa pali ena otopa-zinsinsi zolimbana .
5. Kodi Ferritin Yanu ndi Mavitamini D Amene Ali Ochepa Kwambiri?
Ferritin - mawonekedwe a chitsulo chosungidwa-ndi ofunikira kuti chithokomiro chikhale choyenera. Pa zowerengera za 20 mpaka 100, madokotala ambiri ophatikizira amalimbikitsa kuti mayendedwe a ferritin akhale osachepera makumi asanu ndi awiri oyenera kuti azikhala ndi mahomoni oyenera. Ngati mukusowa tsitsi, malangizowo ndi oti msinkhu ndi oposa 80. Mukhoza kuyesa magazi kuti ferritin ayambe kuchita, ndipo kambiranani ndi dokotala wanu ngati mukufunikira. Kumbukirani kuti ngati muonjezera ndi chitsulo, muyenera kutenga maola atatu kapena anayi kupatula mankhwala anu amodzi otchedwa a thyroid.
Vitamini D tsopano akudziwika kukhala woposa vitamini, ndi prohormone. Ndipo ili ndi mbali yofunika kwambiri pa umoyo wathanzi komanso kutaya thupi . Pa zowerengera za 20-100, madokotala ambiri ophatikizira amalimbikitsa kuti mavitamini D akhale osachepera 50 kapena apamwamba.
6. Kodi Zizindikiro Zanu Zimakhala Zosafunika?
Kodi mumayambitsa chithandizo cha chithokomiro, mumakhala bwino, kenako patangopita masabata angapo, mumapeza kuti mwasokonezeka kapena mwathyoka, zizindikiro zanzeru? Kodi mumapeza kuti simungathe kulekerera ngakhale mankhwala ochepa a chithokomiro popanda kuchepa ndi nkhawa? Mukhoza kukhala ndi vuto linalake m'matenda anu a adrenal - mafinya omwe amachititsa mahomoni opanikizika komanso kuthandizira thupi kuchepetsa nkhawa. Kulephera kapena kulephera kwa adrenals kungayambitse matenda obwera chifukwa cha chithokomiro pambuyo poyambitsa mankhwala, kapena kukupangitsani kusamalidwa ndi mankhwala a chithokomiro.
Madokotala ogwira mtima amalimbikitsa kuti muli ndi adrenals omwe amayesedwa ndi mayeso a maola 24 a cortisol / DHEA, ndipo kusalingani nthawi zina kungakonzedwe ndi zowonjezereka pamodzi ndi kusintha kwa zakudya ndi moyo. Nthawi zina sitingakwanitse kumwa mankhwala ovomerezeka a hydrocortisone.
7. Kodi Mukuchitidwa ndi Dokotala Wabwino?
Endocrinologists ndi madokotala omwe ali ndi matenda omwe ali ndi matenda a shuga, kuphatikizapo shuga, kusabereka, ma polycystic ovary syndrome (PCOs), ndi matenda a chithokomiro.
Komabe, akatswiri otchedwa endocrinologists ali ochepa kwambiri ku US ndi padziko lonse lapansi , ndipo ambiri mwa iwo amaganizira kwambiri za matenda a shuga ndi matenda. Chifukwa chodziwika kapena kutsimikizira khansa ya chithokomiro, matenda a Graves, mitsempha, ndi goiter, ndizofunika kuona katswiri wamagulu oteteza matenda a chithokomiro.
Koma pofuna kupeza ndi kuchiza matenda a Hashimoto, kapena kuganizira ndi kusamalira mahomoni a kugonana, chithokomiro, kapena kusalinganizana kwa adrenal, katswiri wamaganizo sangathe kusankha bwino . Odwala ambiri amapeza kuti akutumikiridwa bwino ndi dokotala wothandizira (dokotala amene amadziphatikiza mankhwala ochiritsira komanso achilendo). Madokotala ena omwe amatha kusamalira kusamvana kwa ma hormone angakhale ndi madokotala oyamwitsa, a GPs, a internists, a gynecologists, madokotala osteopathic, madokotala a naturopathic , ndi asing'anga omwe amagwiritsa ntchito kwambiri zaumoyo wa amayi.
Uthenga wochokera kunyumba? Dziwani kuti pali mitundu yosiyanasiyana ya madokotala ndi odokotala omwe mungasankhe kuchokera ku chithandizo chanu cha chithokomiro .
Mawu Ochokera
Kumbukirani kuti ngakhale pamene mukukhumudwa, simuyenera kusiya khama lanu kuti mukhale ndi thanzi labwino komanso kuthetsa chizindikiro chanu .