Madokotala anganene mobwerezabwereza kuti matenda a chithokomiro "ndi ovuta kudziŵa, ovuta kuchiza," kapena kuti khansa ya chithokomiro ndi khansa yabwino , koma odwala chithokomiro amadziwa kuti pali mavuto omwe amakhala nawo chifukwa cha matenda a chithokomiro. Tiyeni tione mavuto akuluakulu omwe mungakumane nawo mukukhala ndi matenda a chithokomiro.
1. Kudziwa Zonse Zanu za Hypothyroidism Chithandizo Cha Njira
Kaya muli ndi ayodini ya radioactive (RAI) ya Matenda a Graves, chithokomiro cha khansara ya chithokomiro, kapena Hashimoto's thyroiditis, nthawi zonse mumatha kutulutsa hypothyroid, zomwe zimafuna mankhwala otchedwa hormone m'malo mwake .
Chovuta chachikulu, komabe, ndi kudziwa kuti pali njira zothandizira. Madokotala ochiritsira komanso odwala matenda opatsirana nthawi zambiri amauza odwala kuti pali njira imodzi yokha ya mankhwala: levothyroxine, mawonekedwe a ma hormone T4. Mayina a maina ndi Synthroid, Levoxyl, ndi Tirosint. Komabe, palinso mankhwala ena komanso othandizira omwe ali njira zotetezeka komanso zothandiza kwa hypothyroidism. Simungathe kumva za njirazi kuchokera kwa madokotala ambiri ochiritsira. Njira zina zothandizira izi ndi izi:
- Levothyroxine pamodzi ndi mankhwala a T3, kuwonjezera liothyronine (dzina lachidziwitso ndi Cytomel), mawonekedwe a T3, kapena mankhwala omwe amamasulidwa nthawi yochuluka liothyronine
- Levothyroxine kuphatikizapo chirengedwe chodziwika ndi chithokomiro (NDT). NDT ndi chithandizo cha chithokomiro chomwe chinapangidwa kuchokera ku zithotho zowonongeka za nkhumba, ndipo zakhala zikugulitsidwa kwa zaka zoposa zana ngati mankhwala a hypothyroidism. Zimaphatikizapo mitundu yachilengedwe ya ma hormoni T4 ndi T3. Maina ena a chizindikiro amadziwika kuti Nature-Throid ndi Armor Thyroid.
- NDT-mankhwala okha
Pa zakudya zoyenera kutsogolo, palinso umboni wakuti m'magulu a anthu omwe ali ndi chithokomiro, komanso ali ndi matenda a celiac , kuthetsa kuthetsa zakudya m'thupi mwawo kumatha kuika matenda awo a chithokomiro kuti athetsedwe, kuthetsa zizindikiro, ndi kuthetsa kufunikira kwa mankhwala a chithokomiro.
Kuyesedwa kwa matenda a chilliyumu ndi kusagwirizana kwa gluten sikuchitika kawirikawiri ndi madokotala ochiritsira kapena otchedwa endocrinologists.
2. Kudziwa Manda Anu Onse 'Matenda / Hyperthyroidism Chithandizo Cha Njira
Mukapezeka ndi matenda a Graves kapena hyperthyroidism, chizoloŵezi cha madokotala ambiri ku US ndikupempha mwamsanga kuti mukhale ndi mankhwala ochizira a iodine ablation (RAI) . Akatswiri ena amatcha "Kuthamangira kwa RAI."
Kuchiza kwa RAI kumaphatikizapo kutenga mlingo wa ayodini wothandizira mavitamini, omwe amatha kuwonetsa chithokomiro ndi kuwononga, kuthetsa hyperthyroidism yanu. RAI, komabe kawirikawiri imabweretsa mankhwala osokoneza bongo moyo wonse ndipo zotsatira zake zimafunikira mankhwala a chithokomiro.
Kunja kwa US, komabe madokotala amayesa kugwiritsa ntchito mankhwala osokoneza bongo , omwe amachepetsanso chithokomiro popanda kuwononga konse. Chifukwa chakuti pafupifupi 30 peresenti ya Matenda a Graves ndi odwala hyperthyroidism amatha kukhululukidwa pa mankhwala osokoneza bongo, madokotala kunja kwa US amagwiritsira ntchito mankhwala osokoneza bongo ngati mankhwala oyamba omwe amalangiza RAI ngati pali zowononga kapena kukhudzidwa kwa mankhwala, kapena Mankhwala samathandiza kuthetsa hyperthyroidism.
Matenda ena a Manda ndi a hyperthyroidism ogwira ntchito ku US sanauzidwe kuti mankhwala osokoneza bongo amatha kusankha.
Amaperekedwa ndi RAI ngati chithandizo chokha.
Vuto lina ndiloti kwa amayi otha msinkhu wobereka, RAI sichivomerezedwa ngati mukukonzekera kutenga mimba chaka chotsatira. Akatswiri amalangiza kuti mudikire osachepera chaka kuchokera kwa RAI musanayambe kutenga mimba, kapena ngakhale patali ngati mukufuna kuti mukhale ndi chithandizo cha chithokomiro.
Kunja kwa US, RAI samachitidwa kawirikawiri kwa amayi alionse a zaka za kubala, chifukwa cha chifukwa chomwecho. M'malo mwake, kuchotsa opaleshoni ya chithokomiro kumatchulidwa nthawi zonse.
Apanso, ku US, amayi ambiri samalangizidwa ndi madokotala kuti ngati akuyembekeza kutenga mimba chaka chotsatira, opaleshoni ikhoza kukhala yabwino komanso kuti atakhala ndi mahomoni otere, akhoza kutenga pakati, m'malo moyembekezera.
3. Kupeza Madokotala Oyenera
Imodzi mwa mavuto aakulu omwe mungakumane nawo ndi kupeza dokotala woyenera pa chithandizo chanu cha chithokomiro. Mukadwala matenda a Graves kapena hyperthyroidism, chithokomiro chimagwedeza, kapena khansara ya khate, mumayenera kuwonana ndi katswiri wamagetsi. Koma akatswiri ambiri otchedwa endocrinologist amadziwika kwambiri ndi matenda a shuga ndipo ali ndi luso lokhazikika lodziŵa komanso kuyang'anira odwala chithokomiro.
Choncho, chigawo chachikulu cha odwala matenda a chithokomiro ndi ochepa kwambiri. Mofananamo, pamene muli ndi chithokomiro cha Hashimoto kapena mukusunga chithunzithunzi chokhazikika cha mankhwala, mungapeze kuti madokotala oyambilira omwe amagwiritsa ntchito njira zoyenera kutsogolo, ndikupereka njira zochepetsera mankhwala. Zida ziwiri zokuthandizani kuthetsa vutoli:
- Odwala Chithokomiro: Kodi Ndi Dokotala Wotani Amene Muyenera Kuwona?
- Kusankha Ogwira Ntchito pa Thandizo Lanu la Chithokomiro
4. Kuchepa kwa Ophunzira a Endocrinologist
Odwala matenda otchedwa Endocrinologist amadziwika bwino poyang'anira matenda a endocrine kuphatikizapo matenda a shuga-omwe akufikira mliri wambiri ku US- komanso zinthu zomwe zimaphatikizapo matenda osabereka ndi obereka, polycystic ovary syndrome, kuchepa kwa thupi, matenda odwala matenda a m'mimba, kufooka kwa hormone, komanso matenda a chithokomiro. Ku United States, tili ndi kusowa kwakukulu kwa akatswiri a zachipatala .
Kafukufuku wina amalingalira kuti pali katswiri mmodzi yekha wamatope a zikwi za anthu omwe ali ndi zikhalidwe zomwe zimagwirizana ndi akatswiri a zachipatala. Mndandanda wa kuyembekezera kuti muwone masewero otha kufotokozera zachipatala akhoza kukhala kuyambira masabata kufikira miyezi yambiri-Ngati mungathe ngakhale kulowa. Zoona zake n'zakuti palibenso okwanira kuti atha kukhala ndi matenda a chithokomiro. Ngakhale zili choncho, akatswiri ambiri okhulupirira zachipatala amakhala ndi chidwi kwambiri, ndipo amaganizira kwambiri odwala matenda a shuga, kapena kuti odwala matenda a shuga, ndipo musatenge odwala chithokomiro. Ngakhale kuti akatswiri a sayansi yamakono sakufunika kuti apeze chithandizo ndi chithandizo cha matenda a Hashimoto ndi hypothyroidism , iwo ndi ofunika pa zovuta monga matenda a Graves, matenda a chithokomiro, ndi khansa ya chithokomiro.
5. Kulimbana ndi Kutopa
Chimodzi mwa zodandaula zambiri za odwala chithokomiro-kaya hypothyroid kapena hyperthyroid-ndi kutopa kosalekeza komanso kosalekeza. Kutopa kumatha kufooketsa ndipo nthawi zambiri sungatheke chifukwa chogona mokwanira kapena kupumula. Kutopa kumakhala kofala kwambiri ngati hypothyroidism yanu sichikuchitidwa bwino kapena ayi, kapena ngati muli ndi hyperthyroid ndipo mukusowa tulo ndi kupuma. Koma pali zothetsera vutoli .
6. Kusamalira thupi lanu
Chiwerengero chachikulu cha anthu omwe ali ndi hypothyroid chimatha ndi kulemera kwina kovuta-ndipo nthawi zina kumawoneka kosatheka-kutaya. Ichi ndi chimodzi mwa zodandaula zazikulu za anthu ambiri omwe ali ndi chithokomiro: kuti kudula kansalu, kusintha zakudya, kapena kuchita masewero olimbitsa thupi kumatha kusuntha njirayo.
Pali zifukwa zingapo zomwe zingapangitse odwala chithokomiro kukhala olemera, kuphatikizapo :
- Kusamalidwa moperewera kapena kuperekedwa kwapadera kwa hypothyroidism
- Kuchepetsa kuchepa kwa maselo kapena kupitirira malire, ngakhale pambuyo pa chithandizo
- Kuwonjezeka kwa chiopsezo cha kuteteza insulini ndi matenda opatsirana
- Mphamvu zochepa, zomwe zimamasulira zochepa zolimbitsa thupi ndi zochepetsera zocheperako
- Kusintha kwa mahomoni komwe kumakupangitsani kukhala ogwira ntchito yosungira mafuta ndi osagwira ntchito poyatsa
Pali njira zothetsera odwala chithokomiro olemera .
7. Kulimbana ndi Kusintha kwa Mkhalidwe Wokhudzana ndi Chithokomiro
Kusadziwika, kutsekedwa pansi, komanso kutsekedwa kwa matenda a chithokomiro kungayambitse mndandanda wa maonekedwe ndi zizindikiro za matenda. Kusokonezeka maganizo, ubongo wa ubongo, mavuto a kukumbukira, kusokonezeka maganizo, ndi nkhawa kungathe kugwirizana ndi chithokomiro chanu. Mukhoza kukhala ndi zizindikiro zomwe zimakhudza maganizo anu ndipo zimasokoneza mphamvu yanu kuti mugwire bwino ntchito.
Zizindikirozi zingakhale zovuta pamene mukuyesera kupeza matenda, monga madokotala ena amakupatsani mankhwala ochepetsa matenda opatsirana pogonana kapena mankhwala osokoneza bongo mmalo mwa labu kuti mukhale ndi gulu la chithokomiro. Ngakhale mutachiritsidwa, mukhoza kukhalabe ndi zizindikiro zina zomwe zimayambitsa matenda a chithokomiro.
Chofunika kwambiri, njira yothetsera vutoli ndiyo kukhala ndi chithandizo chabwino kwambiri cha chithokomiro chanu. Nthaŵi zina, mankhwala opatsirana pogonana kapena osakanikirana angathandize. Koma musanyalanyaze phindu lazochita zina, zomwe zinafotokozedwa ndi Dr. Jan Nicholson, yemwe ndi katswiri wa maganizo.
Mungapezenso mpumulo wa kupsinjika maganizo ndi nkhawa mwa kuphatikizapo chizolowezi chosinkhasinkha .
8. Amuna Osadziwika ndi Odalirika
Mwatsoka, mungakumane ndi madokotala osadziŵa bwino komanso osamvetsetsa, ndipo amakumana ndi vuto kwa aliyense amene ali ndi matenda aakulu, kuphatikizapo odwala chithokomiro. Ngati muli ndi khansa ya chithokomiro, mungakumane ndi madokotala abwino (koma odetsa) omwe amakuuzani kuti "khansa ya chithokomiro ndi khansara yabwino," pamene aliyense amene ali ndi khansara amadziwa kuti khansara si yabwino "kuchokera kwa wodwalayo.
Kapena, mukhoza kuthamanga kwa madotolo omwe amaumirira kuti mankhwala omwe amapezeka ndi chithokomiro amachokera ku ng'ombe (zomwe zimachokera ku nkhumba), ndipo zimayambitsa matenda a ng'ombe zamisala.
Kapena mungakhale ndi dokotala wosakwatiwa amene amatsutsa kuti chithunzithunzi chosagwirizana ndi chithokomiro chimatanthauza kuti muyenera kukhala opaleshoni ya chithokomiro, osadziŵa kuti mayeso a Afirma ochokera ku Veracyte angathe nthawi zonse kutsimikizira khansa ya chithokomiro kuchokera ku zotsatira za biopsy, ndi kupeŵa zopanda pake opaleshoni.
Malangizo abwino kwambiri mukakumana ndi mmodzi wa awa osaphunzira kapena osamvetsetsa: Ndi nthawi yoti adziwe dokotala watsopano wa chithokomiro .
9. Banja, Amzanga, ndi Ogwira Ntchito Amene Simumamvetsa
Kwa odwala ambiri a chithokomiro, matenda a chithokomiro samayambitsa kusintha kwina kunja. Simungakhale ndi kusintha kwakukulu kapena umboni wina wowoneka wa chikhalidwe chanu. Pa nthawi yomweyo, pali olemekezeka ena - Sofia Vergara wa Masiku ano amabwera m'maganizo-omwe amalankhula ndi anthu omwe amalimbikitsa chithandizo cha mankhwala a chithokomiro, kufalitsa uthenga wakuti matenda a chithokomiro sali mphepo yochizira.
Mutha kudziŵa odwala a chithokomiro amene, atatha kupeza matenda, atenga mapiritsi awo, ndipo alibe kusintha kulikonse mwa momwe amamvera, ndipo chifukwa chake, samakhulupirira kuti odwala chithokomiro ena amakhalabe ndi zizindikiro zosasinthika.
Izi zikhoza kutanthauza kuti abwenzi, abambo, ndi anzanu akukumana ndi zovuta kumvetsetsa zomwe mukukumana nazo, ndipo alibe chifundo kapena chifundo pazovuta zanu. Yankho la vutoli? Awapatseni limodzi mwa makalata awa kuti awathandize kufotokozera mkhalidwe wawo kwa iwo:
10. Masiku Pamene Mukungofuna Kutaya
Imodzi mwa mavuto omwe odwala matenda a chithokomiro amakumana nawo ndi masiku omwe mukufuna kungosiya. Zikuwoneka kuti n'zosatheka kupeza dokotala woyenera, mankhwala abwino, kapena moyo wabwino kusintha kuti athetse zizindikiro zosalekeza monga kutopa, kulemera, kapena kupsinjika maganizo. Tsitsi lanu likugwera ndipo palibe chikuwoneka ngati chikulepheretsa, kapena mukugona maola 12 ndikuwukabe mukutopa. Kodi ndi mfundo yanji, mungafunse? Ngati inu, monga odwala ambiri a chithokomiro, mufike kumapeto kwa chingwe chanu polimbana ndi matenda anu a chithokomiro, dziwani kuti simuli nokha . Pali anthu ambiri kunja komwe omwe amadziwa momwe mumamvera, ndipo amatha kuthetsa maganizo amenewa.
> Zotsatira:
> Bahn, R., Burch, H, Cooper, D, et al. Hyperthyroidism ndi Zina Zimayambitsa Thyrotoxicosis: Malangizo Otsogolera a American Thyroid Association ndi American Association of Clinical Endocrinologists. Chitetezo cha Endocrine. Vol 17 No. 3 May / June 2011.
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.
> Ch'ng, CL, ndi. al. "Matenda a Celiac ndi Matenda a Chithokomiro Odzichepetsa." Clinical Medicine & Research. 2007; 5 (3): 184-192. do: 10.3121 / cmr.2007.738.
> Garber, J, Cobin, R, Gharib, H, et. al. Malangizo Okhudza Zipatala za Hypothyroidism M'zochitika Zakale: Ambiri amathandizidwa ndi American Association of Clinical Endocrinologists ndi American Thyroid Association. " Chitetezo cha Endocrine. Mph. 18 No. 6 Novemba / December 2012.
> Roy, A, ndi. al. "Kukula kwa Matenda a Kachilendo Odwala Odwala Matenda a Chithokomiro Omwe Amasintha: Meta-Analysis." Chithokomiro. 2016 Jul; 26 (7): 880-90. do: 10.1089 / thy.2016.0108.