AQ ndi A ndi Chiropala Dr. Datis Kharrazian
Udindo wa chiropractors monga gawo la chisamaliro cha chithokomiro ndizovuta kwambiri. Mankhwala oletsa tizilombo sangathe kulemba mwalamulo mankhwala alionse, omwe amatanthauza kuti anthu ambiri omwe ali ndi matenda a chithokomiro omwe amafunikira mankhwala samatha kupeza "mankhwala" othandiza kwa hypothyroidism kapena hyperthyroidism. Palinso vuto la chigawo cha chiropractors pogwiritsa ntchito chithokomiro ngati malonda kuti agulitse mapulogalamu okwera mtengo omwe amawayezetsa mayeso ambiri, koma palibe mankhwala enieni.
Monga gawo la kupitiriza kufotokozera phindu ndi kupweteka kwa njira za chiropractic kuti zitha kupeza ndi kuchiritsidwa kwa hypothyroidism ndi matenda a chithokomiro, tinakhala ndi mwayi wochita Q & A ndi Dr. Datis Kharrazian, DHSc, DC, MNeuroSci.
Dr. Kharrazian ndi katswiri wa chiropractic yemwe ali ndi luso la zakudya komanso zakudya zamankhwala. Iye ndi wolemba bukuli, "Ndichifukwa Chiyani Ndili ndi Matenda a Chithokomiro Pamene Lab Lab Yakuyesera Yosavomerezeka? " Zomwe zimaphatikizapo njira yowonjezera zakudya zomwe Dr Kharrazian wakonza kuti athetse Hashimoto ndi hypothyroidism, zomwe amagulitsa ndi kuzifalitsa kwa ena ochirasi ndi ena othandizira zaumoyo kudzera m'masewera ndi seminare yophunzitsa.
Mary Shomon: Popeza chithandizo cha chiropractic chimadziwika kuti chimayambitsa matenda a msana ndi kupweteka kwa ululu, kodi chithokomiro - chithokomiro cha endocrine chomwe sichimalumikiza makamaka pamtunda wa msana kapena kumbuyo - chikhale chiganizo cha chisamaliro cha chiropractic?
Dr. Kharrazian: Odwala ambiri omwe ali ndi hypothyroidism amakhala ndi mndandanda wautali wamatenda, monga carpal tunnel syndrome , matenda opatsirana okhaokha ( matenda a nyamakazi kapena kusagwirizana), kusachiritsika kwa kuvulala kwa minofu, kutupa, kupweteka mutu, kupweteka kwapweteka chifukwa cha kunenepa kwambiri, ndi nkhani zina zomwe zimawatsogolera kuti azisamalira chisamaliro.
Popeza odwala ambiri sazindikira kuti zizindikirozi zimayambitsidwa ndi hypothyroidism, si zachilendo kuti katswiri akugwira ntchito labu ndikuzindikiritsa vutoli. Ambiri mwa odwalawa akhala kwa adokotala amodzi oyang'anira chisamaliro chachikulu omwe sanathe kudziwa kuti hypothyroidism.
Dokotala wovomerezeka wa chiropractic sanagwiritsidwe ntchito kongogwiritsidwa ntchito kwa msana, komabe komanso poyerekeza bwino. Kusiyanitsa kusiyana ndi njira yomwe vutoli likufotokozedwera mwazifukwa zomwe zimayambitsa zokhudzana ndi matenda. Maphunziro a chiropractic makamaka amagwiritsa ntchito masamu, thupi, histology, matenda, kufufuza thupi, ma radiology, ndi ma laboratory.
Mary Shomon: Kodi mungathe kufotokozera zambiri zokhudza chiropractors za maphunziro omwe mumalandira, ndipo momwe mukuwona, zimasiyana ndi maphunziro omwe adalandira madokotala?
Dr. Kharrazian: Dokotala wa digiri ya chiropractic (DC) ndi ofanana maola kwa dokotala wa zachipatala (MD), ndi mapulogalamu ofanana ndi zaka ziwiri zoyambirira. Mapulogalamuwa amasiyana, komabe, mu theka lachiwiri. Panthawiyi, pulogalamu ya DC imayang'ana pa zakudya, zakudya, ndi kugwidwa kwa msana, pomwe pulogalamu ya MD imatsindika kuphunzira za mankhwala.
Akatswiri odwala tizilombo amakhala ndi chilolezo m'mayiko onse akuluakulu ku United States monga chithandizo choyamba chaumoyo, ndipo maphunziro awo monga madokotala amavomerezedwa ndipo amadziwika ndi Dipatimenti Yophunzitsa ya United States, komanso bungwe lirilonse lalikulu la boma. Akatswiri odwala tizilombo ali ndi ntchito zamalonda komanso zalamulo kuti apeze bwinobwino odwala awo.
Madokotala a chiropractic amaphunzitsidwa kuti azindikire zinthu monga hypothyroidism pogwiritsa ntchito mbiri ya odwala, kufufuza thupi, kuyesa ma laboratory, maphunziro ojambula zithunzi, maphunziro a electrodiagnostic, ndi zina zambiri.
Mary Shomon: Anthu ena ali ndi lingaliro lakuti chiropractors akugwiritsa ntchito kugwiritsira ntchito msana kuti athane ndi hypothyroidism. Kodi izi ndi zoona?
Dr. Kharrazian: Akatswiri onse ofufuza chidziwitso amadziwa kuti kuyang'anira ndi chithandizo choyenera cha hypothyroidism ndikutulutsa mahomoni otchedwa kolera , ndipo ngati katswiri wa tizilombo amadziwika kuti hypothyroidism, amauza wodwalayo kwa dokotala kuti akawathandize.
Lingaliro lakuti katswiri wa mankhwala opatsirana amatha kuyesa matenda a hypothyroidism pochita kupweteka kwa msana kapena kutenga wodwalayo kuchoka kuchipatalacho ndi cholakwika komanso chosadziwika. Anthu odwala matendawa sangalekerere zoterezi, ndipo chiropractor angakumane ndi mavuto aakulu a malamulo ndi zotsatira zake, monga kuchotsa chilolezo chake ndi boma la chiropractic board. Monga chiropractor yemwe amagwira nawo maphunziro a chiropractic, kufunsa kwa madandaulo a bungwe la boma, ndi nkhani zachipatala-milandu, sindinayambe ndamvapo za kachipractor akuyesa kugwiritsa ntchito kugwiritsira ntchito msana kuti athetse vuto la chithokomiro. Izo sizikuchitika basi.
Mary Shomon: Mukuganiza kwanu, chithandizo cha chiropractic chingathandize bwanji anthu omwe ali ndi hypothyroidism? Kodi ndi chithandizo chotani chomwe chiripo kwa katswiri wa mankhwala opatsirana pogwiritsa ntchito matenda ndi chithandizo cha chithokomiro ndi kuchiza odwala?
Dr. Kharrazian: Yankho ndi losavuta - kupereka malangizo pa moyo wathanzi, zakudya zabwino, komanso zakudya zabwino . Cholinga chake si kuchiza kapena kuchiza vutoli. Ndipotu, m'buku langa, ndimanena kawiri kawiri kuti Hashimoto's hypothyroiditis, yomwe imayambitsa matenda a chithokomiro omwe amatha pafupifupi 90 peresenti ya matenda a hypothyroidism ku United States, sangathe kuchiritsidwa koma m'malo mwake, amatsitsidwa kapena kuikidwa m'magulu ndi zakudya zamoyo . Kusintha kumeneku kungasinthe ntchito ndi umoyo wa moyo. Chofunika kwambiri, amatha kuteteza matenda omwe angabweretse mtsogolo.
Moyo, zakudya, ndi zakudya ndizofunikira kwambiri kwa odwala omwe ali ndi matenda a chithokomiro , ndipo ndi malo omwe amadwala kwambiri ndi dokotala wamkulu. Anthu ambiri amapanga hypothyroidism chifukwa cha Hashimoto's thyroiditis yomwe imadziwika kuti imayambitsa magazi. Komabe, mu chitsanzo choyenera cha chithandizo chaumoyo, ma antibodies amenewa samayesedwa chifukwa zotsatira sizikhudza mankhwala. Kaya zotsatira zowoneka ndi zabwino kapena zoipa, chithandizo cha mankhwala nthawi zonse chidzakhala chithokomiro chokha. Kulamulira kwa hypothyroidism kumangokhala kupanga mahomoni a chithokomiro chifukwa cha kuwonongeka kwa khungu la chithokomiro. Ndi njira yopapatiza komanso yopanda malire yomwe silingaganizire njira zodziyimira yekha.
Chimene chitsanzochi sichitha kutero ndi chakuti odwala omwe amatha kudwala Hashimoto's thyroiditis ndi autoimmunity ambiri akukambirana nkhani, monga kutengeka kwa vitamini D, vitamini D. Kusasinthasintha kwa shuga, matumbo m'mimba, ndi zina zotero. Nkhani zina sizili matenda koma mmalo mwake zimasintha mu zamoyo zomwe zingakhudze thanzi la odwala komanso umoyo wawo. Kuyankhulana ndi aphunzitsi omwe amaphunzitsidwa kupereka zakudya, zakudya, komanso malangizo a moyo, monga madokotala a chiropractic, angapangitse patsogolo kusintha kwa thanzi.
Ngakhale umboni wa sayansi kuti izi zokhudzana ndi thanzi labwino zilipo mu chiwerengero cha chithokomiro chodziwika bwino, chitsanzo cha chithandizo chamankhwala sichimayankhula nawo. M'malo mwake, cholinga chake chimakhala ndi mahomoni otchedwa thyroid (hormone) ndipo amagwiritsa ntchito hormone yowonongeka (TSH) monga chizindikiro chokhacho cha thanzi la wodwalayo.
Odwala omwe ali ndi hypothyroidism amafunika kuyendetsa bwino matenda a hypothyroidism ndi mahomoni m'malo mwake, koma amafunikanso kusintha kwa zakudya zawo, zakudya zawo, ndi moyo wawo kuti azikhala ndi moyo wabwino. Madokotala ambiri a chiropractic ndi ena othandizira zaumoyo omwe ali ndi maphunziro ndi ziyeneretso zomwezo athandiza kudzaza chisokonezo chokhachokha m'malo mwa chithokomiro chokhaokha komanso TSH-measure.
Mary Shomon: Mumakambirana za kufunika kwa mankhwala a chithokomiro m'malo mwa mankhwala. Popeza kuti mankhwala osokoneza bongo amalephera kupereka mankhwala a chithokomiro, ngati katswiri wa tizilombo ndiye amene amadziwika kale kuti ali ndi chithokomiro, kodi zimenezi zimagwira ntchito bwanji kwa wodwalayo? Kodi akatswiri ena ochizira mankhwala amayesera kugwiritsa ntchito kugwiritsa ntchito zakudya zopatsa thanzi asanafotokozere wodwala kwa dokotala? Kwenikweni, chiropractor ndi dokotala angagwirane ntchito bwanji kuti athetse wodwala hypothyroidism?
Dr. Kharrazian: Pamene TSH ndi yosiyana ndi ma laboratory, chiropractor amalembedwa mwalamulo ndi mwaluso kutumiza wodwalayo kwa dotolo. Ena adzalankhula kwa wodwalayo kwa dokotala wake wamkulu . Ena apanga mgwirizano wabwino wogwira ntchito ndi madokotala omwe amamvetsetsa ndipo ali otseguka kwa mafanizo ophatikizana. Komabe, nkofunika kutsindika kuti mankhwala a chithokomiro ndi khungu limodzi lokha limene lingapangidwe kuti likhale ndi moyo wabwino wa wodwala chithokomiro. Mwamwayi, ochepa chabe a odwala chithokomiro amamva bwino pambuyo pa mahomoni a chithokomiro okha, ndipo madokotala ambiri alibe maphunziro pa zakudya zowonjezera, samavomereza kuti azitenga zakudya zamankhwala, kapena amapitiriza kufufuza kunja kwa mankhwala. Nthawi zambiri zomwe muwona ndi wodwala amene amasankha kupanga gulu lake kuti athetse njira ziwiri zowonongeka komanso zina.
Zakhala zikudodometsa chiwerengero cha nkhani zomwe talandira kudzera ku imelo kuchokera kwa odwala omwe madokotala awo amanyalanyaza madandaulo awo pamene TSH ikuyimira mahomoni a chithokomiro . Amakhumudwabe ndipo ali ndi zizindikiro, koma amauzidwa kuti asiye kudandaula, kuyamba kuchita zambiri, kupeza zolaula, kapena kuteteza matenda odziteteza. Odwala ambiri akhala akuchipatala ambiri, ena apita kuchipatala chodziwika bwino, koma zizindikiro zawo zikupitirizabe kuwonongeka kwa zaka zambiri. Izi ndizo zomwe zinayendetsa ntchito yanga mu hypothyroidism - potsiriza ena mwa iwo amakhala muofesi yanga ndi zikhalidwe zambiri zowonongeka ndi kuwonongeka kwa thupi ndi ubongo. Ndinazindikira kuti sindingayambe kumasula chilichonse mpaka nditamvetsa momwe angayambitsire matenda a chithokomiro komanso matenda omwe amatha. Chinthu chabwino kwambiri ndikuchigwira mofulumira ndikuchiyitanitsa wodwalayo asanapite mumsewu.
Mary Shomon: Mumayankhula za matenda a chiropractic ndi chithandizo cha Hashimoto ndi hypothyroidism, koma kodi muli ndi chiani pa odwala omwe ali ndi matenda a Graves / hyperthyroidism?
Dr. Kharrazian: Odwala a Graves ' ali pa chiopsezo chachikulu cha thyrotoxicosis zomwe zimatsogolera kudwala ndipo zimayenera kuyang'aniridwa ndi dokotala wodziwa mankhwala kuti asamakhale ndi vuto la chithokomiro . Ngakhale kuti hyperthyroidism si yowoneka ngati yodziwika ngati hypothyroidism, milandu imeneyi imakhala ikupezeka m'maofesi a chiropractic nthawi zonse ndi mndandanda wa madandaulo monga minofu ya mitsempha, carpal tunnel syndrome, vertigo, migraines, ndi zina. Ndapeza kuti anali atapita kale kwa madokotala awo ndipo anadziŵa kuti ali ndi matenda osokonezeka maganizo komanso amachiritsidwa ndi mankhwala osokoneza bongo monga benzodiazepines (Xanax, Klonopin, Paxil, ndi zina). Zili zachizoloŵezi kuti zisamanyalanyazedwe muyeso woyendera madokotala asanu ndi limodzi. Pamene wodwalayo ali ndi Graves 'amayang'aniridwa ndi pharmacology kuti achepetse vuto la chithokomiro, sasiyana ndi wina aliyense wodwala matenda omwe amadzimva yekha chifukwa cha kusowa zakudya, zakudya, ndi moyo.
Mary Shomon: Mmodzi mwa nkhani zomwe mumakambirana m'buku lanu, ndizo zomwe mumagwiritsa ntchito, ndizo-kapena kupewa - iodini supplementation. Monga mukudziwira, izi ndizovuta, ndipo madokotala ena amakhulupirira kuti kusowa kwa ayodini ndikowopangitsa kuti chithandizo cha chithokomiro chikhale chachikulu , ndipo limalimbikitsa odwala ambiri a chithokomiro kuti apeze mankhwala owonjezera a iodine supplementation . Mwasamala kwambiri za ayodini mu njira yanu. Kodi mungathe kufotokozera pang'ono za maganizo anu pa izi?
Dr. Kharrazian: Pali zifukwa zambiri zokhudzana ndi chithokomiro, monga kugwiritsira ntchito kutentha kwapakati, zakudya za goitrogenic , matenda a chithokomiro, ndi zina zotero. Ambiri opatsa thanzi ndi madokotala a chilengedwe amakhulupirira kuti hypothyroidism imayamba chifukwa cha kusoŵa kwa zakudya ndipo si. Kwa odwala ambiri, izi ndizokhazikika, ndipo anthu ochepa amamvetsa makina opangidwa ndi magalimoto okhaokha ndipo amagwiritsa ntchito njira zomwe siziwathandiza kapena zotsutsana. Kugwiritsa ntchito ayodini kumatsutsana kwambiri ndi odwala a Hashimoto. Kugwiritsidwa ntchito kwa ayodini kungalimbikitse kuukira kwadzidzidzi komwe kunayambitsa matenda a chithokomiro peroxidase (TPO) ndi mitundu yowonjezera oksijeni.
Ndapanga mndandanda wazing'ono zazamasayansi pa tsamba langa la intaneti. Ndikukulimbikitsani kwambiri odwala onse a chithokomiro kuti agawane nawo kafukufuku aliyense. Kugwiritsa ntchito ayodini ndi chimodzi mwa zolakwika zazikulu ndi odwala chithokomiro ndi madokotala omwe amadya zakudya zogwiritsa ntchito chithokomiro. Ndikuyembekeza kuti liwu likubwera mwamsanga. Ndakhala ndikufuula kuchokera pamwamba pa mapapu anga zaka 10 zapitazi ndipo palibe amene akumvetsera.
Mary Shomon: Monga mukudziwira, pakhala pali vuto linalake la chithokomiro pankhani ya zomwe zimaonedwa kuti ndi ndalama zowonjezereka, ndipo ena omwe amachititsa chithandizo cha ndalama za Hashimoto ndi hypothyroidism akufunikira. Kodi muli ndi malingaliro onena za izi?
Dr. Kharrazian: Inshuwalansi ya umoyo nthawi zambiri imangobweza ndalama zowonjezera mavitamini a chithokomiro komanso nthawi zina TSH miyeso - chitsanzo chomwe chimatanthauzidwa ngati chikhalidwe. Iwo sangathe kubwezera mayeso a ma laboratory omwe amayesa kusamvana kwa vitamini D, kutengeka kwa gluten, kuperekera kwa m'mimba, kusamvana kwa thupi, ndi zina zambiri. Iwo samadzipiranso kawirikawiri kuti azidyera zakudya, zakudya, komanso maulendo a moyo, komanso mankhwala ndi zakudya zina.
Mwamwayi, onse opereka chithandizo chamankhwala ndi madokotala ovomerezeka akukakamizidwa kuti azilipiritsa ndalama pa mayesero ndi misonkhano. Izi zikutanthauza kuti odwala hypothyroid amene akufuna chisamaliro chonse angadwale ndalama kunja kwa inshuwalansi yawo yamakono pazinthu zoterezi. Kuyeza kwa ma laboratory, zakudya zowonjezera zakudya, ndi kuwonetsa moyo kungakhale mtengo kwambiri mwamsanga.
Palibe njira yodzikongoletsera yokonzekera mapeto a bizinesi ya chithandizo chamankhwala. Mitengo imasiyana mosiyanasiyana ndipo mtengo wapamwamba sichikutitsimikizira kuti ndi wodalirika kwambiri, komanso mosiyana. Sindiphunzitsa kapena kuvomereza njira zamalonda za mtundu uliwonse, ndipo ndikulimbikitsa odwala kuti agulitse mozungulira. Funsani mafunso, funsani zolembera, kuyerezerani ndalama, gwiritsani ntchito malingaliro anu, ndikukhulupirirani chidwi chanu, monga momwe mungachitire mukamagula makontrakitala, galimoto, kapena nyumba.
Nthawi zonse ndi mbendera yofiira kwa wodwala ngati akukakamizika kulowa pulogalamu iliyonse pogulitsa kapena mantha. Kumvetsetsa bwino ndalama ndi mautumiki nthawi zonse ziyenera kuperekedwa kwa wodwala popanda kupanikizika kapena kupanikizidwa. Potsirizira pake, wodwalayo komanso wogwira ntchito zaumoyo ayenera kukhala ndi chikhulupiliro kuti akwaniritse wina ndi mzake m'njira yabwino komanso yathanzi.
Mudzapanga chiyanjano ndi dokotala wanu ndipo simukufuna munthu yemwe ali woyenerera komanso wina amene mumakhala womasuka naye. Kudalira ndi chinthu chofunikira kwambiri mu ubale-dokotala. Zidzakuthandizani kuti muzimvera pamene mukusintha zovuta pazomwe mukudya komanso moyo wanu, ndipo zidzakuthandizani kuti mukhale otetezeka paulendo wanu wathanzi.
Kwa odwala omwe amazoloŵera inshuwalansi yawo kupereka chithandizo chonse chachisamaliro (mwachimwimitsa ochepa), lingaliro lodzipiritsa lingakhale lovuta kumeza poyamba. Odwala ambiri samawona zonse zomwe ogwira ntchito zachipatala ayenera kuziphimba: malo a ofesi, zipangizo, malipiro a antchito, ngongole za ana, inshuwalansi yonyansa, maphunziro osapitiliza maphunziro, ndi zina zotero. Ngakhale akatswiri ena atembenuza machitidwe awo mu maofesi a ndalama, ambiri amagwira ntchito kwa ora limodzi ngati aliyense wodziimira okhaokha. Ngakhale kuti ndalamazo zikhoza kukhala zapamwamba, anthu omwe amagwira ntchito ndi dokotala wodziwa bwino omwe ali ndi ndalama zomwe amapeza kuti ndizovomerezeka zimati kubwerera kwawo pa ndalama sikunali kofunika.
Kwa anthu ambiri mu chuma chamakono, kulipira ndalama zothandizira sikutheka. Ichi ndi vuto lalikulu lomwe ine ndiribe yankho, ndipo likuwonetsa vuto lalikulu la dongosolo losamalidwa la thanzi lomwe silikuchita nthawi zonse mankhwala ozikidwa pa umboni ndipo nthawi zambiri limayendetsedwa ndi makampani a inshuwalansi ya umoyo. Izi ndizoposa momwe munthu aliyense angathe kuthandizira, ndipo zabwino zomwe ndingathe kupereka ndikuthandizira kuthetsa ma chithokomiro ndikuyembekeza kuti zina mwazinthu zowonongeka zomwe zafotokozedwa pamwambazi zimakhala zotsatilapo.
Komanso, kwa anthu omwe sangakwanitse kusamalira, sindingathe kutsindika kufunika kwa zakudya zanu. Ndalongosola m'bukuli momwe mungayambire ndipo mudzapeza zowonjezera zakudya zamagulu pa blog yanga. Mphunzitsi wina yemwe wakhala kumisonkhano yanga anagwira ntchito ndi mtsikana wina ku Romania amene Hashimoto anali atachita zoipa kwambiri anayenera kuchepetsa maola ake kuntchito. Iye sankakhoza kupeza zowonjezerapo mavitamini kupyolera mwa miyambo kapena amakhala ndi labata ntchito yomwe yachitika. Komabe, adatha kupeza mafuta a chiwindi kumudzi ndikusintha zakudya zake. Zinthu ziwiri izi zokha zinamubwezeretsa mphamvu ndi thanzi. Sindikudziwa kuti aliyense ali ndi mwayi ngati ena ali ndi zovuta zambiri, koma ndi pamene mumayambira mosasamala, ndipo simukusowa dokotala kuti azichita.
Mary Shomon: Kodi mungatiuze zambiri zokhudza bukhu lanu, ndipo n'chifukwa chiyani mwalemba?
Dr. Kharrazian: Monga mankhwala ochizira matenda, sindingathe kukuuzani momwe angapo odwala matenda a chithokomiro athandizirako thanzi lawo akamaphunzira za zakudya, zakudya, ndi moyo. Zomwe zili maziko a kuyesa koluntha kowonongeka komanso kuthandiza odwala kusintha zakudya zopanda thanzi zathandiza anthu ambiri. Ambiri amapeza ngakhale kuti mankhwalawa amatenga tsiku ndi tsiku makamaka amalimbikitsa Hashimoto's thyroiditis.
Ndayesera kupanga chithandizo kwa odwala hypothyroid ndi bukhu langa "Chifukwa Chiyani Ndili ndi Matenda a Chithokomiro Pamene Lab Lab Yoyesera Ndi Yachibadwa?" Ndatchulapo mapepala a sayansi oposa 600 omwe amawerengedwa m'mabukuwa kuti awonetsetse kuti zowonjezera kuti zakudya ndi moyo zimayandikira zikugwirizana ndi umboni. Ndalandira makalata ambiri ndi maumboni othokoza chifukwa bukuli likumasulidwa kuchokera kwa anthu padziko lonse lapansi omwe ali pa chithokomiro ndipo agwiritsa ntchito bukhuli kuti athetse mavuto omwe adakhudza moyo wawo.
Nkhani zowonjezereka sizingatheke ndi akatswiri omwe amangogwiritsa ntchito mahomoni oterewa kapena omwe ali ndi ma MDS ambiri omwe amaphunzitsidwa bwino pa zakudya, zakudya, ndi moyo. Madokotala a chiropractic oyenerera ndi ena oyenerera odwala ena amagwiritsira ntchito njira zowonjezera umboni ndi ma laboratory pofuna kusamalitsa chithandizo chomwe chimapangidwa ndi chitsanzo cha chithandizo chamankhwala, motero kukulitsa umoyo wa odwala chithokomiro ambiri. Potsirizira pake, wodwala wa chithokomiro ayenera kusankha chomwe angamupangire ntchito zabwino ndipo akuyembekeza kuti angapangitse gulu la odwala kuti athetse mavuto osiyanasiyana okhudza hypothyroidism ndi Hashimoto's thyroiditis.
Mawu ochokera
Ngati mukuganiza kuti mukugwira ntchito ndi kachipatala pa chithandizo cha chithokomiro, kumbukirani:
- Mankhwala oletsa tizilombo amaloledwa mwachisawawa kuti adziwe mankhwala a chithokomiro, zomwe zikutanthauza kuti sangathe kuchiza kwambiri chithokomiro. Angathe kupereka chithandizo chothandizira. Koma ngati muli ndi matenda a chithokomiro omwe amachititsa kuti chithokomiro chanu chisathe kupanga hormone ya chithokomiro, palibe pulogalamu ya chiropractic imene ingalowe m'malo mwa zosowa zanu zowonjezera mahomoni.
- Akatswiri ena amachititsa ndalama zamtengo wapatali (mwachitsanzo, $ 10,000 kapena kuposa) asanalipire "mapulogalamu a chithokomiro" akuchiza kapena kuchiza chithokomiro kapena chikhalidwe chanu. Onetsetsani za malonda ogulitsa opangidwa ndi mankhwalawa, ndipo pewani mapulogalamu omwe salipidwa komanso okwera mtengo.