Ngati muli ndi matenda a chithokomiro mukuyesera kuchepetsa thupi, mwina mwawona kuti zingakhale zovuta. Nazi zakudya zambiri ndi zinsinsi zolepheretsa kukuthandizani kuti mupambane pa nkhondo ndi ma pounds owonjezera.
Sintha Zakudya Zanu
Zingakhale zovuta kapena kumverera pafupi zosatheka kuchepetsa thupi pamene muli hypothyroid. Koma n'zotheka.
Kupanga kusintha kwakukulu pa chakudya chanu nthawi zambiri n'kofunika kuti muthe kuchepa thupi ndi vuto la chithokomiro. Kodi ndi zakudya zotani zomwe mungatsatire, komatu zimadalira thupi lanu lokhazikika, zokhudzana ndi zakudya, mphamvu zowonjezerapo zakudya, komanso zowonjezereka zowonongeka, kusungira, ndi kutentha chakudya, mwa zina.
Njira zina zomwe mungaganizire zikuphatikizapo:
- Kuletsa kotheratu kwa kalori
- Pewani kuchuluka kwa chithokomiro-kuchepetsanso zakudya zopangidwa ndi goitrogenic yaiwisi ndi masamba monga kale, sipinachi, ndi broccoli. (Onetsetsani zakudya zopanda madzi zam'madzi makamaka!)
- Kuthetsa gluten / tirigu pa zakudya zanu mwa kudya zakudya zopanda thanzi.
- Kulepheretsa chakudya chokhazikika ndi shuga mwa kutsatira zakudya zochepa.
- Kutengera zakudya zotsutsa-zotupa, monga Autoimmune Protocol / Anti-Inflammatory / AIP Diet.
- Tsatirani zakudya zopanda mankhwala, shuga, zakudya zonse monga Paleo Diet.
- Tsatirani zakudya zochepa zomwe zimapezeka m'magazi kapena zakudya zotsika kwambiri monga makina a ketogenic.
- Kusintha nthawi ya chakudya chanu, monga kutsata chakudya chamadzulo.
- Kuyesedwa ndikuchotseratu chakudya chilichonse. Zomwe zimagwiritsidwa ntchito nthawi zambiri zimakhala ndi mkaka, tirigu, soya, ndi zipatso zina ndi mtedza.
Konzani Chithandizo Chake
Kwa odwala ambiri a chithokomiro, ngati chithokomiro chanu sichikugwira ntchito ndipo muli hypothyroid, kusowa chithandizo-kapena kusakwanira-kungachititse kuti kulemera kwake kukhale kosatheka, ngakhale zakudya ndi masewera olimbitsa thupi.
Choyamba, ndikofunika kuti hypothyroidism yanu ipeze msanga mwamsanga. Kutenga nthawi kuti mupeze kuti muli ndi hypothyroidism, kulemera kumene mungapeze. Pamene mukukhala hypothyroid, ngakhale TSH yanu isanakwanire, mankhwala anu amatha kuchepa kwambiri, ndikuwotchera pang'ono tsiku lililonse. Hypothyroidism ingatithandizenso kuti mukhale otopa, achy, komanso kuti musamachite masewera olimbitsa thupi, zomwe zimachepetsa kuchepetsa thupi lanu. Ndipo, mukatopa, mutha kudya zakudya zowonjezera komanso zakudya zamtundu wa chakudya. Ngati muli ndi zizindikiro za chithokomiro, penyani dokotala nthawi yomweyo, ndipo mudziwe bwino ndikudziwitseni za njira yothandizira ndi mankhwala.
Chachiŵiri, kumbukirani kuti odwala ambiri amene atulutsidwa chithandizo cha chithokomiro kapena ma radioactive iodine (RAI) amatsirizira hypothyroid. Koma pangakhale kuchedwa pakati pa mankhwala ndi chiyambi cha mankhwala a chithokomiro m'malo mwa mankhwala, ndikusiya inu hypothyroid kwa nthawi yaitali. Pangani ndondomeko pamalopo ndi dokotala wanu kuti muyesedwe kowonongeka pambuyo pa opaleshoni kapena RAI kuti mankhwala anu athe kuyamba pomwepo pali umboni wakuti muli hypothyroid.
Mwinanso mungafunike kuganizira ngati muli ndi RAI komanso mankhwala ena a hyperthyroidism ndi Graves '. Kafukufuku wina apeza kuti pakati pa 50 mpaka 85 peresenti ya odwala analemera pambuyo pa RAI ndipo pali kuwonjezeka kwakukulu kwa kunenepa kwambiri pakati pa odwala omwe kale anali a hyperthyroid omwe ali ndi mankhwala a RAI. Kambiranani ndi dokotala wanu za njira za mankhwala a Manda / hyperthyroidism .
Chachitatu, musaganize kuti kumwa mankhwala a chithokomiro kungakuthandizeni kuti muchepetse thupi. Kwa odwala ambiri, chithandizocho chiyenera kukonzedweratu, chomwe chingakhale kusunga TSH kumapeto kwa mapepala, kuthetsa ma T3 a T3 otsika ndi T3 ndi mankhwala a chithokomiro , kapena kuchepetsa ma T3 Osiyana. Pezani zomwe akatswiri ena amtundu wotchuka wa chithokomiro amanena zokhudzana ndi chithandizo chabwino cha mankhwala a hypothyroidism .
Pomalizira pake, akatswiri ena amakhulupirira kuti vuto la kuthamanga kwa hormone kuphatikizapo leptin kukana ndi insulini kukana- zimayambitsa mavuto ambiri odwala chithokomiro akukumana ndi kuchepa . Izi zikutanthauza kuti muyenera kuganizira kuti mukusala kudya komanso kuti muyezo wa leptin uyesedwe, kuyesedwa, ndi kuchiritsidwa.
Yesani Metabolism-Kuwonjezera Kuchita Zochita
Kwa odwala ambiri a chithokomiro, kuchepetsa kalori kapena chakudya chokwanira chokwanira sikukwanira kuti mulole kulemera. Hypothyroidism ikhoza kuchepetsa mphamvu yanu ya metabolism, zomwe zikutanthauza kuti mukusowa makilogalamu ochepa, zomwe zimapangitsa kuti zikhale zovuta kudula makilogalamu okwanira kuti mupangitse kulemera kwakukulu. Chimodzi mwa zinthu zofunika kwambiri zomwe mungachite kuti muthe kuchepetsa thupi lanu ndizochita masewera olimbitsa thupi. Kuchita masewera olimbitsa thupi kumathandiza kuti thupi lanu likhale lothandiza kwambiri pothandiza kuwotcha mafuta ndi mafuta, kuchepetsa shuga wa magazi, ndi kusinthanitsa kulemera-kutayika kumalimbikitsa mahomoni monga leptin.
Ngati mukufuna kulemera, muyenera kuchita masewera olimbitsa thupi kuposa momwe mungayang'anire. Malingana ndi akatswiri, anthu wathanzi la kulemera koyenera amafunika kuchita masewera olimbitsa thupi tsiku lililonse kuti azikhala wolemera ndi kupeŵa phindu lowonjezera. Ngati muli hypothyroid ndipo mukufuna kuchepetsa thupi, mudzafunika kuchita oposa ola limodzi pa tsiku la masewera olimbitsa thupi.
Odwala ena a chithokomiro amavomereza kuti pulogalamu yodutsa ma DVD imatchedwa T-Tapp. Odwala ena apeza kuyenda, Pilates, kukweza zolemera, ndi zochitika zina zolimbitsa thupi. Ngati mukuyenera kupititsa patsogolo ntchito yochita masewera olimbitsa thupi, ganizirani za mphamvu zamaphunziro ndi zochita zolimbitsa thupi zomwe zimapangitsa minofu kuti ikhale yopindulitsa kwambiri.
Mvetsetsani Mankhwala Anu
Madokotala ena omwe amamwa mankhwalawa amachititsa kuti zizindikiro komanso mavuto anu omwe amapezeka ndi chithokomiro amachititse kuti thupi likhale lolemera. Mwachitsanzo, mankhwala awa akuphatikizidwa ndi kulemera kwa:
- Mankhwala otchedwa Antithyroid monga methimazole ndi PTU ogwiritsira ntchito matenda a Manda ndi hyperthyroidism
- Ophwanya Beta (omwe amagwiritsidwa ntchito pochizira hyperthyroidism)
- Steroid anti-inflammatories (ie prednisone)
- Estrogen ndi progesterone mwachindunji, kapena palimodzi monga "mapiritsi" kapena mankhwala othandizira ena
- Ena odetsa nkhaŵa, makamaka Prozac, Paxil, ndi Zoloft
- Mankhwala osokoneza bongo komanso mankhwala osokoneza bongo monga omwe amaperekedwa chifukwa cha matenda a bipolar, kuphatikizapo lithium, valproate (Depakote) ndi carbamazepine (Tegretol)
Ngati muli pamodzi mwa mankhwalawa ndi kulemera, kambiranani ndi dokotala wanu za nkhawa zanu.
Palinso mazana ambiri pa zakudya zowonongeka ndi kulemera kwa zakudya zomwe zimakhudza msika. Ochepa mwa iwo amayesedwa kapena atsimikiziridwa kukhala othandiza. Ambiri mwa iwo asonyeza zopindulitsa pang'ono pothana ndi chilakolako chanu kapena kuthandiza kulimbikitsa mafuta oyaka. Zikuphatikizapo:
- Conjugated linoleic acid (CLA)
- Caralluma fimbriata
- Hoodia
- Saminoni
Pezani madzi okwanira ndi Fiber
Ngati mukuyesera kulemera kwake, ndizotheka kuti simukupeza madzi okwanira. Madzi amathandiza kuti thupi lanu liziyenda bwino kwambiri. Zingathandizenso kuchepetsa njala, kuthetsa madzi osungirako madzi ndi kubwezeretsa madzi, komanso kuchepetsa kuwonongeka ndi chimbudzi. Mwinanso mumadziwa za malingaliro omwe anthu amamwa kuti amwe magalasi asanu ndi atatu pa tsiku, koma akatswiri ena amati mumamwa magalasi ena asanu ndi atatu pa zolemera zonse zomwe mukuyenera kutero.
Philip Goglia, mlembi wa Turn Up the Heat: Tsegulani Mpweya Wotentha wa Matenda Anu , umalimbikitseni kumwa madzi amodzi pa mapaundi olemera. Kwa anthu ambiri, izi zimatha kukhala zambiri kuposa ma ola 64 pa tsiku. Ngati muli pamtunda, kapena kulemera kwake kuli pang'onopang'ono, nkoyenera kuyesera.
Mwinanso mulibe fiber yokwanira. Kupeza fiber wabwino ndi imodzi mwa njira zazikulu zomwe mungachite ngati wodwala wa chithokomiro ngati mukufuna kulemera. Fiber ndi zothandiza zambiri kwa anthu omwe ali ndi hypothyroidism omwe akuyesera kuchepetsa thupi, ndipo amatha kuchokera ku chakudya, zowonjezereka, kapena zonse ziwiri. Werengani za zakudya zamtundu wa zakudya zamtundu wambiri komanso momwe mungapangire zida zambiri mu zakudya zanu.
Pezani Kugona Kwambiri
Chofunika kwambiri kuti munthu awonongeke ndi kupeza tulo tokwanira. Kafukufuku wochuluka akugwirizanitsa kuwonongeka kwa ubongo mpaka kuchepa kwa kagayidwe kake ka magazi ndi kulemera kwa kulemera. Kafukufuku wina wa zaka 16 anapeza kuti akazi omwe amagona maola asanu usiku ndi oposa 32 peresenti kuti apeze phindu lalikulu-makilogalamu makumi awiri ndi awiri kapena kuposerapo-ndipo 15 peresenti amakhala ochepa kwambiri pa phunzirolo, poyerekeza kwa iwo amene anagona maora asanu ndi awiri usiku. Akatswiri ena akulimbikitsani kuti mudutse masewera olimbitsa thupi ndipo mugwiritse ntchito nthawiyi kuti mupeze ogona.
Mawu Ochokera
Ngati mukumverera kuti mwakhala mukuchita zonse bwino ndipo mukukhumudwa ndi momwe mukukana kukana, pali chakudya chimodzi chomaliza: Musataye mtima! Gwiritsani ntchito mankhwalawa, ndipo yambani kuyambitsa mavuto anu okhudzana ndi zakudya komanso kuchepa kwadzidzidzi podziwa zambiri zokhudza momwe mungagwiritsire ntchito phokoso lolemera , komanso kufufuza zowonjezereka kwa odwala chithokomiro popanga zakudya zanu kuti zisawonongeke .
> Zotsatira:
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.
> Garber, J. et. al. "Malangizo Okhudza Zipatala za Hyphyothyism," Chiphunzitso cha Endocrine, Nov / Dec 2012.
> Hainer V, et al. "Kodi mahomoni a chithokomiro ndi thyrotropin ali ndi vuto la cardiometabolic risk and insulin resistance ngakhale mu euthyroid maphunziro?" Vnitr Lek. 2016 kugwa; 62 (Suppil 3): 63-67. Czech.
> Laurberg, P. et al. "Ntchito ya Chithokomiro ndi Kunenepa Kwambiri." Chithandizo; 1 (3): 159-167. Lofalitsidwa pa Intaneti 2012 Sep 22. do: 10.1159 / 000342994.
> Iacobellis, G., et al. "Kugonana kwa chithokomiro kumagwira ntchito ndi chiwerengero cha thupi, leptin, kutsekemera kwa insulini ndi adiponectin mu akazi omwe amawopsa kwambiri." Clinical Endocrinology, 2005. 62 (4), 487-491.