Maganizo ochokera kwa Richard Shames, MD
Nthawi zambiri ndimalemba zambiri kuchokera kwa Dr. Richard Shames, wolemba mabuku pamodzi ndi mkazi wake Karilee Shames, RN, Ph.D., wa mabuku angapo pa matenda a chithokomiro, komanso dokotala wothandizira amene wagwira ntchito ndi odwala chithokomiro kwa zaka makumi angapo. Dr. Shames akudalira kwambiri kuyeza kachipangizo kakang'ono kake, m'malo moyezetsa magazi ndi katswiri wa ma laboratories.
Q & A iyi ikuyang'ana maganizo a Dr. Shames za mtundu uwu wa kuyesedwa, umene ukuwoneka ngati wotsutsana mudziko lachidziwitso lachipatala.
Q: Nchifukwa chiyani mumakonda kuyesa kuyesa mazira a ma chithokomiro, m'malo moyesera mayeso a magazi?
Richard Shames, MD: Chimene ndikuuza onse odwala ndi anzanga ndi chakuti chifukwa chake n'chosavuta. Pamene kuyesedwa kawirikawiri kumachita ntchito yabwino kwa anthu ambiri, kwa ena (makamaka zovuta zovuta kupeza), izi ndizoyesero zatsopano ndi zabwino, zomwe nthawi zambiri zimapezeka ngakhale popanda dokotala, kuti ayese ma hormone machitidwe mogwira mtima komanso mozama kwambiri.
Pambuyo poyezetsa kachilomboka ndi magazi omwe amapezeka nthawi zonse, ndikuyang'ana pa zaka 25 zakubadwa za mahomoni, ndafika ndikuwona kuti zipangizo zamakono zatsopano zikuoneka zaka khumi zisanafike. Osteopaths, nutritionists, chiropractors, ndi madokotala otchedwa naturopathic anali kugwiritsa ntchito luso lamakono ndipo anatilangiza ife pamisonkhano yathu ya mahomoni kuti tiyese.
Chimene ndapeza, monga dokotala, chinali chakuti kuyesa kwa malo a magazi kuchokera ku capillary fingerprick kunapereka zotsatira zowonjezereka pa zovuta zanga zowopsa kwambiri pa chithokomiro.
Mwachitsanzo, pamene wodwala yemwe anali ndi mayesero kawirikawiri a magazi analibe chidwi ngakhale kuti zotsatira zake zinali zowoneka bwino, ndikanati ndiwonetsetse kuti ndondomeko yoyamba yamagazi inali yofunika kwambiri.
(Ndimagwiritsa ntchito mayesero ochokera ku Laboratory ZRT.) Kuyesedwa kwatsopano nthawi zina kunasonyeza kuti wodwalayo "wamba" anali wokwera kwambiri kapena wotsika kwambiri muhomoni ya chithokomiro . Nditatsata malangizo omwe ndayesedwa ndi mayesero atsopano ndikupanga kusintha kwa mankhwala, wodwalayo nthawi zambiri anayamba kumverera bwino.
Komanso, pamene ndinali ndi wodwala amene adawona madokotala ena ambiri, kuphatikizapo madokotala otchedwa endocrinologists, ndipo adamuwuza mobwerezabwereza kuti alibe vuto la chithokomiro chifukwa kuyesedwa kwa magazi kunali koyenera, ndinapatsa anthuwa kuyesa magazi kusanthula malo. Kawirikawiri ndinawona mabakiteriya a chithokomiro omwe sanakhalepo kale, kapena ndinawona ma TSH osalongosoka pachiyeso chatsopano chomwe mayesero amagazi awonetsa mwachizolowezi, ngakhale kugwiritsa ntchito mtundu watsopano wamba .
Kuyesedwa kwatsopano kumeneku kunkawoneka kuti kwandithandiza kwambiri kwa odwala anga ovuta kwambiri kuti ndinayamba kugwiritsa ntchito mayeso awa kwa odwala ambiri, kuti ndipindule. Ndinkafuna kumvetsa chifukwa chake mayeserowa anali apamwamba.
Q: Nchifukwa chiyani mukuganiza kuti mukuwona zomwe mukuwona kuti ndizolondola ndi kuyesedwa kwatsopano kumeneku, poyesedwa?
Richard Shames, MD: Ndayankhula ndi Dr. David Zava, yemwe anayambitsa ZRT Labs, yemwe anafotokoza kuti capillary magazi ndi malo abwino kwambiri kuti aone momwe maselo a chithokomiro alipo.
Sikuti ndondomeko yamunayo yokhazikika pamudzi imakhala yochepa, yosawonongeka, komanso yovuta kwambiri kusiyana ndi kupita ku sitima, koma imakhalanso yolondola chifukwa chakuti magazi amachokera.
Komanso, palinso phindu lina lakutenga madontho ochepa a magazi ndi kuwawumitsa mumasekondi pamphindi papepala la fyuluta yapadera yomwe imasanthuledwa ndi zipangizo zamakono zamakono (chemiluminescence method). Chitsamba chowuma ndi chosasunthika kuposa mahomoni a chithokomiro mumtundu wa madzi (chubu la magazi serum) monga momwe amachitira ndi mabala omwe nthawi zonse amakhala. Izi ndizofunikira makamaka pa timadzi ta TSH yosasinthasintha.
Mamolekyu a ma hormones awa adzasokoneza mofulumira kwambiri mu mawonekedwe a madzi kusiyana ndi ouma owuma.
Anthu ayenera kudziwa kuti magazi omwe amakopedwa m'mawa pafupifupi pafupifupi labu lililonse ku US sagwiritsa ntchito makina kuti azisanthula mpaka madzulo. Panthawi imeneyo, mahomoni anu, makamaka TSH ofunikira, angakhale otsika pa zotsatira za mayeso kusiyana ndi zolondola kwa inu.
Pali vuto lofunika kwambiri pa ma TSH: si hormone yowonongeka, ndi hormone ya pituyo yomwe malinga ndi zoyenera bwino ziyenera kukhala firiji nthawi yomweyo. Maholo akuluakulu ali ndi malo otetezera satana omwe amawatumizira magazi. Kodi izi zimasungidwa kutentha kwenikweni? Ayi ndithu. TSH serum ndi kawirikawiri yafriji.
Izi zikutanthawuza kuti mungakhale otsika chithokomiro ndi TSH zosadziwika bwino koma pamapeto a tsiku lalitali mu chubu choyesera, matani anu a TSH omwe amatha kuyeza adzakhala tsopano osiyana. Ngati izi sizokwanira, izi ndizovuta kwambiri: Ngati mukupeza mankhwala osaphatikizapo mukalandira mapiritsi a chithokomiro, izi sizikuthandizani dokotala kuti muli ndi mankhwala okwanira kapena owonjezera, ndipo akhoza kuchepetsa mlingo ngakhale kuti mukulimbana ndi mlingo wamakono.
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Ngati muli ndi chidwi pazomwe zimayesedwa pamatenda a chithokomiro, pali njira ziwiri zomwe mungapezere mayeso. Choyamba, dokotala wanu akhoza kulamulira mayesero atsopanowa, kuphatikizapo kapena m'malo mwa mayesero, pogwiritsa ntchito ZRT Laboratories. Mayeserowa amapezekanso popanda mankhwala kwa ogulitsa thanzi m'mayiko ambiri, pogwiritsa ntchito makiti oyesa kunyumba. Ngati mukufuna kudzipangira nokha, mungathe kuitanitsa ZRT, kapena kusunga ndalama mwa kupeza mamembala aufulu ku gulu lodziimira ogula odwala, monga Canary Club, komwe mungapindule ndi kuchepetsa kuyesa kwa gulu. Zambiri zokhudzana ndi ZRT ndi Canary Club zimapezeka mu nkhani yanga yodziyeretsera ma chithokomiro ndi mahomoni .