Matenda a chithokomiro ndi matenda a polycystic ovary ( PCOS) ndi awiri mwazidzidzidzi (ndipo mwina amakanidwa) matenda a endocrine mwa akazi. Ngakhale hypothyroidism ndi PCOS ndizosiyana kwambiri, zikhalidwe ziwirizi zimagawana zinthu zambiri zofanana.
Nazi zinthu 5 zofunika zomwe amayi omwe ali ndi PCOS ayenera kudziwa zokhudza hypothyroid.
Hypothyroidism Imakhala Yodziwika Kwambiri mu PCOS
Hypothyroidism, makamaka, Hashimoto's thyroiditis , imakhala yofala kwambiri kwa amayi omwe ali ndi PCOS kusiyana ndi anthu ambiri.
Hashimoto ndi chikhalidwe chokha chimene thupi limadziukira palokha.
Sinha ndi anzake adapeza kuti 22.5% ya amayi omwe ali ndi PCOS anali ndi hypothyroidism poyerekeza ndi 8.75% mu machitidwe okhwima ndi tizilombo toyambitsa matenda tawonetsedwa kuti alipo mwa 27% odwala omwe ali ndi PCOS ndi 8% mu maulamuliro. Posachedwapa, kafukufuku amene adafalitsidwa mu Research Research Endocrine anasonyeza kuwonjezeka kwa Hashimoto ndi kukweza TSH (kutanthauza hypothyroid) mwa odwala PCOS.
Chithokomiro ndi PCOS zimagwirizana
Zonsezi zimayambitsa matenda a chithokomiro mu PCOS. Hypothyroidism imadziwika kuti imayambitsa ma pulogalamu a PCOS komanso kuwonjezereka kwa PCOS ndi insulin kukana.
Hypothyroidism ikhoza kuwonjezera testosterone mwa kuchepetsa msinkhu wa mahomoni opatsirana pogwiritsa ntchito globulin ( SHBG ), kuwonjezereka kutembenuka kwa androstenedione kwa testosterone ndi estradiol, komanso kuchepetsa kugwiritsira ntchito mankhwala a androstenedione.
Kuwonjezeka kwa estrogen ndi estrogen / progesterone chiŵerengero chikuwoneka kuti chikuphatikizidwa mwachindunji kumatenda otchuka a chithokomiro pa odwala PCOS.
Matenda a Chithokomiro Amakhudza Thupi Lanu Lonse
Pansi pa khosi lanu ndi mtundu wa gulugufe, chithokomiro chimatengera mlingo umene thupi lanu limasinthira chakudya cha mphamvu, kugwira ntchito monga chipangizo chothandizira kuti thupi liziyenda bwino ndi machitidwe ena.
Ngati kugwira ntchito mofulumira ( hyperthyroid ) kumawoneka mofulumira kwambiri. Ngati ikugwira ntchito pang'onopang'ono (hypothyroid) izi zimachepetsa kuchepetsa thupi lanu, zomwe zimapangitsa kuti mukhale wolemera kapena kulemera.
Maselo onse m'thupi lanu amadalira mahomoni omwe amadziwika ndi chithokomiro kuti mugwire bwino. Kuwonjezera pa kulamulira mlingo umene thupi lanu limatembenuza mazakudya, mapuloteni, ndi mafuta mu mafuta, mahomoni a chithokomiro amachititsanso kuti muyambe kuyima mtima ndipo zingakhudze msambo wanu, zomwe zimakhudza chonde.
TSH Yokha Osakwanira
TSH yekha siyeso yodalirika kuti muwone momwe chithokomiro chikugwirira ntchito. TSH imayeza kuchuluka kwa T4 kuti chithokomiro chikufunsidwa kupanga. Kuwoneka kwakukulu kwa TSH kungatanthauze kuti muli ndi hypothyroidism. Kudalira TSH yekha sikukwanira kuti mudziwe molondola komanso chifukwa chimodzi chomwe anthu ambiri omwe ali ndi hypothyroid amadziwika bwinobwino .
Zoyezetsa zina za chithokomiro ndizo:
Mayeso a T4 (Free T4, index T4 index, totalizira T4): amayeza kuchuluka kwa T4 thyroid ikupanga.
Chithokomiro chotchedwa peroxidase antibody (anti-TPO) (TgAb): amayang'ana ma antibodies a chithokomiro ndipo amazindikira zinthu monga chithokomiro cha Hashimoto.
T3 ndikusintha T3 (r3): amayeza kuchuluka kwa T3 thyroid ikupanga komanso kuthekera kwake kutembenuza T4 kukhala T3.
Iodini Amachita Ntchito Yaikulu
Chithokomiro chiyenera kukhala ndi ayodini kuti ikhale ndi hormone ya chithokomiro. Zakudya zazikulu za ayodini zimaphatikizapo mkaka, nkhuku, ng'ombe, nkhumba, nsomba, ndi mchere wa iodizedeki. Himalayan ya piritsi ndi mchere wa m'nyanja sizinthu zolemera kapena ayodini. Kusunga mavitamini a chithokomiro moyenera kumafuna kuchuluka kwa ayodini. Iodin yaing'ono kapena yochuluka kwambiri ingayambitse kapena kuipa kwambiri hypothyroidism. Kambiranani ndi dokotala musanayambe kumwa mankhwala a ayodini ndi kusamala ndipo pokhapokha mutayang'aniridwa ndi wothandizira zaumoyo.
> Zotsatira:
> Hypothyroidism: Buku la Odwala ndi Mabanja Awo. Buku la American Thyroid Association (ATA)
> Rajiv Singla, Yashdeep Gupta, Manju Khemani, ndi Sameer Aggarwal. Matenda a chithokomiro ndi matenda a polycystic ovary: Ubwenzi wotuluka. Indian J Endocrinol Metab. 2015 Jan-Feb; 19 (1): 25-29.
> Sinha U, Sinharay K, Saha S, Longkumer TA, Baul SN, Pal SK. Matenda a chithokomiro m'magulu a polycystic ovarian subjects: Maphunziro apamwamba a chipatala chapamwamba ochokera ku East India. Indian J Endocrinol Metab. 2013 Mar; 17 (2): 304-9.
> Garelli S, Masiero S, Plebani M, Chen S, Furmaniak J, Armanini D, Betterle C. High kuchuluka kwa chithokomiro chosatha kwa odwala ndi polycystic ovary syndrome. Eur J Obstet Gynecol Wotsutsidwa. 2013 Jul; 169 (2): 248-51.
> Ardu A, Dogan BA, Bilmez S, > Imga > Nasiroglu N, Tuna MM, Isik S, Berker D, Guler S. Kufala kwa Hashimoto's chronicroiditis kwa odwala omwe ali ndi matenda a polycystic ovary: Kodi kusalingana pakati pa estradiol ndi progesterone kumathandiza ? Chipulumutso cha. 2015 Mar 30: 1-7.
> Mueller A, Schöfl C, Dittrich R, Cupisti S, Oppelt PG, Schild RL, Beckmann MW, Häberle L. Mahomoni otulutsa tizilombo amawoneka ndi insulini yotsutsa popanda mphamvu ya thupi ndi zaka m'zimayi ndi polycystic ovary syndrome. Wodzudzulidwa. 2009 Nov; 24 (11): 2924-30.
> Hefler-Frischmuth K, Walch K, Huebl W, et al. Serogic markers of autoimmunity kwa amayi omwe ali ndi matenda a polycystic ovary. Fertil Steril 2010; 93: 2291-4.