Kodi dotolo wanu adayesa mayeso a TSH, ndikukuuzani zotsatira zanu zinali zachilendo, ndikukutumizirani panjira yanu? Kodi dokotala wanu akuchita zonse zomwe zingatheke kuti akuthandizeni kupeza chithandizo cha chithokomiro ndi kuchipatala moyenera? Mungaganize choncho, koma odwala ambiri amakumana ndi matenda a chithokomiro, kupitiriza kukhala ndi zizindikiro zowonongeka komanso zofooketsa, komabe akuuzidwa kuti palibe china chomwe dokotala angachite kuti athandize.
Zenizeni? Dokotala wanu angakhale akupanga zolakwika zofanana pa zomwe mumapeza ndikuchiritsidwa-zolakwitsa zimene zingakulepheretseni kuti mukumverera ndi kukhala ndi moyo wabwino. Yang'anani pa zinthu khumi izi ndipo onetsetsani kuti simukudziwa zomwe dokotala akuchita!
Kuyang'ana pa Numeri Yoyesera M'malo mwa Inu ndi Momwe Mumamvera
Madokotala ambiri amadalira nambala za mayesero, kupatulapo zizindikiro zanu ndi momwe mumamvera. Akatswiri ambiri amakhulupirira kuti zotsatira za mayeso zimangokhala mbali imodzi yokha, ndipo zizindikiro zanu-kuphatikizapo kutopa, phindu, kulemera kwa mafuta m'thupi, kutaya tsitsi, kutentha kwa thupi, ndi kupanikizika, pakati pa ena-ndi njira yabwino yodziwira ngati mukupeza okwanira-kapena kwambiri-mankhwala a chithokomiro.
Kudalira pa yesitomu ya TSH mmalo mwa gulu lonse
Mayeso a TSH ndi mbali imodzi yokha ya chithokomiro chokwanira. Mukhoza kukhala ndi TSH yomwe imakhala "yachilendo," kapena ili pamtunda kapena pansi, koma mukhoza kukhala ndi vuto la chithokomiro kapena matenda a chithokomiro (monga matenda a Hashimoto kapena Graves).
Katswiri wabwino samatulutsa chithokomiro pokhapokha pamaziko a TSH, koma m'malo mwake amayesa mayesero ena monga Free T4, Free T3. Matenda a chithokomiro amatha kudziŵa zochitika za autoimmune nthawi yaitali kuti magazi ena asakhale achilendo. Kuchiza kwa anthu omwe ali ndi ma antibodies kungathandize kuthandizira kukula kwa matenda a chithokomiro mwa anthu ena.
Kufotokoza Njira imodzi yokha ya mankhwala a chithokomiro
Mankhwala othandiza kwambiri pa chithokomiro ndi mankhwala osokoneza bongo omwe amathandiza kwambiri. Musalole dokotala kuti akuuzeni kuti iye kapena "amangolemba" mankhwala awa kapena mankhwalawa. Ichi ndi chizindikiro chakuti muli ndi dokotala yemwe sadziwa kwenikweni matenda oopsa a chithokomiro. Ngati mtundu wina wa levothyroxine (ie, Synthroid, Levoxyl, Unithroid) sagwira ntchito, dokotala wanu ayenera kukhala wokonzeka kuyesa wina. Ndipo ngati levothyroxine sikugwira ntchito, dokotala wanu akhale wokonzeka kuyesa T3 (ie, Cytomel) kapena chithokomiro chachilengedwe.
Sindikuyang'anitsitsa Nkhani za Adrenal ndi Zina Zachilengedwe monga Mbali ya Chithunzi
Ngakhalenso chithandizo chabwino cha chithokomiro sichingagwire ntchito-kapena sichingagwire ntchito monga momwe chingathere-ngati vuto la adrenal ndi hormonal silikuyendetsedwa bwinobwino. Ngati dokotala wanu sakuyang'anirani mkhalidwe wanu wamakono, ndiye kuti mbali yofunikira ya thanzi lanu ikunyalanyazidwa.
Kupereka Malangizo Oyenera Okhudza Momwe Mungatengere Amedi Anu
Kodi mumadziwa nthawi komanso momwe mungatengere kashiamu ndi madzi a calcium-ndi mankhwala anu a chithokomiro? Bwanji za chitsulo kapena mavitamini ali ndi chitsulo? Nanga bwanji zakudya zakuthambo? Ngati simukudziwa za zinthu izi, dokotala wanu sakukuuzani zinsinsi zomwe zingathandize kuti mupeze mankhwala anu a chithokomiro .
Kulephera Kudziwa Zizindikiro Zogwirizana ndi Chithokomiro
Ndizofala kuti madokotala alephere kuzindikira momwe vuto la chithokomiro limakhudzira zizindikiro zambiri. Nazi zochepa chabe zomwe nthawi zambiri zimanyalanyazidwa:
Kuthamangira kwa RAI Musanakambirane zosankha za Hyperthyroidism / Graves 'Matenda
Ku US kokha ndi ayodini yothamanga kwambiri (RAI) inagwiritsidwa ntchito ngati mankhwala oyamba a hyperthyroidism ndi Graves 'disease. Ngakhale odwala 25 peresenti ali ndi mwayi wokhululukidwa ndi zosankha zosiyanasiyana-kuphatikizapo njira zina zamankhwala-kusankha, odwala ochepa amamva za iwo kuchokera kwa madokotala awo.
Yankho lake? Phunzirani za zomwe mungachite. Taganizirani kuŵerenga Matenda a Graves a Elaine Moore : Buku Lophunzitsira , kapena Mary Shomon Wamoyo Womwe Ali ndi Matenda Akumanda 'ndi Hyperthyroidism.
Kulephera Kuwona Chithunzi Chachikulu Cha Matenda Odzimadzimadzi
Madokotala ochepa amachenjeza odwala a Hashimoto kapena a Graves omwe amakumana ndi chiopsezo chachikulu chokhazikitsa zinthu zina monga Sjogren's Syndrome (maso otupa ndi pakamwa), kapena Raynaud's Syndrome (kupweteka, manja ndi mapazi) kapena nyamakazi ya nyamakazi (kupweteka, ziwalo zopweteka ndi minofu). Pali zinthu pafupifupi 100 zosiyana, ndipo pali zinthu zomwe tingachite kuti tipewe, tipewe, kuchiritsa komanso kuchiritsa machitidwe ena omwe timagwiritsa ntchito.
Kupereka Chithandizo Chaching'ono Kapena Chitsogozo cha Kuperewera kwa Kuperewera kwa Thupi
Madokotala ena angakuuzeni kuti hypothyroidism sichikugwirizana ndi kulemera kwambiri ndipo kuti pambuyo pa RAI kapena opaleshoni ya chithokomiro, kapena mutatha kuchipatala, simungathe kulemera. Izi ndizolakwika ndipo zatsimikiziridwa ndi kafukufuku wolemekezeka.
Kulephera Kukhala Mnzanu Wokondedwa Amene Amakhulupirira Kuti Mungathe Ndipo Muyenera Kumverera Momasuka
Simungapange dokotala wolakwika mwa munthu yemwe amamukonda, ali ndi maganizo otseguka, komanso yemwe ndi mnzanuyo mu ukhondo. Kotero pali nthawi yomwe ndi bwino kupanga chisankho kuti mupite kwa dokotala yemwe ali woyenera kwa inu .