Posachedwapa ndakhala ndi mwayi wofunsa mafunso a Richard Shames, MD za mndandanda wake watsopano wa zokambirana pazolakwika zokhudzana ndi chithokomiro. Dr. Shames, amene ali ndi Harvard, University of Pennsylvania, ndi National Institutes of Health, ndi dokotala komanso wolemba omwe ali ndi zaka zoposa 30 akulera chithandizo cha chithokomiro chabwino.
Q: Bwanji, Dr. Shames, kodi mumagwirizanitsa zizolowezi zina monga "nthano"?
Pamene chikhulupiliro cholakwikacho ndi chochuluka kwambiri komanso chokhazikika ndi ogwira ntchito ndi ogula, amafunikira dzina lapadera. Zomwe zaumoyo zokha zokha sizikwanira. Mmodzi ayenera kudziwa ubwino wa chidziwitso, kuti azigwiritsa ntchito bwino. Zolakwa zingakhale zovulaza.
Q: Kodi mukuganiza kuti nthano ya chithokomiro ikutsogolera lero?
Chithokomiro Nambala 1: TSH ndiyeso yokha yomwe amayenera kutsogolera komanso kupatsirana kusamvana kwa chithokomiro.
Chikhulupiriro chonse chosagwedezeka muyeso, yosavuta, yowonjezera kuyesedwa kwa magazi kwachititsa kuti anthu mamiliyoni ambiri awonongeke mosayembekezereka. Malingana ndi chizunzo cha mayesero omwewo, madokotala amakana chithandizo kwa ambiri omwe amafunikira, ndipo asunge ena pa mankhwala ochepa kwambiri atalandira chithandizo.
Q: Odwala ambiri a chithokomiro amadziwa kuti kafukufuku wamakono posachedwapa akukayikira kuti zenizeni zenizeni, komanso machitidwe ovuta kwambiri, kwa kuyesera TSH . Ngakhalenso anthu omwe amapita kumalo oterewa sakugwirizanitsa pa "zolembera zachiwerewere" za mayesero a TSH.
Ndithudi. Koma kuchuluka kwa madokotala, makanki, ma laboratori, ndi makampani a inshuwalansi sadakopedwe ndi kufufuza kochititsa chidwi. Mmalo mwake, lingalirolo ndilozikika kwambiri. Koma kwa odwala ambiri a chithokomiro ndi akatswiri, lingaliro limenelo si sayansi. Ndi nthano.
Q: Kodi nthano yotsatirayi ndi chiyani?
Chithokomiro Nthano 2: Levothyroxine ndi mankhwala okhawo omwe amachiritso onse omwe angafunike.
Apanso, kufufuza kochuluka ndi zochitika zambiri zomwe zakhala zikuchitika kumasonyeza kuti ndi nthano yowopsya. Koma n'zosadabwitsa kuti kugulitsidwa kwathunthu pa nthanoyi madokotala ambiri ndi odwala ali kuzungulira dzikoli. Nthawi zonse ndimamva za izo pondiphunzitsa telefoni ndi odwala chithokomiro kudutsa mtunduwo.
Q: Nanga bwanji odwala omwe akusowa chithandizo cha chithokomiro chokwanira kwa adrenal function , progesterone, ndi vitamini D ?
Kufunika kwa vitamini S mwachidwi posachedwapa kukupeza bwino, pakati pa odwala ndi adokotala. Koma china chake n'zomvetsa chisoni kuti ndikupeza zochepa. Ndipo iyo ndi nthano ya nthano nambala 3: Chithokomiro chodziwika bwino chokhala ndi chitetezo ndi chosatetezeka chifukwa cha kusinthika kwake.
Nazi choonadi. Zachilengedwe zowononga mankhwala a chithokomiro (Zida za Chithokomiro ndi Zachilengedwe) ndizo mayina awiri omwe amadziwika kuti amatchedwa chithokomiro ku US) amadziwika kuti ali otetezeka komanso ogwira mtima. Odwala ena amaposa levothyroxine, ngakhale pamene mankhwala a T3 ali pamodzi ndi T4 (levothyroxine).
Kuimbidwa mlandu kwa kusiyana kwa mankhwala a chithokomiro chachilengedwe ndi chitsanzo cha nthano yosatha.
Ndipotu, FDA yapeza mobwerezabwereza chithokomiro (levothyroxine) kuti ikhale yosiyana pa mapiritsi.
Tsoka ilo, makampani a inshuwalansi tsopano ali pa bandwagon. Ena posachedwapa ayamba kulemba kwa odwala ndi madokotala kuti sadzathenso kutseka zachirengedwe zolemba zokhudzana ndi chithokomiro. Iwo amalimbikitsa kusintha kwa levothyroxine, ngakhale kuti ndi okwera mtengo kwambiri. Ichi ndi chisankho chachilendo kwa makampani a inshuwalansi kupanga, koma ayamba kuchita. Iwo mwachiwonekere adagwiritsa ntchito nthano, mwinamwake chifukwa cha kukopa kwa opanga mankhwala opanga mankhwala omwe amayesetsa kuchepetsa mpikisano wa chithokomiro chosawonongeka.
Q: Kodi nthano yotsatira ya chithokomiro ndi iti?
Chithokomiro Nambala 4: Pitirizani kumwa mankhwala a chithokomiro kuti muchepetse chiopsezo cha osteoporosis ndi mavuto a mtima.
Ichi ndi mwatsatanetsatane nthano yosalekeza, yochokera pa kafukufuku wam'mbuyomu. Kafukufuku waposachedwapa amasonyeza bwino kuti mankhwala a chithokomiro, m'mayeso omwe anthu amafunikira kwenikweni, si owopsa kwa mtima kapena mafupa.
Nthano iyi imakhala yovuta kwambiri, chifukwa pamene malangizowa akutsatiridwa, anthu amatha kukhala ndi chiopsezo chachikulu cha matenda a mitsempha ndi matenda a mtima. Pansi-medicated hypothyroidism ndi chinthu chodziŵika bwino chomwe chimayambitsa mafupa osakanikirana ndi mtima wamtima, ndipo subclinical hypothyroidism yakhala ikugwirizana ndi mavuto osiyanasiyana a mtima . Chithokomiro chaching'ono chingakhalenso ndi zotsatira zowonjezereka za adrenaline, zomwe zimapangitsa mtima kukhala wambiri.
Q: Kodi nthano yanu yotsiriza ya chithokomiro ndi yotani?
Chithokomiro Nthano 5: Mukangoyambitsa mankhwala a chithokomiro, muyenera kukhalabe kwamuyaya.
Ichi ndi chimodzi mwa zokondedwa zanga zonse ndipo ndi chitsanzo cha nthano yochokera ku choonadi chochepa. Ngati mankhwala anu a chithokomiro athandizidwa kwathunthu ndi ayodini ya radioactive kapena kuchotsedwa ndi opaleshoni ya chithokomiro , ndiye malangizo awa ndi owona kwa inu. Komabe, kwa odwala ambiri a chithokomiro omwe adakali ndi vuto la chithokomiro, malangizo awa ndi nthano yowononga.
Mwachitsanzo, anthu ambiri amafunika chithandizo cha chithokomiro chifukwa cha kuwonongeka kwa kanthaŵi kochepa pakatha msinkhu, posachedwa, kapena kumasiya. Odwalawa sangafunikire kukhala ndi mankhwala a chithokomiro kwa moyo wawo wonse.
Ndipotu, zingakhale bwino kuti ambiri a iwo asamasiye. Komabe, amatha kukhala ndi mapiritsi a chithokomiro kwamuyaya, chifukwa iwo kapena madokotala awo agula nawo nthano.
Komanso pamafunika kuthandizidwa kuti musamalire mankhwala a chithokomiro moyenera, komanso kuti mudziwe nthawi yoti mubwererenso, ngati mukufunikira. M'masiku othamanga mofulumira, mofulumizitsa maulendo a chithandizo chamankhwala, mayesero oyang'aniridwa a kuchotsa chithokomiro amapewa nthawi zambiri ndi akatswiri otanganidwa.
Kulimbitsa anthu omwe ali ndi thanzi labwino kuti apeze nthawi zonse kuti awonere madokotala ndi asamalonda sikukutha kugwiritsa ntchito mwanzeru ndalama zamalonda.