Ndibwino kudziwa zomwe zimayambitsa matenda a chithokomiro. Izi zili choncho chifukwa chakuti chithokomiro chanu chimakhala chopitirira muyeso kapena chopanda mphamvu, zizindikiro zoyamba zikhoza kukhala zowonekera. Mwachitsanzo, mungazindikire kuti mwatopa kwambiri kapena mwakhala mukulemera , ndipo mukutsutsa izi chifukwa cha msinkhu, kapena kukhala osagwira ntchito. M'mawu ena, zizindikiro nthawi zambiri zimakhala "zopanda pake" ndipo zimangowonjezereka ndi zina.
Ndipotu, nthawi zambiri anthu amazindikira kuti akhala akudwala matenda a chithokomiro kwa miyezi ingapo kapena zaka zambiri asanafike.
Tiyeni tione zina mwa zifukwa zazikulu za matenda a chithokomiro. Ngakhale zina mwazosiyana ndi hyperthyroidism kuposa hypothyroidism, nkofunika kudziwa kuti mbiri ya hyperthyroidism ikhoza kutsogolera ku hypothyroidism m'tsogolomu.
Gender
Azimayi ali ndi chiopsezo chachikulu chotenga matenda a chithokomiro kuposa amuna. Ngakhale kuti akatswiri amasiyana m'malingaliro awo, akuti amayi ali ndi mwayi wokhala ndi vuto la chithokomiro kusiyana ndi amuna.
Mbiri Yanu
Mbiri yanu ya matenda a chithokomiro imayambitsa chiopsezo chanu chokha cha matenda a chithokomiro. Mwachitsanzo, ngati mutatenga mimba mumakhala ndi postpartum thyroiditis yomwe inadzitengera nokha, muli ndi chiopsezo chowonjezereka chokhalira ndi vuto la chithokomiro kachiwiri mukatha kutenga mimba kapena m'tsogolo.
Kuwonjezera apo, mbiri yakale ya matenda alionse omwe amadzipangitsa munthu kukhala ndi matendawa (monga lupus, mtundu wa shuga, matenda a chifuwa chachikulu, matenda a nyamakazi kapena matenda a Celiac) angapangitse chiopsezo chanu chokhala ndi matenda a chithokomiro monga Hashimoto's thyroiditis .
Mbiri ya Banja
Mbiri ya banja la matenda a chithokomiro imayambitsa chiopsezo cha matenda a chithokomiro.
Chiopsezo ndi chachikulu kwambiri ngati muli ndi wachibale wamwamuna woyamba, mayi, mlongo, ndi matenda a chithokomiro.
Opaleshoni ya Chithokomiro
Kutulutsidwa kwa mankhwala onse kapena mbali imodzi ya chithokomiro kumabweretsa zotsatira za hypothyroidism, chithokomiro chopanda mphamvu.
Chithandizo cha mavitamini a Iodin (RAI)
Chithandizo cha mankhwala a iodin ndi chithokomiro, chomwe chimagwiritsidwa ntchito pochiza matenda a Graves / hyperthyroidism, ndipo nthawi zambiri amagwiritsidwa ntchito monga gawo la chithandizo cha khansa ya chithokomiro atatha opaleshoni, makamaka amachititsa ku hypothyroidism.
Kutentha kwa Mafilimu
Kuwonetsetsa kwa khosi kumayendedwe, monga mankhwala odwala khansa ya mutu kapena khosi kapena Hodgkin's lymphoma, kumawonjezera chiopsezo cha matenda a chithokomiro, komanso khansa ya chithokomiro. Ngozi ya nyukiliya ya ku Chernobyl ya 1986 yotchedwa Chernobyl yowopsa , imathandizanso kuti anthu azivutika ndi matenda a chithokomiro komanso khansa ya chithokomiro.
Pakati pa Pakati / Pambuyo Pakati
Kuopsa kokhala ndi matenda a chithokomiro osakanikirana kapena chithokomiro cha kanthaŵi kochepa kumakula pang'onopang'ono pamene ali ndi pakati komanso pakatha chaka choyamba chitachitika. Ndipotu, pafupifupi akazi asanu mwa amayi asanu aliwonse amene amabereka amabereka chithokomiro cha postpartum thyroiditis , koma izi sizikhoza kuoneka monga kutopa, kusinthasintha maganizo, ndi kutaya tsitsi nthawi zambiri pakapita nthawi.
Kusuta fodya
Ofufuza apeza kuti kusuta kumagwirizana ndi kukula kwa matenda a Graves, makamaka matenda a maso a chithokomiro , vuto la matenda a Grave. Kusuta kumathandizanso kuchepetsa kuchiza kwa matenda a maso a chithokomiro.
Kusowa kwa Iodine ndi Kumene Mukukhala
Kuperewera kwa ayodini okwanira (kutchedwa iodine kusowa ) kumayambitsa chiopsezo cha hypothyroidism ndi goiter (kutsekula kwa chithokomiro.) Kutaya kwa ayodini kumakhala kofala m'mayiko osauka ndi mayiko komwe tebulo la mchere silimadziwika bwino.
Ku US, kusowa kwa ayodini kumawoneka makamaka mwa anthu omwe amaletsa kumwa mchere, ndi anthu ena omwe amakhala m'madera (nthawi zambiri mapiri kapena amtunda) kumene kuli mavitamini apansi mu dothi ndi zakudya.
Anthu ena ayamba kukhala osowa kwa ayodini atasintha mchere (pofuna kudya zakudya zabwino) zomwe zilibe ayodini.
Kuchuluka kwa ayodini (Kuwonetsetsa / Kulowa)
Kugwiritsira ntchito ayodini kapena mankhwala owonjezera okhala ndi ayodini, mapiritsi kapena mawonekedwe a madzi, ndi anthu omwe ali ndi ayodini okwanira amachititsa kuti pakhale chiopsezo cha matenda a chithokomiro ndi hypothyroidism, ndipo kawirikawiri, hyperthyroidism kapena thyrotoxicosis.
Mankhwala ndi Machiritso
Njira zina zamankhwala ndi mankhwala osokoneza bongo zimachulukitsa chiopsezo chokhala ndi chithokomiro chosawonongeka. Zitsanzo zikuphatikizapo interferon-alpha, interleukin-2, ndi amiodarone, pakati pa ena.
Lithiamu ingakhudze chithokomiro m'njira zosiyanasiyana. Mankhwalawa omwe amagwiritsidwa ntchito pa matenda a bipolar amagwirizana ndi goiter, autoimmune thyroiditis, ndi hyperthyroidism.
Goitrogenic Foods
Zakudya zina (pamene zimadya yaiwisi ndi zowonjezera) zimakhala ndi mankhwala omwe angalimbikitse goiter ndi kupanga hypothyroidism mwa anthu ena. Mankhwalawa amadziwika kuti goitrogens .
Zakudya zina zomwe zili pamwamba pa goitrogens ndi masamba a cruciferous monga kabichi, mazira a Brussels, broccoli, turnips, rutabagas, kohlrabi, radishes, cauliflower, African cassava, mapira, ndi kale. (Dziwani: Anthu omwe ali ndi kachilombo koyambitsa matenda a chithokomiro komanso chizoloŵezi chofuna kudzimangirira kumaoneka ngati ali pangozi yaikulu.)
Soy Foods
Soy imaonedwa kuti ndi goitrogen, ndipo kafukufuku wina wasonyeza kuti soya ikhoza kuyamba kapena kuthandizira ku hypothyroidism. Zingasokonezenso kumwa mankhwala a chithokomiro. Kafukufuku wina akutsutsana, komabe palibe mgwirizano.
Akatswiri ambiri amalimbikitsa kuti anthu omwe ali ndi matenda a chithokomiro omwe sakhala ndi chithokomiro amachotsedwa kupewa opaleshoni ya mankhwala a soya, makamaka makamaka mitundu yowonjezera ya soya yomwe imapezeka m'mipiritsi ndi powders.
Zina Zowopsa Zowopsa
Zina zocheperachepera, koma zomwe zingakhale zoopsa, zimaphatikizapo:
- Kukhala ndi matenda omwe angathe kulowa mkati ndikuika zinthu mu chithokomiro (mwachitsanzo, sarcoidosis kapena hemochromatosis)
- Kukumana ndi zovuta zazikulu, kuphatikizapo kupsinjika maganizo, monga ngozi ya galimoto
- Kubadwa ndi chithokomiro chosawonongeka (chotchedwa congenital hypothyroidism) kapena chithokomiro chomwe chili pamalo olakwika (otchedwa ectopic hypothyroidism)
Mawu Ochokera
Chithunzi chachikulu apa ndi chakuti pamene matenda a chithokomiro ndi ofala, palinso anthu ena omwe angathe kukhala ndi vuto la chithokomiro kuposa ena.
Ngakhale zili choncho, ndibwino kukumbukira kuti chifukwa chakuti muli ndi zifukwa zina kapena zoopsa zambiri sizikutanthauza kuti mukudwala matenda a chithokomiro. Mofananamo, mungathe kukhala ndi mavuto a chithokomiro ndi zinthu zowopsa.
Zonsezi, ndiziwerengero zoopsa za masewera zimapangitsa mwayi wanu, koma samaneneratu kuti munthu akhoza kukhala ndi matenda otani.
Pamapeto pake, pitirizanibe kukhala wothandizira chithokomiro ndi thanzi lanu lonse. Dziwani zoopsa zanu, dziwani zizindikiro za chithokomiro, ndipo kambiranani ndi dokotala ngati simunamve bwino.
> Zotsatira:
> Bajaj JK, Salwan P, Salwan S. Zovuta zowonjezera zowonongeka m'thupi lanu: Kuwunika. J Clin Diagn Res . 2016 Jan; 10 (1): FE01-FE03.
Kasper, Dennis L .., Anthony S. Fauci, ndi Stephen L .. Hauser. Mfundo za Harrison za Mankhwala a M'kati. New York: maphunziro a Mc Graw Hill, 2015. Print.
> Chitukuko cha National Diabetes ndi Matenda a Kumimba ndi Impso. (2017). Matenda a Chithokomiro ndi Mimba.
> Walter KN ndi al. Kutentha kwa mahomoni kumatulutsa kortisol yokhala ndi anyamata ndi anyamata abwino. Resiti ya Chithokomiro. 2012; 5:13.
> Wiersinga WM. Kusuta ndi chithokomiro. Clin Endocrinol (Oxf). 2013 Aug; 79 (2): 145-51.