Kusala kudya, Mankhwala, Mimba, ndi Matenda Oopsa Angakhale Culprits
Matenda a chithokomiro kawirikawiri amakhala abwino komanso olondola, koma nthawi zina zinthu zina zimakhudza zotsatira za munthu. Ndicho, kuti mupeze zotsatira zenizeni zenizeni kwa inu nokha (kapena wokondedwa wanu), ndibwino kuti muzindikire izi.
Kusala Komwe Kumakhudza Mayeso a Chithokomiro
Ngakhale kusala kudya sikukufunikira pakuyesa magazi , zitsanzo zawonetsa kuti kusamba kwa m'mawa kumatanthawuza ku miyeso yapamwamba ya TSH , poyerekeza ndi omwe amatengedwa pambuyo pake popanda kusala.
Kusiyana kwa kusala kudya / kusala kudya kungakhale kovuta makamaka kwa anthu omwe ali ndi subclinical hypothyroidism (yofotokozedwa ndi TSH yokhala yofewa komanso T4 yaulere) popeza kuti matendawa akudalira kokha kufunika kwa TSH (popeza T4 ndi yachibadwa).
Mwa kuyankhula kwina, kugwiritsidwa ntchito kwa subclinical hypothyroidism kukhoza kusokonezeka ngati kachilombo ka TSH kamakhala kochepa chifukwa cha magazi osasala, madzulo masana.
Ngakhale kuti izi sizikuwoneka kuti ndizovuta kwambiri pa chithunzi chachikulu, ngati mukugwiritsa ntchito mahomoni otere, mwina mukuganiza kuti mukuganiza kuti magazi anu akuyendayenda nthawi yomweyo komanso mofanana (kusala kudya / kusala) .
Mmene Mankhwala Amagwiritsira Ntchito Amakhudza Mayesero a Chithokomiro
Mankhwala ena amachititsa kuti chithokomiro chisawonongeke, kutanthauza kuti munthu akhoza kuyamba chinyengo kapena hyperthyroidism, chifukwa cha kumwa mankhwala. Zitsanzo zochepa chabe za mankhwala oterowo ndi awa:
- Lithium
- Amiodarone
- Iodini kapena kelp zowonjezera
- Kugwiritsa ntchito mankhwala osokoneza bongo monga interferon alpha, interleukin-2, ndi Lemtrada (alemtuzumab)
- Tyrosine kinase inhibitors, monga Nexavar (sorafenib) kapena Sutent (sunitinib)
Mankhwala ena amachititsanso kuti mavitamini a chithokomiro asamalowe m'matumbo, monga calcium carbonate, iron sulphate, ndi proton pump inhibitors Prilosec (omeprazole) ndi Prevacid (lansoprazole).
Mankhwala ena amatha kusokoneza tizilombo toyambitsa matenda, koma osati ndi ntchito yeniyeni. Zitsanzo zochepa za mankhwalawa zikuphatikizapo:
- Zina za anti-inferoidal anti-inflammatories (NSAIDs)
- Ena otsutsa-ophwanya
- Heparin (magazi ochepa)
- Lasix (furosemide)
- Glucocorticoids
Pomalizira pake, kafukufuku wapeza kuti biotin yowonjezerapo (yotengedwa mu mlingo wa mamiligalamu asanu kapena 10) ingasokoneze kuyeza kwa mayeso a magazi a chithokomiro. Choncho, tikulimbikitsidwa kuti anthu omwe amatenga biotin agwire masiku awiri asanakhale ndi mayeso a magazi a chithokomiro.
Mmene Mimba imakhudzira mayesero a chithokomiro
Chifukwa cha kuwonjezeka kwa zosakaniza zapakati pa mimba, pali kusintha komwe kumachitika mu thupi la chithokomiro cha amayi. Ichi ndichifukwa chake American Thyroid Association akulangiza kuti dokotala amagwiritse ntchito mabwalo atatu a TMS ndi ma T4 omwe alibe ufulu pathupi.
Mmene Matenda Amakhudzira Mayeso a Chithokomiro
Ngati munthu akudwala kwambiri, makamaka ngati ali m'chipatala mu chipatala chachikulu, matenda awo angakhudze chithokomiro chawo. Mu matendawa, TSH nthawi zambiri imakhala yotsika kwambiri ndi T4, T4, ndi T3.
Chifukwa cha vutoli, lotchedwa nonthyroidal matenda kapena "matenda odwala euthyroid syndrome," akatswiri ambiri amanena kuti madokotala sangayerekezere mayeso a magazi a chithokomiro pa odwala odwala pokhapokha ngati pali vuto lalikulu la matenda a chithokomiro.
Mawu Ochokera
Pamapeto pake, kuti mukhale osamala pa chithokomiro chanu, onetsetsani kuti muwadziwitse dokotala ngati zilizonsezi zilipo, makamaka ngati muli ndi pakati.
Kumbukirani, ngati mayesero a magazi a chithokomiro akuwoneka ngati "osachoka" popanda chifukwa chabwino, kubwereza magazi nthawi zonse kumakhala kosavuta kuchita, komanso sitepe yotsatira.
> Zotsatira:
> Barbesino G. Kusokonezeka kwa Matenda a Manda ndi Matenda Odziwika Oopsya a Hyperthyroidism kwa Odwala Ogwira Biotin Megadoses. Chithokomiro . 2016 Jun; 26 (6): 860-3.
> Koulouri, O. ndi Gurnell, M. Momwe mungatanthauzire mayesero a chithokomiro. Clinical Medicine. June 1, 2013; 13 (3): 282-286.
> Nair R, Mahadevan S, Muralidharan RS, Madhavan S. Kodi kudya kapena postpandial kumayesa kuyesa ntchito ya chithokomiro? Ndine J Endocrinol Metab. 2014 Sep-Oct; 18 (5): 705-07.
> Ross DS. (2017). Kuyezetsa machitidwe a chithokomiro kumagwira ntchito. Mu: UpToDate, Cooper DS (Ed), UpToDate, Waltham, MA.