Kuwongolera kwanu thanzi la chithokomiro

Maphunziro a Zaumoyo

Ngati muli ngati anthu ambiri, mwina simukuganiza za thanzi la chithokomiro nthawi zambiri. Pamene chithokomiro chanu chikugwira ntchito momwe ziyenera kukhalira, ndikosavuta kuchipeputsa. Koma akatswiri azaumoyo akufuna kuti muganizire zaumoyo wa chithokomiro mu Januware, womwe ndi Mwezi Wodziwitsa za Chithokomiro chaka chilichonse. Imeneyi ndi nkhani yofunika kuidziwa chifukwa chithokomiro chanu chikakhala kuti sichikugwira ntchito moyenera, chimatha kubweretsa zovuta zingapo, zina mwazovuta kwambiri.

Malinga ndi Mgwirizano wa Chithokomiro waku America , oposa 12% aku America amakhala ndi vuto la chithokomiro m'moyo wawo. Mpaka 60% ya anthuwa sadziwa ngakhale kuti ali ndi matenda a chithokomiro, ngakhale kuti mwina vutoli lingayambitse zizindikiro zomwe sakudziwa kuti zimalumikizidwa ndi chithokomiro. Ichi ndichifukwa chake ndikofunikira kuganizira za thanzi lanu la chithokomiro-osati mu Januware wokha koma chaka chonse.

Chithokomiro chanu ndi chiyani?

Chithokomiro, kapena chithokomiro, ndimatenda ooneka ngati gulugufe omwe amapezeka m khosi mwanu omwe ndi gawo la thupi lanu. Matenda a Endocrine ndi ziwalo zomwe zimapanga mahomoni, omwe amalowa mwachindunji m'magazi ndikupita ku ziwalo zina ndi minofu mthupi lonse kuti athandizire kuwongolera ntchito zingapo za thupi. Matenda ena a endocrine ndi monga kapamba, mazira, ma testes, adrenal, ndi pituitary gland.

Chithokomiro chimapanga mahomoni awiri otchedwa thyroxine (T4) ndi triiodothyronine (T3). Zambiri zomwe chithokomiro chimapanga - pafupifupi 95% - ndi T4. Otsala 5% ndi T3. Mahomoni a chithokomiro amakhudza kagayidwe kanu, kutentha kwa thupi, ndi zinthu monga:

• Minofu yamphamvu
• Kupuma ndi mtima
• Kulemera kwa thupi
• Mulingo wa cholesterol
• Kusamba kwa msambo
• Mchitidwe wamanjenje
• Mulingo wamagetsi

Chithokomiro chimakhala ndi zipilala ziwiri ndipo chimakhala pamwamba penipeni pa kholala komanso pansi pa kholingo, kapena mawu amawu. Lobe iliyonse imakulunga pang'ono pamphepo, ndikutulutsa chithokomiro patsogolo pake, chifukwa chake chithokomiro chosagwira bwino chimatha kukhudza mawu anu kuphatikiza zina zomwe zingayambitse thanzi lanu.

Mavuto ofala a chithokomiro

Chithokomiro chimatha kugwira ntchito mwa njira ziwiri. Imatha kutulutsa mahomoni ambiri-omwe amadziwika kuti chithokomiro chopitilira muyeso, kapena hyperthyroidism -Kapena amatha kupanga mahomoni ochepa kwambiri, omwe amadziwika kuti chithokomiro chosagwira ntchito, kapena hypothyroidism . Amayi amakhala othekera kuposa amuna kukhala ndi vuto la chithokomiro, koma madokotala sadziwa kwenikweni chifukwa chake.

Ngakhale pali malingaliro angapo, palibe kufotokozera kulikonse [pakufala kwa azimayi] pakadali pano, malinga ndi Cheryl R. Rosenfeld , DO, FACE, mneneri wa American Association of Clinical Endocrinology (AACE). Matenda ofala kwambiri a chithokomiro ndi chilengedwe chokha, kutanthauza kuti chitetezo chamthupi chikayamba kuwononga gawo lina la thupi. Amayi amatha kukhala ndi matenda amthupi okha [kuposa amuna], motero ndizomveka kuti matenda a chithokomiro akuyimiridwa pano.

Hyperthyroidism

Hyperthyroidism, pomwe chithokomiro chimatulutsa mahomoni ochulukirapo, nthawi zambiri chimayambitsidwa ndi matenda amthupi omwe amatchedwa Matenda a Manda . Pamene wina ali ndi matenda a Graves, chitetezo cha mthupi chawo chimagunda chithokomiro ndikuchipangitsa kuti chiwonjezere kupanga mahomoni.

Hyperthyroidism ingayambitsenso chifukwa chodya ayodini wambiri kapena mankhwala a chithokomiro; mitsempha yambiri ya chithokomiro (yotchedwa matenda oopsa a nodular); thyroiditis (kutupa kwa chithokomiro); matenda opatsirana, kapena, nthawi zina, chotupa chosagwidwa ndi khansa ya m'matumbo.

Ngati sanalandire chithandizo, hyperthyroidism imatha kubweretsa kugunda kwamtima, matenda amtima ndi mavuto ena amtima, kupweteka kwamaso ndi kutayika kwamaso, kupondereza mafupa ndi kufooka kwa mafupa, zovuta zakubereka mwa amayi, komanso zovuta zapakati. Zizindikiro za hyperthyroidism ndi monga:

• Chiwombankhanga
• Mantha, nkhawa, kukwiya, kapena kusinthasintha kwamaganizidwe
• Minofu kufooka ndi kutopa
• Zovuta kulekerera kutentha kapena kugona
• Kugwedezeka, kawirikawiri m'manja mwanu
• Kutuluka pafupipafupi kapena kutsegula m'mimba
• Kuchepetsa thupi

Matenda osokoneza bongo

Hypothyroidism, chithokomiro chimatulutsa mahomoni ochepa, chimayambitsidwa ndimatenda amthupi omwe amatchedwa Matenda a Hashimoto , kapena Hashimoto's thyroiditis. Ndi matenda a Hashimoto, monganso matenda a Graves, chitetezo cha mthupi chimagonjetsa chithokomiro, koma pamenepa chithokomiro chimayankha pochepetsa kuchepa kwa mahomoni.

Nthawi zina, hypothyroidism imakhalapo pobadwa. Izi zimatchedwa kobadwa nako hypothyroidism. Zina mwazimene zimayambitsa matendawa ndi matenda a chithokomiro, ayodini wochepa kwambiri pa zakudya zanu, mankhwala a radiation, mankhwala ena, ndikuchotsa chithokomiro chonse.

Ngati sichichiritsidwa, hypothyroidism imatha kuwonjezera cholesterol yambiri, ndipo nthawi zambiri, imayambitsa matenda otchedwa myxedema coma, momwe magwiridwe antchito amthupi amatha kuchepa mpaka mkhalidwewo umakhala wowopsa. Hypothyroidism panthawi yoyembekezera zingayambitse kubadwa msanga kapena kupita padera ndikuchepetsa kukula kwa mwana. Zizindikiro za hypothyroidism, zomwe zimatha kukula pang'onopang'ono ndikutenga miyezi kapena zaka kuti ziwonekere, zimaphatikizapo:

• Chiwombankhanga
• Kulemera
• Ululu wophatikizana ndi minofu
• Kuchepetsa kugunda kwa mtima
• Nkhope yotupa
• Zovuta kulekerera kuzizira
• Kudzimbidwa
• Khungu louma
• Kutaya tsitsi
• Msambo wambiri kapena wosasamba
• Mavuto oberekera mwa amayi

Zizindikiro zina zimafanana ndi hyperthyroidism ndi hypothyroidism, atero Dr. Rosenfeld, chifukwa chake ndikofunikira kukhala ndi dokotala wodziwa bwino za matenda a chithokomiro kuti amuunikire bwino ndi kumuthandiza wodwala yemwe ali ndi matenda okhudzana ndi matenda a chithokomiro.

Chiwombankhanga

Hyperthyroidism ndi hypothyroidism zimatha kukulitsa chithokomiro mopitilira muyeso. Vutoli, lotchedwa a Chifuwa , ndi chimodzi mwa zizindikiro zofala kwambiri za matenda a chithokomiro. Goiter imatha kuchitika pomwe chithokomiro chimatulutsa mahomoni oyenera ngati pali vuto lina lomwe lingapangitse kuti chithokomiro chikule modabwitsa.

Zonse T4 ndi T3 zili ndi ayodini, chinthu chofunikira kwambiri chomwe chimapezeka mu nkhono zamchere ndi mchere wa ayodini. Ngati munthu sakupeza ayodini wokwanira, chithokomiro sichingathe kupanga mahomoni okwanira. Izi zitha kupangitsa kuti khungu la pituitary muubongo litumize chizindikiro ku chithokomiro kuti chipange mahomoni ambiri. Chizindikiro ichi, chotchedwa chithokomiro chotulutsa mahomoni (TSH), chimapangitsa kuti chithokomiro chikule poyesera kukulitsa kupanga kwa mahomoni.

Kuperewera kwa ayodini ndi chinthu chofunikira kwambiri chomwe chimayambitsa zilonda zapadziko lonse lapansi, koma osati ku United States, akutero Dr. Rosenfeld. Kutsika kwa ayodini kumakhala kovuta kwambiri.

Goiters amathanso kukula chifukwa cha kusuta, radiation, kapena majini. Kusuta kumayambitsa kukula kwa chithokomiro poletsa kuti chithokomiro chisapeze ayodini, chifukwa cha mankhwala omwe amapezeka mu utsi wa ndudu, akutero Dr. Rosenfeld. Kuwonetsedwa ndi radiation, kawirikawiri kudzera mu ngozi za nyukiliya kapena mankhwala a radiation, kumatha kupangitsa kuti chithokomiro chikhale ndi tinthu tating'onoting'ono ndikukula. Pomaliza, mwinanso chofunikira kwambiri, ndikuthandizira kwa majini pakukula kwa mitsempha ya chithokomiro ndi zotupa.

Khansa ya chithokomiro

Nthawi zambiri, makamaka kwa iwo omwe ali ndi mbiri yakuwonetsedwa ndi ma radiation, anthu amatha kudwala khansa ya chithokomiro. American Thyroid Association akuti ku United States pafupifupi anthu 64,000 pachaka amadwala khansa ya chithokomiro ndipo ochepera 2,000 amafa ndi khansa ya chithokomiro.

Kuti apeze khansa ya chithokomiro, hypothyroidism, hyperthyroidism, ndi matenda ena a chithokomiro, katswiri wazamankhwala kapena wothandizira zaumoyo wina angayese mayeso ndipo atha kuchita chithokomiro chimayesa TSH ngati imeneyi , T3, T4, ndi matenda a chithokomiro oyesa magazi. Nthawi zina, kuyesa kuyerekezera monga chithokomiro, ultrasound, kapena kuyesa kwa ayodini kungachitike.

Zinthu 3 zomwe mungachite kuti mukhale ndi thanzi la chithokomiro

Palibe njira yotsimikizika yopewera matenda amtundu wa chithokomiro, koma ndizotheka kuyesa pakhosi kunyumba kuti muwulule chotupa kapena chotupa cha chithokomiro, malinga ndi Dr. Rosenfeld. Izi zimachitika poyang'ana galasi ndikuyang'ana khosi lakumunsi kwinaku mukumwetsa madzi. Zambiri pazofufuza khosi zitha kupezeka pa Chidziwitso cha Chithokomiro tsamba la webusayiti. Ngati mukuganiza kuti mutha kukhala ndi khosi lotupa kapena chithokomiro, konzekerani kuti mukaonane ndi dokotala nthawi yomweyo ndikuyesera njira zotsatirazi zokuthandizani kuti mukhale ndi thanzi labwino.

1. Mankhwala a chithokomiro

Ngati mwapezeka kuti muli ndi vuto la chithokomiro, dokotala wanu amatha kukupatsani mankhwala a chithokomiro kuti muthandize kuthana ndi vutoli. TSH yokhazikika ndi 0,5 mpaka 5.0 mIU / L, malinga ndi UCLA Zaumoyo . Mankhwala omwe amalembedwa kawirikawiri pazovuta za chithokomiro ndi awa:

• Synthroid, Levoxyl, Levothroid, Unithroid, Tirosint (Opanga) magwire )
• Chingwe, Triostat ( alireza )
• Chida Chithokomiro, Chotupa Chachilengedwe, Westhroid ( chithokomiro chidafotokozedwa )
• Makhalidwe (PTU)
• Tapazole ( methimazole )

Monga mankhwala ambiri, mankhwala a chithokomiro amatha kuyambitsa mavuto. Zina mwazofala kwambiri ndi izi:

• Kusintha kwa njala
• Kuzindikira kutentha kapena thukuta
• Mutu
• Kuchepetsa thupi kapena phindu
• Kutengeka kapena kusowa tulo
• Mantha
• Kupunduka kwamiyendo, kupweteka kwamagulu kapena minofu
• Kutsekula m'mimba, kusanza, kapena kupweteka m'mimba
• Ziphuphu pakhungu
• Kusintha kwa msambo

Muyenera kupewa kutenga Maantacid, ma PPIs (monga omeprazole, pantoprazole etc), zowonjezera zowonjezera zachitsulo, kapena zowonjezera calcium mkati mwa maola anayi mutamwa mankhwala a chithokomiro.

2. Zakudya za chithokomiro

Ngakhale palibe umboni wotsimikizira lingaliro loti zakudya kapena kuchita masewera olimbitsa thupi Zingasinthe thanzi la chithokomiro, anthu ambiri amati zakudya zotsatirazi zitha kuthandiza kukonza chithokomiro:

• Zomera zam'nyanja, monga nori ndi udzu wam'madzi wodyedwa
• Zowonjezera za Maca
• Chlorophyll, yomwe imapezeka mu zomera monga sipinachi ndi tirigu wa tirigu
• Mtedza wa Brazil
• Masamba a Cruciferous (kolifulawa, broccoli, kale, etc.)

Omwe amadya zakudya za chithokomiro amanenanso kuti muyenera kupewa zakudya zina monga chakudya chamakotoni ndi walnuts. Kupanda kukhala ndi gilateni komanso kupewa kupatula mapuloteni a soya kungathandizenso kukonza chithokomiro, monganso kupewa zakudya zomwe zili ndi goitrogens, zomwe ndi zinthu zomwe zingasokoneze chithokomiro chikamadya mopitirira muyeso.

Kudya moyenera ndi kuchuluka kwa ayodini kumatha kuthandizira thupi lanu kukhala ndi thanzi labwino, koma sikungakuthandizeni kupewa zovuta za chithokomiro.

Ngakhale zomwe zimapezeka nthawi zambiri pa intaneti, palibe chakudya, chowonjezera, kapena masewera olimbitsa thupi omwe angalimbikitse thanzi la chithokomiro kapena kupewa matenda a chithokomiro, atero Dr. Rosenfeld. Chenjerani ndi zakudya kapena mafashoni omwe amakonda kupangitsa kuti chithokomiro chikhale ndi thanzi labwino. Pang'ono ndi pang'ono, ndikungowononga ndalama, komanso atha kukhala owopsa. Kudya ayodini wambiri, masamba a cruciferous, kapena zowonjezera zina kumatha kusokoneza chithokomiro.

3. Dziwani zambiri ndipo lankhulani ndi omwe amakuthandizani

Mwina chinthu chabwino kwambiri chomwe mungachite kuti mukhale ndi thanzi la chithokomiro, monga Mwezi Wodziwitsa za Chithokomiro ukutikumbutsa, ndi kuphunzira za zizindikilo za matenda a chithokomiro ndikuchitapo kanthu ngati mukuganiza kuti china chake chalakwika ndi chithokomiro chanu.

Kukhala wodwala wodziwa zambiri komanso kugwira ntchito ndi omwe amakuthandizani ndi zofunika kwambiri, atero Secretary of American Thyroid Association a Jacqueline Jonklaas, MD, Ph.D., pulofesa mu gawo la endocrinology ku Georgetown University. American Thyroid Association yadzipereka kugawana zambiri zokhudzana ndi umboni kudzera mulaibulale yathu yamapepala a FAQ ndi timabuku todwala topezeka pa chithokomira.org .