Ukuba ngaba ugqirha wentsapho, i-endocrinologist, i-chiropractor, okanye i-herbalist, unokuba ungafumani ulwazi oluchanekileyo malunga ne-thyroid yakho. Nazi ezintlanu eziqhelekileyo zeengoma kunye neengcamango ezingenakunqwenela ukuba unokuziva, kunye nebali langempela omele ukwazi.
1. Amanqanaba akho aqhelekileyo
Okokuqala, kuthini ukuba "okuqhelekileyo" kuthetha. Kwiminyaka elishumi edlulileyo, uluntu lwaseburhulumenteni lusemgangathweni ukuba .5 ukuya ku-5.0 kwi- Test ye-Hormone ye-Hormone (TSH) yegazi .
Ukuba i-TSH yakho yayingaphantsi .5, u-hyperthyroid / ungasebenzi. Ukuba i-TSH yakho ingaphezu kwe-5.0, u-hypothyroid / ungasebenzi. Ngo-2002, zombini i-American Association of Clinical Endocrinologists kunye ne-National Academy ye-Clinical Biochemistry "Izikhokelo zoLwazi lweZonyango," ikhuthazwa ukuba uluhlu oluqhelekileyo luhlaziywe ku-.3 ukuya ku-3.0. Emva koko, iminyaka emininzi kamva, bashiya ezi ngcebiso. Unokuba nezinga le-TSH kwisiqendu "sesigqirha", kodwa ukuba usekupheleni kweloluhlu, amanye amagqirha akakholelwa ukuba kuyinto evamile okanye enempilo kuwe. Xa ugqirha ekuxelela ukuba amazinga akho "aqhelekileyo," buza ukuba "uluhlu oluqhelekileyo" yena ulisebenzise ngokwenene ukwenza loo miselo.
2. Ukuba unengxaki ye-Thyroid, Thatha i-Iodine okanye iKelp
Iingcali zempilo zendalo zemvelo ezingayiqondi ngokwenene i-thyroid umsebenzi zidla ngokukhawuleza kukuxelela ukuba "iingxaki ze-thyroid zithetha ukuba ufuna i-iodine" okanye i-iodine ene-supplements, njenge-kelp, i-bladderwrack kunye ne-bugleweed.
Ukuba unobungozi be-iodine, iodode ingakwazi ukukunceda i-thyroid yakho. Ucwaningo luye lwabonisa ukuba ukulahleka kwe-iodyayi kuyenyuka ku-US, kwaye malunga ne-12% yabantu base-US njengamanje ayinalo iodine, ephakamileyo esuka kumaphesenti angaphantsi kwama-3 ekuqaleni kwawo-1970. Ngoko, kubantu abathile, ukusilela kwe-iodine kungabangela inkinga kwi- thyroid yeengxaki .
Kodwa abantu abathile, iododo okanye i-ididines-containing containing products are worn autoimmune iingxaki ze-thyroid ezifana nesifo sikaHashimoto kunye ne-Graves , kwaye kubangele ukwandiswa kwe-thyroid (goiter). Ngaphambi kokuba uqale iodine, cinga ukuba u- iodine ye-urinary ilinganiswa ukuze ubone ukuba unobungozi bokwenene, kwaye unake ingqalelo kwiimpawu eziphuhliswayo emva kokuba uqale ukuthatha i-iodine.
3. Unayo izifo zeMangcwaba / i-Hyperthyroidism kwaye ufuna i-Iodine ye-radiooday (RAI)
Xa kuziwa kwisifo se- thyroid , i-Hashimoto isifo, esivame ukuphumela kwi-hypothyroidism, yinto exhaphake kakhulu kuneSigufi, esibangela i-hyperthyroidism. Kwezinye izigaba zesifo sikaHashimoto , nangona kunjalo, kwaye ngokukodwa, ngokuqhelekileyo ngexesha lokuqala, i-thyroid eyenzekayo ekuphumelelweni komntu ngokwasemgangathweni inokwenzela ukuba yenze into kwaye isebenze okwethutyana, okwenza umntu abe ne-hyperthyroid. Ngamanye amaxesha, iimpawu ze-hyperthyroidism zengqumbo-ezixhambileyo, iintlungu zentliziyo , i-pulp fast, ukulahleka kwesisindo, isifo sohudo, ukulala-okokuqala ukuzisa isigulane sikaHashimoto ugqirha.
Ngelishwa, oogqirha abathile bacebise uvavanyo lwe-TSH, bona i- TSH ephantsi ephawulekayo ye-hyperthyroidism, kwaye uncoma unyango lwe-iodine olusasazwayo-ngokuqhelekileyo unyango olungapheliyo olukhubaza i-thyroid yakho, kwaye lwenza u-hypothyroid ubomi.
Ingxaki kukuba kula maxesha, ayikho isifo seMangcwaba , kwaye i-hyperthyroidism yesikhashana nje, imeko eyaziwa ngokuba yi "Hashitoxicosis." Kule meko, unokuba nexeshana ze-hyperthyroidism, kodwa ngokwenene ube yindlela yakho yokuba yi-hypothyroid. Kwezinye iimeko, ngaphandle kokuba i-hyperthyroidism isongela ukuphila kwaye ingalawulekiyo ngokusebenzisa iziyobisi, unyango oluninzi lweemitha zonyango alulawulwa.
Ukuba uxelelwa ukuba unesifo seMangcwaba okanye i-hyperthyroidism, kwaye ukhawuleza ukuba ube ne-RAI, ugxininise kwiimvavanyo zegazi kwiimpawu zokulwa eziqinisekisa izifo ze-Graves, kwakunye neemvavanyo ze-imaging.
Ufuna ugqirha wakho ukuba abonise ukuba unamathole '/ hyperthyroidism, kwaye awanaso nje ukufumana iHashitoxicosis yesikhashana.
4. I-Basal Body Temperature Ingakwazi ukubona i-Hypothyroidism
Nantsi imeko apho ukushisa komzimba we-klinikhi, uye wajika waba "ubungakanani obufanayo" buxhobo sonke sokuxilonga engasebenzi. Kuyaziwa ngokwenyama ukuba i-hormone ye-thyroid inefuthe ngqo kwi-basal, okanye ukuphumla, umlinganiselo wokunciphisa umzimba. Nangona i-hypothermia, okanye ihlisa izinga lokushisa lomzimba, libonakaliswa kwaye liyamkelwa ngonyango lwe-hypothyroidism , abanye oogqirha bakholelwa ukuba ukushisa komzimba kuyisisombululo sokungafihli. Ukugqibela kwe-Broda Barnes, MD yenza uluntu lukwazi ngokubanzi ukusetyenziswa kwe-axillary (underarm) yokushisa komzimba osisiseko (BBT) njengesilathisi kunye nesixhobo sokuxilonga se-hypothyroidism. Indlela yokuxilonga kunye nokubeka esweni isasetyenziswa ngabasebenzi abathile abongezelelweyo kunye nezinye.
Ukulinganisa i-BBT yakho, sebenzisa i-thermometer ekhethekileyo ye-BBT. Ngokukhawuleza xa uphaphama, ngokunyakaza okufutshane, faka i-thermometer kwisibopho sakho, eduze kwesikhumba, kwaye ushiye imaminithi elineshumi. Ukurekhoda ukufundwa kweentsuku ezintathu ukuya ezintlanu ezilandelanayo. Abasetyhini abasenesikhathi sokuya esikhathini akufanele bavavanywe kwiintsuku zokuqala ezintlanu, kodwa bangaqalisa ngosuku lwesihlanu. Amadoda, kunye namantombazana kunye nabasetyhini abangenako ukuya esikhathini baya kuhlola nayiphi na inyanga yenyanga.
Ukuba i-BBT ephakathi ingaphantsi kwe-97.6 yeFahrenheit, abanye abaqhelanisiweyo bayakuqwalasela ukuxilongwa kwe-thyroid engekho ngaphantsi okanye i-hormone ye-thyroid engekho. I-BBT ephakathi kwe-97.8 no-98.2 ithathwa njengesiqhelo. Ukushisa okuvela kwi-97.6 ukuya kwi-98.0 degrees Fahrenheit kuthathwa njengobungqina bokuba kungenzeka ukuba i-hypothyroidism, kwaye amaqondo okushisa angaphantsi kwama-97.6 degrees angabonakalisa ngakumbi kwi-hypothyroidism. Nangona kunjalo, abanye oogqirha baqwalasela nayiphi na iqondo lokushisa ngaphantsi kwama-degrees ama-98 ukuba abe noluphawu lwe-hypothyroidism.
Ukusetyenziswa kobushushu bomzimba obusisiseko buyingxabano, nangona kunjalo, nangabo bachongekileyo abasebenzisa uvavanyo baqaphele ukuba kufuneka babe yinxalenye yendlela yokusebenza, kwaye bangathembeki kuphela.
5. I-Treaty kuphela ye-Hypothyroidism i-Synthroid
Mhlawumbi enye yezona ziqhelo ezigqithisileyo oogqirha ziphinda ziphindaphinda kukuba i-Synthroid yonyango kuphela lwe-hypothyroidism. Enyanisweni, i-Synthroid ligama lophawu lwegama elithi "levothyroxine" -yindlela yokwenza i-thyroid hormone thyroxine, eyaziwa nangokuthi yi-T4.
I-Synthroid iyenzeka ukuba iyinqobo ye -brand ye-levothyroxine yezidakamizwa , ngokuyinhloko ngenxa yokuthengisa. I-Synthroid, nangona kunjalo, isoloko i-levothyroxine ebiza kakhulu. Ezinye iimveliso, ziqwalaselwa ngokulinganayo ngophando oluninzi, kwaye phantse zibiza ngexabiso, ziquka i-Levoxyl ne-Unithroid. Ezinye izigulane zifumanisa ukuba ziphendula ngokuthe ngqo kwi-brand enye-kungekhona i-Synthroid-ngenxa yendlela leyo i-brand echithwa ngayo kwaye ifunyenwe, okanye izitya kunye neetayiti ezisetyenziswa ngabavelisi abahlukeneyo.
Ukongeza kwii- levothyroxine iziyobisi , kukho i-liothyronine-igama eliqhelekileyo le-hormone ye-T3. Igama lomtshini nguCytomel. Ukongeza i-T3 ukuya ku-levothyroxine kuye kwafunyanwa ukunceda ezinye izigulane ze-thyroid zinciphisa iimpawu ngakumbi ngempumelelo kune-levothyroxine (T4) yodwa.
Ekugqibeleni, kukho uluhlu lweemithi ezisemthethweni ezibizwa ngokuba yi-thyroid . Musa ukuphazamisa ezi nge-over-counter-counter-glandular supplementary-supplement-they are not the same. I-prescription yemvelo echongiweyo ye-thyroid-uphawu olusisiseko se- Armor ye-Thyroid , kodwa kwakhona lukhoyo luhlobo lwe-Nature-throid, i-Thyroid WP kunye ne-generic eyenziwe ngu-Acella-lwenziwa kwi-cookie eyomileyo yeengulube. Iquka i- T4 yemvelo kunye ne-T3 , kunye nezinye i- hormone ze-thyroid ezingabonakaliyo kuquka uT2 , T1. Abanye oogqirha, kwaye ngokukhethekileyo iingcali zezempilo zemvelo, ezidibanisa kunye nezendalo, fumana ukuba i-thyroid yemvelo ihambelana nezigulane ezithile.
> Imithombo:
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10 Edition. WLL / Wolters Kluwer; 2012.