Izimpendulo Zingayitshintsha Impilo Yakho Nobomi
Uninzi lwezigulane ze-thyroid zifikelela kwingcaciso yakamuva malunga nophando, imichiza, isongezelelo kunye nesondlo. Kodwa ke isiguli esilungeleyo singenakukwazi ukubuza ezinye zezi mibuzo eziphambili malunga nesifo se-thyroid ekugqibeleni sinokusenza sizive kakuhle kwaye siphile ubomi obubhetele.
1. Ngaba Unayo Imithi Efanelekileyo?
Uninzi lwezigulane ze-thyroid-enoba unayo i-thyroid irradiated (RAI) ye-hyperthyroidism, ugqithwe ngokugqithiseleyo ngomhlaza we-thyroid okanye iigununu, okanye uyancipha ngenxa yesifo-ukuphela kwe-hypothyroid.
Oko kuthetha ukuba uzakufuna ukuthatha izidakamizwa zokusebenzisa i-hormone . Ngokuqhelekileyo, oogqirha banika izidakamizwa ze levothyroxine, uhlobo lwe-thyroxine, i-hormone ye-T4. (Amagama ebhanki aqhelekileyo aquka i-Synthroid, Levoxyl, ne-Unithroid kunye noTirosint .)
Uphando lubonisile ukuba uninzi lwezigulane ze-hypothyroid zikhetha ukonyango olufanayo lwe-T4 ne-T3 , i-hormone esebenzayo ye-thyroid. Oku kuya kufumaneka ngokukongezwa kwefom yokwenziwa kweT4 / T3 unyango lweziyobisi. I-generic term for the drug T3 yi-liothyronine, kwaye uphawu luyiKytomel. I-T3 ifumaneka ngokugqithisileyo ukusuka kwiifommethi ezihlanganisiweyo ngexesha lokukhishwa kwexesha. Enye inketho yendalo ye-thyroid (NDT), i-thyroid egciniweyo yeengulube, ezibizwa ngokuba yi-porcine thyroid. Iimpawu eziqhelekileyo zi-Nature-Throid, i-Thyroid WP kunye ne-Armor ye-Thyroid. Kukho i-NDT eyenziwe ngu-Acella.
Akukho mntu unyango olufanelekileyo kumntu wonke.
Iyeza elihle kakhulu le-hormone ye-hormone yokutshintshela imithi kuwe yileyo ikhuselekileyo kwaye ikulungele ukulungisa izibonakaliso zakho. Kodwa kufuneka uqwalasele ukuba ingaba ungazuzekanga kwi- T3 okanye kwi-thyroid ekhethiweyo yendalo .
2. Ngaba unesisombululo esifanelekileyo seMithi?
Akukuphela nje ukuba kufuneka ube kwiyeza elungileyo kuwe, kodwa kubalulekile ukuba awugcini nje ukuxiliswa kumanqanaba awela kwibala eliqhelekileyo / leferensi, kodwa kunoko, ukuba amanqanaba akho "aphezulu." Ngokubanzi, amanqanaba e-thyroid aphezulu athambekele ekubeni:
- I-TSH ngezantsi 2.5
- I-T4 yamahhala kwisiqingatha esiphezulu sereferensi yeferensi (ingaba isezantsi ukuba ulapha kwi-T4 / T3 unyango lweziyobisi)
- I-T3 yamahhala kwisiqingatha esiphezulu, okanye nakwi-25 ye-percentile ephezulu, yesalathisi yesithenjwa
Ukuba uphakanyisile amazinga e-TSH, okanye i-T4 ephantsi yamahhala kunye / okanye amazinga angamahhala eT3 ngelixa unyango, kwaye isaphila iimpawu ze-hypothyroidism, unokufumana indawo yokuphucula ngokwemilinganiselo yeyeza zakho.
Funda olu chungechunge lwamanqaku aqukethe imibono eyahlukeneyo yezobuchwephesha kwi-treatment ye-hypothyroidism .
3. Ngaba Ufanele Utshintshe ukutya kwakho?
Ezinye izigulane ze-thyroid zifumana kunzima ukuhlala zilawulwa kumlinganiselo wazo weyeza le-hormone. Abanye abanakukwazi ukunciphisa umzimba. Abanye abantu banamaqabunga kunye neentlungu kunye neentlungu eziqhubekayo nangona unyango. Kwaye kunjalo, abanye bahlala behlala bethintela kunye nokukhutshiswa kwesikhumba. Nangona unyango lwakho lulungiselelwe, ukuba uqhubeka ufumana ezi ntlobo zeempawu, ukutya kwakho kunokubekwa ityala.
Umzekelo:
- Ukuba udla kakhulu imifuno ye-goitrogenic eluhlaza, kunokukwenza ube ne-hypothyroid .
- Ukuba udla i-soy eninzi, kunokukwenza ukuba ube ne-hypothyroid engaphezulu, okanye ungaphazamise ukuxhamla imithi yakho ye-thyroid .
- Ukuba unomdla ku-gluten, ukutya okuninzi kakhulu kunokubangela ukukhathala, i-aches ehlangene / ubuhlungu, ukuqhaqhazela, ukucaphukisa isikhumba, nokwenza kube nzima ukunciphisa umzimba .
- Ukuba unesiseko kwii-FODMAP, ukutya ukutya okuphezulu kulezi zithako kunokukwenza uzive uvalwe kwaye ubangele ukuphazamiseka kokugaya
- Ukuba ungeke ulahlekelwe isisindo, ungadinga ukutshintshela kwisondlo esilawulwa yi-glycemic okanye carbohydrate
4. Ngaba ulala ngokwanele?
Unokufumana, nangona unyango oluhle lwe-thyroid, ukuba uziva unxinzekile . Isizathu esona siqhelo sisona esona sibala: ukungabikho kwaneleyo, ubuthongo obuhle. Ukuba uhlangabezana nokukhathala, qiniseka ukuba usebenze kunye nogqirha wakho, kwaye wenze ucoceko olungcono lokulala, ufumane ubuncinane iiyure ezisixhenxe ukuya kwezi-8 ubuthongo ngobusuku bonke.
Oku kubaluleke nakakhulu xa uzama ukunciphisa ubunzima, okanye sele ufumene unokungalingani kwamanani.
Ukongezelela kokufumana ubuthongo obuthe xaxa, nakhu ezinye iimfihlo zokulwa nokukhathala .
5. Ngaba i-Ferritin yakho kunye namazinga e-Vitamin D aphantsi kakhulu?
UFerritin- uhlobo olugcinwe lwesinyithi-lubalulekile ekusebenzeni kakuhle kwe-thyroid. Kuloluhlu lwesalathiso lwama-20 ukuya ku-100, oogqirha abaninzi abalinganayo bancoma ukuba amanqanaba e-ferritin abe ubuncinane ama-50 kwimisebenzi efanelekileyo ye-hormonal. Ukuba ufumana ukulahleka kweenwele, isincomo kukuba ukuba ubuncinane ubuncinane 80. Unokuhlolwa kwegazi ku-ferritin eyenziwe, kwaye uxoxe ngokuxhaswa kwesebe kunye nodokotela wakho ukuba kuyimfuneko. Khumbula, nokuba kunjalo, ukuba uncedisa ngesinyithi, kufuneka uthathe ubuncinane ubuncinane kwiiyure ezintathu ukuya kwezine ngaphandle kweyeza lakho le-hormone.
I-Vitamin D ngoku yaziwa ngokuba ingaphezu nje kwe-vitamin, iyinprohormone. Kwaye inendima ebalulekileyo ekukhuseleni impilo kunye nokulahleka kwesisindo . Kuloluhlu lwama-20-100, oogqirha abaninzi abalinganayo bancoma ukuba amazinga e-Vitamin D abe ngama-50 okanye ngaphezulu.
6. Ngaba ii-Adrenals zakho zilingani?
Ngaba uqale ukwelashwa kwe-thyroid, uzive ungcono, kwaye emva kweeveki ezimbalwa, ufumanisa ukuba uye waphawula okanye waphawula, isilumko-silumko? Ingaba ufumanisa ukuba awukwazi ukunyamezela nangona ukwanda okwenyuka kumachiza e-thyroid ngaphandle kokuziva utyhefu kunye noxhala? Unokuba nohlobo olungalinganiyo kwiingqungquthela zakho ze- adrenal - iingqungquthela ezenza i-hormone yokuxinwa kwaye uncede umzimba uphathe uxinzelelo. Ukungalingani okanye ukungapheli kwi-adrenals kunokubangela i-backslide kwiimpawu ze-thyroid emva kokuba uqalise unyango, okanye ukwenze ungahambisani neyeza.
Amagqirha ahlangeneyo ngokucetyiswayo anconywa ukuba unama-adrenals avavanywa nge-hour-saliva cortisol / uvavanyo lwe-DHEA, kwaye ukungalingani ngamanye amaxesha kungenziwa kulungiswe kunye nezibonelelo kunye neenguqu zokutya nezondlo. Ngamanye amaxesha ukungafezeki kwamanqanaba angadluliyo ngamanye amayeza kunokunyangwa kunye nemithi ye-hydrocortisone.
7. Ngaba ulandelwa nguDokotela ofanelekileyo?
I-Endocrinologists ngamagqirha anesigxina kwi-system endocrine, kuquka isifo sikashukela, ukungabikho komntwana, i-polycystic ovary syndrome (i-PCOs) kunye nesifo se-thyroid.
Kodwa-ke, i-Endocrinologists yinto efutshane kakhulu e-US nakwihlabathi jikelele , kwaye abaninzi babo bajolise ekusebenzeni kwabo ngokukodwa kwi-diagnostic and diagnosis. Ngenxa yokukhankanya okanye ukuqinisekisile umdlavuza we-thyroid, isifo se-Graves, i-nodules, kunye ne-goiter, kubalulekile ukubona i-endocrinologist ejongene neengxaki ze-thyroid.
Kodwa ekuxilongeni nasekuphatheni isifo sikaHashimoto, okanye ukufumanisa nokulawula i-hormone yesondo, i-thyroid, okanye ukungalingani kwe-adrenal, i-endocrinologist ayinakukhetha . Izigulane ezininzi zifumanisa ukuba zibhetele ngunyango odibeneyo (ugqirha odibanisa neyonyango). Amanye amagqirha agqwesileyo ekulawuleni ukungalingani kwe-hormone angabandakanya oogqirha bokunakekelwa okuphambili, ii-GPs, abaqeqeshi be-gynecologists, oogqirha be-osteopathic , oogqirha be- naturopathic , kunye nabagqirha abahlengikazi abaneengcali zempilo yabasetyhini.
Umyalezo wokubuya ekhaya? Qaphela ukuba kukho iintlobo ezahlukeneyo zamagqirha kunye noogqirha abanokuzikhetha kwiinkonzo zakho ze-thyroid .
ILizwi
Gcina ukhumbule ukuba nangona udidekile, akufanele ulahlekelwe ngumzamo wakho wokuphucula impilo yakho kwaye usombulule impawu zakho .