Oogqirha banokuthi ngokuphindaphindiweyo ukuba isifo se-thyroid "kulula ukuyifumanisa, kulula ukunyanga," okanye ukuba "umdlavuza we-thyroid ngumhlaza omhle ," kodwa izigulane ze-thyroid ziyazi ukuba kukho imingeni enokuphila nezifo ze-thyroid. Makhe sijonge kwiingxaki ezi-10 eziphambili onokujamelana nazo ngokuhlala nesifo se-thyroid.
1. Ukwazi zonke i-Hypothyroidism Yonyango lwenketho
Ingaba unayo i-iodine ye-radioactive (RAI) yeSifo se-Graves, i-thyroidectomy yomdlavuza we-thyroid, okanye u-Hashimoto's thyroiditis, uya kudla ukuphela kwe-hypothyroid, efuna ukuthatha imishanguzo ye-hormone ye-thyroid .
Umngeni obalulekileyo, nangona kunjalo, ukwazi ukuba kukho iindlela zokonyango. Amagqirha aqhelekileyo kunye nee-endocrinologists zihlala zixelela izigulane ukuba kukho ukhetho olulodwa lonyango: i-levothyroxine, ifom ye-synthetic ye-hormone ye-T4. Amagama eBrith aquka i-Synthroid, iLevoxyl neTirosint. Kukho, nangona kunjalo, amanye amayeza kunye neendlela ezidibeneyo ezikhuselekileyo nezisebenzayo ze-hypothyroidism. Akunakukuva malunga nalezi zikhetho kumagqirha aqhelekileyo, nangona kunjalo. Ezi ezinye iindlela zonyango ziquka:
- U-Levothyroxine kunye ne-T3 unyango, ungeze i-liothyronine (igama lomgama ngu-Cytomel), uhlobo lwe-T3, okanye i-liothyronine
- Levothyroxine kunye ne-natural thyiccated thyroid (NDT). I-NDT iyi-thyroid ye-prescription eyenziwe kwiingqungquthela ezomileyo zeengulube, yaye sele isetyenziswe kwimarike ngaphezu kwekhulu leminyaka njengonyango lwe-hypothyroidism. Iquka iintlobo zemvelo zee-hormone ze-T4 ne-T3. Amanye amagama e-brand aquka i-Nature-Throid ne-Armor ye-Thyroid.
- I-NDT kuphela yonyango
Kwi-nutrition front, kukho ubungqina bokuba kwi-subset yabantu abanobuchopho be-thyroid, kodwa banesifo se-celiac , ekupheliseni ngokupheleleyo i-gluten ekudleni kunokubeka isifo sabo se-thyroid ukuba sithethelele, siphendule iimpawu kunye nokuphelisa imfuno iyeza yeyeza.
Ukuvavanya isifo se-celiac kunye nokunyamezelana kwe-gluten akukwenziwa ngokuqhelekileyo ngamagqirha aqhelekileyo okanye i-endocrinologists.
2. Ukwazi zonke izifo zakho zamathambo / i-Hyperthyroidism
Xa ufumanisa ukuba unesifo se-Graves okanye u-hyperthyroidism, ukutyekela koogqirha abaninzi base-US kukukhuthaza ukuba uncedo lwe- i-reactive i-iodine ablation (RAI) . Abanye oogqirha bathi le nto "Ukunyuka kwi-RAI."
I-RAI unyango lubandakanya ukuthatha i-dose ye-iodine ene-radioactive, ejolise kwi-thyroid yakho kwaye iyitshabalalise, isombulula i-hyperthyroidism yakho. I-RAI, nangona kunjalo, ngokuqhelekileyo igalela kwi-hypothyroidism yonke impilo kunye nesiphumo esiphumela sonyango lwe-hormone.
Ngaphandle kwe-US, nangona kunjalo, oogqirha banakho ukuzama ukusebenzisa iziyobisi ze-antithyroid , ezithintela i-thyroid yakho ngaphandle kokutshatyalaliswa ngonaphakade. Ngenxa yokuba ubuninzi beepesenti ezingama-30 zezifo ze-Graves kunye nezigulane ze-hyperthyroidism ziyaxolisa kwizidakamizwa ze-antithyroid, oogqirha abangaphandle kwe-US basebenzisa unyango lwezilwanyana njengonyango lokuqala kunye nokucebisa i-RAI ukuba kukho ukungabikho komzimba okanye ukuvalelwa kwamachiza, okanye iziyobisi azenzi kakuhle ekuxazululeni i-hyperthyroidism.
Ezinye izifo ze-Graves kunye nezigulane ze-hyperthyroidism e-US azizange zixelelwe ukuba izidakamizwa ze-antithyroid zikhethwa.
Zinikezwa nge-RAI njengonyango kuphela.
Omnye umba kukuba ngabafazi besifo sokuzala abantwana, i-RAI ayikhuthazwa ukuba uceba ukukhulelwa kunyaka ozayo. Iingcali zincoma ukuba ulinde ubuncinane ngonyaka emva kwe-RAI ngaphambi kokuba ukhulelwe, nokuba kude kakhulu xa ufuna ukuzinza kwiyeza lonyango.
Ngaphandle kwe-US, i-RAI ayinakwenziwa ngokuqhelekileyo nakwiyiphi na ibhinqa elidala lokuzala, ngenxa yeso sizathu. Endaweni yoko, ukukhutshwa kwe-thyroid kukhankanywe rhoqo.
Kanti, nangona kunjalo, e-US, abaninzi abafazi abacebisi ngamagqirha abo ukuba xa benethemba lokukhulelwa kunyaka ozayo, utyando lunokuba lukhetho olungcono kwaye ukuba emva kokuba i-hormone ye-thyroid ishintshile, iyakhulelwa ngokukhuselekileyo, kunokulinda.
3. Ukufumana oogqirha abafanelekileyo
Enye yemingeni ephambili enokujamelana nayo kukufumana ugqirha ofanelekileyo kunyango lakho le-thyroid. Xa unesifo se-Graves okanye i-hyperthyroidism, i-thyroid nodules, okanye umdlavuza we-thyroid, kuya kufuneka ukuba udibanise ne-endocrinologist. Kodwa ezininzi ze-endocrinologists zixhomekeke kwisifo sikashukela kwaye zineenkcenkceshelo eziqhubekayo ekuhloleni nasekulawuleni izigulane ze-thyroid.
Ngoko, i-subset ye-endocrinologists ekhethekileyo kwizifo ze-thyroid yincinci kakhulu. Ngokufanayo, xa uneHashimoto's thyroiditis okanye ulawula i-hypothyroidism eqhubekayo, unokufumanisa ukuba oogqirha bokunakekela abaphambili okanye abaqeqeshi be-internship bathatha indlela echanekileyo, kwaye banokunika ukhetho oluncinane. Izixhobo ezimbini zokukunceda ukunqoba lo mngeni:
- Izigulane ze-Thyroid: Nguwuphi uhlobo logqirha onokuyibona?
- Ukugqiba malunga nabaSebenzi beNkxaso yakho yeTyroid
4. Ukunqongophala kwama-Endocrinologists
I-Endocrinologists igxininise ekulawuleni izifo ze-endocrine eziquka isifo sikashukela-esifinyelela isifo esiyingozi kwi-US- kunye neemeko ezibandakanya ukungabikho kwengxaki kunye neengxaki zokuzala, i-polycystic ovary syndrome, ukuphuma kwindoda, i-osteoporosis, ukukhubazeka kwe-hormone yokukhula, kunye neenkohlakalo ze-thyroid. E-US, sinokuntuleka okukhulu kwee-endocrinologists .
Olunye uphando luqikelela ukuba kukho enye i-endocrinologist yeenkulungwane zabantu abaneemeko eziwela phantsi kwe-endocrinologists. Izintlu zokulinda ukubona i-endocrinologists zihlala kwiiveki ukuya kwiinyanga ezininzi-Ukuba unako ukungena kuyo yonke into. Inyaniso kukuba akukho nje i-endocrinologists eyaneleyo yokukhonza wonke umntu onesimo se-thyroid. Nangona kunjalo, ezininzi ze-endocrinologists zineenkcukacha ezincinci, kwaye zijolise kakhulu kwizigulane zesifo sikashukela, okanye i-endocrinology yokuzala, kwaye ungathathi izigulane ze-thyroid. Nangona i-endocrinologists ingaqhelekanga ukuba ixilongwe kunye nonyango lwesifo sikaHashimoto kunye ne-hypothyroidism , zibalulekile kwiimeko ezinzima ezifana nezifo ze-Graves, i-nodules ye-thyroid kunye nomdlavuza we-thyroid.
5. Ukujamelana noKhathala
Esinye sezikhalazo eziqhelekileyo zezigulane ze-thyroid-ingaba i-hypothyroid okanye i-hyperthyroid-ayixinzekanga kwaye iphikelela ukukhathala. Ukukhathala kungabhubhisa kwaye kaninzi kukhululeka ukulala okanye ukuphumla okungekho. Ukukhathala kuqheleke kakhulu xa i-hypothyroidism yakho ingaphathwa kakubi okanye ingatshatyalaliswa, okanye ukuba u-hyperthyroid kwaye ufumana ukulala nokungazinzi. Kukho, ke, isisombululo kule mngeni .
6. Ukulawula ubukhulu bakho
Ipesenteji enkulu yabantu abane-hypothyroid iphelela ngesisindo esithe xaxa-kwaye ngamanye amaxesha kubonakala ngathi akunakwenzeka-ukulahlekelwa. Le ngenye yezikhalazo eziphambili zabantu abaninzi abaneengxaki ze-thyroid: ukuba akukho ndlela yokukhahlela ikhalori, ukutshintsha ukutya, okanye ukuzivocavoca ngamandla kunako ukuhambisa isikali ngendlela efanelekileyo.
Kukho iinkalo ezininzi ezinokuthi kunzima ukuba izigulane ze-thyroid zibe nzima, kuquka :
- Ukungaphathwa kakubi okanye ukuxhomekeka kwe-hypothyroidism
- I-slow metabolism okanye uphawu oluphezulu lwesiseko, nangemva kokunyanga
- Ingozi eyongeziweyo yokuxhatshazwa kwe-insulin kunye nesifo se-metabolic syndrome
- Amandla angaphantsi, aguqulela ekusebenziseni okuncinci kunye neekhalori ezimbalwa
- Utshintsho lweHormonal olwenza usebenze ngakumbi ekugcineni amafutha kunye nokusebenza ngaphantsi kokutshisa
Kukho isisombululo kwizigulane ze-thyroid ezinzima .
7. Ukujongana neenguqu eziphathekayo ze-Thyroid
Ukungafumani, ukunyangwa phantsi, kunye nezifo ze-thyroid ezingapheliyo zingabangela uluhlu lwezinto zokuhlamba iimpahla kunye neempawu zempilo yengqondo. Ukuxinezeleka, inkohlakalo yengqondo, iingxaki zeememori, ukuhlaselwa kwexhala kunye nokuxhalabheka konke kungahambelana ne-thyroid yakho. Unokuba neempawu ezichaphazela ukukhathazeka kwakho kwaye ziphazamise amandla akho okusebenza ngokufanelekileyo.
Ezi zimpawu zinokuba ngumngeni xa uzama ukufumana ukuxilongwa, njengoko oogqirha abathile baya kukunika imiyalelo yokuxhatshazwa kwemithi okanye imithi yokungaxhatshazwayo endaweni yebhan ye-lab. Nangona unyango, usenokuba nezinye zeempawu ezinxulumene nemizwelo ezibangelwa yi-thyroid yakho.
Ngokufanelekileyo, isisombululo esisisiseko kukufumana unyango oluhle lwemodio yakho. Kwezinye iimeko, amayeza anesifo esiphathekayo okanye aphikisayo anganceda. Kodwa musa ukungaziboni iintlobo zezinye iinkqubo, ezinye zazo zichazwe ngumongameli wezengqondo uDkt Jan Nicholson.
Unokufumana ukukhulula kokudakumba nokuxhalabisa ngokubandakanya umkhuba wokucamngca .
8. Iingcali ezingenakuqhelaniswa kunye noogqirha abangenayo
Ngelishwa, unokujamelana noogqirha abangafundileyo kunye nabangenakuqonda, kwaye baba ngumngeni kunoma ubani onesifo esingapheliyo, kuquka izigulane ze-thyroid. Ukuba unomdlavuza we-thyroid, unokuhlangabezana noogqirha (kodwa udangalisa) oogqirha abakuxelela ukuba "umdlavuza we-thyroid ngumhlaza omhle," xa umntu onomdlavuza eyazi ukuba akukho mhlaza "olungileyo" kwimeko yesigulane.
Okanye, ungagqirha oogqirha abagxininisa ukuba izidakamizwa zemvelo zonyango zivela kwiinkomo (zona zivela kwiihagu), kwaye zibeka umngcipheko wezifo zeenkomo ezibi.
Okanye unokuba unogqirha ongenamhla ophikelela ukuba i-thyroid ye-thyroid i-biopsy ithetha ukuba kufuneka ube notyando lwe-thyroid, ungaqapheli ukuba uvavanyo lwe-Afirma ukusuka eVeracyte lunokuthi luhlale lugqithise ngokuqinisekileyo okanye luhlolisise umdlavuza we-thyroid ngokusekelwe kwiziphumo ze-biopsy, kwaye ugweme utyando.
Iingcebiso ezilungileyo xa ufumana omnye wale odokotela abangenalwazi okanye abangenalwazi: Yisikhathi sokufumana ugqirha we-thyroid entsha .
9. Iintsapho, Abahlobo, kunye nabaSebenza nabo abangayiqondi
Kwizigulane ezininzi ze-thyroid, isifo se-thyroid asibangela ukuba utshintsho lwangaphandle lucacileyo. Awunakho utshintsho obunzima okanye obunye ubungqina obubonakalayo bakho. Ngethuba elifanayo, kukho abadumileyo-I- Modern Family ka- Sofia Vergara ifika engqondweni-ababa ngabaprofeti kunye nabameli bemithi ye-thyroid, besasaza isigidimi sokuthi isifo se-thyroid asiyifumani umoya.
Ungakwazi nokuba nezigulane ze-thyroid, emva kokuvavanywa, zithatha iipilisi zabo, kwaye abanalo utshintsho olubonakalayo kwindlela abavakalelwa ngayo, kwaye ngenxa yoko, abakholelwa ukuba izigulane ze-thyroid nazo zinezibonakaliso ezingaphendulwanga.
Oku kunokuthetha ukuba abahlobo, intsapho kunye nabo basebenza nabo bakuthola kunzima ukuqonda oko uhambayo, kwaye ungananto imfesane okanye uvelwano ngemingeni yakho yempilo. Isisombululo kulo mngeni? Banike enye yeeileta ukunceda ukucacisa imeko kubo:
Iintsuku ezili-10 Xa Ufuna Nje Ukunikela
Enye yemingeni ezininzi izigulane ze-thyroid zijongene neentsuku xa ufuna nje ukuyeka. Kubonakala kungenakwenzeka ukufumana ugqirha ofanelekileyo, imishanguzo efanelekileyo, okanye ukuguqulwa kwezinto ezifanelekileyo zokuphila ukuze kunciphise iimpawu eziqhubekayo ezifana nokukhathala, ukufumana ubunzima, okanye ukuxinezeleka. Izinwele zakho ziwa ngaphandle kwaye akukho nto ibonakala iyimisa, okanye ulala iiyure ezili-12 kwaye uvuke uziva uphelile. Iyiphi injongo, unokubuza? Ukuba wena, njengezigulane ezininzi ze-thyroid, ufikelela ekupheleni kwintambo yakho ngokujongana nesifo sakho se-thyroid, yazi ukuba awodwa . Kukho abantu abaninzi ngaphandle apho bayazi indlela ozive ngayo, kwaye baye bakwazi ukuyisa loo mvakalelo.
> Imithombo:
> Bahn, R., Burch, H, Cooper, D, et al. I-Hyperthyroidism kunye Nezinye izizathu zeTrorotoxicosis: Izikhokelo zoLawulo lwe-American Thyroid Association kunye ne-American Association of Clinical Endocrinologists. I-Endocrine Practice. I-Vol 17 No. 3 ngoMeyi / ngoJuni 2011.
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10 Edition. WLL / Wolters Kluwer; 2012.
> Ch eng, CL, kunye. al. "Izifo zeCeliac kunye nezifo ze-Thyroid." Uphando lweMpilo noPhando. 2007; 5 (3): 184-192. i-doi: 10.3121 / cmr.2007.738.
> Garber, J, Cobin, R, Gharib, H, kunye. al. "Izikhokelo zeCliniki zoLwazi lwe-Hypothyroidism kubantu abadala: I-Cosponsored yi-American Association of Clinical Endocrinologists kunye ne-American Thyroid Association." I-Endocrine Practice. I-Vol 18 No. 6 uNovemba / Disemba 2012.
> Roy, A, kunye. al. "Ukuxhaphaka kwezifo zeCeliac kwizigulane ezineSifo seTyroid ngokuzenzekelayo: I-Meta-Analysis." Thyroid. 2016 Jul; 26 (7): 880-90. i-doi: 10.1089 / yakho.2016.0108.