Isifo se-Thyroid ligama elisetyenziselwa ukuchaza uluhlu olubanzi lweengxaki eziphathelene ne-thyroid, nganye ngeempawu zabo, izibangela, unyango kunye neziphumo. Njengoko zininzi nezinye iintlobo zesifo, akukho "isilinganisi esisodwa-esifanelekileyo-sonke" isisombululo se-disorder esichazwe ngokungaqiniseki.
I-Hyperthyroidism , eyaziwayo njenge-thyroid engasebenzi, ngamanye amaxesha ingabonakalisa ngeempawu ezimbalwa okanye ezinzima kakhulu ukuba zibangele isiphepho se-thyroid esisongela ubomi.
Ngokwahlukileyo, i- hypothyroidism , i-thyroid engapheliyo, inokubangela ukucaphukisa abanye kunye nezifo eziguqula ubomi, eziguqula abanye.
Ngokufanayo, umhlaza wesifo somhlaza we- papyrus ungaphantsi ukhathaza, nangona umdlavuza we-thyroid unomdla wokuphila ophakathi kwamanyanga amane.
Nangona akukho nanye yale nkcazelo imangalisa nakubani na umntu ophila nesifo esingapheliyo, isifo se-thyroid sisodwa kuba kukho ukuhluka okugqithisileyo kwindlela ekufunyaniswa ngayo nangonyango.
Ukuphucula ukuxilongwa kwezifo ze-Thyroid
Enye yeengingqi zokuqala apho ubungakanani bodwa abuhambelani nonke bunokuxilongwa kwesifo se-thyroid. Izikhokelo zangoku zixhomekeka kakhulu ekusebenziseni i-thyroid yokukhuthaza ama-hormone (TSH) njengendlela yokufumanisa i-thyroid engasebenzi okanye engasebenzi.
Ubulumko obuqhelekileyo buchaza ukuba i-TSH ngaphezu kwe-5.0 ithathwa njenge- hypothyroidism engaphantsi kweyonyango , nangona i-TSH ingaphezulu kwe-10.0 ibe yonyango elongezelelweyo le-hypothyroidism.
Njengoko abanye abantu banokufumana iimpawu zesifo se-thyroid kwizinga le-TSH ngaphantsi kwe-0.5, kubangela ukuba ngaba isigqibo sokwenza unyango kufuneka siphathwe ngamanani eempawu.
Yingakho izikhokelo ezininzi zezifo, kubandakanywa neengxaki ezingapheliyo zokuphazamiseka kwemiphunga (COPD), sele ziqalise ukukhokela unyango ngokusekelwe kwiimpawu zesigulane kunye nokuvavanya kwindlela "embi" okanye "kakuhle" loo mntu ukholelwa ukuba iimpawu kuba.
Ngokwahlukileyo, kwintsimi ye-endocrinology, ukuxilongwa kwesifo se-thyroid kuye kwaxutyushwa iminyaka engaphezu kweyishumi kunye nokuguquka okugqithisileyo phakathi kwabaphili beli sifo.
Ukuze banikeze ukuxilongwa ngokuchanekileyo, abaninzi be-endocrinologists baye bathatha indlela yokudibanisa xa bevavanya umntu ochaphazelekayo ngenxa yesifo se-thyroid. Umzekelo:
- Abanye oogqirha bancike kwibala le- TSH yesibonakaliso sokwenza ukuxilongwa.
- I-thyroid i-ultrasound isetyenziswa ngokuqhelekileyo kwiindlela ezithile zokujonga i-goiters, iigununu, kunye nezinye iimpazamo ezingabonakaliyo yi-TSH.
- Abanye oogqirha baye baqhubela phambili ekuphenyweni kwezizathu ezisisiseko sezifo ze-thyroid, ukuqhuba iimvavanyo zamanqindi ukukhuphela okanye ukuqinisekisa isifo sikaHashimoto kunye nesifo se- Graves (zombini ezo zinto zingabangela iimpawu ngaphambi kokutshintsha ii-hormone ze-thyroid).
- Abanye baye bathatha indawo yokuphatha izinto ezifana ne-euthyroid isifo sikaHashimoto (ngexesha apho i-thyroid gland isasebenza) ngenjongo yokuphepha ukuphuhliswa kwe-hypothyroidism.
Ukuphucula iindlela zoLonyango lwe-Thyroid
Njengoko kuhloliswe ngesifo se-thyroid, unyango lwe-disorder akumele luze lube ne-cookie-cutter kodwa, ngokudabukisayo, ngokuqhelekileyo.
Ngokomzekelo, abantu abafumene izifo ze-Graves kunye ne-hyperthyroidism, i-endocrinologists iya kukhwela kwi-iodine ye-radiood (i-RAI) yokuphululela kwinqanaba lokuqala ukuze "libethe ngokukhawuleza kwaye likhawuleze" .
Ngokwahlukileyo, izacatshulwa ziza kuqwalasela ubunzima besifo, iimpawu, kunye nembali yesigulane ukuba ikhethe isicwangciso sonyango. Kwiimeko ezininzi, izidakamizwa ze-antithyroid ezifana neTapazole (methimazole) zinokukhupha isikhashana okanye sisigxina kwisifo se-Grave ngaphandle kwe-RAI, ukuhlinzwa okanye umngcipheko we-hypothyroidism.
Oku kusebenza kumdlavuza we-thyroid. Inkqubo eqhelekileyo ingabandakanya i- thyroidectomy epheleleyo, elandelwa ngu-RAI kunye ne-high-dose ye-hormone ye-hormone yonyango. Kodwa ngaba oko ku funeka? Namhlanje, abanye oogqirha bathatha indlela yokulinda nokubona kwonyango kuxhomekeke kwimeko kunye nobukhulu bokugula.
Akukho ndawo efana nayo yonke into ebonakalayo ngakumbi kunokuba unyango lwe-hypothyroidism. Namhlanje, isikhokelo esiqhelekileyo sichaza ukusebenzisa i-levothyroxine (i-hormone yokwenziwa kwe-T4) ukubuyisela isigulane kwibala "yesigqirha".
Ngoxa i-drug ngokwayo ingakwazi ukunyamezela kwaye isebenze kubantu abathile, indlela ye-cookie-cutter ibheka uluhlu olubanzi lweendlela zokonyango, oluquka:
- I-Tirosint , uhlobo olutsha oluthile lwe-hypoallergenic lwe-levothyroxine olungcono kakhulu kunamathebhulethi
- I-Cytomel (i-hormone yokwenziwa kweT3)
- Izidakamizwa ze-thyroid zemvelo
- Levothyroxine kunye neCytomel
- I-Levothyroxine inxulumene ne-thyroid echongiwe yendalo
- Ukuqulunqwa kwesiqhelo esenziwe ngokuqhelekileyo kubandakanya naziphi na izidakamizwa ezibhalwe ngasentla
Ezi zinto azibandakanyi unyango olongezelelweyo kunye neenguqu zokutya ezinokuncedisa ukunciphisa iimpawu kunye nokuphucula imeko yomzimba wonke ochaphazelekayo.
ILizwi
Njengoko izazinzulu zifumana ingqiqo enkulu kwiindlela zesifo se-thyroid kuzo zonke iifom zayo, kugxininiswa ngakumbi ekuthathweni kwendlela eyahlukileyo yokuxilongwa nokunyangwa. Kudinga ukuba oogqirha baqwalasele loo mntu kunye ne-pathology.
Kule nto, ukuba unayo (okanye ukholelwa ukuba unayo) isifo se-thyroid, thatha ixesha lokuba uzifundise kwaye ube ngummeli wokunyamekela kwakho. Xa ukhetha ugqirha, thatha ixesha lokubuza imibuzo eninzi njengokuba unokukwazi ukukhetha okukhethwa kukho. Ukuba ugqirha akakwazi ukujongana neenkxalabo zakho, dibana nabanye oogqirha okanye ufune umbono wesibini.
Ngokwenza njalo, unokwenza ukhetho olululo kwaye ube bhetele uqinisekiswe unyango olululo.