I-Editorial evela kuMary Shomon
Enye yeengxaki ezijongene neengxaki ezijongene nezigulane ze-thyroid e-US nakwihlabathi jikelele kukuba ngaba izigulane kufuneka zitshintshe ngokwabo ukunyanga iingxaki ze-thyroid, kwaye ingakumbi i-thyroid / hypothyroidism. Xa ndithi "ukuzonyango," kuthetha ukuba ndithenga imithi ye-hormone ye-hormone esikhundleni sogqirha, kwaye uthabatha loo mayeza ngaphandle kokugqithiswa kogqirha.
(Andingabhekiseli kulawo gulane oogqirha babo banikezela unyango lwe-thyroid kodwa ke vumela izigulane ukuba zenyuke okanye zisezantsi kwisilinganiso phakathi kokutyelela.)
Ukuzihlaziya i-hypothyroidism ngokucacileyo kunemingcipheko ecacileyo yezigulane.
Okokuqala, ukuba umntu akafunyanwanga ukuba yi-hypothyroid, kodwa kunoko, ukuxilonga kwakhe, ke enye imeko ingahle ilahleke - kwaye ingaphendulwanga. Iimpawu ezifana nokukhathala, ukufumana ubunzima, kunye nokuxinezeleka ziqhelekileyo kwi-hypothyroidism, kodwa nazo ziyimpawu zezinye iimeko ezininzi - ezinzulu. Ukungaphumeleli kokufumanisa kakuhle kunye nonyango kungaba yingozi kwisigulane esiphutha ngokuzifumanisa kunye nokuzinyango ngamagciwane okuthathwa ngokuba yi-hypothyroidism.
Okwesibini, umsebenzi we-thyroid awuhlali uzinzile. Abantu banokuba nexesha lexeshana le-hypothyroidism ngenxa yemithi, i-thyroiditis, okanye i-postpartum ye-thyroid emva kokuzalwa komntwana, elandelwa ukubuyela kumsebenzi oqhelekileyo we-thyroid.
Inqanaba elifanelekileyo lonyango linokukhawuleza xa likhulula xa i-thyroid igqithisa.
Okwesithathu, kukho umngcipheko wokubanjwa. Ukuxhaswa komntu ongekho phantsi kwandisa ingozi kwezinye iimeko eziquka isifo senhliziyo, ukukhuluphala, nokudandatheka. (Kakade, ukungamkeli nonyango nonke ngenxa ye-hypothyroidism nayo inomngcipheko omkhulu wezo ngxaki zempilo.)
Kodwa okwesine kunye nenkxalabo enkulu kuninzi kuba mngcipheko ukuba abo abazonyango baya kugqitywa . Ukuthatha imithi eninzi ye-hormone ye-hormone esikhundleni sakho kunokubangela iimpawu ezahlukahlukeneyo, kuquka ukuxhalaba, ukuhlaselwa ngumsindo, ukugubha, isifo sohudo olungapheliyo, uxinzelelo lwegazi oluphezulu, i-tachycardia (intliziyo yesantya esheshayo), iintliziyo zentliziyo, i-heart arrhythmia, kunye nesimo senzondo esisenokuba yingozi njengefayilifa I-fibrillation ye-Atrial - ngamanye amaxesha ekuthiwa "yi-fib-fib," ingabangela ukuphazamiseka, okungathi ngezinye izikhathi kubangele ukukhubazeka ngokusisigxina nokufa.
Ezinye izigulane zibonisa ukuba ukuzinyango lukhuselekile nje kuphela xa izigulane zikwazi. Ndiyazi inani lezigulane eziphumelele ukuzithobela. Ngexesha elifanayo, ndive ngezilwanyana ezininzi ze-thyroid eziphethwe ngamagumbi aphuthumayo aphethwe yi-fibrillation ye-atrial emva kwexesha lozinyango. Uninzi lwezi zi gulane zazifunde kakuhle kwaye zifundwa kakuhle kwisifo se-thyroid, kwaye zicinga ukuba ziyazi kakhulu malunga nokuzithobela i-hypothyroidism yazo. Sekunjalo, zaphela zagqitywa kwaye zafuneka zijamelane neengxaki zempilo ezinzima.
Ngelixa ezininzi izigulane - kunye nabo baziva bekholose ngolwazi lwabo - bayazi ukuba kunomngcipheko wokwenza unyango, isenzo sisenzeka ngenxa yokuba izigulane zijamelana nemingcipheko emikhulu ebenza bafumane ukufumana unyango kunye nokunyangwa kwe-thyroid. .
Ziziphi le miqobo?
Okokuqala, kukho abantu abaye bafumanisa ukuba bane-hypothyroidism kwixesha elidlulileyo, kodwa ngubani ongasakwazi ukuhlawula ugqirha. E-US kuphela, sinamamiliyoni amaninzi angagqithwanga, izigidi zabantu abadala kwiimali eziqinileyo, kunye nezinye izigidi zabantu baseMerika abalahlekelwe yimisebenzi ngexesha lokuhla kwezomnotho. Abantu abaninzi abanakukwazi ukuhlawula iifokethi kubagqirha. Ehlabathini lonke, ukufikelela oogqirha abahloniphekileyo kunye nokunyamekelwa ngonyango kunenhlanhla yodolo, kwaye kuxhomekeke kwi-geography, uqoqosho, inkqubo yokunakekelwa kwempilo, kunye neemeko zemali.
Okwesibini, oogqirha abaninzi bahlala bedidekile malunga nendlela yokutolika i-thyroid yokuvuselela i-hormone (TSH) - uvavanyo lwabo ngokwabo ngokuthi "izinga legolide" lokufumanisa i-hypothyroidism.
Ukuba isigulane sinempawu ze-hypothyroidism, kwaye isiphumo sokuvavanya esiwela kwindawo yokuhlolwa ye-TSH "limbo" - ngaphaya kwe-2.5 nangaphantsi kwe-4.0 ukuya ku-5-5.5-isiphumo se-TSH yesigulane sibhalwe ngamabhabhi ase-US njengesiqhelo " ingxelo yebhanki. I-TSH kuloluhlu lubhekwa njenge-subcline hypothyroid ezinye iingcali, nangona kunjalo. I-Endocrinologists sele ilwa kwaye iphikisana nale ngxaki malunga neshumi elishumi, ukususela ekubeni i-American Association ye-Endocrinologists (Clinical Endocrinologists) ekhuthazwa ekuqaleni ko-2003 ukuba uvavanyo oluqhelekileyo lwe-TSH vavanyo lucaciswe ukuya ku-0.3 ukuya ku-3.0 . Noko ke, oogqirha abaninzi, balandela i-cutoff point, kwaye baya kuhlola kwaye baphathe i-hypothyroidism ukuba isiguli sinesifo se-TSH esiphezulu kune-4.5 ukuya ku-6.0.
Okwesithathu, kukho izigulane ezineempawu ze-hypothyroidism, kunye neziphumo ezibizwa ngokuba "eziqhelekileyo" kwiziphumo zovavanyo lwe-TSH-ziwela naphi na phakathi kwe -3 ukuya ku-6.0 - kodwa ngubani ophakanyisiweyo okhusela i-thyroid ibhodlela ebonisa ukugula kwesifo sikaHashimoto. Oogqirha abaninzi abangazi kakuhle - okanye abazenzi ngokubhekiselele - uphando olubonisa ukuba kwezinye izigulane ezine-antibody-positive, unyango lwe-thyroid lunokukhupha iimpawu ze-hypothyroid nokukhusela ukuqhubela phambili kwi-hypothyroidism.
Okwesine, kukho izigulane ezine-TSH "eziqhelekileyo", kodwa amanqanaba ajikelezayo e-hormone ye-thyroid - i-Free T4 kunye ne-T3 yamahhala-ibonisa ukungaphumeleli ngokucacileyo kula ma hormone. Oogqirha abaninzi banqaba ukuqonda ukuba ukungaphumeleli okanye amanqanaba aphantsi aqhelekileyo ye-Free T4 kunye / okanye i-Free T3 - kunye namanqanaba aphakamileyo e-Reverse T3 okanye ukulinganiswa okungafanelekanga kwe-Reverse T3 / Free T3 - zibonisa i-hypothyroidism. I-T4 iguqulwa ibe yi-T3 - i-hormone esebenzayo ye-thyroid kumgangatho weselula. Kodwa oogqirha abaninzi banokucinga ukuba wonke umntu unokuguqula i-T4 ukuya kwi-T3 ngokufanelekileyo kwaye ngokulinganayo. Okwangoku, oogqirha abadibeneyo kunye nezinye izigulane ze-endocrinologist ezintsha, baqonde ukuba ezinye izigulane zinokuba neengqungquthela, ukusilela kwe-enzyme, ukungaphumeleli kwintlepheko, okanye iimpazamo zomzimba eziphazamisa ukuguquka kwe-T4 ukuya kwi-T3, kwaye ukuba le mphene iyakwenza unyango.
Okwesibini, izigulane ezininzi ziphathwa ngeziyobisi ze-levothyroxine - oko kukuthi, i-Synthroid, i-Levoxyl, i-Levothroid, i-Eltroxin, okanye i-levothyroxine / l-thyroxine, kodwa isacacile impawu ze-hypothyroidism, nangona emva kokuba unyango lubuyisele iziphumo zokuhlolwa kwegazi le-thyroid " eziqhelekileyo. " Ezinye zezi zi gulane zicela ukongezwa kweyeza e-T3-oko kukuthi, i-Cytomel (i-liothyronine), okanye i-T3 ekhutshwa ngexesha-okanye icela i-prescription yemvelo yemveliso ye-thyroid (ie, i-Armor, Nature-Throid, okanye i-Erfa). Ukusetyenziswa kwe-T3 kukuphikisana, nangona kunjalo , kwaye oogqirha abaninzi abakholelwa ekusebenziseni izidakamizwa ze-T3 okanye imithi ye-thyroid. La oogqirha badla ukuba akukho zonyango ezongezelelweyo zonyango ezifunekayo ngenxa yokuba iimpawu azikho i-thyroid-related, okanye ukuba iimpawu zibubungqina bemoya yengqondo kwaye ziqinisekisa ukuba unyango oluxhatshazwayo lwaluxinzelelo. Ngokuqhelekileyo, siva "akukho mntu ufuna i-T3 okanye i-thyroid yemvelo" kuba "wonke umntu uguqula i-T4 yokwenza i-T3 ngokupheleleyo." Oku "awudingiyo / wonke umntu uguqula i-T4 ukuya kwi-T3" i-mantra iyintandokazi kwaye ihlala yam
h kwi-hypothyroidism unyango. Abanye oogqirha abanqabile ukunika i-T3 kunye / okanye iziyobisi zemvelo ye-thyroid kuba zivakalelwa ukuba ezi zonyango zibeka ingozi yemiphumo yenyama yomntu wonke. Kodwa iingozi ziphantsi kakhulu xa amayeza asetyenziswa ngokufanelekileyo kwaye echanekileyo. Ngaphandle kwezigulane eziphilileyo, umngcipheko we-T3 kunye neziyobisi zendalo ye-thyroid yiyo ukuba isigulane sinokugqithiswa kakhulu. Oogqirha bayakuqonda ngokucacekileyo nangona izigulane ezisebekhulile kunye nezigulane ezineemeko zentliziyo zesifo / isifo senhliziyo, njengoko ezi nkqutyana zingabandakanyeka ngakumbi kwi-T3 okanye imichiza yemvelo ye-T3. (Kuyathakazelisa ukuba kukho uphando olubonisa ukuba i- hypothyroidism engaphelelwanga yandisa ingozi yesifo senhliziyo .)
Eyesithandathu, kukho ezinye izigulane ezixutywa yimibutho yokugcinwa kwempilo (i-HMOs) okanye i-inshurensi yezobuganga, oogqirha babo abavumelani nokuvavanya i-hypothyroidism, benqabe ukuphatha umda we-hyplinroidism, ukunyanga ukunyanga kwesifo sikaHashimoto, ukwenqaba ukuvavanya okanye ukuphatha i-T4 yamahhala. / Ukungalingani kwe-T3 / ukungafanani, kunye / okanye ukwenqaba ukunika imishanguzo yeT3 kunye / okanye iziyobisi ze-thyroid zemvelo. Ezinye zezigulane ezibona aba ogqirha bengakwazi ukuhlawulwa kwi-pocket ukutyelela ugqirha we-thyroid-savvy.
Ekugqibeleni, ngaphandle kwe-US, ukuzinyango kuya kuba yinyanzeliso kwezinye izigulane. E-United Kingdom, umzekelo, abaninzi abahlali basebenzisa iNkonzo yezeMpilo kaZwelonke (NHS) kunyango lwabo. Noko ke, oogqirha be-NHS bafuna ukuba balandele ngokugqithiseleyo-besenokuthi, bexesha elide kwaye kwiimeko ezininzi ezingekho mpazamo eziphene - ekutholeni nasekuphatheni i-hypothyroidism. Ngelo xesha, kukho oogqirha abancinci ukuba bafumane kakuhle kwaye baphathe i-hypothyroidism, kwaye oogqirha bahlala bebiza kakhulu.
Umngeni wezilwanyana ze-Thyroid
Ngoko, ekugqibeleni, kufuneka ukuba izigulane zizinyango, okanye akunjalo? Ndisandul 'ukuphazamiseka phakathi kwezigulane ezenza unyango ngenxa yokuba nditshilo ukuba andikukhuthazi ukuzonyango, kwaye ukuba i-Conservation Natural Thyroid Coalition - iqela elisekwayo ngexesha lehlobo le-2009 ukunceda izigulane zithintele ukusilela, ukungabikho Ukuchithwa kwe-FDA kwizilwanyana zonyango ezichongiweyo zemvelo - kwakhona akukhuthazi unyango.
Akukho mbuzo ukuba izigulane zisesimeni esinzima. Yaye iyona ingqiqo kum ukuba ezinye izigulane zivakalelwa kukuba ayinayo enye indlela kodwa i-self-medicine. Andiyikugxeka isigqibo somntu ngamnye-oko kukuthi umntu ngamnye kufuneka azenzele isigqibo. Kubuhlungu kukuba abanye abantu baphoqelelwe ngumbandela wokwenza olo khetho, kwaye ndinomsindo ngendlela abanye oogqirha abajonga ngayo isifo se-thyroid, isimo sengqondo esenza ezinye izigulane zikhethe loo nto. Ndiyathemba ngokunyanisekileyo ukuba abo benza iziyobisi benza njalo ngokuqaphela okukhulu kwaye banako ukuphepha zonke iingxaki.
Ingxaki ephikisanayo kwezinye izigulane inkolelo yam ukuba ukukhuthaza ngokunyanisekileyo unyango-kwaye ngokukodwa, ukukhuthaza unyango kunye ne-thyroid ye-nature ekhethiweyo-ekugqibeleni unokusebenza ngokumelene neemfuno zesigulane se-thyroid.
Siye sasijamelene nexesha elibuhlungu lemithi ye-thyroid yezinto ezingokwemvelo okanye i-market short or out of the market , ukusilela okungekho nto, kwaye ukuphuhliswa okungaqondakaliyo kubonakala kuqhutywe emva kwezenzo ze-FDA. Izidakamizwa ze-thyroid zendalo zikwahlu olude lwe-FDA lwezilwanyana "ezingavumelekanga" ekugqibeleni ziya kunyanzelwa ukuba zihambe ngokugqithisa ixesha kunye neendleko ezivumiweyo. I-FDA iye yacacisa ukuba i-thyroid yemvelo yinkcenkceshe engavumelekanga, kwaye ayizange izalwe, kwaye ekugqibeleni iyakufuneka ihambe kwinkqubo yemvume ukwenzela ukuba ihlale kwimarike. Xa kwaye kuya kwenzeka njani kwaye kuya kugqitywa. Inkqubo yokwenza isigqibo se-FDA yeziqinisekiso ezingavumelekanga zezidakamizwa ayikho into ecacileyo. Oko sikwaziyo kukuba imicimbi yezopolitiko kunye nezoqoqosho emva kwezinto ezibonakalayo - amandla angabandakanyekanga kwintlalontle-zihlala ziqhuba inkqubo yokwenza isigqibo.
Abanye oogqirha, kunye namagosa avela kwi-FDA banditshilo, ukuba bangabikho kwirekhodi, ukuba banokuva ukuba ukuvakaliswa kwezinto ezimbi - kuquka kwiimagazini zonyango - malunga neyeza zakho zonyango ziye zatshintsha izityalo zemithi ye-thyroid ukuba zenzeke ngokungafunekiyo-kwaye ziye zabangela kubo ukuba bahlolisise ngakumbi i-FDA.
Omnye umqobo kwizonyango zemvelo ye-thyroid nguDkt. Sidney Wolfe weSizwe soLuntu, owamiselwa kwiKomiti yoKhuseleko lweMithi ye-Drug kunye neCommunity Management Advisory Committee. Ngesizathu esithile esingaqondakaliyo, udidekile uDkt. Wolfe - othe wachaza ngokungathandabuzeki ukuba i-thyroid yemvelo yongezelela ngokungekho (kwaye ayikho), kwaye yenziwe kwiinkomo (i-porcine, kwiingulube) - - umchasi onobundlobongela obuthakathaka be-thyroid (okanye ubuncinane nantoni na okwangoku uyakholelwa ukuba i-thyroid echongiwe yendalo). Wanyathelisa i-diatribes eneemposiso ngokuchasene nezixhobo ze-Thyroid kwiZiko "eziPilisi ezimbi kakhulu, iipilisi ezilungileyo" ixesha elide ngaphambi kokuba afakwe bakhonze kwikomiti ye-FDA. Ngoku sele esesikweni sokugqiba ukuba zeziphi iziyobisi eziphelela kwii-crosshairs kwi-campaign ye-FDA ye-Adapproved drugs.
Kwaye umqobo omkhulu uhlala kwi-thyroid "ukusekwa" - kwaye apha ndiza kubandakanya i-endocrinologists, oogqirha abaqhelekileyo, iinkonzo zonyango lwe-thyroid, i-FDA, namanye ama-legislators, kunye neenkampani ezinkulu zonyango ezenza i-levothyroxine - abonwabileyo ukubamba KUNYE NONKE unobungozi obubi, iziphumo ezimbi, okanye iingxaki ezibonwayo nge-thyroid yemvelo kunye / okanye unyango lwe-T3, enethemba lokusebenzisa iindaba ezimbi njengendlela yokufumana ezi ziyobisi kwimarike. Ngokudabukisayo, kodwa akumangalisi ukuba, "ukukhathazeka" kaninzi akukho nto enokuyenza nentsapho yokukhathazeka kunye nento enokuyenza ngokuzithandela, inzuzo yezemali, iqela le-thyroid okanye ulwazi olungamanga.
Ubunjineli bobuNgcini boBomi be-Thyroid: Ukusebenza ukunqoba i-Thyroid Groupthink
Njengommeli wesigulane, ndifuna ukugxininisa iinzame zam ekuncediseni ukufundisa nokuphakamisa ulwazi, kwaye ndomeleze utshintsho kwinkqubo ngokwayo. Ekugqibeleni, ndifuna ukuba siphile kwihlabathi apho izigulane ze-thyroid zincinci zinyanzeliswa ukuba zenze ukhetho olunzima phakathi kweyeza-kunye nemingcipheko kunye nezibonelelo ezinxulumene nazo-kwaye zingenakho unyango.
Musa ukwenza iphutha, le njongo inomngeni. Ukulwa nehlabathi eliqinileyo le-endocrinology, kunye ne "shishini" lweyeza le-thyroid - kwaye yintoni oogqirha abathile ababhekiselele kuyo ngokuthi "utyhutshiso lwe-TSH" - lukhuni. Yimfazwe ininzi lethu esilwa iminyaka engaphezu kweyishumi. Siye sabona ezinye iziphuculo, kunye nezinye izinto ezithintekayo endleleni.
Njengoko sisazi, ukusuka kwimbono yezokwelapha / yezesayensi, ezininzi iinkqubo ze-endocrinology kunye nemibutho ye-endocrinology iyancipha ukwamukela utshintsho, kwaye, ngokudabukisayo, kubonakala ngathi banomdla kumanani kwi-lab ingxelo ngaphandle kwesigulane ehleli phambi kwabo nokuba ingaba isigulane sinandipha nawuphi na umgangatho wobomi. Iingcali zithembela kuvavanyo lwe-TSH - uvavanyo lwesibini lwe-hormone ye-pituitary - ukuxilonga nokulawula i-hypothyroidism, ngelixa uziva ulungele ukungawahoyi ngokupheleleyo amanqanaba e-Free T3 - i-hormone esebenzayo eyangena kwiiseli ukuhambisa i-oksijini namandla. Oogqirha abaninzi abanakukhathazeka ukuvavanya amanqwelwane e-thyroid - anokusitshela xa i-thyroid ikwahluleka ukuzimela.
Okwangoku, izizukulwana eziliqela ze-endocrinologists kunye noogqirha ziye zaxelelwa ukuba i-thyroxine (T4) yokwenziwa komculo (known as levothyroxine / l-thyroxine) okanye ngokuqhelekileyo, ngegama elithi Synthroid - isisombululo esisodwa. Baxelelwe ukuba i-levothyroxine yedwa iphezulu kuneyonyango yokuxuba kunye ne-synthetic triiodothyronine (T3) - eyaziwayo njenge-liothyronine (i-Cytomel). Baxelelwe ukuba i-thyroid echongiweyo yemvelo - eyayiyiminyaka engama-50 kuphela yonyango ye-hypothyroidism - "indala," "ayizinzile," kwaye iphantsi kwe-thyroxine. Inqobo yesayensi yonke indawo, nangona kunjalo nayiphi nayiphi na indlela yokwelashwa yonyango - ukuba ngaba yi-levothyroxine monotherapy, unyango oluhlanganisiweyo lwe-T4 / T3, okanye ukusetyenziswa kwe-thyroid ye-nature ekhethiweyo - zikhona izifundo ezinokusixhasa isikhundla sabo esikhethiweyo. Kwaye xa ugqirha ejongene nesifundo esichasene naye okanye umbono wakhe, uya kubavame ukubava, bathi, "ngokuqinisekileyo, kukufunda 'kakubi'.
Ngaphandle kwempikiswano yonyango / yesayensi, imboni yezobisi i-dollar inefuthe eliphazamisayo kwi-mindset yabasebenzi be-thyroid.
Ayikho imfihlelo yokuba iinkonzo zonyango ze-thyroid - oko kukuthi, i-American American Thyroid Association, kunye ne-American Association ye-Endocrinologist Clinic - ifumana amawaka amawaka eedola ngonyaka kwiimali, inkxaso, inkxaso, kunye nenkxaso-mali evela kumenzi we-Synthroid. Kwaye abaninzi oogqirha abanomsebenzi wobunkokeli kule mibutho banokufumana imali evela kumenzi we-Synthroid.
Uphawu lwe-Synthroid ye-levothyroxine luye lugqirha oluthengisa kakhulu e-US iminyaka emininzi, kwaye luncedo kakhulu. Kwizikolo zonyango, iiofisi ze-endocrinologist, kunye nabasebenzi basebhedlele kwii-cafeteria emhlabeni jikelele, iifestile zamadlelo kunye neebhasiki ze-muffin ziza rhoqo, zihlawulwe ngumenzi we-Synthroid, njengendlela yokunceda ukuba umboniso wabo weyeza we-thyroid ungabandakanyi T3 kwaye i-thyroid yemvelo - nguye oogqirha, abahlengikazi, abasebenzi baseofisi, abafundi bezonyango kunye noogqirha abancinci. Futhi ungakulibala imimandla yokuthengisa - kunye neesampuli zerhafu zamahhala kunye ne-swag njengeepenki, iigugs, iincwadi, iimfesholo zemithi, i-plastic model ye-thyroids kunye nezinye izinto-ukuba izixhobo ze-drug reps zihanjiswa ngamawaka ngeveki kwiiofisi zogqirha , kunye nokunikezela kwiintlanganiso zonyango.
Isiphumo sokuphela: sinesizukulwana esinyana soogqirha abahamba ngesantya-ntsimbi, bekholelwa - kwaye baqhubeka beva umyalezo kuyo yonke indawo abaya kuyo-ukuba i-Synthroid iyisisombululo esisodwa sokumelana nabani na wonke umntu one-hypothyroidism, ukuba wonke umntu aguqule i-T4 ukuya ku-T3 ngokugqibeleleyo, ukuba akukho mntu udinga i-T3, kwaye akukho nxaxheba kwi-thyroid echongiwe yendalo kwi-hypothyroidism unyango.
I-thyroid groupthink kunye nokuthathwa kwamanye ogqirha kwimpembelelo yezemali zixhaphake kangangokuba kukho ezinye i-endocrinologists kunye noogqirha abagweba esidlangalaleni baze bahlakulele amayeza abo awamisela iziyobisi zeT3 okanye imichiza yemvelo yengqondo yezigulane.
Ukwenza nantoni na enginako ukukunceda ukuphazamisa ukucinga okunzulu - ukucinga okugweba abantu abaninzi kubomi bokugula-kukujoliswe ngundoqo ekukhuthazeni kwam.
Injongo yam kukukhuthaza ulwazi olupheleleyo lwezonyango ezinokumiselwa ngokomthetho - kubandakanywa ne-T3 kunye neziyobisi ze-thyroid zemvelo. Injongo yam kukuba kusebenze kwihlabathi apho uhla olupheleleyo lweendlela zokwelapha ze-thyroid luya kuqondwa kangcono, luyazi kakuhle, luyakwamukelwa kangcono, lufikeleleke kwaye lufumaneke ngokusemthethweni ... kwihlabathi apho kukho ukuqonda okukhulu phakathi koogqirha, i-inshorensi, iinkonzo zonyango, kunye nezigulane zoluhlu olupheleleyo lweendlela zokwelapha i-thyroid. Kwaye kwandiswa, iinjongo zam zikunceda ukukhusela ezi zikhetho ngokuchasene namaqela athile anomdla afuna ukuwabona ethathwa kwiimarike.