Ukujonga kwiimangalo eziphikisanayo malunga noxinzelelo lwe-adrenal
IHormone Foundation (inxalenye ye-Endocrine Society) yakhulula inqaku elithi "ingqinisiso" yecandelo, elibizwa ngokuba yi "Myth vs. Fact". Elinye lamashiyithi lawo libizwa ngokuba yi "Adrenal Fatigue" kwaye lihlasele ubukho bemeko, ithi, "Ukukhathala kwama-Adrenal akuyona imeko yonyango ngokwenene. Akukho zenzululwazi zenkxaso yokuxhasa inkcazo yexesha elide engqondweni, ngokomzwelo okanye ngokomzimba uxinzelelo lukhupha i-adrenal glands kwaye lubangela impawu ezininzi eziqhelekileyo. " (Unokufunda yonke "ifayili yenkcazelo" njenge-PDF: Inkolelo Yeqiniso: I-Adrenal Fatigue.)
Ukuba unayo i-flash-backs kwi-self-serving ezivakalisi ezisemthethweni ezivela kwimibutho yamayeza egxininisa ukuba i-fibromyalgia okanye i-chronic fatigue syndrome ayikho "yonyango" imeko okanye ukukhumbula oogqirha abaye baxela ukuba ukutya okwebhokovu, kwaye kungekhona i-H. pylori bhakteria , bangela izilonda, ngoko awuyedwa.
URichard Shames, MD, ophumelele kwiHarvard kunye neYunivesithi yasePennsylvania, kwaye waqeqeshwa ngokubanzi kwiZizwe zezeMpilo zeSizwe, kwaye unogqirha ohloniphekileyo ohloniphekileyo kunye ne-hormone ingcali kwimisebenzi engasese kwiminyaka engaphezu kwamashumi amathathu. Ndamcela ukuba athethe ngeengxabano.
URichard Shames, MD: Andivumelani noko iHormone Foundation ithetha ngayo ngokukhathala komzimba. Ingongoma eyona nto kukuba "ukukhathala komzimba" akuyiyo i-diagnostic yangempela kwaye ayibonakaliswa yenzululwazi yonyango. Oku kum kum, mhlawumbi inkohliso-inyaniso, okanye ingxelo engapheliyo yezopolitiko.
Nayiphi na ugqirha ofanelekileyo itekisi yakhe iyaqonda ukuba igama elithi "ukukhathala kwamanzi" lithetha ukungaqiniseki kancinci. Isitatimende seHormone Foundation sivuma ngokukhawuleza ukuba ukungakwazi ukufumana izifo ezixhomekeke kwi-adrenal diagnostic. Kwaye, kubonakala ngathi bayaphika ukuba abanye abantu banokuba nohlobo olunefuthe lokuxilongwa kwangempela .
Leyo imfutshane-mboniselo kwaye ihamba ngokugqithiseleyo.
Umbuzo: Enye yemiba "ifayili yenkcazelo" ixoxa ngokuba akukho mvavanyo onokubona ukukhathala kwamadala.
URichard Shames, MD: Ukuba uvavanyo olungapheliyo lwe-bloodrenti lwangoku lube lukhuni ngakumbi, sinokuthi singenalo ncoko. Uvavanyo lwangoku lwegazi lukulungele ukuxilongwa kweendlela ezinzima zokungazi kakuhle, enye yazo ebizwa ngokuba yi-Addison's disease. Akunakulungele ukuvavanya iifom ezinamandla. Abanye abantu abasemagunyeni, abo bonke into ebomnyama okanye emhlophe-ngaphandle kwemithunzi yegrey-ngokuqinisekileyo bahendwa ukuba bathethe esidlangalaleni ukuba ukuxilongwa kwe-adrenal insufficient "ayiyiyo i-diagnostic".
Umbuzo: Kubonakala ngathi kufana nezigulane ezine-hypothyroidism emngceleni. Uvavanyo oluqhelekileyo lwe-TSH luthi "luqhelekileyo," kodwa amaninzi amaninzi aqonda ngoku ukuba amanqanaba ekuthiwa "uvavanyo oluqhelekileyo" uluhlu lwenkqutyana lungabonakalisa ingxaki ye-thyroid.
URichard Shames, MD: Ngokuqinisekileyo. I-thyroid encinci yindlela efanelekileyo yokungazinzi kakuhle. Iimvavanyo zegazi zamanje zihlala zingabonakali ngokwaneleyo ukuba zibonise umphumo ongaqhelekanga kubo bonke abantu abaneneni elula ye-hypothyroidism. Iminyaka elineshumi elinesihlanu okanye kwiminyaka engama-20 edlulileyo abaninzi be-endocrinologists banqabe "u-hypothyroidism omnene" njengesifo sokuxilongwa.
Oku kufana nokuxhatshazwa kwamanqanaba okungaxhasi. Kuthatha iminyaka yobungqina benzululwazi, kodwa ngoku abaninzi abaninzi be-endocrinologists bathi, "Oogqirha kunye nezigulane kufuneka baqonde ngakumbi ukuba unobungozi bokungaboni kakuhle okanye u-hypothyroidism ongapheliyo."
Umbuzo: Ingaba isiseko sezokwelapha siya kugqithisa kuloo ndlela?
URichard Shames, MD: Ewe, ngokuqinisekileyo. I-flap yangoku yinto enye engekho nto, ngokusekelwe kwinto efanayo engeyona ingxabano. Ngoko ke, xa iimvavanyo zegazi ziba ngcono, kwaye / okanye xa uvavanyo lwe-hormone ye-saliva luya kwamkelwa ngakumbi ngaphakathi, ukukhathala kwe-adrenal kuyakubonwa njengokwenene ukuxilongwa koko ngokwenene: "ukungazinzi kakuhle.
Ngamanye amazwi, uhlobo olumnene lwe-diagnostic yangempela, ukuba iimvavanyo zegazi eziqhelekileyo zihlala zilahleka.
Umbuzo: Kuze kube yinto ecacileyo kwaye iyakwamukeleka ngakumbi, oko kwenziwa ntoni?
URichard Shames, MD: Okokuqala, kuya kunceda uqale ukubiza ukungazi kakuhle, oko kukuthi, kwaye isiphi isigaba sokuxilonga "esinyani" sisekho. (I-code ye-ICD-9 eqhelekileyo yile nto yi-255.4) Iifom ezintle zolu meko ngokwenene ziyakuthi zifunyaniswe ngumbutho wembali yonyango, kunye nokuhlolwa okusemgangathweni, kunye nokuhlanganiswa kwengqondo ekhethiweyo, umchamo, nokuvavanya. kufuneka uyenze ngoku.
Umbuzo: Kuthiwani ngamabango amaHormone Foundation / i-Endocrine Society athi "... iimvavanyo zokunyamekela ngokunyanisekileyo azixhomekeke kwiinzululwazi okanye zixhaswa zifundo zenzululwazi ..."
URichard Shames, MD: Kukho iinani ezimangalisa uphando lwezenzululwazi kunye neencwadi ezipapashwe ngabaphengululi be-endocrinology kunye nabaprofesa, abachasayo ezi ngcamango ezingapheliyo zokukhathala. Ngoku ndisebenza ngophando olongezelelweyo lo mbandela, ukwabelana nabafundi bakho, okuza kushwankathela kwaye kubone ukuba bangaphi abanye oogqirha kwaye ndibona njengento enzulu ngokuphathelele kwesi sihloko, ngokuchasene ne-Endocrine yoMbutho ngokungahambisani nomcimbi obalulekileyo .