Izigulane ezininzi zegciwane zilindele ukuba zizive ngakumbi iimpawu ze-hypothyroid kwiimozulu zezulu. Iimpawu ezinjengokukhathala, ukuqothulwa, ukulahleka kweenwele kunye nekhumba elomileyo-elinokulawulwa kakuhle ngexesha lokufudumala kweenyanga-buyela okanye bubuhlungu xa kubanda ngaphandle. Ngaphezu koko, abantu abane-hypothyroidism bazisa rhoqo ukufumana ubunzima obunzima (okanye ubunzima obunzima bokulahlekelwa ubunzima) ngexesha leenyanga ezinzima.
Njengempendulo, ezinye izigulane kunye neengcali zicwangcise phambili , zicwangcise ukwanda kwimizi yeyeza ye-hormone yokutshintshwa kwamachiza njengendlela epholileyo yokushisa. Ngokufanayo, njengoko kuhamba ngokufudumala kwemozulu, banokucwangcisa ukwehla kwimiba yeyeza ye-thyroid ukugcina umsebenzi ophantsi we -roid kunye nokulawula kakuhle iimpawu.
Oko Uphando lusitshela
Uphando olutsha olupapashwe kwi- Thyroid luqinisekisa ukuba kukho ukuhluka kwexesha kwi-thyroid nakwizinga le-thyroid. Kwaye, oku kungaba nomthelela omkhulu kwi- hypothyroidism yonyango yokuphumelela .
Uphononongo olwenziwa kwiYunivesithi yakwaBen Gurion kwaSirayeli, yahlola i-250,000 ye- thyroid yokuvuselela i-hormone (TSH) yokufundwa kwabantu abavela kuma-40,000 abantu abane-hypothyroidism. Oku kuqhathaniswa nokufundwa kweemvavanyo ze-TSH ezi-2.2 ezivela kubantu abangaba ngu-900 000 abanomsebenzi oqhelekileyo we-thyroid.
Uvavanyo luqhutywe phakathi kukaJanuwari 2013 no-Matshi 2017 kwaye uphando lufumene iziphumo ezinomdla:
- Ezilishumi elinesibhozo ukuya kuma-33 ekhulwini kwabasetyhini bafundela amazinga e-TSH ngaphaya kwereferensi kunye neepesenti ezi-9 ukuya kuma-17 anamazinga angaphantsi kwereyholo lokubhekisela kwinqanaba ngenyanga.
- Amashumi amabini anesithathu ukuya kuma-43 eepesenti zamadoda anamazinga angentla kwinqanaba lokubhekisela kunye neepesenti ezisixhenxe ukuya kuma-23 anamazinga angaphantsi kwereyholo lokubhekisela kwinqanaba ngenyanga.
- Iziphumo zeenyanga ze-TSH ziphakame kakhulu kwiinyanga zasebusika (ngoNovemba ukuya kuFebhuwari) xa kuthelekiswa neenyanga zasehlotyeni (ngoJuni ukuya kuSeptemba) ngamadoda nabasetyhini, nokuba ngaba be-hypothyroid okanye benomsebenzi oqhelekileyo we-thyroid.
- Abafazi, ngokubanzi, banyuke kakhulu ukwanda kwamazinga e-TSH ebusika kunye nokunciphisa amancinci kumazinga e-TSH ehlobo, xa kuthelekiswa namadoda afundiswayo.
- Kwamadoda angaphezu kwama-65, nangona kunjalo, inani lalabo ababengaphezulu kwebala lokubhekisa liphezulu kakhulu ebusika ngokubhekiselele kwehlobo.
Okubaluleke kakhulu kubantu abane-hypothyroidism, abaphandi bafumanisa ukuba ipesenti enkulu yezigulane ze-hypothyroid ziyabonwa ziphantsi kokuphathwa kakuhle .
Ngokukodwa, ipesenti ephakamileyo yabantu abaye baphathwa nge-hypothyroidism yayinamazinga e-TSH ngaphezu kwebala lokubhekiselele kulo nyaka. Kwaye, amanqanaba e-TSH amalungu afundayo ayenama-hypothyroid anyuke ngakumbi ebusika kuneqela elinomsebenzi oqhelekileyo we-thyroid.
Ziyintoni le Nendlela yezigulane ze-Thyroid
I-thyroid izama ukugcina i-homeostasis (ibhalansi) ngokwemveliso ye-hormone ye-thyroid, kungakhathaliseki ukuba yintoni na izinto zangaphandle ezichaphazelayo. Ngokufanayo, umzimba uhlose ukugcina ubushushu lwangaphakathi malunga ne-98.6 degrees Fahrenheit, naphezu kweqondo lokushisa ngaphandle.
Kodwa, i-thyroid iyakhathalela utshintsho kwiqondo lokushisa. Iyakhupha ukuveliswa kwehomoni phezulu nangaphantsi ekuphenduleni utshintsho olubalulekileyo lokushisa okanye ukutshatyalaliswa okungapheliyo kumaqondo ashushu okanye ashushu.
Ngokukodwa, uphando lubonisa ukuba amaxesha aphelileyo kunye neenkwenkwezi-okanye ukutshatyalaliswa okungapheliyo kwamaqondo abandayo-kunokunciphisa ama-hormone e-thyroid kwaye ukwandise amazinga e-TSH. Ngokufanayo, amaxesha afudumalayo kunye neenkwenkwezi-okanye ukutyhila okungapheliyo kwamaqondo atshisayo-kunokunyusa ama-hormone e-thyroid kunye nokunciphisa amazinga e-TSH.
ILizwi
Kuba abantu abane-hypothyroidism, ukunyuka kwemozulu ebanda kakhulu kwimizinga ye-TSH kunokuhambelana nokunyuka kweempawu ze-hypothyroidism.
Imiphumo yesimo sezulu ebanda kunokuthi iyakuthi ikhuseleke kunye nokulungiswa kwimizi yesifo se-thyroid.
Ukuba uhlala kwindawo enobusika obubandayo, uhamba kwindawo ehambileyo, okanye ulindele ixesha elongezelelweyo kwindawo eneemvula eziqhelekileyo eziqhelekileyo, cinga ngokuxoxa ngezinga lakho lokunyango lwe-thyroid kunye nomboneleli wakho wezempilo.
Ukuqala, unokufuna ukucwangcisa ipaneli yokuhlola ye-thyroid ngaphambi kokuqala okanye ukufudukela kumaqondo ashushu. Oku kuya kuseka amanqanaba akho okusekela. Emva koko, la manqanaba aphinde ahlolwe kwakhona kwiiveki ezintandathu ukuya kweebhozo emva kokuqala kwamaqondo abandayo abandayo. Oku kuya kuqinisekisa ukuba ufuna ukulungiswa kumlinganiselo wakho weyeza le-hormone.
Ukuba ukwandisa umlinganiselo wakho ekuphenduleni amaqondo ashushu, ungakhohlwa ukucwangcisa phambili kunye nogqirha wakho. Phinda uhlolisise amanqanaba akho kunye / okanye ucwangcise umlinganiselo we-dosage xa ubuya kwimozulu efudumele okanye xa ubuyela kwindawo yemozulu efudumele.
> Imithombo:
> Arbelle, JE et al. "Ukungafani konyaka we-Thyroid Work Function Based on TSH Iziphumo ezivela kwi-Hyperothyroid-Treated and Healthy Individual Over Time." I-Thyroid. Oktobha 2017, 27 (S1): A-166-A-188.
> Hoermann, R. et. al. "Ulawulo lwe-homeostatic ye-Thyroid-Pituitary Axis: Iinjongo zokuxilongwa nokuPhathwa." Front Endocrinol. 2015; 6: 177.
> Maslov, LN, et. al. "Indima yeprogram ye-thyroid ngokulungelelanisa kubanda." I-Ross Fiziol Zh Im IM Sechenova. 2014 Juni; 100 (6): 670-83.