Iingcali zeChroroid Zababelana Ngeengcamango Zabo
Ngxu ludliwano-ndlebe, iingcali ze-thyroid uRichard Shames, MD, kunye neKarilee Halo Shames, i-RN, i-PhD, yahlola isizathu sokuba kubalulekile ukufumana uluvo lwesibini malunga nokunakekelwa kwe-thyroid.
Umbuzo: Siyazi ukuba bobabini uye wabandakanyeka emsebenzini we-thyroid iminyaka engaphezu kwe-25-ngokwabo nangomsebenzi. Uyintoni isimo sakho kwizigulane ukufumana umbono wesibini?
Njengabaqeqeshi bezempilo, sinoxhasayo ngokubanzi ukuxhotyiswa kwabantu kunye nokuzinakekela.
Ukongeza kwiincwadi, abahlobo kunye ne-intanethi, siziva kubalulekile ukugcina ubudlelwane obuhle kunye nogqirha wakho. Igosa elincinci linokukunceda ekuxilongeni kakuhle kunye nokuphathwa kakuhle kwe-thyroid yakho, ukugcina iminyaka yokuxinzezeleka, iindleko kunye nobunzima.
Kodwa, khumbula ukuba bonke oogqirha banemida yabo. Ixesha labo, ulwazi, kunye namava klinikhi awanakunaphakade. Umgangatho wonyango oqhelekileyo ukubiza kwelinye uluvo xa lufuneka. Ngokuqhelekileyo ugqirha oya kuthatha isigqibo esithile xa kukho enye imbono efunekayo kwimeko. Kwiziko le-thyroid, kuya kuba nzima ngakumbi ukuba isigulane senza isigqibo. Njengeqela loongikazi wegulane, sisekela ngokupheleleyo olu phuhliso olutshanje noluninzi olufunekayo.
Umbuzo: Uziva njani ukuba isigulane siqale ukucinga ngale ndlela?
Izigulane ze-thyroid, ngokuqhelekileyo ziqala ngokukhawuleza kwisigaba sokuxilongwa, okanye kamva kwiingxoxo zonyango.
Umzekelo, ekuqaleni kwengxaki ye-thyroid, ingcali eyaziwayo ithatha imbali epheleleyo, ukuphulaphula ngokukhawuleza imibala kunye nokukhetha iipatheni. Emva koko, wenza uvavanyo olufanelekileyo lomzimba kunye nemiyalelo efanelekileyo yokuhlola iibhorathri, ukuqinisekisa ukuba yintoni ebangela iimpawu.
Ngale ndlela, unokuchonga ngokuchanekileyo ukuba zeziphi unyango eziza kunceda kuwe. Ungazithengisi ufutshane. Qinisekisa ukususela ekuqaleni ukuba imeko yakho ifumaneka kakuhle. Ukuba ugqirha wakho oqhelekileyo akaqwalasele i-thyroid ngokukhawuleza okanye ngokucophelela ngendlela onokuthanda ngayo, ngeendlela zonke uthetha. Oku kuyinyani ngokukodwa ukuba unayo isifo se-thyroid ngokwakho okanye nayiphina imbali yakho yonyango .
Ukuba ufumene ulwazi kubahlobo okanye kwiwebhsayithi ehambelana nemeko yakho, kuya kuba yinto efanelekileyo ukuxelela le ngcali ukuba ufumane enye ingeniso. Kulezi zihlandlo, qaphela ukuphendula kwengcali yakho. Ukuba ugqirha wakho wenza ngokungathi imibuzo yakho iyakhathazeka, okanye ayiphenduli ngokuthe ngqo, cinga ukuba ufumana unyango olufanelekileyo. Unokudinga ukunyusa ukunonyamekela kwala gqirha ngombono ongezelelweyo. Ukuba ugqirha awaziyo iimpendulo kwimibandela yakho, cela ukuba unokufumanisa, okanye uqondise kwizinto ezifanelekileyo. Unokufuna ukuthenga le ngqalelo eyongezelelweyo, njengokuba uthengela umatshini ochanekileyo, ikontrakta okanye enye inkonzo oyayithandayo.
Umbuzo: Kutheni uvakalelwa kukuba umguli wegciwane le-thyroid ufuna ukuthenga ngeenxa zonke?
Abaninzi bamayeza aseprayimari abonakala bengakwazi ukuqwalasela ngokweqile kwe-thyroid ephantsi kubemi okanye kwi-toll yayo ehlangeneyo kwimpilo yesizwe. Njengoko sibonile kwincwadi yethu, uphando ngamagumbi ezobuyunivesithi, kunye ne-Mayo Clinic, liye lafumanisa ukuba ukuxhaphaka kweemeko ze-thyroid kuphezulu- kukuxhomekeka kwimpilo ye-10 ekhulwini yabemi, kwaye kubonakala ngathi kuba kakhulu kunyuka. Kuthatyathe ixesha elide kuluntu lwezonyango, olujoliswe kakhulu ekunakekelweni okubalulekayo, ukuba uqaphele le meko ephawulekayo.
Ekubeni imeko leyo ayisoloko iyingozi okanye isongela ubomi, ingenakuchukumisa nje oogqirha abaxakekile.
Kwakhona, ekubeni inkqubo ye-thyroid ilawula iinkalo ezininzi zokusebenza ngokomzimba nangokwengqondo , uluhlu olude lwezigulane zezigulana lunokubonakala luhambelane kwaye lugqithiseleyo kwiinkliniki. Isigulane sinokuba nengxaki yesikhumba, ingxaki yesisu, ukukhathala, ukufumana ubunzima , iinwele okanye iingxaki zeengxaki, ukunyuka kwemvakalelo kunye neentsikelelo, uzive utyhile ixesha, kwaye ushushu kwabanye.
Xa ubhekane nale nkalo yeempawu ezibonakala ngathi ihlabathi jikelele, ugqirha usoloko ungathandabuzeki, kwaye, kunokuba usolungele i-thyroid ephantsi, unokukholelwa ukuba esi siguli sinokuba nengxaki yengqondo njengengcinezelo. Ngoku isigaba sisetyenziselwa ukuxilongwa koxinzelelo, okanye into efanayo, kunye nomyalelo weProzac okanye iZoloft. Oku kulahlekelwa ukuxilongwa kwangempela kwe-thyroid, okubangela ukuba iimpawu ezibandakanya ukudandatheka. Ukuba uvakalelwa ngamandla ukuba ungomnye wezigidi zabantu abanesimo sengqondo se-thyroid abangaqondwa ngolu hlobo ngale ndlela, ngoko kufuneka ufune ukuthenga ngeenxa zonke uze ufumane uluvo olongezelelweyo olongezelelweyo.
Umbuzo: Kuthiwani ngesigulane mhlawumbi esineengqungquthela zesibini kunye nodokotela ovulekile ngakumbi, uye waba neepaneli ezipheleleyo zeeproroid, ifunyenwe (mhlawumbi iminyaka sele ikhona), kwaye unyango alusayi kuhamba kunye yena angathanda. Yintoni ke?
Kuyaziwa kakuhle ukuba le meko engelona nto engaphantsi kwonyango eyanelisayo yinto eqhelekileyo. Makhe sithi ingxaki yakho ayikho ukuxilongwa kwe-thyroid, kodwa ngokuchazwa ngokuqhubekayo kweempawu kunye neemvavanyo ezingabangela ukulawulwa ngokufanelekileyo kwimeko. Xa uvavanyo lwegazi lufundwa, uluhlu oluchazwe njengoluqhelekileyo lwe-thyroid luhlala lukhulu kakhulu kangangokuba oko kuthathwa njengelona lwanelisayo kunokunyanzelela iimfuno ezizodwa zomntu ngamnye. Abantu abanjalo banokuziva bebuhlungu ngenxa yeminyaka yezikhalazo eziphambili, nangona umsebenzi wabo webhanki uphindele "oqhelekileyo." Kungakhathaliseki ukuba izibhengezo zezigulane, abanye oogqirha bafuna ukuba ukuba i- TSH yakho ilungile, i-thyroid yakho ifanelekile. Isigulane se-thyroid, nokuba kunjalo, sinokuziva sisona sibi ngakumbi, kwaye mhlawumbi ekugqibeleni sigxeka. Ukuba unesi sikhephe, unokufuna uluvo lwesibini ugqirha obona umsebenzi webhule njengenxalenye eyodwa yebali lonke le-thyroid.
Umbuzo: Ngelishwa, abafundi bam kwaye ndifumene ukuba oogqirha abanjalo bancinane kwaye baphakathi.
Oku kuyinyaniso, kodwa kuninzi kunye nathi. Ngokwenza kwethu, sinokukhathalela ngokukodwa kunye nembono yesibini. Iimvavanyo zeLebhu kuphela enye yezinto eziya kwizigqibo zethu kunye neziphakamiso. Kukho uninzi lwabanye oogqirha ngathi. Izigulane zifuna nje ukuzifuna.
Ngokomzekelo, khawuqwalasele "ugqirha" weDktri, uMgogodli weDisk Reference (PDR). Kuzo zonke izigulana zamachiza e-thyroid, kukho umxholo othiwa "iimvavanyo zelabhoratri." Apha a magqirha bayacetyiswa ukuba bangathembeli kuphela kuvavanyo olulodwa lwegazi lokulawula i-thyroid ephantsi. Kunoko, bayakhunjuzwa ukuba badibanise ulwazi oluthole ukuvavanywa kwebhubhoratri kunye nesigwebo esihle seklinikhi. Nangona kunjalo, ngononophelo olulawulwayo oluqulathe umgaqo-nkqubo, oogqirha baninzi bewutyeshela le ngcebiso. Amagqirha ambalwa, nangona kunjalo, ngokwenene alandela le nkqubo efanelekileyo; Izigulane zifuna nje ukufumana oogqirha. Emva koko izigulane zinokufumana uluvo lwesibini oluthemba ukuba luya kugqugquzela ugqirha wabo oyintloko ukuba abe nengqondo evulekileyo ngeengxoxo zonyango. Kungenzeka ukuba ukunyuka okulula kwimizi yezayeza okanye utshintsho olulula kwiimveliso zonyango luya kuphucuka kakhulu. Mhlawumbi imbono yesibini iya kubonisa ukudibanisa amayeza amabini e-thyroid, ngamanye amaxesha angcono kunamaphi amayeza athile. Ugqirha ogqityileyo obalaseleyo ungasebenzisa iziphakamiso zecandelo lesibini kwinqanaba lokuhlola kwaye ubone indlela esebenza ngayo.
Umbuzo: Izigulane ezininzi azibona uhlobo loogqirha ochazayo. Kutheni ucinga ukuba akukho magqirha angaphezulu athatha indlela efanayo?
Singaqonda ngokucacileyo ukuba kutheni ababoneleli abaninzi bengenakufuna ukwenza njalo. Kugqithiseleyo ixesha elidlulileyo, kudinga umthamo ogqithiseleyo wokunyamezela ukujonga isigidimi ngasinye sokuguqula inkqubela.
Inkqubo ifuna ukuba umnakekeli ahambe ecaleni kunye nesigulane, ukufundisa nokuxhasa umntu ophakathi kweli (ngezinye izihlandlo). Ummandla wokunyamekela okhuselekileyo awuvumeli ukuba oogqirha bazinikele ingqwalasela ngokucophelela ebizwa ngokuba, ukuba bafumane iqondo elifanelekileyo nje, lezonyango ezifanelekileyo, kumntu ngamnye.
Ukongeza, izigulane aziqhelekanga zigula. Imeko yabo yinto eninzi yokuhlala emide, engapheliyo ehamba kancane. Abanye ababoneleli ngempilo abanomdla onzulu kule meko.
Kusemngciphekweni ugqirha ukuba uphume kwi-mold standard, ukuzama into ehlukileyo. Hlalani nikhumbule ukuba oogqirha bajongwa kwaye kulindeleke ukuba benze ngokuhambelana nomgangatho othile woluntu. Oko kuthetha ukuba ukuba abaphandi abasixhenxe abahlala kwisixeko esinikezelweyo abangeke banikeze nantoni na kodwa i -thyroid ye-synthetic, kwaye i-GP yesibhozo isebenzisa ama-synthetics kwaye ngamanye amaxesha isebenzisa i-thyroid yemvelo, ukuba ugqirha wesibhozo akabheki njengento ehambelana nemigangatho yoluntu.
Umngcipheko wangempela wezomthetho awuncinci, kodwa usenokubandezela oogqirha abaninzi kwizinto ezintsha.
Q: Ndiyakwazi konke oko. Oko mna nabafundi bam abaninzi banenkathazo xa ugqirha ubonakala ekhukhumele okanye enzima.
Oo, lo mbandela omkhulu. Unonophelo lwempilo ngokubanzi lude ixesha elidlulileyo kwi-paradigm-shift in therapy-patient.
Kufuneka ukuba ibe ngaphezulu kokubambisana ngokulinganayo kunye nokwabelana ngokuhlanganyela kunye nokuphulukana. Oogqirha abaninzi baqeqeshwe ukuba bacinge ukuba isimo esaziwayo siyakhuthaza isigulane. Kwezinye iimeko ezi zinto ziyinyaniso, mhlawumbi ngokubanzi kunye nezigulane ezithe zakuba zikhulile, eziye zafundiswa ukuba zikholelwe ukuba ugqirha akapheli. Siyakholwa, kunoko, ukuba umsebenzi wethu ukufundisa nokukhuthaza, kunokumisela. Ugqirha kufuneka abe nomqondo ovulekile, ekulungele ukuzama amayeza ahlukeneyo, kunye nokunceda izigulane zigqibelele ukuba ngubani osebenza ngokusemandleni kubo.
Siyicinga ukuba inxalenye yendima yethu njengomnakekeli kukuxhobisa nokuhlonipha abantu abafuna ulwazi lwethu, ubulumko kunye nenkxaso ekukhuseleni impilo yabo. Kucaciswe kakuhle ukuba iinkolelo zezigulane zidlala indima ebalulekileyo ekuphiliseni. Kwakhona kubhalwe ngokucacileyo ukuba isigulane esinikwe amandla senza ngcono ngakumbi kunomntu olandela nje imiyalelo.
Ukuba isigulane sinamava amnandi ngamachiza athile, siyabahlonela amaxhala kunye namava abo. Siyakukhuthaza abathengi bempilo ukuba baqiniseke ukuba baveze iimvakalelo kunye neenkolelo malunga nonyango. Ukuba umboneleli wakho wezempilo unomdla wokuva iimvakalelo zakho okanye iinkolelo zakho, unokufuna ukucinga ngokufumana enye imbono.
Umbuzo: Ngaba unako ukulinganisa konke oku kuluhlu lwamatye?
Ngokuqinisekileyo. Nanku xa isiguli se-thyroid sifanele sicale ukucinga ngokufumana umbono wesibini:
- ukuba ugqirha wakho akayi kuchazi iziphumo zakho zebhanki okanye unikezele ngamanani ayenene (oku kuyinyani ngokukodwa xa ucela iziphumo kwaye awukwazi ukuzifumana zonke)
- ukuba ugqirha wakho okanye ummeli weofisi akayi kubuyisa iifowuni zakho
- ukuba ugqirha wakho uthe konke oku makube kwintloko yakho, okanye uxhaphaze uxinzelelo oluxininisekile okanye i-PMS- okanye i-menopause-ehlobene (Kakade konke kuhlobene, kodwa i-thyroid imele ifune ukuba ithathwa njengento ebalulekileyo)
- xa ugqirha wakho uthetha uphawu oluthile olubonayo kwiwebhusayithi "akunakwenzeka ukuba ngenxa ye-thyroid ephantsi" (iflegi ebomvu)
- xa usenokuba unyango olufanayo kwiminyaka kwaye ungasayi kuziva uqobo lwakho, kodwa ugqirha wakho akafuni ukutshintsha nantoni na
- ukuba unethamsanqa ngokwaneleyo ukuba ube nodokotela obambisene naye, kodwa yena uzama izinto ezingabonakali zisebenza, okanye zenza ukuba zibi kakhulu (ugqirha wakho unokufuna uncedo oluthile ukufumana nje ukufumana ukufunyanwa kwakho)
Umbuzo: Ekugqibeleni, amava olwazi lwesibini angayifumana njani umphumo omuhle kwizigulane?
Nantsi into esiyifumene inceda kakhulu.
- Kungcono ukuvumela ugqirha wakho oyintloko ukuba uya kuqwalasela ukuya kwiingcebiso zecandelo lesibini njengoluvavanyo lwexeshana lwento entsha. Ukuba ayisebenzi, uya kunelisekile ukuqhubeka usebenza nodokotela wakho mhlawumbi kwelinye icala, okanye ubuncinci, ubuyele kwinto oyenzayo ngaphambili.
- Tshela ugqirha wakho oyintloko ukuba uzimisele ukuthatha uxanduva olupheleleyo kuyo nayiphina imiphumo emibi ekuzameni ukuphakanyiswa kwembono yesibini. Enyanisweni, uzimisele ukutyikityela inkcazo enjalo kwitshathi (Oku kunciphisa uxinzelelo oluninzi kumgqirha, kwaye kukubeka kwisihlalo sabantu abashayeli).
- Yenza ugqirha wakho oyintloko wazi ukuba uyaqonda ukuba ulawulo oluphezulu lwe-thyroid lugxininiswa ngabanye kwaye ngamanye amaxesha "ukuphosa nokuphosoka" imeko, ukuba uzimisele ngokuzibandakanya ngokufanelekileyo, kwaye ukuba, ngokwenene, ubona ukuba unyango olufanelekileyo lokunyanzelana nale ndlela ngenxa yokuba ubandezeleka "ngokungenakunqandwa" kunye nokukhubazeka okungenasidingo ebomini bakho (ukuba ingongoma yezokwelapha iya kufumana ingqalelo ngogqirha wakho ngaphezu kokuthi "Andiyithandi ukuva.")