Ngisanda kuthola ithuba lokuxoxa noRichard Shames, MD mayelana nochungechunge olusha lwezinkulumo eziphathelene nokungaqondi kahle kwe-thyroid. UDkt. Shames, ogama lakhe elibandakanya iHarvard, iYunivesithi yasePennsylvania, kanye neNational Institutes of Health, unogada nomlobi oneminyaka engaphezu kwengu-30 ekuthuthukiseni ukunakekelwa okungcono kwe -roid.
Q: Kungani, uDkt Shames, ubeka imikhakha ethile ejwayelekile ngokuthi "i-myths"?
Uma inkolelo engalungile ivame kakhulu futhi inenkani yibo bonke abahlinzeki nabathengi, idinga igama elikhethekile. Ulwazi lwezempilo kuphela alwanele. Omunye udinga ukwazi izinga lelo lwazi, ukuze alisebenzise kangcono. Ulwazi olungalungile lungaba yingozi kakhulu.
Q: Ngabe umbono wakho uyinkolelo ye-thyroid ehola namhlanje?
Inombolo yezinganekwane ze-thyroid 1: I- TSH kuphela ukuhlolwa okudingekayo ukuqondisa kokubili ukuxilongwa nokuphathwa ukungalingani kwe -roid.
Ingqikithi yokholo olungenakunqotshwa kulolu, ukuhlolwa kwegazi okulula, okuphelelwe yisikhathi kuye kwadala iminyaka engakaze ibe yingozi kubantu abayizigidi. Ngokusekelwe ekucindezelweni kwalolu daba olulodwa, odokotela benqaba ukwelashwa kwabaningi abayidinga, futhi babeke abanye emtholampilo kakhulu uma belashwa.
Q: Iziguli eziningi ze-thyroid ziyaqaphela ukuthi izifundo zamuva zocwaningo ziye zabuza ngokungathí sina ukuqinisekiswa okuphelele, kanye nobubanzi obanzi obujwayelekile, bokuhlolwa kwe-TSH . Ngisho nomphakathi we-endocrinology awuvumelananga ne "uhla olujwayelekile lokubhekisela" lwezinguquko ze-TSH.
Ngokuqinisekile. Kodwa iningi labangena odokotela, imitholampilo, laboratories, nezinkampani zomshuwalense namanje akukhambisani nalokho kucwaningo oluphoqelela. Esikhundleni salokho, lo mbono uqiniswe nakakhulu. Kodwa kulabo abaningi abanesifo se-thyroid nabadobi, lo mbono awusona isayensi. Kuyintokwanekwane.
Q: Iyini inganekwane elandelayo ye-thyroid?
Inkolelo yenkolelo ye-thyroid 2: I-Levothyroxine yodwa kanye nokwelapha kuphela iziguli zegciwane ezizoke zidingeke.
Uphinde futhi, ukucwaninga okuningi kocwaningo kanye nokuhlangenwe nakho okuningi okuhlangenwe nakho kubonise lokhu kube yinganekwane engaba yingozi. Kodwa kuyamangalisa ukuthi kuthengiswa kanjani ngokuphelele kule nganekwane odokotela abaningi neziguli baseduze nezwe. Ngiyaqhubeka ngizwa ngakho ekuqeqesheni kwami ucingo ngeziguli ze -roid kulo lonke izwe.
Q: Kuthiwani ngeziguli ezidinga ukwesekwa kwe-thyroid eyengeziwe ekusebenzeni kwe- adrenal , progesterone, ne- vitamin D ?
Ngokubaluleka kokubaluleka kwe-vitamin D's sitholakale kahle kakhulu, kokubili iziguli neziguli. Kodwa enye into ngeshwa ukuthola ukuhamba kancane. Futhi yilokho Inombolo Yenganekwane Ye-Thyroid 3: I- thyroid ekhishwe emvelo ingaphephile ngenxa yombono wayo oguquguqukayo.
Nasi iqiniso. Izidakamizwa zempilo ye-thyroid (i-Armor Thyroid ne-Nature-thyroid ngamagama amabili ejwayelekile we-brand ebizwa ngokuthi i-thyroid ekhishwe emvelo e-US) ayaziwa ukuthi iphephile futhi isebenza kahle. Kwezinye iziguli, ziphakeme kune-levothyroxine, ngisho nalapho imithi ye-T3 ihlanganiswa ne-T4 ejwayelekile (levothyroxine).
Ukumangalelwa kokungafani emithini yemvelo yemvelo kuyisibonelo sezinganekwane ezihlala njalo.
Eqinisweni, i-FDA ibuyele ngokuphindaphindiwe i-thyroid (levothyroxine) ukuze iguquke ngomthamo ngephilisi ngalinye.
Ngeshwa, izinkampani zomshuwalense manje seziyi-bandwagon yezinganekwane. Abanye bavele baqala ukubhalela iziguli nodokotela bathi ngeke besayigcina imiyalelo yemvelo ekhishwe yendalo. Bancoma inkinobho ku-levothyroxine, nakuba ibiza kakhulu. Lokhu kuyinto engavamile yezinkampani zomshuwalense ukwenza, kodwa ziqala ukukwenza. Ngokusobala baye bathengela emlandisweni, mhlawumbe ngenxa yethonya elivela kubakhiqizi bezidakamizwa ezinkulu abafuna ukunciphisa ukuncintisana kusuka kwegciwane lengqondo elibizayo.
Q: Iyini inganekwane yakho elandelayo ye-thyroid?
Inombolo Yenganekwane Ye-Thyroid: Gcina ukulinganisa kwemithi ye-thyroid ephansi ukuze unciphise ingozi ye-osteoporosis nezinkinga zenhliziyo.
Lena ngeshwa indaba ephikisanayo, ngokusekelwe ocwaningweni olwedlule isikhathi. Ucwaningo lwamuva luveza ngokucacile ukuthi imithi ye-thyroid, emalini abantu abayidingayo empeleni, ayilimazi inhliziyo noma amathambo.
Le nganekwane iyinkinga enkulu, ngoba uma lesi seluleko silandelwa, abantu baphela engozini enkulu ye-osteoporosis nezinkinga zenhliziyo. I-hypothyroidism engaphansi kwengqondo iyimbangela evamile engabonakali yezintambo eziphansi zezinthambo kanye nezinhliziyo zomzimba, kanye ne- subclinical hypothyroidism iye yahlanganiswa nezinkinga ezihlukahlukene zenhliziyo . I-thyroid encane kakhulu ingabangela amazinga aphezulu e-adrenaline, okwenza inhliziyo ihlale ijumpy.
Q: Iyini inkolelo yakho yokugcina yegciwane?
Inombolo Yenganekwane Ye-Thyroid: Uma usuqala imithi ye-thyroid, udinga ukuhlala kuwo kuze kube phakade.
Lena enye yezintandokazi zesikhathi sami sonke futhi yisibonelo sezinganekwane ezivela eqinisweni elincanyana. Uma ingubo yakho ye-thyroid igxiliwe ngokuphelele nge-iodine yomsakazo noma isuswe ngokuhlinzwa kwe-thyroid , ke lesi seluleko siyiqiniso kuwe. Ngakolunye uhlangothi, ngenxa yeziguli eziningi ze-thyroid ezisezintweni ezisebenza kahle ze-thyroid, lesi seluleko singumlando onokulimaza.
Isibonelo, abantu abaningi badinga ukwelashwa kwe-thyroid ngenxa yesikhala sokuzenzekela okwesikhashana ngesikhathi sokukhulelwa, ngemuva kokubeletha, noma ukuyeka esikhathini. Lezi ziguli zingase zingadingi ukuhlala emithini ye-thyroid yonke impilo yazo.
Eqinisweni, kungase kube ngcono ukuthi iningi labo liqede ngokucophelela. Kodwa-ke, bahlala behlala emaphilisi e-thyroid kuze kube phakade, ngoba bona noma odokotela baye bathengela emlandweni.
Futhi kuthatha ukunakekelwa okuqhubekayo ukugcoba imithi ye-thyroid ngokufanele, nokukwazi ukuthi uzobuyela nini kuso, uma kunesidingo. Kulolu suku olusheshayo lomlilo, ukuvakashelwa okusheshayo uhlobo lokunakekelwa kwezempilo, isilingo esibhekene nokugwema i-thyroid ngokuvamile sigwenywe ngabasebenzi abamatasa.
Ukuphoqelela abantu abangaba nempilo enempilo ukuba bangene kuze kube phakade ukuze babone odokotela kanye namakhemikhali akusiyo ekusebenziseni okuhlakaniphile kwezidakamizwa zokunakekelwa kwezempilo eziyigugu.