Okuhle ku-Oprah Kungase Kungabi Njalo Kuwo Wonke Umuntu
Sekuyiminyaka embalwa manje, kepha sonke sikhumbula lapho u-Oprah ekhuluma ngokukhululekile nenkulumo yosuku lwesikhashana ne- Oprah Winfrey Show . Kodwa-ke, ukubusa kuka-Oprah phezulu kwethelevishini kwenzelwa inselelo enkulu kakhulu ngezinkinga ze-thyroid.
Izifo ze-Oprah ze-Thyroid
Ngo-2007, i-Oprah yabelana ngesifo sakhe segciwane nezwe. Kamuva ngendaba ka-2009 e- O, i-Oprah Magazine , u-Oprah wamangala ngokumtshela ukuthi wayesebenzisa imithi yakhe yegciwane.
Yini inikeza?
Ngokusho komngane oseduze u-Oprah, uDkt Oz, i-Oprah inokuxuba okungaqondakali kwe- hyperthyroidism ne-hypothyroidism ngendlela ethile elinganisela amazinga akhe e-hormone. (Isimo sika-Oprah sikhumbuza uHashitoxicosis.) Kodwa yini engcono ku-Oprah - ngokuqondile, ukumisa imithi yakhe ye- thyroid - mhlawumbe ayikho emalungwini emiphakathini yabantu abaningi okungaba yi-hypothyroid noma i-hyperthyroid kodwa hhayi kokubili.
Kulesi sihloko, siphendukela kuDkt. Marie Savard ngudokotela, ummeli wesineke, kanye nomlobi wezokwelapha waseGoodl America mayelana nemicabango yakhe ephathelene ne-Oprah. Sicela uqaphele ukuthi uDkt. Savard uxoxwa ngalesi sihloko ngo-2009, futhi sibuyekeze lesi sihloko kusukela ngaleso sikhathi.
Nakhu okushiwo nguDkt. Savard
Ngenxa yokuthi uDkt. Savard akawazi okushiwo umlando wezokwelapha ka-Oprah, wabelane ngemibono nemibandela esekelwe ezimpikweni isimo sika-Oprah esikwenzayo, esenza iminyaka engu-25 yokuzimela njengomuntu wangaphakathi wezokwelapha odokotela abaphatha abesifazane abaningi (nabanye amadoda) isifo se-thyroid.
Ufuna ukucaca ukuthi akaphenduli emlandweni womuntu siqu ka-Oprah, kodwa kunalokho, ukwabelana ngeminye imibono kanye nemibuzo engase ibe usizo kwamanye ama-perimenopausal-50 okuthiwa abesifazane abanobunzima bezindaba ezifanayo zezempilo, noma mhlawumbe ngokwabo becabangela ukuyeka yonke imithi, njengoba kubikwa i-Oprah.
Esikhundleni salokho, sibheka leli cala elilandelayo, okuyinto ejwayelekile kakhulu kubantu abayeka ukuphuza imithi ye-thyroid.
Isiguli unesifazane oneminyaka engu-53 ubudala obesebenza nge-24/7 ngomlando wezinkinga zesisindo esishintshashintshayo kodwa oye waba ngenye indlela ekubukeka sengathi impilo enhle. Wethumela ngoFebhuwari ka-2007 ngezimpawu zokubunzima ukulala, ukuzithemba nokuthukuthela, ukuzuza kancane kancane kancane nokugcinwa kwamanzi, ukuphazamiseka kokuzivocavoca nokucindezelwa kwegazi, Wavuma ukuthi angeke alale izinsuku. Wahlolwe odokotela abaningi futhi ekugcineni udokotela wezwa ukuthi isimo se-thyroid esingasebenzi ngokweqile esashintsha kancane kancane esimweni se-thyroid esingasebenzi. Kungenzeka ukuthi wabeka imithi yokwelapha i-thyroid engasebenzi kakhulu ekuqaleni (i-Tapazole noma i-PTU) futhi kamuva nge-thyroid engasebenzi (ama-hormone we-thyroid). Wayebuyele emithini yemithi ye-palpitations yakhe nomfutho wegazi ophezulu. Njengoba isisindo sakhe sasilokhu sikhuphuka futhi esikholelwa ukuthi imithi yakhe yenza sengathi unesibhakabhakeni, wehla futhi ebukela impilo ngeveli, waphinde washintsha odokotela futhi ekugcineni wayeka yonke imithi yakhe ngaphandle kwe-aspirin yansuku zonke. Nakuba engasho emlandweni wakhe, incazelo yakhe ibonisa ukuthi empeleni wayezizwe engcono ngemva kokuyeka imithi.
Umlando wesiguli uphakamisa imibuzo elandelayo nokukhathazeka:
- Yayiyini ukuxilongwa kwegciwane lesiguli futhi kwaba yini imiphumela yezifundo zakhe zemizimba ye-thyroid?
- Ingabe ngempela wayenezifo ezizimele ze-thyroid yakhe futhi kungani engakwazi ukumisa imithi yakhe yegciwane ngaphandle komphumela omubi?
- Ingabe uyisineke esingenasifo esinesifo sakho se-thyroiditis futhi manje sengcono - isikhathi okungenani?
Kuyinto engavamile futhi kuyingozi kakhulu isiguli esinesifo se-thyroid esingasebenzi ngaphansi kokubhujiswa okuzenzakalelayo (noma ukukhishwa kokuhlinzwa kwalolu daba) ukuyeka imishanguzo yabo yegciwane isikhathi esingaphezu kwezinsuku ezimbalwa kuya kwamasonto.
Uma ukuxilongwa kwe-thyroid ephansi kwenziwa kahle, ukuguqula impilo yakho yonke impilo kuyisindisa impilo. Kungaba nzima ukuthola imishanguzo efanele ye-thyroid esikhundleni kanye nomthamo, kodwa lokho okungaqinisekisiwe kuyisidingo esiphila ngaso sonke isikhathi sokwelashwa.
Leli cala lisiholela ekungabazeni ukuthi isiguli esilesi sifo sinesifo segciwane. Kungenzeka ukuthi waba nokuhlolwa kwegazi nezimpawu ezazingenamkhawulo noma eziphikisanayo futhi odokotela bakhe bavuma ukuzama ukwelashwa kwemithi ukubona ukuthi uzophendula kanjani. Ukuntuleka kwakhe kokuphendula ukwelashwa kubonisa ukuthi akanalo inkinga ye -roid. Ngisho noma engaphelelwa yisineke futhi engazange anikeze imithi yokwanela isikhathi esanele, wayengakwazi ukuvikela imithi ngokuphepha uma isifo sakhe sekhanda singasebenzi futhi singenzi i-thyroid eyanele.
- Ingabe isiguli sisenomfutho wegazi ophezulu (umfutho wegazi ophezulu) nokuzivocavoca kwenzelwa ukuphazamiseka?
- Iyini izinga lokuphumula kwenhliziyo nokucindezela kwegazi?
Esinye sezibonakaliso zokuqala ze-thyroid engasebenzi ngokweqile kungase kube nokukhula kwezinga lokugulisa ngesikhathi sokuphumula futhi ngokuvamile kungase kubonakale sengathi i-palpitations noma i-heart beat fast ngokuzivocavoca. Uma kunjalo, i-class of heart and blood pressure imithi ngokuvamile iqondiswe ukunciphisa ukushaya kwenhliziyo ezimweni ze-thyroid ezingasebenzi kakhulu kanti imithi ye-thyroid yokwelapha i-thyroid engasebenzi kakhulu iyasebenza. Le mithi ibizwa ngokuthi i- beta blockers ngamagama ezidakamizwa ezijwayelekile ezifana ne-tenormin noma i-propanolol. Lezi imithi emikhulu kakhulu ngokuvamile zibangelwa ukungena ngokwengqondo, ukuzithemba, ukuzizwa behlehlisiwe ngisho nokucindezeleka. Ngokuvamile bangathathwa ebusuku nemiphumela emibi embalwa futhi iziguli zibekezelele kancane kancane uma zandisa umthamo kancane kancane.
Imiphumela eminingi emibi yesiguli esivela emithini yemithi ingase ivela ku-beta blockers noma eminye imithi yegazi . Lezi zidakamizwa azikwazi ukumiswa ngokuzumayo njengoba ingozi yokubuya ngokungazelelwe kwe-pulp ngokushesha kungabangela ukuhlaselwa yinhliziyo noma ngisho nokushaywa yisifo. Ngokusobala, lesi siguli sanciphisa kancane kancane umthamo futhi ngakho-ke sanqunywa kule mithi.
- Iyini ingcindezi yegazi manje?
Ezinye iziguli ezinegazi eliphezulu zingakwazi ukuyeka imithi yazo ngokuphepha isikhathi eside uma zenza izinguquko eziqhubekayo eziqhubekayo endleleni yabo yokuphila - njengokuzibandakanya kokuzivocavoca nsuku zonke, ukunciphisa ukondla usawoti, ukudla izithelo nemifino eningi nokuzama ukunciphisa ukucindezeleka noma izinkinga zokulala.
- Iyini imbangela ebangela ukuthi iziguli zethu zizuze isisindo nokukhathala?
Isiguli sethu sisebenza cishe ngo-24/7 futhi ngokusobala sasingalali izinsuku ngesikhathi sokuqala kwezinkinga zakhe zezokwelapha. Ukulala ubusuku obuhle amahora angu-7 kuya kwangu-8 ngobusuku manje sekuyaziwa ukuthi kubaluleke kakhulu empilweni enhle, amasosha omzimba aqinile ngisho nokugcina isisindo esinempilo. Izifundo ezinganeni nakubantu abadala ziye zaxhumanisa ubuthongo obuncane (ngaphansi kwamahora angu-6 ngobusuku kubantu abadala) ukungakwazi ukubekezelelana kwe-glucose kanye nokuzuza kwesisindo (ukuzuza ngokuyinhloko ngobukhulu besisindo kusuka ekuqongeni kwamafutha angama-belly avela ku-cortisol). Ukucindezeleka okwandayo nokulala okunciphisa mhlawumbe kubangelwa ukuhlukunyezwa kwengculazi futhi cishe kuyisici esibhedlela iziguli zethu.
Ekugcineni, zonke iziguli ziveza indaba yakhe eyingqayizivele nenomuntu siqu, futhi kufanele isebenze nodokotela bayo ukuze baphinde baphile impilo. Kodwa ukulalela umzimba wakho kuqala futhi okubaluleke kakhulu. I-radar yezempilo yomzimba wakho isebenza kahle kakhulu - ukusebenzisana nodokotela othembekile ozinika isikhathi sokukulalela.
Ngamanye amazwi, ngenxa yokuthi u-Oprah, kungakhathaliseki ukuthi uyisibonelo esihle kangakanani, engayithathi imithi ye-thyroid ekudambiseni odokotela bakhe, akusho ukuthi kufanele uyeke ukuthatha imithi yesifo sakho se-thyroid ngaphandle kokubonisana nodokotela wakho kuqala .
Okuningi mayelana noDkt. Savard
Ungathola u-Dr. Savard ebonakala njalo ku-"Good Morning America" ye-ABC, nakuwebhusayithi yakhe, uDkt. Marie's Healthy Dose, ku www.drsavard.com. Ukuze uthole okuningi kusuka kuDkt. Savard lapha, funda:
- Abesifazane Kumele Bathathe Impilo Yabo Yezempilo
- Amathiphu ekuPhatheni izifo zakho ze-Thyroid kanye nolwazi lwezeMpilo: Marie Savard, MD on How Information Can Save Your Life