Izimpendulo Zingashintsha Impilo Yakho Nokuphila
Iziguli eziningi ze -roid zikwazi ukwaziswa kwamuva mayelana nocwaningo, imithi, izithako zokudla kanye nokudla okunomsoco. Kodwa ngisho nesiguli esingazi kahle singase singakwazi ukubuza eminye yale mibuzo ebalulekile mayelana nesifo se-thyroid esingasisiza sizwe sizizwe kahle futhi siphile impilo engcono.
1. Ingabe Unayo Imithi Efanele?
Iziguli eziningi ze -roid-noma ngabe u-irradiated yakho ye-thyroid (IRI) ye-hyperthyroidism, isuswe ngokuhlinzwa ngenxa yomdlavuza wegciwane noma ama-nodules, noma iyancipha ngenxa yokugula okuzenzakalelayo-iphethe i-hypothyroid.
Lokho kusho ukuthi kuzodingeka uthathe izidakamizwa ezithathelisayo ze-hormone . Ngokuvamile, odokotela abaningi banikeza imithi ye-levothyroxine, uhlobo oluthile lwe-thyroxine, i-hormone ye-T4. (Amagama wegama elivamile ahlanganisa i-Synthroid, Levoxyl, ne-Unithroid ne- Tirosint .)
Ucwaningo luye lwabonisa ukuthi iningi leziguli ze-hypothyroid zikhetha ukwelashwa okuhlanganyelwe kwe-T4 no-T3 , i-hormone esebenzayo ye-thyroid. Lokhu kungafezwa ngokufaka ifomu lokufakelwa kwezidakamizwa ze- T4 / T3 . Igama elijwayelekile lomuthi we-T3 yi-liothyronine, futhi umkhiqizo u-Cytomel. I-T3 iyatholakala futhi ngomuthi wokugudluza kusuka kuma-pharmacy ohlanganiswa ngesikhathi sokukhishwa kwesikhathi. Enye indlela yenzalo ye-thyroid (i-NDT) yemvelo, eyomile yengulube yezingulube, eyaziwa ngokuthi i-porcine thyroid. Imikhiqizo evamile kakhulu i-Nature-Throid, i-Thyroid WP, ne-Armor Thyroid. Kukhona i-NDT ejwayelekile eyenziwa ngu-Acella.
Akekho imithi efanelekayo wonke umuntu.
Imithi yokwelapha i-hormone esikhundleni se-thyroid iyona engcono futhi ixazulula kahle izimpawu zakho. Kodwa kufanele ucabange ukuthi noma ungase uzuze yini ngokungeziwe kwe-T3 noma i-thyroid ekhethiwe yemvelo .
2. Ingabe Ukhona Esilinganisweni Esanele Semithi?
Akudingeki nje ukuthi ube nemithi efaneleko, kodwa kubalulekile ukuthi awugcini nje ukuxiliswa kumazinga awela ebangeni elijwayelekile / lesithenjwa, kodwa kunalokho, ukuthi amazinga akho "aphezulu." Ngokubanzi, amazinga aphezulu wegciwane avame ukuba:
- I-TSH ngezansi 2.5
- I-T4 yamahhala engxenyeni ephezulu yebala lokubhekisela (lingancipha uma ulapha ekwelapheni imithi yokwelapha ye-T4 / T3)
- I-T3 yamahhala engxenyeni ephezulu, noma ngisho ne-25c percentile ephezulu, yebanga lokubhekisela
Uma uye waphakamisa amazinga we-TSH, noma ama-T4 aphansi mahhala kanye / noma amazinga wamahhala we-T3 ngenkathi ekwelapheni, futhi esenayo izimpawu ze-hypothyroidism, ungase ube nendawo yokuthuthukiswa ngokulinganisa kwemithi yakho.
Funda lolu chungechunge lwezihloko ezibonisa imibono ehlukene yabasebenzi ngokuphathwa kokwelashwa kwe-hypothyroidism .
3. Ingabe Kufanele Ushintshe Ukudla Kwakho?
Ezinye iziguli ze-thyroid zithola kunzima ukuhlala zilawulwa ngomthamo wazo wegciwane le-hormone replacement substitution. Abanye abakwazi ukulahlekelwa isisindo. Abanye abantu banezinhlungu nezinhlungu zomzimba nezinhlungu eziqhubekayo naphezu kokwelashwa. Futhi namanje, abanye babhekana nokuvinjelwa njalo nokukhungatheka kwesikhumba. Ngisho noma ukwelashwa kwakho kulungiselelwe, uma uqhubeka nokuba nalezi zimpawu, ukudla kwakho kungase kube icala.
Ngokwesibonelo:
- Uma udla kakhulu imifino ye-goitrogenic eluhlaza, kungenza ube ne-hypothyroid engaphezulu .
- Uma udla ubisi obuningi kakhulu, kungenza ube ne-hypothyroid eyengeziwe, noma uphazamise ukumunwa kwemithi yakho ye-thyroid .
- Uma unomzwelo we-gluten, ukudla i-gluten eningi kungabangela ukukhathala, ama-aches / izinhlungu ezihlangene, ukuvuthwa, ukucasula isikhumba, nokwenza kube nzima ukunciphisa isisindo .
- Uma unomzwelo ku-FODMAP, ukudla ukudla okuphezulu kulezi zithako kungenza uzizwe uvinjelwe futhi ubangele ukuphazamiseka kokugaya ukudla
- Uma ungeke ulahlekelwe isisindo, kungase kudingeke ushintshele ekudleni okulawulwa okuphansi kwe-glycemic noma kwe-carbohydrate
4. Ingabe Uthola Ukulala Okwanele?
Ungathola, ngisho nokuphathwa kahle kwe-thyroid, ukuthi usazizwa ushathele . Isizathu esivamile kakhulu esicacile kunazo zonke: ukungabi nalutho okwanele, ukulala okuhle kwekhwalithi. Uma ubhekene nokukhathala, qiniseka ukuthi usebenza nodokotela wakho, futhi usebenzise kahle ukulala ubuthongo, ukuthola okungenani amahora angu-7 kuya kwangu-8 ubuthongo ngobusuku bonke.
Lokhu kubaluleke nakakhulu uma uzama ukunciphisa isisindo, noma uthola ukuthi unokungalingani okungekho emthethweni.
Ngaphezu kokuthola ukulala okwengeziwe, nakhu ezinye izimfihlo zokulwa nokukhathala .
5. Ingabe amazinga akho kaFerritin namaVithamini D aphansi kakhulu?
UFerritin -uhlobo olugcinwe ngensimbi-lubalulekile ekusebenzeni kahle kwe -roid. Emkhakheni wokubhekisela ku-20 kuya ku-100, odokotela abaningi abahlanganisayo bancoma ukuthi amazinga e-ferritin abe okungenani ama-50 okwenza umsebenzi we-hormonal efanele. Uma ulahlekelwa izinwele, isincomo ukuthi izinga okungenani 80. Ungaba nokuhlolwa kwegazi ku-ferritin eyenziwe, bese uxoxisana nodokotela wakho uma kunesidingo. Kodwa-ke, khumbula ukuthi uma ungeze nge-iron, kufanele uthathe okungenani amahora amathathu kuya kwangu-4 ngaphandle kwemithi yakho ye-hormone esikhundleni sakho.
I-Vitamin D manje sekuyaziwa ukuthi ingaphezu nje kwe-vitamin, ingumprohormone. Futhi inendima ebalulekile ekuzivikelweni kwempilo nokulahlekelwa isisindo . Ebhekheni lokubhekisela le-20-100, odokotela abaningi abahlanganisayo bancoma ukuthi amazinga e-Vitamin D abe okungenani ama-50 noma ngaphezulu.
6. Ingabe ama-Adrenals akho ayalinganisani?
Ingabe uqale ukwelashwa kwe-thyroid, uzizwa ungcono, futhi ngemva kwamasonto ambalwa, uthole ukuthi uye waphazamisa noma waphahlazeka, izihlakaniphi-izibonakaliso? Uthola ukuthi awukwazi yini ukubekezelela ngisho nokwanda okuncane emithini yegciwane ngaphandle kokuzwa ubununu nokukhathazeka? Ungase ube nokungalingani okwezinye izigulane zakho eziyingozi - izigulane ezikhiqiza ama-hormone okucindezeleka futhi zisiza umzimba ukuphatha ukucindezeleka. Ukungalingani noma ukungabi nelutho kuma-adrenals kungabangela i-backslide ezimpawu ze -roid ngemuva kokuthi uqale ukwelashwa, noma ukwenze ungahambisani nemithi ye-thyroid.
Odokotela abahlanganisayo ngokuvamile batusa ukuthi unama-adrenals ahlolwe nge-hora yamahora angu-24 e-cortisol / i-DHEA, futhi ukungalingani ngezinye izikhathi kungalungiswa ngezingxenye zokudla kanye nezinguquko zokudla okunomsoco nokuphila. Ukwehluleka okunamandla okungekho emthethweni kungase kuphuzwe ngezinye izikhathi ngemithi ye-hydrocortisone.
7. Ingabe Uphathwa Ngudokotela Ofanele?
I-endocrinologists yiladokotela abanobuchwephesha babo obusezifo zesimiso se-endocrine, okubandakanya isifo sikashukela, ukungasebenzi, i-polycystic ovary syndrome (i-PCOs) nesifo se-thyroid.
Nokho, i-endocrinologists yinto efinyeleleka kakhulu e-US nakwamanye amazwe, futhi abaningi babo bahlolisisa umkhuba wabo ngokuyinhloko ekuxilongweni nesifo sikashukela. Ngenxa yokusola noma ukuqinisekiswa komdlavuza wegciwane, isifo se-Graves, ama-nodules, kanye ne-goiter, kubalulekile ukubona i-endocrinologist egxile ezindabeni ze-thyroid.
Kodwa ukuthola ukuphathwa nokuphathwa kwesifo sikaHashimoto, noma ukuhlola nokulawula i-hormone yesondo, i-thyroid, noma ukungalingani okungekho emthethweni , i-endocrinologist kungenzeka ukuthi ayiyona into engcono kakhulu . Iziguli eziningi zithola ukuthi zithuthukiswa kangcono udokotela ohlangene (udokotela ohlanganisa umuthi ovamile kanye nomuthi ophelele). Abanye odokotela abasebenza ngokukhethekile ekulawuleni ukungalingani kwe-hormone bangabandakanya odokotela bokunakekelwa okuyinhloko, ama-GP, abaqeqeshi bezinsizwa , ababelethi , abahlengikazi be-osteopathic , odokotela be- naturopathic , kanye nabahlengikazi abasebenza ngokukhethekile ezindabeni zezempilo zabesifazane.
Umlayezo wokuthatha ekhaya? Qaphela ukuthi kunezinhlobonhlobo zezinhlobonhlobo zamagqirha nodokotela ongakhetha kuzo ekunakekeleni kwakho kwe-thyroid .
Izwi elivela
Khumbula ukuthi ngisho nalapho ukhungathekile, akufanele ulahlekelwe emzamweni wakho wokuthuthukisa impilo yakho nokuxazulula izimpawu zakho .