Iziguli eziningi zegciwane zilindele ukuzwa izimpawu eziningi ze- hypothyroid esimweni sezulu esibi. Izimpawu ezifana nokukhathala, ukuqothulwa, ukulahlekelwa izinwele, kanye nesikhumba esomile-okungase kulawulwe kahle phakathi nezinyanga ezifudumele-kubuya noma kubi kakhulu uma kubanda ngaphandle. Ngaphezu kwalokho, abantu abane-hypothyroidism njalo babika ukukhula kwesisindo (noma ubunzima obunzima bokulahlekelwa isisindo) phakathi nezinyanga ezibandayo, futhi.
Njengempendulo, ezinye iziguli kanye nodokotela bahlela phambili , bahlela ukwanda komthamo wemithi ye-hormone ye-thyroid esikhundleni sokuthi amazinga okushisa afudumele. Ngokufanayo, njengoba isimo sezulu esishisayo siqala, bangase bahlele ukwehla emithini yemithi ye-thyroid ukuze bagcine umsebenzi oqinile we -roid futhi baphathe izimpawu ngokuphumelelayo.
Lokho Ucwaningo Olukusitshelayo
Ucwaningo lwakamuva olushicilelwe ku- Thyroid luqinisekisa ukuthi kunezinhlobo ezihlukahlukene zonyaka emsebenzini we -roid namazinga wegciwane. Futhi, futhi, lokhu kungase kube nomthelela omkhulu ekusebenzeni kokwelashwa kwe-hypothyroidism .
Ucwaningo oluqhutshwa eBen Gurion University e-Israel, luhlolisise ukuhlolwa kokuhlolwa kwe-hormone (TSH) okungaba ngu-250 000 ye- thyroid etholakala kubantu abangaphezu kuka-40 000 abane-hypothyroidism. Lokhu kwaqhathaniswa nokufundwa kokuhlolwa kwe-TSH kwezigidi ezingu-2.2 kusuka kubantu abangaba ngu-900,000 abanomsebenzi ovamile we-thyroid.
Ukuhlolwa kwaqhutshwa phakathi kukaJanuwari 2013 no-March 2017 kanti ucwaningo lwathola imiphumela emnandi:
- Amaphesenti ayishumi nesithupha kuya kwangu-33 abesifazane afundela amazinga e-TSH ngaphezu kwebala lokubhekisela futhi amaphesenti ayisishiyagalolunye kuya kwangu-17 anamazinga angaphansi kwebala lokubhekisela ngokwesilinganiso ngenyanga ngayinye.
- Amadoda angamatshumi amabili lamatshumi amabili lamatshumi amabili lanamatshumi amahlanu abe namazinga ngaphezu kwebala lokubhekisela futhi amaphesenti ayisikhombisa kuya kwangu-23 anamazinga angaphansi kwebala lokubhekisela ngokwesilinganiso ngenyanga ngayinye.
- Imiphumela yezinga le-TSH yanyanga zonke yayiphakeme kakhulu ezinyangeni zasebusika (ngoNovemba kuya kuFebruwari) uma kuqhathaniswa nezinhlobo zasehlobo (ngoJuni kuya kuSeptember) kwabesilisa nabesifazane, kungakhathaliseki ukuthi beyi-hypothyroid noma bebenomsebenzi ovamile we-thyroid.
- Abesifazane, ngokuvamile, babe nokwanda okukhulu kakhulu emazingeni e-TSH ebusika kanye nokwehla okuncane emazingeni e-TSH ehlobo, uma kuqhathaniswa namadoda atadisha.
- Emadodeni angaphezu kwengu-65, noma kunjalo, inani lalabo ababengaphezu kwebhedi lokubhekisela liphezulu kakhulu ebusika ngokuhambisana nehlobo.
Okubaluleke nakakhulu kubantu abane-hypothyroidism, abacwaningi bathola nokuthi amaphesenti amakhulu eziguli ezibhekene ne-hypothyroid zazibhekwa kahle .
Ngokuqondile, amaphesenti aphakeme abantu ababafundela abaphathwa nge-hypothyroidism ayenamazinga e-TSH ngaphezu kwebala lokubhekisela kulo lonke unyaka. Futhi, amazinga e-TSH wamalungu okucwaninga ayenama-hypothyroid nawo ayanda kakhulu ebusika kuneqembu elinomsebenzi ovamile we-thyroid.
Lokhu kusho ukuthini iziguli ezithintekayo
Imizamo ye-thyroid yokugcina i-homeostasis (ibhalansi) ngokukhiqizwa kwe-hormone yegciwane, kungakhathaliseki ukuthi iziphi zangaphandle zithinta. Ngokufanayo, umzimba uhlose ukugcina izinga lokushisa kwangaphakathi lizungeze u-98.6 degrees Fahrenheit, naphezu kokushisa ngaphandle.
Kodwa, i-thyroid izwela ekushintsheni kokushisa. Ihambisa ukukhiqizwa kwe-hormone phezulu nangaphezulu ngokuphendula izinguquko ezibalulekile zokushisa noma ukuvezwa okungapheli emazingeni okushisa abanda noma abandayo.
Ngokuyinhloko, ucwaningo lubonisa ukuthi izinkathi ezinyakazayo nezimo ezifudumele-noma ukutholakala okungapheli emazingeni okushisa abandayo-kunganciphisa ama-hormone wegciwane bese ukwandisa amazinga e-TSH. Ngokufanayo, izinkathi ezifudumele nezimo-noma ukutholakala okungapheli emazingeni ashisayo-kungandisa ama-hormone wegciwane bese kunciphisa amazinga e-TSH.
Izwi elivela
Kubantu abanesifo se-hypothyroidism, ukunyuka okubandayo kwesimo sezulu emazingeni e-TSH kungahambiswa nokuwohloka kwezimpawu ze-hypothyroidism.
Kodwa imiphumela yemvula ebanda ingase igwenywe ngokulungiswa emithonjeni yemithi ye-hormone ye-thyroid esikhundleni.
Uma uhlala endaweni enebusika obandayo, uyadlulela esimweni esiphezulu sezulu, noma ulindele isikhathi esingeziwe endaweni enezinga lokushisa elingenalutho, cabanga ngokuxoxa ngezinga lakho lokwelashwa kwe-thyroid nomhlinzeki wakho wezempilo.
Ukuze uqale, ungase ufune ukuhlela iphaneli yokuhlola ephelele ye- thyroid ngaphambi kokuqala noma ukuthuthela emazingeni okushisa okushisa. Lokhu kuzosungula amazinga akho okuqala. Khona-ke, la mazinga abuye ahlolwe kabusha amasonto ayisithupha kuya kwangu-8 emva kokuqala kwamazinga okushisa abandayo. Lokhu kuzobheka uma udinga ukulungiswa kwesilinganiso sakho semithi ye-hormone ye-thyroid esikhundleni.
Uma ukwandisa umthamo wakho ngokuphendula amazinga okushisa okushisa, ungakhohlwa ukuhlela phambili nodokotela wakho. Phinda uhlole amazinga akho kanye / noma uhlele umthamo wehla uma isimo sezulu esishisayo siphindela noma uma ubuyela endaweni yesimo sezulu esishisayo.
> Imithombo:
> Arbelle, JE et al. Ukuhlukahluka Kwangaphakathi Kwangaphakathi Kwe-Thyx Axis Function Based Based on TSH Imiphumela evela ku-Hypothyroid-Abathintekayo Nabaphilile Ngesikhathi Esihambayo. "I-Thyroid. Okthoba 2017, 27 (S1): A-166-A-188.
> Hoermann, R. et. al. Ukulawula i-Homeostatic ye-Thyroid-Pituitary Axis: Izindlela Zokuthola Ukuxilongwa Nezokwelapha. " I-Endocrinol yangaphambili. 2015; 6: 177.
> Maslov, LN, et. al. "Indima yesimiso se-thyroid ejwayele ukushisa." I-Ross Fiziol Zh Im IM Sechenova. 2014 Jun; 100 (6): 670-83.