U-Oprah Winfrey owaziwayo uye wazikhandla ngokuzikhandla ngokweqile iminyaka eminingi, futhi uphakamiso lwakhe lwezemidlalo luye lwaba khona emaphephandabeni.Ukuhamba ngezinye izindlela zokuzuza isisindo phakathi nawo-2000, u-Oprah wamemezela ukuthi unesifo segciwane. Khona-ke, lezi zihloko, ngisho ne-Oprah ngokwayo, zamemezela ukuthi "uphulukisiwe." Ewebhusayithi yakhe, wabhala:
Lapho ngithi ngiphulukisiwe, ngangithi anginayo inkinga ye -roid ngoba amazinga ami wegciwane asemkhakheni ojwayelekile manje futhi odokotela bami bangikhiphe imithi yokwelapha.
Ohlala njalo uDkt Oz naye uzame ukucacisa lolu daba ngokuqhubekayo, ethi ku-Oprah:
Kulungile, ukuze nje kucace, izinkinga zakho ze-thyroid azizona izinkinga ezivamile ze -roid. Futhi ngalokho ngisho ukuthi noma ngabe ukugula ngokwayo kuvamile, kunezinkinga ezimbili ezingenzeka nge-thyroid yakho. Kungaba ngaphansi kwesimo, okungukuthi i-hypothyroidism, noma ingaba ngaphezu kwe-hyperthyroidism. Kodwa inkinga yakho, i-Oprah, futhi uyingqayizivele kakhulu, ingabe ube neqembu elidumile ku-thyroid yakho. Ube nenqwaba yezizinto ezehlukene okwenzeka ngesikhathi esisodwa. Futhi-ke unayo lezi zifo ezimbili: Omunye wawuvuselela i-thyroid ngama-antibodies; enye enye empeleni yayilwa ne-thyroid. Futhi-ke uma lezo zinga ezimbili ziphuma, empeleni zingakungenisa endaweni yokuthula-okuyinto, ngokuthakazelisayo, lapho ukhona manje.
Sula njengodaka, kwesokudla? U-Oprah uthe amazinga akhe wegciwane abuyele emuva "ebangeni elijwayelekile." Kodwa futhi, ingxoxo yenkinga yakhe ye-thyroid ibonakala iphakamisa imibuzo eminingi kunokuba iphendulwe.
A "party frat" ku-thyroid? Ngempela? Ingabe yilokho okungcono kakhulu esingakusho ngesifo esididekayo?
U-Oprah ngokwakhe wathi wayenesikhathi lapho i-thyroid yakhe ingasebenzi ngokweqile (i-hyperthyroidism), ilandelwa ukungasebenzi (hypothyroidism) engasebenzi. Futhi uDkt. Oz 'incazelo yama-antibodies wanconywa ukuthi i-Oprah kungenzeka ukuthi yayineHashitoxicosis, isimo lapho unama-antibodies okusikisela kokubili isifo sikaHashimoto sikaGraves.
Lezi zinselo zomzimba zenza i-thyroid ukuthi ikhiqize i-hormone eyedlulele, futhi ngesikhathi esifanayo, ihlasela i-thyroid futhi izama ukuyichitha.
UDkt. Oz uphakamise ukuthi ama-antibodies "ayeqedile," nokuthi i-Oprah isifikile "endaweni yokuthula." Futhi u-Oprah ngokwakhe wathi "amazinga e-thyroid asemkhakheni ojwayelekile manje futhi odokotela bami bangikhiphe kunoma yikuphi imithi ye-thyroid."
Kwenzekani? U-Oprah kungenzeka ukuthi uzitholile esimweni izigidi zabesifazane ezibhekana nazo minyaka yonke. Wayekhuluphele kakhulu, ekhathele, ebhekene nokuzikhukhumezela, futhi ebhekene ne- perimenopausal , kodwa wayetshelwa ukuthi amazinga akhe we-thyroid "ayejwayelekile." Uphenduke waba yi-lab value, futhi ukholelwa ukuthi amazinga "avamile" ayedlulisa noma yikuphi ukukhishwa kwe-thyroid okungenzeka ukuthi wonakalise imizamo yakhe yezempilo nokunciphisa umzimba. U-Oprah akazange abuze imibuzo efanele, futhi wahluleka ukubonisana nochwepheshe nodokotela abaqaphela ngempela isifo se-thyroid.
Izinselelo zikaNksz Winfrey ngesisindo, nesifo segciwane saqhubeka. Njengoba esho kwiwebhusayithi yakhe,
Lokho engikufundile kulo nyaka wukuthi isisindo sami esisisindo asikwenzi ngokudla okuncane noma ukusebenza kanzima, noma ngisho nangokwesifo esingenalutho. Kungenxa yokuthi impilo yami isuke ingalingani, nomsebenzi omkhulu kakhulu futhi hhayi ukudlala okwanele, hhayi isikhathi esanele sokuzola. Ngivumela umthombo ukuthi uphele.
Kukhona ukuhlakanipha okuningi ekufuneni ibhalansi kumazinga amaningi. Kulaba besifazane, njengoNksz Winfrey, nabanye abazithola bethola ibhalansi kanye nokukhululeka ezindabeni ze-thyroid, nansi amanye amathiphu:
1. Thola ukuthi ngabe usenamandla okwelapha amakhemikhali e-thyroid.
Ngoba uma wenza kanjalo, noma ngabe amanye amazinga e-thyroid ahamba ngendlela evamile, usenayo izimpawu, kuhlanganise nokuzuza kwesisindo noma ubunzima bokulahlekelwa isisindo. Eqinisweni, ezinye izifundo ziye zabonisa ukuthi ezigulini eziye zaphakamisa izifo zomzimba, kepha amazinga ajwayelekile e-thyroid, ukwelashwa okuvimbelayo nemithi ye-thyroid kungancipha noma kumise ukuphakama kwamagciwane, kusize ukuvimbela ukuqhubekela phambili ekukhuphukeni kwe-hypothyroidism, futhi kusize ukukhulula izimpawu.
2. Thola ukuthi odokotela bakho basho ukuthini "amazinga akho we-thyroid asemkhakheni ojwayelekile."
Kukhona ukuphikisana phakathi kwadokotela abavamile ukuthi yikuphi okushiwo okuthiwa "uhla olujwayelekile." Kusukela ngo-2003, odokotela abathile baye batusa ukuthi i- TSH (i-thyroid stimulating hormone) ejwayelekile .3 kuya ku-3.0 isetshenziselwa ukuxilongwa nokuphathwa kwezinkinga ze-thyroid . Futhi abanye odokotela bahlose izinga le-TSH eliphakathi kuka-1.0 no-2.0 ukukhulula izimpawu ezigulini. Kodwa ibanga lokubhekisela lifinyelela ku-5.0 noma ngaphezulu kuma-laboratories athile.
Iqiniso elibi: Abantu abawela "ku-limbo" phakathi kwama-3.0 no-5.5 banethuba elikhulu lokutshelwa ukuthi bayavamile njengoba benza ngokuthola kahle nokuphathwa kahle!
Ukutshelwa ukuthi amazinga akho "ajwayelekile," ngakho-ke, akulona ulwazi olwanele kunoma yimuphi owesifazane. Thola izinombolo eziqondile, kanye nobubanzi obusetshenziswa udokotela wakho ukuthi anqume ukuthi yini evamile.
3. Thola ukuthi i-Free T4 yakho ne-Free T3 zihloliwe.
I-TSH iyi-hormone ye-pituitary, kodwa i- T4 ne-T3 yi-hormone yangempela ye-thyroid, futhi i-T4 yamahhala nokuhlolwa kwama-T3 mahhala kulinganisa inani lala ma-hormone ajikelezayo futhi atholakala egazini legazi. Kwamanye abantu, ikakhulukazi labo abanamasosha omzimba aphezulu, i-TSH ingaba yinto evamile, kodwa i-T4 yamahhala ne-T3 yamahhala ingaphansi noma imingcele. Lokhu kungabonisa inkinga ecashile evumela ukwelashwa. I-TSH yodwa ayanele ngokwanele ukuhlola umsebenzi we -roid.
4. Thola ukuthi unenkinga yokukhathala.
U-Oprah uthe uhambe kuzo zonke izidakamizwa ngoba wayengathandi ukuthi bamenza bazizwe kanjani. Ngokusobala, uma ngabe ezwa inzuzo emithini yegciwane, kungenzeka ukuthi waqhubeka, kodwa ukuhlanganiswa kwemithi yokucindezeleka kwegazi, ukuguqulwa kwesifo nesifo segciwane kubonakala sengathi kwamenza wazizwa ekhudlwana. Nakuba kungenzeka ukuthi wayesabela kwezinye izidakamizwa, siyazi nokuthi kwezinye iziguli ezinesifo sokukhathala, ukwelashwa kwegciwane empeleni kwenza bazizwe bezizwa bebi kakhulu . Lezi ziguli zenza kangcono uma ziqala ngokusekela okunamandla (noma okunomsoco / izithako, noma i-hydrocortisone kadokotela, noma kokubili), bese ufaka imithi ye-thyroid.
Izwi kusuka
Ngenxa yakhe, ake sithemba ukuthi i-Oprah's thyroid iyinto evamile, futhi ihlala evamile, nokuthi ingcindezi yakhe eqhubekayo yezinkinga ze-thyroid ayiphinde ibuye. Kodwa, unikezwe izibalo, lokho akunakwenzeka. Kuyinto engcono kangakanani ukuthi uhambo lwe-Oprah lwe-thyroid lude kakhulu, kanti neziguli eziningi ze-thyroid, ekugcineni uzobona ukuthi udinga ukufunda okuningi ngangokunokwenzeka, afune odokotela abanolwazi kakhulu futhi abavulekile, futhi abe ngabakhe khuthaza ubuhle be-thyroid.