I-Hypothyroidism nokuxilongwa kwe-hyperthyroidism nokwelapha
I-spate yamuva yemithombo yezindaba eziphezulu ezibhekene nesifo segciwane ilokhu ikhuthaza imiyalezo emibili ebalulekile:
- abantu abaningi kufanele bahlolwe isifo se -roid, ngoba kunezigidi zabantu base-US abangatholakali.
- uma kutholakala ukuthi, isifo se-thyroid kulula ukuyiphatha.
Le mibono yasanda kuhanjiswa encwadini ka-Ephreli 10, 2000 ethi Associated Press (AP), "Ochwepheshe Bacela Ukuvivinya I-Thyroid," kanye ne-athikili ka-Ephreli 2, 2000 kaDkt. Isadore Rosenfeld, " Kungaba Yakho I-Thyroid ?"
Ku- Parade, uDkt. Rosenfeld uthi, "Konke okudingeka ukwenze ukuze uphathe i-hypothyroidism yakho ithatha indawo ye-hormone elahlekile.
Kulula - iphilisi nje ngosuku. "Esihlokweni se-AP, umlobi uLauran Neergaard uthi," Izinkinga ze-thyroid ziyaphathwa kalula, ngephilisi yansuku zonke noma ngenxa ye-hyperthyroidism, ngezinye izikhathi zisusa isikhumba. "
"Iphilisi yansuku zonke" laba abalobi abakhuluma ngayo yi-levothyroxine (amagama egama: Synthroid, Levoxyl, Levothyroid), esikhundleni se-hormone ye-thyroid esine-synthtic version ye-hormone ye-thyroid e-T4 (thyroxine). I-Levothyroxine ibhekwa njengokwelashwa okuvamile kwe-hypothyroidism e-US
Imizamo yokuphakamisa ukubonakala kwezimpawu ze-thyroid kanye nokwandisa ukuhlolwa kwegciwane e-US kufanele ihlaziye. Kubaluleke kakhulu, kunikezwe ukutholakala kwamuva ukuthi abantu abangaba yizigidi ezingu-10 abanaso izimo ze-thyroid ezingatholakali - hhayi izigidi ezingu-5 njengoba kucatshangwa ngaphambili. Lokhu kutholakala kuxoxwa ngakho kulesi sihloko sakamuva lapha kusayithi.
Lo mkhankaso wobudlelwane womphakathi wakamuva wokwandisa inani labantu abakuqaphelayo futhi abathintekayo abanezifo ze-thyroid e-US, noma kunjalo, ukwenza iziguli ezithile.
Lo mkhankaso ugxile kakhulu ekukhulekeleni kwezifo zegciwane lesifo kanye nezinkinga eziningi iziguli ezibhekana nazo ngokuphila ne-hypothyroidism - isimo esingasebenzi kahle se -roid - ngokuvamile okubangelwa yisifo segciwane eziningi kanye nokuphathwa kwegciwane . Lokhu kwakuyisihloko sempendulo ye-Patients kuya ku-AP Wire Story Press Release lapho ngiletha izingxabano egameni leziguli ze-hypothyroidism.
Laba balobi baqhubeka bekhuluma ngokuthi kulula kangakanani ukuphatha isifo se-thyroid hhayi nje kuphela ukusakaza izindlela zakudala zokucabanga, kodwa baphikisana nezinhlangano ezinkulu zezokwelapha ezithintekayo ezifweni zegciwane, kanye nezincwadi zamuva zitholakele. . . futhi ikakhulukazi iziguli ngokwabo.
Ingabe I-Hypothyroidism Ilula Kulula Ukubhekana NePhilisi Elincane Elincane?
Izisekelo zesiguli kanye namaphephandaba wezokwelapha azicabangi kanjalo.
Ucwaningo olusuka manje oludonswayo lwe-Thyroid Foundation of America, inhlangano yesiguli se-thyroid, lathola ukuthi phakathi kweziguli ezazingama-hypothyroid ngenxa yokwelashwa kwezifo ze-Graves, iningi lalingazizwa kahle naphezu kokwelashwa kwansuku zonke ngephilisi ye-hormone replacement repill.
Ucwaningo oluphazamisayo olubikwe kumagazini ka-February 11, 1999 we- New England Journal of Medicine futhi wathola ukuthi ukwelashwa kwe-levothyroxine kuphela okwanele iziguli eziningi, futhi wathola ukuthi, iningi leziguli ezithatha isifundo, "ukwelashwa nge-thyroxine kanye ne-triiodothyronine ithuthukise izinga lokuphila kweziguli eziningi [hypothyroid]. " I-Triiodothyronine ijwayele ukubizwa ngegama le-T3 , futhi igama elilodwa lomkhiqizo, i-Cytomel, litholakala e-US Amanye ama-pharmacy ahlanganisayo nawo akhiqiza inguqulo ekhishwe isikhathi se-T3.
Ingabe I-Hyperthyroidism Ilula Kulula?
Ukwelashwa okuyinhloko kwe- hyperthyroidism e-US akulona , njengoba kuchazwe ku-athikili ye-AP, ukususa i-gland ngokuhlinzwa, kodwa kunalokho, ukwelashwa kuyaziwa njenge-iodine ye-radioactive, noma i-RAI. Ukuhlinzwa kwe-thyroid kwakungavamile ukuchazwa ngokuthi ukwelashwa okulula, futhi i-RAI ingabhekwa njengokulula. I-RAI ihilela ukungenisa uketshezi lwe-iodine omsakazo , futhi kwezinye izimo, kulandelwa ukuhlukaniswa kwezinsuku ezimbalwa kwabanye abantu ukugwema ukungcoliswa kwamanye ama-radiation. I-RAI iyancipha kancane kancane ikhono le-thyroid lokukhiqiza i-hormone. Ekugcineni, iningi labantu abaye bathola i-RAI baba i-hypothyroid, futhi badinga ukwelashwa okuqhubekayo kwe-hormone ye-thyroid.
Futhi, njengoba kuphawuliwe ngenhla, ngokusho kwe-Thyroid Foundation of America, iningi lalezi ziguli, bese likhononda ngokuqhubeka nezimpawu.
Ukwelashwa kwe-RAI kwandisa ingozi yezinkinga zesifo segciwane leso nesifo sokuqina kwesimo.
Iziguli zikhuluma emuva
I-intanethi ishintshe ngokuphawulekayo iziguli eziyazi ngesifo se-thyroid, nokuthi zixhumana kanjani nodokotela bazo. Ukushintshaniswa kolwazi emhlabeni wonke phakathi kweziguli ze-thyroid kuye kwaphakamisa ukuqwashisa ngesiguli ngezinkinga, izinketho, kanye nezinye izindlela zokuxilongwa nokuphathwa. Kuye kwavumela iziguli ithuba lokuba zithole ukuthi azizona zodwa lapho zihlushwa izimpawu eziqhubekayo, futhi ukuthola ukuthi odokotela abathi elinye iphilisi elincane liwukuthola ukwelashwa okulula alwazi ulwazi lwamuva kanye nocwaningo olutholakala .
Ukugwema i-RAI ye-hyperthyroidism yinto enyukayo yeziguli ezizama ukwenza, ngokusebenzisa izindlela ezihlukile nezondlo, imithi yamaShayina, nezinye izindlela zokwelapha, ezisekelwa yikhono lokuxhumana elilula elinikwe i-intanethi. Omunye wabaphikisi bezwi elikhulu kakhulu we-RAI yisiguli nomcwaningi, uJohn Johnson, ugijime uhlu olulandelwayo kanye nesithangami esinikezelwe izindlela zokudla okunempilo ku-hyperthyroidism iminyaka eminingana. UJohnson wabeka isayithi - http://www.ithyroid.com - enikezwe ukwelashwa okunomsoco wezifo zegciwane , futhi usiza iziguli ukuba zigweme ukwelashwa kwe-RAI ngezifo ze-Graves futhi ziphathe i-hyperthyroidism ngokusebenzisa ukudla nokudla . UJohnson uthi kuwebhusayithi yakhe:
"Odokotela abaningi base-US bashukumisa i-RAI kakhulu futhi bazama ukuthola iziguli zabo ukuba zibe ngaphansi kwe-ASAP. Odokotela abaningi eYurophu abaxoshanga ama-RAI kodwa banelungelo lokulondoloza izidakamizwa ze-antithyroid (i-ATDs) ngenxa yezinga eliphakeme lokukhipha" okuzenzakalelayo " kungenzeka ukuthi i-RAI ibangela ukulimala okuhlala njalo emzimbeni futhi ingangandisa kakhulu ingozi yomdlavuza. "
Ngokuphathelene ne-hypothyroidism, kukhona ukunyakaza okungahambisani neziguli ezikhathele ukutshelwa ukuthi kulula kangakanani ukuphatha isimo sabo, futhi ukuthi kudinga ukuthathwa ngokungathí sina kangakanani.
Ezinkundleni ze-Thyroid, kunezikhala zansuku zonke ezivela ezigulini eziningi ezikhungathekile ukuthi odokotela bazo abazithathi ngokungathí sina, noma ukuxosha izimpawu eziqhubekayo ngemuva kokwelashwa njengokungahambisani nesifo segciwane.
Lokhu kutholakala kwamuva kwezindaba kuye kwaphinde kwagqugquzela iziguli ukuba zikhulume. I-poster ejwayelekile "I-TheRose" yayinakho lokhu okushoyo mayelana nokusabalala kwamanje kwezindaba zesifo se-thyroid:
"Uma abesifazane bekhalaza mayelana nokungafaneleki kwezihloko ezinjalo, futhi basho okuhlangenwe nakho kwethu njengobufakazi, kubhaliwe ngoba sibhekwa ngokuthi" moody "(okungcono kakhulu) ngenxa yesizathu sobulili! Njengoba singathathwa ngokungathí sina, umlayezo wethu awunayo "Ngesikhathi esifanayo, amadoda amaningi anomuzwa wokuthi kufanele abonakale enamandla, enempilo, emadodaneni, njll njll njll. (Ah, ama-stereotypes!), ngakho abakhononda, futhi lokho kubeka isithombe yesifo segciwane ngisho nangaphezulu! YINI i-Catch-22 !! "
Enye i-poster, uJudy uyabhala:
"Ngingathanda ukukwazi ukutshela umuntu, noma ubani, izinto esizihamba ngazo nsuku zonke futhi angabhekana nokubukeka okungenalutho noma ukugoqa ikhanda. Umkhwenyana wami, okwenzeka futhi abe umngane wami omkhulu , akubonakali ngisho nokuqonda. Nginomuzwa wokuthi lokhu kuvela eminyakeni yonke yimuphi umuntu ozwa ngesifo segciwane "futhi lelo philisi elincane" inganekwane, futhi ukucabanga kahle kuyinto engalawulwa. Ngeke yini kube kuhle ukwazi ukuma phambi kweqembu labantu bese ubatshela ukuthi, "lesi sifo sithinte futhi asishintshe hhayi impilo yami kuphela, kodwa impilo yabantu bonke abaye bamazi futhi bathanda u-REAL kimi"? Oh kahle, singase sithole lokho kubheka. "
Futhi uBrandy Horne, encwadini ayibhalele ku-Oprah ukuthi wahlanganyela esithangamini, wabhala kanje:
"Abantu abaningi abakuboni lokhu njengento enkulu ngoba kukhona i-hormone ye-thyroid engayithatha ukuze ithathe isikhundla somzimba ongasakwazi ukukhiqiza. Kodwa ngingubufakazi bokuthi le mithi yokwenziwa ayikwazi ukwenza umzimba Ngineminyaka engama-26 nje kuphela futhi ngishada ngoJulayi, kodwa lesi sifo siphume yonke injabulo kusukela ngalesi sikhathi. I- immune system yami ayisebenzi kahle, futhi ngihlale ngikhathele futhi ngicindezelekile. Nsuku zonke kukhona "uphawu" olusha olubonakalayo. Lapho ngifika kudokotela bami ngezibonakaliso zami bathi nje "Kufanele kube enye into." Nokho, abakwazi neze ngitshele noma ngifakazele ukuthi kukhona okunye futhi angiyena yedwa. Ngikhulume neziguli eziningana zegciwane kwisithangami sesifo segciwane kanti izikhalazo ezifanayo zenzeka. Lesi sifo sithinta izinga lomuntu lomunye umuntu. uthathe iphilisi nakho konke kuhle. Nokho, okubalulekile Inamba yezintuthwane zabantu idinga okungaphezulu. Futhi njengoba lezi zidakamizwa ze-thyroid ziye zahlala iminyaka eminingi, akekho onentshisekelo yokwenza kube ngcono. Kukhona neze ucwaningo olwenziwe kulolu sifo oluthinta izigidi ezingu-13 kuleli zwe. Yesibili kuphela kwesifo sikashukela sezifo ze-endocrine. Kodwa-ke, isifo sikashukela nezinye izifo eziningi "ezidumile" ziqhubeka zicwaningwa futhi zicwaningwa. Kuthiwani uma abantu nje bethi bonke abasifo sikashukela "unamaphilisi-thatha futhi uvale." Ngiyazonda ukuthi nginezifo ezinjalo ezingathandeki eziye zanyatheliswa "zixazululwe." Awukwazi ukuxazulula mina nabanye abaningi. Ngakho-ke, ngicabanga ukuthi isihluthulelo sokuthola usizo esikudingayo sonke ukuthola ukunakekelwa okulethwe kulezi zifo ezingaphathwa kabi futhi ezivame ukungaziqondi futhi ezingaziwa. "
Engxenyeni yami njengesiqondiso se- Thyroid lapha futhi njengommeli wegciwane lesiguli, ngithola ama-imeyili amaningi ngeviki ngezinye iziguli ezivela e-US nasemhlabeni jikelele abamukela lokho okuthiwa "ukululaza ngamaphilisi ngosuku" futhi bayabuhlungu, abagulayo, futhi besalokhu bebhekene nezibonakaliso - abantu abazizwa benecala empilweni yokugula okungapheli.
Izikhalazo eziningi eziningi ezifana nezikhalazo ezifanayo kwi- Forum ye-Thyroid .
Okuyiqiniso ukuthi kunezinto eziningi eziguqukayo ezithinta ukwelashwa kunokuba "iphilisi ngosuku" nezinye izinketho, kuhlanganise nemithi ekhishwe isikhathi esinezikhwama, i-hormone ye-thyroid nezinye izidakamizwa, kanye nezinye izindlela zokwelashwa, ikakhulukazi ukuxazulula izimpawu eziningi okuhlala njalo ngemuva kokunakekelwa - ngenxa yeziguli eziningi. Umbono wokuthi uma isiguli sitholwa ukuthi, "iphilisi elilodwa ngosuku" lizoxazulula izinkinga ze -roid linye elikhonza abakhiqizi balawo maphilisi amancane, kodwa hhayi iziguli. Kuyinto ehlazo ukuthi "iphilisi elula ngosuku" isakhuthazwa njengendlela yokucatshangelwa kahle kwezokwelapha, lapho abasebenzi abaningi abasha kanye nezigidi zeziguli beyazi ukuthi isifo se-thyroid yisimo esiyinkimbinkimbi, esinezinto eziningi ezidinga izindlela ezihlukahlukene zokuxazulula .