Izifo ze-thyroid kanye ne-polycystic syndrome ye-ovary ( PCOS) yizinkinga ezimbili ezijwayelekile kakhulu (futhi mhlawumbe ezinganakwa) endocrine kubesifazane. Nakuba i-hypothyroidism ne-PCOS zihluke kakhulu, lezi zimo ezimbili zihlanganyela izici eziningi ezifanayo.
Nazi izinto ezinhlanu ezibalulekile abesifazane abane-PCOS okufanele bazi nge-hypothyroid.
I-Hypothyroidism ivame kakhulu ku-PCOS
I-Hypothyroidism, ikakhulukazi, i- Hashimoto's thyroiditis , ivame kakhulu kubesifazane abane-PCOS kunabantu abaningi.
I-Hashimoto iyimvelo yokuzimela lapho umzimba uhlaselwa khona.
I-Sinha kanye nozakwethu bathola ukuthi u-22.5% wabesifazane abane-PCOS babene-hypothyroidism uma kuqhathaniswa ne-8.75% ekulawuleni nasezintweni zokulwa kwamakhemikhali eziye zaboniswa ukuthi zikhona kuma-27% weziguli ezine-PCOS ngokungafani no-8% ekulawuleni. Muva nje, isifundo eshicilelwe ku- Endocrine Research sabonisa ukuphakama okuphakeme kwe-HSHmoto kanye ne-TSH ephakanyisiwe (ekhomba i-hypothyroid) kwiziguli ze-PCOS.
I-Thyroid ne-PCOS zixhunyiwe
Zombili izici zezakhi zofuzo nezemvelo zikholelwa ukuthi zibangela izifo ze-thyroid ku-PCOS. I-Hypothyroidism yaziwa ngokubangela i-PCOS-like ovaries kanye nokwehla okukhulu kwe-PCOS nokumelana kwe-insulin.
I-Hypothyroidism ingandisa i-testosterone ngokunciphisa izinga le-hormone yokubopha i-globulin ( SHBG ), okwandisa ukuguqulwa kwe-androstenedione ku-testosterone ne-estradiol, nokunciphisa imvume ye-androstenedione.
Isilinganiso se-estrogen neso- estrogen / progesterone ekhulayo kubonakala sengathi ihileleke ngokuqondile kumazinga aphezulu e-antibody wegciwane kuma-PCOS iziguli.
I-Thyroid ithinta umzimba wakho wonke
Kutholakale phansi komphimbo wakho nge-butterfly, isimo segciwane silawula izinga lapho umzimba wakho uguqula ukudla kwamandla, usebenza njenge-thermostat ukulawula umzimba wesimiso nezinye izinhlelo.
Uma usebenza ngokusheshisa kakhulu ( hyperthyroid ) kuvame ukusheshisa umzimba wakho. Uma isebenza kancane kancane (hypothyroid) lokhu kuvame ukunciphisa umzimba wakho, okuholela ekuzuzeni isisindo noma ubunzima bokulahlekelwa isisindo.
Wonke amaseli emzimbeni wakho athembele kuma-hormoni eyimfihlo nge-thyroid ukuze usebenze kahle. Ngaphezu kokulawula izinga lapho umzimba wakho uguqula ama-carbohydrates, amaprotheni, namafutha abe yi-fuel, amahomoni e-thyroid alawula nokushaya kwenhliziyo yakho futhi angathinta umjikelezo wakho wokuya esikhathini, okuthinta ukuzala.
I-TSH Yodwa ayifanele
I-TSH yedwa akuyona ukuvivinya okunokwethenjelwa ukunquma ukusebenza kwakho kwe-thyroid. I-TSH ilinganisa ukuthi i-T4 i-thyroid iyadingeka ukwenzani. Ukuhlolwa okuphezulu okungavamile kwe-TSH kungasho ukuthi une-hypothyroidism. Ukuthembela ku-TSH kuphela akukwanele ukwenza ukuxilongwa okunembile nesizathu esenza ukuthi abantu abaningi abanama-hypothyroid abalazi kahle .
Ezinye izivivinyo ze-thyroid zihlanganisa:
Izivivinyo ze-T4 (i-Free T4, i-T4 index free, i-T4 iyonke): ihlola inani le-T4 yakho ye-thyroid ikhiqiza.
I-peroxidase antibody ye-thyroid (anti-TPO) (TgAb): ihlola amasosha omzimba we-thyroid futhi ithole izimo ze-autoimmune ezifana neHashimoto.
I-T3 ne-Reverse T3 (rT3): ihlola inani le-T3 yakho ye-thyroid ikhiqiza futhi ikhono layo lokuguqula i-T4 kuya ku-T3.
I-iodine idlala indima enkulu
I-thyroid kumele ibe ne-iodine ukwenza i-hormone ye-thyroid. Imithombo yokudla eyinhloko ye-iodine ifaka imikhiqizo yobisi, inkukhu, inyama yenkomo, ingulube, inhlanzi, nosawoti odidayo. I-Pink Himalayan nosawoti olwandle akuwona imithombo ecebile noma i-iodine. Ukugcina ukukhiqizwa kwe-hormone ye-thyroid ngokulinganisela kudinga inani elifanele le-iodine. Iododa encane kakhulu noma ikhulu kakhulu ingabangela noma ibuhlungu kakhulu i-hypothyroidism. Xoxa nodokotela wakho ngaphambi kokuthatha izithako ze- iodine futhi usebenzise ukuqapha futhi ngaphansi kokuqondiswa komhlinzeki wezempilo.
> Imithombo:
> Hypothyroidism: Incwajana Yeziguli Nemindeni Yabo. Incwadi ye-American Thyroid Association (ATA)
> Rajiv Singla, Yashdeep Gupta, Manju Khemani, noSameer Aggarwal. Izifo ze-thyroid nesifo sofuba se-polycystic: Ubuhlobo obusakhulayo. I-Indian J Endocrinol Metab. 2015 Jan-Feb; 19 (1): 25-29.
> Sinha U, Sinharay K, Saha S, Longkumer TA, Baul SN, Pal SK. Izifo ze-thyroid ezifundweni ze-polycystic ovarian syndrome: Ucwaningo olusekelwe esibhedlela esisezingeni eliphezulu e-Eastern India. I-Indian J Endocrinol Metab. 2013 Mar; 17 (2): 304-9.
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