Uma ungenayo i-thyroid ungase ucabange ukuthi akukho lwazi oluqondiswe ngqo kuwe. Ungase uhlangabezane nolwazi oluphathelene ne-hyper ne-hypothyroidism, kodwa akukho lutho mayelana nokungabi nekhanda le-thyroid. Lokhu ukungaboni kahle, ngoba uma ungenayo i-thyroid, noma ingubo yakho ayikwazi ukukhiqiza i- hormone ye-thyroid eyanele, empeleni ungumuntu we-hypothyroid futhi ulwazi oluthe xaxa mayelana ne- hypothyroidism lusebenza kuwe.
Okwenza Abanye Abantu Abanalo I-Thyroid
Kungani abanye abantu belahlekelwa igulane le-thyroid?
- Iphesenti elincane labantu lizalwa ngaphandle kwegciwane noma nge-thyroid engalungile, isimo esaziwa ngokuthi congenital hypothyroidism .
- Ukwelashwa komdlavuza wegciwane kuvame ukususwa kokuhlinzwa konke noma ingxenye yengubo yegciwane.
- Abanye abantu abanezinyosi ze-thyroid noma i-goiter (ukukhuliswa kwe-thyroid) okungenasidingo noma okuthinta ukuphefumula noma ukugwinya banesifo se-thyroid.
- Abanye abantu abanesifo sika- Graves noma i-hyperthyroidism banesifo se-thyroid.
Uma ungenalo igciwane le-thyroid, noma une-gland engeyona esebenzayo, isimo sakho manje se-hypothyroidism, kungakhathaliseki ukuthi yisiphi isifo noma ukwelashwa okwaholela esimweni.
I-Thyroid / Hypothyroidism engasebenzi
Ngaphezu kwalabo abazalwa bengenalo igciwane le-thyroid, noma abaye basuswa igciwane, kunezinye izimbangela ze-hypothyroidism.
Lokhu kufaka:
- Imithi yokwelapha i- iodine (RAI) yesifo sakho se-Graves noma i-hyperthyroidism iyaziwa nangokuthi yi-ablation therapy. I-RAI ingaphazamisa kakhulu noma ibulale ngokuphelele ikhono lakho lokugcoba lokukhiqiza i-hormone ye-thyroid, ikushiye i-hypothyroid.
- Isifo sikaHashimoto, isimo esizimele lapho izifo ze-antibodies zibhubhisa kancane kancane ikhono lakho le-thyroid lokukhiqiza i-hormone ngokuhamba kwesikhathi.
- Imithi, efana ne-lithium, eyonakalisa ikhono lakho le-thyroid lokukhiqiza i-hormone ye-thyroid.
Ukucabangela okukhethekile kubantu abangenalo i-Thyroid
Ngenkathi ulwazi mayelana ne-hypothyroidism lisebenza kulabo abangenalo i-thyroid, kunezici ezithile ezikhethekile kubantu abangenalo igciwane le-thyroid.
Ukudla
Uma uzalwa ngaphandle kwe-thyroid, i-thyroid yakho isuswe ngokuhlinzwa, noma usuke unayo inani eliphelele le-ablation ne-RAI, awudingi ukukhathazeka ngokudla kwe-goitrogenic (okungukuthi, amahlumela we-brussels, i-broccoli, i-kale njll) kanye nokukwazi kwabo ukuphazamisa umsebenzi wakho we-thyroid. Kodwa-ke, kufanele uqikelele ngokudla ngokweqile ukudla okunama-soy, njengokudla ngokweqile kwe-soy ingathinta ikhono lakho lokuthola imithi yakho ye-hormone esikhundleni somuthi we-thyroid.
Ukulungiswa Kwezinga le-TSH
Labo abangenalo i-gland yegland bangase bathole ukuthi kukhona ukushintsha okuncane kokusebenza kwe -roid kanye nokukhululeka okukhulu ekugcineni izinga eliphakeme le-TSH emzimbeni oqhubekayo wemithi , uma kuqhathaniswa neziguli ezinamanje. (Iziguli ezisezinkingeni zithola ukuthi zikhiqiza i-hormone ye-thyroid ngezikhathi ezithile, futhi zingakhuphula noma zinciphise ukusebenza kwayo, ngokwenza kube nzima ukulawula amazinga wegciwane.)
Imithi yegciwane lesifo se-Thyroid
Uma unesifo somdlavuza we- thyroid oye waqeda igciwane lakho le-thyroid, usesimweni esiyingqayizivele ngoba uvame ukunikezwa izidakamizwa ze-hormone ezithathelisayo ezisezingeni "ezicindezelayo". Ukususa kusho ukuthatha imithi eyanele yokwelapha ukugcina izinga lakho le-hormone le-hormone (TSH) elivusa kakhulu noma lingabonakali. Lokhu kubhekwa ngokuthi "hyperthyroid" ngamazinga amaningi ebhodi , kepha ukucindezela kuyadingeka ukuvimbela umdlavuza ukuphindaphinda kwezinye iziguli.
Ngakho-ke, ngenkathi ungase ubhekisele kuwe ngokuthi "hyperthyroid," isimo sakho sokungabi nalutho lwe -roid sisho ukuthi empeleni u-hypothyroid, futhi iseluleko eziningi mayelana ne- hypothyroidism sisasebenza kuwe.
Izwi elivela
Uma ungenalo igciwane le-thyroid, ulwazi mayelana ne-hypothyroidism lusebenza kuwe. Kungakhathaliseki ukuthi kungani imbangela ye-hypothyroidism yakho, uma usenayo izimpawu ze-thyroid, kungenzeka ukuthi awutholi ukwelashwa okulungile ngesimo sakho. Kuzodingeka usebenze ngempumelelo nomsebenzi wakho ukuze uthole ukwelashwa okungcono. Lokhu kungahlanganisa:
- Ukuzama uhlobo oluhlukile lwe -levothyroxine.
- Ukwandisa umthamo, ukuze i-TSH yakho ihle. Isibonelo, ezinye iziguli zibika ukuthi zizwakala kangcono uma amazinga e-TSH ephakathi kuka-1 no-2. (Khumbula, Nokho, ukuthi iziguli zomdlavuza we-thyroid ngokuvamile zidinga ukulandela inqubo ehlukile yokuvimbela umdlavuza).
- Ukwengeza isidakamizwa se-T3 (okungukuthi, i-Cytomel, noma i-T3 ehlanganisiwe), ku-levothyroxine yakho, ebizwa ngokuthi yi-combination combination, noma i-T4 / T3 yokwelapha.
- Ukushintshela kwisidakamizwa somzimba we- thyroid , efana ne-Nature-throid noma i-Armor
- Ukugcwalisa ukwelashwa kwakho ngezinye izindlela, ukwesekwa komzimba okunomsoco nokusekelwa kwengqondo ukusiza ukuthuthukisa impilo yonke nokukhulula izimpawu.
> Imithombo:
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. I-WLL / Wolters Kluwer; 2012.
I-Garber, J, uCobin, R, Gharib, H, et. al. "Iziqondiso Zomtholampilo Zokusebenza Nge-Hypothyroidism Kubantu Abadala: I-Cosponsored yi-American Association of Endocrinologists Clinic kanye ne-American Thyroid Association." I-Endocrine Practice. I-Vol 18 No. 6 Novemba / Disemba 2012.