Mysteries Metabolic
Yindaba ejwayelekile. Ngemuva kokuba nomntwana, uthola kunzima kakhulu ukulahlekelwa isisindo somntwana, naphezu kokudla okunzima noma ukuzivocavoca. Noma ucabanga ukuthi uthola ukulala ngokwanele, kodwa uzothola ukuvuka emva kwamahora ayisishiyagalolunye noma ngaphezulu ukulala uphele amandla bese uhudula nxazonke ngosuku luzwa njengepanethi yinto eyodwa engqondweni yakho. Noma, ngokuphambene, ungase uzithole ukhathazekile ngenxa yeso sizathu esizwakalayo, ulahlekelwe isisindo, ubusuku bonke ubuthongo nokushaya inhliziyo, futhi uqaphele ukuthi ulahlekelwa izinwele.
Kwabaningi kini, udokotela uzophakamisa ukuthi lezi zimpawu zikhomba ukucindezeleka, ukulala ngokwanele, isidingo sokuzivocavoca, isifo sokuqala, noma umane nje umphumela wokucindezeleka.
Okuyiqiniso ukuthi izimpawu ezifana nokukhathala, ukukhathazeka, ukutholakala kwesisindo noma ukulahlekelwa okungavamile, ukulahlekelwa izinwele, ukucindezeleka, kanye nokuphalaza kungase kubonise ukuthi unesifo se-thyroid esingatholakali. Owesifazane ubheke phezulu njengelinye ithuba elihlanu lokuthuthukisa izinkinga ze-thyroid ngesikhathi sokuphila kwakhe. Le ngozi iyanda ngokukhula kanye nalabo abanomlando womndeni wezinkinga ze-thyroid. Iningi labesifazane abanesifo se-thyroid, kodwa-ke, abatholakali.
I-thyroid iyinjini yomzimba wethu, ilawulwa ukusetshenziswa kwamandla nokudla. I-gland encane efana ne-butterfly, i-thyroid iyatholakala entanyeni ngemuva kwe-apula ka-Adam futhi ikhiqiza ama-hormone ayisihluthulelo - i-triiodothyronine (T3) ne-thyroxine (T4) - leyo yombuso wokugcoba umzimba futhi isiza imizimba yethu isebenzise kahle amandla nekhalori.
Izimpawu ze-Hypothyroidism
Uyazi kanjani ukuthi une- hypothyroidism , inkinga ye-thyroid evame ukutholakala? Izimpawu zakho zingase zihlanganise ukucindezeleka, ukukhohlwa, ukukhathala, ukutholakala kwesisindo, izwi elizwakalayo, amazinga aphezulu e-cholesterol, ukuqothulwa, ukubekezelelana kubanda, izinwele ezinamafutha, ukukhishwa kwezinwele, isikhumba esomile, ukunciphisa i-libido, ukushaya izandla nezinyawo, izikhathi ezinzima noma ezingavamile noma ukukhulelwa kwesisu okuphindaphindiwe.
I-hypothyroidism engaziwa itholakala ngezimo eziningi nezimpawu kubesifazane, kufaka phakathi:
- ukungabi nabantwana kanye nokulahlekelwa okukhulelwa okukhulelwa njalo
- ukuhlaselwa kwenhliziyo kanye nemisipha emibi
- amazinga aphezulu e-cholesterol
- kunzima ukulahlekelwa isisindo
- izimpawu zesifo se-menopause
- i-fibromyalgia nesifo esingapheliyo sokukhathala
- i-carpal tunnel syndrome kanye ne-tendinitis
- low sex drive drive
- i-mitral valve iphinde ivele
Uma udokotela wakho esolisa i-hypothyroidism, uzokhipha ukuhlolwa kwe-hormone (TSH) ye -roid. Ama-laboratories amaningi aseMelika anamabala ajwayelekile kusukela nxazonke .5 kuya ku-5. Izinga le-TSH elingenhla kwe-5 ngokuvamile libhekwa njenge-hypothyroidism.
Odokotela bavame ukuhlinzeka nge-T4 hormone levothyroxine yokwelapha i-hypothyroidism. Ama-brand athandwayo afaka i-Levoxyl ne-Synthroid. Ucwaningo oluningi luye lwabonisa ukuthi iningi leziguli lingazizwa lihle kunhlanganisela yamahomoni. Ngaleso sisekelo saleso sifundo , odokotela abaningi bangezelela ukwakha ama-T3 (liothyronine) . Abanye odokotela bavame ukukhetha izidakamizwa zemvelo ezikhishwe imvelo njenge- Armor noma i-Naturethroid, izidakamizwa ezibandakanya zombili amahomoni.
Hyperthyroidism
I-thyroid ingabuye ibe yinto engasebenzi - i-hormone ye-thyroid ye-hyperthyroid ekhiqiza ngokweqile. Umdlali we-olimpiki wama-olimpiki uGail Devers ufakaze ngaphambi kweCongress ngokuphathelene necala lakhe le-Graves's disease, isimo esizimele esingabangela hyperthyroidism.
Kulolu daba, udokotela ngemuva kokudokotela akakwazanga ukubona izibonakaliso zesifo esibi kakhulu, njengoba umdlali we-Olympic we-olimpiki we-olimpi wegolide wehla kusukela 125 kuya kuma-87 amakhilogremu ayisishiyagalolunye, wabhekana nokukhathala, walahlekelwa cishe zonke izinwele zakhe, futhi wahlupheka nezinye izimpawu kubandakanya ukushaya kwenhliziyo ngokushesha, nesikhumba esomile. Kwakuyiminyaka emibili ngaphambi kokuthi abaSebenzi baxilongwe futhi baphathwe.
Izimpawu ezijwayelekile ze-hyperthyroidism zihlanganisa ukulahlekelwa kwesisindo esisheshayo, ukushayeka, ukukhathazeka, ukuthukuthela, ukuqubuzana, ukushaya kwenhliziyo okusheshayo, ukushisa ukushisa, ukujuluka, ukuthuthumela, isifo sohudo, ukucindezeleka, ubuthakathaka, iso nesimo sombono, izinkathi ezilula noma ezingapheliyo, nokungabi namandla.
Udokotela wakho uzovame ukugijima ukuhlolwa kwegazi le-TSH futhi uzobukeka ephansi, kusuka ngezansi .5 kuya cishe engabonakali, amazinga we-TSH ukuze ahlolisise i-hyperthyroidism. Uhlu lwethu lokuhlola Uhlobo lwe-Hyperthyroidism lufaka uhlu olunzulu lwezimpawu.
Uma unecala elibi le-hyperthyroidism, udokotela wakho angase aqale ukubeka izidakamizwa ze-antithyroid ezifana ne-methimazole (i-Tapazole) noma i-propylthiouracil (PTU), njengoba le mithi inikeza ithuba lokuxolelwa. Ukuze uthole i-hyperthyroidism ephakeme kakhulu, odokotela bakhetha ukwelashwa kwe-iodine, okubizwa ngokuthi i-RAI. Ngokuvimbela ngokweqile noma ngokugcwele i-thyroid, i-RAI iqeda i-hormone ngokweqile ngokweqile kodwa ngokuvamile iholela ekutheni i-hypothyroidism iphile isikhathi eside. Ukuhlinzwa, okubizwa ngokuthi i-thyroidectomy, kuvame ukwenza kuphela uma ungeke ukwazi ukubekezelela izidakamizwa ze-antithyroid, noma akuyona i-RAI efanele. Ukubukwa okuphelele kokuxilongwa kwe-hyperthyroidism, ukwelashwa kanye nezinketho kuhlanganiswe ku-FAQ yethu ye- Graves 'Disease / Hyperthyroidism.
Amakhodi we-Thyroid
Ngezinye izikhathi, izimpawu zingase zihambisane nezigulane ezinomsoco we-thyroid . Ama-neodules ngokuvamile ahlolwe yi-ultrasound ukuskena nokuhlolwa kwegazi, futhi ngezinye izikhathi yi-biopsy ephulukisiwe ebizwa ngokuthi i-aspection aspiration aspiration (FNA). Iningi lama-nodules ahlanzekile, kanti ezinye ziphathwa nge-levothyroxine. Uma umdlavuza awukwazi ukuphelelwa ngaphandle, noma i-thyroid yakho ingavimbela ukuphefumula noma ukugwinya, udokotela wakho uzocoma ukuthi ahlinzekwe.
Izwi elivela
Kunezinto eziningana ongayenza ukuze unciphise amathuba okuthola izinkinga ze-thyroid.
Qaphela Nge-Soy Too Much: Kunobufakazi bokuthi ama-isoflavone ngokweqile, atholakala kumikhiqizo ethandwa kakhulu ye-soy kanye ne-supplements, angabangela i-hypothyroidism, i-goiter noma ama-nodules. Ukuhamba ngokweqile kuma-soy supplements kanye nama-powders kungase kubangele noma kuphuthumise izinkinga ze-thyroid. Futhi, khumbula ukuthi ukuhlala isikhathi eside, nokudla okunomsoco we-soy formula kungenza ingane yakho ibe yengozi kakhulu ekuthuthukiseni izimo ze-autoimmune ezizenzakalelayo, ngenxa yokweqa ngokweqile kwi-isoflavones ye-antithyroid.
Phuza Amanzi Angu-Fluoride : I- fluoride emanzini, kanye nokukhiqizwa kwe-rocket yi-product ebizwa ngokuthi i- perchlorate , namanye amakhemikhali anobuthi ayingxenye yamanzi amaningi angase ahlasele noma ahlasele ingozi yezinkinga ze-thyroid. Cabanga ngokuphuza amanzi aphuziwe ahlanzekile, ahlanzekile, noma ahlanzekile.
Uma Ifika ku-Iodine, Cabanga Ukulinganisela: Iodine encane encane, inkinga ekhulayo e-United States, yandisa ingozi ye-hypothyroidism noma i-goiter, kodwa ukudla ngokweqile kwe-iodine, kuhlanganise ne-kelp noma i-bladderwrack, kungathinta ne-thyroid.
Yeka ukubhema: Ukubhema kungalimaza i-thyroid , futhi empeleni kuphazamise izimo ze-thyroid ezikhona. . . kodwa esinye isizathu sokuyeka noma ukuqala ukubhema.
Nciphisa Ukucindezeleka Kwenu: Ukunciphisa ukucindezeleka usebenzisa amasu asebenzayo afana nokuzivocavoca kwe-aerobic, i-yoga, ne -body-body techniques ingabamba iqhaza ekuvimbeleni izinkinga ezithile ezizimele ezifana nesifo se-thyroid.
> Imithombo:
> Braverman, MD, Lewis E., noRobert D. Utiger, MD. Werner and Ingbar's The Thyroid: Umbhalo Eyisisekelo Nezokwelapha . 10th, Philadelphia: Lippincott Williams & Wilkins (LWW), 2013.
> De Groot, Leslie, MD, iMenenja yezifo ze-Thyroid , incwadi e-Inthanethi. Online