Kungakhathaliseki ukuthi udokotela womndeni, i-endocrinologist, i-chiropractor, noma i-herbalist, kungenzeka ukuthi awutholi ulwazi oluqondile mayelana ne-thyroid yakho. Nazi izintambo ezinhlanu ezijwayelekile kakhulu nezindinganiso ezingamanga ongazizwa ngazo, kanye nezindaba zangempela okufanele wazi.
1. Izinga Lakho Zivamile
Okokuqala, kusho ukuthini "okujwayelekile". Eminyakeni eyishumi eyedlule, umphakathi wezokwelapha wahamba ngesilinganiso ukuthi .5 kuya ku-5.0 kwi- Thyroid Stimulating Hormone (TSH) igazi lokuhlolwa kwegazi kwakuyibala elivamile .
Uma i-TSH yakho ingezansi .5, ubuyinkinga ye-hyperthyroid / engasebenzi. Uma i-TSH yakho ingaphezu kuka-5.0, wawungumuntu we-hypothyroid / ongasebenzi. Ngo-2002, bobabili i-American Association of Clinical Endocrinologists kanye ne-National Academy of Clinical Practice Guidelines, "yaphakamisa ukuthi uhla olujwayelekile luzobuyekezwa ku-.3 kuya ku-3.0. Ngemva kwalokho, eminyakeni embalwa kamuva, bashiya lezi zincomo. Ungase ube nezinga le-TSH ebangeni "lokujwayelekile" lokubhekisela, kepha uma usekugcineni kwebanga, abanye odokotela bakholelwa ukuthi kuyinto evamile noma enempilo kuwe. Uma udokotela etshela ukuthi amazinga akho "avamile," buza ukuthi "uhla olujwayelekile" ayisebenzisayo ukwenza lokho kuzimisela.
2. Uma Unenkinga ye-Thyroid, Thatha i-Iodine noma iKelp
Abasebenzi bempilo engokwemvelo abangayiqondi ngempela umsebenzi we -roid bavame ukukutshela ukuthi "izinkinga ze-thyroid zisho ukuthi udinga i-iodine" noma ama-herbs noma ama-supplements ane-iodine, njenge-kelp, i-bladderwrack ne-bugleweed.
Uma ukhona i-iodine ngempela, i-iodine ingakwazi ukusiza i-thyroid yakho. Ucwaningo luye lwabonisa ukuthi ukulahlekelwa kwe-iodine empeleni kuphakama e-US, futhi cishe amaphesenti angu-12 e-US njengamanje ayeswelekile i-iodine, ephuma ngaphansi kwamaphesenti angama-3 ekuqaleni kwawo-1970. Ngakho-ke, kubantu abathile, ukuntuleka kwe-iodine kungabangela inkinga ye-thyroid .
Kodwa kubantu abathile, i-iodine noma imikhiqizo eline-iodine yenza kube nzima ukubhekana nezinkinga ze -roid ezifana ne- Hashimoto's and Graves ' , futhi kubangele ukwandiswa kwe-thyroid (goiter). Ngaphambi kokuba uqale i-iodine, cabanga ukuthi ube ne-iodine ye-urinary kulinganiswa ukuze ubone ukuthi unesisindo sangempela, futhi uqaphelisise noma yiziphi izimpawu ezithuthuka ngemuva kokuqala ukuthatha i-iodine.
3. Unayo izifo ze-Graves / Hyperthyroidism futhi udinga ukwelapha i-Iodine (RAI) emisakazweni
Uma kuziwa ngesifo se- autoimmune, isifo sikaHashimoto, esivame ukuphumela ku-hypothyroidism, yiyona evame kakhulu kuneSifo se-Graves, esibangela i-hyperthyroidism. Nokho, kwezinye izigaba zesifo sikaHashimoto , futhi ikakhulukazi, ngokuvamile phakathi nezinyathelo zokuqala, i-thyroid esebenzayo yokuhluleka ngokuzenzakalelayo ingase iqhubekele ekusebenzeni futhi ingasebenzi okwesikhashana, okwenza umuntu abe ne-hyperthyroid. Ngezinye izikhathi, yizimpawu ze-hyperthyroidism zesikhashana- ukukhathazeka, ukushaya inhliziyo , ukushaya okusheshayo, ukulahlekelwa isisindo, ukuhuda, ukulala-ukuthi kuqala ukuletha isiguli sikaHashimoto kudokotela.
Ngeshwa, odokotela abathile banquma ukuhlolwa kwe-TSH, bheka i- TSH ephansi ukuthi iyisici se-hyperthyroidism, futhi uncoma ukwelashwa kwe-iodine e-radioactive -ngokuvamile ukuphathwa okuphakade okukhubaza i-thyroid yakho, futhi kukunika i-hypothyroid yokuphila.
Inkinga ukuthi kulezi zimo, akuzona izifo ze-Graves , futhi i-hyperthyroidism yesikhashana nje, isimo esaziwa ngokuthi "i-Hashitoxicosis." Kulesi simo, ungase ube nesikhathi esincane se-hyperthyroidism, kodwa empeleni ube yindlela yakho yokuba i-hypothyroid. Kwezinye izimo, ngaphandle uma i-hyperthyroidism isongela ukuphila futhi ingalawuleki ngokusebenzisa izidakamizwa, ukwelashwa okunezindleko ezibizayo kuyadingeka.
Uma utshelwe ukuthi unesifo se-Graves noma i-hyperthyroidism, futhi ugijimela ukuba ube ne-RAI, ugcizelela ekuhlolweni kwegazi ngamagciwane okuqinisekisa izifo ze-Graves, kanye nokuhlolwa kwe-imaging.
Ufuna udokotela wakho akhombise ukuthi unamaGrives '/ hyperthyroidism ngempela, futhi awunayo nje iHashitoxicosis yesikhashana.
4. Ukushisa Okusemzimbeni Okuphansi Kungaphawula I-Hypothyroidism
Nasi isimo lapho izinga lokushisa lomzimba lomzimba lishintsha khona, liphendulelwe ngokuthi "usayizi owodwa uhambisana nakho konke" ithuluzi lokuxilonga elingasebenzi. Kuyaziwa ngemithi ukuthi ama-hormone e-thyroid anethonya eliqondile kwi-basal, noma ukuphumula, isilinganiso segazi. Futhi ngenkathi i-hypothermia, noma yehlisa izinga lokushisa lomzimba, isifo esaziwa futhi esamukelekayo semithi ye-hypothyroidism , abanye odokotela bakholelwa ukuthi ukushisa komzimba kuyithuluzi lokuhlola elingenakuphulukiswa. I-Broda Barnes, i-MD eyedlule, yenza ukuthi umphakathi uqaphele kabanzi ukusetshenziswa kwe-axillary (underarm) yokushisa komzimba okuyisisekelo (BBT) njengethuluzi kanye nethuluzi lokuxilonga le-hypothyroidism. Kuyindlela yokuxilonga nokuqapha okusetshenziselwa ezinye izisebenzi eziqhamukayo nezinye.
Ukuze ulinganise i-BBT yakho, sebenzisa i-BBT thermometer ekhethekile. Uma nje uphapheme, ngokunyakaza okuncane, faka i-thermometer kusibopho sakho, eduze kwesikhumba, bese usishiya imizuzu eyishumi. Qopha ukufundwa kwezinsuku ezintathu kuya kwezinhlanu ezilandelanayo. Abesifazane abasenesikhathi sokuya esikhathini akufanele bahlole ezinsukwini zokuqala ezinhlanu zenkathi yabo kodwa bangaqala ngosuku lwesihlanu. Amadoda, namantombazane nabesifazane abangenayo ukuya esikhathini bangahlola noma nini inyanga.
Uma i-BBT ephansi ingaphansi kuka-97.6 Fahrenheit, abanye abasebenza ngokubambisana bazocabangela ukuxilongwa kwe-thyroid engasebenzi noma ukutholakala kwe-hormone ye-thyroid enganele. I-BBT ephakathi kuka-97.8 no-98.2 ibhekwa njengokujwayelekile. Ukushisa okuvela ku-97.6 kuya ku-98.0 degrees Fahrenheit kubhekwa njengobungqina bokuthi kungenzeka i-hypothyroidism, kanti amazinga okushisa angaphansi kuka-97.6 degrees angabonisa nakakhulu ukuthi i-hypothyroidism. Kodwa-ke, abanye odokotela babheka noma yikuphi ukushisa okungaphansi kwama-98 degrees okumele kuboniswe nge-hypothyroidism.
Ukusetshenziswa kokushisa komzimba okuyisisekelo kunengxabano, noma kunjalo, ngisho nalabo abasebenzisa lesi sivivinyo baqaphele ukuthi kufanele kube yingxenye yendlela esebenzayo, hhayi nje ngokuthembela kuphela.
5. I-Treatment kuphela ye-Hypothyroidism yi-Synthroid
Mhlawumbe esinye sezidakamizwa ezivame ukuphindaphindiwe njalo ukuthi i-Synthroid yodwa yokwelashwa kwe-hypothyroidism. Empeleni, i-Synthroid yigama lomuthi "i-levothyroxine" -yindlela yokwenza i-hormone thyroxine, eyaziwa nangokuthi i-T4.
I-Synthroid iyenzeka ukuthi idayisi le -brand levothyroxine elidayisa kakhulu , ngokuyinhloko ngenxa yokumaketha kwayo. Kodwa-ke, i-Synthroid ihlala njalo i-levothyroxine ebiza kakhulu. Amanye ama-brand, acatshangwa ngendlela ephumelelayo ngabasebenzi abaningi, futhi cishe njalo ebiza kakhulu, afaka Levoxyl ne-Unithroid. Ezinye iziguli zithola ukuthi ziphendula kangcono kunomunye umkhiqizo-hhayi ngempela i-Synthroid-ngenxa yendlela indlela umshini uchitha ngayo futhi uyangena, noma ama-fillers nama-dyes asetshenziswa abakhiqizi abahlukene.
Ngaphandle kwezidakamizwa ze-levothyroxine , kune-liothyronine-igama elivamile le-hormone ye-T3. Igama lomkhiqizo yi-Cytomel. Ukwengeza i-T3 kuya ku-levothyroxine itholakale ukusiza iziguli ezithile ze-thyroid ziqeda izimpawu ngokuphumelelayo kune-levothyroxine (T4) yodwa.
Okokugcina, kukhona isigaba semithi kadokotela ebizwa ngokuthi i-thyroid ekhethiwe . Ungaphutheli lezi nge-supplementary-back-counter-glandular supplements-azifani. I-prescription yemvelo ekhishwe yi-thyroid-umkhiqizo oyinhloko uyi- Armor Thyroid , kodwa futhi itholakale yi-Nature-throid, i-Thyroid WP, ne-generic eyenziwe ngu-Acella-eyenziwa ngengxube eyomile yengulube yezingulube. Kubandakanya i- T4 yemvelo kanye ne-T3 , kanye namanye ama-hormone e-thyroid engacacile afaka phakathi i-T2 , T1. Abanye odokotela, futhi ikakhulukazi ochwepheshe bezempilo bezemvelo, ababandakanyekile kanye nabanempilo, bathola ukuthi i-thyroid yemvelo inhle kakhulu kwezinye iziguli.
> Imithombo:
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. I-WLL / Wolters Kluwer; 2012.