Mutungamiri wako kuhutano hwehutachiona

Dzidzo yehutano

Kana iwe wakaita sevanhu vazhinji, iwe pamwe haufunge nezve hutano hwehutano kazhinji. Apo utachiona hwako huri kushanda sezvazvinofanira, zviri nyore kuitora sezvisina basa. Asi vashandi vezvehutano vangada kuti iwe ufunge nezvehutano hwehutachiona muna Ndira, unova Mwedzi Wekuzivisa Utachiona gore rega. Iyo inyaya yakakosha kuti uzive nekuti kana yako thyroid isiri kushanda nenzira yainofanirwa kuita, inogona kutungamira kune akati wandei matambudziko ehutano, mamwe acho akakomba zvakanyanya.

Zvinoenderana ne YeAmerican Thyroid Association , vanopfuura gumi nevaviri vekuAmerican vanozoita mamiriro ehutachiona muhupenyu hwavo. Kusvika ku60% yeavo vanhu havatomboziva kuti vane chirwere chetachiona, kunyangwe mamiriro acho angave achikonzera zviratidzo zvavasingazive zvakabatana nehutachiona. Ndosaka zvakakosha kuti utarise hutano hwehutachiona-kwete muna Ndira chete asi gore rese.

Chii chinonzi thyroid yako?

Utachiona, kana kuti gland yegland, igland-yakaita gland iri mumutsipa wako iri chikamu chemuviri wako endocrine system. Endocrine gland inhengo dzinogadzira mahormone, ayo anoenda akananga muropa uye kunze kune dzimwe nhengo uye nyama mukati memuviri wese kubatsira kudzora kuwanda kwemabasa emuviri. Mamwe maglande endocrine anosanganisira iyo pancreas, ovaries, testes, adrenal, uye pituitary gland.

Utachiona hunoburitsa mahormone maviri anonzi thyroxine (T4) uye triiodothyronine (T3). Zvizhinji zvekugadzirwa kwetachiona-anenge 95% -i T4. 5% yasara i T3. Utachiona mahormone anokanganisa metabolism yako, tembiricha yemuviri, uye zvinhu zvakaita se:

• Tsandanyama simba
• Kufema uye nemitero yemoyo
• Kurema kwemuviri
• Cholesterol mazinga
• Kutenderera kumwedzi
• Kutya system
• Simba remagetsi

Utachiona hune marobvu maviri uye hunogara pamusoro pekora uye pazasi pehokore, kana izwi bhokisi. Lobe rimwe nerimwe rinoputira zvishoma pakapepuru, iine huwandu hwetachiona hwakagara pamberi payo, saka utachiona husinga shande hunogona kukanganisa kunaka kwenzwi rako kuwedzera kune zvimwe zvehutano zvarinogona kukonzera.

Zvinetso zvakajairika zvetachiona

Iyo utachiona inogona kusashanda mune imwe yenzira mbiri. Inogona kuburitsa mahormone akawandisa-chirwere chinonzi yakanyanyisa kuita utachiona, kana hyperthyroidism -Kana kuti inogona kuburitsa mahormone mashoma, ayo anozivikanwa sehutachiona husingashandi, kana hypothyroidism . Vakadzi vane mukana wakanyanya kupfuura wevanhurume wekuvandudza matambudziko ehutachiona, asi vanachiremba havana chokwadi zvachose kuti sei zvakadaro.

Nepo paine dzidziso dzinoverengeka, hapana imwe tsananguro [yekuwanda kwevakadzi] kusvika ikozvino, maererano Cheryl R. Rosenfeld , DO, FACE, mutauriri weAmerican Association of Clinical Endocrinology (AACE). Zvirwere zvakajairika zvehutachiona ndezve autoimmune mune zvakasikwa, zvichireva apo immune system inotanga kurwisa chikamu chemuviri. Vakadzi vanowanzoita chirwere che autoimmune [kupfuura varume], saka zvine musoro kuti zvirwere zvetachiona zvinomiririrwa pano.

Hyperthyroidism

Hyperthyroidism, apo utachiona huri kuburitsa mahormone akawandisa, unowanzo kukonzerwa nechirwere chemuzvimba chinonzi Chirwere chemakuva . Kana mumwe munhu aine chirwere cheMakuva, immune system yavo inorwisa iyo thyroid uye inoita kuti iwedzere kugadzirwa kwehomoni.

Hyperthyroidism inogonawo kukonzerwa nekudya yakawandisa ayodini kana mushonga weiroid; kunyanyisa kushanda kwehutachiona ma nodule (chirwere chinonzi chepfu nodular chirwere); thyroiditis (kuzvimba kwetachiona); hutachiona hutachiona, kana, mune zvisingawanzoitika zviitiko, isina noncancerous bundu repituitary gland.

Kana ikasarapwa, hyperthyroidism inogona kukonzeresa kurova kwemoyo zvisina kujairika, chirwere chemwoyo uye mamwe matambudziko emwoyo, kurwadziwa kweziso uye kurasikirwa nekuona, kupwanya mapfupa uye osteoporosis, matambudziko ekubereka muvakadzi, uye matambudziko panguva yekuzvitakura. Zviratidzo zve hyperthyroidism zvinosanganisira:

• Goiter
• Kutya, kushushikana, kutsamwa, kana kushanduka kwemamiriro
• Tsvina kushaya simba uye kuneta
• Dambudziko rekuregerera kupisa kana kurara
• Kudengenyeka, kazhinji kuri mumaoko ako
• Kakawanda kutenderera ura kana manyoka
• Kuonda

Hypothyroidism

Hypothyroidism, iyo utachiona painoburitsa mahormone mashoma, inowanzo kukonzerwa ne autoimmune disorder inonzi Hashimoto chirwere , kana Hashimoto's thyroiditis. Nehosha yaHashimoto, sekurwara kweGraves, immune system inorwisa iyo utachiona, asi mune iyi kesi iyo thyroid inopindura nekudzikisa kugadzirwa kwehomoni.

Mune zvimwe zviitiko, hypothyroidism inowanikwa pakuzvarwa. Izvi zvinonzi congenital hypothyroidism. Zvimwe zvikonzero zvinosanganisira thyroiditis, shoma iodine mukudya kwako, kurapwa nemwaranzi, mimwe mishonga, uye kubviswa kwechero utachiona kana chikamu chayo.

Kana ikaenda isingarapwe, hypothyroidism inogona kubatsira kune yakakwira cholesterol uye, mune zvisingawanzoitika zviitiko, inotungamira kune mamiriro anonzi myxedema coma, umo mabasa emuviri anogona kudzikira kusvika padanho rekuti mamiriro acho ave kutyisidzira hupenyu. Hypothyroidism panguva yekuzvitakura zvinogona kutungamira mukuzvarwa nguva isati yakwana kana kubva pamuviri uye kunonoka kukura kwemwana uye kukura. Zviratidzo zve hypothyroidism, iyo inogona kukura zvishoma uye kutora mwedzi kana kunyange makore kuti aoneke, anosanganisira:

• Goiter
• Kurera huremu
• Joint uye mhasuru kurwadziwa
• Kunonoka kurova kwemoyo
• Puffy kumeso
• Dambudziko kushivirira kutonhora
• Kuzvimbirwa
• Ganda rakaoma
• Bvudzi kurasikirwa
• Yakanyanya kana isingaite nguva yekuenda kumwedzi
• Matambudziko ekubereka muvakadzi

Zvimwe zviratidzo zvinowirirana zvese hyperthyroidism uye hypothyroidism, anodaro Dr. Rosenfeld, saka zvakakosha kuva nachiremba ane ruzivo rwechirwere chetachiona kuti anyatsoongorora nekurapa murwere ane zviratidzo zvinoratidza chirwere chetachiona.

Goiter

Zvese hyperthyroidism uye hypothyroidism zvinogona kutungamira mukuwedzera zvisina kujairika kwetachiona gland. Aya mamiriro, anonzi a goiter , ndechimwe chezviratidzo zvakajairika zvehosha yetachiona. Goiter inogona kuitikawo kana utachiona huchigadzira huwandu hwakakodzera hwehomoni kana paine chimwe chiitiko chiripo chinogona kukonzera kuti utachiona ukure zvisina kujairika.

Zvese T4 ne T3 zvine ayodini, chinhu chakakosha chinowanikwa muhombodo uye munyu iodized. Kana munhu asiri kuwana ayodini yakakwana, iyo utachiona haigone kuita yakakwana utachiona hwehomoni. Izvi zvinogona kukonzera kuti pituitary gland iri muuropi itumire chiratidzo kune iyo thyroid kuti ibudise mamwe mahormone. Ichi chiratidzo, chinonzi thyroid inosimudzira mahormone (TSH), chinoita kuti utachiona ukure mukuyedza kuwedzera kugadzirwa kwehomoni.

Kushomeka kweIodini chinhu chakakosha chevanokanganisa pasi rese, asi kwete muUnited States, anodaro Dr. Rosenfeld. Iyo yepazasi iyo iodine mwero, zvakanyanya mukana wekuti goiter inokura.

Goiters inogona zvakare kukura semhedzisiro yekusvuta, radiation, kana magene zvinhu. Kusvuta kunokonzera kukura kwetachiona kuburikidza nekudzivirira utachiona kubva pakuunganidza iodine, nekuda kweimwe yemakemikari anowanikwa muhutsi hwefodya, anodaro Dr. Rosenfeld. Kuratidzwa nemwaranzi, kazhinji kuburikidza nenjodzi dzenyukireya kana kurapwa kwemwaranzi, kunogona kukonzera kuti utachiona kukura marumbo uye kukura. Chekupedzisira, uye pamwe chakanyanya kukosha, ndiwo mupiro wemajini mukusimudzira kwehutachiona maqhuqhu uye goiter.

Gomarara redundira

Muzviitiko zvisingawanzoitika, kazhinji kune avo vane nhoroondo yekuratidzwa kune yakakwira madosi emwaranzi, vanhu vanogona kuita cancer yekenza. IAmerican Thyroid Association inofungidzira kuti muUnited States vanhu vanosvika zviuru makumi matanhatu nematanhatu pagore vanobatwa nekenza yehutachiona uye vashoma vanosvika zviuru zviviri vanofa negomarara reganda.

Kuti uongorore kenza yehutachiona, hypothyroidism, hyperthyroidism, uye mamwe matambudziko ehutachiona, endocrinologist kana mumwe mupi wezvehutano anoongorora bvunzo uye anogona kuita utachiona hwebasa hunoyedza TSH yakadaro , T3, T4, uye utachiona hwehutachiona hwekuongorora ropa. Mune zvimwe zviitiko, kuyedzwa kwekufungidzira senge utachiona scan, ultrasound, kana radioactive iodine inotora bvunzo inogona kuitwa.

3 zvinhu zvaunogona kuita kunatsiridza hutano hwetachiona

Iko hakuna nzira yechokwadi yemoto yekudzivirira chirwere chetachiona, asi zvinokwanisika kutarisa mutsipa kumba kubatsira kuburitsa goiter kana thyroid nodule, sekureva kwaDr Rosenfeld. Izvi zvinoitwa nekutarisana negirazi uye kucherechedza mutsipa wezasi uku uchidhonza mvura. Mamwe mashoko pamusoro pemitsipa yekutarisa anogona kuwanikwa pane iyo Kuziva kweTyroid webhusaiti. Kana iwe uchifunga kuti unogona kunge uine goiter kana thyroid nodule, ita musangano kuti uone chiremba wako ipapo uye edza zvinotevera matanho ekubatsira kusimudzira hutano hwako hwehutachiona.

1. Mishonga yehutachiona

Kana iwe uchinge waonekwa uine dambudziko rehutachiona, chiremba wako anokwanisa kupa mishonga yehutachiona kuti ubatsire kurapa mamiriro uye kuyera yako mahormone ehorosi. TSH yakajairwa tsika iri 0.5 kusvika 5.0 mIU / L, sekureva kwa UCLA Hutano . Mishonga inowanzo gadzirirwa nyaya dzehutachiona dzinosanganisira:

• Synthroid, Levoxyl, Levothroid, Unithroid, Tirosint ( levyothyroxine )
• Cytomel, Triostat ( liothyronine )
• Zvombo zveTiroid, Zvisikwa-Throid, Westhroid ( utachiona hwakatsanangurwa )
• Propylthiouracil (PTU)
• Tapazole ( methimazole )

Sezvo nemishonga yakawanda, mishonga yehutachiona inogona kukonzera mhedzisiro. Zvimwe zvezvinyanyozivikanwa ndezvi:

• Nzara inoshanduka
• Kupisa kwekupisa kana kudikitira
• Kutemwa nemusoro
• Kurera huremu kana kuwana
• Hyperactivity kana kusarara
• Kutya
• Makumbo makumbo, kurwadza kwemajoini kana kwemhasuru
• Dhairrhea, kurutsa, kana kushungurudza mudumbu
• Mapundu eganda
• Kuchinja kwekuenda kumwedzi

Iwe unofanirwa kudzivirira kutora antacids, PPIs (senge omeprazole, pantoprazole nezvimwewo), zvinowedzera iron, kana zvinowedzera calcium mukati memaawa mana ekutora mishonga yetachiona.

2. Chikafu chetachiona

Kunyangwe pasina humbowo hunotsigira pfungwa yekuti kudya kana kurovedza muviri inogona kuchinja hutano hwehutachiona, vanhu vazhinji vanoti izvo zvinotevera chikafu zvinogona kubatsira kuvandudza utachiona basa.

• Muriwo wegungwa, senge nori uye zvinodyiwa zvegungwa
• Maca inowedzera
• Chlorophyll, inowanikwa mumiti senge sipinashi uye gorosi
• Brazil nzungu
• Cruciferous miriwo (konifurawa, broccoli, kare, nezvimwewo)

Vanoomerera kune utachiona dhayeti zvakare vanoti iwe unofanirwa kudzivirira zvimwe zvekudya senge chikafu chekotoni uye walnuts. Kuenda gluten wakasununguka uye kudzivisa soy protein kupatsanurwa kunogona kubatsira zvakare kugadzirisa utachiona, sekudzivirira chikafu chine magititrogen, zvinova zvinhu zvinogona kukanganisa basa rehutachiona kana zvadyiwa zvakawandisa.

Kudya kwakaringana nehuwandu hwakaringana hweyodini kunogona kubatsira muviri wako kugara uine hutano mune zvakajairika, asi hazvingazokubatsire kuti udzivise nyaya dzehutachiona.

Kunyangwe izvo zvinowanzo kuwanikwa paInternet, hapana chikafu, chinowedzera, kana kurovedza muviri chinogona kugadzirisa hutano hwehutachiona kana kudzivirira chirwere chetachiona, anodaro Dr. Rosenfeld. Ngwarira kudya kwechinyakare kana zvinowedzerwa zvinoitwa kuti uvandudze hutano hwehutachiona. Pachinhu chidiki, iko kutambisa mari, asi zvakare vane mukana wekukuvadza. Kuisa iodine yakawandisa, cruciferous miriwo, kana zvimwe zvinowedzera zvinogona kukanganisa hutano hwehutachiona.

3. Wana ruzivo uye taura nemupi wako wezvehutano

Zvichida chinhu chakanakisa chaungaita kusimudzira hutano hwako, sekuyeuchidzwa kwatinoitwa neMwedzi weTiroid, kudzidza nezvezviratidzo nezviratidzo zvechirwere chetachiona uye kutora matanho kana uchifungidzira kuti chimwe chinhu chakakanganisika nehutachiona.

Kuva murwere ane ruzivo uye kushanda pamwe nemupi wako wezvehutano zvese zvakakosha zvakanyanya, anodaro American Thyroid Association Secretary Jacqueline Jonklaas, MD, Ph.D., purofesa mune endocrinology chikamu kuGeorgetown University. American Thyroid Association yakazvipira kugovana humbowo-hwakavakirwa ruzivo kuburikidza neraibhurari yedu yeFAQ machira uye mabhurocha emurwere anowanikwa pa thyroid.org .