Vanachiremba vanogona kudzokorora zvakare kuti chirwere chetachiona "chiri nyore kunzwisisa, chiri nyore kurapa," kana kuti "kenza yekemikari ndiyo kenza yakanaka ," asi varwere vane utachiona vanoziva kuti pane zvinetso zvekugara nehutachiona hwezvirwere. Ngatitarisei matambudziko makuru gumi aungatarisana nawo mukurarama nechirwere chetachiona.
1. Kuziva Yose Yako Hypothyroidism Treatment Options
Pasinei nokuti une iodine ye-radioactive (RAI) yeCheves 'chirwere, utachiona hwetachiona hwekenza yekenza, kana Hashimoto's thyroiditis, iwe nguva dzose unopedza hypothyroid, inoda kutora utachiona hwemishonga yemishonga .
Chinetso chikuru, zvisinei, ndekuziva kuti kune nzira dzokurapa. Vanachiremba vanopinda muchipatara uye endocrinologists vanowanzotaurira varwere kuti pane imwe chete yekurapa sarudzo: levothyroxine, iyo yakagadzirirwa maitiro eT4 hormone. Mazita emagetsi anosanganisira Synthroid, Levoxyl, uye Tirosint. Pane, zvisinei, mimwe mishonga pamwe nekubatanidzwa izvo zvakare zvakachengeteka uye zvinobudirira nzira dze hypothyroidism. Iwe haugoni kunzwa pamusoro pekusarudzwa uku kubva kune vakawanda vanogara muchiremba, zvisinei. Aya mamwe maitiro ekurapa anosanganisira:
- Levothyroxine pamwe neT3 therapy, achiwedzera liothyronine (zita rechigwenzi ndiCytomel), chigadzirwa chema t3, kana kuti yakagadzirwa nguva yakaremberedzwa mishonga inonzi liothyronine
- Levothyroxine pamwe chete nemasikirwo akaitwa nehutachiona (NDT). NDT imishonga yakagadzirwa nehutachiona yakagadzirwa kubva kuhutachiona hwakasvibiswa hwevenguruve, uye yave iri pamusika kwemakore anopfuura zana se hypothyroidism mishonga. Inosanganisira maitiro ezvisikwa zveT4 neT3 hormone. Mamwe mazita ezita anosanganisira Nature-Throid uye Armor Thyroid.
- NDT-chete chirwere
Pamusoro pezvokudya zvinovaka muviri, kunewo uchapupu hwokuti mune vanhu vanogara vane utachiona hwetroroid, asi vane chirwere checliac , zvachose kubvisa gluten kubva pakudya kunogona kuisa zvirwere zvavo zvehutachiwana mukuregererwa, kugadzirisa zviratidzo, uye kubvisa kudiwa kwe thyroid medication.
Kuongororwa kwechirwere chechiliac uye kusawirirana kwe gluten hakuwanzoitwa nevakawanda vanowanzogadzirwa navanachiremba kana kuti vanachiremba.
2. Kuziva Matambudziko Evanhu Vako Vese / Hyperthyroidism Treatment Options
Kana iwe ukaonekwa kuti une chirwere cheBraves kana hyperthyroidism, chido chechiremba vazhinji muUnited States ndechekukurudzira pakarepo kuti une remidhi ye-iodine ablation (RAI) inorapwa . Vamwe vashandi vanoti iyi "Rush ku RAI."
RI kurapwa kunosanganisira kutora chirwere cheyodini yakasvibiswa, iyo inowedzera murosiro yako uye inoiparadza, ichigadzirisa hyperthyroidism yako. RAI, zvisinei, kazhinji inoguma muhupenyu hwose hypothyroidism uye chikonzero chinokonzera utachiona hwemakemikari mushanduro yemishonga.
Kunze kweU.S., zvisinei, vanachiremba vane mikana yekuedza zvinodhaka zveprotithyroid , izvo zvinoderedza utachiona hwako pasina kuparadza zvachose. Nemhaka yekuti inenge 30 muzana yematombo eGraves uye hyperthyroidism varwere vanopinda mukuregererwa pamishonga ye antithyroid, vanachiremba kunze kweUnited States vanowanzoshandisa kurapwa kwemishonga semushonga wekutanga wekutanga uye kurumbidza RAI kana pane zvinoratidzira kana kunzwisiswa kwemishonga, kana kuti zvinodhaka hazvisi kubudirira pakugadzirisa hyperthyroidism.
Zvimwe zvirwere zveMakuva uye hyperthyroidism varwere muUnited States havakambotauri kuti mishonga yevirithyroid ndiyo inosarudzwa.
Zvinowanikwa neRI semuongorori chete.
Imwe nyaya ndeyekuti vakadzi vane makore ekurera, RAI haina kukurudzirwa kana uri kuronga kutora pamuviri mugore rakatevera. Nyanzvi dzinokurudzira kuti iwe umirire gore rinotevera mushure meRI musati mava nepamuviri, kana kunyange zvakanyanya kana iwe uchida kugadziriswa pamishonga yekirori.
Kunze kweU.S., RAI inowanzoitwa kune vakadzi vese vezera rokurera, nekuda kwechikonzero ichocho. Pane kudaro, kubvisa kubviswa kwetachiona kunowanzokurudzirwa.
Zvakare, zvakadaro, muUnited States, vakadzi vazhinji havasi kurayirwa navanachiremba vavo kuti kana vakatarisira kuva nepamuviri mugore rakatevera, kuvhiyiwa kunogona kunge kuri nani uye kuti kana kero yavo yekodhoni yakashandurwa ichigadziriswa, vanogona kuchengetedzwa zvakanaka, panzvimbo pane kumirira.
3. Kuwana Madaktari Akarurama
Rimwe rematambudziko makuru aungatarisana nawo ndekutsvaga chiremba akakodzera chetachiona chako. Paunenge uine zvirwere zveCheves kana hyperthyroidism, chirwere chetroroid, kana kenza yekameti, iwe unowanzodikanwa kutarisana ne-endocrinologist. Asi vazhinji magumo endocrinologist vanoona nezvechirwere cheshuga uye vane ruzivo rwakapfuurira ruzivo mukutsvaga nekutarisa varwere hwekemikari.
Saka, chigadziro chema endocrinologist chinonyanya kugadziriswa nehutachiona chidiki. Saizvozvowo, paunenge uine Hashimoto's thyroiditis kana uri kutarisira hupenyu hwehutachiona hunopfuurira, unogona kuona kuti vanachiremba vanonyanya kutarisira kana vanoita zvekugadzirira vanotora nzira yakanyatsonaka, uye vanopa maitiro mashoma ekurapa. Zvinhu zviviri zvingakubatsira iwe kukunda dambudziko iri:
- Utachiona Varwere: Ndeupi Mhando Yechiremba Unofanira Kuona?
- Kusarudza nezveVakagadzirira Nehutano Hwenyu Hwezvirwere
4. Kakawanda kweVedocrinologists
Endocrinologist inonyanya kugadzirisa zvirwere zve endocrine zvinosanganisira chirwere cheshuga-chinosvika kuwandana muhuwandu muSUS- pamwe nemamiriro ezvinhu anosanganisira kusabereka uye zvinetso zvekubereka, polycystic ovary syndrome, kubuda kwemurume, osteoporosis, kukura kwehomoni inokonzera, uye zvechokwadi, chirwere chetachiona. MuUnited States, tine uwandu hwemashoko ekupedzisira .
Mimwe tsvakurudzo inofungidzira kuti pane imwe chete yemagokorinologist yezviuru zvevanhu vane mamiriro ezvinhu anowira mukati mekutarisa kwema endocrinologists. Kurindira mazita ekuona magumo ekupedzisira anokwanisa kubva kumavhiki kusvika kumwedzi yakawanda-Kana iwe unogona kupinda mukati. Ichokwadi ndechekuti pane chete hazvina kukwanira endocrinologists kushumira munhu wese ane chirwere chetachiona. Kunyange zvakadaro, vazhinji vepedocinologists vane maitiro mashoma, uye vanonyanya kutarisa kune vane chirwere cheshuga, kana kuti endocrinology yekuberekera, uye havatori varwere vehutano. Kunyange zvazvo magokorognologist kazhinji asingakoshi kuti aongororwe uye kurapwa kwechirwere cheHashimoto uye hypothyroidism , ivo vanokosha kumamiriro ezvinhu akaoma akadai seCheves ', chirwere chetachiona, uye kenza yekameti.
5. Kutsungirira Kutya
Chimwe chezvinonyanya kukonzerwa nevarwere vehutachiona-ingava hypothyroid kana hyperthyroid-ineta uye isingagumi kuneta. Kuneta kunogona kukanganisa uye kazhinji kusinganzwisisiki nekuwedzera kwekurara kana kuzorora. Kuneta kunonyanya kuwanwa kana hypothyroidism yako isingabatwi kana kuti isina kuiswa pachena, kana iwe uri hyperthyroid uye uchirasikirwa uye usingaregi. Kune, zvisinei, zvigadzirisa dambudziko iri .
6. Kutarisa Uremu Hwako
Chikamu chikuru chevanhu vane hypothyroid vanoguma nekuwedzera kwehutano izvo zvakaoma-uye dzimwe nguva zvinoita sevasingagoni-kurasikirwa. Ichi ndicho chimwe chekunyunyuta kukuru kwevanhu vakawanda vane mamiriro ehutano: kuti hapana nzira yekoriori yekucheka, kudya kwemazuva ano, kana kushandiswa kwakasimba kunokwanisa kuchinja chikamu munzira yakarurama.
Kune zviitiko zvakawanda zvinogona kuita kuti uremu huve hwakaoma kune varwere vetachiona, kusanganisira :
- Kusabatwa zvisina kunaka kana kusadzingiswa kune hypothyroidism
- A slowed metabolism kana kurema kuisa pfungwa, kunyange pashure pokurapa
- Dambudziko rakawanda rekuchengetedza insulin uye chirwere chemagetsi
- Pasina simba, iro rinoshandura kuita zviduku zvekuita muviri uye zvishomanana zvikamu zvinopisa
- Hormonal changes iyo inoita kuti uwedzere kubudirira pakuchengeta mafuta uye zvishoma kushanda pakuipisa
Pane mhinduro dzehutano-hutachiona hwehutano hwakakosha .
7. Kutarisana Nehutano Hwakafanana-Hwokuchinja Kwemafungiro
Usingazivikanwi, kuvharwa pasi, uye kutapurirwa chirwere chetachiona kunogona kukonzera uwandu hwekuchenesa mafungiro nemafungiro ehutano hwepfungwa. Kushungurudzika, uropi hwehupi, zvinetso zvepfungwa, kutyisa kunetseka, nekuzvidya mwoyo zvese zvinogona kuwirirana nehutachiona hwako. Iwe unogona kunge une zviratidzo zvinokanganisa mafungiro ako uye zvinopindira nekukwanisa kwako kuita zvakanaka.
Zviratidzo izvi zvinogona kuoma kana iwe uri kuedza kuongororwa, sezvimwe vamwe vanachiremba vachakupa mirairo yevanorambidzana nemishonga kana mishonga yekurwisana nechinzvimbo panzvimbo yebasa rinotarirwa nejeri yejeri. Kunyangwe nekurapwa, iwe unogona kunge uchinge uine zvimwe zvezviratidzo zvine chokuita nemafungiro anokonzerwa nehutachiona hwako.
Zvakanaka, chirongwa chinokosha ndechokuti uve nehutano hwakanaka hwehutachiona hwako. Mune zvimwe zviitiko, mishonga inodzvinyirira kana kuti inopesana inogona kubatsira. Asi usakanganwa zvikomborero zvemimwe miitiro, zvimwe zvayo inorondedzerwa nehutano hwezvepfungwa Dr. Jan Nicholson.
Unogonawo kuwana zororo rekuora mwoyo nekuzvidya mwoyo nekuisa tsika yekugara uchifungisisa .
8. Uninformed uye Insensitive Doctors
Zvinosuruvarisa, iwe unogona kutarisana nevasina ruzivo uye vasingafungi vanachiremba, uye vanoita dambudziko kumunhu wose ane chirwere chisingaperi, kusanganisira varwere vetachiona. Kana iwe une kenza yekenza, unogona kusangana navanachiremba vane chinangwa (asi vanonyadzisa) vanokuudza kuti "kenza yekemikari ndiyo kenza yakanaka," apo chero munhu ane kenza anoziva kuti hapana kenza "yakanaka" kubva pamurwere.
Kana kuti, iwe unogona kumhanyira kune vanachiremba vanoomerera kuti masikirwo emakemikari ezvoutachiona anobva kumhou (ivo anowanikwa kubva munguruve), uye anoisa pangozi yezvirwere zvemhou.
Kana iwe unogona kuva nechiremba kunze kwekuti unosimbisa kuti utachiona husinganzwisisiki hwehutori hunoreva kuti unofanirwa kuita chirwere cherosi , usingazivi kuti Afirma test kubva kuVeracyte inogona nguva dzose nguva dzose kugadzirisa kunze kana kuongorora kenza yekroid yakagadzirwa nemigumisiro yebiopsy, uye kudzivisa kusakosha kuvhiyiwa.
Zano rakanakisisa paunosangana nemumwe wevasina zivo kana kuti vasinganzwisisi vanachiremba: Inguva yekuwana chiremba mutsva wehutano .
9. Mhuri, Shamwari, uye Vekushanda Vasinganzwisisi
Kune varwere vakawanda vane chirwere chetachiona, chirwere chetachiona hachikonzeri kuonekwa kwekunze kwekunze. Iwe unogona kunge usina hukuru hunoshanduka humwe humwe kana humwe uchapupu hunooneka hwehutano hwako. Panguva imwe chete, pane vamwe vanozivikanwa- Mazuva ano Sofia Vergara yeMhuri anouya mupfungwa-avo vanoita sevatauriri uye vanotsigira mishonga yekemikari, kuparadzira shoko rokuti chirwere chetachiona hachisi mhepo yekurapa.
Iwe unogonawo kuziva varwere vehutori avo, mushure mekunge vaongororwa, vanotora mapiritsi avo, uye havana chavanoona kuchinja maitiro avanofunga, uye sechikonzero, havatendi kuti varwere pamwe chete vane chirwere chetachiona vane zviratidzo zvisina kugadziriswa.
Izvi zvinogona kureva kuti shamwari, mhuri, uye vashandi vanoona zvakaoma kunzwisisa zvauri kuitika, uye havanzwisisi tsitsi kana tsitsi kune hutano hwako. Mhinduro yedambudziko iri? Vape imwe yetsamba idzi kuti vabatsire kutsanangura mamiriro avo kwavari:
10. Mazuva Paunongoda Kurasika
Rimwe rematambudziko akawanda varwere vetachiona vanosangana nemazuva apo iwe unongoda kusiya. Zvinenge zvisingaiti kuwana chiremba akakodzera, mishonga yakarurama, kana mararamiro akanaka akashandura kuti abvise zviratidzo zvinoramba zvichiita sekuneta, kuwedzera kuwedzera, kana kuora mwoyo. Bvudzi rako riri kubuda kunze uye hapana chinoratidzika sechichigadzirisa, kana iwe unorara maawa gumi nemaviri uye uchimuka uchiri kunzwa uchitya. Ndechipi chinangwa, iwe ungabvunza? Kana iwe, kufanana nevarwere vakawanda vehosi, kusvika kumagumo emambo wako maererano nekubata nehutachiona hwako, ziva kuti hausi wega . Kune vanhu vazhinji kunze uko vanoziva manzwiro aunoita, uye ivo pachavo vakakwanisa kukundwa manzwiro akadaro.
> Sources:
> Bahn, R., Burch, H, Cooper, D, et al. Hyperthyroidism uye Zvimwe Zvikonzero Zvako Thytotoxicosis: Mazano Ekutungamirirwa kweAmerican Thyroid Association uye American Association of Clinical Endocrinologists. Endocrine Dzidzira. Vol 17 Nha. 3 Mbudzi / June 2011.
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.
> Ch chii, CL, uye. al. "Chirwere cheCeliac uye Chirwere Chetachiona Chetachiona." Clinical Medicine & Research. 2007; 5 (3): 184-192. doi: 10.3121 / cmr.2007.738.
> Garber, J, Cobin, R, Gharib, H, et. al. "Clinical Practice Guidelines for Hypothyroidism muVakuru: Cosponsored neAmerican Association of Clinical Endocrinologists uye American Thyroid Association." Endocrine Dzidzira. Vol 18 Nha. 6 November / December 2012.
> Roy, A, et. al. "Kuwanda kwezvirwere zveCeliac muvarwere vane Autoimmune Thyroid Disease: A Meta-Analysis." Thyroid. 2016 Jul; 26 (7): 880-90. doi: 10.1089 / thy.2016.0108.