Pasinei nokuti chiremba wemhuri, endocrinologist, chiropractor, kana an herbalist, iwe ungasave uri kuwana zvakananga mashoko pamusoro pehutachiona hwako. Heano zvinhu zvishanu zvakajairika zvakavanzika uye zvinyorwa zvisinganzwisisiki zvaunonyanya kunzwa, pamwechete nenhau chaiye yaunofanira kuziva.
1. Mazinga Ako Akajairika
Chokutanga, "chimiro" chinorevei. Imakore gumi yapfuura, vezvechiremba vakafamba nehuwandu hwekuti .5 kusvika ku05 pamusoro peTroroid Stimulating Hormone (TSH) yeropa rekuyera ndiyo yaive yakarongeka .
Kana yako TSH iri pasi .5, waive hyperthyroid / overactive. Kana yako TSH yaiva pamusoro pe 5.0, iwe waiva hypothyroid / underactive. Muna 2002, vose veAmerican Association of Clinical Endocrinologists uye National Academy of Clinical Biochemistry "Bhuku Rekurapa Mishonga Yezvokurapa," yakarondedzera kuti iyo yakarongeka inongororwa zvakare .3 kusvika ku03. Zvadaro, makore akawanda gare gare, vakasiya mazano aya. Iwe unogona kuva neTSH muchengeti "chaiwo" runotarisa, asi kana iwe uri mumagumo ekupedzisira ehuwandu, vamwe vanachiremba havatendi kuti zvinowanzoitika kana kuti zvine utano kwauri. Apo chiremba achikuudza iwe mazinga ako "akajairika," bvunza kuti chii chinowanzo "chakanaka" iye / iye ari kunyatsoshandisa kuita icho chirevo.
2. Kana Une Chirwere Chetachiona, Tora Iodine kana Kelp
Vashandi vehutano vemazuva ose vasinganyatsonzwisisi utano hwetachiona vanowanzokuudza kuti "zvinetso zvetroroid zvinoreva kuti unoda iodine" kana iodine-ine mishonga kana zvimwe zvinowedzera, zvakadai sekelp, bladderwrack uye zvipembenene.
Kana iwe uri iodine yakakwana, iodine inogona kukwanisa kubatsira thyroid yako. Zvidzidzo zvakaratidza kuti kushayikwa kweiodini ndiko kunowedzera kuAmerica, uye inenge 12 muzana yevanhu veUnited States iye zvino iodine inoshaya, kubva kubva pasi pe3 muzana mumavambo 1970. Saka, kune vamwe vanhu, kushayikwa kweiodini kunogona kuva chinhu chinokonzera chinetso chetachiona .
Asi kune vamwe vanhu, iodine kana iodine-ine zvigadzirwa zvinowedzera kuipa zvinetso zvetroroid zvakadai seHashimoto's uye Graves ' , uye zvinokonzera kukura kwetachiona (goiter). Usati watanga iodini, funga kuva neyodini yerinha yakaenzana kuti uone kana iwe uine kukwana kwechokwadi, uye nyatsocherechedza zviratidzo chero zvipi zvaunotanga mushure mekutanga kutora iodine.
3. Une Matombo 'Matenda / Hyperthyroidism uye Unoda Radiyo Inodhaka Iodine (RAI) Kuchechera
Kana zvasvika kune chirwere chetachiona chega, chirwere chaHashimoto, icho chinowanzokonzera ku hypothyroidism, ndicho chakanyanya kupararira kupfuura maGerves ', chinokonzera hyperthyroidism. Pane dzimwe zvikamu zvehosha yaHashimoto, zvisinei, uye kunyanya, kakawanda munguva dzekutanga, utachiona huri mukugadzikana kwekudzivirira kwega kwega hunogona kupedzisira huchiita chiito uye hukasashanda kwenguva, huchiita munhu hyperthyroid. Dzimwe nguva, ndiyo inoratidza zviratidzo zvehyperthyroidism dzenguva-kushushikana, kupindira kwemwoyo , kukurumidza kupera, kuora muviri, kuora, kushaya hope-izvo zvinotanga kuunza murwere waHashimoto kuna chiremba.
Zvinosuruvarisa, vamwe vanachiremba vanorayira kutarisa kweTSH, tarisai pasi yeTSH iyo inofanirwa ne hyperthyroidism, uye inokurudzira kurapa iodine inokonzerwa nehutachiona -kazhinji inogara ichirapa iyo inodzivisa utachiona hwako, uye inoita iwe hypothyroid yeupenyu.
Dambudziko nderokuti mumatambudziko aya, harisi zvirwere zveGraves , uye hyperthyroidism inguva pfupi, chiitiko chinonzi "Hashitoxicosis." Munyaya iyi, unogona kuva nenguva yenguva pfupi ye hyperthyroidism, asi chaizvoizvo iva iwe nzira yako yekuva hypothyroid. Mune zvimwe zviitiko, kunze kwekuti hyperthyroidism inopisa upenyu uye isingadzorwiki kushandisa madhiragi, kurapa kwemafuta kunodhura hakubatsiri kutungamirirwa.
Kana iwe uchiudzwa kuti une chirwere cheGraves kana hyperthyroidism, uye inokurumidzirwa kuva neRI, inomirira kuongororwa ropa kwezvirwere zvinotsigira zvirwere zveCheves, pamwe nekufungidzira kwekufungidzira.
Iwe unoda chiremba wako kuratidzira kuti iwe zvechokwadi une maGerves '/ hyperthyroidism, uye hausi kungova nenguva yeHashitoxicosis.
4. Muviri Wakadzika Kutapudza Kunogona Kuona Hypothyroidism
Heino mamiriro ezvinhu apo kutenderera kwechirwere chechipatara-pasi, chakashandurwa kuva "chiyero chimwe chinokwana zvose" chirongwa chekuongorora chinongoshanda chete. Zvinonyatsozivikanwa kuti utachiona hwemapironi hunoita zvakananga pamusana, kana kuti zororo, dhiyabhorosi. Uye apo hutachiona, kana kuti kuderedzwa kwekushisa kwemuviri, chiratidzo chinogamuchirwa uye chinogamuchirwa nehutachiona che hypothyroidism , vamwe vashandi vanodavira kuti kutsetseka kwemuviri chinhu chisingagoni kuongororwa chekushandisa. Izvo zvakaderera Broda Barnes, MD yakaita kuti vanhu vose vazive zvakanyanya kushandiswa kwemashonga e-axillary (underarm) emasikirwo emuviri wepasi (BBT) sechiratidzo uye chirwere chokuongorora che hypothyroidism. Iyo nzira yekuongororwa uye yekuongorora ndiyo inoshandiswa nevamwe vanobatanidza uye vanogona kushandisa.
Kuti uone BBT yako, shandisa BTT inonzi thermometer. Kana uchinge wakamuka, uine zvishoma zvishoma, isa thermometer mune armpit yako, pedo neganda, uye uisiye kwemaminitsi gumi. Nyora kuverengerwa kwemazuva matatu kusvika kuashanu mazuva anotevera. Vakadzi vanoramba vachienda kumwedzi havafaniri kuedza pamazuva mashanu ekutanga kwenguva yavo asi vanogona kutanga pazuva rechishanu. Varume, uye vasikana nevakadzi vasina kumwedzi vanogona kuedza chero nguva yemwedzi.
Kana muvhareji weBTT uri pasi pe 97.6 Fahrenheit, vamwe vashandi vanobatanidza vanofunga nezvekuongororwa kwehutachiona husingabatsiri kana kuti hauna kukwana utachiona hwemutori. Avhareji yeBTT pakati pe 97.8 ne98.2 inonzi inofanirwa. Kutema kubva 97.6 kusvika 98.0 degrees Fahrenheit kunoonekwa semuenzaniso wezvinobvira hypothyroidism, uye kutonhora kudarika 97.6 degrees kunogona kunyanya kuratidza hypothyroidism. Vamwe vashandi, zvisinei, vanofunga nezvekushisa chero kupi zvayo pasi pemadhigirii 98 kuti vave chiratidzo che hypothyroidism.
Kushandiswa kwekushisa kwemuviri wepasina kunopesana, zvisinei, uye kunyange avo vashandi vanoshandisa kuedza vanoyeuchidza kuti inofanira kunge iri chikamu chekutarisana, uye kwete chete kuvimba.
5. Yega Kurapa kwe Hypothyroidism Is Synthroid
Zvichida chimwe chezvinonyanya kukanganisa vanachiremba vanowanzodzokorora ndechokuti Synthroid ndiyo chete inorapwa ye hypothyroidism. Chaizvoizvo, Synthroid inonzi zita rechirwere "levothyroxine" -kugadzirwa kwetachiona hormone thyroxine, inozivikanwa seT4.
Synthroid inowanzove yakatengesa zita-brand levothyroxine zvinodhaka , zvikurukuru nekuda kwekutsvaga kwayo. Synthroid, zvisinei, iyo inenge iri nguva dzose yeavothyroxine inodhura. Zvimwe maronda, anofungidzirwa zvakaenzana nevakawanda vashandi, uye nguva dzose nguva dzose dzinodhura, dzinosanganisira Levoxyl uye Unithroid. Vamwe varwere vanoona kuti vanopindura zvakanakisisa kune rimwe marimi-kwete chaizvo Synthroid-nekuda kwekuti nzira iyo marashi inopera uye inogadziriswa, kana kuti anozadza uye madhayi anoshandiswa nevashambadzi vakasiyana.
Mukuwedzera kune levothyroxine zvinodhaka , panewo liothyronine-zita rechiito reT3 hormone. Zita racho ndiCytomel. Kuwedzera T3 kune levothyroxine yakawanikwa kuti ibatsire vamwe varwere vehutachiona vanoderedza zviratidzo zvakanyanya kubudirira kupfuura levothyroxine (T4) oga.
Pakupedzisira, pane chikwata chemishonga inodhaka yemishonga inozivikanwa seyakasikwa yakachena yehutano . Usakanganise izvi ne-over-the-counter glandular thyroid inowedzera-iyo haina kufanana. Chirongwa chepanyama chinoshandiswa nehutachiona-chinonyanya kukosha chiri Armor Thyroid , asiwo chinowanikwa inonzi Nature-throid, Thyroid WP, uye generic yakagadzirwa naAcella-inogadzirwa nehutachiona hwakasvibiswa nehave yenguruve. Inosanganisira T4 chaiyo uye T3 , pamwe nemamwe mahomoni ane utachiona husingazivikanwi kusanganisira T2 , T1. Vamwe vashandi, uye kunyanya masangano ose ehutano, ehutano uye ehupenyu, vanoona kuti utachiona hwepanyama hwakanaka kune vamwe varwere.
> Sources:
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.