Tsamba Yakazarura kune Vashandi veVirwere Venyu
Kana uine chirwere chisingaperi, chakadai sechirwere chetachiona, zvakaoma kuti utsanangure zvakakwana zvauri kurwisana nazvo. Izvi zvinogona kunyanya kuoma munzvimbo yebasa, sezvaunofunga kuti chii chaunofanira kuudza mumwe waunoshanda naye, mukuru wako, kana mushandi nezvehutano hwako.
Takagovera tsamba yakazaruka kumhuri uye neshamwari dzevarwere vane utachiona munguva yakapfuura, asi ruzivo rwaunoshamwaridzana nevanodikanwa ruchasiyana kubva pane zvaunoda kugovera pane basa.
Iwe unenge usingadi kugovera chero ruzivo rwomunhu hunozoita kuti vamwe vako vasayeuchidza nezvekushanda kwako, asi panguva imwe chete, kutaura kuti hapana chinhu chingavawo nyaya.
Kubatsira vaunoshanda navo kunzwisisa dzimwe zviratidzo zvauri kurarama nazvo, zvinogona kuvadzivirira kubva kumubvunzo uye kuzvitora zvisarudzo zvisina kururama. Semuenzaniso, kana usine usimbe mangwanani-ngwanani pamusana pe hypothyroidism, haudi kuti mukuru wako azvishamise kana iwe unonoka kunonoka kunwa dambudziko. Saizvozvowo, kana iwe uchinetseka uye jitter nekuda kwe hyperthyroidism, zviri nani kana vashandi vako vasingangofungi kuti iwe wakanyanyisa kunetseka (uye kunyanya kushaya caffeinated).
Ngatitarisei zvaungada kuisa mumutsamba yako, zvakaputsika mumusoro-soro kuti uwane nyore. Zvechokwadi, mamiriro ose emabasa uye avo vashandi vakasiyana, saka iwe uchada kuita shanduko inoenderana nemamiriro ako ega.
(Varume nevakadzi vose vanogona kukura chirwere chetachiona, saka chero zvirevo zvinoreva "wake" kana "iye" zvinogona kunge zviri zvepabonde).
Tsamba kune Vashandi Vanotsanangura Zvirwere Zvako
Dear Colleague:
Mumwe waunoshanda naye ane chirwere chetachiona . Vanhu vazhinji vakanzwa nezvechirwere chetachiona pane imwe nzvimbo, sezvo yakazara zvikuru. Asi izvo zvisinganzwisisiki ndezvokuti kune marudzi akasiyana ezvirwere zvehutano, uye kunyange nechimwe chimiro, zviratidzo zvinogona kusiyana zvakasiyana pakati pevanhu vakasiyana.
Iwe unogona kusanganisa utachiona nezviratidzo zvehutano hwekurema, kana kuti kunyange kufunga kuti ndiyo chikonzero chevanhu vari kunyanya kuwandisa. Kana, iwe unogona kuva nomumwe munhu pakati pehama yako neshamwari vari kutora mishonga yehutano (yakadai saSyroid) uye inoita kunge iri kuita zvakanaka, pasina zviratidzo.
Kazhinji, vanhu vanofunga kuti chirwere chetachiona chakafanana nevanhu vakawanda, asi ichocho hachisi chokwadi, uye chinowanzogumbura vanhu vanorwara nehosha. Kune zvakawanda zvakaenzana nehutachiona hwehutachiona, uye hazvibviri mumutsamba kuti ugovafukidza vose, asi tichagoverana muchidimbu zvingaitwa nemumwe wako.
Basa reTroroid Gland
Iyo utachiona ndiyo tenzi wedu gland yemetabolism nesimba. Iyi gland inonzi inonzi "endocrine" gland, kana gland inodzivirira mahomoni anodzora muviri. Basa rimwe nerimwe remumuviri rinoda oksijeni nemasimba-chaizvoizvo, zvose zvinowedzera mumuviri-zvinoda hormone yekemikari yakawanda.
Izvozvo zvinoreva kuti tinoda kuenzana kwakakwana kwehomoni yehutori kuitira kuti tifunge zvakajeka, kuyeuka zvinhu, kuchengetedza mafungiro akanaka, kuva nesimba guru rekushandisa zuva, kuona zvakanaka, nezvimwe zvakawanda. Iwe unogona kufunga nezvehutori hwehomoni semhepo inokubvumira kuti utyaire motokari.
Kana pasina gesi, hapana nzira yekuenda mberi.
Mitemo yeTyroid Matambudziko
Matambudziko eTroroid anowanzoputsika kuva hyperthyroidism kana hypothyroidism. Kazhinji zviratidzo zvemamiriro maviri aya zvakasiyana, asi hazvisi nguva dzose. Mukuwedzera, zviratidzo zveimwe mamiriro ezvinhu, zvakadai se hyperthyroidism, zvinogona kusiyana zvichienderana nechinokonzera, kuoma, uye zvimwe zvinhu zvakawanda.
Hyperthyroidism
Waunoshanda naye angave ari hyperthyroid , izvo zvinoreva kuti utachiona hwake huri kunyanyisa, uye hutachiona hutoni hwakawanda. Apo utachiona hunova hwekushanda, zvakafanana nekutengesa gasi kunokwidza pasi uye kwakanamatirwa, uye injini iri mafashamo.
Hyperthyroidism inogona kukonzera kushungurudzika kwakanyanya, kutya, kukurumidza kwemoyo wemwoyo, kukwirira kweropa, uye kunyange kutora mwoyo. Munhu ane hyperthyroidism angave ane nzara uye anenyota nguva dzose, achishushikana, achitambura nehara, uye achirasikirwa. Vamwe vanogona kunge vari kunetseka kana kucheka, zvisina kururama, kuti waanoshanda naye anokurumidza kurasikirwa nekuderedza kunokonzerwa nechirwere chekudya kana chimwe chirwere chakafanana nekenza kana AIDS.
Wemumwe wako maziso angave akakanganiswa nehutachiona hwake. Izvi zvinogona kusanganisira kuonekwa kunooneka, asi munhu wacho ari kurwisana nemaziso angave akaipa, gritty, uye akatsamwa. Chiratidzo chake chinogona kutova chisina kumira. Kurara kunogona kuva kwakaoma kana kusingakwanisi, uye kushaya kurara pamwe chete nemuviri unofamba pamwe chete pamakiromita zana paawa kunogona kukonzera kupera kwakanyanya uye musimba utera.
Kutaura chokwadi, vanhu vari mumakumbo e hyperthyroidism vanogona kunzwa uye vanoita saiye munhu akadzivirirwa pamishonga, kana kuti ndiani ane 20 makapu efivha mushure mekurara kwevhiki. Uine mwoyo unoputika, uye miviri yose inofamba yakanyatsokonzera, jita rako, rakasimbiswa-kunze yehu hyperthyroid rinogona kunzwa-uye richiita se-ari kurasikirwa naro, rakagadzirira kuparadzana chero nguva.
Hypothyroidism
Kana shamwari yako iine hypothyroid, angave ari kutarisana nezvinetso zvakasiyana. Hypothyroidism inoreva utachiona hwehutachiona huri kubudisa zvakakwana simba uye oksijeni-kutakura hormone yekemikari. Izvi zvakafanana nekuedza kuenda kune imwe nzvimbo isina mafuta akawandisa, uye tsoka dzisingakwanisi kusvika kune gasi.
Kana waunoshanda naye ari hypothyroid, angave ari kunetseka uye akaneta , kana kuti aneta nguva dzose. Funga nezvehosha yakaipisisa yawakambove nayo, uye kuti wakaneta sei, uye wakaneta uye wakaneta wakanzwa. Iye zvino fungidzira kumuka zuva rimwe nerimwe kunzwa zvakadaro, asi uchimuka, uye uzvikweze iwe pabasa uchinzwa saizvozvo.
Kushungurudzika-kana kutinhira kwebhuruu-kunowanzobatwa ne hypothyroidism, sezvinongoita zvinetso zvekuyeuka uye zvisingatauri. Vanhu vanorarama ne hypothyroidism vanoidza iyo "brain fog." Waunoshanda naye angave akatarisa zvakasiyana; dzimwe hutachiona hwehutachiona hunosanganisira kukanganiswa kwebvudzi , kusanganisira kurasikirwa kwehafu yekunze yemashizha, chiso chinotyisa, uye maziso emapulisa. Anogonawo kuwanda. Waunoshanda naye angangodaro ari munhu ane utano hwakanaka pahofisi, kana uyo anodya zviduku uye anoshandisa zvakanyanya, asi asingakwanisi kuderedza uremu . Angave ari kutowedzera kuwedzera purogiramu iyoyo.
Thyroid Cancer
Kana shamwari yako ine kenza yekemikari iye ane dambudziko rakasiyana zvachose. Kanzira semafungiro anotyisa uye anomutsa kutya nekunetseka. Kunyange zvakadaro, vazhinji vane kenza yekemikari inonzi inoporesa uye inoponesa, saka vanachiremba uye vamwe vanowanzotaurirana nezvekenza yekemekari se "kenza yakanaka." Asi chokwadi ndechokuti hapana kenza "yakanaka," uye mumwe munhu ane kenza yekenza ane kenza, "guru C." Kutaura zvazviri, zvidzidzo zvinoratidza kuti vanhu vanoonekwa kuti vane kenza vanofamba nemanzwiro akadaro, pasinei nekambani, kenza inoporesa zvikuru, kana kenza yakasimudza, isingatambudziki.
Mumwe munhu ane kenza yekenza angave asina zvishoma, kana pane, zviratidzo. Dzimwe nguva, kunyange zvakadaro, munhu angave ane zviratidzo zve hypothyroidism, hyperthyroidism, kana kusanganiswa kwezvose.
Vanhu vazhinji vane kenza yemukati vachange vachivhiyiwa kuti vabvise utachiona, uye izvi zvinogona kuva zvinotyisa. Haisi kungova kenza chete, asi pfungwa yehupamhi-yakareba-yakareba yakareba mumutsipa inotyisa.
Mushure mekuvhiyiwa, vanhu vazhinji vane kenza yekotori vachada kuva nekutevera-radioactive iodine mishonga yekuita kuti vese maronda ane kenza apere. Iyi nguva mushure mekuvhiyiwa inogonawo kuva yakaoma zvikuru. Vanachiremba vanowanzomirira mavhiki mashomanana mushure mekuvhiyiwa kwehutano kutanga utachiona hwemishonga. Munguva ino, vanhu vanogona kunge vasina kunyatsogadzikana ne hypothyroid.
Kana shamwari yako yave nekenza yehutachiona, zvinobatsira kuziva zvaunotarisira mushure mekurapa. Mumwe munhu ainge aine utachiona hwavo achada kurapwa kwehupenyu hwose nekuda kweii hypothyroidism. Periodic kuenderera mberi kuongororwa kunofanirawo kudiwa kutarisa kwekudzoka kwekenza. Kunyanya, zvimwe zviongero zvinowanikwa sechikamu chekuongorora izvi, zvinoda munhu kuti agare kure nevamwe kune imwe nguva, zvichienderana nekusvibiswa kwehutachiona. Dzimwe nguva zororo rinorwara richadikanwa kusvikira hypothyroidism inotapwa kusvika pane iyo inogona kuti munhu atyaire uye aite sarudzo dzakanaka pabasa.
Mitemo Inobatsira Vanhu vane Utachiona Hwezvirwere
Kune mamiriro akasiyana-siyana anokwanisa kuva pamudzi we chirwere chetachiona.
Kune zvirwere zvekudzivirira muviri , kusanganisira Graves 'chirwere uye chirwere cheHashimoto, chinogona kuva pamudzi we hyperthyroidism kana hypothyroidism. Mune mamiriro ezvinhu aya, muviri unoita zvirwere (zvakadai sokuti tinopesana nemabhakitiriya nemavirusi), asi ma antibodies anotungamirirwa nehutachiona hwemunhu.
Vamwe vanhu vangave vane utachiona goiter (utachiona hwakawedzerwa) kana kuti benign nodules izvo zvinokonzera zviratidzo.
Acute infectious thyroiditis chirwere chenguva pfupi chakakonzerwa nehutachiona, kazhinji nemabhakitiriya marudzi Staph uye Strep. Postpartum thyroiditis inowanzoitika, inowanzowanikwa mugore rinotevera kubereka mwana.
Zvakawanda zvezvinetso izvi zvinogona kuva zvakaoma kufungidzira, zvingave zvisinganzwisisiki sechinhu chero chipi zvacho, uye kunyange kana chichinge chaongororwa, hachifaniri kutarisirwa zvakanaka.
Utachiona Hwezvirwere Kazhinji Pakaitika muMisdiagnosis
Kunyange zvazvo kuongororwa kweropa nyore kunogona kubatsira kuti kuongororwa kwechirwere chetachiona, hazvisi "zvakajeka kuongorora" sezvinotaurwa nevamwe. Waunoshanda naye angangodaro akaoma kwemakore kuti aongororwe, kana kuti kutorwa zvakanyanya pakutanga.
Vanachiremba vanogara vasingazivi zvirwere zve hyperthyroid sevanenge vachidya kana kuti vanetseka, uye hypothyroid varwere sevanenge vaine dambudziko, kuora mwoyo, PMS, kubuda kwemwedzi, kana "uremeso." Zvakaipisisa asi vanyoro vasina hanya nevatano, vakadai saiye akaudza mumhanyi anomhanyisa akanga ari kuwedzera uremu nokuti "aikonzera chirwere mumuromo." Zvakawanda zvezvirwere zvehutano hwetachiona hazvina kujeka kana zvisinganzwisisiki-zvichida pakutanga-uye vanhu vazhinji vanogunun'una nekuona vanhu vakawanda vasati vawana munhu anoteerera zvechokwadi.
The Thyroid Disease Stigma
Kune zviziviso uye veddian vanoshandisa mazwi "chinetso chetachiona" seye-kwete-yakavanzika yekodzero yekutsanangura mumwe munhu ane mafuta. Uye kune nzvimbo yose yevashandi vekutsvaga kunze uko vachiedza kutengesa Thyamamiro-iyi uye Thyro-iyo "kurapwa" kwechirwere chetachiona iyo muzviitiko zvakawanda inogona kuita kuti zvinhu zvive zvakanyanya kuipa. Kana pane zvakanakisisa, kwete rubatsiro zvachose.
Kunyange Oprah akabvuma kuti aiva nechinetso chetachiona, ndokubva ataura kuti yakabva, ndokubva ati akange aine iyo asi yakanga isiri chikonzero chekubata kwake kuwanda, saka akasarudza kusawana kurapwa uye anoramba achirwa nehutano hwake. Uye zvichida zvakasuruvarisa kune vose, pane shamwari, hama uye vashandi vanotaura kuti "Handitengi chinhu chine chirwere chetachiona, zvinongova chikonzero chekutadza kuora muviri" kana "Utachiona? Hah! Anosvikirwa chete!" Kana kuti, "Sei asingagoni kungozvitora uye kudzokera kune zvayo?" Varume vanotsoropodza madzimai avo kuti vawane simba. Vechiduku vanong'un'una shure kweshamwari neshure reanorexia. Vashandi vanogunun'una kuti vashandi vavo "vane usimbe."
Zvinoshungurudza kunzwa nezvechinyaradzo vazhinji vakatarisana nehutano hwavo hwehutano. Izvo zvakare, ndezvikonzero zvakakosha kugovera ruzivo urwu.
Mishonga yeTyroid Disease Inogona Kuoma
Kana imwe nguva kuongororwa kuchiitwa, iyo zvakare, inogona kuva yakaoma, kurapwa hakuwanzo kugadzirisa nyore. Pfungwa yakajairika mune zvekurapa iyo "chirwere chetachiona chiri nyore kunzwisisa uye chiri nyore kubata" inhema.
Kune mishonga yakasiyana yee hypothyroidism, uye mishonga yakanakisisa kune mumwe munhu inogona kusagadzirisa zviratidzo zveumwe. Uye izvi ndizvo chete pakati pemishonga inowanzopiwa. Mimwe mishonga, yakadai seArmor thyroid (yakasikwa yakasvibiswa utachiona), inowedzera kuvhiringidzika.
Kazhinji nguva, vanachiremba vachabata zvirwere zvechirwere chetachiona nokukurumidza. Izvi zvinogona kusanganisira kurondedzera zvinodhaka, zvinokonzerwa nemukiriniki, kushaya kurasikirwa mapiritsi, nezvimwewo, pane kungomirira kuona kana zviratidzo zvichinyatsojeka nekugadzirisa kusakwana kwetachiona hormone.
Panguva imwecheteyo, sangano redu re "instant fix" dzimwe nguva rinokurumidzira kubata chirwere chetachiona zvakanyanya zvechisimba, panzvimbo pokuchipa nguva. Somuenzaniso, kubvisa utachiona ne iodine ye-radioactive inogona kukurudzirwa kuvanhu vane hyperthyroidism, apo mamiriro acho angadai akazvigadzirisa pachavo. Izvi zvinoita munhu kuti arambe achida chirwere chetachiona chinotsiviwa.
Pakupedzisira, chirongwa chechiremba chinowanzogadziriswa chinoshandisa imwe-yakakura-yakakodzera-yose nzira yekurapa vanhu vane chirwere chetachiona. Kana kusiyana kwevanhu kusingazivikanwi uye kutaurirwa, vanhu vanogona kuoma kwemakore kuti vararame uye vanzwe zvakanaka sezvavanogona.
Nzvimbo Dzimba dzekushanda Dzinogona Kubatsira Vane Matenda eTroroid
Haasi basa rose rinogona kugadzirisa, asi kana iwe uri mukana wekuita izvozvo, zvimwe zvezvinhu zvaunogona kuita kubatsira vanhu vane chirwere chetachiona panzvimbo yebasa kunosanganisira:
- Kubvumira nguva yakawanda kana nguva yakazara terevhizheni kana terevhizheni / basa-kubva kumba
- Zvimwe zvinoshandiswa kushanda maawa akawanda
- Half-day Chishanu
- Kuwana zvivako zvekushanda pamwe chete
- Akagara mumba
- On-site daycare
- Zvokudya zvakakosha panzvimbo yebasa (cafeteria, vending, utano hwakagadzirirwa kudya, utano hwakanaka hwekudya, njodzi)
- Zvimwe zvakanyatsojeka nezvehutano hwehutano (kunyanya zvirongwa zvinowedzera zvimwe kana zvese zvakakwana uye zvekubatsira mune zvehutano)
- Kunyatsoshandisa mari yekuverenga / maakareji ekuchengetwa kwezvokurapa, saka varwere vanogona kushandisa mari pazvokudya, mavitamini, uye maitiro ezvehutano zvakakwana
A Call To Understand Invisible Disease
Munyika umo vanhu vane chirwere chetachiona dzimwe nguva vanoregererwa, vasingatarisirwi, vasingazivi, vachisekwa, uye vasingateereri, zvakakosha kuva shamwari yako "anozviwana" zvechokwadi kune vanhu vane chirwere chetachiona panzvimbo yako yebasa. Sekushanda naye, iwe unogona kuva munhu anonzwisisa kuti kana chirwere chetachiona chisingaoneke, chiri kuita kuti mumwe wako ave kutambura.
Iwe unogona kuva munhu anonzwisisa kuti kunyange zvazvo vanozivikanwa vasingatauri kutaura nezvechirwere chetachiona, uye mitambo yemitambo haisi kupfeka zvishongo zvekukurudzira utachiona , kuti izvi ndezvechokwadi, zvakaoma, uye-kuchinja hupenyu hunoonekwa. Iwe unogona kuva waunoshanda naye anoteerera uye anodzidza pamusoro pematambudziko nematambudziko. Iwe unogona kuva waunoshanda naye anopa simba kuvanhu vane chirwere chetachiona panzvimbo yako yebasa.
Rarama zvakanaka.
Pasi Pasi pakutaurirana Nevamwe Vako Nezvechirwere Chetachiona Chero
Zvinogona kunge zvakaoma kuziva kuti unoti kudini kune vamwe vako kubasa kana uri kurwara nechirwere chetachiona. Pamusoro pezvo, iwe haugoni kugovera tsanangudzo yehutano hwako uye zviratidzo sezvaunenge uchida nemunhu wemhuri kana shamwari. Asi, kana iwe usingarevi chimwe chinhu, vamwe vako vanogona kutaura kuti pane zviratidzo zvavanoona kune chimwe chinhu. Chimwe chinhu chakadai sekuva simbe kana pamishonga.
Iyi shanduro tsamba inopa mhedziso yakawanda yezvaunoda kugoverana, asi iwe uchada kugadziridza, kuwedzera, kana kubvisa, kubva pane zvose zvaunoita, pamwe nechinangwa chaunenge uchida kuita neye tsamba.
Pasi pose, vanhu vari kuwedzera kuziva nezvekusiyana kwezviratidzo zvine chokuita nechirwere chetachiona, uye kuti kurapwa hakusi nyore sei nguva dzose.
> Kwakabva:
> Kasper, Dennis L .., Anthony S. Fauci, naStefano L .. Hauser. Harrison's Principles of Internal Medicine. New York: Mc Graw Hill yembudzi, 2015. Print.