Ini ichangobva kuwana mukana wokubvunzurudza Richard Shames, MD pamusoro pehurukuro yake itsva yehurukuro pamusoro pemafungiro akafanana ehutachiona asina kunaka. Dr. Shames, ane zvizivo zvinosanganisira Harvard, Yunivhesiti yePennsylvania, uye National Institutes of Health, muongorori uye munyori ane makore anopfuura makumi matatu anoziva mukuvandudza utano hwakanaka hwehutachiona.
Mubvunzo: Sei, Dr. Shames, unongoronga maitiro akafanana se "nhema"?
Apo rutendo rwakashata rwakanyanya kwazvo uye rwakasindimara runoitwa nevashandi nevatengi, inoda zita rakasiyana. Mashoko ehutano chete haawani. Mumwe anofanirwa kuziva ruzivo rwemashoko iwayo, kuti arishandise zviri nani. Kushatiswa kwemashoko kunogona kukuvadza zvikuru.
Mubvunzo: Ko iwe unofunga kuti chii chinotungamirira utachiona hwemazuva ano?
Utachiona Nhema Nhamba 1: TSH ndiyo chete inoda kuongororwa kuti inotungamira kuongororwa uye kurapwa kwekusawirirana kwetachiona.
Kwose kutenda kusingagadziki mune izvi, nyore, kuderedzwa kweropa kuongororwa kwakave nekukonzera makore ehukuvadza zvisingaverengeki kune mamiriyoni evanhu. Kubva pane udzvinyiriri hwekuedzwa ikoko, vanachiremba vanoramba kurapwa kune vakawanda vanorida, uye kuchengetedza vamwe pavanoderedza mishonga yemishonga kana vachingorapwa.
Mubvunzo: Varwere vakawanda vane utachiona vanoziva kuti zvidzidzo zvitsvakurudzo zvenguva pfupi zvakanyatsopokana nemhedzisiro yakakwana, uyewo yakawandisa yakakwana, yeTSH kuedza . Kunyange magumisiro ekupedzisira ekutenda haabvumirane pamusoro pe "chirevo chekare" cheTSH miedzo.
Zvechokwadi. Asi huwandu hwechiremba, makiriniki, laboratories, uye makambani einishuwarenzi haasati apesvedzwa nekutsvakurudza kwakanyanyisa. Pane kudaro, pfungwa yacho yakatonyanya kunyanya. Asi kune vakawanda vane utachiona hwehutano uye vashandi, iyo pfungwa haisi sayenzi. Iyo inhema.
Mubvunzo: Chii chinotevera chiroto chinyorwa?
Utachiona Nhema Nhamba 2: Levothyroxine ndiye chete uye kurapa chete kune vose varwere vetachiona vachazombodiwa.
Kamwe zvakare, zvidzidzo zvakasiyana-siyana zvekutsvakurudza uye maitiro akawanda emitambo zvakaratidza izvi kuva nhema inogona kukuvadza. Asi zvinoshamisika kuti kutengesa zvakakwana sei munhema iyi vazhinji vanachiremba nevarwere vari munyika yose. Ndinogara ndichinzwa nezvazvo mufoni yangu kudzidzisa nevarwere vehutano munyika yose.
Mubvunzo: Zvakadini nevarwere vanoda kubatanidza utachiona hwekubatsira kweAdrenal function , progesterone, uye vitamini D ?
Nenguva isipi vitamine I kukosha munguva ichangopfuura kuwana hutano hwakanaka, mune zvose murwere uye chiremba vanhu. Asi chimwe chinhu chinosuruvarisa kutora zvishoma. Uye iyo ndiyo yeTroroid Nhema Nhamba 3: Utachiona hwakasvibiswa nehutachiona hwakachengeteka nekuda kwehutano hwahwo hunoshandiswa.
Heino chokwadi. Zvisikwa zvakasvibiswa nehutachiona zvinodhaka (Hondo yeTiyosi uye Hupenyu-utachiona ndiwo mazita maviri anowanzozivikanwa ehutachiona yakarongeka muAmerica) anozivikanwa kuti akachengeteka uye anoshanda. Mune vamwe varwere, ivo vakakwirira kune levothyroxine, kunyange kana mishonga yeT3 yakabatanidzwa pamwe neT4 (levothyroxine) yakazara.
Kupomerwa kwekusiyana kwechirwere chetachiona chemuviri muenzaniso wehupenyu hwenhema.
Chaizvoizvo, FDA yakaramba ichinge yakagadzirwa nehutachiona (levothyroxine) kuti ichinjeke pamushonga piritsi.
Zvinosuruvarisa, makambani ezveshuwarisi iye zvino ari pane iyi mythology bandwagon. Vamwe vachangotanga kunyora kune varwere uye vanachiremba vachiti havachagoni kuvhara mitemo yakasikwa yakarongeka. Vanokurudzira kuchinja kune levothyroxine, kunyange zvazvo iri yakanyanya kudhura. Ichi chisarudzo chisingazikamwi kumakambani einishuwarenzi kuti aite, asi ivo vari kutanga kutanga kuzviita. Zviri pachena kuti vakatenga munhema, zvichida nekuda kwesimba kubva kune vakura vabiki vanoedza kutsvaga kukwikwidzana kubva kune utachiona husina mari yakasikwa.
Mubvunzo: Chii chinotevera chinyorwa chenhema?
Utachiona Nhema Nhamba 4: Chengetedza utachiona hwehutachiona hwepasi kuti uderedze njodzi yeasteoporosis nematambudziko emwoyo.
Izvi zvinosuruvarisa zvinyorwa zvisiri izvo, zvichienderana nekutsvakurudza kwenguva yakareba. Zvimwe zvidzidzo zvenguva pfupi zvinoratidza zvakajeka kuti mishonga yehutachiona, mumitambo yevanhu inonyanya kudikanwa, haina kuipa kumwoyo kana mapfupa.
Iyi nhema inonyanya kuoma, nokuti kana zano iri rinotevera, vanhu vanopedzisira vari pangozi ye osteoporosis nematambudziko emwoyo. Pasi-medicated hypothyroidism chikonzero chisingazivikanwi chinokonzera kuderera kwemafupa uye mwoyo palpitations, uye subclinical hypothyroidism yakabatanidzwa nezvinetso zvemwoyo zvakasiyana-siyana . Utachiona hushoma hunoitawo hunogona kukonzera kubhadharwa kwepamusoro mazinga adrenaline, izvo zvinoita kuti mwoyo ufare kwazvo.
Mubvunzo: Chii chinonzi thyroid yako yekupedzisira?
Thyroid Nhema Nhamba 5: Kana watanga utachiona hwehutachiona, unoda kugara pairi nokusingaperi.
Ichi ndicho chimwe chezvandaifarira nguva dzose uye muenzaniso wezvakaitika kunobva pachikamu chechokwadi. Kana thyroid yako gland yakanyatsorongedzwa neoday iodine kana kuti yakabviswa nekuvhiyiwa kwehutano , ipapo zano iri ndeyechokwadi kwauri. Kune rumwe rutivi, nokuda kwechirwere chetachiona chekare chine hutachiona hwetachiona hunoshanda, zano iri ingano inogona kukuvadza.
Somuenzaniso, vanhu vazhinji vanoda mushonga wehutachiona pamusana penguva pfupi autoimmune flare-up munguva yekusununguka, postpartum, kana kuti kuenda kumwedzi. Ava varwere vangave vasingadi kuti varambe vachirapa mishonga yehutori kwehupenyu hwavo hwose.
Muzvokwadi, zvingave zviri nani kune vakawanda vavo kuti vanyarare. Asi, vanopedzisira varamba vachipora mapiritsi ehutano nekusingaperi, nokuti ivo kana vanachiremba vavo vakatenga munhema.
Uyewo zvinotora kumwe kutarisirwa kushingaira kubvisa mishonga yekirori zvakanaka, uye kuziva nguva yekudzoka nayo, kana zvichidiwa. Muzuva rekurumidza-moto, kukurumidze kushanyira rudzi rwehutano hwakanaka, mutariri anotarisirwa wekuregera utachiona unowanzodzivirirwa nevashandi vanoita basa.
Kumanikidzira vanhu vanogona kunge vane utano muhupenyu husingaperi vanoda kuona vanachiremba nevamasimusi haisi nguva refu kushandisa kwakachenjera kwehutano hwakakosha mari.