A Tarisa Maitiro Anopesana NezveAdrenal Fatigue
IHormone Foundation (chikamu cheEngocrine Society) yakabudisa kukakavadzana "chokwadi chinyorwa" zvakatevedzana, zvinonzi "Nhema neChokwadi." Rimwe remashizha avo anonzi "Adrenal Fatigue" uye rinorwisa hupenyu chaihwo hwemamiriro acho ezvinhu, achiti, "Kuneta kweAdrenal hakusi mamiriro chaiwo ehutano.Hasina zvesayenzi zvinotsigira pfungwa yokuti nguva refu mupfungwa, mupfungwa, kana mumuviri kushungurudzika kunokonzera grenal adrenal uye kunokonzera zviratidzo zvakawanda zvinozivikanwa. " (Unogona kuverenga iyo yose "fact sheet" se PDF: Nhema Nechokwadi: Adrenal Fatigue.)
Kana iwe uri kuve nemafungiro ekuzvidzivirira iwe pachako kushandura zvirevo zvepamutemo kubva kumasangano echiremba achiomerera kuti fibromyalgia kana chisingagumi kuneta chirwere hachisi "chaiye" kurapa, kana kuti kunyange kuyeuka vanachiremba avo vachangobva kuomerera kuti zvokudya zvinonaka, uye kwete H. pylori bacteria , bvisa chiremera, iwe hausi woga.
Richard Shames, MD, akazopedza chikoro cheHarvard neYunivhesiti yePennsylvania, uye akadzidziswa zvakanyanya neNational Institutes of Health, uye ari chiremba anoremekedzwa uye anoremekedzwa anozivikanwa nehomoni mune zvekunze kwemakore anopfuura makumi matatu. Ndakamukumbira kuti ataure nezvekukakavadzana.
Richard Shames, MD: Handibvumi nezvinoitwa neHormone Foundation pamusoro pekuneta kwakanyanya. Nheyo yavo huru ndeyokuti "kudhakwa kwakanyanya" hakusi kunyatsoongorora uye hakuratidzirwe nesayenzi yezvokurapa. Izvi ndezvangu kana zvichida kunyengedza zvinyengeri-chokwadi, kana mishonga isinganzwisisiki mune zvematongerwo enyika.
Chero chiremba anofanirwa nemunyu wake anonzwisisa kuti izwi rokuti "adrenal tiredness" rinoreva kuderera kwekushaya kwakakwana. Mutemo weHormone Foundation unobvuma pachena kuti adrenal insufficiency ndeyechokwadi kuongororwa. Kune ini, vanoita sevari kuramba kuti kune vamwe vanhu vangave vane hunyoro hwechokwadi chaihwo .
Izvo zvishoma-kuona uye zvakanyanyisa.
Mubvunzo: Chimwe chezvinhu zvinonzi "fact sheet" inokurukura ndechokuti hapana muedzo unogona kuona kuwedzera kwekutya.
Richard Shames, MD: Kana ikozvino maitiro adrenal asingakwanisi kuongorora ropa ainyanya kuoma, tingasave tisina hurukuro iyi. Ikozvino kuongororwa ropa kunobatsira pakutsvaga maitiro akaoma ekushaya kukwana, rimwe raanoti chirwere cheAdisonison. Havasi vakanaka pakutsvaga maitiro akaoma. Vamwe vanhu vane chiremera, avo avo vese vari mutsvuku kana kuti vachena-vasina mvere dzemvura-vakave vakaedzwa kuti vataure pachena kuti kuonekwa kwekudzikama kwakanyanya kudarika "hakusi kuongororwa kwechokwadi."
Mubvunzo: Zvinoita sokuti kune kufanana kune varwere vane borderline hypothyroidism. Iyo yakawanda inonzi TSH test inoti "ndeyekuti," asi vanachiremba vakawanda zvino vanoziva kuti mazamu mukati memamwe anonzi "zvisizvo" mararamiro akarongwa angangodaro anoramba achiratidza chinetso chetachiona.
Richard Shames, MD: Hazvo. Kunyoroka kwechirwere kunofananidzwa kwakanaka kunononoka kwekushaya adrenal. Ikozvino kuongororwa ropa kunowanzosava nehanya zvakakwana kuti kuratidze mhinduro isina kukodzera kune vanhu vose vane zvechokwadi vane runyoro rwe hypothyroidism. Makumi gumi namashanu kana makumi maviri akapfuura vazhinji vesopinologist vakawanda vakanga vachiramba "mild hypothyroidism" sechokwadi chekuongorora.
Izvi zvinoshamisa zvakangofanana nezvino kuramba kwemaitiro adrenal insufficiency. Zvakatora makore ehupupuri hwezvesayenzi huchiwedzera, asi iye zvino vazhinji vesocrinologists vari kutaura, "Vanachiremba nevarwere zvakafanana vanofanira kunge vaine ruzivo rwechokwadi chaiyo yekusagadziriswa kwakanyanyisa kana kuti kumucheto hypothyroidism."
Mubvunzo: Ko kurapwa kwechiremba kuchazofamba nenzira iyoyo here?
Richard Shames, MD: Hungu, chokwadi. Iko ikozvino kwechiputi ndiyo imwe chete isiri nyaya, yakabva kune imwe chete isiri-mharo. Saka, apo kuongororwa kweropa kunowedzera zvakanyanya, uye / kana apo salivha yekuongororwa kwehomoni inowanikwa zvakanyanya kugamuchirwa mukati memazuva ose, kuneta kwakanyanya kuchaonekwa seicho kunyatsozivikanwa kuti zvechokwadi ndeyekuti: "unyoro wechirwere chisingaiti.
Mune mamwe mazwi, chimiro chinyoro chechokwadi chekuongorora, iyo ikozvino yakaenzana kuongororwa kweropa kunowanzoshaya.
Mubvunzo: Kusvikira kuongororwa kunonzwisisika uye kwakagamuchirwa zviri nani, chii chinofanira kuitwa?
Richard Shames, MD: Kutanga, zvose zvingabatsira kutanga kutumidzwa kuti hazvina kukwana, izvo zvinoreva, uye izvo "chaiye" chirwere chekuongorora chinotovapo. (ICD-9 yakakosha purogiramu yeiyi ndeye 255.4) Maitiro akadaro emamiriro ezvinhu chaiwo anokwanisa kuwanikwa zvino pamwe nekubatanidzwa kwezvakanaka zvenhoroondo yezvokurapa, pamwe nekuongorora kwepanyama, pamwe nekubatanidzwa kwepfungwa kweropa rakasarudzwa zvakanaka, urini, uye saliva kuedzwa. anofanira kuzviita iye zvino.
Mubvunzo: Zvakadini nezvirevo zveHormone Foundation / Endocrine Society kuti "... kuongororwa kweudrenal fatigue haisi kubva mune zvesayenzi kana kutsigirwa nekudzidza kwakanaka kwesayenzi ..."
Richard Shames, MD: Kune nhamba dzinoshamisa dzezvidzidzo zvezvesayenzi uye mabhuku akabudiswa nevatsvakurudzi ve endocrinology nevaporofesa, avo vanopokana nemashoko aya asinganzwisisiki pamusoro pekuneta kwakanyanya. Ini ndiri kushanda pane imwezve kudzokorora kwenyaya yacho, kugovana nevadzidzi vako, izvo zvichanyatsotsanangura uye zvinotarisa izvo vamwe vanachiremba neni ini tichiona sehunzira yakadzama pamusoro peyi nyaya, kusiyana neEminocrine Society inonyatsopesana nedambudziko rinokosha .