Iyoyo pfungwa yakanaka yekuziva njodzi dzinokonzera chirwere chetrosi. Izvi ndechokuti kana utachiona hwako huri kunyanyisa kana husingaitiki, zviratidzo zvekutanga zvinogona kunge zvisinganyatsooneki. Semuenzaniso, iwe unogona kuona kuti iwe wakanyanya kuneta kana wakawana uwandu hwekurema , uye uchibvisa izvi zvichienderana nekukwegura, kana kusanyanya kushanda. Mune mamwe mazwi, zviratidzo zvinowanzowanzo "nonspecific" uye nyore nyore kune chimwe chinhu.
Muzvokwadi, vanhu vanowanzocherechedza, pakuonazve, kuti vave vachirwara zviratidzo zvehutano hwetachiona kwemwedzi yakawanda kana kunyange makore vasati vasangana.
Ngatitarisei zvimwe zvezvinhu zvinokonzerwa nehutachiona hwetachiona. Kunyange zvazvo imwe yeiyi yakasiyana neye hyperthyroidism pane hypothyroidism, zvinokosha kuziva kuti nhoroondo ye hyperthyroidism inogona kutungamirira ku hypothyroidism mune ramangwana.
Gender
Vakadzi vanotarisana nemukana mukuru wekukura kwetachiona kupfuura varume. Kunyange zvazvo nyanzvi dzinopesana mukufungidzira kwadzo, zvinonzi vakadzi varipo kubva kune zvishanu kusvika kune masere pane imwe nguva inowanzoita kuti utachiona huve nani kupfuura varume.
Nhoroondo Yomunhu Pachake
Nhoroondo yako yehutachiona inowedzera dambudziko rako razvino rekuwedzera chirwere chetachiona. Somuenzaniso, kana mushure mokunge uine pamuviri waive ne postpartum thyroiditis yakagadzirisa iwe pachako, uri mungozi yakawanda yekukura nehutachiona zvakare mushure mekuita pamuviri kana kuti gare gare muupenyu.
Mukuwedzera, nhoroondo yega yega yega autoimmune chirwere (zvakadai se lupus, type 1 chirwere cheshuga, rheumatoid arthritis, kuparadza anemia kana chirwere cheCeliac) chinogona kuwedzera mungozi yako ekugadzira chirwere chetachiona chemhando yega yega seHashimoto's thyroiditis .
Family History
Imwe mhuri yehutachiona hwehutano inowedzera dambudziko rako rekukura kwetachiona chirwere.
Iyo ngozi inowedzera kana iwe uine chikwata chechikadzi chekutanga (amai, hanzvadzi, mwanasikana) ane chirwere chetachiona.
Chirwere cheTyroid
Kugadziriswa kubviswa kwezvose kana chikamu chetachiona kazhinji kunoguma ne hypothyroidism, utachiona husingaiti.
Inokonzera Iodine Treatment (RAI)
Utachiona hwehutachiona hwehutachiona hutachiona, hunoshandiswa kubata chirwere cheCheves / hyperthyroidism, uye inowanzoshandiswa sechikamu chekurapa kwekenza yekirori mushure mekuvhiyiwa, kazhinji kunoguma mu hypothyroidism.
Radiation Exposure
Kuchengetedzwa kwemutsipa kusvika kumagetsi, sekurapa kurapwa kwekenza yemusoro kana yemutsipa kana Hodgkin's lymphoma, kunowedzera mukana wekutapira chirwere chetachiona, uye kenza yekameti. Nenguva yakajeka mashizha anooneka mumamiriro ezvinhu, akafanana neaya akawana vanhu vakananga nemhepo yakasvibiswa nemhepo, zvokudya, mukaka, uye mvura mushure mokunge pangozi yenyukireya yeChernobyl muna 1986, inowedzerawo ngozi yekutapira chirwere chetachiona uye kenza yekameti.
Kubata / Post-Partum Nguva
Ngozi yekutengesa chirwere chetachiona chega autoimmune kana kuti thyroiditis yenguva pfupi inowedzera zvishoma paunenge uri nepamuviri uye mugore rokutanga mushure mekuberekwa. Zvechokwadi, zvinenge zvikamu 5 muzana zvevakadzi vanozvara zvinokura mushure mekuberekwa kwe thyroiditis , asi izvi zvinogona kuitika kusingazivikanwi sezviratidzo zvakadai sokuneta, kufungidzira, uye kusuruvara kunowanzoonekwa mushure mekunge pave shure.
Sodya Fodya
Vatsvakurudzi vakaona kuti kusvuta kunobatanidza nekubudirira kweGraves chirwere, kunyanya chirwere cheziso cheziso , chinetso chechirwere cheGrive. Kusvuta kunoderedzawo kubudirira kwehutano hwehutachiona hwetachiona.
Kushaya Iodine uye Kwaunogara
Kusava nekodhi yakakwana (inonzi iodine inoshaya ) inowedzera njodzi ye hypothyroidism uye goiter (utachiona hwekuwedzera.) Kushayikwa kweIodine kunowanzoonekwa mune dzimwe nyika dzichiri kusimukira uye nyika umo tafura yemunyu isiri iodized.
MuUnited States, kushayikwa kweIodine kunowanzoonekwa nevanhu vanorega kuisa munyu, uye mune vamwe vanhu vanogara munzvimbo (kazhinji makomo kana mukati) apo kune mazinga eodhi madiki mudenga nekudya.
Vamwe vanhu vakave vasina kusimba kweIodine mushure mekushandura kugungwa munyu (mukuedza kudya "utano hwakanaka" kudya) isina iodine.
Iodine Kuwedzerwa (Kujekesa / Kuita)
Kushandisa iodine kana mishonga inowedzera iodine, mupiritsi kana mafuta, nehuwandu iodine yakakwana inowedzera mukana wekutapukira kwetachiona chirwere uye hypothyroidism, uye, zvisingawanzo, hyperthyroidism kana thyrotoxicosis.
Mishonga uye Zvirwere
Zvimwe kurapwa kwechiremba nemishonga zvinowedzera mukana wekuvandudza utachiona husingaiti. Mienzaniso inosanganisira interferon-alpha, interleukin-2, uye amiodarone, pakati pevamwe.
Lithium inogona kukanganisa utachiona hwetachiona munzira dzakawanda. Iyi mishonga inoshandiswa bipolar disorder inobatanidza ne goiter, autoimmune thyroiditis, uye hyperthyroidism.
Goitrogenic Foods
Zvimwe zvekudya (kana zvidyiwa zvakasvibirika uye zvakawanda kwazvo) zvinowanzo zvine makemikari anokwanisa kusimudzira goiter uye anoita kuti hypothyroidism mune vamwe vanhu. Aya makemikari anozivikanwa seti goitrogens .
Zvimwe zvekudya zvinowanikwa mumakoritrogens zvinosanganisira miti ye cruciferous yakafanana nekakichi, maBrussels anobuda, broccoli, turnips, rutabagas, kohlrabi, radishes, cauliflower, African cassava, millet, uye kare. (Cherechedza: Avo vane maitiro ehutachiona ehutachiona uye chido chekuita autoimmunity vanoita kunge vari pangozi yakawanda.)
Soy Foods
Soy inofungidzirwa se goitrogen, uye dzimwe dzidzo dzakaratidza kuti soy inogona kuita kana kugovera ku hypothyroidism. Icho chinogona kupindirawo nemishonga inorapwa yehutano. Imwe tsvakurudzo inopesana, zvisinei, uye hapana kubvumirana.
Nyanzvi dzakawanda dzinokurudzira kuti vanhu vane chirwere chetachiona chega kana kuti goiter vasina kumbove nehutachiona avo vanovhiyiwa vanobviswa kudzivisa kuwandisa kwezvinhu zve soy, uye kunyanya, zvakanyanya kuiswa uye kushandiswa maitiro e soy akafanana neaya anowanikwa mumapiritsi nemafuta.
Zvimwe Zvimwe Zvinogona Kuisa Njodzi
Zvimwe zvisingawanzozivikanwi, asi zvinogona kuisa njodzi, zvinosanganisira:
- Zvine zvirwere zvinogona kupindira nekuisa zvinhu murotori (somuenzaniso, sarcoidosis kana hemochromatosis)
- Kuona kushungurudzika kukuru, kunosanganisira kushungurudzika mumuviri, kufanana nenjodzi yemotokari
- Kuberekwa nehutachiona husingaitiki (inonzi congenital hypothyroidism) kana chirwere chetroroid chiri panzvimbo isina kururama (inonzi ectopic hypothyroidism)
Shoko Rinobva
Mufananidzo mukuru pano ndewokuti kana chirwere chetachiona chichiwanzoitika, kune vamwe vanhu vanowanzova nehutachiona hwepamusoro kune vamwe.
Kunyangwe zvakadaro, zvakakosha kuramba uchifunga kuti nekuda kwekuti une imwe kana zvimwe zvinowanzoisa njodzi hazvireve kuti iwe unotofanira kukura chirwere chetachiona. Saizvozvowo, iwe unogonazve kukura matambudziko ehutori ne zero ngozi.
Zvose mune zvose, iyo inotaridzika mitambo-mungozi inowedzera mikana yako, asi haitauri kuti chero munhu upi zvake anenge aine chirwere.
Pakupedzisira, ramba uchiramba uri mutsigiri wehutachiona hwako uye hutano hwakakwana. Ziva zviitiko zvako zvinotyisa, zivo zviratidzo zvehutano hwemamiriro ehutano, uye taura nachiremba wako kana iwe usiri kungonzwa zvakanaka.
> Sources:
> Bajaj JK, Salwan P, Salwan S. Zvimwe zvinokanganisa zvinokonzerwa nehutachiona husingaiti: Kuongorora. J Clin Diagn Res . 2016 Jan; 10 (1): FE01-FE03.
> Kasper, Dennis L .., Anthony S. Fauci, naStefano L .. Hauser. Harrison's Principles of Internal Medicine. New York: Mc Graw Hill yembudzi, 2015. Print.
> National Institute of Diabetes and Digestive and Kidney Diseases. (2017). Chirwere Chetachiona uye Kuberekwa.
> Walter KN et al. Yakawedzera utachiona hunokurudzira hormone inobatanidza nekortisol yakakwirira mune varume nevakadzi vane hutano hwakanaka. Thyroid Res. 2012; 5:13.
> Wiersinga WM. Kusvuta uye utachiona. Clin Endocrinol (Oxf). 2013 Aug; 79 (2): 145-51.