Chirwere chetachiona izwi rinoshandiswa kurondedzera huwandu hwakawanda hwehutano hwehutano hwehutano, umwe neumwe ane maitiro ake, zvinokonzera, marapirwo, nemigumisiro. Sezvimwe nemamwe marudzi mazhinji ezvirwere, hapana "imwe-size-inokodzera-yose" gadziriro yechirwere chinowanzozivikanwa nekusava nechokwadi.
Hyperthyroidism , inozivikanwawo setirosi yakanyanyisa, dzimwe nguva inoratidza zviratidzo zvishomanana kana kuti zvakanyanya sekutengesa upenyu hwehutano hwehutano hwehupenyu.
Kusiyana neizvi, hypothyroidism , utachiona husingagadziriswi, ingangodaro inoshungurudza kune imwe uye chirwere chinoparadza, chinochinja upenyu kune vamwe.
Saizvozvowo, kamudiki kadiki kemaperembudzi kemapirini angave akaoma kurapa, nepo chirwere chepachirwere chetachiona chine tarisiro yeupenyu hwemazuva mashoma semwedzi mina.
Kunyange zvazvo hapana chimwe chezvinhu izvi chiri kushamisa kune chero munhu anorarama ane chirwere chisingaperi, chirwere chetachiona chakasiyana pane kuti pane kuchinja kwakanyanyisa mune kuti inorapwa uye inobatwa sei.
Kuvandudza Kuongororwa Kwezvirwere Zvoutachiona
Imwe yenzvimbo dzokutanga uko humwe huwandu husina kukwana huri nehutano hwechirwere chetachiona. Nhungamiro yemazuva ano inongonyanya kutendeseka kuburikidza nekushandisa utachiona hunokurudzira hormone (TSH) mazinga senzira yekuongorora hutachiona hwehutachiona kana husingaiti.
Uchenjeri huripo hunofananidzira kuti TSH pamusoro apa 5.0 inofungidzirwa se subclinical hypothyroidism kwete kubvumirisa kurapwa, nepo TSH iri pamusoro pe10.0 inowedzera kuwedzerwa kwehutachiona hwechirwere.
Zvichipa kuti vamwe vanhu vanogona kuwana zviratidzo zvechirwere chetachiona paTSH mazasi pasi pe 0.5, zvinounza mubvunzo kana chisarudzo chekurapa chichifanira kutungamirirwa nenhamba yezviratidzo.
Ndokusaka dzimwe dzakawanda zvirwere zvezvirwere, kusanganisira izvo zvechirwere chisingaperi chinokonzera kupora (COPD), yatanga kutungamirira kurapwa zvichienderana nezviratidzo zvevarwere uye kuzviongorora kwekuti "zvakaipa" kana "zvakanaka" munhu wacho anotenda zviratidzo kuti be.
Kusiyana neizvi, mumunda we endocrinology, kuongororwa kwechirwere chetachiona kwave kuchigadzirisa kukakavadzana kwemakore anopfuura gumi nekusiyana kwakanyanya pakati pevashandi mune kuti chirwere chinowanikwa sei.
Kuti vape kupa ruzivo rwakanyatsoziva, vazhinji vesopinologist vakatora nzira yakawanda yekubatanidza kana vachiongorora munhu anotenda akabatwa nechirwere chetachiona. Semuyenzaniso:
- Vamwe vanachiremba vanotenderera pane yakazara TSH reference reference kuti zviongororwe.
- Utachiona hunowanzoshandiswa mune dzimwe nzira kuti utsvake goiters, mishonga, uye zvimwe zvisiri izvo iyo TSH isingagoni kuiona.
- Vamwe vanachiremba vakave vachinyanya kushanda pakuongorora zvikonzero zvinokonzera chirwere chetachiona, kushandisa maitiro ekurwisa zvirwere kuti vasabvisa kana kuratidza hutachiona hweHashimoto uye Graves '(izvo zvose zvinogona kukonzera zviratidzo zvisati zvaita kuchinja mahomoni ehutori).
- Vamwe vachiri kutora nzvimbo yekubata zvinhu zvakadai sehutachiona hweHashimoto (panguva iyo chirwere chetachiona chinoramba chichishanda) nechinangwa chekudzivisa kukura kwepamusoro pee hypothyroidism.
Kuvandudza Thyroid Treatment Approaches
Sezvo nekuongororwa kwechirwere chetachiona, kurapwa kwechirwere haufaniri kumboita cookie-cutter asi, zvinosuruvarisa, kazhinji.
Somuenzaniso, vanhu vanorwara neGraves 'chirwere uye hyperthyroidism, endocrinologists inowanzomhanyira kuIodine inopisa mahara (RAI) kubhadhara kwokutanga kwekutsvaga kuti "irove zvakaoma uye inokurumidza" apo nzira yakanyanya yekuchengetedza inogona kunge yakakosha uye isinganyanyi kuipa .
Vadzidzisi vane ruzivo, nenzira yakasiyana, vachatarisa kuoma kwechirwere, zviratidzo, uye nhoroondo yemurwere kuti vaite zvakanakira chirongwa chekurapa. Mune zviitiko zvakawanda, zvinodhaka zveitrothiyroid seTapazole (methimazole) zvinogona kupa kuregererwa kwenguva pfupi kana kusingagumi kubva kuGrave's disease pasina RAI, kuvhiyiwa, kana ngozi ye hypothyroidism.
Izvo zvinoenderana nekenza yekameti. Chimwe chiitiko chinogona kusanganisira chirwere chakakwana chekuvhiya chirwere, chinoteverwa ne RAI uye nepamusoro-dose thyroid hormone replacement therapy. Asi izvi zvinogara zvichidiwa here? Nhasi, vamwe vashandi vari kutora maitiro akawanda ekutarisira uye anoona kurapwa zvichienderana nehuwandu uye huwandu hwehutachiona.
Hakuna imwe iyo-yakakura-yakafanana-yose inoratidza zvakajeka kupfuura mukurapa hypothyroidism. Nhasi, nhungamiro yakatarisa inoshandisa kushandiswa kweLevothyroxine (yakagadzirirwa T4 hormone) kudzorera murwere kune "zvakajairika" mutsara.
Kunyange zvazvo mishonga yacho pachayo inogona kunyatsove yakasimba uye inoshanda mune vamwe vanhu, nzira yekucheka-kucheka inotarisa huwandu hwekuwedzera kwehutano hwekusarudzwa, kusanganisira:
- Tirosint , chimiro chitsva che hypoallergenic che levothyroxine chinonyanya kukoshesa kupfuura mahwendefa
- Cytomel (synthetic T3 hormone)
- Zvisikwa zvakasvibiswa nehutachiona zvinodhaka
- Levothyroxine pamwe chete neCytomel
- Levothyroxine pamwe chete nehupenyu hwehutachiona hwakarongwa
- Imwe tsika yakawedzerwa kuumbwa inosanganisira chero ipi zvayo yakanyorwa pamusoro apa
Izvi hazvirevi mazano ekuwedzera pamwe nekuchinja kwezvokudya zvinogona kubatsira kuderedza zviratidzo uye kuvandudza hutano hwehupenyu hwomumwe munhu akabatwa.
Shoko Rinobva
Sezvo masayendisiti anowedzera ruzivo rwezvirongwa zvehutachiona hwechirwere muhuwandu hwayo hwose, kusimbiswa kukuru kuri kuiswa pakutora nzira yakasiyana-siyana yekuongororwa uye kurapwa. Zvinoda kuti vanachiremba vatore munhu wacho mukufungisisa pamwe chete nehutachiona.
Kuti uite izvi, kana iwe (kana kuti iwe pachako uzvitende kuti une) chirwere chetachiona, tora nguva yekuzvidzidzisa iwe uye uve mutsigiri wekutarisira kwako. Paunosarudza chiremba, tora nguva yekubvunza mibvunzo yakawanda sezvaungagona kunzwisisa zvinoshandiswa kwauri. Kana chiremba asingakwanisi kugadzirisa zvinetso zvako, sangana nevamwe vanachiremba kana kutsvaka imwe pfungwa.
Nokuita kudaro, unogona kuita sarudzo dzakasarudzwa uye kuva nani uchichengetedzwa zvakanaka.