Haddii ay tahay dhakhtarka qoyska, dhakhtarka indhaha, dhakhtarka, ama dhir daaweeye, waxaa laga yaabaa inaanad helin macluumaad toos ah oo ku saabsan qanjirkaaga. Halkan waxa ku qoran shan waxyaalood oo badan oo khibrad iyo khiyaano ah oo khalad ah oo aad u badan tahay inaad maqasho, iyo sheekada dhabta ah ee aad u baahan tahay inaad ogaato.
1. Heerarkaagu waa caadi
Marka hore, waxa macnahiisu yahay "caadi". Toban sano ka hor, bulshada caafimaadku waxay tagtay heerka cabbirka ee 5.5 illaa 5.0 ku saabsan baaritaanka dhiigga ee qaaxada (TSH) dhiigga qiyaasta caadiga ah .
Haddii sambabadu ay ka hooseyso .5, waxaad ahayd hyperthyroid / aan firfircooneyn. Haddii uu TSHku ka sareeyo 5.0, waxaad ahayd hypothyroid / aan waxtar lahayn. Sanadkii 2002dii, labadaba Ururka American Endocrinologists iyo Iskoolada Qaranka ee Daaweynta Daawada Daawada Daawada ee Shaybaarada, "waxay ku taliyeen in qiyaasta caadiga ah dib loo eego .3 ilaa 3.0. Kadib, dhowr sano kadib, waxay ka tageen talooyinkaas. Waxaa laga yaabaa in aad qabtid heer darajo TSH oo ah "caadiga ah" inta caadiga ah, laakiin haddii aad ku jirto dhammaadka sare ee xadka, dhakhaatiirta qaarkood ma rumaysan yihiin inay tahay mid caadi ah ama caafimaad leh. Marka uu dhakhtarku kuu sheego heerkaagaagu waa "caadi", weydii waxa "caadi ah" isaga / iyada oo dhab ahaantii isticmaalaya si ay u go'aamiyaan.
2. Haddii aad qabtid Dhibaato Thyroid ah, qaado Iodine ama Kelp
Dhaqtarka caafimaadka dabiiciga ah ee aan si dhab ah u fahmin waxqabadka tayroodhka ayaa badanaa si dhakhso ah kuu sheegi kara "dhibaatooyinka qanjirada" micnaheedu waa inaad u baahan tahay iodine "ama caleemo iodine-ku-jira ama daawooyin, sida kelp, bladderwrack iyo bugleweed.
Haddii aad dhab ahaantii aad u yar tahay iodine, iodine ayaa laga yaabaa inay kaa caawiso inaad tirtirto. Cilmi-baarista ayaa muujisay in yaraanta iodineida ay dhab ahaantii kor u kacday Maraykanka, illaa iyo 12% dadka Maraykanka ah ayaa hadda iodine ku filan, oo ka yaraatay in ka yar 3 boqolkiiba horraantii 1970-yadii. Sidaa darteed, dadka qaarkood, iodine la'aanta waxay noqon kartaa arrin ku jirta dhibaatooyinkooda tayroodh .
Laakiin dadka qaarkood, iodine ama iodine-containing-ka ah ayaa ka sii dari kara dhibaatooyinka tayroodhka ah ee loo yaqaan ' Hashimoto' iyo 'Graves' , waxayna keenaan ballaarinta tayroodhka (goiter). Ka hor intaanad bilaabin iodine, waxaad tixgelisaa in aad kaadiso iodine oo lagu qiyaasay in la arko haddii aad haysatid wax aan fiicnayn, aadna fiiro gaar ah u yeelato astaamaha soo socda ka dib markaad bilowdo inaad qaadato iodine.
3. Waxaad leedahay Qabriin 'Cudurrada / Hyperthyroidism oo u Baahan Daaweynta Raadiyaha Iodine (RAI)
Marka ay timaado cudurada dheef-shiid kiimiko ah , cudurka Hashimoto, oo badanaa keena hypothyroidism, ayaa ah mid aad uga badan cudurka Graves, taas oo keena hyperthyroidism. Marxaladaha qaarkood ee cudurka Hashimoto , si kastaba ha ahaatee, gaar ahaan inta badan marxaladaha hore, qanjirada ku jirta geedi socodka foosha 'autoimmune failure' ayaa dhab ahaantii ficil u noqon karta oo si ku-meel-gaar ah u noqda mid xad-dhaaf ah, oo sameysma hyperthyroid. Mararka qaarkood, waa calaamadaha hyperthyroidism ku-meel-gaadhka- cabsida, wadnaha wadnaha , garaaca wadnaha, miisaan lumis, shuban, hurdo la'aan-marka hore u keena bukaanka Hashimoto ee dhakhtarka.
Nasiib darro, dhakhaatiirta qaarkood waxay amar ku bixiyaan baaritaanka TSH-ga, fiiri qadar yar oo ah 'hyperthyroidism', oo kugula taliya daaweynta shucaaca iodine- caadi ahaan daaweynta joogtada ah ee diideysa dheef-shiid kiimikaadkaaga, oo kaa dhigaysa hypothyroid nolosha.
Dhibaatadu waxay tahay in xaaladahaas, maaha cudurka Graves ' , iyo hyperthyroidism waa ku meel gaar ah, xaalad loo yaqaan "Hashitoxicosis." Xaaladdan, waxaa laga yaabaa inaad leedahay mudo ku meel gaar ah oo ah hyperthyroidism, laakiin dhab ahaantii waa inaad noqotaa habka loo yaqaan hypothyroid. Xaaladaha qaarkood, haddii aysan habboonayn hyperthyroidism waa mid halis ah oo aan la xakameyneynin isticmaalka mukhaadaraadka, daaweynta shucaaca qaaliga ah waa mid aan loo baahnayn.
Haddii laguu sheego in aad qabtid cudurka Graves ama hyperthyroidism, loona riixo RAI, wuxuu ku adkeeyaa baaritaanka dhiigga ee difaaca jirka ee xaqiijiya cudurka Graves ', iyo sidoo kale imtixaanada sawirka.
Waxaad rabtaa dhakhtarkaaga inuu muujiyo inaad dhab ahaan leedahay Graves '/ hyperthyroidism, oo kaliya ma hayso Hashitoxicosis ku meel gaar ah.
4. Heerkulka Jirka ee Basal Waxay Kajirisaa Cudurka Hypothyroidism
Halkan waa xaalad meesha heerkulka jidhka ee calaamadeysan, oo loo beddelay "hal darajo oo ku habboon" dhammaan qalabka hubinta ee aan si fudud u shaqeynin. Waxaa caafimaad ahaan loo yaqaanaa in hoormoonka tayroodhku uu saameyn toos ah ku yeesho basal, ama nasasho, heerka dheef-shiid kiimikaadka. Halka marka uu hypothermia, ama heerkulka jirka hoos u dhaco, waa calaamad la aqoonsan yahay oo loo yaqaan ' hypothyroidism' , qaar ka mid ah dhakhaatiirtu waxay aaminsan yihiin in heerkulka jirka uu yahay qalab ogaansho oo la ogaan karo. Daraasada Broda Barnes, MD ayaa dadweynaha si weyn uga warqabtay isticmaalka qiyaasta heerkulka jirka ee heerkulka aasaasiga ah (BBT) astaam iyo qalab lagu ogaanayo hypothyroidism. Waa nidaam lagu ogaanayo iyo la socodka wali ay isticmaalaan qaar ka mid ah xirfadleyda iyo xirfadlayaal kale.
Si aad u qiyaasto BBT-gaaga, isticmaal heerkulbeeg gaar ah BBT. Isla marka aad soo jeedid, dhaqdhaqaaqa yar, samee heerkulbeegga kilkishaada, ee ku xiga maqaarka, kana tag 10 daqiiqo. Diiwaangelinta akhriska saddex ilaa shan maalmood oo isku xiga. Dumarka weli wakhti ku ah caadada waa in aysan tijaabin shanta maalmood ee ugu horreeya muddadooda laakiin waxay bilaabi karaan maalinta shanaad. Ragga, iyo gabdhaha iyo haweenka aan caadada ahayn waxay tijaabin karaan wakhti kasta bisha.
Haddii celcelis ahaan BBT ay ka hooseyso 97.6 Fahrenheit, qaar xirfadleyaal ah oo dhammeystiran ayaa tixgelin doona baaritaanka qanjirka 'thyroid' ama 'thyroid hormone' oo aan ku filneyn. Celcelis ahaan BBT inta u dhaxaysa 97.8 iyo 98.2 ayaa loo arkaa inay caadi tahay. Heerkulka 97.6 ilaa 98.0 digrii Fahrenheit waxaa loo tixgeliyaa caddaynta hypothyroidism, iyo heerkulka ka hooseeya 97.6 digrii ayaa noqon kara calaamad muujinaysa hypothyroidism. Si kastaba ha ahaatee, dhakhaatiirta qaarkood, waxay eegaan heerkulka hoos yimaada 98 darajo si ay u muujiyaan cudurka hypothyroidism.
Isticmaalka heerkulka jirka ee asalka ah waa muran, si kastaba ha ahaatee, iyo xataa kuwa xirfadlayaasha isticmaala imtixaanku waxay ka digayaan in ay tahay qayb ka mid ah habka guud, oo aan kaliya ku tiirsaneyn.
5. Daaweynta Kaliya ee Hypothyroidism waa Synthroid
Waxaa laga yaabaa in mid ka mid ah dhakhaatiirta khatarta ugu badan ee soo noqnoqota ay soo noqnoqonayaan waa in Synthroid yahay daaweynta kaliya ee loogu talagalay hypothyroidism. Dhab ahaan, Synthroid waa magac calaamad u leh daawada "levothyroxine" -ka oo ah qaabka cirridka ee thyroxine hormoonka thyroid, oo loo yaqaan T4.
Synthroid waxay u muuqataa inay tahay daroogada ugu saraysa ee lagu iibiyo daawada levothyroxine , taas oo ugu wacan suuqgeynta. Si kastaba ha ahaatee, synthroid, had iyo jeer, waa markasta waa levothyroxine ugu qaalisan. Noocyada kale, oo loo tixgeliyo inay si siman wax ku ool ah u qabtaan dad badan oo xirfadlayaal ah, iyo had iyo jeer way ka qaalisan yihiin, oo ay ku jiraan Levoxyl iyo Unithroid. Bukaanjiifka qaarkood waxay ogaadaan inay ugu jawaab celiyaan hal calaamad oo aan aheyn 'synthroid-' sababtoo ah qaabka lakala jebiyo oo la nuugo, ama fuushooyinka iyo dhoobada ay isticmaalaan kuwa kala duwan.
Marka lagu daro daawooyinka levothyroxin , waxaa sidoo kale jira liotyronin-magaca guud ee hormoonka T3. Magaca calaamad waa Cytomel. Daawada T3 ee loo yaqaan 'levothyroxine' ayaa lagu ogaadey in ay caawiso qaar ka mid ah bukaannada qanjirka 'thyroid-ka' ay calaamadaha si waxtar leh uga yareeyaan Levothyroxine (T4) oo kali ah.
Ugu dambeyntii, waxaa jira qaybta daawooyinka rijeetada loo yaqaan 'thyroid' dabiiciga ah . Ha ku qaldamin kuwan la socota dheef-celinta qanjirka thieroid-ayna isku mid ahayn. Daawada qeeybteeda daawada ee loo yaqaan 'thyroid' - ayaa ah nooca ugu muhiimsan ee loo yaqaan ' Armor Thyroid' , laakiin sidoo kale waa la heli karaa Nature-throid, Thyroid WP, iyo guud ahaan ka samaysan Acella-waxaa laga sameeyaa qanjirada qallalan ee doofaarka. Waxaa ka mid ah T4 iyo T3 dabiiciga ah , oo lagu daro hoormoonada tayroodh oo aan hoos u dhicin oo ay ku jiraan T2 , T1. Dhaqaatiirta qaarkood, iyo gaar ahaan khabiirada caafimaad ee isku dhafan iyo kuwa dabiiciga ah, waxay ogaadaan in tayroodh dabiiciga ah uu u fiicanyahay bukaannada qaarkood.
> Ilo:
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10-aad. WLL / Wolters Kluwer; 2012.