Zizindikiro ndi Zizindikiro za Hypothyroidism

Zamkati

• Kodi Hypothyroidism Ndi Chiyani?
• 1. Kutopa
• 2. Kunenepa
• 3. Kumva Kuzizira
• 4. Kufooka ndi Aches mu Minofu ndi Ziwalo
• 5. Kutayika kwa Tsitsi
• 6. Khungu lonyenya ndi louma
• 7. Kukhumudwa kapena Kukhumudwa
• 8. Kuvuta Kukhazikika Kapena Kukumbukira
• 9. Kudzimbidwa
• 10. Nthawi Zolemera Kapena Zosasintha
• Mfundo Yofunika Kwambiri

Matenda a chithokomiro ndiofala. M'malo mwake, pafupifupi 12% ya anthu amakumana ndi chithokomiro chachilendo nthawi inayake pamoyo wawo.

Amayi ali ndi mwayi wopitilira vuto la chithokomiro kuwirikiza kasanu kuposa amuna. Komanso, mavuto a chithokomiro amakula msinkhu ndipo amatha kukhudza akulu mosiyana ndi ana.

Pazofunikira kwambiri, timadzi ta chithokomiro timayang'anira mphamvu, kukula ndi kagayidwe kake m'thupi lanu.

Mavuto amatha kuchitika pamene milingo ya mahomoni iyi ndi yayikulu kwambiri kapena yotsika.

Hypothyroidism, kapena kuchepa kwa mahomoni a chithokomiro, kumachepetsa kagayidwe kanu ndikuchepetsa kukula kapena kukonza mbali zambiri za thupi.

Kodi Hypothyroidism Ndi Chiyani?

Chithokomiro ndi kansalu kakang'ono kokhala ngati gulugufe kamene kamadutsa kutsogolo kwanu.

Mukayika zala zanu pambali pa apulo lanu la Adam ndikumeza, mudzamva kuti chithokomiro chanu chikutsetsereka pansi pa zala zanu.

Amatulutsa timadzi ta chithokomiro, tomwe timayang'anira kukula ndi kagayidwe kazigawo zonse za thupi lanu.

Pituitary, kamphindi kakang'ono pakati pamutu mwako, kamayang'anitsitsa thupi lanu ndikutulutsa hormone yotulutsa chithokomiro (TSH). TSH ndiye chisonyezo cha chithokomiro kutulutsa chithokomiro ().

Nthawi zina kuchuluka kwa TSH kumawonjezeka, koma chithokomiro sichimatha kutulutsa timadzi ta chithokomiro poyankha. Izi zimadziwika kuti primary hypothyroidism, chifukwa vuto limayamba pamlingo wa chithokomiro.

Nthawi zina, kuchuluka kwa TSH kumachepa, ndipo chithokomiro sichimalandiranso chizindikirocho kuti chiwonjezere kuchuluka kwa mahomoni a chithokomiro. Izi zimatchedwa sekondale hypothyroidism.

Hypothyroidism, kapena "chithokomiro chotsika," imatha kuyambitsa zizindikilo zosiyanasiyana. Nkhaniyi ikuthandizani kuzindikira ndikumvetsetsa izi.

Nazi zizindikiro 10 zofala za hypothyroidism.

1. Kutopa

Chimodzi mwazizindikiro zodziwika bwino za hypothyroidism ndikumva kutopa. Mahomoni a chithokomiro amawongolera mphamvu zamagetsi ndipo amatha kutengera ngati mukumva kuti mwakonzeka kupita kapena kukonzekera kugona.

Mwachitsanzo, nyama zomwe zimabisala nthawi zambiri zimakhala ndi chithokomiro chochepa kwambiri chomwe chimapangitsa kuti zizigona mokwanira ().

Mahomoni a chithokomiro amalandila maubongo kuchokera kuubongo ndipo amalumikiza ma cell kuti asinthe magwiridwe ake, kutengera zomwe zikuchitika mthupi lanu.

Omwe amakhala ndi mahomoni ambiri a chithokomiro amanjenjemera komanso amanjenjemera. Mosiyana ndi izi, anthu omwe ali ndi chithokomiro chochepa amakhala otopa komanso aulesi.

Pakafukufuku wina, akulu 138 omwe ali ndi hypothyroidism adatopa ndikuchepetsa ntchito. Adanenanso zakuchepa komanso kumva kutopa kwamaganizidwe (, 4).

Anthu omwe ali ndi chithokomiro chochepa amakhala omasuka, ngakhale atakhala kuti akugona mokwanira.

Pakafukufuku wina, 50% ya anthu omwe ali ndi hypothyroidism amadzimva otopa nthawi zonse, pomwe 42% ya anthu omwe ali ndi mahomoni ochepa a chithokomiro adati amagona kuposa momwe amachitira (5,).

Kumva kugona tulo kuposa masiku onse osafotokozedwa bwino kungakhale chizindikiro cha hypothyroidism.

Chidule: Mahomoni a chithokomiro amafanana ndi gasi wothandizira mphamvu ndi kagayidwe kake. Mahomoni a chithokomiro otsika amakupangitsani kumva kuti mwatsalira.

2. Kunenepa

Kulemera kosayembekezereka ndi chizindikiro china chofala cha hypothyroidism ().

Sikuti anthu omwe ali ndi chithokomiro chochepa samangoyenda pang'ono - akuwonetsanso ziwindi, minofu ndi minofu yawo yamafuta kuti agwiritse ma calories.

Matenda a chithokomiro akatsika, kagayidwe kamakina kamasintha mitundu. M'malo motentha mafuta opangira kukula ndi ntchito, kuchuluka kwa mphamvu zomwe mumagwiritsa ntchito popuma, kapena kuchepa kwamagetsi, kumachepa. Zotsatira zake, thupi lanu limakonda kusunga zopatsa mphamvu zambiri kuchokera pazakudya monga mafuta.

Chifukwa cha izi, kuchuluka kwa mahomoni a chithokomiro kumatha kupangitsa kunenepa, ngakhale kuchuluka kwa zopatsa mphamvu zomwe zimadyedwa zimakhalabe zosasintha.

M'malo mwake, mu kafukufuku wina, anthu omwe ali ndi hypothyroidism atangopezeka kumene adapeza mapaundi 15-30 (7-14 kg) mchaka chomwe adapezeka (9).

Ngati mwakhala mukulemera, choyamba lingalirani ngati zosintha zina m'moyo wanu zitha kukufotokozerani.

Ngati mukuwoneka kuti mukulemera ngakhale mukudya bwino komanso kuchita masewera olimbitsa thupi, pitani ndi dokotala wanu. Kungakhale kodziwitsa kuti china chake chikuchitika.

Chidule: Hypothyroidism imadziwitsa thupi kuti lidye kwambiri, kusunga ma calories ndi kuwotcha ma calories ochepa. Kuphatikizana kumeneku kumabweretsa kunenepa.

3. Kumva Kuzizira

Kutentha ndi kotuluka kwa zopatsa mphamvu.

Mwachitsanzo, taganizirani momwe mumatenthera mukamachita masewera olimbitsa thupi. Izi ndichifukwa choti mukuwotcha mafuta.

Ngakhale mutakhala, mukuwotcha pang'ono ma calories. Komabe, pakakhala hypothyroidism, kuchuluka kwanu kwama metabolic kumachepa, kumachepetsa kutentha komwe mumapanga.

Kuphatikiza apo, mahomoni a chithokomiro amatulutsa mafuta opaka bulauni, omwe ndi mafuta apadera omwe amatulutsa kutentha. Mafuta abuluu ndi ofunikira pakusungitsa kutentha kwa thupi m'malo ozizira, koma hypothyroidism imalepheretsa kugwira ntchito yake (9).

Ndicho chifukwa chake kuchepa kwa mahomoni a chithokomiro kumakupangitsani kumva kuzizira kuposa ena omwe akuzungulirani. Pafupifupi 40% ya anthu omwe ali ndi chithokomiro chotsika kwambiri amakhudzidwa kwambiri ndi kuzizira kuposa masiku onse ().

Ngati mwakhala mukufuna chipinda chofunda kuposa anthu omwe mumakhala nawo ndikugwira nawo ntchito, izi zitha kungokhala momwe mumamangidwira.

Koma ngati mwazindikira kuti mukumva kuzizira kuposa masiku onse posachedwa, zitha kukhala chizindikiro cha hypothyroidism.

Chidule: Mahomoni a chithokomiro otsika amachepetsa kutentha kwa thupi kwanu, ndikukusiyani kuzizira.

4. Kufooka ndi Aches mu Minofu ndi Ziwalo

Mahomoni a chithokomiro otsika amasintha kagayidwe kake, pomwe thupi limagwetsa minyewa yathupi ngati minofu yamphamvu ().

Pakati pa katemera, mphamvu ya minofu imachepa, zomwe zimatha kubweretsa kufooka. Njira yothetsera minofu yathu imatha kupwetekanso ().

Aliyense amamva kufooka kamodzi. Komabe, anthu omwe ali ndi hypothyroidism amakhala ndi mwayi wambiri wofooka kuposa masiku onse, poyerekeza ndi anthu athanzi ().

Kuphatikiza apo, 34% ya anthu omwe ali ndi chithokomiro chochepa amatenga zipsinjo za minofu posakhala zochitika zaposachedwa ().

Kafukufuku wina mwa anthu 35 omwe ali ndi hypothyroidism adawonetsa kuti m'malo mwa mahomoni ochepetsa chithokomiro ndi mahomoni a chithokomiro otchedwa levothyroxine amalimbitsa mphamvu ya minofu ndikuchepetsa zopweteka ndi zowawa, poyerekeza ndi chithandizo chilichonse ().

Kafukufuku wina adawonetsa kusintha kwa 25% pamalingaliro azaumoyo pakati pa odwala omwe alandila chithokomiro ().

Kufooka ndi zopweteka ndizachilendo kutsatira zovuta. Komabe, chatsopano, komanso chowonjezeka, kufooka kapena kupweteka ndi chifukwa chabwino choti mupite kukakumana ndi dokotala wanu.

Chidule: Mahomoni ochepa a chithokomiro amachepetsa kuchepa kwa thupi lanu ndipo amatha kupweteketsa minofu.

5. Kutayika kwa Tsitsi

Monga ma cell ambiri, ma follicles atsitsi amalamulidwa ndi mahomoni a chithokomiro.

Chifukwa ma follicles atsitsi ali ndi maselo am'madzi omwe amakhala ndi moyo kwakanthawi kochepa komanso kutuluka mwachangu, amakhala ndi chidwi chambiri chithokomiro kuposa ziwalo zina ().

Mahomoni a chithokomiro otsika amachititsa kuti ma follicles amasiya kusinthanso, zomwe zimapangitsa kuti tsitsi lizitha. Izi zidzasintha pamene matenda a chithokomiro amachiritsidwa.

Mu kafukufuku wina, pafupifupi 25-30% ya odwala omwe akuwona katswiri wothothoka tsitsi amapezeka kuti ali ndi mahomoni otsika a chithokomiro. Izi zidakwera mpaka 40% mwa anthu opitilira 40 ().

Kuphatikiza apo, kafukufuku wina adawonetsa kuti hypothyroidism itha kubweretsa kuzimiririka kwa tsitsi mpaka anthu 10% omwe ali ndi mahomoni otsika a chithokomiro ().

Ganizirani za hypothyroidism ngati mukumana ndi kusintha kosayembekezereka pamtundu kapena tsitsi lanu, makamaka ngati tsitsi lanu limakhala losalala kapena lolira.

Mavuto ena a mahomoni amathanso kuyambitsa tsitsi mosayembekezereka. Dokotala wanu akhoza kukuthandizani kudziwa ngati kutayika kwa tsitsi lanu kuli vuto lililonse.

Chidule: Mahomoni a chithokomiro otsika amakhudza maselo omwe akukula mwachangu ngati ma follicles atsitsi. Izi zitha kupangitsa kuti tsitsi lithe komanso kuzimiririka kwa tsitsi.

6. Khungu lonyenya ndi louma

Monga ma follicles atsitsi, khungu la khungu limadziwika ndikutuluka mwachangu. Chifukwa chake, amathandizanso kutaya zikwangwani zakukula kuchokera ku mahomoni a chithokomiro.

Pamene mawonekedwe abwinobwino okonzanso khungu asweka, khungu limatha kutenga nthawi kuti libwererenso.

Izi zikutanthauza kuti khungu lakunja lakhalapo kwanthawi yayitali, ndikuwonongeka. Zimatanthauzanso kuti khungu lakufa limatha kutenga nthawi yayitali kuti ikhetse, zomwe zimabweretsa khungu lolimba, louma.

Kafukufuku wina adawonetsa kuti 74% ya anthu omwe ali ndi chithokomiro chotsika akuti khungu louma. Komabe, 50% ya odwala omwe ali ndi milingo ya chithokomiro amafotokozanso khungu louma pazifukwa zina, zomwe zimapangitsa kuti zikhale zovuta kudziwa ngati zovuta za chithokomiro ndizo zimayambitsa (,).

Kuphatikiza apo, kafukufukuyu adawonetsa kuti 50% ya anthu omwe ali ndi hypothyroidism akuti khungu lawo laipiraipira chaka chatha.

Kusintha kwa khungu komwe sikungayimbidwe chifukwa cha ziwengo monga hay fever kapena zinthu zatsopano kungakhale chizindikiro chazovuta zamatenda a chithokomiro.

Pomaliza, hypothyroidism nthawi zina imayambitsidwa ndimatenda amthupi. Izi zimatha kukhudza khungu, kuyambitsa kutupa ndi kufiira kotchedwa myxedema. Myxedema imafotokoza makamaka mavuto amtundu wa chithokomiro kuposa zina zomwe zimayambitsa khungu louma ().

Chidule: Hypothyroidism nthawi zambiri imayambitsa khungu louma. Komabe, anthu ambiri omwe ali ndi khungu louma alibe hypothyroidism. Myxedema ndikutupa kofiira, kotupa komwe kumafanana ndi mavuto a chithokomiro.

7. Kukhumudwa kapena Kukhumudwa

Hypothyroidism imalumikizidwa ndi kukhumudwa. Zifukwa za izi sizikudziwika bwinobwino, koma mwina ndi chizindikiro cham'magazi cha kuchepa mphamvu ndi thanzi ().

Azimayi 64% ndi 57% ya amuna omwe ali ndi hypothyroidism amafotokoza kukhumudwa. Pafupifupi gawo limodzi la abambo ndi amai amakhalanso ndi nkhawa (18).

Pakafukufuku wina, kusintha kwa mahomoni a chithokomiro kumathandizira kukhumudwa kwa odwala omwe ali ndi hypothyroidism, poyerekeza ndi placebo (19).

Kafukufuku wina wa atsikana omwe ali ndi hypothyroidism wofatsa adawonetsa kukhumudwa, komwe kumalumikizananso ndi kuchepa kokhutira ndi moyo wawo wogonana (18).

Kuphatikiza apo, kusinthasintha kwa mahomoni obereka pambuyo pobereka ndi komwe kumayambitsa vuto la hypothyroidism, komwe kumatha kubweretsa kukhumudwa pambuyo pobereka (,,).

Kumva kupsinjika ndi chifukwa chabwino cholankhulira ndi dokotala kapena wothandizira. Akhoza kukuthandizani kuthana nawo, mosasamala kanthu kuti kukhumudwa kumayambitsidwa ndi mavuto a chithokomiro kapena china chilichonse.

Chidule: Hypothyroidism imatha kubweretsa kukhumudwa komanso kuda nkhawa. Izi zikuwonetsedwa kuti zikuyenda bwino ndikubwezeretsa mahomoni a chithokomiro.

8. Kuvuta Kukhazikika Kapena Kukumbukira

Odwala ambiri omwe ali ndi hypothyroidism amadandaula za "ulesi" wamaganizidwe komanso kuvuta kuyang'ana. Momwe kuwonongeka kwamalingaliro kumeneku kumadzionetsera kumasiyana ndi munthu.

Pakafukufuku wina, 22% ya anthu omwe ali ndi chithokomiro chotsika amafotokoza kuchuluka kwa zovuta pakuchita masamu a tsiku ndi tsiku, 36% adalongosola kuti amaganiza pang'onopang'ono kuposa masiku onse ndipo 39% adanenanso kuti ali ndi vuto losauka ().

Pakafukufuku wina wa amuna ndi akazi 14 omwe ali ndi hypothyroidism osachiritsidwa, omwe adatenga nawo gawo adawonetsa zovuta kukumbukira zomwe akutchula [4].

Zomwe zimayambitsa izi sizikumveka bwino, koma zovuta zokumbukira zimawongolera ndi chithandizo cha mahomoni otsika a chithokomiro (,).

Zovuta zokumbukira kapena kusinkhasinkha zitha kuchitika kwa aliyense, koma ngati ali mwadzidzidzi kapena ovuta, atha kukhala chizindikiro cha hypothyroidism.

Chidule: Hypothyroidism imatha kuyambitsa utsi wamaganizidwe komanso kuvuta kuyang'ana. Zingasokonezenso mitundu ina ya kukumbukira.

9. Kudzimbidwa

Kutsika kwa chithokomiro kumayika mabuleki pakhosi lanu.

Malinga ndi kafukufuku wina, kudzimbidwa kumakhudza anthu 17% omwe ali ndi mahomoni otsika a chithokomiro, poyerekeza ndi 10% ya anthu omwe ali ndi vuto la chithokomiro ().

Phunziroli, 20% ya anthu omwe ali ndi hypothyroidism ati kudzimbidwa kwawo kukukulira, poyerekeza ndi 6% yokha ya anthu omwe ali ndi chithokomiro ().

Ngakhale kudzimbidwa kumakhala kudandaula wamba kwa odwala omwe ali ndi hypothyroidism, sizodziwika kuti kudzimbidwa ndi chizindikiro chokhacho kapena choopsa kwambiri ().

Ngati mukumva kudzimbidwa koma mukumva bwino, yesani mankhwalawa musanadandaule ndi chithokomiro chanu.

Ngati sizigwira ntchito, kudzimbidwa kwanu kumakulirakulira, mumapita masiku angapo osadutsa chopondapo kapena mumayamba kupweteka m'mimba kapena kusanza, pitani kuchipatala.

Chidule: Anthu ambiri omwe ali ndi kudzimbidwa alibe hypothyroidism. Komabe, ngati kudzimbidwa kumatsagana ndi zizindikiro zina za hypothyroidism, chithokomiro chanu chimatha kukhala chifukwa.

10. Nthawi Zolemera Kapena Zosasintha

Kutaya magazi osasamba komanso kolemera msambo kumalumikizidwa ndi hypothyroidism.

Kafukufuku wina adawonetsa kuti pafupifupi 40% ya azimayi omwe ali ndi timadzi tating'onoting'ono tating'onoting'ono timakumana ndi kusamba nthawi yayitali kapena kutuluka magazi kwambiri chaka chatha, poyerekeza ndi 26% ya azimayi omwe ali ndi milingo ya chithokomiro ().

Pakafukufuku wina, azimayi 30% azimayi omwe ali ndi hypothyroidism anali ndi nthawi zosasinthasintha komanso zolemetsa. Amayi awa adapezeka kuti ali ndi hypothyroidism pambuyo poti zina zidayambitsa mayeso awo ().

Mahomoni a chithokomiro amalumikizana ndi mahomoni ena omwe amayendetsa msambo, ndipo kuchuluka kwake kosokoneza kumasokoneza ziwonetsero zawo. Komanso, mahomoni a chithokomiro amakhudza kwambiri thumba losunga mazira ndi chiberekero.

Pali zovuta zingapo kupatula hypothyroidism zomwe zimatha kuyambitsa nthawi zolemetsa kapena zosasintha. Ngati mumakhala ndi nthawi yovuta kapena yolemetsa yomwe imasokoneza moyo wanu, lingalirani zolankhula ndi mayi musanadandaule za chithokomiro chanu.

Chidule: Nthawi zolemetsa kapena zovuta zomwe zimakhala zoyipa kuposa masiku onse zimatha kuyambitsidwa ndi matenda, kuphatikizapo hypothyroidism. Ndibwino kuti mukambirane ndi mayi wazachikazi za iwo.

Mfundo Yofunika Kwambiri

Hypothyroidism, kapena chithokomiro chotsika, ndimatenda wamba.

Zimatha kuyambitsa zizindikilo zosiyanasiyana, monga kutopa, kunenepa komanso kumva kuzizira. Zitha kukhalanso ndi mavuto ndi tsitsi lanu, khungu, minofu, kukumbukira kapena kusinthasintha.

Chofunika kwambiri, palibe mavuto aliwonsewa omwe amapezeka ku hypothyroidism.

Komabe ngati muli ndi zingapo mwazizindikiro kapena kuti zatsopano, zikukulirakulira kapena zovuta, onani dokotala kuti akuuzeni ngati mukufuna kuyesedwa ndi hypothyroidism.

Mwamwayi, hypothyroidism nthawi zambiri imachiritsidwa ndi mankhwala otsika mtengo.

Ngati mahomoni anu a chithokomiro ndi otsika, chithandizo chosavuta chingakuthandizeni kwambiri kukhala ndi moyo wabwino.

Werengani nkhaniyi m'Chisipanishi.