Ukuhlushwa Yisifo Se-Hypothyroidism: Izimpawu, Izimbangela, Nokwelashwa

I-Hypothyroidism kwenzeka uma igciwane lakho le-thyroid lingakhi ama-hormone e-thyroid anele ukugcina umzimba wakho usebenza kahle. Cabanga nge-thyroid yakho njengoba i-thermostat yangaphakathi yomzimba wakho nomphathi wamandla. Uma isebenza kancane, konke emzimbeni wakho kuyacophelela, kusukela ezingeni lenhliziyo yakho kuya ekudayiseni kwakho kuya kokuthi ushise ama-calories ngokushesha kangakanani.

Lesi simo sihlupha izigidi zabantu emhlabeni jikelele, futhi izindaba ezinhle ukuthi silashwa kakhulu uma sesiqondiwe kahle. Abantu abaningi abane-hypothyroidism bangaphila impilo evamile, enempilo ngokunakekelwa okulungile nemithi.

Iyini i-hypothyroidism?

I-Hypothyroidism yisimo lapho igciwane lakho le-thyroid likhiqiza i-hormone ye-thyroid encane kakhulu. I-thyroid yakho iyigciwane elincane, elinobukhulu bebhatafu elitholakala phansi komhlane wakho, ngaphansi kwe-Adam's apple yakho.

Leli gciwane elincane linomsebenzi omkhulu. Likhiqiza ama-hormone alawula indlela umzimba wakho osetshenziswa ngayo amandla, athinta cishe yonke inhlangano emzimbeni wakho, futhi asisize ukulawula ukuguqulwa kwemvelo, izinga lenhliziyo, ukushisa komzimba, ngisho nengqondo yakho. Uma i-thyroid yakho ingakhi ama-hormone anele, izinqubo zomzimba wakho ziqala ukucophelela.

Lesi simo sithuthuka kancane ezimweni eziningi, okusho ukuthi izimpawu zivame ukuvela kancane ezinyangeni noma ngisho neminyaka. Lokhu kuqhubeka kancane kungenza kube nzima ukuqaphela i-hypothyroidism ekuqaleni, njengoba ungase ubeke izimpawu ekuhluphekeni, ukuguga, noma nje ukuba matasa.

Ziyini izimpawu ze-hypothyroidism?

Izimpawu ze-hypothyroidism zingazizwa zingenangqondo futhi ziyajwayelekile ekuqaleni, kungakho abantu abaningi bengaqapheli ukuthi banenkinga ye-thyroid. Ukuhamba komzimba wakho kuyasebenza kancane, ngakho ungase uqaphele ukuguquka kokuzwa kwakho, ukubukeka, nokusebenza usuku nosuku.

Nawa izimpawu ezivame kakhulu ongazihlangabezana nazo:

• Ukukhathala okuqhubekayo nobuthakathaka, ngisho noma ulale ngokwanele
• Ukuzuza isisindo okungachazeki noma ubunzima bokulahlekelwa isisindo
• Ukuzizwa ubandayo njalo kunokujwayelekile, ikakhulukazi ezandleni nasezinzwini
• Isikumba esomile, esikhrohliwe kanye nezinwele ezicwebezelayo, ezinciphile
• I-Constipation engathuthuki ngokushintsha ukudla
• Izinkinga zememori, ubunzima bokuhlala ugxile, noma ukuzizwa ungaqondi kahle
• Usizi, ukushintsha kwemizwelo, noma ukwanda kokucasuka
• Ubuhlungu bemisipha, ubunzima, noma ubuhlungu bezingqondo
• Izikhathi zenyanga ezisindayo noma ezingajwayelekile
• Intengo yomoya ephansi

Abanye abantu nabo baye baba nezimpawu ezingavamile ezingakhathaza. Lokhu kuhlanganisa izwi elihlwithiwe, ubuso obuqabukile noma amehlo aqaqambile, nokwanda kokuzwa imithi. Ungase futhi uqaphele ukuthi ukukhahlela okuncane noma izibazi kuthatha isikhathi eside ukululama kunangaphambili.

Khumbula ukuthi ukuba nesimpawu esisodwa noma ezimbili akusikho ukuthi uqaphele ukuthi une-hypothyroidism. Izimo eziningi zingabangela izimpawu ezifanayo, futhi abanye abantu abane-hypothyroidism ephansi bangaba nezimpawu ezimbalwa kakhulu eziphawulekayo nhlobo.

Imiphi imihlobo ye-hypothyroidism?

I-Hypothyroidism ngokuvamile ihlukaniswe ngokusekelwe lapho inkinga iqala khona emzimbeni wakho. Ukuqonda le mihlobo ehlukene kungakusiza ukuqonda kangcono ukuxilongwa kwakho kanye nendlela yokwelashwa.

I-Hypothyroidism eyinhloko yilona uhlobo oluvamile kakhulu, olumelela cishe u-95% yazo zonke izimo. Kulolu hlobo, inkinga ikhona ngqo ne-thyroid gland yakho. I-gland ayikhiwo i-hormone ye-thyroid eyanele, ngisho noma ubuchopho bakho buthumela izimpawu ezifanele ezikutshela ukuba wenze njalo.

I-hypothyroidism yesibili iyabakhulu kuncane futhi kwenzeka uma i-pituitary gland yakho ingakhiqizi i-thyroid-stimulating hormone (TSH) eyanele. Cabanga ngo-TSH njengomlayezeli otshela i-thyroid yakho ukuba iqale umsebenzi. Ngaphandle komlayezeli owanele, i-thyroid yakho ayazi ukuthi idinga ukukhiqiza i-hormone eyengeziwe, ngisho noma i-gland ngokwayo iphelele impilo.

I-hypothyroidism yesithathu iyindlela ehlukile kakhulu futhi kwenzeka uma i-hypothalamus yakho ingakhiqizi i-thyrotropin-releasing hormone (TRH) eyanele. Lokhu kufana nokuba nenkinga ne-control center eyalela i-pituitary gland ukuba ithumele imiyalezo ku-thyroid yakho.

Yini ebangela i-hypothyroidism?

Izici eziningi ezahlukene zingabangela i-hypothyroidism, nokuqonda imbangela kungasiza ukuqondisa ukwelashwa kwakho. Imbangela ehamba phambili ihluka kuye ngokuthi uhlala kuphi emhlabeni futhi uma indawo yakho inokudla okwanele kwe-iodine.

Imbangela ehamba phambili ye-hypothyroidism emazweni athuthukile yi-Hashimoto's thyroiditis, isimo sokuzimela komzimba. Kulesi simo, i-immune system yakho ihlasela i-thyroid gland yakho ngephutha, kancane kancane yonakalisa ikhono layo lokukhiqiza ama-hormone. Le nqubo ivame ukwenzeka kancane kancane eminyakeni eminingi, futhi abantu abaningi abazi ukuthi bayitholile kuze kube yilapho izimpawu ziqala ukubonakala.

Ezinye izindlela zokwelapha ngezikhathi ezithile zingabangela i-hypothyroidism njengomphumela ongafunwa:

• Ukwelashwa kwe-radioactive iodine ye-hyperthyroidism
• Ukuhlinzwa kwe-thyroid okuthatha ingxenye noma yonke i-thyroid gland
• Ukwelashwa ngomgogodla entanyeni yokwelapha umdlavuza
• Imithi ethile, kufaka phakathi i-lithium nezinye izidakamizwa zenhliziyo

Izimbangela ezingavamile zihlanganisa i-congenital hypothyroidism, lapho izingane zizalwa zine-thyroid gland engathuthukisiwe noma engapheli. Abanye abantu bathuthukisa i-hypothyroidism ngenxa yezinkinga ne-pituitary gland yabo noma i-hypothalamus, nakuba lezi zimbangela zingevamile kakhulu.

Emazweni athile lapho ukushoda kwe-ayodini kusavame khona, ukushoda kwe-ayodini ekudleni kusaseyimbangela ebalulekile. Kodwa-ke, lokhu kuyinqaba emazweni lapho usawoti ufakwe i-ayodini futhi ukudla kolwandle kuyatholakala kalula.

Nini kufanele ubona udokotela nge-hypothyroidism?

Kufanele ucabange ukuya kudokotela uma ubhekene nezimpawu eziningi ze-hypothyroidism ezihlala isikhathi esingaphezu kwamasonto ambalwa. Njengoba izimpawu zingaba zimuncu futhi zithuthuke kancane kancane, kulula ukuzidedela njengengxenye evamile yokuphila noma ukuguga.

Gcina ingqondo uma uzizwa ukhathele ngokungavamile naphezu kokulala ngokwanele, uthola isisindo ngaphandle kokushintsha ukudla kwakho noma uhlelo lokusebenza, noma uzizwa ubandayo lapho abanye abantu abakuzungezile bekhululekile. Lezi zivame ukuba yizimpawu zokuqala abantu abazibona.

Ungalindi ukufuna ukunakekelwa kwezokwelapha uma ubhekene nezimpawu ezinzima. Ukudideka okukhulu, izinkinga ezinkulu zememori, noma ukukhathala okukhulu okuhlupha imisebenzi yakho yansuku zonke kudinga ukuhlolwa kwezokwelapha ngokushesha. Ngokungavamile kakhulu, i-hypothyroidism engaphathwe ingabangela isimo esiyingozi esibizwa ngokuthi yi-myxedema coma, esidinga ukwelashwa okusheshayo.

Uma unazo izinto ezingase zikubangele isifo se-thyroid, njengomlando womndeni wezinkinga ze-thyroid noma ezinye izimo ze-autoimmune, cabanga ukuxoxa ngokuhlolwa kwe-thyroid nodokotela wakho ngisho noma ungenawo ama-symptom acacile. Ukutholakala kwangaphambi kwesikhathi kungavimbela izimpawu ekuthuthukiseni noma ekuwohlokeni.

Ziyini izinto ezingase zikubangele i-hypothyroidism?

Izinto ezithile zingandisa amathuba akho okuthola i-hypothyroidism, yize ukuba nezinto ezingase zikubangele akusho ukuthi uzokuthola ngokuqinisekile lesi simo. Ukuqonda lezi zinto kungakusiza uhlale uqaphele izimpawu ezingase zivele futhi uxoxe ngokuhlolwa nodokotela wakho.

Ubulili nobudala kudlala indima ebalulekile engozini yesifo se-thyroid. Abesifazane banamathuba amaningi okuba ne-hypothyroidism kunabesilisa, futhi le ngozi ikhula njengoba ukhula. Lesi simo sivame kakhulu kubesifazane abangaphezu kweminyaka engama-50, yize singase sibe khona kunoma iyiphi iminyaka.

Umlando wakho womndeni ubaluleke kakhulu uma kuziwa empilweni ye-thyroid. Uma unezihlobo ezikufuphi ezine-thyroid disease noma ezinye izimo ze-autoimmune, ingozi yakho iyanda kakhulu. Lokhu kusikisela ukuthi kungase kube khona izici ze-genetic ezenza imindeni ethile ibe sengozini yokulimala kwe-thyroid.

Izimo eziningi zezokwelapha zingakhuphula ingozi yakho:

• Ezinye izifo ze-autoimmune njenge-type 1 diabetes, i-rheumatoid arthritis, noma i-celiac disease
• Izinkinga ze-thyroid ngaphambili noma ukuhlinzwa kwe-thyroid
• Ukuvezwa kweradieysheni entanyeni yakho noma ehlombe eliphezulu
• Ukuthatha imithi ethile, ikakhulukazi i-lithium
• Ukukhulelwa kwamuva (i-postpartum thyroiditis)

Ukukhulelwa nesikhathi se-postpartum kufanele sikhumbule ngokukhethekile ngoba izinguquko ze-hormonal ngesikhathi nokukhulelwa kungase kubangele izinkinga ze-thyroid kwabesifazane abathile. Kungakho odokotela abaningi becela ukuhlolwa kwe-thyroid ngesikhathi sokukhulelwa nasezinyangeni ezimbalwa ngemuva kokubeletha.

Ziyini izinhlanganisela ezingase zenzeke ze-hypothyroidism?

Uma i-hypothyroidism ingaphathwa noma ingalawulwa kahle, ingabangela izinkinga eziningi zempilo ezingathi sína. Izindaba ezinhle ukuthi ngokwelashwa okulungile, lezi zinkinga zivimbeka kakhulu.

Izinkinga zenhliziyo ziphakathi kwezinkinga ezinkulu kakhulu ze-hypothyroidism engaphathwa. Inhliziyo yakho ingashaya kancane futhi ingasebenzi kahle, futhi ungase ube namanqanaba aphezulu e-cholesterol akhuphula ingozi yesifo senhliziyo. Abanye abantu baphuthuma inhliziyo enkulu noma ukwehluleka kwenhliziyo ngokuhamba kwesikhathi.

Izinkinga zempilo yengqondo zingathinta kakhulu ikhwalithi yokuphila kwakho. I-hypothyroidism engaphathwe ingenza ukucindezeleka kube kubi futhi ingase ibe nomthelela ezinkingeni zekhumbulo, ubunzima bokuqondisa, nasezimeni ezinzima, ngisho nokuqina kwengqondo. Lezi zimpawu zivame ukuthuthuka kakhulu ngokwelashwa okuqondile kwe-hormone ye-thyroid.

Ezinye izinkinga ezingase zenzeke zihlanganisa:

• I-Goiter (igxathu le-thyroid elikhulu) ngenxa yokukhuthazwa okuqhubekayo kokukhiqiza i-hormone eyengeziwe
• Ukungena engozini eyengeziwe yokutheleleka ngenxa yokunciphisa amandla omzimba
• I-Sleep apnea ngenxa yokukhula kwezicubu ehlombe
• Izinkinga zokuzala nezinselele ngesikhathi sokukhulelwa
• Ukonakala kwama-nerve okubangela ubuhlungu, ukungabi namandla, noma ukukhahlela ezandleni nasezinzwani

Ezimeni ezingavamile kakhulu, i-hypothyroidism ebuhlungu engaphathwe ingathuthuka ibe yi-myxedema coma, isimo esiyingozi elikhulu. Lokhu kuvame ukwenzeka kubantu abane-hypothyroidism isikhathi eside, engaphathwe ngokukhulu, ngokuvamile kubangelwa ukugula, ukuhlinzwa, noma ukuvezwa ebuqandeni.

Iphuzu eliyisihluthulelo okumele ulikhumbule ukuthi zonke lezi zinkinga zingavinjelwa ngokuxilongwa nokuphathwa okuqondile. Abantu abaningi abaphathwa kahle i-hypothyroidism baphila impilo evamile, enempilo ngokuphelele.

I-hypothyroidism ixilongwa kanjani?

Ukuxilongwa kwe-hypothyroidism kuvame ukuqala ngokuhlolwa okulula kwegazi, yize udokotela wakho azofuna ukuxoxa nawe ngezimpawu zakho nembali yakho yezokwelapha. Inqubo ivame ukuba lula, futhi ungalindela ukuthola izimpendulo ngokushesha.

Ivivinyo eliyinhloko le-hypothyroidism linganisa amazinga e-hormone yakho ye-thyroid-stimulating (TSH). Uma i-thyroid yakho ingakhiqizi i-hormone eyanele, i-pituitary gland yakho ikhiqiza i-TSH eyengeziwe ukuzama ukukhuthaza i-thyroid ukuba isebenze kanzima. Ngakho-ke amazinga aphezulu e-TSH avame ukukhombisa i-hypothyroidism.

Udokotela wakho angase futhi ahlole amazinga akho e-free thyroxine (free T4), okuqapha inani langempela le-hormone ye-thyroid ehamba egazini lakho. Ekuguleni kwe-hypothyroidism, la mazinga avame ukuba aphansi. Ngokuhlanganyela, lezi zivivinyo ezimbili zinikeza umbono ocacile wokuthi i-thyroid yakho isebenza kangcono kangakanani.

Ngezinye izikhathi ukuhlolwa okuengeziwe kuwusizo ekuqondeni imbangela ye-hypothyroidism yakho. Udokotela wakho angase ahlole ama-antibodies e-thyroid, ikakhulukazi uma ekungabaza i-Hashimoto's thyroiditis. Lezi zivivinyo zingakuqinisekisa ukuthi isimiso sakho sokuvikela sihlasele yini i-gland yakho ye-thyroid.

Ezimweni ezithile, udokotela wakho angase akukhuthaze ukuhlolwa kwe-ultrasound ye-thyroid ukuze abuke ubukhulu be-gland yakho ye-thyroid, ikakhulukazi uma engakwazi ukuzwa ukukhula noma ama-nodules ngesikhathi sokuhlolwa komzimba. Lo mkhuba awuhlungu futhi ufana ne-ultrasounds ezisetshenziswa ngesikhathi sokukhulelwa.

Iyini ukwelashwa kwe-hypothyroidism?

Ukwelashwa kwe-hypothyroidism kuvame ukuba okulula futhi kunomphumela omkhulu. Abantu abaningi bazizwa bekhulu kakhulu phakathi kwamasonto ambalwa kuya ezinyangeni ezimbalwa ngemuva kokuqala ukwelashwa, futhi le mithi ikuvumela ukuba uphile impilo evamile ngokuphelele.

Ukwelashwa okukhulu ukufakwa kwe-hormone ye-thyroid, ngokuvamile ngemithi ebizwa nge-levothyroxine. Lena inguqulo ye-synthetic ye-hormone i-thyroid yakho okufanele iyenze ngokwemvelo. Uzoyithatha le mithi kanye ngosuku, ngokuvamile ekuseni kakhulu isisu singenalutho.

Ukufumana umthamo ofanele kudinga isikhathi nokubekezela. Udokotela wakho uzoqala ngomthamo oqondene nezinto ezinjengobudala bakho, isisindo, nokuthi i-hypothyroidism yakho ibibi kangakanani. Uzodinga ukuhlolwa kwegazi okulandelayo njalo ngemva kwamasonto angu-6-8 ekuqaleni ukuze uhlole amazinga akho e-hormone futhi ulungise umthamo uma kudingeka.

Abantu abaningi bathola umthamo wabo omuhle ngaphakathi kwezinyanga ezimbalwa. Uma usuvele usesithamo esifanele, ngokuvamile uzodinga ukuhlolwa kwegazi kanye noma kabili ngonyaka ukuqinisekisa ukuthi amazinga akho ahlala eqinile. Izidingo zakho zokwelashwa zingashintsha ngokuhamba kwesikhathi ngenxa yezinto ezinjengokuguga, ukuguquka kwesisindo, noma eminye imithi.

Abanye abantu bayabuza ngezinhlanzi zemvelo ze-thyroid noma ukwelashwa okuhlanganisiwe. Nakuba lezi zinketho zikhona, i-levothyroxine yesynthetic iyilona lokhu ukwelashwa okunconywa yizinhlangano eziningi zezokwelapha ngoba liqondile, liqeqeshwe kahle, futhi lisebenza kubantu abaningi.

Kubalulekile ukuthatha imithi yakho njalo futhi njengoba kulotshiwe. Zama ukuyithatha ngesikhathi esifanayo nsuku zonke, futhi qaphela ukuthi ukudla okuthile, izithasiselo, kanye nemithi kungaphazamisa ukumuncwa.

Ungayiphatha kanjani i-hypothyroidism ekhaya?

Nakuba imithi iyisisekelo sokwelashwa kwe-hypothyroidism, kunezinto eziningi ongazenza ekhaya ukuze usekele impilo yakho yonke futhi usize imithi yakho isebenze kahle kakhulu. Lezi zindlela zokuphila zisebenza kangcono kanye, hhayi esikhundleni, sokwelashwa kwakho okunconywe.

Ukuthatha imithi yakho ngokufanele kwenza umehluko omkhulu ekutheni isebenza kangcono kangakanani. Thatha i-levothyroxine yakho ekuseni, okungenani imizuzu engama-30-60 ngaphambi kokudla, ngeglasi eligcwele lamanzi. Ikofi, izithasiselo zekhalsiyam, izithasiselo zesinyithi, nokudla okunamafutha aphezulu kungaphazamisa ukumuncwa, ngakho-ke linda okungenani ihora elilodwa ngemuva kokuthatha imithi yakho ngaphambi kokuba ube nalezi.

Ukudla ukudla okulinganisekile, okunomsoco kusekela impilo yakho yonke futhi kungasiza ekulawuleni ezinye izimpawu ze-hypothyroidism. Gxila ekudleni okugcwele, kufaka phakathi izithelo eziningi, imifino, amaprotheyini ahlanzekile, nama-grain aphelele. Abanye abantu bathola ukuthi ukulawula isisindo sabo kuyahlala kulula uma amazinga abo e-thyroid ehlanjululwe.

Ukuzivocavoca njalo kungakusiza ukulwa nokuqeda amandla, ukusekela ukuphathwa kwesisindo esinempilo, nokwenza ukuthi ube nomoya omuhle. Qala kancane uma ubelokhu uzizwa ukhathele, bese wandise kancane amazinga omsebenzi wakho njengoba amandla akho ephulukana nokwelashwa. Ngisho nemisebenzi emnene njengokuhamba, ukubhukuda, noma i-yoga ingaba usizo.

Ukuphatha ukucindezeleka kubaluleke kakhulu ngoba ukucindezeleka okuqhubekayo kungathinta umsebenzi wesitho sakho se-thyroid kanye nempilo yakho jikelele. Cabanga ngezindlela zokunciphisa ukucindezeleka njengokucamngca, ukuzivocavoca kokuphefumula okujulile, noma imisebenzi oyithandayo. Ukulala okwanele, okunekhwalithi nakho kuyasekela ukululama komzimba wakho nokulinganisela kwamahomoni.

Gcina ulandelela indlela ozizwa ngayo nanoma yiziphi izimpawu ozibonayo. Lolu lwazi lusisiza udokotela wakho ukuthi aqonde ukuthi uma izinga lemithi yakho lidinga ukulungiswa futhi lungakusiza ukuthi ubone izindlela noma izinto ezikwenza uzizwe ngendlela othile.

Kufanele ulungiselele kanjani ukubona udokotela wakho?

Ukulungiselela ukubona udokotela wakho kungasiza ukuqinisekisa ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi unikeze umhlinzeki wakho wezinsizakalo zempilo ulwazi olulodwa olukusizayo ngokuphumelelayo. Ukulungiselela kancane kungenza umehluko omkhulu ekunakekelweni kwakho.

Ngaphambi kokubona udokotela wakho, bhala zonke izimpawu ozibonayo, ngisho noma zibonakala zingahlobene. Faka ukuthi yini isimo ngasinye siqalile nini, ubunzima baso, nokuthi yini elikwenza libe ngcono noma libe sibi. Ungakhathazeki ngokuthi ingabe into iyabalulekile ngokwanele ukukhuluma ngayo – vumela udokotela wakho anqume.

Letha uhlu oluphelele lwamathuluzi, izithasiselo, namavithamini owathathayo, kufaka phakathi amazinga nokuthi uwasebenzisa kangaki. Amanye amaphilisi nezithasiselo angathinta umsebenzi wesitho se-thyroid noma ahlanganise ukufunwa kwemithi ye-thyroid, ngakho-ke lolu lwazi lubalulekile.

Bula ulwazi mayelana nomlando wezokwelapha womndeni wakho, ikakhulukazi noma yimiphi imitholampilo ye-thyroid, izimo ze-autoimmune, noma izifo ze-endocrine. Uma kungenzeka, thola ukuthi yibaphi ngokuqondile amalungu omndeni athintekile nezimo ababezinayo.

Lungiselela uhlu lwemibuzo ofuna ukuyibuza udokotela wakho. Ungase ufune ukwazi ngesizathu se-hypothyroidism yakho, ukuthi yini okulindelekile ekwelapheni, ukuthi uzodinga kangakanani ukuvakashela okulandelanayo, noma ukuthi kukhona yini izinguquko zendlela yokuphila okufanele uzenze.

Uma usuvele uthatha imithi ye-thyroid, qaphela noma yiziphi izingozi ezibe khona noma ukukhathazeka okukhonayo. Futhi, khomba uma ube nezinguquko ezimpahleni zakho kusukela uqale ukwelashwa noma ushintshe imithamo.

Ingakugwemeka yini i-hypothyroidism?

Ezimweni eziningi, i-hypothyroidism ayikwazi ukugwemeka ngoba izimbangela ezivamile kakhulu, njenge-Hashimoto's thyroiditis, yizimo ze-autoimmune ezinamalungu oluzwelo. Kodwa-ke, kunezinye izinyathelo ongazithatha ukuze usekele impilo yakho ye-thyroid futhi unciphise ingozi yakho.

Ukuqinisekisa ukungeniswa okwanele kwe-iodine kubalulekile empilweni ye-thyroid, yize ukushoda kwe-iodine kunqabile emazweni athuthukile ngenxa yokudla usawoti olunezinto ze-iodine kanye nokudla okunomhluzi. Uma uhlala endaweni enokushoda kwe-iodine noma ulandela ukudla okuqediwe kakhulu, xoxa ngokuthi ungangeza i-iodine nodokotela wakho.

Ukugwema ukungeniswa okukhulu kwe-iodine kubalulekile ngokufanayo, njengoba i-iodine eningi kakhulu ingaphazamisa umsebenzi we-thyroid. Qaphela ngezinsiza ze-iodine ngaphandle uma kunconywe ngudokotela wakho, futhi qaphela ukuthi ezinye izidakamizwa kanye ne-contrast agents ezisetshenziswa ekuboneni kwezokwelapha zinezinga eliphezulu le-iodine.

Ukuphatha ukucindezeleka nokugcina impilo enhle ngokujwayelekile kungasiza ekusekeleni isimiso sakho sokugcina futhi kunciphisa ingozi yokuthuthukisa izimo ze-autoimmune ze-thyroid. Ukuzivocavoca njalo, ukulala okwanele, kanye nokudla okulinganiselayo konke kuhlanganyela empilweni enhle.

Uma unezingozi zezifo ze-thyroid, njengomlando womndeni noma ezinye izimo ze-autoimmune, ukuhlola okujwayelekile kungasiza ekutholeni izinkinga ze-thyroid ekuqaleni lapho zilawuleka kakhulu. Ukutholakala ekuqaleni akuyona ukuvimbela, kodwa kungavimbela izinkinga futhi kukusize uzizwe ukhulu ngokushesha.

Iyini iphuzu eliyinhloko mayelana ne-hypothyroidism?

Okubaluleke kakhulu okumele uqonde nge-hypothyroidism ukuthi iyisimo esiphatheka kalula. Nakuba ingakwenza uzizwe ungaphili kahle uma ungaphathwa, abantu abaningi abane-hypothyroidism bangalindela ukuzizwa beqondile uma sebethole indlela efanele yokwelashwa.

Ungayideli inkinga yezimpawu eziqhubekayo, ikakhulu ukukhathala, ukwanda kobunzima, nokuzizwa ubandayo, ikakhulu uma unezingozi zesifo se-thyroid. Lezi zimpawu yindlela yomzimba wakho yokukutshela ukuthi kukhona okungalungile, futhi ukuhlolwa okulula kwegazi kungakunika izimpendulo.

Ukwelashwa kudinga isineke nokusebenzisana nodokotela wakho. Ukufumana umthamo ofanele wemithi kudinga isikhathi, futhi izidingo zakho zingashintsha eminyakeni eminingi. Ukulandelela njalo nokuxhumana okuvulekile nodokotela wakho kuyisihluthulelo sokuphathwa okuphumelelayo kwesikhathi eside.

Ngokwelashwa okufanele, i-hypothyroidism ayidingi ukukukhawulela nganoma iyiphi indlela. Abantu abaningi abaphathwa kahle i-hypothyroidism baphila impilo evamile, esebenzayo, enempilo. Isihloko ukuxilongwa, ukuqala ukwelashwa, nokuba zimisele ngohlelo lwakho lokunakekelwa.

Imibuzo evame ukubuzwa mayelana ne-hypothyroidism

Ingabe i-hypothyroidism ingaphela yodwa?

Ezimweni eziningi, i-hypothyroidism iyisimo esiqhubekayo esidinga ukwelashwa okuphila konke. Noma kunjalo, ezinye izimo ze-hypothyroidism zingezesikhashana, ikakhulu lezo ezihambisana nemithi ethile, ukukhulelwa, noma i-thyroiditis (ukuvuvukala kwe-thyroid). Udokotela wakho angakusiza ukuthola ukuthi i-hypothyroidism yakho cishe iyoba yesikhashana noma ihlale njalo kuye ngesizathu esiyimbangela.

Ingabe ngizokwanda ngobunzima nge-hypothyroidism?

Abantu abaningi abane-hypothyroidism bayazuza isisindo, kodwa ngokuvamile kuyancane – cishe ama-5-10 ama-pounds. Ukuzuza isisindo ngokuvamile kubangelwa ukugcinwa kwamanzi nokunciphisa ukusebenza komzimba kunokubutha kwamafutha. Uma amazinga akho e-thyroid elashwe kahle, abantu abaningi bathola kulula ukugcina isisindo esinempilo, yize isisindo esizuzwe ngesikhathi se-hypothyroidism engalashwanga singase singapheli ngokuzenzakalelayo.

Ngingakhulelwa yini uma ngine-hypothyroidism?

Yebo, abesifazane abaningi abane-hypothyroidism bangakhulelwa futhi babe nokubeletha okunempilo. Noma kunjalo, i-hypothyroidism engalashwanga noma engalawulwa kahle ingenza kube nzima ukuqala ukukhulelwa futhi ingandisa ingozi yezingxaki zokukhulelwa. Uma uhlela ukukhulelwa, sebenzisana nodokotela wakho ukuqinisekisa ukuthi amazinga akho e-thyroid alawulwa kahle ngaphambi kokukhulelwa naphakathi kokukhulelwa.

Ingabe ngidinga ukuthatha imithi ye-thyroid phakade?

Abantu abaningi abane-hypothyroidism badinga ukuthatha imithi ye-thyroid ukuphila kwabo konke. Lokhu akukhona ngoba imithi iyaswela noma iyingozi, kodwa ngoba isimo esiyisisekelo esibangele i-hypothyroidism yakho ngokuvamile alipheli ngokwalo. Cabanga ngakho njengokuthatha imithi yesimo esingapheli – ithatha indawo yento umzimba wakho oyidingayo ukuze usebenze kahle.

Ingabe ukucindezeleka kungabangela i-hypothyroidism?

Nakuba ukucindezeleka ngokwalo kungabangeli i-hypothyroidism ngokuqondile, ukucindezeleka okuqhubekayo kungathinta i-immune system yakho futhi kungenzeka kube nomthelela ezimweni ze-autoimmune njenge-Hashimoto's thyroiditis. Ukucindezeleka kungalimaza futhi izimpawu ze-hypothyroidism futhi kwenze kube nzima emzimbeni wakho ukusebenzisa i-hormone ye-thyroid ngokuphumelelayo. Ukuphatha ukucindezeleka kuyiyingxenye ebalulekile yempilo enhle ye-thyroid, yize kungesona isikhombisi sendlela yokwelashwa kwezokwelapha.