Sida Dhakhaatiirtu u Ogaadaan Cudurka Thyroid | Rugta Caafimaadka

Hypothyroidism-ka waxa qiimeeya oo baara dhakhtarka, dhakhtarkaaga daryeelka aasaasiga ah ama dhakhtarka endocrinologist. Arrimo badan, calaamado, iyo astaamo ayaa la tixgaliyaa marka la ogaado hypothyroidism.

Sidee lagu ogaadaa hypothyroidism?

Cilad-sheegid ayaa la gaaraa ka dib marka si qotodheer loo eego calaamadaha bukaanka, qoyska iyo taariikhda caafimaadka, arrimaha khatarta ah, baaritaanka jirka, iyo si wax ku ool ah, baaritaanka dhiigga. Waxaa jira noocyo badan oo baaritaanno dhiig ah, kuwaas oo kan ugu awoodda badan loo yaqaan baaritaanka TSH (hormoon-kicinta tayroodh). Si kastaba ha ahaatee, xaaladaha qaarkood, xirfadlayaasha daryeelka caafimaadku waxay u gudbin karaan bukaanada si ay u helaan wadarta T4 ama T4, T4 index free, ama xitaa thyroxine si ay u caawiyaan baaritaanka.

Waa maxay sababta Hypothyroidism aan lagu ogaan Calaamadaha Keliya

Qaar badan oo ka mid ah calaamadaha hypothyroidism waa cabashooyin soo noqnoqda oo laga helo dadka qaba qanjidhada tayroodhka caadiga ah, sidaas darteed way adkaan kartaa in la ogaado haddii calaamaduhu ay ku xiran yihiin qanjirka thyroid. Mid ka mid ah siyaabaha ugu wanaagsan ee lagu ogaan karo in calaamadahaagu ay la xiriiraan xaaladda tayroodh waa inaad tixgeliso muddada aad la kulantay. Tusaale ahaan, ma dareentay qabow markii dadka kale ay diirran yihiin? Miyaad hadda bilowday inaad dareento tamarta hoos u dhacday? Waxaa laga yaabaa inay la xiriirto arrinta tayroodh haddii aad bilowdo inaad aragto calaamado iyo calaamado cusub. Laakiin kaliya xirfadle daryeel caafimaad oo gaar ah (tusaale, endocrinologist) ayaa baari kara arrinta tayroodhka.

Taariikhda Caafimaadka iyo Qoyska

Waa muhiim inaad siiso takhtarkaaga tafaasiil badan intii aad awooddo oo ku saabsan taariikhdaada caafimaad ee gaarka ah, marka lagu daro taariikhda qoyska (tusaale, hooyada ayaa canbaar qabatay). Hubi inaad ka hadasho:

• Xaaladdaada guud ee caafimaadka, gaar ahaan isbeddel kasta oo aad ku aragtay fayoobidaada guud.
• Taariikhda caafimaadka qoyskaaga, gaar ahaan haddii qaraabo dhow laga helay hypothyroidism (ama arrimo kale oo la xiriira tayroodh).
• Haddii aad waligaa qaliin tayroodh ah lagugu sameeyay, ama shucaac luquntaada geliyey si aad wax uga qabato kansarka.
• Daawooyin kasta oo aad qaadan karto oo keeni kara hypothyroidism (tusaale, amiodarone, lithiumion, interferon alpha, interlukin-2, ama xataa kiimiko hore)

Qiimaynta Jirka

Dhakhtarkaagu wuxuu samayn doonaa baaritaan dhamaystiran oo wuxuu eegi doonaa calaamadaha jireed ee hypothyroidism, sida:

• Caddaynta maqaarka engegan
• Indhaha iyo lugaha oo barara
• falcelin qunyar socod ah
• garaaca wadnaha oo gaabis ah

Baaritaanka Dhiiga

Hypothyroidism waxaa lagu ogaan karaa iyadoo la isticmaalayo baaritaanno dhiig oo kala duwan sida:

Qiimaynta TSH

Hormoonka-kicinta tayroodhka ama TSH waa baadhis dhiig oo cabbiraysa qaddarka T4 (thyroxine) ee qanjidhka tayroodhka la tilmaamay inuu abuuro. Haddii aad leedahay heer aan caadi ahayn oo TSH ah, waxay muujin kartaa inaad qabto hypothyroidism.

T4 (thyroxine) Qiimaynta

Qanjirka 'thyroid' wuxuu soo saaraa T4 (thyroxine). T4 oo ay la socoto tusmada T4 ee bilaashka ah waa baaritaanno dhiig oo, iyadoo lala kaashanayo baaritaanka TSH, ay u sheegi karaan dhakhtarkaaga inuu ogaado in taayroodhku shaqaynayo.

Qanjirka adrenal wuxuu u sheegaa tayroodhka inta uu le'eg yahay tayrooxine inuu soo saaro iyadoo la adeegsanayo calaamadaynta TSH. Waxa jira unugyo ka soo baxa qanjirka pituitary ee go'aamiya waxa jidhkaagu yahay “goob go’an”. Meesha aad ururinayso waa habka caadiga ah ee TSH sida ay go'aamisay qanjidhada tayroodh ee jidhkaagu u baahan yahay.

Sida dhiiggu u qulqulo dhammaan qanjidhada pituitary, isla unugyadu waxay ogaanayaan haddii ay jiraan heerar T4 oo ku filan jirka. Pituitary-ga wuxuu u soo diraa qaddarka TSH qanjirka tayroodhka si uu u ilaaliyo heerarka qiyaasta caadiga ah haddii ay dhacdo in qaddarkaaga T4 ku filan yahay. Haddii heerkaagu aad u hooseeyo, pituitary-ga wuxuu u soo diri TSH bannaanka isagoo u sheegaya tayroodhka inuu sameeyo T4 badan. Haddii heerkaaga T4 uu aad u sarreeyo, pituitary-ga ayaa soo dira TSH ka yar, ka dibna u sheegaya tayroodh inuu sameeyo T4 yar.

Heerarka TSH ee caadiga ah iyo kuwa aan caadiga ahayn

• 0.4 mU/L ilaa 4.0 mU/L ayaa loo tixgaliyaa soo diyaarinta tixraaca (waxaa jiri kara kala duwanaansho yar oo ku xiran shaybaadhka), iyo dadka sida caadiga ah u shaqeeya qanjidhada tayroodh inta badan waxay ku dhacaan xadkan.
• Haddii TSH ay cabbirto> 4.0 mU/L, qiimayn labaad (T4) ayaa la sameeyaa si loo xaqiijiyo natiijooyinka. TSH p4.0/mU/L iyadoo la isticmaalayo heer aad u hooseeya T4 waxay muujinaysaa hypothyroidism.
• Haddii TSH-gaagu uu yahay> 4.0 mU/L oo ay weheliso heerkaaga T4 waa caadi, tani waxay ku dhiirigelin kartaa dhakhtarkaaga inuu tijaabiyo serum anti-thyroid peroxidase (anti-TPO). Marka unugyada difaaca jirka la helo, waxay calaamad u noqon kartaa cudurka qanjirka 'autoimmune thyroid', taas oo ah arrin halis u ah inuu ku dhaco hypothyroidism. Haddii ay dhacdo in aad leedahay unugyada ka-hortagga jirka, dhakhtarkaaga ayaa sameyn doona oo baari doona TSH ugu yaraan hal mar sannadkii.

Habka ugu fudud ee lagu xasuusan karo sida uu u shaqeeyo tayroodhku waa in laga fekero sahayda iyo baahida. TSH ayaa kor u kacda marka heerka T4 uu hoos u dhaco. TSH ayaa hoos u dhacda marka heerka T4 uu kordho. Laakiin qof kasta oo qaba hypothyroidism ma laha heerar sare oo TSH ah. Haddii pituitary-gu uusan si sax ah u shaqeynin, laga yaabee inuusan soo diri heerarka caadiga ah ee TSH. Laakiin haddii tirada TSH ay maqan tahay, tayroodhku ma samayn doono tirada saxda ah ee T4. Tani waa naadir waxaana loo yaqaan heerka labaad ama dhexe ee hypothyroidism.

Baaxadda macluumaadkayadu waxay ku xaddidan tahay xanuunka loo yaqaan 'chiropractic' iyo dhaawacyada laf dhabarta iyo xaaladaha. Si aad ugala hadasho ikhtiyaarada ku saabsan mawduuca, fadlan xor u noqo inaad weydiiso Dr. Jimenez ama nala soo xiriir 915-850-0900 .

Waxaa qoray Dr. Alex Jimenez

Mawduucyo Dheeraad ah: Caafimaadka

Guud ahaan caafimaadka iyo fayoobaanta ayaa lama huraan u ah ilaalinta dheellitirka maskaxeed iyo jireed ee saxda ah ee jirka. Laga soo bilaabo cunista nafaqo dheellitiran iyo sidoo kale jimicsiga iyo ka qayb qaadashada dhaqdhaqaaqyada jirka, hurdo seexashada waqti caafimaad leh si joogto ah, raacitaanka talooyinka caafimaadka iyo fayoqabka ugu fiican ayaa ugu dambeyntii caawin kara ilaalinta guud ahaan fayoobida. Cunista miraha iyo khudaarta badan waxay wax badan ka tari kartaa caawinta dadka inay caafimaad helaan.

MAWDUUCA ISBEDELKA AH: DHEERAAD AH: Ku saabsan Chiropractic