Ke luhi nei ʻoe i kekahi manawa me ke kumu ʻole? A i ʻole e emi koke ke kaumaha a piʻi paha ke kaumaha? Ke huhū nei ʻoe a hopohopo paha? ʻAʻole paha ʻoe i ʻike he pili paha kahi ʻōpū liʻiliʻi e like me ke ʻano o ka pulelehua ma ke alo o kou ʻāʻī i kēia mau mea. ʻO kēia ʻāpana liʻiliʻi akā koʻikoʻi loa i loko o ko mākou kino ua kapa ʻia ʻo ka thyroid gland. I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī a ma ke ʻano maʻalahi loa.
He aha kēia ʻano o ka thyroid?
I ka ʻōlelo maʻalahi, he ʻāpana liʻiliʻi ke kino o ka thyroid, e like me ke ʻano o ka pepeke, aia ma ke alo o ko kākou ʻāʻī, ma nā ʻaoʻao ʻelua o ka ʻōpū hanu. He ʻāpana ia o ka ʻōnaehana endocrine o ko kākou kino. ʻO kēia ʻōnaehana ke kuleana no ka hana ʻana i nā hormones a me ka kaohi ʻana i nā hana like ʻole i loko o ko kākou kino.
E noʻonoʻo e like ko kākou kino me kahi ʻoihana nui. A laila ʻo kēia ʻōnaehana endocrine ka ʻōnaehana hoʻokele e hoʻouna i nā leka i nā keʻena like ʻole o kēlā ʻoihana. Ua kapa ʻia kēlā mau leka he hormones. Ua like ka ʻōpū thyroid me kahi luna koʻikoʻi loa i loko o kēia ʻōnaehana.
He aha ka mea e hana maoli ai i ka ʻōpū thyroid?
ʻO ka hana nui a koʻikoʻi loa o ka ʻōpū thyroid, ʻo ia ke kāohi i ka wikiwiki o ka metabolism o ko mākou kino. ʻO ka "Metabolic rate" paha ke kani like me kahi huaʻōlelo ʻepekema, akā he maʻalahi loa ia. ʻO ia hoʻi ka wikiwiki o ka hoʻololi ʻia ʻana o ka meaʻai a mākou e ʻai ai i ka ikehu .
E noʻonoʻo i ko kākou kino e like me ke kaʻa. ʻO ka meaʻai a kākou e ʻai ai, ʻo ia ka wahie e hoʻoikaika ai i kēlā kaʻa. ʻO ke kelepa thyroid ke kumu o ka wikiwiki o ka puhi ʻana o kēia wahie.
- Inā kiʻekiʻe nā hormones thyroid: ʻOi aku ka wikiwiki o ka puhi ʻana o ka kinoea. ʻO ia hoʻi, kiʻekiʻe ka nui o ka metabolism. Hoʻopau koke ʻia ka ikehu o ke kino.
- Inā haʻahaʻa nā hormones thyroid: E puhi mālie ana ka wahie. ʻO ia hoʻi, ua haʻahaʻa ka nui o ka metabolism. Hoʻohana lohi ʻia ka ikehu.
No ka hana ʻana i kēia hana, hana nui ka thyroid gland i kekahi mau ʻano hormones.
- Thyroxine (T4): ʻO kēia ka hormone i hana ʻia ma ka hapa nui e ka thyroid gland. Eia naʻe, ʻaʻole ia e hoʻopilikia pololei i ka metabolism. Ke komo i loko o ke koko, hoʻololi ʻia kēia hormone T4 i ka hormone T3 ʻoi aku ka ikaika.
- Triiodothyronine (T3): ʻOiai ua hana ʻia ia i nā liʻiliʻi liʻiliʻi ma mua o T4, ʻo ia ka hormone T3 ke kuleana nui no ka kaohi ʻana i ka wikiwiki o ka metabolic.
- Calcitonin: Kōkua kēia hormone i ka kaohi ʻana i ka pae o ka calcium i loko o ko mākou koko.
ʻO ka mea nui loa, pono ka iodine i ka gland e hana i kēia mau hormones thyroid.He mea nui kēia mea. Loaʻa iā mākou ka nui o ka iodine mai nā meaʻai a mākou e ʻai ai, ʻoiai ka paʻakai pākaukau iodized a mākou e hoʻohana ai ma Sri Lanka.
Hana wale nō ka ʻōpū thyroid i kēia hana?
ʻAʻole loa. He ʻōnaehana paʻakikī loa ko kākou kino. Pono nō hoʻi ka ʻōpū thyroid e loaʻa nā kauoha mai luna mai e hana pono i kāna hana. Loaʻa kēia mau kauoha mai ko kākou lolo mai.
1. Luna - Hypothalamus: ʻO kēia ʻāpana o ka lolo ka luna nui loa. Inā ʻike ia he haʻahaʻa nā pae hormone thyroid, hoʻokuʻu ia i kahi hormone i kapa ʻia ʻo TRH.
2. Luna Hoʻokele - Pituitary gland: Ma ka loaʻa ʻana o ka leka TRH mai ka hypothalamus, hoʻokuʻu ka pituitary gland i loko o ka lolo i kahi hormone ʻē aʻe i kapa ʻia ʻo TSH (Thyroid-Stimulating Hormone). E like me ka inoa e hōʻike nei, hoʻoulu kēia i ka thyroid gland.
3. Mea Hana - Kelepona Thyroid: Ke kauoha ʻia ʻo TSH, hana ka ʻelepona thyroid i nā hormones T4 a me T3 a hoʻokuʻu iā lākou i loko o ke koko.
Ke hoʻi hou nā pae hormone thyroid i ke koko i ka maʻamau, e pau wale ka hoʻouna ʻia ʻana o kēia mau leka. Ua like ia me ke kaʻa i loko o kou hale e pio koke ana ke piha ka pahu wai. Penei ke ʻano o ko kākou kino e mālama ai i nā pae hormone i ke kaulike.
Pehea e pili ai ka pilikia thyroid i ke kino holoʻokoʻa?
E like me kā mākou i ʻōlelo ai ma mua, hoʻopilikia nā hormones thyroid i ka aneane o kēlā me kēia cell i loko o ko mākou kino. No laila, inā hana ʻole ka thyroid gland, hiki iā ia ke hoʻopilikia i kekahi mau ʻōnaehana i loko o ko mākou kino.
| ʻŌnaehana kino | Pehea e hana ʻia ai ka hopena |
|---|---|
| ʻŌnaehana puʻuwai a me ke kaʻapuni | Hoʻopilikia i ka helu o ka puʻuwai (piʻi a emi paha), ke koko, a me nā pae cholesterol. |
| ʻŌnaehana nerve a me ka noʻonoʻo | Inā haʻahaʻa nā hormones, hiki ke loaʻa ke kaumaha a me ka nalowale o ka hoʻomanaʻo. Inā kiʻekiʻe nā hormones, hiki ke loaʻa ka hopohopo, ka hoʻomaha ʻole, a me ka hiamoe ʻole. |
| ʻŌnaehana hoʻoheheʻe | Inā ʻaʻole lawa nā hormones, hiki ke loaʻa ka constipation, a inā nui loa nā hormones, hiki ke loaʻa ka diarrhea. |
| ʻŌnaehana hānau (wahine) | Hiki ke loaʻa nā pōʻaiapuni menstrual kūpono ʻole, ke kahe koko nui, a me nā pilikia hānau keiki. |
| ʻIli, lauoho a me nā kui | Hiki ke ʻike ʻia nā hōʻailona e like me ka ʻili maloʻo, ka hāʻule ʻana o ka lauoho, a me nā kui palupalu. |
ʻO nā maʻi nui e hiki ke hana e pili ana i ka thyroid gland
Hiki i nā loli i ka hana o ke kelepa thyroid ke alakaʻi i kekahi mau maʻi olakino nui. E nānā kākou i kēia mau mea ma ke kaʻawale.
1. Hypothyroidism - nele i ka hormone
I kēia kūlana, ʻaʻole hana ka ʻōpū thyroid i ka nui o nā hormones e pono ai. ʻO ka hopena, lohi ka metabolism o ko mākou kino a hoʻomaka ke kino holoʻokoʻa e hana "lohi".
Nā kumu nui:
- ʻO ka maʻi Hashimoto: He maʻi autoimmune kēia. ʻO ke ʻano kēia, ua kuhihewa ka ʻōnaehana pale ponoʻī o ko mākou kino i ka thyroid gland.
- Ka nele o ka ʻiodine.
- Wehe ʻana i ke kelepa thyroid ma ke ʻoki kino.
- Kekahi mau lāʻau lapaʻau.
2. Hyperthyroidism - hoʻonui ʻia nā hormones
ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hana ʻana o ke kelepa thyroid i nā hormones he nui ma mua o ka mea e pono ai. Hoʻonui nui kēia i ka metabolism o ko mākou kino, a me he mea lā e hoʻomaka ana ke kino holoʻokoʻa e "holo" i ka wikiwiki.
Nā kumu nui:
- Maʻi Graves: He maʻi autoimmune nō hoʻi kēia. I kēia kūlana, hoʻonui nui ka ʻōnaehana pale i ka thyroid gland.
- Nā nodules i loko o ka thyroid gland.
- ʻO ka maʻi thyroid.
Eia kahi papa e hoʻomaopopo maʻalahi ai i nā ʻokoʻa nui a me nā hōʻailona o kēia mau kūlana ʻelua.
| ʻAno | Hypothyroidism - nele i ka hormone | Hyperthyroidism - hoʻonui ʻia nā hormones |
|---|---|---|
| Kaumaha o ke kino | Piʻi ke kaumaha me ke kumu ʻole. | Ka pohō kaumaha ʻoiai ka ʻai maikaʻi ʻana. |
| Mahana kino | Paʻakikī ke hoʻomanawanui i ke anu. | Paʻakikī ke hoʻomanawanui i ka wela, ka hou nui. |
| Puʻuwai | Ka puʻuwai lohi . | Ka wikiwiki o ka puʻuwai (manaʻo e like me ka holo ʻana o kou puʻuwai). |
| Kūlana noʻonoʻo | Lethargy, kaumaha, nalowale ka hoʻomanaʻo. | Hoʻomaha ʻole, hopohopo, huhū. |
| Ikaika | Ka luhi nui a me ka hiamoe. | ʻAʻohe hiamoe, hyperactivity. |
| ʻIli a me ka lauoho | ʻIli maloʻo, ʻili ʻāʻī, hāʻule ka lauoho. | ʻIli lahilahi, hāʻule ka lauoho. |
3. Goiter - ka pehu ʻana o ke gland
ʻO ke ʻano kēia, ua hoʻonui nui ʻia ke kelepa thyroid. Inā ʻike ʻoe i kahi pehu e like me ka puʻupuʻu ma ke alo o kou ʻāʻī, he goiter paha ia. ʻAʻole pono nā kānaka a pau me ka goiter e loaʻa nā pae hormone thyroid maʻamau ʻole. I kekahi manawa, ʻoiai ua pehu ke kelepa, hiki ke maʻamau nā pae hormone. ʻO ka hemahema o ka iodine kekahi kumu nui o ka goiter.
4. Ka maʻi ʻaʻai thyroid
Ke hoʻohālikelike ʻia me nā maʻi kanesa ʻē aʻe, he mea maʻamau ʻole ka maʻi kanesa thyroid. Eia kekahi, hiki ke mālama ʻia ka hapa nui o nā ʻano maʻi kanesa thyroid. ʻAʻole paha e ʻike ʻia nā hōʻailona i nā pae mua. He mea nui e ʻimi i ke aʻo lapaʻau inā ʻike ʻoe i nā hōʻailona e like me ka puʻupuʻu ma ka ʻāʻī, ka loli o ka leo, a i ʻole ka paʻakikī i ke ale ʻana.
Pehea e ʻike ai inā he pilikia kou me ka thyroid?
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona i ʻōlelo ʻia ma luna, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka . E nānā ʻo ia iā ʻoe a, inā pono, e kauoha i kekahi mau hoʻokolohua.
ʻO ka hoʻāʻo koʻikoʻi a maʻalahi loa ka hoʻāʻo koko.
- Hoʻāʻo TSH: Ana kēia i ka pae o ka hormone TSH i hoʻokuʻu ʻia e ka pituitary gland. Inā ʻaʻole hana pono ka thyroid gland (ʻaʻole hana i nā hormones lawa), e kiʻekiʻe ka pae TSH. Inā hana nui ka gland, e haʻahaʻa ka pae TSH.
- Nā hoʻokolohua T4 a me T3: Inā pono, hiki i ke kauka ke ʻōlelo pololei i ke ana ʻana i ka pae o nā hormones thyroid i loko o ke koko.
Eia kekahi, inā he puʻupuʻu a pehu paha i loko o ka ʻōpū, hiki ke hana ʻia kahi scan ultrasound thyroid .
He aha nā lāʻau lapaʻau?
ʻO ka nūhou maikaʻi, hiki ke mālama pono ʻia ka hapa nui o nā maʻi thyroid. ʻOkoʻa ka lāʻau lapaʻau ma muli o ke kūlana.
- No ka hypothyroidism: Hoʻololi ʻia ka hormone thyroid haʻahaʻa o ke kino i waho. No kēia, ua kuhikuhi ʻia kahi pila e lawe ʻia i kēlā me kēia lā. Pono e lawe ʻia kēia lāʻau no ke ola holoʻokoʻa, akā hiki iā ia ke kōkua iā ʻoe e ola i kahi ola maʻamau.
- No ka hyperthyroidism: Aia nā lāʻau lapaʻau e like me nā lāʻau antithyroid, ka radioactive iodine therapy, a i kekahi mau hihia, ka wehe ʻana i ke gland ('Thyroidectomy').
- No ke kanesa thyroid: ʻO ka lāʻau lapaʻau nui ka wehe ʻana i ke kelepaʻi. Hiki ke ukali ʻia e ka radioactive iodine therapy a i ʻole nā lāʻau lapaʻau ʻē aʻe e like me ka mea e pono ai.
Inā paha e wehe loa ʻia ke kelepa thyroid, hiki iā ʻoe ke ola i kahi ola olakino me ka ʻole o nā pilikia ma ka lawe ʻana i kahi pila hormone i kēlā me kēia lā.
Leka Lawe-Home
- He ʻāpana liʻiliʻi akā koʻikoʻi ka thyroid i loko o ko mākou ʻāʻī e kaohi ana i ka metabolism o ke kino.
- ʻO ka piʻi ʻana o ke kaumaha i wehewehe ʻole ʻia, ka luhi nui, nā loli ʻana o ka naʻau, a i ʻole nā loli ʻana o ka puʻuwai puʻuwai kekahi mau hōʻailona o ka pilikia thyroid.
- Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai kali a e ʻike koke i kāu kauka . Hiki i kahi hoʻāʻo koko maʻalahi ke ʻike i ke kūlana.
- Hiki ke hoʻomalu pono ʻia nā maʻi thyroid he nui me nā lāʻau lapaʻau a i ʻole nā lāʻau ʻē aʻe, e ʻae ana i nā kānaka e ola maʻamau a olakino.
- He mea nui ka loaʻa ʻana o ka iodine lawa ma o nā meaʻai e like me ka paʻakai iodized no ka olakino o ka thyroid.
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