A chang chuan chhan awm lovin i chau thin em? A nih loh leh i thau lutuk emaw, i thau zual emaw? Thinrimna emaw, lungkhamna emaw i nei ngai em? I kawr hma lama hnim hring ang chi gland te tak te chu heng thilteah hian a inrawlh thei tih i hre lo mai thei. He kan taksa peng te tak te, mahse pawimawh em em hi thyroid gland an ti a. Vawiin hian he thu hi chipchiar tak leh awlsam takin kan sawi dawn a ni.
He thyroid gland hi eng nge ni?
A awlsam zawngin sawi ila, thyroid hi hnim hring ang maia lian, kan kawr hmalam, thlipui tleh sir lehlamah awm a ni. Kan taksa endocrine system-a tel a ni. He system hian kan taksaah hormone a siam chhuak a, taksa hnathawh hrang hrang a thunun a ni.
Kan taksa hi company lian tak ang maiin han ngaihtuah teh. Tichuan he endocrine system hi chu company department hrang hranga thuchah thawntu management system a ni. Chu thuchahte chu hormone an ti a. Thyroid gland hi he system-a manager pawimawh tak ang mai a ni.
Thyroid gland hi eng nge thleng tak tak?
Thyroid gland hnathawh ber leh pawimawh ber chu kan taksa metabolic rate control hi a ni. "Metabolic rate" hi scientific term angin a ri thei a, mahse a awlsam hle. Kan ei tur chu chakna ah a chantir rate tihna a ni .
Kan taksa hi motor angin han ngaihtuah teh. Kan ei tur hi chu car fuel tuar a ni. Thyroid gland hian he fuel hi engtiang chiahin nge a kang tih a hril a ni.
- Thyroid hormone a tam chuan: Gasoline a kang chak zawk. Chu chu metabolic rate a sang tihna a ni. Taksa chakna hi a hmang ral thuai thin.
- Thyroid hormone a tlem chuan: Fuel a kang zauh zauh. Chu chu metabolic rate a hniam tihna a ni. Energy hman zawi zawia hman a ni.
He hna thawk tur hian thyroid gland hian hormone chi hrang hrang a siam chhuak ber a ni.
- Thyroxine (T4): Hei hi thyroid gland atanga hormone siam tam ber a ni. Mahse, metabolism chu direct-in a nghawng lo. Thisenah vawi khat a awm chuan he T4 hormone hi hormone active zawk T3 ah a inthlak thin.
- Triiodothyronine (T3): T4 aiin a tlem zawka siam ni mahse, metabolic rate control na ber chu T3 hormone a ni.
- Calcitonin: He hormone hian kan thisena calcium awm zat a control thei a.
A pawimawh ber chu heng thyroid hormone siam tur hian gland hian iodine a mamawh a ni.Element hi a pawimawh hle. Kan ei leh in atang hian iodine kan hmu tling a, a bik takin Sri Lanka rama kan hman thin iodized table salt atang hian kan hmu tlem hle.
Thyroid gland hian amah chauhin he hna hi a thawk em?
Ni miah lo. Kan taksa hi system complex tak a ni. Thyroid gland hian a hna dik taka thawk turin chunglam atanga thupek a dawn a ngai bawk. Heng thupekte hi kan thluak atanga lo chhuak a ni.
1. Boss - Hypothalamus: He thluak peng hi boss lian ber a ni. Thyroid hormone level a hniam tih a hriat chuan TRH tih hormone a tichhuak thin.
2. Manager - Pituitary gland: Hypothalamus atanga TRH message a dawn veleh thluaka pituitary gland chuan hormone dang TSH (Thyroid-Stimulating Hormone) tih chu a tichhuak leh thin. A hming ang bawkin hei hian thyroid gland a tichak a ni.
3. Worker - Thyroid Gland: TSH order a nih chuan thyroid gland hian T4 leh T3 hormone a siam chhuak a, thisenah a chhuah tir thin.
Thisena thyroid hormone level a normal leh chuan heng message te hi thawn chhuah a ni tawh lo mai thin. I in chhunga motor chu tui tank a khat chuan automatic a off ang mai a ni. Hei hi kan taksain hormone level a vawn that dan a ni.
Thyroid problem hian engtin nge taksa pum a nghawng?
Kan sawi tawh ang khan thyroid hormone hian kan taksa cell zawng zawng deuhthaw a nghawng a. Chuvangin thyroid gland hi a underactive a nih chuan kan taksa chhunga system engemaw zat a nghawng thei a ni.
| Taksa kalphung | Engtin nge a nghawng dan |
|---|---|
| Lung leh thisen kal dan (circulatory system). | Heart rate (a sang emaw tihhniam emaw), thisen sang, leh cholesterol level te a nghawng a ni. |
| Nervous system leh rilru | Hormone a hniam chuan depression leh memory loss a awm thei a ni. Hormone a tam chuan lungkhamna, hahdam lohna leh mut theih lohna a awm thei. |
| Chaw ei dan (digestive system) a ni | Hormone a tlem chuan chaw ei kham a awm thei a, hormone a tam lutuk chuan riltam a awm thei bawk. |
| Nau neih dan (hmeichhia) . | Menstrual cycle mumal lo, thisen chhuak nasa tak, leh nau neih chungchangah harsatna a awm thei. |
| Vun, sam leh nail te | A lan chhuah dan chu vun vawt, sam tlakchham, leh nail hring (brittle nail) te a ni thei. |
Natna lo awm thei ber berte chu thyroid gland nena inzawm a ni
Thyroid gland hnathawh dan inthlak danglamna hian damdawi lama harsatna lian tham engemaw zat a thlen thei a ni. Hengte hi a hranin han thlir ila.
1. Hypothyroidism – hormone tlakchhamna
Hetiang dinhmunah hian thyroid gland hian hormone mamawh zat a siam chhuak lo. Chuvang chuan kan taksa metabolism a tlahniam a, taksa pumpui chu "zawi zawiin" hna a thawk tan ta a ni.
A chhan ber chu:
- Hashimoto natna: Hei hi autoimmune natna a ni. Chumi awmzia chu kan taksa ngeia immune system hian thyroid gland hi a bei sual tihna a ni.
- Iodine tlakchham vang a ni.
- Thyroid gland chu surgery hmanga lakchhuah a ni.
- Damdawi thenkhat.
2. Hyperthyroidism – hormone a pung
Heta thil thleng chu thyroid gland hian a tul aia tam hormone a siam chhuak a ni. Hei hian kan taksa metabolism a tipung lutuk a, taksa pum pui chu chak zawka "tlan" tan ang maiin a lang.
A chhan ber chu:
- Graves natna: Hei hi autoimmune natna a ni bawk. Hetiang dinhmunah hian immune system hian thyroid gland a tichak lutuk a ni.
- Thyroid gland-ah nodules a awm.
- Thyroiditis natna a ni.
Heng natna pahnih danglamna leh a lan chhuah dan tlangpui awlsam taka hriatthiam theihna tur table kan rawn dah a ni.
| Mihring ziarang | Hypothyroidism - hormone tlakchhamna | Hyperthyroidism - hormone a tipung |
|---|---|---|
| Taksa rih zawng | Chhan awm lovin taksa rihna a pung. | Chaw ei tha mahse taksa rihna tihtlem. |
| Taksa lum leh vawt | Khua tuar harsa. | Khua lum tuar harsa, thawk hah lutuk. |
| Lungphun a rawn ri ta | Thinlung thawk zawi zawiin . | Rapid heartbeat (i thinlung a tlan chak ang maia hriat). |
| Rilru dinhmun | Lethargy, lungngaihna, hriatrengna hloh. | Restlessness, lungkhamna, thinrimna. |
| Chakna | Chauhna nasa tak leh mutthilh lohna. | Mut theih lohna, thiltih tam lutuk. |
| Vun leh sam | Vun ro, vun hring, sam tlakchham. | Vun a hring, sam a tlakchham. |
3. Goiter – gland a hring chhuak
Chumi awmzia chu thyroid gland chu a pangngai lo takin a lian tihna a ni. I kawr hma lamah lump ang maia hring i hmuh chuan goiter a ni thei. Goiter vei zawng zawng hian thyroid hormone level pangngai lo an nei vek lovang. A châng chuan gland chu a hring tawh chung pawhin hormone level chu a pangngai thei a ni. Iodine tlakchhamna hi goiter thlentu lian tak a ni.
4. Thyroid Cancer a awm thei
Cancer dang nena khaikhin chuan thyroid cancer hi a awm lo hle. Chu bâkah, thyroid cancer chi tam zâwk chu enkawl theih a ni . A tir lamah chuan symptoms a lang lo thei. I kawr chhunga hnim hring, aw inthlak danglam, ei harsa tih ang chi symptom i neih chuan doctor lam pan a pawimawh hle.
Thyroid lama harsatna i neih leh neih loh engtin nge i hriat theih ang?
A chunga kan sawi tak symptom pakhat emaw a aia tam emaw i neih chuan a tha ber chu i doctor pan hi a ni . A enfiah ang che a, a tul chuan test thenkhat order turin a ti ang.
Test pawimawh leh awlsam ber chu thisen test hi a ni.
- TSH test: Hei hian pituitary gland atanga TSH hormone chhuah zat a teh thin. Thyroid gland hian hna a thawk tha lo (hormone a siam chhuak tawk lo) chuan TSH level a sang ang. Gland a overactive chuan TSH level a hniam ang.
- T4 leh T3 test: A tul chuan doctor chuan thisen a thyroid hormone awm zat direct-a teh turin a rawt thei bawk.
Tin, gland-ah hian lump emaw swelling emaw a awm chuan thyroid ultrasound scan pawh tih theih a ni bawk.
Enkawlnate chu engte nge ni?
Thu lawmawm tak chu thyroid natna tam zawk hi hlawhtling taka enkawl theih a ni. Enkawlna hi a dinhmun a zirin a inang lo.
- Hypothyroidism tan: Taksa a thyroid hormone hniam tak chu pawn lam atanga thlak a ni. Chumi atan chuan nitin ei tur pill pakhat pek a ni. He enkawlna hi dam chhung atan ei a ngai tlangpui a, mahse nun pangngai tak nei turin a pui thei che a ni.
- Hyperthyroidism tan: Antithyroid damdawi, radioactive iodine therapy, a then phei chuan surgery hmanga gland lakchhuah (`Thyroidectomy`) ang chi enkawlna a awm.
- Thyroid cancer tan: Enkawlna ber chu surgery hmanga gland lakchhuah a ni. Hei hi a tul angin radioactive iodine therapy emaw, enkawlna dang emaw hmanga enkawl theih a ni.
Thyroid gland hi paih vek ni mah se, nitin hormone pill ei hian harsatna awm lovin nun hrisel takin i hmang thei a ni.
Take-Home Thuchah a ni
- Thyroid hi kan kawr chhunga gland te tak te, mahse pawimawh tak, taksa metabolism control tu a ni.
- Sawifiah loha taksa rihna sang, hah lutuk, mood inthlak danglam, emaw heart rate inthlak danglam te hi thyroid problem symptoms a ni thei.
- Heng symptoms te hi i neih chuan nghak suh la , i doctor hmu nghal suh . Thisen test awlsam tak hmangin a natna chu a hriat theih a ni.
- Thyroid natna tam tak chu damdawi emaw, enkawlna dang emaw hmangin hlawhtling taka control theih a ni a, chu chuan mi chu nun pangngai, hrisel takin a hmang thei a ni.
- Iodized salt ang chi ei tur hmanga iodine tling hmuh hi thyroid gland hrisel tak neih nan a pawimawh hle.
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