Kua whakaaro kē koe mō taua okana iti, āhua pūrerehua e noho ana i raro i te kiri i te pūtake o tō kaki? Ko tō repe tairoi tēnā. He wāhanga tino whakamiharo, he wāhanga nui hoki o tō tinana. Ki te kī ngāwari, ko tēnei okana iti te kaiwhakahaere matua mō ngā mahi tino nui o tō tinana.
He aha te repe tairoiti, ā, he aha te pūnaha endocrine?
Me tīmata tātou mā te mārama ki te tikanga o te tairoi. E ai ki taku kōrero, he repe iti, he āhua pūrerehua, kei mua tonu i tō kaki, i raro noa i tō puku manawa. He mea nui tēnei i roto i tō pūnaha endocrine .
Tērā pea kei te whakaaro koe, "He aha rawa te pūnaha endocrine, e Tākuta?" Whakaarohia he whatunga o ngā wheketere iti, motuhake puta noa i tō tinana. Ka whakaputahia e ēnei wheketere ngā matū nui e kiia nei ko ngā homoni . Ka tukuna tika atu e ēnei repe ngā homoni ki roto i tō toto, ka haere puta noa i tō tinana ki te tuku karere ki ō whekau, kiri, me ngā uaua. Ka mahi rātou pērā i ngā karere, e kī ana ki tō tinana he aha te mea hei mahi me te wā hei mahi.
Ko ētahi atu repe o tō pūnaha endocrine ko:
- Hypothalamus
- Repe pituitary
- Ngā repe parathyroid
- Ngā repe adrenal
- Repe pineal
- Pancreas
- Ngā ovaries (i roto i ngā wāhine)
- Ngā whakamātautau (i roto i ngā tāne)
Ko te mahi matua a tō tairoi he whakahaere i te tere o tō pākia . Ko te "pākia" he tukanga noa iho o te huri i te kai e kainga ana e koe hei pūngao. Me whai pūngao ia pūtau o tō tinana kia mahi ai, ā, ko tō tairoi te kaiwhakahaere i te tere o te hanga me te whakamahi a tō tinana i taua pūngao.
Kia maumahara, ki te kore e mahi tika tō repe tairoi , ka pā pea ki tō tinana katoa. Koia te mea nui kia mōhio koe ki te hauora o tō tairoi.
He aha te mahi a taku repe tairoi?
Hei repe endocrine, ka whakaputa, ka tukuna hoki e te tairoi ētahi homoni:
- Thyroxine (T4) ( Thyroxine ): Koinei te homoni matua e hangaia ana e te tairoiti. Ahakoa kāore he pānga nui ki te pākia o te tinana, ina uru te T4 ki roto i te toto, ka hurihia hei T3 mā te tukanga e kiia nei ko te deiodination.
- Triiodothyronine (T3): He iti ake te T3 e whakaputaina ana e te tairoi i te T4, engari ko te T3 te homoni tino kaha e pā ana ki te tere o te pākia o tō tinana.
- Triiodothyronine whakamuri (RT3): He iti noa te rahinga e puta ai tēnei. Ka mahi te RT3 ki te whakahuri i ngā pānga o te T3.
- Calcitonin: Ka āwhina tēnei homoni ki te whakahaere i te taumata o te konupūmā i roto i tō toto.
Hei whakaputa i ēnei homoni, me whai i te huānga iodine tō repe tairoiti. Ka whiwhi koe i te iodine mai i tō kai (ina koa ko te tote iodized) me te wai. Ka hopukina e te tairoiti tēnei iodine ka hurihia hei homoni tairoiti. Mena he iti rawa, he teitei rawa rānei ō taumata iodine, ka taea e ia te whakararu i te kaha o tō tinana ki te whakaputa tika i ēnei homoni.
He maha ngā pānga o ngā homoni tairoi ki tō hauora, tae atu ki:
- Te whakamahinga o te pūngao e tō tinana ( te pākia o te tinana )
- Te tere o te manawa
- Te manawa
- Te nakunaku
- Te pāmahana tinana
- Te whanaketanga o te roro
- Ngā mahi hinengaro
- Te tiaki kiri me te wheua
- Te momonatanga
He aha atu ngā whekau me ngā repe e taunekeneke ana ki te tairoi?
He whatunga tino uaua tā tātou pūnaha endocrine. He maha ngā repe e whakawhirinaki ana ki ngā tohu a ētahi atu hei tīmata i tā rātou mahi, ā, ka taea e ētahi homoni te pehi i te mahi a ētahi atu.
He pūnaha matatau tō tinana hei whakahaere i ngā taumata o ngā homoni tairoi. Tuatahi, ka tukuna e tētahi wāhanga o tō roro, ko te hypothalamus te ingoa, he Homoni Tuku-Tairoi (TRH). Mā tēnei ka tohu ki te repe pituitary kia tukuna te Homoni Whakaoho-Tairoi (TSH). Kātahi ka whakaoho te TSH i ngā pūtau follicular i roto i tō tairoi kia whakaputa i te T4 me te T3, mena he nui te iodine kei roto i tō tinana.
Ka pāngia e ngā homoni tairoi te nuinga o ngā pūnaha o tō tinana, hei tauira:
- Pūnaha manawa: Ka āwhina te tairoi ki te whakahaere i te putanga o te ngakau, te tere o te ngakau, me te kaha o te whakahekenga o te ngakau.
- Pūnaha io: Ina kore te tairoi e mahi tika, ka pāngia pea koe e ngā tohu e pā ana ki te io pērā i te ngoikore , te ngau , te mamae, te wera rānei. Hei tāpiri, ka taea e te tairoi kore mahi (hypothyroidism) te arahi ki te pouri , ko te tairoi kaha rawa (hyperthyroidism) ia ka taea e te manukanuka te arahi.
- Pūnaha nakunaku: Ka awe te tairoi i te nekehanga o te puku, arā, te nekenga o te kai i roto i tō ara nakunaku.
- Pūnaha whakaputa uri: Ka taea e ngā raruraru tairoi te arahi i ngā huringa paheketanga koretake i roto i ngā wāhine, me ngā wero momona mō ngā ira e rua.
Ka taea e te tangata te ora me te kore he repe tairoi?
Ae, ka taea. Heoi, ki te tangohia te repe, me tango e koe he rongoā whakakapinga homoni mō te toenga o tō oranga kia noho ora ai koe, kia kore ai hoki e pāngia e ngā raruraru. Ko te pokanga hei tango i te tairoiti, e mōhiotia ana ko te thyroidectomy , he tikanga noa mō ētahi mate tairoiti.
Kei hea te tairoi, ā, he aha ngā wāhanga o roto?
E ai ki taku kōrero, kei mua o tō kaki te tairoi, e takoto ana i runga i tō trachea (te pūaha o te manawa) . He rite tōna āhua ki tētahi pūrerehua—he iti ake i waenganui, e rua ngā parirau nui e horapa ana ki ngā taha. Ko te tairoi hauora, kāore e kitea, e taea te pā atu rānei hei puku; kaua e taea e koe te rongo ina pā atu koe ki mua o tō kaki.
E rua ngā wāhanga matua o te tairoiti: ko ngā pūwero me te piriti hono e kiia nei ko te isthmus tairoiti . He mea tito mai i ngā pūtau follicular tairoiti (thyrocytes) e whakaputa ana, e penapena ana hoki i ngā homoni tairoiti (T3 me te T4), me ngā pūtau-C e whakaputa ana i te calcitonin.
E rua inihi te roa o te repe tairoiti. Kāore e kitea, e kitea rānei te tairoiti hauora i waho o tō kaki. Heoi, ka taea e ētahi āhuatanga hauora te whakanui i te tairoiti. Ka kiia tēnei he mate puku . Mena he puku tōu, tera pea ka kite koe i ēnei tohu e whai ake nei:
- He pupuhi e kitea ana i te pūtake o tō kaki, i raro tonu i tō āporo o Ātama.
- He kare ā-roto o te kikī, te pēhanga rānei i roto i tō korokoro.
- Ngā panonitanga o tō reo, pērā i te pāorooro.
He aha ngā āhuatanga hauora e pā ana ki te repe tairoi?
He maha ngā momo mate tairoi, ā, he tino noa. E kiia ana tata ki te 20 miriona tāngata i te Hononga o Amerika anake e pāngia ana e tētahi momo mate tairoi. E rima ki te waru ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e te mate tairoi i ngā tāne.
E rua ngā momo matua o ngā mate tairoi: te mate tuatahi me te mate tuarua .
- I roto i te mate tairoi tuatahi , ka tīmata te mate i roto i te repe tairoi tonu.
- I roto i te mate tairoi tuarua, ka tīmata te mate i te repe pituitary. Hei tauira, ki te puta he 'pūpū' i runga i tō repe tairoiti e tuku ana i te nui rawa o te homoni tairoiti, ko te hyperthyroidism tuatahi tēnei. Heoi, ki te mea he 'puku' i roto i tō repe pituitary ka nui rawa te tukunga o te homoni TSH, ka whakaoho i tō tairoiti ki te whakaputa i ngā homoni nui rawa, ko te hyperthyroidism tuarua tēnei.
E whā ngā āhuatanga hauora matua e pā ana ki te repe tairoi:
- Te ngoikore o te tairoi (te ngoikore o te mahi o te tairoi)
- Te nui rawa o te mahi a te tairoi (te nui rawa o te mahi a te tairoi)
- Te mate tairoiti (te nui haere o te tairoiti)
- Matepukupuku tairoi
Hypothyroidism – Ina ngoikore te mahi a tō tairoi
Ka puta tēnei ina kore e nui ngā homoni tairoi e hangaia e tō repe tairoi. Nō reira, ka tīmata te puhoi haere o ētahi o ngā tukanga pākia o tō tinana. He mate noa tēnei, ā, kei te wātea ngā maimoatanga whai hua.
Ko ngā tino take o te hypothyroidism ko:
- Te mate a Hashimoto: He mate 'autoimmune' e whakaeke hē ai tō pūnaha ārai mate i tō ake repe tairoi.
- Te mate tairoiti: Te mumura o te repe tairoiti.
- Te korenga o te iodine.
- Ngā raruraru whānau (kāore te tairoi e mahi tika mai i te whānautanga).
- Te rongoā i te hyperthyroidism mā te whakamahi i ngā rongoā nui rawa.
- Te tango pokanga o te repe tairoiti.
Hyperthyroidism – Ina nui rawa te mahi a tō tairoi
Ka puta tēnei ina nui rawa te homoni tairoi e hangaia ana, e tukuna ana hoki e tō repe tairoi. Ka tere ake ētahi o ngā tukanga pākia o tō tinana. Ka taea hoki te rongoā i tēnei mate.
Ko ngā tino take o te hyperthyroidism ko:
- Te mate a Kerei: He mate 'autoimmune'.
- Ngā pona tairoi.
- Te mate tairoidi.
- Te mate tairoiti i muri i te whānautanga: Te mumura o te tairoiti e puta ana i muri i te whānautanga.
- Te nui rawa o te kai iodine mā te kai, mā te rongoā rānei.
- Te rongoā nui mō te hypothyroidism.
- He pukupuku 'pai' (ehara i te matepukupuku) i roto i te repe pituitary.
Goiter – He repe taiaki kua nui haere
He nui haere te mate puku i roto i te repe tairoiti. He mea noa iho.
He rerekē ngā take i runga i te momo o te mate pukupuku:
- Ngā mate puku māmā: Ka puta ēnei ina kore e nui ngā homoni e whakaputaina e te repe tairoi, ka nui haere hei utu.
- Ngā mate puku noa iho: Ka pā mai ēnei mate i roto i te hunga kāore e nui te iodine e whiwhi ana i roto i ā rātou kai.
- Ngā puku puku tūpono: He maha ngā wā, kāore he tino take, ahakoa ka taea e ētahi rongoā pēnei i te 'lithium' te whakaoho i ēnei.
Matepukupuku tairoi
He mate pukupuku tēnei e tīmata ana i roto i te kiko o te tairoi. He tino angitu ngā maimoatanga mō te nuinga o ngā mate pukupuku tairoi. Kaua e mataku; i te nuinga o ngā wā, ka taea te whakaora.
Ka whakarōpūtia ngā matepukupuku tairoi e ai ki te momo pūtau i ahu mai ai:
- Papillary: Tata ki te 80% o ngā matepukupuku tairoi he momo pēnei.
- Follicular: Tata ki te 15% o ēnei momo.
- Medullary: Tata ki te 2%, e hono ana ki ngā 'whakarerekētanga ira'.
- Anaplastic: Tata ki te 2%. He kaha ake tēnei, engari he onge.
He aha ngā tohu whakatūpato wawe o ngā raruraru tairoi?
He rerekē ngā tohu o ngā mate tairoi rerekē. Heoi, nā te mea he mahi nui tā te tairoi i roto i te tere o te manawa, te pākia o te tinana, me te whakahaere i te pāmahana, me tūpato koe ki ēnei e whai ake nei:
- Te tere o te manawa, te puhoi rawa rānei.
- Te hekenga taumaha, te pikinga taumaha rānei kāore i te mārama.
- Te aro nui ki te makariri, ki te wera nui rānei.
- Ngā kare ā-roto o te pouri, o te manukanuka rānei.
- Ngā huringa paheketanga koretake i roto i ngā wāhine.
Mena ka pāngia koe e tētahi, e ētahi rānei o ēnei tohu, ko te mahi pai ko te toro atu ki tētahi tākuta me te whakamātautau toto hei tirotiro i te mahi a tō tairoi.
He aha ngā whakamātautau paerewa hei tirotiro i te hauora o te tairoi?
Ko te whakamātautau tuatahi, ko te mea nui rawa atu hoki hei tirotiro i te hauora o tō tairoi, he whakamātautau toto hei ine i ō taumata TSH (Hōmona Whakaoho Tairoi) . Mā tēnei ka mārama koe ki te hypothyroidism me te hyperthyroidism.
Ko te tikanga, ko te awhe noa mō te whakamātautau toto TSH kei waenga i te `0.5` me te `5.0 mIU/L` (ngā waeine ā-ao mō ia rita). Heoi, ka rerekē pea tēnei i runga i te taiwhanga, tō tau, me te mea kei te hapu koe, nō reira whakaritea ō hua ki te awhe tohutoro kua whakaratohia i roto i tō pūrongo.
Tērā pea ka tirohia e tō tākuta ngā taumata o te T4 me te T3 (ngā homoni tairoi) i roto i tō toto.
Mena he rerekē ngā hua o tō whakamātautau, ka tūtohu pea tō tākuta kia whakamahia he matawai tairoiti (mā te whakamahi i tētahi nui iti, haumaru o te rauemi irahiko hei hanga whakaahua o te tairoiti) he tirotiro orooro tairoiti rānei.
Me pēhea te rongoā i ngā mate tairoi?
He maha ngā tikanga rongoā mō ngā mate tairoi, i runga i te āhua me tōna kaha. Ko ngā kōwhiringa rongoā matua e toru ko:
- Rongoā
- Pokanga
- Te rongoā irahiko me te rongoā matū
Rongoā
Ko ngā rongoā noa e tohua ana mō ngā mate tairoi ko:
- Ngā rongoā ārai-tiroiora: Ko te mahi a ēnei rongoā mā te aukati i tō repe tairoi kia kaua e whakaputa i ngā homoni nui rawa. Ko te nuinga o ēnei rongoā he rongoā mō te hyperthyroidism.
- Ngā aukati-beta: Ahakoa kāore ēnei e rongoā i te mate tairoi tonu, he tino whai hua ki te whakahaere i ngā tohu raruraru o te hyperthyroidism, pērā i te tere o te ngakau, te koretake rānei o te ngakau.
- Te iodine radioactive: Ka mahi tēnei maimoatanga mā te kino i ngā pūtau tairoi, ā, ka mutu, ka pakaru te repe. He mea whakamahi noa mō te hyperthyroidism me ngā momo matepukupuku tairoi motuhake.
- Ngā rongoā homoni tairoiti: Kei roto i ēnei ngā homoni tairoiti hangai e whakamahia ana hei rongoā i te hypothyroidism. Mena kua tangohia tō tairoiti, kua ngoikore rānei tō repe i te mahi nā te maimoatanga iodine radioactive, me tango pea e koe ēnei rongoā mō te toenga o tō oranga.
Pokanga
Ko te pokanga tino noa mō ngā mate tairoiti ko te tango i te repe tairoiti , arā, ko te tango katoa i te repe tairoiti. He kōwhiringa maimoatanga matua tēnei mō ngā momo mate tairoiti, ā, koia tonu te maimoatanga matua mō te mate pukupuku tairoiti.
Ko tētahi atu kōwhiringa pokanga ko te tango i te repe tairoiti , e tangohia ai tētahi wāhanga motuhake (lobe) o te repe tairoiti.
Te rongoā irahiko me te rongoā matū
He kōwhiringa maimoatanga motuhake ēnei mō te mate pukupuku tairoi. Ka mahi ngā tikanga e rua mā te whakangaro i ngā pūtau mate pukupuku me te aukati i tō rātou tipu. Heoi, kia mōhio koe he maha ngā mate pukupuku tairoi kāore e hiahiatia he irahiko, he rongoā chemotherapy rānei.
He aha ngā āhuatanga mōrearea e pā ana ki te whakawhanaketanga o te mate tairoi?
He mea noa ngā mate tairoi, ā, ka pā ki te tangata ahakoa te pakeke. Heoi anō, tera pea ētahi āhuatanga ka whakanui ake i tō mōrearea:
- He hītori whānau tō te mate tairoi (he mate ira).
- Te noho me te mate pūnaha ārai mate, pērā i te mate huka momo 1, te mate rumatiki, te lupus rānei.
- Te whakamahi auau i ngā rongoā he nui te iodine.
- Neke atu i te 60 tau te pakeke, inā koa he wahine koe.
Me pēhea taku pupuri i te hauora o taku tairoi?
Ko te huarahi matua ki te pupuri i te hauora o te tairoi ko te whakarite kei te whiwhi koe i te nui o te iodine i roto i tō kai.Me whai iodine tō tairoi hei hanga i ngā homoni. He waimarie, ko te nuinga o te tangata e whiwhi ana i te iodine e tika ana mā te tote iodine me ngā kai kua whakakahangia.
Ko ētahi atu puna kai o te iodine ko:
- Tīhi
- Miraka kau
- Ngā hua manu
- Miraka miraka
- Ika wai tote
- Ngā mātaitai (hei tauira, pāpaka, kōura)
- Rimu
- Miraka soya
- Sōhi soya
Heoi anō, ka pā kino te nui o te iodine ki te tinana, ā, ka arahi pea ki ngā raruraru hauora. Mena he āwangawanga, he pātai rānei āu e pā ana ki te hauora o tō tairoi, tēnā koa kōrero ki tō tākuta i Nirogi Lanka.
Āhea ahau me kōrero ki te tākuta mō taku tairoi?
Ki te kite koe i ngā tohu pēnei i te huringa taumaha kāore i te whakamāramatia, te tere o te ngakau, te kaha ake rānei o te aro ki te wera, ki te makariri rānei , tēnā whakapā atu ki tō tākuta. He whakamātautau toto noa iho te mea e hiahiatia ana hei whakatau mena he raruraru tairoi te take o ō tohu.
Karere Tangohia ki te Kāinga
He repe nui tō tairoi i roto i tō pūnaha endocrine e whakahaere ana i ngā mahi nui o te tinana. Ahakoa he tino noa ngā mate tairoi, he maha ngā wā ka taea te whakahaere me te rongoā.
Mena kei te pāngia koe e ngā tohu, kei te āwangawanga rānei koe mō ō tūponotanga, kaua e mangere ki te kōrero ki tō tākuta. Kei reira rātou hei tautoko me te manaaki i a koe. Ko te whakatairanga i tō hauora te taahiraa nui rawa atu ka taea e koe te mahi!
Te repe tairoiti, te repe tairoiti, ngā homoni, te mate huka, te mate huka nui, te mate puku, te mate pukupuku tairoiti
