Ka ngenge koe i ētahi wā, kāore he take? Ka heke ohorere rānei tō taumaha, ka piki rānei tō taumaha? Ka riri, ka manukanuka rānei koe i ētahi wā? Kāore pea koe e mōhio he repe iti te āhua pūrerehua kei mua o tō kaki ka uru pea ki ēnei mea. Ko tēnei okana iti engari he mea nui rawa atu i roto i tō tātou tinana e kiia ana ko te repe tairoi. I tēnei rā, ka kōrerohia tēnei mea me te taipitopito, me te ngāwari noa iho.
He aha tēnei repe tairoiti?
He whakarāpopototanga noa iho, ko te tairoi he repe iti āhua pūrerehua kei mua o te kaki, kei ia taha o te puku o te manawa. He wāhanga ia o te pūnaha endocrine o te tinana. Ko tēnei pūnaha te kawenga mō te whakaputa i ngā homoni i roto i te tinana me te whakahaere i ngā mahi a te tinana.
Whakaarohia he rite tō tātou tinana ki tētahi kamupene nui. Kātahi ka waiho tēnei pūnaha endocrine hei pūnaha whakahaere e tuku karere ana ki ngā tari rerekē o taua kamupene. Ka kiia aua karere he homoni. He rite te repe tairoiti ki tētahi kaiwhakahaere tino nui i roto i tēnei pūnaha.
He aha te mea e tupu ana ki te repe tairoi?
Ko te mahi matua, ko te mahi tino nui hoki a te repe tairoi, ko te whakahaere i te tere o te pākia o te tinana. Ahakoa te ahua o te kupu "tere pākia", he kupu pūtaiao tēnei, engari he tino māmā noa iho. Ko tōna tikanga ko te tere o te hurihanga o te kai e kainga ana e tātou hei pūngao .
Whakaarohia tō tātou tinana he motuka. Ko te kai e kainga ana e tātou te wahie e whakakaha ana i taua motuka. Ko te repe tairoiti te mea e whakatau ana i te tere o te tahunga o tēnei wahie.
- Ki te nui ngā homoni tairoi: Ka tere ake te tahunga o te penehīni. Ko te tikanga he tere te tere o te pākia o te tinana. Ka tere te pau o te pūngao o te tinana.
- Ki te iti ngā homoni tairoi: Ka puhoi te tahunga o te wahie. Ko te tikanga he iti te tere o te pākia o te tinana. Ka puhoi te whakamahinga o te pūngao.
Hei whakatutuki i tēnei mahi, he maha ngā momo homoni e whakaputaina ana e te repe tairoi.
- Thyroxine (T4): Koinei te homoni e hangaia ana e te repe tairoi i te nuinga o te wā. Heoi, kāore e pā tika ki te pākia o te tinana. Kia tae ki roto i te toto, ka hurihia tēnei homoni T4 ki te homoni kaha ake, arā, ko te T3.
- Triiodothyronine (T3): Ahakoa he iti ake te rahinga e whakaputaina ana i te T4, ko te homoni T3 te mea matua e whakahaere ana i te tere o te pākia o te tinana.
- Calcitonin: Ka āwhina tēnei homoni ki te whakahaere i te taumata o te konupūmā i roto i ō tātou toto.
Ko te mea nui rawa atu, me whiwhi te repe i te iodine hei hanga i ēnei homoni tairoi.He mea nui te huānga. Ka whiwhi tātou i te nui o te iodine mai i ngā kai e kainga ana e tātou, inā koa te tote tēpu whai iodine e whakamahia ana e tātou i Sri Lanka.
Ka mahi takitahi te repe tairoi i tēnei mahi?
Kāore rawa. He pūnaha tino uaua tō tātou tinana. Me whiwhi hoki te repe tairoi i ngā whakahau mai i runga kia tika ai tana mahi. Nō roto i tō tātou roro ēnei whakahau.
1. Rangatira - Hypothalamus: Ko tēnei wāhanga o te roro te rangatira nui rawa atu. Mēnā ka kitea e ia he iti ngā taumata o te homoni tairoi, ka tukuna he homoni e kiia nei ko TRH.
2. Kaiwhakahaere - Repe Pituitary: Ina whiwhi i te karere TRH mai i te hypothalamus, ka tukuna e te repe pituitary i roto i te roro tētahi atu homoni e kiia nei ko te TSH (Thyroid-Stimulating Hormone). E ai ki te ingoa, ka whakaohohia e tēnei te repe thyroid.
3. Kaimahi - Repe Tairoiti: Ina tonoa te TSH, ka whakaputa te repe tairoiti i ngā homoni T4 me te T3 ka tukuna ki roto i te toto.
Ina hoki anō ngā taumata o te homoni tairoi i roto i te toto ki te āhua noa, ka mutu noa te tuku i ēnei karere. He rite ki te motuka i roto i tō whare e whakaweto aunoa ana ina kī ana te tāke wai. Koinei te huarahi e pupuri ai tō tātou tinana i ngā taumata homoni kia taurite.
He pēhea te pānga o te mate tairoi ki te tinana katoa?
E ai ki tā mātou i kōrero ai i mua ake nei, ka pāngia e ngā homoni tairoi tata ki ngā pūtau katoa o te tinana. Nō reira, ki te kore e mahi pai te repe tairoi, ka pā pea ki ētahi pūnaha o te tinana.
| Pūnaha tinana | Te āhua o te pānga |
|---|---|
| Te ngākau me te pūnaha tohanga toto | Ka pā ki te tere o te manawa (ka piki, ka heke rānei), te toto toto, me ngā taumata cholesterol. |
| Te pūnaha io me te hinengaro | Ki te iti ngā homoni, ka pā mai te pouri me te ngaronga o te mahara. Ki te nui ngā homoni, ka pā mai te manukanuka, te kore okiokinga, me te kore moe. |
| Pūnaha nakunaku | Ki te kore e ranea ngā homoni, ka pā mai te mate kōroke, ā, ki te nui rawa ngā homoni, ka pā mai te mate korere. |
| Pūnaha whakaputa uri (wahine) | Tērā pea ka puta ngā huringa paheketanga koretake, te toto toto nui, me ngā raruraru momona. |
| Kiri, makawe me ngā whao | Ko ngā tohu pea ko te kiri maroke, te ngaro o te makawe, me ngā maikuku pakarukaru. |
Ko ngā mate matua ka pā ki te repe tairoi
Ka taea e ngā panonitanga o te mahi a te repe tairoiti te arahi ki ētahi mate hauora nui. Me titiro motuhake tātou ki ēnei.
1. Hypothyroidism – te korenga o ngā homoni
I tēnei āhua, kāore te repe tairoiti e whakaputa i te nui o ngā homoni e hiahiatia ana. Nō reira, ka puhoi te pākia o te tinana, ā, ka tīmata te tinana katoa ki te mahi "pōturi".
Ngā take matua:
- Te mate a Hashimoto: He mate pūnaha ārai mate tēnei. Ko te tikanga ka whakaekea hētia e te pūnaha ārai mate o tō tātou tinana te repe tairoi.
- Te korenga o te iodine.
- Te tango pokanga o te repe tairoiti.
- Ētahi rongoā.
2. Hyperthyroidism – he nui ake ngā homoni
Ko te mea e tupu ana i konei, he nui ake ngā homoni e whakaputaina ana e te repe tairoi i te mea e tika ana. Ka nui haere te pikinga o te pākia o te tinana, ā, ka tere ake te "oma" o te tinana katoa.
Ngā take matua:
- Te mate a Kerei: He mate pūnaha ārai mate anō hoki tēnei. I roto i tēnei āhuatanga, ka nui rawa te whakaohooho a te pūnaha ārai mate i te repe tairoi.
- Ngā pona i roto i te repe tairoi.
- Te mate tairoidi.
Anei tētahi ripanga hei whakamārama māmā ake i ngā rerekētanga matua me ngā tohu o ēnei mate e rua.
| Āhuatanga | Hypothyroidism - te korenga o te homoni | Hyperthyroidism - he nui ake ngā homoni |
|---|---|---|
| Taumaha tinana | Te pikinga o te taumaha me te kore take. | Te ngaronga o te taumaha ahakoa te kai pai. |
| Te pāmahana tinana | Te uaua ki te manawanui ki te makariri. | He uaua ki te manawanui ki te werawera, te werawera nui. |
| Te pao o te ngākau | Te puhoi o te manawa. | Te tere o te pao o te ngakau (te ahua kei te tere te pao o te ngakau). |
| Āhua hinengaro | Te ngenge, te pouri, te ngaro o te mahara. | Te kore okiokinga, te manukanuka, te pukuriri. |
| Kaha | Te ngenge nui me te hiamoe. | Te kore moe, te hihiko nui. |
| Kiri me te makawe | Kiri maroke, kiri taratara, makawe ngaro. | Te kiri angiangi, te ngaro o te makawe. |
3. Te puku – te pupuhi o te repe
Ko te tikanga o tēnei he nui rawa te rahi o te repe tairoiti. Mēnā ka kite koe i tētahi pupuhi rite ki te puku i mua o tō kaki, he mate puku pea. Ehara i te mea ko te katoa he mate puku, he rerekē tonu ō rātou taumata homoni tairoiti. I ētahi wā, ahakoa kua pupuhi te repe, ka noho noa pea ngā taumata homoni. Ko te korenga o te iodine tētahi o ngā tino take o te mate puku.
4. Matepukupuku Tairoi
Ki te whakaritea ki ētahi atu mate pukupuku, he tino onge te mate pukupuku tairoi. Hei tāpiri, he tino ngāwari te rongoā i te nuinga o ngā momo mate pukupuku tairoi. Kāore pea ngā tohu e kitea i ngā wāhanga tōmua. He mea nui kia rapu tohutohu hauora mēnā ka pāngia koe e ngā tohu pēnei i te pupuhi i te kaki, te rerekētanga o te reo, te uaua rānei ki te horomi.
Me pēhea koe e mōhio ai mēnā he raruraru tōu ki te tairoi?
Mena kei a koe tētahi, ētahi rānei o ngā tohu kua whakahuatia ake nei, ko te mea pai ko te toro atu ki tō tākuta . Māna koe e tirotiro, ā, ki te tika, ka tonoa ētahi whakamātautau.
Ko te whakamātautau toto te mea tino māmā me te mea nui.
- Whakamātautau TSH: Mā tēnei ka ine i te taumata o te homoni TSH e tukuna ana e te repe pituitary. Mēnā kāore te repe tairoiti e mahi tika ana (kāore e nui ngā homoni e whakaputaina ana), ka teitei te taumata TSH. Mēnā he nui rawa te mahi a te repe, ka iti te taumata TSH.
- Ngā whakamātautau T4 me te T3: Mena e tika ana, ka tūtohu pea te tākuta kia ine tika i te taumata o ngā homoni tairoi i roto i te toto.
Hei tāpiritanga, mēnā he puku, he pupuhi rānei kei roto i te repe, ka taea te mahi i te matawai ultrasound o te tairoi .
He aha ngā maimoatanga?
Ko te rongo pai, ka taea te whakahaere i te nuinga o ngā mate tairoi me te tino angitu. Ka rerekē te maimoatanga i runga i te āhua o te mate.
- Mō te Hypothyroidism: Ka whakakapia te homoni tairoi iti o te tinana ki waho. Mō tēnei, ka tohua he pire hei tango i ia rā. Ko te tikanga me tango tēnei maimoatanga mō te wā katoa, engari ka taea e ia te āwhina i a koe kia ora noa i te ao.
- Mō te hyperthyroidism: Kei reira ngā maimoatanga pēnei i ngā rongoā antithyroid, te rongoā iodine radioactive, i ētahi wā rānei, ka taea te tango pokanga i te repe ('Thyroidectomy').
- Mō te mate pukupuku tairoi: Ko te maimoatanga matua ko te tango pokanga i te repe. Ka taea te whai i tēnei mā te rongoā iodine radioactive, me ētahi atu maimoatanga rānei e hiahiatia ana.
Ahakoa kua tangohia katoatia te repe tairoi, ka taea e koe te noho ora me te kore raruraru mā te tango i te pire homoni i ia rā.
Karere Tangohia ki te Kāinga
- He repe iti te tairoi engari he mea tino nui i roto i te kaki e whakahaere ana i te pākia o te tinana.
- Ko te pikinga taumaha kāore i te mārama, te tino ngenge, te hurihuri o te kare ā-roto, te panoni rānei o te tere o te ngakau, he tohu ēnei o te mate tairoi.
- Ki te pā mai tētahi o ēnei tohu ki a koe, kaua e whakaroa , me toro atu ki tō tākuta tonu . Mā te whakamātautau toto noa ka taea te tautuhi i te mate.
- He maha ngā mate tairoi ka taea te whakahaere angitu mā te rongoā, mā ētahi atu maimoatanga rānei, ā, ka taea e te tangata te noho ora, te noho hauora.
- He mea nui te whiwhi i te nui o te iodine mā roto i ngā kai pēnei i te tote whai iodine mō te hauora o te repe tairoi.
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