Hanyoyin Cikin Gudun Maɗaukakiyar Ƙunƙwasa
Bincike yana nuna alamar haɗin kai tsakanin cututtukan thyroiditis, kamar cutar thyroiditis da Graves na Hashimoto , da kuma yanayin da ya shafi glandon da ake kira firamare na farko (Addison's disease).
Kodayake rashin lafiyar jiki na farko shine la'akari da cututtukan ƙwayar cuta, fahimtar haɗin da yake da shi da ƙwayar cuta na thyroid yana da kyau, musamman ga ƙungiyar zaɓi (amma karamin).
A gaskiya ma, binciken daya ya nuna cewa rashin lafiya na farko na iya zama mai laifi a wasu lokuttan da ke ci gaba da nuna rashin lafiya, duk da jinin maganin cutar ka.
Anatomy na Gudun Adrenal
Adrenals ku ne ƙananan ƙananan ƙwayoyi, wanda aka samo a saman kowane kodan ku.
Kowace glanden ɓangare na rarraba zuwa ɓangaren ƙwayar da ke ciki da kuma ƙuƙwalwar ciki. Hanyoyin daji da ƙuƙwalwa na glandarka suna haifar da kwayoyin hormones.
Adrenal Cortex
Kwayar kuɗin da ke jikinku ya ƙunshi sassa daban-daban guda uku, tare da kowane yanki wanda ke haifar da wata ƙungiya ko nau'i na hormones. A hankali, duk halayen da aka samo daga jikin ku suna dauke da kwayoyin steroid.
- Mineralocorticoids suna ɓoyewa ne daga yankin mafi girma na tsaka-tsalle. Babban magungunan mineralocorticoid shi ne aldosterone, wanda ke aiwatar da tsarin sodium da potassium a jikinka, da kuma karfin jini.
- Glucocorticoids suna ɓoyewa ta tsakiyar yankin na gurguzu. Babban glucocorticoid shine cortisol, wanda zai kara yawan glucose na jini kuma yana taimakawa jikin mutum ya amsa gajiya.
- Ƙungiyar ta uku na steroid da ke ɓoye ta yankin da ke cikin ciki na ɓoye na haɗari shine asalin inrogen (misali, testosterone da dehydroepiandrosterone, ko DHEA). Bayanin kulawa, baya ga glandan daji, gwajin da ovaries samar da androgens a cikin maza da mata, daidai da haka.
Adrenal Medulla
Adaral medulla ya haifar da hawaye biyu: epinephrine, kuma norepinephrine. An saki wadannan hormones guda biyu na "yaqi" ko kuma a cikin yanayi, kamar damuwa da barci, damuwa na kudi, matsalolin aiki, kalubalen iyali, jayayya, zirga-zirga, rashin lafiya, tiyata, da abinci mara kyau.
Hanyoyi na Firamare na Ƙarshe
Cikakken ƙananan fararen lokaci na faruwa ne lokacin da glandan bala'in zai iya samar da isasshen adadin hormones, duk da matakin al'ada ko ƙara yawan corticotropin (ACTH). ACTH wani hormone ne wanda glandonku ya kasance (wanda yake a cikin kwakwalwarka) wanda ke motsa glandon da zai iya yad da kwayoyin hormones.
Wasu alamun bayyanar cututtuka ta farko sune:
- Wulo
- Muscle aches
- Rashin rauni
- Rashin ci abinci tare da asarar nauyi
- Gastrointestinal bayyanar cututtuka kamar nausea, vomiting, da kuma rashin jin ciki na ciki
- Nishaɗin abinci mara kyau
- Haske yana haskaka lokacin da yake tsaye
Ƙaramar Ƙaramar Ƙararraki da Haɗin Kai na Thyroid
Bisa ga wani binciken a cikin Turai Yourroid Journal, game da kashi 5 cikin dari na mutanen da ke dauke da kwayar cutar ta ƙwayar cuta suna da ƙananan rashin ƙarfi-karamin ƙananan, amma babban la'akari da yadda rashin la'akari da ƙananan adresal insufficiency.
Da wannan binciken, marubuta na binciken ya nuna cewa mutanen da ke ci gaba da samun wasu alamun bayyanar cututtuka, kamar gajiya, ƙwayar tsoka, da matsalolin gastrointestinal kamar nausea (duk da an kula da su don maganin cututtukanka) ya kamata a jarraba su don rashin lafiya.
Bayanin da ke kan gajiya mai wuya
Yana da mahimmanci kada ku dame matukar damuwa da ƙananan maganganu tare da kalma, "gajiya mai dadi" wanda aka yi amfani dashi don bayyana halin da ake ciki (bayan jini da cortisol da ACTH) ba su goyi bayan ganewar asarar rashin lafiya ba, amma mutum yana ci gaba da ba da labari alamar bayyanar cututtuka kamar:
- Wucewa da ciwo mai tsanani
- Sukan ba da kwanciyar hankali (kana da isasshen lokutan barci, amma ka ji rauni)
- Jin damuwar ko kuma baza su iya magance matsalolin
- Nishaɗin abinci mara kyau
- Difficulty mayar da hankali, ƙwaƙwalwar ƙwaƙwalwar ajiya
- Poor narkewa
Sanarwar gajiya ta jiki tana da matukar rikici kuma ba'a gane shi a yanzu ba ta kowace ƙungiyar Endocrin, ma'ana ba a yarda da shi a matsayin ainihin yanayin kiwon lafiya ba.
A gaskiya ma, bisa ga babban binciken da aka yi a BMC Endocrin Disorders, masu bincike sunyi rahoton bayan nazari mai zurfi cewa babu wata hujja ta kimiyya da cewa akwai gajiya mai tsanani.
Duk da haka, wata babbar al'umma wadda har yanzu ta yi imanin cewa gajiya mai tsanani ne ainihin ƙwayar lafiya da ba a bincikar da shi ba, Cibiyar Nazarin Cibiyar Magunguna ta Yammacin Amirka. Ba'a yarda da wannan al'umma ba ta Cibiyar Harkokin Kiwon Lafiyar Jama'a ta Amirka ko Ƙungiyar Cibiyar Kasuwancin Amirka.
Kalma Daga
Akwai saƙonnin gida guda biyu:
- Ka yi la'akari da gwadawa don rashin lafiya ta farko idan kana da ciwo mai kama da gajiya, tsoka da tsoka, da / ko abubuwa masu narkewa (bayan maganin cutar thyroid).
- Har sai lokacin da za a yi jayayya a cikin gajiya, a mayar da hankali kan halaye na dabi'a kamar ganin likitanka don dubawa na yau da kullum, samun barci mai yawa, gujewa ko yin amfani da maganin kafeyin, da cin abinci mai gina jiki. Wasu mutane sun fita don rage cin abinci (mai mahimmanci), amma ka yi magana da likitanka kafin ka fara wannan.
> Sources:
> Cadegiani FA, Kater CE. Ba'a iya samun gajiya mai wuya : > wani nazari na yau da kullum. Ƙungiyar Tsarin Ƙari na BMC. 2016; 16 (1): 48.
> Edwards, MD Lena, et. al. "Bayan Ƙarfin Ƙunƙarar Daga Cikin Gida: Daga Ƙarshen Cikin Masarautar Shaida." Cibiyar Nazarin Yammacin Amirka. 2015.
> Melmed S, et. al. "Williams littafin littafi na Endocrinology 12th ed." Philadelphia, PA: Elsevier Saunders; 2011
> Yamamoto T. Comorbid latent adrenal insufficiency tare da autoimmune thyroid cuta. Eur Thyroid J. 2015 Satumba 4 (3): 201-06.