Na kwanan nan da damar da za mu yi hira da Richard Shames, MD game da sabon labaran da aka yi game da labarun ka. Dokta Shames, wanda takardun shaidarsa sun haɗa da Harvard, Jami'ar Pennsylvania, da Cibiyoyin Kiwon Lafiyar Jama'a, sune mawallafi da marubucin da suka wuce shekaru 30 da kwarewa wajen bunkasa lafiyar thyroid.
Tambaya: Me yasa, Dr. Shames, kuna rarraba wasu al'amuran yau da kullum kamar "almara"?
Lokacin da mummunan imani ya kasance yadu da ƙwaƙwarar da masu aikatawa da masu amfani suke bi, yana buƙatar sunan na musamman. Bayanan kiwon lafiya bai isa ba. Mutum yana bukatar sanin ingancin wannan bayanin, don amfani da shi mafi kyau. Misinformation zai iya zama mummunar cutarwa.
Tambaya: Mene ne a cikin ra'ayi naka shine labarun thyroid yau?
Thyth Myth Number 1: TSH shine kadai gwajin da ake buƙata don jagorancin ganewar asali da kuma maganin nauyin maganin thyroid.
Cikakken rashin amincewa da wannan, mai sauƙi, gwajin jini wanda ba a samarda ba ya haifar da cutar ga miliyoyin mutane. Bisa ga mummunar wannan gwaji, likitoci sun ƙi kulawa ga masu yawa da suke buƙatar ta, kuma suna sa wasu a kan ƙwayar magani sau ɗaya idan an yi musu magani.
Tambaya: Mutane da yawa masu karfin maganin thyroid sun san cewa binciken binciken na baya-bayan nan sun yi tambaya sosai game da cikakkiyar inganci, kazalika da matsananciyar hanyoyi, don gwajin TSH . Ko da magungunan endocrinology ba a cikin yarjejeniya kan "jigon shafukan yanar gizo" don gwajin TSH.
Shakka. Amma yawancin likitoci, dakunan shan magani, dakunan gwaje-gwaje, da kuma kamfanonin inshora har yanzu ba su damu da wannan bincike mai karfi ba. Maimakon haka, ra'ayin shine ya fi kusa. Amma ga mutane da yawa masu maganin thyroid da masu aiki, wannan ra'ayin ba shine kimiyya ba. Labari ne.
Tambaya: Mene ne labari na thyroid na gaba?
Thyth Myth Number 2: Levothyroxine ne daya kuma kawai magani mafi yawan thyroid marasa lafiya za su taba bukatar.
Har ila yau, binciken bincike da yawa da abubuwan da suka faru da yawa sun nuna wannan ya zama mummunan labari. Duk da haka ba abin mamaki ba ne yadda aka sayar da wannan labarin a mafi yawan likitoci da marasa lafiya a kusa da kasar. Ina jin labarin da shi a cikin tarho ta wayar tarho tare da marasa lafiya marasa lafiya a fadin kasar.
Tambaya: Mene ne game da marasa lafiya da ke buƙatar goyon bayan thyroid don aikin adrenal , progesterone, da kuma bitamin D ?
Abinci mai mahimmanci bitamin d tahimmanci shine kwanan nan samun kyakkyawan sakamako, a cikin masu haƙuri da likita. Amma wani abu kuma yana da rashin tausayi wajen rage raguwa. Kuma wancan shine Thyroid Myth Number 3: Halitta desiccated thyroid ne mara lafiya saboda da iyawa m.
Ga gaskiya. Halitta sun haɗu da kwayoyin thyroid (Armor Thyroid da Halitta-thyroid ne guda biyu na iri iri sunayen na halitta desiccated thyroid a Amurka) an san shi lafiya da tasiri. A wasu marasa lafiya, sun fi girma ga levothyroxine, koda lokacin da aka haɗa T3 tare da T4 (levothyroxine).
Sakamakon rashin daidaituwa a cikin kwayoyi masu maganin thyroid ne misali na maganganu mai dorewa.
A gaskiya, FDA ta sake samun roba thyroid (levothyroxine) don canzawa a kashi ta kwaya.
Abin takaici, kamfanonin inshora suna yanzu a kan wannan sakonni na asali. Wadansu sun fara rubutawa ga marasa lafiya da likitocin cewa sun daina yin amfani da lakaran maganin thyroid. Suna bada shawarar canzawa zuwa levothyroxine, ko da yake yana da tsada. Wannan wani zaɓi ne mai ban sha'awa ga kamfanonin inshora suyi, amma sun fara yin shi. Sun bayyana a fili a cikin tarihin, watakila saboda tasiri daga manyan masana'antun miyagun ƙwayoyi waɗanda suke neman rage ƙalubalanci daga karoid mai tsada.
Tambaya: Mene ne labarun thyroid na gaba?
Thyth Myth Number 4: Kula da maganin maganin thyroid don rage haɗarin osteoporosis da matsalolin zuciya.
Wannan mummunan labari ne, wanda ya kasance akan binciken da ba a daɗe ba. Binciken da aka yi kwanan nan ya nuna cewa maganin thyroid, a cikin asibiti mutanen da ake bukata, ba cutarwa ga zuciya ko kasusuwa ba.
Wannan labari shine matsala mai matukar damuwa, domin lokacin da aka bi wannan shawara, mutane sun fi girma da haɗarin osteoporosis da matsalolin zuciya. Harkar hypothyroidism da ke ƙarƙashin ƙasa wani sananne ne wanda ba a san shi ba saboda rashin kashin jini da ƙananan zuciya, kuma anyi amfani da hypothyroidism mai rikici da matsalolin matsaloli daban-daban . Ƙananan thyroid kuma zai iya haifar da compensatory high adrenaline matakan, wanda ya sa zuciya sosai jumpy.
Tambaya: Mene ne labarinku na maganin thyroid?
Thyth Myth Number 5: Da zarar ka fara maganin maganin thyroid, kana buƙatar ka zauna a cikinta har abada.
Wannan shi ne ɗaya daga cikin ƙaunataccen lokaci kuma yana da misali na labari wanda ya samo tushe daga gaskiya. Idan glander thyroid ya zama cikakke ta hanyar yaduwar rediyo ko cirewa ta tiyata , to wannan shawara wannan gaskiya ne a gare ku. A gefe guda, domin yawancin karoid marasa lafiya wanda har yanzu suna da aikin thyroid gland shine wannan shawara ita ce labari mai cutarwa.
Alal misali, mutane da yawa suna buƙatar likitan maganin ku don maganin ƙwaƙwalwa a lokacin balaga, postpartum, ko menopause. Wadannan marasa lafiya bazai buƙata su zauna a kan maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin ka.
A gaskiya ma, yana iya zama mafi alheri ga yawancin su suyi kisa. Duk da haka, suna daina zama a kan maganin maganin karoid har abada, saboda sun ko likitocin su sun sayi cikin labarun.
Har ila yau yana daukan wasu kulawa masu gudana don maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin ƙwayar maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin maganin A cikin sauri-wuta, saurin tafiya irin na kiwon lafiya, wani duba dubawa na katse thyroid ne sau da yawa kauce masa ta hanyar aiki aiki.
Yin tilasta wa mutane lafiya har abada har da bukatar ganin likitoci da likitoci ba su da amfani da tsabar kudi na kiwon lafiya.