Mafi kyawun jiyya ga Hypothyroidism: Kent Holtorf, MD

Dokta Kent Holtorf Yayi Hanyoyin Amincewa da Kula da Thyroid

Ɗaya daga cikin manyan masana kan lafiyar lafiyar jiki, Kent Holtorf, MD, ya raba tunaninsa game da abin da ke da kyakkyawan magani ga hypothyroidism, wannan jerin da ke nuna masu aiki da kwarewa a ma'aunin hormone da kuma ganewar hypothyroidism da magani .

A cewar Dr. Holtorf, farawa na maganin thyroid yana farawa tare da ganewar asali kuma ya ci gaba da kari tare da maganin magungunan maganin maganin maganin maganin maganin maganin maganin ƙwayar cuta.

Dr. Holtorf yana jin cewa yayin da matakan da darajar wasu gwaje-gwaje da dama sun taimaka wajen tantance mafi kyawun magani ko kashi, gwaji yana da matukar damuwa ga rashin daidaituwa a ƙarƙashin yanayi mai yawa. Saboda haka, ba ya dogara da ko amfani da gwajin maganin thyroid a matsayin manufa ta musamman don cimma matsayi mai kyau a cikin babban adadin marasa lafiya, kamar yadda ya gano cewa za'a iya buƙatar matakan magani daban-daban don wani mai haƙuri.

Ga Dr. Holtorf, magani mafi kyau yana buƙatar fahimtar abubuwan da ke cikin aikin thyroid. An haɓaka aikinka na thyroid a cikin ƙoƙari na iya yin amfani da gwaji mai sauƙi (watau TSH) don ƙayyade "al'ada" matakan thyroid . A cewar Dr. Holtorf, wannan ra'ayi mai sauƙi ya rushe lokacin da mutum ya fahimci matakai da dama da ake buƙata don cimma aikin maganin thyroid.

Dokta Holtorf ta ce:

Matsalolin gwaje-gwaje, zahiri, kawai za su gane dysfunction lokacin da karoid gland shine tushen matsalar. Yayin da hypothyroidism na farko (a lokacin da glandar thyroid shine asalin dysfunction) shi ne mafi yawancin bincikar lafiya, wasu dalilai na mafi kyau mafi kyau ko ƙananan aiki thyroid aiki mafi yawa amma amma da wuya a bincikar da su. Wadannan dalilai sun haɗa da:

• dysfunction na hypothalamus da pituitary
• dabarun salula
• matalauta T4 zuwa tuba T3,
• ƙãra ƙaddamarwar baya T3
• thyroid receptor blockage
• inhibition of thyroid stimulated gene kunnawa.

Idan akwai matsala a cikin kowane ɗayan waɗannan matakai, za'a sami suboptimal ko ƙananan nauyin aikin thyroid wanda yawanci ke faruwa.

Dr. Holtorf ya yi imanin cewa da zarar an fahimci yawancin hanyoyin da za a iya maganin maganin thyroid, gwaje-gwajen gwaje - gwaje-gwaje tare da alamun bayyanar cututtuka da sauran alamun aikin likita - za'a iya amfani da su yadda ya kamata don taimakawa wajen ƙayyade magani mafi kyau.

Dr. Holtorf yayi misali:

Idan akwai dysfunction a matakin mai karbi ko mai kunnawa, wanda yakan faru da digiri daban-daban tare da rashin lafiya na kullum, ƙumburi, ɓacin rai, daukan hotuna kamar kwayoyin bisphenol A (BPA), ciwo na kullum, kiba da ciwon sukari, magungunan supraphysiologic matakan T3 za a buƙaci don shawo kan wannan hana. A irin wannan lokuta, misali magani karoid gwaje-gwaje zama ƙasa da abin dogara don haka sauran gwaje-gwaje dole ne a yi amfani da mafi kyau ƙayyade mafi kyau duka nama thyroid aiki. Wadannan zasu iya haɗawa da hormone mai jituwa wanda ke ɗaukar globulin (SHBG), saurin shakatawa da kuma basal metabolic rate. Wadannan gwaje-gwajen dole ne a fassara su tare da kwatanta alamomi da alamun bayyanar, wanda shine, ba shakka, hanya mai mahimmanci wajen ƙayyade magani mafi kyau.

Gwaje-gwaje don taimakawa wajen ƙaddamar da maye gurbin Thyroid

Dr. Holtorf yana da gwaje-gwaje da dama da ya ji yana da amfani wajen taimakawa wajen tantance maye gurbin maganin thyroid.

TSH -Dr. Holtof yayi la'akari da TSH sama da 2 kamar yadda aka nuna cewa akwai ƙananan ƙwayoyin thyroid. Dokta Holtorf ya ce: "A al'ada TSH ba ya daina fitar da ciwon maganin thyroid kuma wani ƙananan TSH an nuna shi zama alamar nauyin ciwon thyroid matuka kawai 20% na lokaci (80% na lokacin da ba haka ba). TSH ta zama alama mai matukar talauci ga nau'in matakan thyroid idan akwai mummunan ciwon ciki, rashin tausayi, rashin lafiya na yau da kullum, rashin ciwo mai tsanani, kiba, damuwa, ciwo mai wuya, cibromyalgia, ciwon sukari, juriya na insulin , juriya mai jituwa. "

T4 --Dr. Holtof yana jin cewa tare da T4, idan akwai matsala tare da hawan karamar kawo (T4 da T3), matakan T4 masu girma zasu iya hade da ƙananan tsarin salula na thyroid.

Free T3 - Dokta Holtorf ya yi imanin cewa, a zahiri, T3 kyauta ya kasance a cikin kashi 25 na kashi dari na al'ada na al'ada. Dokta Holtorf ya ce: "A 'al'ada, yanayin shi ne, duk da haka, ya dace a lokacin da aka tsara T4, wanda aka canza zuwa T3 a cikin tantanin halitta sannan kuma adadin da ya koma cikin magani shine" al'ada "matakin.

Lokacin da zalunta tare da T3, wannan ba haka ba ne don haka ba za a iya amfani da jeri na misali ba. "

Kuskuren T3 -Domin Dr. Holtorf, Kashe T3 shine alama don rage T4 zuwa tuba T3 kuma don rage tasirin T4 cikin tantanin halitta - kuma yana da aiki na antithyroid (tubalan sakamako na thyroid) - kuma ya zama kasa da 150.

SHBG -Sx hormone daura globulin (SHBG) alama ce don nau'in nauyin karoid, don haka idan kasa da 70 a cikin mace, Dokta Holtorf ya dauka alama ce don aikin ƙwayar thyroid. Idan an ba maye gurbin thyroid kuma SHBG ba ta karuwa ba daidai ba, ya ji cewa wannan nuni ne na juriya na thyroid.

Leptin -Dr. Holtof ya yi imanin cewa matakin kwayar cutar leptin ya zama ƙasa da 12. Yawan matakin matakin leptin, mafi girma da juriya na leptin, wanda ya hana TSH da T4 zuwa fassarar T3. Saboda haka, mafi girma da leptin mafi yawan amfani da TSH zama.

Iron / Iodine -Dr. Holtorf kuma ya yi imanin cewa an yi amfani da matakan baƙin ƙarfe da aidin da kuma magance matsalar, kamar yadda ake buƙata don maganin thyroid.

Basal Metabolic Rate (BMR) -Dr. Holtorf ya gano cewa matakan thyroid su ne babban mahimmanci na overall metabolism saboda haka za a iya la'akari da matakin daidaitawa na matsayin zinari na matakin thyroid na jiki. Sabili da haka, ana iya amfani da BMR don taimakawa wajen ƙayyade matakin mafi kyau. Wannan gwajin ne da za a iya yi a wasu ofisoshin likitoci.

Rashin kwance Hanya na Tendon Reflex - Dangane da Dr. Holtorf, yawancin bincike sun nuna cewa wannan ma'auni ne mafi mahimmanci fiye da jarabawar jini, saboda yana da yawa daga cikin nauyin aikin jiki, maimakon matakan jaraba, kuma matakin mafi kyau shine ya zama fiye da 110 msec.

Kent Holtorf, MD shine wanda ya kirkiro Ƙungiyar Kwaminis na Holtorf, wadda ke da ƙwarewa wajen magance matsalolin endocrin, hormonal da sauran cututtuka a California da Bay Area da yankin Los Angeles.

Holtorf Ƙungiyar shafin yanar gizo mai suna: www.holtorfmed.com

_Source:

_{Interview Email tare da Kent Holtorf, MD - Disamba 2010}