A Dubi Ka'idodin Tambayoyi Game da Rashin Ƙarƙashin Ƙara
Ƙungiyar Hormone Foundation (ɓangare na Endocrin Society) ta fito da jerin "jumlar hujja" masu rikitarwa, mai suna "Myth vs. Fact." Ɗaya daga cikin takardun su yana mai suna "Ƙananan Rashin Ƙari" kuma yana kai hari ga yanayin wanzuwar yanayin, yana cewa, "Rashin jin dadi ba ainihin yanayin likita ba ne. Babu hujjojin kimiyya don tallafawa ka'idar cewa tunanin mutum, tunani, ko jiki damuwa yana yalwata jin dadi kuma yana haifar da alamar da yawa. " (Za ka iya karanta dukkan "takardun gaskiyar" a matsayin PDF: Falsafa Vs. Gaskiya: Rashin Ƙaƙwalwa.)
Idan kana da fiti-fayawa ga maganganun sirri daga kungiyoyin likitocin da ke nuna cewa fibromyalgia ko ciwo na gajiya ba "ainihin" likita bane, ko ma tunawa da likitoci har zuwa kwanan nan sun dage cewa abinci na kayan yaji, kuma ba kwayoyin H. pylori ba , haifar da ulcers, to, ba kai kadai ba ne.
Richard Shames, MD, wanda ya kammala karatun digiri na Harvard da Jami'ar Pennsylvania, kuma ya horar da su tare da Cibiyoyin Kula da Lafiya ta Duniya, kuma ya zama likitan likitancin likitoci da masana kimiyya na al'ada a cikin fiye da shekaru talatin. Na tambaye shi ya yi sharhi game da gardama.
Richard Shames, MD: Ba na yarda da abin da Hormone Foundation ke faɗa game da gajiya mai wahala ba. Babban mahimmancin su shine "gajiya mai tsanani" ba ainihin ganewa ba ne kuma ba'a tabbatar da shi ta hanyar kimiyya ba. Wannan shi ne a gare ni ko dai gaskiya ne na yaudara, ko kuma wata sanarwa ta siyasa da ba a sani ba.
Duk wani likita wanda ya cancanci gishiri ya fahimci cewa kalmar "gajiya ta jiki" yana nufin m rashin ƙarfi na adrenal. Bayanin Hormone Foundation ya yarda da cewa rashin lafiyar jiki shine ainihin ganewar asali. A gare ni, sun kasance suna ƙaryar yiwuwar cewa wasu mutane suna iya samun nau'i mai kyau na ainihin ganewar asali.
Wannan abin takaici ne kuma rashin tsaurin ra'ayi.
Tambaya: Daya daga cikin batutuwa da "takardun shaida" yayi magana shi ne cewa babu gwajin da zai iya gano gajiya mai tsanani.
Richard Shames, MD: Idan dabarun da aka samu na jini yanzu ba su da wata mahimmanci, ba za mu iya samun wannan hira ba. Gwaje-gwaje na jini na yau da kullum suna da kyau a bincikar maganin ƙwayar cuta mai tsanani, wanda ake kira Addison. Ba su da mahimmanci a bincikar samfurori. Wasu mutanen da ke da iko, wadanda dukansu suna da baki ko farar fata-ba tare da tabarau na launin toka-an nuna su a fili sun furta a fili cewa ganewar rashin lafiyar jiki ba "ba ainihin ganewar ba."
Tambaya: Akwai alamun daidaituwa ga marasa lafiya wadanda ke da jigilar hypothyroidism. Babban gwajin TSH ya ce suna da "al'ada," amma da yawa likitocin yanzu sun gane cewa matakan cikin layin da ake kira "al'ada" suna iya tabbatar da matsalar matsalar thyroid.
Richard Shames, MD: Babu shakka. Maƙarar ƙanƙanci mai zurfi yana da kyau a kwatanta da m rashin ƙarfi. Gwaje-gwaje na jini a yanzu shine sau da yawa kawai bai dace ba don nuna wani mummunan sakamako a kan dukan mutanen da suke da mummunar hypothyroidism. Shekaru goma sha biyar ko 20 da suka wuce mutane da yawa masu binciken endocrinologists sun ƙi "m hypothyroidism" a matsayin ainihin ganewar asali.
Wannan yana kama da ƙananan ƙididdigar rashin daidaituwa na adrenal. Ya ɗauki shekaru masu zuwa na kimiyyar kimiyya, amma yanzu mutane da yawa masu binciken endocrinologists suna cewa, "Doctors da marasa lafiya suna bukatar su fahimci ainihin yiwuwar rashin tsinkaye ko tsinkaye na hypothyroidism."
Tambaya. Shin asibiti zai iya motsawa a wannan hanya?
Richard Shames, MD: Haka ne, hakika. Fayil na yanzu ita ce wannan batu, ba bisa ka'ida ba. Don haka, idan gwaje-gwaje na jini ya fi kyau, kuma / ko kuma lokacin da gwajin kwayoyin hormon ya karu da karɓa a cikin al'ada, za'a iya ganin gajiya ta hanzari a matsayin ainihin ganewar asali cewa hakika shine: "rashin lafiyar adrenal.
A wasu kalmomi, wani nau'i mai mahimmanci na ganewar asali, cewa yawancin gwajin jini na yau da kullum sukan rasa.
Tambaya: Har sai wannan fahimta ya fahimci kuma ya yarda da kyau, menene za a yi?
Richard Shames, MD: Da farko, zai taimaka wajen fara kira shi rashin isasshen ciki, wanda shine, kuma abin da aka gano ainihin ma'anar "ainihin". (Babban shafukan ICD-9 na wannan shi ne 255.4) Ana iya bincikar siffofin ƙarancin wannan yanayin na hakika ta hanyar haɗuwa da tarihin likita, tare da nazari na jiki, tare da haɗuwa mai kyau wanda aka zaba jini, fitsari, da kuma gwaji. ya kamata a yi a yanzu.
Tambaya: Me game da ikirarin da Hormone Foundation / Endocrine Society ya yi da cewa "... gwajin gwagwarmaya ta jiki ba bisa tushen kimiyya ba ne ko goyan bayan kimiyya mai kyau ..."
Richard Shames, MD: Akwai lambobi masu yawa na ilimin kimiyya da littattafan da masu bincike da malaman kimiyya endocrinology suka wallafa, waɗanda suka ƙi waɗannan maganganu masu banƙyama game da gajiya mai tsanani. A halin yanzu ina aiki a kan ƙarin bayani game da batun, don rabawa tare da masu karatu, wanda zai taƙaita kuma ya nuna abin da wasu likitoci da yawa na gani a matsayin gaskiya mafi zurfi game da wannan batu, maimakon tsayayya da Endocrin Society na farfadowa da mahimmancin batun .