Choyamba, iwo amapanga nawo ntchito yopanga mphamvu zoyenera kuti azigwira bwino ntchito yonse ya thupi, kuyendetsa kagayidwe ka shuga ndi njira zosiyanasiyana zofunikira - kuchokera ku kupuma mpaka kuntchito. Mahomoni a chithokomiro amapereka kukula ndi kukula kwa thupi, kulamulira thupi, chitetezo cha mthupi.
Koma chithokomiro cha thanzi ndi chofunika kwambiri kwa amayi, chifukwa sichimangopereka njira yokha yoberekera, koma imayambitsa mahomoni ambiri, makamaka pa nthawi yomwe amachititsa kuti asamatuluke, asatenge mimba, amayamba kusamba. Kulephera kwa chithokomiro panthawiyi kumabweretsa zotsatira zosasangalatsa - kuphwanya kwa msambo, kusabereka.
Ndikofunikira kwambiri kuyang'anira ntchito yoyenera ya mankhwala a chithokomiro komanso kuchepetsa mahomoni. Ngati matenda kapena kusokonezeka kwa ntchito yake adatsimikiziridwa, ziyenera kuchitidwa mwamsanga pofuna kubwezeretsa ntchito. Choyamba, izi ndi kudya kwa mankhwala oopsa.
Nthawi zambiri, matenda a chithokomiro amawoneka ndi kusowa kwa mahomoni opangidwa ndi hypothyroidism kapena ndi kuchuluka kwa hyperthyroidism. Zonsezi zimalamulidwa ndi mapangidwe apadera okhala ndi mahomoni achilengedwe kapena opangidwa.
Pofuna kuthetsa kusowa kwa mahomoni a chithokomiro, njira yotchedwa substitution therapy ikuchitidwa, pogwiritsa ntchito chithokomiro. Mankhwalawa amapangidwa kuchokera kumatenda a chithokomiro a zinyama powawuma ndi kuwatsitsa. Amapezeka pamapiritsi kapena powders ndipo amagwiritsidwa ntchito monga momwe adalangizidwira. Kugwiritsiridwa ntchito kwa mankhwalawa kumathandiza kuti normalization ya metabolism, kupindula kwa matupi ndi mpweya, kusintha ntchito ya mantha ndi mtima. Pofuna kubwezera chitetezo cha chithokomiro, mankhwalawa amalembedwa 1 piritsi 2-3 nthawi yam'mawa mutatha kudya. Mlingo woyenera umatsimikiziridwa ndi dokotala wochokera ku zotsatira za mayesero. Mankhwalawa sangathe kutengedwa ndekha, chifukwa ndi mlingo wosayenerera, tachycardias, angina pectoris, kuwonjezeka, kusokonezeka ndi mavuto ena akhoza kuchitika. Sikovomerezeka kugwiritsa ntchito chithokomiro mu matenda a shuga.
Mukhozanso kugwiritsa ntchito thyroxine. Ndi mankhwala omwe amachititsanso kuti mahomoni a chithokomiro asawonongeke. Zimalimbikitsa kukula ndi kukula kwa thupi, kuchepetsa thupi kwa mapuloteni, mafuta ndi chakudya, kumapangitsa kuti ntchito yokhudzana ndi mitsempha ndi ya mtima ikhale yogwira ntchito. Zotsatira zake zimakhala zozizwitsa za hyperteriosis (tachycardia ndi angina pectoris, kusowa tulo ndi nkhawa) - chotero, kuyang'anitsitsa kofunika kwambiri ndi dokotala panthawi ya chithandizo. Sitikulimbikitsidwa kugwiritsa ntchito mankhwalawa kwa odwala omwe ali ndi angina, myocardial infarction ndi kulephera kwa adrenal cortex.
Pochizira matenda a hypofection, mungagwiritsenso ntchito thyrotome, pakamwa patsopano ndi kuphatikiza mankhwala. Thyreotom imamasulidwa ngati mapiritsi ndipo imatsutsana mofanana ndi thyroxin, ndipo zotsatira zake siziwululidwa - mwachidziwitso cha mankhwala poyang'anira dokotala. Kusokonezeka kwa matenda amatha kupezeka ndipo ngati mtima uli wolephera, vutoli likuipiraipira. Mlingo umatsimikiziridwa payekha pokhapokha ngati dokotala akufunsana, ndipo mankhwalawa amaperekedwa pa mankhwala okhaokha.
Muyenera kusankha mankhwala abwino kwa inu nokha ndi dokotala mukatha kufufuza koyenera, kuphatikizapo kuyezetsa magazi m'magazi komanso kuyerekezera kwa chithokomiro cha ultrasound. Kudya nthawi zonse mankhwala osankhidwa bwino kumayendetsa kusalinganizana kwa mahomoni m'mwezi.
Ngati chithokomiro chotulutsa chithokomiro chimapanga mahomoni ambiri, kambiranani za kutentha kwake. Matendawa ndi owopsa kwambiri kuposa kusakwanira kwake, ndipo amachititsa matendawa mu mtima mwa mzindawo. Pachifukwa ichi, dokotala amasankha mankhwala ophera tizilombo omwe amachititsa kuti thupi lisagwire ntchito - ndi thiamazole (mercazolil), potassium perchlorate. Zinthuzi zimachepetsa kaphatikizidwe ka hormone ya thyrotropic ya lobe yamkati ya chifuwa cha pituitary, zomwe zimachititsa kuti thupi lizikhala bwino.
Thiamazole iyeneranso kugwiritsidwa ntchito pokhapokha kuyang'aniridwa ndi dokotala ndikutsatira ndondomeko yake, chifukwa kuti nthawi yayitali kusamalidwa kwa thiamazole, kubwezeretsedwa kwa hyperfunction ndiko kotheka. Kuyezetsa magazi nthawi zonse kumakhala kovomerezeka, ndipo ngati zotsatira zake (kupweteka kwadzidzidzi, kutentha thupi, kuthamanga kwa khungu, kuthamanga kwa khungu kapena kuyabwa, kunyoza ndi kusanza) zimachitika, lekani kumwa mankhwala.
Potaziyamu perchlorate ndi wothandizira tizilombo toyambitsa matenda omwe amathandiza kuteteza matenda a chithokomiro komanso kuonetsetsa kuti maselo a hormone ndi otetezeka. Mankhwalawa amapezeka pamapiritsi ogwiritsira ntchito tsiku ndi tsiku atakambirana ndi katswiri. Contraindication ndi pachilonda chilonda cha m'mimba ndi duodenum.
Mankhwala ogwiritsira ntchito mankhwala osokoneza bongo, omwe amalamulidwa ndi dokotala, amathandiza kuchepetsa matenda a chithokomiro komanso kuchepetsa mahomoni, komabe kugwiritsa ntchito mankhwala osokoneza bongo kungayambitse matenda aakulu, chifukwa mahomoni amachititsa ntchito ya thupi lonse. Tsopano mukudziwa mankhwala omwe amachititsa kuti mukhale ndi chithokomiro.