Ningalude thyroidine kurich ningalk ariyaathathellam

Thyroid Problems, Disease - Symptoms, Causes, and Diagnosis

Thyroid Problems, Disease – Symptoms, Causes, and Diagnosis

Thyroidine kurich ningal arinjirikkenda karyangal:

  • Ningal divasene cheyyunna karyangal thyroidinte arogya sthithiye baadhikkum. Ningalude pravarthikalk anusarich shareerathile thyroidinte alavu mechappedukayo athinu haani sambavikkukayo cheyyam
  • Thyroidinu iodine aavashyam aan; ith iodized uppil ninno, aaharangalil ninno, allengil supplimentukalil ninno labhikkunnathaan
  • Thyroidinte alavu mechappeduthunnath shareerathile kozhuppinte alavu kuraykkuvaanum, athu vazhi shareerabhaaram kuraykkuvaanum sahayikkunnu
  • Sthreekalil ironinte aparyaapthatha thyroidinte aparyaapthathayk kaaranam aakaam

 

Thyroidinte alavu vardhippikkuvan vendi supplementukal upayogikkavunnath aan. Ennal ingane cheyyumbol shariyaya reethi sweekarikkendath und, illa engil ith gunathekkaal kooduthal dosham cheyyum.

 

Thyroidum iodinum

 

Shareerathil iodininte aparyaapthatha undakunnath thyroidine prathikoolam aayi baadhikkum. Aahaarathil ninn shareerathin aavashyam aaya iodine labikkunnathaanu. Aahaarathil aavashyathin iodized uppu cherkkunnath shareerathinu vendathra iodine labhikkunnu enn urappu varuthuvan sahayikkunnu.

Ethra alavil iodized uppu kazhikkanam ennullath aan mattoru chodyam. Divasavum kuranjath 2 gram allengil ara teaspoon iodized uppu (ekadesham 936 mg sodium) engilum kazhikkendath aan. Ennal marketil labhikkunna pala iodized uppukalilum aavashyathinulla iodine adangiyittilla ennathaanu vaasthavam. Athukond thanne aavashyathinulla iodine labhikkanam enkil mukalil paranja alavinekkal kurachu kooduthal uppu upayogikkendath aan.

Marketil labhikkunna fast foods, processed foods ennivayilum; hotelil ninn labhikkunna aahaarangalilum iodized uppinu pakaram saadhaarana uppu upayogikkunnathaan kandu varunnath. Saadhaarana uppil iodininte alavu valare kuravanu. Ingane ulla aaharangal vangumbol labelil ‘iodized uppu’ enn ezhuthiyittundo enn nokkendath aan.

Ingane ulla kaaranangal kond thanne veettil undakkiya aahaarangal kazhikkunnathaan aavashyathin iodine shareerathinu labhikkunnu enn urappaakkan uthamam. Divasavum ekadesham 300 mcg iodine kazhikkendath und ennaanu vidagdhar nirdheshikkunnath.

 

Aavashyathil kooduthal iodized uppu kazhikkuvan ulla saadyatha kuravaan engilum ith theerthum thallikkalayuvan aavilla.

Oru kaaranavashaalum oru divasam 1100 mcg (1.1 mg) iodinil kooduthal upayogikkaruth. Ee alavil kooduthal iodine kazhikkunnath hypothyroidism varunnathinu kaaranam aakunnu. Ennal 0.8 mg iodine divasavum kazhikkunnath thanne hypothyroidisathinu kaaranam aakum ennu chila padanangal kaanikkunnu.

0.8 mg iodine shareerathinu labhikkanam enkil divasavum 4945 mg sodium kazhikkanam, athaayath ekadesham oru table spoon. Athukondu thanne oru divasam ara tablespoonil kooduthal iodized uppu upayogikkunnilla enn urappu varuthuka. Garbinikal iodininte alavu kooduthal aakaathirikkuvan pratheykam shraddhikkendath und.

 

Iodine dhaaraalam adangiya aahaara saadanangal

Iodine dhaaraalamaayi ulla aahaara saadanangal thazhe koduthirikkunnu. Ivide koduthirikkunna alavil ivayil ethengilum onn divasena kazhikkunnathil ninn shareerathinu 150 mg iodine labhikkunnath aan.

  • paal (milk), thairu (yogurt), cheese – 2.5 cup
  • tholiyodu koodi bake cheytha urula kizhang (potato) – 2.5
  • mutta (egg) – 12
  • chemmeen (shrimp) – 13 ounce
  • turkey – 13 ounce

 

 

Beef, chicken, pork, ari (rice), gothamb (wheat), pazhangal, pachakkarikal ennivayil iodininte alavu valare kuravaan. Whey proteinilum, micellar caseinilum iodine dhaaralam aayi adangiyittund. Ivayude 80 gmil 150 mcg iodine adangiyittund.

Ningalude aaharathil mukalil paraja saadanangal adangiyittund enkil ningal iodized uppo supplementukalo upayogikkenda karyam illa. Ennal ningalude aaharathil kooduthalum beef, chicken, pachakkarikal, pazhangal, pasta enniva okke aan adangiyittullath enkil, iodized uppum supplementukalum kazhikkunnath ningalude shareerathinu gunam cheyyum.

Gothamb (wheat) kondulla chila ulpannangalil iodininte alavu dhaaralam aayi kandu varunnu enkilum; ithu ‘additives’ kaaranam aan ennullathaan vaasthavam. Maathramalla oro ulpannangalilum ulla additivesinte alavilum kaaryamaya vyathyaasam und. Udaaharanathinu chila brandukalude oru kashanam breadile iodininte alavu 2.2 mcg aanengil, mattu chila brandukaludethinte alavu 587 mcg aan. Enkilum kuranja alavil iodine ullava aan kooduthal kandu varunnath.Mattoru kaaryam bread addictivukalil thyroidinu ethire pravarthikkunna potassium bromate undaakuvan ulla saadyatha und ennath aan. Ee kaaranangal kond thanne gothamb kondulla ulpannangale iodine adangiya aaharangalude pattikayil ulppeduthuvan saadikkuka illa.

 

Thyroidinu aavashyam aaya vitaminukalum mineralukalum

Vitamin Dyude aparyaapthatha hypothyroidism varunnathinu kaaranan aayekkum. Divasavum ningalk aavashyathinu sooryaprakaasham labhikkunnilla enkil supplementukal upayogikkendath und. Oru divasam 4000 IU vitamin D enna alavil supplementukal upayogikkavunnathaan.

Iron, selenium enningane ulla mineralukalude kuravum thyroidinu dosham cheyyum. Sthreekalile ironinte aparyaapthatha thyroidinte aparyaapthathayk kaaranam aakam. Purushanmaark ironum seleniumum thyroidinte pravarthanathinu aavashyam aan, enkilum ivayude aparyaapthatha saaramaya thakaraarukalk kaaranam aavilla. Athukondu thanne aaharathil ninn ee mineralukal labhikkunnund enkil supplements upayogikkenda kaaryam illa. Purushanmare sambandhich ironinte aparyaapthathayk ulla saadyatha valare kuravanu. Athukondu thanne blood test vazhi, parishodich urappu varuthiyitt maathrame purushanmar iron supplementukal upayogikkuvan paadullu.

 

 

Dietingum thyroidum

Thyroidinte ulpaadanathinum; T4ine T3 aaki maattunnathinum ningal aavashyathin calorieyum macronutrientum kazhikkendathu anivaryam aan. Divasavum 12 kcal/pound (ivide ningalude shariyaya bhaarathinu pakaram ningalude uthamam aaya bhaaram aan edukkendath) enna alavil calorie kazhikkendath aan. Udaaharanathinu ningalude bhaaram 230 poundum ningalude uthamam aaya bhaaram 200um aanengil, 200*12 = 2400 calorie – divasavum kuranjath ee alavil enkilum calorie kazhikkunnund enn urapp varuthuka. Ee alavil kazhikkunnath ningale kozhuppu kuraykkuvan sahayikkunnilla enkil calorieyude alavu kuraykkunnathinu pakaram vyayamathinte alavu vardhippikkuka.

Thyroidinte pravarthanathinu carbohydratum proteinum aavashyam aan. Athukondu thanne carbohydrate kuranja diet thiranjedukkumbol athinu anusarich proteininte alavu vardhippikkuvan shraddhikkanam.

 

 

Thyroid signaling

Nammude koshangalum shareeravum pravarthikkunnath avaykku labhikkunna signalukalk anusarich aan. Thyroid signalukal shari aayi pravarthikkendath shareerathinte aarogyam nilanirthunnathinu aavashyam aan. Ee signalukalil varunna thakaraarukal ningalude shareerathe engane baadikkum enn thazhe koduthirikkunnu:

 

Inadequate thyroid signaling (aparyaaptham aaya thyroid signaling)

  • Metabolisathinte nirakk 25 shathamaanam vare kurayunnu.
  • Kozhuppinte metabolisathinu sahayikkunna genukalil kuravu sambavikkunnu
  • Insulin sensitivity kurayunnu
  • Glucosinte metabolisatheyum; avaye mamsa peshikalil ethikkukayum cheyyunna genukalil kuravu sambavikkunnu.

 

 

Excessive thyroid signaling (amitham aaya thyroid signaling)

  • Hridaya spandanathinte nirakk vardhikkunnu.
  • Metabolisathinte nirakk kurayunnu
  • Amithamayi kozhuppu kuraykunnu
  • Kozhuppinte metabolisathinu sahaayikkunna genukalude ennathil vardhanavu sambavikkunnu
  • Mamsa peshikalude catabolism vardhikkunnu
  • Insulin sensitivity kurayunnu
  • Glucose metabolisatheyum; avaye mamsa peshikalil ethikkukayum cheyyunna genukalude ennathil vardhanavu sambavikkunnu.

 

 

Thyroid signalinginu thakaraaru sambavikkunnathinte kaaranangal

Thyroid signalinginu thakaraaru sambavikkunnathinte kaaranangal maanasika pirimurukkam, vishaadam, testosteroninte alavil sambavikkunna kuravu, prameham, amithavannam, pettann amithamaaya alavil bharam kuraykkal, deerghakaalam aayittulla vedana; uyarnna alavil ulla C-reactive protein, TNH-alpha, IL-1, IL-6 (iva ellam inflammationumayi bandhappettava aan) enniva aan.

Ingane ulla prashnangal kuraykkuvan shramikkuka. Blood testil thakaraarukal kaanunnilla enkilum sookshikkendath und. Kaaranam rakthathinte alavil thakaraarukal illa engilum; iva koshangalil ulla thyroid hormoninte alavinu kottam varunnathinu kaaranam aakam.

 

Uyarnna TSH ponnathadikkum, metabolisathile thakaraarukalkum kaaranam aakunnu

TSH ennath oru thyroid hormone alla, ith thyroid hormone ulpaadippikkuvan nirdhesham nalkunna hormone aan. Thyroid shariyaya reethiyil prathikarikkuka aanenkil TSHinte ulpaadanam uchithamaya alavil aayirikkum. Ennal thyroid anukoolam aayi pravathichillengil, kuravu theerkkuvan vendi TSH kooduthal aayi ulpaadippikkappedunnu.

Ith T3yudeyum T4inteyum alavu vardhippikkuka aan cheyyendath, ennal vaasthavathil mattonn aan sambhavikkaar. Uyarnna alavilulla TSH koshangalk thettaya signalukal nalkukayum; ith metabolisathe thakaraaril aakukayum cheyyunu. Thyroid shariyaya reethiyil pravarthikkathath T3yude uthejanam kuraykkunna vazhi metabolisathe melle aakuka maathram alla, ith koshangalude pravarthanathil maattam varuthukayum ponnathadik kaaranam aakukayum cheyyunnu.

Thyroid test eppozhanu nadathendath ?

Shareerathile kozhuppu kuraykuvan budhimutt, vishaadam, thanuppinodulla asahishnutha, kuranja shareerathaapam, amithamaya thalarcha, prameham, ponnathadi, amithamayi shareerabhaaram kurayuka, dheerghakaalam aayittulla vedana – Iva ellam thanne kuranja thyroidinte lakshanangal aan, ivayil ethengilum undengil thyroid test nadathendath aan. Sthreekalil ee lakshanangal koodathe aarthavathe sambandich ulla prashnangalum, asaadaaranam aaya water retentionum thyroid test nadathuvan ulla kaaranangal aan.

Mukalil paranjava onnum illatha bhooribhaagam perkum thyroid sambandicha yathoru prashnangalum undakuka illa. Iodininte aparyapthatha, amithamaya calorie niyandranam, kozhuppu koodiya aahaaram, protein kuranja aahaaram enniva aan thyroidinte thakaraarukalk mughya kaaranangal. Athunkond thanne ee kaaryangal prathekam shraddhikkendath und.

Free T3, Free T4, TSH ennivayude testukal aan nadathendath. Doctormar palappozhum free T3yude test ozhivaakkarund, ennal shariyaya roganirnayathinu ith aavashyam aan.

Thyroid hormone ulpannangal

Marketil ettavum sulabham aayi kanduvarunna thyroid hormone ulpannangal T3, T4, Armour Thyroid enniva aan. Armour Thyroidil T3, T4 iva randum adangiyittund.

Ee T3, T4 ulpannangalude chemical stability kuravanu ennathaanu pariganikkenda pradhana kaaryam.

Kaalaavadhi kazhinja ulpannangal upayogikkathe irikkuvan shraddhikkuka, kaaranam ivayude veeryam kuravayirikkum.

 

 

Pharmaceutical thyroid ulpannangalude upayogam

 

Thyroidinte alavu mechappeduthuvan aayi thazhe parayunna alavil thyroid ulpannangal upayogikkam.

 

Level 1

Shareerathinte pravarthanam mechappeduthuvan:- Ravile 12.5 mcg T3

 

Level 2

Light cycle (shakthi kuranja chakram):- Ravile 12.5 mcg T3, vaikunneram 50 mcg T4

 

Level 3

Heavier cycle (shakthiyeriya chakram):- raavileyum vaikunneravum 12.5 mcg T3, ith koodathe divasavum 50-200 mcg T4.

 

Level 1 sthiramayi cheyyunnath shareerathinte pravarthanam mechappeduthuvan sahaayikkum. Ee alavil thyroid ulpannangal upayogikkunnathil paarshwaphalangal onnum kanduvarunnilla. Thaalparyathinu anusarich upayogathinte kaalaavadhi neettavunnath aan.

Level 2 prathyaksham aaya paarshwaphalangal illathe thanne; kuranja kaalayalavil shareerathile kozhuppu kuraykkuvan sahayikkunnu. Ith TSH kuraykkuvanum sahayikkunnu.

Level 3 kooduthal theevram aayava aan. Heart ratil saaramaya vardhanavu kaanuka aanengil marunninte alavu kuraykkendath aan. Ee cyclil TSHinte alavu kuravaayirikkum.

Level 2inteyum, 3inteyum upayogam 8-12 aazhcha aaki kuraykkunnath aan uthamam.

 

Shareerathile TSHinte alavu uyarnnathaanengil, TSHinte alavu 1-2 Mu/L aaki kuraykkavunnath aan.

Ningalude lakshyam TSHinte alavu saadhaarana nilayil kurayaathe free T3yude alavu vardhippikkuka ennath aanengil; TSHinte moolyanirnayam nadathiya shesham dose athinu anusarichu parimithappeduthuka.

Shareerathinte aarogyam mechappeduthuka ennath aan lakshyam enkil, free T3yudeyum T4inteyum alavu kooduthal uyarnnathaakathirikkuvan shraddhikkuka.

 

Ethra T3 upayogikkam ??

T3 maathram aan upayogikkunnath enkil oru divasam 75 mcgyil kooduthal upayogikkaruth. Ennal ee alavu thanne hridayaspandanam vardhikkunnathinu kaaranam aayekkum, athukondu ithra uyarnna alavu upayogikkathe irikkuvan shraddhikkuka. Ithilum uyarnna alavu (udaaharanathinu 100 mcg/day) upayogikkunnath mamsa peshikalude naashathinum, shareerathinte thalarchaykkum kaaranam aavum.

50 mcg/day ennullath aan doctormaar nirdheshikkunna paramaavathi alavu, ee alavil T3 upayogikkunnath kozhuppu kuraykkuvan paryaaptham aan, athukondu thanne ee alavil kooduthal upayogikkenda aavashyam illa.

T3 maathram adangiya thyroid cycle surakshitham aayi shareerathile kozhuppu kuraykkunnu. T4 T3yude koode upayogikkunnath shareerathile signalukalude adisthaanathil aan , allathe kaaryakshamatha vardhipikkuvan vendi alla. Athukondu thanne T4 ulppeduthendath bodybuildinginu anivaryam alla.

 

Thyroid ulpannangalude upayogam nirdheshikkappetta alavil koodiyal muscle burning, cardiac stress, insulin sensitivity ennivayk kaaranam aakum. Shareerathile kozhuppu kuraykkuvan thyroid ulpannangalude upayogam vardhippikkunnathinu pakaram diet mechappeduthukayum vyaayamam vardhippikkukayum cheyyuka.

 

Diet idaykkide vilayiruthendath aan. Iodine dhaaralam aayi adangiya aahaarangal kazhikkunnad sheelam aakkuka. Ee aahaara saadanangal ningalude dietil kuravaan enkil iodine adangiya uppo (oru divasam ara teaspoon muthal ara tablespoon vare) iodine supplementukalo upayogikkavunnath aan.