Ukuba nesiguli se-thyroid kuza nezinselele eziningana: ukulawula isifo esingelapheki; ukuzama ukuqeda izimpawu eziqhubekayo; futhi wenza konke okusemandleni akho ukuba ube nempilo enempilo. Ekuhambeni kwakho kusukela ekuqaliseni kokuqala ukuya emzimbeni, kunezinto ezinhlanu iziguli ze-thyroid ezingenakuphoqeleka ukuba zenze-njalo!
Iziguli Zegciwane Akufanele Ziphoqelelwe Ukuphikisana Nokuvivinya Okufanele
Uma uya kudokotela futhi ukhalaza izimpawu ezifana nokukhathala, izinguquko zesisindo, izinkinga zemizwelo ezinjengokucindezeleka noma ukukhathazeka, noma ezinye izimpawu ze-thyroid ezivamile, udokotela wakho kufanele ngokushesha athuthele ukuqhuba ukuhlolwa okusemtholampilo , futhi uhlele iphaneli eliphelele ukuze lihlolisise i-thyroid.
Lokhu kungaphezulu kwesinyathelo esilandelayo esilandelayo uma:
- tshela udokotela ukuthi usola isimo se -roid bese ucela ukuba uhlolwe.
- wabelane nodokotela noma yikuphi umlando womuntu siqu noma womndeni we-thyroid noma isifo esizimele.
- ukhulelwe, njengoba ukukhulelwa yisikhathi lapho ukuphathwa kwe-thyroid kubalulekile ekukhulelweni okunempilo kanye nengane.
Ngeshwa, odokotela abaningi abacabangi ukuhlola isifo se-thyroid, noma ngisho nalapho kuceliwe, benqaba ukwenza ukuhlolwa kwe -roid. Kungani?
- Izindlela zokuqukatha izindleko ezishiwo ama-HMO nezinkampani zomshuwalense zihlinzeka ngokungahambisani nodokotela
- "izinkombandlela" ezinqunyelwe ukucindezela ukuthi ubani nokuthi nini ukuhlola isifo se-thyroid
- ngenxa yezizathu ze-ego, abanye odokotela bavimbela ngokwabo lapho bebhekene neziguli ezicela ukuhlolwa okuqondile. (Kuneziguli ezibika odokotela bathi "Ngingudokotela, futhi ngizokutshela uma udinga ukuhlolwa kwe -roid!")
Akufanele uphoqelelwe ukuphikisana nokuhlolwa okuhle kwe -roid.
Noma kunjalo, kufanele. Amanye amathiphu:
- Letha uhlu lokubheka izingozi kanye nezimpawu , bese ucela udokotela ukuthi asayine futhi awenze usuku, futhi akhombise ukwenqaba kwakhe ukwenza ukuhlolwa kwegciwane, bese ucela ukuthi lifakwe efayeleni lakho lezokwelapha, kanye nekhophi enikezwe yona kumarekhodi akho. (Lokhu kuzovame ukushintsha isikhundla sesidokotela ukuze kulungele ukuqhuba ukuhlolwa okuceliwe.)
- Bhala incwadi noma ufake isikhalazo nge-HMO yakho noma inkampani yomshuwalense ombudsman, ubeka icala lokuthi kungani ucela ukuhlolwa, futhi ulobe ukwenqaba kukadokotela.
- Thola udokotela omusha, noma ucabange ukubona udokotela ozokwenza imali ngaphandle kokubona i-HMO noma izinkampani ezinomshwalense ezincane.
Iziguli Zegciwane Akufanele Ziphoqelelwe Ukuthatha Imithi Engabasebenzi
Iziguli eziningi zegciwane, kungakhathaliseki ukuthi unomdlavuza we-thyroid, isifo sika-Graves / hyperthyroidism, noma isifo sikaHashimoto, ekugcineni sigcina i-hypothyroid futhi sidinga imithi yokwelapha i-hormone. I-go-to, i-hormone ephindaphindiwe ye-hormone esikhundleni sezidakamizwa odokotela abaningi banquma ukuthi i-levothyroxine, ifomu yokwenziwa kwe-hormone ye-T4. Levothyroxine yigama elivamile; Igama lomkhiqizo odumile ongase ukwazi lihlanganisa i-Synthroid, i-Levoxyl, iTirosint, ne-Unithroid.
Nokho, ezinye iziguli azenzi kahle uhlobo oluthile lwe-levothyroxine. Isibonelo, uma uthola uketshezi ku- cacia noma i-lactose, i-Synthroid- leyo ehlanganisa lezo zithako-ingase idale ukulimala kuwe. Isidakamizwa esinjengeLevoxyl singase sibe ukukhetha okufanele kakhulu. Uma unenkinga yokungena, noma isimo sokugaya sifana ne- Irritable Bowel Syndrome, i-hypoallergenic, i- gelcap ye- liquel Tirosint ingase ibe yisinqumo esingcono.
Ucwaningo lubonisa ukuthi i-subset yeziguli zenza kangcono nge-levothyroxine kanye nefomu yokwenziwa kwegama le- T3 elithi hormone-generic liothyronine , igama elithi Cytomel. Futhi i-subset yakho izokwenza kahle kakhulu kwi- nature ekhishwe yi-thyroid (NDT) , egama layo lomkhiqizo lifaka i-Nature-throid, i-Armor Thyroid, ne-Thyroid WP.
Akufanele uphoqele ukuthatha imithi engasebenzi kuwe.
Ungase uhlangabezane nale nselele, noma kunjalo, ngezizathu eziningana:
- Odokotela abaningi abavamile ngokuvamile abaqapheli ukuthi uhlobo oluthile lwe-Tirosint lungase libe yindlela engcono futhi ephumelelayo kwezinye iziguli, uma kuqhathaniswa nezinye izidakamizwa ze-levothyoxine.
- Odokotela abaningi abavamile bayaphikisana nokwengezwa kwe-T3 noma ukusetshenziswa kwezidakamizwa ze-NDT.
- Iziqondiso ezisemthethweni-zivame ukubhekwa njengesibopho ama-HMO amaningi nabanomshwalense-ukudikibala ukusetshenziswa kwanoma yikuphi imithi ye-hormone esikhundleni sokuguqula ngaphandle kwe-levothyroxine.
Uma imithi yakho ye-thyroid ingasebenzi, amanye amathiphu:
- Cela udokotela ukuthi azame uhlobo oluhlukile lwe-levothyroxine, njengengxenye yokuqala. Uma unenkinga yokumuncwa noma ukugula, cela ngqo uTirosint, bese ubuza udokotela ukuba abhale ngokuthi " ukuhambisa njengoba kubhaliwe" (DAW) ngaphandle kokufaka esikhundleni .
- Buza udokotela ukuthi avivinye izinga lakho le-Free T3. Uma ephansi, ephansi-evamile, noma okungenani phakathi kwephuzu lebala lokubhekisela, cela udokotela uma ezimisele ukwenza isilingo ukufaka i-T3 kumuthi wakho we-T4, ngokuphindaphindiwe ukuqinisekisa ukuthi ukhona hhayi okwenziwe ngokweqile noma engachaziwe.
- Buza udokotela ukuthi enze isilingo sokukushintshela ku-NDT, ngokuphindaphindiwe ukuqinisekisa ukuthi awuklanyiswa noma ungahambisani nalokho.
- Uma udokotela enqaba, ufake isicelo esibhaliwe kudokotela wakho, bese ukopisha ku-HMO noma umshwalense uma kunesidingo, futhi ugcine ikhophi yakho. Fakela isicelo noma isikhalazo ku-ombudsman uma kunesidingo.
- Cabanga ngokushintshela kudokotela ohlangene, noma udokotela ozokwenza imali ngokukhethekile ebhalansi ye-hormone ye-thyroid. Laba odokotela ngokuvamile bavulekile kakhulu ukusebenzisa i-T3 ne-NDT, njengoba bengavinjelwe imithetho yezinkampani kanye nemihlahlandlela yokwelapha encane.
Iziguli Zengculazi Akufanele Ziphoqeleke Ukuzikhulumela
Abanye benu bangase bakhungatheke kakhulu ngokuhluleka kwakho ukuthola ukuhlolwa okufaneleko nokwelashwa okwenza isinqumo sokuthenga izidakamizwa zakho ze-thyroid ngaphandle kwemithi kadokotela, kanye nemithi yokwelapha. Ngaphezu kokungekho emthethweni ingxenye enkulu, lesi yisinqumo esingaba yingozi, ngezizathu eziningana:
- Ubeka engozini ukuthola izidakamizwa ezingenamandla, ezingenakuqhathaniswa, kungenzeka zingenalo izithako ezibekiwe, noma zingase zibe nezidakamizwa ezingafuneki ezibeka ingozi
- Ubeka engozini yokuxiliswa, okungabangela ukungahambi kahle kwenhliziyo, njengokubheka i-atrial fibrillation, kanye nezinye izimpawu eziningi ezikhubaza
- Uma ukhulelwe noma ukhulelwe, ungafaka ukukhulelwa kwakho nomntwana engozini ngaphandle kwesilinganiso esifanele semithi nokuqapha
Akufanele uphoqelelwe ukuba usebenzise imithi ngemithi ye-thyroid.
Nakulokhu, uma ucindezelekile, kungase kudingeke ukhiphe umkhankaso wokuqinisekisa nge-HMO yakho noma umshwalense ukuze uthole udokotela oqondile kanye nezinketho zokwelashwa okufanele. Lokhu kungabandakanya izinhlamvu nokufaka izikhalazo. Uma unezinsiza zezimali ukwenza kanjalo, isisombululo esilula ukuphuma uphinde ubone udokotela ophakanyisiwe onekhono ekuhloleni kwe-thyroid nokulinganisela. (Qaphela: lokhu ngokuvamile akuyona i-endocrinologist.) Nokho, ngokuvamile, laba odokotela abawuthathi umshwalense, MediCare, Medicaid, noma bangabakwa-HMOs, futhi basebenzisa imikhuba yemali.
4. Iziguli Zengculazi Akufanele Zitshelwe ukuthi Zifuna Ukudakwa Kwezidakamizwa
Eminyakeni eyizinkulungwane edlule, kwakukhona odokotela abangenangqondo ababeka ama-amphetamines ("ijubane") nemishanguzo ye-thyroid yokulahlekelwa isisindo. Ukuqapha okunamandla nokuzikhandla kwamanzi kwaqeda iningi labadokotela. Noma kunjalo, kuvele inhlamba, futhi kukhona odokotela abacabanga ngokuzenzakalelayo ukuthi owesifazane okhuluphele noma umgijimi oza ngaphakathi futhi ecela ukuhlolwa kwegciwane kanye nokwelapha "ukufuna izidakamizwa" -ukuthola imithi "evuselelayo" njengesisombululo sokwehla kwesisindo noma ukusebenza okuhle kwezemidlalo. Akufanele ususwe ngokuthi "ukufuna izidakamizwa" uma ucela ukuhlolwa kwe -roid kanye nokwelashwa okufanele. Uma ucela ukuhlolwa futhi uxoshwa udokotela ngokuthi "ukufuna izidakamizwa" -ngokuba yisikhathi sokukhipha umkhankaso nodokotela wakho, i-HMO noma umshwalense.
- Qala ngokuthumela izingozi ezibonakalayo kanye nezinkinga zokuhlola, bese ucela udokotela ukuba asayine, abe nomhla, futhi aqaphele ukuthi wenqaba ukuhlolwa kwe-thyroid. Qiniseka ukuthi ikhophi ifakwe efayeleni lakho lezokwelapha, futhi ugcine ikhophi yakho.
- Bhala noma uthumele isikhalazo ku-ombudsman kwinkampani yakho yomshuwalense we-heath noma i-HMO, bese ufaka uhlu lokungabonakali nolwazi olubhalisiwe.
- Uma unayo imithombo, cabanga ukukhetha ochwepheshe abaningi abavulekile ngaphandle kwe-HMO yakho noma ukufaka umshwalense.
Iziguli Zengculazi Akufanele Iphoqelelwe Ukukhuthazela Ukungaqiniseki
Uke wezwa noma iyiphi yalezi zitatimende?
- Umdlavuza we-hyroid ngumdlavuza "omuhle".
- Usola i-thyroid yakho, kodwa ukhuluphele futhi ufuna izaba.
- Ubheka kuhle. Angikholwa ukuthi unenkinga ngempela.
- "Ushaye emlonyeni womlomo." Kufanele udla ngaso sonke isikhathi ukuqhubeka uthola isisindo. Akuhlangene lutho nge-thyroid yakho. (Leli "umugqa emlonyeni" liqinisiwe latsho yi-endocrinologist owesifazane owayengumgijimi wase-marathon, ehlala kuma-calories angu-1,200 ngosuku, ngendlela!)
- Awudingi ukwelashwa kwe-thyroid, udinga isifo sengqondo. Unenkinga "ye-somatic" -kusekhanda lakho.
- Konke okudingayo isigaba sokuphenya kanye ne-caffeine ukuxazulula inkinga yakho ye-thyroid.
- U-Sofia Vergara unenkinga ye-thyroid, futhi akakatholakali!
- njalo njalo....
Akudingeki ubekezelele amazwi anonya angenandaba, ahlambalaza futhi ahlukumezayo odokotela, umphakathi, abezindaba, osebenza nabo, abangani namalungu omndeni.
Kodwa uthini noma wenzani? Ngokwethembeka, uma udokotela wakho ekhuluma noma iyiphi yalezi zinto, kunesixazululo esisodwa kuphela yisikhathi sokuba udokotela omusha.
Kubangani, umndeni nabasebenza nabo, iphuzu elihle lokuqala ukuhlanganyela ikhophi yale "ncwadi evulekile emndenini / abangani babantu abanesifo segciwane" nabo. Kungabasiza ukuba baqonde kangcono lokho okukuyo.
Ungase uthole ukuthi kuyasiza ukwabelana izindaba zakho, futhi uthole ukwesekwa kanye nezeluleko kwezinye iziguli ze -roid eziye zazizwa konke-futhi ezinye-kakade. Uzothola umphakathi osekelayo weziguli eziseTroroid Support ku-Facebook, olinganiswe nguMary Shomon.