Okudingeka Ukwazi
Uma uthola ukuthi unesifo se- hypothyroidism futhi uthola ukwelashwa, futhi imiphumela yakho yokuhlolwa eqinisiwe kulokho okuthiwa "ujwayelekile" uhla, yini ejabulisayo uma usazizwa kahle?
Okuyiqiniso ukuthi naphezu kokwelashwa kwe-hypothyroidism , iziguli eziningi - abanye bathi ngisho iningi lalabo abathola ukwelashwa kwe-thyroid- baqhubeke beba nezimpawu ezingase zihlobene ne-thyroid yakho. Ngisho nangemva kokuthola ukuthi ukhona futhi usezidakamizwa ezithathelisayo ze-hormone , ungase ube nezimpawu eziqhubekayo ezifana nokuqhubeka nesisindo noma ubunzima bokulahlekelwa isisindo , ukucindezeleka, ubuchopho obuchopho noma ubunzima bokugxila, ukulahlekelwa izinwele , ukuqina kwesandla / izinyawo / ukuvuvukala ubuso, ukubekezelelana ukushisa nokubandayo, izinhlungu zomzimba nezinhlungu ezihlangene, ukuqothulwa, umhubhe we-carpal noma i-tendonitis, amazinga aphezulu e-cholesterol, ukushayela ucansi oluphansi, nokuhlupheka ukukhulelwa, phakathi kwabanye.
Yiziphi ezinye izinyathelo okufanele uthathe ukuze uhambe uzizwe ungcono?
Cela i-Doctor yakho Uma i-TSH entsha ye-Target ingaba efanelekile kuwe
Isinyathelo sokuqala kuwe ukwazi ngesimo sakho esiqondile se- TSH , namanye amazinga aphezulu we -roid afana no- T4 no-T3 . La mazinga akuvumela ukuba usize i-gauge lapho udokotela wakho ehambisana nokwelashwa futhi akunike iphuzu elivamile lokuxoxa.
Odokotela abanolwazi bayazi ukuthi i-TSH ye-1 kuya kweyesibili - ekugcineni okuphansi kwebanga elijwayelekile - lizinga elijwayelekile labantu abangenayo isifo se -roid , futhi bahlose lolu hlu ekuphatheni iziguli ze-thyroid. Khumbula ukuthi udokotela okutshela ukuthi i-TSH yakho "kuhle" akwanele, ngoba uma udokotela wakho esebenzisa uhla olujwayelekile olujwayelekile lwe-.5 kuya ku-5, ungaba ne- TSH ye-4 futhi utshele ukuthi "ujwayelekile. " (Qaphela, abanye odokotela balandela ububanzi obusha, obuphakanyisiwe be-TSH ka-0.3 kuya ku-3.0). Ngesimweni sami, ngiyazi ukuthi ngizizwa kabi ku-TSH ka-3.0 noma ngenhla, futhi ngithola izimpawu ze-hyperthyroid ku-.1, kodwa ngizizwa kahle cishe ngo-1.5 noma ngaphezulu. (Qaphela: le TSH ivame ukugcinwa iphinde ibe ngaphansi kuka-1-2 kubantu abasindile umdlavuza we-thyroid ukusiza ukuvimbela ukuphindaphinda.)
2. Cela uDokotela Uma Ukushintshela Kwenye Umkhiqizo We-Levothyoxine Ungase Ufaneleke
Esinye isinyathelo esibalulekile ukucacisa ukuthi usezidakamizwa ezifanele kuwe. Iningi leziguli ze-thyroid ziqalwe nge-levothyroxine, isisetshenziswa somuthi we-T4, ngokuvamile umkhiqizo we- Synthroid . Kodwa uma ungezwa kahle ku-Synthroid, noma ngabe ngabe ungubani, ungase ufune ukubuza udokotela wakho ngokuzama umkhiqizo ohlukile. Lezi zinhlobo zinama-fillers ahlukene futhi izithako ezibophezelayo, kanti ezinye ziqhekeka kalula / zithandwa kakhulu kunabanye, ngakho abanye abantu bathola ukuthi benza kangcono kunomunye umkhiqizo ngokumelene nomunye. Imikhiqizo etholakalayo kakhulu ihlanganisa i-Synthroid, Levoxyl, Levothroid, ne-Unithroid.
3. Zama Ukugwema Izizukulwane Noma Thola Isigaba Esiqinile, Isikhathi Eside Uma Kunesidingo
Uma usazizwa kahle, thola ngezinkinga ngezizukulwane, isidingo se-T3, izindlela zokudidiyela, nodokotela abalungile.
Amanye ama-HMO nezinkampani zomshuwalense zigcwalisa ngokuzenzakalelayo imiyalelo ye-levothyoxine ngezinguquko ezijwayelekile zesidakamizwa. Kunenkinga nge- levothyroxine generic .
Inselele ebalulekile nge-generics, futhi isikhalazo esifanele odokotela, ukuthi uma unemithi ye-levothyroxine generic, njalo uma uthola ukuvuselelwa, ungathola i-levothyroxine eyenziwe inkampani ehlukile. Lokhu kusho ukuthi njalo uma uthola ukuvuselela, ungaba nomkhiqizo onamandla okuhlukile, okungaba nomthelela emazingeni akho e- TSH . Lokhu kubaluleke ikakhulukazi abasindile bomdlavuza we-thyroid, abadinga ukunakekelwa ngokucophelela ukuze banqande iTSH njengendlela yokuvimbela ukuphindaphindiwe komdlavuza.
Uma i-HMO yakho noma umshuwalense uzama ukuphoqelela okukhiqizayo kuwe, ungacela udokotela wakho ukuba abhale umshwalense wakho othi "akukho ukufaka esikhundleni sama generic" ne-DAW (ukuhambisa njengokubhalwe). Udokotela angase abhale ngisho nencwadi ukusiza ukuvikela igama lomuthi.
Uma uphoqeleke ukuba uthathe uhlobo olulodwa, indlela eyodwa yokuzivikela ekushintsheni komkhiqizo kuya kumkhiqizo ukuthola ukuthola okuzohlala isikhathi esithile. Cabanga ukuthola udokotela wakho ukuba akulobele umshwalense wokunikezwa kwezinyanga eziyisithupha, isibonelo. Kodwa uma uthola lo mgomo ogcwalayo, qiniseka ukuthi uthola ibhakede elisha, elizophela isikhathi eside ngemuva kokuthi usebenzise izidakamizwa ezinyangeni eziyisithupha.
4. Cabanga Ukucela Udokotela Wakho ukuba Abhale Ezingeziwe T3 noma Isidakamizwa Esihlanganisa T3
Kubantu abathile, ngisho noma izinga le-TSH livamile, noma kwezinye izizinda ezincane, ezijwayelekile, kungenzeka kube khona isimo lapho umuntu esebenza khona nge-hypothyroid, ngenxa yokuthi umzimba awukwazi ukuguqula i-hormone ye-T4 ejikelezayo ku-T3 hormone esebenzayo izinga leselula, amazinga ama-hormone angama-T3 ngokujwayelekile, noma ezinye izici. Ukungakwazi ukuguqula kahle i-T4 kuya ku-T3 kungaholela ekushintsheni kwe-TSH , njengoba uhlelo luzama ukugcina ukulinganisa ukuphuma kwezinga le-T4 ne-T3, ukuthumela amazinga we-TSH phezulu nangaphezulu ukuze ahlawule. Kulezi ziguli, i-T3 eyengeziwe ingase ibasize bazizwe kahle.
Ezinye iziguli zithola ukuthi zengeza i-T3 ngendlela ye- Cytomel noma nge-compounded, i -T3 ekhishwe isikhathi , ku-levothyroxine yazo, ixazulula izimpawu. Abanye baye baphumelela ngenye indlela: yokwenziwa komuthi we-T4 / T3 ye-Thyrolar, kanti i-subset yeziguli zibonakala zizwa kahle kakhulu emvelweni we-T4 / T3 yemithi ye- Armor Thyroid , eye yatholakala ngemithi engaphezu kweminyaka eyi-100.
Ngingomunye walabo bantu abazizwa kangcono kakhulu ukuthatha i-T3. Njengoba ngithola ukuhlolwa kwami ngo-1995, ngithathe izinto ezihlukahlukene ze-levothyroxine, i-levothyroxine kanye ne-Cytomel, i-Thyrolar, ne-Armor, futhi ngihlale ngizizwa ngingcono emzimbeni ohlanganisa i-T3, i-levothyroxine izidakamizwa kuphela.
Ngokumangazayo, Kusabhekwa njengengxabano yokusebenzisa i-T3 kubantu abane-hypothyroidism nge-innovative encane noma eyamalungu omhlaba wezokwelapha.
5. Hlanganisa indlela ehlukile yokwenza izinto kanye nokwelapha
Uma ulungiselele ukwelashwa kwakho kwe-thyroid, isinyathelo esilandelayo ukucabangela ukugcwalisa ukwelashwa kwakho okwejwayelekile ngezokwelapha ngezindlela ezengeziwe. Lokhu kungabandakanya izinguquko zokudla, amakhambi / amavithamini / izithako ukuze kusize ukunciphisa izimpawu ezithile, ukwesekwa okuqhubekayo, amasu okuthuthukisa umzimba, ukunciphisa ukucindezeleka, kanye neminye imizamo yokuhlanganisa. Ukusiza ukuthuthukisa uhlelo lwakho oludidiyelwe lwe-thyroid, kunezincwadi ezihlukahlukene ezinikeza ulwazi olujulile. Bona ulwazi ezincwadini ezihlobene ne-thyroid ngemibono.
6. Thola uDokotela Omusha
Uma udokotela wakho engayikuxoxa ngezinketho, khona-ke uzodinga ukuthola udokotela, owazi kahle izimo ze -roid , ngubani ozoba umlingani wakho empilweni.
Imithombo:
Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. I-WLL / Wolters Kluwer; 2012.
I-Garber, J, uCobin, R, Gharib, H, et. al. "Iziqondiso Zomtholampilo Zokusebenza Nge-Hypothyroidism Kubantu Abadala: I-Cosponsored yi-American Association of Endocrinologists Clinic kanye ne-American Thyroid Association." I-Endocrine Practice. I-Vol 18 No. 6 Novemba / Disemba 2012.