Ngokuvamile, isidakamizwa se-hormone esikhundleni somuthi singumuthi we-Levothyroxine onjengo-Synthroid noma we-Levoxyl. Kungaba ngumuthi wemvelo we-thyroid noma i-Nature-throid, noma uhlanganise nezidakamizwa ze-T3 njengeCytomel.
Le mithi inqunywe uma unesifo se-hypothyroid ngenxa yezifo, ukuhlinzwa noma ukwelashwa kwe-iodine yama-radioactive, futhi ingxenye enkulu, kubhekwa njengokuphephile nemiphumela emibi embalwa.
Lokho kusho ukuthi, "ingozi" evame kakhulu noma "imiphumela emibi" yalezi zidakamizwa yizimpawu ze-hyperthyroid ngenxa yokudakwa.
Ukuqapha Ukudakwa
Odokotela abaningi bazozama ukusebenzisa imiphumela yakho yokuhlolwa kwegazi le-thyroid ukuze bahlole ukuthi uthola imithi eminingi kakhulu. Kwezinye izimo, uma izinga lakho le-hormone le-hormone (TSH) le- thyroid elishukumisayo lisekupheleni kwebanga lokubhekisela , noma ngaphansi kwesiphetho esiphansi esivamile (ie ngezansi ku-0.3 kuya ku-0.5), uzoba nezimpawu zokuqeda amandla.
Ngokufanayo, abanye odokotela futhi babheka amazinga e- T4 ne-T3 -abe ekupheleni okuphezulu kwebala lokubhekisela, noma ngaphezulu kwebanga, angabonisa nokuphuza ngokweqile.
Izimpawu Nezibonakaliso Zokuqapha
Izibonakaliso zakho nezimpawu zokweqisa kungashintsha, kodwa ezinye ezivamile zihlanganisa:
- I-pulse ephakeme negazi
- Ukukhathazeka, amandla okwesaba, ukuthuthumela
- Ukuzwela ukucasula, ukukhathazeka, okungaqondakali, noma ocindezelekile
- Ukubunzima ukugxila
- Kunzima ukulala
- Ukukhathala
- Ukuzwa uphelelwe amandla, ngisho nalapho abanye bebandayo
- Uhudo
- Uzizwa sengathi inhliziyo yakho isuka ukushaya noma ukugijima
- Ukulahlekelwa kwesisindo ngaphandle kokushintsha kokudla kwakho / ukuzivocavoca
- Ukwandisa ukudla kokudla ngaphandle kokuthola isisindo
Ukuxhaswa kokuziqhenya
Ngezinye izikhathi abantu bacabanga ukuthi uma bephethwe ngokweqile, kufanele bazizwe behlukile kunezimpawu zabo uma i-hypothyroid.
Ngokwesibonelo, umuntu angase acabange ukuthi ukuthatha imithi eningi kakhulu kuyobenza bazizwe benamandla, noma ukuthi bazolahlekelwa isisindo.
Kodwa-ke, ukugqithiswa (njengoba kuboniswe ohlwini olungenhla) kungenza umuntu azizwe ephelile ngisho nangokwengeziwe, noma acy and cishe fri-like. Umuntu angase aqale noma aqale nokuthola isisindo, naphezu kokuzwa u-jittery nokukhathazeka.
Eqinisweni, akusizwanga ukuthi umuntu angaya kudokotela ukuze ahlolwe, aqiniseke ukuthi bangama-hypothyroid futhi bayodinga umthamo owandile, kuphela ukuthola ukuthi izimpawu ababhekana nazo empeleni ngenxa yokudakwa.
Ukuthi Ukucindezeleka Kwenzeka Kanjani
Kunezindlela eziningana ongagxiliswa ngayo ngesidakamizwa sakho sokufaka esikhundleni se-thyroid:
Izinkinga noma izidakamizwa zeDrug
Umthamo we-hormone ye-thyroid esikhundleni sokuthi udokotela wakho abekiwe kungenzeka ukuthi uphakeme kakhulu kuwe. Yingakho ukuqapha okubalulekile kubalulekile, okusho ukuhlolwa kwe-TSH kungakapheli amasonto ayisithupha ngemuva kokuqala esikhundleni se-hormone ye-thyroid noma emva kokushintsha kwegama noma igama lomshini.
Enye inkinga engase iphakanyiswe ukuthi ungathola isilinganiso esingalungile semithi, noma imiyalo engalungile yokumisela. Khokha ngokukhethekile izimpawu ezithuthuka ngemuva kokugcwalisa kabusha okwakamuva kwekhemisi.
Umakhemikhali wakho kungenzeka ukuthi wenze iphutha emithini yakho yemithi, noma ekulandiseni imiyalelo.
Okokugcina, uma uthatha i-levothyroxine ejwayelekile (okuyinto odokotela abaningi abangeke bayincoma), kungenzeka ukuthi uthole i-batch enamandla kakhulu ekugcwaliseni kwakho kokugcina. Ngisho noshintsho oluthile lwe-potency oluvela ku-refill eyodwa kuya kwesilandelayo, ikakhulukazi lapho ukuvuselelwa okuvela kubakhiqizi abahlukene be-levothyroxine, kungakuthola ukukufaka ku-hyperthyroidism.
Shintsha ekudleni
Kungenzeka usanda kushintsha ukudla kwakho, okuthinta ukuxilongwa kwakho kwemithi ye-hormone ye-thyroid. Isibonelo, uma udla i-high-fiber, bese usika emuva ekufakeni kwakho kwefayibha, ungase ubambe amazinga aphezulu wemithi ye-thyroid.
Qinisekisa ukuthatha imithi yakho ye-thyroid ngokufanele .
Izithako Ezithinta Imithi Yakho Yegciwane
Kungenzeka usanda kumisezela nge-iron noma calcium, noma uthathe isidakamizwa esine-estrogen, njenge-hormone esikhundleni noma amaphilisi okukhulelwa. Njengoba lezi zinto zingaphazamisa uketshezi lwe-hormone ye-thyroid, uma uyeka ukuzithatha, inani le-thyroid etholakalayo lokumunca lingakhuphuka, okwenza ukuba udliwe.
Kungenzeka ukuthi uqale ukuthatha isithasiselo esingaphezu kwe-counter esihlanganisa nesifo se-animal. Khokha ngokukhethekile " ukwesekwa kwe-thyroid ," ukwesekwa kwamandla kanye nezinsiza zokudla ezibandakanya izithako ezinjenge-"glandulars" ye-thyroid, "izidakamizwa ze-adrenal" noma "izigulane zezinkomo." Lezi zithako ezinamahloni zingase zibe ne-hormone yangempela ye-thyroid, futhi ibangele ukuthi udliwe.
Ungase uthathe izithako ezingaphezulu kwe-counter eziqukethe i- iodine , i-bladderwrack (i-fucus vesiculosus), i-kelp, i-bugleweed, i-moss yase-Irish noma i-seaweed. Ama-iodine amaningi angathuthukisa i-thyroid yakho, futhi idale i-hyperthyroidism.
Ukukhulelwa
Uma usanda kuba nomntwana, isidingo esikhulu se-hormone ye-thyroid ngesikhathi sokukhulelwa kwehla, futhi inani le-hormone ye-thyroid eliyidingayo ngesikhathi ukhulelwe lingase liphakeme kakhulu esikhathini sokuhamba kwesikhathi, okubangelwa i-hyperthyroidism.
Izifo zikaHashimoto
Uma unesifo sikaHashimoto , ungase ube nesikhathi sokuguquguquka lapho i-thyroid ichitheka khona futhi ukukhiqizwa kwakho kwe-thymic yakho, lapho kuhlanganiswa ekwakheni i-hormone yakho ye-thyroid, kudala okwesikhashana i-hyperthyroidism.
Izwi elivela kahle kakhulu
Izindaba ezinhle ukuthi kukhona isisombululo esiqondile sokuqeda izidakamizwa: ukunciphisa umthamo wakho wemithi ye-hormone ye-thyroid bese uqeda noma yikuphi ukuphazamiseka okusolisayo, njenge-iodine noma i-glandulars.
Udokotela wakho kufanele asebenze izivivinyo ze-thyroid ngezikhathi ezithile bese ulungisa umthamo wakho njengoba kudingeka kuze kube yilapho amazinga akho e-thyroid ebuyela emazingeni ajwayelekile, futhi izimpawu zokuqeda izidakamizwa ziqedwa.
> Umthombo:
> Garber, J, Cobin, 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.