Ingabe uyazibuza ukuthi ungalahlekelwa kanjani isisindo ngenkathi uphathwa nge-hypothyroidism? Ingabe uthatha i-Synthroid, igama le-brand levothyroxine, noma ezinye izinto ezifana neLevoxyl noma iTirosint ? Noma ingabe uthatha isidakamizwa semvelo se-thyroid (NDT) esinjenge- Nature-throid noma i-Armor, futhi usalokhu unzima ukulahlekelwa isisindo? Uma usu-Synthroid noma enye i-hormone ye-thyroid esikhundleni sokuphatha i-hypothyroidism yakho, kodwa unenkinga yokudla nokunciphisa umzimba, kunezinto ezibalulekile okufanele uzi.
Udinga Ukumnika Ngokufanele Imithi Yakho Yegciwane
Uma u-hypothyroid, kubalulekile ukuthi imithi yakho ye-thyroid iphumelele. Lokho kuqala ngokumunwa okufanele. Qinisekisa ukuthi awuthathi noma wenza noma yini engaphazamisa ukumiswa okuphezulu. Nazi ezinye iziqondiso eziwusizo:
- Thatha imithi yakho ye-thyroid ekuseni, bese ulinda okungenani ihora ngaphambi kokuphuza ikhofi ejwayelekile noma ephuzile noma ubisi, noma udle. Linda okungenani amahora amathathu kuya kwangu-4 ngaphambi kokuba uthathe noma yiziphi izithako eziqukethe i-iron noma i-calcium, noma uphuze ijusi le-calcium.
- Uma uthatha i-synthroid brand levothyroxine, khumbula ukuthi i- Synthroid iqukethe ama-acacia kanye ne-lactose , okuyizithako ezibangelwa ukungezwani kwamanye abantu. Uma unezinzwa noma izifo, qaphela ukushintshela kolunye uhlobo.
- Uma unezinkinga zokugaya, noma yiziphi izimo zokugaya ezifana nesifo sofuba esiswini noma isifo sikaCrohn, khuluma nodokotela wakho ngeTirosint . Lokhu kuyisipesheli, i-hypoallergenic, i-levothyroxine ye-liquid ku-gelcap, eyenzelwe ukuthuthukisa ukumuncwa.
Qinisekisa ukuthi uthatha imithi eyanele
Kubalulekile ukuthi uthathe i-Synthroid ngokwanele noma enye imithi yokwelapha i-hormone ye-thyroid. Abanye odokotela bangase babeke imishanguzo eyanele yokwenza izinga lakho le- hormone le-hormone (TSH) le-thyroid elivusa phezulu ekugcineni kwebala lokubhekisela, eduze ne-cutoff ye-hypothyroidism.
Lokhu kungase kungenele ukuxazulula izimpawu zakho noma ukwandisa umzimba wakho. Iziguli eziningi kanye nabahlengikazi bathola ukuthi izinga le-TSH elingaphansi kwe-2.0 lilungile ekuxazululeni izimpawu. Uma i-TSH yakho isemaphethelweni aphezulu ebangeni lokubhekisela, khuluma nodokotela wakho mayelana nokwandisa umthamo wakho wemithi ye-thyroid.
Ungadinga ukufaka i-T3
Izidakamizwa ze-Levothyroxine ezifana ne-Synthroid yindlela yokwenza i-hormone thyroxine ye-thyroid, eyaziwa nangokuthi i-T4. Uma konke kusebenza ngokugcwele, umzimba wakho kufanele uguqule i-T4 ibe i-hormone yekhamera yesibili, i-triiodothyronine, eyaziwa nge-T3. I-T3 i-hormone esebenzayo esiza ukusiza amandla ne-oksijini kufinyelele emangqamuzaneni akho. Kodwa-ke, ucwaningo lubonisa ukuthi esigabeni samagciwane we-thyroid, le nqubo yokuguqulwa ayiphutha. Kungakhathaliseki ngenxa yezinguquko zofuzo, ukucindezeleka, noma ukwehluleka kokudla okunomsoco, lezi ziguli zihluleka ukuguqula ngempumelelo i-T4 ngokwanele ibe yi-T3. Uma ungena kulesi sigaba, ungathola ukuthi ngisho nangemva kokuba uphathwe izidakamizwa ze-levothyroxine njenge-Synthroid, usengase ube nesisindo, noma ungakwazi ukulahlekelwa isisindo. Ungase ube nezimpawu eziningi ze- hypothyroidism , njengokukhathala, ukulahlekelwa izinwele noma ubuchopho obuchopho.
Ungase uzuze ngokufaka i-T3 ku-levothyroxine yakho ukuphatha i-hypothyroidism yakho.
Nazi ezinye iziqondiso:
- Cela udokotela wakho ukuthi avivinye i-triodothyronine yakho yamahhala, eyaziwa nge-T3. Uma unamazinga aphansi noma ajwayelekile, ungafuna ukubuza umhlinzeki wakho wezempilo ngokungeza i-T3. Lokhu kungenziwa nge-brand name drug Cytomel, i-generic T3 izidakamizwa liothyronine, noma i-prescription, eyakhiwe, i-liothyronine ekhishwa isikhathi.
- Uma amazinga akho e-T3 mahhala ajwayelekile, kodwa unezimpawu ze-hypothyroidism eziphawulekayo ezifaka izinselele zokulahlekelwa kwesisindo, cela ukuhlolwa kwakho kwe-T3. Amazinga aphezulu ale fomu engasebenzi e-T3 angaphazamisa ikhono lomzimba wakho wokuletha i-T3 esebenzayo kumaseli kanye nezitho zakho. Ukwengeza i-T3 ekwelashweni kwakho kuleli cala kungasiza ukuxazulula izimpawu zakho.
Ungase Udinge Imvelo Ekhethiwe I-Thyroid
Ezinye iziguli ze-thyroid zizama imithi ye-levothyroxine efana ne-Synthroid, imikhiqizo ehlukile, futhi ingeza isidakamizwa se-T3, futhi ayikwazi ukuxazulula izimpawu. Uma lokho kungukuhlangenwe nakho kwakho, ungase ufune ukukhuluma nodokotela wakho mayelana nokuzama imithi yemvelo ye-thyroid (NDT) yemvelo efana ne-Nature-throid noma i-Armor Thyroid. Kukhona ne-generic version ye-NDT eyaziwa njenge-Thyroid NP. Kukhona ucwaningo olulinganiselwe ku-NDT, kodwa ukuhlolwa okuwusizo owodwa kutholwe ukuthi i- NDT yayiyisilwane esiphephile futhi esiphuthumayo kwezidakamizwa ze-levothyroxine, futhi kwabangela ukulahlekelwa isisindo esiningi kweziguli .
Izwi kusuka
Nakuba kungahlobene ne-Synthroid yakho noma omunye ukwelashwa kwezidakamizwa ze-thyroid, kunesixhumanisi phakathi kwe-hypothyroidism yakho kanye nobungozi bokukhula kweshukela egazi kanye nohlobo lwe-2 lwesifo sikashukela. Uma ulungiselele ukwelashwa kwakho kwe-hypothyroidism kwi-Synthroid noma kwenye imithi futhi usalokhu unzima ukulahlekelwa isisindo, khuluma nodokotela wakho mayelana nokudla kwakho kweglucose ne-hemoglobin A1C (HA1C) ehlolwe. Uma amazinga aphakeme, izinguquko ekudleni kwakho nokuzivocavoca, kanye nohlobo lwe-2 lwe-diabetes imithi efana ne-metformin, lingasiza ukuvuselela amazinga akho kashukela egazini futhi wenze imizamo yakho yokulahlekelwa isisindo iphumelele kakhulu.
> Imithombo:
> Celi FS, et al. "Imiphumela ye-metabolic ye-liothyronine therapy ku-hypothyroidism: isivivinyo esingenakulinganiswa, esiphambanisekile, esiphambanweni se-liothyronine versus levothyroxine." J Clin Endocrinol Metab. 2011 Nov; 96 (11: 3466-74.): 10.1210 / jc.2011-1329.
> Garber, J, Cobin, R, Gharib, H, et. al. Imihlahlandlela Yokuzivocavoca Yomtholampilo ye-Hypothyroidism Kubantu Abadala: I-Cosponsored yi-American Association of Clinical Endocrinologists kanye ne-American Thyroid Association. I-Endocrine Practice. I-Vol 18 No. 6 Novemba / Disemba 2012.
> Hoang TD, et al. "Ukucaciswa kwesifo se-thyroid kuqhathaniswa ne-levothyroxine ekwelapheni i-hypothyroidism: ukutadisha okungahleliwe, okubili okuyimpumputhe, okuyimpumputhe." J Clin Endocrinol Metab. 2013 Meyi; 98 (5): 1982-90. doi: 10.1210 / jc.2012-4107. Epub 2013 Mar 28.
> Lambadiari, V et al. "Ama-hormone e-thyroid ahlotshaniswa nokuxilongwa kwe-insulin ekuqaleni kokuthuthukiswa kohlobo lwesifo sikashukela." I-Endocrine. Ngo-February 2011, uMqulu 39, Issue 1, iphesi 28-32
> McAninch EA, i-Bianco AC. "Umlando nekusasa lokuphathwa kwe-Hypothyroidism." U-Ann Intern Med. 2016 Jan 5; 164 (1): 50-6. i-doi: 10.7326 / M15-1799. I-Erratum ku: Ann Intern Med. 2016 Mar 1; 164 (5): 376. I-PMID: 26747302