Izinyathelo Ezilandelayo Uma Ukwelashwa Kwama-Hypothyroid Akusebenzi
Ngemva kokuthola ukuthi une-hypothyroidism nokuqala ukwelashwa, abantu abaningi bayaqhubeka beba nezimpawu. Lokhu kungaba yiqiniso noma ngabe usu-hypothyroid isikhathi eside futhi uma i-TSH yakho ijwayelekile.
Uma nje ungazizwa kahle ngemva kokuthola ukwelashwa kwe-hypothyroidism yakho, awuyedwa. Nakuba lokhu kuvamile futhi kungabangela ukukhungatheka okukhulu, kunezinto eziningi ezingenza umehluko endleleni ozizwa ngayo ngokomzimba nangokomzwelo.
Ake sibuke ukuthi yini ongase uhlangane nayo, bese ubhala ezinye zezinyathelo okufanele uzicabangele ekufuneni kwakho uzizwe ngokugcwele.
Izimpawu eziqhubekayo zokwelashwa kwe-Hypothyroidism
Ngisho nangemva kokuthola ukuthi uphinde ubeke izidakamizwa ezithathelisayo ze-thyroid esikhundleni se-hypothyroidism, futhi ngisho nangemva kokuhlolwa kwelebhu yakho kubonakala sengathi "kuvamile," ungaqhubeka nokuthola izimpawu eziqhubekayo. Kungenzeka uye waphawula:
- Ukuqhubeka kwesisindo
- Kunzima ukulahlekelwa isisindo
- "Inkungu yobuchopho"
- Ukubunzima ukugxila
- Ukulahlekelwa izinwele
- Ukuvuvukala kwesandla, unyawo, noma ubuso
- Ukungathembeki ekushiseni kanye / noma kubanda
- Ama-muscle aches
- Izinhlungu ezihlangene
- Ukuqokwa
- I-Carpal tunnel syndrome noma i-tendinitis
- Amazinga aphezulu e-cholesterol
- Kunzima ukukhulelwa
Izinyathelo Zokuphatha Izimpawu Eziqhubekayo Ezihlobene Ne-Hypothyroidism
Uma unesinye sezibonakaliso ezibalwe ngenhla, yini ongayenza? Ake sibheke izinyathelo eziningi ongazithatha ukuze uzizwe ungcono. Njengoba uthatha lezi zinyathelo kubalulekile ukuba nodokotela ongakwazi ukuhamba eceleni kwakho ekunqumeni ukuthi yini okufanele uyenze phakathi nezingxabano zamanje zokwelapha.
Bheka izinga lakho le-TSH
Isinyathelo sokuqala sokwenza kahle ukukwazi izinga lakho le- TSH ( izinga le- thyroid elivuselela i-hormone level). Ukuqonda izinga lakho le-TSH, noma kunjalo, kudinga okungaphezu kokukwazi uma inombolo yakho ingena "ebangeni elijwayelekile."
Kuye kubhabhu yakho, kanye nenhlangano ethize eyenza izincomo, uhla "olujwayelekile" luvame ukubhekwa phakathi kuka-0.5 no-5.0 mU / l.
Eminyakeni yamuva, kube khona umehluko omkhulu ezincomo eziphathelene nezinga elihle le-TSH .
Odokotela abaningi abasha baqala ukukholelwa ukuthi i-TSH emkhatsini we-1 no-2, ngamanye amazwi, ekugcineni okuphansi kobubanzi obuvamile, inhle kakhulu ukuthi abantu bazizwe kahle futhi bagweme ukuba nezimpawu ze-hypothyroid. (Abanye bakholelwa ukuthi lesi sinqumo kufanele senziwe ngokufaka i-T4 mahhala ne-T3 mahhala, esizoxoxa ngayo ngokulandelayo.)
Ngokuphambene nalokho, ezinye izincomo ziye zagwema ukugwema ukwelashwa njalo njalo kubantu abanamazinga e-TSH awela phakathi kuka-5 no-10 mU / l.
Njengoba kunengxabano phezu kwezinga elihle le-TSH kubantu abane-hypothyroidism, kubalulekile ukukhuluma nodokotela wakho ngalokho akuzwayo ukuthi izinombolo zakho zomgomo kufanele zibe ngaphansi kohlobo olujwayelekile.
Isifaniso sokwenza lokhu kucacile kancane kungamazinga aphezulu evithamini D. Amanye ama-lab lab ukuthi "uhla olujwayelekile" lwe-vitamin D luyi-30 kuya kwezingu-90. Ngesikhathi esifanayo, ezinye izifundo zithole ukuthi amazinga phakathi kuka-50 no-70 atholakala ukunciphisa ingozi yezimo ezithile zezokwelapha ezifana nomdlavuza. Kulesi simo, uma umuntu enesilinganiso se-31, udokotela wabo angase ancoma ukuthi angenezela noma ngabe inombolo yakhe iwela "ebangeni elijwayelekile."
(Qaphela: Amazinga e-TSH kufanele agcinwe ngaphansi kwe-1 kwabagcini bomdlavuza wegciwane ukuze kuvikelwe ukuphindaphinda.)
Funda kabanzi mayelana nokuthi ngabe i- hypothyroidism yakho ingaphathwa kanjani .
Bheka ama-Free T4 akho namazinga we-Free T3
Isinyathelo esilandelayo ukujwayela nge-T4 yakho yamahhala namazinga wamahhala we-T3. Kubalulekile ukuqaphela ukuthi izidakamizwa ezithathelwanayo njenge-Synthroid ziyi-T4 yodwa, kanti zombili i-T4 ne-T3 zivame ukuba khona emzimbeni.
Kusukela ngophenyo eNew England Journal of Medicine ngo-1999, okuthola ukuthi abantu abane-hypothyroidism bavame ukuzizwa behle ngokuhlanganiswa kwe-T4 no-T3 esikhundleni, odokotela baqala ukucabangela ukuthi ukufaka ukwelashwa kwe-T3 ku-T4 ukwelashwa kungaba usizo kubantu abathile qhubeka uzizwa i-hypothyroid naphezu kwe-TSH evamile.
Ngokujwayelekile, i-T4 iguqulwa ibe yi-T3 emzimbeni, futhi ukuhlinzeka ngo-T4 ngokufaka esikhundleni kufanele, ngokwanele, kube ngokwanele. Kodwa lokho kungase kungabi njalo njalo.
Kungani abanye abantu bangase babe nekhwalithi yokuphila engcono nge-T3 eyengeziwe ngaphezu kwe-thyroid yabo yokwelashwa esikhundleni? Kunezinombolo eziningi. Kucatshangwa ukuthi abanye abantu abane-TSH evamile bangase babe ne-hypothyroid ezingeni leselula. Lokhu kungenxa yokuguqulwa okunganele kwe-T4 kuya ku-T3.
Kubantu abangase babe namazinga aphansi e-T3, izinketho zokwelapha zingabandakanya izidakamizwa ezengeziwe ze-T3 (njenge-Cytomel) noma ukushintshela kumkhiqizo ofaka esikhundleni se-T4 no-T3 njenge-prescription yemvelo ekhishwe yi- thyroid (njenge-Armor.) Ucwaningo luhlanganisiwe lo mkhuba, ngezifundo ezithembekile zithola kokubili ukuthuthukiswa okuphawulekayo kwezinye futhi ukungabi nomthelela omkhulu kwabanye. Ngenxa yalokhu, kubalulekile ukukhuluma nodokotela wakho mayelana nokuthola okwakamuva futhi ukuqonda ukuphikisana kwezidakamizwa ze - T4 / T3 . Kubalulekile ukuqaphela ukuthi umuntu ngamunye uhlukile, futhi wena nodokotela wakho kufanele nisebenze ndawonye ukuze niphathe izimpawu zakho kunezinombolo ezithile.
Khumbula ukuthi i-T3 supplementation ingasiza ngezinye zezibonakaliso zakho kodwa hhayi kwabanye. Isibonelo, isifundo se-2013 sitholile ukuthi ukuthatha isakhi se-T4 / T3 akuzange kuthuthukise izinga lokuphila elihlobene nevothyroxine yedwa, kodwa lisize ngokulahlekelwa isisindo.
Uma ucabanga ukuthi i-T3 ingaba yinkinga yakho, l ithola okuningi mayelana nokuthi ungadinga yini i- T3 noma i-thyroid ekhethiwe yemvelo .
3. Ukubeka i-TSH, i-Free T4, ne-Free T3 Together
Esikhundleni sokubheka izinombolo ezithile ze-TSH, i-T4 yamahhala, noma i-T3 yamahhala yedwa, ukuhlanganiswa kwalezi zinombolo kungakusiza wena nodokotela wakho anqume ukuthi noma yikuphi ushintsho okudingeka lwenziwa kumthamo wakho wemithi, noma uma kudingeka ucabange ukusebenzisa i-T3 izidakamizwa ngaphezu kwesifo sakho se-thyroid esikhundleni (noma ushintshela ekomidini le-T4 / T3.
Abanye odokotela banomuzwa wokuthi ukwelashwa okungcono kwe-hypothyroid akubandakanyi nje kuphela ukuhlosisa izinga le-TSH phakathi kuka-1 no-2 kepha i-T4 yamahhala engxenyeni ephezulu yebala elijwayelekile kanye ne-T3 yamahhala e-25 percentile ephezulu ye-range evamile.
Ukubuka konke lokhu ndawonye kungadideka. Ungase ufise ukuthatha isikhashana ubuyekeze izinhlobo zezidakamizwa zokwelapha esikhundleni se- thyroid ezitholakalayo, okubandakanya hhayi nje izidakamizwa ze-T4, kodwa nezinhlanganisela ze-T3 ne-T4 / T3.
4. Ezinye izindlela zokuzizwa kahle nge-Hypothyroidism
Ukuthola imithi emihle kakhulu noma imishanguzo kanye nomthamo ofanele ukuphatha izimpawu zakho kuyingxenye yokuphila kahle ne-hypothyroidism. Kunezinto eziningi ongayenza ukuze uzizwe kangcono ngangokunokwenzeka.
Okokuqala, uma ungenalo udokotela obonakala ekwazi ukulawula ama-nuances wezifo ze-thyroid, funda ukuthi ungathola kanjani odokotela abangcono kakhulu ukuphatha ukunakekelwa kwe-thyroid. Noma kunjalo, akuyona nje udokotela wakho ongakusiza uqonde ucwaningo lwamuva mayelana ne-hypothyroidism. Ukuthola iqembu elihle lokusekela le-thyroid elisenkundleni kungase kungakusizi nje ngokomzwelo, kepha kungaba yindlela enhle yokuzwa izindaba ezivela kwabanye abantu abhekana nezinselelo ozozizwa, futhi wazi kabanzi ngesifo sakho.
Njengazo zonke izimo zezokwelapha, ukubaluleka kokuthola ukuzivocavoca ngokwanele nokudla ukudla okunempilo akunakunqunywa. Kunezinto eziningi zokwazi mayelana ne-hypothyroidism nokudla kwakho, njengendima ye-soy empilweni ye-thyroid .
Okokugcina, cabanga ngezindlela zokunciphisa ukucindezeleka empilweni yakho. Uma usukhuphuka, ungaqala ngokuhlola lezi zindlela ezingu-70 zokunciphisa ukucindezeleka lapho ungase uthole khona okungenani okumbalwa okukusebenzelayo.
> Imithombo:
> Eligar, V., Taylor, P., Okosieme, O., Leese, G., noC. Dayan. Ukuguquka kwe-Thyroxine: Umbono we-Endocrinologist Clinic. Ama-Annal of Clinical Biochemistry . 2016. 53 (Pt 4): 421-33.
> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Izimiso zikaHarrison zeMithi yangaphakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.
> Schmidt, Y., Nygaard, B., Jensen, E., Kventny, J., Jarlov, A., noJust Faber. Amakhwasi e-Peipheral of Function Thyroid: Umphumela weT4 Monotherapy vs T4 / T3 Ukwelashwa Kokuhlanganiswa Kwama-Hypothyroid Subjects ku-Study Randomised Crossover. I-Endocrine Connections . 2013. 2 (1): 55-60.