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Uma unemithi ye-hormone esikhundleni somuthi, iziqondiso zincoma ukuthi uthathe iphilisi yakho ye-thyroid kuqala into emanzini, ngaphandle kwesisu, bese ulinda okungenani ihora ngaphambi kokudla noma ukuphuza ikhofi.
Ngaphezu kwalokho, kufanele futhi ulinde okungenani amahora amathathu kuya kwangu-4 ngaphambi kokuba uthathe noma yimiphi imithi ephazamisa ukungena kwayo, njengeziphilisi zensimbi noma i-calcium carbonate.
Kodwa-ke, ucwaningo olwenziwe-ucwaningo olulodwa olwanyatheliswa kuyi- Journal of Clinical Endocrinology kanye ne-Metabolism kanye nokuhlolwa okulandelwayo okukhulu okulandelwayo okubikiwe ku- Archives of Internal Medicine- okusho ukuthi ukuthatha isilinganiso esisodwa se-levothyroxine (isibonelo, i-Synthroid noma iLevoxyl) isikhathi sokulala, uma kuqhathaniswa nento yokuqala ekuseni, empeleni kungaba ngcono.
Ukucwaninga Kunikisela Ukuhlwa Kwangathi Kungcono
Ucwaningo lubikwe kuyi- Journal of Clinical Endocrinology ne-Metabolism libheke umthelela ekuhlolweni kwegazi le-hormone yegazi ngokushintsha isikhathi se- levothyroxine sithathwe kusukela ekuseni kuze kube sekulele. Ucwaningo lubuye lwahlola umthelela walolu shintsho lokushintsha isikhathi ngesikhathi somsindo we-hormone ye-thyroid-stimulating (TSH).
Lolu cwaningo, ngenkathi luyingcosana, lwaluqine kakhulu ekutholeni kwalo, okushiwo abacwaningi ukuthi "babetha" futhi "banezimpikiswano ezibalulekile ezigidini zeziguli ezithatha i-l-thyroxine nsuku zonke."
Imiphumela Yokufundwa
Kuzo zonke iziguli, i-TSH yehle futhi ikhululekile ama-thyroxine (T4) amazinga aphakama ngokushintsha ukungenisa kwakho kwe-thyroxine kusukela ekuseni kuze kube ngukulala. Amazinga e-Triiodothyronine (T3) aphakama kuzo zonke kodwa isihloko esisodwa.
Ngokuthakazelisayo, i-TSH yehlile kungakhathaliseki ukuthi iqala kanjani amazinga e-TSH, ephakamisa ukumiswa okungcono kwemithi ye-thyroid uma kuthathwa kusihlwa.
Okokugcina, abacwaningi bathola ukuthi isigqi se-TSH esingajwayelekile-ukushintshashintsha kwansuku zonke kwe-TSH okwenzeka phakathi nesikhathi samahora angu-24-akufani.
Isifundo Sokuxoxa
Abacwaningi basikisela izincazelo eziningana ngemiphumela:
- Ngisho nalapho ulinde okungenani imizuzu engu-30 yokudla, ukudla kwasekuseni kungaphazamisa ukumuncwa emathunjini we-levothyroxine.
- "I-botility motility ihamba kancane ebusuku," okusho ukuthi kuthatha isikhathi eside ukuba i-levothyroxine ithebhulethi idlulise ngesimiso sezinambuzane, okwenza kube khona ukuvelela okwesikhashana emdongeni wamathumbu, ngakho-ke, ukuxoshwa okungcono nokuthola imithi.
- Inqubo yokuguqulwa kwe- T4 kuya ku-T3 ingase isebenze kakhulu kusihlwa.
Abacwaningi abavela kulolu cwaningo baphakamisa ukuthi banikezwe imiphumela yalolu cwaningo, isifundo esikhulu sokuphinda siphuthelwe ngokuphindaphindiwe kwakudingeka ukuze kuqinisekiswe imiphumela yabo-futhi lokhu kwakuyizifundo ezabikwa kwi- Archives of Internal Medicine .
Okwesibili Uphakamisa Ukuhlwa Kwangathi Kungcono
Kulesi sifundo, iziguli ezingu-90 zaqeda lolu cwaningo, okubandakanya isikhathi sesinyanga eziyisithupha sokuthatha i-capsule eyodwa ekuseni kanye ne-capsule eyodwa ngesikhathi sokulala (ne-capsule eyodwa esebenzayo i-levothyroxine, enye i-placebo, nomshini kule nkathi yezinyanga ezintathu) .
Abacwaningi bahlola amazinga we-hormone ye-thyroid, namazinga e-creatinine, amazinga we-lipid, index index body, rate rate yenhliziyo, kanye nemigomo yemigomo yokuphila.
Imiphumela Yokufundwa
Abacwaningi bathola ukuthi iziguli ezithatha i-levothyroxine yasebusuku zahlaselwa ku-TSH ka-1.25 mU / L, ushintsho olukhulu. I-thyroxine yamahhala (izinga lamahhala le-T4 ) likhuphuke ngo-0.07 ng / dL, kanti inani eliphelele le-triiodothyronine (inani le-T3) likhuphuke ngo-6.5 ng / dL. Kwakungekho ushintsho oluphawulekayo kwezinye izici ezilinganiselwe.
Isifundo Sokuxoxa
Abacwaningi baphetha ngokuthi, uma kunikezwe ngcono amazinga we-hormone yegciwane, odokotela kufanele bacabangele ukuthi i-levothyroxine ithathwe ngesikhathi sokulala.
Umphumela Wakho Noma Othandekayo Nge-Hypothyroidism
Ukuthatha imithi ngesikhathi sokulala esikhundleni sekuseni kunganikeza iziphakamiso ezithile:
- Okokuqala, kulula, ngoba akudingeki ukhathazeke ngokuthi udle nini ukudla kwasekuseni.
- Okwesibili, kulula ukugwema imithi, izithako zokudla, nokudla, njenge-calcium, insimbi, nokudla okuphezulu-fiber okungaphazamisa ukwelashwa kwemithi ye-thyroid .
- Okwesithathu, abaphuza ikhofi akudingeki balinde kuze kube ihora ngemuva kokuba imithi yabo ijabulele indebe yabo yokuqala .
- Okwesine, kungase kuhlinzekwe ukuthuthukiswa kwezimpawu uma ungatholi ukuthatha imithi ngokuthatha imithi yakho ye-thyroid ngesikhathi sosuku.
Lezi zifundo ziqinisekisa ukuthi iziguli eziningi ziye zabika iminyaka eminingi-zizwa zingcono uma zithatha imishanguzo yabo yegciwane kusihlwa, hhayi ekuseni.
Ekugcineni, kubalulekile ukuthi ukhulume nodokotela wakho mayelana nokushintsha isikhathi sokuthatha i-levothyroxine yakho yomkhiqizo noma igama legama levothyroxine (isibonelo, i-Synthroid). Uma wena nodokotela wakho benquma ukuyihambisa futhi nithathe imishanguzo yakho yegciwane kusihlwa, qiniseka ukuthi amazinga akho e-thyroid ahlolwe (amaviki ayisithupha ukuya kwangu-8 yisikhathi esinqunyiwe) ngemuva kokuthi wenze ushintsho.
Imiphumela yokuhlolwa kwegazi, kanye nanoma yikuphi ukuthuthukiswa noma ukuphulukiswa kwezimpawu, kuzokusiza wena nodokotela wakho ukuthi unqume uma udinga ukulungisa umthamo noma ubuyele emuva ekuthatheni imithi yakho ekuseni
Iphuzu elibalulekile okumele likhunjulwe: Ucwaningo Luye lwahlola kuphela i-Levothyroxine
Lezi zifundo zaqhutshwa nge-levothyroxine, ifomu lokufakelwa kwe-T4 / thyroxine hormone ye-thyroid. Leli fomu le-hormone kumele liqale liguqulwe emzimbeni kufomu esebenzayo (T3), futhi lokhu kungathatha izinsuku.
Imithi ye-thyroid equkethe i-T3-njenge-Cytomel, nemithi yemvelo ekhishwe imvelo njenge-Nature-throid ne-Armor Thyroid-isetshenziswe ngokuqondile ngumzimba ngaphakathi kwamahora. Lezi zidakamizwa azihloliswanga kulesi sifundo, futhi aziwa ukuthi imithi eline-T3, noma imithi yemvelo ekhishwe imvelo ingaba ngcono ebusuku.
Ngokwemvelo, ezinye iziguli ze-thyroid ziye zabika ukuthuthukiswa kwezimpawu lapho zithatha noma ezinye zazo imithi yokwelapha i-hormone ye-hormone ebizwa ngokuthi i-T3 kusihlwa. Kodwa ezinye iziguli ze-thyroid zithola ukuthi uma zithatha imithi nge-T3 kamuva emini noma kusihlwa, umphumela omncane wokuvuselela we-T3 imithi ingenza kube nzima ukulala.
Ngakho khumbula ukuthi nakuba kungenzeka ukuthi uma izifundo ezifanayo zenziwa ngezidakamizwa ze-T3 , imiphumela izofana, kepha kunethuba lokuthi lizokwenza izinga lokulala kwezinye iziguli. Kufanele wenze ushintsho olunjalo ngemuva kokuxoxisana nodokotela wakho.
Abanye odokotela baye basikisela ukuthi iziguli ezithatha imithi ye-T3 zisebenzisa ukukhipha ukukhishwa kwe-T3 okwesikhashana noma okukhulunywe isikhathi, noma ukuhlukanisa amanani abo futhi ukuthatha imithi yabo izikhathi eziningana kulo lonke usuku. Le ndlela ibonakala ukunciphisa ukuphazamiseka kokulala; Nokho, futhi, qiniseka ukushintsha kuphela ukulingana ngaphansi kokuqondiswa kukadokotela wakho.
Futhi, uma wenza ushintsho endleleni oyithatha ngayo imithi yakho ye-T3, uzofuna ukuhlaziya kabusha kwamazinga wegazi nezimpawu ngemuva kwamasonto ambalwa, ukuthola ukuthi udinga ukulungisa umthamo noma isikhathi somuthi wakho.
Izwi elivela
Nakuba imihlahlandlela ejwayelekile iphakamisa ukuthatha ukwelashwa kwakho kwe-hormone yakho kuqala ekuseni ekuseni esiswini esingenalutho (ngenxa yobungozi bokudla okuphazamisa ukumuncwa), ukuthatha imithi yakho ye-thyroid kusihlwa kungase kube nokuhlakanipha kwezinye izimo.
Lokhu kungase kube yiqiniso ikakhulu kubantu abakuthola kunzima ukulinda ihora ngaphambi kokudla ekuseni kanye / noma abathatha ezinye imithi ekuseni.
Ekugcineni, isihluthulelo sokuthatha imithi yakho ye-hormone esikhundleni se-thyroid ishintsho, ukuthatha iphilisi yakho ye-thyroid ngesikhathi esifanayo usuku ngalunye, futhi ngendlela efanayo.
> Imithombo:
> Bach-Huynh TG, Nayak, B. Loh J, Soldin S, uJonklaas J. Isikhathi se-Levothyroxine Administration sithinta iSerum Thyrotropin Ukugxila. I-Journal ye-Endocrinology Clinic ne-Metabolism . 2009 Oct; 94 (10): 3905-3912. Ishicilelwe ku-intanethi ngo-2009 Julayi 7. itholakala: 10.1210 / jc.2009-0860
> Bolk N, Visser TJ, Nijman J, Jongste IJ, Tijssen JG, Konke A. Imiphumela Yobusuku Ngekusasa Levothyroxine Inzuzo: I-Crossover Yesibili Eyimpumputhe Engahleliwe. I-Archives of Medicine yangaphakathi . 2010; 170 (22): 1996-2003.
> Garber JR et al. Imikhombandlela yokusebenza emitholampilo ye-hypothyroidism kubantu abadala: > ihlelwe eceleni > yi-American Association of Endocrinologists Clinic kanye ne-American Thyroid Association. Endocr Pract. 2012 Nov-Dec; 18 (6): 988-1028.
> Rajput, R Chatterjee S, Rajput M. Kungenzeka yini ukuthi i-Levothyroxine ingathathwa njengokuhlwa? Ukuqhathanisa Ukuqhathaniswa Kwekusasa Kusukela Kusihlwa kuya Kusihlwa kwe-Levothyroxine ekwelapheni kwe-Hypothyroidism. I-Journal ye-Throod Research . 2011; 2011: 505239. i-doi: 10.4061 / 2011/505239. Epub 2011 Jul 14.