Ukuzila ukudla, Imithi, Ukukhulelwa, Nokugula Okukhulu Kungaba Yizidakamizwa
Ukuhlolwa kwegazi le-Thyroid ngokuvamile kuqondile futhi kunembile, kodwa ngezinye izikhathi izici ezithile zingathinta imiphumela yomuntu ngamunye. Ngalokho, ukuze uthole imiphumela ecacile ngokwakho (noma othandekayo wakho), kuwumqondo omuhle ukwazi lezi zici.
Indlela Ukuzila Ukuthinta Izivivinyo Zobomi
Ngesikhathi ukuzila kungabhekwa njengokudingekile lapho kwenziwa ukuhlolwa kwegazi le- thyroid , ucwaningo luye lwabonisa ukuthi ukudla okusalela ekuseni kuhumusha kumazinga aphezulu we- TSH , uma kuqhathaniswa nalabo abathathwa kamuva ngosuku ngaphandle kokuzila ukudla.
Ukuhluka okuzila ukudla / okungenayo ukudla kungabangela inkinga ikakhulu kubantu abane-subclinical hypothyroidism (echazwe yi-TSH ephakanyisiwe kanye ne-T4 ejwayelekile yamahhala) ngoba ukuxilongwa nokuqapha kwalesi simo kuncike kuphela kwi-TSH value (kusukela ngo-T4 kuvamile).
Ngamanye amazwi, ukuxilongwa kwe-subclinical hypothyroidism kungase kungabi nakancane uma inani le-TSH liphansi kancane ngenxa yegazi elingenalo ukudla, i-ntambama.
Yize lokhu kungabonakali kuyinkinga enkulu esithombeni esikhulu, uma uthatha isifo se-hormone ye-thyroid, mhlawumbe kunengqondo ukuhlela igazi lakho le-TSH lidonsa ngesikhathi esifanayo sosuku nangendlela efanayo (ukuzila ukudla / ukungadli) .
Indlela Ukusebenzisa Imithi Kuthinta Izivivinyo Zithyolovu
Imithi ethile ingabangela ukungasebenzi komzimba we-thyroid, okusho ukuthi umuntu angakha i-hypo- or hyperthyroidism, ngenxa yokuthatha lesi sidakamizwa. Izibonelo ezimbalwa zemithi enjalo zifaka:
- Lithium
- I-Amiodarone
- Izithako ze-Iodine noma ze-kelp
- Ukuvimbela izidakamizwa ezifana ne-interferon alpha, i-interleukin-2, ne-Lemtrada (alemtuzumab)
- I-Tyrosine kinase inhibitors, njenge-Nexavar (sorafenib) noma i-Sutent (i-sunitinib)
Izidakamizwa ezithile zingaphazamisa ne-hormone ye-hormone absorption absorption emanzini, njenge-calcium carbonate, i-iron sulfate, ne-proton pump inhibitors Prilosec (omeprazole) ne-Prevacid (lansoprazole).
Eminye imithi ingaphazamisa izilinganiso ze-laboratory ye-thyroid, kodwa hhayi ngokusebenza kwangempela kwe-thyroid. Izibonelo ezimbalwa zale mithi zihlanganisa:
- Ezinye izidakamizwa ezingezangezo-inflamidal (ama-NSAID)
- Amanye ama-anti-convulsants
- I-Heparin (i-blood thinner)
- I-Lasix (i-furosemide)
- Glucocorticoids
Okokugcina, ucwaningo luye lwathola ukuthi i-biotin eyengeziwe (ethathwe ngamanani ama-milligram amahlanu kuya kwangu-10) ingaphazamisa ukulinganisa kwegazi le-thyroid. Ngakho-ke, kunconywa ukuthi abantu abathatha i-biotin bayibambe izinsuku ezimbili ngaphambi kokuhlolwa kwegazi le-thyroid.
Ukukhulelwa kuthinta kanjani ukuvivinya kwegciwane
Ngenxa yezidingo ezithintekayo zemithi ngesikhathi sokukhulelwa, kunezinguquko ezenzeka emzimbeni wesifazane we-thyroid. Yingakho i-American Thyroid Association incoma ukuthi udokotela asebenzise izingqikithi ezithile zokubhekisela ze-TSH nezindawo zamahhala ze-T4 ngesikhathi sokukhulelwa.
Indlela Ukugula Okuthinta Ngayo Izivivinyo Ze-Thyroid
Uma umuntu egula kakhulu, ikakhulukazi uma ebhedlela esibhedlela esikhulu, ukugula kwabo kungathinta umsebenzi wabo we-thyroid. Kule syndrome, i-TSH ivame ukuhambisana nohlangothi oluphansi oluphansi nge-T4 ephansi, i-T4 yamahhala, ne-T3.
Ngenxa yalesi simo, okuthiwa yi-nonthyroidal noma "i-euthyroid syndrome," ochwepheshe ngokuvamile bancoma ukuthi odokotela abalingani ukuhlolwa kwegazi ngegciwane lesiguli ezigulayo ngaphandle uma kukhona ukusola okuqinile ngesifo segciwane.
Izwi elivela
Ekugcineni, ukuze usebenze ekunakekeleni kwakho kwe-thyroid, qiniseka ukuthi ukwazisa udokotela wakho uma kukhona okunye kwalokhu okukhona, ikakhulukazi uma ukhulelwe.
Kodwa-ke, khumbula, uma ukuhlolwa kwegazi le-thyroid kubonakala sengathi "kuvaliwe" ngaphandle kwesizathu esihle, ukuhlolwa kwegazi okuphindaphindiwe kulula ngaso sonke isikhathi, futhi isinyathelo esilandelayo esilandelayo.
> Imithombo:
> I-Barbesino G. I-Misdiagnosis yezifo ze-Graves ezine-Hyperthyroidism ebonakalayo ebonakalayo emthonjeni othatha i-Biotin Megadoses. I-Thyroid . 2016 Jun; 26 (6): 860-3.
> Koulouri, O. kanye noGurnell, M. Indlela yokuhumusha ukuhlolwa kwezinto ze -roid. Imithi yokwelapha. Juni 1, 2013; 13 (3): 282-286.
> Nair R, Mahadevan S, Muralidharan RS, Madhavan S. Ingabe isimo sokuzila noma se-postprandial sithinta ukuhlolwa komsebenzi we -roid? Nginomthamo we-J Endocrinol Metab. 2014 Sep-Oct; 18 (5): 705-07.
> I-Ross DS. (2017). Ukuhlolwa kwelabhulali yomsebenzi we-thyroid. Ku: UpToDate, Cooper DS (Ed), UpToDate, Waltham, MA.