Uma ubhekene namazinga e-hormone e-thyroid eguqukayo, awuyedwa.
Nazi ezinye izizathu ezivamile, kufaka phakathi amathiphu ekuxazululeni.
I-Potency Fluctuations KuMithi Yakho
Uma usuqale ukuthatha imithi ye-hormone ye-hormone esikhundleni somuthi ovela emtholampilo osanda kugcwaliswa noma kusuka ekhemisi ehlukile, lokhu kungase kuchaze ukuthi kungani amazinga akho ashintshile.
Izidakamizwa ze-hormone ezithathelwanayo zingashintsha ngokwezindlela zazo futhi zithengiswa ngaphakathi kweziqondiso zezokudla ne-Drug Administration (FDA). Eqinisweni, iziqondiso zikahulumeni zibeka ukuthi izidakamizwa ze-levothyroxine zidinga ukuba zibe ngamaphesenti angama-95 kuya kuma-105 amaphesenti we-potency eshiwo. Lokho kusho ukuthi iphilisi le-100 mcg ye-dosage lingabhekwa njengento enamandla, ngisho nalapho ihambisa noma yikuphi kusuka ku-95 kuya ku-105 mcg yesithako esisebenzayo.
Ngenkathi i-potency ijwayele ukuzinza ngaphakathi kwegama elithile lomkhiqizo noma umkhiqizi ojwayelekile, ihlukahluka kusuka kumkhiqizo kuya kumkhiqizo nomkhiqizi kumkhiqizi. Noma kunjalo, uma uzinzile emshinini owodwa, ukushintshela komunye umkhiqizo-noma ukuba u- levothyroxine ojwayelekile futhi uthola kabusha ama-refill avela kubakhiqizi abahlukahlukene-kungabangela ukuguquka okunye, ngokusekelwe ezinhlobonhlobo ezahlukene zezidakamizwa zomenzi ngamunye.
Isixazululo esihle sokugwema le nkinga ukuthi uma unomuthi ojwayelekile, sebenzisa umuthi wakho wemithi ukuze uqinisekise ukuthi uthola imithi njalo kumkhiqizi ojwayelekile.
Uma kungenakwenzeka, cabangela ukushintshela egameni lomkhiqizo.
Isikhathi Sesikhathi Nendlela Othatha Iphilisi Yakho
Uma uthatha imithi yakho yegciwane ngezikhathi ezahlukene ngosuku ngalunye, ngezinye izikhathi ungathatha iphilisi yakho esiswini esingenalutho, futhi ngezinye izikhathi noma ngemuva kokudla. Ukuthatha i-hormone ye-thyroid noma ngemuva kokudla kungase kubambezele noma kunciphise ukumunwa kwezidakamizwa ngokushintsha izinga lapho lichitheka khona noma ngokushintsha ibhalansi ye-asidi yesisu, okuthinta imiphumela yakho yokuhlolwa.
Uma ufuna ukuqinisekiswa okusemandleni akho, uzofuna ukuthatha imishanguzo yakho ye-thyroid njalo, okokuqala ekuseni, ngesisu esingenalutho, cishe ihora elilodwa ngaphambi kokudla nangaphambi kokuphuza ikhofi.
Futhi, qiniseka ukuthi ulinde okungenani amahora amathathu kuya kwangu-4 phakathi kokuthatha imithi ye-thyroid bese uthatha noma iyiphi i-calcium noma i-iron supplements. (Lokhu kubuye kube nokudla kwe-juice kanye nobisi lwezinyosi ze-calcium.) Ukudla okuphezulu-fiber nakho kuyisici, njengokudla okunempilo, ukungena kwefayibha kungathinta imithi ye-thyroid.
Ekugcineni, okumele uyenze, kufanele uthathe isidakamizwa sakho se-hormone ye-thyroid. Uma uhlela ukushintsha indlela oyithatha ngayo imishanguzo yakho yegciwane, qinisekisa ukuthi uyayicacisa nodokotela wakho kuqala.
Amaphutha Wokulinganisa
Amaphutha e-pharmacy noma odokotela asemthethweni ayenzeka, okusho ukuthi ungathola isilinganiso esingalungile semithi yakho ye-hormone esikhundleni somuthi we-thyroid. Ngakho isihloko esisodwa esibalulekile ukuhlola kabili imithi yakho-bheka ilebuli kanye namaphilisi wangempela futhi uqiniseke ukuthi uthola umthamo udokotela wakho anikezwe kanye nomuthi obekiwe.
Ukudla kakhulu Okudla okuningi kwe-Goitrogenic
Ukudla okunye okungaba nakho okungaziwa ngokuthi umphumela we- goitrogenic , noma ikhono lokukhulisa i-thyroid bese wenza isakhiwo se-goiter.
Lokhu kudla kungenza njengezidakamizwa ze-antithyroid, ukunciphisa isifo sakho se-thyroid, futhi ekugcineni kubangele noma kuqhubekise i-hypothyroidism. Uma usenayo i-thyroid, udinga ukhathazeka kakhulu ngokungaqineki lezi goitrogens kwifomu labo elihlaza.
Izibonelo zokudla okungukuthi "goitrogenic," kufaka:
- Amahlumela aseBrussels
- Kale
- Soy
- Rutabaga
- I-Turnips
- Kohlrabi
- Radishes
- Ukholifulawa
- I-cassava yase-Afrika
- I-Millet
- I-Babassu (isithelo sekhanda kakhukhunathi esithandwa eBrazil nase-Afrika)
- Iklabishi
Abanye ochwepheshe bakholelwa ukuthi ama-enzymes abandakanyeka ekwakhiweni kwezinsimbi ze-goitrogenic ezitshalweni zingabhubhisa ngokupheka, ukupheka ngokucophelela kunganciphisa amandla amancane we-goitrogenic.
Ukushintsha Kwezinkathi
Iziguli eziningi ze -roid azi ukuthi amazinga e-thyroid, futhi ikakhulukazi i-TSH, angashintsha kanye nezinkathi zonyaka. I-TSH iphakama ngokwemvelo ngesikhathi sezinyanga ezinzima futhi ihlehla emuva ezinyangeni ezifudumele kakhulu. Abanye odokotela balungisa lokhu ngokubeka imizamo ekhuphuka kancane ngesikhathi sezinyanga ezinzima futhi ukunciphisa umthamo ngesikhathi sokufudumala.
I-Hormone Fluctuations
Ukuthatha i-estrogen kunoma yiluphi uhlobo, kungakhathaliseki ukuthi i-hormone replacement therapy noma amaphilisi okulawula ukuzalwa, kungathinta imiphumela yakho yokuhlolwa kwe-thyroid. Isibonelo, abanye besifazane abathatha i-estrogen eyongezwayo bangase badinge ukuthatha amahomoni amaningi esikhundleni se-thyroid. Lokhu kungenxa yokuthi i-estrogen yandisa iphrotheni ethile ehlanganisa i-hormone ye-thyroid kuyo, okwenza i-hormone ye-thyroid ingasebenzi kahle-ngakho-ke, ukuhlolwa kwe-thyroid kungaqeda ukukhombisa amanga ama-T4 amazinga angamanga. Kuwesifazane ongenalo i-gland gland , lokhu kungakwandisa imfuneko yokulinganisa, njengoba kungekho-thyroid yokukhokhela.
Ukukhulelwa
Ukuqhuma okukhulu e-estrogen ngesikhathi sokukhulelwa kuqala kungakhuphula i-TSH yakho nesidingo somzimba wakho wehomoni ye-thyroid. Kubaluleke kakhulu ukuthi i-TSH yakho ihlolwe ngezikhathi ezithile ekukhulelweni kokuqala, ukuqinisekisa ukuthi amanani angashintshwa ngokufanele. I-TSH izovame ukulahla ngemva kokulethwa, futhi, ngokuphendula kulezi zinguquko.
Amakhambi / Izithako / Izidakamizwa Ozithathayo
Amanye ama-supplements we-herbal angathinta umsebenzi we -roid. Amagciwane afana ne-ayurvedic herb guggul, ama-supplements, afana ne-tyrosine, imikhiqizo equkethe i-iodine (isibonelo, kelp) ne-supplementary bladderwrack konke okungenzeka ukwandisa noma ukunciphise umsebenzi wakho we -roid.
Ukuqala noma ukumisa omunye wemithi eminingi kadokotela kungathinta namazinga we -roid. Uhlu olukhethiwe kakhulu lwemithi engathinta amazinga we -roid luhlanganisa izidakamizwa ezithile zokunciphisa i-cholesterol, i-corticosteroids, i-lithium, ne-amiodarone.
Ukushintsha Inkinga Yezifo Zakho Zezifo
I-Hashimoto's Thyroiditis
Cabanga ngalesi simo ku-Hashimoto's thyroiditis: Umuntu uthola ukuthi une-Hashimoto isifo se-autoimmune ngonyaka odlule, isimiso se-thyroid esinqunyiwe, futhi ukuvakashelwa kwamasonto ayisithupha kunesilinganiso se-TSH samamitha angu-2 angama-international per litre (esingaphansi kobubanzi obuvamile ). Umuntu uphindela ngonyaka, ukuze aphinde aphinde abuyele eTSH, futhi izinga lakhe le-TSH manje seliphakanyisiwe kuya ku-6.0 million amayunithi ngamazwe ngetitha.
Lokhu kwanda cishe kubonisa ukuqhubeka kwenqubo yokuzimela. E-Hashimoto's thyroiditis, njengoba amasosha omzimba we-thyroid aqhubeka ehlasela isifo se-thyroid, kancane kancane akwazi ukukhiqiza i-hormone ye-thyroid eyedwa. Ngakho-ke, amazinga e-T4 ne-T3 awela futhi i-TSH iphakama.
Izifo zamathuna
Le nqubo efanayo isebenza ngokuphambene nesifo se-Graves, lapho umthamo ofanayo wezidakamizwa ze-antithyroid ezikugcine ebangeni elijwayelekile ezinyangeni eziyisithupha ezedlule zingakushiya hyperthyroid, njengoba i-thyroid yakho iqala ukusebenza ngokweqile.
Kwezinye izimo, emva kwezinyanga noma ngaphezulu ezidakamizwa ze-antithyroid, abantu abane- Graves 'isifo bangena ekuxoxweni. Kulesi simo, umthamo wabo wezidakamizwa ezingasetshenzisiwe unganciphisa noma uqedwe ngezikhathi ezithile.
I-Thyroiditis Ngemuva kokukhulelwa
Ngaphezu kwalokho, abanye besifazane bathuthukisa i- thyroiditis ngemuva kokukhulelwa . Kubaningi balaba besifazane, lesi simo sizozixazulula ngokwayo, okusho ukuthi ngokuhamba kwesikhathi, i-thyroid izozama ukubuyela emazingeni ajwayelekile nokuhlolwa kwegazi izobonisa lezi zinguquko. Kodwa-ke, ngalokhu kuguquguquka, imithi ye-hormone ye-thyroid esikhundleni sokudinga izidakamizwa kuzodingeka ishintshwe ngokufanele.
Izwi elivela
Ukuphathwa ngokucophelela kwamazinga akho we-thyroid, kanye nezimpawu, yingxenye ebalulekile yokwelapha kwakho kwe-thyroid. Akubalulekile kuphela ukuqapha imiphumela yakho yokuhlola ye -roid yezinguquko, kodwa wena nomsebenzi wakho ukuqonda izizathu ezivela kulezo zinguquko, ngakho-ke zingabhekwa.
Uma ushintsha iphethini yakho noma uhlobo lokudla izidakamizwa ze-hormone ye-thyroid, qiniseka ukuthi uthole i-TSH yakho iphinda iphindwe emuva kwamasonto ayisithupha kuya kwangu-8 kamuva ukuze inqume ukuthi ukulungiswa kwesilinganiso kuyadingeka yini.
> Imithombo:
> Bahn, R., Burch, H, Cooper, D, et al. I-Hyperthyroidism nezinye izimbangela ze-Thyrotoxicosis: Iziqondiso Zokuphatha ze-American Thyroid Association ne-American Association of Endocrinologist Clinic. I-Endocrine Practice. I-Vol 17 No. 3 Meyi / Juni 2011.
> Bajaj JK, Sakwab P, uSalwan S. (2016). Izidakamizwa ezihlukahlukene ezikhona ezibandakanya ukungasebenzi kahle kwe-Thyroid: Ukubuyekeza. J Clin Diagn Res . 2016 Jan; 10 (1): FE01-FE03.
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. I-WLL / Wolters Kluwer; 2012.
> 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.
> Kim TH. Umphumela wezinguquko zonyaka ngesikhathi kuguquka phakathi kwesimo se-subclinical hypothyroid nesimo se-euthyroid. J Clin Endocrinol Metab . 2013 Aug; 98 (8): 3420-9.