Cabanga ngalesi simo esithakazelisayo. Owesifazane oneminyaka engama-20, otholakala ene- auto-immune Hashimoto's thyroiditis ne-hypothyroidism , wanquma ukungathathi imithi yokwelapha udokotela wakhe ayememezele. Owesifazane uthe kusukela eqala ukwelashwa kwakhe, isikhathi sakhe esingajwayelekile, isikhashana sasihlale sihlala njalo. Owesifazane osemusha wayekhetha ukuhamba esikhathini esincane, ngakho-ke wanquma ukumisa imithi ye-hormone esikhundleni sakhe .
Wazizwa ukuthi izinzuzo ayeziqaphele kusukela kokuqala ukwelashwa, ukwehlisa izinwele , nokunye amandla-kwakungeke zifane ne-tradeoff yezikhathi ezivame ukuqhubeka nokuya esikhathini.
Akayena yedwa enqaba ukuthatha imithi yakhe enqunyiwe . Sizwile kwezinye iziguli ezingathathi imithi yazo yegciwane. Kunezizathu ezithile ezivamile ukuthi ungase uthathe isinqumo sokuthi awufuni ukuthatha imithi yakho yegciwane-kungakhathaliseki ukuthi iphimoni yakho ye-hormone esikhundleni sakho, noma izidakamizwa ze-antithyroid. Isibonelo, ungase uzithole uhlinzeka esinye sezizathu ezilandelayo:
- "Angizizwa ngihluke noma nginhle, ngakho-ke kungani uqhubeka uyithatha?"
- "Angizange ngiqale ukuthola izimpawu kuze kube yilapho ngiqala ukuthatha imithi."
- "Angithandi ukuthatha imithi yokwelapha."
- "Angikwazi ukukukhokhela."
- "Nginemiphumela emibi engingayithandi uma ngithatha imithi."
- "Angikhumbuli ukuthatha usuku ngalunye."
- "Ngingathanda nje ukuthatha imithi yemvelo, njengamakhambi noma amavithamini."
Uma u-hyperthyroid, ungase ube nezizathu ezengeziwe ezilandelayo zokuthi kungani ungafuni ukuthatha izidakamizwa zakho ezinqunyiwe ze-antithyroid:
- "Ngikhathazekile ngemiphumela emibi." ( Izidakamizwa ze-Antithyroid zinezingozi ezincane kakhulu zemiphumela emibi kakhulu.)
- "Empeleni ngithanda indlela engizizwa ngayo uma nginempilo engaphezu kwe-hypothyroid."
Uma ungathathi imithi yakho enqunyiwe, yini engenzeka? Ake sibheke.
I-Hypothyroid? Izingozi Zokungatholi Imishanguzo Yakho Ye-Hormone Alternative Replacement
Uma ngabe i-hypothyroid-kungakhathaliseki ukuthi i-Hashimoto, ukwelashwa kwesifo se-Graves , ukuhlinzwa kwe-thyroid, noma i-hypenroidism yokubeletha-okwenza ukuthi uthathe imishanguzo yakho ye- hormone esikhundleni somzimba (ie, levothyroxine, noma i-thyroid), ingabangela izingozi eziningi empilweni yakho. Lezi zingozi zihlanganisa okulandelayo:
- Ukucindezeleka kwegazi, i-cholesterol ephakeme (kuhlanganise ne-cholesterol ephezulu yokwelashwa), futhi ingozi yesifo senhliziyo
- Ukushisa komzimba okuphansi; uzizwe unomphela
- Ukukhathala, ubuthakathaka bomzimba, noma ubuhlungu obuhlangene
- Ukucindezeleka
- Izinkinga zememori
- Inzuzo yesisindo; ukungakwazi ukulahlekelwa isisindo naphezu kokudla nokuzivocavoca
- Ukungabi nalutho, ukukhulelwa kwesisu, ukubeletha, noma ukusebenza ngaphambi kwesikhathi
- Izinga lokungena esikhathini
- Ukulahlekelwa noma ukunciphisa ukushayela ucansi
- Ukuqokwa
- Ukulahlekelwa izinwele
- Ukuguqa izandla, izinyawo, nobuso
- Ukukhula kwama-nodules we-thyroid, ukwandisa usayizi we- goiter
- Ingozi eyengeziwe yokutheleleka
Ekugcineni, uma uvinjelwe i-hormone ye-thyroid isikhathi eside, futhi uma i-thyroid yakho isuswe ngokuhlinzwa noma ingakhiqizi i-hormone ye-thyroid ngezinye izizathu, ubhekana nesimo esiyingozi kakhulu-i-myxedema coma-okungase ibe yingozi.
Okubaluleke kakhulu, iziguli zomdlavuza we-thyroid ezingakwazi ukuthatha imishanguzo yabo ye-hormone esikhundleni sokwemithi enqunyiwe empeleni zandisa ingozi yabo yokuphindaphinda umdlavuza wegciwane.
Hyperthyroid? Izingozi Zokungatholi Imithi Yakho Ye-Antithyroid
Uma ngabe u-hyperthyroid-kungakhathaliseki ukuthi isifo se-Graves noma ama-nodules ezinobuthi, phakathi kwezinye izizathu-ukungakwazi ukuthatha imithi yakho ye-antithyroid-ngokwesibonelo, i-methimazole noma i-propylthiouracil / i-PTU-ingafaka izingozi eziningana empilweni yakho, kubandakanya:
- Ukwehliswa kwesisindo noma ukuzuza kwesisindo
- Ukwandisa ukudla okunomdlandla nokoma
- Ukwesaba, ukukhathazeka, ukuhlaselwa kwesibindi
- Suthise ukubekezelelana, ukujuluka
- Ubuthakathaka noma ubuthakathaka obuthakathaka
- Isifo sohudo, isicashu, nokuhlanza
- Izinga lokungena esikhathini
- I-Goiter / i-thyroid eyandisiwe
- Ubuthakathaka bemisipha
- Ukungalali
- Ukushaywa ngokushesha, ukushaya inhliziyo, noma ukucindezeleka kwegazi
- Itching
- Izidlova
- Ukulahlekelwa izinwele
- Amehlo avikelayo
Ukwehluleka ukuphatha i-hyperthyroidism kungandisa ingozi yokushaywa noma isifo senhliziyo. I-subset yabantu abangaphathwa kabi abane-hyperthyroidism futhi bahlakulele isimo esiyingozi kakhulu esibizwa ngokuthi isiphepho se-thyroid , esinezinga eliphezulu lokufa.
Ukucubungula izizathu zakho zokungathathi imithi
Ngokusobala, kunezizathu zempilo ezinengqondo ukuthatha imithi yakho enqunyiwe ye-thyroid. Kodwa uma ungathathi imithi, nansi eminye imibono ngezizathu ongase uzisebenzise ukuze uvumele leso sinqumo:
Akukwenzi uzizwe ungcono: Ungalindeli imithi ye-thyroid ukuthi isebenze njenge-aspirin yekhanda. Uma usanda kuqala ukuthatha imithi ye-hormone esikhundleni somuthi noma izidakamizwa ze-antithyroid, kungathatha izinsuku ezimbalwa ukuya emavikini ambalwa ukuze uqale ukuqaphela umehluko endleleni ozizwa ngayo. Uma usuke uthatha imithi yakho izinyanga ezimbalwa, futhi usazizwa kahle , ungadinga ukulungiswa kwesilinganiso noma ushintsho emithi-hhayi ukumiswa okuphelele emgomweni wakho wemithi.
Uthola izimpawu ezintsha noma ezimbi ngemva kokuqala imithi: Odokotela abahlanganisayo bayazi ukuthi ezinye iziguli ze-hypothyroid zinokukhathala okukhulu , futhi uma ziqala imithi yokwelapha i-hormone ye-thyroid, izimpawu zingase zibe zimbi nakakhulu ngoba inkinga yangempela ye-adrenal ayizange ibhekiswe.
Izinwele zakho ziyawa: Uma uphawu olusha oluyinhloko olubhekene nokushaya izinwele, phawula ukuthi i-levothyroxine ingabangela ukulahleka kwezinwele kwezinye iziguli. Ukugwema ukulahlekelwa izinwele , ungase udinge imithi ehlukile ye-hormone esikhundleni somuthi.
Kungcono ukusebenzisa amakhemikhali emvelo esikhundleni semithi yokwelashwa: Ngeshwa, akusikho imvelo noma i-herbal esikhundleni sehomoni yegciwane . Njengehlobo 1 lwesifo sikashukela sidinga insulini-i-hormone ebalulekile yokusinda- udinga ihomoni ye-thyroid ukuze usinde. Futhi azikho abathintekayo bemvelo yezidakamizwa ze-antithyroid.
Awukwazi ukukhokhela imithi: Imithi ye-thyroid ayiyona imali ebiza kakhulu. Ngisho noma ukhokhela ephaketheni, imishanguzo ye-thyroid ebiza kakhulu akufanele igijime ngaphezu kwezingu-$ 30- $ 40 ngenyanga, futhi ingaba ngaphansi kwe-$ 4 ngenyanga ngenyanga yama generic. Ungase ufaneleke ngisho nemithi yegama lomuthi wegama lomuthi ngokusebenzisa izinhlelo ezihlukahlukene ezibiza izindleko.
Awuthandi ukuthi imithi yakho ikwenza uzizwe kanjani: Uma uhlangabezana nemiphumela emibi engadingeki, ukuma kwakho kokuqala kuyidokotela wakho. Ungadinga ukuguqulwa kwesilinganiso, noma ngisho nemithi ehlukile, ukugwema imiphumela ethile yecala.
Kunzima ukukhumbula ukuyithatha nsuku zonke: Uma ungakwazi ukukhumbula ukuxubha amazinyo akho nsuku zonke, ungakhumbula ukuthatha imithi yakho ye-thyroid . Uma isizathu esiyinhloko ongathathi imithi yakho ukuthi awukwazi ukukhumbula iphilisi yakho nsuku zonke, sekuyisikhathi sokuthola indlela yokuqinisekisa ukuthi uthatha imithi yakho. Abantu abaningi banama-smartphones kulezi zinsuku, futhi ifoni yakho ingahle ihlelwe ukuthi isinike ikholi yesikhumbuzo nsuku zonke noma i-alamu. Lokhu kungaba yilokho okudingayo ukukhumbula ukuthi uthathe imithi yakho.
Unenkathazo ngemiphumela emibi yezidakamizwa ze-antithyroid: Ngokuqinisekile, khumbula ukuthi ingozi yemiphumela emibi kakhulu iyinto encane kakhulu, futhi ingaphansi kwezingozi zokuhlala ze-hyperthyroid. Kungenzeka futhi ukuthi zingenzeka ezinyangeni ezintathu zokuqala zokwelashwa, ngakho sekuyisikhathi sokuqapha kakhulu. Uma uhlakulela umkhuhlane noma umkhuhlane, noma ezinye izibonakaliso noma izimpawu zokutheleleka kulezo zinyanga ezimbalwa zokuqala, xhumana nodokotela wakho ngokushesha. Uma uthola ukwelashwa kwe-drug antithyroid yesikhathi eside, ungase ufise ukucela udokotela wakho ukuba ahlele njalo umsebenzi wegazi ukuze ahlole nesibalo sakho segazi elimhlophe.
Uthanda indlela ozizwa ngayo uma u-hyperthyroid: Ungase uthande umuzwa wokuba u-hyperthyroid, kodwa ngeshwa, ungase ungaboni ukuthi lolu hlu lubeka kanjani inhliziyo yakho, amathambo, kanye nempilo yakho yonke. Ukuthinta umuzwa we-hyperthyroidism kufana nokulutha umkhuhlane onjenge-nicotine noma i-caffeine. I-hyperthyroidism engenakunqunywa ingaba nemiphumela emibi empilweni yakho. Odokotela abahlanganisayo bakholelwa ukuthi ezinye iziguli ezinjengalezi zinkinga zokuthi zithinteka zingase zithole ukukhathala noma ukukhathala okumele kusetshenziswe.
Izwi elivela
Ekugcineni, uma ungakhululekile ukuthatha imithi yakho yegciwane, isixazululo singase sibe ukuthola udokotela omusha we-thyroid . Ukuba nomsebenzi ongazethemba kungakusiza ukuthi ufike endleleni futhi ukwelashwa okufanele okuzokusebenzela.
> Umthombo:
> Braverman, LE., No-Cooper D. Werner no-Ingbar's The Thyroid: Umbhalo Oyisisekelo Nekliniki. 10th ed. I-Philadelphia: Lippincott Williams & Wilkins (LWW), 2012.