Ngati mukukumana ndi mahomoni a chithokomiro osinthasintha, simuli nokha.
Nazi zifukwa zina zomwe zimakhalapo, kuphatikizapo ndondomeko zothetsera vutoli.
Zovuta Zomwe Muli ndi Mankhwala Anu
Ngati mwayamba kumwa mankhwala a chithokomiro chochotsera mankhwala m'thupi kuchokera ku mankhwala osinthidwa kumene kapena kuchokera ku mankhwala ena, izi zikhoza kufotokoza chifukwa chake mkhalidwe wanu wasintha.
Mankhwala a chithokomiro othandizira mankhwalawa amatha kusinthasintha pogwiritsa ntchito mphamvu zawo koma adagulitsidwa mu malangizo a Food and Drug Administration (FDA). Ndipotu, malamulo a federal amanena kuti mankhwala a levothyroxine ayenera kukhala 95 peresenti mpaka 105 peresenti ya mphamvu. Izi zikutanthauza kuti mapiritsi 100 a mgg akhoza kuonedwa kuti ndi amphamvu, ngakhale atulutsa chirichonse kuchokera pa 95 mpaka 105 mcg cha chogwiritsidwa ntchito.
Ngakhale kuti potency imakhala yosasunthika mkati mwa dzina la mtundu winawake kapena opanga ma generic, amasiyana ndi mtundu wa mtundu ndi mtundu ndi wopanga kupanga. Komabe, ngati mukukhazikika pa mtundu umodzi, kusunthira ku mtundu wina-kapena kukhala ndi levothyroxine generic ndi kupeza refills kuchokera opanga osiyana-kungayambitse zokopa zina, pogwiritsa ntchito zosiyana za mankhwala a wojambula aliyense.
Njira yabwino yothetsera vutoli ndi ngati muli ndi mankhwala ochizira, gwiritsani ntchito ndi mzimayi wanu kuti mupeze mankhwala nthawi zonse.
Ngati izi sizingatheke, ganizirani kusinthira dzina.
Nthawi Yomwe Mungathenso Piritsi Yanu
Ngati mukugwiritsa ntchito mankhwala anu a chithokomiro nthawi zosiyanasiyana, nthawi zina mumatha kumwa mapiritsi anu opanda kanthu, ndipo nthawi zina mumadya kapena mutadya. Kutenga hormoni ya chithokomiro ndi chakudya kapena chakudya chingachedwe kapena kuchepetsa kusakaniza kwa mankhwala mwa kusintha momwe imawonongeka kapena kusintha kusintha kwa mimba ya asidi, kumakhudza zotsatira za mayeso.
Ngati mukufuna kuonetsetsa kuti mumatha kuyamwa bwino, mutha kumwa mankhwala anu a chithokomiro nthawi zonse, m'mawa opanda pake, pafupifupi ola limodzi musanadye komanso musanayambe kumwa khofi.
Komanso, onetsetsani kuti mudikire maola atatu kapena anai pakati pa kumwa mankhwala a chithokomiro komanso kutenga mankhwala enaake a calcium kapena zitsulo. (Zomwe zimapangidwanso ndi timadziti ta mkaka ndi mkaka wa calcium). Zakudya zapamwamba kwambiri ndizofunikira, monga kudya, kuteteza mavitamini kumakhudza kumwa mankhwala a chithokomiro.
Potsirizira pake, kusasinthasintha ndi zomwe muyenera kuyesetsa, momwe mungatengere mankhwala anu a mahomoni. Ngati mukufuna kukonza njira yomwe mumatengera mankhwala anu a chithokomiro, onetsetsani kuti mukutsuka ndi dokotala wanu poyamba.
Zolakwika za Mlingo
Zolakwika za pharmacy kapena madokotala zimachitika, kutanthauza kuti mungalandire mlingo woyenera wa mankhwala anu a chithokomiro m'malo mwake. Choncho chinthu chimodzi chofunika kwambiri ndi kuwonetsa mankhwala anu nthawi zonse-onetsetsani mankhwalawo ndi mapiritsi enieni ndipo onetsetsani kuti mukupeza mlingo wanu dokotala komanso mankhwala omwe adauzidwa.
Kudya Zakudya Zambiri Zambiri za Goitrogenic
Zakudya zina zingakhale ndi zomwe zimadziwika ngati goitrogenic effect, kapena kuti zikhoza kukulitsa chithokomiro ndikuzipanga kukhala goiter.
Zakudya zimenezi zingakhale ngati mankhwala osokoneza bongo, kuchepetsa kutentha kwa chithokomiro, ndipo pamapeto pake zimayambitsa kapena kuwonjezeka kwa hypothyroidism. Ngati muli ndi chithokomiro, muyenera kudera nkhaŵa kwambiri kuti musamapangitse ma goitrogenswa mawonekedwe awo obiriwira.
Zitsanzo za zakudya zomwe zili "goitrogenic," zikuphatikizapo:
- Kuphulika kwa Brussels
- Kale
- Soy
- Rutabaga
- Turnips
- Kohlrabi
- Radishes
- Kolifulawa
- African cassava
- Millet
- Babassu (chipatso cha kokonati cha mtengo wa kanjedza chotchuka ku Brazil ndi Africa)
- Kabichi
Akatswiri ena amakhulupirira kuti mapuloteni omwe amapangidwa pogwiritsa ntchito zipangizo za goitrogenic akhoza kuwonongedwa ndi kuphika, kuphika bwino kungachepetse mphamvu zina zotchedwa goitrogenic.
Kusintha kwa nyengo
Odwala chithokomiro ambiri sadziwa kuti chithokomiro, ndipo TSH makamaka, ingasinthe pamodzi ndi nyengo. TSH imanyamuka patapita miyezi yozizira ndipo ikugwera m'mwezi yotentha kwambiri. Madokotala ena amasintha chifukwa cha izi mwa kuika mlingo woonjezera pang'ono m'miyezi yozizira komanso kuchepetsa mlingo pa nthawi yotentha.
Kusintha kwa Hormone
Kutenga estrojeni mwa mtundu uliwonse, kaya monga mankhwala othandizira ma ARV kapena pa mapiritsi oletsa kubereka, kungakhudze zotsatira za mayendedwe anu a chithokomiro. Mwachitsanzo, amayi ena omwe amatenga supplemental estrogen angafunikire kutenga homoni yowonjezera m'malo. Izi zili choncho chifukwa estrogen imapanga mapuloteni ena omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda. Kwa mkazi wopanda chithokomiro , izi zikhoza kuwonjezera kuyeza kwa mlingo, popeza palibe chithokomiro chobwezera.
Mimba
Kuwonjezeka kwakukulu mu estrogen pa nthawi yoyembekezera mimba kumatha kuonjezera TSH yanu ndi thupi lanu kufunika kwa mahomoni a chithokomiro. Ndikofunika kwambiri kuti TSH yanu iyesedwe nthawi ndi nthawi mimba yoyambilira, kuti zitsimikizidwe kuti mlingo ungasinthidwe molingana. TSH kawirikawiri idzagwa pambuyo pa kubereka, komanso, poyankha mazithunzi awa.
Zitsamba / Zowonjezera / Mankhwala Osokoneza Bongo Mukutenga
Zina zowonjezera zitsamba zingakhudze chithokomiro. Zitsamba monga ayirvedic therere guggul, supplements, monga tyrosine, mankhwala omwe ali ndi ayodini (mwachitsanzo, kelp) ndi bladderwrack zowonjezera zonse zomwe zingathe kuwonjezera kapena kuchepetsa ntchito yanu ya chithokomiro.
Kuyamba kapena kusiya chimodzi mwa mankhwala osokoneza bongo kungakhudzenso chithokomiro. Mndandanda wa mankhwala omwe angakhudze chithokomiro umaphatikizapo mankhwala enaake otsika kwa kolera, corticosteroids, lithiamu, ndi amiodarone.
Kusintha kwa Matenda Anu a Chithokomiro
Hashimoto's Thyroiditis
Tangoganizirani nkhaniyi mu matenda a chithokomiro cha Hashimoto: Munthu adapeza kuti ali ndi matenda a Hashimoto omwe amachititsa kuti adziwonetsere chaka chimodzi chakale, adayika mahomoni a chithokomiro, ndipo paulendo wobwereza sabata zisanu ndi limodzi anali ndi TSH mlingo wokhala ndi makilogalamu awiri pa lita imodzi (yomwe ili m'kati mwake ). Munthuyo amabweranso chaka, chifukwa TSH imayambiranso, ndipo chiwerengero chake cha TSH tsopano chikukwera kwa maola 6.0 miliyoni pamtunda uliwonse.
Kuwonjezeka kumene kukuoneka kuti kukuwonetseratu kupititsa patsogolo kwa ndondomekoyi. Mu chithokomiro cha Hashimoto, momwe ma antibiotic amatha kupweteketsa chithokomiro, zimakhala zochepa kwambiri kutulutsa hormone ya chithokomiro yokha. Choncho, T4 ndi T3 magulu akugwa ndipo TSH imatuluka.
Matenda a Manda
Ndondomeko yomweyi imagwirizanitsa ndi matenda a Graves, komwe mankhwala omwe amachititsa kuti miyezi isanu ndi umodzi yapitayi ikhale yamtunduwu akhoza kukuchotsani hyperthyroid, monga chithokomiro chanu chimayamba kuwonjezereka.
Nthawi zina, patapita miyezi kapena kuposa pa mankhwala osokoneza bongo, anthu omwe ali ndi matenda a Graves amapita ku chikhululuko. Pankhaniyi, mlingo wawo wa mankhwala osokoneza bongo amatha kuchepa kapena kuthetsedwa nthawi zina.
Thyroiditis Pambuyo pa Mimba
Komanso, amayi ena amapanga chithokomiro atatenga mimba . Kwa ambiri azimayiwa, chikhalidwechi chidzathetsa vutoli, kutanthauza kuti pakapita nthawi, chithokomiro chidzayesa kubwerera ku chiyero chachidziwitso cha magazi chomwe chidzawonetse kusintha kumeneku. Komabe, ndi kusintha kumeneku, mahomoni a chithokomiro m'malo mwa mankhwala osokoneza bongo amayenera kusinthidwa molingana.
Mawu Ochokera
Kusamalira mosamala khungu lanu la chithokomiro, komanso zizindikiro, ndi mbali yofunikira pa chithandizo chanu cha chithokomiro. Sikofunika kuti muwone zotsatira za mayeso a chithokomiro chifukwa cha kusintha, koma kuti inu ndi dokotala wanu mumvetsetse zifukwa za kusintha kumeneku, kuti athe kuthandizidwa.
Ngati mutasintha ndondomeko yanu kapena mtundu wa mankhwala a mavitamini a thyroid, onetsetsani kuti TSH yanu idabwezeretsanso patatha masabata asanu ndi limodzi kapena asanu ndi atatu kuti mudziwe ngati kusintha kwa mlingo kumafunika.
> Zotsatira:
> Bahn, R., Burch, H, Cooper, D, et al. Hyperthyroidism ndi Zina Zimayambitsa Thyrotoxicosis: Malangizo Otsogolera a American Thyroid Association ndi American Association of Clinical Endocrinologists. Chitetezo cha Endocrine. Vol 17 No. 3 May / June 2011.
> Bajaj JK, Sakwab P, Salwan S. (2016). Zovuta Zambiri Zopangidwira Zomwe Zimakhudza Kuwonongeka kwa Chithokomiro: Kubwereza. J Clin Diagn Res . 2016 Jan; 10 (1): FE01-FE03.
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.
> Garber, J, Cobin, R, Gharib, H, et. al. Malangizo Okhudza Zipatala za Hypothyroidism M'zochitika Zakale: Ambiri amathandizidwa ndi American Association of Clinical Endocrinologists ndi American Thyroid Association. " Chitetezo cha Endocrine. Mph. 18 No. 6 Novemba / December 2012.
> Kim TH. Zotsatira za kusintha kwa nyengo pa kusintha pakati pa subclinical hypothyroid ndi euthyroid. J Clin Endocrinol Metab . 2013 Aug, 98 (8): 3420-9.