Kuti muzindikire ngati muli ndi chithokomiro chosawonongeka (hypothyroidism) mwachibadwa, nkofunika kuti mumvetsetse bwino mawu oti "zachirengedwe."
Kwa odwala ena ndi madokotala, kuchiza hypothyroidism "mwachibadwa" amatanthauza chithandizo cha chithokomiro choyenera-pogwiritsira ntchito mankhwala osokoneza bongo , monga Armor Thyroid kapena Nature-Throid. Mankhwalawa amachokera ku zithokomiro za chithokomiro koma ndi FDA-malamulo, mankhwala opatsirana.
Ena amawona "zachirengedwe" monga mapulani a mankhwala omwe samaphatikizapo mankhwala osokoneza bongo koma amapangidwa ndi kuyang'aniridwa ndi anthu ngati madokotala a naturopathic, madokotala onse ophatikizidwa, komanso akatswiri odziwa za mankhwala a China .
Pomalizira, pali odwala ena amene amayang'ana njira yachibadwa monga chithandizo chomwe amadzipezera okha.
Tiyeni tiwone bwinobwino njira izi ndi zotsatira zake zomwe zingakhudze thanzi lanu.
Zolemba Zachilengedwe Mankhwala a Chithokomiro
Kuteteza chithokomiro (ndi Nature-Throid), kapena chotsitsa cha chithokomiro, chophatikizapo thyroxine (T4) ndi triiododothyronine (T3) mu chiwerengero cha pafupifupi 4 mpaka 1. Izi zikusiyana ndi chiŵerengero cha T4 mpaka T3 mu thupi laumunthu, lomwe liri pafupi 14 mpaka 1.
Zida za Chithokomiro ndi Zachilengedwe Zimakhala njira zina zogwiritsira ntchito Synthroid ( levothyroxine ), mankhwala opangira chithokomiro, omwe kawirikawiri amaikidwa ndi dokotala wamkulu wa chisamaliro kapena wotchedwa endocrinologist kuti athane ndi hypothyroidism.
Ndikofunika kuzindikira kuti American Thyroid Association ndi American Association of Clinical Endocrinologists sikuti amalimbikitsa kugwiritsa ntchito mankhwala ochotsera chithokomiro monga chithokomiro chotsitsirako mankhwala a hypothyroidism.
Ichi ndichifukwa chake levothyroxine imayamikiridwa ndi madokotala ambiri, ngakhale ena angasankhe kupereka ndi kuyang'anira odwala pa zida.
Njira Yowonjezera / Yopereka Chithandizo Chachidziwitso
Kuwonjezera pa chikhalidwe cha mankhwala anu hypothyroidism (ndi chithokomiro cha hormone supplementation), kugwiritsa ntchito zizoloŵezi za moyo, malingaliro a thupi, ndi kusintha kwa zakudya mu chisamaliro chanu chingapereke madalitso ambiri.
Izi zikutanthauza kuti ndizofunika kuti mutsegule komanso mutsimikizire ndi dokotala wanu kuyambira pomwe mukugwiritsa ntchito mankhwala othandizira. Mwanjira imeneyi mukhoza kuonetsetsa kuti palibe chomwe chingasokoneze chithandizo chanu cha chithokomiro ndi mankhwala.
Ndizomveka kufunsa dokotala wanu ngati angapereke mankhwala othandizira ndi othandizira (CAM) omwe amatsimikiziridwa ndi / kapena ogwirizana ndi chipatala chanu cha mankhwala ophatikizana.
Pomalizira, pamene opanga CAM angathe kupereka njira zoyenera kuthandizira chithokomiro chanu, chitetezo cha mthupi ndi mahomoni, ndikofunika kukhala osamala za mankhwala omwe angathe "kuchiza" matenda anu, kapena mankhwala omwe alibe zotsatira.
Pamapeto pake, zowonjezereka sizimayendetsedwa ndi boma, kutanthauza kuti palibe kugwirizana kwa sayansi kuti ndi otetezeka komanso ogwira ntchito. Mwa kuyankhula kwina, chifukwa choonjezerapo chiri "chachirengedwe" kapena chiripo popanda chilolezo sikutanthauza kwenikweni kuti palibe chopweteka kapena choyenera kwa inu.
Kudzipangira
Kudzipiritsa nokha vuto lanu la chithokomiro, pofika kumalo osungirako chakudya cham'deralo, kukatenga zakudya zowonjezera, ndikupanga kusintha kochepa zakudya sizolondola. Kuchiza chithokomiro chosawonongeka ndi njira yovuta yomwe imafuna kusamala mwamsanga ndi kuyang'anira mlingo ndi dokotala.
Poyamba, atapatsidwa chiwerengero choyamba cha T4 (levothyroxine), dokotala wanu adzabwezeretsa hormone yanu yotulutsa chithokomiro (TSH) pafupi masabata asanu ndi limodzi kenako. Malinga ndi zotsatira zowunika magazi ndi momwe mumamvera, dokotala wanu adzasintha mlingo wanu. Njirayi ingakhale yofunika kubwerezedwa kangapo musanamangidwe mahomoni a chithokomiro.
Ndiye, ngakhale chitatha chithokomiro chanu chitakhala chokhazikika, mudzafunika kubwereza kachilombo ka TSH kamodzi pachaka, monga momwe dosi yanu T4 ingafunikire kusintha ndi kusintha kwa moyo wanu.
Mwachitsanzo, kusintha kwa zakudya zanu kungakhudze T4. Kuonjezera apo, matenda anu a chithokomiro amatha kuwonjezereka kwambiri omwe amafunikira mankhwala apamwamba a mankhwala a chithokomiro.
Osatenga mokwanira T4 (wotchedwa undertreated hypothyroidism) si wathanzi, chifukwa zingayambitse mavuto ambiri kuchokera kumsinkhu wa msinkhu kupita ku mkulu wa cholesterol ndi kuchepa kwa mtima.
Pazifukwa zowonjezera, ngati mukumwa mankhwala ambiri a chithokomiro, pali chiopsezo chokhala ndi mtima wamba (wotchedwa atrial fibrillation) kapena kupanga mafupa a mitsempha (otchedwa osteoporosis).
Mawu Ochokera
Mwachidule, ndibwino kuti muwone dotolo kuchipatala cha matenda anu a chithokomiro. Komanso, onetsetsani kuti mumagwiritsa ntchito njira zowonjezera kapena zowonjezera. N'kutheka kuti akhoza kusamalidwa mosamala, koma mukufuna kutsimikiza kuti inu ndi adokotala muli tsamba limodzi.
> Zotsatira:
> American Thyroid Association. (nd). Mankhwala Owonjezera pa Matenda a Chithokomiro (CAM).
> Chakera AJ, Pearce SHS, Vaidya B. Chithandizo cha primary hypothyroidism: njira zamakono komanso zamtsogolo. Drug Des Devel Ther. 2012; 6: 1-11.
> Garber JR et al. Mankhwala othandizira odwala akuluakulu a hypothyroidism: akuluakulu a American Association of Clinical Endocrinologists ndi American Thyroid Association. Chitetezo cha Endocr . 2012 Nov-Dec; 18 (6): 988-1028.
> Jonklaas J et al. Malangizo ochizira matenda a hypothyroidism: Okonzedwa ndi gulu la American Thyroid Association gulu la mahomoni otchedwa kanseri. Chithokomiro. 2014 Dec 1; 24 (12): 1670-1751.