Taganizirani izi zosangalatsa. Mzimayi wina wazaka 20, atapezeka ndi Hashimoto's thyroiditis ndi hypothyroidism , anaganiza kuti sayenera kumwa mankhwala a chithokomiro amene adokotala anamuuza. Mkaziyo adanena kuti kuyambira pomwe adayamba kuchipatala, nthawi yake yowonongeka, inali yochepa. Msungwanayo ankakonda kukhala ndi nthawi yochepa, choncho anaganiza kuti asiye kumwa mankhwala a chithokomiro .
Ankaona kuti ubwino wake womwe adapeza kuyambira atayamba kuchepetsa kuperewera kwa thupi , kuchepa tsitsi , ndi mphamvu zoposa-sizinali zoyenera kuti azigulitsa nthawi zambiri komanso nthawi zambiri.
Siye wokha pakana kumwa mankhwala ake . Tamva kuchokera kwa odwala ena omwe samamwa mankhwala a chithokomiro. Palinso zifukwa zambiri zomwe mungasankhe kuti simukufuna kumwa mankhwala anu a chithokomiro, kaya ndi mankhwala anu otchedwa thyroid, kapena mankhwala osokoneza bongo. Mwachitsanzo, mukhoza kupeza nokha mwazifukwa izi:
- "Sindikumva kuti ndibwino kapena ayi, ndiye bwanji ndikupitirizabe kutenga?"
- "Sindinayambe kukhala ndi zizindikiro mpaka nditayamba kumwa mankhwala."
- "Sindimakonda kumwa mankhwala alionse ."
- "Sindingakwanitse."
- "Ndili ndi zotsatira zoyipa zomwe sindimakonda ndikazitenga mankhwala."
- "Sindikukumbukira kukutenga tsiku lililonse."
- "Ndibwino kungotenga mankhwala achilengedwe, monga zitsamba kapena mavitamini."
Ngati muli hyperthyroid, mungakhale ndi zifukwa zina zotsatirazi zomwe simukufuna kutenga mankhwala anu ovomerezeka:
- "Ndikuda nkhawa za zotsatira zake." ( Mankhwala osokoneza bongo a Antithyroid amakhala ndi chiopsezo chochepa kwambiri cha zotsatira zake.)
- "Ndimakonda mmene ndimamvera ndikadwala hyperthyroid kuposa pamene ndili ndi hypothyroid."
Ngati simutenga mankhwala anu, kodi chingachitike n'chiyani? Tiyeni tiyang'ane.
Tizilombo toyambitsa matenda? Kuopsa Kosatenganso Mankhwala Osakaniza Tizilombo tokoma
Ngati muli hypothyroid-kaya chifukwa cha matenda a Hashimoto, matenda a Graves , opaleshoni ya chithokomiro, kapena congenital hypothyroidism-zomwe zimapangitsa kuti thupi lanu likhale ndi mankhwala enaake (ie, levothyroxine, kapena chithokomiro chodziwika bwino) zingayambitse thanzi lanu. Zowopsazi zikuphatikizapo zotsatirazi:
- Kutsekemera kwa magazi, cholesterol chokwera (kuphatikizapo mankhwala osapatsa mafuta m'thupi), ndi kuwonjezeka kwa matenda a mtima
- Kutentha kwa thupi; kumverera nthawi zonse ozizira
- Kutopa, kufooka kwa minofu, kapena kupweteka pamodzi
- Kusokonezeka maganizo
- Mavuto a pamtima
- Phindu lolemera; Kulephera kuchepa thupi ngakhale chakudya ndi masewera olimbitsa thupi
- Kusabereka, kuperewera kwa amayi, kubereka, kapena kugwira ntchito msanga
- Kusamba kwa msinkhu
- Kutaya kapena kuchepetsa kugonana
- Kutsekedwa
- Kutaya tsitsi
- Kutupa manja, mapazi, ndi nkhope
- Kukula kwa mitsempha ya chithokomiro, kukula kwa goiter kukula
- Kuwonjezeka kwa chiopsezo cha matenda
Pamapeto pake, ngati mulibe mahomoni a chithokomiro kwa nthawi yayitali, ndipo ngati chithokomiro chanu chachitidwa opaleshoni kapena sichikutulutsa ma hormoni pa zifukwa zina, mumakumana ndi vuto loopsa-myxedema coma-lomwe lingathe kupha.
Ofunika kwambiri, odwala khansa ya chithokomiro omwe amalephera kutenga mankhwala a chithokomiro m'malo mwa mankhwala omwe amachititsa kuti awonongeke.
Hyperthyroid? Kuopsa Kosatenga Mankhwala Anu a Antithyroid
Ngati muli hyperthyroid-kaya chifukwa cha matenda a Graves kapena mitsempha ya poizoni, mwa zifukwa zina-kulephera kutenga mankhwala anu antithyroid-mwachitsanzo, methimazole kapena propylthiouracil / PTU-akhoza kuika zoopsa zambiri pa thanzi lanu, kuphatikizapo:
- Kufooketsa kulemera kwa thupi kapena kulemera
- Mwachidwi kuwonjezeka kwa njala ndi ludzu
- Mantha, nkhawa, mantha
- Sungani kusagwirizana, thukuta
- Kutopa kapena zofooka zofooka
- Kutsekula m'mimba, kunyowa, ndi kusanza
- Kusamba kwa msinkhu
- Goiter / chithokomiro chofutukuka
- Kufooka kwa minofu
- Kusagona
- Kuthamanga mofulumira, kupsa mtima kwa mtima, kapena kuthamanga kwa magazi
- Kuyabwa
- Mitambo
- Kutaya tsitsi
- Maso otetezera
Kulephera kuthana ndi hyperthyroidism kungapangitse chiopsezo chanu cha kudwala kapena kupweteka kwa mtima. Chigawo cha anthu osatetezedwa omwe ali ndi hyperthyroidism amakhalanso ndi mkhalidwe woopsa wotchedwa mphepo yamkuntho , yomwe ili ndi kuchuluka kwa mafuta.
Onaninso Zifukwa Zanu Zopanda Kumwa Mankhwala
Mwachiwonekere, pali zifukwa zomveka zogwiritsira ntchito mankhwala a chithokomiro. Koma ngati simukumwa mankhwala, apa pali malingaliro pa zifukwa zimene mungagwiritsire ntchito kugwiritsa ntchito zifukwazo:
Sikumakupangitsani kuti mukhale bwino: Musamayembekezere kuti mankhwala a chithokomiro azigwira ntchito ngati aspirin pamutu. Ngati mutangoyamba kumwa mankhwala a mahomoni kapena mankhwala osokoneza bongo, zingatenge masiku angapo kupita ku masabata angapo kuti muzindikire kusiyana kwa momwe mumamvera. Ngati mwakhala mukumwa mankhwala anu kwa miyezi yambiri, ndipo simukumverera bwino , mungafunike kusintha kusintha kwa mankhwala kapena kusintha kwa mankhwala-osati kuimitsa kwa mankhwala anu.
Mukumva mankhwala atsopano kapena owonjezereka mutangoyamba kumwa mankhwala: Othandizira odwala amakhulupirira kuti odwala ena amatha kutopa , ndipo akamayambitsa mankhwala otentha a mahomoni, zizindikiro zimatha kuwonjezereka chifukwa vutoli silinayankhidwe.
Tsitsi lanu likutha: Ngati chizindikiro chachikulu chomwe mukukumana nacho ndi tsitsi, onani kuti levothyroxine ikhoza kuyambitsa tsitsi kwa odwala ena. Popewera tsitsi , mungafunikire mankhwala enaake a chithokomiro.
Muyenera kugwiritsa ntchito mankhwala ochizira m'malo mwa mankhwala ochiritsira: Mwachibwibwi, palibe mankhwala achilengedwe kapena mankhwala omwe amachokera ku hormone ya chithokomiro . Monga mtundu wa shuga wodwala amafunikira insulini-mahomoni ofunikira kuti mukhale ndi moyo- mumakhala mahomoni a chithokomiro kuti mupulumuke. Ndipo palibe zowononga m'malo mwa mankhwala osokoneza bongo.
Simungathe kupereka mankhwala: Mankhwala a chithokomiro sali okwera mtengo. Ngakhale mutapereka mthumba, mankhwala opatsirana kwambiri a chithokomiro sayenera kuthamanga kwambiri kuposa $ 30- $ 40 pamwezi, ndipo akhoza kukhala osachepera $ 4 pamwezi pazipangizo zamakono. Mwinanso mukhoza kulandira mankhwala osokoneza bongo pamagulu osiyanasiyana otsika mtengo.
Simukukonda momwe mankhwala anu amakupangitsani kumva: Ngati mukukumana ndi zotsatira zosafunika, wanu woyamba ndi dokotala wanu. Mukhoza kusowa kusintha kwa mlingo, kapena mankhwala ena, kuti musapewe zotsatira zina.
Zimandivuta kukumbukira kuti mutenge tsiku lililonse: Ngati mutha kukumbukira kuthira mano tsiku ndi tsiku, mutha kukumbukira kutenga mankhwala anu a chithokomiro . Ngati chifukwa chachikulu chomwe simukumwa mankhwala anu ndikuti simungathe kukumbukira mapiritsi anu tsiku lililonse, ndi nthawi yoti mupeze njira yowonetsetsera kuti mumamwa mankhwala anu. Anthu ambiri amakhalanso ndi mafoni a m'manja masiku ano, ndipo foni yanu ikhoza kukonzedwa kutipatsa ife chikumbutso cha tsiku ndi tsiku kapena alamu. Izi zikhoza kukhala zomwe muyenera kuzikumbukira kuti mutenge mankhwala anu.
Mukuda nkhawa ndi zotsatira za mankhwala osokoneza bongo: Ndithudi, kumbukirani kuti chiopsezo chachikulu chimakhala chochepa kwambiri, ndipo sichikhoza kuwonongeka kwambiri. Zimakhalanso zochitika m'miyezi itatu yoyambirira ya chithandizo, choncho ndiyo nthawi yoti mukhale osamala kwambiri. Ngati mukumva zilonda zam'mimba kapena malungo, kapena zizindikiro zina za matendawa m'miyezi ingapo yoyamba, funsani dokotala nthawi yomweyo. Ngati muli ndi mankhwala a mankhwala osokoneza bongo nthawi yayitali, mungafunse dokotala kuti azionetsetsa kuti ntchito yamagazi nthawi zonse imayesetsanso kuti muyese kuyeretsa maselo oyera a magazi.
Mumakonda mmene mumamvera mukakhala hyperthyroid: Mungafune kukhala ndi hyperthyroid, koma mwatsoka, simungadziwe kuti vutoli likuika mtima wanu, mafupa, ndi thanzi lanu lonse. Kukonda kumverera kwa hyperthyroidism kumakhala ngati kumangokhalira kuledzera monga chikonga kapena caffeine. Kusatulutsa hyperthyroidism kungakhale ndi zotsatira zoopsa pa thanzi lanu. Madokotala ogwira mtima amakhulupirira kuti odwala ena omwe amamva ngati akugodometsedwa akhoza kukhala ndi kutopa kapena kutopa kumene kukuyenera kuchitidwa.
Mawu Ochokera
Pamapeto pake, ngati simungakhale ndi bwino kumwa mankhwala a chithokomiro, yankho lanu likhoza kukhala dokotala watsopano wa chithokomiro . Kukhala ndi dokotala yemwe mungamudalire kungakuthandizeni kuti mukhale ndi chithandizo chabwino chomwe chingakuthandizeni.
> Chitsime:
> Braverman, LE., Ndi Cooper D. Werner ndi Ingbar's The Thyroid: Mawu Ofunika ndi Osowa. 10th ed. Philadelphia: Lippincott Williams & Wilkins (LWW), 2012.