N'zotheka kukhala ndi "TSH" yachibadwa ndikumvererabe bwino
Ngati muli ndi mavitamini a chithokomiro ndipo muli ndi timadzi timene timatulutsa tizilombo toyambitsa matenda (TSH) yomwe ili m'kati mwake-komabe mukukhala ndi zizindikiro zambiri zokhudzana ndi chithokomiro-mukhoza kukhala mmodzi wa odwala chithokomiro omwe akudwala kupweteka kwa hypothyroidism.
Pafupifupi anthu 15 pa 100 alionse a ku United States omwe ali ndi hypothyroidism, kapena chithokomiro chopanda mphamvu, akupitiriza kukhala osasamala ngakhale kuti akudwala matendawa, malinga ndi kafukufuku wa 2016 wofalitsidwa mu Journal of Clinical Endocrinology ndi Metabolism .
Izi zikutanthauza kuti anthu 1.5 mpaka 1.8 miliyoni a ku America tsopano akutenga mankhwala a chithokomiro m'malo mwake amakhala ndi zizindikiro za chithokomiro chosagwira ntchito. Ngati mukuganiza kuti mukuyenera kufotokozera izi, nkofunika kuti mukambirane ndi dokotala wanu za momwe mungagwiritsire ntchito TSH zabwino komanso mankhwala osokoneza bongo.
Kodi Kuponderezedwa Kwambiri N'kutani?
Mawuwo amatanthauza hypothyroidism pamasom'manja omwe amatanthauza kuti mudakali ndi matenda a hypothyroidism monga kutopa, kupweteka, kuvutika maganizo, fibromyalgia / minofu ndi kuphatikizika, ululu, tsitsi lakuda kapena tsitsi louma , kusowa , kudzimbidwa, ubongo, ndi zambiri-ngakhale kuti mumatenga malo okonzedwanso a chithokomiro ndikukhala ndi "TSH" yachibadwa ya magazi. Mwamwayi, maseŵera oyenera a TSH a magazi amalemedwa kwambiri ndi madokotala ambiri kusiyana ndi zizindikiro za wodwalayo pamene akuweruza kuti ndi oyenerera chithandizo.
Pali zifukwa ziwiri zomwe zingatheke. Choyamba, madokotala ena amakhulupirira kuti kupereka mankhwala otentha a chithokomiro chokwanira kuti wodwala afike pakatikati mpaka kufika pamtunda wamba wa TSH wokwanira.
Chifukwa chachiwiri, chodziwika kwambiri ndi chakuti mankhwala omwe amagwiritsidwa ntchito masiku ano a Synthroid, Levoxyl, Levothyroid, Eltroxin, kapena Euthyrox (generic levothyroxine) sangakhale okwanira kuti anthu ena amve bwino. Levothyroxine ndi kalasi ya mankhwala ya T4, yomwe thupi liyenera kusandulika kukhala T3, hormone yogwira ntchito.
T4 sakugwira ntchito. Komabe, anthu ena amavutika kuti atembenuzire T4 kukhala oyenera T3, kuwasiya iwo ndi zizindikiro zolimba za hypothyroid.
Ngati simukumva bwino pa levothyroxine monotherapy, mungafune kuyesera "mankhwala othandizira" omwe ali mankhwala omwe ali ndi T3 ndi T4. Ngakhale kuti izi zimathandizidwa ndi American Thyroid Association, madokotala ambiri sadziwa zambiri.
Makhalidwe a TSH
Akatswiri ena amakhulupirira kuti TSH yosachepera 2 ndi yabwino kwambiri kwa anthu ambiri kuti azikhala bwino komanso kupewa matenda a hypothyroid kapena hyperthyroid. Palinso kafukufuku omwe amasonyeza kuti ziyeso pamwamba pa TSH wa 2 mwina makamaka zimayimira magawo osadziwika .
(ZOYENERA: Miyeso ya TSH imakhala yosachepetsedwa kuposa 1 mpaka 2 chifukwa cha opulumutsidwa ndi khansa ya chithokomiro-njira yomwe imadziwika ngati kuponderezedwa kwa chithokomiro-kuthandiza kuteteza khansa kubwerera.)
- TSH Mosiyana ndi .3 - Izi zimatengedwa kuti mwina ndi hyperthyroid (mahomoni ambiri a chithokomiro) m'mabwalo ambiri ku US Mungakhale oda nkhawa, kupeza zovuta kugona, tsitsi lotha, kutsegula m'mimba, ndi zizindikiro zina.
- TSH 1 mpaka 2 -Mkhalidwe wabwinobwino wa anthu ambiri. Uwu ndiwo mtundu wa TSH kumene anthu ambiri amamva bwino. Nthawi zina amalingaliridwa kuti ndi "otsika" ndi madokotala osadziŵa zambiri.
- TSH .3 mpaka 4.5 - "Zolemba zapamwamba" malinga ndi malemba ena. Anthu ena amamva bwino kwambiri, koma ambiri amavutika ndi matenda a hypothyroidism pamene TSH ili pamwamba pa 2.0. A
- TSH 4.5 mpaka 10 - Zimatengedwa kuti "subclinical hypothyroidism", koma zodabwitsa, madokotala ena sangathe kuchitapo kanthu pamatendawa ndipo saganiza kuti odwala matenda a hypothyroidism amamva odwala pamtundu uwu mpaka hypothyroidism yokha. Anthu ambiri ali ndi zizindikiro pamagulu awa.
- TSH Pamwamba pa 10 - Kutengedwa hypothyroid yomwe imayenera kuchiritsidwa ndi madokotala ambiri.
Mukhoza Kufuna T3 kuti Muzimva Bwino
Anthu ena samamva bwino pa levothyroxine / T4 kokha mankhwala (monga Synthroid) ndikumverera bwino-kutenga T3.
Ena adapambana kuwonjezera T3, monga Cytomel kapena kudzera palimodzi, T3 yomasulidwa nthawi, kwa levothyroxine yawo. Potsirizira pake, ena adapambana ndi zida zankhondo zakutchire . Pali njira zambiri zowonjezera mavitamini .
Chodabwitsa n'chakuti, akuganizabe kuti agwiritse ntchito T3 kwa anthu omwe ali ndi hypothyroidism ndi osaphunzira kapena ololera anthu a zachipatala, ngakhale kuti kafukufuku akuwonetsa kufunikira kwa T3 m'magulu ambiri a chithokomiro. Anthu ambiri ali ndi kachilombo kachitidwe ka TSH kakang'ono kapena kochepa, komabe, akuvutikabe ndi zizindikiro za hypothyroidism . Pazochitikazi, Kuwonjezera kwa T3 kunathandiza kuthetsa kuvutika maganizo, ubongo wa ubongo , kutopa ndi zizindikiro zina. Zomwe taphunzira zokhudza T3 zimakhala zowonongeka ndipo zimakhudza kwambiri anthu omwe samamva bwino pa mankhwala a chithokomiro. Kuti mudziwe zambiri, onani malipoti anga onse pa kafukufukuyu.
Mmene Mungayankhire Kukambirana ndi Dokotala Wanu
Ngati mukuvutikabe ndi matenda a hypothyroidism ngakhale mukuchiritsidwa, choyamba ndi kulemba izi mwa njira yomwe mungayang'anire mosavuta ndi dokotala wanu. Chinthu chabwino chothandizira ndi matenda a hypothyroidism , omwe amapereka mndandanda wa zoopsa zomwe mungathe kupita kwa dokotala kuti athandizidwe, kapena kutsutsa kuti zizindikiro zanu za hypothyroid sizithetsedwe ndi mankhwala omwe mukuwathandiza masiku ano.
Musanayambe kukambirana ndi dokotala, ndikufunseni kuti muwerenge mafunso asanu ndi awiri ovuta omwe muyenera kufunsa dokotala wanu za hypothyroidism, komanso mafunso omwe munthu watsopano wodwala ndi hypothyroidism amamufunsa nthawi zambiri. Zimathandiza kuti muthe kuyamba kuchipatala, kuopsa kwaumoyo wam'tsogolo, kaya mutatopa kapena kutaya phindu komanso momwe mungalimbane nawo, ndi zina zambiri.
Ngati muli ndi zidziwitso komanso mndandanda wanu, muyenera kukhala pansi ndikukambirana ndi dokotala wanu za momwe mungakhalire ndi TSH , kapena ngati mukuyenera kulingalira za kuwonjezereka kwa T3 ku chithandizo chanu chotchedwa hormone m'malo mwake.
Mwinanso mungasowe zida zina kuti muzimvetsera komanso kumvetsa dokotala wanu. Pofuna kuthandiza, pali mabuku osiyanasiyana omwe ndimapereka kwa odwala onse a chithokomiro. Onani buku la Thyroid Bookstore chifukwa cha malingaliro.
Ngati dokotala wanu sangakambirane zosankha kapena amakana kulingalira za mankhwala a T3, ndiye kuti mufunika kupeza dokotala yemwe akufuna kukhala mnzanu mu ukhondo.
> Chitsime
> Sarah J. Peterson, Elizabeth A. McAninch, Antonio C. Bianco. Kodi TSH Yodziwika ndi "Euthyroidism" mu Levothyroxine Monotherapy? Journal of Clinical Endocrinology & Metabolism , 2016; jc.2016-2660 DOI: 10.1210 / jc.2016-2660