Pali zambiri zomwe zimadziwika potsatira kuyamwitsa. Malingana ndi Centers for Disease Control, mkaka waumunthu ndi wosavuta kuti ana adye ndikuphatikizapo makanda mazana ambiri omwe amafunikira mu miyezi yawo yoyamba ya moyo. Mkaka wa m'mawere umathandizanso kuteteza matenda osiyanasiyana, ndipo kutsekemera kumawopsa ndi kuchepetsa kunenepa kwambiri, matenda a shuga, chifuwa chachikulu, mphumu, chiwopsezo chochepa chakumwalira kwa khanda, matenda a khutu, kutsekula m'mimba, ndi matenda a m'mimba monga makanda, monga komanso ma IQ apamwamba.
Kuyamwitsa kungathandizenso mayi woyamwitsa kuchepetsa chiopsezo cha khansa ya ovari ndi ya m'mawere, kuchepetsa kuthamanga msanga, komanso kusunga ndalama pa mtengo wa mankhwala.
Mu hyperthyroidism, chithokomiro chimatopa kwambiri ndipo chimatulutsa mahomoni ambiri a chithokomiro. Hyperthyroidism - yomwe nthawi zina imayambitsa matenda a Graves 'matenda - amayenera kuchitidwa mosamala panthawi yomwe atha kutenga mimba. N'chimodzimodzinso ndi amayi omwe ali ndi matenda a hyperthyroidism ndi Graves kapena amawunika pamene akuyamwitsa.
Odwala ena ali ndi mankhwala osokoneza bongo omwe amachititsa kuti chithokomiro chizizira kwambiri. M'mbuyomu, amayi omwe amagwiritsa ntchito mankhwala osokoneza bongo a hyperthyroidism analephereka kuyamwitsa ana awo makanda kapena makanda. Nkhawayi inali yokhudza kuti mankhwala osokoneza bongo otengedwa ndi amayi, ndipo amapitilira kupyolera m'mafupa, amatha kupondereza chithokomiro cha mwana, kapena amachititsa kuti chidziwitso chidziwike ngati goiter.
Pakalipano, vuto la kuyamwitsa pamene akugwiritsa ntchito mankhwala osokoneza bongo amatsutsanabe. Kodi mayi angathe kutenga mankhwala osokoneza bongo monga methimazole (Tapazole), carbimazole, kapena propylthiouracil (PTU) kuti amuthandize matenda a hyperthyroidism kapena Matenda a Graves mosamala mwana wake wakhanda kapena khanda?
Kawirikawiri, akatswiri amati inde.
Madokotala amalangiza kuti amayi atsopano pa mankhwala ochepetsa tizilombo toyambitsa matenda - kapena osadwale chifukwa cha kuyamwitsa - chifukwa ubwino wa kuyamwitsa ndiwotchulidwa, ndipo kupezeka kwa ana ku mankhwala ophera tizilombo omwe amapita mkaka wa m'mawere kumatengedwa kuti ndi "kochepa komanso sikofunika kwenikweni."
Kutenga Mankhwala Osokoneza Bongo
Palibe akatswiri azachipatala omwe adanena kuti mankhwala alionse otetezera tizilombo toyambitsa matenda ndi otetezeka 100% ogwiritsidwa ntchito pamene akuyamwitsa.
Komabe, pankhani ya chitetezo, kafukufuku angapo sanapeze kusintha kwa chithokomiro, kapena zotsatira za chithokomiro komanso ntchito ya chitukuko m'maganizo mwa ana omwe ali ndi mkaka wa amayi omwe amathandizidwa ndi PTU tsiku lililonse mpaka 300 mg tsiku, methimazole pa mlingo wa 30 mg pa tsiku, ndi carbimazole pa mlingo wa 15 mg) kwa miyezi isanu ndi itatu.
Mogwirizana ndi nyuzipepala ya European Thyroid Journal, yomwe inafalitsa nkhani yokhudza nkhani ya 2012:
- PTU sayenera kulamulidwa pamene mayi akuyamwitsa - PTU imagwirizanitsidwa ndi chiwopsezo chochepa cha chiwindi - m'malo mwake, methimazole (mpaka 30 mg / tsiku) kapena carbimazole (mpaka 15 mg / tsiku) angagwiritsidwe ntchito. (PTU imalimbikitsidwa kuti nthawi yeniyeni ikhale yopanda malire, nthawi zina, koma ndi yotetezeka kwa khanda loyamwitsa pokhapokha ngati mlingowo sukuposa 300 mg patsiku.)
- Kuwunika mosamala amayi ndi ana akuyamikiransobe, kuphatikizapo ma t4 ndi TSH, masabata atatu mpaka 4 mutatha kuyamwa.
Chinthu chapadera: Akatswiri ambiri amalimbikitsa kuti mayi woyamwitsa akuyamwitse asanayambe kumwa mankhwala a antithyroid, kuti achepetse kuyamwa kwa mwanayo kwa mankhwala.
Pomalizira, chisankho choyamwitsa panthawi yomwe amamwa mankhwala oletsa tizilombo toyambitsa matenda ndi chimodzi chomwe mayi ayenera kuchita mogwirizana ndi wothandizira zaumoyo wake, komanso mwana wa mwana wake wakhanda.
> Zotsatira:
> Glatstein, MD, Miguel Marcelo ndi. al. "Mankhwala opanga mankhwala a hyperthyroidism panthawi yopuma," Canadian Family Physician. 2009 Aug; 55 (8): 797-798. PMCID: PMC2726094
> Karras, Spiros ndi Krassas, Gerasimos "Mankhwala Osokoneza Bongo ndi Antithyroid: A View From Within." Eur Thyroid J. 2012 Apr; 1 (1): 30-33. Lofalitsidwa pa Intaneti 2012 Feb 29. do: 10.1159 / 000336595 PMCID: PMC3821454