Kodi mukuganiza momwe mungaperekere pang'onopang'ono pamene mukupatsidwa mankhwala a hypothyroidism? Kodi mukutenga Synthroid, dzina la brand levothyroxine, kapena mankhwala ena monga Levoxyl kapena Tirosint ? Kapena kodi mukugwiritsa ntchito mankhwala osokoneza bongo (NDT) monga chida kapena chida , ndipo mukuvutikirabe ? Ngati muli pa Synthroid kapena mankhwala ena a chithokomiro m'malo mochizira hypothyroidism, koma mukulimbana ndi zakudya ndi kuwonongeka, pali zinthu zina zofunika kuzidziwa.
Muyenera Kuthetsa Moyenera Mankhwala Anu a Chithokomiro
Pamene muli hypothyroid, ndikofunikira kuti mankhwala anu a chithokomiro akhale othandiza. Izi zimayamba ndi kuyamwa kokwanira. Onetsetsani kuti simukutenga kapena kuchita chilichonse chimene chingalepheretse kutsegula. Nazi malangizo ena othandiza:
- Tengani mankhwala anu a chithokomiro m'mawa, ndipo dikirani ola limodzi musanayambe kumwa khofi kapena mkaka wokhazikika kapena wofewa , kapena kudya. Yembekezerani maola atatu kapena anai musanayambe kumwa mankhwala owonjezera omwe ali ndi chitsulo kapena calcium, kapena kumwa madzi a calcium.
- Ngati mukutenga Synthroid brand levothyroxine, kumbukirani kuti Synthroid ili ndi mthethe ndi lactose , zomwe zimapangitsa kuti anthu ena asokonezeke. Ngati muli ndi zowawa kapena kudwala, ganizirani kusintha kwa mtundu wina.
- Ngati muli ndi vuto lakumagawa, kapena matenda aliwonse okhumudwa monga matumbo a Matumbo kapena matenda a Crohn, kambiranani ndi dokotala wanu za Tirosint . Izi ndizopadera, hypoallergenic, madzi levothyroxine mu gelcap, yokonzedweratu kuti apangidwe bwino.
Onetsetsani Kuti Mukudya Mankhwala Okwanira
Ndikofunika kuti mutenge Synthroid yokwanira kapena mankhwala ena a chithokomiro. Akatswiri ena amatha kupereka mankhwala okwanira kuti athandizidwe ndi tizilombo (TSH) kumapeto kwa tsambalo, pafupi ndi cutoff kwa hypothyroidism.
Izi sizingakhale zokwanira kuthetsa zizindikiro zanu kapena kupititsa patsogolo kagayidwe ka shuga. Odwala ambiri a chithokomiro ndi odokotala amapeza kuti chiwerengero cha TSH m'munsimu 2.0 n'chokwanira kuthetsa zizindikiro. Ngati TSH yanu ili pamapeto apamwamba a zolembera, lankhulani ndi dokotala wanu za kuwonjezera mlingo wanu wa mankhwala a chithokomiro.
Muyenera Kuwonjezera T3
Matenda a Levothyroxine monga Synthroid ndi mawonekedwe a chithokomiro cha thyroid, chomwe chimatchedwanso T4. Pamene chirichonse chimagwira ntchito mwangwiro, thupi lanu liyenera kutembenuza T4 muyeso yachiwiri ya chithokomiro, triiodothyronine, yotchedwa T3. T3 ndi hormone yogwira ntchito yomwe imathandiza kuti mphamvu ndi mpweya uzifike kumaselo anu. Kafukufuku amasonyeza kuti mu odwala chithokomiro, kusinthika kumeneku kuli kolakwika. Kaya chifukwa cha kusintha kwa majini, nkhawa, kapena kufooka kwa zakudya, odwalawa amalephera kusintha T4 mokwanira kukhala T3. Ngati mutakhala mu gawoli, mungapeze kuti ngakhale atalandira mankhwala a levothyroxine monga Synthroid, mukhoza kukhala wolemera, kapena simungathe kulemera. Mukhozanso kukhala ndi zizindikiro zina za hypothyroidism , monga kutopa, kutaya tsitsi, kapena ubongo wa ubongo.
Mungapindule ndi kuwonjezera kwa T3 ku levothyroxine kuti muzitha kuchipatala.
Nazi mfundo zina:
- Funsani dokotala wanu kuti ayese triodothyronine yanu yaulere, yotchedwa T3. Ngati muli otsika kapena otsika, mukhoza kufunsa wothandizira zaumoyo wanu powonjezera T3. Izi zikhoza kuchitidwa ndi mankhwala otchedwa Cytomel, mankhwala omwe amachititsa kuti tizilombo tizilombo toyambitsa matenda tizilombo toyambitsa matenda, kapena mankhwala, owonjezera, omwe amatulutsidwa nthawi yomweyo.
- Ngati ma t3 anu aulere a T3 ndi ochilendo, koma mwawona zizindikilo za hypothyroidism kuphatikizapo zovuta zowonjezera, funsani kuti mutha kuyesedwa. Makhalidwe apamwamba a mawonekedwe osagwiritsidwa ntchito a T3 angapangitse thupi lanu kukhala lotha kupatsa T3 yogwira maselo ndi ziwalo zanu. Kuonjezera T3 kuchipatala chanu pakuthandizira kuthetsa zizindikiro zanu.
Mukhoza Kufuna Chitetezo Chodabwitsa Chachilengedwe
Odwala ena a chithokomiro amayesa mankhwala a levothyroxine monga Synthroid, mankhwala osiyana, ndi kuwonjezera mankhwala a T3, ndipo sangathe kuthetsa zizindikiro. Ngati izi ndizochitikira, mungathe kuyankhula ndi dokotala wanu pogwiritsa ntchito mankhwala omwe amadziwika ndi chilengedwe cha chithokomiro (NDT). Palinso mtundu wa NDT wotchedwa Thyroid NP. Pali zochepa zofufuza pa NDT, koma kufufuza kwina koyenera kunapeza kuti NDT inali njira yowonjezera yogwiritsira ntchito mankhwala a levothyroxine, ndipo zinapangitsa kuti odwala ambiri awonongeke .
Mawu ochokera
Ngakhale sichigwirizana ndi Synthroid yanu kapena mankhwala ena a chithokomiro, pali kugwirizana pakati pa hypothyroidism ndi chiopsezo cha kuwonjezeka kwa shuga wa magazi ndi mtundu wa shuga 2. Ngati mwakonza mankhwala anu a Synthroid kapena mankhwala ena ndipo mukukumanabe ndi vuto lanuli, kambiranani ndi dokotala wanu kuti muyesetse kusunga shuga ndi hemoglobin A1C (HA1C). Ngati miyeso ndi yapamwamba, kusintha kwa zakudya zanu ndi masewera olimbitsa thupi, komanso mtundu wa mankhwala a shuga 2 monga metformin, kungathandize kuonetsetsa kuti shuga lanu limakhala ndi shuga komanso kuchititsa kuti thupi lanu likhale lovuta kwambiri.
> Zotsatira:
> Celi FS, et al. "Zotsatira zamatsenga za liothyronine mankhwala mu hypothyroidism: mayesero osadziwika, aŵiri osaona, okhwima a liothyronine versus levothyroxine." J Clin Endocrinol Metab. 2011 Nov; 96 (11: 3466-74.): 10.1210 / jc.2011-1329. Epub 2011 Aug 24.
> Garber, J, Cobin, R, Gharib, H, et. al. Malangizo Othandizira Amagulu a Hypothyroidism Aakuluakulu: Olembedwa ndi a American Association of Clinical Endocrinologists ndi American Thyroid Association. Chitetezo cha Endocrine. Mph. 18 No. 6 Novemba / December 2012.
> Hoang TD, et al. "Zophatikizapo za chithokomiro poyerekeza ndi levothyroxine pochizira hypothyroidism: kuphunzira kosawerengeka, kosaona, kosavuta." J Clin Endocrinol Metab. 2013 May; 98 (5): 1982-90. do: 10.1210 / jc.2012-4107. Epub 2013 Mar 28.
> Lambadiari, V et al. "Mahomoni a chithokomiro amathandizidwa kwambiri ndi insulini kukana kumayambiriro kwa chitukuko cha mtundu wa shuga." Endocrine. February 2011, Voliyumu 39, Issue 1, tsamba 28-32
> McAninch EA, Bianco AC. "Mbiri ndi Tsogolo la Chithandizo cha Hypothyroidism." Ann Intern Med. 2016 Jan 5; 164 (1): 50-6. pitani: 10.7326 / M15-1799. Erratum mu: Ann Intern Med. 2016 Mar 1; 164 (5): 376. PMID: 26747302