Zotsatira Zanu Zotsatira Ngati Chitetezo Chanu cha Hypothyroid Sikugwira Ntchito
Atapezeka kuti ali ndi hypothyroidism ndi kuyamba mankhwala, anthu ambiri akupitiriza kukhala ndi zizindikiro. Izi zikhoza kukhala zoona ngakhale mutakhala kale hypothyroid kwa nthawi yaitali ndipo ngati TSH yanu ndi yachibadwa.
Ngati simukumva bwino mutalandira chithandizo cha hypothyroidism yanu, simuli nokha. Ngakhale izi zili zachilendo ndipo zingakhale zokhumudwitsa kwambiri, pali zinthu zingapo zomwe zingapangitse kusiyana kwa momwe mumamvera pamaganizo ndi m'maganizo.
Tiyeni tiwone zomwe mukukumana nazo, ndipo lembani zina mwa njira zomwe mungaganizire mukufuna kwanu kuti mumve bwino.
Zizindikiro Zosautsa Za Chithandizo cha Hypothyroidism
Ngakhale mutapezeka kuti muli ndi mankhwala osokoneza bongo a hypothyroidism, ndipo ngakhale atayesedwa mayeso anu akuwoneka ngati "abwino," mungapitirize kukhala ndi zizindikiro zosalekeza. Mwinamwake mwazindikira kuti:
- Anapitiriza kupindula
- Kuvuta kutaya thupi
- "Ubongo wa ubongo"
- Kuvuta kuika maganizo
- Kutaya tsitsi
- Dzanja, phazi, kapena kutupa kwa nkhope
- Kulekerera kutentha ndi / kapena kuzizira
- Misala ya minofu
- Zowawa zofanana
- Kutsekedwa
- Matenda a Carpal kapena tendinitis
- Mitsempha yapamwamba ya cholesterol
- Zovuta kutenga pakati
Njira Zothetsera Zizindikiro Zosautsa Zogwirizana ndi Hypothyroidism
Ngati muli ndi zizindikiro zili pamwambazi, kodi mungatani? Tiyeni tione njira zingapo zomwe mungatenge kuti mukhale bwino. Pamene mukuchita izi ndizofunika kuti mukhale ndi dokotala yemwe angayende pambali panu kuti adziwe zomwe muyenera kuchita pakati pa mikangano yomwe mukukumana nayo panopa.
1. Yang'anani pa mlingo Wanu wa TSH
Chinthu choyamba chomwe mungachite kuti mukhale bwino ndi kudziwa tSH yanu (chithokomiro cholimbikitsa mphamvu ya homoni.) Kumvetsa mlingo wanu wa TSH, komabe, kumafuna zochulukirapo osati kungodziwa ngati nambala yanu ikugwera "mwachisawawa."
Malingana ndi labu lanu, komanso bungwe lapadera lomwe limapereka malangizowo, mtundu wa "wamba" umagwiridwa pakati pa 0,5 ndi 5.0 mU / l.
Komabe, zaka zaposachedwapa, pakhala kusiyana kwakukulu pazinthu zotsutsa zokhudza TSH yabwino .
Madokotala ambiri atsopano akuyamba kukhulupirira kuti TSH ya pakati pa 1 ndi 2, mwa kuyankhula kwina, pamapeto otsika, ndibwino kuti anthu azikhala bwino ndikupewa zizindikiro za hypothyroid. (Ena akukhulupiliranso kuti chisankho ichi chiyenera kupangidwa mwa kuphatikizapo T4 yaulere ndi T3 yaulere, yomwe tidzakambirana yotsatira.)
Mosiyana ndi izi, zotsatila zina zakhala zikupepesa chithandizo nthawi zonse ngakhale anthu omwe ali ndi mazinga a TSH omwe amagwa pakati pa 5 ndi 10 mU / l.
Popeza pali kutsutsana pa mulingo woyenera wa TSH kwa anthu omwe ali ndi hypothyroidism, ndikofunika kulankhula ndi adokotala za zomwe akuganiza kuti ziwerengero zanu zolinga zikhale zoyenera.
Chifaniziro kuti izi ziwoneke bwino ndizo za mavitamini D opambana . Mavitamini ena amati "mavitamini D" amakhala ndi 30 mpaka 90. Pa nthawi yomweyo, kafukufuku wina apeza kuti pakati pa makumi asanu ndi makumi asanu ndi makumi asanu ndi makumi asanu ndi awiri (70) amafunikanso kuchepetsa chiopsezo cha matenda ena monga khansara. Pankhaniyi, ngati munthu ali ndi chiwerengero cha 31, dokotala wawo angapangire kuti akuonjezereni ngakhale kuti chiwerengero chawo chikugwera "mwachisawawa."
(Zindikirani: Maseŵero a TSH ayenera kusungidwa osachepera 1 kwa opulumuka khansara ya chithokomiro kuti athetse kubwereza.)
Dziwani zambiri ngati hypothyroidism yanu ingasokonezeke .
2. Yang'anani pa Free T4 Yanu ndi Free T3 Levels
Gawo lotsatira ndikudziŵa bwino T4 yanu yaulere ndi ma T3 omasuka. Ndikofunika kudziwa kuti mankhwala osokoneza bongo amodzi monga Synthroid ndi T4 okha, pamene onse awiri T4 ndi T3 amakhalapo m'thupi.
Kuyambira ndi phunziro la New England Journal of Medicine mu 1999, lomwe lapeza kuti anthu omwe ali ndi hypothyroidism nthawi zambiri amamva bwino pogwiritsa ntchito T4 ndi T3 mmalo mwake, odokotala anayamba kulingalira ngati kuwonjezera mankhwala a T3 ku T4 mankhwala angakhale othandiza kwa anthu ena omwe Pitirizani kumva tizilombo toyambitsa matenda ngakhale TSH yachibadwa.
Kawirikawiri, T4 imatembenuzidwa kukhala T3 m'thupi, ndipo kupereka T4 kudzera mmalo mwake, ziyenera kukhala zokwanira. Koma zimenezi sizingakhale choncho nthawi zonse.
Chifukwa chiyani anthu ena angakhale ndi moyo wathanzi ndi T3 yowonjezerapo kuphatikizapo mankhwalawa? Pali zifukwa zambiri. Zimaganizidwa kuti anthu ena omwe ali ndi TSH yachibadwa angakhalebe hypothyroid pamasom'manja. Izi zikhoza kukhala chifukwa cha kutembenuka kosayenera kwa T4 mpaka T3.
Kwa anthu omwe angathe kukhala ndi ma T3 omwe alibe ufulu, njira zothandizira mankhwala zingaphatikizepo mankhwala owonjezera a T3 (monga Cytomel) kapena kusintha kwa mankhwala omwe amachotsa T4 ndi T3 monga mankhwala omwe amatchulidwa ndi chida chonga (Armor). chizoloŵezi ichi, ndi maphunziro odalirika kupeza phindu lalikulu mwa ena ndi kusowa kwakukulu kwa ena. Chifukwa cha izi, ndizofunikira kulankhula ndi dokotala wanu zokhudzana ndi zomwe mwapeza posachedwapa komanso kumvetsa kutsutsana kwa mankhwala a tizilombo T4 / T3 . Ndikofunika kuzindikira kuti munthu aliyense ndi wosiyana, ndipo inu ndi dokotala muyenera kugwira ntchito limodzi kuti muzitha kuchiza matenda anu m'malo mwa nambala iliyonse.
Kumbukirani kuti T3 supplementation ingathandize ndi zizindikiro zina koma osati ena. Mwachitsanzo, kafukufuku wa chaka cha 2013 adapeza kuti kutenga t4 / T3 palimodzi sikunapangitse kukhala ndi moyo wokhudzana ndi levothyroxine wokha, koma kunathandizira kulemera.
Ngati mukuganiza kuti T3 ikhoza kukhala vuto lanu, ndikupeza zambiri ngati mukufuna T3 kapena chithokomiro chodziwika bwino .
3. Kuyika TSH, Free T4, ndi Free T3 Pamodzi
M'malo moyang'ana ma number angapo a TSH, ufulu T4, kapena T3 omasuka nokha, kuphatikiza kwa manambalawa kungakuthandizeni inu ndi dokotala wanu kusankha ngati kusintha kuli koyenera kupangidwa mu mlingo wanu wa mankhwala, kapena ngati mukufuna kuganizira ntchito T3 mankhwala kuphatikizapo chithokomiro chanu chotsitsiramo mankhwala (kapena mutembenuzire ku chigawo cha T4 / T3.
Akatswiri ena amaganiza kuti mankhwala opatsirana pogwiritsa ntchito tizilombo toyambitsa matenda samaphatikizapo cholinga cha TSH mlingo pakati pa 1 ndi 2 koma T4 yaulere mu hafu yapamwamba ya mtundu wonse komanso T3 yaulere pamwamba pa 25c percentile ya mtundu wonse.
Kuyang'ana zonsezi pamodzi kungakhale kusokoneza. Mutha kuyesa kanthawi kuti muwerenge mitundu ya mankhwala a chithandizo cha chithokomiro omwe amapezeka, kuphatikizapo mankhwala osokoneza bongo, koma T3 ndi T4 / T3 mankhwala.
4. Njira Zina Zoganizira Zabwino ndi Hyphyothyism
Kupeza mankhwala abwino kapena mankhwala ndi mlingo woyenera kuti mukhale ndi matendawa ndi mbali imodzi yokhala ndi moyo wabwino ndi hypothyroidism. Palinso zinthu zina zomwe mungachite kuti muzimva bwino.
Choyamba, ngati mulibe dokotala yemwe akuwoneka kuti akutha kuthana ndi matenda a chithokomiro, phunzirani za momwe mungapezere madokotala abwino kuti asamalire chithandizo cha chithokomiro. Komabe, sikuti ndi dokotala wanu yemwe angakuthandizeni kumvetsa kafukufuku waposachedwa wa hypothyroidism. Kupeza gulu labwino la chithandizo cha chithokomiro pa intaneti sikungakuthandizeni kokha, komabe kungakhale njira yabwino yopezera nkhani kuchokera kwa anthu ena akukumana ndi mavuto omwe muli nawo, ndikudziŵa zambiri za matenda anu.
Monga momwe matenda ambiri amathandizira, kufunika kochita masewera olimbitsa thupi mokwanira ndi kudya zakudya zathanzi sikungatheke. Pali zinthu zambiri zoti mudziwe zokhudza hypothyroidism ndi zakudya zanu, monga gawo la soya mu thanzi labwino .
Pomaliza, ganizirani njira zothetsera nkhawa pamoyo wanu. Ngati mukubwera mwachidule, mukhoza kuyamba mwa kufufuza njira 70 zomwe zingakuthandizeni kuchepetsa nkhawa kumene mungapeze ochepa omwe akukugwirani ntchito.
> Zotsatira:
> Eligar, V., Taylor, P., Okosieme, O., Leese, G., ndi C. Dayan. Kupititsa kwa Thyroxine: Maganizo a Chipatala cha Endocrinologist. Annals of Clinical Biochemistry . 2016. 53 (Pt 4): 421-33.
Kasper, Dennis L .., Anthony S. Fauci, ndi Stephen L .. Hauser. Mfundo za Harrison za Mankhwala a M'kati. New York: maphunziro a Mc Graw Hill, 2015. Print.
> Schmidt, Y., Nygaard, B., Jensen, E., Kventny, J., Jarlov, A., ndi J. Faber. Ntchito Yopangitsira Chithandizo cha Chithokomiro: Zotsatira za T4 Monotherapy vs T4 / T3 Therapy Component in Hyperothyroid Subjects Study in Randomized Crossover Study. Endocrine Connections . 2013. 2 (1): 55-60.