Ndi chakudya? Kutalikirana ndi mankhwala ena? Kodi goitrogens monga kale malire?
Hypyothyroidism ndi matenda omwe chithokomiro sichikhoza kupanga mahomoni okwanira a chithokomiro okhudzana ndi zosowa za thupi. Cholinga cha chithandizo chamatenda a chithokomiro ndichotsitsimutsa ntchito ya chithokomiro, tipezerani mahomoni ofunikira a maselo onse a thupi lanu, ndikuthandizani kuti mukhale ndi mphamvu komanso moyo wabwino. Mankhwala omwe amagwiritsidwa ntchito kwambiri pofuna kuchiza matendawa ndi levothyroxine (omwe amapangidwa ndi T4 ndipo amapita ndi Synthroid ndi maina ena), ngakhale kuti ena amamva bwino kutenga T3, monga Cytomel, yokha kapena kuphatikiza ndi T4-kapena zachilengedwe zotengedwa ndi chithokomiro, monga Armor Thyroid.
Ndikofunika kwambiri kutengera mahomoni anu a chithokomiro molondola, pamene thupi lanu likusowa hormone ndipo limafuna kuti lichite ntchito iliyonse. Mankhwala ena amaphatikizana ndi mahomoni a chithokomiro, ndipo zinthu zina ndi makhalidwe amalepheretsa kukwanira. Pano pali ndondomeko ya zomwe mukuganiza panopa, ngakhale ndizofunikira kuti muwerenge odwala omwe akubwera ndi malamulo anu, ndipo nthawi zonse kambiranani ndi dokotala ndi wazamankhwala pa mafunso enieni.
Musatenge mankhwala anu a chithokomiro ndi Chakudya
Chakudya chingachedwe kapena kuchepetsa kuyamwa kwa mankhwala ambiri, kuphatikizapo mahomoni a chithokomiro. Chakudya chingakhudze kuyamwa kwa mankhwala omwe mukugwiritsa ntchito pochita nawo malonda, kuchepa kwa malo osungirako malo, powasintha mlingo umene umasungunuka, kapena kusintha mimba ya pH. Ichi ndi chifukwa chake madotolo ambiri amalimbikitsa kuti kuti muyambe kumwa mankhwala a chithokomiro, muyenera kutenga nthawi yoyamba m'mawa, opanda kanthu, ola limodzi musanadye.
Komabe, ngati simungathe kuchita izi, kusinthasintha kumakhala fungulo. Ngati mutenga chakudya chamatenda a chithokomiro, mutengere chakudya tsiku ndi tsiku. Ngati mwasintha kuchoka pamimba yopanda kanthu, ndiye kuti patatha masabata asanu ndi asanu ndi atatu mpaka asanu ndi atatu mutayamba kumwa chakudya, muyenera kukhala ndi mayeso ena a TSH kuti muwone kuti muli ndi mahomoni otere.
Kugwiritsa ntchito mankhwala ndi chakudya kungalepheretse kuyamwa pang'ono, koma kufufuza kotetezekaku kudzatsimikizira kuti mlingo wanu umasinthidwa ngati ukuyenera kusinthidwa pang'ono. Koma kachiwiri, kusasinthasintha. Musati mutenge masiku angapo ndi chakudya, masiku ena opanda, kapena muli otsika kwambiri, ndipo zidzakhala zovuta kuti muyambe kuyendera mazinga anu a TSH.
Musamawope Zizindikiro Zambiri-Koma Kudziwa Kungalepheretse Kutengeka
Chifukwa chakuti anthu ambiri pa chithandizo cha chithokomiro m'malo mwake akulimbana ndi nkhondo yowonjezera kuti achepetse kulemera kwake, chakudya chokwanira chapamwamba chimakhudzanso. Chilichonse chimene chimakhudza chimbudzi chanu chimathamanga kapena kuthamanga kwa zinthu mkati mmimba kungakhudze mahomoni a chithokomiro. Popeza zakudya zamtundu wapamwamba zimatha, ahem, kuthamanga mofulumira, amadziwika kuti amaletsa kuyamwa kwa anthu ena. Kotero, kodi muyenera kuiwala za kudya zakudya zam'mwamba?
Ayi ndithu! Popeza ubwino wa zipatso, ndiwo zamasamba, ndi zakudya zapamwamba zodziwika bwino, kachiwiri, nkhaniyi ndi yosagwirizana . Ngati mukudya chakudya chokwanira nthawi zonse ndipo nthawi zonse mukuyezetsa TSH, mlingo wanu umayenera, kupatsidwa zakudya zanu. Ngati mukuyambitsa regimen yatsopano yodyetsa kwambiri, yesetsani kuyesa katemera pakapita masabata asanu ndi atatu kapena asanu ndi atatu mutasintha zakudya zanu, kuti muwone kuti muli ndi homoni yeniyeni.
Koma khalani osasinthasintha . Musadumphire pozungulira, kapena mutenge pang'ono, ndipo izi zingawononge mitu ya TSH ... NDI momwe mumamvera! Koma kachiwiri, kutenga mahomoni a chithokomiro choyamba ndikukhala m'mimba yopanda kanthu, ndipo kuyembekezera ola limodzi kuti mudyetse, zidzatsimikiziranso kuti muzitha kudya kwambiri, kaya chakudya chanu ndi chiyani!
Onetsetsani Kuti Mudzitengere Iodini Yothandiza kapena Kelp
Ngakhale anthu ena omwe amamwa mankhwala amchere komanso mavitamini amalimbikitsa mapiritsi a ayodini kapena mavitamini a kelp (omwe ali ndi ayodini wambiri) kwa anthu omwe ali ndi vuto la chithokomiro, muyenera kusamala kwambiri pankhani iliyonse yothetsera ayodini kapena kelp zowonjezereka ngati mukudwala mankhwala otsekemera.
Kuganiza kumbuyo kusuta ayodini kapena kelp ndiko kuti m'madera ambiri a dziko lapansi, matenda a goiters ndi chithokomiro ali ofanana ndi kusowa kwa ayodini. Ku US ndi maiko ena otukuka, kusowa kwa ayodini sikunali kofala, chifukwa cha kuwonjezera kwa ayodini ku mchere (mchere wothira iodi) ndi zakudya zina. Ndipotu, mitundu yambiri ya matenda a chithokomiro omwe amapezeka ku matenda a chithokomiro omwe amapezeka ku United States monga Matenda a Manda kapena Hashimoto's Thyroiditis-alibe chochita ndi kusowa kwa ayodini nkomwe. Kwenikweni, ma chithokomiro amakhala okhudzidwa kwambiri ndi ayodini, ndipo muyenera kusamala kuti muwonjezere ayodini wochuluka ku zakudya monga zingathe kukwiyitsa kapena kukulitsa chithokomiro. Madokotala ambiri amanena kuti asadandaule ndi mchere wina wa iodizedwe kapena ayodini omwe amawoneka ngati chakudya chamtundu wina. Koma ngakhale dokotala wina wodziteteza, Stefano Barnes ' Hypothyroidism: Matenda Osayembekezereka , akulangiza kupewa kumwa mankhwala a ayodini kapena kelp kwa anthu omwe ali ndi matenda a chithokomiro.
Ngati Mudakali ndi Chithokomiro, Musadye Zakudya Zowonjezera
Zakudya za goitrogenic monga mapulasitiki, rutabaga, turnips, cauliflower, African cassava, mapira, babassu (zipatso zamtengo wa kokonati zomwe zimatchuka ku Brazil ndi Africa) kabichi ndi kale zimatha kukhala ngati mankhwala osokoneza bongo propylthiouracil ndi methimazole potsegula chithokomiro, choncho iwo sayenera kudyedwa mochuluka ndi munthu wina pa chithokomiro chotchedwa hormone m'malo mwake amene ali ndi chithokomiro. Komabe, zakudya izi ndi zathanzi kwambiri, ndipo kuzidya moyenera ndi zabwino. Zimaganiziridwa kuti mapuloteni omwe amapanga mapangidwe a goitrogenic akhoza kuwonongedwa ndi kuphika, kuphika bwino kungachepetse mphamvu za goitrogenic.
Tengani Antacids, Calcium, ndi iron Away kuchokera ku mankhwala anu a chithokomiro
Mankhwala a Antacids-monga Tums kapena Mylanta, m'madzi kapena piritsi-akhoza kuchepetsa kapena kuchepetsa kuyamwa kwa mankhwala osokoneza bongo, motero, ayenera kutenga maola oposa awiri pokhapokha mutatenga mahomoni a thyroid.
Mofanana ndi antacids, calcium ikhoza kusokoneza mankhwala osokoneza bongo. Muyenera kutenga kashiamu osachepera maola awiri kapena atatu popanda kutenga hormone yanu ya chithokomiro. Chimodzimodzinso ndi calcium-yokhala ndi lalanje kapena madzi a apulo. Musagwiritse ntchito timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa madzi.
Ndipo potsirizira pake, chitsulo, kaya chokha kapena ngati gawo la vitamini chowonjezera cha vitamini , chimalepheretsa kutentha kwa mahomoni. Musagwiritse ntchito mavitamini anu ndi chitsulo nthawi imodzimodzi monga hormone yanu ndipo muyenera kulola maola awiri pakati pa kuwatenga.
Fufuzani Malemba a Mankhwala Ochizira ndi Omwe Ambiri Ambiri Ambiri Ambiri Ambiri Ambiri Ambiri Ambiri Amadzimadzira Ambiri
Maphwando ambiri a chifuwa chachikulu ndi mankhwala ozizira ndi otukumula amanena kuti: "Musatenge ngati muli ndi zotsatirazi ..." ndipo pitirizani kulemba matenda a chithokomiro. Pamene mukuyenera kufunsa dokotala wanu, zimamveka kuti chenjezoli likugwiritsidwa ntchito kwa anthu omwe ali ndi hyperthyroidism (chithokomiro chopitirira muyeso) kuposa hypothyroidism (chithokomiro chopanda mphamvu). Chifukwa mankhwalawa ali ndi zokopa, lingaliro ndi la munthu yemwe ali ndi hyperthyroidism kuti asaphatikizepo kuwonjezereka kwina kapena kupsyinjika pamtima kuchokera ku mankhwala awa. Izi zikuti, anthu ena omwe ali ndi hypothyroidism amapeza kuti amayamba kuganizira zinthu monga pseudoephedrine , zomwe mumapeza muzodzipatulira . Madokotala ena angakulimbikitseni inu kuyesa mlingo wokhawokha, ndi kuwona ngati mutayankha, ndipo pokhapokha yesetsani kugwira ntchito yanu mpaka mlingo wamba ndikuwona ngati zikukuvutitsani.
Ngati muli pa Synthetic Estrogen, Yankhulani ndi Dokotala Wanu
Azimayi otenga estrogen (mwina monga mankhwala a mahomoni - mwachitsanzo, Premarin - kapena pa mapiritsi oletsa kubereka) angafunike kutenga homoni yowonjezera. Estrogen imapangitsa kuti thupi likhale ndi mapuloteni a magazi omwe amachititsa mahomoni a chithokomiro kwa iwo, kuwapangitsa kukhala opanda mphamvu. Kwa amayi omwe alibe chithokomiro, makamaka, izi zingachititse kufunika kowonjezera mlingo wa mlingo pang'ono, chifukwa palibe chithokomiro chobwezera. Pambuyo poyambitsa tizilombo toyambitsa matenda a estrogen, mayi ayenera kukhala ndi TSH akuyesedwa kuti aone ngati estrogen imakhudza thupi lonse la TSH ndi ntchito ya chithokomiro ndipo zingafunike kusintha kwa mlingo.
Dziwani Mankhwala Ovomerezeka Amene Angagwiritse Ntchito Pogwiritsa Ntchito Thanzi la Hormone
Kudetsa nkhaŵa. Kugwiritsira ntchito tricyclic mankhwala opatsirana pogonana panthaŵi imodzimodzimodzi ndi mahomoni a chithokomiro akhoza kuonjezera zotsatira za mankhwala onsewa, ndipo akhoza kufulumizitsa zotsatira za wodwala matenda opatsirana. Onetsetsani kuti adokotala amadziwa kuti mulipo chimodzi musanayambe kulemba.
Insulini. Insulini komanso mankhwala omwe amachititsa kuti matenda a shuga awonongeke, angathe kuchepetsa mphamvu ya mahomoni. Onetsetsani kuti adokotala amadziwa kuti mulipo chimodzi musanayambe kulemba. Ngati muli pa insulini kapena pakamwa pamutu, muyenera kuyang'anitsitsa pamene mukuyambitsa chithandizo cha chithokomiro.
Mankhwala Ochepetsa Cholesterol (Cholestyramine kapena Colestipol - Colestrol, Questran, Colestid). Mankhwalawa amatsitsa mahomoni a chithokomiro, ndipo maola osachepera anayi kapena asanu ayenera kupitirira pakati pa kumwa mankhwalawa ndi mahomoni a chithokomiro.
Anticoagulants ("Opopera Magazi"). Mankhwala a antiticoagulant (magazi oponda magazi) monga Warfarin, Coumadin kapena Heparin nthawi zina amakhala amphamvu m'thupi pamene mahomoni a chithokomiro awonjezerekanso. Onetsetsani kuti mutumize dokotala wanu ngati muli pamodzi kapena wina, ndipo mankhwala atsopano awonjezeredwa.
Zindikirani: Zapamwamba sizomwe zili mndandanda wa mankhwala onse omwe angagwirizane ndi mankhwala a chithokomiro. Lankhulani ndi wamalonda wanu kapena dokotala kuti mudziwe zambiri.