Zimene Mukuyenera Kudziwa
Ngati mwapezeka kuti muli ndi hypothyroidism ndipo mukuchiritsidwa, ndipo zotsatira zanu zoyezetsa zomwe ziri mwatchutchutchu "zachibadwa", ndi chiyani chomwe chimakondweretsa ngati simukumva bwino?
Zoona zake n'zakuti ngakhale mukudwala mankhwala a hypothyroidism , odwala ambiri - ena amati ngakhale ambiri omwe mumalandira chithandizo cha chithokomiro t- pitirizani kukhala ndi zizindikiro zomwe zingakhale zogwirizana ndi chithokomiro chanu. Ngakhale mutapezeka kuti muli ndi mankhwala otsekemera a mahomoni , mukhoza kukhala ndi zizindikiro zosalekeza monga kupitirizabe kulemera kapena kupweteka, kuvutika maganizo, ubongo wa ubongo kapena kuvutika kuika maganizo, kutaya tsitsi, kupweteka kwa manja / mapazi / nkhope, kulekerera kutentha ndi kuzizira, kupweteka kwa minofu ndi ululu wothandizira, kudzimbidwa, msewu wa carpal kapena tendonitis, masewera otchuka a cholesterol, kugonana kochepa, ndi zovuta kutenga pakati, pakati pa ena.
Kodi ndi zinthu ziti zomwe mungachite kuti mukhale osangalala?
1. Funsani Dokotala Wanu Ngati TSH Yatsopano Ikhoza Kuyenera Kwa Inu
Gawo loyamba kwa inu ndikudziwa ndondomeko yanu yeniyeni ya TSH , ndi zina zotero za chithokomiro monga T4 ndi T3 . Maseŵerawa amakulolani kuti muwathandize kuchepetsa dokotala wanu kuti azitha kuchipatala ndikukupatseni mfundo yofanana.
Madokotala odziŵa amadziwa kuti TSH ya pafupi 1 - 2 - pamapeto otsika - ndilo mlingo wokwanira wa anthu opanda matenda a chithokomiro , ndipo amayesetsa kulandira odwala chithokomiro. Kumbukirani kuti dokotala akukuuzani kuti TSH yanu ndi "yabwino" sikokwanira, chifukwa ngati dokotala akugwiritsa ntchito njira zofanana za .5 mpaka 5, mukhoza kukhala ndi TSH wa 4 ndikuuzidwa kuti ndinu "wabwinobwino. " (Zindikirani, madokotala ena akutsatira mtundu watsopano wa TSH wa 0,3 mpaka 3.0). Mkhalidwe wanga, ndikudziwa kuti ndikuvutika kwambiri ndi TSH ya 3.0 kapena pamwamba, ndipo ndikupeza zizindikiro za hyperthyroid pa .1, koma ndimamva bwino pafupifupi 1.5 kapena kuposa. (Zindikirani: izi TSH nthawi zambiri imakhala yosachepera kuposa 1-2 kwa odwala khansara yoteteza kanseri kuti ateteze kubwereza.)
2. Funsani dokotala ngati mutembenukira ku lina la Levothyoxine Lingakhale Loyenera
Chinthu china chofunika ndikudziwa ngati muli ndi mankhwala abwino kwa inu. Matenda ambiri a chithokomiro amayamba pa levothyroxine, mankhwala opangidwa ndi T4, kawirikawiri chizindikiro cha Synthroid . Koma ngati simukumva bwino pa Synthroid, kapena muli mtundu uliwonse, mukhoza kufunsa dokotala wanu za kuyesa mtundu wina. Mitundu yonse imakhala ndi zowonjezera zosiyanasiyana komanso zimapangidwanso, ndipo zina zimasungunuka mosavuta kuposa ena, kotero anthu ena amazipeza kuti zimayenda bwino pamodzi pamodzi. Malonda omwe alipo alipo monga Synthroid, Levoxyl, Levothroid, ndi Unithroid.
3. Yesetsani Kupewa Zowonjezera Kapena Pangani Bungwe Lolimba, Lakale Ngati N'kofunikira
Ngati simukumva bwino, funsani za mavuto ndi ma generic, kufunika kwa T3, njira zoyanjanirana, ndi madokotala abwino.
Ma HMO ena ndi makampani a inshuwalansi amangolemba malamulo a levothyoxine ndi mankhwala achibadwa. Pali vuto la generic levothyroxine .
Vuto lalikulu ndi generics, komanso kudandaula kwa madokotala, ndikuti pamene muli ndi mankhwala a levothyroxine generic, nthawi iliyonse mukalandira mankhwala, mukhoza kupeza levothyroxine yopangidwa ndi kampani ina. Izi zikutanthawuza kuti nthawi iliyonse mukamaliza kukonzanso, mukhoza kukhala ndi mankhwala omwe ali ndi mphamvu zosiyana, zomwe zingakhudze ma tSH anu. Izi makamaka zimakhudza odwala khansa ya chithokomiro, omwe amafunika kuyeza mosamala kuti athetse TSH ngati njira yothetsera matenda a khansa.
Ngati HMO yanu kapena inshuwalansi ikuyesera kukukakamizani, mungathe kufunsa dokotala kuti alembe kalata yanu yomwe imati "palibe malo okonzanso" ndi DAW (perekani monga mwalembedwa). Dokotala akhoza kulemba kalata kuti athandize kuteteza dzina la mankhwala.
Ngati mwakakamizika kuti mutenge njira yowonjezera, njira imodzi yodzitetezera kusinthasintha kuchoka ku brand kupita ku mtundu ndi kupeza chakudya chomwe chingakhalepo kwa nthawi ndithu. Lingalirani dokotala wanu akulembereni kalata ya mankhwala kwa miyezi isanu ndi umodzi. Koma mukalandira mankhwalawa, onetsetsani kuti mutenga nyamayo yatsopano, yomwe siidzatha mpaka patalika mutatha kumwa mankhwala osokoneza miyezi isanu ndi umodzi.
4. Ganizirani Kupempha Dokotala Wanu Kuti Awonetse Zowonjezera T3 kapena Drug yomwe imaphatikizapo T3
Kwa anthu ena, ngakhale ngati TSH ndi yachilendo, kapena m'madera ena, otsika kwambiri, pangakhalebe vuto pamene wina amagwira ntchito hypothyroid, chifukwa chakuti thupi silingathe kusintha mavitamini a T4 m'thupi mwa T3 hormone yogwira ntchito mlingo wa maselo, mavitamini ochepa a T3 ambiri, kapena zina. Kulephera kutembenuza T4 kufika pa T3 kungapangitsenso kusintha kwa TSH , pamene dongosolo limayesetsa kuti likhale loyendetsa bwino kunja kwa T4 ndi T3 mlingo, kutumiza miyeso ya TSH mmwamba ndi pansi kuti ikwaniritse. Kwa odwalawa, T3 yowonjezera ikhoza kuwathandiza kuti amve bwino.
Odwala ena amapeza kuti kuwonjezereka kwa T3 monga Cytomel kapena kudzera palimodzi , kutulutsidwa nthawi T3 , ku levothyroxine, kumatsimikizira zizindikiro. Ena achita bwino ndi njira ina: kupanga mankhwala a T4 / T3 a Thyrolar, ndipo odwala akuoneka ngati akumva bwino kwambiri pa chilengedwe cha T4 / T3 Chakumenyana ndi Chithokomiro , chomwe chapezeka ndi mankhwala kwa zaka zoposa 100.
Ndine mmodzi wa anthu amene amamva bwino kutenga T3. Kuyambira pamene ndinapezeka m'chaka cha 1995, ndatenga mankhwala osiyanasiyana a levothyroxine, levothyroxine kuphatikizapo Cytomel, Thyrolar, ndi Armor, ndipo nthawi zonse ndakhala bwino pa regimen yomwe inkaphatikizapo T3, ndi mankhwala a levothyroxine okha.
Chodabwitsa n'chakuti, Chidakali chotsutsana kuti tigwiritse ntchito T3 kwa anthu omwe ali ndi hypothyroidism ndi osaphunzira kapena omwe amavomereza kuti adziwe zachipatala.
5. Phatikizani Njira Zina Zophatikizapo ndi Zokhulupirira Muzochiza Chanu
Ngati mwakonza chithandizo chanu cha chithokomiro, chotsatira ndicho kulingalira kuti mukuthandizira chithandizo chanu cha chithokomiro ndi njira zina zowonjezera. Izi zingaphatikizepo kusintha kwa zakudya, zitsamba / mavitamini / zowonjezerapo kuti zithandizire kuchepetsa zizindikiro zenizeni, kuthandizira kwapadera, njira zowonjezera mphamvu, kuchepetsa kupanikizika, komanso kuyesetsa kwina. Kuti muthandize kukhazikitsa dongosolo lanu lophatikizidwa la chithokomiro, pali mabuku osiyanasiyana omwe amapereka zambiri zakuya. Onani zambiri zokhudza mabuku okhudzana ndi chithokomiro .
6. Pezani Dokotala Watsopano
Ngati dokotala wanu sangakambirane zomwe mungachite, ndiye kuti mukufunika kupeza dokotala, yemwe amadziwika bwino ndi chithokomiro , yemwe angakhale mnzanu mu ubwino.
Zotsatira:
Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.
Garber, J, Cobin, R, Gharib, H, et. al. Malangizo Okhudza Zipatala za Hypothyroidism M'zochitika Zakale: Ambiri amathandizidwa ndi American Association of Clinical Endocrinologists ndi American Thyroid Association. " Chitetezo cha Endocrine. Mph. 18 No. 6 Novemba / December 2012.