Kukhala wodwala wa chithokomiro kumabwera ndi mavuto osiyanasiyana: kuyang'anira matenda aakulu; kuyesetsa kuthetsa zizindikiro zosalekeza; ndi kuyesetsa kuti mukhale ndi thanzi labwino. Paulendo wanu kuchokera ku zizindikiro zoyambirira kupita ku ubwino, pali zinthu zisanu zomwe odwala a chithokomiro sayenera kukakamizidwa kuchita.
Odwala Chithokomiro sayenera kukakamizidwa kuti akangane ndi kuyesa koyenera
Mukapita kwa dokotala ndikudandaula za zizindikiro monga kutopa, kusintha kwa kulemera, kukhumudwa, nkhawa, kapena matenda ena a chithokomiro, dokotala wanu ayenera kupita msanga kuti ayambe kufufuza bwinobwino , chithokomiro.
Izi ndi zowonjezereka kwambiri pakutsatira ngati:
- auzeni dokotala kuti mukuganiza kuti muli ndi chithokomiro ndikufunsani kuti muyesedwe.
- agawana ndi dokotala mbiri iliyonse yaumwini kapena ya banja ya chithokomiro kapena matenda omwe amachititsa kuti munthu azidwala.
- ali ndi mimba, pamene kutenga mimba ndi nthawi yomwe chithokomiro chotsogolera n'chofunika kwambiri kuti mimba ndi mwanayo akhale ndi thanzi labwino.
Mwatsoka, madokotala ambiri samaganiza kuti ayese matenda a chithokomiro, kapena ngakhale atapemphedwa, amakana kuchita chithokomiro. Chifukwa chiyani?
- Njira zothandizira ndalama zomwe zimaperekedwa ndi ma HMO ndi makampani a inshuwalansi zimapereka madandaulo kwa madokotala
- "zotsatila" zotsutsana ndizimene zimapangitsa munthu ndi nthawi kuti ayese matenda a chithokomiro
- Chifukwa cha zifukwa zake, madokotala ena amalepheretseratu pamene akumana ndi odwala omwe amapempha mayeso ena. (Pali odwala omwe amalemba madokotala akuti "Ndine dokotala, ndipo ndikukuuzani nthawi yomwe mukufunika kuyesedwa kanseri!")
Simukuyenera kukakamizidwa kutsutsana ndi kuyesedwa koyenera kwa chithokomiro.
Komabe muyenera kutero. Malangizo ena:
- Bweretsani mndandanda wa zoopsa ndi zizindikiro , ndipo funsani adokotala kuti aine chikalata ndikuchilemba, ndipo asonyeze kukana kwake kukayezetsa chithokomiro, ndipo funsani kuti ikhalepo mu fayilo lanu lachipatala, ndi kopi yanu yomwe mwapatsidwa kuti muwerenge. (Izi nthawi zambiri zimasintha malo a dokotala kuti akhale ndi mtima wofuna kuyesa mayesero omwe akufuna.)
- Lembani kalata kapena perekani kudandaula ndi HMO kapena kampani ya inshuwalansi ombudsman, ndikufotokozerani chifukwa chake mukupempha kuyesa, ndikulemba kukana kwa dokotala.
- Pezani dokotala watsopano, kapena ganizirani kuwona dokotala wothandizira ndalama omwe sakuwonekera kwa HMO kapena zolembera za kampani ya inshuwaransi.
Odwala Chithokomiro sayenera kukakamizika kutenga mankhwala omwe sawathandiza
Odwala ambiri a chithokomiro, kaya ndi khansa ya chithokomiro, Matenda a Graves / hyperthyroidism, kapena matenda a Hashimoto, pamapeto pake, amatha kutulutsa hypothyroid ndipo amafunika mankhwala odzozako mavitamini. Mankhwala oterewa amachititsa kuti mankhwala ambiri azitsulo azitsitsidwanso kwambiri. Madokotala ambiri amati ndi levothyroxine, yomwe imapangidwa ndi timadzi ta T4. Levothyroxine ndi dzina lachibadwa; Mayina otchuka omwe mungawadziwe ndi Synthroid, Levoxyl, Tirosint, ndi Unithroid.
Odwala ena sachita bwino mtundu wina wa levothyroxine. Mwachitsanzo, ngati muli ndi mankhwala enaake a cacia kapena lactose, Synthroid -yomwe imaphatikizapo zitsulo-zingayambitse kupweteka mwa iwe. Mankhwala monga Levoxyl angakhale kusankha koyenera. Ngati muli ndi vuto lakumwa, kapena vuto lakumimba monga Irritable Bowel Syndrome, hypoallergenic, madzi gelcap Tirosint angakhale bwino.
Kafukufuku amasonyeza kuti odwala ali ndi kachilombo ka levothyroxine kuphatikizapo mtundu wa T3 dzina la lironronine , dzina lake Cytomel. Ndipo gawo lanu labwino lidzakhala labwino kwambiri pa chithokomiro chachilengedwe (NDT) , omwe maina awo amatchedwa Nature-throid, Armor Thyroid, ndi Thyroid WP.
Simukuyenera kukakamizidwa kumwa mankhwala omwe sakukuthandizani.
Mungathe kulimbana ndi vutoli, komabe, pa zifukwa zingapo:
- Ambiri amachiritso ochiritsira nthawi zambiri sazindikira kuti chizindikiro monga Tirosint chingakhale njira yabwino komanso yothandiza kwa odwala ena, poyerekeza ndi mankhwala ena a levothyoxine.
- Ambiri amachiritsi ochiritsira amatsutsana ndi kuwonjezera kwa T3 kapena kugwiritsa ntchito mankhwala osokoneza bongo.
- Malamulo ovomerezeka - nthawi zambiri amawoneka ngati ololedwa ndi ma HMO ambiri ndi mabungwe a inshuwalansi-kulepheretsa kugwiritsa ntchito mankhwala alionse a chithokomiro m'malo mwa levothyroxine.
Ngati mankhwala anu a chithokomiro sakugwira ntchito, malangizo ena:
- Funsani dokotala kuyesa mtundu wina wa levothyroxine, monga chiyambi. Ngati muli ndi vuto lakumwa kapena kudwala, funsani Tirosint mwachindunji, ndipo funsani dokotala kuti alembe ngati " atumizira zolembedwa" (DAW) popanda m'malo .
- Funsani dokotala kuti ayese msinkhu wanu wa T3 waulere. Ngati ali otsika, otsika kwambiri, kapena osachepera pakati pa zolembera, funsani dokotala ngati ali wokonzeka kuchita chiyeso kuti awonjezere T3 ndi mankhwala anu a T4, poyesa kubwereza kuti mutsimikizire kuti ndinu osati olemetsa kapena osadetsedwa.
- Funsani dokotala kuti akuyeseni kukusinthirani ku NDT, ndikubwezeretsanso kuti musasokonezedwe kapena kuti musadyeke.
- Ngati dokotala akukana, lembani dokotala wanu kalata yolembedwa, ndipo lembani kwa HMO kapena inshuwalansi ngati kuli kofunikira, ndipo muzisunga nokha. Lembani pempho kapena kudandaula ndi ombudsman ngati kuli kofunikira.
- Taganizirani kusintha kwa dokotala wothandizira kwambiri, kapena dokotala wodziwa kugwiritsa ntchito ndalama. Madokotalawa ali ndi maganizo otseguka kuti agwiritse ntchito T3 ndi NDT, popeza sali oletsedwa ndi malamulo a mayiko ndi malangizo ochepetsa mankhwala.
3. Odwala Chithokomiro sayenera kukakamizika kudzimvera
Ena a inu mukhoza kukhumudwa kwambiri chifukwa cholephera kuyesa ndi kuchipatala komwe mukupanga kuti mugule mankhwala anu a chithokomiro popanda mankhwala, komanso mankhwala . Kuphatikizana ndi malamulo osagwirizana ndi malamulo, izi ndi zosankha zomwe zingakhale zoopsa, pazifukwa zingapo:
- Mukuika pangozi mankhwala osokoneza bongo, osasamala, mwina sangakhale ndi zowonjezera, kapena akhoza kukhala ndi zowononga zosayenera
- Momwe mumapangidwira kuti mukhale operewera, zomwe zingayambitse vuto lopweteketsa mtima la mtima, monga kupha tizilombo toyambitsa matenda, komanso zizindikiro zina zowonongeka
- Ngati muli ndi pakati kapena mutakhala ndi pakati, mukhoza kuika mimba ndi mwana wanu pachiswe popanda mlingo woyenera wa mankhwala ndi kuwunika
Simukuyenera kukakamizika kudzipangira mankhwala osokoneza bongo.
Kachiwiri, ngati mukukhumudwa, mungafunikire kukonzekera ntchito yanu yokhazikika ndi HMO kapena inshuwalansi yanu kuti mupite kwa dokotala woyenera komanso njira zoyenera zothandizira. Izi zingaphatikizepo makalata ndi kufotokoza madandaulo. Ngati muli ndi ndalama kuti mutero, yankho losavuta ndilokutuluka ndikuwona dokotala yemwe ali ndi luso lothandizira kuyeza ndi kuyerekezera. (Zindikirani: izi kawirikawiri sizomwe zimagwira ntchito zachipatala.) Kawirikawiri, madokotala awa samatenga inshuwalansi, MediCare, Medicaid, kapena ali a HMO, ndipo amayendetsa ndalama.
4. Odwala Chithokomiro Sayenera Kuuzidwa Kuti Akufunafuna Mankhwala Osokoneza Bongo
Zaka makumi angapo zapitazo, panali madokotala ena osayenerera omwe analamula amphetamines ("speed") ndi mankhwala a chithokomiro kuti awonongeke. Ntchito yoyang'anitsitsa ndi kuyendetsa ntchitoyi inachotsa madokotala ambiriwa. Komabe, amanyala amakhalabe, ndipo pali madotolo amene amangoganiza kuti mkazi wolemera kwambiri kapena wothamanga yemwe amabwera mkati ndikupempha kuyezetsa chithokomiro ndi chithandizo ndi "kufunafuna mankhwala" -kufuna mankhwala "opatsa" monga njira yothetsera kulemera kapena kusintha masewera olimbitsa thupi. Musagwiritsidwe ntchito ngati "kufunafuna mankhwala osokoneza bongo" mukapempha kuyesera kanseri komanso mankhwala oyenera. Ngati mupempha kuyezetsa ndikuchotsedwa ndi dokotala monga "kufunafuna mankhwala," ndi nthawi yokweza pulojekiti ndi dokotala wanu, HMO kapena inshuwalansi.
- Yambani mwa kupereka zizindikiro zowonjezereka ndi zizindikiro, ndikupempha dokotala kuti asayine, atchule tsiku, ndipo adziwe kuti iye anakana kuyesedwa kwa chithokomiro. Onetsetsani kuti kopikizidweyi ikuphatikizidwa mu fayilo lanu lachipatala, ndipo pitirizani kudzipangira nokha.
- Lembani kapena perekani zodandaula kwa ombudsman ku kampani yanu ya inshuwalansi kapena HMO, ndipo perekani zoopsa zomwe mwalembazo.
- Ngati muli ndi zofunikira, ganizirani kusankha munthu wodalirika kunja kwa HMO kapena inshuwalansi.
5. Odwala Chithokomiro Sayenera Kulimbikitsidwa Kupirira Kukhwima
Kodi mwamvapo mawu awa?
- Khansara ya hyroid ndi khansara "yabwino".
- Mukutsutsa chithokomiro chanu, koma ndinu okhuta ndipo mukufunafuna chifukwa.
- Inu mukuwoneka bwino. Sindikukhulupirira kuti muli ndi vuto.
- Muli ndi "mphuno ya mkamwa." Muyenera kudya nthawi zonse kuti mupitirize kulemera. Izo ziribe kanthu koti ndi chithokomiro chanu. (Mzerewu wa "mphuno mkamwa" kwenikweni unanenedwa ndi mayi wotchedwa endocrinologist kwa mkazi yemwe anali mpikisano wothamanga marathon, akudya makilogalamu 1,200 patsiku, mwa njira!)
- Simukusowa chithandizo cha chithokomiro, mukufunikira katswiri wa zamaganizo. Muli ndi vuto la "somatic" lomwe liri pamutu mwanu.
- Zonse zomwe mukufunikira ndi kalasi yopota ndi kafein kuti muthe vuto lanu la chithokomiro.
- Sofia Vergara ali ndi vuto la chithokomiro, ndipo alibe mafuta!
- ndi zina zotero....
Simukuyenera kupirira mawu odandaula, onyoza, komanso owopsya ochokera kwa madokotala, anthu onse, atolankhani, ogwira nawo ntchito, abwenzi, ndi achibale.
Koma kodi mumanena kapena kuchita chiyani? Mowona mtima, ngati dokotala wanu ndi amene akunena za zinthu izi, pali yankho limodzi lokha: ndi nthawi ya dokotala watsopano.
Kwa abwenzi, abambo, ndi ogwira nawo ntchito, chiyambi chabwino ndikugawana kabuku ka "kalata yotseguka kwa achibale / abwenzi a anthu omwe ali ndi matenda a chithokomiro" nawo. Zingawathandize kumvetsetsa zomwe mukukumana nazo.
Mungapeze kuti ndi zothandiza kugawana nthano zanu, ndi kupeza chithandizo ndi uphungu kuchokera kwa odwala ena a chithokomiro omwe amvapo zonse-ndiyeno ena-kale. Mudzapeza odwala omwe akuthandizira pa Throlo Support pa Facebook, oyendetsedwa ndi Mary Shomon.