Oko Kufuneka Ukwazi
Ukuba uye wafumanisa ukuba unesifo se- hypothyroidism kwaye ufumana unyango, kwaye iziphumo zakho zokuvavanya ezinokuthi zibizwa ngokuthi "eziqhelekileyo", luyintoni evuyisayo xa ungaziva kakuhle?
Inyani le nto kukuba nangona unyango lwe-hypothyroidism , izigulane ezininzi-ezinye zize zithi uninzi lwabantu abafumana unyango lwe-thyroid- qhubeka beba neempawu ezinokuthi zihlobene ne-thyroid yakho. Nangona emva kokuba ufumene unyango kwaye usetyenziswe iziyobisi ze-hormone ye-thyroid , unokuba nempawu eziqhubekayo ezifana nokufumana ubunzima obuqhubekayo okanye ubunzima bokulahlekelwa isisindo , ukuxinezeleka, inkohlakalo yengqondo okanye ubunzima bokugxininisa, ukulahleka kweenwele , isandla / iinyawo / ukuvuvukala ubuso, ukunyamezela ukufudumala nokubandayo, iintlungu zomzimba kunye neentlungu ezihlanganyelweyo, ukuzithemba, i- carpal tunnel okanye i-tendonitis, amazinga aphezulu e-cholesterol, ukuqhuba isondo ephantsi, kunye nobunzima bokukhulelwa, phakathi kwabanye.
Ziziphi ezinye iinyawo ezithathayo ukuze uhambe uzive ungcono?
1. Cela iDololi yakho ukuba i-TSH entsha ithagethi iyakulungeleka kuwe
Isinyathelo sokuqala kuwe ukwazi i- TSH yakho ngqo, kunye namanye amanqanaba aphezulu e-thyroid afana ne- T4 kunye ne-T3 . La manqanaba akuvumela ukuba uncede ukulinganisa apho ugqirha wakho ephantsi kwonyango kwaye akunike inqaku elifanayo leengxoxo.
Oogqirha abanolwazi bayazi ukuba i-TSH ye-1 ukuya kweyesi-2 - ekupheleni kwezantsi kwebala eliqhelekileyo - lizinga eliqhelekileyo labantu abangenayo isifo se-thyroid , kwaye bajolise kule nkalo ekuphatheni izigulane ze-thyroid. Gcina ukhumbule ukuba ugqirha ekutshela i-TSH yakho "ayilungile" akwanele, kuba ukuba ugqirha wakho usebenzisa udidi oluqhelekileyo lwe-5 ukuya ku-5, unokuba ne- TSH ye-4 kwaye uxelelwe ukuba "uyinto evamile. "U (Qaphela, abanye oogqirha balandela uluhlu olutsha oluphakanyisiweyo lwe-TSH we-0.3 ukuya ku-3.0). Kwimeko yam, ndiyazi ukuba ndiziva ndixakekeke kwi-TSH ye-3.0 okanye ngasentla, kwaye ndifumana iimpawu ze-hyperthyroid kwi-.1, kodwa ndiziva kakuhle nge-1.5 okanye njalo. (Qaphela: le TSH isoloko igcinwe iphantsi kwe-1-2 kwi-surviver cancer ye-thyroid ukunceda ukunqanda ukuphindaphinda.)
2. Buza udokotela ukuba utshintshele kwenye i-Brandothyoxine ifanelekile
Enye inyathelo ebalulekileyo kukuqinisekisa ukuba unesidakamizwa esifanelekileyo kuwe. Uninzi lwezigulane ze-thyroid ziqaliswa kwi-levothyroxine, isichengisi se-T4, ngokuqhelekileyo njenge - Synthroid brand. Kodwa ukuba ungeva kakuhle kwi-Synthroid, okanye naluphi uhlobo lwebhendi, ungafuna ukubuza ugqirha wakho malunga nokuzama uphawu oluthile. Iimpawu zonke zineendidi ezahlukileyo kunye nezithako ezibophelelayo, kwaye ezinye zichithwa kalula / zithandwa kakhulu kunabanye, ngoko abanye abantu bafumanisa ukuba benza ngcono kwi-brand enye. Iimpawu ezininzi ezikhoyo ziquka i-Synthroid, iLevoxyl, i-Levothroid, ne-Unithroid.
3. Zama ukugwema iiGenerics okanye Fumana iQinisekile, iqela elide elide xa kuyimfuneko
Ukuba ungaziva kakuhle, fu manisa ngeengxaki ze-generics, isidingo se-T3, iindlela zokudibanisa kunye noogqirha abalungileyo.
Amanye ama-HMO kunye neenkampani zomshuwalense zizenzele ngokuzenzekelayo imimiselo ye-levothyoxine kunye neenguqu ze-generic zesilwayo. Kukho ingxaki nge- levothyroxine yesi-generic .
Umngeni oyintloko kunye ne-generics, kwaye isikhalazo esisemthethweni ngabagqirha, kukuba xa unemithi ye-levothyroxine yesizukulwana, rhoqo xa ufumana ukuzaliswa, unokufumana i-levothyroxine eyenziwe yinkampani eyahlukileyo. Oku kuthetha ukuba rhoqo xa ufumana ukuhlaziywa, unokufumana imveliso eneendlela ezincinane ezahlukeneyo, ezinokuthi zibe nefuthe kumanqanaba akho e- TSH . Oku kukhathazeka kakhulu ngabasindileyo bomdlavuza we-thyroid, abafuna i-dosing ngokucophelela ukuze banqande iTSH njengendlela yokukhusela ukuphindaphinda komhlaza.
Ukuba i-HMO okanye i-inshurensi izama ukunyanzelisa umenzi wakho, ungacela ugqirha wakho ukuba abhale isigqirha sakho esithi "akukho ndawo yendawo yokufaka endaweni" kunye ne-DAW (ukuhambisa njengoko kubhaliweyo). Ugqirha unokuze abhale ileta ukuze ancede ukukhusela umyalelo wegama lomenzi.
Ukuba unyanzelekile ukuba uthathe i-generic, enye indlela yokuzikhusela ngokuchithwa kwezinto ezivela kwi-brand kuya kutshintshi ukufumana ukubonelela okuza kuhlala ixesha elithile. Cinga ukufumana ugqirha wakho ukuba akubhalele imithi yesibonelelo seenyanga ezintandathu, umzekelo. Kodwa xa ufumene lo myalelo ugcwaliswe, qiniseka ukuba ufumana ibhetshi entsha, enye engayi kuphelelwa ixesha elide emva kokuba uza kusebenzisa iinyanga zenyanga ezintandathu.
4. Cinga Ukucela Ugqirha Wakho Ukuba Ubonelele I-T3 eyongezelelweyo okanye iMichiza equka i-T3
Kubantu abathile, nangona iqondo leTSH liqhelekile, okanye nokuba kusezinye iziseko, eziqhelekileyo, kunokusekho imeko apho umntu esebenza khona nge-hypothyroid, ngenxa yokuba umzimba awukwazi ukuguqula i-T4 hormone ye-thyroid kwi-hormone esebenzayo ye-T3 nqanaba lamaselula, ukunganelanga ama-hormone ama-T3 ngokubanzi, okanye ezinye izinto. Ukungakwazi ukuguqula kakuhle i-T4 ukuya kwi-T3 kungakhokelela ekutshintsheni kwe-TSH , njengoko inkqubo ifuna ukulinganisa i-Thack T4 ne-T3 kwinqanaba, ukuthumela amazinga eTSH phezulu kunye nokuhlawula. Ezi zi gulane, i-T3 eyongezelelweyo ingabancedisa ukuba bazive kakuhle.
Ezinye izigulane zifumanisa ukuba ukongeza i-T3 ngendlela yeCytomel okanye nge- compressed , iT3 ekhutshwa ngexesha , kwi-levothyroxine yabo, isombulula iimpawu. Abanye baye baphumelela ngenye indlela: i-Tro / synthetic T3 / T3 izidakamizwa zeTrorolar, kwaye i-subset yezigulane zibonakala ziziva zilungele ngakumbi kwi-T4 / T3 yezixhobo zesikhumba se-Thyroid, efunyenwe ngumyalelo onyanzelekileyo iminyaka engaphezu kwe-100.
Ndingomnye walabo bantu abaziva bebhetele ngakumbi ukuthatha iT3. Ekubeni ndixilongwa ngo-1995, ndithathile iimpawu ezahlukahlukeneyo ze-levothyroxine, i-levothyroxine kunye ne-Cytomel, i-Thyrolar, ne-Armor, kwaye ndihlala ndiziva ndilungele kwi-regimen ebandakanya i-T3, i-levothyroxine izidakamizwa kuphela.
Okumangalisa kukuba, isabonwa njengengxabano yokusebenzisa i-T3 kubantu abane-hypothyroidism ngokungenanto encinane okanye yokwamkela amalungu ehlabathi lonyango.
5. Ukudibanisa iindlela ezingasetyenziswayo kunye neendlela ezithembekileyo kwiNyango yakho
Ukuba ulungiselele unyango lwakho lwe-thyroid, isinyathelo esilandelayo kukuqwalasela ukuzalisa unyango lwakho oluqhelekileyo kunye neendlela ezongezelelweyo. Ezi ziquka ukuguquka kokutya, amayeza / iivithamini / izongezelelo zokuncedisa ukunciphisa iimpawu ezithile, ukuxhaswa kwe-adrenal, iindlela zokuvuselela umonakalo, iindlela zokunciphisa uxinzelelo, kunye nezinye iinzame zokudibanisa. Ukuncedisa ukuphuhlisa isicwangciso sakho se-thyroid esihlangeneyo, kukho iincwadi ezahlukeneyo ezinika ulwazi olunzulu. Bona ulwazi kwiincwadi ezinxulumene ne-thyroid ngeengcinga.
6. Fumana iNgqirha entsha
Ukuba ugqirha wakho akayi kuxoxa ngeendlela, kufuneka ufumane ugqirha, owaziyo izimo ze-thyroid , ngubani oza kuba ngumlingani wakho kwimpilo.
Imithombo:
Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10 Edition. WLL / Wolters Kluwer; 2012.
Garber, J, Cobin, R, Gharib, H, kunye. al. "Izikhokelo zeCliniki zoLwazi lwe-Hypothyroidism kubantu abadala: I-Cosponsored yi-American Association of Clinical Endocrinologists kunye ne-American Thyroid Association." I-Endocrine Practice. I-Vol 18 No. 6 uNovemba / Disemba 2012.