Ngaba uzibuza indlela yokulahleka ubunzima xa uphathwa nge-hypothyroidism? Ngaba uthatha i-Synthroid, igama le-brand levothyroxine, okanye ezinye iimpawu ezifana neLevoxyl okanye iTirosint ? Okanye ngaba uthabatha isifo se-thyroid (NDT) esikhatywayo esichengileyo se-Nature-throid okanye i-Armor, kwaye usenzima ukulahlekelwa isisindo? Ukuba ukhona kwi-Synthroid okanye kwenye i-hormone ye-thyroid yokunyanga ukuba uphathe i-hypothyroidism yakho, kodwa unenkinga yokutya kunye nokulahleka kwesisindo, kukho izinto ezibalulekileyo omele wazi.
Kufuneka Uyixhase Ngokufanelekileyo Imithi Yakho ye-Thyroid
Xa u-hypothyroid, kubalulekile ukuba iyeza lakho leyeza liphumelele. Oko kuqala ngokubamba ngokufanelekileyo. Qinisekisa ukuba awuthathi okanye wenza nantoni na engaphazamisa ukutyunjwa okukhulu. Nazi ezinye izikhokelo ezifanelekileyo:
- Thatha imithi yakho ye-thyroid ekuseni, ulinde ubuncinane iyure ngaphambi kokusela i- coffee okanye i-milk or milk. Linda okungenani ezintathu ukuya kwiine iiyure ngaphambi kokuba uthathe naziphi na izongezo eziqukethe insimbi okanye i-calcium, okanye ukusela i-juice ene-calcium.
- Ukuba uthabatha i-synthroid brand levothyroxine, khumbula ukuba i- Synthroid iqukethe i-acacia kunye ne-lactose , ezizimbilini ezibangelwa yizinto ezibangelwa yizinto ezibangelwa yizinto ezibangelwa yizinto ezibangelwa yizinto ezibangelwa ngumzimba . Ukuba unemvakalelo okanye utywala, cinga ukutshintshela kwenye i-brand.
- Ukuba unemiba yokutya, okanye nayiphi na iimeko zokugaya ezifana nesifo sengqondo sesifo okanye isifo sikaCrohn, xela ugqirha wakho ngeTirosint . Le yinto ekhethekileyo, i-hypoallergenic, i-levothyroxine ye-liquid kwi-gelcap, eyenzelwe ukuphucula ukunyuswa.
Qinisekisa ukuba uthabatha imithi efanelekileyo
Kubalulekile ukuba uthathe i-Synthroid eyaneleyo okanye enye i-hormone ye-hormone yokutshintsha indawo. Abanye oogqirha banokumisela kuphela imishanguzo eyaneleyo ukuba i- thyroid ivuselele i-hormone (i-TSH) kwisigaba esiphakamileyo soluhlu lwesithenjwa, kufuphi ne-cutoff ye-hypothyroidism.
Oku kungenako okwaneleyo ukulungisa iimpawu zakho okanye ukwandisa imetabolism yakho. Izigulane ezininzi ze-thyroid kunye neengcali zifumanisa ukuba izinga le-TSH elingezantsi kwe-2.0 lifanelekileyo ekuzisombululeni iimpawu. Ukuba i-TSH yakho isesiphezulu esiphakamileyo sebala lokubhekisa, xela ugqirha malunga nokwandisa umlinganiselo wakho weyeza leyeza.
Ungadinga ukudibanisa i-T3
Izidakamizwa ze-Levothyroxine ezifana ne-Synthroid yindlela yokwenza i-thyroid i-thyroxine ye-thyroid, eyaziwa nangokuthi yi-T4. Xa yonke into isebenza ngokugqibeleleyo, umzimba wakho kufuneka uguqule i-T4 kwi-hormone ye-thyroid yesibini, i-triiodothyronine, ebizwa ngokuba yi-T3. I-T3 i-hormone esebenzayo enceda ukuququzelela amandla kunye ne-oxygen kufinyelela kwiiseli zakho. Uphando lubonakalisa, nangona kunjalo, kwinqanaba lezigulane ze-thyroid, le nkqubo yokuguqulwa iyiphutha. Ingaba ngenxa yokutshintsha kwezityalo, ukuxinezeleka, okanye ukungaziphathi kakuhle, izi gulane zihluleka ukuguqula ngokufanelekileyo iT4 ngokwaneleyo ukuya kwi-T3. Ukuba uwela kule nqanaba, unokufumanisa ukuba nangemva kokuba uphathwe nge-levothyroxine izidakamizwa ezifana ne-Synthroid, usenokuba nobunzima, okanye unganakukwazi ukunciphisa umzimba. Unokuba nenani leminye impawu ze-hypothyroidism , ezifana nokukhathala, ukulahleka kweenwele, okanye ingqondo yengqondo.
Unokufumana inzuzo kwi- T3 kwi-levothyroxine yakho ukuphatha i-hypothyroidism yakho.
Nazi izikhokelo:
- Buza ugqirha wakho ukuba avivinye i-triodothyronine yakho yamahhala, eyaziwa njengeT3. Ukuba unamazinga aphantsi okanye aphantsi, ungafuna ukucela umboneleli wakho wezempilo ngokungeza i-T3. Oku kunokwenziwa ngegama lomhlaza weCytomel, i-t3 drug generic i-liothyronine, okanye i-prescription, ihlanganisiwe, i-liothyronine.
- Ukuba amazinga akho e-T3 akhululekile aqhelekileyo, kodwa unempawu ezibonakalayo ze-hypothyroidism eziquka imingeni yokulahlekelwa kwesisindo, cela ukuba uphendule i-T3 yakho. Amanqanaba aphezulu kule fomu engasebenziyo ye-T3 inokuphazamisa amandla omzimba wakho wokuhambisa i-T3 esebenzayo kwiiseli kunye namalungu akho. Ukongeza i-T3 kunyango kwimeko enokukunceda ukulungisa iimpawu zakho.
Unokudinga imvelo yeCroroid
Ezinye izigulane ze-thyroid zizama i-levothyroxine izidakamizwa ezifana ne-Synthroid, iimveliso ezahlukeneyo, kwaye zongeza i-T3 iziyobisi, kwaye azikwazi ukusombulula iimpawu. Ukuba ngaba unamava akho, unokufuna ukuthetha nodokotela wakho ngokuzama ukusetyenziswa kweziyobisi zendalo (i-NDT) ebonakalayo ebonakalayo njenge-Nature-throid okanye i-Armor Thyroid. Kukho ne-generic version ye-NDT eyaziwayo njenge-Thyroid NP. Kukho uphando olulinganiselwe kwi-NDT, kodwa olunye uphando oluluncedo lufumene ukuba i- NDT yayiyindlela ekhuselekileyo neyisebenzayo kwiidakamizwa ze-levothyroxine, kwaye yabangela ukulahlekelwa ubunzima bezilwanyana .
ILizwi
Nangona ingangqinelani ne-Synthroid yakho okanye enye unyango lweziyobisi, kukho ukudibanisa phakathi kwe-hypothyroidism yakho kunye nomngcipheko wokunyuka kwezinga leshukela legazi kunye nohlobo lwe-2 lweswekile. Ukuba uye walungisa unyango lwakho lwe-hypothyroidism kwi-Synthroid okanye kwesinye isilwanyana kwaye usenzima ukuhlaziya umzimba, xela ugqirha wakho ngokutya kwakho kwe-glucose kunye ne-hemoglobin A1C (HA1C). Ukuba amazinga aphezulu, utshintsho ekudleni kwakho kunye nokuzivocavoca, kunye nohlobo lwe-2 lwe-diabetes imithi efana ne-metformin, lunokunceda ukulungelelanisa amanqanaba eeshukela egazi kunye nokwenza ukuba imizamo yakho yokulahlekelwa kwesisindo iphumelele.
> Imithombo:
> Celi FS, et al. "Impembelelo ye-liothyronine yonyango kwi-hypothyroidism: isilingo esingenasiphelo, esingaba yimpumputhe, esinama-double-blind, of crossover of liothyronine versus levothyroxine." J Clin Endocrinol Metab. 2011 Nov; 96 (11: 3466-74.): 10.1210 / jc.2011-1329.
> Garber, J, Cobin, R, Gharib, H, kunye. al. Izikhokelo zeZikliniki 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.
> Hoang TD, et al. "Ukucatshiswa kwe-thyroid kucaciswe xa kuqhathaniswa ne-levothyroxine ekhatyweni kwe-hypothyroidism: isifundo esingenangqiqo, esingaba yimpumputhe." J Clin Endocrinol Metab. 2013 ngoMeyi; 98 (5): 1982-90. i-doi: 10.1210 / jc.2012-4107. Epub 2013 ngoMatshi 28.
> Lambadiari, V et al. "I-hormone ye-thyroid ixhamla ngokuqinisekileyo nokuxhatshazwa kwe-insulin ekuqaleni kokuphuhlisa uhlobo lwesifo sikashukela." Endocrine. NgoFebruwari 2011, uMqulu 39, Issue 1, iphe 28-32
> McAninch EA, Bianco AC. "Imbali kunye nexesha elizayo lokunyanga kwe-Hypothyroidism." Ann Intern Med. 2016 Jan 5; 164 (1): 50-6. i-doi: 10.7326 / M15-1799. I-Erratum ku: Ann Intern Med. 2016 uMar 1; 164 (5): 376. PMID: 26747302