Ekuseni iMasa isisigxina, kodwa ngoNovemba iMeyi ibe yinto ehlukile
Ukuba unesifo se-hormone ye-hormone esikhundleni sakho, izikhokelo zincoma ukuba uthathe ipilisi yakho ye-thyroid okokuqala ekuseni ngamanzi, kwisisu esingenanto, ulinde ubuncinane iyure ngaphambi kokutya okanye ukusela ikhofi.
Ngaphezu koko, kufuneka ulinde ubuncinane ubuncinane kwiiyure ezintathu ukuya kwezine ngaphambi kokuthatha nayiphina imithi ephazamisa ukuxhamla kwayo, njengamacwecwe ensimbi okanye i-calcium carbonate.
Nangona kunjalo, uphando olwenziwe uphando-olunye uphando olwanyatheliswa kwiNcwadi ye- Clinical Endocrinology kunye neMetabolism kunye nokulandelwa kwecala elilandelelanayo elingabonakaliyo kwi- Archives of Internal Medicine- ekuthiwa kuthatha inqanaba elifanayo le-levothyroxine (umzekelo, i-Synthroid okanye iLevoxyl) ngexesha lokulala, xa kuthelekiswa nomsebenzi wokuqala ekuseni, okunokwenzeka kungcono.
Uphando lucebisa ubusuku bobusuku lungcono
Ucwaningo olubikwe kwiNcwadi yeCliniki Endocrinology kunye neMetabolism ibhekiselele kwimpembelelo kwiimvavanyo zegazi le-hormone ngokutshintsha ixesha levothyroxine lithathwe kusasa ekuseni ukuya kulala. Uphononongo luye lwavavanya impembelelo yolu tshintsho lokuchithwa kwexesha kwi-circadian isigqi se-hormone ye-thyroid-stimulating (TSH).
Uphononongo, ngelixa lincinci, lugqibelele ekufunyaneni kwalo, abaphandi bathi "babetha" kwaye "nemiphumo ebalulekileyo kwizigulane ezithatha i-l-thyroxine imihla ngemihla."
Iziphumo zophando
Kuzo zonke izigulane, i-TSH iyancipha kwaye inkululeko ye-thyroxine (T4) iphakanyisiwe ngokutshintsha i-thyroxine yokungenisa ukususela ekuseni ukuya ekuphumeni. Amanqanaba e-Triiodothyronine (T3) aphakama kuwo onke kodwa omnye umxholo.
Ngokuthakazelisayo, i-TSH iyancipha naluphi na amazinga e-TSH aqalayo, ebonisa ukunyuswa okungcono kwemithi ye-thyroid xa kuthathwa ngokuhlwa.
Ekugqibeleni, abaphandi bafumanisa ukuba i-TSH isigqirha-isicatshulwa sokuguquguquka kwansuku zonke se-TSH esenzeka ngexesha leeyure ezingama-24-alifani.
Ingxoxo Yokufunda
Abaphandi bacebisa iingcaciso ezininzi ngeziphumo:
- Ngaphandle kokulinda okungenani imizuzu engama-30 yokutya, isidlo sakusasa singaphazamisa ukunyuka kwamathumbu emathunjini we-levothyroxine.
- "Ubunzima bezilwanyana buhamba ngokukhawuleza ebusuku," oko kuthetha ukuba kuthatha ixesha elide ukuba ithebhulethi ye-levothyroxine ihambe nge-intestinal system, leyo ibangela ukuba kubekho ixesha elide kumdonga wamathumbu, kwaye ngoko ke, ukuxhamla okungcono kunye nokufunyanwa kwamachiza.
- Inkqubo yokuguqula i- T4 ukuya kwi-T3 ingasebenza ngokuhlwa ngokuhlwa.
Abaphandi beli phofu baphakamisa ukuba banike iziphumo zolu pho nonongo, kwakufuneka kwenziwe uphando oluninzi oluyimpumpo oluyimpumpo ukuze kuqinisekiswe iziphumo zabo-kwaye oku bekuyiyo yophando echazwe kwi- Archives of Internal Medicine .
Okwesibini Ukucebisa Ubusuku Bokuba Ngcono
Kule sifundo, izigulane ezingama-90 zagqitywa kwilingo, ezibandakanyeka inyanga ezintandathu zokuthatha i-capsule enye ekuseni kunye ne-capsule enye ngexesha lokulala (kunye ne-capsule eyodwa ye-levothyroxine, enye indawo ye-placebo, kunye nomtshintshi kwinyanga yeenyanga ezintathu) .
Abaphandi bavavanya ama-hormone e-thyroid, kunye namanqanaba e-creatinine, amanqanaba eepidal, index index body, rate rate, kunye nemilinganiselo yezinto zokuphila.
Iziphumo zophando
Abaphandi bafumanisa ukuba izigulane ezithatha i-levothyroxine yasebusuku zahlaselwa kwi-TSH ye-1.25 mU / L, utshintsho olukhulu. I-thyroxine yamahhala (i- T4 yamahhala ) inyuke ngo-0.07 ng / dL, kwaye i-triiodothyronine iyonke (i-T3 iyonke) yenyuka yi-6.5 ng / dL. Akukho zinguqu ezibalulekileyo kwezinye iimeko ezilinganisiweyo.
Ingxoxo Yokufunda
Abaphengululi baphetha ukuba, ngokunikezelwa kokuphucula ama-hormone e-thyroid, oogqirha kufuneka baqikelele ukuchaza ukuba i-levothyroxine ithathwe ngexesha lokulala.
Impembelelo kuwe okanye owathandwa ngu-Hypothyroidism
Ukuthatha amayeza ngexesha lokulala kunokuba kusasa kusenokunika iziphakamiso ezithile:
- Okokuqala, kulula, njengoko akudingeki ukuba ukhathazeke malunga nento yokutya kwasekuseni.
- Okwesibini, kulula ukukhusela imithi, ukuxhaswa kunye nokutya, njenge-calcium, isinyithi, kunye nokutya okuphezulu okungaphazamisa unyango lweyeza.
- Okwesithathu, abaphuza iikhofi akudingeki balinde kude kube lixa emva kokuba iyeza zabo zizonwabele indebe yabo yokuqala .
- Okwesine, inokukubonelela ngefuthe kwiimpawu ukuba awufumani umthamo ophezulu ngokuthatha imithi yakho yeyeza.
Ezi zifundo ziqinisekisa ukuba zeziphi izigulane ezininzi eziye zavakalisa i-anecdotally iminyaka-ziziva ziphucula xa zithatha imithi yazo ye-thyroid kusihlwa, kunokusa.
Ekugqibeleni, ke kubalulekile ukuthetha nodokotela wakho ngokutshintsha ixesha lokuthatha i-levothyroxine yakho yegama okanye igama legama levothyroxine (umzekelo, i-Synthroid). Ukuba wena kunye nogqirha wakho nigqiba ukunika i-thyroid imithi kusihlwa, qiniseka ukuba amazinga akho e-thyroid ahlolwa (iiveki ezintandathu ukuya kweyisibhozo lixesha elifanelekileyo) emva kokuba wenze ishintsho.
Iziphumo zokuhlolwa kwegazi, kunye naluphina uphuculo okanye ukugqithisa kweempawu, kuya kukunceda kunye nodokotela wakho ukuba acinge ukuba kufuneka ulungelelanise umlinganiselo okanye ubuyele emva kokuthatha imithi yakho ekuseni
Iphuzu elibalulekileyo lokugcina engqondweni: Izifundo kuphela ezihlolisisa i-Levothyroxine
Ezi zifundo ziqhutywe nge-levothyroxine, uhlobo olwenziweyo lwe-T4 / thyroxine thyroid hormone. Le fom yehomoni kufuneka iqale iguqulwe emzimbeni kwifom esebenzayo (T3), kwaye oku kungathatha iintsuku.
Iidakamizwa ze-thyroid eziqulethe i-T3-njenge-Cytomel, kunye neziyobisi zendalo ezichongiweyo zendalo njenge-Nature-throid ne-Armor ye-Thyroid-zisetyenziswe ngqo ngumbutho ngaphakathi kweyure. Ezi zi yobisi azange zivavanywe kwisifundo, kwaye awaziwa ukuba ngaba amayeza aqulethe i-T3, okanye izidakamizwa ze-thyroid ezichongiweyo zemvelo ziza kuba ngcono kakhulu ebusuku.
Ngama-anecdotally, ezinye izigulane ze-thyroid ziye zabika ukuphucula impawu xa zithatha ezinye okanye zonke zazo i-T3-based hormone ye-hormone. Kodwa ezinye izigulane ze-thyroid zifumanisa ukuba ukuba zithatha iyeza kunye neT3 kamva emini okanye ngokuhlwa, umphumo omncinci wokuvuselela amayeza eT3 ungenza kube nzima ukulala.
Ngoko khumbula ukuba ngelixa kunokwenzeka ukuba ukuba izifundo ezifanayo ziqhutyelwa ngeziyobisi ze-T3 , iziphumo ziya kufana, kodwa kukho ithuba lokuba liza kuthintela umgangatho wokulala kwezinye izigulane. Umele wenze olo tshintsho emva kokuxubusha nodokotela wakho.
Abanye oogqirha bacebise ukuba izigulana ezithatha imithi ye-T3 zisebenzisa i-T3 yokukhutshwa ngokukhatshwa kwexesha okanye ekhutshweyo, okanye ukwahlula amayeza abo kwaye bathabatha amayeza abo amaninzi emini. Le ndlela ibonakala ukunciphisa ukuphazamiseka kokulala; Nangona kunjalo, qiniseka ukuba utshintshe i-dosing phantsi kolawulo lugqirha wakho.
Kwakhona, ukuba wenza utshintsho kwindlela othabatha ngayo iyeza lakho le-T3, uza kufuna ukuhlaziywa kwamanqanaba kunye neempawu emva kweeveki ezimbalwa, ukugqiba ukuba kufuneka ulungelelanise umlinganiselo okanye ixesha lokufumana amayeza akho.
ILizwi
Nangona izikhokelo eziqhelekileyo zibonisa ukuthatha unyango lwakho lwe-hormone unyango lokuqala ekuseni kusisu esingenalutho (ngenxa yengozi yokutya okuphazamisa ukuxhatshazwa), ukuthatha imithi yakho ye-thyroid ngokuhlwa kungase ibe nengqiqo kwezinye iimeko.
Oku kunokwenene ngokukhethekileyo kubantu abafumana kunzima ukulinda iyure ngaphambi kokutya ekuseni kunye / okanye abathatha amanye amachiza ekuseni.
Ekugqibeleni, isitshixo sokuthatha imithi yakho ye-hormone ye-hormone ishintsho, uthabathe ipilisi yakho ye-thyroid ngexesha elifanayo ngosuku ngalunye, kwaye ngendlela efanayo.
> Imithombo:
> Bach-Huynh TG, Nayak, B. Loh J, Soldin S, uJonklaas J. Isikhathi soLawulo lwe-Levothyroxine sithinta iSerum Thyrotropin Concentration. Umbhalo we-Clinical Endocrinology kunye neMetabolism . 2009 Oct; 94 (10): 3905-3912. Ishicilelwe kwi-intanethi ngo-2009 Julayi 7. i-doi: 10.1210 / jc.2009-0860
> Bolk N, Visser TJ, Nijman J, Jongste IJ, Tijssen JG, Nxazonke A. Iimiphumo ze-Evening vs. Morning Levothyroxine Intake: Uvavanyo lwe-Crossover oluPhezulu olungabonakaliyo. IiNcwadi zoLondolozo lwangaphakathi . 2010; 170 (22): 1996-2003.
> Garber JR et al. Izikhokelo zengonyango ze-hypothyroidism kubantu abadala: > i-cosponored > yi-American Association of Clinical Endocrinologists kunye ne-American Thyroid Association. Endocr Pract. Ngo-2012 uNgo-Dec; 18 (6): 988-1028.
> Rajput, R Chatterjee S, Rajput M. Ngaba i-Levothyroxine ingathathwa nje ngoDeveli? UkuVandlakaniswa kokuthelekiswa koMso ukuya kobusuku be-Levothyroxine kwinyango ye-Hypothyroidism. Umbhalo woPhando lwe-Thyroid . 2011; 2011: 505239. i-doi: 10.4061 / 2011/505239. Epub 2011 Julayi 14.