Ukuba ufumana ama-hormone e-thyroid eguqukayo, awuyedwa.
Nazi ezinye izizathu eziqhelekileyo, kuquka iingcebiso ekuzisombululeni.
Ubungqina beeNtsholongwane kwiMithi Yakho
Ukuba usuqale ukusela imithi ye-hormone ye-hormone yokutshintshwa kweyeza kwi-prescription egqityiweyo okanye kwi-pharmacy eyahlukileyo, oku kungachaza ukuba kutheni amazinga akho ashintshile.
Iimvumi ze-thyroid zengxube ezishintshayo ziyakwazi ukuguqulwa ngokwemigangatho yazo kwaye ziza kuthengiswa kwi-Food and Drug Administration (FDA) izikhokelo. Enyanisweni, izikhokelo zomgaqo-nkqubo zifuna ukuba izidakamizwa ze-levothyroxine zifuneke zibe ngama-95 ekhulwini ukuya kuma-105 ekhulwini. Oko kuthetha ukuba ipilisi ye-100 mcg yepilisi ingathathwa njengento enamandla, nangona ikhupha nayiphi na into esuka kwi-95 ukuya ku-105 mcg yesithako esisebenzayo.
Nangona i-potency ihlala ilungile ngaphakathi kwegama elithile legama okanye umenzi wendalo, ziyahluka kwi-brand ukuya kwi-brand kunye nomenzi kumenzi. Sekunjalo, ukuba uzinzile kwi-brand enye, ukutshintshela kwenye i-brand- orvothyroxine kunye nokufumana ii-refills ezivela kubavelisi abahlukeneyo-kunokubangela ukunyuka kwezinto ezithile, ngokusekelwe kwiindlela ezihlukeneyo zezilwanyana zomenzi ngamnye.
Isisombululo esihle sokukhusela le ngxaki kukuba unamayeza asebenzayo, sebenza kunye nekhemistiki ukuqinisekisa ukuba uhlala ufumana amayeza avela kumvelisi omnye.
Ukuba oko akunakwenzeka, cinga ukutshintshela kwigama legama.
Isikhathi sexesha kunye nendlela othabatha iPilisi yakho
Ukuba uthatha imithi yakho ye-thyroid ngamaxesha ahlukeneyo ngosuku, ngamanye amaxesha ungathabatha ipilisi yakho kwisisu esingenanto, kwaye ngamanye amaxesha okanye emva kokutya. Ukuthatha i-hormone ye-thyroid emva okanye emva kokutya kunokulibazisa okanye ukunciphisa ukutywala kweziyobisi ngokutshintsha izinga apho lichithwa okanye liguqule isilinganisi se-acid esiswini, esichaphazela iziphumo zakho zokuvavanya.
Ukuba ufuna ukuqinisekiswa okusemandleni akho, uya kufuna ukuthatha imithi yakho ye-thyroid ngokufanelekileyo, okokuqala into yokuqala, kwisisu esingenanto, malunga neyure enye ngaphambi kokutya nangaphambi kokusela ikhofi.
Kwakhona, qiniseka ukuba ulinde ubuncinane iintsuku ezintathu ukuya kwezine phakathi kokuthatha imithi ye-thyroid kwaye uthathe nayiphina i-calcium okanye i-iron supplement. (Oko kuhamba kunye neebisi ezinomsila we-calcium kunye nobisi lweenkomo.) Ukutya okuphezulu-mbumbulu kubaluleke kakhulu, njengento enempilo, i-fiber intake ingathintela unyango lwe-thyroid.
Ekugqibeleni, ukulungelelanisa yinto omele uyenze ngayo, ngokubhekiselele kwindlela oyithatha ngayo izidakamizwa ze-thyroid. Ukuba uceba ukutshintsha indlela othabatha ngayo imithi yakho ye-thyroid, qiniseka ukuba uyayicoca ngogqirha wakho kuqala.
I ziphoso
Iipashemati okanye izigulane zonyango zonyango zenzeke, oku kuthetha ukuba unokufumana isilinganisi esingalunganga seyeza lakho le-hormone. Ngoko enye ingongoma ebalulekileyo kukuba uhlolisise rhoqo imithi yakho-jonga iilebula kunye neepilisi zangempela kwaye uqinisekise ukuba ufumana umyinge ugqirha wakho obekweyo kunye neziyobisi ezimiselweyo.
Ukutya okuninzi kwiGoitrogenic Foods
Ukutya okunye kunokukwazi ukuba yintoni eyaziwa ngokuba yimpembelelo ye- goitrogenic , okanye ukukwazi ukwandisa i-thyroid kwaye wenze i-goiter.
Ezi zokutya zingenza njengezidakamizwa ze-antithyroid, zinciphisa i-thyroid yakho, kwaye ekugqibeleni zibangele okanye zenze kakubi i-hypothyroidism. Ukuba usenayo i-thyroid, kufuneka ukhathazeke ngokungabikho ngaphezulu kwezi goitrogens kwifom yazo eluhlaza.
Imizekelo yokutya "i-goitrogenic," ibandakanya:
- ibrussels sprouts
- Kale
- Soy
- Rutabaga
- Turnips
- Kohlrabi
- Radishes
- Icauliflower
- I-cassava yaseAfrika
- Millet
- I-Babassu (isithelo sekhonati somthi wekotonti eyaziwayo eBrazil nase-Afrika)
- Ikhaphetshu
Ezinye iingcali zikholelwa ukuba ii-enzymes ezibandakanyeka ekubunjweni kwezinto ezihamba nge-goitrogenic kwizityalo zingatshatyalaliswa ngokupheka, ukupheka ngokucokisekileyo kunganciphisa i-goitrogenic.
Utshintsho lweeShumi
Izigulane ezininzi ze-thyroid ziyazi ukuba amazinga e-thyroid, kunye ne-TSH ingakumbi, ingatshintshwa kunye namaxesha. I-TSH isuka ngokwemvelo ngethuba leenyanga ezigqithisileyo kwaye iyancipha kwiinyanga ezifudumele. Abanye oogqirha balungelelanisa oku ngokumisela ama-dosage okwenyuka kwamancinane ngexesha leenyanga ezigqithisiweyo kunye nokunciphisa umlinganiselo ngexesha lokufudumala.
IHormone Iintlucutheko
Ukuthatha i-estrogen naluphi na uhlobo, nokuba ngaba i-hormone yonyango yokutshintsha okanye kwiipilisi zokulawula ukuzalwa, kunokuchaphazela iziphumo zakho zokuvavanywa kwe-thyroid. Ngokomzekelo, abanye abesifazana abathatha isongezelelo se-estrogen bangadinga ukuthatha i-hormone ephezulu ye-thyroid. Oku kungenxa yokuthi i-estrogen ikwandisa iprotheni ethile ebopha i-hormone ye-thyroid kuyo, okwenza i-hormone ye-thyroid ingasebenzi-ngoko, iimvavanyo ze-thyroid ziphela zibonisa ukunyuka kwamanga amazinga angama-T4. Kwinkwenkwe engenayo i-thyroid gland , oku kunokwandisa umlinganiselo we-dosage, njengoko kungenayo i-thyroid yokuhlawula.
Ukukhulelwa
Ukunyuka okukhulu kwi-estrogen ngexesha lokukhulelwa kwangaphambili kunokunyusa i-TSH yakho kunye nesidumbu somzimba wakho wehomoni ye-thyroid. Kubaluleke kakhulu ukuba i-TSH yakho ihlolwe rhoqo ngexesha lokukhulelwa kwangaphambili, ukuqinisekisa ukuba ama-dosage angatshintshwa ngokufanelekileyo. I-TSH iza kulala ngokukhawuleza emva kokuhanjiswa, ngokunjalo, ekuphenduleni kwezi zitshintshi.
Izitshizi / izongezelelo / izidakamizwa ozithathayo
Ezinye izongezo zengceba zinokuchaphazela umsebenzi we-thyroid. Amacube afana ne-ayurvedic isitshalo guggul, izongezo, ezifana ne-tyrosine, iimveliso ezinama-iodine (umzekelo, i-kelp) kunye ne-bladderwrack supplements zonke zinako ukunyusa okanye ukunciphisa umsebenzi wakho we-thyroid.
Ukuqala okanye ukumisa enye yezidakamizwa zamachiza kunokuchaphazela amanqanaba e-thyroid. Uluhlu olukhethekileyo lweemithi ezinokuchaphazela amazinga e-thyroid ziquka izidakamizwa ezithile zokunciphisa i-cholesterol, i-corticosteroids, i-lithium kunye ne-amiodarone.
Ukutshintsha Inkqubo Yezifo Zakho Ze-Thyroid
Hashimoto's Thyroiditis
Khawucinge ngolu hlobo kwiHashimoto's thyroiditis: Umntu uye wafumanisa ukuba isifo sesifo seHashimoto sonyaka owedlule, i-hormone ye-thyroid eyimiselweyo, kwaye kwintlanganiso yokubuya yeveki ezintandathu ibe nezinga le-TSH ye-2 yeeyunithi zamazwe ngamazwe ngeli-litre ). Umntu ubuya ngonyaka, ukuba i-TSH iphinde ibuye, kwaye i-TSH yezinga layo liphakanyisiwe ukuya kwiiyunithi eziyi-6.0 zamazwe ngamazwe ngeli litre.
Olu khuliso lubonisa ukuqhubela phambili kwenkqubo yokuzimela. KwiHashimoto's thyroiditis, njengoko i-antibodies ye-thyroid iphinda ihlasele i-thyroid gland, ayinakukwazi ukuvelisa i-hormone ye-thyroid. Ngoko ke, amazinga e-T4 kunye ne-T3 ahla kwaye i-TSH iphakama.
Izifo zeMangcwaba
Le nkqubo injalo isebenza ngokusesikweni nesifo se-Graves, apho inqanaba elifanayo leziyobisi ezi-antithyroid ezikugcinwe kwinqanaba elithandathu lexesha elidlulileyo zingokushiya i-hyperthyroid, njengoko i-thyroid yakho iqhuma ngakumbi.
Kwezinye iimeko, emva kweenyanga okanye ngaphezulu kwiziyobisi ze-antithyroid, abantu abaneSifo se- Graves baya kuxolelwa. Kule meko, i-dose ye-antithyroid yezidakamizwa iyancipha okanye ichithwe ngamanye amaxesha.
I-Thyroiditis Emva kokukhulelwa
Ukongeza, abanye besetyhini bakhula i- thyroiditis emva kokukhulelwa . Kuba uninzi lwaba bafazi, le meko iya kuzixazulula ngokwayo, oko kuthetha ukuba ngokuhamba kwexesha, i-thyroid iya kuzama ukubuyela kumgangatho oqhelekileyo kunye nokuhlolwa kwegazi kuza kubonakalisa ezo zinguqu. Nangona kunjalo, ngoku kuguqulwa kwamanzi, i-thyroid i-hormone i-substitute drug dosages iya kufuneka iguqulwe ngokufanelekileyo.
ILizwi
Ukulawulwa ngokucophelela kwamanqanaba akho e-thyroid, kunye neempawu, luyinxalenye ebalulekileyo yokwelashwa kwakho kwe-thyroid. Akubaluleki kuphela ukubheka iziphumo zakho zokuvavanya i-thyroid zenguqu, kodwa wena kunye nongcali yakho ukuqonda izizathu ezivela kwezo zinguqu, ngoko ziyakwazi ukujongana nazo.
Ukuba utshintshe iphethini yakho okanye uhlobo lwe-thyroid ye-hormone, uqinisekise ukuba iTSH yakho ayibuyelanga ngaphezu kweeyure ezisibhozo ukuya kwezi-ezisibhozo emva koko ukuba ichanele ukuba kufuneka ulungiso lweeritha.
> Imithombo:
> Bahn, R., Burch, H, Cooper, D, et al. I-Hyperthyroidism kunye Nezinye izizathu zeTrorotoxicosis: Izikhokelo zoLawulo lwe-American Thyroid Association kunye ne-American Association of Clinical Endocrinologists. I-Endocrine Practice. I-Vol 17 No. 3 ngoMeyi / ngoJuni 2011.
> Bajaj JK, uSakwab P, uSalwan S. (2016). Iimpawu ezinobuthi ezinobungozi obuchaphazelekayo ezibandakanyekayo kwi-Thyroid Dysfunction: Ukuhlaziywa. J Clin Diagn Res . 2016 Jan; 10 (1): FE01-FE03.
> 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.
> Kim TH. Impembelelo yenguqu yonyaka kwiinguqu phakathi kwe-subclinical hypothyroid ne-euthyroid. J Clin Endocrinol Metab . Ngo-Agasti wama-2013; 98 (8): 3420-9.