Kunokwenzeka ukuba ube nezinga "eliqhelekileyo" le-TSH kwaye uvakalelwa
Ukuba unesimo se-hormone ye-thyroid kwaye unesifo se-hormone ye-thyroid-stimulating (TSH) esisezingeni eliqhelekileyo-kodwa usenalo uluhlu lweempawu ezinxulumene ne-thyroid-unokuba yizigidi zezigulane ze-thyroid eziphethwe i- hypothyroidism.
Amaphesenti angama-15 abantu base-US abane-hypothyroidism, okanye i-thyroid engapheliyo, bayaqhubeka beziva bengaphilile naphezu kokuphathwa kwesi sifo, ngo-2016 uphando olupapashwe kwi- Journal of Clinical Endocrinology kunye neMetabolism .
Oko kuthetha ukuba izigidi ezi-1.5 ukuya kwezi-1,8 zaseMerika zithatha i-thyroid i-hormone ye-substitution yonyango ineempawu eziqhubekayo ze-thyroid engasebenzi. Ukuba ucinga ukuba ulungele le nkcazo, kubalulekile ukuba nencoko nodokotela wakho malunga namazinga aphezulu we-TSH kunye nezikhetho zeziyobisi ze-thyroid.
Yintoni Ejongene Ne-Hypothyroidism?
Eli gama libhekisela kwi-hypothyroidism kwinqanaba leselula elithetha ukuba usenayo iimpawu ze-hypothyroidism ezifana nokukhathala, ukufumana ubunzima , ukuxinezeleka, i-fibromyalgia / imisipha kunye neentlungu kunye neentlungu, ukulahleka kweenwele okanye iinwele ezinomileyo / ezinomileyo ngaphezulu-nangona uthatha inani eliphakanyisiweyo lokutshintsha i-thyroid kwaye ube neqondo "eliqhelekileyo" le-TSH yegazi. Ngelishwa, amanqanaba aqhelekileyo wegazi le-TSH anzima kakhulu oogqirha abaninzi kunempawu zesigulane xa begweba ukwanela unyango.
Kukho izizathu ezibini ezi zinto zingenzeka. Okokuqala, oogqirha bakholelwa ukuba ukubonelela nge-hormone eyaneleyo yokwenza isigulane ukuya kwizinga eliqhelekileyo le-TSH lanele.
Okwesibini, ngokucacileyo isizathu esiqhelekileyo kukuba unyango oluqhelekileyo lwe-Synthroid, Levoxyl, Levothyroid, Eltroxin, okanye i-Euthyrox (i-levothyroxine yesizukulwane) ayinakwanela ukuba abanye abantu bazive kakuhle. I-Levothyroxine yiklasi le-pharmaceutical of T4, apho umzimba kufuneka uguqule kwi-T3, i-hormone esebenzayo.
T4 ayisebenzi. Nangona kunjalo, abanye abantu banokuba nzima ukuguqula i-T4 ibe nexabiso elaneleyo le-T3, bebashiya ngeempawu ze-hypothyroid eziqhubekayo.
Ukuba ungaziva kakuhle kwi-levothyroxine monotherapy, unokufuna ukuzama "unyango oludibeneyo" olunezixhobo eziqulethe i-T3 kunye ne-T4. Nangona le nto ixhaswa yi-American Thyroid Association, oogqirha abaninzi abanamava achaza oko.
Izinga leTSH
Ezinye i-endocrinologists zikholelwa ukuba i-TSH engaphantsi kwe-2 ilungele ukuba abantu abaninzi bazive kakuhle kwaye banqande ukuba ne-hypothyroid okanye impawu ze-hyperthyroid. Kukho uphando olubonisa ukuba ixabiso ngaphezu kwe-TSH ye-2 linokuthi limelele namanqanaba angavamile .
(QAPHELA: amanqanaba e-TSH avame ukugcinwa aphantsi kwe-1 ukuya kwe-2 kwixhoba lomhlaza we-thyroid-inqubo iyaziwa njengexinzelelo lwe-thyroid-ukunceda ukukhusela umdlavuza.)
- I-TSH Ngaphandle kwe .3 - Oku kuthethwa ngokuba yi-hyperthyroid (ininzi ye-hormone ye-thyroid) kwiindawo ezininzi zase-US. Unokuxhalabisa, ukufumanisa nzima ukulala, iinwele eziphuma ngaphandle, isifo sohudo kunye nezinye iimpawu.
- I-TSH 1 ukuya kwi-2 -Izinga eliqhelekileyo eliqhelekileyo kubantu abaninzi. Olu luhlu lwe- TSH apho uninzi lwabantu luziva lungcono. Ngamanye amaxesha kuthethwa ngathi "kuncinci" ngamagqirha angenalwazi.
- TSH .3 ukuya ku-4.5 - "Uluhlu lwesithenjwa" ngokweminye yemigangatho yeebhabhi. Abanye abantu bazive kakuhle kule nkalo, kodwa abaninzi banamava e-low-grade hypothyroidism xa i-TSH ingaphaya kwe-2.0. A
- I-TSH 4.5 ukuya ku-10 - Kucingwa ukuba "amanqanaba angaphansi kwe-hypothyroidism", kodwa ngokumangalisa, abanye oogqirha abanakuze baphathe la ma nqanaba kwaye bangabonakali izimpawu ze-hypothyroidism ezivezwe zizigulane kule nqanaba ukuya kwi-hypothyroidism ngokwayo. Abantu abaninzi banempawu kule mi nqanaba.
- I-TSH Ngaphezulu kwe-10 - Kucingwa ukuba i-hypothyroid efanelekileyo yonyango ngabagqirha abaninzi.
Unokufuna i-T3 ukuba uzive kakuhle
Abanye abantu abaziva kakuhle kwi-levothyroxine / T4 kuphela iziyobisi (njenge-Synthroid) kwaye bazive bebhetele ngakumbi-bathatha iT3.
Abanye baye baphumelela ukufaka i-T3, njengendlela yohlobo lweCytomel okanye nge-compound, iT3 ekhutshwa ngexesha, kwi-levothyroxine yabo. Ekugqibeleni, abanye baye baphumelela ngeArms, i-hormone ye-thyroid yendalo . Kukho ezininzi i -hormone ye-hormone yokutshintsha indawo .
Okumangalisa kukuba, isacinga ukuba usebenzise i-T3 kubantu abane-hypothyroidism ngokungabonakaliyo okanye ukwamkela amalungu ehlabathi lonyango, nangona uphando olubonisa ngokucacileyo imfuno ye-T3 kwizigulane ezininzi ze-thyroid. Abantu abaninzi banezinga eliqhelekileyo okanye eliphantsi eliqhelekileyo le-TSH, kodwa kunjalo, bahlala beqhubeka bexhamla iimpawu ze- hypothyroidism . Kule meko, ukongezwa kwe-T3 kunceda ekunciphiseni ukudandatheka, ingqondo yengqondo , ukukhathala nezinye iimpawu. Olu lwazi malunga ne-T3 luyi-revolutionary kwaye lunempembelelo enkulu kubantu abangenakuziva kakuhle kwiindlela zabo zonyango ze-thyroid! Ukuze uthole ulwazi oluthe vetshe, funda ingxelo yam epheleleyo kule phando.
Indlela Yokuguqula Ingxoxo Ngogqirha Wakho
Ukuba usengxaki ye-hypothyroidism nangona unyango, isinyathelo sakho sokuqala kukukubhala ngale ndlela onokuyihlolisisa lula kunye nodokotela wakho. Isixhobo esihle sokunceda uphawu lwe - hypothyroidism uluhlu lokuhlola , olunika uluhlu lwezinto zokubeka umngcipheko kunye neempawu ongazithatha ugqirha ukuze uncede ufumane ukuxilongwa, okanye wenze ingxabano yokuba iimpawu zakho ze-hypothyroid ayisombululwanga ngonyango lwakho lwangoku.
Ngaphambi kokuba ube neengxoxo zakho nodokotela, ndiyakucetyisa ukuba ufunde le mibuzo emithandathu ebalulekileyo omele uyibuze ugqirha wakho malunga ne-hypothyroidism yakho, kunye nemibuzo ephambili umntu osandul 'ufumene umntu ophethe i-hypothyroidism ehlala ebuza-njengokuba kuthatha ukuba uzive ungcono emva kokuqala unyango, ingozi yexesha elide lempilo, nokuba ungayifumana i-goiter, ukukhathala nokufumana ubunzima kunye nendlela yokulwa nabo, kunye nokunye.
Ukuxhotyiswe ngolwazi kunye noluhlu lwakho lokutshekisha, kufuneka uhlale phantsi kwaye uxoxe nodokotela wakho ngezinga lakho eliphezulu le-TSH , nokuba ingaba ufanele ucinge nge-T3 kwi-thyroid ye-hormone yonyango.
Unokuphinda ufune ezinye iimpawu ekutholeni ugqirha wakho ukuphulaphula nokuqonda. Ukunceda, kukho iincwadi ezahlukeneyo endincoma ngazo zonke izigulane ze -roid. Jonga i -Thyroid Bookstore ngeengcinga.
Ukuba ugqirha wakho akayi kuxoxa ngeendlela zokukhetha okanye wenqaba ukuqwalasela unyango lwe-T3, kuya kufuneka ufumane ugqirha ofuna ukuba ngumlingane wakho kwimpilo.
> Umthombo
> USarah Peterson, uElizabeth A. McAninch, uAlexander C. Bianco. Ngaba i-TSH eqhelekileyo enegama elithi "Euthyroidism" kwi-Levothyroxine Monotherapy? Umbhalo we-Clinical Endocrinology & Metabolism , 2016; jc.2016-2660 INGXELO: 10.1210 / jc.2016-2660