Iimpawu Zakho Ezilandelayo Ukuba Unyango Lwenu lwe-Hypothyroid alusebenzi
Emva kokufunyaniswa ukuba ne-hypothyroidism kunye nokuqala unyango, abaninzi abantu bayaqhubeka benempawu. Oku kunokuba yinyani nokuba u-hypothyroid ixesha elide kwaye ukuba i-TSH yakho iyinto eqhelekileyo.
Ukuba awukuziva nje emva kokufumana unyango lwe-hypothyroidism yakho, awuyedwa. Nangona oku kuqhelekileyo kwaye kunokubangela ukhathazeka ngokukrakra, kukho izinto ezininzi ezingenza umehluko kwindlela ozizwa ngayo ngokwasemzimbeni nangokomzwelo.
Makhe sijonge into enokuba nayo, kwaye uludwele amanye amanyathelo okuqwalasela kwisigqibo sakho ukuba uzive kakuhle.
Izimpawu eziqhubekayo zokunyangwa kwe-Hypothyroidism
Nangona emva kokuba ufumene unyango kwaye unqunywe izidakamizwa ze-thyroid esikhundleni se-hypothyroidism, kwaye nangemva kokuba imvavanyo yakho yebhanki ibonakala "eqhelekileyo," unokuqhubeka nokufumana iimpawu eziqhubekayo. Usenokuba uqaphele:
- Ukufumana ubunzima bokuqhubeka
- Ubunzima bokulahlekelwa ubunzima
- "Inkohlakalo yengqondo"
- Unzima ukugxila
- Ukulahleka kweenwele
- Isandla, unyawo, okanye ukuvuvukala kweso
- Ukungathobeli ukutshisa kunye / okanye kubanda
- Iintsimbi zomzimba
- Intlungu ehlangeneyo
- Ukutyunjwa
- I-Carpal tunnel syndrome okanye i-tendinitis
- Amazinga aphezulu e-cholesterol
- Kunzima ukukhulelwa
Amanyathelo okuLawula iimpawu eziqhubekayo ezinxulumene ne-Hypothyroidism
Ukuba unayo nayiphi na impawu ebhalwe apha ngasentla, ungenza ntoni? Makhe sijonge amanqanaba amanyathelo ongayenza ukuze uzive ungcono. Njengoko uthabatha amanyathelo kubalulekile ukuba ugqirha onokuhamba ngasecaleni ekunqumeni oko kufuneka ukwenze phakathi kweengxaki zonyango zamanje.
1. Khangela iNqanaba lakho le-TSH
Isinyathelo sokuqala esithathayo ekuphumeni kukufunda i- TSH level (i-thyroid evuselela izinga le-hormone.) Ukuqonda isilinganisi sakho se-TSH, nangona kunjalo, kufuna okungaphezulu nje kokwazi ukuba inani lakho liwela "kwibala eliqhelekileyo."
Ngokuxhomekeke kwibhodari yakho, kunye nenhlangano ethile eyenza iingcomo, udidi "oluqhelekileyo" luhlala lubonwa phakathi kwe-0.5 no-5.0 mU / l.
Kwiminyaka yakutshanje, nangona kunjalo, kukho ukungafani kakhulu kwiingcebiso malunga nezinga elifanelekileyo leTSH .
Oogqirha abanokuqala baqala ukukholelwa ukuba i-TSH ephakathi kwe-1 no-2, ngamanye amagama, ekupheleni kwebala eliqhelekileyo, ilungele ukuba abantu bazive kakuhle kwaye baphephe iimpawu ze-hypothyroid. (Abanye bakholelwa ukuba esi sigqibo kufuneka senziwe ngokubandakanya i-T4 yamahhala kunye ne-T3 yamahhala, esiza kuxubusha ngokulandelayo.)
Ngokwahlukileyo, ezinye iinqununu zenzelwe ukuphepha unyango oluqhelekileyo kwanabantu abanamazinga e-TSH awela phakathi kwe-5 no-10 mU / l.
Ekubeni kukho impikiswano phezu kwezinga elifanelekileyo le-TSH kubantu abane-hypothyroidism, kubalulekile ukuthetha nodokotela wakho malunga nokuba uvakalelwa njani ukuba inani lakho leenjongo kufuneka libe libala eliqhelekileyo.
Isifaniso sokwenza oku kucace kancinci kwimizuzu efanelekileyo ye-vitamin D. Ezinye iingcamango zeelabhu ukuba "uluhlu oluqhelekileyo" lwe-vitamin D luyi-30 ukuya ku-90. Ngelo xesha, ezinye izifundo zifumene ukuba amanqanaba phakathi kwama-50 no-70 akhethwa ukunciphisa umngcipheko weemeko zonyango ezifana nomhlaza. Kule meko, ukuba umntu unomgangatho we-31, ugqirha wabo unokuncoma ukongeza nangona inani labo lingena "kwibala eliqhelekileyo."
(Qaphela: amazinga e-TSH kufuneka agcinwe ngaphantsi kwe-1 kubasindileyo bomdlavuza we- thyroid ukwenzela ukunqanda ukuphindaphinda.)
Funda kabanzi malunga nokuba i- hypothyroidism yakho ingaphantsi .
2. Khangela i-Free T4 yakho kunye neeNqanaba ze-T3 zamahhala
Isinyathelo esilandelayo kukuba uqhelane ne-T4 yakho yamahhala kunye namazinga e-T3 akhululekileyo. Kubalulekile ukuba uqaphele ukuba izidakamizwa ezithatha indawo ezifana ne-Synthroid ziyi-T4 yodwa, kanti i-T4 kunye ne-T3 ziqhelekileyo zikhona emzimbeni.
Ukuqala ngokufundisisa kwi- New England Journal of Medicine ngo-1999, owafumanisa ukuba abantu abane-hypothyroidism babevame ukuphucula ukudibanisa ne-T4 kunye ne-T3 endaweni, abaqhelanga baqala ukujonga ukuba ukunyanga i-T3 unyango ku-T4 unyango lunokuba luncedo kwabanye abantu qhubeka uvakalelwa nge-hypothyroid naphezu kwe-TSH evamile.
Ngokuqhelekileyo, i-T4 iguqulwa ibe yi-T3 emzimbeni, kwaye ukubonelela nge-T4 ngokutshintshwa kwayo kufanele, ngokwaneleyo, kwanele. Kodwa oko akunokuthi kube njalo.
Kutheni abanye abantu banokuba nobomi obubhetele ngakumbi kunye ne-T3 eyongeziweyo ngaphezu kwonyango lokutshintshwa kwe-thyroid? Kukho inani leenkcazo. Kucingelwa ukuba abanye abantu abane-TSH eqhelekileyo basenokuba ne-hypothyroid kumgangatho weselula. Oku kungakho ngenxa yokuguqulwa kwe-T4 ukuya kwi-T3.
Kubantu abanokuba namazinga aphantsi aphantsi kwama-T3, ukhetho lwezokwelapha lunokubandakanya izidakamizwa ezongezelelweyo ze-T3 (njenge-Cytomel) okanye ukutshintsha kwimveliso eyenza i-T4 kunye ne-T3 ibe yinto efana nesigqirha semvelo (njengeSigqeba). lo mkhuba, kunye nezifundo ezithembekileyo zifumana ukuphucula okukhulu kwezinye kunye nokungabikho komphumo omkhulu kwabanye. Ngenxa yoko, kubalulekile ukuthetha nodokotela wakho malunga neziphumo zakutsha kwaye uqonde ukuphikisana kwezidakamizwa zeTroid / T3 . Kwakhona kubalulekile ukuqaphela ukuba umntu ngamnye uhlukile, kwaye wena kunye nodokotela wakho kufuneka usebenzisane ukuze uphathe iimpawu zakho kunokuba ziphi na iinombolo ezithile.
Gcina ukhumbule ukuba ukuxhaswa kwe-T3 kunokunceda ngezinye iimpawu zakho kodwa kungekhona abanye. Ngokomzekelo, uphando lwango-2013 lufumene ukuba ukuthatha i-T4 / T3 i-compound ayizange iphuculise umgangatho wobomi obunxulumene nevothyroxine yodwa, kodwa yandinceda ngokulahleka kwesisindo.
Ukuba ucinga ukuba i-T3 ingaba yinkathazo yakho, l yenza okungakumbi malunga nokuba ungadinga i- T3 okanye i-thyroid eyenziwe yendalo .
3. Ukubeka i-TSH, i-Free T4 kunye ne-Free T3 ndawonye
Esikhundleni sokujonga iinombolo ezithile ze-TSH, i-T4 yamahhala, okanye i-T3 yamahhala yodwa, ukudibanisa kwala manani kunokukunceda wena kunye nodokotela wakho ukuba anqume ukuba kukho nayiphi na utshintsho ekufuneka yenziwe kwimizi yakho yeyeza, okanye ukuba kufuneka uqwalasele ukusebenzisa i-T3 iziyobisi ngaphezu kwe-thyroid yonyango yokutshintsha indawo (okanye utshintshe kwi-T4 / T3.
Abanye oogqirha banomuvo wokuthi unyango oluphezulu lwe-hypothyroid alubandakanyi nje kuphela ukujolisa kwizinga le-TSH phakathi kwe-1 no-2 kodwa i-T4 yamahhala kwisiqingatha esiphezulu soluhlu oluqhelekileyo kunye ne-T3 yamahhala kwi-25 ye-percentile ephezulu yesiqhelo esivamile.
Ukujonga konke oku kunye kunokudideka. Unokuba unqwenela ukuthatha isikhashana ukuhlaziya iintlobo zezilwanyana zonyango ezithatha indawo ezikhoyo, ezibandakanya kungekhona nje izidakamizwa ze-T4, kodwa i-T3 kunye ne-T4 / T3.
4. Ezinye iindlela zokwenza kakuhle nge-Hypothyroidism
Ukufumana amayeza angcono okanye amayeza kunye neqondo elichanekileyo ukulawula iimpawu zakho ziyingxenye yokuphila kakuhle ne-hypothyroidism. Kukho ezinye zezinto onokuzenza ukuze uzive kakuhle kangangoko.
Okokuqala, ukuba ungenalo ugqirha obonakala enamava ekulawuleni iziganeko zezifo ze-thyroid, funda malunga nokufumana oogqirha abangcono kakhulu ukulawula unyango lwe-thyroid. Nangona kunjalo, akukhona nje ugqirha wakho onokukunceda uqonde uphando olutsha malunga ne-hypothyroidism. Ukufumana iqela elifanelekileyo lokuxhasa i-thyroid kwi-intanethi akunakunceda kuphela emoyeni, kodwa inokuba yindlela enhle yokuva amabali avela kwabanye abantu abajongene nemingeni oyiyo, kwaye ube nolwazi oluninzi ngesifo sakho.
Njengokuba kuninzi kwiimeko zonyango, ukubaluleka kokufumana umzimba owaneleyo kunye nokutya ukutya okunempilo akunakwenzeka. Kukho izinto ezininzi zokwazi malunga ne-hypothyroidism kunye nokutya kwakho, njengendima ye-soy kwimpilo ye-thyroid .
Okokugqibela, cinga ngeendlela zokunciphisa uxinzelelo ebomini bakho. Ukuba uya kuza kufutshane, ungaqala ngokujonga ezi ndlela ezingama-70 zokunciphisa uxinzelelo apho unokufumana ubuncinci abambalwa abasebenza kuwe.
> Imithombo:
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> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Iinqununu zeHarrison zeMithi yoPhakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.
> Schmidt, Y., Nygaard, B., Jensen, E., Kventny, J., Jarlov, A., noJj Faber. Umsebenzi weMpawu ze-Thyroid: I-Impact ye-T4 Monotherapy vs T4 / T3 Unyango loNyango kwi-Hypothyroid Subjects kwiSifundo seCrossover esiRandi. I-Endocrine Connections . 2013. 2 (1): 55-60.