Ruzhinji rwevanhu vane hypothyroidism -kana chine utachiona husina kumira-muUnited States vakadzi. Ruzhinji rwevakadzi ava ndezera remakore kana kuti vanomenopausal / menopausal . Izvi zvinoreva kuti pavanenge vachirapa nokuda kwe hypothyroidism, vamwe vavo vari kutora mishonga yemishonga yakadai semishonga yekudzivirira pamuviri kana kuti inotapukirwa nehommone replacement therapy.
Maererano nekutsvakurudza kubva kuGittmacher Instutute, inofungidzirwa kuti mamiriyoni gumi + vakadzi vari pakati pemakore 15 ne44 vanoshandisa piritsi yekudzivirira kuberekwa.
Anofungidzirwa mamiriyoni 57 kusvika ku75 mamiriyoni ekurapa mahomoni, mazhinji acho anosanganisira mamwe maitiro e estrogen, akanyorwa muUnited States. Dzimwe nyanzvi dzinofungidzira kuti vazhinji vanokwana 5 kubva muzana yevakadzi vose veperi uye vekupedzisira-menopausal vari kutora maviri hormone replacement therapy uye thyroid hormone replacement medication.
Zvakakosha kune chero mukadzi ari kutora utachiona hwemishonga inoshandiswa pakurapa hypothyroidism-yakadai se levothyroxine kana kuti yakasikwa yakarongerwa utachiona-kuti uzive zvinokonzerwa nemishonga ine esrogen inogona kuva nehutachiona uye kurapa kwe hypothyroidism. Saizvozvowo, unofanirwa kuziva kana iwe unorayirwa hormone mishonga yemishonga ye hypothyroidism mushure mokunge uri pamuviri wemishonga inobata isrogen, kana kuti watotora mushonga unoshandiswa nehomoni unosanganisira chero maitiro eestrogen.
Migumisiro yeEstrogen paTyroid
Kuwedzera muestrogen kunogona kuva chikonzero chekuzvitakura, zvimwe zvibereko zvekuberekwa, uye kushandiswa kwemishonga yakadai sekurapa mapiritsi kana hormone replacement therapy. Estrogens iyo inotorwa semishonga inogona kunge yakagadzirwa nemaitiro eestrogens akadai se ethinylestradiol, kana maitiro e-bioidentical eesrogen seyo estradiol, estriol, kana estrone.
Estradiol inozivikanwawo se 17 beta-estradiol.
Kunyangwe kuwedzera yeserogen kuri kubudiswa nemuviri wako kana kutorwa semushonga wemuromo, iyo estrogen inokwanisa kukwidza mazinga ako e thyroxine-binding globulin, inozivikanwa se TBG. TBG ipuroteni yakakosha inozivikanwa se "globulin." Basa reTGB nderekubatanidza kune maviri mahomoni ehomoni-thyroxine (T4) uye triiodothyronine (T3) -kuenzanisa muropa rako, nekubatsira kutakura mahomoni aya kumasero ako .
Kana TBG yakakwirira, TBG inosunga zvakanyanya zveyroid yako hormone, uye semugumisiro, inoderedza huwandu hwemasvosmoni ehutachiona asina huwanika muropa rako. Izvi, zvakare, zvinogona kutungamirira kukuwedzera muTSH yako yepamusoro , izvo zvingadaro zvinoita kuti kuve nekuwedzera kwehomoni yehomoni.
Maererano nekutsvakurudza, mushure memavhiki masere eestrogen therapy, TBG inobuda mune imwe nhamba yevakadzi vane hypothyroid. Kuwedzera kwe TBG kunowanzokwira pamasvondo gumi nemaviri mushure mokutanga kurapa. Saizvozvowo, T4 dzakasununguka dzinodonha-uye mune dzimwe nguva, TSH inomuka-nenzira yakafanana panguva iyoyo. Iko kushandurwa hakusi kuonekwa muvakadzi vasingaiti hypothyroid.
Thyroid Patients: Your Next Steps
1. Ongorora Irojiro Yehutano Mushure mekutanga Kutanga uye Kuisa Pill kana Hormone Replacement
Vakadzi vane hutano kazhinji havanzwisisi kuchinja kwehutachiona pavanenge vachiita zvekudzivirira pamuviri kana kuti hormone replacement therapy ne estrogen. Kutsvakurudza kwakaratidza, zvisinei, iyo inenge makumi mana kubva muzana yevakadzi vari kutora utachiona hwemishonga inotsiva mushonga wemishonga vanowedzera mishonga ine isrogen inoderera muhutano hweT4. Izvi zvinoreva kuti hypothyroidism zviratidzo zvakadai sokuneta uye kupfuma kunogona kudzoka kunze kwekuti kuyerwa kwemishonga yekirori kuchiwedzerwa. Izvi zvinogonawo kuitika kune vakadzi vakapukunyuka kenza yekotori uye vanoda kuchengetedza mahomoni ehutachiona akadzivirirwa kuti abatsire kudzivirira kenza yekare yekare.
Nokuti inenge hafu yemadzimai e-hypothyroid achabatwa ne-estrogen, zvakakosha kuti utachiona hwako hudzivirire mukati memwedzi mitatu kana uri murotori inoshandiswa mushonga mishonga uye utange kana kumisa chirongwa chekudzivirira pamuviri kana chirwere chinonzi estrogen mishonga. Iwe unogona kuwedzera kuwedzerwa kana kuderera mumutero wako wehutachiona huripo mushonga mishonga.
2. Usarega Kutora Zviratidzo Zvako Mishonga kana Hormone Kudzokorora Pasina Chekuita Chitendero Chine Utano
Maererano nemutsvakurudzi Dr. Robert Utiger, vamwe vakadzi vane hypothyroid vanotora isrogen kana kuti kuberekwa vana vanogona kuona zviratidzo, uye vanosarudza kurega kutora mahomoni avo panzvimbo yavo, kubata pamuviri, kana kutemwa kwehomoni. Pane kudaro, maererano naDkt Utiger, kutarisa utachiona hwehomoni uye kuwedzera hutachiona hwemishonga yemishonga inogona kukwanisa kugadzirisa nyaya yevakadzi ivavo.
3. Funga nezveMini-Piritsi yeKubereka
Ruzhinji rwepurogiramu yepurogiramu yepurogiramu inobata "purogiramu" mapiritsi inobatanidza maitiro eestrogen uye progesterone. Zvimwe zvezvikwata zvakakurumbira zvezvipiritsi zvemwedzi pamwe chete zvinosanganisira Lo / Ovral, Loestrin, Lybrel, Mircette, Norinyl, Ortho-Novum, Ortho-Cyclen, Seasonique, Seasonale, Yasmin, uye Yaz. Iyi mapiritsi anogona kuchinja maitiro eTCTG uye yehutano.
Kubata pamuviri mapiritsi asingabatanisi estrogen haavi nehutano hwehutachiona hweHIV, uye semugumisiro, haagone kuchinja basa rehutano. Izvi zvipembenene-pasina kubhadhara mapiritsi dzimwe nguva anonzi "mini-pill". Zvimwe zvezita rakakurumbira mazita aya aya esrogen-asingabhadhari anosanganisira Camila, Errin, Micronor, Nor-QD, Norethindrone, uye Ovrette. Iwesrogen-isina kubvisa pamuviri mapiritsi inowanzoshandiswa nguva duku kana ichienzaniswa nemishonga inoshandiswa, uye pane mimwe mibvunzo yekuti inofungidzirwa seyakashanda.
Mishonga inobatanidza inoshanda zvakanyanya pakudzivirira kubata pamuviri pane "mini piritsi." Kana yakatorwa zvakanaka, iyo mapiritsi inowanikwa pakati pe 91% uye 99.9% inoshanda. (Kana yakatorwa zvakanaka, mini-piritsi inotorwa kubva pa 87% kusvika ku 99.7% inoshanda.)
Kana iwe uri pane utachiona hwemishonga yemishonga uye unoda kuve nechokwadi chokuti utachiona hwako hahuzogadziriswa nemishonga yemishonga ine estrogen, zvakadaro, unofanirwa kukurukura "mini-pill" pamwe neutano hwako hwehutano.
4. Funga nezveChipupuriro Chokudzivirira
Kune chirongwa chekuberekwa kwechizvaro, chinoshandiswa paganda, iro rine musanganiswa umwechete wehomoni, yakapiwa transdermally (kuburikidza neganda), semapiritsi emuromo. Mamwe mazita anozivikanwa echikwata anosanganisira Ortho Evra uye Xulane.
Aya maitiro ekuberekwa asingabatsiri hutachiona hweHIV, uye semugumisiro, haagone kuchinja utachiona.
Kana iwe uri pane utachiona hwemishonga inoshandiswa mishonga uye unoda kuve nechokwadi chokuti utachiona hwako huchagadziriswa nemishonga yemishonga ine estrogen, unofanirwa kukurukura sarudzo yekushandisa chirongwa chekuberekwa nekuberekwa kwako.
5. Funga kuchinja kwemafomu eHormone Replacement Therapy
Kutsvakurudza kwakaratidza kuti kungoita zvinyorwa zveestrogen zvinokonzerwa nehuwandu hweHIVG. Mazita anozivikanwa nemazita emuromo (mapiritsi) maitiro eesrogen-chete kana kuti masanganiswa ehomoni anotsiviwa neAttivella, Angeliq, Cenestin, Enjuvia, Estrace, Femhrt, Femtrace, Menest, Prefest, Premarin, uye Prempro.
Kana uri kutarisa hormone replacement therapy inosanganisira estrogen, unofanira kufungidzira ma-transdermal maitiro eestrogen-chete kana kuti inosanganiswa hormone replacement therapy, yakadai semakanda, gelo, kana mahwendefa echikadzi uye kuiswa. Zvinyorwa zvinowanzozivikanwa zvinosanganisira Alora patch, Climara patch, Combipatch patch, Divigel gel, Extraderm patch, Estring vaginal insert, EstroGel gel, Evamist spray, Minivell patch, Vagifem vaginal tablet, uye Vivelle patch.
> Sources:
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> Guttmacher Institute. "Kushandiswa Kwepabonde muUnited States: 2016 Chikamu Chechokwadi." https://www.guttmacher.org/fact-sheet/contraceptive-use-united-states
> Pinkerton, J, Santoro, N. "Compounded bioidentical hormone therapy." Kusvitsa, 2015; 1 DOI: 10.1097 / GME.0000000000000420
> Raps, M et. Al. "Kushandiswa kwemishonga yekudzivirira mishonga inokonzera hutachiona kunotungamirira kuhuwandu hweHIVG, huwandu hweTSH hwakasimudzwa." Thromb Res. 2014 Apr; 133 (4): 640-4. doi: 10.1016 / j.thromres.2013.12.12.041. Epub 2014 Jan 7.
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