Kana uri kutarisana nekushanduka kwetachiona mahomoni, iwe hausi woga.
Heano zvimwe zvikonzero zvinozivikanwa, kusanganisira mazano ekugadzirisa.
Zvimwe Zvingaitika Mukurapa Kwako
Kana iwe watanga kutora chirongwa chetrosiyo hormone inoshandiswa mishonga kubva mune imwe mishonga inenge yakagadziridzwa kana kubva kune imwe pharmacy yakasiyana, izvi zvinogona kutsanangura kuti sei maitiro ako akachinja.
Utachiona hwemakemikari zvinotsiviwa nemishonga inogona kuchinja maererano nehutano hwavo uye huchiri kutengeswa mukati mekudya neDrug Administration (FDA) mirayiridzo. Kutaura zvazviri, hurumende inotungamira inotaurira kuti levothyroxine zvinodhaka zvinoda kuva mukati ma95 kubva kuzana kusvika kuzana muzana zvehuwandu hwakataurwa. Izvozvo zvinoreva kuti 100 mcg yepiritsi yepiritsi inogona kufungidzirwa yakasimba, kunyange painenge ichipa chero chinhu kubva pa95 kusvika ku 105 mcg yechinhu chinoshanda.
Nepo iyo potency inowanzove isina kunyatsogadzikana mune rimwe zita rezita rekugadzira kana kuti rinogadzirwa nemagetsi, inoshanduka kubva pane chinonzi brand kusvika kune chigadziri kuti igadzire. Kunyange zvakadaro, kana iwe ukasimbiswa pane rimwe marashi, kuchinja kune rimwe marashi-kana kuva pa generic levothyroxine uye kuwana refills kubva kune vakasiyana-siyana vanogadzira-kunogona kukonzera dzimwe kuchinja, zvichienderana nemhando dzakasiyana dzemishonga yemuiti wega wega.
Chinhu chakanaka chekugadzirisa dambudziko iri ndechekuti iwe uri pane mishonga yemagetsi, shanda pamwe nemumwe wako wemishonga kuti uone kuti iwe unogara uchiwana mishonga kubva kune imwechete inogadzirwa.
Kana izvo zvisingakwanisi, funga kuchinja kune zita rezita.
Nguva yekuti Ndeipi uye Sei Unotora Piritsi Yako
Kana iwe uri kutora mishonga yako yehutano panguva dzakasiyana-siyana zuva rega rega, dzimwe nguva unogona kutora mapiritsi ako pane isina chinhu mudumbu, uye dzimwe nguva kana kana mushure mekudya. Kutora hormone yehutori pamwe kana kana mushure mekudya kunogona kunonoka kana kuderedza kushandiswa kwemishonga kuburikidza nekuchinja chiyero iyo inopera kana kuchinja mudumbu yemasikiriti, kuchinja mhinduro dzako.
Kana iwe uchida kuve nechokwadi chekunakisisa kunogona kuitika, iwe unoda kutora mishonga yako yehutori nguva dzose, chinhu chekutanga pakutanga, mangwanani asina chinhu, nguva inenge yeawa usati wadya uye usati wawa kawa.
Uyewo, iva nechokwadi chekumirira kwemaawa matatu kana mana pakati pekutora mishonga yehutano uye kutora chero calcium kana iron inowedzera. (Izvo zvinowedzerawo majisi nemakisi emukaka.) Izvo zvakakosha zvekudya zvinokonzerawo, sezvo utano hwakanaka, hutachiwana hunoita hunochinja hutano hwehutano.
Pakupedzisira, kusagadzikana ndizvo zvaunofanira kuedza, maererano nezvokuti unotora sei thyroid yako hormone drug. Kana ukaronga kuchinja nzira yaunotora mishonga yako yehutachiona, iva nechokwadi chokuti iwe unorichenesa nechiremba wako kutanga.
Dosage Zvikanganiso
Mapiritsi kana kuti chiremba zviremba zvinyorwa zvinowanzoitika, zvichireva kuti ungagamuchira mhosho yakashata ye thyroid hormone replacement medication. Saka chimwe chinhu chinonyanya kukosha ndechekugara uchitarisa mishonga yako-tarisa paiyo mazita uye mapiritsi chaiyo uye ona kuti uri kuwana dhigirii chiremba wako akaraira uye mushonga unorayirwa.
Kudya Zvakawanda Zvizhinji Goitrogenic Foods
Zvimwe zvokudya zvinogona kuva nezvinozivikanwa segoitrogenic effect, kana kukwanisa kuwedzera chirwere chetachiona ndokuita kuti chive fomu ye goiter.
Zvokudya izvi zvinogona kuita sezvinodhaka zvinodhaka, kutadzisa utachiona hwako, uye pakupedzisira zvichikonzera kana kuwedzera kukura kwe hypothyroidism. Kana iwe uchiri nehutachiona, iwe unofanirwa kuva nehanyanya pamusoro pekusapfurikidza kune aya goitrogens mune fomu yavo yakajeka.
Mienzaniso yezvokudya izvo "goitrogenic," zvinosanganisira:
- Brussels inomera
- Kale
- Soy
- Rutabaga
- Turnips
- Kohlrabi
- Radishes
- Koliflower
- African cassava
- Millet
- Babassu (muti wemichindwe muti wekonati unozivikanwa muBrazil neAfrica)
- Cabbage
Dzimwe nyanzvi dzinofunga kuti ma enzyme anobatanidza mukugadzirwa kwezvinhu goitrogenic mumiti inogona kuparadzwa nekubika, saka kubika zvakakwana kunogona kuderedza dzimwe goitrogenic.
Kuchinja Kwemwaka
Varwere vazhinji vane utachiona havazive kuti utachiona hwakakosha, uye TSH zvikuru, inogona kuchinja pamwe chete nemwaka. TSH inowanzobuda mune imwe nguva mukati memwedzi yakaoma uye inodonha kumashure mumwedzi inotonhora. Vamwe vanachiremba vanogadzirisa izvi kuburikidza nekuratidza kuwedzera kweizii mumwedzi inotonhora uye kuderedza kuwedzerwa munguva dzekushisa.
Hormone Fluctuations
Kutora estrogen mune chero ipi zvayo, ingave sehomoni inotsiva therapy kana mupiritsi yekuberekwa, inogona kukanganisa maitiro ako ehutachiona. Semuenzaniso, vamwe vakadzi vanotora supplemental estrogen vangave vachida kutora hutachiona huri hupenyu huri nani. Izvi zvinokonzerwa nokuti estrogen inowedzera puroteni yakasiyana-siyana iyo inosanganisa utachiona hweHroid, iyo inoita kuti utachiona huve husina kushanda-saka, utachiona hunogona kupedzisira huri kuratidza uwandu hwakawedzera huwandu hweT4. Kune mukadzi asina chirwere chetachiona , izvi zvinogona kuwedzera kudiwa kweiyo, sezvo pasina chesiyo yekubhadhara.
Kuberekwa
Kuwedzera kwakanyanya muestrogen panguva yekudzivirira pamuviri kunogona kuwedzera TSH yako uye muviri wako unoda hurooni yekemikari. Zvinonyanya kukosha kuti TSH yako iongororwe nguva nenguva mukurara kwepakutanga, kuve nechokwadi kuti dhesi inogona kuchinjwa maererano. TSH inogara ichidonha mushure mokuberekwa, uyewo, mukupindurwa kune idzi shizha.
Herbs / Supplements / Drugs Iwe Uri Kutora
Mimwe mishonga inowedzera inogona kuva nehutachiona hwehutano. Mishonga yakadai seyayurvedic herb guggul, zvinowedzera, zvakadai se tyrosine, michina ine iodine (somuenzaniso, kelp) uye bladderwrack inowedzera zvose zvinogona kuwedzera kana kuderedza utachiona hwebasa rako.
Kutanga kana kuvhara imwe yemishonga inodhaka yakawanda inogona kuchinjawo maitiro ehutachiona. Tsanangudzo yakawanda kwazvo yemishonga inogona kukanganisa maitiro ehutori inosanganisira zvimwe zvinokonzerwa neklesterterol-downing drugs, corticosteroids, lithium, uye amiodarone.
Kuchinja Nzira Yehutachiona Hwako
Hashimoto's Thyroiditis
Fungidzira mamiriro ezvinhu aya muHashimoto's thyroiditis: Munhu akawana chirwere cheHashimoto chemoto gore rakapfuura, anorayira utachiona hormone, uye pakushanyira kwevhiki kwevhiki kwemavhiki matanhatu kune TSH yenhamba yemamita maviri-maundi emaundi imwechete (iyo iri pasi ). Munhu wacho anodzoka mugore, kuitira kuti TSH idzoke zvakare, uye TSH yake yepamusoro ikozvino yakakwirira kusvika ku 6.0 milli-maitirwo emarudzi pamatare.
Iko kukura kunogona kunge kunoratidza kufambira mberi kwegadziriro yekuzvimirira. Mune Hashimoto's thyroiditis, sezvinonzi zvirwere zvehutano zvinowedzera kurwisa utachiona hwehutachiona, hazvikwanise kubudisa hormone yekemikari pachayo. Nokudaro, T4 uye T3 mazinga anodonha uye TSH inomuka.
Denda reMakuva
Izvozvi zvinoshandiswa zvakatarisana neGraves's disease, umo muwandu wakafanana wemishonga yeitrothyroid yakakuchengetedza iwe mumararamiro matanhatu akare apfuura iko zvino ingakusiya iwe hyperthyroid, sezvo utachiona hwako hwava kunyanya kudarika.
Mune zvimwe zviitiko, pashure pemwedzi kana kupfuura pamusoro pezvinodhaka zveva antithyroid, vanhu vane chirwere cheBraves vanopinda mukuregererwa. Muchiitiko ichi, chirwere chavo chesitendyroid chinogona kuderedzwa kana kutobviswa pane dzimwe nguva.
Thyroiditis Mushure mekuberekwa
Mukuwedzera, vamwe vakadzi vanokura utachiona mushure mekuita pamuviri . Kune vazhinji vevakadzi ava, mamiriro acho ezvinhu achazvigadzirisa pachake, zvinoreva kuti nekufamba kwenguva, utachiona huchaedza kudzokera kuhutano uye huwandu hwekuyera ropa hucharatidza kuchinja uku. Zvisinei, nekuderedzwa uku, utachiona hweHerodia hunoshandiswa pakuchinja zvinodhaka zvinoda kuchinjwa maererano.
Shoko Rinobva
Kunyatsotarisira utachiona hwehutachiona hwako, pamwe chete nezviratidzo, chikamu chinokosha chetachiona yako. Hazvisi zvakakosha kutarisa matanho ako ehutachiona emigumisiro yekuchinja, asi iwe nemuranda wako kuti munzwisise zvikonzero zvekuchinja uku, saka vanogona kugadziriswa.
Kana iwe ukashandura mararamiro ako kana rudzi rwehutachiona hutachiona hwekushandisa zvinodhaka, iva nechokwadi chekuti TSH yako yakadzokorora mushure memavhiki masere kusvika masere gare gare kuti uone kana kuchinja kweiyo kudiwa.
> Sources:
> Bahn, R., Burch, H, Cooper, D, et al. Hyperthyroidism uye Zvimwe Zvikonzero Zvako Thytotoxicosis: Mazano Ekutungamirirwa kweAmerican Thyroid Association uye American Association of Clinical Endocrinologists. Endocrine Dzidzira. Vol 17 Nha. 3 Mbudzi / June 2011.
> Bajaj JK, Sakwab P, Salwan S. (2016). Zvimwe Zvinokonzera Zvinokonzera Zvinodhaka Zvinosanganiswa muTroroid Dysfunction: A Review. J Clin Diagn Res . 2016 Jan; 10 (1): FE01-FE03.
> Braverman, L, Cooper D. Werner & Ingbar's The Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.
> Garber, J, Cobin, R, Gharib, H, et. al. "Clinical Practice Guidelines for Hypothyroidism muVakuru: Cosponsored neAmerican Association of Clinical Endocrinologists uye American Thyroid Association." Endocrine Dzidzira. Vol 18 Nha. 6 November / December 2012.
> Kim TH. Migumisiro yekuchinja kwemwaka panguva yekuchinja pakati pe subclinical hypothyroid uye euthyroid. J Clin Endocrinol Metab . 2013 Aug; 98 (8): 3420-9.