Mangwanani Ekutanga Icho Chine Chetsika, asi Evening May Ive Chinhu Chine Mamwe
Kana iwe uri pane utachiona hwemishonga inoshandiswa mushonga, mirayiridzo inokurudzira kuti iwe utore thyroid yako pill pakutanga mangwanani nemvura, pane isina chinhu mudumbu, uye kumirira kweawa imwe usati wadya kana kunwa kofi.
Uyezve, iwe unofanirwawo kumirira kwemaawa matatu kusvika mana usati watora chero mimwe mishonga inopesana nekuwana kwayo, semapuranga ematare kana calcium carbonate.
Zvisinei, zvidzidzo zviviri zvekutsvakurudza-imwe shanduro yakabudiswa mu Journal of Clinical Endocrinology uye Metabolism uye kutevedza kukuru kwechirongwa ichi chakanyorwa munyaya dzeApictures of Internal Medicine-kana kuti kutora mukana wakafanana we levothyroxine (sekuru, Synthroid kana Levoxyl) pa nguva yokurara, kana ichienzaniswa nechinhu chokutanga mangwanani, inogona kunge iri nani.
Kutsvakurudza Kunokurudzira Manheru Ungave Akanakisisa
Chidzidzo chacho chakashuma mu Journal of Clinical Endocrinology uye Metabolism yakatarisa zvinokonzera kuongororwa kwetachiona hormone yeropa nokuchinja nguva levothyroxine yakatorwa kubva mangwanani-ngwanani kuenda kunorara. Chidzidzo chacho chakacherechedzawo kukanganiswa kwechiitiko ichi chekuchinja kwemazuva pamutauro we circadian rhythro-stimulating hormone (TSH).
Chidzidzo chacho, kunyange chiduku, chakanga chisinganzwisisiki pane zvaakawana, izvo vatsvakurudzi vakati va "kurova" uye izvo zvine "migumisiro inokosha kumamiriyoni evarwere vanotora l-thyroxine zuva nezuva."
Zvidzidzo Zvidzidzo
Mune vose varwere, TSH yakadzika uye isingabhadharwi thyroxine (T4) mazinga akasimuka nekuchinja thyroxine kudya kubva mangwanani-ngwanani kusvika pakuvata. Triiodothyronine (T3) mizinga yakasimuka pane zvose asi imwe nyaya.
Zvinofadza kuti TSH yakaderera pasinei nekutanga kweTSH mazinga, zvichiratidza kuti zviri nani kuwedzerwa kwemishonga yekirori paunotorwa manheru.
Pakupedzisira, vakatsvakurudza vakawana kuti circadian TSH rhythm-kuchinja kwezuva nezuva kweTSH kunowanikwa mukati memawa 24-hakuna kumbosiyana.
Kudzidza Kukurukurirana
Vatsvakurudzi vakaratidza tsanangudzo dzakawanda dzemigumisiro yacho:
- Kunyange paunenge wakamirira kwemaminitsi makumi matatu kuti udye, kudya kwekudya kwemafuro kungave kunopindirana nemukati kunyorera kwevothyroxine.
- "Bowel motility inononoka usiku," izvo zvinoreva kuti zvinotora nguva refu kuti tablet ye levothyroxine ipinde nepakati pemudumbu, zvichiita kuti nguva yakareba iwedzere kumadziro omukati, uye naizvozvo, kunakisisa nekuwedzerwa kwemishonga.
- Iko kutendeuka kweT4 kusvika kuT3 kunogona kunge yakanyanya kuitika manheru.
Vatsvakurudzi vanobva purogiramu iyi vakaratidza kuti kupa zvikamu zvekudzidza uku, chidzidzo chikuru chakapofumadzwa chine maitiro chakange chakadikanwa kuti chisimbise mitsva yavo-uye ichi ndicho chidzidzo chakataurwa munyaya dzeApictures of Internal Medicine .
Chechipiri Inokurudzira Manheru Angave Akanaka
Muchidzidzo ichi, varwere makumi mapfumbamwe nemapfumbamwe vakapedzisa muedzo, izvo zvaisanganisira nguva yemwedzi mitanhatu yekutora rimwe capsule mangwanani uye rimwe capsule panguva yekurara (ine rimwe capsule rinoshanda levothyroxine, imwe nzvimbo ye placebo, uye shanduko pamwedzi mitatu) .
Vatsvakurudzi vanoongorora hutachiona hwehutachiona, pamwe nehuwandu hwema creatinine, hutachiona hweputi, hutsika hukuru hunoti, hutachiona hwemwoyo, uye hutano hwehupenyu huripo.
Zvidzidzo Zvidzidzo
Vatsvakurudzi vakaona kuti varwere vachitora usikutime levothyroxine vane dhi muTSH ye 1.25 mU / L, kuchinja kukuru. Iro thyroxine yakasununguka ( yakasununguka T4 ) yepamusoro yakakwira ne 0.07 ng / dL, uye total triiodothyronine (total T3) yakakwira ne 6.5 ng / dL. Pakanga pasina kuchinja kukuru kune zvimwe zviitiko zvakaenzana.
Kudzidza Kukurukurirana
Vatsvakurudzi vakagumisa kuti, zvichibva pakuvandudzika kwehutoni hwehomoni, vanachiremba vanofanirwa kufunga kutora levothyroxine kuti inotorwa panguva yokurara.
Zvinetso Kwauri Kana Kuda Mumwe Ne Hypothyroidism
Kutora mishonga panguva yokurara pane mangwanani kunogona kupa mamwe mapurisa:
- Chokutanga, zviri nyore, sezvo iwe usingafaniri kunetseka pamusoro pekudya nguva ipi zvayo yekudya.
- Chechipiri, zviri nyore kudzivisa mishonga, kuwedzera, uye kudya, zvakadai se calcium, iron, uye yakakura-fiber kudya zvinogona kupindira chirwere chetachiona chinogadzirwa.
- Chechitatu, vanwiwa kofi havafaniri kumirira kusvikira awa mushure mekunge mishonga yavo inakidzwa nekapu yavo yekutanga .
- Chechina, inogona kupa humwe huri nani huri nani kana usiri kuwana huwandu hwakanaka hwekutora mishonga yako yehutano panguva.
Izvi zvidzidzo zvinotsigira izvo varwere vakawanda vane anecdotally vave vachizivisa kwemakore-vanonzwa vari nani kana vachitora mishonga yavo yehutano manheru, pane mangwanani.
Mukuguma, zvakadaro, zvakakosha kutaurirana nachiremba wako nezvekuchinja nguva yekutora yako generic levothyroxine kana zita rechirwere levothyroxine (somuenzaniso, Synthroid). Kana iwe uye chiremba wako uchisarudza kuipa iyo uye wotora mishonga yako yehutano manheru, iva nechokwadi chokuti utachiona hwako huri kuongororwa (masvondo matanhatu kusvika masere ndeye nguva yakakodzera) mushure mekunge maita shanduko.
Mhinduro yekutsvaga ropa, pamwe chete nekuvandudzika chero kupi zvako kana kuwedzera kwezviratidzo, kuchakubatsira iwe uye chiremba wako kuti uone kana iwe uchida kugadzirisa dheji kana kudzokera shure kutora mishonga yako mangwanani-ngwanani
Chinonyanya kukosha Kuti Urambe Uchifunga: Zvidzidzo Zvinoongororwa Levothyroxine
Izvi zvidzidzo zvakaitwa ne levothyroxine, iyo yakagadzirirwa maitiro ekugara kwenguva yakaita T4 / thyroxine thyroid hormone. Iyi fomu yehomoni inofanira kutanga inoshandurwa mumuviri kune fomu inoshanda (T3), uye izvi zvinogona kutora mazuva.
Zvirwere zvehutori zvine T3-zvakadai seCytomel, uye zvisikwa zvinokonzerwa nehutachiona semasikirwo zvakadai seChina-throid uye Hondo yeTroroid-zvinoshandiswa zvakananga nemuviri mukati meawa. Iyi mishonga haina kuongororwa muchidzidzo chacho, uye haisati yazivikanwa kana mishonga ine T3, kana kuti mishonga yakasvibiswa yemishonga inotapira mahara ingadai iri nani kunyanya kuwanikwa usiku.
Anecdotally, vamwe vane chirwere chetachiona vakarondedzera kuvandudzwa kwezviratidzo pavanotora zvimwe kana zvose zvavo T3-based thyroid hormone replacement mishonga manheru. Asi vamwe varwere vehutano vanoonawo kuti kana vakatora mishonga naT3 mushure mokunge masikati kana manheru, kushandiswa kuduku kwemaT3 mishonga kunogona kuita kuti zvive nyore kurara.
Saka ramba uchiyeuka kuti kunyange zvazvo zvichiita kuti kana zvidzidzo zvakafanana zvichiitwa neT3 zvinodhaka , zvigumisiro zvaizove zvakafanana, asi pane mukana wekuti unogona kukonzera kurara kwevamwe mune vamwe varwere. Iwe unofanira kungoita shanduko yakadaro mushure mokurukurirana nachiremba wako.
Vamwe vanachiremba vakaratidza kuti varwere vanotora mishonga yeT3 vanoshandisa nguva yakasunungurwa kana yakasununguka kugadziriswa kweT3, kana kuparadzanisa maitiro avo uye kutora mishonga yavo kakawanda zuva rose. Iyi nzira inoita seyokuderedza kupindira kwehope; zvisinei, zvakare, iva nechokwadi chokuti unongoshandura dosing pasi pekutungamirirwa kwachiremba wako.
Zvakare, kana iwe ukaita shanduko kune zvaunotora mishonga yako yeT3, iwe unoda kuongorora zvakare mazinga eropa uye zviratidzo mushure mevhiki dzinoverengeka, kuziva kana iwe uchida kuchinja kuyerwa kana nguva yekurapa kwako.
Shoko Rinobva
Kunyange zvazvo mitemo inongoratidzira inotora kutora utachiona hweHermone chinhu chokutanga mangwanani musina chinhu chisina chinhu (nemhaka yengozi yekudya inopesana nekudya), kutora mishonga yako yehutachiona manheru kungangwara mune dzimwe nguva.
Izvi zvingave zvakanyatsoitika kune vanhu vanoona zvakaoma kumirira awa vasati vadya mangwanani uye / kana kuti vari kutora mamwe mishonga mangwanani.
Pakupedzisira, kiyi yekutora utachiona hwemutachiona huripo mushonga unoshanduka, kutora thyroid yako pill kamwechete zuva rimwe nerimwe, uye nenzira imwecheteyo.
> Sources:
> Bach-Huynh TG, Nayak, B. Loh J, Soldin S, Jonklaas J. Nguva ye Levothyroxine Mutungamiri Inobatsira Serum Thyrotropin Kuisa Mwoyo. Zvinyorwa zveKliniki Endocrinology uye Metabolism . 2009 Oct; 94 (10): 3905-3912. Yakabudiswa paIndaneti 2009 Jul 7. chii: 10.1210 / jc.2009-0860
> Bolk N, Visser TJ, Nijman J, Jongste IJ, Tijssen JG, Muzviitiko A. Migumisiro yeChishanu neMangwanani Levothyroxine Kubata: Chiitiko cheCrossover Chiri Nemafu-maviri. Archives of Internal Medicine . 2010; 170 (22): 1996-2003.
> Garber JR et al. Clinical Practice Guidelines for hypothyroidism muvanhu vakuru: > cosponored > neAmerican Association of Clinical Endocrinologists uye American Thyroid Association. Endocr Pract. 2012 Nov-Dec; 18 (6): 988-1028.
> Rajput, R Chatterjee S, Rajput Mune Ko Can Levothyroxine Inotorwa seDofu Dose Here? Kuenzanisa Kuongororwa kweMangwanani neKushamba Kwemanheru kweLevothyroxine mukurapa kweHypothyroidism. Zvinyorwa zveTrood Research . 2011; 2011: 505239. doi: 10.4061 / 2011/505239. Epub 2011 Jul 14.