Uri kushamisika kuti ungapedza sei uremu paunenge uchitarirwa ne hypothyroidism? Uri kutora Synthroid, zita rezita rokuti levothyroxine, kana mamwe mabhuku akadai seLevoxyl kana Tirosint ? Kana kuti iwe uri kutora chirwere chechirwere chinokonzerwa nehutachiona (NDT) chemishonga seChina -throid kana Simba, uye uchiri kunetseka kuti ude uremu? Kana uri pane Synthroid kana imwe utachiona huri panzvimbo yekurapa yako hypothyroidism, asi uri kurwisana nekudya uye kuora muviri, pane zvimwe zvinhu zvinokosha zvaunofanira kuziva.
Iwe Unofanirwa Kubvisa Zvakanaka Mishonga Yako yeTroroid
Apo iwe uri hypothyroid, zvinokosha kuti utano hwako hwehutano hubudirire. Icho chinotanga nekunyatsokwanisa. Iva nechokwadi chokuti hausi kutora kana kuita chero chinhu chinogona kukanganisa kuwandisa. Heano mamwe mazano anobatsira:
- Tora mishonga yako yehutano mambakwedza, uye tarisira kweawa imwe usati waswa kapa yenguva dzose kana yekuti kana mukaka, kana kudya. Mira kwemaawa matatu kusvika mana usati watora chero zvigadzirwa zvinenge zvine iron kana calcium, kana kunwa kamuti-yakasimbiswa juice.
- Kana uri kutora Synthroid brand levothyroxine, ramba uchifunga kuti Synthroid ine zvose acacia uye lactose , izvo zvinokonzera kupisa-kutengesa zvigadzirwa zvevamwe vanhu. Kana iwe uchinetseka kana kuora mwoyo, funga kuchinja kune rimwe marashi.
- Kana uchinge uine dambudziko rekudya, kana zvimwe zvinetso zvekudya zvinoshungurudza chirwere chemuviri kana chirwere cheCrohn, taura nachiremba wako nezveTirosint . Izvi ndezvimwe zvakasiyana, hypoallergenic, liquid levothyroxine mu gelcap, yakagadzirirwa kuvandudza kushandiswa.
Iva nechokwadi kuti Uri Kutora Mishonga Yakakwana
Zvakakosha kuti iwe utore Synthroid yakakwana kana imwe utachiona huri panzvimbo yemishonga. Vamwe vashandi vanogona kupa mishonga chete yakakwana kuti utachiona hwako hukurudzire hormone (TSH) muzinga kusvika kumucheto wokumusoro wezvenzira, pedyo ne cutoff ye hypothyroidism.
Izvi zvingave zvisingakwanisi kugadzirisa zviratidzo zvako kana kuvandudza metabolism yako. Varwere vazhinji vane utachiona uye vashandi vanoona kuti TSH iri pasi pasi 2.0 ndiyo yakanakisisa yekugadzirisa zviratidzo. Kana yako TSH iri kumucheto wakakwirira wefurati yekutarisa, taura nachiremba wako nezvekuwedzera kuwedzerwa kwemazera emishonga yekemikari.
Iwe Unogona Kuda Kuwedzera T3
Levothyroxine zvinodhaka seSyroidroid inoita maitiro ehutachiona hormone thyroxine, inozivikanwawo seT4. Kana zvinhu zvose zvichishanda zvakakwana, muviri wako unofanidza kuchinja T4 muchechi yechipiri yekodhoni hormone, triiodothyronine, inozivikanwa seT3. T3 ndiyo hormone inobatsira inobatsira kushandisa simba uye oksijeni inosvika masero ako. Kutsvakurudza kunoratidza, zvisinei, kuti mumagadzirirwo evanhu vane chirwere chetachiona, kushanduka uku kunoratidzika. Zvichida nekuda kwekuchinja kwemasvikiro, kushungurudzika, kana kukanganiswa kwezvokudya, varwere ava vanokundikana kutendeuka zvakakwana T4 muT3. Kana iwe ukawira munharaunda iyi, unogona kuona kuti kunyange mushure mokunge uchitapwa ne levothyroxine zvinodhaka seSyroid, unogona kunge uchiri kuwedzera uremu, kana kuti usingakwanisi kuderedza uremu. Iwe unogonawo kuva nemamwe maitiro e hypothyroidism zviratidzo , zvakadai sokuneta, kusuruvara kwevhudzi, kana uropi hunhu.
Iwe unogona kubatsirwa nekuwedzera kweT3 kuLevothyroxine yako kuti uite yako hypothyroidism.
Heano mamwe mazano:
- Kumbira chiremba wako kuti aedze yako triodothyronine yakasununguka, inozivikanwa seT3. Kana uine uwandu hwakaderera kana huri pasi-pasi, unogona kuda kubvunza mupi wehutano wehutano nezvekuwedzera T3. Izvi zvinogona kuitwa nezita rechirwere chemishonga Cytomel, inowanzoitwa T3 drug liothyronine, kana kuti chiremba, yakawedzerwa, nguva-yakabudiswa liothyronine.
- Kana matanho ako eT3 akasununguka akajairika, asi iwe unoona zviratidzo zve hypothyroidism zvinosanganisira kushaya kurasikirwa nematambudziko, kumbira kuti iwe unotenderera T3 uongorore. Kukura kwemaitiro aya asingabatsiri eT3 kungakanganisa muviri wako kukwanisa kuunza T3 inoshanda kumasero ako uye nhengo. Kuwedzera T3 kumushonga wako munyaya iyi kunogona kubatsira kugadzirisa zviratidzo zvako.
Iwe Unogona Kuda Zvinhu Zvakasikwa Zvakajeka Chitendero
Vamwe varwere vetachiona vanoedza levothyroxine zvinodhaka seSyroid, marongerwo akasiyana, uye kuwedzera t3 mishonga, uye haigoni kugadzirisa zviratidzo. Kana izvi zviitiko zvako, iwe ungada kutaura nemuranda wako pamusoro pekuedza chimiro chechirwere chetachiona (NDT) chemishonga yakadai seChina-throid kana yeArmor Thyroid. Iko kunewo shanduro ye generic ya NDT inozivikanwa seTyroid NP. Pane zvishoma zvitsvakurudzo zveNATT, asi imwe yekuongorora inobatsira yakawana kuti NDT yaiva nzira yakachengeteka uye inobudirira kune levothyroxine zvinodhaka, uye zvakaguma nekurasikirwa kukuru kwevarwere .
Shoko kubva
Kunyange zvazvo zvisingabatanidzi neSyroid yako kana zvimwe zvehutano hwemishonga yehutachiona, kune hukama pakati pe hypothyroidism yako uye panjodzi yekuwedzera kwehuga yeropa uye chirwere cheshuga cheshuga. Kana wakagadzirisa yako hypothyroidism kurapwa paSyroid kana imwe mishonga uye uchiri kunetseka kuti ureruke, taura nachiremba wako nezvekutsanya kwako gorosi uye hemoglobin A1C (HA1C) yakaedzwa. Kana mazinga ari akakwirira, kuchinja kune zvaunodya uye kuita zvekuita, pamwe chete nerudzi rwechipiri chirwere cheshuga cheshuga semametformin, inogona kubatsira kuisa chimiro chemashuga eropa rako uye kuita kuti miviri yako yekurasikirwa ibudirire.
> Sources:
> Celi FS, et al. "Maitiro ekugadzirisa maitiro e-liothyronine therapy mu hypothyroidism: maitiro asinganzwisisiki, maviri-mapofu, kuonekwa kwechionronine uye levothyroxine." J Clin Endocrinol Metab. 2011 Nov; 96 (11: 3466-74.): 10.1210 / jc.2011-1329 Epub 2011 Aug 24.
> 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.
> Hoang TD, et al. "Inotsanangurwa nekodhi yekristi yakaenzaniswa ne levothyroxine mukurapa hypothyroidism: kudzidza kusinganzwisisiki, kaviri-bofu, kuongorora." J Clin Endocrinol Metab. 2013 May; 98 (5): 1982-90. doi: 10.1210 / jc.2012-4107. Epub 2013 Mar 28.
> Lambadiari, V et al. "Mahomoni ehutano anonyatsobatanidzwa ne insulin yokumanikidzira pakutanga kwekuvandudza rudzi rwechirwere cheshuga." Endocrine. February 2011, Bhuku 39, Nyaya 1, mapeji 28-32
> McAninch EA, Bianco AC. "The History and Future of Treatment of Hypothyroidism." Ann Intern Med. 2016 Jan 5; 164 (1): 50-6. doi: 10.7326 / M15-1799. Erratum in: Ann Intern Med. 2016 Mar 1; 164 (5): 376. PMID: 26747302