Zvaunoda Kuziva
Kana iwe wakabatwa ne hypothyroidism uye uri kugamuchira kurapwa, uye mitsva yako yekuedza iyo yakanyatsopindira kune iyo inonzi "inowanzo" yakasiyana, ndeipi inofadza kana iwe uchiri kunzwa usina kunaka?
Ichokwadi ndechokuti pasinei nekurapa kwe hypothyroidism , varwere vazhinji - vamwe vanoti kunyange vazhinji venyu munogamuchira varapi vehutano t-rambai mune zviratidzo zvingangodaro zvine chokuita nehutachiona yenyu. Kunyangwe mushure mekunge maonekwa uye mune utachiona hwemishonga yemishonga yemishonga , iwe unogona kunge uine zviratidzo zvinoramba zvichiramba zvakadai sekuramba uine uremu kana kuoma kukura , kuora mwoyo, uropi hwehupi kana kuoma kuisa pfungwa, kurasikirwa nevhudzi , ruoko / tsoka kana chiso chekudzivirira, kusawirirana kupisa uye kutonhora, mutsvuku aches uye marwadzo ekubatana, kuvimbiswa, marpalp tunnel kana tendonitis, high cholesterol mazinga, low sex drive drive, uye kunetseka kutora pamuviri, pakati pevamwe.
Ndeapi mamwe matanho aunofanira kutora kuti uende kunzwa uchinaka?
1. Bvunza Chiremba Wako Kana Shanduro Yakatanga TSH inogona Kuva Yakakodzera Kwauri
Danho rokutanga kwauri nderokuziva yako chaiyo TSH yepamusoro , uye mamwe maitiro ehutachiona akadai seT4 neT3 . Aya mazinga anokubvumira kuti ubatsire majireji apo chiremba wako ari maererano nekurapa uye anokupa imwe nhaurirano yekukurukurirana.
Vanachiremba vanoziva vanoziva kuti TSH yepakati pe1 - 2 - mumucheto wepasi - kati wehutano hwakanaka - ndiyo yakarongeka yevanhu vasina chirwere chetachiona , uye ivo vanoronga huwandu huno mukurapa varwere vane utachiona. Ramba uchiyeuka kuti chiremba anokuudza iwe TSH yako "yakanaka" haikwanisi, nokuti kana chiremba wako achishandisa maitiro akaenzana akaenzana .5 kusvika ku5, unogona kuva neTSH ye4 uye unoudzwa kuti iwe "wakajairika. " (Cherechedza, vamwe vanachiremba vari kutevera itsva, yakakurudzirwa TSH yakawanda ye 0.3 kusvika ku03). Mune mamiriro angu ezvinhu, ndinoziva ndinonzwa kunetseka paTSH ye 3.0 kana pamusoro, uye ndinowana zviratidzo zve hyperthyroid pa1, asi ndinonzwa zvakanaka munenge ma 1.5 kana zvakadaro. (Cherechedza: iyi TSH inowanzochengetwa kunyange yakaderera kupfuura 1-2 yevanopinda muropa yekenza kuti vabatsire kudzivisa zvakare.)
2. Bvunza Chiremba Kana Kushandura Kuimwe Chirongwa cheLevothyoxine Chichifanira Kurongeka
Imwe danho rinokosha nderokuziva kana iwe uri pane mishonga yakarurama kwauri. Ruzhinji rwevarwere vetachiona rinotangwa pa levothyroxine, chigadzirwa cheT4 chemishonga, kazhinji chinonzi Synthroid brand. Asi kana iwe usingafari zvakanaka paStyroid, kana chero mararamiro aunenge uripo, unogona kuda kubvunza chiremba wako nezvekuedza mararamiro akasiyana. Mhando dzose dzine zvakasiyana-siyana uye zvinogadzirisa zvinoshandiswa, uye zvimwe zviri nyore nyore kuputika / kudyiwa kupfuura vamwe, saka vamwe vanhu vanoona kuti vanoita zviri nani pane rimwe maringe kune rimwe. Zvinhu zvakanyanyowanikwa zvinosanganisira Synthroid, Levoxyl, Levothroid, uye Unithroid.
3. Edza Kudzivisa Zvizvarwa Kana Kuti Tora Simba, Renguva Yakareba Kana zvichidiwa
Kana iwe uchinzwa uchinetseka, tsvaga pamusoro pezvinetso nema generic, chido cheT3, nzira dzinobatanidza, uye vanachiremba vakanaka.
Dzimwe HMO uye makambani einishuwarenzi ari kungozadza zvinyorwa zve levothyoxine nemagetsi echirevo chechirwere. Pane dambudziko ne generic levothyroxine .
Dambudziko guru nemagetsi, uye kunyunyuta kunoitwa navanachiremba, ndeyekuti kana iwe une mishonga ye generic levothyroxine, nguva dzose paunowana kugadzirisa, unogona kuwana levothyroxine yakaitwa nekambani yakasiyana. Izvi zvinoreva kuti nguva dzose kana iwe uchiwana kugadzirisa, iwe unogona kuva nechigadzirwa chakasiyana nenzira yakasiyana, iyo inogona kunge ine simba pamatanho ako eTSH . Izvi zvinonyanya kukoshesa vanopukunyuka pamuviri wekenza, avo vanoda kuchenjerera kugadzirisa kuitira kuti vadzvinyirire TSH senzira yekudzivisa kukwereka kwekenza.
Kana HMO yako kana inshuwarisi iri kuedza kumanikidzira maitiro, iwe unogona kukumbira chiremba wako kuti anyore mishonga iwe iwe unoti "hapana chimiro chechipiri" uye DAW (kupa pachena sezvakanyorwa). Chiremba angatotonyora tsamba kuti abatsire kururamisa zita rechigwaro.
Kana iwe wakanyatsomanikidzwa kutora chimiro, imwe nzira yekuzvidzivirira pakutsinhanisa kubva kune brand kusvika kunekuwana ruzivo runogara kwenguva yakati. Funga kuwana chiremba wako kuti akukunyorere mishonga yemwedzi mitanhatu, somuenzaniso. Asi paunowana chiremba ichi chakazadza, iva nechokwadi chokuti uwane batch itsva, imwe isingazoperi kusvikira kwenguva refu mushure mekunge mave kushandisa mushonga wemwedzi mitanhatu.
4. Funga Kumbira Chiremba Wako Kupa Zvimwe Zvimwe T3 kana Mishonga Inosanganisira T3
Kune vamwe vanhu, kunyange kana TSH iyo yakawanda, kana zvimwe mune zvimwe zvidzidzo, zvakashata zvakajairika, pangangodaro pane mamiriro ezvinhu apo mumwe ari kushanda hypothyroid, nekuda kwekushaya kwemuviri kutendeuka kutenderera T4 hormone yehomoni mukati mekushanda T3 hormone pa masero emagetsi, asingakwanisi T3 mahomoni emazhinji, kana zvimwe zvikonzero. Kusakwanisa kutendeuka zvakanaka T4 kusvika kuT3 kunogonawo kuguma nekuchinja kweTSH , sezvo hurongwa huri kurwisana nekuramba uchienzanisa nekunze w4ck T4 neT3 level, kutumira TSH mazinga kumusoro uye pasi kudzipa. Kune ava varwere, kubatsiridza T3 kunogona kuvabatsira kuti vanzwe zvakanaka.
Vamwe varwere vanoona kuti kuwedzera T3 nenzira yeCytomel kana kuburikidza nekuwedzerwa , nguva-yakabudiswa T3 , kune levothyroxine yavo, inogadzirisa zviratidzo. Vamwe vakabudirira neimwe nzira: maitiro eT4 / T3 mishonga yeTrorolar, uye chigadzirwa chevarwere vanoratidzika sevanonzwa zvakanakisisa pane zvakasikwa zvakasikwa T4 / T3 Zvombo Zvishongo zveTroroid , izvo zvave zvichiwanikwa nemirairo kwemakore anopfuura zana.
Ini ndiri mumwe wavo vanhu vanofunga zviri nani kutora T3. Kubva pakuonekwa kwangu muna 1995, ndakatora maruva akasiyana-siyana eLevothyroxine, levothyroxine pamwe neCytomel, Thyrolar, uye Armor, uye ini nguva dzose ndainzwa zviri nani pane regimen yaisanganisira T3, nerevothyroxine zvinodhaka.
Zvinotoshamisa kuti Zvichiri kuongororwa kushandiswa kweT3 kuvanhu vane hypothyroidism nevanenge vasati vatsva kana kugamuchira nhengo dzezvechiremba.
5. Gadzira nzira dzakasiyana-siyana uye dzinobatsira mukati moutano hwako
Kana iwe wakanyatsogadzirisa utachiona hwako, danho rinotevera nderokufunga kubatsiridza chirwere chako chetachiona chemazuva ano nemimwe nzira. Izvi zvinogona kusanganisira kuchinja kwezvokudya, maruva / vitamini / zvigadzirwa zvekubatsira kuderedza zviratidzo zvakananga, kubatsirana kwekuwedzera, kushandiswa kwemasabolism-kukurudzira maitiro, kupesana kwekunetseka kwepfungwa, nekumwe kushandiswa kwekuita. Kuti ubatsire kukura iwe pachako hutano hwehutano hwakakonzerwa, pane mabhuku akasiyana-siyana anopa mu-yakadzidza ruzivo. Ona ruzivo pamusoro pemabhuku ane chokuita nehutori nokuda kwemazano.
6. Tora Dhavhidha Mutsva
Kana chiremba wako asingakwanisi kukurukura zvingasarudzwa, ipapo iwe uchada kuwana chiremba, uyo anoziva nezvemamiriro ezvinhu ehutano , ndiani achava shamwari yako muhutano.
Sources:
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.