Zvitevedzo Zvako Kana Hwe Hypothyroid Treatment Isingashandisi
Mushure mekunge vaongororwa ne hypothyroidism uye kutanga mushonga, vanhu vazhinji vanoramba vachiine zviratidzo. Izvi zvingava zvechokwadi kunyange iwe wakanga uri hypothyroid kwenguva yakareba uye kana TSH yako yakajairika.
Kana iwe usiri kungonzwa wakarurama mushure mokunge wawana mushonga we hypothyroidism yako, iwe hausi woga. Kunyange zvazvo izvi zvichijairika uye zvinogona kuva zvinokanganisa zvinoshamisa, pane zvimwe zvinhu zvinogona kuita kuti musiyano wako unzwe sei mumuviri uye mupfungwa.
Ngatitarisei izvo zvingave uri kuitika, uye nyorai zvimwe zvematanho ekufungisisa mukuedza kwako kuti unzwe zvakakwana.
Kuramba Uchiratidza Kurapa kweHypothyroidism
Kunyangwe mushure mekunge mawanikwa uye makaraira utachiona hwemishonga yemishonga ye hypothyroidism, uye kunyange mushure mokunge maitiro ako emararamiro achiita se "akaenzana," iwe unogona kuramba uine zviratidzo zvinoramba zvichiitika. Iwe unogona kunge wakaona:
- Kuenderera mberi kuwedzera kuwedzera
- Dambudziko rokurasikirwa uremu
- "Utsi hwebongo"
- Dambudziko kuisa pfungwa
- Kuora bvudzi
- Ruoko, tsoka, kana kuvhara kwemaziso
- Kuvhiringidzika kupisa uye / kana kutonhora
- Muscle aches
- Joint pain
- Constipation
- Carpal tunnel syndrome kana tendinitis
- High cholesterol mazinga
- Zvakaoma kubata pamuviri
Matanho Ekutarisira Kuramba Muchirwere Ichibatanidzwa neHypothyroidism
Kana uine chimwe chezviratidzo zvakanyorwa pamusoro apa, ungaitei? Ngatitarisei matanho akawanda aungatora kuti uchinzwe zviri nani. Sezvaunotora matanho aya zvakakosha kuva nechiremba anokwanisa kufamba pedo newe pakugadzirisa zvaunofanira kuita pakati pemakambani ekurapa iye zvino.
1. Tarisa paTsh yako Yenhamba
Danho rokutanga rokutora pakuita zvakanaka nderokuziva TSH yako yepamusoro (utachiona hunokurudzira hormone level.) Kunzwisisa TSH yako yepamusoro, zvisinei, zvinoda zvinopfuura kungoziva kana nhamba yako inowira mukati me "zvakarongeka."
Zvichienderana nebasa rako, pamwe nesangano rinogadzira mazano, chirongwa che "chinowanzo" chinowanzoonekwa pakati pe 0.5 ne 5.0 mU / l.
Mumakore achangobva kupfuura, zvisinei, kwakave nekusiyana kukuru kwezvirongwa pamusoro pezvinodiwa neTSH .
Vanachiremba vakawanda vatsva vanotanga kutenda kuti TSH iri pakati pe1 ne2, mune mamwe mashoko, pamucheto wepasi wehutano hwakanaka, yakakosha kuti vanhu vanzwe zvakanaka uye vadzivise kuva nezviratidzo zve hypothyroid. (Vamwe vanofungawo kuti chisarudzo chinofanira kuitwa nekusanganisira pachena T4 uye pasina T3, yatichakurukura inotevera.)
Kusiyana neizvi, zvimwe zvinorayirwa zvakave zvekudzivirira kurapwa nguva dzose kunyange kuvanhu vane TSH mazinga anowa pakati pe5 ne10 mU / l.
Sezvo pane gakava pamusoro pehutano hwakanaka hweTSH yevanhu vane hypothyroidism, zvakakosha kutaurira chiremba wako pamusoro pezvaanonzwa kuti chinangwa chenhamba yako inofanira kunge chiri mukati memazuva ose.
Chifananidziro chekuita izvi zvinyatsojekesa ndezvei zvakakwana mavitamini D mazinga . Mamwe marabhu anocherechedza kuti "mararamiro akaenzana" e vitamini D ari 30 kusvika ku90. Panguva imwechete, dzimwe dzidzo dzakaona kuti mazinga pakati pe50 ne70 anosarudzwa kuti aderedze njodzi yemamwe marapirwo akadai sekenza. Muchiitiko ichi, kana munhu aine nhamba ye 31, chiremba wavo anogona kukurudzira kuwedzera kunyange zvazvo nhamba yavo inowira mukati me "zvakarongeka."
(Cherechedza: TSH mairi anofanirwa kuchengetwa pasi pe1 pasi kune vanopona kanzera yekenza kuitira kuti vadzivirire zvakare.)
Dzidza zvakawanda pamusoro pekuti iwe hypothyroidism yako inogona kunge ichitsemuka .
2. Tarisa paT Free yako T4 uye Free T3 Levels
Danho rinotevera nderokuziva nehurukuro yako yeT4 uye mahara T3 akasununguka. Zvakakosha kuziva kuti utachiona hwemishonga yemishonga yakadai seSyroid ndiyo T4 chete, asi zvose T4 neT3 zvinowanzovapo mumuviri.
Kutanga nekudzidza muNew England Journal of Medicine muna 1999, iyo yakawana kuti vanhu vane hypothyroidism kazhinji vainzwa zviri nani nekubatanidzwa kweT4 neT3zve, vashandi vakatanga kutarisa kana kuwedzera t3 kurapwa kune T4 therapy kungabatsira kune vamwe vanhu ramba uchinzwa hypothyroid pasinei nehuwandu hweTSH.
Kazhinji, T4 inoshandurwa kusvika kuT3 mumutumbi, uye kupa T4 kuburikidza nekugadzirisa, inofanirwa, inokwana. Asi izvozvo zvingasava nguva dzose.
Sei vamwe vanhu vangave nehutano hwakanaka hwehupenyu nehuwandu hweT3 pamwe nekuwedzera kwehutori hwavo hwekushandura utachiona? Pano pane nhamba dzedzidziso. Zvinofungidzirwa kuti vamwe vanhu vane TSH yakakwana vanogona kunge vachiri hypothyroid pamasero emagetsi. Izvi zvingave zvakakonzerwa nokusakwanira kutendeuka kweT4 kusvika kuT3.
Kune vanhu vanogona kunge vane mahara T3 akasununguka, zvingasarudzwa zvinogona kusanganisira kubhadhara T3 zvinodhaka (zvakadai seCytomel) kana kushandura kune chigadzirwa chinotsiva zvose T4 uye T3 sechirairo chezvisikwa zvakasikwa zvakasvibiswa (zvakadai seArmor.) Dzidzo dzakakanganiswa chiito ichi, uye zvidzidzo zvinotendwa kuwana zvose zvakakosha kuwedzerwa kune vamwe uye kusakosha kwekuita kune vamwe. Nokuda kweizvi, zvakakosha kutaura nachiremba wako pamusoro pezvinobva kuwanikwa uye kunzwisisa T4 / T3 utachiona hwechirwere chetachiona . Zvakakoshawo kuziva kuti munhu mumwe nomumwe akasiyana, uye iwe uye chiremba wako unofanira kushanda pamwe chete kuti uporese zviratidzo zvako panzvimbo yehuwandu humwe huwandu.
Ramba uchifunga kuti T3 supplementation inogona kubatsira nezvimwe zviratidzo zvako asi kwete vamwe. Somuenzaniso, chidzidzo cha2013 chakawana kuti kutora T4 / T3 muzana hauna kuwedzera hupenyu hwehupenyu nehanzvadzi levothyroxine chete, asi kwakabatsira kubvisa kuora.
Kana iwe uchifunga kuti T3 inogona kunge iri dambudziko rako, ini ndinowana zvakawanda pamusoro pekuti iwe unogona kutoda T3 kana chimiro chakasikwa chetachiona .
3. Kuisa TSH, Free T4, uye Free T3 Together
Panzvimbo pane kutarisa nhamba chaiyo yeTSH, isina T4, kana T3 yakasununguka chete, kusanganiswa kwenhamba idzi kunogona kukubatsira iwe uye chiremba wako kusarudza kana kuchinja chero kupi zvako kunoda kuitwa mumushonga wako wemishonga, kana kana uchida kufunga kushandisa T3 chiremba mukuwedzera kune thyroid replacement therapy (kana kushandura kune T4 / T3 makundi.
Vamwe vashandi vanofunga kuti zvakanakisisa hypothyroidro inosanganisira kwete chinangwa cheTSH yepamusoro pakati pe1 ne2 asi T4 yakasununguka muhafu yepamusoro yehutano hwakanaka uye isina T3 mune yepamusoro 25 percentile yemhando yakatarwa.
Kutarisa zvose izvi pamwe chete kunogona kuvhiringidza. Iwe unogona kuda kutora nguva kuti uongorore maitiro ehutachiwana mushonga mushonga wemishonga inowanika, kusanganisira kwete mishonga yeT4 chete, asi T3 uye T4 / T3 makundi pamwe chete.
4. Zvimwe nzira dzekufunga zvakanaka ne Hypothyroidism
Kuwana mishonga yakanakisisa kana mishonga uye chirongwa chakanaka chekutarisira zviratidzo zvako chinongova chikamu chokurarama zvakanaka ne hypothyroidism. Pane zvimwe zvinhu zvakawanda zvaunogona kuita kuti uzvinzwe zvakanaka sezvinobvira.
Kutanga, kana usina chiremba uyo anoita seanoziva mukugadzirisa mavara ezvirwere zvehutano, dzidza nezvekuwana vanachiremba vakanakisisa kuti vakwanise kutarisira utachiona. Asi, handizvo chiremba wako chete anogona kukubatsira kuti unzwisise kutsvakurudza kwakaitwa pamusoro pei hypothyroidism. Kutsvaga kwakanaka kwetachiona yekodzero yeboka rekusimbisa hakungokubatsiri chete mupfungwa, asi inogona kuva nzira yakanakisisa yekuwana nhau kubva kune vamwe vanhu vanotarisana nematambudziko iwe uri, uye kuva neruzivo pamusoro pehosha yako.
Sezvo nehutano huzhinji hwehutano, kukosha kwekuwana muviri wakakwana uye kudya kudya kwakanaka hakugone kuderedzwa. Pane zvinhu zvakawanda zvekuziva nezve hypothyroidism uye kudya kwako, zvakadai senhengo ye soy mune utano hwehutori .
Pakupedzisira, funga nezvenzira dzekudzikisa kushushikana muupenyu hwako. Kana iwe uchiuya kwenguva pfupi, unogona kutanga nokuongorora nzira idzi 70 dzekudzivirira kushungurudzika kwaunogona kuwana pane zvishoma zvinoshanda kwauri.
> Sources:
> Erigar, V., Taylor, P., Okosieme, O., Leese, G., naC. Dayan. Thyroxine Replacement: A Clinical Endocrinologist's Viewpoint. Annals of Clinical Biochemistry . 2016. 53 (Pt 4): 421-33.
> Kasper, Dennis L .., Anthony S. Fauci, naStefano L .. Hauser. Harrison's Principles of Internal Medicine. New York: Mc Graw Hill yembudzi, 2015. Print.
> Schmidt, Y., Nygaard, B., Jensen, E., Kventny, J., Jarlov, A., uye J. Faber. Peipheral Markers of Thyroid Function: The Effect of T4 Monotherapy vs T4 / T3 Therapy in Hypothyroid Subjects in a Randomized Crossover Study. Endocrine Connections . 2013. 2 (1): 55-60.