Doctors za su iya cewa saurin maganin cutar thyroid ne "mai sauƙin ganewa, sauƙin magance," ko kuma cewa "ciwon maganin thyroid ne mai kyau ciwon daji," amma karoid marasa lafiya san cewa akwai kalubale ƙananan rayuwa tare da thyroid cuta. Bari mu dubi mahimman ƙalubale goma da za ku fuskanta a rayuwarku tare da cutar thyroid.
1. Sanin Dukkanin Zaɓin Harkar Kuɗi na Hypothyroidism
Ko kuna da Idinin rediyo (RAI) don cutar cututtuka, maganin thyroidectomy don ciwon maganin thyroid, ko thyroiditis na Hashimoto, za ka kusan kusan kawo karshen hypothyroid, wanda ke buƙatar shan magani na maye gurbin thyroid .
Kalubale mai mahimmanci, duk da haka, shine sanin cewa akwai maganin kulawa. Magungunan gargajiya da magungunan magani na zamani sukan gaya wa marasa lafiya cewa akwai maganin maganin daya kawai: levothyroxine, nau'in sarkar kwayoyin T4. Alamun sunaye sun haɗa da Synthroid, Levoxyl, da Tirosint. Akwai, duk da haka, wasu magunguna da haɗuwa waɗanda suke da lafiya kuma zaɓin zaɓuɓɓuka don hypothyroidism. Ba za ku iya sauraron waɗannan zaɓuɓɓuka daga mafi yawan likitoci ba. Wadannan zaɓuɓɓukan magani sun haɗa da:
- Levothyroxine tare da T3 farfadowa, ƙara zumin zuma (sunan mai suna Cytomel), wani nau'i na T3, ko kuma bayanan da aka ba da takaddama na zuma
- Levothyroxine tare da dabi'ar da ke cike da thyroid (NDT). NDT ne maganin maganin maganin maganin maganin kuɗin da aka yi daga ƙwayar giyar da ke alade da ƙwayar ka, kuma ya kasance a kasuwa har fiye da karni a matsayin magani na hypothyroidism. Ya haɗa da siffofin halitta na T4 da T3 na hormones. Wasu sunayen sunaye sun hada da Nature-Throid da Armor Thyroid.
- NDT-kawai farfadowa
A kan cin abinci mai gina jiki, akwai kuma shaida cewa a cikin wani yanki na mutanen da ke da ciwon gwiwar thyroid, amma kuma suna da cutar celiac , kawar da gurasar cin nama daga rage cin abinci zai iya sanya cutar maganin ka a cikin remission, warware maganin cututtuka, da kuma kawar da bukatar thyroid magani.
Jaraba ga cutar celiac da rashin haƙuri maras kyau ba yawanci sunyi ta hanyar likitoci ko likitoci.
2. Sanin dukkanin cututtukan ka / cututtuka na Hyperthyroidism Options
Lokacin da aka gano ku tare da cututtukan Graves ko hyperthyroidism, al'amuran likitoci a Amurka su bayar da shawarar kai tsaye a kan cewa kuna da magani na rediyo mai maganin rediyo (RAI) . Wasu likitoci suna kira wannan "Rush to RAI".
RAI magani ya haɗa da daukar nauyin yadine na rediyo, wanda ke da hankali a cikin thyroid kuma ya lalata shi, warware matsalar hyperthyroidism. RAI, duk da haka, yawanci yakan haifar da hypothyroidism a duk tsawon lokacin da kuma sakamakon da ake bukata don maganin maganin hormone.
A waje da Amurka, duk da haka, likitoci sun fi dacewa su gwada maganin antithyroid , wanda ya rage karfinka ba tare da hallaka shi ba har abada. Saboda yawancin kashi 30 cikin 100 na cututtukan Graves da kuma marasa lafiya na hyperthyroidism sun shiga maganin maganin maganin antithyroid, likitoci a waje da Amurka suna amfani da maganin miyagun ƙwayoyi kamar yadda aka fara amfani da su na farko da kuma bada shawarar RAI idan akwai rashin lafiyar ko ƙwarewa ga kwayoyi, ko magungunan ba su da tasiri a warware matsalar hyperthyroidism.
Wasu cututtukan cututtuka da marasa lafiya na hyperthyroidism a Amurka basu taba fadawa cewa kwayoyi antithyroid wani zaɓi ne.
An gabatar da su tare da RAI kawai ne kawai magani.
Wani batu shine cewa ga mata masu haihuwa, RAI ba a ba da shawara ba idan kuna shirin yin ciki cikin shekara mai zuwa. Masana sun ba da shawara ku jira a kalla shekara guda bayan RAI kafin yin ciki, ko ma ya fi tsayi idan kana bukatar samun stabilized a kan maganin maganin thyroid.
A waje da Amurka, RAI ba ta da wata wahala a kan kowane mata na haihuwa, saboda wannan dalili. Maimakon haka, an cire magungunan ƙwayar maganin ƙuƙwalwar ƙwayar jikinka.
Bugu da ƙari, a Amurka, yawancin mata ba su shawarce su da cewa idan sun yi fatan suyi juna biyu a cikin shekara mai zuwa, tiyata zai iya zama mafi kyawun zaɓi kuma idan da zarar an maye gurbin su na hormone, za su iya zama mai ciki, maimakon jira.
3. Neman Doctors Dama
Ɗaya daga cikin manyan kalubale da za ka fuskanta shine gano likitan likita don maganin ka. Idan kana da cututtukan Graves ko hyperthyroidism, thyroid nodules, ko ciwon daji na thyroid, za ka buƙaci yawanci don tuntubi wani likitancin magani. Amma yawancin masu ilimin cututtuka sun fi kwarewa a cikin ciwon sukari kuma suna da iyakacin gwaninta a bincikar binciken da kuma kula da marasa lafiya.
Saboda haka, raƙuman ƙarancin endocrinologists waɗanda suka kware a cikin maganin thyroid ne kadan. Hakazalika, idan kana da Hodyimoto ta thyroiditis ko suna gudanar da hypothyroidism mai gudana, za ka iya gano cewa likitoci na farko ko likitoci na daukar tsari mai mahimmanci, kuma suna bayar da iyakacin maganin magani. Abubuwa biyu don taimaka maka ka shawo kan wannan kalubale:
- Magunguna na thyroid: Menene Doctor Dole Ka Dubi?
- Yanke shawara game da masu aiki don Kulawar Thyroid
4. A Yankin Masu Endocrinologists
Masanan sunadarai sunyi kwarewa wajen gudanar da cututtuka na endocrine wadanda suka hada da ciwon sukari-wanda ke kaiwa ka'ida a cikin Amurka - da kuma yanayin da ya haɗa da rashin haihuwa da matsalolin haifuwa, cutar polycystic ovary, menopause, osteoporosis, rashin ciwon hormone, kuma ba shakka, cutar thyroid. A Amurka, muna da mummunan kasawar endocrinologists .
Wasu binciken sunyi kiyasin cewa akwai wani masanin kimiyyar endocrinologist ga dubban mutane tare da yanayin da ya fada a cikin jerin masu endocrinologists. Tsayawa jerin su don ganin masu binciken endocrinologists zasu iya samuwa daga makonni zuwa watanni masu yawa-Idan har za ku iya shiga ko da yaushe. Gaskiyar ita ce, akwai kawai ƙananan endocrinologists don bauta wa kowa da kowa tare da yanayin thyroid. Duk da haka, yawancin masu binciken likita sun sami raguwa na musamman, kuma suna mayar da hankali ga marasa lafiya na ciwon sukari, ko haifar da cutocrinology, kuma kada ka dauki marasa lafiya. Yayinda masu aikin likita masu amfani da cututtuka ba su da mahimmanci don ganewar asali da kuma maganin cututtukan Hashimoto da hypothyroidism , suna da mahimmanci ga yanayi masu rikitarwa irin su cutar Graves, thyroid nodules, da ciwon maganin thyroid.
5. Ciyar da Ƙarfi
Ɗaya daga cikin gunaguni na yau da kullum na masu maganin karoid-ko hypothyroid ko hyperthyroid-yana da gajiya da ci gaba. Rashin gajiya yana iya zama mai haɗari kuma sau da yawa ba a yarda da shi ba saboda karin barci ko hutawa. Rashin haɗari yana da mahimmanci idan an magance ku ko kuma an shayar da ku ta hanyar hypothyroidism, ko kuma idan kun kasance masu matsanancin matsananciyar sanyi da kuma rashin rashin barci. Akwai, duk da haka, mafita ga wannan kalubale .
6. Sarrafa Ƙimarka
Wani adadin yawan mutanen da suke hypothyroid sun ƙare tare da nauyin nauyin da yake da wuyar-kuma wani lokaci yana da alama ba zai yiwu ba - ya rasa. Wannan shi ne daya daga cikin manyan gunaguni na mutane da yawa tare da yanayin maganin thyroid: cewa babu wani nau'i na calories, canje-canje na abincin, ko aikin motsa jiki na iya motsa sikelin a hanya madaidaiciya.
Akwai wasu dalilai da zasu iya yin nauyi fiye da wahalar marasa lafiya na thyroid, ciki har da :
- Kasancewa da talauci ko kuma undermedicated ga hypothyroidism
- A jinkirin metabolism ko matsayi mafi girma daidaita, ko da bayan magani
- Rashin haɗarin insulin juriya da ciwo na rayuwa
- Ƙananan makamashi, wanda ke fassara zuwa kasa da motsi da ƙananan adadin kuzari sun ƙone
- Hormonal canje-canje da zai sa ku fi tasiri a ajiyayyar mai da rashin tasiri a ƙone shi
Akwai mafita ga ma'auni-ƙalubalanci marasa lafiya thyroid .
7. Yin Magana da Canje-canjen Hanyoyin Cikin Gidanka
Undiagnosed, undertreated, kuma overtreated thyroid cuta na iya haifar da wanki jerin yanayi da kuma tunanin mutum cututtuka bayyanar cututtuka. Rashin hankali, ƙwaƙwalwar ƙwaƙwalwar ajiya, matsalolin ƙwaƙwalwa, tashin hankali, da damuwa za su iya zama alaƙa da thyroid. Kuna iya samun bayyanar cututtuka da suka shafi halinka da kuma tsangwama tare da ikon yin aiki yadda ya kamata.
Wadannan bayyanar cututtuka na iya zama kalubale lokacin da kake ƙoƙarin samun ganewar asali, kamar yadda wasu likitoci zasu ba ka takaddun umarni don antidepressants ko magungunan antianxiety maimakon mawuyacin umarni don kajin karoid. Ko da tare da magani, za ka iya samun wasu daga cikin wadannan yanayi-related cututtuka da aka jawo ta thyroid.
Da kyau, mahimmin bayani shi ne tabbatar da lafiyar lafiyar ka. A wasu lokuta, antidepressant ko maganin antianxiety zai iya taimaka. Amma kada ka manta da amfani da wasu ayyuka, wasu daga cikinsu an tsara su ta hanyar kwantar da hankali Dr.
Hakanan zaka iya samun ƙarin damuwa daga ciki da damuwa ta hanyar kirkiro aikin yau da kullum na tunani .
8. Masanan marasa lafiya da marasa lafiya
Abin baƙin ciki shine, zaku iya fuskantar likitoci maras sani da marasa lafiya, kuma suna sanya kalubale ga duk wanda ke fama da rashin lafiya na kullum, ciki har da marasa lafiya. Idan kana da ciwon ciwon maganin thyroid, zaka iya saduwa da magungunan ma'anar (amma rashin tausayi) likitocin da suka gaya maka cewa "ciwon maganin thyroid ne mai kyau ciwon daji," idan duk wanda ke fama da ciwon daji ya san cewa babu ciwon daji "mai kyau" daga hangen nesa.
Ko kuma, za ku iya shiga likitoci da suka jure cewa irin wannan kwayoyin halitta ne da ke dauke da kwayoyin maganin karoid daga cikin shanu (ana samun su daga aladu), kuma suna sanya hadarin ƙwayar cuta.
Ko kana iya samun likita na yau da kullum wanda ya nace cewa wani maganin thyroid biopsy yana nufin dole ne ka yi aikin tiyata, ba tare da sanin cewa gwaji na Afirma daga Veracyte na iya kusan ko da yaushe ya fitar da ko kuma gano asalin ciwon ciwon thyroid wanda ya danganci sakamakon biopsy, kuma ya guje wa maras amfani tiyata.
Kyawawan shawarwari idan kun haɗu da ɗaya daga cikin waɗannan likitoci marasa lafiya ko marasa lafiya: Lokaci ke nan don samun sabon likitan thyroid .
9. Iyali, Abokai, da Ma'aikatan da ba su fahimta
Ga yawan marasa lafiya thyroid, cutar thyroid ba zai haifar da canje-canje na fili ba. Maiyuwa bazai da matakan canji ko wasu bayanan da ke bayyane akan yanayinka. Bugu da kari, akwai wasu shahararru - Sofia Vergara na Yammacin Yamma suna tunawa-wadanda ke aiki a matsayin masu magana da masu bada shawara don maganin maganin karoid, yada saƙon cewa cutar karoid ba iska ce da za ta bi da ita ba.
Kila kuma ku san marasa lafiya marasa lafiya wadanda, bayan ganewar asali, su ɗauki kwayoyin maganin su, kuma basu da wani canji mara kyau a yadda suke ji, kuma a sakamakon haka, kada kuyi imani da cewa 'yan'uwanku marasa lafiya marasa lafiya sun kasance marasa maganin bayyanar.
Wannan na iya nufin cewa abokai, iyali, da kuma abokan aiki na da wuyar fahimtar abin da kake faruwa, kuma ba tausayi ko jin tausayi ga kalubale na lafiyarka. A warware wannan kalubale? Ka ba su daya daga cikin wadannan wasiƙu don taimakawa wajen bayyana yanayin a gare su:
10. Kwanaki lokacin da kake so ka tashi
Daya daga cikin kalubale da yawa thyroid marasa lafiya fuskantar su ne kwanaki lokacin da kawai kana so ka daina. Yana da wuya a sami likitan likita, magunguna masu dacewa, ko salon rayuwa mai kyau ya canza can don taimakawa bayyanar cututtuka kamar gajiya, karfin jiki, ko rashin ciki. Gashinka yana fadowa kuma babu abin da zai iya tsayar da shi, ko kuma kuna barci 12 hours kuma ya tashi har yanzu yana jin gajiya. Mene ne ma'anar, zaka iya tambaya? Idan kai, kamar masu ciwon thyroid masu yawa, kai ƙarshen igiya a cikin shawo kan cutar thyroid, sani cewa ba kai kaɗai ba ne . Akwai mutane da yawa daga wurin da suka san yadda kuke ji, kuma sun sami damar cin nasara irin wannan ji.
> Sources:
> Bahn, R., Burch, H, Cooper, D, et al. Hyperthyroidism da sauran dalilai na Thyrotoxicosis: Jagoran Gudanarwa na Amurka Yourroid Association da kuma American Association of Clinical Endocrinologists. Endocrine Practice. Vol 17 No. 3 Mayu / Yuni 2011.
> Braverman, L, Cooper D. Werner & Ingbar's Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.
> Ch'ng, CL, et. al. "Cututtukan Celiac da Ciwon Kai na Thyroid." Medicine Clinical & Research. 2007; 5 (3): 184-192. Doi: 10.3121 / cmr.2007.738.
> Garber, J, Cobin, R, Gharib, H, et. al. "Ayyukan Gudanar da Harkokin Gudanarwa na Hypothyroidism a cikin Manya: Cikin Shaɗin Ƙungiyar Ƙungiyar Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararruyar Amirka da Ƙungiyar Ƙasa ta Amirka." Endocrine Practice. Vol 18 No. 6 Nuwamba / Disamba 2012.
> Roy, A, et. al. "Yanayin cutar Celiac a cikin marasa lafiya tare da Autoimmune thyroid cuta: Meta-Analysis." Thyroid. 2016 Jul; 26 (7): 880-90. Doi: 10.1089 / Your.2016.0108.