Yawancin mutanen da suke da hypothyroidism -in underactive thyroid-a Amurka ne mata. Yawancin matan nan suna da shekarun haihuwa ko kuma su ne perimenopausal / menopausal . Wannan yana nufin cewa yayin da ake kula da su don hypothyroidism, wasu daga cikinsu ma suna shan magani magungunan magani irin su maganin rigakafi ko jigilar maganin hormone.
A cewar binciken daga Guttmacher Instutute, kimanin miliyan 10 + mata tsakanin shekarun 15 da 44 sunyi amfani da kwayar hana daukar ciki don haihuwa.
An kiyasta kimanin 57 zuwa 75 na takardun magani don maye gurbin hormon, yawancin su ciki har da wani nau'in estrogen, an rubuta su a Amurka. Wasu masana sun kiyasta cewa yawanci kashi 5 cikin 100 na mata duka da kuma bayan-menopausal suna shan maganin maye gurbin maganin hormone da maganin maye gurbin maganin hormone.
Yana da mahimmanci ga kowane mace da ke shan maganin maganin hymothyroxine ko na halitta wanda ke dauke da thyroid -kamar yadda levothyroxine ko na halitta ya haɓaka thyroid - ya san abin da kwayoyin da ke dauke da estrogen zasu iya samun maganin maganin maganin hypothyroidism. Hakazalika, kana buƙatar ka sani idan an umurce ku magani na maye gurbin hormone don hypothyroidism bayan kasancewa a kan kwayar rigakafin da ke dauke da isrogen, ko kuma kun rigaya kuyi hanyar maye gurbin hormone wanda ya hada da kowane nau'in estrogen.
Hanyoyin Estrogen a Thyroid
Ƙarawa a cikin estrogen zai iya zama sakamakon haifuwa, wasu kwayoyin predispositions, da kuma yin amfani da magunguna kamar kwayoyin hana daukar ciki ko maganin maye gurbin hormon. Estrogens da aka dauka a matsayin magunguna zasu iya kasancewa a cikin nau'in estrogens na roba irin su ethinylstradiol, ko siffofin kwayoyin halitta kamar isradiol, estriol, ko estrone.
Estradiol kuma an san shi da 17 beta-estradiol.
Ko yaduwar isrogen din da ake samarwa ta jikinka ko dauka a matsayin magani na maganin, wannan estrogen yana da ikon tada matakan thyroxine-binding globulin, wanda aka sani da TBG. TBG wani furotin ne na musamman wanda aka sani da "globulin." Matsayin TGB shi ne haɗuwa da maɓalli biyu na thyroid din thyroxine (T4) da triiodothyronine (T3) -a ci gaba da jinin jini, da kuma taimakawa wajen kawo wadannan kwayoyin jikinsu zuwa jikin ku .
Lokacin da TBG ya taso, TBG ya ƙuƙasa ƙwayar thyroid hormone, kuma a sakamakon haka, yana rage adadin free hormones na thyroid samuwa a cikin jini. Wannan, bi da bi, zai haifar da haɓaka a matakin ku na TSH , wanda zai iya ƙarfafa samar da ƙarin hormone thyroid.
Bisa ga binciken, bayan makonni shida ne na isrogen, TBG ya tashi a cikin yawancin matan hypothyroid. Hadawa a TBG yawanci kololuwa a kimanin makonni 12 bayan fara farawa. Hakazalika, matakan T4 na T4 sun sauke-kuma a wasu lokuta, TSH ya tashi-a cikin hanyar daidaitawa a wannan lokacin. Wadannan canje-canje ba su da yawa a gani a cikin mata wadanda basu da hypothyroid.
Magunguna na thyroid: Your Steps Steps
1. Sake gwada aikinka na Thyroid Bayan farawa da Tsaya Pill ko Hormone Sauyawa
Mata masu lafiya ba su da wata matsala masu yawa a cikin aikin takaicinka a yayin da ake hana maganin rigakafi ko tsarin maye gurbin hormone tare da estrogen. Bincike ya nuna, duk da haka, kimanin kashi 40 cikin dari na matan da ke shan maganin maye gurbin maganin hormone wanda ke ƙara magani wanda ya ƙunshi isrogen sun rage a cikin matakan jini na T4. Wannan yana nufin cewa alamun hypothyroidism kamar su gajiya da nauyin kaya zai iya dawowa sai dai idan an ƙara maganin maganin maganin karoid. Wannan kuma haɗari ne ga matan da suka tsira daga ciwon ciwon thyroid kuma suna buƙatar ci gaba da maganin hormones da suka taimaka don hana maganin ciwon daji na thyroid.
Domin kusan rabin 'yan hypothyroid za su sami ciwon isrogirin, yana da muhimmanci a sake dawo da maganin thyroid a cikin watanni uku idan kun kasance a kan maganin maye gurbin maganin hormone kuma ku fara ko dakatar da maganin jiyya ko maganin isrogen. Kila iya buƙatar karuwa ko ragewa a cikin sashi na maganin maganin hormone na thyroid.
2. Kada Ka daina Dakatar da Kwayoyin Koyarwarka ko Saurin Saurin Ba tare da Gwaninta Ayyukan Thyroid ba
A cewar masanin kimiyya Dr. Robert Utiger, wasu matan hypothyroid da ke ɗauke da isrogen ko kulawar haihuwa zasu iya shawo kan bayyanar cututtuka, kuma su yanke shawarar dakatar da maye gurbin su, maye gurbi, ko maye gurbin hormon. Maimakon haka, a cewar Dokita Utiger, bincika matakan hormone thyroid da kuma kara yaduwar maganin maganin hormone na thyroid zai iya warware matsalar ga matan.
3. Ka yi la'akari da Mini-Pill na Contraception
Yawancin masu amfani da kwayar hana daukar ciki suna daukar kwayar "hade" wanda ya haɗu da estrogen da kuma progesterone. Wasu daga cikin shahararren shahararrun kwayoyin sun hada da Lo / Ovral, Loestrin, Lybrel, Mircette, Norinyl, Ortho-Novum, Ortho Tri-Cyclen, Seasonique, Seasonale, Yasmin, da Yaz. Wadannan kwayoyi zasu iya rinjayar matakan TBG da aikin karoid.
Kwayoyin maganin haihuwa na haihuwa wanda ba su hada da estrogen basu shafar matakan TBG ba, kuma a sakamakon haka, baza su canza aikinka ba. Wadannan kwayoyin hana daukar ciki ne a lokacin da ake amfani da ciwon estrogen ne ake kira "mini-pill". Wasu daga cikin shahararrun sunaye na wadannan kwayoyin kwayoyin ne kawai sun hada da Camila, Errin, Micronor, Nor-QD, Norethindrone, da kuma Ovrette. Kwayoyin maganin hana daukar ciki na ciwon isrogen ba su da amfani akai-akai idan an kwatanta da kwayoyi masu haɗin gwiwa, kuma akwai wasu tambayoyi game da ko an dauke su da tasiri.
Kwayoyin maganin sun fi tasiri ga rigakafin daukar ciki fiye da "karamin kwaya." Lokacin da aka ɗauki daidai, kwayar haɗin da aka hade ta kasance tsakanin 91% da 99.9%. (A lokacin da aka ɗauki daidai, an nuna mini-kwaya daga 87% har zuwa 99.7% tasiri.)
Idan kun kasance a kan maganin maye gurbin maganin hormone kuma kuna so ku tabbatar da cewa maganin maganin jinin ku ba zai shawo kan kwayoyin hana daukar ciki ba tare da estrogen, duk da haka, ya kamata ku tattauna "mini-pill" tare da likitan lafiyar ku.
4. Ka yi la'akari da Tsibirin Ƙaƙa
Akwai kafa mai kula da haihuwa, wanda aka yi amfani da fata, wanda yana da nau'in haɗari na haɗari, wanda aka ba da shi a cikin jiki (ta fata), a matsayin maganin kwayoyi. Wasu shahararren shahararren alamar sun hada da Ortho Evra da Xulane.
Wadannan nauyin kulawar haihuwa ba su shafar matakan TBG, kuma a sakamakon haka, bazai iya canza aikin aikin thyroid ba.
Idan kun kasance a kan maganin maye gurbin maganin hormone kuma kuna son tabbatar da cewa maganin jinin ku ba zai shafe kwayoyin hana daukar ciki tare da estrogen, ya kamata ku tattauna zabin yin amfani da alamar kula da haihuwa tare da likitan lafiyar ku.
5. Yi la'akari da Formats of Change Hormone Rerapy
Bincike ya nuna cewa kawai siffofin maganganu na estrogen suna da tasiri akan matakan TBG. Abubuwan da ake kira sunaye na kwayoyin ne kawai na haɗin gwanin ne kawai ne ko kuma haɗin haɓakar hormone sun hada da Activella, Angeliq, Cenestin, Enjuvia, Estrace, Femhrt, Femtrace, Menest, Prefest, Premarin, da Prempro.
Idan kuna la'akari da tsarin maye gurbin hormon wanda ya hada da estrogen, ya kamata kuyi la'akari da siffofin transdermal ne kawai na estrogen-kawai ko haɗuwa da matakan maye gurbin hormone, irin su alamomi, gels, ko allunan allurar ciki da kuma sutura. Shahararren shahararrun sun hada da Alora patch, Gwanin Climara, Combipatch takalma, Gidan Divigel, Extraderm patch, Yarda jigon kwakwalwa, Gwargwadon ƙarancin, Girasar Evamist, Rigun ruwa mai launi, Vagifem kwamfutar hannu, da Ƙarƙashin Vivel.
> Sources:
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> Cibiyar Guttmacher. "Amfani da yarjejeniyar a Amurka: 2016 Fact Sheet." https://www.guttmacher.org/fact-sheet/contraceptive-use-united-states
> Pinkerton, J, Santoro, N. "Tsarin maganin hormone." Menopause, 2015; 1 DOI: 10.1097 / GME.00000000000420
> Raps, M et. Al. "Amfani da maganin ƙwaƙwalwar hormonal zai haifar da matakan TBG da aka haɓaka, ƙananan matakin TSH ne." Thromb Res. 2014 Apr; 133 (4): 640-4. Doi: 10.1016 / j.thromres.2013.12.041. Afrilu 2014 Janairu 7.
> Santin, A et al. "Matsayi na Estrogen a cikin Dokar Thyroid da Girman Shiga." J Thyroid Res. 2011; 2011: 875125. An buga shi a kan layi na yau lahadi 4 ga watan Mayu 4. Dubu: 10.4061 / 2011/875125