Magunguna masu fama da lalata suna da mamaki a koya cewa matsalolin maganin karoid sune sakamako na gaba na shan lithium miyagun ƙwayoyi. Lithium wata magunguna ce da ake amfani dashi don magance cutar kwakwalwa, wadda ake kira wani nau'i na manic.
Lithium yana da tasiri mai yawa akan thyroid:
- shi rage your thyroid gland shine yake da ikon samar da thyroxine (T4)
- yana dame tare da fasalin T4 zuwa T3
- zai iya haifar da karuwa a matakin TSH
- zai iya worsen muhimmi autoimmune thyroid cuta
Lithium da aka sani don haifar da goiter (an kara girma thyroid), da hypothyroidism (underactive thyroid), da kuma na kullum autoimmune thyroiditis, wani mummunan yanayin thyroid gland shine. Akwai hanyar haɗi tsakanin lithium da hyperthyroidism a wasu marasa lafiya.
Lithium ta Hanyoyi masu dangantaka da Thyroid
Goiter: Goiter , karar gwiwar thyroid, ita ce mafi yawan abin da ake yi na lithium na maganin karoid, kuma an kiyasta zai faru a kusan rabin dukkan marasa lafiya da aka bi da lithium. Goiter yakan bunkasa a cikin shekaru biyu na aikin jiyya na lithium. Tare da goiter na lithium, thyroid zai iya kara girma har zuwa sau biyu na al'ada size.
Hypothyroidism: Hypothyroidism - rashi a cikin hormone thyroid - an kiyasta zai faru har zuwa rabin dukan marasa lafiya ɗauke lithium.
Ya fi sau da yawa yakan faru a farkon shekaru biyu na aikin jiyya na lithium. Mace fiye da 45 suna fuskantar haɗari na hypothyroidism a cikin lithium, da kuma yawan hadarin hypothyroidism a cikin marasa lafiya da aka bi da lithium yana ƙaruwa da shekaru.
Harkar hypothyroidism na iya zama subclinical-tare da matakin da ake yiwa thyroid stimulant hormone (TSH), da kuma al'ada T4 da T3-tare da wasu alamu ko alamu.
A wasu lokuta, hypothyroidism mai sauƙi ne, kuma yana nunawa a cikin farkon watanni na jijiyar lithium, amma yana da matukar wucewa, kuma aikin kawanci ya dawo zuwa al'ada. Ƙananan marasa lafiya, duk da haka, zasu bunkasa hypothyroidism , tare da alamomin alamu da alamun bayyanar . Wadannan marasa lafiya ya kamata a bi da su don hypothyroidism da aka shigar da lithium .
Autoimmune Thyroiditis: Marasa lafiya shan lithium ma a hadarin bunkasa na kullum autoimmune thyroiditis-wani autoimmune ƙonewa na thyroid gland shine. Idan kana fara farawa na lithium, kasancewar adadin antityroid (thyroid peroxidase TPO anti-acid ) - ko da ba tare da lalacewar thyroid dysfunction - ya sa ku a mafi girma hadarin bunkasa wani overt thyroid yanayin yayin da ake bi da tare da lithium. Har ila yau akwai alamun shaida cewa lithium kanta na iya haifar da kwayoyin da aka dauka da maɗaukaka da kuma farawa na cutar karoid a wasu marasa lafiya.
Har ila yau, magani na Lithium yana nuna cewa an danganta shi da haɓakar hyperthyroidism mai yawa - haɗuwa da hormone thyroid. Yawancin karatu sun nuna cewa hyperthyroidism shine sau biyu zuwa uku sau da yawa a cikin marasa lafiya da aka bi da lithium, tare da lalata yawan jama'a.
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UpToDate yana da wasu shawara don taimakawa marasa lafiya shan lithium fahimtar thyroid-related effects:
Saboda matsanancin yanayi na goiter da hypothyroidism da ke faruwa a lokacin jijiyar lithium, marasa lafiya ya kamata a yi nazari da ƙwaƙwalwar ƙwaƙwalwar maganin magani na Troid da antithyroid kafin a fara karatun lithium. Dole ne a sake tantance marasa lafiya da ke aiki a halin yanzu a wannan lokaci a kowane watanni shida zuwa 12 na shekaru da yawa. Idan aikin hawan karoid abu ne maras kyau a farkon gwaji, za a iya ba da lithium idan ya kamata, amma ana iya kula da maganin thyroid.
Mene ne ma'anar cewa idan an umarce ku da lithium, kuna buƙatar tabbatar da cewa kuna da jarrabawar maganin ƙwayar jijiyar ku , da kuma gwajin jini don auna matakan TSH da antithyroid , kafin ku fara farjin lithium. Wasu masana sun bayar da shawarar yin maganin thyroid kimanin makonni shida bayan ka fara jiyya na lithium. Duk lokacin da kake karatun lithium, likita ya kamata ya sake nazarin aikin ka, ciki har da jarabawa na jini da kuma kimanin watanni shida zuwa 12, ko kuma a baya, idan ka fara nuna alamun cututtuka da ke nuna cewa kana da nakasar karoid.
Hypothyroidism a cikin Lithium yana iya canzawa idan ka daina barin lithium. Idan ka ci gaba da maganin matsalar karoid yayin da yake a lithium, masana ba su bayar da shawarar dakatar da farjin lithium naka ba. Maimakon haka, suna da mahimmanci shine aiki tare da likitanka don tabbatar da cewa kana samun magani mai mahimmanci don yanayin lafiyar ka . Likitan likitanku zai bukaci saka idanuwan ka da kuma amsa ga maganin maganin kawo don tabbatar da an cika ka, da kuma nazarin lokaci ko ci gaba da aikin lithium shine mafi kyawun zaɓi don lafiyarka.
Source:
> Goldberg, Yusufu, MD. "Gudanar da Hypothyroidism a cikin marasa lafiya a kan Lithium Prophylaxis ga matsalar Bipolar." Medscape. 31 Oktoba, 2008. Online: http://www.medscape.com/viewarticle/581200
> Surks, Martin. "Lithium da thyroid." Na zamani. Samun shiga: Maris 2009.