Ɗaya daga cikin ayyuka na yau da kullum a zalunta marasa lafiya da ciwon maganin ciwon thyroid ne-bayan da aka cire yadine (RAI) a wasu lokuta - don rubuta wani nau'i na maye gurbin maganin horroone wanda ya hana matakin maganin horroone (TSH) . Ainihin, ana ba marasa lafiya magani mafi magungunan magani (wanda aka sani da ƙwayar supra-physiologic) don samar da ƙananan matakan, wanda ba a iya ganin TSH ba.
Tsayawa marasa lafiya a matakan da ake daukar su a cikin mahaɗin hyperthyroid zai iya hana sake dawowa da ciwon maganin thyroid.
Wani binciken bincike wanda aka gabatar a taron kolin cutar kanjamau na 2017 yana kalubalantar wannan ka'ida ta hanyar tabbatar da shaida cewa akwai hadarin zuciya mai dadewa da ya shafi wannan aiki.
Hyperthyroidism wanda ba saboda magani bane ya zama sanadiyar haɗari ga magungunan filastillation da cututtuka. Har ila yau, an danganta shi da ciwon angina da kuma ciwon zuciya a cikin marasa lafiya wanda ke da mahimmancin yanayin zuciya.
A cikin wannan binciken, masu binciken sunyi tasiri na zuciya na hyperthyroidism saboda raunin levothyroxine , maganin maganin maganin hormone thyroxine (T4), a cikin fiye da 182,000 marasa lafiya da ciwon ciwon thyroid. Sun gano cewa maganin ciwon levothyroxine yana kara yawan hadarin cututtukan zuciya da cututtukan ƙwaƙwalwar ƙwayar cuta a cikin ciwon ciwon daji na thyroid.
Musamman, sun sami:
- Bayan ciwon daji na thyroid, akwai yawan ƙwayar cutar zuciya da bugun jini
- Rashin haɗari ya fi girma a cikin marasa lafiya wadanda suka sami cikakkiyar thyroidectomy
- Rashin haɗari ya fi girma a cikin wadanda ke daukar nauyin levothyroxine mafi girma (kuma wanda ke da matakin ƙananan TSH)
- Akwai haɗari mafi girma na fibrillation, wanda aka hade da ƙananan levothyroxine
Bisa ga masu binciken, kawai karamin ɓangaren haɗari na jini ya haifar da ƙimar ƙara yawan ƙararraki. Maimakon haka, ikon hyperthyroidism na iya haifar da cutar hawan jini da canje-canje a cikin zuciya - tsakanin wasu dalilai-sun kasance masu laifi.
Wani bincike na 2013 kuma ya dubi cutar cututtukan zuciya a marasa lafiya waɗanda suka bambanta ciwon daji na thyroid. Binciken ya gano cewa kashi 19 cikin dari na marasa lafiya sun mutu saboda sakamakon zuciya - ciki har da zuciya, bugun jini, mahaukaciyar motsa jiki na ciki, da kuma haɓaka na huhu - idan aka kwatanta da kashi 7.4 da suka mutu daga ciwon daji na thyroid. Rashin mutuwa daga cututtukan zuciya ya haɗu da matakan TSH: Ƙananan matakin TSH, mafi girman haɗarin.
Abubuwan da ke damun marasa lafiyar Thyroid
Wadannan binciken sune mahimmanci ga marasa lafiya na ciwon maganin thyroid , musamman ma lokacin da kake fuskantar ciwon maganinka , ko kuma likitanka suna bada shawarar maganin allurai na levothyroxine bayan tiyata.
Na farko, tun da binciken ya nuna babban hadarin da ke tattare da cikakkiyar maganin ku, ya kamata ku tattauna ko yaduwar jikinku dole ne a matsayin wani ɓangare na maganin ciwon daji na thyroid. Binciken da aka yi kwanan nan ya nuna cewa tiyata ne kawai don cire kawai lobe na glandon thyroid - shi ne mafi kyawun magani don maganin ciwon maganin thyroid ciwon sukilla , wanda yafi yawan ciwon ciwon thyroid.
Na biyu, da yawa masana sunyi imani cewa babu wani amfani ga m TSH cire. A halin yanzu jagororin daga Amirka Yourroid Association da kuma Turai Thyroid Association bayar da shawarar TSH suppression kawai a lokacin da mai haƙuri "yana da ciwon ciwace-ciwacen daji ko kuma yana da matukar m ciwon da aka bi da tare da tiyata da radioactive iodine." A cewar biyu kungiyoyin:
Kimanin kashi 85 cikin dari na marasa lafiya za a iya nuna su zama marasa lafiya bayan an fara maganin tumojin ta hanyar gwada kwayoyin cutar thyroglobulin masu haƙuri da kuma yin hotunan ultrasonography. Lokacin da mai jinƙai ya ji rauni a kan wannan dalili, ka'idodin ATA da ETA sun tabbatar da ɗaukar jinin TSH a matakin ƙananan hali.
Ka lura cewa duk da sharuɗɗa da shawarwari, yawancin likitoci suna ci gaba da yin allurar thyroidectomies ga dukan thyroid cancers, da kuma rubuta tsauraran maganin rigakafi ga dukan marasa lafiya na thyroid cancer.
Na uku, muna kuma ganin gagarumin karuwa a cikin adadin thyroid cancer ganewar asali. Yayinda wasu masana sunyi imanin cewa akwai ciwon gaske a cikin rashin lafiyar ciwon maganin ciwon maganin thyroid, wannan ƙaddamarwa ce, kamar yadda wasu suka yi zaton cewa ƙãra yawan kuɗi sunfi yawa ne saboda ƙaddamar da kwayar cutar thyroid nodules. Saboda yawan amfani da gwaje-gwaje na hoto, yawan ƙananan ƙananan ƙwayoyin cuta, amma mai saurin raguwa "ana haifuwa" ana gano thyroid nodules. Akwai rikici game da ko wane bayanin da ake gani na nodules, maimakon magungunan ciwon daji da muka sani yanzu yana iya kara yawan ƙalubalen zuciya.
A ƙarshe, idan kana da tarihin ciwon maganin ciwon thyroid, ya kamata ka tabbatar cewa likitanka yana kimantawa da kuma kula da lafiyar zuciyar ka.
> Sources:
> Klein Hesselink EN, Klein Hesselink MS, de Bock GH, et al. Mutuwar zuciya na tsawon lokaci na mace-mace a cikin marasa lafiya da ke dauke da thyroid carcinoma: nazari na al'ada. J Jara Incol. 2013; 31 (32): 4046-4053. Doi: 10.1200 / JCO.2013.49.1043.
> Shin DW, Suh B, Yoon JM, et al. Hadarin na cututtukan zuciya da cututtukan zuciya da jijiyar ischemic a cikin ciwon daji na thyroid ciwon shan levothyroxine. J Jara Incol. 2017; 35 (haɗin 5S; abstr 105).
> "Hormone Thimulating Hormone (TSH) Cutar." Yourroid Cancer Survivors Association. http://thyca.org/pap-fol/more/tsh-suppression/