Idan kana fuskantar haɓaka nauyin hormone thyroid, ba ka kadai ba.
Ga wasu dalilai na yau da kullum, ciki har da tips akan warware su.
Hanyoyin Gwaninta a Maganinka
Idan ka fara shan magani na maye gurbin maganin maganin hormone daga sabon takardar magani ko kuma daga wata magunguna daban-daban, wannan zai iya bayyana dalilin da yasa matakan ka canza.
Magunguna masu maye gurbin thyroid hormone na iya canzawa akan yanayin su kuma har yanzu ana sayar da su a cikin jagororin Abincin da Drug Administration (FDA). A gaskiya ma, sharuɗɗa na tarayya ya nuna cewa kwayoyi levothyroxine ya kamata su kasance cikin kashi 95 zuwa kashi 105 cikin 100 na ikon da aka bayyana. Wannan na nufin kwayar kwayoyi 100 mcg za a iya la'akari da yiwuwar, har ma yayin da yake kawo wani abu daga 95 zuwa 105 mcg na sashi mai aiki.
Duk da yake iya aiki ya kasance a cikin daidaituwa a cikin wani nau'i mai suna ko masu sana'a, suna bambanta daga alama zuwa alama da masu sana'a ga masu sana'a. Duk da haka, idan an daidaita ku a kan alama ɗaya, canzawa zuwa wani nau'in-ko kasancewa a kan kwayoyin levothyroxine da kuma samun guraguwa daga masana'antun daban-na iya haifar da wasu swings, bisa ga mabangunta daban daban na kowane magunguna.
Kyakkyawan bayani don kauce wa wannan matsala ita ce idan kun kasance a kan maganin maganin kwayoyi, aiki tare da likitan ku don tabbatar da cewa koda yaushe kuna samun magani daga wannan kamfani.
Idan ba haka ba ne, la'akari da sauyawa zuwa sunan iri.
Lokaci na lokacin da kuma yadda kake dauka kwaya
Idan kana shan maganin karoid a lokuta daban-daban kowace rana, wani lokaci zaka iya daukar kwayar ka a cikin komai a ciki, kuma wani lokaci tare ko bayan cin abinci. Samun hormone thyroid tare da ko bayan abincin zai iya jinkirta ko rage rinjayar miyagun ƙwayoyi ta canza canjin da ya rushe ko ta canza canjin acid na ciki, yana tasirin sakamakon gwajin ku.
Idan kana so ka tabbatar da abin da zai fi dacewa, za ka so ka dauki magungunan ka na cike da hankali, daidai da farko da safe, a cikin komai a ciki, game da sa'a ɗaya kafin cin abinci da kuma kafin shan kofi.
Har ila yau ,, tabbatar da jira a kalla uku zuwa hudu hours tsakanin shan thyroid magani da kuma shan duk wani alli ko ƙarfe kari. (Har ila yau, yana cike da juyayi da ganyayyaki da madara.) Har ila yau, cin abinci mai yawan fiber yana da mahimmanci, kamar lafiya, yin amfani da fiber zai iya shafar shayarwar shan magani ta thyroid.
Daga qarshe, daidaito shine abin da ya kamata ka yi jihadi, dangane da yadda kake daukar maganin kafiyar kafiyar thyroid. Idan kayi shiri don canza hanyar da kake amfani da maganin thyroid, ka tabbata ka share shi tare da likitanka na farko.
Shirya kuskure
Magungunan likita ko likita takardun shaida suna faruwa, ma'anar zaka iya karban sakon kwayar cutar maye gurbin ka. Saboda haka ɗaya mahimmin bayani shine sau biyu duba lafiyar ku-duba lakabin da kwayoyin kwayoyin kuma ku tabbatar da cewa kuna samun maganin da likitanku ya tsara da kuma miyagun ƙwayoyi da aka tsara.
Cin da yawa kayan abinci na Goitrogenic
Wasu abinci zasu iya samun abin da aka sani a matsayin sakamako na goitrogenic , ko kuma ikon yin girman ciwon maganin kawanci kuma ya sa ya zama goiter.
Wadannan abinci zasu iya aiki kamar maganin antithyroid, rage jinkirin maganin ka, da kuma haifar da hawan hypothyroidism. Idan har yanzu kana da maganin thyroid, kana buƙatar ka fi damuwa game da kada ka yi la'akari da waɗannan goitrogens a cikin surar tsari.
Misalan abincin da ke "goitrogenic," sun hada da:
- Brussels sprouts
- Kale
- Soy
- Rutabaga
- Turnips
- Kohlrabi
- Radishes
- Farin kabeji
- Kasashen Afrika
- Gero
- Babassu (wani itace mai launi na itatuwan dabino a cikin Brazil da Afirka)
- Kabeji
Wasu masana sunyi imanin cewa za a iya halakar da enzymes da suka shafi kayan aikin goitrogenic a cikin tsire-tsire ta hanyar dafa abinci, don haka mai dafa abinci mai kyau zai iya rage wasu damar goitrogenic.
Canja lokaci
Mutane da yawa thyroid marasa lafiya ba su sani cewa thyroid matakan, kuma TSH musamman, na iya canza tare da yanayi. TSH yakan tashi da sauƙi a cikin watanni masu sanyi kuma ya sauko baya a cikin watanni mafi zafi. Wasu likitoci sun gyara wannan ta hanyar tsara dan kadan kara yawan kwayoyi a lokacin watanni masu sanyi kuma rage sashi a lokacin dumi.
Hutu Hudu
Yin amfani da isrogen a kowane nau'i, ko a matsayin maye gurbin hormone ko a cikin kwayoyin maganin haihuwa, zai iya shafar sakamakon gwajin ka. Alal misali, wasu mata da ke daukar ciwon estrogen na musamman zasu iya buƙatar ɗaukar hormone mai sauyin ka. Wannan shi ne saboda ciwon estrogen yana ƙaruwa da wani furotin da ya danganta da hormone na thyroid, yana yin hormone thyroid a wani ɓangare na rashin aiki-don haka, gwaje-gwaje na maganin za su iya kawo ƙarshen yawan matakan T4. Ga wata mace ba tare da glandon thyroid ba , wannan zai iya ƙara yawan abin da ake buƙata, kamar yadda babu karoid don ramawa.
Hawan ciki
Rashin haɗari a cikin estrogen a lokacin da ta fara ciki zai iya ƙara yawan TSH da kuma jikinka na buƙatar kafar hormone. Yana da mahimmanci a gwada TSH ta lokaci-lokaci a lokacin da take ciki, don tabbatar da cewa za'a iya gyara canjin yadda ya dace. TSH zai sauke bayan bayarwa, da ma, don mayar da waɗannan canje-canje.
Ganye / Ƙari / Drugs Kana Shan
Wasu ciyawa na ganye na iya samun tasiri akan aikin thyroid. Ganye kamar su ayurvedic herb guggul, kari, irin su tyrosine, kayan da ke dauke da iodine (alal misali, kelp) da bladderwrack kari duk suna da damar haɓaka ko rage aikin thyroid.
Farawa ko dakatar da ɗaya daga cikin magungunan kwayoyi na iya shafar matakan thyroid. Hanyoyin magungunan da zasu iya shafar ƙwayar thyroid sun haɗa da wasu kwayoyi masu rage yawan ƙwayoyin cholesterol, corticosteroids, lithium, da behadarone.
Canjin Canji na Thyroid Cutar
Hashimoto ta Thyroiditis
Ka yi la'akari da wannan labari a thyroiditis na Hashimoto: Mutum ya bincikar cutar ta Hashimoto a shekarar da ta wuce, an ba da izinin hormone na thyroid, kuma a cikin makonni shida na dawowa ziyara yana da tashar TSH na 2 miliyoyin kasa da lita (wanda yake a cikin al'ada na al'ada ). Mutumin ya dawo a cikin shekara guda, don sake dubawa na TSH, kuma yanzu matakinsa na TSH yana dauke da shi zuwa ƙarancin mita 6.0 a cikin lita.
Wannan haɓaka yana iya nuna cigaba da aiki na mota. A Hashimoto ta thyroiditis, kamar yadda thyroid antibodies kara kai hari da thyroid gland shine yake, yana da ƙasa da ƙasa da damar samar da hormone thyroid a kansa. Saboda haka, T4 da T3 matakan sauke kuma TSH ya tashi.
Cututtukan Graves
Haka wannan tsari yana aiki a cikin baya tare da cutar Graves, inda irin wannan nau'in maganin antithyroid da ke kiyaye ku a cikin al'amuran al'ada watanni shida da suka wuce zai iya barin ku hyperthyroid, yayin da ƙwayarku ya zama mafi mahimmanci.
A wasu lokuta, bayan watanni ko fiye akan maganin antithyroid, mutanen da ke fama da cutar Graves sun shiga cikin remission. A wannan yanayin, ana iya rage yawan maganin miyagun ƙwayoyi na antithyroid ko kuma an kawar dasu a wasu lokuta.
Thyroiditis Bayan Ciki
Bugu da ƙari, wasu mata sukan inganta thyroiditis bayan ciki . Ga yawancin matan nan, yanayin zai warware kansa, ma'anar cewa a tsawon lokaci, thyroid zai yi ƙoƙari ya koma zuwa al'ada kuma gwajin jini zai nuna wadannan canje-canje. Duk da haka, tare da wannan haɓaka, za a canza canjin maganin ƙwayar hormone na maye gurbin gyaran maganin hormone.
Kalma Daga
Hanyar kulawa da matakan thyroid, kazalika da bayyanar cututtuka, wani ɓangare ne na maganin karoid. Ba wai kawai mahimmanci a saka idanu akan gwajin gwajinka don canje-canje ba, amma don kai da abokin aikinka don fahimtar dalilai a bayan wadannan canje-canjen, don haka za'a iya magance su.
Idan kun canza yanayinku ko nau'in maganin maganin miyagun ƙwayar maganin hormone, ku tabbata cewa TSH ya yi tsayayya ba fiye da shida zuwa takwas makonni baya don sanin ko an buƙatar gyare-gyaren sashi ba.
> 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.
> Bajaj JK, Sakwab P, Salwan S. (2016). Maganin Dama Mai Mawuyawan Da ke ciki a cikin Thyroid Dysfunction: A Review. J Clin Diagn Res . 2016 Jan; 10 (1): FE01-FE03.
> Braverman, L, Cooper D. Werner & Ingbar's Thyroid, 10th Edition. WLL / Wolters Kluwer; 2012.
> 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.
> Kim TH. Yau na canje-canje na yanayi a kan sauyi tsakanin subclinical hypothyroid da matsayin euthyroid. J Clin Endocrinol Metab . 2013 Aug; 98 (8): 3420-9.