Yana yiwuwa a sami matakin "al'ada" na TSH kuma har yanzu yana jin rauni
Idan kun kasance a kan maye gurbin hormone kuma yana da maganin thyroid-stimulating hormone (TSH) matakin da yake a al'ada range-duk da haka har yanzu kana da ciwon kewayon thyroid-related cututtuka-za ka iya zama daya daga cikin miliyoyin thyroid marasa lafiya fama da undertreated hypothyroidism.
Kimanin kashi 15 cikin dari na mutanen da ke Amurka tare da hypothyroidism, ko ciwon da ke ciki, ci gaba da jin ciwo ba tare da kulawa da cutar ba, a cewar binciken da aka buga a shekara ta 2016 da aka buga a Jaridar Clinical Endocrinology da Metabolism .
Wannan yana nufin cewa kimanin miliyan 1.5 zuwa miliyan 1.8 a halin yanzu suna shan maganin hormone maye gurbin suna da alamun bayyanar cututtuka na maganin ƙwayar cuta. Idan kun yi zaton kun dace da wannan bayanin, yana da muhimmanci a yi tattaunawa tare da likitanku game da matakan TSH da kyau da kuma hanyoyin zafin likitan ku.
Mene ne An Yi Wa Hypothyroidism Maido?
Kalmar tana nufin hypothyroidism a matakin salula wanda ke nufin cewa har yanzu kana da alamun cututtukan hypothyroidism kamar su gajiya, karfin jiki , rashin tausayi, fibromyalgia / tsoka da haɗin gwiwa da kuma ciwo, hasara gashi ko gashi mai gashi / rashin gashi , rashin haihuwa , maƙarƙashiya, furucin kwakwalwa, da kuma ƙari-duk da shan yawan shawarar da ake yi na maye gurbin karoid kuma yana da matakin "TSH" na al'ada. Abin takaici, jinin TSH na al'ada ya fi ƙarfin yawan likitoci fiye da alamun marasa lafiya yayin da yayi hukunci akan ƙimar magani.
Akwai dalilai guda biyu da wannan zai iya faruwa. Na farko, wasu likitoci sun yi imanin cewa samar da nauyin hormone kawai don samun mai haƙuri zuwa tsakiyar zuwa al'amuran TSH daidai ne.
Na biyu, basira mafi mahimmancin dalili shi ne cewa tsarin kulawa na yau da kullum na Synthroid, Levoxyl, Levothyroid, Eltroxin, ko Euthyrox (jinsin levothyroxine) bazai iya isa ga wasu mutane su ji daɗi sosai ba. Levothyroxine shi ne ƙwayar magani na T4, wanda jiki dole ne ya koma cikin T3, wani hormone mai aiki.
T4 yana aiki. Duk da haka, wasu mutane na iya gwagwarmayar canza T4 a cikin adadin T3, yana barin su tare da alamun hypothyroid na ci gaba.
Idan ba ku ji daɗin levothyroxine monotherapy, kuna iya gwada "farfadowa" wanda shine magani wanda ya ƙunsar duka T3 da T4. Kodayake wannan kungiyar ta Amurka ta goyi bayan ku, yawancin likitoci ba su da kwarewa.
Tass Levels
Wasu masu binciken endocrinologists sun gaskata cewa TSH na kasa da 2 yana da kyau ga mafi yawan mutane su ji daɗi kuma su guji samun hypothyroid ko hyperthyroid bayyanar cututtuka. Akwai kuma bincike da ke nuna cewa dabi'u a sama da TSH na 2 na iya zama ainihin matakan mawuyacin hali .
(NOTE: TSH yawanci yawanci ana kiyaye ƙananan daga 1 zuwa 2 na masu ciwon daji na thyroid-an yi amfani da tsari kamar maganin thyroid - don taimakawa wajen hana ciwon daji.)
- TSH Fiye da .3 - Anyi la'akari da yiwuwar hyperthyroid (yawancin hormone thyroid) a mafi yawan labs a cikin Amurka Za ka iya zama damuwa, da wuya a barci, gashi yana fadowa, zawo, da sauran cututtuka.
- TSH 1 zuwa 2 - Tsarin al'ada mafi kyau ga mafi yawan mutane. Wannan ita ce tashar TSH inda yawancin mutane ke jin mafi kyau. A wasu lokuta ana daukar "ƙananan" ƙananan likitoci.
- TSH .3 zuwa 4.5 - "Maƙallin kewayawa" bisa ga wasu ka'idodi na jar. Wasu mutane suna jin dadi a wannan fanni, amma mutane da yawa suna fama da bayyanar cututtuka na hypothyroidism lokacin da TSH ke sama 2.0.
- TSH 4.5 zuwa 10 - An yi la'akari da matakan "hypothyroidism", amma ban mamaki, wasu likitoci ba za su bi da waɗannan matakan ba, kuma kada su nuna alamun hypothyroidism da marasa lafiya suka ji a wannan matakin zuwa hypothyroidism kanta. Mutane da yawa suna da alamun bayyanar a wadannan matakan.
- TSH Above 10 - An yi la'akari da hypothyroid wanda ya cancanci magani ta yawan likitoci.
Kuna buƙatar T3 ya ji da kyau
Wasu mutane ba su jin dadin magani a kan kwayoyin levothyroxine / T4 kawai (kamar Synthroid) kuma suna jin daɗin daukar T3.
Sauran sun sami nasarar ƙara T3, kamar su Cytomel ko kuma ta hanyar t3, lokacin da aka saki T3, zuwa levothyroxine. A ƙarshe, duk da haka wasu sun sami nasarar tare da Armor, sauyin yanayi na thyroid hormone . Akwai zaɓuɓɓukan sauyawa masu juyin thyroid .
Abin mamaki shine, har yanzu ana daukar rikici don amfani da T3 ga mutanen da ke dauke da hypothyroidism ta hanyar marasa amfani ko karɓar mambobi na likitoci na duniya, duk da bincike da ke tabbatar da bukatar T3 a yawancin marasa lafiya thyroid. Mutane da yawa suna da matakin al'ada ko ma maras kyau TSH, duk da haka har yanzu, suna ci gaba da ci gaba da bayyanar hypothyroidism . A cikin waɗannan lokuta, ƙarin T3 ya taimaka wajen taimakawa ciwo, ƙwaƙwalwar ƙwaƙwalwar ajiya , gajiya da sauran alamu. Wannan bayanin game da T3 yana da juyi mai saurin gaske kuma yana da babban mahimmanci ga mutanen da ba su ji daɗin maganin hanyoyin maganin ka na yanzu! Don ƙarin bayani, duba cikakken rahoto akan wannan bincike.
Yadda za a Koma tattaunawa tare da Doctor
Idan kuna har yanzu suna fama da bayyanar cututtuka na hypothyroidism duk da magani, mataki na farko shi ne ya rubuta wannan a hanyar da za ku iya yin nazarin sauƙi tare da likitanku. Kyakkyawan kayan aiki don taimakawa shi ne lissafi na cututtuka na hypothyroidism , wanda yayi jerin jerin abubuwan haɗari da bayyanar cututtuka da zaku iya ɗauka ga likitanku don taimakawa wajen gano ganewar asali, ko yin hujjar cewa jigilar cututtuka na hypothyroid ba a warware su ta hanyar maganinku ba.
Kafin ka tattauna da likitan, zan kuma ba da shawara ka karanta tambayoyin tambayoyi guda shida da ya kamata ka tambayi likitanka game da hypothyroidism, kazalika da manyan tambayoyin sabon mutumin da aka gano da hypothyroidism yayi tambaya sau da yawa - irin tsawon lokacin yana so ya ji daɗi bayan jinya na farko, jinin lafiyar lokaci mai tsawo, ko kuna samun goiter, gajiya da nauyin kwarewa da yadda za a magance su, da sauransu.
Tare da bayani da lissafin ku, ya kamata ku zauna tare da tattaunawa tare da likitanku game da matakin ku na TSH mafi kyau , kuma ko yakamata ya kamata ku yi la'akari da tarin T3 don maganin aikin maye gurbin ku.
Kuna iya buƙatar wasu ammonium don samun likitan ku saurara kuma ku fahimta. Don taimakawa, akwai wasu littattafai da na bayar da shawarar ga dukan marasa lafiya thyroid. Dubi Kantin sayar da littattafai na Thyroid don ra'ayoyin.
Idan likitanku ba zai tattauna zabin ba ko ya ƙi yin la'akari da T3, to sai ku nemi likita wanda yake so ya zama abokin tarayya a cikin lafiya.
> Source
> Sarah J. Peterson, Elizabeth A. McAninch, Antonio C. Bianco. Shin al'ada ta TSH ne da "Euthyroidism" a Levothyroxine Monotherapy? Jaridar Clinical Endocrinology & Metabolism , 2016; jc.2016-2660 DOI: 10.1210 / jc.2016-2660