Your Next Steps idan Your Hypothyroid Jiyya Ba Aiki
Bayan an gano shi tare da hypothyroidism da fara magani, mutane da yawa suna cigaba da samun alamun bayyanar. Wannan na iya zama gaskiya ko da kun kasance hypothyroid na dogon lokaci kuma idan TSH din al'ada ne.
Idan ba ku ji dadi ba bayan samun magani don hypothyroidism, ba ku kadai ba. Duk da yake wannan na kowa ne kuma yana iya zama takaici mai ban mamaki, akwai abubuwa da yawa waɗanda zasu iya bambanta yadda kake ji da jiki da kuma halayyarka.
Bari mu dubi abin da za ku fuskanta, ku kuma rubuta wasu matakan da za ku yi la'akari a cikin yunƙurinku don ku ji sosai.
Maganar cututtukan cututtuka na yau da kullum na Hypothyroidism
Koda bayan an gano ku kuma an umarce ku don maye gurbin maganin karo na hypothyroidism, har ma bayan gwajin gwajin ku ya zama "al'ada," za ku ci gaba da samun ciwo bayyanar. Kuna iya lura:
- Ci gaba da riba
- Difficile rasa nauyi
- "Furo maiguwa"
- Difficulty concentrating
- Asarar gashi
- Hannun hannu, ƙafa, ko fatar ido
- Rashin hankali don zafi da / ko sanyi
- Muscle aches
- Haɗin gwiwa
- Tabbatarwa
- Ƙunƙarar ƙwayar karamin motsi ko tendinitis
- Babban matakin ƙwayar cholesterol
- Wuyar samun ciki
Matakai na Gudanar da Harkokin Cutar da ke Cutar da Haɗaka da Hypothyroidism
Idan kana da wasu daga cikin alamomin da aka ambata a sama, menene zaku iya yi? Bari mu dubi wasu matakai da za ku iya dauka don jin dadi. Yayin da kake yin wadannan matakai yana da muhimmanci a samu likita wanda zai iya tafiya tare da kai a cikin ƙayyade abin da ya kamata ka yi a cikin rikici na yanzu.
1. Dubi matakin ku na TSH
Mataki na farko da za a yi a cikin samun lafiya shi ne sanin matakin TSH (thyroid stimulating hormone level). Duk da haka, fahimtar matakin ku na TSH, yana bukatar fiye da sanin kawai idan lambar ku a cikin "al'ada na al'ada."
Dangane da lab ɗinka, da kuma kungiya ta musamman da ke bayar da shawarwari, ana iya la'akari da yanayin "al'ada" tsakanin 0.5 da 5.0 mU / l.
A cikin 'yan shekarun nan, duk da haka, an sami bambance-bambance da yawa game da matakan TSH .
Masana kimiyya masu mahimmanci sun fara tunanin cewa TSH tsakanin 1 da 2, a wasu kalmomi, a kan ƙananan ƙarshen al'ada, yana da kyau ga mutane su ji daɗi kuma su guji samun alamun alamun hypothyroid. (Wasu kuma sun yi imanin cewa wannan shawarar za ta kasance ta hanyar hada T4 kyauta da T3 kyauta, wanda zamu tattauna a gaba.)
Sabanin haka, wasu shawarwari sun kasance don kauce wa magani na yau da kullum ko da a mutanen da ke da matakan TSH da suka fada tsakanin 5 da 10 mU / l.
Tun da akwai rikici game da matakin TSH mafi kyau ga mutanen da ke da hypothyroidism, yana da muhimmanci a yi magana da likitanka game da abin da ta ji cewa lambobinka ya kamata su kasance a cikin al'ada.
Wani misalin da ya sa wannan ya zama mafi bayyane shine mafi dacewa da matakan bitamin D. Wasu labs sun lura da cewa "layin na yau da kullum" don bitamin D yana da shekaru 30 zuwa 90. A lokaci guda, wasu bincike sun gano cewa matakan tsakanin 50 zuwa 70 sun fi so don rage haɗarin wasu yanayi na likita irin su ciwon daji. A wannan yanayin, idan mutum yana da matsayi na 31, likita zai iya bayar da shawarar ƙarin kari ko da yake lambar su ta shiga cikin "al'ada."
(Lura: Ya kamata a kiyaye matakan TSH a kasa da 1 ga wadanda suka tsira daga ciwon maganin thyroid don hana haɗuwa.)
Ƙara koyo game da ko hypothyroidism na iya zama abin ƙyama .
2. Duba Dubi T4 da Free T3 ɗinku
Mataki na gaba shi ne saba da matakan T4 da kyauta na T3. Yana da muhimmanci a lura cewa maganin maye gurbin maganin karoid kamar Synthroid ne kawai T4 kadai, yayin da duka T4 da T3 sun kasance a cikin jiki.
Da farko tare da binciken a cikin New England Journal of Medicine a 1999, wanda ya gano cewa mutane da hypothyroidism sau da yawa ji mafi alhẽri tare da hade da T4 da T3 sauyawa, masu aikin fara la'akari ko ƙara T3 far to T4 farga zai iya taimaka wa wasu mutanen da suka ci gaba da jin hypothyroid duk da al'ada TSH.
Kullum, T4 ya koma T3 a cikin jiki, kuma samar da T4 ta hanyar sauyawa ya kamata, a ka'idar, ya isa. Amma wannan bazai kasancewa a lokuta ba.
Me ya sa wasu mutane zasu sami kyakkyawar rayuwa tare da ƙarin T3 ba tare da maganin maganin maganin karoid ba? Akwai magunguna masu yawa. Ana tsammanin cewa wasu mutane da al'ada TSH na iya zama hypothyroid a matakin ƙwayar salula. Wannan zai iya zama saboda rashin daidaituwa na T4 zuwa T3.
Ga mutanen da suke da matakan T3 marasa kyauta, zaɓuɓɓukan magani zasu iya haɗa da ƙananan T3 (irin su Cytomel) ko sauyawa zuwa samfurin wanda ya maye gurbin duka T4 da T3 irin su takardun gargajiya da aka lalacewa (kamar Armor). wannan aikin, tare da bincike mai zurfi wanda ke gano mahimmancin cigaba a wasu kuma rashin samun tasiri a wasu. Saboda haka, yana da muhimmanci a yi magana da likita game da sababbin binciken da kuma fahimtar T4 / T3 maganin magunguna . Yana da mahimmanci a gane cewa kowane mutum ya bambanta, kuma kai da likitanka suyi aiki tare don bi da alamar cututtuka maimakon kowane lambobi.
Ka tuna cewa ƙarin T3 zai iya taimakawa tare da wasu daga cikin alamun bayyanarka amma ba wasu. Alal misali, nazarin bincike na 2013 ya gano cewa ɗaukar T4 / T3 ba ya inganta yanayin rayuwar dangi da levothyroxine kadai ba, amma ya taimaka tare da asarar nauyi.
Idan ka yi tunanin cewa T3 zai iya zama matsala naka, zan sami ƙarin bayani game da ko zaka iya buƙatar T3 ko kuma yanayin da ke da ƙwayar thyroid .
3. Sanya TSH, Free T4, da kuma Free T3 Tare
Maimakon kallon lambobin TSH, T4 kyauta, ko T3 kadai, haɗin waɗannan lambobi zai iya taimaka maka da likitan ka yanke shawara idan an buƙaci canje-canjen a cikin maganin maganin ku, ko idan kana bukatar yin amfani da T3 miyagun ƙwayoyi a baya ga maganin sauyawa na thyroid (ko kuma canza zuwa T4 / T3 fili.
Wasu likitoci sunyi jin cewa hypothyroid mafi kyau ya hada da kawai ƙaddamar da matakin TSH tsakanin 1 da 2 amma T4 kyauta a cikin rabin rabin al'ada kuma T3 kyauta a cikin kashi 25th na kashi na al'ada.
Dubi duk wannan tare yana iya rikicewa. Kuna so a dauki lokaci don nazarin irin maganin maganin maganin maganin maganin maganin thyroid wanda yake samuwa, ciki har da kawai kwayoyi T4, amma T3 da T4 / T3 mahaukaci.
4. Sauran Sauye don Jin Dama da Hypothyroidism
Samun mafi kyau magani ko magunguna da kuma daidai kashi don sarrafa ka bayyanar cututtuka ne kawai ɓangare na rayuwa da kyau tare da hypothyroidism. Akwai wasu abubuwan da za ku iya yi don jin dadi sosai.
Na farko, idan ba ku da likita wanda ya gamsu da sarrafawa na cututtukan thyroid, koyi game da yadda zaka sami likitoci mafi kyau don gudanar da maganin thyroid. Duk da haka, ba likita kawai ba ne wanda zai iya taimaka maka ka fahimci sabon binciken akan hypothyroidism. Samun kyakkyawan goyon bayan kafarka ta yanar gizo na karoid ba zai taimaka maka kawai ba, amma zai zama hanya mai kyau don jin labarun wasu da ke fuskantar kalubale da kake ciki, da kuma karin bayani game da cutarka.
Kamar dai yadda yawancin yanayin kiwon lafiya, muhimmancin samun gwagwarmaya da yawa da cin abinci mara lafiya ba za a iya rinjaye su ba. Akwai abubuwa da dama da za su sani game da hypothyroidism da cin abinci naka, irin su rawar da soya a cikin jikinka .
A ƙarshe, yi tunanin hanyoyin da za a rage danniya a rayuwarka. Idan kun kasance a takaice, za ku iya farawa ta hanyar duba waɗannan hanyoyi 70 don rage danniya inda za ku sami akalla ayyukan kaɗan na ku.
> Sources:
> Eligar, V., Taylor, P., Okosieme, O., Leese, G., da C. Dayan. Maganin Thyroxine: Tsarin Magunguna na Endocrinologist. Annals na Clinical Biochemistry . 2016 53 (Pt 4): 421-33.
> Kasper, Dennis L .., Anthony S. Fauci, da Stephen L .. Hauser. Ka'idodin Magungunan Hoto na Harrison. New York: Ilimin Mc Graw Hill, 2015. Print.
> Schmidt, Y., Nygaard, B., Jensen, E., Kventny, J., Jarlov, A., da kuma J. Faber. Alamar mu'amala na Thyroid Function: Aiki na T4 Monotherapy vs T4 / T3 Combination Far a Hypothyroid Abubuwa a cikin wani Randomized Crossover Study. Endocrin Connections . 2013. 2 (1): 55-60.