Abin da Kuna Bukatar Ku sani
Idan an gano ku tare da hypothyroidism kuma suna samun magani, da kuma sakamakon gwajinku wanda ke da tabbaci a cikin abin da ake kira "al'ada", abin farin ciki ne idan har yanzu ba ku ji daɗi?
Gaskiyar ita ce, duk da lura ga hypothyroidism , marasa lafiya da yawa - wasu ma sun ce mafi yawancin ku masu karbar maganin karoid suna ci gaba da samun bayyanar cututtuka waɗanda zasu iya dangantaka da thyroid. Koda bayan an gano ku kuma suna kan kwayoyin maye gurbin maganin hormone , zaku iya samun alamun bayyanar cututtuka irin su ci gaba mai nauyi ko wahalar rasa nauyi , damuwa, ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta ko wahalar matsawa, hasara gashi , hannu / ƙafa / fatar jiki, rashin haƙuri ga zafi da sanyi, ciwon ƙwayar tsoka da haɗin gwiwa, maƙarƙashiya, rami na carpal ko tendonitis, matakan cholesterol, ƙananan jima'i, da wahalar samun ciki, da sauransu.
Mene ne wasu matakai da za a dauka don motsawa don jin dadi?
1. Tambayi Dokokinka Idan Sabuwar TSH TSH Zai Yi Daidai Don Kai
Mataki na farko a gare ku shine sanin ainihin matakin TSH , da kuma sauran matakan thyroid kamar T4 da T3 . Wadannan matakan sun ba ka damar taimakawa wajen ma'auni inda likitanka ke cikin maganin kulawa kuma ya ba ka wata mahimmanci na tattaunawa.
Masana ilimin likitoci sun san cewa TSH na kusa da 1 - 2 - a cikin ƙananan ƙarshen al'ada - shine matakin al'ada ga mutanen da ba tare da cututtukan thyroid ba , kuma suna nufin wannan kewayon don magance marasa lafiya. Ka tuna cewa likitan da ya gaya maka TSH yana "lafiya" bai isa ba, domin idan likitanka yana amfani da daidaitattun al'ada na .5 zuwa 5, zaka iya samun TSH na 4 kuma za a gaya maka cewa ka "al'ada. " (Lura, wasu likitoci suna biye da sabon TSH da ake kira 0.3 zuwa 3.0). A halin da nake ciki, Na san ina jin tsoro a TSH na 3.0 ko sama, kuma ina samun bayyanar cututtukan hyperthyroid a .1, amma ina jin dadi a kusa da 1.5 ko haka. (Lura: wannan TSH ana kiyasta ko da ƙananan fiye da 1-2 don tsira daga ciwon daji na thyroid don taimakawa wajen sake dawowa.)
2. Tambayi Dokita Idan Canjin Canjin Wani Daban Levotyoxine Zai Yi Daidai
Wani muhimmin mataki shi ne tabbatar da idan kun kasance a kan miyagun ƙwayoyi don ku. Mafi yawan marasa lafiya na thyroid sun fara ne a kan levothyroxine, likitan T4 na yau da kullum, yawanci Synthroid . Amma idan ba ka ji daɗin Synthroid, ko kowane irin lakabin da kake ciki, kana iya tambayar likitanka game da kokarin gwaji daban-daban. Dukkanin suna da nau'o'in nau'o'i daban-daban da nauyin hade, kuma wasu sun fi sauƙi a narkar da su fiye da wasu, saboda haka wasu mutane sun ga sunyi kyau a kan wata alama zuwa wani. Mafi yawan samfuran sun hada da Synthroid, Levoxyl, Levothroid, da Unithroid.
3. Ka yi ƙoƙari ka guje wa jinsin ko ka samo takaddama mai tsawo, idan ana bukata
Idan har yanzu ba ka ji daɗi, gano game da matsalolin da kwayoyin halitta, da bukatar T3, hanyoyin sadarwa, da likitoci masu kyau.
Wasu Kamfanonin HMO da kamfanonin inshora sun cika rubutattun ka'idodin gavotyoxine ta atomatik tare da jigilar maganin miyagun ƙwayoyi. Akwai matsala tare da jinsin levothyroxine .
Kalubale mai mahimmanci da kwayoyin halitta, da kuma takaddama na kwarai daga likitoci, shine cewa idan kana da takardar izini na kwayoyin levothyroxine, duk lokacin da ka cika, zaka iya samun levothyroxine da wani kamfanin daban daban ya yi. Wannan yana nufin cewa duk lokacin da ka cika cika, zaka iya samun samfurin da ke da ƙananan nau'i, wanda zai iya tasiri akan matakan TSH . Wannan shi ne mahimmancin damuwa ga masu ciwon daji na thyroid, waɗanda suke buƙatar yin maganin magancewa domin su hana TSH ta zama hanya don hana ciwon daji.
Idan HMO ko inshora yana ƙoƙari ya tilasta jigilar jini a kanku, za ku iya tambayi likita don rubuta takardar izini don ku wanda ya ce "babu maye gurbin jini" da DAW (ba a rubuce ba). Kwararren na iya rubuta wasika don taimakawa wajen kare takardun magani.
Idan an tilasta ka dauki nauyin halitta, hanyar da za ta kare kanka daga haɓakawa daga alama zuwa alama shine don samun wadata wanda zai dade na dan lokaci. Yi la'akari da samun likitan ku rubuta takardar sayanku don tanadin watanni shida, misali. Amma idan ka sami wannan takardar sayen magani, ka tabbata ka samo sabon tsari, wanda ba zai ƙare ba har tsawon bayan da ka yi amfani da magungunan watanni shida.
4. Yi la'akari da neman mai likitan ku don rubuta Karin T3 ko Drug wanda ya ƙunshi T3
Ga wasu mutane, koda kuwa matakin TSH na al'ada, ko ma a wasu tashoshi, ƙananan al'ada, akwai yiwuwar kasancewa halin da ake ciki inda mutum yana aiki hypothyroid, saboda rashin iyawar jiki don sake juyawa T4 thyroid hormone cikin T3 hormone mai aiki a matakin tantanin salula, rashin daidaitattun T3 hormone matakai, ko sauran dalilai. Samun yiwuwar canzawa T4 zuwa T3 zai iya haifar da canzawa TSH , kamar yadda tsarin ke kokarin ci gaba da daidaitawa daga ƙananan T4 da T3, aika matakan TSH zuwa sama don ragewa. Ga waɗannan marasa lafiya, ƙarin T3 zai iya taimaka musu su ji daɗi.
Wasu marasa lafiya sun gano cewa ƙara T3 a cikin hanyar Cytomel ko kuma ta hanyar ƙaddamarwa, T3 ta lokaci-lokaci , zuwa levothyroxine, ya tabbatar da bayyanar cututtuka. Sauran sun sami nasara tare da wata hanya: maganin likitan T4 / T3 na Thyrolar, da kuma alamun marasa lafiya suna jin mafi kyawun maganganu na T4 / T3 Armor Thyroid , wadda ta samo asali don kimanin shekaru 100.
Ni daya ne wadanda ke jin mafi kyau shan T3. Tun lokacin da na gane asali a 1995, na ɗauki nau'ikan levothyroxine, levothyroxine tare da Cytomel, Thyrolar, da Armor, kuma na ji daɗi sosai akan tsarin da ya hada da T3, da kwayoyin levothyroxine kadai.
Abin mamaki shine, har yanzu an yi la'akari da rikici don amfani da T3 ga mutanen da ke dauke da hypothyroidism ta wadanda basu da karfin aiki ko kuma karban tsarkakan duniya.
5. Haɗa Hanyoyin Kasuwanci da Tsammani a cikin Jiyarka
Idan ka sake gyara maganin ka, sai mataki na gaba shine la'akari da dacewa da maganin maganin maganin maganin maganin jinƙanka tare da ƙarin hanyoyi. Wadannan zasu iya haɗa da canje-canje masu cin abinci, ganye / bitamin / kari don taimakawa wajen kawar da alamun cututtuka, goyon baya na al'ada, dabarun ƙarfafawa-dabarun bunkasa, ƙuntatawa ga ƙuntatawa, da kuma sauran haɗin gwiwa. Don taimakawa wajen bunkasa shirinka na thyroid, akwai littattafan da ke samar da bayanai mai zurfi. Duba bayani game da littattafai masu maganin karoid don ra'ayoyi.
6. Samun Sabon Doctor
Idan likitanku ba zai tattauna zabin ba, to sai ku nemi likita, wanda ya saba da yanayin maganin ka , wanda zai zama abokin tarayya a cikin lafiya.
Sources:
Braverman, L, Cooper D. Werner & Ingbar's Thyroid, Edition na 10. 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.