A Dubi Antithyroid Drugs, Radioactive Iodine, da kuma Tiyata
Mafi kyawun maganin ka na hyperthyroidism ya dogara ne da dalilai da dama, daga dalilin matsalarka zuwa ga shekarunka, ƙimar ka a cikin lafiyarka. Duk da yake maganin antithyroid (Tapazole, alal misali) za'a iya amfani dasu don taimakawa aikin maganin thyroid, da sauran maganin-irin su beta-blockers-za'a iya la'akari da su don magance cututtukan hyperthyroid.
Za'a iya la'akari da zaɓuka irin su ablation na thyroid tare da maida rediyo ko tiyata don cire gland (thyroidectomy).
Duk da yake dukkanin zaɓuɓɓuka guda uku suna da tasiri, kowannensu yana da nauyin haɓakawa da mawuyacin tasiri. Wannan shine dalilin da ya sa tattaunawa da hankali da likita tare da likitanku yana da tabbacin kafin ku tsara wani shirin kulawa.
Sharuɗɗa
Magungunan magungunan magani sune mahimmanci maganin hyperthyroidism. Kila kuma a sanya wasu kwayoyi don taimaka maka ka gudanar da alamun bayyanar.
Antithyroid Drug Jiyya
Makasudin magungunan antithyroid shine cimma aikin maganin thyroid a cikin wata daya ko biyu na farawa. Bayan haka mutum zai iya ci gaba da zaɓuɓɓuka masu zuwa:
- Sake farfado da mahimmanci tare da iodine rediyo ko tiyata
- Ci gaba da miyagun ƙwayoyi antithyroid na wata shekara ko biyu, tare da bege na samun remission (wanda ya fi dacewa a cikin mutanen da ke da hyperthyroidism da ƙananan ƙila a cikin mutane da babban goiter da masu shan taba)
- Yi amfani da miyagun ƙwayoyi na antithyroid na dogon lokaci
Yayin da maganin likitanci na antityroid yana da mahimmanci (kana da damar gyarawa, magani yana da karfin zuciya, kuma zaka iya kauce wa hadarin da kuma kudaden da ke hade da tiyata), ƙaddara shi ne cewa masu bincike sun kiyasta cewa kashi 70 cikin 100 na mutane zasu sake dawo bayan An dakatar da maganin miyagun ƙwayoyi na antithyroid.
Waɗannan maganin antithyroid guda biyu a Amurka suna Tapazole (Methimazole, ko MMI) da kuma propylthiouracil (PTU). Saboda gaskiyar cewa MMI yana da ƙananan cututtuka kuma ya juyar da hyperthyroidism da sauri fiye da PTU, MMI shine zabi mafiya fifiko.
Wannan ya ce, ana amfani da PTU don bi da hyperthyroidism a farkon farkon watanni na ciki da kuma mutanen da ke fama da hadarin karoid . Ana iya ba da ita ga mutanen da suka yi maganin methimazole kuma wadanda ba sa so su shawo kanin iodine ko kuma tiyata.
Wasu yiwuwar cututtukan ƙwayoyin da suka haɗa da shan ko dai MMI ko PTU sun hada da:
- Itching
- Rash
- Haɗin gwiwa da kumburi
- Jiɗa
- Fever
- Canje-canje a dandano
Mafi mahimmanci, ciwo da haɗari da ko dai MMI ko PTU (mafi yawa tare da karshen) na iya faruwa. Cutar cututtuka na ciwon hanta sun hada da ciwon ciki, jaundice, duhu mai fure, ko harsashi mai launin launi. Duk da yake ba a sani ba, wani yanayi mai hadarin gaske mai rai wanda ake kira agranulocytosis (raguwar ƙwayar cuta a jikinka) zai iya faruwa tare da MMI ko PTU. Yana da muhimmanci ga mutanen da ke daukar wadannan kwayoyi don sanar da likitan su nan da nan idan sun bunkasa bayyanar cututtuka kamar zazzabi ko ciwon makogwaro.
Beta Blocker Far
Duk da yake ba magani ga hyperthyroidism, mutane da yawa tare da hyperthyroidism an umarce su wani beta-adrenergic antagonist receptor (mafi sani fiye da matsayin mai beta-blocker).
Beta-blocker yayi aiki a jiki don rage yawan abin da ya faru na hawan hormone thyroid a kan zuciya da kuma wurare dabam dabam, musamman ma yawancin zuciya, karfin jini, rashin tausayi, rawar jiki, da rudun da ba daidai ba. Beta maƙarar ma rage rage numfashi, rage ragewa da rashin zafi, kuma rage rage jin dadi da damuwa.
Drugs for Thyroiditis
Domin lokuta na wucin gadi ko "iyakance" na hyperthyroidism (misali, subacute thyroiditis ko postpartum thyroiditis ), da mayar da hankali ne a kan magance bayyanar cututtuka. Za a iya ba da taimako ga wahalar zafi da kuma kumburi, ko kuma beta blockers na iya zama wajabta ga cututtukan zuciya.
Lokaci-lokaci, an yi amfani da miyagun ƙwayoyi antithyroid na dan lokaci kaɗan.
Ablation
Ana amfani da Idinin radita (RAI) don halakar da kyallen takalma na glandon thyroid, abin da aka sani da ablation. An yi amfani dasu don bi da yawancin mutanen da aka gano tare da cutar Graves a Amurka, amma ba za a iya amfani da su a cikin mata masu juna biyu ko masu shayarwa ba, ko kuma mutanen da ke ciwon ciwon maganin ciwon maganin ciwon maganin ciwon daji.
A lokacin RAI far, an ba da Idinin rediyo kamar kashi ɗaya, a cikin wani kammalar ko ta hanyar maganin maganganu. Bayan mutum ya hade da RAI, todin din din din din ya sa ya shiga cikin ciwon sanyi, inda yake haskaka kwayoyin karoid, ya lalata da kuma kashe su. A sakamakon haka, thyroid gland shine shlanders shrinks da thyroid aiki slows down, reversing da mutum ta hyperthyroidism .
Wannan yakan kasance a cikin makonni 6 zuwa 18 bayan yin amfani da Idinin radioactive, kodayake wasu suna buƙatar magani na biyu na RAI.
A cikin mutanen da suka tsufa, waɗanda suke da yanayin kiwon lafiyar kamar cututtukan zuciya, ko waɗanda suke da alamun bayyanar cututtuka na hyperthyroidism, ana amfani da miyagun ƙwayoyi antithyroid (methimazole, yawanci) don daidaita ka'idar thyroid kafin yin jituwa ta hanyar RAI. Methimazole kuma an ba game da uku zuwa kwana bakwai bayan farkawa ta RAI a cikin waɗannan mutane, sa'an nan kuma hankali ya yi amfani da su kamar yadda aikin da kake yi na thyroid.
Hanyoyi da damuwa na gefe
RAI na iya samun sakamako masu illa, ciki har da tashin zuciya, ciwon makogwaro, da ƙumburi na gland, amma waɗannan suna da wucin gadi. Ƙananan marasa lafiya marasa lafiya suna fuskantar hadarin barazanar thyroid hadari bayan RAI.
Bugu da ƙari, akwai hujjojin kimiyya da ke nuna cewa hanyar RAI zai iya haifar da ci gaba ko ƙara tsanantawa da cutar cututtuka (kobitopathy). Yayin da wannan mummunan yanayi ya kasance mai sauƙi da gajeren lokaci, jagororin kungiyar kawancen Thyroid na Amurka ba su bada shawarar bayar da maganin RAI zuwa ga mutane da matsananciyar ƙwayar ido.
Idan kana da RAI, likitanku zai tattauna batun radiation da kowane tsari da za ku iya ɗauka don kare iyalinku ko jama'a. Wannan ya ce, zama a hankali cewa yawan radiation da ake amfani dashi a RAI farɗan ƙananan kuma baya haifar da ciwon daji, rashin haihuwa, ko lahani na haihuwa.
Kullum, duk da haka, a cikin farkon sa'o'i 24 bayan RAI, kauce wa abokiyar saduwa da sumba. A cikin kwanaki biyar na farko ko haka bayan RAI, ƙayyadewa ga yara da mata masu juna biyu, kuma, musamman, kauce wa ɗauke da yara a hanyar da za a fallasa su a yankinka na thyroid.
Tiyata
Tawan tiyata (wanda aka sani da thyroidectomy) yana da zaɓin zabi na ƙarshe don zalunta da ƙwayar thyroid gypsum. Yayinda kake cire glandar thyroid yana da tasiri sosai game da maganin hyperthyroidism, tiyata yana da haɗari, tsada, da kuma dan kadan.
Yawanci, tiyata an bada shawarar a cikin wadannan yanayi:
- Idan maganin antithyroid da / ko RAI basu iya sarrafa yanayin ba
- Idan mutum yana shan damuwa ga magungunan antithyroid kuma baya son RAI farfadowa
- Idan mutum yana da m, yiwu yiwu thyroid nodule
- Idan mutum yana da babban goiter (musamman ma idan yana hana jirgin sama ko kuma yana da wuya a haɗiye), cututtuka mai tsanani, ko cutar cututtuka na Graves
Yayin da kake jurewa ta tiyata, likitanka zai yanke shawara ko zaka cire dukkan glandan thyroid (wanda ake kira duka thyroidectomy) ko wani ɓangare na gland (wanda ake kira thyroidectomy). Wannan shawara ba koyaushe mai sauƙi ba ne kuma yana buƙatar tattaunawa da kimantawa.
Kullum magana, irin nau'in tiyata da kake shanwa ya dogara ne akan hanyar hyperthyroidism. Alal misali, ƙila za a iya kula da ƙwayar karamar thyroid wanda yake a gefen hagu na glanden thyroid wanda ke da ƙwayar thyroidectomy (a gefen hagu na glandan thyroid an cire). A gefe guda, babban goiter da ke dauke da ɓangarorin biyu na thyroid za a iya bi da shi tare da dukan thyroidectomy.
Gudanarwa da Risksan Post-Moto
Idan kana shan jimlar thyroidectomy, za a buƙatar tsawon sauyawa na maye gurbin thyroid. A gefe guda, tare da takaicin thyroidectomy, akwai kyawawan dama cewa ba za ka buƙaci ciwon maganin thyroid ba, idan dai akwai glanden ƙwayar da aka bari don samar da isasshen adadin hormone thyroid.
Kamar yadda yake da wani aikin tiyata, yana da mahimmanci don duba yiwuwar hadarin da likitan ku. Don yin tiyata, haɗarin haɗari sun hada da zub da jini, da kuma lalata ciwon laryngeal mai ciwo (haddasa damuwa) da / ko glandar parathyroid (wanda yake sarrafa ma'auni a jikin jiki). Tare da likitan likitan kawo, duk da haka, wadannan halayen ƙananan ne.
A lokacin da ake ciki
Ana ba da shawara cewa idan mace tana da karfin jini kuma yana son daukar ciki a nan gaba, ta yi la'akari da farkawa ta RAI ko tiyata wata shida kafin yin ciki.
Mace masu ciki da bayyanar cututtuka da / ko matsananciyar hyperthyroidism na bukatar magani. Matsalar da aka ba da shawarar ita ce maganin antithyroid, farawa tare da PTU a farkon farkon watanni uku sa'an nan kuma sauyawa zuwa methimazole a karo na biyu da na uku (ko kuma a kan PTU).
Duk da yake waɗannan kwayoyi suna ci gaba da hadarin gaske a cikin mata masu ciki, aikin likitanku shine ya yi amfani da su a matsayin kadan don iya kula da hyperthyroidism kuma rage halayen da zai same ku da jariri.
Yawanci, likitoci sun ba da shawara ga mafi ƙanƙancin yiwuwar da zai sarrafa yanayin. Tun da dukkanin kwayoyi antithyroid sun ratsa gindin placenta, duk da haka, yana da mahimmanci a bi umarni na takaddun umarni da kuma ci gaba da ƙayyadadden dubawa (faruwa kowane mako zuwa hudu).
A ziyarar kiwon lafiyar, baya ga gwajin thyroid, buguwarka, riba mai nauyi , kuma girman karoid zai duba. Pulse ya kasance a kasa da dari 100 a minti daya. Ya kamata ku yi ƙoƙari ku ci gaba da karfin ku a cikin jere na al'ada don yin ciki, don haka ku yi magana da likitanku game da abinci mai dacewa da kuma irin nau'in aikin jiki ya dace da yanayin halinku. Ya kamata a rika kulawa da ƙwayar ƙwayar ƙwayar ƙwayar cuta a kowane wata.
A Yara
Kamar yadda na tsofaffi, ana iya kula da hyperthyroidism a cikin yara tare da maganin likitanci na antithyroid, iodine rediyo, ko thyroidectomy.
Yin lura da zabi a cikin yara da hyperthyroidism shine MMI na antithyroid, saboda yana dauke da kima ƙari idan aka kwatanta da RAI ko tiyata, kuma yana da ƙananan sakamako masu illa idan aka kwatanta da PTU. Duk da yake RAI ko tiyata ko wasu hanyoyin magance hanyoyin da za a yarda da su, RAI an kauce wa yara a cikin shekaru biyar.
Magunguna Na Ƙarin (CAM)
A Sin da wasu ƙasashe, ana amfani da ganye a kasar Sin a wasu lokutan don magance hyperthyroidism, ko dai shi kadai ko tare da maganin antithyroid. Yayin da ainihin injin ba shi da tabbacin, wasu sunyi imani da cewa kayan aiki suna hana ta canzawar thyroxine (T4) zuwa triiodothyronine (T3) da kuma rage sakamakon T4 akan jiki.
A cikin wani babban nazari na binciken, wanda yayi nazarin shaidu goma sha uku na mutane fiye da 1700 tare da hyperthyroidism, adadin cututtukan kasar Sin zuwa maganin antithyroid yana da tasiri wajen inganta bayyanar cututtuka da kuma rage duka sakamako guda biyu na magungunan antithyroid da kuma sake dawowa (ma'ana maimaitawar hyperthyroidism) a wasu mutane. Mawallafin binciken, duk da haka, sun lura cewa duk waɗannan gwaje-gwajen ba'a tsara su sosai ba. Saboda rashin ingancin su, marubutan sun bayyana cewa babu wata hujja mai karfi don taimakawa wajen aiwatar da magunguna na kasar Sin a maganin hyperthyroidism.
Tun da ƙwayar Sinanci (ko wasu hanyoyin warkaswa) zai iya shawo kan maganin ku da kuma maganin maganin ƙwayar maganin ku, yana da mahimmanci don ɗaukar su a karkashin jagorancin magungunanku.
Baya ga ganye na kasar Sin, bitamin D ya karbi mai yawa hankali a cikin al'umma thyroid. Yayinda aka samo hanyar haɗi tsakanin rashin lafiyar bitamin D da kuma cututtukan thyroid (cututtukan cututtukan Graves da cutar Hashimoto), har yanzu ba a san abin da wannan ƙungiya yake nufi ba, kamar dai rashin raunin Damin D ne mai ɓoyewa ko sakamakon rashin jin dadi.
Mun san cewa hyperthyroidism na iya taimakawa wajen raunana kashi (osteoporosis), don haka tabbatar da dacewa da bitamin D da kuma ciwon calcium yana da muhimmanci. Cibiyar Magungunan Medicine ta ba da shawarar samar da bitamin D a shekara ta 600 ga kasa da shekaru masu shekaru 19 zuwa 70 da 800 na tsofaffi na shekaru 70. Wannan ya ce, kyakkyawan ra'ayi ne don tabbatar da maganin bitamin D tare da likitan ku. Zai iya bayar da shawarar yin dubawa na matakin bitamin D da gwajin jini; idan kun kasance kasa, zaka iya buƙatar samurai mafi girma fiye da waɗannan shawarwari sun nuna.
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