Kuna mamaki akan yadda za a rasa nauyi yayin da ake kula da ku don hypothyroidism? Shin kuna shan Synthroid, mai suna levothyroxine, ko wasu alamomin kamar Levoxyl ko Tirosint ? Ko kuna shan nau'in kwayar cutar thyroid (NDT) kamar Nature-throid or Armor, kuma har yanzu yana ƙoƙari ya rasa nauyi? Idan kun kasance a kan Synthroid ko wani maye gurbin maganin horroone na thyroid don kula da hypothyroidism, amma kuna fama da rage cin abinci da asarar nauyi, akwai wasu muhimman abubuwa da ya kamata ku sani.
Kuna buƙatar ku daina yin amfani da maganin maganin Thyroid
Lokacin da kake hypothyroid, yana da muhimmanci cewa thyroid magani ne tasiri. Wannan yana farawa tare da shari'ar da ta dace. Tabbatar cewa baka karɓar ko yin wani abu da zai iya tsangwama tare da iyakar rinjaye. Ga wasu jagororin taimako:
- Yi amfani da maganin karoid a safiya, kuma jira a kalla awa daya kafin ka sha ruwan kofi ko madara ko madara, ko cin abinci. Jira aƙalla akalla uku zuwa hudu kafin daukar duk wani kari wanda ya ƙunshe da baƙin ƙarfe ko alli, ko shan ruwan sha mai karfi mai ƙarfi.
- Idan kuna shan Synthroid brand levothyroxine, ku tuna cewa Synthroid ya ƙunshi duka acacia da lactose , waxanda suke da sinadaran haɗari ga wasu mutane. Idan kana da kwarewa ko rashin lafiya, ka yi la'akari da sauyawa zuwa wani alama.
- Idan kana da matsaloli masu narkewa, ko duk wani yanayi mai narkewa irin su cututtukan zuciya ko ƙwayar cutar Crohn, yi magana da likitanka game da Tirosint . Wannan shi ne na musamman, hypoallergenic, levothyroxine na ruwa a cikin gelcap, an tsara don inganta sha.
Tabbatar cewa Kana Samun Magunguna
Yana da mahimmanci cewa ka ɗauki isasshen Synthroid ko sauran maganin maganin maganin hormone. Wasu masu aikin likita zasu iya bada izinin maganin maganin hormone (TSH) kawai a cikin ƙananan layi, kusa da cutoff for hypothyroidism.
Wannan bazai isa ba don magance alamar cututtuka ko inganta na'urarka. Mutane da yawa masu maganin kawoyi da masu aiki sun gano cewa matakin TSH da ke ƙasa 2.0 shine mafi kyau ga ƙaddamar da bayyanar cututtuka. Idan TSH tana cikin mafi girma daga cikin tashar tunani, yi magana da likita game da kara yawan kwayoyin maganin thyroid.
Za ku iya buƙata Add T3
Dabbobin Levothyroxine kamar Synthroid sune nau'i na roba na thyroxine na thyroid, wanda aka sani da T4. Lokacin da duk abin da ke aiki daidai, jikinka ya kamata ya canza T4 a cikin maɓalli na biyu thyrm hormone, triiodothyronine, wanda aka sani da T3. T3 shine hormone mai aiki wanda ke taimakawa wajen samar da makamashi da oxygen kai ga sel. Bincike ya nuna, duk da haka, cewa a cikin wani ɓangare na thyroid marasa lafiya, wannan tsari na hira ne kuskure. Ko saboda sakamakon canjin yanayi, damuwa, ko rashin cin abinci mai gina jiki, waɗannan marasa lafiya sun kasa canzawa T4 zuwa T3. Idan ka fada cikin wannan rukuni, za ka iya gano cewa ko da bayan an bi da shi tare da maganin levothyroxine kamar Synthroid, har yanzu ana iya samun nauyi, ko kuma iya rasa nauyi. Kuna iya samun wasu wasu alamun hypothyroidism , irin su gajiya, hasara gashi, ko ƙwaƙwalwar kwakwalwa.
Kuna iya amfana daga tarin T3 zuwa levothyroxine don biyan hypothyroidism.
Ga wasu jagororin:
- Ka tambayi likitanka don gwada gwajin tarin kyautarka, wanda aka sani da T3. Idan kana da matakan ƙananan ko ƙananan, za ka iya so ka tambayi likitanka game da ƙara T3. Ana iya yin wannan tare da miyagun ƙwayoyi na Cytomel, mai amfani da kwayar cutar T3 mai amfani da kwayoyin cutar, ko takardar sayan magani, ƙaddarar da ake ciki, mai tsararren lokaci.
- Idan matakan T3 kyauta ne na al'ada, amma kana da alamun hypothyroidism wanda aka sani da ƙalubalen ƙalubalen asarar, ya nemi a gwada gwajin T3 ɗinku. Babban matakan wannan nau'i na T3 zai iya tsoma baki tare da iyawar jikinka na iya ba da T3 aiki zuwa gabobinka da gabobinka. Ƙara T3 zuwa ga maganinka a wannan yanayin zai iya taimakawa wajen magance alamar cututtuka.
Za ku iya buƙatar Thyroid wanda ba shi da kyau
Wasu thyroid marasa lafiya gwada maganin levothyroxine kamar Synthroid, daban-daban brands, da kuma ƙara wani T3 magani, kuma har yanzu ba zai iya warware bayyanar cututtuka. Idan wannan shine kwarewar ku, kuna iya magana da mai aikinku game da kokarin gwagwarmayar kwayoyin maganin thyroid (NDT) kamar Nature-throid ko Armor Thyroid. Har ila yau, akwai wani jigidar na NDT da ake kira Thyroid NP. Akwai iyakacin bincike a kan NDT, amma ɗayan binciken da ya yi amfani da shi ya gano cewa NDT mai lafiya ne kuma yana da mahimmanci ga maye gurbin kwayoyi levothyroxine, kuma ya haifar da asarar hasara ga marasa lafiya .
Kalma daga
Yayinda yake ba alaka da Synthroid ko sauran maganin likitan maganinka ba, akwai haɗi tsakanin hypothyroidism da hadarin ƙara yawan sukari da sukari 2 da ciwon sukari. Idan ka gyara aikinka na hypothyroidism akan Synthroid ko wani magani kuma har yanzu suna fama da rashin nauyi, magana da likitanka akan gwada glucose da haemoglobin A1C (HA1C). Idan matakan suna da tsawo, canje-canje ga abincinku da motsa jiki, da magunguna 2 na ciwon sukari kamar metformin, zasu iya taimakawa wajen daidaita tsarin jinin jininku kuma kuyi kokarin da kuka yi na hasara.
> Sources:
> Celi FS, et al. "Hanyoyin maganin rashin lafiya na kiwon lafiya a cikin hypothyroidism: wani baƙi, mai makafi guda biyu, gwagwarmaya na crossover na liothyronine da levothyroxine." J Clin Endocrinol Metab. 2011 Nov; 96 (11: 3466-74.): 10.1210 / jc.2011-1329 Afub 2011 Aug 24.
> Garber, J, Cobin, R, Gharib, H, et. al. Ka'idojin Gudanar da Harkokin Clinic don Hypothyroidism a cikin Adult: Cikin Shaɗin Ƙungiyar Amirka na Ƙwararrun Ƙwararrun Ƙwararrun Cututtukan Halitta da Ƙungiyar Thyroid Association. Endocrine Practice. Vol 18 No. 6 Nuwamba / Disamba 2012.
> Hoang TD, et al. "An bayyana thyroid tsantsa idan aka kwatanta da levothyroxine a lura da hypothyroidism: a randomized, biyu makafi, binciken crossover." J Clin Endocrinol Metab. 2013 May, 98 (5): 1982-90. Doi: 10.1210 / jc.2012-4107. Afrilu 2013 Mar 28.
> Lambadiari, V et al. "Hanyoyin hawan gwiwarka suna da alaka da haɓakar insulin a farkon cigaban ciwon sukari na 2." Endocrine. Fabrairu 2011, Volume 39, Issue 1, shafi na 28-32
> McAninch EA, Bianco AC. "Tarihi da Gabatarwa na Kula da Hypothyroidism." Ann Intern Med. 2016 Jan 5; 164 (1): 50-6. Doi: 10.7326 / M15-1799. Erratum a: Ann Intern Med. 2016 Mar 1; 164 (5): 376. PMID: 26747302