Iimpawu zehypothyroidism, ezona zinto zibangela ukuba unyango lunjani

Umxholo

• Iimpawu kunye neempawu
• Izizathu eziphambili
• Ukwazi njani ukuba yi-hypothyroidism
• Ngubani ekufuneka eneemviwo ze-thyroid
• I-Hypothyroidism xa ukhulelwe
• Ungayinyanga njani iHypothyroidism
• Iimpawu zokuphucula kunye nokuwohloka

I-Hypothyroidism sesinye sezifo ezixhaphakileyo ze-endocrine kwaye ibonakaliswa ngumsebenzi ophantsi we-thyroid, obangela ukuba ivelise iihormone ezingaphantsi kunokuba kufanelekile ekusebenzeni ngokukuko kwayo yonke imisebenzi yomzimba, ekhokelela ekubonakaleni kweempawu ezithile ngokudinwa kakhulu, ukwehla kwenqanaba lentliziyo , ukutyeba, ukutyeba kweenwele kunye nolusu olomileyo.

Olu tshintsho luxhaphake kakhulu kwabasetyhini abangaphezulu kweminyaka engama-40 ubudala, abanamalungu osapho asondeleyo ane-hypothyroidism, esele bayisusa inxenye okanye yonke idlala lengqula okanye abo bafumene uhlobo oluthile lwemitha entlokweni okanye entanyeni. Unyango lwe-hypothyroidism lujolise ekulawuleni amanqanaba ehomoni ye-thyroid kwaye ke ukunciphisa iimpawu, kunye nokusetyenziswa kwehomoni zokwenziwa, ezinje ngeLevothyroxine, umzekelo, zihlala ziboniswa yi-endocrinologist.

Iimpawu kunye neempawu

Iimpawu kunye neempawu ezinokuthi zibonise ukusebenza kwe-thyroid ephantsi kunokubonakala kancinci kwiminyaka ngokuhla kwamanqanaba ehomoni ye-thyroid, i-T3 kunye ne-T4. Iimpawu eziphambili kunye neempawu zehypothyroidism zezi:

• Intloko ebuhlungu, izihlunu kunye namalungu;
• Ukuya exesheni ngokungaqhelekanga, okunokwenza ukuba kube nzima ukukhulelwa;
• Izipikili eziethe-ethe, eziqhekekileyo nolusu olomileyo;
• Amehlo, kwindawo yeenkophe, idumbile;
• Ukulahleka kweenwele ngaphandle kwesizathu esibonakalayo kunye neenwele ezincinci, ezomileyo nezimfiliba;
• Ukubetha kwentliziyo kuhamba kancinci kunesiqhelo;
• Ukudinwa kakhulu;
• Kunzima ukugxila, inkumbulo engeyiyo;
• Ukunciphisa i-libido;
• Ukutyeba ubunzima ngaphandle kwesizathu.

Ukongeza, kwezinye iimeko umntu unokufumana utshintsho kubuntu, ukudakumba kunye nesifo sengqondo esixhalabisayo, nangona kunjalo ezi mpawu zenzeka kubantu abanamanqanaba asezantsi kakhulu e-T3 kunye ne-T4.

Kwimeko yabantwana, i-hypothyroidism inokuphazamisa ukukhula, ukuze kwinqanaba lokufikisa, ukulibaziseka kunokulibaziseka kunye nesiqu esifutshane, umzekelo. Ukongeza, kwimeko yokuzalwa kwe-hypothyroidism, ukuba umntwana akafumaneki kwiveki yokuqala emva kokuzalwa, umntwana unokuba notshintsho kwimithambo-luvo, nomngcipheko wokuba nokudodobala kwengqondo. Bona ngakumbi malunga nokuzalwa kwe-hypothyroidism.

Izizathu eziphambili

Esona sizathu siqhelekileyo sehypothyroidism yiHashimoto's Thyroiditis, esisifo esizenzekelayo, apho ii-antibodies ziqala ukuhlasela i-thyroid gland, ngokungathi iyingozi emzimbeni ngokwawo. Ukongeza, i-hypothyroidism inokwenzeka ngenxa yokunqongophala kwe-iodine, imeko eyaziwa ngokuba yi-goiter, apho kukho ukwanda kubungakanani be-thyroid, kodwa inani elincinci le-T3 kunye ne-T4 ngenxa yokunciphisa ukuxinwa kwe-iodine.

Unyango ngokuchasene ne-hyperthyroidism okanye ukusetyenziswa kwamachiza afana ne-lithium carbonate, amiodarone, propylthiouracil kunye ne-methimazole nako kunokukhokelela kwi-hypothyroidism, kwaye kubalulekile ukudibana ne-endocrinologist ukuba naziphi na iimpawu zichongiwe ukuze kunqunyanyiswe amayeza okanye ukutshintshwa.

Abantu abathathe amayeza e-thyroid ukuze banciphise umzimba banokuphucula i-hypothyroidism kuba xa sele sele sele ikhona egazini, idlala lengqula linokuyeka okanye linciphise imveliso yalo yendalo.

Ukongeza kwezi zizathu, i-hypothyroidism inokubonakala ngexesha lokukhulelwa okanye emva kwexesha lokubeleka elihlala libuyele kwinto eqhelekileyo kungekudala. Ukongeza, kubalulekile ukuba ukhumbule ukuba esi sifo sinciphisa ukuchuma komfazi, kubangele iingxaki zokukhulelwa. Bona ngakumbi malunga ne-hypothyroidism kunye nokukhulelwa.

Ukwazi njani ukuba yi-hypothyroidism

Ukufumanisa ukuba yi-hypothyroidism, i-endocrinologist ivavanya iimpawu kunye neempawu ezivezwe ngumntu kwaye ibonise ukusebenza kweemvavanyo zegazi ukujonga inani lokujikeleza kwehomoni enxulumene ne-thyroid.

Yiyo loo nto idosi ye-T3 kunye ne-T4 ibonakalisiwe, ethi yehle kwi-hypothyroidism, kunye nedosi ye-TSH, eyonyusiweyo. Kwimeko ye-subclinical hypothyroidism, amanqanaba aqhelekileyo e-T4 kunye nokunyuka kwe-TSH kunokujongwa. Bona ngakumbi malunga neemvavanyo ezivavanya idlala lengqula.

Ukongeza, ugqirha unokucebisa ukuba kuqhutywe uphando lwe-antibody, imephu ye-thyroid kunye ne-thyroid ye-thyroid xa ama-nodule aqatshelwa ngexesha lokubamba kwe-thyroid. Kuyenzeka ukuba umntu enze uviwo lwe-thyroid ukuze achonge naluphi na utshintsho, ngakumbi amaqhuqhuva. Funda indlela yokwenza uvavanyo lwe-thyroid.

Ngubani ekufuneka eneemviwo ze-thyroid

Ukongeza kubantu ababonisa iimpawu kunye neempawu ezinokubonisa i-hypothyroidism, ezi mvavanyo kufuneka zenziwe ngoku:

I-Hypothyroidism xa ukhulelwe

I-Hypothyroidism, ukuba ayilawulwa kakuhle, inokuthintela amathuba okuba ukhulelwe kwaye ube neziphumo kumama nomntwana. Inokwenzeka kwakhona nasemva kokubeleka, kwiinyanga ezimbalwa emva kokuba umntwana ezelwe, ngendlela edlulayo kwaye ekwafuna unonophelo kunyango.

Yiyo loo nto kuqhelekile ukuba ngexesha lokhathalelo, ugqirha uyalela iimvavanyo ze-T3, T4 kunye ne-TSH zokuvavanya ukusebenza kwe-thyroid kwaye aqhubeke nokubeka iliso emva kokubeleka ukuba amaxabiso ehomoni ye-thyroid kwaye nokuba kukho isidingo sokusebenzisa amayeza. buyela esiqhelweni. Fumanisa ukuba yeyiphi ingozi ye-hypothyroidism xa ukhulelwe.

Ungayinyanga njani iHypothyroidism

Unyango lwe-hypothyroidism lulula kwaye kufuneka lwenziwe ngokufakwa kwehomoni ngokuthatha iihomoni zokwenziwa, i-Levothyroxine, equlathe ihomoni ye-T4, ekufuneka ithathwe isisu esingenanto, ubuncinci imizuzu engama-30 ngaphambi kwesidlo sakusasa. ukuba ukwetyiswa kokutya akukunciphisi ukusebenza kwayo. Idosi yeyeza kufuneka imiselwe ngugqirha we-endocrinologist kwaye inokwahluka kulo lonke unyango ngokwamanqanaba e-T3 kunye ne-T4 ejikeleza egazini.

Kwiiveki ezi-6 emva kokuqala kokusetyenziswa kwamayeza, ugqirha unokujonga iimpawu zomntu kwaye a-odole kuvavanyo lwe-TSH ukuze abone ukuba kunyanzelekile na ukuba anyenyise idosi yonyango de isixa se-T4 sasimahla siqheleke. Emva koko, iimvavanyo zokuvavanya idlala lengqula kufuneka zenziwe kube kanye okanye kabini ngonyaka, ukubona ukuba kunyanzelekile na ukuba uhlengahlengise idosi yonyango.

Ukongeza ekusebenziseni amayeza, kubalulekile ukuba umntu alawule amanqanaba e-cholesterol egazini, kuthintelwe ukusetyenziswa kwamafutha, ukutya ukutya okunceda isibindi ukuba sisebenze ngokufanelekileyo kwaye kuthintele uxinzelelo olugqithisileyo, njengoko kuphazamisa ukugcinwa kwehomoni idlala lengqula. Kwezinye iimeko, ukubonisana nesondlo sokutya kunokucetyiswa ukuze unyango lwezondlo kunye ne-iodine supplementation lunokunceda ukunciphisa iimpawu ze-hypothyroidism.

Kwimeko ye-subclinical hypothyroidism, xa kungekho zimpawu zichaphazelekayo, ugqirha unokucebisa ngokusetyenziswa kwamayeza kuba anokunceda ukunciphisa umngcipheko weengxaki zentliziyo, enokubaluleka kubantu abatyebe kakhulu okanye abane-cholesterol ephezulu okanye isifo seswekile .

Jonga indlela ukutya okunokuphucula ngayo ukusebenza kwe-thyroid kule vidiyo ilandelayo.

Iimpawu zokuphucula kunye nokuwohloka

Iimpawu zokuphucula i-hypothyroidism zivela ngaphezulu okanye ngaphantsi kweeveki ezi-2 emva kokuqala konyango, kuncitshiswe ukudinwa kunye nokuphucula imeko yeemvakalelo. Ukongeza, unyango lwexesha elide lwe-hypothyroidism lukwanceda ukulawula ubunzima kunye nokunciphisa amanqanaba e-cholesterol egazini.

Iimpawu zokuba mandundu kwazo zibonakala xa unyango lungenziwa ngokuchanekileyo okanye xa idosi ye-Levothyroxine ingonelanga, ngokuqaqanjelwa sisisu, ukwanda kwesidlo, ukubetha nokungcangcazela, umzekelo.